Resilience and Quality of Life on Type 2 Diabetes Mellitus Patients with Chronic Complications
DOI:
https://doi.org/10.53713/nhsj.v4i2.311Keywords:
type 2 diabetes mellitus, resilience, quality of life, chronic complicationsAbstract
The emergence of complications in patients with type 2 DM significantly impacts the quality of life. Resilience as part of self-coping may be connected with the quality of life and the severity of the complications. This study analyzed the correlation between resilience and quality of life in type 2 DM patients with chronic complications. The method was an observational study with a cross-sectional approach. Thirty-five respondents were recruited in this study using a consecutive sampling technique. Data were collected using Connor Davidson Resilience Scale 25 (CD-RISC 25) and Diabetes Quality of Life (DQOL) questionnaires and analyzed by Pearson Product Moment (p <0.05). The result showed that the mean value of resilience was 63.06 (±12.47), while the average value of quality of life was 72.46 (±11.78). A strong positive correlation existed between resilience and quality of life (p-value = 0.000; r = 0.782). Increased resilience score equals increased quality of life of type 2 DM patients with chronic complications. Providing interventions to increase resilience is essential to optimize the quality of life in type 2 DM patients with chronic complications.
References
Acharya Samadarshi, S. C., Taechaboonsermsak, P., Tipayamongkholgul, M., & Yodmai, K. (2022). Quality of life and associated factors amongst older adults in a remote community, Nepal. Journal of Health Research, 36(1), 56–67. https://doi.org/10.1108/JHR-01-2020-0023
Agada, D. E., Aderemi-Williams, R. I., Soremekun, R. ., Nasiru, I. ., & Auta, A. (2019). Glycemic Control and Its Determinants among Patients with Type 2 Diabetes in a Specialist Hospital in Northeast, Nigeria. Scholarena, 6(1), 105.
Aydogan, D., Kara, E., & Kalkan, E. (2022). Understanding relational resilience of married adults in quarantine days. Current Psychology, 41(11), 8249–8259. https://doi.org/10.1007/s12144-021-02224-2
Brinkhof, L. P., Huth, K. B. S., Murre, J. M. J., de Wit, S., Krugers, H. J., & Ridderinkhof, K. R. (2021). The Interplay Between Quality of Life and Resilience Factors in Later Life: A Network Analysis. Frontiers in Psychology, 12(November). https://doi.org/10.3389/fpsyg.2021.752564
Chandra, I. N. (2022). Hubungan Antara Kesejahteraan Spiritual dan Kualitas Hidup pada Pasien DM Tipe 2 dengan Komplikasi Kronis di Poli Penyakit Dalam RSUD dr. Soebandi Jember. Universitas Jember.
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
Daely, S., Nuraini, T., Gayatri, D., & Pujasari, H. (2022). Impacts of Age and marital status on the Elderly's Quality of Life in an elderly social institution. Journal of Public Health Research, 11(2), 29–35. https://doi.org/10.4081/jphr.2021.2731
De Sousa, M. C., Dias, F. A., Nascimento, J. S., & Dos Santos Tavares, D. M. (2016). Correlation of quality of life with knowledge and attitude of diabetic elderly. Investigacion y Educacion En Enfermeria, 34(1), 180–188. https://doi.org/10.17533/udea.iee.v34n1a20
Ferreira, M. A., Belchior, A. de B., Alencar, C. S. de, Almeida, P. C. de, Nascimento, F. G., & Oliveira, S. K. P. de. (2022). The resilience of people with diabetes mellitus during the COVID-19 pandemic. Revista Gaucha de Enfermagem, 43, e20210202. https://doi.org/10.1590/1983-1447.2022.20210202.en
Gaffar, I., Safira, R., Ramadhany, A. N., Anggraeni, N., Yodang, Y., Akbar, H., Syahrul, S., L, R. Z., & Novitasari, A. (2021). Status Perkawinan Berpengaruh Terhadap Self Efficacy Lansia Dengan Penyakit Kronis Yang Mengikuti Program. Jurnal Perawat Indonesia, 5(3), 839–849.
