scholarly journals The effects of complications, frequency of control and education level on quality of life of type 2 diabetes mellitus patients

Author(s):  
Chotijatun Nasriyah ◽  
Amanda Marselin

Background: Diabetes mellitus (DM) is a chronic disease with multiple aetiologies characterized by an increase in blood glucose levels exceeding normal limits. The world health organization predicts an increase in people with DM2 in Indonesia from 8.4 million to 21.3 million in 2030. Diabetes mellitus is one of the ninth main causes of decreased life expectancy, so it will greatly affect the quality of life of a person suffering from DM. Several factors that affect the quality of life of DM patients include age, gender, length of suffering, complications, education, marital status, level of compliance and occupation.Methods: This type of research is descriptive research with total sampling and obtained a sample of 26 respondents. Measurement of quality of life using the SF-36 instrument then the results were analysed using the chi square test to see the relationship between the factors that affect the quality of life.Results: The results obtained statistically that the complication factor (p=0.189) and the control frequency factor (p=0.596) did not significantly affect the quality of life. While the level of education statistically (p=0.006) affects the quality of life of DM patients.Conclusions: The results of the statistical study between complication factors and the frequency of control on the quality of life of DM patients showed no significant relationship. Meanwhile, the education level factor, both statistically and clinically, showed that there was a significant relationship with the quality of life of DM patients.

2018 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Kadek G Pebriantari ◽  
IGA Puja Astuti Dewi

ABSTRAKLatar Belakang. Hemodialisis aman dan bermanfaat untuk pasien, namun bukan berarti tanpa efek samping. Berbagai komplikasi dapat terjadi pada saat pasien menjalani hemodialisis. Komplikasi ini dapat mengakibatkan timbulnya masalah baru yang lebih kompleks, yaitu dapat mempengaruhi kualitas hidup bahkan menimbulkan kematianTujuan. Untuk mengetahui hubungan komplikasi intra hemodialisis dengan kualitas hidup  pada pasien Chronic Kidney Disease (CKD) Stage V yang menjalani hemodialisis.Metode. Jenis penelitian adalah analitik korelasional dengan pendekatan cross-sectional. Sampel pada penelitian ini berjumlah 166 responden diambil dengan teknik non probability sampling yaitu total sampling. Pengumpulan data menggunakan kuesioner dan lembar observasi,dianalisa dengan uji non parametric (Chi Square).Hasil. Rata – rata jumlah komplikasi intra hemodialisis adalah kurang dari dua komplikasi (sedikit komplikasi). Hipertensi intra hemodialisis adalah komplikasi terbanyak yang ditemukan (52,3%). Kejang dan penurunan kesadaran merupakan komplikasi yang tidak pernah dialami oleh responden selama penelitian (0%).Kualitas hidup pasien CKD stage V yang menjalani HD di BRSU Tabanan masuk dalam kategori kualitas baik. Hasil uji statistik diperoleh nilai p < 0.001 bahwa ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani HD. Dari hasil analisis diperoleh pula nilai OR = 0,005, artinya responden yang memiliki banyak komplikasi mempunyai peluang 0,005 kali memiliki kualitas hidup buruk dibanding responden yang memiliki sedikit komplikasi.Kesimpulan. Ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani hemodialisis.KataKunci: Komplikasi Intra Hemodialisis, Kualitas Hidup, Hemodialisis ABSTRACTBackground: Hemodialysis is safe and beneficial to the patient. However, there are various complications may occur when the patients undergo hemodialysis. These complications can lead to the emergence of new problems which are more complex and affect to the quality of life and even cause death.Aim: To determine the relationship of intra hemodialysis complications with quality of life in patients with Chronic Stage Kidney Disease (CKD) Stage V who undergo hemodialysis.Method:This study employed correlational analytic design with cross-sectional approach. To conduct this study, there were 166 respondents recruited as the sample by using probability sampling with total sampling technique. The data were collected by using questionnaire and observation sheet. Further, the data were analyzed by non-parametric test (Chi Square).Finding: The findings indicated that the average number of intra hemodialysis complications is less than two complications (few complications). There were found that 52.3% patients who had complication of hypertension intra hemodialysis. On the other hand, there was 0%of the respondents experienced seizures and decreased awareness complications during the study. The quality of life of CKD stage V patients underwenthemodialysis at BRSU Tabanan is categorized as good quality. The statistical test obtained p <0.001, it meant that there was a significant relationship between intra hemodialysis complications with quality of life in patients underwenthemodialysis. It also found that the analysis results of OR = 0.005, it meant that respondents who had many complications have a chance of 0.005 times experienced poor quality of life rather than the patients who had few complications.Conclusion: There is a significant relationship between intra hemodialysis complications and quality of life in patients undergo hemodialysis. Keywords: Complications of Intra Hemodialysis, Quality of Life, Hemodialysis


