Characteristics of Patients with Type 2 Diabetes Mellitus in Al-Ihsan Regional General Hospital

The prevalence of type 2 diabetes mellitus (T2DM) in Indonesia is high, contributing to the fourth mortality rate for non-communicable diseases in Indonesia. The population of T2DM patients spread across all provinces, including West Java, which is the most populous province in Indonesia. One of the referral hospitals in West Java is Al-Ihsan Regional General Hospital in Bandung regency. The purpose of this study was to describe the characteristics of T2DM patients who came to Al-Ihsan Regional General Hospital according to age, gender, and comorbidities parameters. It was a descriptive cross-sectional study using secondary data from medical records of T2DM patients between January 2017 and November 2020. The results were the highest prevalence and incidence of T2DM were in 2017 with as many as 5,051 and 653 respectively; the highest gender each year was female, range between 584–3,333, with the highest male: female ratio of 1:2 in 2017; the age group with the highest prevalence was 55–65 years which was 3,468 (39.53%); and top five comorbidities were hypertension (35.68%), cataracts (6.01%), osteoarthritis (3.58%), pulmonary tuberculosis (2.92%) and dyspepsia (2.91%). This study concluded that the prevalence and incidence of T2DM in Al-Ihsan Regional General Hospital were high, with the predominant female patients, elderly, and comorbid hypertension. KARAKTERISTIK PASIEN DIABETES MELITUS TIPE 2 DI RSUD AL-IHSANAngka kejadian diabetes melitus tipe 2 (DMT2) di Indonesia cukup tinggi, menyumbangkan angka kematian keempat penyakit tidak menular di Indonesia. Penderita DMT2 tersebar di seluruh provinsi, termasuk Jawa Barat yang merupakan provinsi terpadat di Indonesia. Salah satu rumah sakit rujukan di Jawa Barat adalah RSUD Al-Ihsan di Kabupaten Bandung. Tujuan penelitian ini adalah menggambarkan karakteristik pasien DMT2 yang datang ke RSUD Al-Ihsan dilihat dari usia, jenis kelamin, dan komorbid. Penelitian ini merupakan penelitian deskriptif cross-sectional menggunakan data sekunder berupa rekam medis pasien DMT2 periode Januari 2017 hingga November 2020. Didapatkan bahwa prevalensi dan insidensi DMT2 tertinggi pada tahun 2017 sebesar 5.051 dan 653 masing-masing; jenis kelamin terbanyak pada setiap tahun adalah wanita sebesar 584–3.333 dengan rasio pria:wanita tertinggi 1:2 pada tahun 2017; kelompok usia dengan prevalensi tertinggi adalah 55–65 tahun sebesar 3.468 (39,53%); dan lima komorbid tertinggi adalah hipertensi (35,68%), katarak (6,01%), osteoartritis (3,58%), tuberkulosis paru (2,92%), dan dispepsia (2,91%). Simpulan penelitian ini adalah prevalensi dan insidensi DMT2 di RSUD Al-Ihsan tinggi dengan pasien terbanyak wanita, lanjut usia, dan komorbid hipertensi.

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Determinants of Diabetes Self Care in Patients With Type 2 Diabetes Mellitus in Banyumas Regency

Jurnal Keperawatan Soedirman ◽

10.20884/1.jks.2018.13.2.763 ◽

2018 ◽

Vol 13 (2) ◽

pp. 71 ◽

Cited By ~ 1

Author(s):

