The Study of Medication Adherence and Health-Related Quality of Life in Patients with Type II Diabetes Mellitus

  • Riska Syafrita Ningsih Universitas Andalas, Padang, Indonesia
  • Hansen Nasif Universitas Andalas, Padang, Indonesia
  • Yelly Oktavia Sari Universitas Andalas, Padang, Indonesia
Keywords: Medication Adherence, Health-Related Quality of Life, Type II Diabetes Mellitus

Abstract

Diabetes mellitus is a chronic disease requiring long-term management. Adherence is a crucial determinant of therapeutic success, influencing Health-Related Quality of Life (HRQoL). This cross-sectional study aimed to assess therapy adherence and HRQoL in type 2 diabetes mellitus patients, explore their associations with sociodemographic and clinical factors, and determine the correlation between these variables. The study involved 144 respondents at the Internal Medicine Clinic of RSUD HA Thalib  in Sungai Penuh City, conducted in June 2024. The MARS-5 questionnaire was used to measure therapy adherence, while the DQoL assessed HRQoL. Results indicated no significant association between sociodemographic and clinical characteristics and therapy adherence. However, occupation, comorbidities, and complications were significantly associated with HRQoL. Chi-square analysis revealed a significant correlation between therapy adherence and HRQoL (p-value = 0.001). In conclusion, this study demonstrates a significant association between therapy adherence and HRQoL in type 2 diabetes mellitus patients

