Holistic Management of Uncontrolled Type 2 Diabetes Mellitus And Hypertension In Unmarried Adult Women through the Family Medicine Approach

Authors

  • Komang Dendi Juliawan Medical Faculty, Lampung University
  • Diana Mayasari universitas lampung

DOI:

https://doi.org/10.53089/medula.v13i3.525

Keywords:

Diabetic Mellitus, Hypertension, Family Medicine

Abstract

One of the PTM with the highest number of sufferers is Diabetes Mellitus Type 2 and Hypertension. Diabetes mellitus (DM) type 2 is one of the non-communicable diseases that is still a health problem in the world with an increase in the number of sufferers every year. The prevalence of hypertension in Indonesia based on Riskesdas 2018 increased by 34.1% compared to 2013 which was 25.8%. Through identifying the risk factors, clinical problems, conduct patient management holistically by applying family doctors according to evidence based medicine through a patient center, family approach, and community oriented.This study is a case report. Primary data were obtained through history taking, physical examination, supporting examination and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. Ms. L aged 48 years complained of feeling weak, easily thirsty, frequent urination at night at night and headaches. There is a history of diabetes and hypertension. Patients rarely exercise and physical activity, dietary patterns and eating habits are not appropriate. In the knowledge assessment, the initial score before the intervention was 5 (low) and after the intervention it was 10 (high). In the aspect of eating patterns there is a change in the number of calories and the type of food that is appropriate. In the aspect of physical activity there is a change in physical activity at least 3 x / week for 30 minutes. The diagnosis and management of these patients has been done holistically, patient centered, family approach and in accordance with national guidelines and based on evidence based medicine. There is a change in the knowledge and behavior of patients and families.

References

Direktorat Jenderal Pencegahan dan Pengendalian Penyakit Tidak Menular. Buku Pedoman Manajemen Penyakit Tidak Menular. Kemenkes. Jakarta; 2019

Kemenkes RI. Pedoman Nasional Pelayanan Kedokteran Tatalaksana Diabetes Melitus Tipe 2 Dewasa. Kemenkes RI. Jakarta; 2020

International Diabetes Federation. IDF Diabetes Atlas Ninth Edition 2019. United State; 2019

Kemenkes RI Pusat Data dan Informasi. Diabetes Melitus. Kementerian Kesehatan RI. Jakarta; 2020

PERKI. Konsensus Penatalaksanaan Hipertensi. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. Jakarta; 2019

WHO. Hypertension. World Health Organization. 2015

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riskesdas 2013. Kementrian Kesehatan RI. Jakarta; 2013

Kementrian Kesehatan RI. Laporan Provinsi Lampung Riskesdas 2018. Kementrian Kesehatan RI. Lampung; 2018.

Powers AC. Diabetes Mellitus. Dalam: Longo et al, ed. Harrison’s Priciples of Internal Medicine. 18th Edition. New York: Mc Graw Hill; 2012.

Perkeni. Pengelolaan dan pencegahan diabetes melitus tipe 2 di indonesia 2019. Pengurus Besar Perkumpulan Endokrinologi Indonesia (PB Perkeni). Jakarta; 2019.

Abdulfatai B, Olokoba O, Obateru L. Type 2 Diabetes Mellitus: A Review of Current Trends. 2012;27(4):269–73.

Okosun IS, Lyn R. Prediabetes awareness, healthcare provider’s advice, and lifestyle changes in American adults. Int J Diabetes Mellit [Internet]. 2015;3(1):11–8.

Riddle MC. The Journal of Clinical and Applied Research and Education Diabetes Care. Am Diabetes Assoc. 2019;42.

Published

2023-03-07

How to Cite

Komang Dendi Juliawan, & Mayasari, D. (2023). Holistic Management of Uncontrolled Type 2 Diabetes Mellitus And Hypertension In Unmarried Adult Women through the Family Medicine Approach. Medical Profession Journal of Lampung, 13(3), 387-397. https://doi.org/10.53089/medula.v13i3.525

Issue

Section

Artikel

Most read articles by the same author(s)