Eva Rahayu ◽

Ridlwan Kamaluddin ◽

Eti Dwi Hapsari

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Family Support ◽

Self Care ◽

Cluster Sampling ◽

Cross Sectional ◽

Knowledge Variable ◽

Diabetes Melitus

DETERMINANTS OF DIABETES SELF-CARE ON PATIENTS WITH TYPE 2 DIABETES MELLITUS IN BANYUMAS REGENCYEva Rahayu, Ridlwan Kamaluddin, Eti Dwi HapsariLecturer of Nursing Department, Jenderal Soedirman Universityâ€œ[email protected]â€Â ABSTRAKPenderita diabetes tipe 2 perlu menerapkan perawatan mandiri diabetes dalam rangka meminimalisir berbagai komplikasi dan penurunan kualitas hidup. Beberapa faktor diduga memiliki pengaruh terhadap penerapanÂ perawatan mandiri diabetes oleh penderita diabetestipe 2 di Kabupaten Banyumas. Tujuan penelitian ini adalah untukÂ mengetahui faktor determinan yang berhubungan dengan penerapan perawatan mandiriÂ diabetes tipe 2 di Wilayah Kabupaten Banyumas. Penelitian ini menggunakan desain cross sectional. Populasi adalah seluruh penderita diabetes melitus tipe 2 se-Kabupaten Banyumas. Metode penarikan sample dengan teknik cluster samplingÂ dengan besar sampel 532 orang yang tersebar di 22 puskesmas se-Kabupaten Banyumas. Analisis data menggunakan uji korelasi Spearman dan Regresi Linier Ganda. Hasil penelitian menunjukkan nilai p pada masingâ€“masing variabel yang dihubungkan dengan perawatan mandiri diabetes antara lain adalah jenis kelamin (p=0,043),usia (p=0,18), lama menderita diabetes (p= 0,11)Â pengetahuan (p=0,000), motivasi (=0,01), serta dukungan keluarga (p=Â 0,000). Sebesar 10,4 % variasi perawatan mandiri diabetesÂ dapat dijelaskan oleh variabel pengetahuan dengan koefisien Î² = 0,32.Â Kesimpulan penelitian adalah ada hubungan antara jenis kelamin, pengetahuan, motivasi dan dukungan keluarga dengan perawatan mandiri diabetes. Variabel pengetahuan menjadi faktor yang paling dominan berhubungan dengan perawatan mandiri diabetes.Kata kunci : determinan, diabetes melitus, perawatan mandiri diabetesÂ Â Â ABSTRACTÂ Patients with type 2 diabetes need to apply self-care in order to minimize various complications and decreasing quality of life. Several factors are assumed to have an effect on the application of diabetes self-care by patients with type 2 diabetes in Banyumas Regency.Â The purpose of this research was to determine the determinants related to the application of diabetes self care by patients withtype 2 diabetesin Banyumas Regency. This research used cross sectional design. Population was all patients with type 2 diabetes mellitus in Banyumas Regency. Sampling method was performed by cluster sampling technique with sample size of 532 patients spreading in 22 community health centers (Puskesmas) in Banyumas Regency. Data analysis used Spearman correlation test and Multiple Linear Regression. The result indicated that p value in each variable affecting diabetes self-care was genderÂ (p=0,043), age (p=0.18), duration of diabetes (p= 0.11) , knowledge (p=0.000), motivation (=0.01), and family support (p=Â 0.000). 10.4 % variation in diabetes self-care can be explained by knowledge variable with the coefficient Î² = 0.32.Â It can be concluded that there was a relationship among gender, knowledge, motivation and family support on diabetes self-care. Knowledge variable was the most dominant factor related to diabetes self-care.Â Keywords : determinants, diabetes mellitus, diabetes self-care

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HUBUNGAN MOTIVASI DENGAN EFIKASI DIRI PADA PASIEN DENGAN DIABETES MELITUS TIPE II DI RUMAH SAKIT UMUM GMIM PANCARAN KASIH MANADO

JURNAL KEPERAWATAN ◽

10.35790/jkp.v7i1.25209 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Mario E. Katuuk ◽

