The Effect of Diabetes Self Management Booklet Educational Media on Reducing Anxiety Levels in Diabetes Mellitus Patients in the Puskesmas Working Area South Cities
Abstract
Diabetes mellitus (DM) is a metabolic disorder characterized by chronic hyperglycemia due to impaired insulin work. DM not only has an impact on physical health but also psychologically, one of which is anxiety. Untreated anxiety can worsen a patient's quality of life and medication adherence. One of the interventions to overcome this is Diabetes Self-Management Education (DSME) using booklet media. This study aims to determine the effect of the use of DSME booklet educational media on reducing anxiety levels in DM patients in the working area of the South City Health Center. This quantitative research uses a pre-experimental design with a One Group Pretest–Posttest Design approach. The sample amounted to 49 respondents who were selected using accidental sampling techniques. Data analysis used the Wilcoxon test. The instrument in this study used the HARS questionnaire. The results showed that before being educated, the majority of respondents experienced moderate (47%) and severe (35%) anxiety. After being given the intervention through a booklet, anxiety levels decreased to mild (47%) and non-anxiety (18%). The results of the Wilcoxon test showed a p-value (0.000) < 0.05, which means that DSME booklet education had a significant effect on reducing anxiety of DM patients in the work area of the South City Health Center because it provided clear, structured, and practical information.
References
Branch, J., & Lindholm, L. (2024). Effect of Interactive Education on Diabetic Self-Foot Examinations in Type 2 Diabetes. The Journal for Nurse Practitioners, 16(1), e13–e15.
Conference, C. I. (2024). The Effect of Education Using Booklet Media on Knowledge of Controlling Blood Sugar Levels in Type 2 Diabetes Mellitus Patients. 24–29.
Daulay, R., Dimas, N., & Rendi, S. (2025). The Relationship of Anxiety of Diabetes Mellitus Patients with Increased Blood Sugar Levels at the Singosari Pematangsiantar Health Center in 2021. 8(1), 127–133.
Edgerton-Fulton, M., Phoenix, A., Abdul, Y., Jamil, S., Coskun, D., Bayram, D. N., Li, W., & Ergul, A. (2025). Ferroptosis inhibitor UAMC-3203 preserves memory and prevents anxiety-like behavior but worsens aversive learning in diabetic & Stroke.
Fransisca, L. (2025). Journal of Healthy Cultured Nursing: The Relationship between Anxiety and Coping Mechanism in Patients with Diabetes Mellitus. 3(2).
Hadrianti Dessy, Sari Taufika Rohni, A. A. (2022). Education and Implementation of Wound Care for Clients with Diabetes Mellitus in Banjarmasin City. Arm Dent J., 33(1), 1–12.
Indonesia, M. K. R. (2021). Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07/MENKES/5675/2021 concerning Target Population Data for the 2021-2025 Health Development Program. Ministry of Health of the Republic of Indonesia.
MINISTRY OF HEALTH OF THE REPUBLIC OF INDONESIA. (2024). Update on DM Sufferers of the Republic of Indonesia. Prevalence of Diabetes Mellitus, 3(5).
Kumar, A., Gangwar, R., Ahmad, A., Kumar, R., & Amit, S. (2024). Prevalence of Diabetes in India: A Review of IDF Diabetes Atlas 10th Edition. In Review of IDF Diabetes Atlas 10th Edition (11th ed., pp. 135–147).
Muzembo, B. A., Kitahara, K., Ohno, A., Khatiwada, J., Dutta, S., & Miyoshi, S. I. (2024). Vibriosis in South Asia: A systematic review and meta-analysis. International Journal of Infectious Diseases, 141(8), 1–16. https://doi.org/10.1016/j.ijid.2024.01.022
Parker. (2021). Guidelines for the management and prevention of type 2 diabetes mellitus. Indonesian Endocrinology Association, II(9), 104.
Riyadin, I., Khasanah, S., Kurniawan, W. E., Study, P., Program, K., Health, F., & Bangsa, H. (2025). Journal of Innovative Public Health Overview of Anxiety in Patients with Diabetes Mellitus. 8(April), 1–9
Susanto, A., Agustriyani, M., & Suhandi, R. (2024). The Relationship between Coping Mechanism and Anxiety Levels in Patients with Diabetes Mellitus at the Babakan Sari Health Center, Bandung. HRJI Journal, 3(1), 12–19
Yunariyah, T., Sumiatin, T., & Sugeng, W. (2023). Anxiety Factors of Diabetes Mellitus Patients at Kalibagor Health Center. Also Consider Being A Parent, And That Is Not Enough, T
Zaenudin, M. A., Danismaya, I., & Dewi, S. K. (2025). The Relationship between Self Management and Anxiety Levels of Diabetes Mellitus Patients Who Are Undergoing Diets in the Working Area of the Central Jampang Health Center, Sukabumi Regency.
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