scholarly journals Tingkat pengetahuan dan dukungan keluarga tidak berhubungan dengan kepatuhan menjalani terapi diet penderita diabetes mellitus tipe 2 di Puskesmas Kasihan II Bantul Yogyakarta

Author(s):  
Sri Astuti ◽  
Yhona Paratmanitya ◽  
Wahyuningsih Wahyuningsih

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Diabetes mellitus (DM) can cause various chronic complications on the eyes, kidney, neuronal, and blood vessel. Family support is very important to motivate the patient in performing the treatment of diabetes mellitus or diet. Therefore, knowledge and family support can influence the undergoing treat mentor therapy of diabetes mellitus. Having the knowledge, patient can know impact of the disease and in the treatment of therapy that must be done. Good knowledge and family supports can improve patient compliance in undergoing diet.</em></p><p><em><strong>Objectives</strong>: To know the association between the knowledge level and family support with compliance in the diet therapy among the patients with diabetes mellitus type 2 in Puskesmas Kasihan II Bantul Yogyakarta.</em></p><p><em><strong>Methods</strong>: This was a quantitative descriptive research with cross sectional design. Sampling technique used was quota sampling, where sample were gained in accordance with research criteria of 68 people. Initially, data analysis used was Kolmogorov-Smirnov. Multivariate analysis used was multiple linier regression.</em></p><p><em><strong>Results</strong>: The research showed that the most of respondents had good knowledge level (82.4%) and also family support of the respondent towards compliance in the diet therapy of DM type 2 (51.5%). The compliance level of the respondents in the diet therapy of DM type 2 that was in the sufficient category as many as</em><br /><em>76.5%. Knowledge and family support did not relate with compliance in the diet of diabetes mellitus type 2 with p-value consecutively was 0.537 and 0.937. Knowledge level and family support had influence as many 11.5% toward diet pursuance. Knowledge level influenced more toward diet compliance (p=0.041).</em></p><p><em><strong>Conclusions</strong>: There was no association between knowledge level and family support with compliance in the diet therapy on the patient with diabetes mellitus type 2 in Puskesmas Kasihan II Bantul Yogyakarta.</em></p><p><strong>KEYWORDS</strong><em>: knowledge, family support, diabetes mellitus</em></p><p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Diabetes mellitus adalah keadaan hiperglikemi kronik yang disertai berbagai kelainan akibat gangguan hormonal yang menimbulkan berbagai komplikasi kronik pada mata, ginjal, saraf, dan pembuluh darah. Dukungan keluarga sangat penting untuk memotivasi pasien dalam menjalankan</em><br /><em>pengobatan ataupun diet diabetes mellitus. Oleh karena itu pengetahuan dan dukungan keluarga sangat mempengaruhi dalam menjalankan pengobatan maupun terapi diabetes mellitus, karena dengan pengetahuan yang dimiliki pasien bisa mengetahui tentang penyakitnya, dampak-dampak dari penyakitnya, </em><em>serta berpengaruh dalam pengobatan maupun terapi yang harus dilakukan, salah satunya adalah diet diabetes mellitus dan pengetahuan yang baik serta adanya dukungan dari keluarga dapat meningkatkan kepatuhan pasien dalam menjalani diet.</em></p><p><em><strong>Tujuan</strong>: Mengetahui hubungan pengetahuan dan dukungan keluarga dalam menjalani terapi diet di Puskemas Kasihan II Bantul Yogyakarta.</em></p><p><em><strong>Metode</strong>: Penelitian ini bersifat deskriptif kuantitatif dengan rancangan cross sectional. Teknik pengambilan sampel yang digunakan yaitu quota sampling dan diperoleh 68 orang. Teknik analisis data yang digunakan yaitu uji Kolmogorov-Smirnov. Analisis multivariat menggunakan regresi linear.</em></p><p><em><strong>Hasil</strong>: Penelitian menunjukkan tingkat pengetahuan responden sebagian besar tergolong baik yaitu sebanyak 82,4% (56 orang), dukungan keluarga responden terhadap kepatuhan dalam menjalani terapi diet DM tipe 2 yaitu sebagian besar dengan kategori baik sebanyak 51,5% (35 orang), tingkat kepatuhan responden dalam menjalani terapi diet DM tipe 2 yaitu dalam kategori cukup yaitu sebanyak 76,5% (52 orang). Untuk pengetahuan dan dukungan keluarga tidak ada hubungan dengan kepatuhan dalam menjalani diet diabetes mellitus tipe 2 dengan menggunakan rumus Kolmogorov-Smirnov didapatkan nilai p=0,537;&gt;0,05, nilai p=0,937; &gt;0,05. Koefi sien determinasi variabel bebas mempengaruhi variabel terikat sebesar 11,5 % oleh variabel tingkat pengetahuan dan dukungan keluarga.</em></p><p><em><strong>Kesimpulan</strong>: Tidak ada hubungan antara pengetahuan dan dukungan keluarga dengan kepatuhan dalam menjalani diet diabetes mellitus tipe 2 di Puskesmas Kasihan II Bantul Yogyakarta.</em></p><p><strong>KATA KUNCI</strong><em>: pengetahuan, dukungan keluarga, diabetes mellitus</em></p>