Gheshlagh, R. G., Sayehmiri, K., Ebadi, A., Dalvandi, A., Dalvand, S., & Nourozi Tabrizi, K. (2016). Resilience of Patients With Chronic Physical Diseases: A Systematic Review and Meta-Analysis. Iranian Red Crescent Medical Journal, 18(7), 797–807. https://doi.org/10.5812/ircmj.38562
Ginting, D. S., Tarigan, M., & Amelia, R. (2021). Family Behavior In Caring Patients With Diabetic Foot At Home. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6(5), 15–20. https://doi.org/10.30604/jika.v6is1.754
Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (2019). Multivariate Data Analysis (8th ed.). Cengage Learning.
Hirani, S., Lasiuk, G., & Hegadoren, K. (2016). The intersection of gender and resilience. Journal of Psychiatric and Mental Health Nursing, 23(6–7), 455–467. https://doi.org/10.1111/jpm.12313
Hutabarat, U. M., Y. Hasneli, dan Erwin. 2018. Hubungan komplikasi diabetes mellitus dengan kualitas hidup pasien diabetes mellitus. Jurnal Keperawatan. 5(2):459.
Ivankina, L., Kashapova, E., Klemasheva, E., Malanina, V., & Taran, E. (2021). Resilience predictors for older adults in Tomsk region. E3S Web of Conferences, 291. https://doi.org/10.1051/e3sconf/202129106003
Jones, Z., Akerman, J., Bajurny, V., Gaudreau, A., Rochon, P., & Mason, R. (2022). Exploring the Lived Experience of Diabetes Through an Intersectional Lens: A Qualitative Study of Adults With Type 1 and Type 2 Diabetes. Canadian Journal of Diabetes, 46(6), 620–627. https://doi.org/10.1016/j.jcjd.2022.06.002
Khdour, M., Awadallah, H. B., & Al-Hamed, D. H. (2021). Assessment of treatment satisfaction and adherence amongst diabetic patients in governmental primary care clinic of Ramallah, West-Bank. Hospital Practice, 49(1), 27–33. https://doi.org/10.1080/21548331.2020.1822083
Kim, G. M., Lim, J. Y., Kim, E. J., & Park, S. (2019). Resilience of patients with chronic diseases: A systematic review. Health & Social Care in the Community, 27(4), 797–807. https://doi.org/10.1111/hsc.12620
Klokgieters, S. S., Van Tilburg, T. G., Deeg, D. J. H., & Huisman, M. (2020). The linkage between aging, migration, and resilience: Resilience in the life of older Turkish and Moroccan immigrants. Journals of Gerontology - Series B Psychological Sciences and Social Sciences, 75(5), 1113–1123. https://doi.org/10.1093/geronb/gbz024
Kreider, K. E. (2017). Diabetes Distress or Major Depressive Disorder? A Practical Approach to Diagnosing and Treating Psychological Comorbidities of Diabetes. Diabetes Therapy, 8(1), 1–7. https://doi.org/10.1007/s13300-017-0231-1
Kusnanto, K., Arifin, H., & Widyawati, I. Y. (2020). A qualitative study exploring diabetes resilience among adults with regulated type 2 diabetes mellitus. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(6), 1681–1687. https://doi.org/10.1016/j.dsx.2020.08.035
Kurniyawan, E. H., Nadziroh, U., Widayati, N., & Wantiyah. (2022). Correlation between Self Efficacy and Coping Mechanism in Patients with Type 2 Diabetes Mellitus. Nursing and Health Sciences Journal, 2(2), 174-178. DOI: https://doi.org/10.53713/nhs.v2i2.121
Lee, K. H., Xu, H., & Wu, B. (2020). Gender differences in quality of life among community-dwelling older adults in low- A and middle-income countries: Results from the study on global AGEing and adult health (SAGE). BMC Public Health, 20(1), 1–10. https://doi.org/10.1186/s12889-020-8212-0
Liu, H., Zhang, C., Ji, Y., & Yang, L. (2018). Biological and Psychological Perspectives of Resilience: Is It Possible to Improve Stress Resistance? Frontiers in Human Neuroscience, 12(August), 1–12. https://doi.org/10.3389/fnhum.2018.00326
