FITRIANI, MUHAMMAD SYAFAR, MASYITHA MUIS, NURHAEDAR JAFAR, ANDI ZULKIFLI, HIMAWAN SANUSI
DOI: https://doi.org/Background: Type II diabetes mellitus (Type II DM) is a chronic disease with a high prevalence that is increasing globally, including in Indonesia. Local cultural factors, such as a high-carbohydrate diet, the use of traditional medicine, and socio-cultural values, have a major influence on the effectiveness of diabetes self-management.
Objective: This article aims to systematically review studies related to culture-based Diabetes Self-Management Education (DSME) approaches and their impact on the quality of life of people with Type II DM.
Methods: A literature review was conducted of 19 articles published from 2015-2023 retrieved from PubMed, Scopus, and Google Scholar databases. Included studies included quantitative, qualitative, and mixed designs, focusing on variables such as knowledge, self-efficacy, self-care behaviors, and patient quality of life.
Results: A review of 19 studies showed that culture-based DSME approaches consistently improved knowledge, self-care behaviors, blood glucose control, and quality of life of people with Type II DM. These studies confirmed that cultural adaptations in education, including family involvement and understanding local values, such as traditional diets and medicinal practices, play an important role in intervention effectiveness. Although some studies showed implementation challenges, contextualized DSME was generally found to be more effective than standard approaches.
Conclusion: The local culture-based DSME model has great potential to improve self-management and quality of life of patients with Type II DM. Further development and validation of local wisdom-based contextual models are needed to support the effectiveness of interventions in multicultural communities.
