scholarly journals Gambaran Pengetahuan dan Upaya Pencegahan Diabetes Melitus: Literatur Review

2021 ◽  
Vol 1 ◽  
pp. 1809-1816
Author(s):  
Novi Aji Lestari ◽  
Dafid Arifiyanto

AbstractDiabetes Mellitus ia a non-communicable disease characterized by high blood sugar levels due to impaired insulin function. Diabetes prevention encompassed modified and unmodifie factors. Age and heredity are the ummodified factors, whereas diet, pack of physical activity, drugs, stress, and pack of knowledge are the modified factors. Education and family support Van influence the level of knowledge that can affect a person both towards the environment and particular objects. To identify the level of knowledge, physical activity, and other prevention efforts to prevent diabetes. A Literature review was used on this study, The article was selected from the Pubmeed, Portal Garuda, and Scilit database. Five studies where selected based on inclusion criteria. This study showed that people with diabetes mellitus had good knowledge 377 respondents, 161 respondents gas suffcient knowledge, and 131 respondents lacked knowledge. While the prevention of diabetes mellitus had good prevention as many as 322 respondents, adequate prevention as 166 respondents, lack of prevention was 141 respondents. Physical activity gas a level of mild as many as 30 respondents, moderate as right respondents, high as two respondents. Many people had a lack of knowledge and prevention of diabetes mellitus, Nurse are expected to provide education or nursing care as well as phychological aspects. Keywords : Diabetes Melitus; Prevention; Knowledge. AbstrakDiabetes Melitus suatu penyakit tidak menular yakni gangguan metabolisme kronis yang disebabkan oleh banyak faktor dengan ditandai tingginya kadar gula darah sebagian dari akibat gangguan fungsi insulin, upaya pencegahan diabetes memiliki faktor risiko meliputi faktor yang tidak dapat diubah yakni umur dan keturunan dan faktor yang dapat diubah yakni makanan, aktifitas fisik yang kurang, obat- obatan,stress dan kurangnya pengetahuan. Tingkat pengetahuan dapat dipengaruhi oleh pendidikan dan dukungan keluarga yang dapat mempengaruhi seseorang baik terhadap lingkungan maupun objek tertentu. Mengetahui gambaran pengetahuan dan upaya pencegahan dan juga pencegahan dengan melakukan aktivitas fisik. Penelitian ini merupakan penelitian sekunder berjenis literatur review. Metode yang digunakan dalam pemilihan artikel yaitu dengan melakukan penelusuran literatur dari sumber database Pubmed, Portal Garuda, dan Scilit dan didapatkan 5 artikel yang sesuai dengan kriteria inklusi penelitian. Hasil analisis literatur review menunjukkan bahwa masyarakat dengan pengetahuan dan upaya pencegahan diabetes melitus memiliki pengetahuan baik dengan hasil sebanyak 377 responden, pengetahuan cukup sebanyak 161 responden, pengetahuan kurang sebanyak 131 responden. Sedangkan pencegahan diabetes melitus memiliki pencegahan baik sebanyak 322 responden, pencegahan cukup sebanyak 166 respondnen, pencegahan kurang baik sebanyak 141 responden. Dan pencegahan aktivitas fisik memiliki tingkat pencegahan ringan sebanyak 30 responden, pencegahan sedang sebanyak 8 responden, pencegahan tinggi sebanyak 2 responden. Masyarakat yang mengalami kurang pengetahuan dan pencegahan diabetes melitus paling banyak mengalami tingkat pengetahuan dan pencegahan baik. Diharapkan perawat dapat memberikan edukasi atau asuhan keperawatan dengan tetap memperhatikan aspek psikologi. Kata kunci : Diabetes Melitus; Pencegahan; Pengetahuan.

