scholarly journals CHARACERISTICS OF DIABETIC PERIPHERAL NEUROPATIC

Author(s):  
SUYANTO SUYANTO

Introduction: Diabetes Mellitus (DM) for a long time may experience diabetic peripheral neuropathy (DPN). This study aims to determine the characteristics of diabetic peripheral neuropathy. Methodology: descriptive analytic design with cross sectional design used with 35 samples obtained with purposive sampling technique. The sample of the research was diabetic peripheral neuropathy patients with maximum leg sensitivity score 8. Results: The frequency distribution test results showed the average age of respondents 49.5 � 6.7, female gender (68.4%), diabetes mellitus 4.6 � 2, dominant pharmacological treatment of Oral Hypoglycemic Drugs (OHO) (84.1%) and average ABI values 0.85 � 0.05, mean foot sensation score of 8 � 0.8. Discussion: the characteristics of patients with diabetic peripheral neuropathy are very diverse, it is necessary to see the correlation between characteristics with the incidence of diabetic peripheral neuropathy.

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Monisha D’Souza ◽  
Vaman Kulkarni ◽  
Unnikrishnan Bhaskaran ◽  
Humam Ahmed ◽  
Hegde Naimish ◽  
...  

<p><em>Background</em>. The burden of diabetes mellitus (DM) is on the rise especially in developing countries like India. Due to its chronic nature DM tends to cause many debilitating complications and diabetic peripheral neuropathy (DPN) is one of them. The aim of this study is to determine the prevalence of DPN among patients attending a tertiary care hospital and to identify the determinants associated with it. <br /><em>Design and methods</em>. A cross sectional study was conducted in Government Wenlock Hospital, Mangalore (India), during January-February 2014. A total of 208 patients with &gt;5 year duration of DM were asked to respond to the patient history version of Michigan Neuropathy Screening Instrument (MNSI) and examinations were conducted after obtaining consent from them. The statistical analysis was done in terms of descriptive statistics and association between variables was tested using logistic regression test.<br /><em>Results</em>. The prevalence of DPN using the MNSI history version and MNSI examination were found to be 18.3% and 32.2% respectively. The major determinants associated with DPN were found to be male gender (OR: 2.7, CI: 1.4-5.1, P=0.001), smoking (OR: 5.8, CI: 1.9-17.3, P=0.001) and age &gt;40 years (OR: 2.7, CI: 1.2-5.8, P=0.011). <br /><em>Conclusions</em>. The burden of undetected DPN was found to be higher among diabetics, with an especially higher prevalence among males, smokers and those with long standing diabetes mellitus. Interventions in the form of early detection through routine screening, smoking cessation and regular follow up examinations would go a long way in reducing the burden of disability among diabetics and improve their quality of life significantly.</p>


2018 ◽  
Author(s):  
Nian Afrian Nuari

Resiliency of efficacy means the ability of a person to rise from adversity that occurs in the problems that occur in his life especially if the patient Diabetes Mellitus who must maintain blood sugar levels for life so that no complications occur. The goal of this research is to analyze the factors related to resiliency of efficacy Diabetes Mellitus Patient's. The design of this study was explanatory with cross sectional approach. Sampling technique used purposive sampling got 100 respondents. Data collected by using questionnaire and analyzed with multiple linear regression (α = 0.05). The results showed that the majority of respondents Diabetes mellitus obtained that 31% of respondents have aged 60 to 70 years and has female gender of 65%. This results acquired long suffering Diabetes Mellitus at most for 3-5 years. Respondents get information about Diabetes Mellitus disease as much as 44%. For adherence to the medication as much as 54% have good adherence to treatment. While in the management of Diabetes mellitus dietary, consider half of respondents have diet according to Diabetes Mellitus. Based on the results as well as 52% have good adherence to activity management. The majority of respondents Diabetes mellitus captures high resiliency of efficacy. The multiple linear regression test analysis obtained there are influence of resiliency of efficacy with gender, education information about diabetes, long suffering diabetes mellitus, medication obedience, dietary adherence and activity adherence in Diabetes Mellitus Patients. The Resiliency of efficacy Diabetes mellitus needs to be improved by providing support to patients who can do family and community, so that patients are able to achieve a good quality of life.KEYWORDS: resiliency, efficacy, factor, Diabetes Mellitus. Published in: Journal of Applied Environmental and Biological Sciences (JAEBS) , Volume 8, issue 4, April 2018, ISSN:2090-4274