References

[1] R. Aryndra et al., “Faktor Risiko Kejadian Diabetes Melitus Tipe Dua di RS Bhayangkara Kota Kupang”, Timorese Journal of Public Health, 1(1), 11–20, maret, 2019.
[2] K. R. Widiasari, I. Made, K. Wijaya, and P. A. Suputra, “Diabetes Melitus Tipe 2: Faktor Risiko, Diagnosis, Dan Tatalaksana”, Ganesha Medicina Journal, 1(2), 114–120, 2021.
[3] R. R. Runtuwarow et al., “Evaluasi Hubungan Dukungan Keluarga Dan Kualitas Hidup Penderita Diabetes Melitus Tipe 2 : Literatur Review.”, Jurnal Keperawatan, 8(2), 44–57, 2020.
[4] D. Handayani, D. Dominica, R. Pertiwi, F. R. A. Putri, T. Chalifatul, and D. Ananda, “Evaluasi Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Dengan Antidiabetik Oral Di Rumah Sakit Harapan dan Do’a Kota Bengkulu,” Jurnal Ilmiah Farmasi Farmasyifa, 5(1), 9–19, Feb, 2022
[5] S.Soelistijo, “Pedoman Pengelolaan dan Pencegahan Diabetes Mellitus TIpe 2 Dewasa di Indonesia 2021”, Global Initiative for Asthma, 46, 2021
[6] N. M. Yuliadarwati, T. D. Harianto, and A. Y. Yulianti, “Hubungan Kadar Gula Darah Sewaktu Dengan Kualitas Tidur Pada Lansia Beresiko Diabetes Melitus Di Posyandu Desa Kincang Wetan Kota Madiun,” FISIO MU: Physiotherapy Evidences, 2(2), 77–84, 2021
[7] D. Handayani, D. Dominica, R. Pertiwi, F. R. A. Putri, T. Chalifatul, and D. Ananda, “Evaluasi Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Dengan Antidiabetik Oral Di Rumah Sakit Harapan dan Do’a Kota Bengkulu,” Jurnal Ilmiah Farmasi Farmasyifa, 5(1), 9–19, 2022
[8] Global report on Diabetes, 1st Ed, World Health Organization, Ganeva, 2019
[9] IDF Diabetes Atlas, 10th Ed, International Diabetes Federation, Belgium, Brussels, 2021
[10] Guidelines For The Prevention, Management and Care of Diabetes Mellitus, 1st Ed, World Health Organization, Geneva, 2006
[11] L. Marsitha, H. Syarif, and S. Sofia, “Kualitas Hidup Pasien dengan Diabetes Melitus Tipe 2,” Journal of Telenursing (JOTING), 5(2), 3410–3417, Dec, 2023
[12] N. Mutmainah et al., “Kepatuhan dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di Rumah Sakit di Jawa Tengah Adherence and Quality of Life Patients of Diabetes Melitus Type 2 in Hospitals in Central Java”, Pharmacon, 17(2), 165–173, 2020
[13] N. Safa Jasmine, S. Wahyuningsih, M. Selvester Thadeus, and F. Kedokteran UPN, “Analisis Faktor Tingkat Kepatuhan Minum Obat Pasien Diabetes Melitus di Puskesmas Pancoran Mas Periode Maret-April 2019”, Jurnal Manajemen Kesehatan Indonesia, 8(1), 61–66, 2020
[14] A. Khan, Z. Al-Abdul Lateef, M. Al Aithan, M. Bu-Khamseen, I. Al Ibrahim, and S. Khan, “Factors contributing to non-compliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia”, J Family Community Med, 19(1), 26–32, Apr, 2012.
[15] J. Čulig, M. Leppée, and J. ^ulig, “From morisky to Hill-Bone; self-reports scales for measuring adherence to medication”, Coll Antropol, 38(1), 55–62, 2014
[16] S. Sasmiyanto, “Kesejahteraan Psikologis dan Kualitas Hidup Penderita Diabetes Mellitus Type 2”, Journal of Telenursing (JOTING), 1(2), 256–265, Dec, 2019
[17] N. Agung Prabowo et al., “Peningkatan Pengetahuan Diet Diabetes, Self Management Diabetes dan Penurunan Tingkat Stres Menjalani Diet pada Pasien Diabetes Mellitus Tipe 2 di Rumah Sakit Universitas Sebelas Maret Article Info,” Jurnal Warta LPM, 24(2), 285–296, 2021
[18] WHOQOL User Manual: programme on Mental Health, World Health Organization, Geneva, 2012
[19] Gebremariam, G.T et al., “Health-related quality of life patients with type 2 diabetes mellitus at a tertiary care hospital in Ethiopia”, PLos ONE, 17(2), 1–15, 2022
[20] E. Farahdina, “Uji Validitas Konstruk Alat Ukur Diabetes Quality of Life (DQOL)”, Jurnal Pengukuran Psikologi dan Pendidikan Indonesia, 3(4), 1–14, 2014
[21] H. Permana, M. V. Liem, and N. N. M. Soetedjo, “Validation of the Indonesian Version of the Asian Diabetes Quality of Life Questionnaire”, Acta Med Indones J Intern Med, 53(2), 143–148, 2021
[22] D. A. Mpila, W. I. Wiyono, and W. A. Lolo, “Hubungan Tingkat Kepatuhan Minum Obat dengan Kadar Gula Darah dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di Klinik Imanuel Manado”, Medical Scope Journal, 6(1), 116–123, Dec, 2023
[23] S. Aulya Fitriani, Noormartany, and A. Mauludin, “Hubungan Kepatuhan Konsumsi Obat Antidiabetik dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di Kabupaten Garut,” Bandung Conference Series: Medical Science, 2(1), Jan, 2022.
