The Experience of Adult Clients with Type 2 Diabetes Mellitus at the Cigugur Tengah Public Health Center

Health Center ◽

Adult Type ◽

Design Data ◽

Public Health Center ◽

Type 2 diabetes mellitus is a health problem that tends to increase every year and has the most complications among other generative diseases. This study aimed at gaining a deeper understanding of the meaning of type 2 diabetes mellitus treatment for adult clients. The study used a qualitative approach with a phenomenological design. Data were collected through in-depth interviews, and field notes were analysed by applying the Collaizi technique. In total, five individuals were included in the study. The study included seven themes: risk factors for type 2 diabetes; changes experienced by the patients of type 2 diabetes; efforts made by the patients to overcome diabetes; behaviour towards diet and treatment, support from the family; expectations of the patients; and complications faced by the patient. For this reason, the authorities, especially nurses at the Cigugur Tengah Public Health Center, should continue to monitor and counsel DM patients so that the complications due to DM can be resolved as early as possible. Keywords: experience, adult, type 2 DM

Hubungan Perilaku Perawatan Kaki dengan Terjadinya Komplikasi Luka Kaki Diabetes pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Tuntungan Kota Medan

Talenta Conference Series Tropical Medicine (TM) ◽

10.32734/tm.v1i1.56 ◽

2018 ◽

Vol 1 (1) ◽

pp. 124-131

Author(s):

Rina Amelia

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Health Center ◽

Diabetic Foot ◽

Foot Care ◽

Chi Square ◽

Public Health Center

Diabetes merupakan peyakit kronis yang disebabkan karena kekurangan atau tidak efektifnya insulin yang dihasilkan. WHO memperkirakan jumlah penduduk dunia yang menderita diabetes pada tahun 2030 akan meningkat paling sedikit menjadi 366 juta. Indonesia menempati urutan keempat terbanyak dengan prevalensi 8,6% dari seluruh penduduk. Diabetes akan menjadi masalah yang serius apabila telah terjadi komplikasi, salah satu komplikasi adalah luka kaki diabetes (diabetic foot). Komplikasi luka kaki diabetes menjadi penyebab lamanya hospitalisasi dan amputasi lebih dari 90% ekstremitas bawah pada penderita diabetes. Tujuan penelitian adalah untuk menganalisis hubungan perilakuperawatan kaki dengan terjadinya komplikasi luka kaki diabetes pada pasienDM tipe 2di Puskesmas Tuntungan Medan. Disain penelitian adalah analitik dengan pendekatan cross sectional. Populasi penelitian adalah seluruh penderita DM tipe 2 yang datang ke Puskesmas Tuntungan Medan dengan sampel sebanyak 83 orang (consecutive sampling). Instrumen penilaian perilaku perawatan kaki yang digunakan adalah Questions determining the knowledge and practice about foot careyang terdiri dari 15 item pertanyaan. Analisis data menggunakan uji statistik chi square. Hasil penelitian menunjukkansebanyak 48 orang pasien diabetes (57,8%) memiliki perilaku yang buruk terhadap perawatan kaki, sebanyak 29 orang (349%) mempunyai riwayat komplikasi luka kaki dibetes (ulkus). Hasil analisis chi square menunjukkan terdapat hubungan antara perilaku perawatan kaki diabetes dengan kejadian komplikasi luka kaki diabetes pada pasien DM tipe 2 di Puskesmas Tuntungan Medan (p<0.05). Perilaku perawatan kaki sangat berperan terhadap terjadinya luka kaki diabetes. Untuk membentuk perilaku yang baik dibutuhkan edukasi oleh dokter maupun oleh petugas kesehatan kepada pasien diabetes. Diabetes is a chronic disease caused by lack or ineffectiveness of insulin. WHO estimates that the world population with diabetes in 2030 will increase to at least 366 million people. Indonesia is the world’s fourth most populated country and its prevalence of diabetes is 8.6% of the entire population. Diabetes will be a serious problem once complications occurrs. One of the complications is diabetic foot. diabetic foot caused a longer length of hospital stay and more than 90% leads to the amputation of the lower limb . The objective of this study was to analyze the relationship between diabetic foot care behaviors and the diabetic foot complications in patients with type 2 diabetes mellitus at Tuntungan Public Health Center in Medan. This study employed an analytic study with cross sectional approach. The population of this study was all patients with type 2 diabetes mellitus who came to Tuntungan Public Health Center in Medan and 83 patients were recruited as samples (consecutive sampling). The research used a questionnaires with 15 questions to collect data of knowledge and foot care behaviour. Data were analyzed using chi square test. The results showed that 48 diabetic patients (57.8%) demonstrated poor behavior towards foot care, 29 patients (349%) had a history of diabetic foot ulcer complications. The results of the chi square analysis showed that there was a significant relationship between diabetic foot care behavior and diabetic foot complications in patients with type 2 Diabetes Mellitus at Tuntungan Public Health Center in Medan (p <0.05). It was concluded that foot care behavior had a high correlation with the incidence of diabetic foot. It is recommended that doctors and health staffs educate diabetic patients to perform good foot care behaviors.

