scholarly journals Faktor Risiko Kejadian Diabetes Melitus Tipe Dua di RS Bhayangkara Kota Kupang

2019 ◽  
Vol 1 (1) ◽  
pp. 11-20
Author(s):  
Renata Aryndra Sukma Kabosu ◽  
Apris A. Adu ◽  
Indriati Andolita Tedju Hinga

Diabetes mellitus is a disease that causes public health problems because it is one of the causes of deaththroughout the world. This study aimed to analyze the risk factors for type 2 diabetes mellitus. The type ofresearch used is a case control study, with a retrospective approach. The location of this study is in BhayangkaraHospital on Kupang city. The sample in this study was divided into two groups, namely a case sample as muchas 37 people and a control sample as much as 37 people. Research instruments use questionnaires and medicalrecords. The data obtained were analyzed using chi square statistical test. From the results of the study it wasfound that the related factors were: age (p=0,018, OR=3,544; CI= 95%), obesity (p=0.015; OR=3.826;CI=95%), hypertension (p=0.019; OR=3,423; CI=95%), consumption pattern (p=0,017; OR=3,660; CI=95%),stress (p=0,036 OR=3,033; CI=95%). It is expected the hospital provides information through counseling orleaflets about risk and danger factors of Type 2 DM to the community and for community to be able to increaseawareness for risk factors of the Type 2 DM by diligently checking for self-detection so the treatment can bedone as early as possible.

2018 ◽  
Vol 1 (1) ◽  
pp. 69
Author(s):  
Citra Windani Mambang Sari ◽  
Fitri Nurul Khotimah ◽  
Sri Pratiwi Hartati

Diet is one of the main factors related to various diseases including Diabetes Mellitus (DM). High carbohydrate, fat, protein, and low fiber diets can increase the risk of type 2 DM occurrence, especially in the patient’s family as a risk group. Previous research on students with DM families in Central Java still had a high-calorie food consumption pattern. The diversity of population, culture, and age may affect the results. Therefore, this study aimed to describe the diet in the family of patients with type 2 DM in the working area of Puskemas (Community Health Center) Garuda Bandung.This research used a quantitative descriptive method by purposive sampling technique. The respondents in this study involved 46 people who were the children of type 2 DM patients in the working area of Puskesmas Garuda. Dietary data obtained from the food record sheet for 3 days and was calculated using Nutrisurvey software in kilocalories (kcal) as the unit of measurement then the results were categorized based on Consensus Perkeni 2015. Data analysis was using frequency distribution.The results showed that 39 (84.8%) respondents in the diet category less than body requirements, 37 (80.4%) respondents in the category of sufficient carbohydrate intake, 39 (84.6%) respondents in the category of excess fat intake, 45 (97.8%) respondents in the category of adequate protein intake, and 41 (89.1%) respondents in the category of less fiber.The conclusions from this study that almost all families of patients with type 2 DM in the work area of Puskesmas Garuda were in the diet category less than body requirement but with the excess fat intake and less fiber. Based on these results, the nurses in Puskesmas are expected to optimize the outreach programs by addressing families of DM patients to make the diet as an attempt to prevent the risk in the family of patients with type 2 DM.Key words: Diet, DM patients’ families, food record. Gambaran Diet pada Keluarga Pasien Diabetes Melitus Tipe 2AbstrakDiet adalah salah satu faktor utama yang berhubungan dengan berbagai penyakit termasuk Diabetes Melitus (DM). Diet tinggi karbohidrat, lemak, protein, serta rendah serat dapat meningkatkan risiko kejadian DM tipe 2 terutama pada keluarga pasien sebagai kelompok berisiko. Penelitian sebelumnya pada mahasiswa dengan keluarga DM di Jawa Tengah masih memiliki pola konsumsi makanan yang tinggi kalori. Perbedaan populasi, budaya, serta usia mungkin akan mempengaruhi hasil. Oleh karena itu, tujuan penelitian ini untuk menggambarkan diet pada keluarga pasien DM tipe 2 di wilayah kerja Puskemas Garuda Kota Bandung.Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik purposive sampling. Responden dalam penelitian ini berjumlah 46 orang yang merupakan anak kandung pasien DM tipe 2 di Wilayah Kerja Puskesmas Garuda. Data diet diperoleh melalui lembar food record selama 3 hari dihitung mengunakan software Nutrisurvey dengan hasil ukur dalam kilokalori (kcal) yang kemudian hasilnya dikategorikan berdasarkan Konsensus Perkeni 2015. Analisis data menggunakan distribusi frekuensi.Hasil penelitian menujukkan bahwa sebanyak 39 (84,8%) responden dalam kategori diet kurang dari kebutuhan, sebanyak 37 (80,4%) responden dalam kategori asupan karbohidrat cukup, sebanyak 39 (84,6%) responden dalam kategori asupan lemak berlebih, sebanyak 45 (97,8%) responden dalam kategori asupan protein cukup, dan 41 (89,1%) responden dalam kategori serat kurang.Simpulan dari penelitian ini bahwa hampir seluruh keluarga pasien DM tipe 2 di wilayah kerja Puskesmas Garuda berada pada kategori diet kurang dari kebutuhan tetapi dengan asupan lemak berlebih dan serat yang kurang. Berdasarkan hasil tersebut, maka perawat puskesmas diharapkan dapat mengoptimalkan program luar gedung dengan menyasar keluarga penderita DM untuk menjadikan diet sebagai upaya untuk mencegah risiko DM pada keluarga pasien DM tipe 2.Kata kunci : Diet, food record, keluarga pasien DM.


