scholarly journals Model Regresi Cox dan Aplikasinya dalam Menganalisis Ketahanan Hidup Pasien Penderita Diabetes Mellitus di Rumah Sakit Bhayangkara Makassar

2019 ◽  
Vol 1 (1) ◽  
pp. 62
Author(s):  
Wahidah Sanusi ◽  
A Alimuddin ◽  
S Sukmawati
Keyword(s):  
Diabetes Mellitus ◽  
Regression Model ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Cox Regression ◽  
Cox Model ◽  
Proportional Hazard ◽  
Cox Proportional Hazard ◽  
Rate Of Recovery ◽  
Extended Cox Model

Abstrak. Analisis tahan hidup adalah salah satu prosedur statistik untuk melakukan analisa data berupa waktu tahan hidup dan variabel yang mempengaruhi waktu tahan hidup. Pada penelitian ini analisis tahan hidup diaplikasikan pada kasus diabetes mellitus di Rumah Sakit Bhayangkara Makassar pada tahun 2016. Salah satu metode analisis tahan hidup yang digunakan adalah model Regresi Cox Proporsional Hazard. Penggunaan model regresi cox proporsional hazard harus memenuhi asumsi proporsional hazard. Penelitian ini juga menggunakan  distribusi eksponensial dua parameter untuk menentukan fungsi hazard dan metode Breslow dalam membentuk model cox terbaik. Dari hasil penelitian diperoleh faktor-faktor signifikan yang mempengaruhi waktu tahan hidup adalah umur dan kadar gula darah, namun faktor kadar gula darah tidak memenuhi asumsi proporsional hazard, sehingga digunakan Model Cox Extended untuk memperbaiki model cox proporsional hazard. Covariate yang tidak memenuhi asumsi proporsional hazard dalam model cox extended dinteraksikan dengan fungsi waktu . Model Cox Extended pada akhirnya memberikan informasi tentang faktor -faktor yang berpengaruh signifikan terhadap waktu tahan hidup yaitu umur dan kadar gula darah terikat waktu, dimana setiap individu yang berumur kurang dari 45 tahun memiliki resiko kegagalan 0,015 kali lebih kecil dibandingkan dengan pasien yang berumur lebih dari 45 tahun dan individu yang kadar gula darahnya tinggi memiliki resiko kegagalan sebesar 1,128 kali lebih besar dibandingkan dengan pasien yang memiliki kadar gula darah rendah dan normal.Kata Kunci: Analisis Tahan Hidup, Regresi Cox Proporsional Hazard, Diabetes Mellitus, Model Cox ExtendedAbstract. Survival analyze is one of the statistical procedures to analyze data survival time and variable that will affect the rate of recovery of patients. In this research, survival analyze was applicated by diabetes mellitus case in Bhayangkara Hospital Makassar 2016. One of the methods survival analyze used is cox regression model with proportional hazard. The use of cox regression model with proportional hazard must fulfill assumption of proportional hazard. This research also use 2-parameter exponential distribution to determine of hazard function and Breslow method to shaping the best of cox model. From the results of the research give conclusion that factors affecting of time recovery are age and blood sugar level. But the blood sugar level factor does not fulfill the proportional hazard assumptions. So that the extended cox model was used to improve the cox proportional hazard model. Variables that does not fulfill the proportional hazard assumption in the extended cox model are interacted with the time function . Finally, the extended cox model give information about the factors most affect the rate of recovery are age and time bound blood sugar level. Every individual less than 45 years old has a 0,015 times greater risk of failure than patients older than 45 years old and individuals with high blood sugar level had a risk of failure is 1,128 times greater than the low and normal blood sugar level Keywords:  Survival Analyze, Cox Proportional Hazard Regression, Diabetes Mellitus, Extended Cox Model

PENGARUH SENAM KAKI TERHADAP KADAR GULA DARAH PADA PASIEN DENGAN DIABETES MELITUS

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Niken Sukesi
Keyword(s):  
Diabetes Mellitus ◽  
Kidney Disease ◽  
Blood Sugar ◽  
Research Design ◽  
Blood Circulation ◽  
Blood Sugar Level ◽  
Consecutive Sampling ◽  
Post Test ◽  
The One ◽  
Diabetes Melitus

