PERILAKU PERAWATAN DIRI LANSIA DENGAN DIABETES MELITUS TIPE 2 (T2DM)

Authors

  • Denny Susanto Universitas Muhammadiyah Banjarmasin

DOI:

https://doi.org/10.59894/jpkk.v1i2.193

Keywords:

Diabetes Mellitus Tipe 2, Lansia, Perawatan Diri

Abstract

Latar Belakang: Diabetes mellitus tipe 2 adalah penyakit kronis yang ditandai dengan peningkatan gula darah, dan lebih sering buang air kecil pada malam hari, sering merasa haus dan lapar. T2DM terjadi karena produksi insulin mengalami kerusakan. Insulin yang mengalami kerusakan tidak dapat melakukan tugas dalam mengubah gula menjadi energi, sehingga gula dalam darah meningkat. Penyakit T2DM lebih sering didapatkan pada usia menua (lansia). Peningkatan T2DM terjadi karena pola hidup sehat yang tidak efektif, perawatan diri, dan hambatan yang didapatkan selama proses perawatan. Meskipun telah banyak penelitian yang melakukan tinjauan literatur perawatan diri dan hambatan dalam proses perawatan T2DM, namun hanya sedikit yang berfokus pada pasien lansia. Tujuan: Merangkum dan membahas seluruh proses perawatan diri T2DM pada pasien lansia. Metode: tinjauan literatur dengan cara marangkum seluruh artikel penelitian yang berhubungan dengan perawatan T2DM dengan fokus pada lansia. Pencarian artikel melalui Pubmed, Plos one, Science Direct dan DOAJ dengan hasil keseluruhan artikel setelah dilakukan critical appraisal berjumlah 8 artikel penelitian yang dibuat rangkuman dan dilakukan pembahasan. Hasil: Proses perawatan diri pasien lansia T2DM meliputi diet rutin, aktivitas fisik teratur dan kepatuhan pengobatan serta terapi insulin. Kesimpulan: Perawatan diri pasien lansia T2DM yang meliputi diet, aktivitas fisik, kepatuhan pengobatan dan terapi insulin memberi manfaat dan keuntungan besar dalam menormalkan kadar glukosa dalam darah. 

References

Alsaraj, F. (2015). Pathogenesis of Type 2 Diabetes Mellitus. In Treatment of Type 2 Diabtes Mellitus. InterchOpen. https://doi.org/10.5772/59183

Barzilai, N., Cuerco, A., & Austad, S. (2018). Aging as a Biological Target for Prevention and Therapy. JAMA, 320(13), 1321–1322. https://doi.org/10.1001/jama.2018.9562

Black, C., Donnelly, P., Mclntyre, L., Royle, P., Stepherd, J., & Thomas, S. (2007). Meglitinide Analogues for Type 2 Diabetes Mellitus. The Cochrane Database of Systematic Review, (2), CD004654. https://doi.org/10.1002/14651858.CD004654.pub2

Bodenheimer, T., Wagner, E. H., & Grumbach, M. K. (2002). Improving Primary Care for Patients With Chronic Illness. JAMA: Innovations in Primary Care, 288(14), 1775–1779. https://doi.org/10.1001/jama.288.14.1775

Bolt, B. (2016). The ABCs of Insulin. Retrieved from https://www.pharmacytimes.com/publications/issue/2016/October2016/The-ABCs-of-Insulin (2014).

Caruso, R., Magon, A., Baroni, I., & Dellafiore, F. (2017). Health Literacy in Type 2 Diabetes Patients : A Systematic Review of Systematic Reviews. Acta Diabetologica, 55(1), 1–12. https://doi.org/10.1007/s00592-017-1071-1

Chen, Z., Geertruida, M., Niels, Z., Jana, V. D. S., Anna, H., Wijnhoven, H., … Voortman, T. (2018). Plant Versus Animal Based Diets and insulin Resistance , Prediabetes and Type 2 Diabetes : The Rotterdam Study. European Journal of Epidemiology, 33(9), 883–893. https://doi.org/10.1007/s10654-018-0414-8

Chia, C., Egan, J., & Ferrucci, L. (2018). Age-Related Changes in Glucose Metabolism, Hyperglycemia, and Cardiovascular Risk. Circ Res, 123(7), 886–904. https://doi.org/10.1161/CIRCRESAHA.118.312806

Czech, M. P. (2017). Insulin Action and Resistance in Obesity Type 2 Diabetes. Nature Medicine, 23(7), 804–814. https://doi.org/10.1038/nm.4350

Denyes, M. J., Orem, D. E., & Bekel, G. (2001). Self-Care: A Foundational Science. Nursing Science Quarterly, 14(1), 48–54. https://doi.org/10.1177/089431840101400113

Dornhorst, A. (2001). Insulinotropic Meglitinide Analogues. Lancet (London, England), 358(9294), 1709–1716. https://doi.org/10.1016/S0140-6736(01)06715-0

