Peran Persepsi Pemberdayaan Terhadap Diabetes Distress pada Pasien Diabetes Tipe 2

Aini Inayati

doi:10.30651/jkm.v10i2.26361

Penulis

Aini Inayati universitas 'Aisyiyah Yogyakarta

DOI:

https://doi.org/10.30651/jkm.v10i2.26361

Kata Kunci:

Diabetes Melitus Tipe 2, Diabetes distress

Abstrak

Objective: The purpose of this study was to examine the relationship between the role of empowerment and diabetes distress in patients with type 2 diabetes in Indonesia.
Methods: A cross-sectional design was used in this study. A total of 162 adult patients with type 2 diabetes were recruited from two health centers using convenience sampling. Self-report questionnaires and medical records were used to collect data on demographic and disease characteristics, the role of empowerment and diabetes distress. Bivariate analysis was used to test for significant correlations of variables.
Results: The results of this study were that the role of perceived empowerment was negatively associated with diabetes distress
Conclusion: The importance of empowerment decision-making conflicts with diabetes distress in patients with type 2 diabetes in Indonesia. Health care providers need to be aware that increasing the perception of empowerment without considering decision-making conflict can increase diabetes distress.

Referensi

Aikens, J. E. (2012). Prospective associations between emotional distress and poor outcomes in type 2 diabetes. Diabetes Care, 35(12), 2472–2478. https://doi.org/10.2337/dc12-0181

Aquino, J. A., Baldoni, N. R., Flôr, C. R., Sanches, C., Di Lorenzo Oliveira, C., Alves, G. C. S., Fabbro, A. L. D., & Baldoni, A. O. (2018). Effectiveness of individual strategies for the empowerment of patients with diabetes mellitus: A systematic review with meta-analysis. Primary Care Diabetes, 12(2), 97–110. https://doi.org/10.1016/j.pcd.2017.10.004

Arifin, B., Probandari, A., Purba, A. K. R., Perwitasari, D. A., Schuiling-Veninga, C. C. M., Atthobari, J., Krabbe, P. F. M., & Postma, M. J. (2020). ‘Diabetes is a gift from god’ a qualitative study coping with diabetes distress by Indonesian outpatients. Quality of Life Research, 29(1), 109–125. https://doi.org/10.1007/s11136-019-02299-2

Arifin, B., Van Asselt, A. D. I., Setiawan, D., Atthobari, J., Postma, M. J., & Cao, Q. (2019). Diabetes distress in Indonesian patients with type 2 diabetes: A comparison between Primary and Tertiary care. BMC Health Services Research, 19(1), 773. https://doi.org/10.1186/s12913-019-4515-1

Arifuddin, F., Syam, Y., Arafat, R., & Adiputra, A. B. (2021). Overview of diabetes distress in diabetes patients who do not participate in PROLANIS (Chronic Disease Management Program): A pilot study. Enfermería Clínica, 31(December 2021), S649–S652. https://doi.org/10.1016/j.enfcli.2021.07.011

Bravo, P., Dois, A., Hernández, M. J., & Villarroel, L. (2018). Decisional conflict among people with diabetes mellitus or hypertension attending primary care. Revista Médica de Chile, 146(11), 1286–1293. https://doi.org/10.4067/S0034-98872018001101286

Bruno, B. A., Choi, D., Thorpe, K. E., & Yu, C. H. (2019). Relationship among diabetes distress, decisional conflict, quality of life, and patient perception of chronic illness care in a cohort of patients with type 2 diabetes and other comorbidities. Diabetes Care, 42(7), 1170–1177. https://doi.org/10.2337/dc18-1256

Cheng, L., Sit, J. W. H., Choi, K., Li, X., & Wu, Y. (2017). The effectiveness of the diabetes empowerment self-management interactive research (DESIRE) programme on diabetes distress in patients with poorly controlled type 2 diabetes: Secondary analysis of a multicentre, single-blind, randomised controlled trial. The Lancet, 390(December), S93. https://doi.org/10.1016/S0140-6736(17)33231-2

Gahlan, D., Rajput, R., Gehlawat, P., & Gupta, R. (2018). Prevalence and determinants of diabetes distress in patients of diabetes mellitus in a tertiary care centre. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 12(3), 333–336. https://doi.org/10.1016/j.dsx.2017.12.024

Garvelink, M. M., Boland, L., Klein, K., Nguyen, D. V., Menear, M., Bekker, H. L., Eden, K. B., LeBlanc, A., O’Connor, A. M., Stacey, D., & Légaré, F. (2019). Decisional Conflict Scale Use over 20 Years: The Anniversary Review. Medical Decision Making, 39(4), 301–314. https://doi.org/10.1177/0272989X19851345

