Hubungan Tingkat Stres Dengan Kadar Glukosa Darah Pada Pasien Diabetes Mellitus Tipe II Di RSPAD Gatot Soebroto
DOI:
https://doi.org/10.31004/joecy.v6i1.7567Keywords:
Type II Diabetes Melitus, Stress, Blood Glucose Levels, Perceived Stress Scale questionnaireAbstract
Background: Type II diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels and requires long-term management. In addition to physiological factors, psychological factors such as stress play a role in influencing blood glucose control. Objective: This study aims to analyze the relationship between stress levels and blood glucose levels in type II diabetes mellitus patients at Gatot Soebroto Army Hospital. Method: This study used a quantitative design with a cross-sectional approach. The study sample consisted of 102 outpatients with type II diabetes mellitus at the Internal Medicine Polyclinic of Gatot Soebroto Army Hospital, selected using an accidental sampling technique. Stress levels were measured using the Perceived Stress Scale (PSS) questionnaire, while blood glucose data were obtained from patient medical records. Data analysis was performed using the Chi-Square test with a significance level of 0.05. Results: The results of the Chi-Square test showed a significant relationship between stress levels and fasting blood glucose levels in type II diabetes mellitus patients (p = 0.001; p < 0.05). Conclusion: This study concludes that stress levels are significantly related to blood glucose levels, so stress management needs to be integrated into nursing care for patients with type II diabetes mellitus.
References
Al Tajir, G. K. (2018). Ethical treatment of participants in public health research. Journal of Public Health and Emergency, 2. https://doi.org/10.21037/jphe.2017.12.04
American Diabetes Association. (2018). Updates to the Standards of Medical Care in Diabetes-2018. Diabetes Care, 41(9), 2045–2047. https://doi.org/10.2337/dc18-su09
American Diabetes Association. (2022). Classification and diagnosis of diabetes : standards of medical care in diabetes — 2022. Diabetes Care, 45, 517–538.
Ayu Ningsih, P., Syaipuddin, & Darmawan, S. (2025). Hubungan Tingkat Stres Dengan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe 2. 5, 31–36. https://repository.unimugo.ac.id/2815/1/NUR SOFA AYU TIKA NIM. A12019070_compressed.pdf
Brotherson, S. (2025). FS283 Stress Symptoms. 283(February).
Chang, S. N., Hsiao, Y. L., Lin, C. C., Sun, C. H., Chen, P. S., Wu, M. Y., Chen, S. H., Chiang, H. Y., Hsiao, C. T., & King, E. K. (2022). Application of machine learning methods for the prediction of true fasting status in patients performing blood tests. Scientific Reports, 1–13. https://doi.org/10.1038/s41598-022-15161-2
Derek, M. I., Rottie, J. V., & Kallo, V. (2017). Hubungan Tingkat Stres Dengan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe Ii Di Rumah Sakit Pancaran Kasih Gmim Manado. E-Journal Keperawatan (e-Kp), 5(1), 1–6.
Diana Damayanti, P. (2023). Hubungan tingkat stres dan kualitas tidur dengan kadar glukosa darah sewaktu pasien diabetes melitus tipe 2 di RSI sultan agung semarang. Univesitas Islam Sultan Agung, 1–75.
Dwiharini, P., & Hadi, K. Y. L. (2017). Diabetes Melitus, Stres dan Manajemen Stres. In Stikes Majapahit Mojokerto. https://ejournal.stikesmajapahit.ac.id/index.php/EBook/article/view/315/287
Erdaliza, E., Mitra, M., Rany, N., Harnani, Y., & Rienarti Abidin, A. (2024). Faktor risiko yang berhubungan dengan komplikasi Diabetes Melitus Tipe 2. Jurnal Kesehatan Komunitas (Journal of Community Health), 10(3), 534–545. https://doi.org/10.25311/keskom.vol10.iss3.2039
Erida Silalahi, L., HR, T. H., & Astuti, S. N. L. (2024). Diabetes Melitus. In JID Innovations. https://doi.org/10.1016/s2667-0267(23)00030-9
Fau, P. (2024). Hubungan Tingkat Stres Dengan Peningkatan Kadar Gula Darah Pada Penderita Diabetes Melitus Di Puskesmas Aek Parombunan. Journal Of Innovation Research And Knowledge, 3, 1873–1882.
Febriani, D. H. (2024). the Impact of Perceived Stress on Elevated Random Blood Glucose Levels in Type 2 Diabetes Melitus Patients. Medical-Surgical Journal of Nursing Research, 3(1), 33–41. https://doi.org/10.70331/jpkmb.v3i1.44
Febrinasari, R. P., Sholikah, T. A., Pakha, D. N., & Stefanus Erdana Putra. (2020). Buku Saku Diabetes Melitus untuk Awam. In Penerbitan dan Pencetakan UNS (UNS Press).
