scholarly journals Harapan Pada Lansia Dengan Diabetes Melitus Tipe 2

2020 ◽  
Vol 7 (2) ◽  
pp. 97
Author(s):  
Lailatuz Zalia Ifianti ◽  
Rita Hadi Widyastuti

Diabetes melitus adalah gangguan metabolik yang ditandai dengan kenaikan kadar glukosa dalam darah dan dapat menyebabkan  berbagai macam komplikasi sehingga mempengaruhi kualitas hidup lansia. Harapan akan membawa kepada keoptimisan dan meningkatkan kualitas hidup lansia dengan penyakit kronis. Sementara penelitian mengenai dampak harapan masih sangat kurang. Penelitian ini bertujuan untuk mendeskripsikan derajat harapan pada lansia dengan diabetes melitus tipe 2.Penelitian ini menggunakan desain penelitian kuantitatif survei, responden terdiri dari 127 lansia yang menderita DM tipe 2 yang diambil dengan teknik total sampling setelah memenuhi kriteria inklusi. Kuesioner HHI (Herth Hope Index) digunakan untuk mengetahui gambaran harapan. Uji validitas dan reliabilitas telah dilakukan dan hasilnya valid serta reliabel.  Hasil penelitian ini menunjukkan bahwa karakteristik responden adalah didominasi usia 60-74 tahun, sebagian besar berjenis kelamin wanita, tingkat pendidikan didominasi oleh pendidikan SD-SMP, sebagian besar menikah, Suku Jawa, menderita DM < 5 tahun dan tidak mengalami komplikasi. Derajat harapan menunjukkan bahwa responden mempunyai harapan yang tinggi dengan nilai mean sebesar 37.41. Sebagian besar responden merasa hidupnya memiliki nilai dan berharga.Masyarakat dan petugas kesehatan harus membantu lansia mempertahankan derajat harapan yang sudah tinggi dengan menyediakan dukungan sosial dan membantu lansia mencari jalan keluar ketika menghadapi masalah tentang kesehatan dan yang lainnya. Kata Kunci: diabetes mellitus; harapan; lansiaHOPE IN ELDERLY WITH DIABETES MELITUS TYPE 2Diabetes mellitus is a metabolic disorder that signed with the increase of glucose level in blood and can make various complication which influences the elderly’s quality of life. Hope will bring the optimism and increased the  quality of life on elderly with chronic diseases. However, research supporting this effect is lacking. This study was aimed to find out the description of the hope level among elderly with diabetes mellitus type 2. This study was quantitative descriptive with 127 elderly diabetic patients taken by using total sampling technique by fulfilling the inclusion criteria. Herth Hope Index (HHI) questionnaire was used. The validity and reliability was confirmed. The results of this research show that the age of respondent was dominated with 60-74 years old, mostly consist of female. The education level was mostly elementary school, mostly have been married and from Javanese family, suffered from DM for about 5 years and mostly didn’t have complications. For the hope level, the respondent mostly  is in high level with mean score is 37.41. The respondent feel that their life is worth and precious. Based on the results of this research, the society and health center member should help the elderly to maintenance their level of hope by give the support system to the elderly and facilitate the elderly to solve their problem about health or another. Keywords: diabetes mellitus; elderly; hope  

2021 ◽  
Vol 32 (1) ◽  
Author(s):  
Giovanni Rojas ◽  
Paola Solís Pazmiño ◽  
Richard Gaona ◽  
Fernanda Mollocana ◽  
Ismael Espín ◽  
...  

Introduction: In health decision-making, relevance should be given to the patient's perception of the quality of life derived from the state of health resulting from the use of one or another possible alternative. Worldwide, the utility associated with quality of life is expressed in quality-adjusted life years (QALY). The EQ-5D-5L has shown validity and reliability as a measure of quality of life and utility in health, being studied and validated both in primary care and in diabetic patients. Objective: To measure the perceived quality of life in patients with diabetes mellitus type 2 in utility measures, in a second-level hospital during 2018 using the EQ-5D-5L questionnaire Spanish version for Ecuador. Patients and methods: Cross-sectional study with adults older than 40 years with type 2 diabetes mellitus in treatment and ambulatory medical assistant. The QALYs were estimated using the calculator on the NATS-INC website. The results were expressed in means with standard deviation or percentages, and measures of association between variables were performed. Results: 57 participants, mainly women, fulfilled the inclusion and exclusion criteria; with an average age of 67.77 years. Regarding the quality of life measured by the EQ-5D-5L instrument, the most frequent state of health was 11111 (28.1%), which means “no discomfort”. A mean of 74.47 was obtained in the EVA and 0.708 in QALY. Conclusions: The participants in this study report a higher level of quality of life compared to countries with higher economic levels, and very similar averages in the scores obtained in the EVA.


