Diabetes-Related Distress and Depressive Symptoms Are Not Merely Negative over a 3-Year Period in Malaysian Adults with Type 2 Diabetes Mellitus Receiving Regular Primary Diabetes Care

Chew, Boon How; Stellato, Rebecca K.; Rutten, Guy E.H.M.

doi:10.3389/fpsyg.2017.01834

Cited by 11 publications

(9 citation statements)

References 37 publications

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“…Adanya persepsi yang tepat mengenai penyakit DM tipe 2 pada pasien dapat meningkatkan keberhasilan dalam pengobatan serta membantu memperlancar proses kesembuhan (Rahmah, 2016). Individu yang memiliki persepsi yang baik terhadap penyakitnya akan patuh dengan pengobatan yang dijalankan (Chew, Vos, Stellato, & Rutten, 2017).…”

Section: Persepsi Sakitunclassified

Peran Perawat sebagai Edukator terhadap Persepsi Sakit pada Pasien Diabetes Mellitus Tipe 2 Kabupaten Jember

Anggraeni¹,

Widayati²,

Sutawardana³

2020

JPKI

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ABSTRAKPasien dengan diabetes melitus (DM) tipe 2 akan menggambarkan penyakit yang dialami sesuai dengan apa yang ada dalam pikirannya untuk memahami masalah terkait. Persepsi sakit dapat ditingkatkan melalui pendidikan kesehatan oleh perawat tentang bagaimana mengelola penyakit dan manajemen perawatan diri. Penelitian ini bertujuan untuk menganalisa hubungan antara peran perawat sebagai edukator dengan persepsi sakit pada pasien DM tipe 2. Jenis penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Teknik sampling penelitian ini adalah consecutive sampling dengan sampel sebanyak 112 responden. Pengumpulan data menggunakan kuesioner peran perawat sebagai edukator dan kuesioner Brief Illness Perception Questionnaire (BIPQ). Analisis data dilakukan dengan menggunakan uji korelasi Spearman-rank dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara peran perawat sebagai edukator dengan persepsi sakit (p value: 0,001; r: -0,433). Tingkat korelasi sedang dan bersifat negatif yang berarti semakin tinggi nilai peran perawat sebagai edukator maka semakin rendah nilai persepsi sakit. Semakin baik peran perawat sebagai edukator, semakin positif persepsi pasien tentang penyakit, yang berarti semakin sedikit ancaman penyakit yang dirasakan oleh pasien. Studi ini menunjukkan bahwa perawat harus dapat meningkatkan penyediaan pendidikan kesehatan untuk pasien dengan DM tipe 2 sehingga pasien dapat memiliki persepsi positif terhadap penyakit. ABSTRACT Patients with type 2 diabetes mellitus will describe their illness based on what is in their minds to understand related problems. Illness perception can be improved through health education by nurses about how to manage the illness and self-care management. This study aimed to analyze correlation between the role of nurse as educator and illness perception in patients with type 2 diabetes mellitus. This research applied an observational analytic design with cross sectional approach. A total of 112 respondents were obtained by using consecutive sampling technique. Data collection was conducted by administering questionnaires of Role of Nurse as Educator and Brief Illness Perception Questionnaire (BIPQ). Data analysis was performed with Spearman-rank correlation test with significance level of 0,05. The result showed a significant correlation between the role of nurse as educator and illness perception (p value: 0,001; r: -0,433). The correlation was moderate and negative which means the higher the value of the role of nurse as educator, the lower the value of illness perception. The better the role of the nurse as educator, the more positive the patient’s perception about the illness, which means the less threatening the illness is perceived by the patients. This study indicates that nurses should be able to improve the provision of health education to patients with type 2 diabetes mellitus so that patients can have positive perceptions of the illness.

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Section: Persepsi Sakitunclassified

Peran Perawat sebagai Edukator terhadap Persepsi Sakit pada Pasien Diabetes Mellitus Tipe 2 Kabupaten Jember

Anggraeni¹,

Widayati²,

Sutawardana³

2020

JPKI

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“…Our findings therefore suggest that the presence of psychological barriers (diabetes distress and depression) resulted in participants experiencing less of these positive feelings. In addition, a trend in the literature indicates the susceptibility of diabetes patients to developing depression or exhibiting depressive symptoms 2,33 . Patients who become depressed have the double burden of dealing with that as well as living with a chronic illness.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial barriers to well‐being and quality of life among type 2 diabetes patients in Ghana

