HUBUNGAN LAMA MENDERITA DENGAN KEJADIAN NEUROPATI DIABETIKUM PADA PASIEN DIABETES MELITUS THE RELATIONSHIP OF LONG SUFFERING WITH THE EVENT OF DIABETIC NEUROPATY IN DIABETES MELLITUS PATIENTS

Maria Karolina Selano

Abstract


Organisasi Internasional Diabetes Federation (IDF) memperkirakan terdapat 463 juta orang pada usia 20-79 tahun di dunia menderita diabetes mellitus (DM) tahun 2019 atau setara dengan angka 9,3% dari total penduduk pada usia yang sama. Berdasarkan jenis kelamin, IDF memperkirakan prevalensi DM tahun 2019 yaitu 9% pada perempuan dan 9,65% pada laki-laki. Prevalensi diabetes meningkat seiring penambahan umur menjadi 19,9% atau 111,2 juta orang (umur 65-79 tahun). Angka diprediksi meningkat hingga 578 juta di tahun 2030 dan 700 juta di tahun 2045. Pusat Data dan Informasi PERSI (Perhimpunan Rumah Sakit Indonesia), prevalensi penderita DM dengan komplikasi neuropati sebesar lebih dari 50%. Tujuan untuk mengetahui hubungan lama menderita dengan kejadian neuropati diabetikum pada pasien diabetes melitus      Metode secara deskriptif analitik dengan pendekatan cross sectional dan tehnik pengambilan sampel menggunakan purposive sampling sejumlah 84 responden/ pasien diabetes melitus tipe 1 dan tipe 2. Instrumen menggunakan kuesioner dan monofilament test dan data dianalisa dengan uji statistik chi-square. Hasil didapatkan 71 responden (84,5 %) yang lama menderita DM < 5 tahun, 46 responden (54,8%) mengalami neuropati diabetikum dan nilai Asymp Sig 0,942 (P-value = 0,005). Karena nilai 0,942 > 0,005, maka disimpulkan tidak ada hubungan yang signifikan antara lama menderita dengan kejadian neuropati diabetikum.

 

Kata kunci               : diabetes melitus; lama menderita; neuropati diabetikum

 

 

ABSTRACT

The International Diabetes Federation (IDF) estimates that there are 463 million people aged 20-79 years in the world suffering from diabetes mellitus (DM) in 2019, equivalent to 9.3% of the total population at the same age. Based on gender, IDF estimates that the prevalence of DM in 2019 is 9% in women and 9.65% in men. The prevalence of diabetes increases with increasing age to 19.9% or 111.2 million people (aged 65-79 years). The figure is predicted to increase to 578 million in 2030 and 700 million in 2045. According to the PERSI Data and Information Center (Indonesian Hospital Association), the prevalence of DM sufferers with neuropathic complications is more than 50%. The purpose of this study was to determine the relationship between length of stay and the incidence of diabetic neuropathy in patients with diabetes mellitus. Descriptive analytical method with a cross sectional approach and sampling technique used purposive sampling with a total of 84 respondents/patients with type 1 and type 2 diabetes mellitus. The instrument used a questionnaire and monofilament test and data. analyzed by chi-square statistical test. The results showed that 71 respondents (84.5%) had long suffered from DM < 5 years, 46 respondents (54.8%) had diabetic neuropathy and the Asymp Sig value was 0.942 (P-value = 0.005). Because the value is 0.942 > 0.005, it is concluded that there is no significant relationship between the length of suffering and the incidence of diabetic neuropathy.

