The Effect of Health Education During the Covid 19 Period on Increasing Knowledge in Comorbid Patients (Suspected) With Diabetes Mellitus (DM) At Harum Sisma Medika Hospital, Jakarta 2021

Rogayah Rogayah, Husnul Fatimah Rahmah, Hinggil Permana, Al-Bahra Al-Bahra


The purpose of this study was to determine the effect of health education during the Covid 19 period on increasing knowledge in comorbid (suspected) patients with Diabetes Mellitus (DM) at Harum Sisma Medika Hospital, Jakarta. This study uses a quantitative approach with a pre-experimental research design, one group pre-post test design. The sample in this study was 18 respondents who were selected by purposive sampling technique. The study took place in the isolation ward of the Harum Sisma Medika Hospital, Jakarta. The instrument used is the DKQ-24 questionnaire (Diabetes Knowledge Questionnaire) with 24 question items. The test is a paired t test. The results showed that there was a difference in the mean score between knowledge before and after health education with the p value before and after being given health education related to covid 19, namely 0.002 (P <0.05). Factors significantly associated with preventive behaviour are knowledge and education. Knowledge related to COVID-19 prevention behaviour is carried out by wearing masks, maintaining hand hygiene, and avoiding crowds. In a study of diabetic and nondiabetic patients, diabetic patients expressed concern about the risk of COVID19 infection. They changed behaviour and lifestyle due to the COVID-19 pandemic. Knowledge and attitudes are associated with COVID-19 prevention behaviour

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. Williams R., Karuranga S., Malanda B., Saeedi P., Basit A., Besançon S. Global and regional estimates and projections of diabetes-related health expenditure: results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract. 2020;162 doi: 10.1016/j.diabres.2020.108072. [PubMed] [CrossRef] [Google Scholar]

. Pearson-Stuttard Jonathan, Blundell Samkeliso, Harris Tess, Cook Derek G, Critchley Julia. Diabetes and infection: assessing the association with glycaemic control in population-based studies. Lancet Diabetes Endocrinol. 2016;4(2):148–158. doi: 10.1016/S2213-8587(15)00379-4. [PubMed] [CrossRef] [Google Scholar]

. McDonald H.I., Nitsch D., Millett E.R.C., Sinclair A., Thomas S.L. New estimates of the burden of acute community-acquired infections among older people with diabetes mellitus: a retrospective cohort study using linked electronic health records. Diabet Med. 2014;31(5):606–614. doi: 10.1111/dme.2014.31.issue-510.1111/dme.12384. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Li Sen, Wang Jiaxin, Zhang Biao, Li Xinyi, Liu Yuan. Diabetes mellitus and cause-specific mortality: a population-based study. Diabetes Metab J. 2019;43(3):319. doi: 10.4093/dmj.2018.0060. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Knapp Sylvia. Diabetes and infection: is there a link? - A mini-review. Gerontology. 2013;59(2):99–104. doi: 10.1159/000345107. [PubMed] [CrossRef] [Google Scholar]

. Zhang J.J., Dong X., Cao Y.Y., Yuan Y.D., Yang Y.B., Yan Y.Q. Clinical characteristics of 140 patients infected with SARS-CoV-2 in Wuhan, China. Allergy. 2020 doi: 10.1111/all.14238. Epub 2020/02/23 PubMed PMID: 32077115. [PubMed] [CrossRef] [Google Scholar]

. Lippi G., Plebani M. Laboratory abnormalities in patients with COVID-2019 infection. Clin Chem Lab Med. 2020 doi: 10.1515/cclm-2020-0198. Epub 2020/03/03 PubMed PMID: 32119647. [PubMed] [CrossRef] [Google Scholar]

. Guan W.J., Ni Z.Y., Hu Y., Liang W.H., Ou C.Q., He J.X. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020:1–13. Epub 2020/02/29. PubMed PMID: 32109013. [Google Scholar]

. Wu Zunyou, McGoogan Jennifer M. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):123.

. Onder G., Rezza G., Brusaferro S. Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA. 2020 doi: 10.1001/jama.2020.4683. Epub 2020/03/24 PubMed PMID: 32203977. [PubMed] [CrossRef] [Google Scholar]doi: 10.1001/jama.2020.2648. [PubMed] [CrossRef] [Google Scholar]

. Wang Aihong, Zhao Weibo, Xu Zhangrong, Gu Jianwen. Timely blood glucose management for the outbreak of 2019 novel coronavirus disease (COVID-19) is urgently needed. Diabetes Res Clin Pract. 2020;162:108118. doi: 10.1016/j.diabres.2020.108118. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Zhou J., Tan J. Diabetes patients with COVID-19 need better care. Metabolism. 2020 doi: 10.1016/j.metabol.2020.154216. Epub 2020/03/30. PubMed PMID: 32220612; PubMed Central PMCID: PMCPMC7102634. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Iqbal A., Prince L.R., Novodvorsky P., Bernjak A., Thomas M.R., Birch L. Effect of hypoglycemia on inflammatory responses and the response to low-dose endotoxemia in humans. J Clin Endocrinol Metab. 2019;104(4):1187–1199. doi: 10.1210/jc.2018-01168. Epub 2018/09/27. PubMed PMID: 30252067; PubMed Central PMCID: PMCPMC6391720. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Petrie John R., Guzik Tomasz J., Touyz Rhian M. Diabetes, hypertension, and cardiovascular disease: clinical insights and vascular mechanisms. Canadian J Cardiol. 2018;34(5):575–584. doi: 10.1016/j.cjca.2017.12.005. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Geerlings S.E., Hoepelman A.I. Immune dysfunction in patients with diabetes mellitus (DM) FEMS Immunol Med Microbiol. 1999;26(3–4):259–265. doi: 10.1111/j.1574-695X.1999.tb01397.x. Epub 1999/11/27 PubMed PMID: 10575137. [PubMed] [CrossRef] [Google Scholar]