Vandri D. Kallo

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Self Efficacy ◽

Fisher Exact Test ◽

Cross Sectional ◽

Exact Test ◽

The Relationship ◽

Diabetes Melitus

Abstract: Motivation of each individual is related to the self-efficacy that each individual has. The low level of client motivation affects client's self-efficacy, so that self-care management of DM patients cannot run well. The purpose of this study is to know the relationship between motivation and self-efficacy in patients with type 2 diabetes mellitus at the GMIM Hospital Pancaran Kasih Manado in 2018. The Design of this study was descriptive analytical with cross sectional approach. The study was conducted at the GMIM Hospital Pancaran Kasih Manado. The sample used was 34 patients. The instruments used were questionnaire demographic characteristics of respondents, motivational questionnaires, and self-efficacy questionnaires tested using the Fisher Exact test. The results of the Fisher Exact statistic test are the relationship between motivation and self-efficacy of patients with Type 2 Diabetes Mellitus at GMIM General Hospital Pancaran Kasih Manado obtained p = 0.026 (α = 0.05). The conclusion is that there is a relationship between motivation and self-efficacy of patients with Type 2 Diabetes Mellitus in RSU GMIM Pancaran Kasih Manado. Keywords: Motivation, Self-Efficacy.Abstrak: Motivasi dari setiap individu berkaitan dengan efikasi diri yang dimiliki oleh masing-masing individu tersebut. Tingkat motivasi klien yang rendah mempengaruhi efikasi diri klien, sehingga manajemen perawatan diri pasien DM tidak dapat berjalan dengan baik. Tujuan dalam penelitian ini ialah diketahui hubungan antara motivasi dengan efikasi diri pada pasien diabetes melitus tipe 2 di RSU GMIM Pancaran Kasih Manado tahun 2018.. Jenis penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di RSU GMIM Pancaran Kasih Manado.. Sampel yang digunakan sebanyak 34 pasien. Instrumen yang digunakan kuesioner karakteristik demografi responden, kuesioner motivasi, dan kuesioner efikasi diri yang diuji menggunakan uji Fisher Exact. Hasil uji statistik Fisher Exact hubungan antara motivasi dengan efikasi diri pasien Diabetes Melitus Tipe 2 di Rumah Sakit Umum GMIM Pancaran Kasih Manado diperoleh nilai p = 0,026 (α = 0,05). Kesimpulan yaitu ada hubungan antara motivasi dengan efikasi diri pasien Diabetes Melitus Tipe 2 di RSU GMIM Pancaran Kasih Manado.Kata Kunci: Motivasi, Efikasi Diri

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Overview of glomerulus filtration in type 2 of diabetes mellitus at Sanjiwani Gianyar hospital year of 2018-2019

International journal of health & medical sciences ◽

10.31295/ijhms.v4n1.726 ◽

2021 ◽

Vol 4 (1) ◽

pp. 50-55

Author(s):

Putu Ayu Indah Saraswati ◽

I Made Kasmadi Gunawan ◽

Dewa Gde Agung Budiyasa

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Univariate Analysis ◽

Secondary Data ◽

Cross Sectional ◽

Descriptive Research ◽

Grade 5 ◽

Grade 3

This study used a descriptive research design with a cross-sectional approach. This research was conducted at RSUD Sanjiwani Gianyar which was conducted from July to November 2019. The sample taken in this study must meet the inclusion criteria. This study uses secondary data in the form of patient medical records at Sanjiwani Gianyar Regional Hospital in 2018-2019. The research variables consisted of independent variables in the form of glomerular filtration rate and dependent variables in the form of type 2 diabetes mellitus patients. Data processing and analysis were carried out using computerized techniques with computer devices. Data analysis was carried out using univariate analysis used to analyze descriptively by calculating the frequency distribution of each research variable. The results of the research of 50 people with type 2 diabetes mellitus, the majority of respondents of LFG grade were grade 3 with a total of 18 people (36.0%) and grade 1 as many as 15 people (30.0%), while the lowest was grade 4 with a total of 2 (4.0%) and grade 5 as many as 3 people (6.0%).

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Hubungan Antara Tekanan Darah Sistolik Dengan Kadar Hdl Kolesterol Pada Pasien Diabetes Melitus Tipe 2 Di Klinik Arafah Lampung Tengah

MAHESA : Malahayati Health Student Journal ◽

10.33024/mahesa.v1i4.3948 ◽

2021 ◽

Vol 1 (4) ◽

pp. 307-314

Author(s):

Toni Prasetia ◽

Firhat Esfandiari ◽

Sandhy Arya Pratama ◽

Ikbal Zaenur Ridwan

Keyword(s):

Diabetes Mellitus ◽

Blood Pressure ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Systolic Blood Pressure ◽