Penyakit Diabetes Melitus dapat menyebabkan komplikasi yang sangat berat. Komplikasi dari Diabetes Melitus ini meliputi jantung iskemik, serebrovaskuler, gagal ginjal, ulkus pada kaki, gangguan penglihatan. Komplikasi yang paling sering terjadi adanya perubahan patologis pada anggota gerak bawah yang disebut kaki diabetik. Salah satu jenis olahraga yang dianjurkan dengan diabetes mellitus adalah senam kaki. Senam kaki merupakan latihan yang dilakukan bagi penderita DM atau bukan penderita untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki. Penelitian ini bertujuan untuk menganalisis pengaruh senam kaki terhadap kadar gula darah pasien diabetes mellitus. Desain dalam penelitian ini adalah Quasy Eksperiment dengan rancangan Pre and Post Test Without Control. Teknik pengambilan sampel menggunakan Consecutive sampling. Alat pengumpul data yang digunakan instrument observasi senam kaki untuk menilai senam kaki, dan alat menilai kadar gula darah yaitu glucometer, kapas dan jarum. Rata-rata kadar gula darah sebelum dan setelah dilakukan senam kaki mengalami penurunan dan ada pengaruh kadar gula darah sebelum dengan sesudah dilakukan senam kaki pada pasien diabetes melitusKata Kunci: Senam Kaki, Kadar Gula Darah THE EFFECT OF GYMNASTIC FEET TOWARD THE BLOOD SUGAR LEVEL FOR THE DIABETICSDiabetes Mellitus causes the complication case. It concludes the heart iskemik, serebrovaskuler, cronic kidney disease, ulcus on the feet, and the impairment of sight. The complication often causes the changing of pathological in certain place such as feet. The one of recommended sport for diabetics is gymnastic feet. Gymnastic feet is an experience for diabetics or not in order to prevent the wound and launch the blood circulation. The research objective is to analyze the effect of gymnastic feet to blood sugar level for diabetics. The research design is using experiment quasy with pre and post test without control. It is using consecutive sampling as the sample of collecting technique, and using observation of gymnastic feet as the collecting data technique to assess the blood sugar level, those are glucometer, cotton, and needle. The average of blood sugar level is decrease after doing the gymnastic feet. Moreover, there is differences between after and before doing the gymnastic feet for diabetics.Key Words : Gymnastic Feet, Blood sugar level

HUBUNGAN LINGKAR PINGGANG DENGAN KADAR GULA DARAH PADA PENDERITA DIABETES MELITUS TIPE 2 DI PUSKESMAS BOTANIA KOTA BATAM

2020 ◽  
Vol 9 (2) ◽  
pp. 36-44
Author(s):  
Dyah Marianingrum ◽  
Ibrahim ,
Keyword(s):  
Diabetes Mellitus ◽  
Waist Circumference ◽  
Mortality Rate ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Univariate Analysis ◽  
International Diabetes Federation ◽  
Survey Method ◽  
Rank Test ◽  
Spearman Rank

According to the 2017 International Diabetes Federation, the global prevalence rate of Diabetes Mellitus sufferers of 8.8% of the total population in the world from year to year shows an increase. The number of deaths that occurred as many as 4 million people in 2017. The western Pacific region including Indonesia has the highest mortality rate compared to all regions with a mortality rate of 1.3 million in adults. This shows the awareness of the sufferers of Diabetes Mellitus for routine check-ups to health centers is still lacking. According to the 2013 Basic Health Research, the prevalence of people with diabetes mellitus in Indonesia based on a diagnosis or symptoms of 2.1% increased from previous research of 1.1%. The prevalence of DM in Riau Islands Province increased from 0.8 to 1.5%. According to Batam City Health Office data in 2016, the incidence of Diabetes Mellitus in several Puskesmas with 3,724 visits, Botania Puskesmas was the third highest after Lubuk Baja and Balik Padang. This study used a survey method with a cross-sectional approach. The population in this study was Type 2 diabetes mellitus patients who examined themselves at the Botania Health Center in Batam City. Sampling using a purposive sampling technique with criteria established by researchers. The dependent variable in this study is blood sugar level because it is a diagnosis of diabetes mellitus while the independent variable is the measurement of waist circumference. Data analysis using the Spearman rank test. The results of the univariate analysis showed 73.7% of the majority of respondents had a high sugar level. Bivariate analysis with the Spearman Rank test, the results of the analysis found there is a relationship between waist circumference size and blood sugar levels (P-value = 0.341) with the direction of a positive relationship and the strength of the relationship is sufficient (r = 0.409). There is a significant relationship between waist circumference size and blood sugar level with sufficient strength of a relationship

scholarly journals Pengaruh Edukasi Senam Kaki Diabetes Mellitus Berbahasa Tetum Terhadap Sirkulasi Ekstremitas Bawah Dan Kadar Gula Darah Sewaktu Di Centru Saude Comoro, Dili, Timor Leste.

