scholarly journals Faktor-Faktor yang Mempengaruhi Kepatuhan Pengobatan pada Pasien Diabetes Mellitus Rawat Jalan di RSUD Sukoharjo

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).

2019 ◽  
Vol 6 (3) ◽  
pp. 672
Author(s):  
Erika Martining Wardani ◽  
Lono Wijayanti ◽  
Nur Ainiyah

Diabetes Mellitus (DM) is a metabolic disorder which marked by the hyperglycemia that appeared because of insulin secretion disorder and/or the increase of cellular insulin resistance. DM patients have a higher risk to experience foot problems due to blood vessels disorders causing the circulation of blood from legs is decreased. Purposed this research is diabetes could be prevented by doing a foot spa diabetic which the activities include foot exercises, warm water cleansing and massage. The method used in this study is Quays Experiment pre-post control group design. The population on this study was patients with Diabetes Mellitus Type 2 in Waru health center. The sample used was 60 people, divided into 2 groups; intervention and control group, with sampling technique of simple random sampling. The data collection was using observation sheets of diabetic foot SPA; the tool used to assess blood glucose levels was glucometer, whereas cotton, brush and needle were used to assess the foot sensitivity. The data was then analyzed with t-test. The result of the study showed that there were effecton the foot sensitivity (t=10,73, p value =0, 000) and there were effectdecrese on ankle brachial index(t=12,34, p value =0, 000). It is important for families and communities to give motivation to the diabetes mellitus patients to do diabetic foot SPA as one of alternative therapies to prevent foot complications such as foot ulcers and even amputation


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. 


2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Finisia Noviyanti ◽  
Eva Decroli ◽  
Susila Sastri

AbstrakHipertensi seringkali menjadi kondisi komorbid yang menyertai diabetes melitus tipe 2. Diabetes melitus, hipertensi dan peningkatan LDL kolesterol merupakan keadaan yang sering dijumpai saling berkaitan. Tujuan penelitian ini adalah untuk melihat perbedaan kadar LDL kolesterol penderita diabetes melitus tipe 2 dengan dan tanpa hipertensi. Penelitian ini menggunakan desain cross sectional comparatif. Pengumpulan data dilakukan dengan observasi data rekam medis pasien diabetes melitus tipe 2 dengan dan tanpa hipertensi tahun 2011 di RS. Dr. M. Djamil Padang. Analisis statistik menggunakan uji chi-square dan uji t-berpasangan. Hasil penelitian menemukan kadar LDL kolesterol pada pasien diabetes melitus tipe 2 dengan hipertensi (137,56±41,43 mg/dl) lebih tinggi dibandingkan tanpa hipertensi (94,39±35,36 mg/dl). Uji chi-square menunjukkkan adanya hubungan yang bermakna antara peningkatan kadar LDL kolesterol dengan kejadian hipertensi (p<0,05). Uji t-berpasangan menunjukkan bahwa adanya perbedaan bermakna kadar LDL kolesterol antara kelompok pasien diabetes melitus dengan hipertensi dan tanpa hipertensi (p<0,05). Penelitian ini menyimpulkan adanya perbedaan yang bermakna kadar LDL kolesterol pada pasien diabetes melitus tipe 2 dengan hipertensi dan tanpa hipertensi di RS. Dr. M. Djamil Padang.Kata kunci: LDL kolesterol, diabetes melitus tipe 2, hipertensi AbstractHypertension is often a comorbid conditions that accompany diabetes mellitus type 2. Diabetes mellitus, hypertension and increased LDL cholesterol is a condition that is often be found related one another. The objective of this study was to determine difference LDL cholesterol level among diabetes melitus type 2 with hypertension and without hypertension.This research used cross-sectional comparatif design. The data was collected through observation of the patient’s medical records diabetes mellitus type 2 with hypertension and without hypertension in 2011 at the hospital Dr. M. Djamil Padang. The statistical analysis used was chi-square test and paired-T test. The results found that the levels of LDL cholesterol in patients with diabetes mellitus type 2 with hypertension (137,56±41,43) was higher than without hypertension (94,39±35,36). Chi square test was found that a significant correlation between elevates levels of LDL cholesterol to the incidence of hypertension (p<0,05). Paired-t test showed that there were significant differences of LDL cholesterol levels between groups of diabetes mellitus type 2 with hypertension and diabetes mellitus type 2 without hypertension (p<0,05).This research conclude that there are differences in the levels of LDL cholesterol in patients with diabetes melitus type 2 with hypertension and without hypertension in the hospital Dr. M. Djamil Padang in 2011.Keywords: LDL cholesterol, diabetes mellitus type 2, hypertension