2021 ◽  
Vol 17 (2) ◽  
pp. 107-114
Author(s):  
Sadik Jaafar Shukur ◽  
Wijdan Akram Hussein ◽  
Nazik L. Kadhum

Background: Diabetes is defined by the World Health Organization as a metabolic disorder characterized by chronic hyperglycemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both. Families are co-regulating systems in which the stresses and strains of one family member affect the well-being of another member of the family. Caregivers of children with chronic illness report experiencing more parental stress than parents of healthy children. Objective: A descriptive cross-sectional study had been conducted in four centers of endocrine diseases in Baghdad city and data was collected by using self-administered questionnaire regarding quality of life adapted from World Health Organization. The study was conducted on six hundred participants. Data analysis was done by using frequency, percentage and mean and analytical statistics using Chi Square test.  P value less than 0.05 was considered statistically significant. Results: The study showed that social domain had the highest mean score of (51.1) and that environmental domain had the lowest mean score of (38.9). The physical domain’s mean score was (40.2), while mean score of psychological domain was (46.2). The study reported that mothers of children with type 1 diabetes mellitus were more affected than fathers in physical, psychological and environmental domains. There was no difference between mothers and fathers in social domain of quality of life. Conclusion: It was concluded from the study that parents of diabetic children had generally poor quality of life that merits further investigations.


2020 ◽  
Vol 17 (2) ◽  
pp. 165-173
Author(s):  
Nurul Mutmainah ◽  
Muhammad Al Ayubi ◽  
Anggie Widagdo

Diabetes mellitus is a chronic disease that requires treatment for a long period of time. Adherence to consuming drugs is one of the most important things in achieving treatment goals. This study aims to determine the level of adherence and quality of life and determine the relationship to the quality of life of patients with type 2 DM in hospitals in Central Java. This study uses analytic design by asking cross-sectional. Samples were taken at two hospitals in Central Java. Sampling was purposive sampling with the criteria of type 2 diabetes mellitus patients who are undergoing outpatient care in the hospital, have undergone therapy for at least 3 months, and can communicate well. As a measurement used the Medication Adherence Rating Scale (MARS) questionnaire while the quality of life measure used the Short Form 36 (SF-36) questionnaire. Score data received and quality of life that has been obtained was processed with the SPSS (Product Statistics and Service Solutions) chi-square test. Research results in 200 respondents found 9 people (4.5%) had low adherence, 46 people (23%) were moderately related and 145 people (72.5%) have high adherence. While the quality of life found 41 people (20.5%) had a poor quality of life and 159 people (79.5%) had a good quality of life. The lowest aspect of quality of life is physical limitations and the highest aspect of quality of life is mental health. From the results of the analysis on the chi square test, the p value was obtained: 0.00. This shows that there is a significant relationship between adherence and quality of life in patients with Type 2 diabetes mellitus at the hospitals and a Prevalence Ratio value of 23.47.