Hakim, A. R., Mora, L., Leometa, C. H., & Dimala, C. P. (2024). Psychometric Properties of the Perceived Stress Scale for Children (PSS-C). Psychometric Properties Of The Perceived Stress Scale (PSS-10) In Indonesian Version Arif, 13(2), 129–146. https://doi.org/10.17759/cpse.2024130208
Hamdiana, L., Wahyudi, I., Pa’ni, D. M. Q., & Amrullah, M. (2025). The Relationship of Stress Level to Blood Sugar Levels in Diabetic Mellitus Patients at UPTD Puskesmas Terara. THRIVE Health Science Journal, 2(1), 29–36. https://doi.org/10.56566/thrive.v2i1.313
Hartono, & Ediyono, S. (2024). Hubungan Tingkat Pendidikan, Lama Menderita Sakit Dengan Tingkat Pengetahuan 5 Pilar Penatalaksanaan Diabetes Melitus Di Wilayah Kerja Puskesmas Sungai Durian Kabupaten Kbu Raya Kalimantan Barat. Journal of TSCS1Kep, 9(01), 49–58. https://doi.org/10.35720/tscs1kep.v9i01.502
Himawan, R., Indarsih, C. R., Sukesih, S., Jauhar, M., Kartikasari, F., & Suwandi, E. W. (2023). Tingkat Stres Dan Kadar Gula Darah Pada Diebetesi. Indonesia Jurnal Perawat, 8(2), 72–81. https://doi.org/10.26751/ijp.v8i2.2214
IDF. (2025). Diabetes Atlas 11th Edition. In Diabetes Atlas 11th Edition.
Internacional Diabetes Federation. (2021). IDF Diabetes Atlas 10th. In IDF Diabetes Atlas (Vol. 1). www.diabetesatlas.org
Irfan, M., & Wibowo, H. (2015). Hubungan Tingkat Stres dengan Kadar Gula Darah Pada Penderita Diabetes Melitus di Puskesmas Peterongan Kabupaten Jombang. Jurnal Keperawatan STIKES Pemkan Jombang, 1(DM), 1–8.
Jean-Baptiste, L., Abdelmalek, M., Romain, L., Romain, L., Stéfan, D., Karima, S., Sophie, D., & Hector, F. (2024). Adaptive questionnaires for facilitating patient data entry in clinical decision support systems: methods and application to STOPP/START v2. BMC Medical Informatics and Decision Making, 24(1). https://doi.org/10.1186/s12911-024-02742-6
Jedinger, A., Watteler, O., & Förster, A. (2018). Improving the quality of survey data documentation: A total survey error perspective. Data, 3(4), 1–10. https://doi.org/10.3390/data3040045
Kamil, F., Efitra, E., Herwati, H., Muchtar, M., & Roza, D. (2024). Stress Levels with Blood Sugar Levels in Type II Diabetes Melitus Patients in Padang City in 2024. International Journal of Current Science Research and Review, 07(12), 9129–9134. https://doi.org/10.47191/ijcsrr/v7-i12-53
Kemenkes. (2023). Indonesian Health Survey (Survei Kesehatan Indonesia) 2023. Ministry of Health, 1–68.
Laaksonen, S. (2018). Survey methodology and missing data: Tools and techniques for practitioners. In Survey Methodology and Missing Data: Tools and Techniques for Practitioners. https://doi.org/10.1007/978-3-319-79011-4
Lestari, Zulkarnain, Sijid, & Aisyah, S. (2021). Diabetes Melitus: Review Etiologi, Patofisiologi, Gejala, Penyebab, Cara Pemeriksaan, Cara Pengobatan dan Cara Pencegahan. UIN Alauddin Makassar, 1(2), 237–241. http://journal.uin-alauddin.ac.id/index.php/psb
Lu, X., Xie, Q., Pan, X., Zhang, R., Zhang, X., Peng, G., Zhang, Y., Shen, S., & Tong, N. (2024). Type 2 Diabetes Melitus in adults: pathogenesis, prevention and therapy. Signal Transduction and Targeted Therapy, 9(1), 1–25. https://doi.org/10.1038/s41392-024-01951-9
Młynarska, E., Czarnik, W., Dzieża, N., Jędraszak, W., Majchrowicz, G., Prusinowski, F., Stabrawa, M., Rysz, J., & Franczyk, B. (2025). Type 2 Diabetes Melitus: New Pathogenetic Mechanisms, Treatment and the Most Important Complications. International Journal of Molecular Sciences, 26(3), 1–24.
