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Abstract
Diabetes mellitus (DM) is associated with various complications, one of which is diabetes distress. Although numerous technology-based interventions have been implemented for patients with DM the impact of these interventions on diabetes distress remains inadequately understood. This study aimed to assess the effect of telemonitoring on diabetes distress among patients with type II DM in border regions. A quasi-experimental pre and post-test research design, without a control group, was utilized for the study. Conducted from July to September 2024, at the Puskesmas in the Belu Regency, the study involved a total sample of 22 respondents, selected through consecutive sampling. The Indonesian version of the Diabetes Distress 17 (DDS17) was used to measure diabetes distress. The telemonitoring intervention consisted of telephone calls lasting approximately 15-20 minutes. Data analysis was performed using the Wilcoxon signed-rank test. Results indicated that the mean value of diabetes distress before the intervention was 2.82, which decreased to 1.86 after the intervention. The difference in the decrease in the average value before and after the intervention was 0.96. Statistical analysis using the Wilcoxon signed rank test revealed a p-value of less than 0.05, indicating a significant difference in diabetes distress before and after the telemonitoring intervention. Therefore, telemonitoring can be considered a viable technology-based intervention through telephone calls to reduce distress in DM patients, particularly in border areas.
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JKEP (Jurnal Keperawatan)
References
Wijaya AS. KMB 2 Keperawatan Medikal Bedah. Yogyakarta: Nugraha Medika; 2015.
(IDF) IDF. Facts & figures [Internet]. International Diabetes Federation. 2025. Available from: https://idf.org/about-diabetes/diabetes-facts-figures/
Internasional Diabetes Federation. International Diabetic Federation Diabetic Atlas 10 Th edition. In Brussels,Belgium: IDF; 2021. Available from: https://www.diabetesatlas.org
Rif’at ID, N YH, Indriati G. Gambaran Komplikasi Diabetes Melitus Pada Penderita Diabetes Melitus. J keperawatan Prof [Internet]. 2023;11(1). from: https://ejournal.unuja.ac.id/index.php/jkp/article/view/5540/0#tab-citedby
Mosenzon O, Cheng AY, Rabinstein AA, Sacco S. Diabetes and Stroke: What Are the Connections? J stroke. 2023;25(1):26–38.
Gembillo G, Ylenia Ingrasciotta, Salvatore Crisafulli NL, Siligato R, Santoro D, Trifirò and G. Kidney Disease in Diabetic Patients: From Pathophysiology to Pharmacological Aspects with a Focus on Therapeutic Inertia. Int J Mol Sci. 2021;22(9).
Costa, W. J. T., Penha-Silva, N., Bezerra, I. M. P., Paulo Dos Santos, I., Ramos, J. L. S., Castro, J. M., Pereira, J. E. G., Silva, A. P. D., Monteiro, A., & de Abreu LC. Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil. Medicina (Kaunas). 2020;56(6).
Cristina Naranjo, Leticia Del Reguero, Guillermo Moratalla, Miguel Hercberg MV& IF. Anxiety, depression and sleep disorders in patients with diabetic neuropathic pain: a systematic review. Expert Rev Neurother. 2019;19(12):1201–9.
Nurmaguphita D, Sugiyanto S. Gambaran Distress Pada Penderita Diabetes Mellitus. J Keperawatan Jiwa. 2019;6(2):76.
Arifin B, van Asselt ADI, Setiawan D, Atthobari J, Postma MJ, Cao Q. Diabetes distress in Indonesian patients with type 2 diabetes: a comparison between primary and tertiary care. BMC Health Serv Res. 2019;19(1):773.
Lee SWH, Chan CKY, Chua SS, Chaiyakunapruk N. Comparative effectiveness of telemedicine strategies on type 2 diabetes management: A systematic review and network meta-analysis. Sci Rep [Internet]. 2017;7(1):1–11. Available from: http://dx.doi.org/10.1038/s41598-017-12987-z
Dhediya R, Chadha M, Bhattacharya AD, Godbole S, Godbole S. Role of Telemedicine in Diabetes Management. J Diabetes Sci Technol. 2023;17(3):775–81.
Pamungkas RA, Chamroonsawasdi K, Vatanasomboon P. A Systematic Review : Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients. Behav Sci (Basel, Switzerland). 2017;7(3):1–18.
Crowley MJ , Tarkington PE , Bosworth HB et al. Effects of a Comprehensive Telehealth Intervention vs. Telemonitoring and Care Coordination in Patients with Sustained Poor Type 2 Diabetes Control : A Randomized Clinical Trial. JAMA Intern Med. 2022;189(9):943–52.
Arifin B, Perwitasari DA, Thobari JA, Cao Q, Krabbe PFM, Postma MJ. Translation , Revision , and Validation of the Diabetes Distress Scale for Indonesian Type 2 Diabetic Outpatients with Various Types of Complications. Value Heal Reg Issues. 2017;12:63–73.
Hofmann, M., Dack, C., Barker, C., & Murray E. The Impact of an Internet-Based Self-Management Intervention (HeLP-Diabetes) on the Psychological Well-Being of Adults with Type 2 Diabetes: A Mixed-Method Cohort Study. J Diabetes Res [Internet]. 2016;2016. Available from: https://pubmed.ncbi.nlm.nih.gov/26682226/
Sukarno A, Munthe ED. The Effectiveness of Dia-Care Telemonitoring on Diabetes Outcome among Type 2 Diabetes Patients. Dunia Keperawatan J Keperawatan dan Kesehat. 2021;9(3):435.
Aikens JE, Rosland AM, Piette JD. Improvements in illness self-management and psychological distress associated with telemonitoring support for adults with diabetes. Prim Care Diabetes. 2015;9(2):127–34.
Nobis S, Lehr D, Ebert DD, Baumeister H, Snoek F, Riper H, et al. Efficacy of a web-based intervention with mobile phone support in treating depressive symptoms in adults with type 1 and type 2 diabetes: A randomized controlled trial. Diabetes Care. 2015;38(5):776–83.
Swoboda, C. M., Miller, C. K., & Wills CE. Impact of a goal setting and decision support telephone coaching intervention on diet, psychosocial, and decision outcomes among people with type 2 diabetes. Patient Educ Couns. 2017;100(7):1367–73.
Danielle Hessler, Lawrence Fisher, Russell E. Glasgow, Lisa A. Strycker, L. Miriam Dickinson, Patricia A. Arean UM. Reductions in Regimen Distress Are Associated With Improved Management and Glycemic Control Over Time. Diabetes Care. 2014;37(3):617–24.
Siminerio L, Ruppert K, Huber K TF. Telemedicine for Reach, Education, Access, and Treatment (TREAT): Linking Telemedicine With Diabetes Self-management Education to Improve Care in Rural Communities. Diabetes Educ. 2014;40(6):797–805.