et al. 2021

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Introduction Managing type 2 diabetes can cause psychosocial distress, which can negatively impact patients’ well‐being and quality of life. This study investigated how psychosocial barriers and clinical variables may be associated with general well‐being and quality of life of people with type 2 diabetes. Method One hundred sixty‐two patients from four interdisciplinary hospital‐based diabetes clinics in Accra, the capital of Ghana, were studied by assessing psychosocial barriers (e.g. diabetes‐related distress, family support), clinical variables (e.g. duration of diabetes, diabetes control), general well‐being and quality of life using standardised measures. Result Results showed that increased levels of psychological distress (diabetes distress, depressive symptoms) were associated with poorer general well‐being and reduced quality of life in the different domains (physical health, psychological health, social relationships, environment), whereas social distress (as measured by non‐supportive family behaviours) was positively correlated with only general well‐being and physical health but not the other dimensions of quality of life. Analysis of clinical variables showed that higher glycaemic levels were associated with poorer physical, psychological and environmental quality of life, but longer duration of diabetes diagnosis was associated with better psychological quality of life. In addition, increased adherence to dietary regimen was associated with better general well‐being and environmental quality of life, whereas increased adherence to exercise regimen was associated with better physical, psychological and environmental quality of life. Conclusion Psychosocial support and education/adherence counselling are needed in the treatment of type 2 diabetes to reduce or eliminate psychosocial distress and to improve self‐care management, thereby improving diabetes control and ultimately, quality of life of patients.

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“…This was a retrospective cohort study that included baseline data from a previous study in 2013 [28], together with the follow-up data from 2014 to 2016 [29]. During this period of follow-up, patients received standard diabetes care and clinical services at the respective health clinics.…”

Section: Methodsmentioning

confidence: 99%

“…Baseline demographic data included age, gender, ethnicity, religion, educational level, employment status, monthly income and life event within the past six months [29]. Structured case record forms were used for data collection from the medical records.…”

Section: Data Collectionmentioning

confidence: 99%

Is Therapeutic Inertia Present in hyperglycaemia, Hypertension and Hypercholesterolaemia Management among Adults with type 2 Diabetes in three Health Clinics in Malaysia? A Retrospective Cohort Study

Chew

Hussain²,

Supian³

2021

Preprint

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Background: Good-quality evidence has shown that early glycaemic, blood pressure and LDL-cholesterol control in people with type 2 diabetes (T2D) leads to better outcomes. In spite of that, diseases control have been inadequate globally, and therapeutic inertia could be one of the main cause. Evidence on therapeutic inertia has been lacking at primary care setting. This retrospective cohort study aimed to determine the proportions of therapeutic inertia when treatment targets of HbA1c, blood pressure and LDL-cholesterol were not achieved in adults with T2D at three public health clinics in Malaysia.Methods: The index prescriptions were those that when the annual blood tests were reviewed. Prescriptions of medication were verified, compared to the preceding prescriptions and classified as 1) no change, 2) stepping up and 3) stepping down. The treatment targets were HbA1c < 7.0% (53 mmol/mol), blood pressure (BP) < 140/90 mmHg and LDL-cholesterol < 2.6 mmol/L. Therapeutic inertia was defined as no change in the medication use in the present of not reaching the treatment targets. Descriptive, univariable, multivariable logistic regression and sensitive analyses were conducted. Results: A total of 552 cohorts were available for the assessment of therapeutic inertia (78.9% completion rate). The mean (SD) age and diabetes duration were 60.0 (9.9) years and 5.0 (6.0) years, respectively. High therapeutic inertia were observed in oral anti-diabetic (61-72%), anti-hypertensive (34-65%) and lipid-lowering therapies (56-77%), and lesser in insulin (34-52%). Insulin therapeutic inertia was more likely among those with shorter diabetes duration (adjusted OR 0.9, 95% CI 0.87, 0.98). Those who did not achieve treatment targets were less likely to experience therapeutic inertia: HbA1c ≥ 7.0%: adjusted OR 0.10 (0.04, 0.24); BP ≥ 140/90 mmHg: 0.28 (0.16, 0.50); LDL-cholesterol ≥ 2.6 mmol/L: 0.37 (0.22, 0.64). Conclusions: Although therapeutic intensifications were more likely in the present of non-achieved treatment targets but the proportions of therapeutic inertia were high. Possible causes of therapeutic inertia were less of the physician behaviours but may be more of patient-related non-adherence or non-availability of the oral medications and these require urgent identification and rectification to improve disease control, avoiding detrimental health implications and costly consequences.

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Diabetes-Related Distress and Depressive Symptoms Are Not Merely Negative over a 3-Year Period in Malaysian Adults with Type 2 Diabetes Mellitus Receiving Regular Primary Diabetes Care

Cited by 11 publications

References 37 publications

Peran Perawat sebagai Edukator terhadap Persepsi Sakit pada Pasien Diabetes Mellitus Tipe 2 Kabupaten Jember

Peran Perawat sebagai Edukator terhadap Persepsi Sakit pada Pasien Diabetes Mellitus Tipe 2 Kabupaten Jember

Psychosocial barriers to well‐being and quality of life among type 2 diabetes patients in Ghana

Is Therapeutic Inertia Present in hyperglycaemia, Hypertension and Hypercholesterolaemia Management among Adults with type 2 Diabetes in three Health Clinics in Malaysia? A Retrospective Cohort Study

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