PREVALENSI DIABETES DISTRESS DAN ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIABETES DISTRESS PADA PASIEN DM TIPE 2 DI PUSKESMAS KABUPATEN SEMARANG

Authors

  • Ummu Muntamah Fakultas Kesehatan, Universitas Ngudi Waluyo
  • Wulansari Fakultas Kesehatan, Universitas Ngudi Waluyo

DOI:

https://doi.org/10.55606/sinov.v5i1.214

Keywords:

Prevalensi, Diabetes, Distress, Puskesmas

Abstract

Diagnosis Diabetes Melitus (DM) sering menyebabkan pasien pada kondisi rentan terjadi stres yang disebabkan pasien merasa kesulitan dengan banyaknya tuntutan perawatan diri dengan DM. Tuntutan perawatan diri ini mengharuskan pasien DM untuk dapat menyesuaikan diri yang kemudian dapat menimbulkan ketidaksanggupan sehingga dapat berdampak buruk pada kesehatan dan risiko komplikasi. Kondisi inilah yang disebut dengan Diabetes Distress. Tujuan dari penelitian ini yaitu untuk mengetahui prevalensi Diabetes Distress dan faktor yang berhubungan dengan kejadian Diabetes Distress di Puskesmas Kabupaten Semarang. Penelitian menggunakan metode deskriptif untuk mengetahui faktor-faktor yang berhubungan dengan kejadian Diabetes Distress pada pasien DM Tipe 2. Proses pengambilan sampel dengan teknik accidental sampling di Puskesmas Kabupaten Semarang. Teknik analisis data menggunakan analisis regresi logistik metode Backward untuk mengetahui hubungan sebab-akibat dengan menentukan nilai Y (Diabetes Distress) dan untuk menaksir nilai-nilai yang berhubungan dengan X (umur, jenis kelamin, tingkat pendidikan, lama menderita DM, dan penyakit penyerta). Metode Backward digunakan untuk mendapatkan variabel yang paling berhubungan dengan kejadian Diabetes Distress. Hasil penelitian menunjukkan bahwa prevalensi Diabetes Distress pada penelitian ini yaitu sebesar 36% pasien mengalami distress ringan, 57,6% pasien mengalami distress sedang dan 6,4% distress berat. Variabel durasi menderita DM menjadi faktor yang paling berhubungan dengan kejadian Diabetes Distress (p=0,039). Pasien diabetes dengan durasi menderita DM ≥ 5 tahun berisiko 2,145 kali lipat mengalami Diabetes Distress.

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References

Al-Qahtani, A. M. (2020). Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia. Saudi Medical Journal, 41(9), 955–964.

https://doi.org/10.15537/smj.2020.9. 25339

Arifin, B., Perwitasari, D. A., Thobari, J. A., Cao, Q., Krabbe, P. F. M., & Postma,

M. J. (2017). Translation, Revision, and Validation of the Diabetes Distress Scale for Indonesian Type 2 Diabetic Outpatients with Various Types of Complications. Value in Health Regional Issues, 12, 63–73. https://doi.org/10.1016/j.vhri.2017.0 3.010

Arifin, B., van Asselt, A. D. I., Setiawan, D., Atthobari, J., Postma, M. J., & Cao,

Q. (2019). Diabetes Distress in Indonesian patients with type 2 diabetes: a comparison between primary and tertiary care. BMC Health Services Research, 19(1), 773. https://doi.org/10.1186/s12913-019- 4515-1

Berry, E., Lockhart, S., Davies, M., Lindsay,

J. R., & Dempster, M. (2015). Diabetes Distress: Understanding the hidden struggles of living with diabetes and exploring intervention strategies. Postgraduate Medical Journal, 91(1075), 278–283. https://doi.org/10.1136/postgradmedj

-2014-133017

Brindley D.N. (1995). Role of glucocorticoids and fatty acids in the impairment of lipid metabolism observed in the metabolic syndrome. Int J Obes Relat Metab Disord, S69-

https://doi.org/7550541

Dinas Kesehatan Prov. Jateng. (2019). Profil Kesehatan Provinsi Jawa Tengah Tahun 2019. Dinas Kesehatan Prov. Jateng.

Falco Gemma, Piero Stanley Pirro, E., Castellano, Maura Anfossi, G. B. and, & Gianotti, L. (2015). The Relationship between Stress and Diabetes Mellitus. Journal of Neurology and Psychology, 3(1), 1–7. https://www.semanticscholar.org/pap er/The-Relationship-between-Stress- and-Diabetes-Falcó- Pirro/901506de6b89a6a5bbf6ed2c7d 8b573367390fde

Fisher L. , J. S. Gonzalez, and W. H. P. (2014). The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabetes Med, 31(7), 764–772.

https://doi.org/10.1111/dme.12428

Fisher L. , M. M. Skaff, J. T. Mullan, P. Arean, R. G. and U. M. (2008). A

longitudinal study of affective and anxiety disorders, depressive affect and Diabetes Distress in adults with Type 2 diabetes. Diabet Med., 25(9),

–1101.

https://doi.org/10.1111/j.1464- 5491.2008.02533.x.

