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

2021 ◽  
Vol 4 (3) ◽  
pp. 234
Author(s):  
Yuli Wahyuni

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.

2021 ◽  
Vol 4 (3) ◽  
pp. 244
Author(s):  
Yuli Wahyuni

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.


2018 ◽  
Vol 2 (1) ◽  
pp. 52
Author(s):  
Nian Afrian Nuari

Introduction. Diabetes Mellitus (DM) is a chronic disease that requires individual ability of patients to adhere treatment of the disease recommended by doctors. The purpose the study was to analyze the effect of diabetes empowerment education to self empowerment and quality of life of patients with type 2 DM.Method. This study used quasy experiment design with non randomized control group pretest posttest design. Total sampel was 32 respondents divided into control group and experiment group, sample recruited by purposive sampling. Data were collected using questionnaire with DES (Diabetes Empowerment Scale) and DQoL (Diabetes Quality of Life). Data were then analyzed using Wilcoxon Sign rank test and Mann Whitney with level of significance of 0,05.Result. The results showed that there were differences in self empowerment and quality of life of patients with type 2 DM after intervention. Mann Whitney analysis result`s showed that there are differences in self empowerment between control and experiment groups (p = 0,029) and there was a difference in the quality of life between control and experiment groups (p = 0,022). It can be referred from it that DEE influences self empowerment and quality of life of type 2 DM patients.Discussion. It can be concluded that diabetes empowerment education increasing selfempowerment and quality of life of patients with DM type 2. Keywords: diabetes, education, self empowerment, quality of life, DEE, HPM


Author(s):  
Rahsunji Intan Nurvitasari ◽  
◽  
Didik Gunawan Tamtomo ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  

Background: Type 2 diabetes mellitus (DM) is a chronic metabolic disease that has a major impact on the quality of life (QoL). The type 2 DM patients to know their capacity to manage the disease and maintain their health and well-being. This study aims to determine biological, psychological, social and economic factors on the quality of life in type 2 DM patients. Subjects and Method: A cross-sectional study was conducted in Surakarta, Central Java. A sample of 100 type 2 DM patients was selected by purposive random sampling. The dependent variable was quality of life. The independent variables were quality of life (QoL). The independent variables were body mass index (BMI), HbA1C, occupation, education, physical activity, and family support. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: Quality of life in type 2 DM patients increased with high physical activity (OR= 6.33; 95% CI= 1.92 to 20.87; p= 0.002), strong family support (OR= 3.94; 95% CI= 1.21 to 12.78; p= 0.023), employed (OR= 4.17; 95% CI= 1.15 to 15.19; p= 0.030), and high education (OR= 4.37; 95% CI= 1.49 to 12.76; p= 0.007). Quality of life in type 2 DM patients decreased with obesity (OR= 0.37; 95% CI= 0.12 to 1.20; p= 0.099) and HbA1c (OR= 0.16; 95%= 0.05 to 0.53; p= 0.003). Conclusion: Quality of life in type 2 DM patients increases with high physical activity, strong family support, employed, and high education. Quality of life in type 2 DM patients decreases with obesity and HbA1c. Keywords: quality of life, type 2 diabetes melitus, biopsychosocial Correspondence: Rahsunji Intan Nurvitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281232599161.


2021 ◽  
Vol 10 (2) ◽  
pp. 343-349
Author(s):  
Ninik Ambar Sari ◽  
Ceria Nurhayati

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.