Handayani, P. W., Saladdin, I. R., Pinem, A. A., Azzahro, F., Hidayanto, A. N., & Ayuningtyas, D. (2018). Health referral system user acceptance model in Indonesia. Heliyon, 4(12), e01048. https://doi.org/10.1016/j.heliyon.2018.e01048

Holmström, I., & Röing, M. (2010). The relation between patient-centeredness and patient empowerment: A discussion on concepts. Patient Education and Counseling, 79(2), 167–172. https://doi.org/10.1016/j.pec.2009.08.008

Indonesian Association of Endocrinology. (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia—2021. PB PERKENI. https://pbperkeni.or.id/wp-content/uploads/2021/11/22-10-21-Website-Pedoman-Pengelolaan-dan-Pencegahan-DMT2

Indrahadi, D., Wardana, A., & Pierewan, A. C. (2021). The prevalence of diabetes mellitus and relationship with socioeconomic status in the Indonesian population. Jurnal Gizi Klinik Indonesia, 17(3), 103. https://doi.org/10.22146/ijcn.55003

International Diabetes Federation. (2021). IDF diabetes atlas 10th edition [Official organization report]. Www.Diabetesatlas.Org. https://diabetesatlas.org/atlas/tenth-edition

Kapoor, G., & Mathur, K. (2015). An analysis of diabetes empowerment and distress in patients of diabetes mellitus type 2. Indian Journal of Health & Wellbeing, 6(8), 757–762. https://web.s.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=1&sid=a834dc94-1f19-408e-ad0a-8c96e746db40%40redis

Oliveira, D. C. M., Viater Tureck, L., Alvares, D., Liu, C., Horimoto, A. R. V. R., Balcells, M., De Oliveira Alvim, R., Krieger, J. E., & Pereira, A. C. (2020). Relationship between marital status and incidence of type 2 diabetes mellitus in a Brazilian rural population: The Baependi Heart Study. PLOS ONE, 15(8), e0236869. https://doi.org/10.1371/journal.pone.0236869

Perrin, N. E., Davies, M. J., Robertson, N., Snoek, F. J., & Khunti, K. (2017). The prevalence of diabetes-specific emotional distress in people with type 2 diabetes: A systematic review and meta-analysis. Diabetic Medicine, 34(11), 1508–1520. https://doi.org/10.1111/dme.13448

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Hess Fischl, A., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of nutrition and dietetics. Diabetes Care, 38(7), 1372–1382. https://doi.org/10.1016/j.jand.2015.05.012

Ramadhani, S., Fidiawan, A., Andayani, T. M., & Endarti, D. (2019). Impact Self-care to Fasting Blood Glucose in Patients with Type 2 Diabetes Mellitus. Jurnal Manajemen Dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 9(2). https://doi.org/10.22146/jmpf.44535

Rasheed, M., Islam, N., & Mahjabeen, W. (2015). Factors Associated with Uncontrolled Type 2 Diabetes Mellitus. Journal of Islamabad Medical & Dental College, 4(2), 68–71.

Small, N., Bower, P., Chew-Graham, C. A., Whalley, D., & Protheroe, J. (2013). Patient empowerment in long-term conditions: Development and preliminary testing of a new measure. BMC Health Services Research, 13(1), 263. https://doi.org/10.1186/1472-6963-13-263

Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., Holmes-Rovner, M., Llewellyn-Thomas, H., Lyddiatt, A., Thomson, R., & Trevena, L. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 2017(4). https://doi.org/10.1002/14651858.CD001431.pub5

Tanenbaum, M. L., Kane, N. S., Kenowitz, J., & Gonzalez, J. S. (2016). Diabetes distress from the patient’s perspective: Qualitative themes and treatment regimen differences among adults with type 2 diabetes. Journal of Diabetes and Its Complications, 30(6), 1060–1068. https://doi.org/10.1016/j.jdiacomp.2016.04.023

Tol, A., Baghbanian, A., Mohebbi, B., Shojaeizadeh, D., Azam, K., Shahmirzadi, S. E., & Asfia, A. (2013). Empowerment assessment and influential factors among patients with type 2 diabetes. Journal of Diabetes & Metabolic Disorders, 12(1), 6. https://doi.org/10.1186/2251-6581-12-6

Tunsuchart, K., Lerttrakarnnon, P., Srithanaviboonchai, K., Likhitsathian, S., & Skulphan, S. (2020). Type 2 Diabetes Mellitus Related Distress in Thailand. International Journal of Environmental Research and Public Health, 17(7), 2329. https://doi.org/10.3390/ijerph17072329

Zhu, T. H., Mooi, C. S., & Shamsuddin, N. H. (2019). Diabetes empowerment scores among type 2 diabetes mellitus patients and its correlated factors: A cross-sectional study in a primary care setting in Malaysia. World Journal of Diabetes, 10(7), 403–413. https://doi.org/10.4239/wjd.v10.i7.403