scholarly journals Perbedaan Indeks Kebersihan Mulut dan Kualitas Hidup Terkait Kesehatan Rongga Mulut pada Pasien Diabetes Melitus Tipe 2 dan Non Diabetes Melitus

e-GIGI ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Farahdilla A. Putri ◽  
Setyo G. Pramudo ◽  
Ira A. Kusuma ◽  
Avina A. Nasia

Abstract: Type 2 diabetes mellitus (T2DM) is associated with many complications, one of them is oral health problem. Its risk increases in individual with poor oral hygiene. Oral health problem can impair daily life functions such as biting or chewing, speaking, and social interaction. However, research evidences investigating oral hygiene and quality of life related to oral health are still contradictory, therefore, further studies are still required. This study was aimed to evaluate the difference in oral hygine index and quality of life (QoL) related to oral health index between T2DM and non DM patients. This was an observational study with a cross sectional design. Samples consisted of 21 T2DM patients and non DM patients at the Internal Medicine Outpatient Clinic of RSND hospital. Oral hygiene examination (OHI-S) was performed on all patients. Moreover, all patients had to fill the questionnaire which evaluated their QoL related to their oral health conditions (OHIP-14). Data were analyzed by using unpaired T-test and Mann-Whitney test. The results showed that the means of OHIS index were 3.17 in T2DM group and 1.43 in non DM group (p<0.001). Meanwhile the means of OHIP-14 index were 7.14 in T2DM group and 2.24 in non DM group (p<0.001). In conclusion, T2DM patients significantly have worse oral hygiene index and QoL related to oral health index than non DM patients.Keywords:  type 2 diabetes mellitus (T2DM), oral hygiene, quality of life related to oral health  Abstrak: Diabetes melitus tipe 2 (DMT2) terkait dengan berbagai komplikasi, salah satunya masalah kesehatan rongga mulut yang risikonya semakin meningkat pada individu dengan kebersihan mulut yang buruk. Masalah kesehatan rongga mulut dapat membatasi fungsi sehari-hari seperti menggigit/mengunyah, berbicara, dan interaksi sosial. Namun, temuan beberapa penelitian mengenai kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut pada pasien DMT2 masih menunjukkan hasil yang bertentangan, sehingga diperlukan penelitian lebih lanjut. Penelitian ini bertujuan untuk mengetahui perbedaan indeks kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut pada pasien DMT2 dan non DM. Jenis penelitian ialah observasional dengan desain potong lintang. Sampel penelitian terdiri dari 21 pasien DMT2 dan 21 pasien non DM di Instalasi Rawat Jalan Penyakit Dalam RSND. Seluruh pasien menjalani pemeriksaan kebersihan mulut (OHI-S) dan juga diminta untuk mengisi kuesioner yang menilai kualitas hidup terkait kesehatan rongga mulut pasien (OHIP-14). Uji statistik menggunakan uji t tidak berpasangan. Hasil penelitian mendapatkan nilai rerata OHIS ialah 3,17 pada kelompok DMT2 dan 1,43 pada kelompok non DM (p<0,001). Nilai rerata OHIP-14 ialah 7,14 pada kelompok DMT2 dan 2,24 pada kelompok non DM (p<0,001). Simpulan penelitian ini ialah pasien DMT2 memiliki skor indeks kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut yang lebih buruk secara bermakna dibandingkan pasien non DM.Kata kunci:  diabetes melitus tipe 2 (DMT2), kebersihan mulut, kualitas hidup terkait kesehatan rongga mulut

2020 ◽  
Vol 14 (2) ◽  
pp. 276-282
Author(s):  
Sandra Pebrianti ◽  
Bambang Aditya Nugraha ◽  
Iwan Shalahuddin

