See discussions, stats, and author profiles for this publication at: https://www.researchgate.

net/publication/330360478

Diabetes Burnout Syndrome And Its Relationship To The Recilliency of

Efficacy Diabetes Mellitus Type 2 Patients

Article · January 2019

DOI: 10.31838/ijpr/2018.10.04.071

CITATIONS READS

0 182

7 authors, including:

Nian Afrian Nuari

STIKES Karya Husada Kediri
21 PUBLICATIONS   13 CITATIONS   

SEE PROFILE

Some of the authors of this publication are also working on these related projects:

Factor Influencing Resiliency of Efficacy Diabetes Mellitus Patients View project

Diabetes Burnout Syndrome And Its Relationship To The Resiliency of Efficacy Diabetes Mellitus Type 2 Patients View project

All content following this page was uploaded by Nian Afrian Nuari on 14 January 2019.

The user has requested enhancement of the downloaded file.

 Diabetes Burnout Syndrome And Its
Relationship To The Recilliency of Efficacy
Diabetes Mellitus Type 2 Patients
Nian Afrian Nuari*, Dhina Widayati*, Lilla Puji Lestari,
Christina Destri, Herin Mawarti
*STIKES Karya Husada Kediri, Indonesia

Objective: to determine the correlation personal factors and resilience of efficacy with the Diabetes Burnout
syndrom in Diabetes Mellitus Patients. Methodology: Research method was correlational study with
crossectional approach. The sample size of 150 respondents with purposive sampling. The instruments used
questionnaires. Results: Based on the result, the majority respondents included 51-60 years old, female ang
long suffering from Diabetes Mellitus between 6 until 10 year. The result showed they have high category
resilience of efficacy (52,7%), and the majority (58%) have low category Diabetes Burnout Syndrome. The
results of research obtained, Diabetes Burnout syndrome have correlation with age (p=0,011), educational
background (p=0,000), long suffering Diabetes Mellitus (p=0,045) and resilience of efficacy (p=0,041).
Conclusion: There is a significant relationship between age, educational background, long suffering Diabetes
Mellitus and resilience of efficacy with Diabetes Burnout Syndrome.

