scholarly journals Hubungan Health Locus of Control dengan Kepatuhan Diet pada Pasien Diabetes Mellitus Tipe 2 di RSUD Kota Depok Tahun 2020

Author(s):  
Shania Adhanty ◽  
Dian Ayubi ◽  
Dien Anshari

Latar Belakang. Diabetes Mellitus (DM) telah menyebabkan 4,2 juta kematian pada tahun 2019. Di Indonesia, penyakit DM merupakan salah satu PTM yang menyebabkan kematian utama. Kepatuhan diet menjadi perilaku yang sangat penting dan diperlukan kendali diri.Tujuan. Tujuan penelitian adalah mengetahui hubungan lokus kendali diri untuk sehat baik dimensi internal, orang berpengaruh, keberuntungan dan faktor lainnya dengan kepatuhan diet pasien DM tipe 2 di RSUD Kota Depok tahun 2020.Metode. Penelitian menggunakan desain cross-sectional, pengambilan data dilakukan melalui convenience sampling pada 52 pasien DM tipe 2 yang berkunjung ke poli penyakit dalam RSUD Kota Depok.Hasil. Pasien memiliki nilai kepatuhan diet yang cukup yaitu 66,23 dari skala 100. Hasil uji korelasi pearson menunjukkan terdapat hubungan yang signifikan dengan kekuatan sedang dan positif antara lokus kendali untuk sehat dimensi internal dan dimensi orang berpengaruh dengan kepatuhan diet (r= 0,46 dan r= 0,28) diikuti dengan dimensi keberuntungan menunjukkan kekuatan sedang dan negatif terhadap kepatuhan diet (r= -0,28).Kesimpulan. Terdapat hubungan yang signifikan antara health locus of control dimensi internal, powerful others dan chance dengan kepatuhan diet dengan kekuatan hubungan sedang dan arah korelasi positif pada dimensi internal dan powerful others sedangkan negatif pada dimensi chance. ABSTRACTBackground. Diabetes Mellitus (DM) caused 4.2 million deaths in 2019. In Indonesia, DM is an NCD that causes major deaths. Dietary adherence becomes a vital behavior and requires self-control. Objective. This study aimed to determine the relationship between health locus of control on internal, powerful-others, chance dimensions and other factors with dietary adherence among type 2 DM patients at Depok City Hospital in 2020.Method. This study used a cross-sectional design and data collection through convenience sampling on 52 type 2 DM patients who visited internist poly in Depok City Hospital.Results. This study indicates that patients have adequate dietary adherence values 66,23 on a scale of 100. Pearson correlation test results show a significant relationship between health locus of control on internal and powerful-others dimensions with a moderate and positive relationship with dietary adherence (r= 0,46 and r= 0,28). Meanwhile, the chance dimension shows an average and negative relationship with dietary adherence (r= -0,28).Conclusion: There is a significant relationship between health locus of control internal dimensions, powerful others and chance with dietary compliance with moderate strength. The direction of the correlation is positive on the internal dimension and powerful others while negative on the chance dimension.

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Mario Katuuk ◽  
Lenny Gannika

Abstract: Diabetes Mellitus is one of the most common degenerative diseases and which cannot be cured, that can controlled through proper management. Insulin therapy as the most effective pharmacological therapy, requires compliance to reduce the risk of Diabetes Mellitus. Health locus of control is a set of beliefs about what is good and bad that affects person's health status, this is why the health locus of control related to compliance. Purpose to find out the correlation between health locus of control and compliance insulin therapy in type 2 Diabetes Mellitus patients at Pancaran Kasih GMIM Hospital Manado. Method uses cross sectional study design. Sample consisted of 40 respondents with purposive sampling method. Results with Kolmogorov Smirnov test at significance level of 95%, obtained ρ value is 0.077 greater than the significant value 0.05. Conclusion there is no correlation between health locus of control and compliance insulin therapy in type 2 Diabetes Mellitus patients at Pancaran Kasih GMIM Hospital Manado.Keywords: Diabetes mellitus, Health Locus Of Control, ComplianceAbstrak: Diabetes Melitus merupakan salah satu penyakit degeneratif yang paling sering diderita dan yang belum dapat disembuhkan, hal yang dapat dilakukan adalah dengan mengontrol penyakit lewat pengelolaan Diabetes Melitus yang tepat. Terapi insulin sebagai terapi farmakologi yang paling efektif, diperlukan perilaku patuh guna menurunkan resiko berkembangnya penyakit. Health locus of control sebagai seperangkat keyakinan mengenai apa yang baik dan yang buruk yang dapat mempengaruhi status kesehatan seseorang, hal ini mengapa health locus of control berkaitan dengan kepatuhan. Tujuan untuk mengetahui hubungan antara health locus of control dengan kepatuhan terapi insulin pada pasien Diabetes Melitus tipe 2 di RSU GMIM Pancaran Kasih Manado. Metode menggunakan desain penelitian cross sectional study. Sampel terdiri dari 40 responden dengan metode pengambilan sampel purposive sampling. Hasil dengan menggunakan uji kolmozorov smirnov pada tingkat kemaknaan 95%, didapatkan nilai ρ value 0,077 lebih besar dari nilai signifikan 0,05. Kesimpulan tidak terdapat hubunganantara health locus of control dengan kepatuhan terapi insulin pada pasien Diabetes Melitus tipe 2 di RSU GMIM Pancaran Kasih Manado.Kata Kunci: Diabetes Melitus, Health Locus Of Control, Kepatuhan