Management of neuropathic pain in patients with diabetes mellitus patients type 2: A literature studyBackground: An increase in the population of people with diabetes mellitus (DM), has an impact on increasing the most serious complications of diabetic neuropathy. Studies reveal that 16% to 26% of patients with diabetes neuropathy experience pain. People with DM who experience diabetic neuropathy pain will feel very uncomfortable and disturbed, neuropathic pain causes complaints not only physically, but also the mood and quality of life of patients. Therefore, it is important to identify the management of neuropathic pain in patients with type 2 diabetes mellitus to improve the quality of life of patients.Purpose: This literature review is to identify the management of neuropathic pain in type 2 DM patients.Method: Tracking this literature review using databases such as Google Scholar, Pubmed and Proquest with inclusion criteria that focus on the management of neuropathic pain in DM patients, publication years between 2010-2020 in Indonesian and English, quasi experiment design and Randomized controlled trial . Obtained as many as 87 articles, 32 met the criteria of the year and as many as 19 were the last complete articles found as many as 10 articles which were in line with the focus of the search.Results: Neuropathy management interventions were grouped into exercise, relaxation distraction techniques, percutaneous electrical stimulation and supportive education.Conclusion: Exercise, relaxation distraction techniques, percutaneous electrical stimulation and educational supportive interventions become one of the interventions that can be considered to use in the management of neuropathic pain in type 2 diabetes mellitus patients to improve comfort and quality of life.Keyword: Management; Neuropathic Pain; Patients; Diabetes mellitus type 2Pendahuluan: Peningkatan populasi penyandang diabetes melitus (DM), berdampak pada peningkatan komplikasi yang paling serius yaitu neuropati diabetik.  Studi mengungkapkan bahwa 16% hingga 26% pasien dengan neuropati diabetes mengalami rasa nyeri. Penyandang DM yang mengalami nyeri neuropati diabetik akan merasa sangat tidak nyaman dan terganggu, nyeri neuropati menimbulkan keluhan tidak hanya fisik, namun juga mood dan kualitas hidup pasien. Oleh karena itu, menjadi penting untuk mengidentifikasi manajemen nyeri neuropati pada psien diabetes mellitus tipe 2 untuk meningkatkan kualitas hidup pasien.Tujuan: Dengan studi literatur untuk mengidentifikasi manajemen nyeri neuropati pada pasien DM tipe 2.Metode: Penelusuran dengan menggunakan basis data seperti google scholar, Pubmed dan Proquest dengan kriteria inklusi yang berfokus pada manajemen nyeri neuropati pada pasien DM, tahun publikasi antara 2010-2020 dalam bahasa Indonesia dan bahasa inggris, desain quasi experiment dan Randomized controlled trial. Didapatkan sebanyak 87 artikel, 32 memenuhi kriteria tahun dan sebanyak 19 merupakan artikel lengkap terakhir ditemukan sebanyak 10 artikel yang sesui fokus pencarian.Hasil: Intervensi manajemen neuropati dikelompokan menjadi exercise, teknik distraksi relaksasi, stimulasi listrik perkutan dan suportif edukatif.Simpulan: Exercise, tekhnik distraksi relaksasi, stimulasi listrik perkutan dan intervensi suportif edukatif menjadi salah satu intervensi yang dapat dipertimbangkan untuk digunakan pada manajemen nyeri neuropati pada pasien diabetes mellitus tipe 2 demi meningkatkan kenyamanan dan kualitas hidup. 


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


2020 ◽  
Vol 8 (2) ◽  
pp. 44
Author(s):  
Rensi R. Runtuwarow ◽  
Mario E. Katuuk ◽  
Reginus T. Malara

Abstract: Diabetes mellitus (DM) is a serious public health problem. Where this disease is one of the highest diseases of the four non-communicable diseases. In this DM disease if not treated properly will produce in complications with serious illness. Objective. The purpose of this study was to evaluate the relationship between family support and the quality of life of people with type 2 diabetes mellitus. The method. Used literature review to compile this literature review was to search through an electronic database. The article search was carried out using the keywords Family Support, Quality Of Life, Diabetes mellitus type 2, which was traced through Google Scholar and Pubmed. 945 articles were identified and published from 2015-20120. Out of 945 articles, only  4 articles met the requirements to be analyzed. Results. Based on the articles that have been reviewed show that family support is very important in overcoming the quality of life of people with type 2 diabetes and one in four articles found no results and three of the four articles information. Conclusion. Literature review evaluation results can be concluded from two major themes namely family support and quality of life having their respective categories obtained according to the analysis that researchers conducted. 90% of the results of these four articles show a relationship between family support and the quality of life of people with type 2 diabetes. Keywords: Family Support, Quality of Life, Diabetes Mellitus Type 2. AbstrakDiabetes Melitus (DM) merupakan masalah kesehatan masyarakat yang serius. Dimana penyakit ini menjadi salah satu penyakit tertinggi dari empat penyakit tidak menular. Pada penyakit DM ini apabila tidak ditangani dengan baik akan mengakibatkan timbulnya komplikasi dengan penyakit yang serius. Tujuan Penelitian untuk mengevaluasi hubungan dukungan keluarga dan kualitas hidup penderita diabetes mellitus tipe 2. Metode literature review, yang digunakan untuk menyusun tinjauan pustaka ini adalah dengan mencari melalui database elektronik. Pencarian artikel dilakukan dengan menggunakan kata kunci Family Support, Quality Of Life, Diabetes mellitus type 2 yang ditelusuri melalui Google Scholar dan Pubmed. Didapatkan 945 artikel yang diidentifikasi dan dipublikasikan dari tahun 2015-20120. Dari 945 artikel hanya 4 artikel yang memeuhi syarat untuk dianalisis. Hasil berdasarkan artikel-artikel yang telah ditinjau menunjukan bahwa dukungan keluarga sangat berperan penting dalam mengatasi kualitas hidup dari penderita DM tipe 2 dan satu dari empat artikel menemukan hasil tidak ada buhungan dan tiga dari keempat artikel memberikan hasil adanya hubungan. Kesimpulan hasil evaluasi tinjauan pustaka dapatdisimpulkan dari dua tema besar yaitu dukungan keluarga dan kualitas hidup memiliki kategorinya masing-masing yang diperoleh menurut analisis yang peneliti lakukan. 90% hasil dari keempat artikel ini menunjukan adanya hubungan dukungan keluarga dan kualitas hidup penderita DM tipe 2.Kata Kunci: Dukungan Keluarga, Kualitas Hidup, Diabetes Melitus Tipe 2


