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Abstract
Background: Diabetes mellitus is a chronic disease that can overcome complications and decrease quality of life.
Objective: The purpose of this study was to determine the effect of counseling religious nuance and pill box on perception, religiosity, quality of life, and adherence in DM patients who get oral antidiabetic in the outpatient of Jetis 1 Primary Health Center, Bantul Regency.
Method: This type of research is quasi-experimental, utilizing a pretest and posttest design with a control group. Recruitment of subjects was done by purposive sampling based on exclusion and inclusion criteria with a simple randomization of allocations in order to obtain a sample of 71 people, divided into control (n = 36) and treatment (n = 35) groups. The instrument to assess the success of counseling is the perception questionnaire (B-IPQ), religiosity, and quality of life (EQ5D-3L) that has been validated, while to measure compliance, it is calculated using the pill count method. Statistical analysis using chi square, t test, independent t-test, Wilcoxon test, and Mann-Whitney test with 95% confidence level.
Results: The results showed that the treatment group after being given counseling and pill boxes had a better perception (31.37±6.44) than the control group (34.47±7.16) (p<0,05). The treatment group religiosity score was higher (64.28±3.44) compared to the control group (62.17±4.64) (p<0.05). The adherence value of treatment group (96.28±10.32) is greater than that of the control group (88.37±12.39), p<0.05. The majority of patients are still able to walk, perform self-care independently, and carry out daily activities. The highest mean quality of life score was in the treatment group (0.95±0,08) with a mean VAS (77.40±6.31).
Conclusion: Based on the results of this study, it can be concluded that there is an influence of giving counseling religious nuance and pill box, which is marked by an increase in perception, religiosity, quality of life, and adherence.
Keywords: Diabetes mellitus, perception, religiosity, adherence, quality of life
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References
- Agustianuri, N. (2015). Perubahan Kepatuhan Konsumsi Obat dan Kadar Gula Darah Setelah Penggunaan Aplikasi Digital Pillbox Reminder Pada Pasein Diabetes Melitus Tipe 2 Rawat Jalan Di Depo Farmasi BPJS RSUD Ulin Banjarmasin. Jurnal Ilmiah Manuntung, 3(1), 34-42.
- American Diabetic Association (2019). Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes 2019. Diabetes Care, 42(1), 90-102.
- Chawla, A., Chawla, R., Jaggi, S. (2016). Microvascular and Macrovascular Complication in Diabates Mellitus: Distinct or Continum?. Indian J Endocrinol Metabolism, 20(4), 546-551.
- Dai, D.F., Rabinovitch, P.S., Ungvari, Z. (2012). Mitochondria and Cardiovascular Aging. Circ Res, 110, 1109-1124.
- Ganz, M.L., Wintfeld, N., Li, Q., Alas, V., Langer, J., Hammer, M. (2014). Thae Association of Body Mass Index with The Risk of Type 2 Diabetes: A Case Control Study Nested in an Electronic Health Records System in The Unites States. Diabetology & Metabolic Syndrome, 6, 50. https://doi.org/10.1186/1758-5996-6-50
- Ghembaza MA, Senoussaoui Y, Tani MK, Meguenni K. (2014). Impact of patient knowledge of hypertension complications on adherence to antihypertensive therapy. Curr Hypertens Rev, 10(1), 41–8. https://doi.org/10.2174/157340211001141111160653
- How, C.B., Ming, K., Chin, C.Y. (2011). Does Religious Affiliation Influence Glycaemic Control in Primary Care Patients With Type 2 Diabetes Mellitus?. Mental Health in Family Medicine, 8, 21-8.
- Ibrahim, N., Desa, A., & Chiew-Tong, N.K. (2011). Illnes Perception and Depression inPatients with End-Stage Renal Disease on Chronic Haemodialysis. Medwell Journal, 6(3), 221-226.
- International Diabetes Federation (IDF). (2017). Eighth edition 2017. In IDF Diabetes Atlas, 8th edition.
- Jing, Xiyue., Chen, J., Dong, Y., Han, Doulan., Zhao, H., Wang, Xuying., Fei, Gao., Li, Changping., Cui, Zhuang., Ma, Jun. (2018). Related factors of quality of life of type 2 diabetes patients: A systemtatic review and meta-analysis. Health Qual Life Outcomes, 16(1), 189. https://doi.org/10.1186/s12955-018-1021-9
- Kartikasari, N.D. (2014). Hubungan antara Religiusitas dengan Kesejahteraan Psikologi pada Penderita Diabetes Melitus Tipe 2. Tesis, Fakultas Psikologi Universitas Muhammadiyah Surakarta, Surakarta.