2019 ◽  
Vol 13 (2) ◽  
pp. 87-99
Author(s):  
Melan Nurhayati ◽  
Irma Nur Amalia ◽  
Hafsa .

Diabetic retinopathy (RD) is a specific microvascular complication of Diabetes Mellitus (DM) that causes visual impairement. Visual impairment that occurs in DR patients can affect the quality of life related to eye health. The latest data about DR patients from National Eye Center (NEC) Cicendo Eye Hospital Bandung was 2035 patients with Severe Non-proliferative Diabetic Retinopathy (Severe NPDR) and Proliferative Diabetic Retinopathy (PDR) are the most happened. The purpose of this study was to determine quality of life differences in patients with severe NPDR and PDR at the Vitreoretina Polyclinic Outpatient Departement NEC Cicendo Eye Hospital Bandung. This Research is a quantitative non-experimental with a comparative descriptive design. The sample was divided into two groups, they are Severe NPDR and PDR group, with 30 respondents each. The instrument that used in this study is the National Eye Institute Visual Function Questionaire-25 (NEI VFQ-25). Data analized by Chi Square test. The results showed that no differences in qualityof life in patients with severe NPDR and PDR in the Vitreoretina Polyclinic Outpatient Departement NEC Cicendo Eye Hospital Bandung (p = 1,000). This study illustrates the importance of providing education and encouragement to the patients with Severe NPDR and PDR for regular control about their visual impairment and their diabetes, so the patients will spared from decressing in their quality of life.


2017 ◽  
Vol 5 (12) ◽  
pp. 237-246
Author(s):  
Martha Bezerra Vieira ◽  
Karla Julião Villani Felippe ◽  
Juliane da Silva Barros

The male population can be considered one of the most vulnerable groups to suffer from chronic diseases, taking into account the socio-cultural factors that hinder the search for health services, as well as the objection to prevention and self-care practices. This situation is further aggravated in police officers, due to the inherent attributions of the profession that directly interfere with the stress level and quality of life of these professionals. Therefore, an extension project was carried out to promote health education for civilian male police officers, with emphasis on the care of stress-related diseases such as hypertension and type 2 diabetes mellitus. It is an experience report about activities carried out with 83 police officers, from November 2015 to February 2016, in the municipality of Juiz de Fora – MG, Brazil. The project involved the presentation of banners, lectures, and tests to verify blood pressure and blood glucose levels of civilian police officers. At the end of the activities, it was verified g the project performed satisfactorily and fulfilled its objective, which can be proven by the engagement and concern of the participants in improving their quality of life, notably in relation to the themes addressed. It was also noticed the importance of extension activities in university education, insofar as it enabled new experiences and knowledge, as well as the opportunity to put into practice the knowledge obtained while theory.  


2012 ◽  
Vol 13 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Anjum Hashmi ◽  
Jamil Ahmed Soomro ◽  
Afzal Memon ◽  
Tahira Kasur Soomro

Introduction: The inhalation route is widely used for the treatment of asthma. It is considered that inadequate inhaler technique is the leading cause of therapy failure. Objective: To determine the proportion of incorrect inhaler use and associated factors in asthmatic patients compromising quality of life.                   Methodology: It is a cross sectional study conducted at Specialist Chest Clinic Fatima Bhai Hospital Karachi from September 2010 to March 2011. A sample size of 215 was selected by Non-probability purposive sampling technique. Trained health care workers in presence Chest specialist requested patients to demonstrate their inhaler technique and assessed it according to the checklist. If any of the steps was missing or done incorrectly, it was marked as incorrect technique. Information was also collected through a structured questionnaire on socio-demographic variables such as age, gender, education, duration of asthma, duration of inhaler use, and patient education of inhaler technique. Data was entered and analyzed on SPSS-14. Results: There was an inverse relationship between education level and incorrect inhaler technique (p<0.05). Education of inhaler usage provided by doctors was more effective as compared to education provided by nurses (p<0.038). There was no significant relationship between age, sex, duration of asthma, duration of inhaler use, frequency of inhaler use and incorrect inhaler technique. Conclusion: Quality of life of a large percentage of patients is compromised by incorrect inhaler use and education level of patients had significant relationship with incorrect inhaler technique.DOI: http://dx.doi.org/10.3329/jom.v13i1.7980 JOM 2012; 13(1): 16-21


