740-P: Effect of Family Support Intervention on Support Roles and Impact of Support on HbA1c among Adults with Type 2 DM

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 740-P
Author(s):  
MARGARET ZUPA ◽  
MICHELE HEISLER ◽  
JOHN PIETTE ◽  
RANAK B. TRIVEDI ◽  
SHELLEY C. STOLL ◽  
...  
2020 ◽  
Vol 6 (1) ◽  
pp. 39-45
Author(s):  
Reny Sulistyowati ◽  
Agnes Dewi Astuti

The level of adherence usually decreases in patients with chronic conditions compared to acute conditions; this is related to the long-term nature of chronic disease due to the most rapid decrease in adherence after the first 6 months of therapy. The decline in compliance not only resulted in poor health outcomes but also had a significant impact on health costs. The purpose of this study was to determine family support for medication adherence in type 2 DM patients. This study used descriptive correlational using a cross-sectional study approach of 100 respondents. Patient demographic data and family support were obtained using a questionnaire while the level of compliance used Morisky Medication Adherence Scales. The results show that there is a relationship between family support and medication adherence in patients with type 2 diabetes, which is viewed from 4 dimensions: appreciation support, emotional support, information support, and instrumental support. Support from family can improve medication adherence in type 2 DM patients.


Author(s):  
Rahsunji Intan Nurvitasari ◽  
◽  
Didik Gunawan Tamtomo ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  

Background: Type 2 diabetes mellitus (DM) is a chronic metabolic disease that has a major impact on the quality of life (QoL). The type 2 DM patients to know their capacity to manage the disease and maintain their health and well-being. This study aims to determine biological, psychological, social and economic factors on the quality of life in type 2 DM patients. Subjects and Method: A cross-sectional study was conducted in Surakarta, Central Java. A sample of 100 type 2 DM patients was selected by purposive random sampling. The dependent variable was quality of life. The independent variables were quality of life (QoL). The independent variables were body mass index (BMI), HbA1C, occupation, education, physical activity, and family support. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: Quality of life in type 2 DM patients increased with high physical activity (OR= 6.33; 95% CI= 1.92 to 20.87; p= 0.002), strong family support (OR= 3.94; 95% CI= 1.21 to 12.78; p= 0.023), employed (OR= 4.17; 95% CI= 1.15 to 15.19; p= 0.030), and high education (OR= 4.37; 95% CI= 1.49 to 12.76; p= 0.007). Quality of life in type 2 DM patients decreased with obesity (OR= 0.37; 95% CI= 0.12 to 1.20; p= 0.099) and HbA1c (OR= 0.16; 95%= 0.05 to 0.53; p= 0.003). Conclusion: Quality of life in type 2 DM patients increases with high physical activity, strong family support, employed, and high education. Quality of life in type 2 DM patients decreases with obesity and HbA1c. Keywords: quality of life, type 2 diabetes melitus, biopsychosocial Correspondence: Rahsunji Intan Nurvitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281232599161.


2021 ◽  
Vol 4 (2) ◽  
pp. 511-516
Author(s):  
Eka Anita ◽  
Muhammad Taufik Daniel Hasibuan

Indonesia is the 7th country with the highest incidence of diabetes mellitus (DM) with 8.5 million. Data obtained at Aminah Hospital in 2020 from January to December there were 192 Type 2 DM patients being treated and 3659 patients receiving outpatient treatment. The family has a very important role in the health status of family members who suffer from chronic diseases such as diabetes mellitus. Family support can have a positive impact on compliance with care management in DM patients. The purpose of this study was to determine whether there was a relationship between family support and blood sugar control in type 2 DM patients undergoing treatment at Aminah Hospital. This research method uses descriptive correlation and the sample involved is 48 and to analyze the data using the chi square test. The results of this study showed that there was a significant relationship between family support and blood sugar control in type 2 DM patients with p = 0.000 or p <0.005. Family support is very important to influence blood sugar control and it is hoped that families always provide support to sick family members.   Abstrak Indonesia  merupakan  negara dengan urutan ke 7 dengan kejadian diabetes  melitus (DM)  tertinggi  yaitu dengan  jumlah  8,5  juta. Data yang didapat di RS Aminah pada tahun 2020 dari bulan Januari sampai Desember terdapat 192 pasien DM Tipe 2 yang dirawat dan 3659 pasien yang berobat jalan. Keluarga memiliki peran yang sangat penting terhadap status kesehatan pada anggota keluarga yang mengidap penyakit kronis seperti diabetes mellitus. Dukungan keluarga dapat memberikan dampak positif terhadap kepatuhan manajemen perawatan pada pasien DM. Tujuan penelitian ini untuk melihat ada tidaknya hubungan dukungan keluarga dan kontrol gula darah pada pasien DM tipe 2 yang menjalani perawatan di rumah sakit aminah. Metode penelitian ini menggunakan deskriptif korelasi dan sampel yang terlibat sebanyak 48 serta untuk menganalisis data menggunakan uji chi square. Hasil penelitian ini menunjukan ada hubungan yang signifikan antara dukungan keluarga dengan kontrol gula darah pasien DM tipe 2 dengan nilai p = 0,000 atau p<0,005. Dukungan keluarga sangat penting untuk mempengaruhi kontrol gula darah dan diharapkan keluarga selalu memberikan dukungan kepada anggota keluarga yang sakit.


