OPTIMALISASI KADER KESEHATAN DALAM PENCEGAHAN DIABETES DI WILAYAH KABUPATEN BANDUNG, JAWA BARAT

Titis Kurniawan, Nursiswati Nursiswati, Hasniatisari Harun, Taty Hernawaty

Abstrak


Diabetes mellitus merupakan masalah kesehatan serius, tidak dapat diobati, banyak menimbulkan komplikasi, dan memiliki banyak faktor penyebab. Karenanya, pencegahan merupakan strategi terbaik untuk mengatasi permasalahan terkait diabetes. Kader kesehatan merupakan garda terdepan dalam upaya pencegahan penyakit diabetes. Sayangnya kebanyakan kader belum cakap dalam mengenali faktor risiko maupun mengidentifikasi tingkat risiko diabetes. Sehingga upaya peningkatan pengetahuan dan kemampuan kader dalam kedua hal tersebut menjadi sangat penting. Kegiatan pengabdian ini ditujukan untuk meningkatkan pengetahuan dan kemampuan kader kesehatan dalam mengenali dan mengidentifikasi tingkat risiko diabetes. Untuk itu, kami mengadakan pendidikan dan pelatihan kader kesehatan terkait diabetes, faktor risiko dan upaya pencegahannya, serta simulasi skrining tingkat risiko diabetes menggunakan FINDRISC diabetes assessment tool. Tim juga melakukan mediasi baik dengan pihak Puskesmas maupun kleurahan di wilayah setempat. Kegiatan dijalankan di salah satu keluraran di Wilayah Kabupaten Bandung, Jawa Barat dengan melibatkan 88 kader kesehatan. Kader berpartisipasi aktif selama kegiatan, mengajukan pertanyaan, berbagi pengalaman, dan berdiskusi terkait materi yang disampaikan. Berdasarkan hasil evaluasi, ditemukan adanya peningkatan skor pengetahuan sebesar 15% setelah pemberian materi (75% vs. 60%). Dari simulasi skrining tingkat risiko diabetes, peserta menyatakan bahwa pengisian formulir tidak terlalu sulit kecuali pada bagian pengisian indeks masa tubuh. Dari simulasi ini ditemukan juga bahwa setengah (50,72%) kader mengalami peningkatan risiko (peluang terkena diabetes sebesar 4%). Kegiatan pengabdian ini efektif meningkatkan pemahaman dan kemampuan kader dalam mengenal dan menilai tingkat risiko diabetes. Kegiatan serupa perlu secara berkala dijalankan untuk upgrading maupun tindak lanjut temuan terkait tingkat risiko diabetes pada kader.


Kata Kunci


FINDRISC, kader kesehatan, risiko diabetes, pencegahan, skrining

Teks Lengkap:

PDF

Referensi


Al-Goblan, A. S., Al-Alfi, M. A., & Khan, M. Z. (2014). Mechanism linking diabetes mellitus and obesity. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 7, 587–591. https://doi.org/10.2147/DMSO.S67400

Adaji, E. E., Ahankari, A. S., & Myles, P. R. (2017). An Investigation to Identify Potential Risk Factors Associated with Common Chronic Diseases Among the Older Population in India. Indian Journal Community Medicine, 42, 46–52. https://doi.org/10.4103/0970-0218.199802

Alshahrani, M. S. (2017). Prevalence of obesity and overweight among type 2 diabetic patients in Bisha, Saudi Arabia. Journal of Family Medicine and Primary Care, 6(2), 169–170. https://doi.org/10.4103/jfmpc.jfmpc

Amelia, R., Wahyuni, A. S., & Yunanda, Y. (2019). Diabetic neuropathy among type 2 diabetes mellitus patients at amplas primary health care in Medan city. Open Access Macedonian Journal of Medical Sciences, 7(20), 3400–3403. https://doi.org/10.3889/oamjms.2019.433

Cox, C. E. (2017). Role of Physical Activity for Weight Loss and Weight Maintenance. Spectrum Diabetes Journal, 30(3), 157–160.

Das, H., & Banik, S. (2019). Diabetes & Metabolic Syndrome : Clinical Research & Reviews Prevalence of dyslipidemia among the diabetic patients in southern Bangladesh : A cross-sectional study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(1), 252–257. https://doi.org/10.1016/j.dsx.2018.09.006

Einarson, T. R., Acs, A., Ludwig, C., & Panton, U. H. (2018). Prevalence of cardiovascular disease in type 2 diabetes: A systematic literature review of scientific evidence from across the world in 2007-2017. Cardiovascular Diabetology, 17(1), 1–19. https://doi.org/10.1186/s12933-018-0728-6

Fathurohman, I., & Fadhilah, M. (2018). Gambaran Tingkat Risiko dan Faktor-faktor yang Berhubungan dengan Risiko Diabetes Mellitus Tipe 2 di Buaran, Serpong Description of Risk Level and Factors Related to Risk of Type 2 Diabetes Mellitus in Buaran, Serpong. Jurnal Kedokteran Yarsi, 24(3), 186–202.

