Hubungan Kepatuhan Pengobatan terhadap Kadar Glukosa Darah Sewaktu dan Kualitas Hidup Penderita DM Tipe II di Desa Sedatigede, Sidoarjo

Latar Belakang: Rendahnya kepatuhan pengobatan pada penderita diabetes melitus tipe II dapat menyebabkan kadar glukosa darah tidak terkontrol dan berdampak pada penurunan kualitas hidup. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan pengobatan terhadap kadar glukosa darah sewaktu dan kualitas hidup penderita diabetes melitus tipe II di Desa Sedatigede Sidoarjo. Metode: Penelitian kuantitatif dengan desain cross-sectional dilakukan pada penderita diabetes melitus tipe II di Posyandu Lansia Baladewa dan Abimanyu Desa Sedatigede Sidoarjo. Populasi penelitian berjumlah 64 penderita diabetes melitus tipe II dengan sampel sebanyak 64 responden yang dipilih menggunakan teknik accidental sampling. Variabel independen penelitian adalah kepatuhan pengobatan, sedangkan variabel dependen meliputi kadar glukosa darah sewaktu dan kualitas hidup. Pengumpulan data menggunakan kuesioner Morisky Medication Adherence Scale-8 (MMAS-8), pemeriksaan kadar glukosa darah sewaktu menggunakan glukometer, dan kuesioner Diabetes Quality of Life (DQOL). Analisis hubungan kepatuhan pengobatan dengan kadar glukosa darah sewaktu menggunakan uji Spearman Rho, sedangkan hubungan kepatuhan pengobatan dengan kualitas hidup menggunakan uji Gamma dengan tingkat signifikansi α = 0,05. Hasil: Sebagian besar responden memiliki kepatuhan pengobatan rendah sebanyak 41 responden (64,1%), kadar glukosa darah sewaktu tidak normal sebanyak 57 responden (89,1%), dan kualitas hidup tinggi sebanyak 31 responden (48,4%). Terdapat hubungan antara kepatuhan pengobatan dengan kadar glukosa darah sewaktu (p = 0,000; r = -0,536) dan kualitas hidup (p = 0,000; r = 0,887). Kesimpulan: Semakin tinggi kepatuhan pengobatan maka kadar glukosa darah sewaktu semakin terkontrol dan kualitas hidup semakin baik.

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Background: Low medication adherence among patients with type 2 diabetes mellitus may lead to uncontrolled blood glucose levels and decreased quality of life. Objective: This study aimed to determine the relationship between medication adherence and random blood glucose levels and quality of life among patients with type 2 diabetes mellitus in Sedatigede Village, Sidoarjo. Methods: This quantitative study employed a cross-sectional design among patients with type 2 diabetes mellitus at Baladewa and Abimanyu elderly integrated health posts in Sedatigede Village, Sidoarjo. The population consisted of 64 patients with type 2 diabetes mellitus, and a total of 64 respondents were selected using accidental sampling. The independent variable was medication adherence, whereas the dependent variables were random blood glucose levels and quality of life. Data were collected using the Morisky Medication Adherence Scale-8 (MMAS-8), random blood glucose measurements using a glucometer, and the Diabetes Quality of Life (DQOL) questionnaire. Data were analyzed using Spearman’s rho test and Gamma test with a significance level of α = 0.05. Results: The results showed that most respondents had low medication adherence (41 respondents; 64.1%), abnormal random blood glucose levels (57 respondents; 89.1%), and high quality of life (31 respondents; 48.4%). There was a significant relationship between medication adherence and random blood glucose levels (p = 0.000; r = −0.536) and quality of life (p = 0.000; r = 0.887). Conclusion: Higher medication adherence is associated with better blood glucose control and improve quality of life.