2021 ◽  
Vol 1 (1) ◽  
pp. 30-38
Author(s):  
Evi Safitri ◽  
Sumardi Sudarman ◽  
Nur Hamdani Nur

Indonesia menjadi salah satu negara dengan prevalensi diabetisi cukup tinggi dan diprediksi akan meningkat hingga 21,3 juta diabetes pada tahun 2030. Penelitian ini bertujuan untuk mengetahui hubungan antara pola makan dengan kejadian diabetes mellitus tipe 2 di Wilayah Kerja Puskesmas Pertiwi Kota Makassar Tahun 2020. Jenis penelitian yang digunakan merupakan penelitian kuantitatif dengan metode analitik observasional desain Cross Sectional Study. Penelitian dilakukan pada bulan November 2020 di wilayah kerja Puskesmas Pertiwi dengan jumlah sampel sebanyak 81 responden yang dihitung menggunakan rumus Slovin. Penarikan sampel dilakukan dengan teknik Accidental Sampling. Pengumpulan data dilakukan dengan cara wawancara menggunakan kuesioner food recall dan diolah menggunakan pedoman survey makanan konsumsi individu (SMKI) dan Aplikasi nutrisurvey. Data kemudian dianalisis dengan uji Chi square menggunakan SPSS dan disajikan dalam bentuk tabel dan narasi. Hasil uji statistik menunjukkan bahwa terdapat hubungan yang signifikan antara frekuensi makan (p-value = 0,002 < 0,05), jumlah makan (p-value = 0,000 < 0,05), dan jenis makanan (p-value = 0,043 < 0,05) dengan kejadian diabetes mellitus tipe 2. Diharapkan agar masyarakat terus menjaga pola makan agar terhindar dari risiko diabetes tipe 2.