2017 ◽  
Vol 19 (1) ◽  
pp. 17-24
Author(s):  
Kiki Kartika ◽  
Isti Suryani ◽  
Tjarono Sari

Background : Diabetes mellitus is a chronic metabolic disorder that can not be cured but can be controlled, characterized by hyperglycemia due to deficiency of insulin or the inadequate use of insulin. RISKESDAS in 2013 the prevalence of diabetes is highest in Yogyakarta, namely by 2.6%, the results of the study in Indonesia showed that (75%) of patients was not obeying the diet recommendation. The factor affecting obedience is a social family. Objective : This study aims to determine the relationship of family support for dietary compliance of patients with diabetes mellitus type 2 in Puskesmas Gamping 1. Method : This research using cross sectional method. This research was conducted in Puskesmas Gamping 1 in December 2016. The subject of this study is patients with diabetes melitus type 2 who 27 people. Sampling method using accidental sampling technique. Family support was measured using a questionnaire support the family, while 3J diet obedience was measured using 24-hour recall for eating schedule and amount, while food frequency questionnaire for type of food. Result : Based on the chi-square analysis with p-value 1.000 (> 0,05), then Ho is accepted. Conclusion : So there is no relationship between family support with diet obedience in patients with diabetes mellitus type 2 Puskesmas Gamping 1 working area.   Keywords: Diabetes mellitus, Family Support, Diet 3J


F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 7 ◽  
Author(s):  
Eduardo De la Cruz-Cano ◽  
Carlos Alfonso Tovilla-Zarate ◽  
Emilio Reyes-Ramos ◽  
Thelma Beatriz Gonzalez-Castro ◽  
Isela Juarez-Castro ◽  
...  

Background: Diabetes mellitus and depression are highly prevalent conditions throughout the world and have significant impact on health outcomes. It has been estimated that diabetes mellitus type 2 affects about 246 million people in the world; nevertheless, incidence varies among countries. There is evidence that depression is associated with a poor metabolic control in patients with type 2 diabetes mellitus that present other health problems (such as hypertension and obesity). The aim of this study protocol is to determine if obesity increases the risk for depression in patient with diabetes type 2.Methods: The analysis will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).The studies suitable for inclusion will be assessed by the Newcastle-Ottawa Scale (NOS) to determine their methodological quality. To identify the studies of interest, we will search on PubMed and EBSCO databases. We will use the following keyword combinations: "Diabetes Mellitus type 2 AND obesity AND depression", "depression AND Diabetes Mellitus type 2", "Diabetes Mellitus type 2 AND body mass index cross sectional study", "depression AND obesity cross-sectional study". Causes for exclusion will be publications that studied patients diagnosed with diabetes mellitus type 1; articles that focused on the treatment and complications of diabetes mellitus type 2; publications that have studied other clinical or psychiatric conditions (for instance, seizure disorder or history of schizophrenia, bipolar disorder, psychotic symptoms or dementia).Conclusion: The results of this study will form the basis for a better understanding of the association between obesity and depression in patients with diabetes mellitus type 2, and will allow development of prediction tools and better interventions. It is evident that several modifiable and non-modifiable risk factors play an important role in the pathogenesis of diabetes among population. Currently, evidence for the deleterious effects of diabetes mellitus type 2 are based on cross-sectional or other observational designs. Therefore, this study will have important implications for future research and public health guidance.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e046162
Author(s):  
Anton Hasselgren ◽  
Biraj Man Karmacharya ◽  
Ann-Katrin Stensdotter

ObjectivesThe objective was to determine the predictive potential of anthropometric indices to screen prevalent diabetes mellitus type 2 in a Norwegian population.DesignThis is a cross-sectional design to determine the potential association of waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), waist circumference (WC) and body mass index (BMI) with prevalent diabetes mellitus type 2 through logistic regression analysis. Receiver operating characteristic (ROC) curves were used to determine the predictive potential of the anthropometric indices. Youden’s index was applied to determine the optimal cut-off points for each anthropometric index.SettingThis study used cross-sectional data from the populations-based Health Study in Nord-Trøndelag which invited all citizens in the county above 20 years of age.ParticipantsThis study included all those who were non-pregnant and had complete data (N=50 042), 98.5% of the participants. The sample is to be considered representative for the population of Norway.Primary and secondary outcome measuresOR and ROC of the potential association between diabetes mellitus type 2 and anthropometric indices were the main planned and performed outcome measures.ResultsThe results suggest that the anthropometric indices performed differently within the Norwegian population with WHR and WHtR being the stronger predictor with (ROC) of 0.746 (0.735 to 0.757) and 0.741 (0.730 to 0.752). The predictive potential for the investigated anthropometric indices was generally stronger for women than men.ConclusionAnthropometric indices of size BMI and the highly correlated WC are less associated with prevalent diabetes mellitus type 2 than WHR (WC adjusted for hip circumference) or WHtR (WC adjusted for height) in a Norwegian population.