Geiker, N. R. W., Larsen, M. L., Dyerberg, J., Stender, S., & Astrup, A. (2017). Egg Consumption, Cardiovascular Diseases and Type 2 Diabetes. Nature Publishing Group, 72(1), 1–13. https://doi.org/10.1038/ejcn.2017.153

Gentilcore, D., Vanis, L., Wishart, J. M., Rayner, C. K., Horowitz, M., & Jones, K. L. (2011). Attenuates the Blood Pressure and Splanchnic Blood Flow Responses to Intraduodenal Sucrose in Older Adults. The Journals of Gerontoly: Series A, 66A(8), 917–924. https://doi.org/10.1093/gerona/glr086

Guasch-ferré, M., Merino, J., Sun, Q., Fitó, M., & Salas-salvadó, J. (2017). Dietary Polyphenols, Mediterranean Diet, Prediabetes, and Type 2 Diabetes: A Narrative Review of the Evidence. Oxidative Medicine and Cellular Longevity, 2017(6723931). https://doi.org/10.1155/2017/6723931

Hansen, K. B., Vilsbøll, T., & Knop, F. K. (2010). Incretin mimetics : A Novel Therapeutic Option for Patients with Type 2 Diabetes – A Review. Diabetes Metabolic Syndrome and Obesity: Targets and Therapy, 3, 155–163.

Houghton, D., Hardy, T., Stewart, C., Errington, L., Day, C. P., Trenell, M. I., & Avery, L. (2018). Systematic Review Assessing the Effectiveness of Dietary Intervention on Gut Microbiota in Adults with Type 2 Diabetes. Diabetologia, 61(8), 1700–1711. https://doi.org/10.1007 / s00125-018-4632-0

Kalin, M. F., Goncalves, M., John-kalarickal, J., & Fonseca, V. (2017). Pathogenesis of Type 2 Diabetes Mellitus (Principles). Springer, Cham. https://doi.org/10.1007/978-3-319-20797-1_13-2

Kasina SVSK, Baradhi KM. Dipeptidyl Peptidase IV (DPP IV) Inhibitors. [Updated 2020 Feb 26]. In: StatPearls [Internet].

Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK542331/

Kementerian Kesehatan RI. (2018). Cegah, Cegah, dan Cegah: Suara Dunia Perangi Diabetes. Retrieved from https://www.depkes.go.id/article/view/18121200001/cegah-cegah-dan-cegah-suara-dunia-perangi-diabetes.html

Kementrian Kesehatan RI. (2014). Situasi dan Analisis Diabetes. Retrieved from https://www.kemkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-diabetes.pdf

Kementrian Kesehatan RI. (2018). Indonesia Tangani Diabetes melalui Pemberdayaan Masyarakat. Retrieved https://www.depkes.go.id/article/view/18112700001/indonesia-tangani diabetes-melalui-pemberdayaan-masyarakat.html

Kementrian Kesehatan RI. (2019). Indonesia Masuki Periode Aging Population. Retrieved from https://www.depkes.go.id/article/view/19070500004/indonesia-masuki-periode-aging-population.html

Khairani. (2018). Hari Diabetes Sedunia Tahun 2018. Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia.

Kondo, K., Morino, K., Nishio, Y., Ishikado, A., Arima, H., Nakao, K., … Maegawa, H. (2017). Fiber-rich Diet with Brown Rice Improves Endothelial Function in Type 2 Diabetes Mellitus : A randomized controlled trial. PloS One, 12(6), 1–16. https://doi.org/10.1371/journal.pone.0179869

Leong, I. (2018). High-fibre Diet Beneficial for T2DM. Nature Reviews Endocrinology, 14(6), 324. https://doi.org/10.1038/s41574-018-0004-6

Longo, M., Bellastella, G., Maiorino, M. I., Meier, J. J., Esposito, K., & Giugliano, D. (2019). Diabetes and Aging : From Treatment Goals to Pharmacologic Therapy. Frontiers in Endocrinology, 10, 45. https://doi.org/10.3389/fendo.2019.00045

Marathe, P. H., Gao, H. X., & Close, K. L. (2017). American Diabetes Association Standards of Medical Care in Diabetes 2017. Journal of Diabetes, 9(4), 320–324. https://doi.org/10.1111/1753-0407.12524

Metsämarttila, E., Enrique, R., Jokelainen, J., Herrala, S., & Leppäluoto, J. (2018). Effect of Physical Activity on Pulse Wave Velocity in Elderly Subjects with Normal Glucose , Prediabetes or Type 2 Diabetes. Scientific Reports, 8(1), 8045. https://doi.org/10.1038/s41598-018-25755-4

Mohammed, S. J. (2017). Association between Percentage of Body Fat in Normal Body Mass Index Subjects and Type 2 Diabetes Mellitus in Iraqi Population : Case Control Study. Journal of Diabetes and Metabolism, 8(10), 8–10. https://doi.org/10.4172/2155-6156.1000770

Mori, H., Okada, Y., & Tanaka, Y. (2017). The Effects of Pioglitazone on Bone Formation and Resorption Markers in Type 2 Diabetes Mellitus. Internal Medicine, 56(11), 1301–1306. https://doi.org/10.2169/internalmedicine.56.8096

Pathak, R., & Bridgeman, M. B. (2010). Dipeptidyl Peptidase-4 ( DPP-4 ) Inhibitors In the Management of Diabetes. A Peer-Reviewed Journal for Managed Care and Hospital Formulary Management, 35(9), 509–513.

