Diabetes mellitus is a great challenge against health system in many developing countries, including Indonesia. The continuous changing lifestyle and a longterm treatment causes new problem for diabetes patients, such as stress and reducing quality of life. On the other hand, some cases of diabetes mellitus are late diagnosed or undiagnosed. Thus, the signs and symptoms of those who are undiagnosed are commonly worse than those who are early diagnosed. This worse symptom may impact to stress and quality of life. Thus, health-seeking behavior may be essential in improving quality of life and declining the stress level. This study was conducted to examine stress, quality of life and health seeking behavior among type 2 diabetes mellitus in Wangon, Banyumas, Central Java, using descriptive analytical approach and involving 85 type 2 diabetes mellitus patients who were joining regular community health service. These patients were selected using purposive sampling method. Socio-demographic, diabetes distress scale, WHO Quality of Life and Health Seeking Behavior questionnaires were used. Descriptive and bivariate analysis were conducted. This study reported that almost half of the respondent had mild stress (49.4%). While most of the respondents had moderate quality of life (54.1%) and most of respondents went to formal health facilities when they had health-related issues (69.4%). There was a significant correlation between stress and quality of life with strong negative correlation approach (p:0.0001, cc:-0.559, spearman rank test). However, there was no association between stress and health seeking behavior with very weak correlation (p:0.429, cc:0.087, spearman rank test). Diabetes mellitus patients could have stress related to disease and treatment which lead to poor quality of life. However, there was no correlation between health seeking behavior to both stress and quality of life among type 2 diabetes patients.
Diabetes Mellitus (DM) is a chronic disease that causes high morbidity and mortality. Complications of DM can be categorized as serious problems because the presence of these complications can affect the quality of life of patients. Stress is common in someone with diabetes and requires proper treatment because it causes severe damage to quality of life. The purpose of this research was to analyze the relationship between stress levels and quality of life of diabetics in the working area of 1 Wangon Public Health Center. The research design was an analytical survey with a cross-sectional approach. The sampling technique used was purposive sampling. The samples were people with diabetes mellitus (85 respondents) in the working area of Wangon 1 Public Health Center. The research instrument used was a questionnaire, and the statistical analysis used was Spearman rank. The results showed that the majority of respondents was in middle adulthood (41-65 years) (89.4%); most respondents were female (56.5%); most respondents had basic education (elementary-junior high school) (72.9%); and most respondents were employed (64.7%). Moreover, most of them had a moderate stress level (49.4%) and a moderate quality of life (54.1%). There was a correlation between stress level and quality of life of diabetics in the working area of Wangon 1 Public Health Center in 2019 with ρ-value of 0,0001 (ρ-value ≤ α (0,05)).
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