HUBUNGAN STRES DENGAN KADAR HBA1C PADA PASIEN RAWAT JALAN DIABETES MELLITUS TIPE 2

Aliyya Herwidia Zaman; Muhammad Khairul Nuryanto; Ronny Isnuwardana

Aliyya Herwidia Zaman Universitas Mulawarman
Muhammad Khairul Nuryanto Fakultas Kedokteran Universitas Mulawarman
Ronny Isnuwardana Fakultas Kedokteran Universitas Mulawarman

Keywords: Stress Levels, Glycemic Control, Type 2 Diabetes Mellitus, HbA1c Levels

Abstract

HbA1c level is glycosylated hemoglobin which reflects the average blood glucose level for the last three months. In T2DM patients, regular HbA1c levels are checked as an evaluation of the management of glycemic control. One of the factors that can affect the increase in blood glucose levels is stress. Stress increases levels of the hormone cortisol which promotes the breakdown of glucose stored in the body. This study aims to determine the relationship between stress levels with HbA1c levels in T2DM patients at the Outpatient Installation of RSUD Abdoel Wahab Sjahranie. The research is an analytic observational with a cross-sectional design. Data were collected using a purposive sampling technique by filling in Perceived Stress Scale instrument by the patient and recording the results of HbA1c levels. Samples that met the inclusion criteria were 68 samples. Statistical analysis using chi-square test, p value <0.05 with 95% confidence interval was considered significant. The results showed that in patients who experienced mild stress, the majority (67.6%) had controlled HbA1c levels. For patients with moderate and severe stress, the majority had uncontrolled HbA1c levels (47.1% and 20.6%, respectively). The statistical test showed a p-value = 0.014 which means there is a relationship between stress and HbA1c levels in T2DM patients.

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