- Kemenkes (2018). Riset Kesehatan Dasar (RISKESDAS) 2018. Kementerian Kesehatan Republik Indonesia: Jakarta.
- Kiadaliri, A.A., Najafo, B., dan Mirmalek-Sani, M. (2013). Quality of life in people with diabetes: a systemic review of studies in Iran, Journal of Diabetes & Metabolic Disorders, 12(54), 1-10.
- Kiani, F., & Hesabi, N. (2016). The Relationship Between the Religious Beliefs of the Diabetic Patients and Depression in a Diabetes Clinic in Iran. J Relig Health, 56(4), 1311-1316. https://doi.org/10.1007/s10943-016-0222-y
- Malone J., & Dadswell A. (2018). The Role of Religion, Spirituality and/or Belief in Positive Ageing for Older Adults. Geriatrics, 3(2): 28.
- Mohamed, R.A.P., Ibrahim, N., Budin, S.B., Omar, A.M., Kamaruddin, N.A., and Ismail, R. (2016). Inter-Relationship of Illness Perception, Personality And Quality Of Life Among Type 2 Diabetes Patients: A Cross Sectional Survey, Soc Sci, 11(2), 234-241.
- Morello, C.M., Chynoweth, M., Kim, H., Singh, R.F., and Hirsch, J.D. (2011). Strategies to Improve Medication Adherence Reported by Diabetes Patients and Caregivers: Result of a Taking Control of Your Diabetes Survey. Annals of Pharmacotherapy, 45(2), 145-153.
- Nadia, H., Murti, A.T., Chairun, W. (2017).Pengaruh Konseling Farmasis Terhadao Kepatuhan Penggunaan Obat Serta Gula Darah Puasa di Pasien Diabetes Mellitus Tipe 2 di Puskesmas, Tesis. Fakultas Farmasi Universitas Gadjah Mada, Yogyakarta.
- Palimbunga, T.M., Ratag, B.T., Wulan. P. J. Kaunang. (2017). Faktor-faktor yang berhubungan dengan kejadian diabetes Mellitus Tipe 2 di RSI Gmim Pancaran Kasih Manado. Media Kesehatan, 9(3).
- Prajapati, V.B., Blake, R., Acharya, L.D., Seshadri, S. (2018). Assessment of Quality of Life in Type II Diabetic Patient Using The Modified Diabetes Quality of Life (MDQOL)-17 Questionnaire, Brazilian Journal of Pharmaceutical Sciences, 53(4). https://doi.org/10.1590/s2175-97902017000417144
- Purba, F.D., Hunfeld, J.A.M., Iskandarsyah, A., Fitriana, T.S., Sadarjoen, S.S., Ramos-Goni, JM., Passchier, J., Busschbach, JJV. (2017). The Indonesian EQ5D5L Value Set. Pharmacoeconomics, 35(11), 1153-1165. https://doi.org/10.1007/s40273-017-0538-9
- Rafiah, N., and Perwitasari, D.A. (2017). Hubungan Persepsi Tentang Penyakit Dengan Kualitas Hidup Pada Pasien Diabetes Melitus Tipe 2 Dengan Komplikasi Di RSUD Abdul Wahab Sjahranie Samarinda. Media Farmasi, 14(1), 103-118. http://dx.doi.org/10.12928/mf.v14i1.9830
- Rasdianah, N., Martodiharjo, S., Andayani, T.M., Hakim, L. (2016). Gambaran Kepatuhan Pengobatan Pasien Diabetes Melitus Tipe 2 di Puskesmas Daerah Istimewa Yogyakarta, Jurnal Farmasi Klinik Indonesia, 5(4), 249-257.
- Sammulia, S.F., Rahmawati, F., Andayani, T.M. (2016). Perbandingan Pill Box dan Medication Chart Dalam Meningkatkan Kepatuhan dan Outcome Klinik Geriatri Kota Batam. Jurnal Manajemen dan Pelayanan Farmasi, 6(4), 288-296. https://doi.org/10.22146/jmpf.358
- Sari, M.O. (2018). Pemberian Konseling Singkat Farmasi Modifikasi Berbasis Islami Dengan Pesan Singkat Pengingat Motivasi Terhadap Tingkat Perilaku, Hasil Terapi, dan Kualitas Hidup Pasien DM di Puskesmas Jetis 1 Bantul. Tesis. Fakultas Farmasi UAD, Yogyakarta.