2019 ◽  
Author(s):  
Francisco Jesús Represas Carrera Sr ◽  
Ángel Alfredo Martínez Ques Sr ◽  
Ana Clavería Fontán Sr

BACKGROUND Diabetes mellitus is currently a major public health problem worldwide. It is traditionally approached in a clinical inpatient relationship between the patient and the healthcare professional. However, the rise of new technologies, particularly mobile applications, is revolutionizing the traditional healthcare model through the introduction of telehealthcare. OBJECTIVE (1) To assess the effects of mobile applications for improving healthy lifestyles on the quality of life and metabolic control of diabetes mellitus in adult patients. (2) To describe the characteristics of the mobile applications used, identify the healthy lifestyles they target, and describe any adverse effects their use may have. METHODS Review of systematic reviews and meta-analysis, following the guidelines of the Cochrane Collaboration and the Joanna Briggs Institute. We included studies that used any mobile application aimed at helping patients improve self-management of diabetes mellitus by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care without the use of mobile devices. In May 2018, a search was conducted in Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct, updated in May 2019. The methodological quality of the studies was assessed using the Amstar-2 tool. RESULTS Seven systematic reviews of 798 articles were initially selected for analysis. The interventions had a duration of between 1 and 12 months. Mobile applications focused singly or simultaneously on different lifestyles aspects (diet, physical exercise, motivation, blood glucose levels, etc.). There are significant changes in HbA1c values, body weight and BMI, although in others, such as lipid profile, quality of life, or blood pressure, there is no clear improvement. CONCLUSIONS There is clear evidence that the use of mobile applications improves glycemic control in diabetic patients in the short term. There is a lack of evidence in its long-term benefits. It is thus necessary to carry out further studies to learn about the long-term effectiveness of mobile applications aimed at promoting the healthy lifestyles of diabetic patients. CLINICALTRIAL PROSPERO Register: CRD42019133685


2018 ◽  
Vol 4 (2) ◽  
pp. 129
Author(s):  
Nadya Puspita Dewi ◽  
Tetti Solehati ◽  
Nur Oktavia Hidayati

Dysmenorrhea is a pain before or during the menstrual period. The impact of dysmenorrhea are the disruption on physical function, emotional, social and school activities and disruption of quality of life. The study purpose is to detect the quality of life of adolescents with dysmenorrhea.The research method was a quantitative descriptive with total sampling technique to 195 students which selected using dysmenorrhea screening. The data were collected using the pediatric quality of life 4.0 generic module (PedsQL) teens report in Indonesian version which the validity and reliability have been tested. Analysis of data has been done to find out the mean value in each dimension and frequency distribution. The results showed that the mean value of the quality of life of adolescents with dysmenorrhea in general was 62,04 ± 8,15 and 51,8% was in the low. The mean value in physical dimension was 49,36 ± 9,19, emotional dimension was 57,62 ± 13,16, social dimension was 86,38 ± 13,28, and in the school dimension was 62,41 ± 14,77. The quality of life in high categories were in the emotional dimension (60,0%), social dimension (64,1%), and school dimension (60,5%). Meanwhile, the quality of life in low category was in the physical dimension (57,4%). It showed that the quality of life of adolescents with dysmenorrhea in SMK Negeri 2 Sumedang were low. It was recommended to the school and the health office in Sumedang district to provide the reproductive health education, specifically about the prevention and the treatment of dysmenorrhea on adolescents.  