Jurnal NERS ◽  
2016 ◽  
Vol 10 (2) ◽  
pp. 279
Author(s):  
Nian Afrian Nuari ◽  
Melani Kartikasari

Introduction: Diabetes Mellitus (DM) is a chronic disease that requires individual ability of patients to adhere treatment of the disease recommended by doctors. Patient should be able to manage the diabetes to prevent complications by maximizing existing aspects within themselves to determine the best option available. The purpose the study was to analyze the effect of diabetes empowerment education to self empowerment and quality of life of patients with type 2 DM at the Puskesmas Bendo Kediri. Method: This study used quasy experiment design with non randomized control group pretest posttest design. Total sampel was 32 respondents divided into control group and experiment group, sample  recruited by purposive sampling. Data were collected using questionnaire with DES (Diabetes Empowerment Scale) and DQoL (Diabetes Quality of Life). Data were then analyzed using Wilcoxon Sign rank test and Mann Whitney with level of significance of 0,05. Result: The results showed that there was a differences in self empowerment and quality of life of patients with type 2 DM after intervention. Mann Whitney analysis result`s showed that there are differences in self empowerment between control and experiment groups (p = 0,029) and there was a difference in the quality of life between control and experiment groups (p = 0,022). It can be referred from it that DEE influences self empowerment and quality of life of type 2 DM patients. Discussion: It can be concluded that diabetes empowerment education increasing selfempowerment and quality of life of patients with DM type 2. Further studies should using  more objective parameters such as changes in blood sugar levels, hemoglobin A1C values to evaluate the effect of diabetes empowerment education on self-empowerment and quality of life of patients with DM.  Keywords: diabetes, education, self empowerment, quality of life, HPM,DEE


1970 ◽  
Vol 2 (1) ◽  
Author(s):  
Yuli Wahyuni ◽  
Nursiswati N ◽  
Anastasia Anna

Karekteristik pasien diabetes melitus (DM) tipe 2 yang dapat memengaruhi kualitas hidupnya meliputi umur, jenis kelamin, tingkat pendidikan, sosial ekonomi, lama menderita DM, dan status pernikahan. Tujuan penelitian ini adalah mengetahui gambaran kualitas hidup berdasarkan karekteristik pasien DM tipe 2. Penelitian deskriptif kuantitatif ini melibatkan 89 responden yang diambil menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner karekteristik responden dan Quality of Life Instrument for Indian Diabetes Patients (QOLID)yang terdiri dari 34 pertanyaan. Data yang terkumpul dikategorikan menjadi kualitas hidup tinggi/rendah berdasarkan nilai mean. Hasil penelitian menunjukkan bahwa kualitas hidup (QoL) pasien DM tipe 2 secara keseluruhan adalah tinggi (56,18%). Berdasarkan umur, QoL tinggi terbesar adalah lansia (65,9%) dan QoL rendah terbesar adalah dewasa madya (53,84%). Jenis kelamin, QoL tinggi terbesar adalah laki-laki (58,97%) dan QoL rendah terbesar adalah perempuan (46%). Tingkat pendidikan, QoL tinggi terbesar berada pada perguruan tinggi (78,26%) dan QoL rendah terbesar berada pada SD (65%). Berdasarkan sosial ekonomi, QoL tinggi terbesar adalah penghasilan lebih dari >5 juta (87,5%) dan QoL rendah terbesar adalah <1 juta (66,67%). Berdasarkan lama menderita, QoL tinggi terbesar adalah >10 tahun (66,67%) dan QoL rendah terbesar adalah < 1 tahun (53,33%). Berdasarkan status pernikahan QoL tinggi terbesar adalah menikah (56,16%) dan QoL rendah terbesar adalah janda/duda (46,67%). Perawat diharapkan dapat membantu pasien dengan karekteristik tingkat pendidikan SD, usia dewasa madya, penghasilan <1 juta dan lama menderita <1 tahun dengan cara mengembangkan aktivitas yang dapat mendukung peningkatan QoL pasien DM tipe 2.Kata kunci:DM tipe 2, karekteristik pasien, kualitas hidup AbstractAges, sex, education levels, economic status, marital status, and the length of life with diabetes mellitus are characteristics of patient with type 2 DM that can affect to their quality of life. The purpose of this study was to describe type 2 diabetes mellitus patients’ quality of life based on patients’ characteristics. Descriptive quantitative approach with purposive sampling was applied to 89 respondents. Data were collected using Quality of Life Instruments for Indian Diabetes Patients (QOLID), which consists of 34 questions. Data were analyzed using means scores. The result showed that quality of life (QoL) of patients with type 2 diabetes were high (56.18%). Based on age categories, the highest QoL was the elderly group (65.9%) and the lowest was the middle adulthood group (53.84%). Men had higher QoL than women with (58.97%) and (46%), respectively. This study also found that university graduates had the highest QoL (78.26%) and the lowest were elementary school graduates (65%). Based on the economic status, people with income >5 million (50%) had the highest QoL and the lowest was people with income <1 million (35.90%). Diabetic patients who suffering for more than 10 years (66,67%) had the highest QoL and the lowest was people who suffer of type 2 DM for less than a year (53.33%). Based on marital status, the highest QoL was married people (56.16%) and the lowest was widow (46.67%). Nurses are expected to help patients with low level of QoL and develop some activities to enhance the QoL of patient with type 2 DM.Key words: Patient’s characteristic, quality of life, type 2 DM