- Shareef, J., Fernandez, J., Samaga, L. (2016). Impact of Pharmacist’s Intervention on Improving Quality of Life in Patients with Diabetes Mellitus, J Diabetes Metab Disord Control, 3(4), 83-88. https://doi.org/10.15406/jdmdc.2016.03.00076
- Sriram, S., Damodharan, S., Arjun, AS., Latha, MA., Raghuram, N. (2016). Impact of pharmaceutical care activities on diabetic patients at a private corporate hospital. International Journal of Medical Research & Health Sciences, 5(5), 66-74.
- Susanto, Y., Lailani, F., Alfian R., Rianto, L., Febrianti, DR., Aryzki, S., Prihandiwati, E., Khairunnisa, NS. (2019). Pemanfaatan Media Sosial Untuk Meningkatkan Kepatuhan Minum Obat Pasien Diabetes Melitus Rawat Jalan di RSUD Ulin Banjarmasin, Jurnal Ilmiah Ibnu Sina, 4(1), 88-89. https://doi.org/10.36387/jiis.v4i1.286
- Suwendar, Fudholi, A., Andayani, TM., Sastramihardja, HS. (2017). Evaluasi Kualitas Hidup dengan Kuesioner EQ-5D pada Pasien Kanker Serviks Rawat Inap Sebelum dan Setelah Kemoterapi. Jurnal Farmasi Klinik Indonesia, 6(1), 1-10. https://doi.org/10.15416/ijcp.2017.6.1.1
- Szende, A., Janssen, B., Cabases, J. (2014). Self-Reported Perspective based An International Population Health: on EQ-5D. Springer Dordrecht Heidelberg: New York London.
- Umpierre D., Ribeiro P.A., Schaan B.D., Ribeiro J.P. (2013). Volume of supervised exercise training impacts glycaemic control in patients with type 2 diabetes: a systematic review with meta-regression analysis. Diabetologia, 56(2), 242–251. https://doi.org/10.1007/s00125-012-2774-z
- Yusra, A. (2010). Hubungan antara dukungan keluarga dengan kualitas hidup pasien diabetes melitus tipe 2 di poliklinik penyakit dalam Rumah Sakit Umum Pusat Fatmawati Jakarta. Tesis. Fakultas Kedokteran Universitas Indonesia: Jakarta.
- Zioga, E., Kazakos, K., Dimopoulos, E., Koutras, C., Marmara, K., Marmara, E-E., Marmaras, A., Lavdaniti. (2016). Adherence And Quality Of Life In Patients With Type II Diabetes Mellitus In Northern Greece. Mater Sosiomed, 28(4), 258-262.
- Yuniarti, K.W., Dewi, C.P., Ningrum, R.P., Widiastuti, Asril, N.M. (2013). Illness Perception, Stress, Religiosity, Depression, Social Support, and Self-Management of Diabetes in Indonesia. International Journal of Research Studies in Psychology, 2(1), 25-41. https://doi.org/10.5861/ijrsp.2012.185
References
Agustianuri, N. (2015). Perubahan Kepatuhan Konsumsi Obat dan Kadar Gula Darah Setelah Penggunaan Aplikasi Digital Pillbox Reminder Pada Pasein Diabetes Melitus Tipe 2 Rawat Jalan Di Depo Farmasi BPJS RSUD Ulin Banjarmasin. Jurnal Ilmiah Manuntung, 3(1), 34-42.
American Diabetic Association (2019). Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes 2019. Diabetes Care, 42(1), 90-102.
Chawla, A., Chawla, R., Jaggi, S. (2016). Microvascular and Macrovascular Complication in Diabates Mellitus: Distinct or Continum?. Indian J Endocrinol Metabolism, 20(4), 546-551.
Dai, D.F., Rabinovitch, P.S., Ungvari, Z. (2012). Mitochondria and Cardiovascular Aging. Circ Res, 110, 1109-1124.
