Clinical Indicators and Quality of Life of Diabetes Mellitus Patients Program Prolanis Di Puskesmas Kasihan I
DOI:
https://doi.org/10.51601/ijhp.v6i2.649Keywords:
Diabetus mellitus; Blood Sugar and Quality of Life.Abstract
Background: According to the International Diabetes Federation (IDF), in 2021, an estimated 537 million people worldwide will suffer from diabetes, and this number is expected to continue to increase (International Diabetes Federation, 2019). The prevalence of diabetes mellitus (DM) in Indonesia increased by 2% in 2018 compared to 2013. The highest prevalence was in DKI Jakarta Province (3.4%) and the lowest was in NTT Province (0.9%) among residents aged ≥15 years. The prevalence of DM in all ages was lower, at 1.5%, than the prevalence of DM in those aged ≥15 years (Kemenkes RI, 2018a, 2018b).Complications in diabetes mellitus patients can have an impact on the quality of life of diabetes mellitus patients. Various physical health problems that can be caused by diabetes mellitus include diabetic neuropathy, diabetic retinopathy, heart disease, and vascular problems. Objective : The aim of the study was to determine the clinical indicators and quality of DM patients participating in the Prolanis program at Kasihan I Community Health Center. Methods : This study was observational with a cross-sectional design on outpatient DM patients at Kasihan I Community Health Center, Bantul, DIY. Sampling of diabetes mellitus patients was carried out using a non-probability sampling technique, namely purposive sampling was carried out by taking samples based on certain criteria. This research was conducted at Kasihan 1 Community Health Center, Kasihan, Bantul, from December 2023 to August 2024. Data collection form containing a questionnaire on the subject's personal biodata (demographics), medical history and treatment, and a questionnaire on lifestyle habits. Patient quality of life was measured using the EQ-5D-5L questionnaire. In-time blood sugar testing kit. Chi-Square analysis was used to determine factors related to the quality of life of prolanis DM patients. Results and Discussion : There were 40 respondents (97.6%) who were female and only 1 respondent (2.4%) who was male. This indicates the increasing involvement of women in Prolanis. There were no significant differences in systolic and diastolic blood pressure and quality of life of DM patients participating in Prolanis at the Kasihan Community Health Center based on gender. Blood sugar levels in male DM patients were higher than in female DM patients (normal, 186.00±63.48). The normality of blood sugar levels of Prolanis participants at Kasihan 1 Bantul Health Center showed that more of them had controlled blood sugar levels. Conclusion: There are differences in the values of clinical picture indicator data and quality of life of patients. Physical exercise interventions for the elderly have a very big influence in changing their quality of life.
Downloads
References
[1]. Aadahl, M., Vardinghus-Nielsen, H., Bloch, P., Jørgensen, T.S., Pisinger, C., Tørslev, M.K., Klinker, C.D., Birch, S.D., Bøggild, H., & Toft, U. (2023). Our Healthy Community Conceptual Framework and Intervention Model for Health Promotion and Disease Prevention in Municipalities. International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20053901
[2]. Alshayban, D., & Joseph, R. (2020). Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study. PLOS ONE, 15(1). https://doi.org/10.1371/journal.pone.0227573
[3]. Aschalew, A.Y., Yitayal, M., & Minyihun, A. (2020). Health-related quality of life and associated factors among patients with diabetes mellitus at the University of Gondar referral hospital. Health and Quality of Life Outcomes, 18(1). https://doi.org/10.1186/s12955-020-01311-5
[4]. Chen, H.H., & Hsieh, P.L. (2021). Applying the child's health promotion model to identify the factors related to older adults' participation in community-based health promotion activities. International Journal of Environmental Research and Public Health, 18(19). https://doi.org/10.3390/ijerph18199985
[5]. Hamida, N., Ulfa, M., Haris, RNH, Endarti, D., & Wiedyaningsih, C. (2019). Measuring the Quality of Life of Chronic Disease Management Program (Prolanis) Patients at Community Health Centers Using the EQ-5D-5L Instrument. Farmaseutik Magazine, 15(2), 67. https://doi.org/10.22146/farmaseutik.v15i2.46328
[6]. Harreiter, J., & Roden, M. (2019). Diabetes mellitus—Definition, classification, diagnosis, screening and prevention (Update 2019). Wiener Klinikche Wochenschrift, 131, 6–15. https://doi.org/10.1007/s00508-019-1450-4
[7]. Kerner, W., & Brückel, J. (2014). Definition, classification and diagnosis of diabetes mellitus. In Experimental and Clinical Endocrinology and Diabetes (Vol. 122, Issue 7, pp. 384–386). Georg Thieme Verlag. https://doi.org/10.1055/s-0034-1366278
[8]. Kickbusch, I. (2019). Health promotion 4.0. In Health Promotion International (Vol. 34, Issue 2, pp. 179–181). Oxford University Press. https://doi.org/10.1093/heapro/daz022
[9]. Mustapa, A., Justine, M., & Manaf, H. (2022). Effects of patient education on the quality of life of patients with type 2 diabetes mellitus: A scoping review. In Malaysian Family Physician (Vol. 17, Issue 3, pp. 22–32). Academy of Family Physicians of Malaysia. https://doi.org/10.51866/rv.208
[10]. Nuraisyah, F., Kusnanto, H., & Rahayujati, TB (2017). Family support and quality of life in patients with diabetes mellitus. Community Medicine News, 33(1), 25. https://doi.org/10.22146/bkm.7886
[11]. Nutbeam, D., & Muscat, D. M. (2021). Health Promotion Glossary 2021. Health Promotion International, 36(6), 1578–1598. https://doi.org/10.1093/heapro/daaa157
[12]. Compiler, T., Emma, S., Jatmika, D., (2019). Development of Health Promotion Media.
[13]. Petersmann, A., Nauck, M., Müller-Wieland, D., Kerner, W., Müller, U.A., Landgraf, R., Freckmann, G., & Heinemann, L. (2018). Definition, Classification and Diagnosis of Diabetes Mellitus. Experimental and Clinical Endocrinology and Diabetes, 126(7), 406–410. https://doi.org/10.1055/a-0584-6223
[14]. Roifah, I., & STIKes Bina Sehat PPNI Mojokerto, Mk. (2016). Analysis of the Relationship Between Length of Diabetes Mellitus Suffering and Quality of Life of Diabetes Mellitus Sufferers. Journal of Health Sciences, 4(2).
[15]. Schmidt, A. M. (2018). Highlighting Diabetes Mellitus. In Arteriosclerosis, Thrombosis, and Vascular Biology (Vol. 38, Issue 1, pp. e1–e8). Lippincott Williams and Wilkins. https://doi.org/10.1161/ATVBAHA.117.310221
[16]. Sitompul, S., Suryawati, C., Asmita Wigati, Department of Health Administration and Policy, P., & Public Health, F. (2016). Analysis of the Implementation of the BPJS Kesehatan Chronic Disease Management Program (Prolanis) for Family Doctors in Pekalongan Regency in 2016 (Vol. 4). http://ejournal-s1.undip.ac.id/index.php/jkm
[17]. Zheng, Y., Ley, S. H., & Hu, F. B. (2018). Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. In Nature Reviews Endocrinology (Vol. 14, Issue 2, pp. 88–98). Nature Publishing Group. https://doi.org/10.1038/nrendo.2017.151.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Tri Pitara Mahanggoro
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
