Pengaruh Self-Care terhadap Kadar Glukosa Darah Puasa Pasien Diabetes Melitus Tipe-2

Abstract

Diabetes Mellitus (DM) is a chronic hyperglycemic condition which may affect all aspects of life of the sufferer, and it can be life threatening. This problem can be minimized by doing self-care. Self-care has an influence on glycemic control, prevention of complications due to uncontrolled blood glucose and improving the quality of life for people with diabetes mellitus. This study aimed to determine the effect of self-care on fasting blood glucose of type 2 diabetics. This type of research was observational with cross-sectional design. The inclusion criteria for the study were patients with a diagnosis of diabetes mellitus aged > 18-year-old, treatment at a health center >8 weeks, had records of the last blood glucose fasting ≤1 month before the interview, while the exclusion criteria were patients who refused to participate and patients who could not communicate. Self-care measurement uses the Diabetes Self-Care Management Question (DSMQ) instrument. The number of respondents from this study was 115 people where 79,1% of respondents had a good level of self-care and 47% of respondents with fasting glucose levels that had not been achieved. The data were analyzed using Chi-square test. From this study, it was found that self-care had an effect on fasting blood glucose (OR=3,349, P<0,05). The lowest value of self-care in this study is the domain of physical activity and health-care, therefore patient motivation needs to be improved by exercise and routine check-up because self-care is one of the important factors that could control blood glucose levels.

Hubungan Self Care Activities Terhadap Kadar Glukosa Darah Puasa Pasien Diabetes Mellitus (Dm) Tipe Ii Di Rsud Kelet Provinsi Jawa Tengah

“…Hal tersebut didukung oleh penelitian yang dilakukan oleh Syahrizal untuk mengevaluasi hubungan antara self-care terhadap HbA1c menggunakan DSMQ, menunjukkan adanya hubungan yang signifikan antara self-care dan HbA1c4. 12 Penelitian lain yang dilakukan untuk mengkaji penerapan self-care terhadap perubahan gula darah pasien DM tipe II menggunakan kuesioner SDSCA (The Summary of Diabetes Self Care Activities) menunjukkan adanya korelasi yang signifikan antara self-care dengan GDS pasien DM tipe II dengan aspek motivasi sebagai variabel penting yang paling berpengaruh terhadap self-care. 13 Penelitian lain yang dilakukan untuk mengetahui hubungan self-management dengan GDS pasien DM tipe II menggunakan DSMQ, menunjukkan adanya hubungan antara selfmanagement dengan GDS pasien DM tipe II dengan aspek manajemen diet dan aktivitas fisik yang belum dilakukan dengan maksimal oleh pasien DM dalam melakukan self-care.…”

relationship between illness perceptions, self-management, and quality of life in adult with type 2 diabetes mellitus

“…The highest score indicates greater self-control. This questionnaire has been translated into an Indonesian version and used for people with type 2 DM with Cronbach's α coefficients ranging from 0.81 to 0.86 (Ramadhani et al, 2019).…”

Pengaruh Self Manajement terhadap Pengendalian Kadar Gula Darah pada Penderita Diabetes Mellitus Tipe II di UPTD Diabetes Center Kota Ternate

“…Diabetes melitus adalah penyakit kronis dimana diperlukan terapi berkesinambungan untuk dapat mengontrol kadar glukosa dengan baik, selain terapi farmakologi juga diperlukan terapi nonfarmakologi untuk memaksimalkan kontrol glukosa darah termasuk juga dalam hal ini adalah tindakan self-care. Self-care adalah tindakan yang dilakukan untuk merawat diri sendiri secara mandiri dengan cara meningkatkan pengetahuan dan kewaspadaan terhadap penyakit untuk dapat mengontrol kadar glukosa darah dengan baik, mencegah terjadi komplikasi dan meningkatkan kualitas hidup3 .Self-care dapat membantu mencapai HbA1c sesuai target dan memperpendek lama rawat di rumah sakit serta meningkatkan kualitas hidup penderita diabetes (13).…”