Peran Faktor-faktor Psikologis terhadap Depresi  pada Pasien Diabetes Mellitus Tipe 2

Donsu, Jenita Dt; Hadjam, M. Noor Rochman; Asdie, Ahmad Husain; Hidayat, Rahmat

doi:10.22146/jpsi.6953

Cited by 49 publications

(58 citation statements)

References 20 publications

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“…Effective focused coping can be an effective way of solving a problem (Diyan 2016, Donsu 2014. The female participant's blame others for their bodily condition, regret what had happened, or emotionally ran away by pretending not to know their reality (Nindya 2013, Yunita & Lestari 2017.…”

Section: Emotion-focused Copingmentioning

confidence: 99%

“…Generally, individuals will respond to lifestyle changes with rejection, anxiety, anger, guilty feeling, and depression (Kumalasari & Ahyani 2012). Psychologically, the resilience factor, the nature of their optimism, social support, low self-esteem, and depression is able to determine how the DM patients will respond to their condition after learning of their DM diagnosis (Donsu 2014). After responding to the news of their condition, the patient will experience and subconsciously enact different coping mechanisms, focusing on solving the problem or focusing on the emotional adjustment needed (Scheier et al 1986, Wood & Griffiths 2007.…”

Section: Introductionmentioning

confidence: 99%

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The psychosocial responses and coping strategies of diabetes mellitus type 2 patients of the Ambon culture

Rayanti

Wariunsora

Soegijono

2019

MKP

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A study conduct by the Global of Diabetic Federation showed that the prevalence of type 2 diabetes mellitus (DM) is increasing at the international, national and regional levels. The prevalence of DM at Air Salobar Public Health Centre, Ambon, showed there to be an increase from 128 patients (2015) up to 221 patients (2016). There were changes observed in the physical and psychological responses of the patients with type 2 diabetes mellitus. Objective: To describe the psychosocial responses and coping strategies of the patients with type 2 diabetes mellitus in the context of Ambonese culture. Method: Qualitative and descriptive using the case study approach. There were four participants. The purpose sampling technique used the following criteria: patients with type 2 diabetes mellitus with complications (cataract, stroke, hypertension, heart attack or amputation), sick for > two years, and the patients were Ambonese. The data collection was conducted through observation and in-depth interviews. Results: The participants’ psychosocial responses included resilience, optimism and social support from their family and close relatives, low self-esteem, and anxiety. To adapt to their condition, themale participants tended to use problem-focused coping, while the female participants used emotion-focused coping. The factor that influenced the coping strategies was the diabetes severity, the participant’s individual characteristics and the environment (culture and social support). They believe in traditional medicine such as the Africa leaf, noni fruit, kalabasa leaf, and Alifuru leaf, and that the aforementioned traditional cures are able to reduce their blood glucose. Conclusion: although the participants have low self-esteem, and anxiety, theyhave resilience, optimism, and social support that allows them to endure DM.

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Section: Emotion-focused Copingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The psychosocial responses and coping strategies of diabetes mellitus type 2 patients of the Ambon culture

Rayanti

Wariunsora

Soegijono

2019

MKP

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“…Intensitas akan membuat bidan menjadi terbiasa sehingga menghasilkan persepsi bahwa pasien post SC dengan HIV tidak perlu diperlakukan secara berlebihan dan membedakan dari pasien yang lain. Sebaliknya bila jarang merawat pasien post SC dengan HIV, maka Ummi, et al : Perbedaan Persepsi Bidan… Indonesian Midwifery and Health Sciences Journal, 2021, 5 (1), 18-28 25 menjadi tidak terbiasa sehingga ketika akan memberi asuhan merasa perlu ada perlakuan khusus terhadap pasien tersebut (Donsu, 2017). Hal tersebut seperti yang dipaparkan oleh beberapa partisipan dari kedua rumah sakit.…”

Section: Intensitasunclassified

The Different Perceptions Among Midwives Toward Post C-Section Women With Hiv

Ummi

Annas

Sulistiawati

2021

IMHSJ

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Background: Puerperal post Sectio Caesarea was the period of physical and psychological drain, especially with HIV (Human Immunodeficiency Virus) as complication. In general, health workers still discriminate against HIV patients, as well as post-sectio mothers with HIV. This situation add to the psychological burden and increases the risk of depression during the puerperium. Midwife’s perception in caring for post-Section mothers with HIV is needed to produce attitudes and behaviours in supporting care. This study aims to describe the perception of midwives in providing care to post-sectio patients with HIV. Method: This study used a qualitative approach in two HIV referral hospitals in Surabaya with different class types. Participants in this study were determined by purposive sampling, consisting of 6 participants and 4 triangulation participants. Researcher conducted in-depth interview and closed observation with instruments such as recorders, observation sheets and the researchers themselves. Data processing and analysis is carried out by data reduction, data presentation and conclusions. Result: Participants in Hospital ‘A’ did not provide different services to post SC patients with HIV while still applying universal precautions. Participants in Hospital ‘B’ think that special treatment is needed by applying exaggerated universal precautions. Conclusion: Midwives keep trying to provide comprehensive care although there are differences in perception.

