HUBUNGAN KEPATUHAN MINUM OBAT ANTIDIABETES DENGAN KADAR GLUKOSA DARAH PUASA PADA LANSIA PENDERITA DIABETES MELITUS TIPE II DI PUSKESMAS SERIRIT II

Dina, Komang Dilla Martha (2026) HUBUNGAN KEPATUHAN MINUM OBAT ANTIDIABETES DENGAN KADAR GLUKOSA DARAH PUASA PADA LANSIA PENDERITA DIABETES MELITUS TIPE II DI PUSKESMAS SERIRIT II. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Teknologi Laboratorium Medis 2026.

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Abstract

THE RELATIONSHIP BETWEEN ADHRENCE TO ANTIDIABETIC MEDICATION AND FASTING BLOOD GLUCOSE LEVELS AMONG ELDERLY PATIENT WITH DIABETES MELLITUS TYPE II AT PUSKESMAS SERIRIT II ABSTRACT Background: Type II diabetes mellitus is a chronic metabolic disease requiring long-term therapy. Non – adherence to antidiabetic medication can lead to uncontrolled blood glucose levels and inscrease the risk of complications, especially in older adults. Objective: To determine the relationship between adherence to antidiabetic medication and fasting blood glucose levels among elderly patients with type II diabetes at Puskesmas Seririt II.Methods: An analytic observational study with samples meeting inclusion criteria. Medication adherence was measured using the Morisky Medication Adherence Scale- 8 (MMAS-8), while fasting blood glucose was assessed using the POCT (glucometer) method. The Chi-Square test was used for analysis. Results: Most respondents were aged 66 – 74 years (49%), demale (66%), had a family history of diabetes (66%), and had lived with diabetes for more than five years (66%). Low adherence was the most common category (37.7%). The majority had high fasting blood glucose levels (62.2%). Among those with low adherence, 80% had high fasting blood glucose. The Chi – Square test showed p – 0.008 with a correlation coefficient of 0.392. Concludion: There is a significant relationship between adherence to antidiabetic medication and fasting blood glucose levels; higher adherence is associated with better glycemic control in the elderly. Keywords: Type II Diabetes Mellitus HUBUNGAN KEPATUHAN MINUM OBAT ANTIDIABETES DENGAN KADAR GLUKOSA DARAH PUASA PADA LANSIA PENDERITA DIABETES MELITUS TIPE II DI PUSKESMAS SERIRIT II ABSTRAK Latar Belakang Diabetes melitus (DM) tipe II merupakan penyakit metabolik kronis yang memerlukan terapi jangka panjang. Ketidakpatuhan minum obat antidiabetes dapat menyebabkan kadar glukosa darah tidak terkontrol dan meningkatkan risiko komplikasi pada lansia.Tujuan Mengetahui hubungan antara kepatuhan minum obat antidiabetes dengan kadar glukosa darah puasa pada lansia penderita diabetes melitus tipe II di Puskesmas Seririt II. Metode penelitian analitik observasional dengan sampel sesuai kriteria inklusi. Kepatuhan diukur menggunakan kuesioner Morisky Medication Adhrence Scale-8 (MMAS-8), sedangkan kadar glukosa darah puasa di periksa menggunakan metode POCT (glukometer). Analisis hubungan dilakukan menggunakan uji Chi – Square. Hasil Sebagian besar responden berusia 66 – 74 tahun (49%), perempuan (66%), memiliki riwayat genetik DM (66%), dan telah menderita DM lebih dari 5 tahun (66%). Kepatuhan minum obat antidiabetes terbanyak pada katagori rendah (37,7%). responden memiliki kadar glukosa darah puasa tinggi (62,2%). Pada kelompok kepatuhan rendah, 80% memiliki GDP tinggi.uji Chi Square menunjukkan p – value 0.008 dengan koefisien korelasi 0,392 yang berarti terdapat hubungan antara kepatuhan minum obat antidiabetes dengan kadar glukosa darah puasa. Kesimpulan Terdapat hubungan yang bermakna antara kepatuhan minum obat antidiabetes dan kadar glukosa darah puasa pada lansia penderita diabetes melitus tipe II. Semakin tinggi tingkat kepatuhan minum obat antidiabetes, maka semakin baik pengendalian kadar glukosa darah puasa. Kata Kunci: Diabetes Melitus Tipe II

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