2021 ◽  
Vol 4 (2) ◽  
pp. 511-516
Author(s):  
Eka Anita ◽  
Muhammad Taufik Daniel Hasibuan

Indonesia is the 7th country with the highest incidence of diabetes mellitus (DM) with 8.5 million. Data obtained at Aminah Hospital in 2020 from January to December there were 192 Type 2 DM patients being treated and 3659 patients receiving outpatient treatment. The family has a very important role in the health status of family members who suffer from chronic diseases such as diabetes mellitus. Family support can have a positive impact on compliance with care management in DM patients. The purpose of this study was to determine whether there was a relationship between family support and blood sugar control in type 2 DM patients undergoing treatment at Aminah Hospital. This research method uses descriptive correlation and the sample involved is 48 and to analyze the data using the chi square test. The results of this study showed that there was a significant relationship between family support and blood sugar control in type 2 DM patients with p = 0.000 or p <0.005. Family support is very important to influence blood sugar control and it is hoped that families always provide support to sick family members.   Abstrak Indonesia  merupakan  negara dengan urutan ke 7 dengan kejadian diabetes  melitus (DM)  tertinggi  yaitu dengan  jumlah  8,5  juta. Data yang didapat di RS Aminah pada tahun 2020 dari bulan Januari sampai Desember terdapat 192 pasien DM Tipe 2 yang dirawat dan 3659 pasien yang berobat jalan. Keluarga memiliki peran yang sangat penting terhadap status kesehatan pada anggota keluarga yang mengidap penyakit kronis seperti diabetes mellitus. Dukungan keluarga dapat memberikan dampak positif terhadap kepatuhan manajemen perawatan pada pasien DM. Tujuan penelitian ini untuk melihat ada tidaknya hubungan dukungan keluarga dan kontrol gula darah pada pasien DM tipe 2 yang menjalani perawatan di rumah sakit aminah. Metode penelitian ini menggunakan deskriptif korelasi dan sampel yang terlibat sebanyak 48 serta untuk menganalisis data menggunakan uji chi square. Hasil penelitian ini menunjukan ada hubungan yang signifikan antara dukungan keluarga dengan kontrol gula darah pasien DM tipe 2 dengan nilai p = 0,000 atau p<0,005. Dukungan keluarga sangat penting untuk mempengaruhi kontrol gula darah dan diharapkan keluarga selalu memberikan dukungan kepada anggota keluarga yang sakit.