2017 ◽  
Vol 14 (1) ◽  
pp. 724 ◽  
Author(s):  
Gizem Karakaş ◽  
Çetin Yaman

In this research it was aimed to examine of the quality of life according to physical activity status of parents who have disabled individual. In the study using the descriptive survey model, convenience sampling was used for the creation of the sample. The parents of 164 disabled individuals(132 mother; =40,5±8,90) ve 32 father; =46,21±9,74) who attended to various special education institutions in Sakarya province participated in the research. The children of the participating families have autism, mental, visual, hearing and physical disabilities. In this study, a Family Information Form, which was prepared by the researcher, was used to reach the demographic informations of parents. With the aim of measuring the quality of life in parents, World Health Organization Quality of Life-Bref Form (WHOQOL-BREF), which was adopted to Turkish by Eser and his friends (1999) and for measuring the level of physical activity of parents, International Physical Activity Questionnaire-Short Form (IPAQ), which was adoped to Turkish by Öztürk (2005) were used in the study. All data were collected by face-to-face interview technique. WHOQOL-BREF scale consists of 5 sub-dimensions including the physical area, psychological area, social area, environmental area and environmental TR area created by adding a question in Turkish adaptation and 27 questions. The Cronbach's alpha coefficient of physical area subscale is .77., psychological area subscale is .71, social area is .61, environmental area is .81 and environmental area Turkey is .78. IPAQ self-administered 'last 7 days' short form was used in this study. The form provides information on time spent on walking, moderate-severe and violent activities. The calculation of the total score of the short form is based on the sum of time (minutes) and frequency (days) (Öztürk, 2005). After the descriptive statistical processes had been applied in the  analysis of datas, an independent t-test and chi-square test to detect from which groups the differences between the groups originate. Data was evaluated by using SPSS for Windows 15 software.As a result, the fact that the quality of life parents who have disabled individual and doing sport was found to be at a higher level of those who have individual but not doing sport. In addition to this doing sport was detected to increase the quality of life parents who have a disabled individual. As a result, it is thought that the parents of physically active parents have higher quality of life and physical activity levels and as a result they will provide a better and healthier life for their children.Their families are thought to be the first step in raising awareness and guiding them in order to enable them to live as healthy families and to raise healthy individuals. ÖzetBu araştırmada, engelli bireye sahip ebeveynlerin fiziksel aktivite durumlarına göre yaşam kalitelerinin incelenmesi amaçlanmıştır. Tarama modeli kullanılan çalışmada, örneklemin oluşturulmasında kolayda örnekleme yönteminden yararlanılmıştır. Araştırmaya Sakarya ilinde çeşitli özel eğitim kurumlarına devam eden 164 engelli bireyin ebeveynleri (132 anne ve 32 baba) katılmıştır. Çalışmaya katılan ailelerin çocukları otizm, zihinsel, görme, işitme, bedensel engele sahiptirler. Kişilerin demografik bilgilerine ulaşma amaçlı araştırmacı tarafından hazırlanan aile bilgi formu, ebeveynlerin yaşam kalitesini ölçmeye yönelik Eser vd.’nin (1999) Türkçe’ye uyarladığı Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği-Kısa Formu (WHOQOL-BREF) ve ebeveynlerin fiziksel aktivite düzeylerini ölçmek için Öztürk’ün (2005) Türkçe’ye uyarladığı Uluslararası Fiziksel Aktivite Anketi-Kısa Form (IPAQ) kullanılmıştır. Tüm veriler yüz yüze görüşme tekniği ile toplanmıştır. WHOQOL-BREF ölçeği bedensel alan, ruhsal alan, sosyal alan, çevresel alan ve Türkçe’ye uyarlamada bir sorunun eklenmesiyle oluşturulan çevresel TR alan olmak üzere toplam 5 alt boyuttan ve 27 sorudan oluşmaktadır. Alt boyutlara ait iç tutarlılık katsayıları sırasıyla, .77, .71, .61, .81, .78 olarak tespit edilmiştir. IPAQ ölçeği yürüme, orta-şiddetli ve şiddetli aktivitelerde harcanan zaman hakkında bilgi vermektedir ve skorunun hesaplanması süre (dakika) ve frekans (gün) toplamından yapılmaktadır. Elde edilen verilerin analizinde betimsel istatistiksel işlemler uygulandıktan sonra, değişkenler arası farklılıkları ölçmek amacıyla independent samples t-test ve ki-kare testi yapılmıştır. Veriler SPSS 15.0 programında değerlendirilmiş ve anlamlılık düzeyi olarak 0.05 kullanılmıştır. Analiz sonuçları incelendiğinde, fiziksel aktivite yapan engelli bireye sahip ebeveynlerin bedensel alan hariç tüm alanlarının ve fiziksel aktivite düzeylerinin fiziksel aktivite yapmayanlardan yüksek olduğu bulunmuştur. Dolayısıyla fiziksel aktivitenin ruhsal, sosyal, çevresel yaşam kalitesini olumlu yönde etkilediği ve fiziksel aktivitenin engelli bireye sahip ebeveynlerin yaşam kalitesini yükselttiği söylenebilir. Sonuç olarak, fiziksel aktivite yapan ebeveynlerin yaşam kalitelerinin ve fiziksel aktivite düzeylerinin daha yüksek olduğu buna bağlı olarak da çocukları için daha güzel ve sağlıklı bir yaşam sunabilme imkânları olacağı düşünülmektedir. Aileleri bu konuda bilinçlendirmek ve yönlendirmek onların daha sağlıklı aileler olarak yaşamasına ve sağlıklı bireyler yetiştirmesine imkân sağlamak için atılması gereken ilk adım olarak düşünülmektedir.


