{"title":"情绪状况、顺时针治疗糖尿病和2型糖尿病患者血红蛋白有关系","authors":"Inge Wattimena, Galuh Nawang Prawesti","doi":"10.33508/JWM.V5I1.1997","DOIUrl":null,"url":null,"abstract":"The problem of diabetes, which is predicted to increase in number of people suffering from diabetes in the upcoming years, needs to be examined from a bio-psycho-social perspective. This chronic illness which is difficult to be cured, affects the emotional situation and also the adherence to oral anti-diabetes (OAD). The objective of this study is to examine the relationship between bio-physiology of the body (measured by the glycated hemoglobin level of HbA1c) and the emotional situation and adherence to OAD. Observational research with a cross-sectional approach was carried out on 76 type 2 diabetics who were treated at the Gotong Royong Hospital (RSGR) Surabaya. Research data was taken through a valid and reliable questionnaire about emotional situation and adherence to OAD. The glycated hemoglobine was measured in the RSGR laboratory. Inferential analysis was tested using Spearman correlation test. The results showed a significant negative correlation power between the emotional situation and the level of HbA1c (r = -0.256, p = 0.026), as well as between the level of adherence to OAD and the level of HbA1c (r = -0.402, p = 0.000). Those outcomes indicated that the more positive the emotional situation, as well as the higher the level of adherence to OAD, the better health outcome of the diabetic patient. These results enrich the educational material in health promotion. Enhancing the positive emotional situation and the level of adherence to OAD will decrease the morbidity and mortality rates due to diabetes, and optimize the welfare of the patient.","PeriodicalId":128539,"journal":{"name":"Jurnal Widya Medika","volume":"378 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Asosiasi Antara Situasi Emosi, Kepatuhan Pada Oral Anti Diabetes, dan Hemoglobin Terglikasi Pada Penyandang Diabetes Mellitus Tipe 2\",\"authors\":\"Inge Wattimena, Galuh Nawang Prawesti\",\"doi\":\"10.33508/JWM.V5I1.1997\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The problem of diabetes, which is predicted to increase in number of people suffering from diabetes in the upcoming years, needs to be examined from a bio-psycho-social perspective. This chronic illness which is difficult to be cured, affects the emotional situation and also the adherence to oral anti-diabetes (OAD). The objective of this study is to examine the relationship between bio-physiology of the body (measured by the glycated hemoglobin level of HbA1c) and the emotional situation and adherence to OAD. Observational research with a cross-sectional approach was carried out on 76 type 2 diabetics who were treated at the Gotong Royong Hospital (RSGR) Surabaya. Research data was taken through a valid and reliable questionnaire about emotional situation and adherence to OAD. The glycated hemoglobine was measured in the RSGR laboratory. Inferential analysis was tested using Spearman correlation test. The results showed a significant negative correlation power between the emotional situation and the level of HbA1c (r = -0.256, p = 0.026), as well as between the level of adherence to OAD and the level of HbA1c (r = -0.402, p = 0.000). Those outcomes indicated that the more positive the emotional situation, as well as the higher the level of adherence to OAD, the better health outcome of the diabetic patient. These results enrich the educational material in health promotion. Enhancing the positive emotional situation and the level of adherence to OAD will decrease the morbidity and mortality rates due to diabetes, and optimize the welfare of the patient.\",\"PeriodicalId\":128539,\"journal\":{\"name\":\"Jurnal Widya Medika\",\"volume\":\"378 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-04-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Jurnal Widya Medika\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33508/JWM.V5I1.1997\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jurnal Widya Medika","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33508/JWM.V5I1.1997","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
摘要
据预测,未来几年糖尿病患者人数将会增加,因此有必要从生物、心理、社会的角度来研究糖尿病问题。这种难以治愈的慢性疾病不仅会影响患者的情绪状况,还会影响口服抗糖尿病药物(OAD)的坚持。本研究的目的是研究身体的生物生理学(通过糖化血红蛋白水平HbA1c测量)与情绪状况和OAD依从性之间的关系。采用横断面方法对在泗水Gotong Royong医院(RSGR)治疗的76例2型糖尿病患者进行了观察性研究。研究数据是通过一份有效可靠的关于情绪状况和OAD依从性的问卷来获取的。糖化血红蛋白在RSGR实验室测定。采用Spearman相关检验进行相关分析。结果显示,患者情绪状况与HbA1c水平呈显著负相关(r = -0.256, p = 0.026), OAD依从性与HbA1c水平呈显著负相关(r = -0.402, p = 0.000)。这些结果表明,情绪状况越积极,以及对OAD的坚持程度越高,糖尿病患者的健康结果越好。这些结果丰富了促进健康的教育材料。提高积极情绪状况和坚持OAD的水平将降低糖尿病的发病率和死亡率,并优化患者的福利。
Asosiasi Antara Situasi Emosi, Kepatuhan Pada Oral Anti Diabetes, dan Hemoglobin Terglikasi Pada Penyandang Diabetes Mellitus Tipe 2
The problem of diabetes, which is predicted to increase in number of people suffering from diabetes in the upcoming years, needs to be examined from a bio-psycho-social perspective. This chronic illness which is difficult to be cured, affects the emotional situation and also the adherence to oral anti-diabetes (OAD). The objective of this study is to examine the relationship between bio-physiology of the body (measured by the glycated hemoglobin level of HbA1c) and the emotional situation and adherence to OAD. Observational research with a cross-sectional approach was carried out on 76 type 2 diabetics who were treated at the Gotong Royong Hospital (RSGR) Surabaya. Research data was taken through a valid and reliable questionnaire about emotional situation and adherence to OAD. The glycated hemoglobine was measured in the RSGR laboratory. Inferential analysis was tested using Spearman correlation test. The results showed a significant negative correlation power between the emotional situation and the level of HbA1c (r = -0.256, p = 0.026), as well as between the level of adherence to OAD and the level of HbA1c (r = -0.402, p = 0.000). Those outcomes indicated that the more positive the emotional situation, as well as the higher the level of adherence to OAD, the better health outcome of the diabetic patient. These results enrich the educational material in health promotion. Enhancing the positive emotional situation and the level of adherence to OAD will decrease the morbidity and mortality rates due to diabetes, and optimize the welfare of the patient.