Knowledge and Quality of Life in Type 2 Diabetes Mellitus Patients and its Related Factors

https://doi.org/10.22146/jmpf.68631

Agustina Nila Yuliawati(1*), Pande Made Desy Ratnasari(2), Putri Riski Rosalina(3)

(1) Program Studi Sarjana Farmasi, Sekolah Tinggi Farmasi Mahaganesha, Denpasar, Bali, Indonesiav
(2) Program Studi Sarjana Farmasi, Sekolah Tinggi Farmasi Mahaganesha, Denpasar, Bali, Indonesia
(3) Program Studi Sarjana Farmasi, Sekolah Tinggi Farmasi Mahaganesha, Denpasar, Bali, Indonesia
(*) Corresponding Author

Abstract


Knowledge is important to control blood sugar and prevent complications, and subsequently have an impact on the quality of life (QOL) of type 2 diabetes mellitus (T2DM) patients as a response to their health. This study was aimed to determine the correlation between the level of knowledge and QOL in type 2 DM (T2DM) patients, as well as its related factors. This cross-sectional study was conducted in a Public Hospitals, Buleleng, Bali on September 2020. The inclusion criteria included T2DM outpatients aged ≥ 18-year-old, getting similar therapy for at least 3 months, filling out the questionnaire completely, being able to communicate well, and not in a pregnant/breastfeeding condition. Data were obtained by medical records, questionnaires DKQ-24 (knowledge) and EQ-5D-5L (QOL). The correlation between knowledge and QOL of T2DM patients and its related factors were analyzed using bivariate statistical tests. The findings of the 150 respondents showed that the majority of the patients were ≥ 60-year-old (53.3%), female (50.7%), first educational level (64%), not working (54%), low income (49.3%), >5 years of T2DM duration (44%), no complications (75.3%), taking 4-6 item medicines (66.7%), moderate knowledge level (70.7%) with QOL based on the utility score 0.892±0.154 and VAS 59.73±20.07. Statistical tests showed there was a significant correlation between knowledge and QOL based on utility value (p=0.01), but not with VAS value (p=0.165). These was reinforced by age which has a significant correlation with knowledge (p=0.042), also employment status and complications condition which have a significant correlation with QOL (p<0.05). Patients with a higher level of knowledge have a better QOL, despite different backgrounds.

Keywords


Diabetes melitus tipe 2; pengetahuan; kualitas hidup; karakteristik pasien

Full Text:

PDF


References

  1. World Health Organization. Global Report on Diabetes. World Health Organization; 2016:21-31.
  2. International Diabetes Federation. IDF Diabetes Atlas Eighth Edition 2017. International Diabetes Federation; 2017:40-49.
  3. Usman Y, Iriawan RW, Rosita T, et al. Indonesia’s sample registration system in 2018: A work in progress. J Popul Soc Stud. 2018;27(1):39-52.
  4. Dinas Kesehatan Kabupaten Buleleng. Profil Kesehatan Kabupaten Buleleng Tahun 2017. Dinas Kesehatan Kabupaten Buleleng; 2017:9.
  5. Yusiana MA, Wahyuningsih A, Mahanani S. Senam diabetes melitus menurunkan kadar gula darah puasa pada pasien diabetes melitus tipe II. Jurnal Penelitian Keperawatan. 2015;1(1):11-20.
  6. Chen L, Pei JH, Kuang J, et al. Effect of lifestyle intervention in patients with type 2 diabetes: a meta-analysis. Metabolism. 2015;64(2):338-347.
  7. 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. PLoS One. 2013;8(12):8-14.
  8. Bukhsh A, Khan TM, Sarfraz Nawaz M, Sajjad Ahmed H, Chan KG, Goh BH. Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus. Diabetes Metab Syndr Obes. 2019;12:1409-1417.
  9. Abouammoh NA, Alshamrani MA. Knowledge about Diabetes and Glycemic Control among Diabetic Patients in Saudi Arabia. J Diabetes Res. 2020;2020:1239735.
  10. Gustawi IA, Norviatin D, Alibasyah RW. Gustawi IA, Norviatin D, Alibasyah RW. Pengaruh Tingkat Pengetahuan tentang Diabetes Melitus (DM) Tipe 2 dan Sosial Ekonomi Terhadap Gaya Hidup Penderita DM Tipe 2 di Puskesmas Jalan Kembang Kota Cirebon. Tunas Med J Kedokt dan Kesehat. 2020;6(2):103-107.
  11. Gonzalez-Barcala FJ, de la Fuente-Cid R, Tafalla M, Nuevo J, Caamano-Isorna F. Factors associated with health- related quality of life in adults with asthma. A cross-sectional study. Multidisciplinary Respiratory Medicine. 2012; 7(1):32-42.
  12. Kueh YC, Morris T, Borkoles E, Shee H. Modelling of diabetes knowledge, attitudes, self-management, and quality of life: a cross-sectional study with an Australian sample. Health Qual Life Outcomes. 2015;13:129-130.
  13. Rumana NA, Sitoayu L, Sapang M. Korelasi kadar gula darah puasa terhadap kualitas hidup pasien diabetes melitus tipe 2 di Puskesmas Jakarta Barat tahun 2018. Indonesian of Health Information Management Journal. 2018;6(2):41-45.
  14. Nurdin F. Persepsi Penyakit dan Perawatan Diri dengan Kualitas Hidup Diabetes Mellitus Type 2. J Keperawatan Silampari. 2021;4(2):566-575.
  15. Yakub AS, Ekowatiningsih D, Heriansyah, Mustafa M. Studi Literatur Kualitas Hidup Penderita Diabetes Melitus Tipe 2. J Media Keperawatan. 2021;12(1):165-168.
  16. Solikin S, Heriyadi MR. Hubungan Self Management Dengan Kualitas Hidup Pasien Diabetes Melitus Di Puskesmas Landasan Ulin. Din Kesehat J Kebidanan Dan Keperawatan. 2020;11(1):432-439.
  17. Thultheen I, Mansour AMH, Zandeeq W. Knowledge, Attitude and Quality of Life among Type 2 Diabetic Patients in Palestine. Medico-Legal Updat. 2021;21(1):355-359.
  18. Pratama IPY, Andayani TM, Kristina SA. Knowledge, Adherence, and Quality of Life Among Type 2 Diabetes Mellitus Patients. International Research Journal of Pharmacy. 2019;10(4):52-55.
  19. Yuwindry I, Wiedyaningsih C, Widodo GP. Pengaruh Pengetahuan Terhadap Kualitas Hidup dengan Kepatuhan Penggunaan Obat Sebagai Variabel Antara Pada Pasien DM. J Manaj dan Pelayanan Farm. 2016;6(4):249-254.
  20. Qamar M, Iqubal RRM, Farrukh J, et al. Validation of diabetes knowledge quistionnaire among Malaysian adult diabetic patients. Universitas Indonesia Conferences, Asian Federation for Pharmaceutical Sciences. 2019;5(2):216-224.
  21. Purba FD, Hunfeld JAM, Iskandarsyah A, et al. The Indonesian EQ-5D-5L Value Set. PharmacoEconomics. 2017;35(11):1153-1165.
  22. Sari A, Lestari NY, Perwitasari DA. Validasi ST European Quality of Life-5 Dimensions (EQ-5D) Versi Indonesia Pada Pasien Hipertensi di Puskesmas Kota Gede II Yogyakarta. Pharmaciana. 2015;5(2):131-138.
  23. Larasati AL, Andayani TM, Kristina SA. Hubungan Tingkat Pengetahuan Terhadap Outcome Klinik Pasien Diabetes Melitus Tipe 2. J Manaj dan Pelayanan Farm. 2019;9(2):101-108.