Keywords: diabetes mellitus; long suffering; diabetic neuropathy


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References


Anani, S., Udiyono, A., Ginanjar, P., Fkm Undip, A., & Bagian Epidemiologi dan, D. (2012). Hubungan Antara Perilaku Pengendalian Diabetes dan Kadar Glukosa Darah Pasien Rawat Jalan Diabetes Melitus (Studi Kasus di RSUD Arjawinangun Kabupaten Cirebon) (Vol. 1). Retrieved from http://ejournals1.undip.ac.id/index.php/jkm

Amour, A. A., Chamba, N., Kayandabila, J., Lyaruu, I. A., Marieke, D., Shao, E. R., & Howlett, W. (2019). Prevalence, patterns, and factors associated with peripheral neuropathies among diabetic patients at tertiary hospital in the kilimanjaro region: descriptive cross-sectional study from north-eastern tanzania. International journal of endocrinology, 2019, 5404781.

Clayton W, Tom A.E, A review of the pathophysiology, classification, and treatment of foot ulcers in diabetic patient. Clinical Diabetes 2009:27:2.

Chaidir, R., Wahyuni, A. S., & Furkhani, D. W. (2017). Hubungan Self Care Dengan Kualitas Hidup Pasien Diabetes Melitus. Jurnal Endurance. https://doi.org/10.22216/jen.v2i2.1357

Department of health and human services. (2009). Diabetic neuropathies: the nerve damage of diabetes. USA: NIH Publication, 2009.

Glow, D., & Moore, P. (2014). Assessing diabetic peripheral neurophaty in primary care. BPJ Issue, 61, 37-47.

Diperoleh tanggal 20 Februari 2020 dari https://bpac.org.nz.

Hussein, R. N.,Khther, S.A., - Hadithi, T.S. (2010). Impact of diabetes on physical and psychological aspects of quality of life of diabetic in Erbil city Iraq. Duhok Med J.4 (2), 45 – 59, http://www.uod.ac/articles files/no 6.9.pdf.

Hwang, J. W., Pyun, S. B., & Kwon, H. K. (2016).

Relationship of vascular factors on electrophysiologic severity of diabetic neuropathy. Annals of rehabilitation medicine, 40(1), 56–65.

Irawan, D., Wuysang, A. D., & Goysal, Y. (2019). Hubungan kadar lipid darah dengan derajat keparahan neuropati diabetik perifer di rumah sakit wahidin sudirohusodo. Neurona, 37(1), 37-41.

Kuate-Tegueu, C., Temfack, E., Ngankou, S., Doumbe, J., Dijentcheu, V. P., & Kengne, A. P. (2015). Prevalence and determinants of diabetic polyneuropathy in a sub-Saharan African referral hospital. Journal of the Neurological Science, 355(1), 108–112. https://doi.org/10.1016/j.jns.2015.05.035

Pangribowo S. Infodatin -2020-Diabetes-Melitus.Pdf. Jakarta Selatan: Pusat Data Dan Informasi Kementrian Kesehatan Ri; 2020.

Popescu, S., Timar, B., Baderca, F., Simu, M.,Diaconu, L., Velea, I., & Timar, R. (2016). Age as an independent factor for the development of neuropathy in diabetic patients. Clinical interventions in aging, 11, 313–318.

Pusat Data dan Informasi Kementrian Kesehatan RI. (2014). Infodatin. http://www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-diabetes.pdf

Qureshi, M.S., Iqbal, M., Zahoor, S. et al. Ambulatory screening of diabetic neuropathy and predictors of its severity in outpatient settings. J Endocrinol Invest 40, 425–430 (2017).

Utomo, A. Y. S., Julianti, H. P., & Pramono, D. (2011). Hubungan Antara 4 Pilar Pengelolaan Diabetes Melitus Dengan Keberhasilan Pengelolaan Diabetes Melitus Tipe 2. Retrieved from http://eprints.undip.ac.id/32797/

Wahyuni (2015). Senam Kaki Diabetik Efektif MEningkatkan Ankle Brachial Index Pasien Diabetes Melitus Tipe 2. Jurnal Ipteks Terapan. Volume 9 Nomor 2.




DOI: http://dx.doi.org/10.34310/jskp.v8i2.493

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