scholarly journals Pengkajian Stres pada Penyandang Diabetes Mellitus

2020 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Ria Afnenda Naibaho ◽  
Niken Safitri Dyan Kusumaningrum

Stres dapat dialami oleh penyandang Diabetes Mellitus atau DM karena harus menjalankan perubahan pola hidup seperti pengaturan pola makan, kontrol gula darah, mengkonsumsi obat-obatan, dan memperbanyak aktivitas yang bertujuan agar tidak terjadi peningkatan gula darah. Penelitian ini bertujuan untuk mengidentifikasi tingkat stres yang dialami oleh penyandang DM. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional dan menggunakan instrumen penelitian berupa kuesioner Depression Anxiety Stres Scale (DASS). Pengambilan sampel dilaksanakan selama bulan Mei 2018 menggunakan teknik consecutive sampling pada pasien di Rowosari, Semarang. Sebanyak 112 responden telah berpartisipasi dalam penelitian ini. Analisis data dilakukan secara univariat yang memaparkan frekuensi dan persentase. Hasil penelitian ini menunjukkan bahwa mayoritas responden yang berpartisipasi adalah perempuan (77,7%) dan mengalami komplikasi (82,1%). Temuan lainnya menunjukkan bahwa lebih banyak penyandang DM yang mengalami stres sedang (32,1%) daripada stres normal, ringan, berat atau sangat berat. Penyandang DM yang memiliki tingkat stres sedang memiliki ciri-ciri mudah marah, mudah sensitif, sulit beristirahat, merasa lelah karena cemas, tidak sabar, gelisah, dan tidak dapat memaklumi hal yang dapat menganggu. Secara umum, kebanyakan penyandang DM sering kali menghabiskan banyak energi untuk merasa cemas dan juga sulit untuk beristirahat. Kata kunci: diabetes mellitus, glukosa darah, kadar glukosa darah, stres ASSESSMENT OF STRESS IN PATIENTS WITH DIABETES MELLITUS ABSTRACTStress can be experienced by patients with Diabetes Mellitus or DM because they have to run lifestyle changes such as diet, blood sugar control, drugs consumption, and reproduce activities aimed at not increasing blood sugar. The study aimed to determine level of stress in diabetes patients in patients with DM. This research was a quantitative research with cross sectional approach and using Depression Anxiety Stress Scale (DASS) questionnaire. Consecutive sampling technique was used to gather the data from respondents in Rowosari Semarang in May 2018. One hundred and twelve patients full-filed the questionnaire. Data analysis was carried out univariately which explained the frequency and percentage. The majority of respondents were women (77.7%) and had complication of DM (82.1%). Findings also revealed that more of diabetes patients have experienced moderate stress (32.1%) than normal, mild, severe, or very severe. Patients with diabetes who have moderate levels of stress have characteristics of easy irritated, sensitive, difficult to rest, displeasure, anxious, and cannot understand things easily. Generally speaking, more diabetes patients consume more energy for worry something easily irritated and difficult to rest.  Keywords: diabetes mellitus, blood glucose, blood glucose level, stress

2018 ◽  
Vol 6 (2) ◽  
pp. 90-93
Author(s):  
Kartika Pibriyanti ◽  
Khairina Nur Hidayati

Background : Prevalence of Diabetes Mellitus (DM) in Indonesia is 1.5%. Diabetes Mellitus is not only suffered by adults, but the age of adolescents and children as well. Risk factors in children include gender, obesity, mealtimes, race, age and genetics.Objective : The objective of the study was to analyze the risk factors of high blood glucose incidence in school children.Methods : This research was analytic survey with cross sectional approach. The population was all students of SD Negeri 1 Sokoboyo class IV to VI amounted to 82 students. The sample size was 82 students taken by purposive sampling technique. The independent variables include obesity and sex, as well as the dependent variable that is the blood sugar level. Test analysis used is chi-square test with significance level 5% (α = 0,05).Results : Most of the female sample (54.9%), 30.5% were obese and 43.9% had abnormal blood sugar levels. Girls have a 2,95 times greater risk of having high blood sugar levels than boys. Obese children have 10,25 times greater high blood glucose levels than normal children.Conclusion : Sex and obesity are associated with blood sugar levels in students class IV s / d VI SD Negeri 1 Sokoboyo Slogohimo District Wonogiri District.