2021 ◽  
Vol 5 (2) ◽  
pp. 29
Author(s):  
Ni Kadek Dwi Yanti Anggreni ◽  
Meril Valentine Manangkot ◽  
I Gusti Ayu Pramitaresthi

Diabetes mellitus (DM) is a metabolic disease with characteristics of hyperglycemia. Type 2 DM that is not handled properly will result in complications that affect the quality of life. Type 2 DM patients need to do self-care as one of the DM treatment. In addition to self-care, the quality of life of DM patients is also related to family support. This study aims to determine the relationship between variables of self-care and family support with the quality of life of patients with type 2 DM. The study was conducted on 26 March-23 April 2019. This study was a quantitative study with a cross sectional approach. The number of the respondents were 59 people, obtained through consecutive sampling technique. Self-care was measured using a summary of diabetes self-care activity (SDSCA) questionnaire, family support was measured using the diabetes family behavior checklist II (DFBC II) questionnaire, and quality of life was measured using the diabetes quality of life (DQOL) questionnaire. The data analysis was done using Pearson Product Moment test. The results showed that there was a relation between self-care and quality of life (p = 0.000, r = 0.548) and there was a relation between family support and quality of life (p = 0.005, r = 0.365). Health workers are expected to develop health education which is not only needed for type 2 DM patients but also their families in order to realize optimal quality of life. Index Terms— family support, quality of life, self-care, type 2 DM


2020 ◽  
Vol 10 (2) ◽  
pp. 48-54
Author(s):  
S. Hançerlioğlu ◽  
İ. Toygar ◽  
N. Çıray ◽  
G. Polat ◽  
Y. Özbey ◽  
...  

Purpose: To evaluate the effect of family support and family conflict on treatment compliance of type 2 diabetes patients. Materials/Methods: The study was conducted in the endocrinology department of a university hospital. Data were collected from 174 individuals diagnosed with Type 2 DM. Patient Identification Form, Family Support and Conflict Scale in Type 2 Diabetes, and Patient Compliance Scale in Type 2 DM Treatment were used for data collection. Results: It was found that the increase in family support increased compliance with the treatment, and the increase in family conflict decreased the compliance to the treatment. A statistically significant difference was found between gender (p = 0.037), place of residence (p <0.001), income level (p <0.001) and compliance. A statistically significant difference was found between marital status (p <0.001) and family support. Conclusions: The increase in family support increases compliance to the treatment, the increase in family conflict decreases the compliance to the treatment.


2020 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Pipin Nurhayati

Physical, psychological, and social changes are the changes that occur due to the various complications that accompany the disease DM type 2. Psychological changes that occur, such as stress, and depression. The purpose of this study is to determine the factors related to anxiety and depression in patients with type 2 diabetes mellitus. This type of research was descriptive with cross sectional design. Sampling technique used total sampling with 60 people. The instrument used DASS 42 and BDI questioner. Data were analyzed by chi square. Chi square test results obtained factors related to anxiety in patients with type 2 diabetes mellitus are age (p value = 0,000), long suffering from type 2 DM (p value = 0,000), education (p value = 0,040), comorbidities (p value = 0,000) and family support (p value = 0,000). While factors which were not related to anxiety in patients with type 2 diabetes mellitus were impaired functional ability (p value = 0,517). Factors that related to depression in patients with type 2 DM were age (p value=0.007), education (p value = 0,001), comorbidities (p value = 0,000) and family support (p value = 0,040). While factors unrelated to anxiety of patients with type 2 DM are long period of type 2 DM (p value = 0,797) and functional ability disorder (p value = 0,435). Conclusion of the factors related to anxiety of patient with type 2 DM are age, long period of type 2 DM, education, comorbidities and family support, while factors that unrelated to anxiety of patients with type 2 DM are functional ability disorder, factors that related to depression of patients with type 2 DM are age, education, comorbidities, and family support, while factors that unrelated to depression of patients with type 2 DM are long period of type 2 DM and functional ability disorder.


