Hubungan Kepribadian dengan Kontrol Glikemik Pasien Diabetes Mellitus Tipe 2 di RSUD Dr. Soetomo Surabaya

Authors

  • Emmy Amalia Fakultas Kedokteran Universitas Mataram
  • Suksmi Yitnamurti Departemen/SMF Ilmu Kedokteran Jiwa FK Unair/RSUD Dr. Soetomo Surabaya
  • Sony Wibisono Departemen/SMF Ilmu Penyakit Dalam FK UNAIR/RSUD Dr. Soetomo Surabaya

DOI:

https://doi.org/10.29303/jku.v8i1.326

Keywords:

Personality Psychopathology 5, Perceived Stress, Kontrol Glikemik, DM tipe 2

Abstract

Latar Belakang: Diabetes Mellitus (DM) adalah penyakit kronis yang paling umum diderita orang dewasa dengan angka kematian yang besar akibat komplikasi, sehingga penting untuk mengidentifikasi faktor-faktor yang berhubungan dengan kontrol glikemik pada pasien DM, salah satunya faktor kepribadian. Selama ini, peran kepribadian relatif diabaikan. Penelitian ini bertujuan untuk menganalisis hubungan antara unsur kepribadian dengan kontrol glikemik pasien DM tipe 2 di Unit Rawat Jalan Poli Diabetes RSUD dr. Soetomo.

Metode: Penelitian analitik observasional cross sectional dengan metode consecutive sampling terhadap pasien DM tipe 2 yang berkunjung ke Unit Rawat Jalan Poli Diabetes RSUD Dr Soetomo Surabaya. Instrumen yang digunakan meliputi skala Personality Psychopathology Five (PSY-5) Tes Kesehatan Mental Indonesia (TKMI), Perceived Stress Scale (PSS), dan kadar HbA1c darah. Data disajikan dalam tabel dan grafik dengan uji regresi logistik ganda dan analisis statistik menggunakan SPSS 19.0. Hasil: Skor unsur psychoticism pasien DM tipe 2 di Poli Diabetes RSUD Dr. Soetomo Surabaya lebih tinggi dari unsur kepribadian lain (mean 57,54; median 56; skor terendah 38; skor tertinggi 93); 59,8% pasien mempunyai tingkat perceived stress sedang; 77% pasien mempunyai kadar HbA1c yang tidak terkontrol; unsur kepribadian psychoticism secara bermakna berhubungan dengan perceived stress (p 0,031; β 0,064) dan unsur kepribadian discontraint secara bermakna berhubungan negatif dengan perceived stress (p 0,018; β -0,108); didapatkan hubungan negatif antara perceived stress dengan kontrol glikemik (p 0.001; β -3,571).

Kesimpulan: Kepribadian berhubungan dengan kontrol glikemik pada pasien DM tipe 2 di unit rawat jalan Poli Diabetes RSUD Dr. Soetomo Surabaya melalui perceived stress.

References

1. Shaw JE, Sicree RA, Zimmet PZ. Global Estimates of The Prevalence of Diabetes for 2010 and 2030. Diabetes Research and Clinical Practice. 2009;87:4–14.

2. Dhurandher D, V S. 16 PF Profile of Type 2 Diabe￾tes Mellitus Male and Female Patients. Journal of Humanities and Social Science. 2013;16:47–51.

3. Roglic G, Unwin N. Mortality Attributable to Dia￾betes: Estimates for The Year. Diabetes Research and Clinical Practice. 2010;87:15–19.

4. Sanal TS, Nair NS, Adhikari P. Factors Associated with Poor Control of Type 2 Diabetes Mellitus: A Systematic Review and Meta Analysis. Journal of Diabetology. 2011;3:1–10.

5. Perkumpulan Endokrinologi Indonesia. Konsen￾sus Pengelolaan dan Pencegahan Diabetes Mellitus Tipe 2 di Indonesia 2011. Surabaya: Perkeni; 2011.