Hdl Cholesterol ◽

Cross Sectional ◽

Cholesterol Levels ◽

Diabetes Melitus

ABSTRACT: RELATIONSHIP BETWEEN SYSTOLIC BLOOD PRESSURE AND HDL CHOLESTEROL LEVELS IN TYPE 2 DIABETES MELLITUS PATIENTS IN ARAFAH CLINIC, CENTRAL LAMPUNG Background: Hypertension is a major risk factor for type 2 Diabetes Mellitus, hypertension can make cells insensitive to insulin, so blood sugar levels can also be disrupted. Dyslipidemia causes constriction in blood vessels or atherosclerosis which can aggravate hypertension or diabetes mellitus. Meanwhile, the function of HDL in transporting bad cholesterol also causes blood vessels to dilate due to increased NO production. Objective: To find out the relationship between systolic blood pressure and HDL cholesterol levels in type 2 diabetes mellitus patients at the Arafah Clinic, Central Lampung, 2020. Method: This type of research used in this research is descriptive-analytic with cross-sectional design. The sampling technique was total sampling. Respondents in this study were patients with Type 2 Diabetes Mellitus at the Arafah Clinic in Central Lampung in 2020 Results: Based on the results of the chi-square statistical test, it was found that there was no relationship with the results of p = 0.898 (p> 0.05). Conclusion: There is no correlation between systolic blood pressure and HDL cholesterol levels in type 2 diabetes mellitus patients at the Arafah Clinic, Central Lampung in 2020. Keywords: Diabetes Mellitus type 2, Systolic Blood Pressure, HDL INTISARI: HUBUNGAN TEKANAN DARAH SISTOLIK DENGAN KADAR KOLESTEROL HDL PADA PASIEN DIABETES MELLITUS TIPE 2 DI KLINIK ARAFAH LAMPUNG TENGAH Latar Belakang: Hipertensi merupakan faktor risiko utama untuk terjadinya Diabetes Melitus tipe 2, hipertensi dapat membuat sel tidak sensitif terhadap insulin, maka kadar gula di dalam darah juga dapat mengalami gangguan. Dislipidimia menyebabkan terjadinya penyempitan dalam pembuluh darah atau aterosklerosis yang dapat memperberat kondisi hipertensi ataupun diabetes mellitus. Sedangkan fungsi HDL mengangkut kolesterol jahat juga menyebabkan pembuluh darah bisa berdilatasi karena produksi NO yang meningkat.Tujuan: Untuk mengetahui Hubungan Antara Tekanan Darah Sistolik dengan Kadar HDL Kolesterol pada pasien Diabetes Melitus tipe 2 di Klinik Arafah Lampung Tengah Tahun 2020.Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah deskriptif analitik dengan desain cross sectional. Teknik pengambilan sampel berupa total sampling. Responden dalam penelitian ini adalah pasien Diabetes Melitus tipe 2 di Klinik Arafah Lampung Tengah.Hasil: Berdasarkan hasil uji statistic chi-square didapatkan tidak terdapat hubungan dengan hasil p=0,898 (p>0,05).Kesimpulan: Tidak terdapat Hubungan Antara Tekanan Darah Sistolik dengan Kadar HDL Kolesterol pada pasien Diabetes Melitus tipe 2 di Klinik Arafah Lampung Tengah tahun 2020. Kata Kunci : Diabetes Melitus tipe 2, Tekanan Darah Sistolik, HDL

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Type-2 DM and Its Complication and Relationship among the Patients at Rajshahi Diabetes Association General Hospital: Socio-demographic Characteristics

Randwick International of Social Science Journal ◽

10.47175/rissj.v2i4.322 ◽

2021 ◽

Vol 2 (4) ◽

pp. 411-415

Author(s):

Farzana Ferdousi Shanta ◽

Deepa Biswas

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

General Hospital ◽

Nuclear Family ◽

Economic Status ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Cross Sectional

The aim of this cross-sectional study of Type-2 diabetes mellitus and its complication among the patients admitted in Rajshahi Diabetes Association General Hospital and its relationship with their socio-demographic characteristics. Total fifty (50) respondents were selected for the study. Complication of Type-2 diabetes mellitus were mainly investigated. The instrument developed by the researcher was divided into 2 sections including, 1) Demographic questionnaire. 2) Question regarding complications of type-2 diabetes mellitus patients. The main findings of this thesis are that the proportion of complication of type-2 diabetes mellitus patients. The age of the respondents which 14% were between 31-40 years of age about 30% between 41-50 years, about 40% between 51-64 years, 16% between 65-90 years. Type of family 46 (92%) were the members of nuclear family 4 (8%) were the member of joint family. This study would like to examine the respondents’ ratings of different religions who were married or divorced. Socio-economic status 74% were poor, 26& respondents were middle. For this purpose, this study would like to investigate the complication of type 2 diabetes mellitus patients; the ratings of nephropathy, hypertension, the loss of sensation, heart problem, homeopathy, and Kobiraji treatment.

