Risk Factors Poor Glycemic Control among Patients with Type 2 Diabetes Mellitus at the Primary Health Center of Kembiritan Banyuwangi Regency
| Main Author: | Purwitaningtyas, Rizki Yulia |
|---|---|
| Format: | application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Public Health and Preventive Medicine Archive
, 2015
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| Subjects: | |
| Online Access: |
http://ojs.unud.ac.id/index.php/phpma/article/view/16677 |
Daftar Isi:
- Background and purpose: Number of patients with type 2 diabetes mellitus in Kembiritan Primary Health Centerhas increased as many as 160 in 2013 to 215 in 2014. This study was conducted to determine risk factors of poorglycemic control among patients with type 2 diabetes mellitus in the Primary Health Center of Kembiritan Banyuwangi.Methods: The research design was a case control study of 55 patients with poor glycemic control of diabetes mellitusas cases and 55 patients with good glycemic control of diabetes mellitus as controls (1: 1), who were randomly selectedfrom the registers of patients with diabetes mellitus at the primary health center during 2014. Data was collectedthrough interviews at the primary health center during March-May 2015 using questionnaires. Data was analyzed byunivariate, bivariate (chi square test) and multivariate using logistic regression.Results: Bivariate analysis showed that duration of disease and nutritional status significantly increase risks of poorglycemic control respectively with OR=2.9 (95%CI: 1.20-7.54) and OR=5.7 (95%CI: 1.82-21.04). Multivariate analysisshowed four factors that increase the risk of poor glycemic control, namely duration of disease with adjusted OR = 3.8(95% CI: 1.37 to 10.59), medication adherence, with adjusted OR = 3.7 (95% CI : 1.30 to 10.59), nutritional status, withadjusted OR=6.6 (95%CI: 2.01-21.44) and distance of health facilities, with adjusted OR=3.1 (95%CI: 1.19-7.95).Conclusion: Risk factors for poor glycemic control among patients with type 2 diabetes mellitus were diseaseduration, adherence of medication, nutritional status and distance to health facilities.