2021 ◽  
Vol 2 (1) ◽  
pp. 201-208
Author(s):  
Dewi Ulfani ◽  
Safruddin Safruddin ◽  
Sudarman Sudarman ◽  
Sudarman Sudarman

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.


Author(s):  
Syaiful Katadi ◽  
Tri Murti Andayani ◽  
Dwi Endarti

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.


2019 ◽  
Vol 34 (4) ◽  
pp. 1099-1102
Author(s):  
Nikola Todorović

Diabetes mellitus (DM) is probably one of the oldest diseases known to man. There are two types of diabetes, insulin-dependent or type 1 diabetes mellitus, and insulin-independent or type 2 diabetes mellitus. About 90% of diabetic patients have type 2 DM. The chronic metabolic disorder caused by other factors such as malnutrition, stress, an insufficient level of physical activity and genetics. Diabetes is not a disease of modern times. It was first reported in an Egyptian manuscript about 3000 years ago, but with the development of technology and industry has led to an increasing number of people suffering from the disease. As a result of this trend, it is rapidly becoming an epidemic in some countries in the world with a tendency to grow more. The number of people with diabetes is expected to double in the next decade. The main reason for this assumption is the aging of the population. Developing countries are especially at high risk, as a consequence of a sudden increase in quality of life can lead to an increase in patients with type 2 DM. Sedentary lifestyles are associated with an increased prevalence of diabetes and metabolic syndrome. In contrast, lifestyle change programs that include physical activity and exercise play an important role in the prevention and treatment of type 2 DM syndrome as well as macrovascular complications of type 2 DM. Physical exercise is emerging as a new tool in the fight against diabetes. This review paper outlines the importance and types of physical activity, the recommendations, and the benefits it brings. The literature review was performed on the PubMed (Medline) platform. Only English language articles are included. Usually, the term exercise refers to aerobic exercise in the general population. In this work, in addition to aerobic training and the benefits it brings, the effects of other training methods, such as strength training, yoga or tai chi, are also analyzed. Physical activity and exercise are one of the most effective agents in the fight against diabetes. The impact of training on blood glucose control can last up to 72 hours after training has ended. Moderate to high levels of aerobic activity are significantly associated with lower cardiovascular and overall mortality risks for type 1 and type 2 DM. The general recommendation of the World Health Organization (WHO) is 150 min per week of moderate to intense physical activity. Aerobic training increases cardiorespiratory fitness and has the effect of reducing insulin resistance. Strength training leads to improved balance, strength, and assists in the daily activities of life. More intense strength training with free weights and trainers can improve glycemic control. Flexibility and balance exercises are important for maintaining joint movement and balance, reducing the risk of falls and improving the quality of life. People with DM should exercise daily. It is recommended that aerobic training should be combined with strength training 2 to 3 times a week. It is especially important to suggest and encourage the active lifestyles of people with DM. Physical activity is a cure and improves all parameters of health and quality of life.


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