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The relationship of HbA1c levels with creatinin levels in diabetes mellitus type 2 patients

PUINOVAKESMAS ◽

10.29238/puinova.v1i2.980 ◽

2020 ◽

Vol 1 (2) ◽

pp. 84-93

Author(s):

Putri Nur Cahyani ◽

Atik Martsiningsih ◽

Budi Setiawan

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Secondary Data ◽

Rank Test ◽

Cross Sectional ◽

Relationship Of ◽

The Relationship ◽

Hba1c Levels

Background: People with Type 2 Diabetes Mellitus in Indonesia continue to increase in prevalence. Understanding of complications due to this disease, one of which is diabetic nephropathy or damage to kidney nephrons. Objective: To determine the relationship between HbA1c levels and creatinine levels in patients with Type 2 Diabetes Mellitus. Method: This study was an observational experiment using a cross sectional approach based on secondary data. The research was carried out in February to April 2020. The population of this research study is a member of Prolanis (Chronic Disease Management Advanced Program) in Gamping 1 Puskesmas Sleman Yogyakarta. Sample with 24 patients. Analysis of data using the Spearman’s test. Results: From the results of the normality test using the Shapiro Wilk test data obtained were not normally distributed so that continued with the Spearman rank test obtained r of -0.006 and p values with sig. (2-tailed) of 0.961 or> 0.05 (H0 received). This means that there is no relationship between HbA1c levels and blood creatinine levels in patients with type 2 DM. Conclusion: There is no relationship between HbA1c levels and creatinine levels in patients with Type 2 Diabetes Mellitus.

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Drug Use Evaluation on Type 2 Diabetes Mellitus and Diabetic Nephropathy Inpatients in One of Hospitals in Tasikmalaya

Indonesian Journal of Clinical Pharmacy ◽

10.15416/ijcp.2018.7.4.243 ◽

2018 ◽

Vol 7 (4) ◽

pp. 243

Author(s):

Najiah R. Nisa ◽

Muharram Priatna ◽

Yedy P. Sukmawan

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Diabetic Nephropathy ◽

Filtration Rate ◽

Drug Selection ◽

Cross Sectional ◽

Drugs Interaction ◽

Diabetes Melitus

Type 2 Diabetes mellitus (T2DM) is a degenerative disease and approximately 50% of patients with diabetes mellitus (DM) of more than 20 years’ duration also have diabetic nephropathy (DN). T2DM accounts for significant morbidity and mortality, however appropriate treatment can reduce the events. The objective of the study was to evaluate of drug use in inpatient T2DM and DN. This was a cross-sectional study with concurrent data retrieval on T2DM and DN inpatients in the period of March–June 2017 in one of hospitals in Taskimalaya, Indonesia. Forty-six patients were included in the study, of which 25 patients had T2DM and 21 had DN. The result of this study showed that appropriateness of drug selection reached 100% and 85.6% in T2DM and DN inpatients, respectively. Inappropriateness of drugs selection includes selection of ketorolac, ranitidine, folic acid, amlodipine and potassium containing drugs. Doses accuracy of T2DM patients reached 100% and of DN inpatients reached 92.1%. The inaccuracy of doses was due to the lack of dose adjustment to estimated glomerulus filtration rate (eGFR) level in each patient. Drugs interaction analysis showed a potential drug interaction on DN and T2DM which devided into major (13.8%; 7.2%), moderate (64.1%; 58%) and minor (22,1%; 34.8%). Based on the result, it is found an inappropriate drug selection and an inaccuracy of dose in DN patients, and a high percentage of drugs interaction on moderate classification in both diseases. It is necessary to optimize the role of pharmacist as a part of the healthcare team in the patient’s room to apply medication therapy management.Keywords: Drugs use evaluation, type 2 diabetes mellitus, diabetic nephropathyEvaluasi Penggunaan Obat pada Pasien Rawat Inap Diabetes Melitus Tipe 2 dan Nefropati Diabetik di Salah Satu Rumah Sakit di TasikmalayaAbstrakDiabetes melitus tipe 2 (DMT2) merupakan penyakit degeneratif dan sekitar 50% dari pasien yang telah menderita penyakit diabetes melitus (DM) selama lebih dari 20 tahun juga menderita penyakit nefropati diabetik (ND). Penyakit DMT2 dan nefropati diabetik mengakibatkan tingginya angka morbiditas dan mortalitas. Akan tetapi, penatalaksanaan terapi yang tepat dapat menurunkan kejadian tersebut. Tujuan penelitian ini adalah untuk melakukan evaluasi penggunaan obat pada pasien rawat inap dengan penyakit DMT2 dan ND. Penelitian ini menggunakan metode cross-sectional dengan pengambilan data secara konkuren terhadap pasien rawat inap DMT2 dan ND pada periode Maret–Juni tahun 2017 di salah satu rumah sakit di Tasikmalaya, Indonesia. Empat puluh enam pasien diikutsertakan, dengan 25 pasien menderita penyakit DMT2 dan 21 pasien menderita ND. Dari hasil penelitian ini, diperoleh ketepatan penggunaan obat pada penderita DMT2 mencapai 100% sedangkan pada penderita ND mencapai 85,6%. Ketidaktepatan pemilihan obat meliputi pemilihan ketorolac, ranitidine, asam folat, amlodipine dan kalium klorida. Ketepatan dosis pada penderita DMT2 mencapai 100%, sedangkan pada penderita ND mencapai 92,1%. Ketidaktepatan dosis disebabkan oleh tidak adanya penyesuaian dosis dengan nilai estimated glomerulus filtration rate (eGFR) terhadap pasien. Selain itu, ditemukan potensi interaksi obat pada penderita ND dan DMT2 yang diklasifikasikan ke dalam kategori mayor (13,8%; 7,2%), moderat (64,1%; 58%), dan minor (22,1%; 34,8%), secara berturut-turut. Berdasarkan hasil penelitian, ditemukan ketidaktepatan pemilihan obat dan ketidaktepatan dosis pada pasien ND serta tingginya persentase potensi interaksi obat, terutama kategori moderat, pada kedua penyakit. Diperlukan optimalisasi peran apoteker sebagai bagian dari tim di ruangan pasien rawat inap untuk melakukan penerapan pemantauan terapi obat.Kata kunci: Diabetes melitus tipe 2, evaluasi penggunaan obat, nefropati diabetik