6. Utomo MR, Wungouw H, Marunduh S. Kadar HbA1c pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Bahu Kecamatan Malalayang Kota Manado. Jurnal e-Biomedik. 2015;3:1–9.

7. Skinner TC, Hampson SE, Fife-Schaw C. Personality, Personal Model Beliefs, and Self Care in Adolescents and Young Adults in Type 1 Diabetes. Health Psychology. 2002;21:61–70.

8. Graham JR, Ben-Porath YS, McNulty JL. MMPI-2 Correlates for Outpatient Mental Health Settings. Mineapolis: Univerity of Minnesota Press; 1999.

9. Butcher JN. An Overview of Personality: The MMPI-2 Personality Psychopatology Five (PSY-5) Scales. In: Harkness AR, McNulty JL, editors. MMPI-2 A Practitioner’s Guide. 1st ed. Washington: American Psychological Association; 2005. p. 71–98.

10. Cheng H, Treglown L, Montgomery S, Furnham A. Association between Familial Factor, Trait Conscientiousness, Gender and the Occurance of Type 2 Diabetes in Adulthood: Evidence from A British Cohort. Plos One. 2015;10:1–9.

11. Chouhan VL, Shalini V. Coping Strategies for Stress and Adjustment among Diabetics. Journal of Indian Academy of Applied Psychology. 2006;32:106–111.

12. Subramanian S, Nithyanandan DV. Psychiatric Symptoms, Type A Personality Pattern, and Stress Coping Strategies of Diabetic and Non-diabetic Patients. Tamil Nadu: Department of Psychology Bharathiar University; 2009

13. Hartemann-Heurtier A, Sultan S, Sachon C, Bosquet F, Grimaldi A. How Type 1 Diabetic Patients with Good or Poor Glicemic Control Cope with Diabetes-Related Stress. Diabetes & Metabolism. 2001;27:553–559.

14. Ozer S, Demir B, Tugal O, Kabakc¸ı E, Yazıcı MK. Montgomery-Asberg Depression Scale: Reliability and Vulnerability Between Scales. Turk Psikiyatri ¨Dergisi. 2001;12:185–94.

15. Kose S, Sayar K, Kalelioglu U, Aydin N, Reeves RA, Przybeck TR, et al. Mizac ve Karakter Envanteri (Turkc¸e TCI): Gec¸erlik, Guvenirli ¨ gi ve Faktor Yapısı. Klinik Psikofarmokoloji B ¨ ulteni. 2004;14:107–131.

16. Biter E, Bagcioglu E, Bahceci B, Ozer A, Ozkaya M, Karaaslan MF. Temperament and Character Traits of The Patients with Type 2 Diabetes. Journal of Mood Disorders. 2005;2:153–159.

17. Matheka DM, Kilonzo JM, Munguti CM, Mwangi PW. Pattern, Knowledge and Practices of HbA1c Testing among Diabetic Patients in Kenyan Terti￾ary Referral Hospital. Globalization and Health. 2013;9:1–4.

18. Oh MY, Kim SS, Kim IJ, Lee IK, Baek HS, Lee HW, et al. Clinical Characteristics of Diabetic Patients Transferred to Korean Referral Hospitals. Diabetes & Metabolism Journal. 2014;38:388–394.

19. Kramer JR, Ledolter J, Manos GN, Bayless ML. Stress and Metabolic Control in Diabetes Mellitus Methodologycal Issues and An Illustrative Analysis. Annals of Behavioral Medicine. 2000;22:17–28.

20. Lloyd C, Smith J, Weinger K. Stress and Diabe￾tes: A Review of The Links. Diabetes Spectrum. 2005;18.

Published

2019-03-28

How to Cite

Emmy Amalia, Suksmi Yitnamurti, & Sony Wibisono. (2019). Hubungan Kepribadian dengan Kontrol Glikemik Pasien Diabetes Mellitus Tipe 2 di RSUD Dr. Soetomo Surabaya. Jurnal Kedokteran, 8(1), 7. https://doi.org/10.29303/jku.v8i1.326

Issue

Section

Research