Author(s):  
Vesna Konjevoda ◽  
Marko Zelić ◽  
Radenka Munjas Samarin ◽  
Davorina Petek

The aim of this study was to validate City of Hope Quality of Life-Ostomy Questionnaire (CoH-QoL-OQ) for assessing the quality of life (QoL) of ostomy patients in the Republic of Croatia. The CoH-QoL-OQ is widely used, but has not been translated or validated so it can be used in the Republic of Croatia. This cross-sectional study encompassed 302 surgery patients with colostomy, ileostomy, or urostomy (182 (60.3%) male and 120 (39.7%) female), whose average age is 59 (M = 59.3, SD = 15.8). The CoH-QoL-OQ was translated into Croatian language using accepted guidelines for translation. Patients were recruited in a telephone conversation, followed by mail containing the CoH-QoL–OQ delivered to the home addresses of the patients who agreed to participate. The collected data were analyzed to verify psychometric properties of the questionnaire on the Croatian sample. All subscales showed high level of internal consistency (Cronbach α = 0.73–0.89). The test-retest reliability indicated a very satisfactory temporal stability (r = 0.99). The Confirmatory Factor Analysis (CFA), showed that the originally established model was not adequate for the data (χ2 = 4237.88, p < 0.01, CFI = 0.540, NNFI = 0.481, RMSEA = 0.113). However, after modification that excluded problematic items, the data showed a better fit with the theoretical model (except for the LR chi-square test that remained statistically significant: χ2 = 1144.28, p < 0.01, CFI = 0.869, NNFI = 0.855 RMSEA = 0.077). We conclude that the CoH-QoL-OQ is a valid, reliable, and reducible instrument for measuring the health-related quality of life (HRQoL) among Croatian patients with ostomy in clinical research and clinical practice.


2014 ◽  
Vol 31 (3) ◽  
pp. 193-200 ◽  
Author(s):  
Ana Spasić ◽  
Radmila Veličković Radovanović ◽  
Aleksandra Catić Đorđević ◽  
Nikola Stefanović ◽  
Tatjana Cvetković

Summary The presence of diabetes mellitus leads to a decrease in life quality in all domains. The aim of our study was to evaluate the quality of life (QOL) in diabetic patients and the factors affecting it in type 2 diabetic mellitus patients. We conducted a cross-sectional study that included 86 patients with type 2 diabetes mellitus, in the territory of the City of Niš. Health-related QOL of patients was measured using the short form survey (SF-36) that produces an 8-scale health profile. The average duration of diabetes was 12.76±8.08 years. The best QOL in all areas was observed in patients diagnosed with diabetes less than 10 years ago p<0.05) and younger than 65 years. Male respondents perceived a better QOL compared to women, especially in the vitality and pain domains. The patients with comorbidity (93.64%) had lower QOL score in all domains. There was no significant difference in the QOL of patients with diabetes compared to the level of education. High QOL represents an ultimate goal and an important outcome of all medical interventions in diabetic patients. Factors related to lower QOL included: older age, female gender, and existence of comorbidities. Uncontrolled diabetic patients had a lower QOL than controlled diabetics.


