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The Effect of Clinical Supervision by Ophthalmologists on the Severity of Diabetic Retinopathy in Kapuas District

Jurnal Kesehatan Masyarakat · Vol. 21 No. 3 (2026) · hlm. 608–615

DOI
10.15294/kemas.v21i3.34218
ISSN
2355-3596, 1858-1196
Terbit
2026-01-30
Penerbit
Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)
Bahasa
eng

Abstrak

Diabetic retinopathy (DR) is a microvascular complication of diabetes mellitus (DM) and a leading cause of blindness among productive-age adults. Globally, the prevalence of DR reaches 34.6%, while in Indonesia it is 43.1%, making it the second most common diabetes complication after nephropathy. In Kapuas District, the 2022 data reported 5,390 DM patients and 56 DR cases, with a growing trend each year, particularly in areas with limited health services. This study, conducted in 2025, aimed to analyze the effect of clinical supervision by ophthalmologists on DR severity in relation to treatment duration, age, and healthcare access distance. A quasi-experimental design with a pre-test and post-test approach was applied to 52 non-proliferative DR patients divided into intervention (clinical supervision) and control groups. Results showed that clinical supervision effectively maintained mild DR conditions (p=1.000), while the non-supervised group exhibited increased severity (p=0.025). Longer treatment duration correlated with stable DR (p=0.000), age influenced severe DR (p=0.033), and healthcare distance affected moderate DR (p=0.045). Clinical supervision by ophthalmologists effectively slows DR progression, particularly among productive-age patients and those with limited access to eye care services.

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  • Lambung Mangkurat University
  • Poltekkes Kemenkes Banjarmasin
  • UIN Sunan Ampel Surabaya
  • Lund University
  • Diponegoro University
  • University of Nottingham
  • Kwansei Gakuin University
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Rekan penulisOrganisasiArtikel bersama
HusainiAfiliasi tidak diketahui2
Abdi FithriaLambung Mangkurat University2
Chairul IrawanLambung Mangkurat University2
Tien ZubaidahPoltekkes Kemenkes Banjarmasin2
Muhamad RatodiUIN Sunan Ampel Surabaya2
Laily KhairiyatiLambung Mangkurat University2
Danang BiyatmokoLambung Mangkurat University2
Akhmad R SaidiLambung Mangkurat University2
Fauzie RahmanLambung Mangkurat University1
Anggun WulandariLambung Mangkurat University1
Syamsul ArifinLambung Mangkurat University1
Syamsul ArifinLambung Mangkurat University1
Hadrianti H.D. LasariLambung Mangkurat University1
Agung WaskitoDiponegoro University1
Khaldoon Abdalah MouradLund University1
Ianatul KhoirohUniversity of Nottingham1
Bibin B. AndrianaKwansei Gakuin University1
Syamsul ArifinLambung Mangkurat University1
Ammara Ulfa AzizahLambung Mangkurat University1
Anis Kamila SalehaLambung Mangkurat University1
Muhammad Rasyid RidhaLambung Mangkurat University1
Babucarr JasseyMinistry of Health and Social Welfare1
Ani Kipatul HidayahLambung Mangkurat University1
HusainiLambung Mangkurat University1
FakhriyahLambung Mangkurat University1
Agung WaskitoLambung Mangkurat University1

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Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/kemas/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">The Effect of Clinical Supervision by Ophthalmologists on the Severity of Diabetic Retinopathy in Kapuas District</dc:title>
	<dc:creator xml:lang="en">Manalu, Rosmaryati</dc:creator>
	<dc:creator xml:lang="en">Arifin, Syamsul </dc:creator>
	<dc:creator xml:lang="en">Pratiwi, Dewi Indah Noviana</dc:creator>
	<dc:creator xml:lang="en">Faisal, Muhammad Ali </dc:creator>
	<dc:creator xml:lang="en">Adhani, Rosihan </dc:creator>
	<dc:creator xml:lang="en">Marlinae, Lenie </dc:creator>
	<dc:creator xml:lang="en">Herawati</dc:creator>
	<dc:creator xml:lang="en">Sasongko, Muhammad Bayu </dc:creator>
	<dc:subject xml:lang="en">Diabetic Retinophaty</dc:subject>
	<dc:subject xml:lang="en">Clinical support</dc:subject>
	<dc:subject xml:lang="en">Ophthalmologist</dc:subject>
	<dc:subject xml:lang="en">Diabetes Mellitus</dc:subject>
	<dc:subject xml:lang="en">Kapuas</dc:subject>
	<dc:description xml:lang="en">Diabetic retinopathy (DR) is a microvascular complication of diabetes mellitus (DM) and a leading cause of blindness among productive-age adults. Globally, the prevalence of DR reaches 34.6%, while in Indonesia it is 43.1%, making it the second most common diabetes complication after nephropathy. In Kapuas District, the 2022 data reported 5,390 DM patients and 56 DR cases, with a growing trend each year, particularly in areas with limited health services. This study, conducted in 2025, aimed to analyze the effect of clinical supervision by ophthalmologists on DR severity in relation to treatment duration, age, and healthcare access distance. A quasi-experimental design with a pre-test and post-test approach was applied to 52 non-proliferative DR patients divided into intervention (clinical supervision) and control groups. Results showed that clinical supervision effectively maintained mild DR conditions (p=1.000), while the non-supervised group exhibited increased severity (p=0.025). Longer treatment duration correlated with stable DR (p=0.000), age influenced severe DR (p=0.033), and healthcare distance affected moderate DR (p=0.045). Clinical supervision by ophthalmologists effectively slows DR progression, particularly among productive-age patients and those with limited access to eye care services.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)</dc:publisher>
	<dc:date>2026-01-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/kemas/article/view/34218</dc:identifier>
	<dc:identifier>10.15294/kemas.v21i3.34218</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesehatan Masyarakat; Vol. 21 No. 3 (2026); 608 - 615</dc:source>
	<dc:source>2355-3596</dc:source>
	<dc:source>1858-1196</dc:source>
	<dc:source>10.15294/kemas.v21i3</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/kemas/article/view/34218/9093</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Jurnal Kesehatan Masyarakat</dc:rights>
</oai_dc:dc>