Ganz, M.L., Wintfeld, N., Li, Q., Alas, V., Langer, J., Hammer, M. (2014). Thae Association of Body Mass Index with The Risk of Type 2 Diabetes: A Case Control Study Nested in an Electronic Health Records System in The Unites States. Diabetology & Metabolic Syndrome, 6, 50. https://doi.org/10.1186/1758-5996-6-50
Ghembaza MA, Senoussaoui Y, Tani MK, Meguenni K. (2014). Impact of patient knowledge of hypertension complications on adherence to antihypertensive therapy. Curr Hypertens Rev, 10(1), 41–8. https://doi.org/10.2174/157340211001141111160653
How, C.B., Ming, K., Chin, C.Y. (2011). Does Religious Affiliation Influence Glycaemic Control in Primary Care Patients With Type 2 Diabetes Mellitus?. Mental Health in Family Medicine, 8, 21-8.
Ibrahim, N., Desa, A., & Chiew-Tong, N.K. (2011). Illnes Perception and Depression inPatients with End-Stage Renal Disease on Chronic Haemodialysis. Medwell Journal, 6(3), 221-226.
International Diabetes Federation (IDF). (2017). Eighth edition 2017. In IDF Diabetes Atlas, 8th edition.
Jing, Xiyue., Chen, J., Dong, Y., Han, Doulan., Zhao, H., Wang, Xuying., Fei, Gao., Li, Changping., Cui, Zhuang., Ma, Jun. (2018). Related factors of quality of life of type 2 diabetes patients: A systemtatic review and meta-analysis. Health Qual Life Outcomes, 16(1), 189. https://doi.org/10.1186/s12955-018-1021-9
Kartikasari, N.D. (2014). Hubungan antara Religiusitas dengan Kesejahteraan Psikologi pada Penderita Diabetes Melitus Tipe 2. Tesis, Fakultas Psikologi Universitas Muhammadiyah Surakarta, Surakarta.
Kemenkes (2018). Riset Kesehatan Dasar (RISKESDAS) 2018. Kementerian Kesehatan Republik Indonesia: Jakarta.
Kiadaliri, A.A., Najafo, B., dan Mirmalek-Sani, M. (2013). Quality of life in people with diabetes: a systemic review of studies in Iran, Journal of Diabetes & Metabolic Disorders, 12(54), 1-10.
Kiani, F., & Hesabi, N. (2016). The Relationship Between the Religious Beliefs of the Diabetic Patients and Depression in a Diabetes Clinic in Iran. J Relig Health, 56(4), 1311-1316. https://doi.org/10.1007/s10943-016-0222-y
Malone J., & Dadswell A. (2018). The Role of Religion, Spirituality and/or Belief in Positive Ageing for Older Adults. Geriatrics, 3(2): 28.
Mohamed, R.A.P., Ibrahim, N., Budin, S.B., Omar, A.M., Kamaruddin, N.A., and Ismail, R. (2016). Inter-Relationship of Illness Perception, Personality And Quality Of Life Among Type 2 Diabetes Patients: A Cross Sectional Survey, Soc Sci, 11(2), 234-241.
Morello, C.M., Chynoweth, M., Kim, H., Singh, R.F., and Hirsch, J.D. (2011). Strategies to Improve Medication Adherence Reported by Diabetes Patients and Caregivers: Result of a Taking Control of Your Diabetes Survey. Annals of Pharmacotherapy, 45(2), 145-153.
Nadia, H., Murti, A.T., Chairun, W. (2017).Pengaruh Konseling Farmasis Terhadao Kepatuhan Penggunaan Obat Serta Gula Darah Puasa di Pasien Diabetes Mellitus Tipe 2 di Puskesmas, Tesis. Fakultas Farmasi Universitas Gadjah Mada, Yogyakarta.
Palimbunga, T.M., Ratag, B.T., Wulan. P. J. Kaunang. (2017). Faktor-faktor yang berhubungan dengan kejadian diabetes Mellitus Tipe 2 di RSI Gmim Pancaran Kasih Manado. Media Kesehatan, 9(3).
Prajapati, V.B., Blake, R., Acharya, L.D., Seshadri, S. (2018). Assessment of Quality of Life in Type II Diabetic Patient Using The Modified Diabetes Quality of Life (MDQOL)-17 Questionnaire, Brazilian Journal of Pharmaceutical Sciences, 53(4). https://doi.org/10.1590/s2175-97902017000417144
Purba, F.D., Hunfeld, J.A.M., Iskandarsyah, A., Fitriana, T.S., Sadarjoen, S.S., Ramos-Goni, JM., Passchier, J., Busschbach, JJV. (2017). The Indonesian EQ5D5L Value Set. Pharmacoeconomics, 35(11), 1153-1165. https://doi.org/10.1007/s40273-017-0538-9
Rafiah, N., and Perwitasari, D.A. (2017). Hubungan Persepsi Tentang Penyakit Dengan Kualitas Hidup Pada Pasien Diabetes Melitus Tipe 2 Dengan Komplikasi Di RSUD Abdul Wahab Sjahranie Samarinda. Media Farmasi, 14(1), 103-118. http://dx.doi.org/10.12928/mf.v14i1.9830
Rasdianah, N., Martodiharjo, S., Andayani, T.M., Hakim, L. (2016). Gambaran Kepatuhan Pengobatan Pasien Diabetes Melitus Tipe 2 di Puskesmas Daerah Istimewa Yogyakarta, Jurnal Farmasi Klinik Indonesia, 5(4), 249-257.