2017 ◽  
Vol 13 (1) ◽  
pp. 33
Author(s):  
I Gede Bagus ◽  
Agus Yuwono ◽  
Erida Wydiamala

Abstract: Diabetic peripheral neuropathy (DPN) is one of major complication on uncontrolled diabetes mellitus (DM) patient. Test of 128 Hz tuning fork is a simple test to detect DPN which is recommended by several international guidelines and available at a limited health facility. This research aimed to discover the validity of 128 Hz tuning fork test as diabetic peripheral neuropathy detection on type 2 diabetes mellitus patient at Dr. H. Moch. Ansari Saleh Banjarmasin hospital. This was diagnostic test research with a cross-sectional design.  Data was analyzed by using diagnostic test of 2x2 table and receiving operating characteristic (ROC) curve. Subjects were 69 DM outpatient at internal medicine clinic in Dr. H. Moch. Ansari Saleh Banjarmasin hospital. The analysis results were sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and area under the curve. Respectively they were 40%; 100%; 100%; 73,33%; 78,26%; and 70% (0.7) (CI 95%: 55.9%-84.1%).  The test of 128 Hz tuning fork has fine validity and can be used as DPN detection on type 2 DM patient. Keywords: Validity, tuning fork 128 Hz test, diabetic peripheral neuropathy, diabetes mellitus      Abstrak: Diabetic peripheral neuropathy (DPN) merupakan salah satu komplikasi tersering pada pasien diabetes melitus (DM)  yang tidak terkontrol. Pemeriksaan garpu tala 128 Hz adalah salah satu pemeriksaan sederhana untuk mendeteksi DPN yang direkomendasikan oleh beberapa guideline internasional dan dapat dilakukan di fasilitas kesehatan dengan fasilitas terbatas. Penelitian ini bertujuan untuk mengetahui validitas pemeriksaan garpu tala 128 Hz sebagai prosedur deteksi neuropati perifer pada pasien diabetes melitus tipe 2 di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Penelitian ini merupakan uji diagnostik dengan pendekatan cross-sectional. Data dianalis dengan uji diagnostik tabel 2x2 dan  kurva receiving operating characteristic (ROC). Subjek penelitian merupakan 69 pasien DM rawat jalan poliklinik penyakit dalam RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Hasil analisis yang didapatkan adalah sensitivitas, spesifisitas, nilai prediktif positif, nilai prediktif negatif, akurasi, dan area under curve dari pemeriksaan garpu tala 128 Hz berturut-turut adalah 40%; 100%; 100%; 74,57%; 78,26%; dan 70% (0.7) (IK 95%: 55.9%-84.1%). Pemeriksaan garpu tala 128 Hz mempunyai validitas yang cukup baik dan dapat digunakan sebagai deteksi DPN pada pasien DM tipe 2. Kata-kata kunci: Validitas, pemeriksaan garpu tala 128 Hz,  diabetic peripheral neuropathy, diabetes melitus


2020 ◽  
Vol 14 (1) ◽  
pp. 96-100
Author(s):  
Galvani Volta Simanjuntak ◽  
Marthalena Simamora