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“…Selain jumlah penderita yang terus bertambah, penyakit ini juga dikenal banyak menimbulkan komplikasi, menurunkan kualitas hidup penderita, serta meningkatkan angka kesakitan dan kematian (Zimmet, Alberti, Magliano, & Bennett, 2016). Tidak hanya komplikasi fisik seperti neuropati, nefropati, retinopati, serta gangguan kardiovaskular (American Diabetes Association, 2015), penderita juga berisiko mengalmai depresi, kecemasan, dan gangguan emosional (Donsu, 2014;Verma dkk., 2010) serta gangguan kesejahteraan spiritual (Kusnanto, 2013;Namageyo-Funa, Muilenburg, & Wilson, 2013). Semua dampak negatif tersebut berisiko meningkatkan beban biaya perawatan bagi pasien dan keluarganya (Patel, Kruger, Cupal, & Zimmerman, 2016).…”

Section: Pendahuluanunclassified

Self Management Pasien Diabetes Melitus dengan Komplikasi Kardiovaskular dan Implikasinya terhadap Indikator Klinik

Kurniawan¹,

Sari

Aisyah

2020

JPKI

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ABSTRAKPenyakit kardiovaskular merupakan salah satu komplikasi utama diabetes melitus (DM) dan berisiko memperburuk prognosis, kualitas hidup serta meningkatkan risiko kematian. Self-management merupakan kunci utama dalam pengelolaan penyakit maupun pencegahan komplikasi dan dampak negatif yang diakibatkanya. Penelitian deskriptif ini bertujuan untuk mengidentifikasi self-management pada pasien DM dengan komplikasi kardiovaskular beserta dampaknya terhadap indikator klinik. Seluruh pasien (123 orang) diabetes mellitus yang didiagnosa menderita penyakit kardiovaskular (hipertensi, dislipidemia, dan/atau coronary artery diseases) dilibatkan dari unit rawat jalan salah satu rumah sakit swasta di Kota Bandung, Jawa Barat secara total sampling. Data self-management dikumpulkan menggunakan kuesioner yang dikembangkan oleh peneliti yang mencakup 6 domain (pemantauan, aktivitas fisik, pencegahan komplikasi, diet, pengobatan, dan merokok) dan mencakup 28 item pernyataan dengan skor Alpha Chronbach 0,738 dan validitas (r 0,377-0,760). Adapun data tentang indikator klinik dikumpulkan berdasarkan data sekunder dari rekam medik yang mencakup tekanan darah, kadar gula darah sewaktu, dan kadar kolesterol. Data yang terkumpul dianalisis menggunakan analisis deskriptif dan uji beda. Hasil penelitian menunjukkan lebih dari setengah responden (54,5%) berada pada kategori self-management rendah dimana domain pemantauan merupakan domain dengan persentase kategori rendah paling besar (62,6%). Rerata skor self-management yang lebih tinggi ditemukan pada pasien yang mencapai target indikator klinik; tekanan darah sistolik 140mmHg, kolesterol darah 200mg%, dan gula darah sewaktu 200mg%. Namun, perbedaan skor self-management yang signifikan hanya ditemukan pada indikator gula darah (p = 0,05). Hasil penelitian ini menunjukkan bahwa pasien DM dengan komplikasi kardiovaskular di tempat penelitian ini perlu meningkatkan perilaku self-management terutama dalam aspek pemantauan. Penting juga bagi pihak rumah sakit untuk mengintensifkan upaya yang sudah dijalankan guna memfasilitasi kebutuhan tersebut. ABSTRACTCardiovascular problem is one of the main diabetes mellitus complications that potentially worsen patients’ prognosis, quality of life as well as increase the patient mortality rate. Self-management in the other hand is a key success of diseases management and complication prevention. This descriptive study aimed to identify self-management of diabetic patients who diagnosed with cardiovascular diseases and its impact on clinical indicators. All 123 diabetic patients with cardiovascular diseases (hypertension, dyslipidaemia, dan coronary artery diseases) were involved in this study (total sampling) and recruited from an outpatient clinic of a private hospital in Bandung Municipality, West-Java. Data self-management were collected using questionnaire developed by the researcher covering 6 domains (monitoring, Physical exercise, complication management and prevention, diet, medication and smoking) consisted of 28 items with Alpha Chronbach 0,738 and inter-item correlation r 0.377 - 0.760. Data regarding clinical indicators were secondarily collected from patients’ medical record including current blood pressure, blood sugar level and cholesterol level. Collected data were analysed descriptively and comparatively with significance at p 0.05. The results suggested that more than half patients (54.5%) report low level of self-management where monitoring domain found as the domain with the biggest percentage of low self-management category (62.6%). In addition, respondents with higher mean score of self-management was found in patient who achieved the clinical outcomes; blood pressure 140mmHg, cholesterol 200mg%, and blood glucose 200mg%. However, statistically significant finding only identified in blood glucose indicator (p = 0.05). These results indicated that diabetic patients with cardiovascular problem in this setting need program or strategy to improve their capability in performing self-management particularly in the monitoring aspect. It also is significance for hospital to address those issues.

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Peran Faktor-faktor Psikologis terhadap Depresi pada Pasien Diabetes Mellitus Tipe 2

Cited by 49 publications

References 20 publications

The psychosocial responses and coping strategies of diabetes mellitus type 2 patients of the Ambon culture

The psychosocial responses and coping strategies of diabetes mellitus type 2 patients of the Ambon culture

The Different Perceptions Among Midwives Toward Post C-Section Women With Hiv

Self Management Pasien Diabetes Melitus dengan Komplikasi Kardiovaskular dan Implikasinya terhadap Indikator Klinik

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