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Randa I. Farah ◽  
Mohammed Q. Al-Sabbagh ◽  
Munther S. Momani ◽  
Asma Albtoosh ◽  
Majd Arabiat ◽  
...  

Abstract Aim Diabetic kidney disease (DKD) is a major long-term complication of diabetes mellitus (DM). Given the paucity of data on DKD in Jordan, we aimed to evaluate the prevalence, characteristics and correlates of DKD in Jordanian patients with type 2 DM. Methods This cross-sectional study included 1398 adult patients with type 2 DM who sought medical advice in the endocrinology clinic between March and September 2019. Demographic, clinical and laboratory data were reviewed. DKD was defined as reduced eGFR, and/or albuminuria. Three regression models were constructed to identify factors associated with CKD stages, albuminuria and DKD. Results Overall, 701 (50.14%) patients had DKD, with a median age of 59.71 ± 11.36  years. Older age, high triglycerides, and low high-density lipoprotein were associated with DKD (multivariable odds ratio [OR]: 1.02, 95% confidence interval [CI]: 1.01–1.03, p < 0.01; OR: 1.1, 95% CI: 1.01–1.2; and OR: 0.98, 95% CI: 0.97–0.99, p < 0.01 respectively). Metformin and renin-angiotensin system blockers were negatively associated with albuminuria and chronic kidney disease stages (p < 0.01). Conclusion Our study demonstrated that approximately one half of patients with type 2 DM had DKD. Further studies are necessary to understand this high prevalence and the underlying factors. Future research are needed to assess implementing targeted community-based intervention.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Mustapha Zainab Abubakar ◽  
Kabiru Abdulsalam ◽  
Isah A. Yahaya

Diabetes mellitus (DM) and thyroid disease are the two most common endocrine disorders in the general population. Several Studies have shown that thyroid dysfunction is common in patients with DM, and thyroid dysfunction have been found to have a considerable impact on the glycaemic control and often increases the risk of development of long-term complications in patients with diabetes mellitus. This study determined the prevalence of thyroid dysfunction in patients with type 2 DM in Kano, North-Western Nigeria. The study was a descriptive cross-sectional study conducted on 250 participants made up of 130 patients with type 2 DM and 120 apparently healthy non-diabetic controls. Questionnaires were used to collect information on bio data, medical history, duration of diagnosis of diabetes and type of treatment. Also, blood samples of the participants were collected and analyzed for fasting plasma glucose, fT3, fT4, and TSH. The results were interpreted using American Thyroid Associations’ criteria and the data was analyzed using the statistical software package, STATA version 20. Two hundred and thirty-four (93.6%) of the participants were euthyroid while sixteen (6.4%) were found to have various forms of thyroid dysfunction. The prevalence of thyroid dysfunction was 10% and 2.5% among type 2 diabetics and controls respectively. Among the type 2 DM patients with thyroid dysfunction, 38.5% had hypothyroidism. Thyroid dysfunction was found to be commoner among type 2 DM patients than non-diabetic individuals with hypothyroidism being the commonest disorder.


2020 ◽  
Vol 8 (01) ◽  
pp. 52-69
Author(s):  
Nurul Kartika Sari ◽  
Rivan Firdaus

Background: Diabetes Mellitus (DM) cases increased by 776 cases from the previous year based on data from Abdul Wahab Sjahranie Regional Hospital. There are many changes that occur in the life of people with type 2 diabetes, such as stress, anxiety, anger, and feeling useless. These problems can be minimized if the patient also has the knowledge and ability as well as good self-efficacy to manage the disease by doing self-care. Aim: To analyze the factors associated with the self-efficacy of type 2 DM patients. Methods: a quantitative study with a cross sectional approach. The purposive sampling technique for Type 2 DM patients at Abdul Wahab Sjahranie Hospital Samarinda, totaling 60 respondents from September-October 2018. Results: showed a significant relationship between duration of suffering and self-efficacy of DM patients with a p value <0.001, and there was no significant relationship between age, sex, education level, knowledge, motivation and self-efficacy with a p value> 0.001. Conclusion: The duration of type 2 diabetes is related to the patient's self-efficacy ability.  