. Moutschen M.P., Scheen A.J., Lefebvre P.J. Impaired immune responses in diabetes mellitus: analysis of the factors and mechanisms involved. Relevance to the increased susceptibility of diabetic patients to specific infections. Diabete Metab. 1992;18(3):187–201. Epub 1992/05/01. PubMed PMID: 1397473. [PubMed] [Google Scholar]

. Ilyas R., Wallis R., Soilleux E.J., Townsend P., Zehnder D., Tan B.K. High glucose disrupts oligosaccharide recognition function via competitive inhibition: a potential mechanism for immune dysregulation in diabetes mellitus. Immunobiology. 2011;216(1–2):126–131. doi: 10.1016/j.imbio.2010.06.002. Epub 2010/08/03. PubMed PMID: 20674073; PubMed Central PMCID: PMCPMC3088832. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Kohio Hinissan P., Adamson Amy L. Glycolytic control of vacuolar-type ATPase activity: a mechanism to regulate influenza viral infection. Virology. 2013;444(1-2):301–309. doi: 10.1016/j.virol.2013.06.026. [PubMed] [CrossRef] [Google Scholar]

. Popov D., Simionescu M. Alterations of lung structure in experimental diabetes, and diabetes associated with hyperlipidaemia in hamsters. Eur Respir J. 1997;10(8):1850–1858. doi: 10.1183/09031936.97.10081850. Epub 1997/08/01 PubMed PMID: 9272930. [PubMed] [CrossRef] [Google Scholar]

. Lange P., Groth S., Kastrup J., Mortensen J., Appleyard M., Nyboe J. Diabetes mellitus, plasma glucose and lung function in a cross-sectional population study. Eur Respir J. 1989;2(1):14–19. Epub 1989/01/01 PubMed PMID: 2651148. [PubMed] [Google Scholar]

. Akalu, Y., Ayelign, B. and Molla, M. D. (2020) ‘Knowledge, Attitude and Practice Towards COVID-19 Among Chronic Disease Patients at Addis Zemen Hospital, Northwest Ethiopia’, Infection and Drug Resistance, Volume 13, pp. 1949–1960. doi:

. Huynh, G. et al. (2020) ‘Knowledge, Attitude, and Practices Regarding COVID-19 Among Chronic Illness Patients at Outpatient Departments in Ho Chi Minh City, Vietnam’, Risk Management and Healthcare Policy, Volume 13, pp. 1571–1578. doi: 6.

. Lee, M., Kang, B. and You, M. (2021) ‘Knowledge, attitudes, and practices (KAP) toward COVID-19: a crosssectional study in South Korea’, BMC Public Health, 21(1), p. 295. doi: 10285-y.

. Zhong, B.-L. et al. (2020) ‘Knowledge, attitudes, and practices towards COVID- 19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey’, International Journal of Biological Sciences, 16(10), pp. 1745– 1752. doi:

. Melesie Taye, G. et al. (2020) ‘COVID-19 Knowledge, Attitudes, and Prevention Practices Among People with Hypertension and Diabetes Mellitus Attending Public Health Facilities in Ambo, Ethiopia’, Infection and Drug Resistance, Volume 13, pp. 4203–4214. doi:

. Yan, A. F. et al. (2020) ‘Perceived risk, behavior changes and Health-related outcomes during COVID-19 pandemic: Findings among adults with and without diabetes in China’, Diabetes Research and Clinical Practice, 167(January), p. 108350. doi: 0.108350.

. Pal, R. et al. (2020) ‘Knowledge, attitudes and practices towards COVID-19 among young adults with Type 1 Diabetes Mellitus amid the nationwide lockdown in India: A cross-sectional survey’, Diabetes Research and Clinical Practice, 166(January), p. 108344. doi: 0.108344.

. Reuben, R. C. et al. (2021) ‘Knowledge, Attitudes and Practices Towards COVID19: An Epidemiological Survey in NorthCentral Nigeria’, Journal of Community Health, 46(3), pp. 457–470. doi: 00881-1.

. Andarge, E. et al. (2020) ‘Intention and Practice on Personal Preventive Measures Against the COVID-19 Pandemic Among Adults with Chronic Conditions in Southern Ethiopia: A Survey Using the Theory of Planned Behavior’, Journal of Multidisciplinary Healthcare, Volume 13, pp. 1863–1877. doi: 7.

. Mohamed, A. A. O. et al. (2021) ‘Knowledge, attitude and practice of the Sudanese people towards COVID-19: an online survey’, BMC Public Health, 21(1), p. 274. doi: 10319-5.

. Porter, C. M. (2016) ‘Revisiting PrecedeProceed: A leading model for ecological and ethical health promotion’, Health Education Journal, 75(6), pp. 753–764. doi: 10.1177/0017896915619645

. Fitriani, Sinta. 2017. Promosi Kesehatan. Yogyakarta : Graha Ilmu.



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