  24. Al-Aboudi IS, Hassali MA, Shafie AA. Knowledge, attitudes, and quality of life of type 2 diabetes patients in Riyadh, Saudi Arabia. J Pharm Bioallied Sci. 2016;8(3):195-202.
  25. Hamida N, Ulfa M, Haris RNH, Endarti D, Wiedyaningsih C. Pengukuran Kualitas Hidup Pasien Program Pengelolaan Penyakit Kronis (Prolanis) di Puskesmas Menggunakan Instrumen EQ-5D-5L. Majalah Farmaseutik. 2019;15(2):67-74.
  26. Yuhelma, Hasneli Y, Nauli FA. Identifikasi dan analisis komplikasi makrovaskuler dan mikrovaskuler pada pasien diabetes melitus. J Online Mahasiswa Fakultas Keperawatan. 2014;2(1):569– 579.
  27. Farida L, Purwaningsih P, Rosalina. Peran Informal Keluarga Dalam Pengendalian Kadar Glukosa Darah Pada Penderita Diabetes Melitus. J Ilmu Keperawatan Komunitas. 2018;1(1):5-17.
  28. Anggraini D, Andani TZ. Kualitas Hidupn Pasien Pasca-Percutaneous Coronary Intervention (PCI). J Keperawatan Komperhensif (Comprehensive Nursing Journal). 2018;4(2):98-105.
  29. Abedini MR, Bijari B, Miri Z, Shakhs Emampour F, Abbasi A. The quality of life of the patients with diabetes type 2 using EQ-5D-5 L in Birjand. Health Qual Life Outcomes. 2020;18(1):18-27.
  30. Lathifah NL. Hubungan Durasi Penyakit dan Kadar Gula Darah dengan Keluhan Subyektif Penderita Diabetes Melitus. J Berkala Epidemiologi. 2017;5(2):231-239.
  31. Poluan OA, Wiyono WI, Yamlean PVY. Identifikasi Potensi Interaksi Obat pada Pasien Diabetes Melitus Tipe 2 Rawat Inap di Rumah Sakit Gunung Maria Tomohon Periode Januari-Mei 2018. Pharmacon, Jurnal Ilmiah Farmasi. 2020;9(1):38-46.
  32. Widodo FY. Pemantauan Penderita Diabetes Melitus. J Ilmiah Kedokteran. 2014;3(2):55-69.
  33. Le NK, Turnbull N, Van Dam C, Khiewkhern S, Thiabrithi S. Impact of
  34. knowledge, attitude, and practices of Type 2 diabetic patients: A study in the locality in Vietnam. J Educ Health Promot. 2021;10:72.
  35. Thaweethamcharoen T, Noparatayaporn P, Sritippayawan S, Aiyasanon N. Comparison of EQ-5D-5L, VAS, and SF-6D in Thai Patients on Peritoneal Dialysis. Value Heal Reg Issues. 2019;18:59-64.
  36. Lu Y, Wang N, Chen Y, et al. Health-related quality of life in type-2 diabetes patients: A cross-sectional study in East China. BMC Endocr Disord. 2017;17(1):1-7.
  37. Wong EL yi, Xu RH, Cheung AW ling. Measurement of health-related quality of life in patients with diabetes mellitus using EQ-5D-5L in Hong Kong, China. Qual Life Res. 2020;29(7):1913-1921.
  38. Parik P, Patel V. Health-related quality of life of patients with type 2 diabetes mellitus at a tertiary care hospital in India using Eq 5D 5L. Indian J Endocrinol Metab. 2019;23(4):407-411.
  39. Barua L, Faruque M, Chowdhury HA, Banik PC, Ali L. Health-related quality of life and its predictors among the type 2 diabetes population of Bangladesh: A nation-wide cross-sectional study. J Diabetes Investig. 2021;12(2):277-285.
  40. Zare F, Ameri H, Madadizadeh F, Reza Aghaei M. Health-related quality of life and its associated factors in patients with type 2 diabetes mellitus. SAGE Open Med. 2020;8:2050312120965314.
  41. Alsuwayt S, Almesned M, Alhajri S, Alomari N, Alhadlaq R, Alotaibi A. Quality of life among type II diabetic patients attending the primary health centers of King Saud Medical City in Riyadh, Saudi Arabia. J Family Med Prim Care. 2021;10:3040-6.
  42. Golicki D, Dudzińska M, Zwolak A, Tarach JS. Quality of life in patients with type 2 diabetes in Poland - Comparison with the general population using the EQ-5D questionnaire. Adv Clin Exp Med. 2015;24(1):139-146.
  43. Mateo DC, Gordillo MAG, Olivares PR, Adsuar JC. Normative values of EQ-5D-5L for diabetes patients from Spain. Nutr Hosp. 2015;32(4):1595-1602.
  44. Fajriansyah, Lestari K, Iskandarsyah A, Puspitasari IM. Pengukuran Kualitas Hidup Pasien Program Pengelolaan Penyakit Kronis Diabetes Melitus Tipe 2 di Puskesmas Tamalanrea Makassar. Majalah Farmasetika. 2019;4 (1):225-232.
  45. Safita N, Islam SMS, Chow CK, et al. The impact of type 2 diabetes on health related quality of life in Bangladesh: Results from a matched study comparing treated cases with non-diabetic controls. Health Qual Life Outcomes. 2016;14(1):1-9.
