Hubungan Tingkat Pengetahuan terhadap Outcome Klinik Pasien Diabetes Melitus Tipe 2
Laksmy Anggun Larasati(1*), Tri Murti Andayani(2), Susi Ari Kristina(3)
(1) Faculty of Pharmacy, Universitas Gadjah Mada
(2) Faculty of Pharmacy, Universitas Gadjah Mada
(3) Faculty of Pharmacy, Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Diabetes is a chronic disease that requires good therapeutic management and self care to achieve optimal glycemic target. The important barrier to achieve good glycemic control is a lack of knowledge about optimal glycemic targets. The purpose of this study was to determine the relationship of the level of knowledge to clinical outcome of type 2 diabetes mellitus in Yogyakarta and Bantul primary health care. This was an observational study with a cross sectional design. The sampling technique was done by accidental sampling for patients visiting the primary health care from October to December 2018 that involved 200 type 2 diabetes mellitus patients who were included in the inclusion criteria. The level of knowledge was measured by the Diabetes Knowledge Questionnaire (DKQ)-24 which had 24 questions and the clinical outcome was obtained from laboratory measurement data as well as from medical record data when the patient was in routine control. Sociodemographic data were analyzed descriptively. The relationship between the level of knowledge and clinical outcomes was analyzed using chi square. The results showed that the knowledge level score had an average value of 12. The most incorrect answer was in etiology and diabetes self care, which is eating too much sugar and sweet foods is the cause of diabetes (97%), exercise regularly increasing the need of hormone insulin or diabetes medication (82%), the insulin reaction is caused by too much food (84%) and diabetics should clean the wound with betadine and alcohol (88%). There were 106 (53%) patients who achieved good glycemic control. Chi square test showed no relationship between the level of knowledge of clinical outcomes (p = 0.328). The result of this study may become a material and education content evaluation in diabetic patients.
Keywords
Full Text:
PDFReferences
- Fenwick EK, Xie J, Rees G, Finger RP, Lamoureux EL. Factors Associated with Knowledge of Diabetes in Patients with Type 2 Diabetes Using the Diabetes Knowledge Test Validated with Rasch Analysis. Khamseh ME, ed. PLoS ONE. 2013;8:e80593. doi:10.1371/journal.pone.0080593
- Ozcelik F, Yiginer O, Arslan E, et al. Association between glycemic control and the level of knowledge and disease awareness in type 2 diabetic patients. Pol Arch Med Wewn.2010;120(10): 399-406.
- Carrillo Alarcon LC. Level of Knowledge in Patients with Type 2 Diabetes Mellitus and its Relationship with Glycemic Levels and Stages of Grief According to Kübler-Ross. J Diabetes Metab. 2015;06(02). doi:10.4172/2155-6156.1000495.
- Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: Development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care. 2001;24(1):16-21. doi:10.2337/diacare.24.1.16
- Al-Qazaz HK, Sulaiman SA, Hassali MA, Shafie AA, Sundram S. Diabetes knowledge and control of glycaemia among type 2 diabetes patients in Penang, Malaysia: Knowledge and glycaemia control in type 2 diabetes. J Pharm Health Serv Res. 2012;3(1):49-55. doi:10.1111/j.1759-8893.2011.00073.x.
- Al-Rasheedi AAS. The Role of Educational Level in Glycemic Control among Patients with Type II Diabetes Mellitus. Int J Health Sci. 2014;8(2):177-187. doi:10.12816/0006084
- Talmadge K, Philipson L, Reusch J, et al. Standar of Medical Care in Diabetes. Diabetes Care. 2018;41(1):S7-S11. doi: org/10.2337/dc18-S001.
- Shams N, Amjad S, Seetlani NK, Ahmed W. Diabetes Knowledge in Elderly Type 2 Diabetes Mellitus Patients and Association with Glycemic Control. J Liquat Uni Med Health Sci. 2016;15(02):71-7.
- Dussa K. Assesment Of Diabetes Knowledge Using Diabetes Knowledge Questionnaire Among People With Type 2 Diabetes Mellitus. Asian J Pharm Clin Res. 2015;8(2):3.
- Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K. Factors associated with poor glycemic control among patients with Type 2 diabetes. J Diabetes Complicat. 2010;24(2):84-89. doi:10.1016/j.jdiacomp.2008.12.008.
- Almutairi MA, Said S, Zainuddin H. Predictors of Poor Glycemic Control Among Type Two Diabetic Patients. Am J Med Sci. 2013, 3(2) :17-21. doi: 10.5923/j.ajmms.20130302.01.
- Ahmad NS, Islahudin F, Paraidathathu T. Factors associated with good glycemic control among patients with type 2 diabetes mellitus. J Diabetes Invest. 2014;5(5):563-569. doi:10.1111/jdi.12175.
- Al Mansari A, Obeid Y, Islam N, et al. GOAL study: clinical and non-clinical predictive factors for achieving glycemic control in people with type 2 diabetes in real clinical practice. BMJ Open Diabetes Res & Care. 2018;6(1):e000519. doi:10.1136/bmjdrc-2018-000519
- Kibirige D, Akabwai GP, Kampiire L, Kiggundu DS, Lumu W. Frequency and predictors of suboptimal glycemic control in an African diabetic population. Int J Gen Med. 2017;Volume 10:33-38. doi:10.2147/IJGM.S124548
- Hughes J, Wibowo Y, Sunderland B, Hoti K. The role of the pharmacist in the management of type 2 diabetes: current insights and future directions. Integr Pharm Res Pract. 2017;Volume 6:15-27. doi:10.2147/IPRP.S103783
- Yigazu DM, Desse TA. Glycemic control and associated factors among type 2 diabetic patients at Shanan Gibe Hospital, Southwest Ethiopia. BMC Res Notes. 2017;10(1). doi:10.1186/s13104-017-2924-y.
DOI: https://doi.org/10.22146/jmpf.43489
Article Metrics
Abstract views : 5733 | views : 18782Refbacks
- There are currently no refbacks.
Copyright (c) 2019 JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.