2019 ◽  
Author(s):  
aura widad al addawiyah hamzah

Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood glucose (hyperglycemia). Physical activity has an impact on insulin action in people at risk for diabetes mellitus.Lack of activity is one of the contributing factors that causes insulin resistance in type II diabetes mellitus and diet is the behavior of humans or a group of humans in meeting their dietary needs which include food attitudes, beliefs and choices. The purpose of this study was to analyze the relationship between patterns of physical activity and diet with blood sugar levels in patients with diabetes melitustipe II. The research method used is a qualitative method. The results of the study showed that there was a relationship between patterns of physical activity and diet with blood sugar levels. Conclusions there is a relationship between patterns of physical activity and diet with blood sugar levels in patients with diabetes melitustipe II


2021 ◽  
Vol 3 (1) ◽  
pp. 65-71
Author(s):  
Virna Wulandari ◽  
Siti Annisa Devi Trusda ◽  
Rika Nilapsari

Diabetes melitus (DM) merupakan penyakit tidak menular dengan insidensi terus meningkat setiap tahunnya. Salah satu komplikasi DM tersering adalah nefropati diabetik yang ditandai dengan albuminuria. Sodium glucose co-transporter (SGLT-2) inhibitor merupakan golongan obat antidiabetik yang bersifat insulin independen dan diharapkan menurunkan kejadian kerusakan fungsi ginjal. Kurangnya penelitian dan informasi obat golongan ini di Indonesia menyebabkan peneliti melakukan penelitian dengan tujuan mengetahui efektivitas pemberian obat golongan SGLT-2 inhibitor pada pasien DM tipe 2 terhadap penurunan kejadian albuminuria. Metode yang digunakan dalam penelitian ini adalah scoping review, dengan bahan penelitian artikel dari jurnal internasional yang memenuhi kriteria inklusi dan eksklusi. Artikel ini kemudian diseleksi menggunakan diagram PRISMA dengan mempertimbangkan Population (DM tipe 2), Intervention (pemberian SGLT-2 inhibitor), Comparison (plasebo atau anti diabetik lain), Outcome (penurunan albuminuria), Study (RCT dan Cohort retrospective). Didapatkan dari 13 artikel bahwa obat SGLT-2 inhibitor yang digunakan bervariasi yaitu canagliflozon (6), empagliflozin (3), dapagliflozin (2), ertugliflozin (2), dan yang tersering digunakan adalah canagliflozin ditemukan pada 6 artikel (50%). Golongan obat SGLT-2 inhibitor memiliki kecenderungan yang sama, dapat ditoleransi dengan baik dan efektif dalam menurunkan kejadian albuminuria melalui mekanisme perubahan hemodinamik ginjal, dengan urin albumin-kreatinin rasio (UACR) sebagai parameter. Scoping ReviewSGLT-2 Inhibitors Effective to Reduce Albuminuria in Type 2 Diabetes Mellitus Diabetes mellitus (DM) is a non-communicable disease with an increasing incidence every year. One of the most common complications of DM is diabetic nephropathy which is characterized by albuminuria. Sodium-glucose co-transporter (SGLT-2) Inhibitors is a class of anti-diabetic drugs that are insulin-independent and expected to reduce the incidence of impaired kidney function. The aim of this study was to ensure the effectiveness of SGLT-2 inhibitor drug administration in type 2 DM patients to reduce the incidence of albuminuria. The method used is scoping review, with research articles from international journals sorted by the inclusion and exclusion criteria. These articles was selected using the PRISMA diagram by considering Population (DM type 2), Intervention (administration of SGLT-2 inhibitors), Comparison (placebo or other anti-diabetic), Outcome (decreased albuminuria), Study (RCT and retrospective cohort). It was obtained from 13 articles that the SGLT-2 inhibitor drugs used varied, canagliflozon (6), empagliflozin (3), dapagliflozin (2), ertugliflozin (2), and the most commonly used was Canagliflozin found in 6 articles (50%). The SGLT-2 inhibitor class of drugs has the same tendency, well-tolerated, and effective in reducing the incidence of albuminuria through the mechanism of renal hemodynamic changes, with urine albumin-to-creatinine ratio (UACR) as a parameter.


