Faktor-Faktor yang Berhubungan dengan Kualitas Hidup Penderita Diabetes Melitus Tipe 2 Usia Produktif di Puskesmas Meuraxa Banda Aceh 2025
DOI:
https://doi.org/10.55123/insologi.v5i4.8681Keywords:
Type 2 Diabetes Mellitus, Quality of Life, Attitude, Knowledge, History of Diabetic WoundsAbstract
As a chronic pathology, diabetes mellitus (DM) exhibits a surging prevalence that severely deteriorates the well-being and quality of life of affected individuals. This investigation sought to analyze the specific determinants influencing the quality of life among productive-age individuals (ranging from 15 to 64 years) diagnosed with type 2 DM within the administrative territory of the Meuraxa Public Health Center, Banda Aceh, in 2025. Professionally, this research integrated a descriptive analytic framework utilizing a cross-sectional design. From a total population of 391 type 2 DM patients, a cohort of 80 participants was selected via an accidental sampling strategy. Empirical data were gathered through structured questionnaire-guided interviews and subsequently processed using univariate and bivariate statistical evaluations within the SPSS software environment. The descriptive univariate assessments indicated that a vast majority of the subjects experienced a moderate quality of life (80.0%). Regarding independent variables, 45.0% demonstrated negative attitudes, 26.3% possessed deficient knowledge, 50.0% had a long-standing disease duration, 48.8% reported a history of medication-induced adverse effects, and 51.3% presented with a history of diabetic ulcerations or wounds. Furthermore, the inferential bivariate modeling demonstrated a statistically significant correlation between quality of life and three major indicators: patient attitude (p = 0.003), health literacy or knowledge (p = 0.015), and wound history (p = 0.048). Conversely, no significant associations were observed for illness duration (p = 0.090) or the experience of pharmaceutical side effects (p = 0.317). To conclude, personal attitude, cognitive knowledge, and clinical wound history stand as pivotal elements dictating the quality of life in working-age type 2 DM patients. Consequently, systematic health counseling and targeted complication mitigation strategies must be intensified to optimize patient well-being.
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References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211.
Al-Rubeaan, K., et al. (2017). All-cause mortality among diabetic foot patients and related risk factors in Saudi Arabia. PLOS ONE, 12(11), e0188097. https://doi.org/10.1371/journal.pone.0188097
Alfian, S. D., et al. (2016). Medication adherence contributes to an improved quality of life in type 2 diabetes mellitus patients: A cross-sectional study. Diabetes Therapy, 7(4), 755–764. https://doi.org/10.1007/s13300-016-0203-x
Almeida, C., Rocha, C., & Cruz, R. (2020). Impact of adverse effects to oral antidiabetics on adherence and quality of life in patients with type 2 diabetes. European Journal of Public Health, 30(Supplement_2), ckaa040.020. https://doi.org/10.1093/eurpub/ckaa040.020
American Diabetes Association. (2021). Standards of medical care in diabetes—2021. Diabetes Care, 44(Supplement 1), S1–S232. https://doi.org/10.2337/dc21-SINT
American Diabetes Association Professional Practice Committee. (2025). Standards of care in diabetes—2025. Diabetes Care, 48(Supplement_1).
Anwar, M., Rahman, M., & Hossain, M. (2020). A comparative analysis on diagnosis of diabetes mellitus using different approaches: A survey. Informatics in Medicine Unlocked, 21, 100482. https://doi.org/10.1016/j.imu.2020.100482
Boulton, A. J. M., Armstrong, D. G., Albert, S. F., Frykberg, R. G., Hellman, R., Kirkman, M. S., Lavery, L. A., LeMaster, J. W., Mills Sr, J. L., Mueller, M. J., Sheehan, P., & Wukich, D. K. (2020). Diagnosis and management of diabetic foot complications. Diabetes/Metabolism Research and Reviews, 36(Suppl. 1), e3269–e3270.
Chantzaras, A., & Yfantopoulos, J. (2022). Association between medication adherence and health-related quality of life of patients with diabetes. Hormones, 21(4), 691–705. https://doi.org/10.1007/s42000-022-00400-y
Chrvala, C. A., Sherr, D., & Lipman, R. D. (2016). Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling, 99(6), 926–943.
Goodridge, D., Trepman, E., & Embil, J. M. (2005). Health-related quality of life in diabetic patients with foot ulcers: Literature review. Journal of Wound, Ostomy and Continence Nursing, 32(6), 368–377.
Harefa, E. M., & Lingga, R. T. (2023). Analisis faktor risiko kejadian diabetes melitus tipe II pada penderita DM di Kelurahan Ilir wilayah kerja UPTD Puskesmas Kecamatan Gunungsitoli. Jurnal Ners, 7(1), 316–324. https://doi.org/10.31004/jn.v7i1.12686
International Diabetes Federation. (2021). IDF diabetes atlas (10th ed.). International Diabetes Federation.
Jing, X., et al. (2018). Related factors of quality of life of type 2 diabetes patients: A systematic review and meta-analysis. Health and Quality of Life Outcomes, 16, 189.
Kementerian Kesehatan Republik Indonesia. (2018). Laporan Nasional Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan.
Kementerian Kesehatan Republik Indonesia. (2020). Tetap produktif, cegah, dan atasi diabetes melitus. Pusat Data dan Informasi Kementerian Kesehatan RI.
Leventhal, H., Phillips, L. A., & Burns, E. (2016). The Common-Sense Model of Self-Regulation (CSM): A dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39(6), 935–946. https://doi.org/10.1007/s10865-016-9782-2
Lorig, K. R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1–7.
Normaningtyas, A., et al. (2020). Faktor-faktor yang berhubungan dengan kejadian diabetes melitus pada usia produktif. Jurnal Kesehatan Masyarakat.
Powers, M. A., Bardsley, J. K., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report. Diabetes Care, 43(7), 1636–1649. https://doi.org/10.2337/dci20-0023
Purqoti, D. N., et al. (2022). Hubungan kualitas tidur dan lama kerja dengan kejadian diabetes melitus pada lanjut usia.
Pratiwi, E. E., & Sofiana, L. (2021). Hubungan pengetahuan dan sikap dengan kualitas hidup penderita diabetes melitus tipe 2 di Surakarta. Jurnal Kesehatan Masyarakat Indonesia, 16(September), 136–147. https://jurnal.unimus.ac.id/index.php/jkmi/index
Rusmayanti, P. S. A., Manto, O. A. D., & Santoso, B. R. (2024). Hubungan pengetahuan dengan kualitas hidup penderita diabetes melitus tipe 2 di Puskesmas Terminal Banjarmasin. Indonesian Journal of Nursing Health Science, 9(1), 42–49.
Setianingsih, A. N. D. D. R. (2024). Hubungan kualitas tidur dengan kadar glukosa darah. Jurnal Teknologi Kesehatan Borneo, 5(2), 68–73. https://doi.org/10.30602/jtkb.v5i2.361
Steinsbekk, A., Rygg, L. Ø., Lisulo, M., Rise, M. B., & Fretheim, A. (2012). Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. BMC Health Services Research, 12, 213.
van Netten, J. J., et al. (2024). The International Working Group on the Diabetic Foot: Stories and numbers behind three decades of evidence-based guidelines. Diabetes Therapy, 15(1), 19–31. https://doi.org/10.1007/s13300-023-01510-5
Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016). Psychosocial care for people with diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39(12), 2126–2140. https://doi.org/10.2337/dc16-2053
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