2021 ◽  
Vol 14 (4) ◽  
pp. 573-580
Author(s):  
Andoko Andoko ◽  
Dimas Ning Pangesti ◽  
Neti Asmawarni

Psychological stress and blood glucose regulation among patients with diabetes mellitusBackground: Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood sugar. Diabetes mellitus has caused around 1.6 million deaths directly and 2.2 million deaths caused by complications of diabetes. The exact cause of diabetes mellitus is still unknown. Diabetes mellitus until now, not yet cured and only  controlled by blood sugar levels. One cause of instability in blood sugar levels in diabetics is because of the stress caused by the disease process.Purpose: Knowing psychological stress and blood glucose regulation among patients with diabetes mellitus.Method: A quantitative, cross sectional design. The populations in this study were 262 patients with diabetes mellitus, a total sample of 159 patients with a purposive sampling technique. The analysis used the person product moment test.Results: Shows an average stress score of patients with diabetes mellitus was 24.58 ± 3.946 and the average blood sugar level of patients with diabetes mellitus was 227.52 ± 7.754 mg/dl, the analysis results obtained r = 0.701; p-value 0,000.Conclusion: There was psychological stress and blood glucose regulation among patients with diabetes mellitus, it is recommended that they try to run a regular diet and prevent various complications of diabetes mellitus and try to do activities that can reduce stress levels such as by exercising and doing relaxation.Keywords: Psychological stress; Blood glucose; Diabetes mellitusPendahuluan: Diabetes mellitus merupakan penyakit gangguan metabolisme kronis yang ditandai peningkatan gula darah. Diabetes mellitus telah menyebabkan sekitar 1,6 juta kematian secara langsung dan 2,2 juta kematian yang disebabkan komplikasi diabetes. Penyebab pasti dari penyakit diabetes mellitus sampai saat ini belum diketahui. Penyakit diabetes mellitus sampai saat ini belum dapat disembuhkan dan hanya dapat dilakukan pengontrolan kadar gula darah. Salah satu penyebab ketidakstabilan kadar gula darah pada penderita diabetes diantaranya karena terjadinya stres akibat dari proses penyakit.Tujuan: Diketahui hubungan stres dengan kadar gula darah penderita diabetes mellitus.Metode: Jenis penelitian kuantitatif, rancangan cross sectional. Populasi penderita diabetes mellitus yang berjumlah 262 responden, besar sampel yang diambil sebanyak 159 responden dengan teknik purposive sampling. Analisis menggunakan uji person product moment.Hasil: Menunjukkan rata-rata skor stres penderita diabetes mellitus adalah 24,58±3,946 dan rata-rata kadar gula darah penderita diabetes mellitus adalah 227,52±7,754 mg/dl, hasil analisis didapatkan r = 0,701; p-value 0,000.Simpulan: Ada hubungan antara stres dengan kadar gula darah penderita diabetes mellitus. Bagi penderita diabetes melitus disarankan agar berusaha menjalankan diet yang teratur dan melakukan pencegahan berbagai komplikasi diabetes mellitus serta berusaha melakukan aktivitas yang dapat menurunkan tingkat stres seperti dengan berolahraga serta melakukan relaksasi. 


2010 ◽  
Vol 16 (2) ◽  
pp. 4 ◽  
Author(s):  
Bawo Onesirosan James ◽  
Joyce Ohiole Omoaregba ◽  
George Eze ◽  
Olufemi Morakinyo

<p><strong>Objectives.</strong> Depression is associated with diabetes mellitus and affects treatment goals negatively. We aimed to determine the prevalence of depression and identify its socio-demographic or clinical correlates among patients with diabetes mellitus attending an out-patient clinic in Nigeria.</p><p><strong>Methods.</strong> Two hundred consecutively recruited diabetes patients (index group) were compared with a similar number of apparently healthy controls in a cross-sectional survey. In both groups, in addition to obtaining socio-demographic details, depression was diagnosed using the Schedule for the Clinical Assessment in Neuropsychiatry (SCAN), while the Beck Depression Inventory (BDI) was used to assess depression symptom severity. <strong></strong></p><p><strong>Results.</strong> Sixty (30%) diabetes patients met a SCAN diagnosis for clinical depression, compared with 19 (9.5%) in the control group. Having a smaller income and more children were significantly correlated with higher depression symptoms on the BDI.</p><p><strong>Conclusion.</strong> Depression is highly co-morbid with diabetes mellitus. The care of individuals with diabetes mellitus should include the screening and possible treatment for depression in order to achieve and sustain treatment goals.</p>


