Claim Missing Document
Check
Articles

Kepatuhan Dan Manajemen Diri Sebagai Determinan Outcome Terapi Pada Pasien Diabetes Melitus Tipe 2: Complience and Self-Management as Determinants of Clinical Outcomes in Type 2 Diabetes Mellitus Patients Probosiwi, Neni; Vellanie, Putri Suyence; Siswidiasari, Arifani; Nurmawati, Dian; Ilmi, Tsamrotul
Jurnal Inovasi Farmasi Indonesia (JAFI) Vol. 7 No. 1 (2025): Volume 7 No 1 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jafi.v7i1.6668

Abstract

Diabetes melitus tipe 2 merupakan penyakit kronis yang memerlukan pengendalian optimal untuk mencegah komplikasi. Keberhasilan terapi dipengaruhi oleh berbagai faktor, termasuk kepatuhan, manajemen diri, dan karakteristik pasien. Penelitian ini bertujuan menganalisis determinan outcome terapi pada pasien DM tipe 2 di Poli Rawat Jalan RS X Kota Blitar. Penelitian menggunakan desain analitik cross-sectional pada 83 responden yang dipilih secara purposive sampling. Tingkat kepatuhan diukur dengan Medication Adherence Report Scale (MARS-5) dan manajemen diri dengan Diabetes Self-Management Questionnaire (DSMQ). Outcome terapi dinilai dari kadar glukosa darah sewaktu (GDS) dan glukosa darah puasa (GDP). Hasil menunjukkan kepatuhan (p=0,001), manajemen diri (p=0,003), dan lama menderita DM (p=0,048) berhubungan signifikan dengan outcome terapi, sedangkan karakteristik seperti jenis kelamin, usia, pendidikan, dan pekerjaan tidak berhubungan secara signifikan. Analisis regresi logistik mengidentifikasi kepatuhan sebagai determinan utama (OR=3,280; 95% CI: 1,085–9,913). Dapat disimpulkan bahwa peningkatan kepatuhan pengobatan dan manajemen diri berperan penting dalam keberhasilan terapi pada pasien DM tipe 2.
The Relationship Between Diabetes Self-Management Education and Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus Probosiwi, Neni; Siswidiasari, Arifani
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v16i1.555

Abstract

Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels, which can cause serious damage to the heart, blood vessels, kidneys, eyes, and nerves. This study aimed to determine the relationship between diabetes self-management education and blood glucose levels in patients with type 2 diabetes mellitus at the Balerejo Public Health Center. This study used an observational analytical study with a cross-sectional design using consecutive sampling. Data were collected prospectively and analyzed using Spearman's Rank Test on 50 patients. The results of the analysis of the diabetes self-management education questionnaire, in the domain of diet with a good category of 32 people (64%), physical exercise 8 people (16%), foot care 34 people (68%), drug therapy 34 people (68%), and glucose level monitoring 17 people (34%). The blood glucose level values ​​​​in the normal range are GDP 21 people (42%), GD2PP 27 people (54%), HbA1c 20 people (40%), and lipid profile values ​​​​of total cholesterol 27 people (54%), LDL 28 people (56%), HDL 29 people (58%), triglycerides 27 people (54%). The results of the Spearman Rank analysis showed that there was a relationship between diabetes self-management education with GDP p-value 0.022; r 0.32, G2PP p-value 0.004; r 0.4, HbA1c p-value 0.036; r 0.3, total cholesterol p-value 0.027; r 0.31, LDL p-value 0.015; r 0.34, HDL p-value 0.008; r 0.37, triglyceride p-value 0.004; r 0.4. Conclusion: There is a significant relationship between diabetes self-management education and blood glucose levels as well as lipid profiles.