Relationship of Clinical Treatment and Outcome Compliance in Patients with Type 2 Outpatient Diabetes Mellitus at PB Selayang II Puskesmas Medan

Oct 13, 2025 by leolavanderia.com.br 43 views

Relationship of Clinical Treatment and Outcome Compliance in Patients with Type 2 Outpatient Diabetes Mellitus at PB Selayang II Puskesmas Medan

Introduction

Diabetes mellitus is a chronic disease that requires long-term care and management. The importance of compliance with treatment cannot be overstated, as it directly affects the patient's clinical results and overall health outcomes. This study aims to identify the level of compliance and clinical results, analyze differences in the characteristics of patients related to compliance and clinical results, as well as examining the relationship between compliance and clinical results in type 2 diabetes mellitus patients undergoing outpatient care at the PB Selayang II Medan Puskesmas.

Background

Diabetes mellitus is a complex and multifaceted disease that affects millions of people worldwide. The disease requires ongoing management and treatment to prevent complications and maintain good health outcomes. Compliance with treatment is crucial in managing diabetes mellitus, as it directly affects the patient's clinical results and overall health outcomes. Non-compliance with treatment can lead to poor health outcomes, including increased risk of complications, hospitalization, and even death.

Research Methodology

This study uses a descriptive cross-sectional design and involves 90 patients with type 2 diabetes mellitus who are undergoing outpatient care at the PB Selayang II Medan Puskesmas. Data was collected using the Medication Adherence Rating Scale-5 (MARS-5) questionnaire and information about clinical results was measured through fasting blood glucose levels and body mass index (BMI). This study took place from August to December 2023. Of these, 35 patients refused to participate, so that the respondent level reached 72%.

Research Results

Of the 90 patients involved, the majority are women (55.6%) with an age range of 56-65 years (41.1%) and most of the undergraduate education (46.7%). Most patients do not work (65.6%) and experience more than 5 years (48.9%), and have comorbidities (54.4%). The results show that the majority of patients show a low level of compliance (58.9%), uncontrolled fasting blood glucose levels (56.7%), and BMI in the normal category (51.1%).

Analysis using the Kruskal-Wallis test found that only the age showed a significant difference in the level of fasting blood glucose. In addition, the Chi-Square test shows that there is no significant relationship between the level of compliance and clinical results obtained.

Additional Analysis and Explanation

The results of this study reflect the challenges faced by patients with type 2 diabetes mellitus in maintaining compliance with treatment. Low compliance rates, although there are treatment available, can be caused by various factors, such as lack of understanding of diseases, side effects of drugs, as well as difficulties in accessing health services. High comorbidity among patients can also worsen the situation, because patients often have to manage more than one health condition simultaneously. Mental health, including stress and depression, also plays an important role in treatment of treatment. In this case, it is important for health workers to provide better support and education to patients to increase the level of compliance and, in turn, their clinical results.

Discussion

The results of this study highlight the importance of compliance with treatment in managing type 2 diabetes mellitus. The study found that the majority of patients show a low level of compliance, which can contribute to poor health outcomes, including increased risk of complications and hospitalization. The study also found that there is no significant relationship between the level of compliance and clinical results obtained, which suggests that other factors may be influencing the clinical results of patients with type 2 diabetes mellitus.

Conclusion

In conclusion, this study shows that although many patients have normal BMI, the problem of compliance with treatment needs to be further attention, because it can contribute to the high levels of uncontrolled fasting blood glucose. By understanding the factors that influence compliance, more effective interventions can be applied to improve the health of patients with type 2 diabetes mellitus at the PB Selayang II Health Center.

Recommendations

Based on the findings of this study, the following recommendations are made:

Health workers should provide better support and education to patients to increase the level of compliance and, in turn, their clinical results.
Patients with type 2 diabetes mellitus should be educated on the importance of compliance with treatment and the factors that influence compliance.
Health services should be improved to make it easier for patients to access and receive treatment.
Mental health support should be provided to patients with type 2 diabetes mellitus to help them manage stress and depression.

Limitations

This study has several limitations, including:

The study only involved 90 patients, which may not be representative of the larger population of patients with type 2 diabetes mellitus.
The study only measured compliance with treatment and clinical results, and did not measure other factors that may influence compliance and clinical results.
The study only took place at one health center, which may not be representative of other health centers.

Future Research Directions

Future research should focus on understanding the factors that influence compliance with treatment in patients with type 2 diabetes mellitus. This may include studying the role of mental health support, education, and health services in improving compliance and clinical results. Additionally, future research should focus on developing more effective interventions to improve compliance and clinical results in patients with type 2 diabetes mellitus.
Frequently Asked Questions (FAQs) about Relationship of Clinical Treatment and Outcome Compliance in Patients with Type 2 Outpatient Diabetes Mellitus at PB Selayang II Puskesmas Medan

Q: What is the main objective of this study?

A: The main objective of this study is to identify the level of compliance and clinical results, analyze differences in the characteristics of patients related to compliance and clinical results, as well as examining the relationship between compliance and clinical results in type 2 diabetes mellitus patients undergoing outpatient care at the PB Selayang II Medan Puskesmas.

Q: What is the significance of this study?

A: This study is significant because it highlights the importance of compliance with treatment in managing type 2 diabetes mellitus. The study found that the majority of patients show a low level of compliance, which can contribute to poor health outcomes, including increased risk of complications and hospitalization.

Q: What are the factors that influence compliance with treatment in patients with type 2 diabetes mellitus?

A: The factors that influence compliance with treatment in patients with type 2 diabetes mellitus include lack of understanding of diseases, side effects of drugs, as well as difficulties in accessing health services. High comorbidity among patients can also worsen the situation, because patients often have to manage more than one health condition simultaneously. Mental health, including stress and depression, also plays an important role in treatment of treatment.

Q: What are the implications of this study?

A: The implications of this study are that health workers should provide better support and education to patients to increase the level of compliance and, in turn, their clinical results. Patients with type 2 diabetes mellitus should be educated on the importance of compliance with treatment and the factors that influence compliance. Health services should be improved to make it easier for patients to access and receive treatment. Mental health support should be provided to patients with type 2 diabetes mellitus to help them manage stress and depression.

Q: What are the limitations of this study?

A: The limitations of this study include:

The study only involved 90 patients, which may not be representative of the larger population of patients with type 2 diabetes mellitus.
The study only measured compliance with treatment and clinical results, and did not measure other factors that may influence compliance and clinical results.
The study only took place at one health center, which may not be representative of other health centers.

Q: What are the future research directions?

A: Future research should focus on understanding the factors that influence compliance with treatment in patients with type 2 diabetes mellitus. This may include studying the role of mental health support, education, and health services in improving compliance and clinical results. Additionally, future research should focus on developing more effective interventions to improve compliance and clinical results in patients with type 2 diabetes mellitus.

Q: What are the recommendations for healthcare providers?

A: Healthcare providers should:

Provide better support and education to patients to increase the level of compliance and, in turn, their clinical results.
Educate patients on the importance of compliance with treatment and the factors that influence compliance.
Improve health services to make it easier for patients to access and receive treatment.
Provide mental health support to patients with type 2 diabetes mellitus to help them manage stress and depression.

Q: What are the recommendations for patients with type 2 diabetes mellitus?

A: Patients with type 2 diabetes mellitus should:

Educate themselves on the importance of compliance with treatment and the factors that influence compliance.
Work with their healthcare providers to develop a treatment plan that meets their needs.
Take an active role in managing their condition, including monitoring their blood glucose levels and taking their medications as prescribed.
Seek support from their healthcare providers and other resources, such as support groups and online communities, to help them manage their condition.