Effects of modified brief counseling-5A on illness perception, compliance with medication, and fasting blood sugar levels of diabetes mellitus patients

Authors

  • Neni Probosiwi Universitas Ahmad Dahlan
  • Akrom Akrom Pascasarjana Farmasi Universitas Ahmad Dahlan,
  • Titiek Hidayati
  • Ginandjar Zukhruf Saputri

DOI:

https://doi.org/10.12928/pharmaciana.v10i1.12383

Keywords:

brief counseling, compliance, perception, blood sugar levels, diabetes mellitus

Abstract

Diabetes mellitus is a degenerative disease with persistently increasing prevalence. When patients lack knowledge of their illness and compliance with oral drug therapy, it can lead to treatment failure. This study aims to determine the effect of counseling on disease perception and medication adherence for patients with diabetes mellitus. This prospective observational cohort study aimed to determine the effects of counseling on illness perception and adherence to medication among patients with diabetes mellitus. A sample of 72 patients was selected by consecutive sampling technique and, then, evenly divided into two, namely counseling group and non-counseling group. The data were collected prospectively through observation, interview, brief counseling with the 5A strategies, and questionnaire survey. The result show that counseling had a significant effect on illness perception (p=0.000). Counseling had a significant effect on adherence to medication (p=0.027). Counseling had a significant effect on lowered blood sugar levels (p=0.028). Conclusion: counseling is believed to be able to reduce patients’ negative perceptions of diabetes mellitus and, consequently, increase adherence to oral drug consumption.

 

References

Adepu, R., Rasheed, A., and Nagavi, B.G., 2007, Effect of patient counseling on quality of life in

type-2 diabetes mellitus patients in two selected South Indian community pharmacies: A

study, Indian Journal of Pharmaceutical Sciences, 69(4): 519-524.

Aflakseir, A., 2012, Role of illness and medication perceptions on adherence to medication in a

group of Iranian patients with type 2 diabetes, Journal of diabetes., 4(3): 243–247.

Akrom, and Nurwijayanti, A., 2015, Brief Counseling and Mobile Phone Short Message Service

(SMS) Increase Patient Compliance, International Journal of Pharma Medicine and

Biological Sciences, 4(3): 175-179.

American Diabetes Association (ADA), 2014, Standards of Medical Care in Diabetes, Retrieved

from http://care.diabetesjournals.org/content/37/Supplement_1/S14.

Goh, C.S.Y., Mohamed, A., Lee, Y.S., Loke, K.Y., Wee, H.L., Khoo, E.Y. H., and Griva, K., 2016,

The associations of self-care, illness perceptions and psychological distress with metabolic

control in Singaporean adolescents with Type 1 Diabetes Mellitus, Health Psychology and

Behavioral Medicine, 4(1): 1–14.

Direktorat Bina Farmasi Komunitas dan Klinik (BINFAR), 2007, Disaster Health Service, Jakarta:

Departemen Kesehatan RI, p. 18.

Fahmiyah, I., and Latra, I.Y., 2016, Faktor yang memengaruhi kadar gula darah puasa pasien

diabetes mellitus tipe 2 di poli diabetes mellitus RSUD dr. Soetomo Surabaya dengan

menggunakan regresi probit biner, Jurnal Sains & Seni ITS, 5(2): 1-10.

International Diabetes Federation (IDF), 2017, IDF Diabetes ATLAS Eight edition.

Iyer, U., Joshi, A., and Dhruv, S., 2010, Impact of interpersonal counseling on the blood sugar and

lipid profile of type 2 diabetes mellitus subjects (nutrition health education and diabetes

mellitus), International Journal of Diabetes in Developing Countries, 30(3): 129-133.

Kandasamy, K., Konakalla, M., Sam, R., Sebastian, J., Natarajan, A., Rajagopal, S., and

Ramanathan, S., 2017, A Pilot Study on the Impact of Pharmacist Intervention in Type-2

Diabetes Mellitus Counselling Program in a Rural Community, Indian Journal of

Pharmaceutical Sciences., 79(5): 701-706.

Lee, C.S., Tan, J.H.M., Sankari U., Koh Y.L.E and Tan N.C, 2017, Assessing oral medication

adherence among patients with type 2 diabetes mellitus treated with polytherapy in a

developed Asian community: a cross-sectional study, BMJ Open, 2017(7): 1-7.

Neswita, E.D., Almasdy, and Harisman, 2014, Pengaruh Konseling Obat Terhadap Pengetahuan

dan Kepatuhan Pasien Congestive Heart Failure, Jurnal Sains Farmasi & Klinis, 2(2): 295-

Norisca, A.P., Barliana, M.I, and Lestari, K., 2017, Pengaruh Konseling Apoteker terhadap

Pengetahuan dan Persepsi Pasien Penyakit Jantung Terapi Warfarin di RSUP Dr. Hasan

Sadikin Bandung, Jurnal Farmasi Klinik Indonesia, 6(4): 282–289.

Nugraheni, A.Y., Sari, I.P., and Andayani, T.M., 2015, Pengaruh konseling apoteker dengan alat

bantu pada pasien diabetes melitus, Jurnal Manajemen dan Pelayanan Farmasi, 5(4): 233-

Perkumpulan Endokrinologi Indonesia (PERKENI), 2011, Konsensus Pengelolaan Diabetes

Mellitus tipe 2 di Indonesia, Jakarta: PERKENI, p. 12.

Petricek, G. Vrcic-Keglevic, M., Vuletic, G., Cerovecki, V., Ozvaric, Z., and Murgic, L., 2009,

Illness Perception and Cardiovascular Risk Factors inPatients with Type 2 Diabetes: Crosssectional Questionnaire Study, Croatian Medical Journal, 50: 583-593.

Presetiawati, I., Andrajati, R., and Sauriasari, R., 2017, Effectiveness of a Medication Booklet and

Counseling on Treatment Adherence in Type 2 Diabetes Mellitus Patients, International

Journal of Applied Pharmaceutics, 9(1): 27-31.

Putriana, N.A., Melisa, I.B., and Lestari, K., 2017, Pengaruh konseling apoteker terhadap

pengetahuan dan persepsi pasien penyakit jantung terapi warfarin di RSUP Dr. Hasan

Sadikin Bandung, Jurnal Farmasi Klinik Indonesia, 6(4): 282-289.

Suiraoka, I. P., 2012, Penyakit Degeneratif, Yogyakarta: Nuha Medika.

Suyono, S., 2011, Penatalaksanaan Diabetes Terpadu, Jakarta: Badan Penerbit FKUI, p. 86.

Swaroop, A.M., Thomas, J.A., Snigdha, K.S., and Karanath P.M., 2016, Impact of Patient

Counselling on Knowledge, Attitude, Practice and Medication Adherence in Type 2

Diabetes Mellitus Patients, European Journal of Pharmaceutical and Medical Research,

(4): 231-235.

Vallis, M., Piccinini-Vallis, H., Sharma, A.M., and Freedhoff, Y., 2013, Modified 5 As: Minimal

intervention for obesity counseling in primary care, Canada Family Physician, 59(1): 27-

Winkel, W.S., and Hastuti, S.M.M., 2007, Bimbingan dan konseling di institusi pendidikan.

Yogyakarta: Media Abadi, p. 86.

World Health Organization (WHO), 2016, Diabetes Fakta dan Angka. Retrieved from

http://www.searo.who.int/indonesia/topics/8-whd2016-diabetes-facts-and-numbersindonesian.pdf.

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Published

2020-03-30

Issue

Vol. 10 No. 1 (2020): Pharmaciana

Section

Clinical and Community Pharmacy

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