Hubungan Kepatuhan Pengobatan dan Outcome Klinis pada Pasien Diabetes Melitus Tipe 2 Rawat Jalan di Puskesmas PB Selayang II Medan

Abstract

Background: Diabetes mellitus is a chronic disease that requires long-term treatment which adherence will result in good clinical outcome. Objective: To determine the level of adherence and clinical outcome, different tets in patient’s characteristics with adherence and clinical outcome as well as the relationship between adherence and clinical outcome in type 2 diabetes mellitus outpatient at the PB Selayang II health center Medan. Method: Descriptive cross-sectional study that used Medication Adherence Rating Scale-5 (MARS-5) questionnaire and clinical outcome data from fasting blood glucose and Body Mass Index (BMI). This research was conducted form August to December 2023. Results: From the results of the study, 90 patients were obtained, 35 of whom refused to be respondents (respondent rate 72%), the majority of patients was woman (55.6%); aged 56-65 years (41.1%); bachelor (46.7%), unemployed (65.6%), duration of illness >5 years (48.9%); and had comorbidities (54.4%). The majority the level of adherence was non-adherence (58.9%) with uncontrolled fasting blood glucose (56.7%) and BMI was normal (51.1%). The Kruskal-Wallis test showed that only age had a significant difference with fasting blood glucose. The chi-square test showed that there was no significant relationship between the level of adherence and clinical outcome. Conclusion: The majority of adherence’s was non-adherence with uncontrolled fasting blood glucose and BMI was normal. Only age characteristic had significant different with fasting blood glucose. There was no significant relationship between adherence and clinical outcome.