Kepatuhan Minum Obat Antidiabetika Oral Pasien Ulkus Diabetikum Rawat Jalan di Klinik X Pontianak Menggunakan Metode Kualitatif MMAS-8

Yunike Dwi Larasati, Nurmainah Nurmainah, Ressi Susanti
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Abstract

Compliance is a major factor in determining the success of treatment. Non-compliance with taking medication in patients with diabetes mellitus has an impact on the risk of complications, one of which is diabetic ulcers. Diabetic ulcers are chronic wounds that occur due to hyperglycemia and abnormal blood circulation, which causes an increase in blood sugar levels. This study aims to analyze the level of adherence to taking oral antidiabetic drugs and the factors that influence adherence to taking antidiabetic drugs in outpatient diabetic ulcer patients at X Clinic, Pontianak. This research is a type of cross-sectional research, the sampling technique is purposive sampling. The number of samples that met the inclusion and exclusion criteria was 100 patients. Data was collected by filling out a questionnaire. Medication adherence was measured using the Morisky Medication Adherence Scale (MMAS-8) questionnaire. The results showed that the characteristics of patients who visited the X Clinic Pontianak tended to be 45 years old (85%), female (67%), patients with 5 years of illness (55%), patients with a single type of treatment ( 68%), patients taking metformin (47%), and only 27% of patients adhering to oral antidiabetic drugs. Chi-square analysis showed that there was no significant relationship between age (p=1,000), gender (p=0,966), length of stay (p=0,946), type of treatment (p=0,202) on patient compliance in using antidiabetic drugs. From this study, it can be concluded that age, gender, length of suffering, and type of treatment do not affect adherence to taking oral antidiabetic drugs in diabetic ulcer patients.
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口腔溃疡性糖尿病患者口腔溃疡性性溃疡性门诊门诊采用MMAS-8的定性方法
依从性是决定治疗成功的主要因素。糖尿病患者服药不遵医嘱会影响并发症的发生,糖尿病溃疡就是其中之一。糖尿病性溃疡是由于高血糖和血液循环异常导致血糖水平升高而发生的慢性伤口。本研究旨在分析Pontianak X诊所门诊糖尿病溃疡患者口服降糖药的依从性水平及影响依从性的因素。本研究为横断面研究,抽样方法为目的抽样。符合纳入和排除标准的样本数为100例。数据是通过填写问卷收集的。用药依从性采用Morisky用药依从性量表(MMAS-8)问卷进行测量。结果显示,到Pontianak X诊所就诊的患者特征倾向于45岁(85%)、女性(67%)、患病5年(55%)、治疗单一(68%)、服用二甲双胍(47%),坚持服用口服降糖药的患者仅占27%。卡方分析显示,年龄(p=1,000)、性别(p=0,966)、住院时间(p=0,946)、治疗方式(p=0,202)与患者使用降糖药依从性无显著相关。从本研究可以得出结论,年龄、性别、患病时间、治疗方式对糖尿病溃疡患者口服降糖药的依从性没有影响。
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