The Health-Seeking Behavior of Diabetes Mellitus Patients during the COVID-19 Pandemic in Brebes Regency

Hiro Putra Faisal, Chrestella Adiyatma, Dwi Tyastuti

Abstract


Background: The COVID-19 pandemic in Indonesia has impacted patients with non-communicable diseases such as Diabetes Mellitus (DM). The impacts include health services, treatment management, and patients' health-seeking behavior. This study aims to determine the DM patients' health-seeking behavior in the Salem sub-district, Brebes district, Central Java.

Methods: This research was a qualitative descriptive study conducted cross-sectionally using a survey. The purposive sampling technique was employed to obtain the data with a total sample of 106 respondents.

Results: Most DM patients still visited health facilities during the pandemic (73%). Some efforts to control DM were regularly taking medication (27.7%) and maintaining a healthy diet (34%). However, most respondents stated that they have uncontrolled blood glucose levels (54.7%). During the pandemic, respondents communicated with health workers (75.5%), via telephone (64.2%), and through messaging applications (45.3%). In addition, they search information, especially when they felt symptoms (90.6%), and tried to find information about complications due to the coronavirus (68.9%) with the source from health workers (94.3%). Most respondents had good access (99.1%).

Conclusion: The COVID-19 pandemic has resulted changes in DM patients' health-seeking behavior through all aspects. This study shows that most respondents visited health facilities, made efforts to control DM by taking the medication regularly and maintaining a healthy diet, and had high adherence to medication. In addition, respondents had an easy access to health information and communicate with health workers via telephone and messaging applications. The majority of respondents sought information about diabetes and its relationship with COVID-19 during the pandemic.

Keywords


Diabetes Mellitus; COVID-19; Indonesia; Health-seeking Behavior; Information-seeking behavior

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References


Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA, et al. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol. 2020;5(4):536–44.

Damaledo YD. 2 Maret 2020 Kasus Corona Pertama di Indonesia Diumumkan Tahun Lalu [Internet]. tirto.id. 2021 . Available from: https://tirto.id/2-maret-2020-kasus-corona-pertama-di-indonesia-diumumkan-tahun-lalu-gaKw

UN OCHA. Situation Update: Response to COVID-19 in Indonesia [Internet]. ReliefwebInt [Internet]. 2021;(April):1–3. Available from: https://reliefweb.int/report/indonesia/situation-update-response-covid-19-indonesia-4-january-2021-enid

Wold Health Organization. The impact of the COVID-19 pandemic on noncommunicable disease resources and services: results of a rapid assessment [Internet]. World Health Organization. 2020 p. 1–32. Available from: https://www.who.int/publications/i/item/ncds-covid-rapid-assessment

IDF, Al RW (Chair) et. IDF Diabetes Atlas 9th [Internet]. IDF Diabetes Atlas, 9th edition. 2019 p. 176. Available from: https://diabetesatlas.org/idfawp/resource-files/2019/07/IDF_diabetes_atlas_ninth_edition_en.pdf

Kementerian Kesehatan RI. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2018. Riset Kesehatan Dasar 2018. 2018 p. 182–183.

Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah Tahun 2018. Dinas Kesehatan Provinsi Jawa Tengah. 2019.

Wulandari EW, Rotnoatmodjo S, Salama N. Diabetes Mellitus and Mortality among COVID-19 Patients in Jakarta , March-August 2020. 2022;17(2):157–64.

Kun’ain UIA, Rahardjo SS, Tamtomo DG. Meta-Analysis: The Effect of Diabetes Mellitus Comorbidity on the Risk of Death in Covid-19 Patients. Indones J Med. 2020;5(4):368–77.

Chrisman NJ. The health seeking process: An approach to the natural history of illness. Cult Med Psychiatry. 1977;1(4):351–77.

Mackian S, Bedri N, Lovel H. Up the garden path and over the edge: Where might health-seeking behaviour take us? Health Policy Plan. 2004;19(3):137–46.

Republik Indonesia. Undang Undang Nomor 6 tahun 2018 tentang Kekarantinaan Wilayah [Internet]. National Standardization Agency of Indonesia. 2018 p. 31–34. Available from: https://jdih.bsn.go.id/produk/detail/?id=730&jns=2

KEMENKES RI. Pedoman pelayanan Rumah Sakit. 2021 p. 5–283.

PB Perkeni. Pernyataan Resmi dan Rekomendasi Penanganan Diabetes Mellitus di era Pandemi COVID-19. PERKENI. 2020 p. 1–5.

European Centre for Disease Prevention and Control (ECDC). Considerations relating to social distancing measures in response to COVID-19 – second update 23 March 2020 [Internet]. Eur Cent Dis Prev Control [Internet]. 2020;(March):1–10. Available from: https://www.ecdc.europa.eu/en/publications-data/considerations-relating-social-distancing-measures-response-covid-19-second

Kshanti IA, Epriliawati M, Mokoagow MI, Nasarudin J, Magfira N. The Impact of COVID-19 Lockdown on Diabetes Complication and Diabetes Management in People With Diabetes in Indonesia. J Prim Care Community Heal. 2021;12.

Pangoempia SJ, Korompis GEC, Rumayar AA. Analisis Pengaruh Pandemi Covid-19 Terhadap Pelayanan Kesehatan Di Puskesmas Ranotana Weru Dan Puskesmas Teling Atas Kota Manado. Kesmas. 2021;10(1):40–9.

Widiawan H. Tren Kunjungan Puskesmas Kota Yogyakarta di Masa Pandemi COVID-19 [Internet]. Dinas Kesehatan Kota Yogyakarta. 2020 . Available from: https://kesehatan.jogjakota.go.id/berita/id/194/tren-kunjungan-puskesmas-kota-yogyakarta-di-masa-pandemi-covid-19-/

Mahmuda NL, Thohirun, Prasetyowati I. Faktor yang Berhubungan dengan Tingkat Kecemasan Penderita Diabetes Mellitus Tipe 2 di Rumah Sakit Nusantara Medika Utama. E-Journal Univ Jember. 2016;1(1):1–7.

