HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KECEMASAN PADA PENDERITA DIABETES MELLITUS

Latar belakang: Diabetes Mellitus merupakan penyakit kronis serius yang terjadi karena pankreas tidak cukup memproduksi insulin. Oleh karena itu, penderita DM Tipe 2 sering mengalami masalah psikologis yaitu kecemasan yang membutuhkan dukungan keluarga. Bertujuan untuk mengetahui hubungan antara dukungan keluarga dengan tingkat kecemasan. Metode: penelitian ini menggunakan desain penelitian analitik dengan desain cross sectional. Non-probability sampling digunakan untuk menentukan sampel, yang melibatkan 66 responden. Alat ukur dalam penelitian ini adalah kuesioner Hensarling Diabetes Family Support Scale (HDFSS) dan Zung Self-Rating Anxiety Scale (ZSAS). Dianalisis menggunakan uji statistik Chi-Square. Hasil: diperoleh nilai (p value = 0,003 < 0,05), menunjukkan bahwa ada hubungan yang signifikan antara dukungan keluarga dengan tingkat kecemasan pasien diabetes tipe 2. Kesimpulan: Hasil penelitian ini adalah pasien diabetes melitus tipe 2 membutuhkan dukungan keluarga untuk mengatasi tingkat kecemasan

Relationship between Diabetes Family Conflicts or Problem Recognition in Illness Self-Management and Quality of Life of Adolescents with T1DM and Their Parents

This study aimed to investigate the relationship between diabetes family conflicts or problem recognition in illness self-management (PRISM) and the parental perceived quality of life (QoL) of adolescents with type 1 diabetes mellitus (T1DM) and their parents. This was a cross-sectional study, and the participants comprised 111 parents of type 1 diabetes adolescents; data were collected via an online survey and analyzed by descriptive statistics, correlation, and multiple linear regression analysis using the IBM SPSS 25.0 program. The explanatory power of the QoL model in parents of adolescents with T1DM, constructed using three variables—diabetes family conflict (B = −0.56), regimen pain and bother (B = −11.25), and peer interactions (B = −7.48), which are PRISM barriers—was 35.7% (F = 5.70, p < 0.001). Diabetes family conflicts (B = −0.86) and peer interactions (B = −9.04) explained 57.3% of the variance in the parental perceived QoL of adolescents with T1DM (F = 12.33, p < 0.001). In order to improve the QoL in parents and adolescents with type 1 diabetes, interventions to effectively manage diabetes family conflicts and improve peer interactions are necessary.

The Relationship between Diabetes Family Conflict and Parental Conflict on Problem Recognition in Illness Self-Management among Individuals with Type 1 Diabetes Mellitus

We investigated the relationship between diabetes family conflict and parental conflict on problem recognition in illness self-management (PRISM) among individuals with type 1 diabetes mellitus (T1DM). We employed a descriptive research design. Participants were 243 individuals with T1DM who completed online questionnaires. Data were analyzed with descriptive statistics, correlations, and multiple regression analyses. Results revealed that barriers were felt in all areas (understanding and organizing care, regimen pain and bother, healthcare team interaction, family interaction, and peer interaction), especially peer interaction. The significant influencing factors in the regression model for the total PRISM score of individuals with T1DM were conflict behavior toward mothers (t = 4.44, p < 0.001), diabetes family conflict (t = 5.77, p < 0.001), conflict behavior toward fathers (t = 2.58, p = 0.011), women (t = 2.67, p = 0.008), non-religious (t = −2.33, p = 0.020), and diabetic complications (t = 2.17, p = 0.031). The explanatory power of the constructed regression model for PRISM was 42.0% (F = 30.12, p < 0.001). To promote self-management among individuals with T1DM, the development of interventions that promote improved peer interactions, a family-centered approach, and a program that can minimize conflicts between families and parents are required.

Use of SGLT-2 Inhibitors in Patients with Chronic Kidney Disease

KEY TAKEAWAYS • Chronic kidney disease (CKD) is common, occurring in 1 of 7 adults in the United States. • 9 out of 10 adults with CKD are unaware of it. • People with CKD have the same risk for cardiovascular (CV) death as people with known atherosclerotic heart disease. • The risk for CV events and death increases with worsening albuminuria and estimated glomerular filtration rate (eGFR). • Patients with risk factors for CKD (hypertension, diabetes, family history of CKD, or advancing age) should be screened by measuring both eGFR and urinary albuminto-creatinine ratio. • Sodium-glucose cotransporter-2 inhibitors are first-line agents for treatment of patients with type 2 diabetes mellitus and CKD or a history of atherosclerotic CV disease. • Dapagliflozin has demonstrated equivalent efficacy for reducing kidney events in patients with CKD irrespective of diabetes status, and a similar, ongoing trial with empaglifloz

The Risk and Influencing Factors of Hypertension in Jinchang Cohort

Background To investigate the incidence and influencing factors of hypertension in Jinchang cohort. Methods A prospective cohort study was conducted to collect the baseline and follow-up information of 22,826 employees from 2011 to 2015 based on the Jinchang cohort platform. The incidence of hypertension in the cohort was calculated and the influencing factors were analyzed by Cox proportional risk model. Results The subjects were followed up for an average of 22 years, and the incidence density of hypertension was 56.31/1000 person-years. Multivariate Cox regression results showed that the main risk factors for hypertension in the population included age ≥40 years, alcohol consumption, high-salt diet, history of diabetes, family history of hypertension, overweight and obesity, baseline systolic blood pressure ≥110 mm Hg and diastolic blood pressure ≥75 mm Hg, and higher education levels (middle school, high school, and above) were a protective factor. The incidence of grade 1 hypertension was related to age, drinking, history of diabetes, family history of hypertension and baseline blood pressure levels, and the incidence of grades 2 and 3 hypertension was related to high-salt diet, family history of hypertension, overweight or obesity, and baseline blood pressure levels. Conclusions The Jinchang cohort has a higher risk of hypertension. Age, unhealthy lifestyle, history of diabetes, family history of hypertension, obesity, and baseline blood pressure are strongly associated with the onset of hypertension. There are differences in the risk factors for the occurrence of grades 1, 2, and 3 hypertension.

Awareness on the Risk factors of Atherosclerosis among adults

Cardiovascular disease (CVD) is a main source of death for generally racial and ethnic gatherings of United States blacks and whites and represents 1 of every 4 passings. Atherosclerosis is a cardiovascular disease and it involves solidifying and narrowing of arteries. It can put the bloodstream into danger and supply routes get blocked. Self administrated questionnaire was designed based on risk factors of atherosclerosis. The questionnaire was distributed through an online survey link. The questionnaire was completed by 100 participants, and the data were analysed using SPSS software. Descriptive statistics and Pearson Chi square test were done to analyze the results of the survey. Majority of the participants are aware of the term atherosclerosis. Most of the participants were aware that hyper cholesterolemia, diabetes, family history and chronic stress are major risk factors associated with cardiovascular disease. The Chi square test showed that the respondents at the age group of 18-25 were more aware of the risk factors than the respondents of other age groups.