The Effect of Medication Remainder Application (MRA) on The Level of Knowledge and Compliance of Type 2 Diabetes Mellitus patients in Universitas Sumatera Utara Hospital, Indonesia

2021 ◽  
pp. 5725-5728
Author(s):  
Chindy Umaya ◽  
Urip Harahap ◽  
Khairunnisa Khairunnisa ◽  
R. A. Syahputra
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Compliance Rate ◽  
Research Subjects ◽  
Adherence Scale ◽  
Level Of Knowledge ◽  
Scale 8 ◽  
Spearman Test

Effect of MRA on the level of knowledge and compliance of patients with Type 2 Diabetes Mellitus in hospital of Universitas Sumatera Utara. This Cohort Study was conducted in August - November 2018 at the hospital of Universitas Sumatera Utara with a total of 30 respondents. The research subjects were one group pretest-posttest given intervention in the form of a digital MRA application on a patient's smartphone. to measure the level of patients knowledge by using the Diabetes Knowledge Questionnaire-24 (DKQ-24) questionnaire while the Morisky Medication Adherence Scale-8 (MMAS-8) questionnaire was used to measure compliance. The data obtained were collected and then analyzed by using Microsoft Excel and Spearman test statistics. Based on the Spearman Test the Sig (2-tailed) value was 0.301 (p≤0.05), the knowledge is positively correlated with the compliance rate of 0.195 which has a low correlate level. Based on the results of the study it can be concluded that the MRA influences to increase the knowledge and compliance of patients with type 2 DM.

scholarly journals Development of Type 2 Diabetes Mellitus Phenotyping Framework Using Expert Knowledge and Machine Learning Approach

2016 ◽  
Vol 11 (4) ◽  
pp. 791-799 ◽  
Author(s):  
Rina Kagawa ◽  
Yoshimasa Kawazoe ◽  
Yusuke Ida ◽  
Emiko Shinohara ◽  
Katsuya Tanaka ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Machine Learning ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Expert Knowledge ◽  
The Other ◽  
Learning Approach ◽  
Research Subjects ◽  
Machine Learning Approach

Background: Phenotyping is an automated technique that can be used to distinguish patients based on electronic health records. To improve the quality of medical care and advance type 2 diabetes mellitus (T2DM) research, the demand for T2DM phenotyping has been increasing. Some existing phenotyping algorithms are not sufficiently accurate for screening or identifying clinical research subjects. Objective: We propose a practical phenotyping framework using both expert knowledge and a machine learning approach to develop 2 phenotyping algorithms: one is for screening; the other is for identifying research subjects. Methods: We employ expert knowledge as rules to exclude obvious control patients and machine learning to increase accuracy for complicated patients. We developed phenotyping algorithms on the basis of our framework and performed binary classification to determine whether a patient has T2DM. To facilitate development of practical phenotyping algorithms, this study introduces new evaluation metrics: area under the precision-sensitivity curve (AUPS) with a high sensitivity and AUPS with a high positive predictive value. Results: The proposed phenotyping algorithms based on our framework show higher performance than baseline algorithms. Our proposed framework can be used to develop 2 types of phenotyping algorithms depending on the tuning approach: one for screening, the other for identifying research subjects. Conclusions: We develop a novel phenotyping framework that can be easily implemented on the basis of proper evaluation metrics, which are in accordance with users’ objectives. The phenotyping algorithms based on our framework are useful for extraction of T2DM patients in retrospective studies.

scholarly journals Pengaruh Pelayanan Kefarmasian di Rumah pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Wilayah Kota Yogyakarta

2020 ◽  
Vol 10 (2) ◽  
pp. 126
Author(s):  
Nur Rasdianah ◽  
Suwaldi Martodiharjo ◽  
Tri Murti Andayani ◽  
Lukman Hakim
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Blood Sugar ◽  
Fasting Blood Sugar ◽  
Level Of Knowledge ◽  
Sugar Levels

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

scholarly journals Education And Eating Pattern As Risk Factors Of Diabetes Mellitus

2017 ◽  
Vol 6 (4) ◽  
Author(s):  
Ninna Rohmawati
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Basic Education ◽  
Sport Activity ◽  
Research Subjects ◽  
Eating Pattern

Education and eating pattern has significant contributions in determining incident of Diabetes Mellitus. Based on Riskesdas 2013, patient of Diabetes Mellitus who age >15 years increased from 5.7% (2007) to 6.9% (2013). Prevalence of Diabetes Mellitus in east java diagnosed by a doctor at 2.1%. The aim to determine risk factors affecting Diabetes Mellitus. This research was observational study. Subjects were patient of type 2 Diabetes Mellitus in RSD Kalisat who fulfilled inclusion criteria. Research subjects consisted of 40 people. Risk factors patients type 2 diabetes mellitus in the work area of Kalisat hospital Jember regency was in majority 45 years (82.5%), female (62.5%), basic education (77.5%), low levels of knowledge (47.5%), housewives 45%, eating pattern (87.5%), less sport activity (67.5%), less physical activity (55% ), overweight (37.5%) and not have the acts of hypertension (55%). Advice: education relation to knowledge needs to be improved, have good eating pattern, and need for regular physical activity.

