HUBUNGAN PENDIDIKAN TERHADAP TINGKAT KEPATUHAN MINUM OBAT DAN PENGARUHNNYA PADA KADAR GULA DARAH SEWAKTU PASIEN DIABETES MELITUS TIPE II DI RUANG RAWAT INAP RUMAH SAKIT  X JAKARTA

Chusun Chusun; Husni Sanjaya Mira; Choiriah Lilis Endang

doi:10.33759/jrki.v7i1.675

Authors

Chusun Chusun Akademi Farmasi Bhumi Husada Jakarta
Husni Sanjaya Mira Akademi Farmasi Bhumi Husada
Choiriah Lilis Endang Akademi Farmasi Bhumi Husada

DOI:

https://doi.org/10.33759/jrki.v7i1.675

Keywords:

Kepatuhan Pasien DM tipe 2, Kadar Gula Darah Sewaktu

Abstract

Type 2 Diabetes Mellitus is a non-communicable chronic and progressive disease that can lead to increased blood glucose levels. Patient adherence to medication is essential for achieving therapeutic success. The objective of this study is to determine the relationship between education and medication adherence levels of Type 2 Diabetes Mellitus patients to blood glucose levels in the Emergency Department of the Polri Hospital, East Jakarta. This research method is non-experimental with an observational approach and a cross-sectional design using prospective data from medical records and direct interviews with patients in the inpatient room of Hospital X in Jakarta. The results of the study on 134 patients showed that the characteristics of Type 2 Diabetes Mellitus patients were: 34.3% (the majority) aged between 56 and 65 years, 60.4% female, 63.4% unemployed, 61.9% had elementary school education, and 60.4% had suffered from diabetes for more than 5 years. The most common comorbidity was CHF (Congestive Heart Failure), with 21 patients (15.6%). The level of medication adherence among patients was low, at 64.9%, and more than half (62.7%) had uncontrolled blood glucose levels. Meanwhile, the role of health education in reminding patients was categorized as good, at 91%. Based on the Bivariate Chi-Square analysis, there was a significant relationship between education and medication adherence, with a significance value of 0.000 (<0.005), and also between medication adherence and blood glucose levels (GDS) with a significance value of 0.000 (<0.005). It can be concluded that education affects medication adherence.

Downloads

Download data is not yet available.

References

ADA (American Diabetes Association). (2020). Classification and diagnosis of diabetes: Standards of medical care in diabetes—2020. Diabetes Care, 43(January), S14–S31.

Amir, S. M. J., Wungouw, H., & Pangemanan, D. (2015). Kadar glukosa darah sewaktu pada pasien diabetes melitus tipe 2 di Puskesmas Bahu Kota Manado. Jurnal e-Biomedik, 3, 32–40.

Akrom, Sari, O. M., Urbayatun, S., & Saputri, Z. (2019). Analisis determinan faktor-faktor yang berhubungan dengan kepatuhan minum obat pasien diabetes tipe 2 di pelayanan kesehatan primer. Jurnal Sains Farmasi & Klinis, 6(1), 54–62.

Arania, R. (2020). Hubungan antara usia, jenis kelamin, dan tingkat pendidikan dengan kejadian DM di Klinik Mardi Waluyo Lampung Tengah. Jurnal Medika Malahayati, 5, 146–153.

Bulu, A., Wahyuni, T. D., & Sutriningsih, A. (2019). Hubungan antara tingkat kepatuhan minum obat dengan kadar gula darah pada pasien diabetes melitus tipe 2. Jurnal Kesehatan, 7, 181–189.

Depkes RI. (2009). Klasifikasi umur menurut kategori. Jakarta: Ditjen Yankes.

Firdiawan, A., Kristina, S. A., & Andayani, T. M. (2021). Hubungan kepatuhan pengobatan dengan klinik pasien. Jurnal Kesehatan Indonesia, 17, 22–28.

International Diabetes Federation. (2021). IDF Diabetes Atlas (10th ed.). Brussels: International Diabetes Federation.

Jatie, K. P. H., Aditama, L., & Retno, P. R. (2013). Pencegahan dan penanganan diabetes melitus pendekatan medis, farmakologis, dan psikologi. Surabaya: Universitas Airlangga Press.

Kementerian Kesehatan RI. (2019). Laporan nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Kementerian Kesehatan RI. (2019). Pedoman pelayanan kefarmasian pada diabetes melitus. Jakarta: Direktorat Jenderal Kefarmasian dan Alkes.

Ningrum, D. K. (2020). Kepatuhan minum obat pada penderita DM tipe 2. Higeia: Journal of Public Health Research and Development, 4, 492–505.

Perkumpulan Endokrinologi (PERKENI). (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. Jakarta: PERKENI.

Osterberg, L. M. D., & Blaschke, T. (2012). Kepatuhan minum obat. The New England Journal of Medicine, 487–495.

Srikartika, V. M. (2016). Analisis faktor yang mempengaruhi kepatuhan penggunaan obat pasien diabetes melitus tipe 2. Jurnal Manajemen dan Pelayanan Farmasi, 6, 205–212.

Sugiyono. (2018). Metode penelitian kuantitatif, kualitatif, dan R&D. Bandung: Alfabeta.

World Health Organization. (2019). Classification of diabetes mellitus. Geneva: WHO.

Yulianti, T., & Anggraini, L. (2020). Faktor-faktor yang memengaruhi kepatuhan minum obat pada pasien diabetes. Journal Farmasi Indonesia, 17, 110–120.