2019 ◽  
Vol 18 ◽  
pp. e191431
Author(s):  
Raulison Vieira de Sousa ◽  
Roberto Carlos Mourão Pinho ◽  
Bruna de Carvalho Farias Vajgel ◽  
Saul Martins de Paiva ◽  
Renata Cimões

Aim: The aim of the present study was to evaluate the impact of oral problems on the quality of life of individuals with type 2 diabetes mellitus (DM2). Methods: A population-based, cross-sectional study was conducted with a random sample of 302 individuals with DM2 who answered the Oral Health Impact Profile 14 (OHIP-14) questionnaire as well as a questionnaire addressing socioeconomic and oral health characteristics. After filling out the questionnaires, the participants were submitted to a clinical dental examination Periodontal diseases, dental caries and edentulism. Data analysis involved descriptive statistics, bivariate analysis and logistic regression. Results: The prevalence of impact on oral health-related quality of life (OHRQoL) was 47%. In the multivariate analysis, the variables that remained significantly associated with a negative impact on quality of life were xerostomia (OR= 2.15; 95% CI: 1.07-4.30), denture need (OR= 3.71; 95% CI: 1.17-11.73) and periodontitis (OR= 5.02; 95% CI: 2.19-11.52). Conclusion: The prevalence rate of impact on OHRQoL was high in the sample studied. Xerostomia, denture need and periodontitis posed a risk of negative impact on the quality of life of individuals with DM2, independently of socioeconomic status.


Medicina ◽  
2009 ◽  
Vol 45 (2) ◽  
pp. 85 ◽  
Author(s):  
Lina Lašaitė ◽  
Jūratė Lašienė ◽  
Gintautas Kazanavičius ◽  
Antanas Goštautas

The aim of the study was to evaluate associations of emotional state and quality of life with lipid concentration, duration of the disease, and the way of treating the disease in males and females with type 2 diabetes mellitus. A total of 53 persons with type 2 diabetes mellitus (27 males and 26 females; mean age, 58.7±8.9 years) and 56 healthy persons (26 males and 30 females; mean age, 54.7±8.3 years) participated in the study. Emotional state was evaluated by means of Profile of Mood State and quality of life by means of WHO Brief Quality of Life Questionnaire. Emotional state and quality of life were significantly worse, tension-anxiety and fatigue-inertia were significantly higher, vigor-activity was significantly lower in male patients with type 2 diabetes mellitus than in healthy males. In females, no significant differences in emotional state and quality of life comparing type 2 diabetes mellitus group and controls were detected. In females with type 2 diabetes mellitus, emotional state and quality of life were significantly better, scores of tension-anxiety, depression dejection, anger-hostility, and fatigue-inertia were significantly lower, and score of vigor-activity was significantly higher than in males with type 2 diabetes mellitus. Some significant correlations were found. In males, vigor-activity correlated with total cholesterol level and negatively correlated with triglyceride level. In females, significant correlations were found between scores of emotional state (tension-anxiety, depression-dejection, confusion-bewilderment, and total score of emotional state) and lipid levels (total cholesterol, triglyceride, and low-density lipoprotein cholesterol levels). There were no significant associations of emotional state and quality of life with duration of the disease in males and females with type 2 diabetes mellitus. No significant differences in emotional state and quality of life were found between males and females with type 2 diabetes mellitus, who were treated with oral antidiabetic preparations and insulin preparations.


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