Efektivitas Family Centered Care Terhadap Kadar Glukosa Darah Dan HBA1C Pada Anak Dengan DM Tipe 1: Tinjauan Sistematis Dan Meta-Analisis
DOI:
https://doi.org/10.31004/joecy.v5i3.4464Keywords:
anak, diabetes melitus tipe 1, HbA1c, kadar glukosa darah, perawatan berpusat keluargaAbstract
Latar Belakang: Diabetes Mellitus tipe 1 (DM tipe 1) merupakan penyakit kronis yang memerlukan manajemen yang kompleks. Pada anak, dukungan keluarga sangat penting untuk meningkatkan kontrol glikemik dan mencegah komplikasi. Pendekatan family-centered care (FCC) diyakini efektif untuk meningkatkan keterlibatan keluarga dalam pengelolaan diabetes anak. Tujuan: Mengidentifikasi dan mengevaluasi efektivitas intervensi berbasis keluarga terhadap kadar glukosa darah dan HbA1c pada anak dengan DM tipe 1. Metode: Systematic review dan meta-analisis dilakukan sesuai pedoman PRISMA. Pencarian artikel dilakukan melalui PubMed, ProQuest, dan ScienceDirect menggunakan kata kunci MeSH. Artikel yang disertakan merupakan randomized controlled trial (RCT) yang melibatkan anak dengan DM tipe 1, melaporkan hasil kadar glukosa darah dan HbA1c, serta menggunakan intervensi berbasis keluarga. Hasil: Dari 1.862 artikel yang diidentifikasi, enam memenuhi kriteria inklusi. Intervensi berbasis keluarga secara signifikan menurunkan kadar HbA1c (p < 0.05) dan kadar gula darah puasa dibandingkan perawatan rutin. Beberapa model efektif yang ditemukan termasuk family-centered empowerment model, edukasi keluarga intensif, dan intervensi berbasis web. Kesimpulan: Intervensi berbasis keluarga terbukti efektif meningkatkan kontrol glikemik anak dengan DM tipe 1. Penerapan FCC perlu diintegrasikan dalam praktik keperawatan anak untuk mendukung manajemen jangka panjang dan meningkatkan kualitas hidup pasien serta keluarga.
References
Alzawahreh S, Ozturk C. (2024). Improving self-efficacy, quality of life, and glycemic control in adolescents with type 1 diabetes: Randomized controlled trial for the evaluation of the family-centered empowerment model. JMIR Form Res;8:e64463 doi: 10.2196/64463PMID: 39658013PMCID: 11668983
American Diabetes Association. (2024). Standards of care in diabetes—2024. Diabetes Care, 47(Supplement_1), S1–S182. https://doi.org/10.2337/dc24-SINT
Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A., Wolfsdorf, J. I., & Schatz, D. (2018). Type 1 diabetes in children and adolescents: A position statement by the American Diabetes Association. Diabetes Care, 41(9), 2026–2044. https://doi.org/10.2337/dci18-0023
Coyne, I., Hallström, I., & Söderbäck, M. (2016). Reframing the focus from a family-centred to a child-centred care approach for children’s healthcare. Journal of Child Health Care, 20(4), 494–502. https://doi.org/10.1177/1367493516642744
Delamater AM, de Wit M, McDarby V, Malik JA, Hilliard ME, Northam E, et al. (2018). ISPAD clinical practice consensus guidelines: psychological care of children and adolescents with type 1 diabetes. Pediatric Diabetes. 2018;19 Suppl 27:237-249. https://doi.org/10.1111/pedi.12736
Fung, Dori Howard, Heather Nichol, Michael A. Irvine, Qian Zhang, Jeffrey N. Bone, Sinead Glackin, Elena Felgar, Sandy Tatla, Brenden E. Hursh. (2024). Coaching for parents of children with type 1 diabetes: A randomized controlled trial. Patient Education and Counseling, Volume 123, 108205, ISSN 0738-3991. https://doi.org/10.1016/j.pec.2024.108205.
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
Ingrosso, L., Vetrano, C. G., Cesare, M., Mauro, G. L., & Balistreri, C. R. (2023). Type 1 diabetes mellitus and autoimmunity: What are the molecular mechanisms? Biomedicine & Pharmacotherapy, 162, 114642. https://doi.org/10.1016/j.biopha.2023.114642
International Diabetes Federation. (2021). IDF Diabetes Atlas, 10th edition. Brussels, Belgium: International Diabetes Federation. https://diabetesatlas.org
Ispriantari, A., Agustina, R., Konlan, K. D., & Lee, H. (2023). Family-centered interventions for children and adolescents with type 1 diabetes mellitus: an integrative review. Child health nursing research, 29(1), 7–23. https://doi.org/10.4094/chnr.2023.29.1.7
Kementerian Kesehatan Republik Indonesia. (2020). Profil Kesehatan Indonesia 2019. Jakarta: Kementerian Kesehatan RI. https://pusdatin.kemkes.go.id
Mansour, M., Parizad, N., & Hemmati Maslakpak, M. (2023). Does family-centred education improve treatment adherence, glycosylated haemoglobin and blood glucose level in patients with type 1 diabetes? A randomized clinical trial. Nursing open, 10(4), 2621–2630. https://doi.org/10.1002/nop2.1522
Nansel, T. R., Iannotti, R. J., & Liu, A. (2012). Clinic-integrated behavioral intervention for families of youth with type 1 diabetes: randomized clinical trial. Pediatrics, 129(4), e866–e873. https://doi.org/10.1542/peds.2011-2858
Scharer R, Palta M, Chewning BA, Rajamanickam V, Wysocki T, Wetterneck TB, Cox ED. Impact of family-centered tailoring of pediatric diabetes self-management resources. Pediatr Diabetes. 2019 Nov;20(7):1016-1024. doi: 10.1111/pedi.12899. Epub 2019 Aug 8. PMID: 31355957; PMCID: PMC6827338.
Stanger, C., Lansing, A. H., Scherer, E., Budney, A., Christiano, A. S., & Casella, S. J. (2018). A Web-Delivered Multicomponent Intervention for Adolescents with Poorly Controlled Type 1 Diabetes: A Pilot Randomized Controlled Trial. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 52(12), 1010–1022. https://doi.org/10.1093/abm/kay005
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Suci Dewi Utami, Ika Novika, Yesa Junita Sari , Kartika Alifah, Nuryati, Yuke Liza Fitri Dhadila, Tazkiah Aulia,Elmi Susanti, Nyimas Heny Purwati, Dhea Natashia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