Ganz, M. L., Wintfeld, N., Li, Q., Alas, V., Langer, J., & Hammer, M. (2014). The association of body mass index with the risk of type 2 diabetes: A case-control study nested in an electronic health records system in the United States. Diabetology and Metabolic Syndrome, 6(1), 1–8. https://doi.org/10.1186/1758-5996-6-50

Gheith, O., Farouk, N., Nampoory, N., Halim, M. A., & Al-Otaibi, T. (2016). Diabetic kidney disease: world wide difference of prevalence and risk factors. Journal of Nephropharmacology, 5(1), 49–56. https://doi.org/10.3969/j.issn.1001-1242.2011.08.027

Gihart, Y. El. (2020). Skrining Diabetes Melitus Tipe 2 pada Pengunjung Puskesmas Wilayah Surabaya dengan BMI diatas Normal. Universitas Airlangga.

Hafsari, T., Desriyani, Y., Susanti, A., Nurkarimah, A., Pebriyanti, A., & Kurniawan, T. (2015). Deteksi dini diabetes melitus tipe 2 melalui keluarga di Kecamatan Jatinangor (Vol. 2015).

Hidayat, B., Ramadani, R. V., Rudijanto, A., Soewondo, P., Suastika, K., & Siu Ng, J. Y. (2022). Direct Medical Cost of Type 2 Diabetes Mellitus and Its Associated Complications in Indonesia. The International Society for Pharmacoeconomics and Outcomes Research, 28(Value health regional issue), 82–89. https://doi.org/10.1016/j.vhri.2021.04.006

IDF. (2021). IDF Diabetes Atlas (10th edition). In International Diabetes Federation. https://doi.org/10.1016/j.diabres.2013.10.013

Ismail, L., Materwala, H., & Al Kaabi, J. (2021). Association of risk factors with type 2 diabetes: A systematic review. Computational and Structural Biotechnology Journal, 19, 1759–1785. https://doi.org/10.1016/j.csbj.2021.03.003

Kant, R., Yadav, P., Barnwal, S., Dhiman, V., Abraham, B., & Gawande, K. (2021). Prevalence and predictors of depression in type 2 diabetes mellitus. Journal of Education and Health Promotion, 10, 1–6. https://doi.org/10.4103/jehp.jehp

Kementrian kesehatan republik indonesia. (2020). Tetap Produktif, Cegah Dan Atasi Diabetes Mellitus. In pusat data dan informasi kementrian kesehatan RI.

Kilonzo, S. B., Gunda, D. W., Bakshi, F. A., Kalokola, F., Mayala, H. A., & Dadi, H. (2017). Control of Hypertension among Diabetic Patients in a Referral Hospital in Tanzania : A Cross-Sectional Study. Ethiopian Journal of Health Science, 27(5), 473–480.

Koolhaas, C. M., Dhana, K., Schoufour, J. D., Ikram, M. A., Kavousi, M., & Franco, O. H. (2017). Impact of physical activity on the association of overweight and obesity with cardiovascular disease: The Rotterdam Study. European Journal of Preventive Cardiology, 24(9), 934–941. https://doi.org/10.1177/2047487317693952

Kurniawan, T., Afrimasari, E., & Praptiwi, S. H. (2018). Type 2 Diabetes Mellitus Risk Level , Cardiovascular Diseases Risk Level , and Quality of Work Life among University Staffs ; Correlational Study. Jurnal Keperawatan Padjadjaran, 6(2), 120–130.

Kurniawaty, Evi; Yanita, B. (2016). Faktor-Faktor yang Berhubungan dengan Kejadian Diabetes Melitus Tipe II. Majority, 5(2), 27–31. http://juke.kedokteran.unila.ac.id/index.php/majority/article/view/1073

Lavie, C. J., Carbone, S., Kachur, S., O’keefe, E. L., & Elagizi, A. (2019). Effects of Physical Activity, Exercise, and Fitness on Obesity-Related Morbidity and Mortality. Current Sports Medicine Reports, 18(8), 292–298. https://doi.org/10.1249/JSR.0000000000000623

Law, K. Z., Nafisah, W. N., Sahathevan, R., Yong, J., Zakaria, M. F., Shuhari, N. M. M., Ahmad, Nur Fathihah, N., Ting, T. K., Tan, H. J., Azmin, S., Remli, R., Nawi, A. M., & Ibrahim, N. M. (2015). High prevalence of diabetes in stroke patients and its association with lacunar infarction. Neurology Asia, 20(2), 121–127.

