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Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes Liberty, Iche A; Roflin, Eddy; Aziz, Muhammad; Pariyana, Pariyana; Tjekyan, Suryadi
Makara Journal of Health Research Vol. 22, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: Diabetes mellitus requires aggressive long-term therapy to decrease morbidity and mortality. Non-adherence to oral antidiabetic therapy represents a barrier to treatment that could lead to the deterioration of patient health. This study aimed to develop an indicator for predicting glycemic control among patients with type 2 diabetes. Methods: This unmatched case-control study recruited 110 patients from the Primary Health Care center in Palembang City. The chi-square test was used for certain variables, and multivariate analysis was performed using unconditional logistic regression to assess the effects of different variables after considering certain sociodemographic and economic characteristics as potential confounding variables. Results: The results revealed no statistically significant association of sociodemographic and economic variables (sex, age, education, and employment) with glycemic control. Family history of diabetes, duration of diabetes, body mass index, adherence, monitoring, therapy, and comorbidity were associated with glycemic control. Conclusions: Continuous education of primary care physicians is one way of improving skills for managing hyperglycemic patients. However, the challenge in treating patients with type 2 diabetes is to shift the main criterion from a disease-oriented to patient-centered approach in the context of patients' circumstances. Additionally, our developed indicator can be used as a screening test for assessing glycemic.
Increasing Family Awareness of COVID-19 Transmission In Vulnerable Communities Iche Andriyani Liberty; Fikri, Muhammad Zainal; Irfani, Tri Hari; Pariyana, Pariyana; Tjekyan, Suryadi
International Journal Of Community Service Vol. 1 No. 2 (2021): August 2021 (Indonesia - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v1i2.17

Abstract

COVID-19 cases in Indonesia are still quite high. However, community mobility continues to increase. If in a family there is a vulnerable and / or comorbid age group, it will certainly be increasingly threatened when a productive family member leaves the house but is negligent in implementing health protocols. People who live in market areas, of course, are in direct contact with high economic activities and of course also indicate high mobility. The purpose of this activity is to increase family awareness of COVID-19 transmission in vulnerable communities with comorbidities. The target audience for this community service activity is 31 people who live in the Jakabaring Main Market area of ​​Palembang City. This community service activity results in an increase in knowledge about the importance of health protocols that are carried out in a disciplined and correct manner. This health protocol is carried out in order to protect each other starting from the family and for the community, especially for vulnerable communities. Apart from home visiting activities, the construction of hand washing facilities will also be used by the surrounding community and at the same time become a symbol to remind that washing hands with soap in running water is not only an obligation of the health protocol for preventing COVID-19 but will also save many lives from various threats of other infectious diseases.
Upaya Optimalisasi Pengendalian Hipertensi Peserta BPJS Kesehatan Melalui Program Prolanis di Klub Prolanis Puskesmas Pakjo Kota Palembang Idris, Fachmi; Tjekyan, Suryadi; Pariyana; Liberty, Iche Andriyani
Khidmah Vol 6 No 1 (2024): Khidmah
Publisher : IKesT Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52523/khidmah.v6i1.500

Abstract

Salah satu penyakit tidak menular yang menjadi perhatian serius oleh pemerintah adalah hipertensi karena dapat menimbulkan komplikasi penyakit lain yang lebih berbahaya jika tidak dikelola dengan baik. Prevalensi hipertensi di Provinsi Sumatera Selatan sebesar 30,44%, untuk di kota Palembang sendiri mencapai 31,19% (Riskesdas, 2018). Kegiatan pengabdian masyarakat ini dilakukan pada selama 3 hari (tidak berurutan). Pada hari pertama kegiatan yang dilakukan adalah Focus Group Discussion yang dihadiri oleh tim pengmas serta petugas dari Puskesmas Pakjo yang membahas terkait pelaksanaan prolanis di Puskesmas Pakjo dan rencana jadwal selanjutnya. Pada hari kedua kegiatan yang dilakukan terdiri dari senam bersama, pemeriksaan kesehatan dan edukasi, penyuluhan mengenai prolanis dan hipertensi, dan pemberian hadiah. Kegiatan pada hari kedua ini diikuti oleh 40 orang peserta prolanis, tim pengmas, dan petugas Puskesmas Pakjo. Hasil dari kegiatan tersebut diantaranya adalah dari 40 peserta yang berpartisipasi 75% penderita hipertensi, 10% penderita diabetes melitus, dan 15% penderita hipertensi dan diabetes melitus serta terdapat peningkatan pengetahuan sesudah diberikan penyuluhan mengenai prolanis dan hipertensi. Pada hari ketiga, kegiatan yang dilakukan adalah home visit ke rumah pasien hipertensi yang tidak rutin memeriksakan diri ke Puskesmas Pakjo.