  46. Bickett A, Tapp H. Anxiety and diabetes: Innovative approaches to management in primary care. Exp Biol Med. 2016;241(15):1724-1731.
  47. Notoadmojo, S. Metode Penelitian. Jakarta: Rineka Cipta. 2018, dalam Pratiwi Y, Anggiani F. Hubungan Edukasi Terhadap Peningkatan Pengetahuan Masyarakat Pada Penggunaan Antibiotik Di Kecamatan Jekulo Kabupaten Kudus. Cendekia J Pharm. 2020;4(2):149-155.
  48. Amelia R. The Correlation Between Level of Diabetic Patients’ Knowledge with Quality of Life in Patients with Type 2 Diabetes Mellitus at Haji Adam Malik Hospital Medan. 5th Annu Int Conf Syiah Kuala Univ (AIC Unsyiah) 2015. Published online 2015:313-318.
  49. Amelia R, Lelo A, Lindarto D, Mutiara E. Quality of life and glycemic profile of type 2 diabetes mellitus patients of Indonesian: A descriptive study. IOP Conf Ser Earth Environ Sci. 2018;125(1):1-6.
  50. Delgado DA, Lambert BS, Boutris N, et al. Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults. J Am Acad Orthop Surg Glob Res Rev. 2018;2(3):e088.
  51. Klimek L, Bergmann KC, Biedermann T, et al. Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care: Position Paper of the German Society of Allergology (AeDA) and the German Society of Allergy and Clinical Immunology (DGAKI), ENT Section, in collaboration with the working group on Clinical Immunology, Allergology and Environmental Medicine of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNOKHC). Allergo J Int. 2017;26(1):16-2.
  52. Lee WJ, Song K-H, Noh JH, Choi YJ, Jo M-W. Health-Related Quality of Life Using the EuroQol 5D Questionnaire in Korean Patients with Type 2 Diabetes. J Korean Med Sci. 2012;27(3):255-260.
  53. Nasihah M, Sifia LB. Hubungan antara Pengetahuan dan Pendidikan dengan Pelaksanaan Deteksi Dini Kanker Servik Melalui IVA. J Midpro. 2013;2(1): 20-36.
  54. Stojanović M, Cvetanović G, Anđelković-Apostolović M, Stojanović D, Rančić N. Impact of socio-demographic characteristics and long-term complications on quality of life in patients with diabetes mellitus. Cent Eur J Public Health. 2018;26(2):104-110.
  55. Basu G, nandi D, Biswas S, Roy SK. Quality of Life and Depression among Diabetic Patients Attending The Lifestyle Clinic of a Teaching Hospital, West Bengal. J Family Med Prim Care. 2021;10(1):321-326.
  56. Norström F, Waenerlund A-K, Lindholm L, Nygren R, Sahlén K-G, Brydsten A. Does unemployment contribute to poorer health-related quality of life among Swedish adults? BMC Public Health. 2019;19(1):457-468.
  57. Pham TB, Nguyen TT, Truong HT, et al. Effects of Diabetic Complications on Health-Related Quality of Life Impairment in Vietnamese Patients with Type 2 Diabetes. J Diabetes Res. 2020;2020:4360804.
  58. Karmila L, Herawati DR. Dukungan Keluarga dengan Kepatuhan Minum Obat pada Pasien Gangguan Jiwa di Wilayah Kerja Puskesmas Banjarbaru. Fakultas Kedokteran Unversitas lambung Banjarbaru. J Dunia Keperawatan. 2018;4(2):88-92.
  59. Bennich BB, Røder ME, Overgaard D, Egerod I, Munch L, Knop FK, Vilsbøll T, Konradsen H. Supportive and Non-Supportive Interactions in Families with a Type 2 Diabetes Patient: an Integrative Review. Diabetology and Metabolic Syndrome. 2017;9(1):55-59.
  60. Jackson IL, Adibe MO, Okonta MJ, Ukwe C V. Knowledge of self-care among type 2 diabetes patients in two states of Nigeria. Pharm Pract. 2014;12(3):404-414.
  61. Karaoui LR, Deeb ME, Nasser L, Hallit S. Knowledge and practice of patients with diabetes mellitus in Lebanon: a cross-sectional study. BMC Public Health. 2018;18(1):525-534.
  62. Cántaro K, Jara JA, Taboada M, Mayta-Tristán P. Association between information sources and level of knowledge about diabetes in patients with type 2 diabetes. Endocrinol y Nutr (English Ed). 2016;63(5):202-211.



DOI: https://doi.org/10.22146/jmpf.68631

Article Metrics

Abstract views : 1234 | views : 215

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

©Jurnal Manajemen dan Pelayanan Farmasi
Faculty of Pharmacy
Universitas Gadjah Mada
Creative Commons License
View My Stats