2010 ◽  
Vol 7 (2) ◽  
pp. 74
Author(s):  
Martalena Br Purba ◽  
Endah Sri Rahayu ◽  
Hemi Sinorita

Background: Diabetes mellitus (DM) is a clinical syndrome with symptoms of hyperglycemia, urinary glucose excretion and disorder of insulin mechanism. Approximately 90-95% of diabetic patients suffer from type 2 DM. Various studies show that compliance to treatment of chronic disease in general is low. Compliance to eating or food frequency amongst DM patients in hospital in particular is very low. The success of self management of blood glucose (SMBG) needs participation of the patient, families, and educator team.Objective: To study the factors affecting eating compliance particularly eating schedule among type 2 diabetic out-patient who had nutrition counseling in RSUD Kota Yogyakarta.Method: It was an observasional study with cross sectional design and purposive sampling. Data collection was done in October 2008 with 98 subjects. The sampel were type 2 diabetic out-patients according to inclusion criteria at out- patient clinic in RSUD Kota Yogyakarta. Statistical test with 95% confidence interval was applied to investigate factors infuenced eating compliance.Results: There were no correlations between eating compliance and disease duration (RP=  1,253 and p =0,403), and also with type of occupation (RP= 1,047 dan p= 1,000). However, it was found that family support affected eating compliance (RP= 1,723 dan p= 0,025) as well as eating schedule before nutrition counseling (RP = 2,151 and p= 0,02).Conclusion: Duration of disease and type of occupation did not affect eating compliance. Nevertheless, family support and eating schedule before nutrition education affected eating compliance among type 2 DM out-patients in RSUD Kota Yogyakarta.


2020 ◽  
Vol 15 (3) ◽  
pp. 339
Author(s):  
Iftitah Shofiyati

Type 2 diabetes mellitus (DM) occurs due to insufficient insulin production or insulin resistance in the human body. Type 2 DM also causes physical weakness, vision problems, risk of death, and depression. This study aimed to describe depression tendencies in patients with type 2 DM under treatment in Kebonsari Primary Healthcare Center, Surabaya city. This study was a descriptive study with a cross-sectional approach. The research samples were 74 people with type 2 DM in the Kebonsari Primary Healthcare Center, Surabaya city. These respondents selected using simple random sampling had met the inclusion criteria.  These repsondents were aged more than 25 years old, did not experience psychological disorders, and had suffered from type 2 diabetes mellitus for 5 years. The data analysis was done using a univariate analysis by looking at the  frequency distribution of variables. The results indicate that the prevalence of patients with type 2 DM who tended to experience depression was at 50%. The majority of patients with type 2 DM who experienced depression were women (47.4%) and elderly (aged 46-65 years) (41.9%). Most of them had low education levels (62.2%), and some respondents had complications (37.8%) and poor family support (62.2%). Support from closest people such as family support can improve the adaptation of patients with the disease and can prevent psychological disorders, especially depression in patients with type 2 DM.  Keyword: type 2 diabetes mellitus, family support, depression tendencies.


Author(s):  
Devi Marlina ◽  
◽  
Didik Gunawan Tamtomo ◽  
RB. Soemanto ◽  
◽  
...  

ABSTRACT Background: Previous studies have shown that better glycemic control in type 2 diabetes mellitus (DM) is associated with fewer physical symptoms and better well being. The purpose of this study was to determine factors affecting the quality of life in patients with type 2 diabetes mellitus in Surakarta, Central Java. Subjects and Method: A cross-sectional study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from February to March 2020. A sample of 200 patients with type 2 DM aged ≥18 years was selected by simple random sampling. The dependent variable was quality of life. The independent variables were self-care, family support, peer support, length of disease, body mass index (BMI), and education. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Quality of life in type 2 DM patients increased with good self care (OR= 14.34; 95% CI= 1.47 to 140.06; p= 0.022), strong family support (OR= 21.52; 95% CI= 2.98 to 155.44; p=0.002), strong peer support (OR= 31.03; 95% CI= 3.14 to 306.78; p=0.003), length of disease <6 years (OR= 0.05; 95% CI= 0.01 to 0.45; p= 0.007), normal BMI (OR= 0.08; 95%= 0.01 to 0.60; p= 0.014), and education ≥Senior high school (OR= 11.76; 95% CI= 2.05 to 67.41; p= 0.006). Conclusion: Quality of life in type 2 DM patients increases with good self care, strong family support, strong peer support, length of disease <6 years, normal BMI, and education ≥Senior high school. Keywords: quality of life, type 2 diabetes mellitus Correspondence: Devi Marlina. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: [email protected]. Mobile:+6281340983044 DOI: https://doi.org/10.26911/the7thicph.05.39


2019 ◽  
Author(s):  
Olufolake Olabode ◽  
Timothy Omoluru ◽  
Olawunmi Olagundoye ◽  
Akinyele Akinlade ◽  
Henry Akujobi ◽  
...  

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