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Hubungan Antara Tingkat Stres Dan Kadar Glukosa Darah Puasa Penderita Diabetes Melitus Tipe 2 Di Kecamatan Maos

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v8i1.45 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Esti Oktaviani Purwasih

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Blood Glucose ◽

Stress Level ◽

Fasting Blood Glucose ◽

P Value ◽

Cross Sectional ◽

Diabetes Melitus

ABSTRAKDiabetes melitus (DM) tipe 2 yaitu penyakit gangguan metabolik ditandai kenaikan gula darah karena penurunan sekresi insulin oleh sel beta pankreas dan atau ganguan resistensi insulin.Penelitian ini bertujuan untuk mengidentifikasi hubungan antara kadar glukosa darah puasa dengan tingkat stres pada penderita diabetes melitus (DM) tipe 2. Jenis penelitian adalah deskriptif korelasi dengan pendekatan cross sectional. Variabel independen dalam penelitian ini yaitu tingkat stres. Sedangkan variabel dependen dalam penelitian ini yaitu kadar glukosa darah puasa. Penelitian dilakukan di Puskesmas Maos dan Klinik Graha Amanah Maos bulan Maret 2017. Sampel diambil dengan total sampling, berjumlah 60 responden yang menderita DM tipe 2 minimal 1 tahun, memiliki kadar GDP 130 mg/dl, dan tidak memiliki penyakit komplikasi seperti gagal ginjal kronis, dan kanker.Hasil analisis data menggunakan spearman rho didapatkan tidak terdapat hubungan antara kadar glukosa darah puasa dan tingkat stres (p value = 0,137). Kata Kunci: Diabetes Mellitus Tipe 2, Glukosa Darah Puasa, Tingkat Stres. ABSTRACTType 2 diabetes mellitus (DM ) is a metabolic disease that characterized by an increasing of blood glucose because of decreasing insulin secretion by pancreatic beta cells and or insulin resistance disorders.This research aimed to identify the relationship between fasting blood glucose (FBG) level and stress level in patients with type 2 diabetes mellitus (DM). The research design was descriptive correlation with cross sectional approach. The independent variable in this study was stress level. The dependent variable in this study was fasting blood glucose level. The study was at Maos Community Health Center and Graha Amanah Clinic in March 2017.The sample was total sampling. These were 60 respondents who diagnosed type 2 diabetes mellitus at least 1 year, had FBG level 130 mg / dl, and did not have complications such as chronic kidney failure , and cancer.The results of data analysis by using spearman rho found that there was no correlation between fasting blood glucose level and stress level (p value = 0.137). Keywords: Type 2 Diabetes Mellitus, Fasting Blood Glucose, Stress Level.

