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Hubungan Tingkat Stres, Kualitas Tidur dan Kepatuhan Penggunaan Terapi terhadap Pasien Diabetes Melitus Tipe 2 (Dmt2) Terkontrol di Puskesmas Babakan Kartini, Ni Komang Trisna Dian; B, Larangga Gempa; Faridi, M. Sofyan; Dahlia, Yolly
Malahayati Nursing Journal Vol 7, No 4 (2025): Volume 7 Nomor 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i4.19333

Abstract

ABSTRACT Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder that significantly impacts patients' quality of life. Poor stress management, inadequate sleep quality, and low adherence to therapy are factors that exacerbate uncontrolled blood glucose levels. This study aims to analyze the relationship between stress levels, sleep quality, and therapy adherence in patients with controlled T2DM at Babakan Health Center.This cross-sectional quantitative study was conducted with 100 respondents selected using purposive sampling. Data were collected through validated questionnaires: the Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Index (PSQI), and Morisky Medication Adherence Scale (MMAS-8). Statistical analysis was performed using chi-square tests with a significance level of p < 0.05. The results showed a significant relationship between stress levels, sleep quality, and therapy adherence with the control of T2DM. Patients with high stress levels and poor sleep quality had a higher risk of uncontrolled diabetes (p < 0.001). Therapy adherence also showed a significant positive association with blood glucose control, where higher adherence correlated with better T2DM management. Stress levels, sleep quality, and therapy adherence are significantly related to the control of T2DM. These findings highlight the importance of integrated interventions to manage stress, improve sleep quality, and enhance adherence to therapy for better diabetes management. Keywords: Stress Levels, Sleep Quality, Therapy Adherence, Type 2 Diabetes Mellitus, Controlled Diabetes.  ABSTRAK Diabetes Melitus Tipe 2 (DMT2) merupakan kelainan metabolik kronis yang berdampak signifikan terhadap kualitas hidup pasien. Manajemen stres yang buruk, kualitas tidur yang tidak memadai, dan kepatuhan terapi yang rendah merupakan faktor yang memperparah kadar glukosa darah yang tidak terkontrol. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat stres, kualitas tidur, dan kepatuhan terapi pada pasien DMT2 terkontrol di Puskesmas Babakan. Penelitian kuantitatif cross-sectional ini dilakukan dengan 100 responden yang dipilih secara purposive sampling. Data dikumpulkan melalui kuesioner yang telah divalidasi: Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Index (PSQI), dan Morisky Medication Adherence Scale (MMAS-8). Analisis statistik dilakukan menggunakan uji chi-square dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara tingkat stres, kualitas tidur, dan kepatuhan terapi dengan kontrol DMT2. Pasien dengan tingkat stres tinggi dan kualitas tidur buruk memiliki risiko lebih tinggi untuk mengalami diabetes tidak terkontrol (p < 0,001). Kepatuhan terapi juga menunjukkan hubungan positif yang signifikan dengan kontrol glukosa darah, di mana kepatuhan yang lebih tinggi berkorelasi dengan manajemen T2DM yang lebih baik. Tingkat stres, kualitas tidur, dan kepatuhan terapi berhubungan secara signifikan dengan kontrol T2DM. Temuan ini menyoroti pentingnya intervensi terpadu untuk mengelola stres, meningkatkan kualitas tidur, dan meningkatkan kepatuhan terhadap terapi untuk manajemen diabetes yang lebih baik. Kata Kunci: Tingkat Stres, Kualitas Tidur, Kepatuhan Terapi, Diabetes Melitus Tipe 2, Diabetes Terkontrol.
THE IMPACT OF HYPERTENSION, HYPERCHOLESTEROLEMIA, AND SMOKING HISTORY ON STROKE INCIDENCE AT DR. R. SOEDJONO SELONG REGIONAL HOSPITAL Ningsih, Dera Ayu; Faridi, M. Sofyan; Putra, Risky Irawan; Utami, Sukandriani
International Journal of Health Science & Medical Research Vol 5, No 2 (2026): August 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i2.37229

Abstract

Stroke is a major cause of morbidity and mortality and remains a public health problem, including in East Lombok Regency. The high incidence of stroke is closely related to modifiable risk factors, such as hypertension, hypercholesterolemia, and smoking habits. The novelty of this study lies in the analysis of stroke risk factors based on patient data from Dr R. Soedjono Selong Regional General Hospital, the main referral hospital in East Lombok, which has been reported only to a limited extent. This study aims to analyse the relationship between hypertension, hypercholesterolemia, and smoking history with stroke incidence at Dr R. Soedjono Selong Regional General Hospital. This study is an observational, analytical, cross-sectional study conducted in October–November 2025 on 84 respondents selected using a purposive sampling technique. Data obtained from medical records and structured interviews were then analysed using the chi-square test. The results showed that stroke incidence was found in 57.1% of respondents. Hypertension and hypercholesterolemia were shown to have a significant relationship with stroke incidence, with p-values of 0.005 and 0.000, respectively (p 0.05), while smoking history did not show a significant relationship with stroke incidence (p-value = 0.243). The conclusion of this study shows that hypertension and hypercholesterolemia are the main risk factors associated with stroke incidence, so that control of these two factors needs to be a priority in stroke prevention efforts at the health service level.