2015 ◽  
Vol 3 (1) ◽  
pp. 57
Author(s):  
Nilla Retnowati ◽  
Prijono Satyabakti

Diabetes mellitus is a disease that will accompany a lifetime and require long term treatment so that it can reduce quality of life of the patients. This study aim to analyze the correlation between family support with the quality of life of patients with diabetes mellitus. This study was analytic observational with cross-sectional design. The population was all patients with diabetes mellitus who visited Tanah Kalikedinding Health Center in January to March 2014. Patients was diagnosed diabetes mellitus through laboratory test using blood serum venous plasma. The number of respondents was 45 respondents that were chosen using simple random sampling method. Variables studied were family support, respondent’s characteristics (age, gender, education level, income, marital status and employment status), duration of diabetes, diabetes complications and quality of life. The results of Chi-square test with continuity correction Fisher’s exact test showed that variables that were significantly correlated with the quality of life such as family support (p=0.000), education level (p=0.039), income (p=0.034), marital status (p=0.003) and diabetes complications (p=0.007). The results of Mantel- Haenszel test showed that all the studied variables were confounding the correlation between family support with the quality of life. Confounding variable that have the greatest contribution was diabetes complications. The conclusion is that family support is significantly correlated with the quality of life of patients with diabetes mellitus in Tanah Kalikedinding Health Center. Health centers are expected to carry out health promotion and health education programs for patients with diabetes mellitus and their families to improve the quality of life of the patients.Keywords: diabetes mellitus, quality of life, family support, diabetes complications, marital status