scholarly journals Low Reported Adherence to the 2019 American Diabetes Association Nutrition Recommendations among Patients with Type 2 Diabetes Mellitus, Indicating the Need for Improved Nutrition Education and Diet Care

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3516
Author(s):  
Savvas Katsaridis ◽  
Maria G. Grammatikopoulou ◽  
Konstantinos Gkiouras ◽  
Christos Tzimos ◽  
Stefanos T. Papageorgiou ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Nutrition Education ◽  
American Diabetes Association ◽  
Compliance Rate ◽  
Multivariable Analysis ◽  
Adherence Rate ◽  
Medication Therapy

Patient adherence to guidelines is important for improved outcomes and prognosis. Nevertheless, many patients with type 2 diabetes mellitus (T2DM) do not comply with the recommendations regarding medication, physical activity, diet or self-care. The present cross-sectional study aimed to assess the level of adherence to the dietary recommendations issued by the American Diabetes Association (ADA) among patients with T2DM in Komotini, Greece. A total of 162 adults with T2DM (64.7 ± 10.6 years old), of which 41.4% were men, were recruited from the Sismanoglio Hospital and participated in the study. The level of adherence to individual recommendations issued by the ADA was assessed using yes/no questions. The overall adherence rate to the guidelines was low (41.2%). According to the multivariable analysis, age and medication therapy were identified as contributors to the compliance rate. No differences were noted in the total compliance rate between patients of different religious denominations (Muslims/Christians). Patients on oral antidiabetic agents (OAA) were more adherent compared with those on insulin therapy. A mere 3.7% of the participants had received nutrition education by a registered dietitian, 9.9% were following an individualized diet plan to improve glycemia, and 3.1% had set specific energy goals to reduce body weight. These findings are indicative of the need for the delivery of improved nutrition education.

scholarly journals Knowledge, adherence to the treatment and prevalence of neuropathy in patients with type 2 diabetes mellitus

2018 ◽  
Vol 7 (6) ◽  
pp. 1
Author(s):  
Concepción Meléndez Méndez ◽  
Rosalinda Garza Hernández ◽  
Juana Fernanda González Salinas ◽  
Ma de los Ángeles Fang Huerta ◽  
Ma del Socorro Rangel Torres ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Treatment Time ◽  
Health Sector ◽  
Middle Level ◽  
Level Of Knowledge ◽  
The Mean ◽  
The Relationship

Objective: Identify the level of knowledge, adherence and prevalence of diabetic neuropathy (NPD), determine the relationship between knowledge, adherence to treatment, time to suffer from the disease and the NPD in patients with type 2 diabetes mellitus who attend to control in four units of the health sector in Tampico and Cd. Madero Tamaulipas. To describe the sociodemographic characteristics of the patients with type 2 diabetes mellitus that attend control in four units of the health sector in Tampico and Cd. Madero Tamaulipas.Methods: Descriptive cross-sectional correlational study performed on a sample of 554 patients with type 2 diabetes mellitus who attended to control their disease in four health sector units in Tampico and Cd. Madero, Tamaulipas, the type of sampling was non-probabilistic for convenienceResults: 554 patients were surveyed, the mean age was 55 years, the mean time of diagnosis of type 2 diabetes mellitus was 10 years, 61.9% were women, 62.8% were married, 34.5% were primary and 89.5% were belonged to the lower class. The level of knowledge was insufficient in 74% of the patients, the reported adherence was 75% in the middle level and the NPD prevalence in the period was 5.5, the relationship between knowledge and adherence and time of diagnosis was statistically verified prevalence of NPD.Conclusions: The results demonstrate the importance of education to patients since the knowledge of their disease contributes to the patient accepting and adhering to the treatment.

scholarly journals Hubungan Tingkat Pengetahuan terhadap Outcome Klinik Pasien Diabetes Melitus Tipe 2

2019 ◽  
Vol 9 (2) ◽  
Author(s):  
Laksmy Anggun Larasati ◽  
Tri Murti Andayani ◽  
Susi Ari Kristina
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Chi Square ◽  
Good Glycemic Control ◽  
Primary Health ◽  
Level Of Knowledge ◽  
The Relationship