2020 ◽  
Vol 5 (1) ◽  
pp. 16-24
Author(s):  
Carmelita Barros ◽  
Fitri Arofiati
Keyword(s):  
Diabetes Mellitus ◽  
Lower Extremity ◽  
Blood Sugar ◽  
Blood Circulation ◽  
Blood Sugar Level ◽  
Statistical Tests ◽  
Wilcoxon Test ◽  
Timor Leste ◽  
Post Test ◽  
Sugar Levels

ABSTRACT Diabetes mellitus (DM) in Indonesia is better known as diabetes and in Timor Leste DM known as Ra'an Midar has become a very serious health problem, and is the most common endocrine disease. Diabetes mellitus is a degenerative disease that is characterized by metabolic disorders or pancreatic damage so that the pancreas is unable to produce enough insulin to the maximum so that it can cause insulin deficiency in the body both absolute and relative can increase blood sugar levels or hyperglycemia. Data from the Dili District Health Office in 2018 showed that there were 2690 patients with diabetes mellitus, so that diabetic foot exercises were needed. The purpose of this study was to determine the effect of Tetum Language Diabetes Foot Gymnastic Education on Lower Circulation and Lower Blood Sugar Levels at the Saude Comoro Center, Dili, Timor Leste. Method : using the Pre-Experiment method. Independent variable: Education of Tetum Language Diabetes Foot Gymnastics Education, dependent variable: Circulation of Lower Extremity and Blood Sugar Level at a Time. Population 100 people, sample 28 people, sample technique: simple random, data collection: Examination of blood sugar levels, blood circulation, statistical tests: Wilcoxon Test. Results : Most respondents who had good blood circulation were 15 pre- test (53.6%) and 18 post-test (64.3%). And the majority of respondents whose blood sugar levels were good were 14 people pre-test (50.0%) and 20 people post test (71.4%). Based on the results of statistical tests using the Wilcoxon Signed Rank Test, the value of blood circulation is a significant level of 0.005 and the blood sugar level is at a significant level of 0,000. Conclusion : Conclusion there is the influence of Education on Tetun Language Diabetes Foot Gymnastics on Lower Extracurricular Circulation and Blood Sugar Levels At the Saude Comoro Center, Dili, Timor Leste.  Keyword: Leg exercise, lower extremity bloodd circulation, Blood sugar levels, Diabetes mellitus.

scholarly journals PERBANDINGAN MODEL REGRESI COX PROPORTIONAL HAZARD MENGGUNAKAN METODE BRESLOW DAN EFRON (Studi Kasus: Penderita Stroke di RSUD Tugurejo Kota Semarang)

2019 ◽  
Vol 8 (1) ◽  
pp. 93-105
Author(s):  
Eri Setiani ◽  
Sudarno Sudarno ◽  
Rukun Santoso
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Regression Model ◽  
Diastolic Blood Pressure ◽  
Proportional Hazard ◽  
Hazard Regression ◽  
Cox Proportional Hazard ◽  
History Of ◽  
Cox Proportional Hazard Regression ◽  
Sugar Levels

Cox proportional hazard regression is a regression model that is often used in survival analysis. Survival analysis is phrase used to describe analysis of data in the form of times from a well-defined time origin until occurrence of some particular even or end-point. In analysis survival sometimes ties are found, namely there are two or more individual that have together event. This study aims to apply Cox model on ties event using two methods, Breslow and Efron and determine factors that affect survival of stroke patients in Tugurejo Hospital Semarang. Dependent variable in this study is length of stay, then independent variables are gender, age, type of stroke, history of hypertension, systolic blood pressure, diastolic blood pressure, blood sugar levels, and BMI. The two methods give different result, Breslow has four significant variables there are type of stroke, history of hypertension, systolic blood pressure, and diastolic blood pressure, while Efron contains five significant variables such as type of stroke, history of hypertension, systolic blood pressure, diastolic blood pressure and blood sugar levels. From the smallest AIC criteria obtained the best Cox proportional hazard regression model is Efron method. Keywords: Stroke, Cox Proportional Hazard Regression model, Breslow method, Efron method.

scholarly journals Senam Prolanis Dm Dan Jalan Kaki Terhadap Penurunan Kadar Gula Darah Pada Penderita Diabetes Millitus Tipe II Di Klinik UMP Purwokerto

