The Relationship of Stress to Blood Sugar Levels of Diabetic Mellitus Patients in the Bernung Health Center, Pesawaran Regency
Abstract
Background : Diabetes mellitus is a metabolic disorder with increased blood glucose levels due to impaired insulin secretion, insulin action or both. Diabetes mellitus is characterized by high blood sugar levels as a result of insulin function insufficiency which can be caused by impaired or deficient insulin production by beta Langerhans cells of the pancreas or by the body's cells being less responsive to insulin. Stress is a condition when there is a discrepancy between expectations and reality. Stress and diabetes mellitus have a close relationship.
Objective : The purpose of this study was to determine the relationship between stress and blood sugar levels in patients with diabetes mellitus in the Bernung Community Health Center Working Area, Pesawaran Regency.
Method : This is a quantitative analytical research with a cross-sectional approach. This study was conducted on 30 patients with diabetes mellitus, using a questionnaire. The tool used in this study was a stress level questionnaire which was measured using the Perceive Stress Scale (PSS) questionnaire. It is said that mild stress has a score of 0-13, moderate stress has a score of 14-26, and severe stress has a score of 27-40. While blood sugar levels are obtained by measuring the patient's blood sugar using the Instant Glucotest EasyTouch GCU 3 in 1. Blood sugar levels are expressed in mg/dL. To test the relationship, an analysis was used using the Chi-Square test with a confidence value of 95% and a significance of 0.05.
Result : The results of the study showed that there was a relationship between stress and blood sugar levels of diabetes mellitus patients (p=0.000).
Conclusion : Based on the results of the study, it was found that there was a relationship between stress and blood sugar levels of diabetes mellitus patients in the Bernung Health Center Work Area, Pesawaran Regency.
References
Ilmi, I. M. B., Fatmawati, I., & Sufyan, L. (2021). Hubungan Tingkat Stres dengan Perilaku Konsumsi Gula Tambahan Berlebih pada Remaja Putri. Jurnal Endurance, 6(2), 393-401.
Jamaluddin, M. (2011). Strategi Koping Stres Penderita Diabetes Mellitus dengan Self Monitoring Sebagai Variabel Mediasi.
Livana, P. H., Sari, I. P., & Hermanto, H. (2018). Gambaran tingkat stres pasien diabetes mellitus. Jurnal Perawat Indonesia, 2(1), 41-50.
Masriadi. (2016). Epidemiologi Penyakit Tidak Menular. Jakarta: Trans Info Media.
Naibaho, R. A., & Kusumaningrum, N. S. D. (2020). Pengkajian stres pada penyandang diabetes mellitus. Jurnal Ilmu Keperawatan Jiwa, 3(1), 1-8.
Nailufar, S. L. (2010). Hubungan Tingkat Stress, Pola Makan, Olahraga dan Dukungan Keluarga dengan Kadar Gula Darah pada Penderita Diabetes Mellitus. Surabaya: Airlangga University Library Surabaya.
Salam, A. Y., & Rahmat, N. N. (2023). Hubungan Tingkat Stress Dengan Status Glikemik Penderita Diabetes Mellitus Tipe 2. Jurnal Ilmu Kesehatan Mandira Cendikia, 2(10), 181-190.
Smeltzer, S. C. dan B. G Bare. (2015). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. Jakarta: EGC.
Sukarja, I. M., Sukawana, I. W., & Suyasa, O. (2013). Stres Berpengaruh Terhadap Gula Darah Pasien Yang Mengalami Kegawatan Diabetes Mellitus.
Widakdo, G. & Besral. (2013). Efek Penyakit Kronis terhadap Gangguan Mental Emosional. Jurnal Kesehatan Masyarakat Nasional Vol. 7, No. 7. Jakarta. Universitas Indonesia.
Wilda, Y. (2011). Hubungan Tingkat Stres Dengan Proses Penyembuhan Luka Gangren Pada Pasien Diabetes Mellitus Di Rsd Sidoarjo. Jurnal Keperawatan, Vol. 4, No. 1, Agustus 2011.
Zainuddin, M., Utomo, W., & Herlina. (2015). Hubungan Stres dengan Kualitas Hidup Penderita Diabetes Mellitus Tipe 2. J Online Mhs Vol. 2, No. 1.
Zhao, Z., Wang, L., Gao, W., Hu, F., Zhang. J., & Ren. Y. (2017). A Central Catecholaminergic Circuit Controls Blood Glucose Levels during Stress.