2019 ◽  
Vol 10 (1) ◽  
pp. 77
Author(s):  
Febria Syafyu Sari ◽  
Ridhyalla Afnuhazi

ABSTRAK Diabetes Melitus merupakan penyakit yang paling menonjol yang disebabkan oleh gagalnya pengaturan gula darah. Lidah buaya berkhasiat untuk menurunkan kadar gula dalam darah bagi penderita diabetes dan dapat mengontrol tekanan darah. Tujuan penelitian untuk mengetahui pengaruh jus lidah buaya (AloeBarbadensis Miller) terhadap penurunan glukosa darah puasa GDP) dan 2 Jam PP (Post Prendial) pada penderita DM (Diabetes Melitus). Desain penelitian merupakan Quasi Eksperimental dengan pendekatan one group pretest – postest design. Sampel terbagi menjadi 14 responden. Data dianalisis dengan paired t-test. Hasil menunjukan rata-rata penurunan glukosa darah puasa pada intervensi (28,42 gr/dl) dan glukosa darah 2 jam pp pada intervensi (40,57 gr/dl). Untuk analisis bivariat terdapat perbedaan antara glukosa puasa dan 2 jam pp dengan glukosa darah puasa GDP) dan 2 Jam PP (Post Prendial) pada penderita DM (Diabetes Melitus). Kesimpulan didapatkanlidah buaya dapat menurunkan kadar glukosa darah.Berdasarkan hasil penelitian jus lidah buaya dapat menjadi salah satu alternatif keperawatan non farmakologi dalam penyakit diabetes melitus. Kata Kunci : Lidah Buaya ; Diabetes Mellitus THE EFFECT OF VEGETABLE VOCATIONAL JUICE ON FAST BLOOD GLUCOSE LEVELS AND 2 HOURS OF PP (Post Prandial) IN DIABETES MELLITUS  ABSTRACT Diabetes mellitus is the most prominent disease caused by the failure of blood sugar regulation. Aloe vera is efficacious can to  reduce blood sugar levels for diabetics and can control blood pressure. The purpose of this study was to determine the effect of Aloe Barbadensis Miller on the reduction of fasting blood glucose GDP and 2 hours of PP (post prendial) in patients with diabetes mellitus. The research design is Experimental Quasi with one group pretest - postest design approach. The sample is divided into 14 respondents. Data were analyzed by paired t-test. The results showed an average decrease in fasting blood glucose at intervention (28.42 gr / dl) and 2 hours pp blood glucose at intervention (40.57 gr / dl). For bivariate analysis there was a difference between fasting glucose and 2 hours pp with fasting blood glucose GDP) and 2 hours PP (Post Prendial) in patients with diabetes mellitus. The conclusion is that aloe vera can reduce blood glucose levels. Based on the results of research on aloe vera juice can be an alternative non-pharmacological nursing in diabetes mellitus. Keywords: Aloe Vera ; Diabetes Mellitus


Author(s):  
Asirotul Marifah Marifah

There are still many of our people who have never heard or even seen the shape of the Japanese ants, so sometimes people consume Japanese ants with different doses between people with each other and even some who consume Japanese ants are not appropriate doses because they want to get well soon. The purpose of research to know the relationship between consumption patterns of Japanese ants and blood sugar levels of people with diabetes mellitus. The design of this study is correlational analytic with crossectional approach. Variables of this research there are two that is the pattern of consumption of Japanese ants as an independent variable and blood sugar levels as the dependent variable. The population of this study was all patients with diabetes Mellitus who had suffered > 5 years who consumed Japanese ants in Grinting Village Karangjeruk Village Jatirejo Subdistrict Mojokerto regency as many as 10 respondents. in the sampling of researchers using total sampling technique. Data collection with an observation sheet of Japanese ant consumption and blood sugar level. The result of the research showed that most of the respondents consume Japanese ants regularly as much as 6 respondents (60%) and most respondents have blood sugar level in the normal category that is between 100-125 mg/dl as many as 6 respondents (60%). Consumption Japanese ants can routinely lower blood sugar levels of people with diabetes mellitus because ants contain enzymes that can keep blood sugar levels diabetics.