Levterova, B., Levterov, G., & Dragova, E. (2016). Quality of Life in Patients with Type 2 Diabetes Mellitus in Bulgaria: A Cross - Sectional Study. European Journal of Preventive Medicine, 4(1), 7. https://doi.org/10.11648/j.ejpm.20160401.12
Mendiratta, A., Jain, A., & Malhotra, K. (2022). Resilience and Life Satisfaction: Predictors of Well-being in Pensioners and Non-Pensioners. The International Journal of Indian Psychology, 10(2). https://doi.org/10.25215/1002.045
Miranda, L. C. V., Soares, S. M., & Silva, P. A. B. (2016). Quality of life and associated factors in elderly people at a reference center. Ciencia e Saude Coletiva, 21(11), 3533–3544. https://doi.org/10.1590/1413-812320152111.21352015
Mishra, R., Sharma, S. K., Verma, R., Kangra, P., Dahiya, P., Kumari, P., Sahu, P., Bhakar, P., Kumawat, R., Kaur, R., Kaur, R., & Kant, R. (2021). Medication adherence and quality of life among type-2 diabetes mellitus patients in India. World Journal of Diabetes, 12(10), 1740–1749. https://doi.org/10.4239/wjd.v12.i10.1740
Olson, K. L., Howard, M., McCaffery, J. M., Dutton, G. R., Espeland, M. A., Simpson, F. R., Johnson, K. C., Munshi, M., Wadden, T. A., & Wing, R. R. (2023). Psychological resilience in older adults with type 2 diabetes from the Look AHEAD Trial. Journal of the American Geriatrics Society, 71(1), 206–213. https://doi.org/10.1111/jgs.17986
Pardeller, S., Kemmler, G., Hoertnagl, C. M., & Hofer, A. (2020). Associations between resilience and quality of life in patients experiencing a depressive episode. Psychiatry Research, 292(March), 113353. https://doi.org/10.1016/j.psychres.2020.113353
Peters, M., Potter, C. M., Kelly, L., & Fitzpatrick, R. (2019). Self-efficacy and health-related quality of life: a cross-sectional study of primary care patients with multi-morbidity. Health and Quality of Life Outcomes, 17(1), 37. https://doi.org/10.1186/s12955-019-1103-3
Polite, D. F., & Beck, C. T. (2017). Nursing Research Generating and Assessing Evidence for Nursing Practice.
Prajapati, V. B., Blake, R., Acharya, L. D., & Seshadri, S. (2018). Assessment of quality of life in type II diabetic patients using the modified diabetes quality of life (MDQoL)-17 questionnaire. Brazilian Journal of Pharmaceutical Sciences, 53(4), 1–9. https://doi.org/10.1590/s2175-97902017000417144
Prakash, K. C., Virtanen, M., Törmälehto, S., Myllyntausta, S., Pentti, J., Vahtera, J., & Stenholm, S. (2022). Changes in life satisfaction during the transition to retirement: findings from the FIREA cohort study. European Journal of Ageing, 19(4), 1587–1599. https://doi.org/10.1007/s10433-022-00745-8
Puspasari, S., & Farera, D. R. (2021). Quality of Life Among Patients with Type 2 Diabetic Mellitus in Outpatient Department, General Public Hospital, West Java. KnE Life Sciences, 2021, 897–906. https://doi.org/10.18502/kls.v6i1.8767
Pertiwi, Z. 2020. Hubungan Kesejahteraan Spiritual Dengan Resiliensi Pada Pasien Diabetes Melitus Tipe 2 Di Poli Penyakit Dalam RS Jember Klinik. Universitas Jember.
Raj, J. M., HN, C., & PP, K. (2018). Quality of Life of Nepalese Elderly Living in Rural Nepal. Journal of Gerontology & Geriatric Research, 07(05), 5–10. https://doi.org/10.4172/2167-7182.1000484
Ribeiro, M. de N. de S., Xavier Diniz, C., Barboza Perdomo, S., Hudson de Souza Ribeiro, J., Gonçalves Barbosa, O., Sabino Cavalcanti de Barros, K. M., Bessa da Silva, A., & da Costa Oliveira, E. (2017). Self-esteem and resilience in people with type 2 diabetes mellitus. O Mundo Da Saúde, 41(2), 223–231. https://doi.org/10.15343/0104-7809.20174102223231
Rondhianto. (2021). Pengembangan Model Pemberdayaan Family Cargiver Sebagai Upaya Peningkatan Kemampuan Pengelolaan Mandiri Diabetes Melitus Tipe 2 di Kabupaten Jember. Universitas Airlangga.