Riset Kesehatan Dasar. (2018). Laporan Nasional Riset Kesehatan Dasar 2018. Retrieved from https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/

Rondanelli, M., Perna, S., Astrone, P., Grugnetti, A., Solerte, S. B., & Guido, D. (2016). Twenty-Four-Week Effects of Liraglutide on Body Composition, Adherence to Appetite, and Lipid Profile in Overweight and Obese Patients with Type 2 Diabetes Mellitus. Patient Preverence and Adherence, 10, 407–413. https://doi.org/10.2147/PPA.S97383

Salfo, F., Moore, N., Arnaud, M., Robinson, P., Raschi, E., De Ponti, F., … Pariente, A. (2016). Addition of dipeptidyl peptidase-4 inhibitors to sulphonylureas and risk of hypoglycaemia: systematic review and meta-analysis. BMJ (Clinical Research Ed), 353(i2231). https://doi.org/10.1136/bmj.i2231

Tchkonia, T., & Kirkland, J. (2018). Aging, Cell Senescence, and Chronic Disease: Emerging Therapeutic Strategies. JAMA, 320(13), 1319–1320. https://doi.org/10.1001/jama.2018.12440

Tomky, D., Cypress, M., Dang, D., Maryniuk, M., Peyrot, M., & Mensing, C. (2008). Aade Position Statement. American Association of Diabetes Educators, 34(3), 445. https://doi.org/10.1177/0145721708316625

Usuda, R. (2015). Sulfonylurea. Japanese Journal of Clinical Medicine, 73(3), 409–415.

World Health Organization. (2016). Global Report On Diabetes. Retrieved from https://apps.who.int/iris/bitstream/handle/

World Health Organization. (2018). Diabetes. Retrieved from https://www.who.int/news-room/fact-sheets/detail/diabetes

Wu, Y., Ding, Y., Tanaka, Y., & Zhang, W. (2014). Risk Factors Contributing to Type 2 Diabetes and Recent Advances in the Treatment and Prevention. International Journal of Medical Sciences, 11(11), 1185–1200. https://doi.org/10.7150/ijms.10001

Yakaryilmaz, F. ., & Ozturk, Z. . (2017). Treatment of Type 2 Diabetes Mellitus in the Elderly. World Journal of Diabetes, 8(6), 278–285. https://doi.org/10.4239/wjd.v8.i6.278

Yehuda, A. Ben, Zinger, A., & Durso, S. (2014). The Older Patient with Diabetes : A Practical Approach. Diabetes/Metabolism Research and Reviews, 30(2), 88–95. https://doi.org/10.1002/dmrr.2485

Yom-Tov, E., Feraru, G., Kozdoba, M., Mannor, S., Tennenholtz, M., & Hochberg, I. (2017). Encouraging Physical Activity in Patients With Diabetes: Intervention Using a Reinforcement Learning System. Journal of Medical Internet Research, 19(10), e338. https://doi.org/10.2196/jmir.7994

Zhao, L., Zhang, F., Ding, X., Wu, G., Yan, Y. L., Wang, X., … Zhan, C. (2018). Gut Bacteria Selectively Promoted by Dietary Fibers Alleviate Type 2 Diabetes. Science (New York, N.Y), 359(6380), 1151–1156. https://doi.org/10.1126/science.aao5774

Zheng, Y., Ley, S. H., & Hu, F. B. (2017). Global Aetiology and Epidemiology of Type 2 Diabetes Mellitus and its complications. Nature Publishing Group, 14(2), 88–98. https://doi.org/10.1038/nrendo.2017.151

Zubrzycki, A., Cierpka-Kmiec, Z., & Wronska, A. (2018). The Role Low-Calorie Diets and Intermittent Fasting in the Treatment of Obesity and Type 2 Diabetes. Journal of Physiology and Pharmacology: An Official Journal of the Polish Physiological Society, 69(5), 663–683. https://doi.org/10.26402/jpp.2018.5.02

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Published

2021-07-05

How to Cite

Susanto, D. (2021). PERILAKU PERAWATAN DIRI LANSIA DENGAN DIABETES MELITUS TIPE 2 (T2DM). Jurnal Penelitian Keperawatan Kontemporer, 1(2), 39–51. https://doi.org/10.59894/jpkk.v1i2.193

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