2020 ◽  
Vol 17 (2) ◽  
pp. 110-120
Author(s):  
Tri Yulianti ◽  
Lusi Anggraini

Diabetes mellitus is a chronic metabolic with high prevalence and it can increase the risk of the complications, if it not handled properly. Medication adherence is one of the determining factor to achive therapeutic outcome. This research aims to determine the affecting factors of adherence in  diabetes mellitus type 2 outpatient at RSUD Sukoharjo in 2020. This research type is  cross sectional with a purposive sampling technique. A total of 85 patients diabetes mellitus type 2 outpatient at RSUD Sukoharjo with inclusion criteria received OAD therapy (Oral Antidiabetic Drugs) or a combination of OAD with insulin for at least 1 month, recruited in this study. The data was collected from medical records and questionnaires. Adherence was measured by using the MARS 5 questionnaire (Medication Adherence Report Scale 5). Factors contributing to medication adherence was analyzed by using chi-square test. The results showed that 37 respondents (43.5%) were obedient. The significant factors of medication adherence are monthly income (p-value = 0.018 and OR = 2.887), Medication (p - value = 0.007 and OR = 3,551), the frequency of treatment (p-value = 0.006 and OR = 3,529) and blood glucose level (p-value = 0.006 and OR = 3,529).


2021 ◽  
Vol 28 (06) ◽  
pp. 828-832
Author(s):  
Akhtar Ali ◽  
Rabeel Nawaz ◽  
Faiza Dildar Ghuman ◽  
Syed Muhammad Hasan ◽  
Sadia Iqbal ◽  
...  

Objective: This study was designed to evaluate the frequency and pattern of dyslipidemia in patients of diabetes mellitus type 2. Study Design: Cross Sectional Observational study. Setting: Medicine Department and National Institute of Diabetes and Endocrinology OPD of Dow University Hospital OJHA Campus Karachi Sindh. Period: March 2018 to September 2018. Material & Methods: 142 diabetes mellitus type 2 patients aged between 35-60 years, selected by non-probability consecutive sampling method. Detailed medical history and blood sample for fasting lipid profile was obtained from each diabetic patient. Result: Out of 142 diabetic patients investigated for dyslipidemia, 72 (50.7%) were male and 70 (49.3%) were female with a mean age of 47.49±6.40 (35-60) years. Dyslipidemia was detected in 114 (80.3%) patients; with most common abnormality was elevated serum triglycerides (54.9%), followed by decreased serum HDL cholesterol (50.7%), elevated serum VLDL cholesterol (50.0%), elevated serum cholesterol (38.7%) and elevated serum LDL cholesterol (16.9%). Conclusion: It was concluded that diabetes mellitus type 2 is directly correlated with higher incidence of dyslipidemia.


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Nety Mawarda Hatmanti

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Diabetes Mellitus type 2 is a significant problem in the global health. This research was purposed to find out the correlation between self-efficacy and quality of life of the patients with Diabetes Mellitus type 2. The design of this research was cross sectional, in which 16 patients visiting the polyclinic of Puskesmas Gayungan Surabaya were chosen as the samples. The result of research using Spearman rho test showed that there was a significant correlation between self-efficacy and quality of life proved by the p value = 0.016 < 0.05. The conclusion of this research found a positive intermediate correlation between selfefficacy and quality of life so that nurses are required to ask the family to increase the patients’ self-efficacy. 


Author(s):  
Rahmadani Sitepu ◽  
Elaninanivi Br Tarigan ◽  
Ida Yustina ◽  
Heru Santoso

Diabetes mellitus is a chronic metabolic disorder which is obtained by absolute or relative insulin deficiency and impaired insulin function. Uncontrolled Diabetes Mellitus can lead to various complications; one of them is macrovascular or microvascular which can be characterized by increasing the blood pressure (hypertension). This study aims to look at the differences of hypertension in the case of controlled and uncontrolled Diabetes Mellitus Type 2 in Pirngadi General Hospital Medan. The type of this research is observational with cross sectional approach. Samples are 42 people. They are taken from medical records and the results will be analyzed by doing univariate and bivariate. The results showed there is a difference between the incidence of hypertension in diabetes mellitus type 2 cases are controlled and uncontrolled in Pirngadi General Hospital Medan Year 2015 where p = 0.0001. Hopefully this research is useful for the public and the health institutions and also for the further researcher


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