Siregar, M. R., & Siregar, C. T. (2018). Resiliensi Pasien Yang Mengalami Penyakit Kronis di RSUP H. Adam Malik Medan. Talenta Conference Series: Tropical Medicine (TM), 1(1), 67–74. https://doi.org/10.32734/tm.v1i1.36
Stenholm, S., Pulakka, A., Kawachi, I., Oksanen, T., Halonen, J. I., Aalto, V., Kivimäki, M., & Vahtera, J. (2016). Changes in physical activity during the transition to retirement: A cohort study. International Journal of Behavioral Nutrition and Physical Activity, 13(1), 1–8. https://doi.org/10.1186/s12966-016-0375-9
Szabó, Á., Klokgieters, S. S., Kok, A. A. L., van Tilburg, T. G., & Huisman, M. (2019). Psychological Resilience in the Context of Disability: A Study With Turkish and Moroccan Young-Old Immigrants Living in the Netherlands. The Gerontologist, 60(2), 259–269. https://doi.org/10.1093/geront/gnz129
Tecson, K. M., Wilkinson, L. R., Smith, B., & Ko, J. M. (2019). Association between psychological resilience and subjective well-being in older adults living with chronic illness. Baylor University Medical Center Proceedings, 32(4), 520–524. https://doi.org/10.1080/08998280.2019.1625660
Trikkalinou, A., Papazafiropoulou, A. K., & Melidonis, A. (2017). Type 2 diabetes and quality of life. World Journal of Diabetes, 8(4), 120. https://doi.org/10.4239/wjd.v8.i4.120
Trtica Majnarić, L., Bosnić, Z., Guljaš, S., Vučić, D., Kurevija, T., Volarić, M., Martinović, I., & Wittlinger, T. (2021). Low psychological resilience in older individuals: An association with increased inflammation, oxidative stress and the presence of chronic medical conditions. International Journal of Molecular Sciences, 22(16). https://doi.org/10.3390/ijms22168970
Wang, R.-H., Chen, S.-Y., Lee, C.-M., Lu, C.-H., & Hsu, H.-C. (2022). Resilience, self‐efficacy and diabetes distress on self‐management behaviors in patients newly diagnosed with type 2 diabetes: A moderated mediation analysis. Journal of Advanced Nursing. https://doi.org/10.1111/jan.15483
Wu, Y., Yu, W., Wu, X., Wan, H., Wang, Y., & Lu, G. (2020). Psychological resilience and positive coping styles among Chinese undergraduate students: A cross-sectional study. BMC Psychology, 8(1), 1–11. https://doi.org/10.1186/s40359-020-00444-y
World Health Organization. (2016). Global Report on Diabetes. https://www.who.int/publications/i/item/9789241565257
Xiang, Y., Dong, X., & Zhao, J. (2020). Effects of envy on depression: The mediating roles of psychological resilience and social support. Psychiatry Investigation, 17(6), 547–555. https://doi.org/10.30773/pi.2019.0266
Yang, G., Shen, S., Zhang, J., & Gu, Y. (2022). Psychological resilience is related to postoperative adverse events and quality of life in patients with glioma: a retrospective cohort study. Translational Cancer Research, 11(5), 1219–1229. https://doi.org/10.21037/tcr-22-732
Yao, X., Zhang, L., Du, J., & Gao, L. (2021). Effect of Information-Motivation-Behavioral Model Based on Protection Motivation Theory on the Psychological Resilience and Quality of Life of Patients with Type 2 DM. Psychiatric Quarterly, 92(1), 49–62. https://doi.org/10.1007/s11126-020-09783-w
Zakeri, M. A., Dehghan, M., Ghaedi-Heidari, F., Zakeri, M., & Bazmandegan, G. (2021). Chronic patients’ activation and its association with stress, anxiety, depression, and quality of life: A survey in southeast Iran. BioMed Research International, 2021. https://doi.org/10.1155/2021/6614566
Zhang, Y. B., Yang, Z., Zhang, H. J., Xu, C. Q., & Liu, T. (2023). The role of resilience in diabetes stigma among young and middle-aged patients with type 2 diabetes. Nursing Open, 10(3), 1776–1784. https://doi.org/10.1002/nop2.1436
Zurita-Cruz, J. N., Manuel-Apolinar, L., Arellano-Flores, M. L., Gutierrez-Gonzalez, A., Najera-Ahumada, A. G., & Cisneros-González, N. (2018). Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: A cross-sectional study. Health and Quality of Life Outcomes, 16(1), 1–7. https://doi.org/10.1186/s12955-018-0906-y