Sensory neuropathy in type 2 diabetes mellitus and its correlation with duration of diseaseBackground: Diabetic peripheral neuropathy is a complication of type 2 diabetes mellitus (T2DM) that results in harm to the nervous system. It is a progressive disease, and symptoms get worse over time.Purpose: To exploration the sensory neuropathy in type 2 diabetes mellitus and its correlation with duration of disease.Method: An observational analytic with cross sectional design with population was patients with T2DM without diabetic ulcers in diabetic clinic Sari Mutiara Hospital. The number of samples  was 86 respondents by  a simple random sampling. Measuring the risk of diabetic peripheral neuropathy used 10 gram monofilament.Results: Showed the majority of the duration of T2DM >5 years (53,5%) and the majority of respondents had neuropathy (54,7%). The results of the Spearman rank correlation test showed that there was a significant correlation between duration of T2DM and risk of diabetic peripheral neuropathy (p-value = 0,023 and r= -0,438). Conclusion: The majority respondents has a diabetic peripheral neuropathy and also has a risk of diabetic peripheral neuropathy who are suffering >5 years. It is recommended that they need a regularly asses and educate to prevent further complication.Keywords: Sensory neuropathy; Type 2 diabetes mellitus; Duration of diseasePendahuluan: Neuropati perifer diabetes adalah komplikasi diabetes yang mengakibatkan kerusakan sistem saraf. Ini adalah penyakit progresif, dan gejalanya bertambah buruk seiring waktu.Tujuan: Untuk mengetahui hubungan lama menderita dengan risiko neuropati pada pasien DM tipe 2.Metode: Desain analitik korelasi dengan pendekatan cross sectional dan populasinya seluruh pasien DM tipe 2 yang tidak memiliki ulkus diabetik di klinik diabetes RSU Sari Mutiara. Sampelnya sebanyak 86 yang diambil dengan teknik simple random sampling. Risiko neuropati perifer diabetik diukur menggunakan monofilament 10 gram.Hasil: Analisis data menunjukkan mayoritas pasien menderita DM tipe 2  yang  >5 tahun (53,5%) dan mayoritas pasien telah mengalami neuropati (54,7%). Hasil uji statistik menggunakan korelasi spearman menunjukan adanya hubungan lama menderita DM tipe 2 dengan risiko neuropati (p-value = 0,023<0,05 dan  nilai r = -0,438).Simpulan: Mayoritas responden yang mengalami Neuropati perifer diabetes maupun resiko terjadinya Neuropati perifer diabetes pada mereka kelompok yang menderita DM tipe 2  yang  >5 tahun. Sangat dianjurkan pada pasien tersebut untuk dilakukan pengkajian secara teratur  dan pendidikan untuk mencegah komplikasi lebih lanjut. 


2016 ◽  
Vol 33 (10) ◽  
pp. 1840-1847 ◽  
Author(s):  
Dimitrios Baltzis ◽  
Matthieu Roustit ◽  
Maria G. Grammatikopoulou ◽  
Dimitrios Katsaboukas ◽  
Vassileios Athanasiou ◽  
...  

Author(s):  
Mohammad Arifin Noor

Introduction: Fatigue in stroke patients can occur during the acute phase (2 weeks) or for a long time after the attack. This study aimed to find out the description of fatigue characteristics of post stroke patients. Descriptive analytical methodology with cross sectional design, 22 people (sample) obtained by purposive sampling technique. The research sample is stroke patient with fatigue. The results of the frequency distribution test showed the average age of respondents 54.68 ± 8.00 with 95% CI 48.90-61.65, female gender (63.6%), mild-moderate emotional disturbance (59.1%) , average post-stroke fatigue score 38.87 ± 7.83 and 95% CI 35.71 - 42.66. Discussion: the characteristics of patients experiencing fatigue is very diverse, it is necessary to see the correlation between characteristics with the incidence of fatigue post stroke


2013 ◽  
Vol 16 (3) ◽  
pp. 644-657 ◽  
Author(s):  
Inês Gullich ◽  
Andrews Barcellos Ramos ◽  
Tiago Rafael Anschau Zan ◽  
Cíntia Scherer ◽  
Raúl Andrés Mendoza-Sassi

Objective: To identify the prevalence of anxiety in adults hospitalized in the clinical ward of a university hospital and to analyze the possible associated factors. Method: A cross-sectional study was performed in a university hospital. All interviewees answered a specific questionnaire and the Hospital Anxiety and Depression Scale. A Poisson regression was used to calculate prevalence ratios with 95% confidence intervals. Results: 282 patients were enrolled. The prevalence of anxiety was 33.7% (95%CI 28.2 - 39.3). Characteristics associated with the outcome were female gender (RP 2.44), age ≥ 60 years (PR 0.65), consultation in primary health care (PR 2.37), estimated time of contact between patient and student > 30 min (RP 1.36), high blood pressure (PR 1.57), diabetes mellitus (PR 1.43), and obesity (RP 1.43). Conclusion: This study found prevalence of high anxiety. It may be associated with certain characteristics of the patients (gender, age, chronic diseases); the medical appointment in primary care and time (estimated by the patient) that the student remained with this patient. The need for a focused approach to mental health care within the hospital has been discussed for a long time. The particularity of this study refers to the environment of a university hospital and to what extent the environment and the patient's relationship with the student are associated with higher prevalence of anxiety.


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