Awareness and lifestyle after 6 month patient centered counselling and management among type 2 diabetes mellitus patients at public health center branches

Korean Journal of Health Education and Promotion ◽

10.14367/kjhep.2017.34.3.103 ◽

2017 ◽

Vol 34 (3) ◽

pp. 103-118 ◽

Cited By ~ 1

Author(s):

Jung Min Kim ◽

HeyJean Lee ◽

Ji Young Moon ◽

Eun-Hee Cho ◽

Yeonheui Baeg ◽

...

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Health Center ◽

Patient Centered ◽

Public Health Center

Proceedings of the 4th International Conference on Sports Sciences and Health (ICSSH 2020) ◽

The Correlation Between Physical Activity, Body Mass Index (BMI), and Abdominal Circumference with Type 2 Diabetes Mellitus (DM) Cases at Public Health Center Dinoyo Malang

10.2991/ahsr.k.210707.021 ◽

2021 ◽

Author(s):

Yogi Imansary ◽

Moch. Yunus ◽

Rara Warih Gayatri

Keyword(s):

Public Health ◽

Physical Activity ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Body Mass Index ◽

Health Center ◽

Body Mass ◽

Abdominal Circumference

How Did I Feel Before Becoming Diabetes Resilience? A Qualitative Study in Adult Type 2 Diabetes Mellitus

INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) ◽

10.24990/injec.v5i1.280 ◽

2020 ◽

Vol 5 (1) ◽

pp. 27

Author(s):

Hidayat Arifin ◽

Kusnanto Kusnanto ◽

Ika Yuni Widyawati

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Snowball Sampling ◽

Adult Type ◽

Qualitative Phenomenology ◽

Incurable Disease ◽

Qualitative Thematic Analysis ◽

Introduction: Diabetes resilience is a condition where people with diabetes can accept their incurable disease as well. It is characterized by regular blood sugar, a diet-controlled, active, and not stressful. However, various kinds of feelings must be passed to become diabetes resilience. The study aimed to know what adult type 2 diabetes mellitus (T2DM) felt before becoming resilient. Methods: A qualitative phenomenology design was conducted to observe the experience of adult T2DM before becoming resilient. The total participants were ten T2DM patients obtained through snowball sampling. The data collection was conducted through in-depth interviews with interview guidelines and analyzed using qualitative thematic analysis. Results: The results of the study found two major themes namely psychological response and diet. Participants felt quite severe stress when diagnosed with diabetes mellitus and felt difficulty when undergoing diabetes mellitus treatment. In addition, changes in diet are also felt very difficult by participants in undergoing a diabetes mellitus diet. Conclusions: Psychological responses and diet are the hard parts felt by the participants. Increasing understanding, support, and acceptance can be one strategy to increase diabetes resilience in participants.

Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) ◽

The Consumption of Traditional Medicine by Type 2 Diabetes Mellitus Patients at the Public Health Center of Panjatan in the Regency of Kulon Progo as a Case Study

10.22146/rpcpe.44472 ◽

2019 ◽

Vol 2 (1) ◽

pp. 32

Author(s):

Enuk Endah Sunarto ◽

Mora Claramita ◽

M Robikhul Ikhsan

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Traditional Medicine ◽

Health Center ◽

Medical Doctors ◽

The Public

Background: The consumption of traditional medicine is very much done in the society including by type 2 diabetes mellitus patients.Purpose: This study is purposed to understand the reasons of type 2 diabetes mellitus patients at the Public Health Center of Panjatan in the Regency of Kulon Progo in consuming traditional medicine and their knowledge about type 2 diabetes mellitus.Method: This study is a qualitative research with case study approach. The data is obtained through focus group discussion involved 56 type 2 diabetes mellitus patients. The data is analyzed by qualitative analysis techniques from Miles and Huberman.Results: The reasons of type 2 diabetes mellitus patients in consuming traditional medicine, i.e. (1) they are following friends or relatives who has consumed traditional medicine that is considered successful, or (2) they are not believing in the medical doctor's treatment. The economic and distance factors are not their consideration. The type 2 diabetes mellitus patients who have consumed traditional medicine but have now stopped have the following reasons: (1) they are asked to stop in consuming traditional medicine by medical doctors; (2) they said that it is not practical how to mix traditional medicine so that they become lazy to consume traditional medicine; or (3) the mixing of traditional medicine is easily depleted. In addition, from this study also known that some type 2 diabetes mellitus patients understand very well about type 2 diabetes mellitus disease suffered, some others do not have enough knowledge about type 2 diabetes mellitus.Conclusion: The type 2 diabetes mellitus patients in consuming traditional medicine are due to various factors, i.e. the trust of medical doctors, following friends or relatives as well as sufficient knowledge about the effects of traditional medicine. This study also founded that generally all type 2 diabetes mellitus patients understand the disease they suffered well.

Patient Perspectives on the Burden of Type 2 Diabetes Mellitus Treatment

Diabetes ◽

10.2337/db18-726-p ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 726-P

Author(s):

KRISTINA YU-ISENBERG ◽

GEOF D. GRAY ◽

CATHERINE FOLEY ◽

JONATHAN T. STOKES ◽

ALAN SHIELDS ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Patient Perspectives ◽

90-LB: Treatments and Trends in Glycemic Control for Patients with Type 2 Diabetes Mellitus Treatment following Metformin

Diabetes ◽

10.2337/db19-90-lb ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 90-LB

Author(s):

SANJAY K. BAJPAI ◽

RADHIKA NAIR ◽

TICH CHANGAMIRE ◽

RICHARD SHEER ◽

QIANQIAN WANG ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Glycemic Control ◽

Approach to the Patient with Diabetes during Pregnancy

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2010-0383 ◽

2010 ◽

Vol 95 (8) ◽

pp. 3578-3585 ◽

Cited By ~ 15

Author(s):

Jennifer Hone ◽

Lois Jovanovič

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Weight Gain ◽

Preconception Care ◽

Fetal Outcomes ◽

Optimal Outcomes

The epidemics of obesity and type 2 diabetes mellitus (T2DM) globally are paralleling an increase in the number of women with T2DM becoming pregnant. Because T2DM is frequently undiagnosed before pregnancy, the risk of major malformations in the developing fetus is increased due to uncontrolled hyperglycemia. The lack of preconception care and the increase in complications of pregnancy due to the coexistence of obesity and T2DM are of concern from both an individual and a public health standpoint. Rapid achievement of normoglycemia with limited weight gain is critical to optimize maternal and fetal outcomes in all women with diabetes during pregnancy, regardless of the type of diabetes. This article will focus on T2DM preceding pregnancy due to its increasing prevalence and potentially dire fetal and maternal consequences. Euglycemia before, during, and after all pregnancies complicated by diabetes results in the best opportunity for optimal outcomes for mother and infant.