2021 ◽  
Vol 5 (1) ◽  
pp. 190-191
Author(s):  
Saira Waqar ◽  

Globally, new trends of practices are incorporating in health care sector, academics as well as in our daily lives to cope with the current population need. It is much needed to develop and implement new sophisticated practice models in rehabilitation to treat the different clinical conditions. Diabetes mellitus is one among the top 10 causes of death, with significant increase of 80% since year 20001. As estimated by International Diabetes Federation worldwide, 425 million people are suffering with diabetes mellitus.2 Diabetic neuropathy is one of highly prevalent condition which substantially affects patients by increasing frequency of falls, neuropathic pain and low quality of life (QOL).Diabetic patients suffer with following complaints i.e. Foot ulcers that develops due to peripheral vascular ischemia and poor pressure distribution on plantar surface of foot which increases the risk of fall due to loss of balance and disturbance in gait patterns.3 Total 20% of foot ulcers need an amputation wherein patients further suffer with secondary complications which in turn builds massive economic burden on health care system.4 The rehabilitation combined with diet and medications has proven as an effective method to treat diabetes and its neuropathy symptoms. Supervised conventional center based physical activity training programs are generally in practice to treat this metabolic condition. Though clinical effectiveness of these programs is established on clinical outcomes, with reduction in mortality rate, despite all the benefits of rehabilitation programs, very low patient attendance is observed in hospital based supervised rehabilitation programs. The regularity in exercise along with dietary intervention and fixed medication monitoring is the key component to manage diabetes. But high drop-out levels negatively affects the proven effectiveness of rehabilitation. There are different aspects for this low level of participation i.e. lack of time, approachability of a program, home bound work or obligations and psychological barriers etc. Therefore, new practice models are essential to improve the rate of participation on regular basis in these exercise program.5 Computer based technological incorporation in the field of health is evolving dramatically as a promising tool in improving quality of life cost effectively. It can also help us to achieve WHO goal “to improve access to health care services and professionals”. Tele-rehabilitation may prove effective as part of the rehabilitation program, especially for diabetic patients who fail to participate in conventional rehabilitation center-based programs due to domestic issues. The factors associated with suboptimal participation in rehabilitation at home are less prevalent. In tele-rehabilitation, patients are not bound to visit rehabilitation center or hospital; hence they have the freedom to perform exercise at home. But the limitations in utilization of this approach are: patient assessment and evaluation in a structured manner, monitoring the effect of program on regular basis, suitability of approach for all type of morbidities & severity levels of diabetes and suitable equipment having required features for patients as well as practitioners.6 Tele-rehabilitation is a prospective opportunity to treat the diabetic patients through regular monitoring with less drop outs rather than center based approach. However, there is a need to identify the types and severity of diabetic patients for whom this approach is safe and effective. Secondly, it is required to define clinical assessment outcomes which can be monitored and assessed. Incorporation of advanced equipment and relevant operational training is indispensable. Development of Standardized documentation for patient evaluation, intervention and outcomes monitoring is imperative to long term sustainability and improvement of practice. It is equally important to ensure the security and confidentiality of Patient’s personal data and privacy.7


2015 ◽  
Vol 67 (1) ◽  
pp. 29-39
Author(s):  
Agnieszka Kozerska

From the perspective of adult education, the engagement of older people in developing relationships with other people is related to their learning and creating their identities. The research conducted in the areas of various countries shows a relationship between a social participation of seniors and their well-being. Moreover, participation in rich social networks, composed of many people, coincides with a high quality of life. The article focuses on senior citizens functioning in restricted networks (less numerous social networks, consisting of several people).The study is to serve three purposes: firstly, to identify determinants of a subjective assessment of own life of senior citizens living in restricted networks; secondly, to analyse a relationship between seniors’ subjective, general assessment of life and their opinion on what determines a successful and happy life; thirdly, to analyse the relationship between seniors’ subjective, general assessment of life and the ways they handle problematic situations. The analysis has been conducted on the basis of the data collected in 2013, available to the general public on www.diagnoza.com. The data was collected within the Social Diagnosis (Diagnoza społeczna) project. The objective of the Social Diagnosis is an investigation of the conditions and quality of life in Poland. It is based on panel research. A questionnaire has been used as a research tool. The article presents information regarding 5623 individuals, aged 60+functioning in restricted social networks in Poland. The Mann-Whitney U test and the two proportions test helped to analyse the differences between variable distributions. The results show that a poor social life of the elderly does not have to be linked with a feeling of loneliness. The group of individuals with a high level of general satisfaction is more satisfied with a relationship with the family (especially children) than the group with a low level of life satisfaction. The analysis confirms that good relationships with family and friends are an important predictor of life satisfaction of the elderly. Health is considered to be a condition of a successful life by seniors with a high level of life satisfaction, as well as relationships with close family members: with children and a spouse. This group of respondents shows more confidence in other people, by whom they feel loved and confided in. In difficult situations people with a high level of life satisfaction turn to others for help, but they also act themselves. Seniors with a low level of satisfaction differ from the previous group in these terms. These are people who do not feel confided in by others and they also hardly ever turn to others for help. In difficult situations they are more often passive. In conclusion, the author highlights the significance of informal learning occurring in families to enhance older people’s quality of life. It is important, especially in case of poorly educated persons with low incomes who often function in small social networks. Key words: informal learning in the family, life satisfaction of older adults, social participation of seniors.


