Elis Anggeria, Patimah Sari Siregar


Diabetes mellitus (DM) is a group of metabolic diseases characterized by high levels of glucose in the blood (hyperglycemia) that occurs due to impaired insulin secretion, decreased insulin action, or a result of both. Self-acceptance is the ability and desire of individuals to live with all the characteristics themselves against diabetes mellitus. This study aims to determine the effectiveness of diabetic ulcer treatment on self-acceptance of Type II Diabetes Mellitus patients at Asri Wound Care Center Medan. This study uses quantitative research methods with a quasi-experimental design through the one-group pretest-posttest design approach. The population in the study as many as 20 people, with sampling techniques using saturated sampling, the research sample amounted to 20 people. This study uses a nonparametric statistical test that is paired t-test. The results of research on self-acceptance of patients with type II diabetes mellitus before treatment of diabetic ulcers showed that the majority of self-acceptance was not good, and the self-acceptance of patients after treatment of diabetic ulcers obtained the majority of good self-acceptance. The effectiveness of diabetic ulcer treatment on self-acceptance of type II diabetes mellitus patients obtained significance value p-value = 0.00 (p-value <0.05) then H0 was rejected. This means that there are differences in self-acceptance of type II Diabetes mellitus patients before and after diabetic ulcer treatment at Asri Wound Care Center Medan. Future researchers are expected to discuss more deeply about the factors that affect the self-acceptance of diabetes mellitus patients who are undergoing treatment for diabetic ulcers.

Full Text:



Ahmadsaraei, N. F., Doost, H. T, N., Manshaee, G. R., & Nadi, M. A. (2017). The effectiveness of acceptance and commitment therapy on depression among patients with type ii diabetes. Irian Journal of Diabetes and Obesity, 9(1–2), 6–13. Retrieved from http://ijdo.ssu.ac.ir/article-1-334-en.pdf

American Diabetes Association ([ADA]. (2011). Standard of medical care in diabetes-2011. Journal Diabetes Care, 34, 511–561. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3006050/pdf/zdcS11.pdf

Arikunto. (2019). Metodelogi penelitian, suatu pengantar pendidikan. Jakarta: Rineka Cipta.

Bertolin, D. C., Pace, A. E., Cesarino, C. B., De Cassia Helu Mendonça Ribeiro, R., & Ribeiro, R. M. (2015). Psychological adaptation to and acceptance of type 2 diabetes mellitus. ACTA Paulista de Enfermagem. https://doi.org/10.1590/1982-0194201500074

Christanty, D. A. (2013). Hubungan persepsi dukungan sosial dengan penerimaan diri pasien penderita diabetes mellitus pasca amputasi. Jurnal Psikologi Klinis dan Kesehatan Mental.

Gregg, A. J. (2013). The strength of self-acceptance. https://doi.org/10.1007/978-1-4614-6806-6

International Diabetes Federation. (2014). Idf Diabetes Atlas 2014 Update. Diabetes atlas, Six Edition. https://doi.org/10.1016/j.diabres.2009.10.007

Kavitha, K. V. (2014). Choice of wound care in diabetic foot ulcer: A practical approach. World Journal of Diabetes. https://doi.org/10.4239/wjd.v5.i4.546

Laila, R. N. (2016). Hubungan antara dukungan sosial dengan penerimaan diri pada pasien diabetes mellitus tipe II. Retrieved from http://eprints.ums.ac.id/48319/21/NASKAH PUBLIKASI %282%29.PDF

Lotfy, M., Adeghate, J., Kalasz, H., Singh, J., & Adeghate, E. (2016). Chronic complications of diabetes mellitus: A mini review. Current Diabetes Reviews. https://doi.org/10.2174/1573399812666151016101622

Masupe, T. K., Ndayi, K., Tsolekile, L., Delobelle, P., & Puoane, T. (2018). Redefining diabetes and the concept of self-management from a patient’s perspective: Implications for disease risk factor management. Health Education Research. https://doi.org/10.1093/her/cyx077

Mazurek, J., & Lurbiecki, J. (2014). Acceptance of illness scale and its clinical impact. Pol Merkur Lekarski, 36, 212. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24720106

Polit, D. F., & Beck, C. T. (2012). Quick guide to an evidence hierarchy of designs for cause-probing questions. In Nursing Research; Generating and assesing evidence for nursing practice.

Rohmayanti., & Handayani, E. (2017). Modern wound care application in diabetic wound management. International Journal of Research in Medical Sciences. https://doi.org/10.18203/2320-6012.ijrms20170178

Royal Australian College of General Practitioners. (2014). General practice management of type 2 diabetes: 2014-15. In Diabetes Australia. https://doi.org/http://dx.doi.org/10.1016/S1634-7358(15)69861-8

Schmitt, A., Reimer, A., Kulzer, B., Haak, T., Gahr, A., & Hermans, N. (2014). Assessment of diabetes acceptance can help identify patients with ineffective diabetes self-care and poor diabetes control. Diabetic Medicine, 31(11), 1446–1451. Retrieved from https://www.researchgate.net/publication/264087264_Assessment_of_diabetes_acceptance_can_help_identify_patients_with_ineffective_diabetes_self-care_and_poor_diabetes_control

Schmitt, A., Reimer, A., Kulzer, B., Icks, A., Paust, R., Roelver, K. M., & Hermanns, N. (2018). Measurement of psychological adjustment to diabetes with the diabetes acceptance scale. Journal of Diabetes and Its Complications. https://doi.org/10.1016/j.jdiacomp.2018.01.005

Shayeghian, Z., Hassanabadi, H., Aguilar-Vafaie, M. E., Amiri, P., & Besharat, M. A. (2016). A randomized controlled trial of acceptance and commitment therapy for type 2 diabetes management: The moderating role of coping styles. PLoS ONE. https://doi.org/10.1371/journal.pone.0166599

Sofiyah, S. (2016). Hubungan antara penerimaan diri dengan depresi pada penderita diabetes melitus (tipe II). Insight: Jurnal Ilmiah Psikologi. https://doi.org/10.26486/psikologi.v18i2.397

Widiastuti, M., & Yuniarti, K. W. (2017). Penerimaan diri sebagai mediator hubungan antara religiusitas dengan kecemasan pada penyandang diabetes mellitus tipe 2. PSIKOLOGIKA, 22(1). Retrieved from https://journal.uii.ac.id/Psikologika/article/view/10659/8291

Windani Mambang Sari, C., Haroen, H., & Nursiswati, N. (2017). Pengaruh program edukasi perawatan kaki berbasis keluarga terhadap perilaku perawatan kaki pada pasien diabetes melitus tipe 2. Jurnal Keperawatan Padjadjaran. https://doi.org/10.24198/jkp.v4n3.10

Yan, L. S., Marisdayana, R., & Irma, R. (2017). Hubungan penerimaan diri dan tingkat stres pada penderita diabetes mellitus. Jurnal Endurance. https://doi.org/10.22216/jen.v2i3.2234

Zheng, F., Liu. S., Liu. Y., & Deng, Y. (2019). Effects of an outpatient diabetes self-management education on patients with type 2 diabetes in China: A randomized controlled trial. Hindawi Journal of Diabetes Research. Retrieved from http://downloads.hindawi.com/journals/jdr/2019/1073131.pdf

DOI: http://dx.doi.org/10.30829/jumantik.v4i2.5590


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.