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Pengendalian Diabetes Melitus Tipe 2 pada Pasien di Puskesmas Jayabaru Kota Banda Aceh

Media Penelitian dan Pengembangan Kesehatan ◽

10.22435/mpk.v28i4.63 ◽

2018 ◽

Vol 28 (4) ◽

pp. 239-246

Author(s):

Nur Ramadhan ◽

Nelly Marissa ◽

Eka Fitria ◽

Veny Wilya

Keyword(s):

Diabetes Mellitus ◽

Blood Pressure ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Plasma Glucose ◽

Good Control ◽

Cross Sectional ◽

Banda Aceh ◽

Diabetes Melitus

Diabetes Mellitus (DM) is a metabolic disease that affects many people of the world, including Indonesia. To prevent complications, a good control of DM is needed by patients, one of them is controlling blood sugar and keeping blood pressure stable. DM is reported in Banda Aceh as one of diseases with the highest number of visits every year. The purpose of this study was to determine the achievements of DM control by patients with type 2 diabetes mellitus in Puskesmas Jayabaru Banda Aceh. The study used a cross sectional design and a sample of 85 patients with type 2 diabetes mellitus in Puskesmas Jayabaru in 2015. The results showed 81.2% HbA1c value ≥ 7%, 80% fasting plasma glucose (FPG) ≥ 100 mg/dl, 85.9% of the value post prandial plasma glucose ≥ 140 mg/dl and 58.8% blood pressure ≥ 130 mmHg. Of the 85 patients only 7 showed good DM control results. This illustrates that DM control achievement is still below the cut-off value set by PERKENI. Counseling to patients and families is needed to improve the management of type 2 DM by patients. Abstrak Abstrak Diabetes Melitus (DM) merupakan penyakit metabolik yang banyak diderita penduduk dunia, termasuk Indonesia. Untuk mencegah terjadi komplikasi diperlukan pengendalian DM yang baik oleh penderita, salah satunya dengan mengontrol gula darah dan menjaga tekanan darah tetap stabil. Penyakit DM dilaporkan di Kota Banda Aceh sebagai salah satu penyakit dengan angka kunjungan terbanyak setiap tahun. Tujuan penelitian ini untuk mengetahui capaian pengendalian DM oleh penderita DM tipe 2 di wilayah kerja Puskesmas Jayabaru Kota Banda Aceh. Penelitian menggunakan desain potong lintang dan sampel berjumlah 85 orang penderita DM tipe 2 di Puskesmas Jayabaru tahun 2015. Hasil penelitian menunjukkan 81,2% nilai HbA1c ≥ 7%, 80% nilai GDP ≥ 100 mg/dl, 85,9% nilai GD 2 jam PP ≥ 140 mg/dl, 58,8% dan tekanan darah ≥ 130. Dari 85 pasien hanya tujuh orang yang menunjukkan hasil pengendalian DM yang baik. Hal ini menggambarkan bahwa capaian pengendalian DM masih di bawah nilai cut off yang ditetapkan Perkumpulan Endokrinologi Indonesia (PERKENI). Penyuluhan kepada pasien dan keluarga sangat dibutuhkan untuk memperbaiki pengelolaan DM tipe 2 oleh penderita.

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GAMBARAN FAKTOR RESIKO PASIEN DIABETES MELITUS TIPE II Di POLIKLINIK ENDOKRIN BAGIAN/SMF FK-UNSRAT RSU Prof. Dr. R.D KANDOU MANADO PERIODE MEI 2011 - OKTOBER 2011

Jurnal e-Biomedik ◽

10.35790/ebm.1.1.2013.1160 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Nadyah Awad ◽