Diabetes is a chronic disease that requires good therapeutic management and self care to achieve optimal glycemic target. The important barrier to achieve good glycemic control is a lack of knowledge about optimal glycemic targets. The purpose of this study was to determine the relationship of the level of knowledge to clinical outcome of type 2 diabetes mellitus in Yogyakarta and Bantul primary health care. This was an observational study with a cross sectional design. The sampling technique was done by accidental sampling for patients visiting the primary health care from October to December 2018 that involved 200 type 2 diabetes mellitus patients who were included in the inclusion criteria. The level of knowledge was measured by the Diabetes Knowledge Questionnaire (DKQ)-24 which had 24 questions and the clinical outcome was obtained from laboratory measurement data as well as from medical record data when the patient was in routine control. Sociodemographic data were analyzed descriptively. The relationship between the level of knowledge and clinical outcomes was analyzed using chi square. The results showed that the knowledge level score had an average value of 12. The most incorrect answer was in etiology and diabetes self care, which is eating too much sugar and sweet foods is the cause of diabetes (97%), exercise regularly increasing the need of hormone insulin or diabetes medication (82%), the insulin reaction is caused by too much food (84%) and diabetics should clean the wound with betadine and alcohol (88%). There were 106 (53%) patients who achieved good glycemic control. Chi square test showed no relationship between the level of knowledge of clinical outcomes (p = 0.328). The result of this study may become a material and education content evaluation in diabetic patients.

scholarly journals Knowledge, Attitude and Practice (KAP) related to Type 2 Diabetes Mellitus (T2DM) among Healthy Adults in Kiribati

2021 ◽  
Vol 13 (5) ◽  
pp. 10
Author(s):  
Meeri Urite Tekanene ◽  
Masoud Mohammadnezhad ◽  
Sabiha Khan ◽  
Renita Maharaj
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Healthy Adults ◽  
Attitude And Practice ◽  
Level Of Knowledge ◽  
The Mean ◽  
Knowledge Attitude And Practice

BACKGROUND: Type 2 Diabetes Mellitus (T2DM) kills more than 4.9 million adults yearly, and it is one of the major threats to global public health for low- and middle-income countries that mostly affects the adult population. Kiribati is currently facing the increasing prevalence of morbidity and mortality from T2DM. OBJECTIVE: To find out the level of Knowledge, Attitude and Practice (KAP) towards T2DM among healthy adults in South Tarawa, Kiribati. METHODS: This cross sectional study was conducted on South Tarawa, Kiribati at three randomly selected public health clinics from September 25 to November 20, 2017. Non-diabetic patients from both sexes who aged 18 years and above were selected by a simple random sampling technique to participate in this study. A pretested structured questionnaire was used to collect data and SPSS (version 22) was used for data analysis. Descriptive statistics was used to study the characteristics of the population and level of KAP. RESULTS: 405 person participated in this study. Majority of the participants were in the age range of 18-24 years (30.4%), were females (66.2%) and had ever married (68.6%). The study revealed that the mean knowledge score was 20.47 (±3.49) which shows that participants had moderate level of knowledge towards T2DM. The mean score for attitude score was 61.06 (±5.48) which shows that participants had high level of attitude towards T2DM. The mean practice score was 4.57 (±2.01) which shows that participants had a low level of practice towards T2DM. CONCLUSION: A great emphasis on health education regarding symptoms, risk factors modification and prevention is T2DM are necessary.

scholarly journals Factors associated with knowledge of the disease in people with type 2 diabetes mellitus

2021 ◽  
Vol 39 (1) ◽  
Author(s):  
Verônica Rabelo Santana Amaral ◽  
Ícaro José Santos Ribeiro ◽  
Roseanne Montargil Rocha
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Minimum Wage ◽  
Clinical Variables ◽  
Factors Associated ◽  
Educational Group ◽  
Level Of Knowledge ◽  
Insufficient Knowledge

Objective. To identify factors associated with the level of knowledge of the disease in people with type 2 Diabetes. Methods. A cross-sectional study carried out with 412 people with diabetes registered in the Primary Health Care network of a Brazil Northeast municipality. For data collection, we used a questionnaire with sociodemographic and clinical variables and to identify the level of knowledge, we used the Diabetes Knowledge Questionnaire. Results. Insufficient knowledge prevailed in 54.7% of the participants, associated in significant bivariate analysis (p<0.05) with the sociodemographic variables: age (≥ 60 years old), marital status (without a partner), education (up to complete / incomplete elementary school), family income (≤ 1 minimum wage). For clinical variables, the level of insufficient knowledge was significantly associated with not participating in an educational group, not using insulin, and not practicing physical activity. In logistic regression, we observed that the factors that increase the risk for insufficient knowledge were: never having participated in an educational group (OR=2.0), age ≥ 60 years old (OR=2.2), illiterate and primary education (OR=8.3) and income less than or equal to 1 minimum wage (OR = 2.4). Conclusion. The level of knowledge of people with type 2 diabetes mellitus about their disease is insufficient, with socioeconomic and educational characteristics being the factors that increase the odds of having this level of knowledge.

Sign in / Sign up

Export Citation Format

Share Document