Relationship Between the Level of Knowledge and Medication Adherence Level in Diabetes Mellitus Patients in Advent Medan Hospital
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Abstract
Hyperglycemia or elevated blood sugar levels due to decreased pancreatic insulin productin, is a sign of a metabolic disorder that leads to diabetes mellitus (DM). One crucial factor in managing diabetes mellitus is the patient’s knowledge and adherence to treatment. Patients with adequate knowledge are more likely to comply with therapy, which helps control the disease. This study aims to determine the relationship between the level of knowledge and the level of medication adherence in diabetes mellitus patients in Advent Hospital Medan. This research employed a quantitative approach with a cross-sectional design and a purposive sampling technique. The research involved 90 patients who were selected and agreed to participate as respondents. Data were collected using a validated Diabetes Knowledge Questionnaire (DKQ-24) and Medication Adherence Report Scale (MARS-5). Data analysis was conducted using a non-parametric statistical test, specifically the Chi-Square test. The study found that the majority of patients had a high level of knowledge (48,9%) but were non-adherent to medication (56,7%). The Chi-Square test showed a significance of 0.001 < 0.05, indicating a significant relationship between the level of knowledge and medication adherence among diabetes mellitus patients at Advent Medan Hospital.
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References
Andriansyah, Y., Neswita, E. & Razoki, R. ADMINISTRATIVE, PHARMACEUTIC AND CLINICAL STUDY OF PRESCRIPTION ANTI-DIABETES DRUGS IN ONE OF MEDAN CITY PHARMACIES. Jambura J. Health Sci. Res. 4, 740–747 (2022).
Natalia, A., Karolina, H., Meutia, R. & Lubis, A. A. Effectiveness of Kersen Leaf (Muntingia Calabura L.) Extract on Rats as an anti-Diabetic Agent. in 1st International Conference on Lifestyle Diseases and Natural Medicine (ICOLIFEMED 2024) 283–294 (Atlantis Press, 2025).
Razoki, R., Munthe, C. R., Karo, R. M. B., Yunus, M. & Lubis, A. A. Uji Efek Antihiperglikimia Fraksi Aktif Ekstrak Etanol Daun Sirsak (Annona Muricata) dan Ekstrak Ikan Gabus (Channa Striata) pada Tikus. Ranah Res. J. Multidiscip. Res. Dev. 6, 1095–1105 (2024).
Pharamita, A. Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Sumurgung. J. Multidisiplin Indones. 2, 2859–2868 (2023).
Alkandahri, M. Y. et al. Antidiabetic activity of extract and fractions of Castanopsis costata leaves on alloxan-induced diabetic mice. Pharmacogn. J. 13, (2021).
Ratnasari, A., Afrina, R. & Shifa, N. A. Hubungan Tingkat Pengetahuan Dengan Kepatuhan Diet Pada Pasien Diabetes Mellitus Tipe 2. J. Vent. 2, 313–323 (2024).
Alaofi, A. L. Sinapic acid ameliorates the progression of streptozotocin (STZ)-induced diabetic nephropathy in rats via NRF2/HO-1 mediated pathways. Front. Pharmacol. 11, 1119 (2020).
Marito, R. & Lestari, I. C. Hubungan Antara Tingkat Pengetahuan Dengan Tingkat Kepatuhan Minum Obat Pasien Diabetes Melitus Tipe 2. J. Kedokt. Ibnu Nafis 10, 122–127 (2021).
Armaijn, L. & Do Toka, W. HUBUNGAN TINGKAT PENGETAHUAN DAN TINGKAT KEPATUHAN PENGOBATAN PASIEN DIABETES MELITUS TIPE 2 DI KOTA TERNATE. J. Ilmu Kesehat. Masy. 20, (2024).
Husain, B. A. & Santoso, A. B. Analisis Kepatuhan Karyawan terhadap Pemberlakuan Prosedur Operasional Standar (SOP) pada Perusahaan Baru (Studi Kasus pada PT. Prina Duta Rekayasa) Kota Tangerang Selatan. J. Tadbir Perad. 2, 105–113 (2022).
Apsari, N. & Sartika, R. A. D. Hubungan Persepsi Hambatan dengan Kepatuhan Minum Obat pada Pasien Diabetes Melitus di Puskesmas Pasar Minggu Jakarta Selatan. Media Publ. Promosi Kesehat. Indones. MPPKI 7, 1281–1293 (2024).
Indriana, N., Swandari, M. T. K. & Pertiwi, Y. Hubungan Tingkat Pengetahuan Dengan Kepatuhan Minum Obat Pada Pasien Hipertensi Di Rumah Sakit X Cilacap. J. Ilm. JOPHUS J. Pharm. UMUS 2, 87–97 (2021).
Kithas, P. A. & Supiano, M. A. Hypertension in the geriatric population: a patient-centered approach. Med. Clin. 99, 379–389 (2015).
Chan, A. H. Y., Horne, R., Hankins, M. & Chisari, C. The medication adherence report scale: a measurement tool for eliciting patients’ reports of nonadherence. Br. J. Clin. Pharmacol. 86, 1281–1288 (2020).
Arfania, M. Analisis faktor risiko kepatuhan minum obat pasien diabetes mellitus di rumah sakit karawang. J. Buana Farma 1, 5–9 (2021).
Shrestha, S., Karki, R. & Ghimire, M. Impact of pharmacist counselling on medication adherence among elderly patients on antihypertensive therapy in a tertiary care hospital of Nepal. Eur. J. Med. Sci. 1, 40–47 (2019).
Rohmatulloh, V. R., Riskiyah, R., Pardjianto, B. & Kinasih, L. S. Hubungan usia dan jenis kelamin terhadap angka kejadian diabetes melitus tipe 2 berdasarkan 4 kriteria diagnosis di Poliklinik Penyakit Dalam RSUD Karsa Husada Kota Batu. PREPOTIF J. Kesehat. Masy. 8, 2528–2543 (2024).
Sidiq, R. & Nurleli, N. HUBUNGAN LAMA MENDERITA PENYAKIT DENGAN PENGETAHUAN PERAWATAN KULIT DAN KAKI PADA PASIEN DIABETES MELLITUS TIPE 2 DI RUANG MAMPLAM RUMAH SAKIT UMUM DAERAH dr. ZAINOEL ABIDIN BANDA ACEH. Idea Nurs. J. 6, 30–35 (2015).
Laili, N. F., Probosiwi, N. & Ilmi, T. Hubungan Karakteristik Responden Terhadap Pengetahuan Pada Pasien Diabetes Mellitus Di Puskesmas X Kota Kediri. J. Inov. Farm. Indones. JAFI 4, 48–55 (2023).
Yulianti, T. & Anggraini, L. Faktor-Faktor yang Mempengaruhi Kepatuhan Pengobatan pada Pasien Diabetes Mellitus Rawat Jalan di RSUD Sukoharjo. Pharmacon J. Farm. Indones. 17, 110–120 (2020).
Tafesse, T. B., Hymete, A., Mekonnen, Y. & Tadesse, M. Antidiabetic activity and phytochemical screening of extracts of the leaves of Ajuga remota Benth on alloxan-induced diabetic mice. BMC Complement. Altern. Med. 17, 243 (2017).
Cahyani, O. P. N. Gambaran Kepatuhan Manajeman Diabetes Melitus Tipe 2 Di Puskesmas Ngoresan Jebres. Naskah Publ. 1–17 (2019).