Sammulia, S.F., Rahmawati, F., Andayani, T.M. (2016). Perbandingan Pill Box dan Medication Chart Dalam Meningkatkan Kepatuhan dan Outcome Klinik Geriatri Kota Batam. Jurnal Manajemen dan Pelayanan Farmasi, 6(4), 288-296. https://doi.org/10.22146/jmpf.358
Sari, M.O. (2018). Pemberian Konseling Singkat Farmasi Modifikasi Berbasis Islami Dengan Pesan Singkat Pengingat Motivasi Terhadap Tingkat Perilaku, Hasil Terapi, dan Kualitas Hidup Pasien DM di Puskesmas Jetis 1 Bantul. Tesis. Fakultas Farmasi UAD, Yogyakarta.
Shareef, J., Fernandez, J., Samaga, L. (2016). Impact of Pharmacist’s Intervention on Improving Quality of Life in Patients with Diabetes Mellitus, J Diabetes Metab Disord Control, 3(4), 83-88. https://doi.org/10.15406/jdmdc.2016.03.00076
Sriram, S., Damodharan, S., Arjun, AS., Latha, MA., Raghuram, N. (2016). Impact of pharmaceutical care activities on diabetic patients at a private corporate hospital. International Journal of Medical Research & Health Sciences, 5(5), 66-74.
Susanto, Y., Lailani, F., Alfian R., Rianto, L., Febrianti, DR., Aryzki, S., Prihandiwati, E., Khairunnisa, NS. (2019). Pemanfaatan Media Sosial Untuk Meningkatkan Kepatuhan Minum Obat Pasien Diabetes Melitus Rawat Jalan di RSUD Ulin Banjarmasin, Jurnal Ilmiah Ibnu Sina, 4(1), 88-89. https://doi.org/10.36387/jiis.v4i1.286
Suwendar, Fudholi, A., Andayani, TM., Sastramihardja, HS. (2017). Evaluasi Kualitas Hidup dengan Kuesioner EQ-5D pada Pasien Kanker Serviks Rawat Inap Sebelum dan Setelah Kemoterapi. Jurnal Farmasi Klinik Indonesia, 6(1), 1-10. https://doi.org/10.15416/ijcp.2017.6.1.1
Szende, A., Janssen, B., Cabases, J. (2014). Self-Reported Perspective based An International Population Health: on EQ-5D. Springer Dordrecht Heidelberg: New York London.
Umpierre D., Ribeiro P.A., Schaan B.D., Ribeiro J.P. (2013). Volume of supervised exercise training impacts glycaemic control in patients with type 2 diabetes: a systematic review with meta-regression analysis. Diabetologia, 56(2), 242–251. https://doi.org/10.1007/s00125-012-2774-z
Yusra, A. (2010). Hubungan antara dukungan keluarga dengan kualitas hidup pasien diabetes melitus tipe 2 di poliklinik penyakit dalam Rumah Sakit Umum Pusat Fatmawati Jakarta. Tesis. Fakultas Kedokteran Universitas Indonesia: Jakarta.
Zioga, E., Kazakos, K., Dimopoulos, E., Koutras, C., Marmara, K., Marmara, E-E., Marmaras, A., Lavdaniti. (2016). Adherence And Quality Of Life In Patients With Type II Diabetes Mellitus In Northern Greece. Mater Sosiomed, 28(4), 258-262.
Yuniarti, K.W., Dewi, C.P., Ningrum, R.P., Widiastuti, Asril, N.M. (2013). Illness Perception, Stress, Religiosity, Depression, Social Support, and Self-Management of Diabetes in Indonesia. International Journal of Research Studies in Psychology, 2(1), 25-41. https://doi.org/10.5861/ijrsp.2012.185