2021 ◽  
Vol 6 (2) ◽  
pp. 94
Author(s):  
Agus Sutiono ◽  
Dedy Purwito
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
The Body ◽  
Rank Test ◽  
Type Ii ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Sugar Levels ◽  
Blood Glucose Monitor

Diabetes mellitus is one of cronical degenerative disease. The prevalence of sufferers continues to increase every year, one of the non-pharmacological therapies is exercise such as gymnastics prolanis DM and walking exercises to decrease the glucose level by the body muscles during the physical body. Objective this research is to find out the effectiveness of Prolanis and walking exercises in reducing blood sugar levels in DM patients type II. Method this study uses the Quasi experiment with pre and post with two group design. The study population was 92 DM patients type II with a sample of 82 people. Glucometer (Auto check blood glucose monitor) is used to collect the data. Wiloxon Test is used to analyze the statistical data. Results the research shows that the value of Prolanis Exercises (DM) is p=0.002 which means a significant influence on decrease of the sugar level of DM patients type II. Meanwhile the value of walking exercises is p=0.001. From the statistic test of WIlconxon Signed Rank Test, It obtained Z correlation = 7.886. It means that there is a significant correlation between Prolanis and walking exercises towards the decrease of blood sugar level of Diabetes Mellitus patients type II. Physical activities done regularly, measurably, and correctly are suggested to be considered as non-pharmacological therapies for Diabetes Mellitus patients type II to decrease blood sugar level. Keywords: Prolanis Exercises (DM), Walking, sugar blood level.

scholarly journals Penggunaan Insulin Basal dalam Praktek Sehari-hari: Panduan Praktis untuk Dokter Umum

2017 ◽  
Vol 8 (2) ◽  
pp. 53
Author(s):  
Dani Rosdiana
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Blood Sugar ◽  
Basal Insulin ◽  
Hba1c Level ◽  
Blood Sugar Level ◽  
Fasting Blood Glucose ◽  
Effective Agent ◽  
Best Parameter ◽  
Prevalence Of Diabetes Mellitus

Prevalence of diabetes mellitus in Riau have reached 10,4 %, it’s higher than national pravelence. Hence, it’s needmore attention from physician. The important thing in managing DM is how to restrain controlled blood sugar level.The best parameter to evaluate controlled blood sugar level is level of HbA1c. Fasting blood glucose is one ofimportant component which determine HbA1c especially HbA1c more than 8,5%. There are some pharmacologyagent to decrease HbA1c level, and insulin is the most effective agent. Why physician needs insulin?It was caused by impairment of betha cell pancreas was directly propotional with DM progressiveness. Comprehensionand capability for using basal insulin are important to physician, not only for internist but also for general practinioner.As we know that general practinioner have a competency to manage DM without complication. Guidance for usingsimple and practical basal insulin is expected will facilitate physician to manage blood sugar level of DM patient.

scholarly journals “Japanese Ants (Tenebrio Molitor) Stabilize Blood Sugar Levels For Diabetics”: The Current Issue OF Herbal Medicine In Indonesia"

2018 ◽  
Vol 2 (02) ◽  
pp. 164-168
Author(s):  
Asirotul Marifah Marifah
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Sampling Technique ◽  
Lower Blood ◽  
Patients With Diabetes ◽  
Independent Variable ◽  
Sugar Levels ◽  
The Relationship ◽  
Different Doses

There are still many of our people who have never heard or even seen the shape of the Japanese ants, so sometimes people consume Japanese ants with different doses between people with each other and even some who consume Japanese ants are not appropriate doses because they want to get well soon. The purpose of research to know the relationship between consumption patterns of Japanese ants and blood sugar levels of people with diabetes mellitus. The design of this study is correlational analytic with crossectional approach. Variables of this research there are two that is the pattern of consumption of Japanese ants as an independent variable and blood sugar levels as the dependent variable. The population of this study was all patients with diabetes Mellitus who had suffered > 5 years who consumed Japanese ants in Grinting Village Karangjeruk Village Jatirejo Subdistrict Mojokerto regency as many as 10 respondents. in the sampling of researchers using total sampling technique. Data collection with an observation sheet of Japanese ant consumption and blood sugar level. The result of the research showed that most of the respondents consume Japanese ants regularly as much as 6 respondents (60%) and most respondents have blood sugar level in the normal category that is between 100-125 mg/dl as many as 6 respondents (60%). Consumption Japanese ants can routinely lower blood sugar levels of people with diabetes mellitus because ants contain enzymes that can keep blood sugar levels diabetics.

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