IAI CONFERENCE: The effect of stress level on the therapeutic outcomes of type 2 diabetes mellitus at the regional public hospital of West Nusa Tenggara province
DOI:
https://doi.org/10.46542/pe.2021.212.6770Keywords:
Diabetes mellitus, Fasting blood glucose, 2-hour postprandial blood glucose, Perceived stress scale, Stress levelAbstract
Introduction: Diabetes Mellitus (DM) is a complex chronic disease that requires ongoing medical care with a multifactorial risk reduction strategy beyond glycemic control. Self-management, education, and support are essential to prevent acute complications and reduce the risk of long-term complications. Stress levels may affect fasting blood glucose (FBG) and 2-hours postprandial blood glucose (2HPPBG).
Objectives: This study aims to determine the effect of stress levels on the therapeutic outcomes of type 2 DM patients at the regional public hospital of West Nusa Tenggara province.
Methods: This observational, cross-sectinal research was carried out on a sample of 37 patients using the Perceived Stress Scale (PSS). Data analysis used a linear regression test.
Results: The results showed that stress had a significant effect on FBG (p=0.038) and 2HPPBG (p=0.001) levels.
References
Al Kalaldeh, & Abu Shosha. (2012). Application Of The Perceived Stress Scale In Health Care Studies: An analysis of literature. International Journal of Academic Research Part B; 4(4), 45-50
American Diabetes Association. (2020). Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes. Diabetes Care. 43(Supplement 1), S14-S31. https://doi.org/10.2337/dc20-S002
American Diabetes Association. (2009). Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 32(Suppl 1): S62–S67. https://doi.org/10.2337/dc09-S062
Arifin, Z. (2011). Analisis Hubungan Kualitas Tidur dengan Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Umum Provinsi Nusa Tenggara Barat. Tesis. Universitas Indonesia: Depok
Avci D, & Kelleci M. (2016). Alexithymia in patients with type 2 diabetes mellitus: the role of anxiety, depression, and glycemic control. Patient Prefer Adherence 10,1271-7. https://doi.org/10.2147/PPA.S110903
Champaneri S, Wand GS, Malhotra SS, Casagrande SS, & Golden SH. (2010). Biological Basis of Depression in Adults with Diabetes. Curr. Diab. Rep. 10,396–405
Cosgrove M.P, Sargeant L.A, Caleyachetty R, & Griffin S.J. (2012). Work-related stress and Type 2 diabetes: systematic review and meta-analysis. Occup. Med. 62, 167–173
Dunning, Trisha. (2009). Care of People with Diabetes: A Manual of Nursing Practice 3rd Edition. U.K: Wiley-Blackwell
Glover CM & Wang Y (2016). Stress and Other Determinants of Diabetes-Specific Quality of Life in Low-Income African Americans with Uncontrolled Type 2 Diabetes Mellitus. J Health Care Poor Underserved. 27(3), 1345-56. https://doi.org/10.1353/hpu.2016.0142
Golden SH. (2008). Examining a bidirectional association between depressive symptoms and diabetes. JAMA. 299,2751–2759
Hasan SS, Clavarino AM, Mamun AA, & Kairuz T. (2014). Incidence and risk of diabetes mellitus associated with depressive symptoms in adults: Evidence from longitudinal studies. Diabetes Metab. Syndr. Clin. Res. Rev. 8, 82–87
Kalyani RR, Saudek CD, Brancati FL & Selvin E. (2010). Association of diabetes, comorbidities, and A1C with functional disability in older adults: results from the National Health and Nutrition Examination Survey (NHANES). Diabetes Care, 33, 1055-1060. https://doi.org/10.2337/dc09-1597
Knol MJ, Twisk JWR. (2006). Depression as a risk factor for the onset of type 2 diabetes mellitus – A meta-analysis. Diabetologia. https://doi.org/10.1007/s00125-006-0159-x
Levine J.P. (2008). Type 2 Diabetes among Women: Clinical Consideration for Pharmalogical Management to Achieve Glycemic Control and Reduce Cardiovascular Risk. Journal of Woman’s Health. 7 (2)
Llorente, D.M., & Malphurs, E.J. (2007). Psychiatric Disorders and Diabetes Mellitus. London: Informa Healthcare
Lloyd, C., Smith, j., & Weinger, J. E. (2005). Stress and Diabetes: A Review of the Links. Diabetes Spectrum. 18(2), 121-127. https://doi.org/10.2337/diaspect.18.2.121.
Lustman, P.J., Clouse, R.E., Ciechanowski, P.S., Hirsch, I.B., & Freedland, K.E. (2005). Depression-Related Hyperglycemia In Type 1 Diabetes. Psychosomatic Medicine. 67(2),195-199
Pereira S, Marliss EB, Morais JA, Chevalier S, & Gougeon R. (2008). Insulin resistance of protein metabolism in type 2 diabetes. Diabetes. 57, 56-63. https://doi.org/10.2337/db07-0887
PERKENI. (2015). Konsensus Pengelolaan dan Pencegahan Diabetes Mellitus tipe 2 di Indonesia. Jakarta. PB PERKENI.
Rachmawati N. (2015). Gambaran Kontrol dan Kadar Gula Darah Pada Pasien Diabetes Mellitus di Poliklinik Penyakit Dalam RSJ Prof. Dr. Soerojo Magelang. Skripsi. Universitas Diponegoro: Semarang
Richard S, Miranda AL, Nancy Z, Cynthia C, Priti P, & Mark N. (2002). Stress Management Improves Long-Term Glycemic Control in Type 2 Diabetes. Diabetes Care. 25(1), 30-34
Riset Kesehatan Dasar (Riskesdas) (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018. Available at: http://www.depkes.go.id/resources/download/infoterkini/materi_rakorpop_2018/Hasil%20Riskesdas%202018.pdf
Safitri W.I. (2016). Efikasi Diri Dalam Foot Self-Care Pada Penderita Diabetes Mellitus di Wilayah Kerja Puskesmas Srondol. Skripsi. Universitas Diponegoro: Semarang
Szoke E, Shrayyef MZ, Messing S, Woerle HJ, van Haeften TW, Meyer C, Mitrakou A, Pimenta W, & Gerich JE. (2008). Effect of aging on glucose homeostasis: accelerated deterioration of beta-cell function in individuals with impaired glucose tolerance. Diabetes Care. 31, 539-543. https://doi.org/10.2337/dc07-1443
Vasanth R, Ganesh A, & Shanker R. (2017). Impact of stress on type 2 diabetes mellitus management. Psychiatria Danubina. 29(3), 416-421
Yakaryılmaz F.D., & Öztürk Z.A. (2017). Treatment of type 2 diabetes mellitus in the elderly. World J Diabetes. 8(6), 278-285. https://doi.org/10.4239/wjd.v8.i6.278
