scholarly journals THE RELATIONSHIP BETWEEN SELF-MANAGEMENT AND QUALITY OF LIFE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS

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.

Author(s):  
Nurul Laili

Diabetes self management require compliance with complex management regimens to achieve glycemic control. Management of diabetes mellitus begins with the setting of food, physical exercise, weight control and optimal adjustment of medication. Treatment of diabetes mellitus to improve the quality of life of patients and prevent complications makrovasculer and mikrovasculer. The purpose of this research is to identify the relationship of diabetes self-management to the quality of life of patients with diabetes mellitus type 2. The design used in this study was cross sectional. The population in this study were all patients with diabetes mellitus type 2. The sample in this study are patients with diabetes mellitus type 2 who came controls on poli Amelia Pare Hospital in September 2016. The analysis performed in this study using Spearman Rank Correlation. Obtained value of Rho = 0.33 which indicates the level of relationship is. Statistical test value t = 7.23 is greater than t table = 2.457, then H₁ acceptable and it can be concluded that there is a relationship between diabetes self-management and quality of life mellitus type 2 diabetes patients with a degree of closeness of the relationship that is being nurses in providing nursing care also pay attention to the patient's needs will be perceptions about the treatment. Nurses as educators can provide explanations and correct health information about treatment and care so that quality of life can be achieved. Keyword: Diabetes Self-Management, Quality of life, Diabetes Mellitus tipe 2


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.


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.


2018 ◽  
Vol 32 (4) ◽  
pp. 341-362 ◽  
Author(s):  
Karen E. Atler ◽  
Arlene A. Schmid ◽  
Tara C. Klinedinst ◽  
Laura A. Grimm ◽  
Tasha P. Marchant ◽  
...  

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 327
Author(s):  
Iskim Luthfa ◽  
Moch Aspihan ◽  
Muhammad Rifqi Lathif

Introduction: Diabetes mellitus (DM) is known as the silent killer, where sufferers often do not realize its signs and symptoms and are frequently diagnosed during another health complication. To maintain quality of life, the family is required to provide support, therefore, this study aims to determine the relationship between family and the patient through observational analytic research.Methods: 120 people with DM make up the research sample using an accidental sampling technique, and data analysis was carried out using the Spearman rank test. The results found that 62 respondents (51.7%) agreed to their families providing good support, and 102 (85%) were satisfied with their quality of life.Results: The Spearman test resulted in a P value of 0,000 and R of 0.334. This means the higher the support provided by the family, the greater the increase in quality of life.Conclusion: The suggestions proposed from this study is for health workers to advocate and encourage family in the planning management of DM sufferers in order to improve their quality of life.


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.


Author(s):  
Feny Tunjungsari ◽  
Isbandiyah ◽  
Farajihan

Introduction: Indonesia was a country from 10 countries that possesses the most dm prevalence of diabetes mellitus(DM) in urban areas amounting to 5.7 %. According to data center and health of the republic of indonesia, that theproportion of diabetes mellitus in the city of malang 2,3 %. The high number of diabetes mellitus in the city ofmalang is because the lack of the application of the family function well in people with DM type 2. Obstacles arisingthat is the majority of the community ignore this metabolic types of disease so that it cannot be detected earlier .Therole of family in aim diabetics mellitus type 2 believed to have the effect on the quality of life of sufferers DM. Aim ofstudy: This study aimed toanalyze function offamilies according to familyAPGAR to quality of life dm patients type2. Method: this study used an observational analytic with cross the sectional approach, 95 subjects were werechosen by simple random sampling. Data was analyzed using Spearman test. Results and Discussions: the resultsshowed a value of significance APGAR against quality of life as much as 0.000, which means there were asignificant relation exists (p < 0.05). A correlation coefficient APGAR against quality of life as much as 0.93, whichmeans of the nature of the strength of the relations is very strong. Conclusions: It can be concluded that there is avery strong influence (0.000) between APGAR family against quality of life the patient DMtype 2.


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