2020 ◽  
Vol 4 (3) ◽  
pp. 162
Author(s):  
Irfan Irfan ◽  
Israfil Israfil

ABSTRAKTujuan penelitian: mengetahui faktor risiko: usia, jenis kelamin, tekanan darah, konsumsi obat, cek kesehatan, dan diet terhadap kejadian komplikasi kardiovaskuler pada pasien Diabetes Melitus Tipe 2 di Puskesmas Sikumana Kota Kupang. Metode: Desain penelitian yang digunakan adalah analitik non eksperimen dengan rancangan case control. Sampel penelitian sebanyak 74 orang pasien DM tipe 2 yang terbagi dalam 37 orang sampel kasus dan 37 orang sampel kontrol. Data hasil penelitian dianalisis dengan menggunakan uji statistik regresi logistik dengan nilai signifikan α<0,05 dan OR>1. Hasil: 51,4% responden kelompok kasus mengalami komplikasi vaskuler ke otak (stroke non hemoragik/ SNH), 37,8% mengalami komplikasi vaskuler ke jantung (coronaria artery diseases/CAD), 8,1% responden kelompok kasus mengalami komplikasi SNH+coronary artery disease (CAD), dan 2,7% mengalami Angina Pectoris. Faktor risiko komplikasi: usia (p=0,32, OR=0,19), jenis kelamin (p=0,14, OR=13,2), tekanan darah (p=0,034, OR=0,02), konsumsi obat (p=0,34, OR=43,9), kontrol kesehatan (p=0,43, OR=0,53), diet (p=0,009, OR=3,29). Kesimpulan: kejadian komplikasi kardio vaskuler pada pasien DM tipe 2 di Puskesmas Sikumana Kota Kupang dipengaruhi oleh tekanan darah yang tinggi dan diet yang kurang baik.Kata Kunci: DM tipe 2, komplikasi kardiovaskuler, faktor risikoRisk Factor for the Occurrence of Cardiovascular Complications in Type 2 Diabetes Mellitus (DM) Patients ABSTRACTObjective: the objective of the study is knowing risk factors: age, sex, blood pressure, drug consumption, health check, and diet for the occurrence of cardiovascular complications in Type 2 Diabetes Mellitus (DM) patients at Puskesmas Sikumana Kota Kupang. Methods: The research design used was non-experimental analytic with case control design. The study sample was 74 type 2 DM patients divided into 37 case samples and 37 control samples. Data were analyzed using logistic regression statistical tests with significant values α<0.05 and OR>1. Results: The results showed 51.4% of case group respondents had vascular complications to the brain (non-haemorrhagic stroke/SNH), 37.8% having vascular complications to the heart (coronary artery diseases/CAD), 8.1% of case group respondents had SNH+CAD complications, and 2.7% had Angina Pectoris. Risk factors for complications; age (p=0.32, OR=0.19), sex (p=0.14, OR=13.2), blood pressure (p=0.034, OR=0.02), drug consumption (p=0.34, OR=43.9), health control (p=0.43, OR=0.53), diet (p=0.009, OR=3.29). Conclusion: the incidence of cardio vascular complications in type 2 DM patients at the Sikumana Public Health Center in Kupang City was influenced by blood pressure and poor diet.Keywords: DM type 2, cardiovascular complications, risk factors