Harahap R, Ikanandia F. Keinginan Pasien Untuk Periksa ke Poliklinik Orthopaedi saat Pandemi COVID-19. Medica Arter. 2021;3(1):48–52.

Centers for Disease Control and Prevention. People with Certain Medical Conditions. Centers for Disease Control and Prevention. 2021 .

Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: A systematic review. BMJ Open Sport Exerc Med. 2021;7(1):1–8.

Önmez A, Gamsızkan Z, Özdemir Ş, Kesikbaş E, Gökosmanoğlu F, Torun S, et al. The effect of COVID-19 lockdown on glycemic control in patients with type 2 diabetes mellitus in Turkey. Diabetes Metab Syndr Clin Res Rev. 2020;14(6):1963–6.

Capaldo B, Annuzzi G, Creanza A, Giglio C, De Angelis R, Lupoli R, et al. Blood glucose control during lockdown for COVID-19: Cgm metrics in italian adults with type 1 diabetes. Diabetes Care. 2020;43(8):e88–9.

Tiwari A, Kumar D, Ansari MS, Chaubey SK, Gupta NR, Agarwal V, et al. Impact of lockdown on self-care management among patients with type 2 Diabetes Mellitus residing in Lucknow city, India – A cross-sectional study [Internet]. Clin Epidemiol Glob Heal [Internet]. Elsevier B.V.; 2021;10(November 2020):100703. Available from: https://doi.org/10.1016/j.cegh.2021.100703

PERKENI. Pemantauan gula darah mandiri. 2021;halama 36.

Suryanegara NM, Acang N, Suryani YD. Scoping Review: Pengaruh Kadar Gula Darah tidak Terkontrol terhadap Komplikasi Makrovaskular pada Pasien Diabetes Melitus Tipe 2. J Integr Kesehat Sains. 2021;3(2):245–50.

Manuntung A. Monitoring Gula Darah Mandiri Dan Perawatan Kaki Diabetik di Wilayah Kerja Puskesmas Pahandut. J Pengabdi Masy Borneo. 2019;3(2):25–30.

Amelia KR, Sofiani Y. Self-Monitoring of Blood Glucose dalam Mencegah Neropati pada Ektremitas Bawah Pasien Diabetes Melitus Tipe II. Indones J Nurs Sci Pract. 2020;1(1):58–72.

Soelistijo SA. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2015. (2015). PB PERKENI. [Internet]. Glob Initiat Asthma [Internet]. 2020;46. Available from: www.ginasthma.org.

Najafipour H, Farjami M, Sanjari M, Amirzadeh R, Shadkam Farokhi M, Mirzazadeh A. Prevalence and Incidence Rate of Diabetes, Pre-diabetes, Uncontrolled Diabetes, and Their Predictors in the Adult Population in Southeastern Iran: Findings From KERCADR Study. Front Public Heal. 2021;9(November):1–12.

Suasanta H. Media Komunikasi Perawat Melalui Aplikasi Whatsapp. Universitas Sumatra Utara; 2019.

Sodipo O, Ibrahim A, Oluwatuyi O, Oduniyi O, Odunaye-Badmus S, Adeleye O. Effectiveness of management of type 2 diabetes mellitus through telephone consultation during COVID-19 lockdown in Lagos Nigeria. Curr Med Issues. 2021;19(4):242.

Schiller T, Zornitzki T, Ostrovsky V, Sapojnik D, Cohen L, Kunyavski T, et al. Following the COVID-19 experience, many patients with type 1 diabetes wish to use telemedicine in a hybrid format. Int J Environ Res Public Health. 2021;18(21):1–9.

Nurjanah N, Mubarokah K. Health Literacy and Health Behavior in the Rural Areas. KnE Life Sci. 2019;4(10):8.

Febriani DH. Health Literacy pada Pasien Diabetes Mellitus Tipe 2 [Internet]. Media Ilmu Kesehat [Internet]. 2020;9(2):127–32. Available from: https://garuda.ristekbrin.go.id/documents/detail/2251586

Kristina SA, Ekasari MP, Wati MR. Internet use for searching information on health and medicine: An exploratory study among Indonesian customers. Res J Pharm Technol. 2019;12(12):5927–31.

Maharani DA, El Tantawi M, Yoseph MG, Rahardjo A. The use of internet platforms for oral health information and associated factors among adolescents from Jakarta: a cross sectional study [Internet]. BMC Oral Health [Internet]. BioMed Central; 2021;21(1):1–6. Available from: https://doi.org/10.1186/s12903-020-01387-x

Nur Aini S, Nur Khoiriyah N, Sowwam M, Kemenkes Pangkalpinang P, Keperawatan YAPPI Sragen A. Pengaruh Tingkat Pengetahuan terhadap Perilaku Pencarian Kesehatan pada Penderita Diabetes Militus dalam menghadapi Covid-19 di Kecamatan Karangmalang [Internet]. JptamOrg [Internet]. 2022;6:10914–21. Available from: https://jptam.org/index.php/jptam/article/view/4162

Sholikah TA, Febrinasari RP, Pakha DN. Edukasi Penyakit Diabetes Melitus dan Cara Pemeriksaan Glukosa Darah Secara Mandiri [Internet]. Ssej [Internet]. 2021;1(2):49–55. Available from: https://youtu.be/EuMhW2upLCA




DOI: https://doi.org/10.15408/avicenna.v3i1.27325 Abstract - 0 PDF - 0

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