2021 ◽  
Vol 7 (01) ◽  
pp. 30-42
Author(s):  
Made Agus Sugianto

Background: The Central Government and Local Governments including Badung Regency are facing the burden of communicable and non-communicable diseases which has not ended until now. Purpose: to find out the most priority diseases to be prevented and controlled in Badung Regency. Methods: This is a descriptive-analytic study using secondary data from monthly reports of outpatient visits and inpatients at the health center and the Mangusada Regional Hospital during 2014 - 2018. Besides, interviews were also conducted with respondents with a health education background. Results: The scoring results show Hypertension as the first ranked disease to be treated in Badung Regency with a score of 63.8. This disease is classified as a non-communicable disease group. The disease that is ranked second is HIV / AIDS which is an infectious disease with a score of 58.9, and the third rank is occupied by Diabetes Mellitus, which is also a non-communicable disease with a score of 58.7. Conclusion: Based on the results of the interview, hypertension is the most priority disease to be tackled in Badung Regency in 2019. The second and third priority diseases are respectively occupied by HIV / AIDS and Diabetes Mellitus. Latar belakang: Pemerintah Pusat maupun Pemerintah Daerah termasuk Kabupaten Badung menghadapi beban penyakit menular dan penyakit tidak menular yang tidak kunjung usai sampai dengan saat ini. Tujuan: untuk mengetahui penyakit yang paling prioritas untuk dicegah dan dikendalikan di Kabupaten Badung. Metode: adalah penelitian deskriptif analitik menggunakan data sekunder laporan bulanan kunjungan pasien jalan dan pasien rawat inap di puskesmas serta RS Daerah Mangusada sepanjang tahun 2014 – 2018. Selain itu, juga dilakukan wawancara kepada responden dengan latar belakang pendidikan kesehatan.  Hasil: Hasil scoring menunjukan Hipertensi sebagai penyakit ranking pertama untuk ditangani di Kabupaten Badung dengan nilai score 63,8. Penyakit ini tergolong dalam kelompok penyakit tidak menular. Penyakit yang menduduki ranking kedua adalah HIV/AIDS yang merupakan penyakit menular dengan nilai score 58,9, dan ranking ketiga diduduki oleh penyakit Diabetes Melitus yang juga penyakit tidak menular dengan nilai score 58,7. Simpulan: Hipertensi merupakan penyakit yang paling prioritas untuk ditanggulangi di Kabupaten Badung pada tahun 2019. Penyakit kedua dan ketiga yang menjadi prioritas masing-masing ditempati oleh penyakit HIV/AIDS dan Diabetes Melitus.


2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Alpacino J. Wowor ◽  
Lydia E. N. Tendean ◽  
Janette M. Rumbajan

Abstract: Diabetes Mellitus (DM) is a non-communicable disease that can be found at all ages, especially in adults and the elderly. Erectile Dysfunction (ED) is the inability to maintain an erection. Like DM, DE is still a problem facing the world, including Indonesia. Blood vessels can be damaged by various factors, one of which is uncontrolled blood sugar levels that can lead to Erectile Dysfunction. The International Index of Erectile Function (IIEF-5) or Sexual Health Inventory for Men (SHIM) is a tool for diagnosing ED. The purpose of this study was to determine the effect of Diabetes Mellitus on the incidence of Erectile Dysfunction. This study took the form of a literature review with data searches using three databases, namely Pubmed, ScienceDirect and Google Scholar. The keywords used were Diabetes Mellitus "AND" Erectile Dysfunction. 10 literature was obtained after being selected based on inclusion and exclusion criteria.  According to the ten literature selected in this study, all found an effect of Diabetes Mellitus on the incidence of Erectile Dysfunction. In Conclusion, Diabetes Mellitus affects the occurrence of Erectile Dysfunction.Keywords: Diabetes Mellitus, Erectile Dysfunction.  Abstrak: Diabetes Mellitus (DM) merupakan penyakit tidak menular yang dijumpai pada segala usia terutama pada dewasa dan lansia. Disfungsi Ereksi (DE) merupakan ketidakmampuan dalam mempertahankan ereksi. Seperti halnya DM, DE juga masih menjadi masalah yang dihadapi dunia termasuk Indonesia. Pembuluh darah dapat mengalami kerusakan oleh berbagai faktor, salah satunya adalah kadar gula darah yang tidak terkontrol sehingga dapat memicu terjadinya Disfungsi Ereksi. International Index of Erectile Function (IIEF-5) atau Sexual Health Inventory for Men (SHIM) merupakan alat bantu dalam penegakan diagnosis DE. Tujuan penelitian ini adalah untuk mengetahui pengaruh Diabetes Mellitus terhadap kejadian Disfungsi Ereksi. Penelitian ini berbentuk literature review dengan pencarian data menggunakan tiga database, yaitu Pubmed, ScienceDirect dan Google Cendekia. Kata kunci yang digunakan yaitu Diabetes Mellitus “DAN” Erectile Dysfunction. Didapatkan 10 literatur setelah diseleksi berdasarkan kriteria inklusi dan eksklusi. Berdasarkan dari sepuluh literatur yang dipilih dalam penelitian ini, seluruhnya mendapati adanya pengaruh Diabetes Mellitus terhadap kejadian Disfungsi Ereksi. Sebagai simpulan, Diabetes Mellitus berpengaruh terhadap terjadinya Disfungsi Ereksi.Kata kunci: Diabetes Mellitus, Disfungsi Ereksi.