2020 ◽  
Vol 7 (52) ◽  
pp. 3148-3152
Author(s):  
Labanyabati Pattanaik ◽  
Madhusmita Acharya ◽  
Manoj Kumar Yadav ◽  
Prafulla Kumar Mishra ◽  
Madhab Nayak

BACKGROUND Type 2 diabetes mellitus is a widely prevalent lifestyle disease associated with high morbidity and mortality due to dead end complications like acute coronary syndrome, chronic kidney failure and acute stroke. Diabetes mellitus patients frequently develop problems of dyselectrolytemia which is common among hospitalised patients with decompensated diabetes. But there is little information on the prevalence of electrolyte disturbances among diabetes patients. Our aim is to find out the pattern of dyselectrolytemia among type 2 diabetes patients and to know if there is any association of blood glucose level with dyselectrolytemia. METHODS An analytical cross-sectional study was done among type 2 diabetes patients admitted in the department of medicine. Fasting blood glucose (FBG), glycosylated haemoglobin level (HbA1c), blood sodium (Na+), potassium (K+) and calcium (Ca2+) were analysed. Occurrence of dyselectrolytemia was compared between patients of very much controlled versus uncontrolled blood glucose levels. RESULTS Out of 199 patients included in the study, 112 (56 %) had uncontrolled diabetes mellitus (DM) with HbA1c level > / = 7.0 %. Occurrence of hyponatremia, hypokalaemia, hyperkalaemia, hypocalcaemia and hypercalcemia were 35 %, 13 %, 7 %, 16 % and 2 % respectively. In diabetes patients, hyponatremia was seen more commonly in patients with uncontrolled DM than those with very much controlled blood glucose (52.67 % versus 12.64 %, p < 0.001). The extent of patients with hypokalaemia or hyperkalaemia didn't vary between the two groups. Patients on insulin treatment were more likely to have hyponatremia than noninsulin patients (p < 0.001). CONCLUSIONS Type 2 DM patients specifically those who have uncontrolled diabetes mellitus have an increased chance to develop dyselectrolytemia. The most well-known electrolyte disturbances seen were hyponatremia followed by hypocalcaemia in our study and they were generally predominant among patients with uncontrolled DM. KEYWORDS Type 2 Diabetes, Dyselectrolytemia, Hyperglycaemia, Fasting Blood Glucose, Hyponatremia


2017 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Ludiana Ludiana

Diabetes mellitus is a chronic metabolic disorder marked increase in blood glucose. According to the World Health Organization (WHO) in 2013 the incidence of diabetes mellitus in the world reached 347 million people in Indonesia alone ranks among the seven countries with the highest diabetes prevalence of 7.6 million people. Among the causes of the increase in blood glucose levels in diabetics is due to psychological factors, namely anxiety. In the pre-survey results in Puskesmas Sumbersari Bantul note that from 8 patients with diabetes mellitus, there are 6 people experiencing anxiety and 2 do not complain any signs of anxiety. The purpose of this study was to determine the relationship of anxiety with blood glucose levels of diabetics mellitus in Puskesmas Sumbersari Bantul District of South Metro City. The type quantitative research, form design used is cross sectional. The population in this study are patients with diabetes mellitus in Puskesmas Sumbersari Bantul District of South Metro totaling 408 samples taken as many as 41 people. The analysis in this study using the test Person Product Moment. Statistical analysis showed that anxiety patients with diabetes mellitus are at an average score of 27.44 with a standard deviation of 4.353 and the average blood sugar levels of people with diabetes mellitus are at 339.78 mg / dL with a standard deviation of 74.742. In the Person Product Moment test results proved no relationship anxiety with blood sugar levels of people with diabetes mellitus (p-value = 0.000 <a 0.05). Pearson correlation results obtained value of 0.817 towards a positive correlation with the strength of the relationship is very strong. Conclusions research shows there is an anxiety relationship with blood glucose levels of diabetics mellitus.


2020 ◽  
Vol 9 (2) ◽  
pp. 102-106
Author(s):  
Devi Etivia Purlinda ◽  
Widodo Widodo

Hyperglycemia trigger complication in type 2 Diabetes Mellitus patients such as diabetic nephropathy which cause of end-stage kidney failure. Monitoring of blood glucose and blood pressure are part of self-management to prevent complications of diabetes. This study aim to determine the characteristics of type 2 DM prolanis patients at the Kedungmundu Health Center based on age, sex, duration of suffering, blood pressure, and blood glucose. In addition, the relationship of blood pressure and urine protein is also analysed in this study. This research use observational analytic design with cross-sectional approaching. The dependent and independent variables of this study are protein urine and blood pressure. Forty-six of DM patients are choosen as research’s object using purposive sampling technique. The data was analysed using chi-square. The results show that ratio between female and male type 2 diabetes patients are 71.7% to 28.3%. In addition, about 63% of the patients are suffering type 2 diabetes less than 5 years. The results inform us that 50% of type 2 diabetes patients are 56-65 years old, about 52.2% of them have hypertension, and 84.8% hyperglycemia. There is a significant relationship between blood pressure and urine protein with a p-value of 0.038 (p-value ≤ 0.05).