Keywords: Diabetes, Burnout, Resilience, Efficacy, Personal, Factor

INTRODUCTION treatment becomes high called the Diabetes

Diabetes mellitus disease suffered by many adults
with a young age. This is due to dietary factors,
lifestyle and lack of exercise. The incidence of
Type 2 Diabetes Mellitus disease increases from
year to year. Diabetes Mellitus patients should
always maintain their blood sugar levels to keep
from complications of both macrovascular and
microvascular Diabetes Mellitus.
In Indonesia, the number of Diabetes Mellitus
patients increased from year to year found by 6.9%
of Diabetes Mellitus patients, 29.9% of Impaired
Glucose Tolerance (IGT) patients and 36.6%
Impaired Fasting Glycaemia (IFG) based on Basic
Health Research data of 2013.1 The number of
Diabetes Mellitus patients increases with age.
Diabetes Mellitus patients experience a series of
management that must be lived during their
lifetime. Regular diet, regular exercise, regular
medication and regular blood glucose screening are
the management of Diabetes Mellitus that must be
performed by Diabetes Mellitus Patients.
Diabetes patients have the burden of the mind to
do things such as checking blood sugar,
maintaining diet, taking medication, or exercising,
and this should be done repeatedly and
continuously. It is also triggered the patient must
always keep his blood sugar levels to always be
stable, so must resist the desire to consume certain
foods or preferences. Someone who does not
achieve freedom in the emotional, spiritual and
physical aspects will be related to his health
condition. This makes the patient saturation in the
burnout syndrome. Patients complain of feelings of
distress, emotional feelings such as anger, anxiety
and depression. Diabetes patients who experience
burnout can experience stress that can affect blood
sugar levels and lead to non-compliance therapy
management. Patients who experience symptoms
of saturation and stress must immediately get help
in order to get the right handling.
Every individual has the ability to overcome
difficulties or stressors that exist are mental
resilience or also called resilience In general,
resilience is the ability to solve problems and rise
from the various problems faced Resilience of
efficacy is a process of adjustment that must be
done by someone when experiencing stress and
problems. Self efficacy concept is a person's ability
/ potential to perform the task under certain
conditions or situations.2
A patient with Diabetes Mellitus should have the
ability to cope with any problems and stresses
during treatment of Diabetes Mellitus and control
of blood sugar levels. Diabetes Mellitus patients
who have good resilinesi of efficacy will easily rise
from the problem and the saturation they face so
they can always control blood sugar and minimize
the occurrence of complications. In general,
resilience of efficacy is crucial in building the
individual's ability to respond to workplace
stressors as well as the individual's ability to cope
with work fatigue, anxiety, and depression.3 A
person who has the ability to deal with good stress
will be able to carry out the management of
Diabetes Mellitus well. Someone who is not able
to overcome the problem tend to be less motivated Never 0 0
in doing something so that the impact on the Elementary school 20 13,3
performance is less good.4 Based on the above Junior high school 51 34
background, researchers interested in conducting Senior high school 55 36,7
research on the relationship of Diabetes burnout Bachelor degree 24 16
syndrome with personal factors and resilience of Resiliency of Efficacy
efficacy Diabetes Mellitus Type 2.
Low 71 47,3
High 79 52,7
METHODOLOGY
Diabetes Burnout Syndrome
The type of research is correlational research with Low 87 58
cross sectional approach. The population studied High 63 42
was Diabetes Mellitus patients in Kediri area with
purposive sampling technique of 150 respondents. Table 2. Variables
The research variables are personal factors, Relationship N P-Value Conclusion
resilience of efficacy and Diabetes burnout between
syndrome. Data were collected using a structured variable
questionnaire. Data collection was conducted from Age with 150 0,011 have a
August 2017 to January 2018. Data analysis was Diabetes significant
Burnout relationship
performed with SPSS version 22.00.
Syndrome
Education with 150 0,000 have a
RESULTS Diabetes significant
Burnout relationship
A total of 150 Diabetes Mellitus respondents Syndrome
participated in this study. The majority of Long Suffering 150 0,045 have a
respondents' ages are mostly 48% aged 51 to 60 Diabetes significant
years. And almost all of 54.7% have female Mellitus with relationship
gender. Respondents who suffer from Diabetes Diabetes
found almost most of the 46.7% suffer from DM Burnout
within 6 to 10 years. From the above data also Syndrome
found as many as 34.7% have high school senior Resilience of 150 0,041 have a
of Efficacy significant
education background. The majority of
with Diabetes relationship
respondents also have high resilience of efficacy, Burnout
while for Diabetes Burnout Syndrome has low Syndrome
category.
Based on the above table there is a relationship
Tabel 1. Socioeconomic and demographic between personal factors such us age, education
characteristic respondent and long suffering from DM with Diabetes burnout
Characteristic of N % syndrome. Diabetes burnout syndrome also has a
responden relationship between resilience of efficacy with
Age Diabetes burnout syndrome.
41-50 years old 25 16,6
51-60 years old 72 48 DISCUSSION
61-70 years old 39 26
71 -80 years old 13 8,6 Based on the results of research most of the
>81 years old 1 0,1 respondents (48%) aged 51-60 years. Diabetes
Gender Mellitus disease is much found in the elderly. The
Male 68 45,3 prevalence of diabetes mellitus diagnosed in
Female 82 54,7 people aged over 65 years according to data
Long Suffering Diabetes Mellitus Riskesdas in 2007 was 4.6% .1 Diabetes mellitus
1-5 years 57 38 sufferers are mostly found in the elderly so it
needs to get more attention. At an advanced age a
6-10 years 70 46,7
person undergoes a degenerative process that
11-15 years 17 1,13 causes decreased organ function including insulin.