2021 ◽  
Vol 20 (1) ◽  
pp. 183-190
Author(s):  
Haidong Luo ◽  
Yin Lin ◽  
Jia Li ◽  
Weiguo Xu

Purpose: To determine the relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three hospitals in Chinese.Methods: This research utilized a quantitative and descriptive design, and included 200 diabetic patients who fulfilled the inclusion criteria for recruitment through a convenient sampling technique. The study applied Beck’s depression inventory II scale for assessment of depression, and a questionnaire for adherence to anti-diabetic medication.Results: A total of 64 (32 %) participants had diabetes for 6 to 10 years. There was a high level of adherence to anti-diabetic medication in 96 patients (48 %); 74 participants (37 %) had moderate adherence to anti-diabetic medication, while 30 patients (15 %) had low adherence. A majority of the patients (181, 90.5 %) had no depression. Six (6) patients (3 %) had mild mood disturbance, 2 patients (1 %) had borderline clinical depression, while 11patients (5.5 %) experienced moderate depression.Adherence to anti-diabetic medication was not associated with depression (p = 0.068). However, depression was associated with age ˃ 50 years (p = 0.041), female sex (p = 0.043), long duration of illness (> 5-years) (p = 0.048), and presence of one or more comorbidities (p = 0.049).Conclusion: There was no association between adherence to anti-diabetic medication and depression among diabetic patients. Keywords: Adherence to anti-diabetic medication, Beck’s depression inventory II, Depression, Diabetes mellitus


1970 ◽  
Vol 2 (3) ◽  
pp. 107-116
Author(s):  
Aszrul AB ◽  
Andi Suswani ◽  
Buharman

Quality of life is a person's perception in a cultural context and norms that are relevant to the person's place of life-related to the goals, expectations, standards, and concern for his life. The purpose of this study was to determine the quality of life of the elderly in terms of physical, psychological, level of independence, social, environmental, spiritual life in Bukit Harapan Village in 2018. This study uses a descriptive survey method with a "probability sampling" approach. The sample in this study was 78 respondents with a population of 340 determined using a sampling technique. Data collection was carried out using a questionnaire sheet (check sheet). The analysis used is a univariate analysis which is seen from the results of the frequency distribution. The study showed that the quality of life of the elderly is good as much as 75.3% and the quality of life that is less than good 25.3%. While seen from the physical domain of the good old 70.1% the physical is not good 29.9%. while the good psychology domain elderly 67.6% less good psychological 32.5%. Good independence rate of elderly 71.4% Poor independence rate 28.6%. Elderly good social domain 72.7% good social domain 27.3%. The good old neighborhood domain 67.6% and less good domain 32.5%. Spiritual good 84.4% Spiritual bad 15.7%. In this study it can be concluded that the quality of life of the elderly from the physical domain that has a less good quality is more than the good, while psychological, independence, social, environmental, spiritual elderly have a good category.


2021 ◽  
Vol 4 (2) ◽  
pp. 8-14
Author(s):  
Cindy Yuni Fitri ◽  
Supriyadi Supriyadi

ABSTRACT Background : Overweight and obesity is a common health problem and continues to increase at this time.Overweight and obesity can affect both all ages ranging from children, adolescents, to the elderly, and all genders, either male or women. Factors that influenced obesity including genetic, physical activity, and eating patterns. In addition, quality of life and duration of sleep were among the factors that affected obesity. Less sleeping at night was related to the occurrence of overweight. The occurrence of overweight became higher whena person slept with a duration of 7 hours per day. This showed that the less time to sleep the greater the occurrence of overweight. While the quality of one's life was related to unhealthy lifestyles such as the habits of having dinner and snacks at night, the habit of eating high-fat fast food, and rarely exercising.Objective: To determine the correlation between sleep duration and quality of life with obesity in Nursing students of Universitas Muhammadiyah Purwokerto.Method: Observational analytic with cross sectional approach was used in this study. The samples were taken by using random sampling technique. There were 30 respondents who fit the inclusion and exclusion criteria.Univariate and bivariate with chi square test were used to analyzed the data.Results: (1)There was a correlation between sleep duration and obesity in Nursing students with a value = 0.025.(2) There was no relationship between quality of life and obesity in Nursing students with a value = 0.855. Conclusions: Lack of sleeping can affect the occurrence of overweight to someone but there is no effect on the quality of life to overweight. Keywords: Sleep duration, quality of life, overweight, students.  


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