2012 ◽  
Vol 42 (1) ◽  
Author(s):  
Melinda M ◽  
Muyassaroh M ◽  
Zulfikar Z

Background: Age, hypertension, diabetes mellitus, hypercholesterolemia, and smoking could be expected to affect the incidence of presbycusis. There is no data on risk factors of presbycusis in Dr. Kariadi Hospital Semarang. Purpose: To analyze how age, hypertension, diabetes mellitus. hypercholesterolemia, and smoking affect the incidence of presbycusis in Dr. Kariadi Hospital Semarang. Methods: Analytic case-control study on 90 elderly subjects in Geriatry clinic, Kariadi Hospital Semarang from April to June 2011. Basic data and risk factors were taken from medical records. Otoscopy examination performed followed by audiometry and timpanometry tests. Presbycusis was determined if the timpanogram was type-A and the audiogram symmetric bilateral SNHL. Statistical analysis by Chi square test, OR and logistic regression. Results: Obtained 45 subjects presbycusis (+) and 45 subjects presbycusis (-), most presbycusis subjects were in the age <75 years, which were 29 (32.2%). Age found affected the incidence of presbycusis (p = 0.030, OR = 2.995, CI = 1.090 to 8.233), hypertension found affected the incidence of presbycusis (p = 0.018, OR = 2.813, CI = 1.177 to 6.721). Diabetes mellitus, hypercholesterolemia, and smoking habits found had no effect on the incidence of presbycusis. Conclusion: Age and hypertension alone or combined were found to affect the incidence of presbycusis. Diabetes mellitus,  hypercholesterolemia, and smoking were not affecting the incidence of presbycusis. Key words: Presbycusis, risk factors, elderly patients, hypertension.   Abstrak :  Latar belakang: Faktor risiko usia, hipertensi, diabetes melitus, hiperkolesterol dan kebiasaan merokok diduga dapat berpengaruh terhadap kejadian presbikusis. Belum terdapat data mengenai faktor risiko presbikusis di RSUP Dr.Kariadi, Semarang. Tujuan: menganalisis bagaimana pengaruh faktor usia, hipertensi, diabetes melitus (DM), hiperkolesterol, dan kebiasaan merokok terhadap kejadian presbikusis di RSUP DR. Kariadi Semarang. Metode: Penelitian analitik pada 45 kasus dan 45 kontrol pada subyek usia lanjut di klinik Geritatri RSUP Dr. Kariadi, Semarang pada periode April-Juni 2011. Data dasar  dan faktor risiko diambil dari rekam medik. Dilakukan pemeriksaan otoskopi dan audiotimpanometri.  Presbikusis bila gambaran timpanogram tipe A dan audiogram kurang pendengaran sensorineural simetris bilateral. Analisis statistik dilakukan dengan Uji Chi square, OR dan regresi logistik. Hasil: Didapatkan 45 subyek presbikusis(+) dan 45 subyek presbikusis(-), usia terbanyak yang menderita presbikusis <75 tahun sebanyak 29 (32,2%). Usia berpengaruh terhadap kejadian presbikusis (p=0,030, OR=2,995, CI=1,090–8,233), hipertensi berpengaruh terhadap kejadian presbikusis (p=0,018, OR=2,813, CI=1,177– 6,721). Diabetes melitus, hiperkolesterol, dan kebiasaan merokok tidak berpengaruh terhadap kejadian presbikusis. Kesimpulan: Usia, hipertensi secara sendiri sendiri atau bersama-sama berpengaruh terhadap kejadian presbikusis. Diabetes mellitus, hiperkolesterol, dan kebiasaan merokok tidak berpengaruh  terhadap kejadian presbikusis. Kata kunci : Presbikusis, faktor risiko, usia lanjut, hipertensi.


2021 ◽  
pp. 105477382110464
Author(s):  
Emine Karaman ◽  
Aslı Kalkım ◽  
Banu Pınar Şarer Yürekli

In this study was to determine knowledge of cardiovascular disease (CVD) risk factors and to explore related factors among adults with type 2 diabetes mellitus (DM) who have not been diagnosed with CVD. This descriptive study was conducted with 175 adults. Data were collected individual identification form and Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) scale. A negative correlation was found between age and CARRF-KL score. A significant difference was found between educational status and CARRF-KL score. The individuals described their health status as good, managed their condition with diet and exercise, received information from nurses, adults with DM in their family and those with no DM complications had significantly higher scores in CARRF-KL. The knowledge of an individual with DM about CVD risk factors should be assessed, CVD risks should be identified at an early stage, and individuals at risk should be subjected to screening.


