Diabetes Self Management Education (Dsme) through CalendarMedia Increase of Foot Care Adherence of Type 2 Diabetes Mellitus(Dm) Clients

Foot problem is often the most common cause of DM clients to be hospitalized. The most common cause of DM foot problem is a sensory neuropathy resulting diabetic ulcers. Nurse as educator should educate the clients for the prupose of increasing foot care adherence. One form of education that can be given to type 2 DM clients is Diabetes Self-Management Education (DSME) through the calendar media. The purpose of this study was to analyze the effect of Diabetes Self- Management Education (DSME) through calendar media on foot care adherence of type 2 DM clients. Method: This study was a quasi-experimental pretestposttest research with two-group design and used purposive sampling technique. Forty (40) respondents were divided into treatment and control groups. Samples were taken from the population of type 2 DM clients who followed the Prolanis program at Muhammadiyah Clinic of Lamongan who met the sample criteria. The independent variable was DSME through calendar medis and dependent variable was of foot care adherence, instrument using Nottingham Assessment of Functional Footcare (NAFF) and observation sheet using Wilcoxon Rank and Mann Whitney. Result: The result showed that there was a significant increase of adherence level with ρ value = 0,000 using Mann Whitney test after receiving DSME intervention through calendar media. Discussion: DSME interventions through calendar media can increase foot care adherence because every DSME session explains DM as well as its management and every calendar sheet contains a message for daily foot care. Suggestions for further research to examine DSME through calendar media on changes in blood sugar level and HBA1c DM type 2 clients.