[24] L. Ikaditya, N. Handayani, and A. A. Rahman, “Studi Komparasi Kualitas Hidup Pasien Diabetes Mellitus Dengan Insulin Dan Antidiabetik Oral”, Pharmacoscript, 2(1), 55–64, 2019
[25] Adiputra et al., Metodologi Penelitian Kesehatan, Denpasar: Yayasan Kita Menulis, 2021
[26] A. Firdiawan, T. M. Andayani, and S. A. Kristina, “Hubungan Kepatuhan Pengobatan Terhadap Outcome Klinik Pasien Diabetes Melitus Tipe 2 dengan Medication Adherence Rating Scale-5 (MARS-5)”, Majalah Farmaseutik, 17(1), 22, Jan, 2021
[27] O. Melinda et al., “Gambaran Kadar Gula Darah Penderita Diabetes Mellitus Peserta Prolanis Di Puskesmas 1 Sumbang Kabupaten Banyumas”, Jurnal Inovasi Penelitian, 3(6), 2022
[28] I. Fahmiyah, N. Latra, and J. Statistika, “Faktor yang Memengaruhi Kadar Gula Darah Puasa Pasien Diabetes Mellitus Tipe 2 di Poli Diabetes RSUD Dr. Soetomo Surabaya Menggunakan Regresi Probit Biner”, Jurnal Sains dan Seni ITS, 5(2), 2337–3520, 2016
[29] Mahendra, E. Sari Purbaningsih, R. Dian Cahyawati, Sumarni, and D. Sazilli, “Asuhan Keperawatan Pada Ny. S Dengan Gangguan Integritas Kulit/Jaringan Berhubungan Dengan Neuropati Perifer Dm 2 Di Igd Rsd Gunung Jati,” MEJORA Medical Journal Awatara, 2(4), 1–7, Oct, 2024
[30] N. Najmah, Managemen dan Analisa Data Bidang Kesehatan, Yogyakarta: Nuha Medika, 2011
[31] D. Wahyudin and I. O. Siagian, “Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pada Pasien Diabetes Melitus Di Rumah Sakit,” Jurnal Ilmiah Cendekiawan (JUICE), 1(1), 2024
[32] A. Rumi and A. Salsabila, “Analisis Persepsi Penyakit Terhadap Kualitas Hidup Pasien Diabetes Melitus Tipe II Di Rumah Sakit Umum Daerah Torabelo”, Pharma Xplore, 8(1), 49–64, 2023.
[33] Z. A. Arda, S. Hanapi, Y. Paramata, and A. R. Ngobuto, “Kualitas Hidup Penderita Diabetes Mellitus dan Determinannya di Kabupaten Gorontalo,” Jurnal Promotif Preventif, 3(1), 14–21, 2020
[34] S. Setyorogo and S. K. Trisnawati, “Faktor Resiko Kejadian Diabetes Melitus Tipe II Di Puskesmas Kecamatan Cengkareng Jakarta Barat Tahun 2012,” Jurnal Ilmiah Kesehatan, 5(1), 6–11, 2013
[35] H. Nisa and P. Kurniawati, “Kualitas Hidup Penderita Diabetes Melitus Dan Faktor Determinannya,” Medical Technology and Public Health Journal, 6(1), 72–83, 2022
[36] A. Mannan et al., “The relationship between medical comorbidities and health-related quality of life among adults with type 2 diabetes: The experience of different hospitals in southern Bangladesh,” PLoS One, 17(5), 1–17, 2022
[37] J. Rantung, K. Yetti, and T. Herawati, “Hubungan Self-Care Dengan Kualitas Hidup Pasien Diabetes Mellitus (Dm) Di Persatuan Diabetes Indonesia (Persadia) Cabang Cimahi,” Jurnal Skolastik Keperawatan, 1(01), 38–51, 2015
[38] A. Majeed et al., “The impact of treatment adherence on quality of life among type 2 diabetes mellitus patients – findings from a cross-sectional study,” Patient Prefer Adherence, 15, 475–481, 2021
[39] R. Mulyani, “Kombinasi Insulin dan Obat Antidiabetik Oral pada Pasien Berbasis Kombinasi Insulin dan Obat Antidiabetik Oral pada Pasien Diabetes Melitus Tipe 2 di Instalasi Rawat,” Ikatan Apoteker Indonesia, 10, 116–122, 2021.
[40] A. I. Haryati and T. A. W. Tyas, “Perbandingan Kadar HbA1c pada Pasien Diabetes Melitus Tipe 2 yang Disertai Hipertensi dan Tanpa Hipertensi di Rumah Sakit Umum Daerah Duri, Mandau, Bengkalis, Riau,” Jurnal Kedokteran dan Kesehatan, 18(1), 33, 2022
[41] S. A. F. Rosa and A. K. Hati, “Hubungan Kepatuhan Pengobatan Terhadap Nilai Hba1c Pasien Diabetes Melitus Tipe 2 Di Puskesmas Pasir Panjang Kota Kupang”, Skripsi, Universita Ngadi Waluyo, 1–12, 2021
[42] U. Hasanah, D. Kurniawati, Mustaqimah, and I. Yuwindry, “Hubungan Kepatuhan Pasien Diabetes dalam Mengkonsumsi Obat Antidiabetes Oral Terhadap Kadar Gula Darah Puasa di RSUD Ulin Banjarmasin”, JCPS, 6(1), 581–589, 2023
[43] T. Papadopoulos, A. Abrahim, D. Sergelidis, and K. Bitchava, “Original article Ερευνητική”, 2, 119–123, 2011
[44] V. Kamba, “Peran Apoteker dalam Meningkatkan Kepatuhan Berobat pada Pasien Diabetes Melitus,” Journal of Noncommunicable Disease, 1(1), 45, 2021
[45] M. Syaripuddin, “Peranan Pharmaceutical Care dalam Meningkatkan Hasil Klinis dan Kualitas Hidup Pasien Penderita Diabetes Melitus,” Jurnal Kefarmasian Indonesia, 3(2), 52–59, 2013
Published
2025-08-04
How to Cite
NingsihR., NasifH., & SariY. (2025). The Study of Medication Adherence and Health-Related Quality of Life in Patients with Type II Diabetes Mellitus. JPK : Jurnal Proteksi Kesehatan, 14(1), 64-78. https://doi.org/10.36929/jpk.v14i1.930