Linggardini, K., & Isnaini, N. (2015). Deteksi Dini Diabetes Mellitus Melalui Pengecekkan GLukosa Darah Sewaktu dan Indeks Masa Tubuh Warga Aisyiah Ranting Karang Talun Kidul. Medisains; Jurnal Ilmiah Ilmu-Ilmu Kesehatan, 13(1), 38–42.

Lou, J., Jing, L., Yang, H., Qin, F., Long, W., & Shi, R. (2019). Risk factors for diabetic nephropathy complications in community patients with type 2 diabetes mellitus in Shanghai: Logistic regression and classification tree model analysis. International Journal of Health Planning and Management, 34(3), 1013–1024. https://doi.org/10.1002/hpm.2871

Milovanovic, S., Silenzi, A., Kheiraoui, F., Ventriglia, G., Boccia, S., & Poscia, A. (2018). Detecting persons at risk for diabetes mellitus type 2 using FINDRISC : results from a community pharmacy-based study. The European Journal of Public Health, 28(6), 1127–1132. https://doi.org/10.1093/eurpub/cky009

Nasution, F., Andilala, & Siregar, A. A. (2021). Faktor Risiko Kejadian Diabetes Mellitus. Jurnal Ilmu Kesehatan, 9(2), 94–102.

Robinson, E., & Stensel, D. (2023). Does physical activity cause weight loss ? International Journal of Obesity, 47, 91–92. https://doi.org/10.1038/s41366-022-01247-4

Rokhman, R. M., Arifin, B., Zulkarnain, Z., Satibi, S., Perwitasari, D. A., Boersma, C., Postma, M. J., & va der Schans, J. (2022). Translation and performance of the Finnish Diabetes Risk Score for detecting undiagnosed diabetes and dysglycaemia in the Indonesian population. PLoS ONE, 17(7), 1–16. https://doi.org/10.1371/journal.pone.0269853

Tiksnadi, B. B., Afrianti, R., Sofiatin, Y., Ridha, A., Fihaya, F. Y., Roesli, R. M. A., & Akbar, M. R. (2019). Cardiovascular Risk Profile in Health Cadres in Jatinangor, West Java. Althea Medical Journal, 6(2), 75–79. https://doi.org/10.15850/amj.v6n2.1529

van Baak, M. A., Hul, G., Astrup, A., & Saris, W. H. (2021). Physical Activity, Weight Loss, and Weight Maintenance in the DiOGenes Multicenter Trial. Frontiers in Nutrition, 8(June). https://doi.org/10.3389/fnut.2021.683369

Woessner, M. N., Tacey, A., Levinger-Limor, A., Parker, A. G., Levinger, P., & Levinger, I. (2021). The Evolution of Technology and Physical Inactivity: The Good, the Bad, and the Way Forward. Frontiers in Public Health, 9(May), 1–7. https://doi.org/10.3389/fpubh.2021.655491

World Health Organization (WHO). (2016). Diabetes Country Profiles, 2016. In World Health Organization. https://www.who.int/diabetes/country-profiles/idn_en.pdf?ua=1

World Health Organization (WHO). (2022). Non-communicable diseases. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Wu, H., Eggleston, K. N., Zhong, J., Hu, R., Wang, C., Xie, K., Chen, Y., Chen, X., & Yu, M. (2018). How do type 2 diabetes mellitus (T2DM)-related complications and socioeconomic factors impact direct medical costs? A cross-sectional study in rural Southeast China. BMJ Open, 8(11), 1–11. https://doi.org/10.1136/bmjopen-2017-020647

Yin, L., Zhang, D., Ren, Q., Su, X., & Sun, Z. (2020). Prevalence and risk factors of diabetic retinopathy in diabetic patients: A community based cross-sectional study. Medicine (United States), 99(9). https://doi.org/10.1097/MD.0000000000019236




DOI: https://doi.org/10.24198/dharmakarya.v13i2.49826

Refbacks

  • Saat ini tidak ada refbacks.


##submission.license.cc.by4.footer##

Jurnal Ini Terindeks di: 


width=  width=    width= 

 <img src