2020 ◽  
Vol 15 (1) ◽  
pp. 46-50
Author(s):  
Muhammad Basri ◽  
Baharuddin K ◽  
Sitti Rahmatia

Diabetes Melitus (DM) merupakan salah satu kelompok penyakit metabolik dan kronis dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin, kerja insulin atau keduaduanya yang membutuhkan perawatan medis dan pendidikan pengelolaan mandiri untuk mencegah komplikasi akut jangka panjang (Nian, 2017). Tujuan penelitian ini adalah Mendeskripsikan hubungan kualitas tidur dengan kadar glukosa darah Puasa pada pasien DM tipe II di PKM Kassi-Kassikota Makassar. Manfaat : Meningkatkan pengetahuan pada Penderita DM Tipe II yang mengalami gangguan Kwalitas dan Pola Tidur shari-hari Meningkatkan pengetahuan pada Penderita DM Tipe II yang mengalami gangguan Kwalitas dan Pola Tidur shari-hari Metode : Pada penelitian ini menggunakan desain cross sectional, jenis penelitian ini menggunakan metode analitik yaitu metode penelitian yang dilakukan dengan tujuan untuk mengetahui hubungan antara Kualitas tidur dengan kadar glukosa darah puasa pada pasien DM Tipe II. Sampel menggunakan purposive sampling dengan menggunakan rumus Slovin dengan jumlah sampel  55  orang  yaitu  seluruh pasien DM tipe 2 yang menjalani rawat jalan di PKM Kassi-Kassi Kota Makassar. Hasil Uji Statistik Chi Square diperoleh p value 0,000 < 0,05.sehingga peneliti berasumsi bahwa  ada hubungan antara kualitas tidur dengan kadar glukosa darah pada pasien DM Type 2 di Puskesmas Kassi-Kassi Makassar.  Kesimpulan yaitu terdapat hubungan kualitas tidur dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 di Puskesmas Kassi-Kassi Makassar. Saran dapat dijadikan sebagai salah satu acuhan bagi pasien diabetes melitus tipe 2 untuk meningkatkan kualitas tidur dan menjaga kadar glukosa darah puasa


2020 ◽  
Vol 2 (2) ◽  
pp. 94
Author(s):  
Hafizha Firdaus Al-Fuady ◽  
Bambang Purwanto ◽  
Soebagijo Adi Soelistijo