2021 ◽  
Vol 2 (1) ◽  
pp. 23-28
Author(s):  
Alexander Petra Sihite ◽  
I Gusti Ngurah Pramesemara ◽  
I Wayan Surudarma

Background: Type 2 diabetes mellitus is a metabolic disease that characterized by high blood sugar levels. This condition is often not noticed immediately and usually patient starting to realize it when complications have been occurred. A long-term complication of type 2 DM that occurred in men is erectile dysfunction (ED). ED is a condition when a person is unable to achieve or maintain an erection for sexual intercourse. One factor that influence the occurrence of ED and its severity in type 2 DM patients is the duration of the disease. Objective: The aim of this study was to determine the relationship of type 2 DM duration and the occurrence of ED. Methods: This study is an observational analytic cross-sectional study conducted at the Puskesmas (Public Health Center) Denpasar Barat I. The research data was obtained through medical record data and fill the International Index of Erectile Function (IIEF-5) questionnaire on 36 type 2 DM patients aged around 40-60 years. The statistical analysis used was Fisher's exact test. Results: The results showed that of the 36 samples, 19 (52.8%) samples had type 2 DM <24 months and 17 (47.2%) samples had type 2 DM >24 months. It was found that 5 (13.9%) samples did not experience ED while the rest experienced ED with different severity. There was a significant relationship between the type 2 DM duration and the occurrence of erectile dysfunction at Puskesmas Denpasar Barat I (p = 0.022). Conclusion: Study has found that type 2 DM patients with the longer duration (>24 months)  have a higher occurrence of ED and tended to be more severe compared to those with shorter duration (<24 months). Further studies should be performed with higher number of patients and more controlled risk factor so it will be more accurate in determining the relationship between the duration of type 2 DM and ED.


Jurnal NERS ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 171
Author(s):  
Kusnanto Kusnanto ◽  
Retno Dwi Susanti ◽  
Lailatun Ni'mah ◽  
Hakim Zulkarnain

Introduction: Controlling blood sugar can be done by dietary adherence of DM. To control glycemic, it is necessary to have motivation and health locus of control to face boredom in dietary adherence of DM. The aim was to analyse the correlation between motivation and health locus of control with dietary adherence of DM.Methods: Cross-sectional design was conducted and involved 106 respondents from five public health centers in Surabaya selected by random sampling. Data were collected by questionnaire Treatment Self-Regulation Questionnaire (TSRQ), Multidimensional Health Locus of Control Scales” (MHLC), and Diet Adherence. The analysis data was using statistical Spearman rho (α ≤ 0.05).Results: There was no correlation between motivation and dietary adherence (p=0.178), and there was a correlation between health locus of control with dietary adherence (p = 0.002).Conclusion: According to analysis, it can be concluded that motivation is influenced by many things to the role the forming of patient behavior in dietary adherence of DM while health locus of control has an influence to dietary adherence of DM. Because of that, it is necessary to increase the factor that influences the behavior of DM control. One of it is health locus of control. So that the glycemic control with dietary adherence of DM can increase and be better.


2017 ◽  
Vol 66 (4) ◽  
pp. 747-754 ◽  
Author(s):  
Oana Milas ◽  
Florica Gadalean ◽  
Adrian Vlad ◽  
Victor Dumitrascu ◽  
Cristina Gluhovschi ◽  
...  

MicroRNAs (miRNAs) are short non-coding RNA species that are important post-transcriptional regulators of gene expression. The aim of the study was to establish a potential explanation of podocyte damage and proximal tubule (PT) dysfunction induced by deregulated miRNAs expression in the course of type 2 diabetes mellitus (DM). A total of 68 patients with type 2 DM and 11 healthy subjects were enrolled in a cross-sectional study and assessed concerning urinary albumin:creatinine ratio (UACR), urinary N-acetyl-β-D-glucosamininidase (NAG), urinary kidney injury molecule-1, urinary nephrin, podocalyxin, synaptopodin, estimated glomerular filtration rate (eGFR), urinary miRNA21, miRNA124, and miRNA192. In univariable regression analysis, miRNA21, miRNA124, and miRNA192 correlated with urinary nephrin, synaptopodin, podocalyxin, NAG, KIM-1, UACR, and eGFR. Multivariable regression analysis yielded models in which miRNA192 correlated with synaptopodin, uNAG, and eGFR (R2=0.902; P<0.0001), miRNA124 correlated with synaptopodin, uNAG, UACR, and eGFR (R2=0.881; P<0.0001), whereas miRNA21 correlated with podocalyxin, uNAG, UACR, and eGFR (R2=0.882; P<0.0001). Urinary miRNA192 expression was downregulated, while urinary miRNA21 and miRNA124 expressions were upregulated. In patients with type 2 DM, there is an association between podocyte injury and PT dysfunction, and miRNA excretion, even in the normoalbuminuria stage. This observation documents a potential role of the urinary profiles of miRNA21, miRNA124, and miRNA192 in early DN. Despite their variability across the segments of the nephron, urinary miRNAs may be considered as a reliable tool for the identification of novel biomarkers in order to characterize the genetic pattern of podocyte damage and PT dysfunction in early DN of type 2 DM.


