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Diabetes melitus (DM) menjadi salah satu masalah kesehatan utama di Indonesia, yang menduduki peringkat ke-5 dunia dengan jumlah penderita terbanyak, diperkirakan akan meningkat menjadi 29 juta kasus pada tahun 2045. Keparahan DM sering kali dikaitkan dengan komplikasi jangka panjang seperti gangguan jantung, stroke, dan kerusakan saraf. Salah satu indikator untuk mengukur keparahan DM adalah kadar HbA1c, yang mencerminkan kontrol gula darah dalam jangka panjang. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan keparahan diabetes melitus pada pasien di RS Universitas Indonesia (RS UI) Poli IPD Tahun 2022-2023, dengan menggunakan kadar HbA1c sebagai indikator keparahan.
Metode yang digunakan dalam penelitian ini adalah cross sectional dengan teknik pengambilan data dengan purposive sampling. Pengambilan data dilakukan dengan membuka website cengkeh.ui.ac.id bagian CPPT (SOAP Notes) untuk membaca catatan dokter dan ners, serta membuka Medical Support Result untuk membaca lebih lanjut hasil lab yang dijalani pasien. Total data yang dikumpulkan oleh peneliti sebanyak 129 orang dari data rekam medis pasien DM 2022-2023 di Poli IPD RS UI. Peneliti akan mengolah data dengan cara analisis univariat untuk mendeskripsikan distribusi frekuensi, serta analisis bivariat menggunakan uji chi-square untuk melihat hubungan antar variabel. Hasil penelitian menunjukkan bahwa 38,8% pasien DM di RS UI dalam kondisi parah dengan kadar HbA1c ≥8%, dengan mayoritas pasien (78,3%) berusia lanjut (≥60 tahun), 53,5% berjenis kelamin perempuan, dan 70,5% menggunakan pembiayaan melalui BPJS. Analisis bivariat menunjukkan adanya hubungan yang signifikan antara variabel usia, GDP kadar LDL, trigliserida, dan riwayat keluarga dengan tingkat keparahan DM (p-value <0,05).
Diabetes mellitus (DM) is a major health issue in Indonesia, ranking 5th worldwide with the highest number of sufferers, and it is estimated to increase to 29 million cases by 2045. The severity of DM is often associated with long-term complications such as heart disease, stroke, and nerve damage. One of the indicators used to measure the severity of DM is the HbA1c level, which reflects long-term blood glucose control. This study aims to identify factors that are related to the severity of diabetes mellitus in patients at the RS Universitas Indonesia (RS UI) Internal Medicine Outpatient Department (IPD) from 2022 to 2023, using HbA1c levels as an indicator of severity. The method used in this study is cross-sectional with data collection techniques using purposive sampling. Data collection was carried out by opening the cengkeh.ui.ac.id website in the CPPT (SOAP Notes) section to read the doctor's and nurse's notes, as well as opening the Medical Support Results to read more about the patient's lab results. The total data collected by researchers was 129 people from medical records of 2022-2023 DM patients at the UI Hospital IPD Polyclinic. Researchers will process the data using univariate analysis to describe the frequency distribution, as well as bivariate analysis using the chi-square test to see the relationship between variables. The results showed that 38.8% of DM patients at UI Hospital were in severe condition with HbA1c levels ≥8%, with the majority of patients (78.3%) being elderly (≥60 years), 53.5% female, and 70 .5% uses financing through BPJS. Bivariate analysis showed a significant relationship between the variables age, fasting plasma glucose, LDL levels, triglycerides, and family history with the severity of DM (p-value <0.05).
Kata kunci: Diabetes mellitus tipe 2, kepatuhan diet, karakteristik individu, faktor psikososial
The level of dietary adherence in Indonesia is still low. Diet in maintaining food is often become an obstacles because the patient is still tempted by all food that can worsen their health. The purpose of this study is to determine the factors that associated with dietary adherence in type 2 diabetes mellitus patients. This study was using a cross-sectional design. The samples studied were all type 2 diabetes mellitus type 2 with the age range 25-65 years was outpatient, samples were taken with non-random sampling method with purposive sampling of 130 people. Data were collected through anthropometric measurements, filling-out questionnaires, 1x24 hour food recall and dan (semi- quantitative food frequency questionnaire) SFFQ form. The results showed 13.8% of respondents were diet-compliant. There were significant relationship between gender (p=0.008) and length of suffering (p=0.044) with between dietary adherence. The result of logistic regression test showed that the duration of suffering is the dominant factor associated with dietary adherence in type 2 diabetes mellitus patients. Type 2 diabetes mellitus patients were expected to pay attention to the diet recommended and carry it out well, to actively to improve the knowledge related to the disease diabetes mellitus and related to the other factors and still preserve diet that has been run for who has long been suffering from type 2 diabetes mellitus.
Keywords: Type 2 diabetes mellitus, dietary adherence, individual characteristics, psychosocial factors
Kata kunci : kecenderungan penyimpangan perilaku makan, IMT, citra tubuh, riwayat diet, pengaruh keluarga.
Eating behavior is a group of disorders characterized by abnormal attitude and eating habits, where the disorder will have a negative impact on health. Students are one of the groups that have a risk of eating disorder tendency. This study aims to determine the factors associated with the tendency of eating disorder in College Students in The FISIP and FIB UI at 2017. The method used in this study is cross sectional design. The samples in this study are 177 of college students which were taken with accidental sampling. The study was done at April to Mei 2017. The data were collected through measurement of weight and height also the fulfillment of the questionnaire. The results showed that 88.1% of respondents have a tendency of eating disorder. The conclusion of this study is IMT (P-value = 0,010), body image (P-value = 0,000), diet history (P-value = 0,002) and family influence (P-value = 0,005) have signifikan association with tendency of eating disorder. Therefore, the Institutions and college students organization need to build teamwork to socialize about health tendency of eating disorder.
Keywords: tendency of eating disorder, BMI, body image, diet history, family influence.
Background: Night Eating Syndrome (NES) is an eating disorder characterized by increased food intake at night and sleep disturbances. NES is often linked to psychological stress, poor sleep quality, and circadian rhythm disruption. Health science students are at higher risk due to academic pressure and irregular lifestyles. Objective: To determine NES prevalence and its association with gender, nutritional status, sleep quality and duration, circadian rhythm, depression, stress, anxiety, and living arrangements among undergraduate students in the Health Sciences Cluster, Universitas Indonesia, class of 2024. Methods: Cross-sectional study with 148 respondents using NEQ, DASS-21, PSQI, and MEQ questionnaires. Data were analyzed with univariate and bivariate (chi-square) methods. Results: NES prevalence was 37.8%. Overweight status was significantly associated and found to be protective (p=0.019). NES was also significantly associated with moderate depression (p=0.025), severe depression (p=0.001), severe anxiety (p=0.001), severe stress (p=0.002), poor sleep quality (p=0.042), evening-type circadian rhythm (p=0.001), neutral type (p=0.011), and living apart from family (p<0.001). No significant association was found with gender (p=0.770), underweight status (p=0.209), or sleep duration (p=0.334). Conclusion: NES was relatively common among health science students and significantly associated with psychological factors, circadian rhythm, sleep quality, and living arrangements. Preventive and promotive interventions are necessary to reduce the risk of NES and improve student well-being. Preventive and promotive interventions are necessary to reduce the risk of NES and improve student well-being.