The Correlation of Treatment Adherence with Clinical Outcome and Quality of Life in Patients with Type 2 Diabetes

Patients with diabetes mellitus (DM) are patients with a low level of treatment adherence. Low adherence is often the cause of treatment failure, so the risk of complications is higher and can affect the quality of life of patients. This study aimed to determine the relationship between treatment adherence to clinical outcomes and the quality of life of patients with type 2 DM. This study used a cross sectional design involving patients with type 2 DM who met the inclusion and exclusion criteria in three health centers in Bantul, Yogyakarta. Data on patient medication compliance was obtained using medication adherence report scale questionnaire (MARS-5), patient quality of life data using Short-Form 6 Dimensions questionnaire (SF-6D), data on fasting blood glucose levels (GDS / GDP) from medical records, socio demographic data obtained from respondents and medical records. The relationship between the level of adherence to clinical outcomes using Chi-square analysis while the relationship between the level of adherence to quality of life using Spearman Rho analysis. The total number of respondents involved was 179 patients, the majority had a low level of adherence (57%), clinical outcomes that had not been achieved (68.7%), and the average utility score was high (0.816). There was a relationship between medication adherence to clinical outcomes (P = 0.002; OR = 2.875). Similarly, between adherence to quality of life, there is a significant relationship (P = 0.006) with a weak correlation level (r = 0.204). Therefore, patients and Health professionals, especially pharmacists, need to pay attention to medication adherence to achieve optimal clinical outcomes and a better quality of life.

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Improving The Quality of Life of Patients with Diabetes Mellitus Type 2 with Treatment Adherence

Media Keperawatan Indonesia ◽

10.26714/mki.4.3.2021.234-246 ◽

2021 ◽

Vol 4 (3) ◽

pp. 234

Author(s):

Yuli Wahyuni

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Treatment Adherence ◽

Scientific Publications ◽

Management Interventions ◽

Type 2 Dm ◽

Pubmed Database ◽

Online Library

Diabetes is a complex, chronic illness requiring continuous medical care with a multifactorial risk reduction strategy beyond glycemic control. Quality of life in type 2 diabetes mellitus(DM) is one indicator of successful disease management. This study aimed to determine the extent to which medication adherence affects the quality of life. The method used by searching the literature of scientific publications in the time of years between 2016-2021 using the Pubmed database, Science Direct, Cinahl, Willey Online Library and google scholar, there were 2.281articles. The result of the literature review found nine articles that fit inclusion and exclusion criteria, it was found that several variables can improve the quality of life in type 2 DM, one of which is treatment adherence. Treatment adherence is a major predictor in improving the quality of life in type 2 DM when compared with other variables. It is important to develop DM management interventions that focus on improving treatment adherence.

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THE RELATIONSHIP BETWEEN SELF-MANAGEMENT AND QUALITY OF LIFE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS

Nurse and Health: Jurnal Keperawatan ◽

10.36720/nhjk.v10i2.300 ◽

2021 ◽

Vol 10 (2) ◽

pp. 343-349

Author(s):

Ninik Ambar Sari ◽

Ceria Nurhayati

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Self Management ◽

Positive Sign ◽

High Blood Glucose ◽

Type 2 Dm ◽

Spearman Test ◽

The Relationship

Background: Diabetes Mellitus (DM) is a metabolic disease characterized by high blood glucose levels as a result of insufficient insulin secretion, impaired insulin activity or both. Patients with diabetes mellitus are at risk for complications that can affect their quality of life. These complications can be minimized through self-management. Objectives: The aim of this study was to determine the relationship between self-management and quality of life in type 2 DM patients. Design: This study was a quantitative research. The design in this study was a cross-sectional analytic with a sample of 75 people who were carried out at the endocrine polyclinic RS Pusat TNI Angkatan Laut (RSPAL) DR. Ramelan Surabaya. Research instrument used the Diabetes Self-Management Questionnaire (DSMQ) developed by Schmitt et al (2013) to determine the self-management of type 2 DM patients and to measure the quality of life using the Diabetes Quality of Life Brief (DQoL Brief) instrument developed by Burrough et al (2008). The sample siza with simple random sampling method, and data analysis using spearman rank test. Results: The results showed that there was a significant relationship between self-management and quality of life in type 2 DM patients (p-value = .000, r = .394). Conclusion: There is a significant positive relationship between the level of self-management and quality of life in type 2 DM patients. From the results of the Spearman test correlation coefficient, there is a positive sign. This means that the higher the patient's self-management, it will also improve the quality of their life. The implication of this study are nurses can increase patient knowledge by providing education that focuses on improving self-management and facilitating the provision of family support as well as supervision and monitoring related to self-management by type 2 DM patients.

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Hubungan Depresi dengan Kualitas Hidup Pasien Diabetes Mellitus Tipe 2

Window of Nursing Journal ◽

10.33096/won.v2i1.374 ◽

2021 ◽

Vol 2 (1) ◽

pp. 201-208

Author(s):

Dewi Ulfani ◽

Safruddin Safruddin ◽

Sudarman Sudarman ◽

Sudarman Sudarman

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Economic Status ◽

Sampling Technique ◽

Cross Sectional ◽

Significance Level ◽

Type 2 Dm ◽

The Relationship

Diabetes mellitus is a serious problem for global health regardless of socio-economic status or national boundaries. Diabetes mellitus is a chronic disease that cannot be completely cured and greatly affects the patient's quality of life. The incidence of DM continues to increase both in the world and in Indonesia, so far more research has been about the problem of DM clinics so that more research is needed on the quality of life. In addition, low quality of life and psychological problems can exacerbate metabolic disorders, either directly through a stress harmonic reaction or indirectly through complications. The purpose of this study was to determine the relationship between depression and quality of life of type 2 diabetes mellitus sufferers at the West Kabaena Health Center, Bombana Regency. This type of research is quantitative, with a cross sectional study design. The sample determination is done by using purposive sampling technique with a sample size of 35 respondents. The relationship test was performed using the Continuity Correction test with a significance level of α <0.05. The results showed that there was a relationship between depression and the quality of life of type 2 DM patients (p = 0.001 <0.05). The conclusion of the study is that the higher the level of individual depression, the less individual perceptions of the quality of life of type 2 DM patients. From this conclusion it is hoped that nurses will carry out health education and overcome depression in DM sufferers to improve the quality of life.

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