Karakteristik Penderita Diabetes Mellitus Tipe 2 dengan Komplikasi Ulkus Kaki Diabetik yang Dirawat Inap di Rumah Sakit Vita Insani Pematangsiantar Tahun 2013-2016
| Main Author: | Sihaloho, Isnawati Devega |
|---|---|
| Other Authors: | Hiswani, Lubis, Sri Novita |
| Format: | Bachelors application/pdf |
| Bahasa: | ind |
| Terbitan: |
, 2018
|
| Subjects: | |
| Online Access: |
http://202.0.107.133/handle/123456789/1693 |
Daftar Isi:
- 131000184
- According to data from Health Research Association (2013), the prevalence of DM in Indonesia 2.1%. The prevalence of DM in 2013 in North Sumatera 2,3%. The prevalence of DM in 2013 in Pematangsiantar 2,2%. Approximately 15% of individuals with DM will experience of foot ulcer with risk of amputation by 14-24%. The purpose of this research is to find out the characteristics of patients type 2 DM with complications diabetic foot ulcer who were hospitalized at Vita Insani Pematangsiantar Hospital Year 2013-2016. This study is descriptive with case series design. The population and sample were 120 patients. Statistic analysis using Chi-Square and Kruskal Wallis. The highest proportion of patients with type 2 DM with complications of diabetic foot ulcer in ≥50 years old group (84,2%), female (52,5%), Batak Toba (41,7%), Christian Protestant (61,7%), Senior High School (52,5%), housewives (31,7%), Pematangsiantar (56,7%), degree 4 (38,3%), while blood glucose levels ≥200 mg/dL (68,3%), did not conduct bacteriological examination (78,3%), surgical treatment therapy (55,8%), not own cost (69,2%), average length of stay 5 days, becoming outpatient (91,7%). The statictical test resulted, there is no significant difference between the proportion of distribution of age based on degree of diabetic foot ulcers (p=0,554), sex based on degree of diabetic foot ulcers (p=0,720), blood glucose levels based on degree of diabetic foot ulcers (p=0,477), duration of treatment on average based on degree of diabetic foot ulcers (p=0,051). There is a difference between the proportion of distribution of therapeutic treatment based on degree of diabetic foot ulcers (p=0,036). It’s suggested or Vita Insani Pematangsiantar Hospital to improve information for foot care and proper handling when the sores. It’s suggested for patients of type 2 DM perform the recommended diet, regular exercise, consume medicine of DM, checking blood glucose regularly. The patients of type 2 DM with complication diabetic foot ulcer should to implement the above suggestions, do foot care, health care visit immediately if found injury in foot.
- Menurut data Riset Kesehatan Dasar (2013), prevalensi DM di Indonesia 2,1%. Prevalensi DM tahun 2013 di Sumatera Utara 2,3%. Prevalensi DM tahun 2013 di Kota Pematangsiantar 2,2%. Sekitar 15% penderita DM mengalami ulkus kaki diabetik dengan risiko amputasi sebesar 14-24%. Penelitian ini dilakukan untuk mengetahui karakteristik penderita DM tipe 2 dengan komplikasi ulkus kaki diabetik yang dirawat inap di Rumah Sakit Vita Insani Pematangsiantar tahun 2013-2016. Penelitian ini bersifat deskriptif dengan desain case series. Populasi dan sampel sebanyak 120 penderita. Analisis statistik menggunakan uji Chi-Square dan Kruskal Wallis. Proporsi penderita DM tipe 2 dengan komplikasi ulkus kaki diabetik tertinggi pada umur ≥50 tahun (84,2%), perempuan (52,5%), Batak Toba (41,7%), Kristen Protestan (61,7%), SLTA (52,5%), ibu rumah tangga (31,7%), Kota Pematangsiantar (56,7%), derajat 4 (38,3%), KGD sewaktu ≥200 mg/dL (68,3%), tidak melakukan pemeriksaan bakteriologis (78,3%), terapi pengobatan bedah (55,8%), bukan biaya sendiri (69,2%), lama rawatan rata-rata 5 hari, pulang berobat jalan (91,7%). Hasil uji statistik, tidak ada perbedaan bermakna antara distribusi proporsi umur berdasarkan derajat ulkus kaki diabetik (p=0,554), jenis kelamin berdasarkan derajat ulkus kaki diabetik (p=0,720), kadar glukosa darah sewaktu berdasarkan derajat ulkus kaki diabetik (p=0,477), lama rawatan rata-rata berdasarkan derajat ulkus kaki diabetik (p=0,051). Ada perbedaan bermakna antara distribusi proporsi terapi pengobatan berdasarkan derajat ulkus kaki diabetik (p=0,036). Kepada pihak rumah sakit dan petugas medis diharapkan dapat meningkatkan informasi dalam melakukan perawatan kaki dan penanganan yang tepat ketika terjadi luka pada kaki. Kepada penderita DM tipe 2 agar rutin melakukan diet DM, latihan jasmani, mengkonsumsi obat DM, memeriksakan kadar glukosa darah secara rutin. Kepada penderita ulkus kaki diabetik agar menerapkan anjuran di atas, melakukan perawatan kaki, segera mengunjungi pelayanan kesehatan jika ditemukan adanya peradangan/luka pada kaki.