2021 ◽  
Vol 7 (3) ◽  
pp. 138-145
Author(s):  
Yanuarita Tursinawati ◽  
Arum Kartikadewi ◽  
Arum Kartikadewi ◽  
Ari Yuniastuti ◽  
Ari Yuniastuti ◽  
...  

Diabetes mellitus (DM) is a non-communicable disease and still a health problem in the world. Melatonin is responsible to metabolize carbohydrate and regulate blood sugar levels. Several studies proved Melatonin is useful in the diabetes therapy and its complication by performing antioxidant activity through various signaling pathways. The role of the melatonin hormone in the pathogenesis of complications of diabetes mellitus is still a lot of controversy. Animal studies are still incomplete to explain the mechanism of action of melatonin. Therefore, this review aims to discuss Melatonin role administration in DM and its complications. This review was started by searching articles using electronic databases such as Google Scholar, Science Direct, SpringerLink and Pubmed between 2009-2019. Melatonin increased respiration within mitochondria; acted as antioxidant that fight free radical production; and reduced oxidative stress. It diminished proinflammatory cytokines in diabetes and prevents various DM complications on eyes, cardiac and male reproductive organs through antioxidant effects. It inhibited proinflammatory within several signaling Pathways, included PI3K/Akt-Nrf2,cGMP-PKG, Nrf-2-HO-1 and MAPK, Syk, p38MAPK pathways. There are various melatonin roles in diabetes and DM complications as a promising new breakthrough of DM treatment. It is necessary to explore Melatonin role in other DM complications. Most of this research is on experimental animals, thus clinical trial studies should be carried out in humans to make melatonin a promising therapeutic or prevention for diabetes and its complications in the future


BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e044066
Author(s):  
Prashant Mathur ◽  
Vaitheeswaran Kulothungan ◽  
Sravya Leburu ◽  
Anand Krishnan ◽  
Himanshu Kumar Chaturvedi ◽  
...  

ObjectiveTo generate national estimates of key non-communicable disease (NCD) risk factors for adolescents (15–17 years) identified in the National NCD Monitoring Framework and, study the knowledge, attitudes and practices towards NCD risk behaviours among school-going adolescents.Design and settingA community-based, national, cross-sectional survey conducted during 2017–2018. The survey was coordinated by the Indian Council of Medical Research—National Centre for Disease Informatics and Research with 10 reputed implementing research institutes/organisations across India in urban and rural areas.ParticipantsA multistage sampling design was adopted covering ages between 15 and 69 years—adolescents (15–17 years) and adults (18–69 years). The sample included 12 000 households drawn from 600 primary sampling units. All available adolescents (15–17 years) from the selected households were included in the survey.Main outcome measuresKey NCD risk factors for adolescents (15–17 years)—current tobacco and alcohol use, dietary behaviours, insufficient physical activity, overweight and obesity.ResultsOverall, 1402 households and 1531 adolescents completed the survey. Prevalence of current daily use of tobacco was 3.1% (95% CI: 2.0% to 4.7%), 25.2% (95% CI: 22.2% to 28.5%) adolescents showed insufficient levels of physical activity, 6.2% (95% CI: 4.9% to 7.9%) were overweight and 1.8% (95% CI: 1.0% to 2.9%) were obese. Two-thirds reported being imparted health education on NCD risk factors in their schools/colleges.ConclusionThe survey provides baseline data on NCD-related key risk factors among 15–17 years in India. These national-level data fill information gaps for this age group and help assess India’s progress towards NCD targets set for 2025 comprehensively. Though the prevalence of select risk factors is much lower than in many developed countries, this study offers national evidence for revisiting and framing appropriate policies, strategies for prevention and control of NCDs in younger age groups.