Morgan, G. A., Barrett, K. C., Leech, N. L., & Gloeckner, G. W. (2020). IBM SPSS for introductory statistics. IBM SPSS for Introductory Statistics: Use and Interpretation, 1–252. https://doi.org/10.4324/9780429287657
Nababan, T., Kaban Br, K., Nurhayati Latifah, E., & Nasution Hidayat, R. (2020). HUBUNGAN TINGKAT STRES TERHADAP PENINGKATAN KADAR GULA DARAH PADA PASIEN DM TIPE II DI RSU. ROYAL PRIMA MEDAN. Jurnal Keperawatan, 3(1), 39–46. https://doi.org/10.34012/jukep.v3i1.809
Naibaho, R. A., & Kusumaningrum, N. S. D. (2020). ASSESSMENT OF STRESS IN PATIENTS WITH DIABETES MELLITUS ABSTRACT. Jurnal Ilmu Keperawatan Jiwa, 3(1), 1–8. https://doi.org/10.32584/jikj.v3i1.455
Nugroho, F. A., Chandra, R. B., Laila, N., Rukia, S., & Kusumastuty, I. (2024). Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Melitus. 14(April), 110–124.
Nur, L., & Mugi, H. (2021). Tinjauan literatur mengenai stres dalam organisasi. Jurnal Ilmu Manajemen, 18(1), 20–30. https://journal.uny.ac.id/index.php/jim/article/view/39339/15281
Nurul Mawadah, Rahman, S., Rian, T., & Rifa’atul, M. (2025). HUBUNGAN TINGKAT STRES DENGAN KADAR GULA DARAH PADA PASIEN DIABETES MELITUS TIPE 2. 6(2), 379–388.
Paramita, R. W. D., Rizal, N., & Sulistyan, R. B. (2021). Metode Penelitian Kuantitatif.
PARKENI. (2021). Perkumpulan Endokrinologi Indonesia.
Pridani, L. N. D. P., Primatanti, P. A., & Dewi, sri R. (2024). Hubungan Tingkat Stres dengan Kadar Glukosa Darah Puasa pada Pasien DM Tipe 2 di RSUD Sanjiwani Gianyar Diabetes Melitus merupakan suatu penyakit yang disebabkan kegagalan. 4(2), 234–238.
Purwasih, E. O. (2019). HUBUNGAN ANTARA TINGKAT STRES DAN KADAR GLUKOSA DARAH PUASA PENDERITA DIABETES MELITUS TIPE 2 DI KECAMATAN MAOS. 8(1), 17–21.
Rustiana, N., Pristiyantoro, & Pramudita, S. (2024). Analisa Tingkat Pengetahuan Masyarakat tentang Penyakit Diabetes Melitus di RW 004 Kelurahan Pulogebang Kecamatan Cakung Jakarta Timur. Jurnal Farmasi IKIFA, 3(2), 106–115.
Safari, G., & Salvia. (2022). Hubungan Tingkat Stres Dengan Kadar Gula Darah Pada Penderita Diabetes Fakultas Ilmu Kesehatan , Universitas Bale Bandung , Indonesia Hubungan Tingkat Stres Dengan Kadar Gula Darah Pada Penderita Diabetes Melitus Di Puskesmas Pendahuluan Diabetes Mellitu. Healthy Journal, 11(1), 1–9.
Sagita, P., Apriliana, E., Mussabiq, S., & Soleha, T. (2021). Pengaruh Pemberian Daun Sirsak Terhadap Penyakit Diabetes. Jurnal Medika Hutama, 3(1), 1266–1272.
Sari, N. A., Nurhayati, C., & Rustini, S. A. (2020). Relationship Of Stress Levels And Diet With Blood Sugar Levels In Patients Of Type 2 Diabetes Melitus. 9(1), 241–247. https://doi.org/10.30994/sjik.v9i1.253
Sharifnia, A. M., Kpormegbey, D. E., Thapa, D. K., & Cleary, M. (2025). A Primer of Data Cleaning in Quantitative Research: Handling Missing Values and Outliers. Journal of Advanced Nursing, 1–6. https://doi.org/10.1111/jan.16908
Sofwatillah, Risnita, Jailani, M. S., & Saksitha, D. A. (2024). Teknik Analisis Data Kuantitatif dan Kualitatif dalam Penelitian Ilmiah. Journal Genta Mulia, 15(2), 79–91.
Sugiyono. (2023). METODE PENELITIAN KUANTITATIF KUALITATIF dan R&D (Vol. 17).
Virgo, G., Kurniadi, R., & Indrawati. (2024). Hubungan Tingkat Stres dengan Kadar Gula Darah Pada Penderita Diabetes Melitus di Wilayah Kerja UPT Puskesmas Kampa. Jurnal Ners, 8(1), 154–158. https://journal.universitaspahlawan.ac.id/index.php/ners/article/view/23701/17112
WHO. (2024). Measles. Whorld Health Organization.
Widayani, D., Rachmawati, N., Aristina, T., & Arini, T. (2021). Literature Review: Hubungan Tingkat Stres dengan Kadar Gula Darah pada Pasien Diabetes Melitus. Jurnal Keperawatan Notokusumo (JKN), 9(1), 11–19. http://jurnal.stikes-notokusumo.ac.id/index.php/jkn/article/view/97.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Silmi Ulyanah, Teti Hayati, Wilda Fauzia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