Yuanita A. Langi ◽

Karel Pandelaki

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Family History ◽

Secondary Data ◽

The Body ◽

Stage 1 ◽

Diabetes Melitus

Abstract: Given the high prevalence in patients with type 2 diabetes where the incidence of 650.000 new cases each year. In type-2, the pancreas does not make enough insulin to keep blood sugar levels remain normal, often because the body does not respond well to insulin. Most people do not realize had been suffering from type 2 diabetes, although the situation has become very serious. Type 2 diabetes has become a commonly experienced in the world and in Indonesia, and the numbers continue to grow due to unhealthy lifestyles, obesity and lazy to exercise. Purpose: To determine how the image of risk factors in patients with type 2 diabetes in the clinic Endocrine and Metabolic Section / SMF FK-UNSRAT BLU RSU Prof. Dr. R.D. Manado Kandou the period of May-October2011. Methods: This type of research is a descriptive study using secondary data. Population of type 2 DM patients who come for treatment at the Polyclinic Endocrine and Metabolic Section / SMF FK-UNSRAT BLU RSU Prof.Dr. R.D. Kandou Manado the period of May - October 2011. The number of samples of 138 patients comprising 60 men and 78 women. Result: The case of DM Tiipe 2 in Endocrine and Metabolic Clinic ever found in women than in men. Acquired risk factors for type 2 diabetes mellitus is a BMI> 23 ever found in an obese BMI groups 1 (25-29,9) of 37 patients, patients with stage 1 hypertension (130-159/80-99 mmHg) obtained by 80 patients , patients with dyslipidaemia as many as 22 patients, patients with a family history of as many as 45 patients, patients with age> 40 years as many as 130 patients, and patients who have risk factors for most of the patients with 3 risk factors as many as 74 patients. Conclusion: Risk factors affecting the incidence of type 2 diabetes mellitus in Endocrine and Metabolic Clinic is a BMI> 23, hypertension> 140/90 mmHg, family history,age> 40 years, dyslipidemia. Key words : Risk factors, Diabetes mellitus type 2, Endocrine and Metabolic Clinic. Abstrak: Mengingat tingginya prevalensi untuk pasien dengan DM tipe 2 dimana insidennya sebesar 650.000 kasus baru tiap tahunnya. Pada tipe-2, pankreas tidak cukup membuat insulin untuk menjaga level gula darah tetap normal, seringkali disebabkan tubuh tidak merespon dengan baik terhadap insulin tersebut. Kebanyakan orang tidak menyadari telah menderita dibetes tipe 2, walaupun keadaannya sudah menjadi sangat serius. Diabetes tipe 2 sudah menjadi umum dialami didunia maupun di Indonesia, dan angkanya terus bertambah akibat gaya hidup yang tidak sehat, kegemukan dan malas berolahraga. Tujuan: Untuk mengetahui bagaimana gambaran faktor risiko pada pasien DM tipe 2 di Poliklinik Endokrin dan Metabolik Bagian/SMF FK-UNSRAT BLU RSU Prof. Dr. R.D. Kandou Manado periode Mei - Oktober 2011. Metode: Jenis penelitian merupakan penelitian deskriptif dengan menggunakan data sekunder. Populasi pasien DM tipe 2 yang datang berobat di Poliklinik Endokrin dan Metabolik Bagian/SMF FK-UNSRAT BLU RSU Prof.Dr. R.D. Kandou Manado periode Mei-Oktober 2011. Jumlah sampel 138 pasien yang terdiri dari 60 laki-laki dan 78 perempuan. Hasil: Kasus DM Tiipe 2 di Poliklinik Endokrin dan Metabolik terbanyak didapatkan pada perempuan dibandingkan pada laki-laki. Faktor risiko yang didapatkan untuk terjadinya DM tipe 2 adalah IMT >23 terbanyak didapatkan pada IMT golongan obes 1 (25-29,9) sebanyak 37 pasien, pasien dengan hipertensi stage 1 (130-159/80-99 mmHg) didapatkan sebanyak 80 pasien, pasien dengan dislipidemia sebanyak 22 pasien, pasien dengan riwayat keluarga sebanyak 45 pasien, pasien dengan umur >40 tahun sebanyak 130 pasien, dan pasien yang memiliki faktor risiko paling banyak adalah pasien dengan tiga faktor risiko yaitu sebanyak 74 pasien. Simpulan: Faktor risiko yang berpengaruh terhadap kejadian DM tipe 2 di Poliklinik Endokrin dan Metabolik adalah IMT >23, hipertensi >140/90 mmHg, riwayat keluarga, umur > 40 tahun, dislipidemia. Kata kunci : Faktor risiko, diabetes melitus tipe 2, Poliklinik Endokrin dan Metabolik.

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