Ahmad Fariz Malvi Z Zein
Fakultas Kedokteran Universitas Swadaya Gunung Jati

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Journal : Global Health Management Journal

Factors Influencing Quality of Life among Patients with Type 2 Diabetes Mellitus (T2DM) at Waled General Hospital, Cirebon, Indonesia Hidayat, Abimanyu; Zein, Ahmad Fariz Malvi Zamzam; Suwarno, Hermansyah
GHMJ (Global Health Management Journal) Vol. 8 No. 1s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-81s1171

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease that requires long-term management and carries the risk of leading to other health conditions, which can result in decrease of quality of life. Aims: To find the quality of life of patients with Type 2 Diabetes Mellitus (T2DM) and the factors affecting it at Waled General Hospital (RSUD Waled), Cirebon, Indonesia. Methods: It was an analytic observational study with a cross-sectional approach. The study took place at RSUD Waled, Cirebon Regency, and used 96 (T2DM) patients as research samples that were chosen with simple random sampling. The source of data was primary through a questionnaire and secondary from the patient’s medical record. The questionnaire used for the quality of life’s variable in this research was WHOQOL-BREF. The analytical statistics used were Spearman’s correlation test for the bivariate analytics, and binary logistics regression for the multivariate analytic. Results: There were 54.2% of T2DM patients that fell into bad quality of life category and 45.8% of T2DM patients had good quality of life. Analytic statistics showed a significant relationship between glycemic control (p = 0.003 and r = 0.304), family support (p = 0.000 and r = 0.502), and self-acceptance with quality of life of T2DM patients (p = 0.000 and r = 0.606). Meanwhile types of therapy, comorbidities, and complication didn’t show a significant correlation with quality of life of T2DM patients. Multivariate analysis showed the most correlated factor for quality of life of patients T2DM was self-acceptance (OR=30). Conclusion: There were some factors that had significant correlation with quality of life of T2DM patients. Self-acceptance was the most correlated factor with quality of life of T2DM patients. Healthcare providers can incorporate educational intervention programs into routine diabetes care, emphasizing patients' psychological health, especially with regard to self-acceptance and family support techniques. In order to improve knowledge, motivation, and efficient self-management, this program may incorporate counselling, education, and the creation of support groups.
Characteristics and Endoscopy Findings of Liver Cirrhosis Patients at Waled Hospital, Cirebon, Indonesia (2020-2023) Azahra, Afifah Humaira; Sedayu, Sedayu; Zein, Ahmad Fariz Malvi Zamzam
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741071

Abstract

Background: Hepatic cirrhosis is a terminal manifestation of chronic liver disease. The causes of cirrhosis in the Asia Pacific it was caused by hepatitis B. Older adults are more likely to experience complications, which might be due to abnormalities in the liver. Various complications occurred during the progression from compensated to decompensated, and endoscopic examination showed images of gastroesophageal varices or PHG. Aims: The aim was to determine the characteristics of liver cirrhosis patients and the endoscopy findings at waled hospital from 2020 to 2023. Methods: This research used descriptive observational methods. The sample in this study were patients with liver cirrhosis at Waled hospital from 2020-2023, there were 135 sample who were selected using total sampling techniques. Information was acquired from medical records of 33 patients who met the consideration rules. Results: This study showed that the largest number of patients with liver cirrhosis based on age 45 years old (12.1%), predominantly male (72.7%), with the etiology hepatitis B (69.7%), and all (100%) were in decompensated stage. Endoscopy results revealed that the majority of patients experiences esophageal varices and PHG (54.5%), with grade 3 esophageal varices (81.8%) and mild grade PHG (60.6%) dominating. Conclusion: The majority of patients with liver cirrhosis were 45 years old, predominantly male, with the most common etiology hepatitis B, and all were in the decompensated stage. The most common endoscopy results showed esophageal varices and PHG, with grade 3 esophageal varices and mild grade PHG. Received: 26 September 2024  |  Reviewed: 23 October 2024  |  Revised: 30 November 2024  |  Accepted: 12 December 2024.