Hubungan Dukungan Keluarga, Kepatuhan Berobat, dan Tingkat Stres Terhadap Keberhasilan Adaptasi pada Pasien Diabetes Mellitus dengan Neuropati Diabetik di RS Royal Prima Medan
DOI:
https://doi.org/10.36312/qanhp398Keywords:
Diabetes Melitus (DM), Neuropati Diabetik, Psikososial, Psikologis, MMAS-8Abstract
Diabetes Mellitus (DM) adalah penyakit kronis dengan prevalensi tinggi secara global, di mana neuropati diabetik merupakan salah satu komplikasi yang sering dialami. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga, kepatuhan berobat, dan tingkat stres terhadap keberhasilan adaptasi pada pasien diabetes melitus dengan neuropati diabetik di RS Royal Prima Medan. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Data dikumpulkan melalui kuesioner dukungan keluarga berdasarkan model Nursalam yang terdiri dari 12 pertanyaan, kuesioner MMAS-8 untuk mengukur kepatuhan berobat, dan instrumen untuk mengukur tingkat stres. Data yang diperoleh dianalisis menggunakan uji Chi-Square dan Uji Fisher Exact Test apabila data tidak berdistribusi normal. Hasil penelitian menunjukkan bahwa sebagian besar pasien mendapatkan dukungan keluarga yang tinggi (73,3%) dan menunjukkan adaptasi yang baik (83,3%). Meskipun uji statistik menunjukkan tidak ada hubungan yang signifikan antara dukungan keluarga dan adaptasi pasien (p = 0,460), secara klinis, dukungan keluarga tetap memegang peranan penting dalam mendukung adaptasi pasien. Faktor-faktor lain seperti usia, tingkat pendidikan, dan durasi penyakit juga berperan dalam proses adaptasi. Temuan ini mengindikasikan pentingnya dukungan keluarga dalam pengelolaan diabetes melitus dan menyarankan perlunya program dukungan keluarga di rumah sakit. Penelitian lanjutan disarankan untuk mengeksplorasi faktor-faktor lain yang mempengaruhi adaptasi pasien, seperti tingkat stres, pendidikan, dan tingkat keparahan penyakit.
The Relationship between Family Support, Treatment Compliance, and Stress Levels on Adaptation Success in Diabetes Mellitus Patients with Diabetic Neuropathy at Royal Prima Hospital Medan
Abstract
Diabetes Mellitus (DM) is a chronic disease with high global prevalence, and diabetic neuropathy is a common complication. This study aims to analyze the relationship between family support, medication adherence, and stress levels on the adaptation success of diabetes mellitus patients with diabetic neuropathy at Royal Prima Hospital Medan. This study uses a quantitative design with a cross-sectional approach. Data were collected using a family support questionnaire based on the Nursalam model consisting of 12 questions, the MMAS-8 questionnaire to measure medication adherence, and an instrument to measure stress levels. Data obtained were analyzed using Chi-Square test and Fisher Exact Test when data were not normally distributed. The results show that most patients received high family support (73.3%) and demonstrated good adaptation (83.3%). Although statistical tests showed no significant relationship between family support and patient adaptation (p = 0.460), clinically, family support plays an important role in supporting adaptation. Other factors such as age, education level, and disease duration also influence adaptation. These findings indicate the importance of family support in diabetes management and suggest the need for family support programs in hospitals. Further research is recommended to explore other factors affecting patient adaptation, such as stress levels, education, and disease severity.
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