2018 ◽  
Vol 3 (1) ◽  
pp. 31
Author(s):  
Alfeus Manuntung

Diabetes Mellitus Type 2 is the most common endocrine disease and the most common form of diabetes. DM Type 2 needs of medical care and self-management education to prevent acute complications and reduce the risk of long term complications. Patients with DM usually ignore or be unaware of characters DM. Self efficacy is an essential element for improving self-care behavior of patients with DM type 2. The objective of this study was to analyze the patient's self efficacy in the management of DM Type 2 at Puskesmas Panarung of Palangka Raya City with descriptive correlational research design using cross sectional approach. This research uses descriptive correlational design with cross sectional approach. The sampling technique in this research is to use sampling techniques nonprobability concecutive sampling. The data collection is done by measuring the level of self efficacy using a questionnaire. The statistical test used was descriptive test and Chi Square test. The results showed that there is no significant relationship between age and self efficacy of respondents, no significant correlation gender with self efficacy of respondents, no significant correlation level of education and self efficacy of respondents, there is no significant employment with self efficacy of respondents, there is no correlation significant income with self efficacy of respondents, and there is a significant relationship between long-suffering DM with self efficacy of respondents. The conclusion of this research are there is no relationship between age, gender, level of education, employment, and income with self efficacy, while long suffered from DM found a significant relationship with the self efficacy. However, further research with controlled randomized clinical study design and the large sample size needs to be done to develop nursing interventions with behavioral approaches in order to increase self efficacy and self-care behaviors that can reduce complications.


2021 ◽  
Vol 14 (01) ◽  
pp. 379-383
Author(s):  
Akshai Lekshmi P ◽  
T Srimathi ◽  
V S Anandarani

Diabetes mellitus [DM] is a major disease worldwide with increasing prevalence. Its etiologic heterogeneity comprising genetic predisposition and environmental factors may provide a characteristic feature among the population helpful for the early diagnosis. This study aims to evaluate the palmar dermatoglyphic patterns in DM patients. This case controlled cross-sectional study included 100 type 2 DM patients in group A and 100 healthy subjects in group B. Each group has equal gender distribution. The palmar dermatoglyphics were evaluated quantitatively using standard methods. Student’s t-test and Chi-square test was used to determine the level of significance. The palmar triradius number varied significantly (Pd”0.0001). The angle of palm variations were statistically insignificant between groups, but TAD angle showed significant gender variations in group A patients (Pd”0.0001). The variation in palmar triradius revealed in this study may help in early diagnosis of type 2 DM patients and also may provide a scope for further studies with larger sample size.


Author(s):  
Prashant P. Shivgunde ◽  
Shantanu R. Joshi ◽  
Archana D. Kodilkar

Background: Diabetes is a chronic metabolic disease which affects the quality of life. It leads to multiple complications due to metabolic involvement. Out of multiple drugs used to treat diabetes, dipeptidyl peptidase 4 (DPP-4) inhibitors are comparatively new drugs used for type-2-diabetes mellitus (DM) treatment. This study aimed to find out the drug utilization (DU) 90% and use of DPP-4 inhibitors in patients with type-2-DM.Methods: A prospective, cross-sectional, observational study was conducted at a private healthcare clinic of an endocrinologist in Nashik. Type-2-DM patients of both sexes were selected and a total of 199 patients were enrolled in the study. The consented patients were interviewed and prescription copies were collected. After studying them; statistical analysis was done and results and conclusions were drawn.Results: Out of total prescribed drugs, 58.77% of drugs were anti-diabetics. It was observed that the biguanides were most frequently (25.32%) prescribed while the least prescribed drugs were meglitinide analogues (0.08%). Most commonly utilized anti-diabetic found to be metformin. Vildagliptin 50 mg is the most commonly prescribed drug from DPP-4 inhibitors. Most of the drugs from the DPP-4 inhibitor group came under DU90%.Conclusions:DPP-4 inhibitors are showing wide acceptability by endocrinologists for type-2-DM management, according to this study. Performing repetitive drug utilization pattern study and circulation of standard treatment guidelines to practising physicians can be required. To emphasize the point on generic prescription, more awareness should be created. So that these can responses to further cost-effective and rational prescribing practices. 


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