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Kata kunci: Diabetes melitus tipe 2, prediabetes, stres, dewasa
Prediabetes is a golden period in delaying the occurrence of type 2 diabetes mellitus because in this period the course of the disease can still be stopped. The study aim was to knowing the impact of stress on the conversion of prediabetes to type 2 diabetes mellitus in adults. This study used retrospective cohort design. The data used are secondary data from the Cohort Study of Risk Factors for Non-Communicable Diseases in Bogor, Indonesia. Data collection in this study was carried out since 2011 until 2015 with a total population of 5890. Based on the exclusion and inclusion criteria, the total of study participants were 1059. During 5 years of follow-up, among prediabetic adults there were 169 subjects categorized as T2DM and 219 subjects categorized as stressed. Bivariate analysis shows that stress and age at baseline is a risk factor on the conversion of prediabetes to T2DM (p < 0,05). Final model on multivariate analysis, shows the hazard ratio of stress was 1.815 (95% CI: 1.307 - 2.520) with p < 0.05. This findings, expected to be used as information and motivation in an effort to make prevention and control of T2DM. Especially in individuals with prediabetes who suffer from stress because it has an impact with conversion of prediabetes to T2DM.
Key words: Type 2 diabetes mellitus, prediabetes, stress, adults
Kata Kunci: Implementasi, Skrining Kesehatan
Health screening is one of the BPJS Kesehatan programs in order control health care costs. However, in 2016 the achievement program only reaches 17% of the target. The purpose of this research is to perceive the implementation of health screening for type 2 Diabtes Melitus and hypertension at BPJS Kesehatan, Branch Office, East Jakarta, 2017. This study used qualitative method, in which data was obtained from observation, document review, and in-depth interview with informants at Primary Care and BPJS Kesehatan. Research result indicate that there are issues regarding communication, resources, attitude of implementor, and implementation of health screening. Author suggests that improvement efforts are to be made regarding screening socialization toward Primary Care, human resource planning, screening Standard Operation Procedure (SOP) at Primary Care, and maximize the utilization of BPJS mobile screening.
Keyword: implementation, health screening
Prevalence diabetes is increasing rapidly especially in low and middle- income countries, one of which is Indonesia. Based on Riskesdas in 2018, the prevalence of diabetes mellitus based on the diagnosis of doctors in the population of all ages by province reaches 1,5%. The incidence rate of kidney disease in the diabetic population does not decrease. Some large cross-sectional studies in the world reveal that the prevalence of chronic kidney disease in people with type 2 diabetes even reaches 50%. Duration suffering diabetes is a risk factor for chronic kidney disease that needs to be considered. This study aims to determine the relationship duration suffering from diabetes with chronic kidney disease in patients with type 2 diabetes mellitus in Indonesia. This type of research is quantitative, with cross-sectional study design. This study uses secondary data from the 2018 Riskesdas survey. The number of samples was 639 people, who met the inclusion and exclusion criteria in this study. The analysis used cox regression The prevalence of chronic kidney disease in patients with type 2 diabetes mellitus in Indonesia is 17.68%. There was a relationship duration suffering diabetes with chronic kidney disease in patient type 2 diabetes mellitus in Indonesia which is statistically significant with p = 0.0000. So, important to screening mass type 2 diabetes mellitus as early as possible and routine screening kidney function since type 2 diabetes mellitus diagnose by a doctor.