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


2019 ◽  
Vol 1 (2) ◽  
pp. 195
Author(s):  
Inca Buntari Agustini

ABSTRAKDiabetes Melitus merupakan penyakit yang tidak dapat disembuhkan akan tetapi sangat memungkinkan untuk dikelola atau dikontrol. Dalam konteks pengelolaan penyakit DM, kesadaran ataupun disiplin diri penderita sangat diperlukan untuk membangun kemandirian dan mempertahankan kepatuhan penderita dalam melaksanakan manajemen pengobatan. Komponen manajemen perawatan DM terdiri dari lima pilar utama yang sudah menjadi panduan bagi praktisi kesehatan. Akan tetapi, perlu evaluasi yang nyata untuk mengetahui keberhasilan pelaksanaannya. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan pilar utama diabetes pada pasien DM tipe 2.Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan cross-sectional. Penelitian dilakukan pada empat puskesmas di wilayah Denpasar, Bali dengan jumlah sampel 240 pasien DM tipe 2. Metode pengambilan sampel dilakukan dengan menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner Summary of Diabetes Self Care Activities.Hasil analisa data menunjukkan bahwa 81 (33,8%) responden tidak mengikuti perencanaan diet sesuai dengan yang dianjurkan, 118 (49,2%) responden setiap hari melakukan latihan fisik ringan, 174 (72,5%) responden melakukan pemeriksaan gula darah satu kali seminggu, 199 (82,9%) mengkonsumsi obat diabetes setiap hari dan 200 (83,3%) responden telah melakukan perawatan kaki setiap hari.Hal ini menunjukkan bahwa pelaksanaan empat pilar utama diabetes sudah baik. Pelaksanaan pilar pertama diabetes yang belum baik dimungkinkan karena responden belum memahami pentingnya melaksanakan diet sesuai anjuran. Oleh sebab itu, sangat penting membuat model yang tepat untuk meningkatkan motivasi dan kesadaran responden dalam melaksanakan pilar utama diabetes sehingga berdampak siginifikan terhadap peningkatan kualitas hidup penderita. Kata kunci : diabetes melitus tipe 2, pilar utama diabetes ABSTRACT                Diabetes mellitus (DM) is a disease that is not curable but it is possible to be managed or controlled. In the context of DM management, patient awareness or self-discipline is needed to build and maintain the independence of patient compliance in implementing medication management. DM care management component consists of five main pillars which have become a guide for health practitioners. However, it should be a real evaluation to determine the success of the implementation. This study aims to evaluate the implementation of the main pillars of diabetes in patients with type 2 diabetes mellitus.               The design study was quantitative descriptive cross-sectional approach. The study was conducted at four clinics in Denpasar, Bali with a sample size of 240 patients with diabetes mellitus type 2. The sampling method was done by using purposive sampling technique. The research instrument used a questionnaire Summary of Diabetes Self-Care Activities.               The results of data analysis showed that 81 (33.8%) of respondents did not follow the diet plan in accordance with the recommended, 118 (49.2%) of respondents each day doing light physical exercise, 174 (72.5%) of respondents do blood sugar tests one times a week, 199 (82.9%) taking diabetes medication every day, and 200 (83.3%) of respondents have been doing foot care every day.               This shows that the implementation of the four pillars of diabetes has been good. Implementation of the first pillar of diabetes are not well possible because the respondents do not understand the importance of implementing the diet proverly. Therefore, it is very important to allow the right model to improve motivation and awareness of the respondents in implementing the main pillars of diabetes which impacted significantly on improving the quality of life of patients. Keywords: diabetes mellitus type 2, the main pillars of diabetes 


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.


2020 ◽  
Vol 15 (1) ◽  
pp. 46-50
Author(s):  
Muhammad Basri ◽  
Baharuddin K ◽  
Sitti Rahmatia

Diabetes Melitus (DM) merupakan salah satu kelompok penyakit metabolik dan kronis dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin, kerja insulin atau keduaduanya yang membutuhkan perawatan medis dan pendidikan pengelolaan mandiri untuk mencegah komplikasi akut jangka panjang (Nian, 2017). Tujuan penelitian ini adalah Mendeskripsikan hubungan kualitas tidur dengan kadar glukosa darah Puasa pada pasien DM tipe II di PKM Kassi-Kassikota Makassar. Manfaat : Meningkatkan pengetahuan pada Penderita DM Tipe II yang mengalami gangguan Kwalitas dan Pola Tidur shari-hari Meningkatkan pengetahuan pada Penderita DM Tipe II yang mengalami gangguan Kwalitas dan Pola Tidur shari-hari Metode : Pada penelitian ini menggunakan desain cross sectional, jenis penelitian ini menggunakan metode analitik yaitu metode penelitian yang dilakukan dengan tujuan untuk mengetahui hubungan antara Kualitas tidur dengan kadar glukosa darah puasa pada pasien DM Tipe II. Sampel menggunakan purposive sampling dengan menggunakan rumus Slovin dengan jumlah sampel  55  orang  yaitu  seluruh pasien DM tipe 2 yang menjalani rawat jalan di PKM Kassi-Kassi Kota Makassar. Hasil Uji Statistik Chi Square diperoleh p value 0,000 < 0,05.sehingga peneliti berasumsi bahwa  ada hubungan antara kualitas tidur dengan kadar glukosa darah pada pasien DM Type 2 di Puskesmas Kassi-Kassi Makassar.  Kesimpulan yaitu terdapat hubungan kualitas tidur dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 di Puskesmas Kassi-Kassi Makassar. Saran dapat dijadikan sebagai salah satu acuhan bagi pasien diabetes melitus tipe 2 untuk meningkatkan kualitas tidur dan menjaga kadar glukosa darah puasa


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>


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