Fisher, L., Polonsky, W. H., & Hessler, D. (2019). Addressing Diabetes Distress in clinical care: a practical guide. Diabetic Medicine, 36(7), 803–812. https://doi.org/10.1111/dme.13967

Gianotti, L., Belcastro, S., D’Agnano, S., & Tassone, F. (2021). The Stress Axis in Obesity and Diabetes Mellitus: An Update. Endocrines, 2(3), 334–347. https://doi.org/10.3390/endocrines20 30031

Gonzalez, J. S., Safren, S. A., Delahanty, L. M., Cagliero, E., Wexler, D. J.,

Meigs, J. B., & Grant, R. W. (2008). Symptoms of depression prospectively predict poorer self-care in patients with type 2 diabetes. Diabetic Medicine, 25(9), 1102–

https://doi.org/10.1111/j.1464- 5491.2008.02535.x

Hackett, R. A., & Steptoe, A. (2017). Type 2 diabetes mellitus and psychological stress-a modifiable risk factor. Nature Reviews Endocrinology, 13(9), 547–

https://doi.org/10.1038/nrendo.2017. 64

Hu, Y., Li, L., & Zhang, J. (2020). Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China. Journal of Diabetes Research, 2020, 6–8. https://doi.org/10.1155/2020/481437 8

International Diabetes Federation. (2019). The Global Burden. In IDF diabetes atlas (Ed.), IDF diabetes atlas (5th ed.). IDF diabetes atlas.

Jenkins, A. J., Joglekar, M. V., Hardikar, A. A., Keech, A. C., O’Neal, D. N., &

Januszewski, A. S. (2015). Biomarkers in diabetic retinopathy. Review of Diabetic Studies, 12(1–2), 159–195.

https://doi.org/10.1900/RDS.2015.12

.159

Kasteleyn, M. J., de Vries, L., van Puffelen,

A. L., Schellevis, F. G., Rijken, M., Vos, R. C., Rutten, G. E. H. M., Gorter, K. J., Heijmans, M. J. W. M., van der Heijden, A. A. W. A., Baan,

C. A., & Nijpels, G. (2015). Diabetes- related distress over the course of illness: Results from the Diacourse study. Diabetic Medicine, 32(12), 1617–1624. https://doi.org/10.1111/dme.12743

Kemenkes RI. (2018). Hasil Utama Riskesdas 2018. Kemenkes RI. http://kesmas.kemkes.go.id

Kessler, R. C., Foster, C., Webster, P. S., & House, J. S. (1992). The relationship between age and depressive symptoms in two national surveys. Psychology and Aging, 7(1), 119–

https://doi.org/10.1037/0882-

7.1.119

Kuniss, N., Rechtacek, T., Kloos, C., Müller, U. A., Roth, J., Burghardt, K., & Kramer, G. (2017). Diabetes- related burden and distress in people with diabetes mellitus at primary care level in Germany. Acta Diabetologica, 54(5), 471–478. https://doi.org/10.1007/s00592-017- 0972-3

Lloyd, C., Smith, J., & Weinger, K. (2005). Stress and Diabetes: A review of the links. Diabetes Spectrum, 18(2), 121– 127.https://doi.org/10.2337/diaspect. 18.2.121

Milligan S. (2016). Combination therapy for the improvement of long-term macrovascular and microvascular outcomes in type 2 diabetes: Rationale and evidence for early initiation. J Diabetes Complications, 30, 1177–1185.

https://doi.org/10.1016/j.jdiacomp.20 16.03.010

Pamungkas, R. A., Chamroonsawasdi, K., & Vatanasomboon, P. (2017). A systematic review: Family support integrated with diabetes self- management among uncontrolled type II diabetes mellitus patients. Behavioral Sciences, 7(3), 1–17. https://doi.org/10.3390/bs7030062

Parsa, S., Aghamohammadi, M., & Abazari, M. (2019). Diabetes Distress and its clinical determinants in patients with type II diabetes. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 13(2), 1275–1279.

https://doi.org/10.1016/j.dsx.2019.02

.007

Rariden, C. (2019). Diabetes Distress: Assessment and Management of the Emotional Aspect of Diabetes Mellitus. Journal for Nurse Practitioners, 15(9), 653–656. https://doi.org/10.1016/j.nurpra.2019

.06.020

Soelistijo Soebagiyo Adi, et all. (2019). Pedoman Pengelolaan Dan Pencegahan DM Tipe 2 Dewasa Di Indonesia. In PERKENI (Ed.), PERKENI (1st ed., p. 75). PERKENI.

Stoop, C. H., Nefs, G., Pop, V. J., Wijnands-van Gent, C. J. M., Tack, C. J., Geelhoed-Duijvestijn, P. H. L. M., Diamant, M., Snoek, F. J., & Pouwer,

F. (2014). Diabetes-specific emotional distress in people with Type 2 diabetes: A comparison between primary and secondary care. Diabetic Medicine, 31(10), 1252– 1259. https://doi.org/10.1111/dme.12472

Toobert, D. J., Hampson, S. E., & Glasgow,

R. E. (2021). The Summary of Diabetes Self-Care. Diabetes Care Journal, 23(7), 943–950.

Walker, R. J., Garacci, E., Campbell, J. A., & Leonard, E. (2020). The Influence of Daily Stress on Glycemic Control and Mortality in Adults with Diabetes. J Behav Med, 43(5), 79.

https://doi.org/10.1007/s10865-019- 00109-1

Wang, M. (2005). The role of glucocorticoid action in the pathophysiology of the Metabolic Syndrome. Nutrition and Metabolism, 2, 1–14. https://doi.org/10.1186/1743-7075-2- 3

Yajurvedi, H. (2018). Stress and Glucose metabolism: A Review. Imaging Journal of Clinical and Medical Sciences, 5, 008–012. https://doi.org/10.17352/2455- 8702.000037

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Published

2022-07-26

How to Cite

Ummu Muntamah, & Wulansari. (2022). PREVALENSI DIABETES DISTRESS DAN ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIABETES DISTRESS PADA PASIEN DM TIPE 2 DI PUSKESMAS KABUPATEN SEMARANG. Media Informasi Penelitian Kabupaten Semarang, 4(1), 44–53. https://doi.org/10.55606/sinov.v5i1.214

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