16-20 years 4 0,02 Based on the results of research respondents
>21 years 2 0,01 education level is as much as 36.7% of
Education respondents are graduates of Senior High School.
 The educational background also has a
relationship with Diabetes Burnout syndrome (p =
0.000). This is in line with the theory of cognitive
ability will make the individual more calm in
making decisions, because the individual response
in various situations is a reinforcement pattern of
past experiences5.
Based on the results of research 56.7% of
respondents are women. Women have more
prolactin hormones that provide negative feedback
to the brain, thereby increasing emotional trauma
and physical stress. The number of Diabetes
patients who experience the most saturation
experienced during the implementation of
Diabetes Mellitus therapy.
Long suffering from Diabetes Mellitus will also
affect a person's ability to perform management.
From the results of the study obtained almost most
of the 46.7% suffer from DM within 6 to 10 years.
Long suffering from DM has a relationship with
adherence to Diabetes Mellitus therapy. It is shown
that long-suffering Diabetes Mellitus is also
associated with Diabetes Burnout syndrome (p =
0.045). Diabetes Mellitus compliance is reported to
be low in diet therapy, whereas results may vary
with physical activity therapy in DM 2 patients
Based on the results of resilience of efficacy
research most of the 79 respondents (52.7%) have
a high category. Resilience of efficacy is the ability
to rise from the problems it faces. The ability to
survive under stress, saturation and stress is
influenced by vulnerability (neuroticism),
mindfulness, self-efficacy, and coping of different
individuals. That one's resilience is closely related
to individual factors, personal skills, social
support, peer support 6. Spiritual, educational and
cultural indicators also have a significant effect on
resilience. Resilience is also influenced by spiritual
or religious factors because religion is also an
external protective factor. Neuroticism in Diabetes
Mellitus patients will be experienced by patients
who have a history of suffering Diabetes long
enough. The longer a person suffering from DM
should always act disciplined in controlling blood
sugar levels and diet patterns then the tendency to
feel saturated will be greater. A series of
management to be followed include dietary
patterns, regular exercise, regular blood glucose
checks, periodic foot examination and regular
treatment.
The high resilience of efficacy of Diabetes
Mellitus patients is a process of dealing with
REFERENCES
1. Badan Penelitian dan Pengembangan
adversity and pressure during the management of
Diabetes Mellitus therapy and closely related to
personal factors. Personal factors related to
resilience are age, sex, long suffering, information
about Diabetes Mellitus, dietary compliance, drugs
and physical activity.7 Resilience becomes an
indispensable factor to be able to turn problems
into opportunities for growth, and improve the
ability to adapt for good change.8 The ability to
self-assess, have a positive expectation of self in
the future, and the ability to solve problems will
increase the ability of nurses to face problems as
big as in this case is work stress.
Based on the results of research Diabetes Burnout
syndrome most of the 87 respondents (58%) have a
low category. Diabetes burnout syndrome
perceived by the respondent includes physical and
psychological aspects. Diabetes burnout syndrome
needs to get support from families to adhere to
therapeutic management. Social support will also
increase the level of individual resilience, as
individual participation in supportive communities
will raise individuals from adversity.4
Based on the result of the research, there is a
relationship between resilience of efficacy with
Diabetes Burnout syndrome (p-value = 0,041). The
ability to rise from a state of degradation and
represent a picture of the process and the results of
success adapting to difficult circumstances or life
experiences that can cause stress. A person who
has high resilience will tend to be able to overcome
various problems in his life.9 It encourages a
person to manage management of Diabetes
Mellitus without the burden and without stress.
CONCLUSION
Based on the above research it can be concluded
that there is a significant relationship between age,
education, long suffering and resilience of efficacy
with Diabetes Burnout syndrome in Diabetes
Mellitus patients. Diabetes patients who have a
high degree of resilience of efficacy will be able to
manage their diabetes mellitus well, including
therapy, diet and blood sugar control. Sense of
saturation of therapy will be reduced because it has
a high resilience that does not experience Diabetes
Burnout syndrome.Diabetes Mellitus patients need
a good coping strategy in overcoming the problems
found while undergoing Diabetes Mellitus disease
therapy.
Kesehatan. Riset Kesehatan Dasar
 (RISKESDAS) 2013. Lap. Nas. 2013
1–384 (2013). doi:1 Desember 2013
2. Bandura, A. Self Efficacy: The
Exercise of Control. New York: W. H..
Freeman & Company.
3. Rees, C. S., Breen, L. J., Cusack, L. &
Hegney, D. Understanding individual
resilience in the workplace: The
international collaboration of
workforce resilience model. Front.
Psychol. 6, (2015).
4. Nuari, N. A. Resilience Of Efficacy
Perawat Berbasis Tingkat Stres dan
Kepuasan Kerja. J. Kesehat. Poltekkes
Tanjung Karang VIII, 373–379
(2017).
5. Feldman, R. Pengantar Psikologi.
(Salemba Humanika, 2012).
6. Nuari, Nian &Kartikasari, M. Model
View publication stats
Peningkatan Resiliensi Anak Usia
Sekolah ( Model Of Resilience
Improvement On School Age Children
After The Kelud Mountain Eruption
Based On Disaster Nursing
Competency ) SAINMED 7, (2015).
7. Nuari, N. A., Budury, S. & Pramesti,
T. A. Factor Influencing Resiliency of
Efficacy Diabetes Mellitus Patients. J.
Appl. Environ. Biol. Sci. 8, 83–87
(2018).
8. Luthans, F. Perilaku Organisasi.
(Salemba Empat, 2007).
9. De Beer, L. T., Pienaar, J. &
Rothmann, S. Job Burnout, Work
Engagement and Self-reported
Treatment for Health Conditions in
South Africa. Stress Heal. 32, 36–46
(2016).