Treatment adherence in patients with diabetes mellitus type 2
Abstract
Background: Diabetes Mellitus (DM) is a chronic disease often referred to as a lifelong disease with chronic complications. The risk of complications of diabetes mellitus can be reduced by effective management of medication therapy by implementing medication adherence. Medication compliance in diabetes mellitus is influenced by various determinants that describe the extent to which the patient's behavior is to comply with taking medication, following a diet, and implementing lifestyle changes per the recommendations recommended by health care providers.
Purpose: to analyze the determinants of medication adherence in patients with type 2.
Method: The design of this research is quantitative with a cross-sectional study approach. The sample amounted to 97 patients with diabetes mellitus. The statistical analysis used is logistic regression.
Results: Showed that the determinants related to medication adherence were age p-value (0.019), education p-value (0.039), Income p-value (0.006), Health Examination p-value (0.034), Blood Sugar Check p-value (0.005), DM knowledge p-value (0.000), and Social Support p-value (0.003), while work p-value (0.136), Length of Suffering from DM p-value (0.399), Use of insulin p-value (0.504), Number of Diseases p-value (0.409), Comorbid p-value (0.583), emotional p-value (0.561) there is no relationship. The most dominant determinant related to medication adherence was the knowledge variable p-value (0.000) with an odds ratio of 0.150 (95% CI: 057-391
Conclusion: The most significant determinant of medication adherence is knowledge, so it is recommended to provide continuous and comprehensive updated information about the management of DM, one of which is the diabetes self-management education (DSME) method. The provision of the DSME method can be carried out through a home visit approach to the homes of type 2 DM sufferers.
Keywords
References
Ansyar, D. I., & Abdulllah, A. Z. (2020). Komparasi Hubungan Faktor Predisposisi dan Faktor Penguat dengan Kepatuhan Pengobatan Penderita Diabetes Melitus Tipe 2 di Wilayah Pulau dan Non Pulau Kota Makassar. Kampurui Jurnal Kesehatan Masyarakat, 2(2), 36-42.
Astuti, T. S. R., & Soewondo, P. (2019). Analisis Kesiapan Pembiayaan Hipertensi, Diabetes Melitus dan Gangguan Jiwa dalam Mendukung Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) Tahun 2018-2020. Jurnal Ekonomi Kesehatan Indonesia, 3(1).
Bestari, I. L. (2020). Characteristics Of Patients With Type 2 Diabetes Mellitus At Surabaya Haji General Hospital. The Indonesian Journal of Public Health, 15(3), 286.
Dinas Kesehatan Aceh. (2021). Profil Kesehatan Aceh 2021. https://dinkes.acehprov.go.id/detailpost/profil-kesehatan-aceh-tahun-2021
Fatimah, R. N. (2015). Diabetes Melitus Tipe 2. J Majority, 4 (5), 93–101
Fatmawati, S. A., & Karuniawati, H. (2017). Faktor-Faktor Yang Berpengaruh Terhadap Kepatuhan Minum Obat Pasien Diabetes Mellitus Tipe 2 Di RSUD Dr. Moewardi Periode Oktober 2016–Maret 2017 (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes self-management education (DSME)–Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, metabolic syndrome and obesity: targets and therapy, 2489-2499.
Hintze, G. (2020). Diabetes-Komplikationen. DMW-Deutsche Medizinische Wochenschrift, 145(22), 1585-1585.International Diabetes Federation. (2019). IDF Diabetes Atlas Ninth. https://diabetesatlas.org/atlas/ninth-edition.
Isnaeni, F. N., Risti, K. N., Mayawati, H., & Arsy, M. K. (2018). Tingkat pendidikan, pengetahuan gizi dan kepatuhan diet pada pasien diabetes mellitus (DM) rawat jalan di RSUD Karanganyar. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 1(2), 40-45.
Katadi, S., Andayani, T. M., & Endarti, D. (2019). The correlation of treatment adherence with clinical outcome and quality of life in patients with type 2 diabetes. Jurnal Manajemen Dan Pelayanan Farmasi (Journal Of Management And Pharmacy Practice), 9(1), 19-26.
Nurhaliza, S., Mulfianda, R., & Putra, Y. (2021). Hubungan Motivasi dan Dukungan Keluarga Terhadap Kepatuhan Diet pada Penderita Diabetes Melitus. Idea Nursing Journal, 12(2), 26-31.
Perkumpulan Endokrinologi Indonesia (2015). Pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. https://pbperkeni.or.id/wp-content/uploads/2021/11/22-10-21-Website-Pedoman-Pengelolaan-dan-Pencegahan-DMT2-Ebook.pdf.
Riani, D. A. (2017). Validasi 8-item Morisky Medication Adherence Scale versi Indonesia pada pasien hipertensi dewasa di puskesmas kabupaten Sleman dan kota Yogyakarta (Doctoral dissertation, Universitas Gadjah Mada).
Ulfa, K., Mulfianda, R., & Desreza, N. (2019, December). Efektivitas Senam Prolanis Terhadap Penurunan Tekanan Darah Dan Kadar Gula Darah Di Puskesmas. In Prosiding SEMDI-UNAYA (Seminar Nasional Multi Disiplin Ilmu UNAYA) (Vol. 3, No. 1, pp. 728-740).
Upadhyay, J., Trivedi, N., & Lal, A. (2020). Risk of future type 2 diabetes mellitus in patients developing steroid-induced hyperglycemia during hospitalization for chronic obstructive pulmonary disease exacerbation. Lung, 198, 525-533.
DOI: https://doi.org/10.33024/minh.v6i3.11634
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