AbstrakLatar Belakang: Diabetes melitus tipe 2 menjadi penyebab kematian nomer 3 di Indonesia. Kelebihan berat badan atau lingkar pinggang diatas normal dan kadar HDL-c rendah merupakan faktor risiko diabetes melitus tipe 2. Faktor risiko tersebut dapat diatasi salah satunya dengan olahraga. Senam PERSADIA 1 dirancang khusus untuk pencegahan diabetes. Namun, efek dari senam ini dalam menurunkan lingkar pinggang dan meningkatkan rasio HDL-c LDL-c belum pernah diteliti.Metode: Desain penelitian ini adalah eksperimen lapangan. Pengaruh Senam PERSADIA 1 terhadap lingkar pinggang dan rasio HDL-c LDL-c dianalisis dengan uji statistik deskriptif, uji normalitas saphiro wilk-test, uji beda berpasangan paired t-test / Wilcoxon-test.Hasil: Penelitian ini melibatkan 12 ibu-ibu PKK Lidah Wetan Gang V RW 2 Surabaya. Dari hasil analisis, terdapat penurunan rerata lingkar pinggang dan bermakna namun sedikit (p= 0,032), tidak ada peningkatan kadar HDL-c yang bermakna (p= 0,301), terdapat penurunan rerata LDL-c namun belum bermakna (p= 0,755), terdapat peningkatan rerata rasio HDL-c LDL-c namun belum bermakna (p= 0,303).Kesimpulan: Senam PERSADIA 1 dapat menurunkan lingkar pinggang namun sedikit dan belum dapat meningkatkan rasio HDL-c/LDL-c pada wanita secara bermakna menurut statistika. Diperlukan penelitian lebih lanjut dengan menambah waktu pelaksaan senam dan mengontrol energy intake subjek penelitian. Kata Kunci:. Diabetes melitus, Senam PERSADIA 1, lingkar pinggang, rasio HDL-c LDL-c, wanita AbstractBackground: Type 2 diabetes mellitus is the third causes of death in Indonesia. Overweight or waist circumference above normal and low HDL-c levels are risk factors for type 2 diabetes mellitus. One of the risk factors can be resolve with exercise. First series PERSADIA exercise is specifically designed for the prevention of diabetes. Howefer, the effect of this exercise in reducing waist circumference and increase ratio HDL-c LDL-c had never been proven.Method: The design of this study was a field experiment. The effect of first series PERSADIA exercise on waist circumference and HDL-c LDL-c ratio was analyzed by descriptive statistical test, saphiro wilk-test for normality test, paired t-test / Wilcoxon-test for different paired test.Result: This study involved 12 Women lived in Lidah Wetan Gang V RW 2 Surabaya. From the analysis, there was a decrease in mean waist circumference and significant but slightly (p = 0.032), there was no significant increase in HDL-c levels (p = 0.301), there was a decrease in LDL-c mean but it was not significant (p = 0.755), there was an increase in the mean HDL-c LDL-c ratio but it was not significant (p = 0.303).Conclusion: First series PERSADIA exercise has been able to reduce waist circumference but slightly and not able to increase HDL-c / LDL-c ratio significantly in women according to statistics. Further research is needed by increasing the exercise time and controlling the energy intake of subjects. Keywords: diabetes mellitus, first series PERSADIA exercise, waist circumference, HDL-c LDL-c ratio, women 


Author(s):  
Made Krisna Adi Jaya ◽  
Dewa Ayu Swastini ◽  
Baiq Leny Nopitasari ◽  
Putu Rika Veryanti

Background: Diabetic Peripheral Neuropathy (DPN) is a microvascular complication that commonly occurs in people with diabetes mellitus. Geriatrics with type 2 diabetes mellitus is one of the populations most vulnerable to this complication. An epidemiological study states that geriatrics has a 32% greater risk of developing this complication compared to other age groups. There have not been many studies conducted to evaluate the risk factors that influence this DPN complication, so it needs to be done an individual evaluation for the elderly population. Objective: This study aims to explore the risk factors that influence the incidence of DPN in elderly patients with type 2 diabetes mellitus. Methods: A case-control study design was carried out on 70 geriatrics with type 2 diabetes mellitus. The outcome determined was the incidence of DPN to track the cause of DPN exposure retrospectively. Influential risk factors are determined by the Odds Ratio (OR) with a 95% confidence interval (CI). All statistical analyzes were two-tailed, and p-values <0.05 were considered as statistically significant. Results: Seven factors influence the incidence of DPN in the elderly consisting of smoking history (OR=13.1), uncontrolled lipid profile (OR=5.1), non-neuroprotector users (OR=5.6), uncontrolled blood glucose (OR=42.7), history of heart disease (OR=9.0), uncontrolled blood pressure (OR=4.3), and BMI above normal (OR=5.1). Conclusion: Strong recommendation for medical personnel to focus attention on seven significant risk factors affected complications of DPN to reduce its progression or prevent upcoming complications.


Author(s):  
Rama Lakshmi G. ◽  
Bandyopadhyay S.S. ◽  
Bhaskar L.V.K.S. ◽  
Sharma Madhubala ◽  
Rao Raghavendra V.

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