Author(s):  
Helena Patricia ◽  
Khatijah Lim Abdullah ◽  
Ira Erwina

Background: The process of caring for a schizophrenic client creates a stressful situation; caregiver's unpreparedness in dealing with this problem has an impact on the deterioration of the quality of life. The decline in quality of life of caregiver is influenced by several factors such as caregiver’s burden and characteristic of caregiver include age, gender, sex, marital status, education, income, and relationship with client. This study aimed to determine the relationship of burden and characteristic with the quality of life on the caregiver.Methods: The design of this study was descriptive analytic with cross sectional study approach on 186 caregiver with convenient technique sampling. Data were collected by the Zarit Burden Interview questionnaire and the World Health Organization Quality of Life (WHOQOL-BREF).Results: The results showed 99 (53.2%) caregivers had a low quality of life, 92 (49.5%) caregivers felt heavy burden. Chi-square statistical test proved a significant relationship between burden (0.001) and all characteristics caregiver include age (0.033), gender (0.033), sex (0.000) marital status (0.001), education (0.001), income (0.002), and relationship with client (0.000) with quality of life.Conclusions: The result showed that test proved a significant relationship between burden and characteristics caregiver with quality of life of multivariate analysis showed that marital status was the most correlated with quality of life of caregiver. Suggestions for Tampan Psychiatric Hospital Pekanbaru are to improve mental nursing service comprehensively to client and family like health education program about how to improve quality of life.


Author(s):  
Ida Trisnawati ◽  
Novita Fajriyah ◽  
Wahyu Sukma Samudera

Background: Various complications caused by causing diabetes mellitus patients to undergo treatment at the Hospital to overcome the complaints that arise. This causes the patient to experience stress physically and psychologically. Objective: To explain the effect of progressive muscle relaxation on the stress response, blood glucose levels, and quality of life in patients with diabetes mellitus. Method: This systematic review used the PRISMA approach. The database used in this study were Scopus, Pubmed, Proquest, and Science Direct in English. Results: Progressive Muscle Relaxation (PMR) could reduce muscle tension, stress, lower blood pressure, increased tolerance for daily activities. Regular exercise can make it easier for patients to concentrate and relax conditions will be more quickly achieved thereby increasing the performance of the adrenal glands to produced sedative hormones which will have an impact on reducing stress and decreasing blood glucose levels so that the quality of life of DM patients increased. Conclusion: PMR influences the stress response, blood glucose levels, and quality of life in patients with diabetes mellitus. Keywords: progressive muscle relaxation; stress; blood glucose level; quality of life; diabetes mellitus ABSTRAK Latar belakang: Berbagai komplikasi yang ditimbulkan menyebabkan pasien diabetes mellitus harus menjalani perawatan di Rumah Sakit untuk mengatasi keluhan yang ditimbulkan. Hal ini menyebabkan pasien mengalami stres secara fisik maupun secara psikologis. Tujuan: Untuk menjelaskan pengaruh progressive muscle relaxation terhadap respon stres, kadar glukosa darah dan kualitas hidup pada pasien Diabetes Melitus. Metode: Systematic review ini menggunakan pendekatan PRISMA. Database yang digunakan adalah Scopus, Pubmed, Proquest, dan Science Direct menggunakan bahasa Inggris. Hasil: Progressive Muscle Relaxation (PMR) mampu mengurangi ketegangan otot, menurunkan stress, menurunkan tekanan darah, meningkatkan toleransi terhadap aktivitas sehari-hari. Latihan yang teratur dapat membuat pasien lebih mudah untuk memusatkan pikiran dan kondisi rileks akan lebih cepat tercapai sehingga meningkatkan kinerja kelenjar adrenal untuk memproduksi hormon penenang yang akan berdampak pada penurunan stres dan penurunan kadar glukosa darah sehingga kualitas hidup pasien DM meningkat. Kesimpulan: PMR memiliki pengaruh terhadap respon stres, kadar glukosa darah, dan kualitas hidup pada pada pasien diabetes melitus. Kata kunci: progressive muscle relaxation; stres; kadar glukosa darah; kualitas hidup; diabetes melitus


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