2014 ◽  
Vol 59 (02) ◽  
pp. 1450017 ◽  
Author(s):  
YONG KANG CHEAH ◽  
ANDREW K. G. TAN

This paper examines how socio-demographic and health-lifestyle factors determine participation and duration of leisure-time physical activity in Malaysia. Based on the Malaysia Non-Communicable Disease Surveillance-1 data, Heckman's sample selection model is employed to estimate the probability to participate and duration on physical activity. Results indicate that gender, age, years of education and family illness history are significant in explaining participation probability in leisure-time physical activity. Gender, income level, smoking-status and years of education are significant in explaining the weekly duration conditional on participation, whereas smoking-status and years of education are significant in determining the unconditional level of leisure-time physical activity.


Author(s):  
Nur Rasdianah ◽  
Suwaldi Martodiharjo ◽  
Tri Murti Andayani ◽  
Lukman Hakim

The increasing prevalence of diabetes mellitus (DM) in Indonesia requires participation of all parties including pharmacists. This study aims to determine the impact of the implementation of home pharmacy service guidelines for patients with type 2 diabetes mellitus on the level of knowledge, medication adherence, therapeurical satisfaction and glycemic control. This study used a quasi-experimental design with one group pre-test and post-test design involving 37 patients with type 2 diabetes mellitus who met the requirements of inclusion and exclusion criterias. The Diabetes Knowledge Questionnaire (DKQ-24) and the Diabetes Medication Satisfaction Tool (DMSAT) were used for collecting the data. Patient adherence was measured using a pillcount method and fasting blood sugar levels (FSB) data were obtained from the laboratory results. The study was conducted in two community health centers and patient’s home in the Yogyakarta Municipality area. The data were analysed using Wilcoxon and Spearman test. The results showed the change of the level of knowledge, medication adherence, therapeutic satisfaction and glycemic control before and after intervention of pharmacy services at home. The average decreasing of fasting blood sugar levels 17.09 mg/dL ± 1.43


Author(s):  
Maria Enrica ◽  
Nina Tristina ◽  
Anna Tjandrawati

Diabetes Mellitus (DM) is a state of chronically hyperglycemia, which is caused by impaired insulin secretion and function. Thealteration in coagulation system in DM patients served as the basic etiology of macro and micro vascular complication. Platelets are oneof the factors that have a role in the coagulation system and undergo pathological changes in DM patients. Mean Platelet Volume (MPV)is an indicator of platelet function and activation. Larger platelets have more dense and more reactive pro coagulant granules. The aimof this study was to know whether there were differences in MPV between DM patients compared to medical check-up participants atthe Dr. Hasan Sadikin Hospital, Bandung.. The research used analytical descriptive, retrospective data. The inclusion criteria of thisresearch was DM patients and medical check up participants whose serum fasting glucose and two (2) hours post prandial serum glucosewere within the normal range. The data were taken from medical records of DM patients and medical check up participants. The datawere further analyzed with SPSS ver. 15 program using unpaired T-test. In this study, no significant difference between DM patientsand medical check up participants (p>0.05) was found. It can be concluded that Mean Platelet Volume if used as single, can not predictvascular complication in DM patients.


Duazary ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 74-86
Author(s):  
Juan Pablo Álvarez-Najar ◽  
Mery Luz Valderrama-Sanabria ◽  
Amalia Priscila Peña-Pita

Diabetes mellitus is considered a chronic non-communicable disease with high morbidity, presents to its high prevalence, social, family, and economic costs. Interventions aimed at life-style changes are fundamental in managing; due to this, patients must receive education. The aim of the study was to identify the beliefs and practices of the persons with diabetes mellitus, to propose nurse care according to these precepts. This was a descriptive study of systematic literature review, searching for articles in databases, Springer Science, Elsevier, ProQuest, Science Direct, Index, Pubmed, SciELO, Medigraphic, and Medline during 2016 to 2018, published between 2001 and 2018, in Spanish, English, and Portuguese. A total of 49 studies were contributing to fulfilling the objective. Within the beliefs for the management of disease, is the use of herbs, some consider as cause "fright"; Others take into account risk factors such as heredity, obesity, poor eating habits. Various beliefs are presented in relation to insulin treatment. Spirituality is emphasized; seeking refuge in God and prayer. Is important to understand the person, from their values, beliefs, customs and feelings. Education is a fundamental tool to control the disease, but health beliefs must be taken into account in order to achieve favorable results.


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