Author(s):  
Asirotul Marifah Marifah

There are still many of our people who have never heard or even seen the shape of the Japanese ants, so sometimes people consume Japanese ants with different doses between people with each other and even some who consume Japanese ants are not appropriate doses because they want to get well soon. The purpose of research to know the relationship between consumption patterns of Japanese ants and blood sugar levels of people with diabetes mellitus. The design of this study is correlational analytic with crossectional approach. Variables of this research there are two that is the pattern of consumption of Japanese ants as an independent variable and blood sugar levels as the dependent variable. The population of this study was all patients with diabetes Mellitus who had suffered > 5 years who consumed Japanese ants in Grinting Village Karangjeruk Village Jatirejo Subdistrict Mojokerto regency as many as 10 respondents. in the sampling of researchers using total sampling technique. Data collection with an observation sheet of Japanese ant consumption and blood sugar level. The result of the research showed that most of the respondents consume Japanese ants regularly as much as 6 respondents (60%) and most respondents have blood sugar level in the normal category that is between 100-125 mg/dl as many as 6 respondents (60%). Consumption Japanese ants can routinely lower blood sugar levels of people with diabetes mellitus because ants contain enzymes that can keep blood sugar levels diabetics.


2019 ◽  
Vol 4 (3) ◽  
pp. 449
Author(s):  
Riwanti Silaban ◽  
Pina Lestari ◽  
May Daryeti ◽  
Diah Merdekawati

<p><em>The increasing number of people with diabetes mellitus each year, the client has also experienced one of the complications, namely ulcers. During this time, the concern of nurses at Raden Mattaher Jambi Hospital is only an ulcer on the client, but no intervention has been made to determine the factors causing the duration of the client's ulcer resolved. The kind of is a cross-sectional. The sample in this study was 27 respondents who had criteria by what was to be studied. The sampling technique is done by accidental sampling that is taking samples by taking cases or respondents who happen to be available or available. Analysis of the data in this study was Univariate and Bivariate. It was held on April 29th until June 29th 2019 with uses observation sheets and questionnaires as aids in data collection. Statistical test results obtained p-value &lt;0.05, meaning that there is a relationship between ABI values, blood glucose levels and nutrients with the area of diabetic ulcer. It can be concluded that the ABI value, blood glucose level and nutrition affect the area of diabetic ulcer. It is expected that Raden Mattaher Jambi Hospital can make ABI examination a Standard Operational Procedure and control blood glucose and nutrition levels as a factor in accelerating wound healing.</em></p><p> </p><p><em>Semakin meningkatnya angka penderita diabetes mellitus tiap tahunnya, maka semakin meningkat pula klien mengalami salah satu komplikasinya yaitu ulkus. Selama ini, yang menjadi perhatian perawat di RSUD Raden Mattaher Jambi hanya ulkus pada klien, namun belum ada intervensi yang dilakukan guna mengetahui faktor penyebab lamanya ulkus klien teratasi. Jenis penelitian ini adalah penelitian cros sectional. Sampel dalam penelitian ini 27 responden yang memiliki kriteria sesuai dengan yang akan diteliti. Teknik pengambilan sampel dilakukan dengan cara accidental sampling yaitu pengambilan sampel dilakukan dengan mengambil kasus atau responden yang kebetulan ada atau tersedia. Analisa data dalam penelitian ini secarra Univariat dan Bivariat. Penelitian ini dilaksanakan dari 29 April-29 Juni 2019 dengan menggunakan lembar observasi dan kuesioner sebagai alat bantu dalam pengumpulan data. Hasil uji statistik diperoleh nilai p-value &lt; 0,05, artinya ada hubungan antara nilai ABI, kadar glukosa darah dan nutrisi dengan luas ulkus diabetikum. Dapat disimpulkan bahwa nilai ABI, kadar glukosa darah dan nutrisi mempengaruhi luas ulkus diabetikum. Diharapkan kepada pihak RSUD Raden Mattaher Jambi dapat menjadikan pemeriksaan ABI sebagai Standar Prosedur Operasional dan melakukan pengontrolan kadar glukosa darah serta nutrisi sebagai faktor mempercepat penyembuhan luka.</em></p>


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