scholarly journals GAMBARAN DISFUNGSI EREKSI DAN HUBUNGAN DIABETES MELITUS DAN HIPERTENSI TERHADAP KEJADIAN DISFUNGSI EREKSI PADA PENDERITA STROKE DI POLI NEUROLOGI RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Richie Irvanto Ciandra ◽  
Corry N. Mahama ◽  
Melke J. Tumboimbela

ABSTRACT: Stroke is a big health problem in all industrial nations. In Indonesia, the prevalence of stroke keeps on increasing with each passing year. In addition to physical complaints suffered, sexual function may affect the patient’s. Erectile dysfunction is a problem that often arises in stroke patients. Purpose: This research is aimed in understanding describe of erectile dysfunction and the relationship between the risk factor namely diabetes mellitus and hypertension among stroke patients. Methods: The research method used is analytic descriptive with cross sectional approach. The study subjects were 40 men stroke patients, recruited by consecutive sampling in Polyclinic Neurology RSUP Prof. Dr. R. D. Kandou Manado during the period of November to December 2013. The measurement of erectile dysfunction used International Index of Erectile function/IIEF-5. Conclusion: Stroke patients who experience erectile dysfunction by 85%, with the highest amount on mild erectile dysfunction and mild to moderate erectile dysfunction at  35% dan 32,5%. Age most experienced erectile dysfunction are in the age group 35-44 years and >75 years. Low levels of education may suffer from erectile dysfunction is higher than the high education level. And the insiden of erectile dysfunction among stroke patients having risk factor of diabetes mellitus were higher than haven’t (OR=2,391). While hypertension risk factors correlated with a reduced risk of disease (OR=0,771). Keywords: Stroke, erectile dysfunction, diabetes mellitus, hypertension   ABSTRAK: Stroke merupakan masalah kesehatan yang besar di negara-negara industri, prevalensi stroke di Indonesia terus meningkat dari tahun ke tahun. Selain keluhan fisik yang diderita, keadaan fungsi seksual dapat mempengaruhi penderita. Disfungsi ereksi merupakan masalah yang sering timbul pada pasien stroke. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran disfungsi ereksi dan hubungan diabetes melitus dan hipertensi terhadap kejadian disfungsi ereksi pada pasien stroke. Metode: Jenis penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 40 pasien stroke laki-laki yang diambil secara consecutive sampling di Poliklinik Neurologi RSUP Prof. Dr. R. D. Kandou Manado selama bulan November - Desember 2013. Pengukuran disfungsi ereksi menggunakan International Index of Erectile Function/IIEF-5. Simpulan: Pasien stroke yang mengalami disfungsi ereksi sebesar 85% dengan jumlah terbanyak pada disfungsi ereksi ringan dan disfungsi ereksi ringan sampai sedang sebesar 35% dan 32,5%. Umur terbanyak mengalami disfungsi ereksi terletak pada kelompok umur 35-44 tahun dan >75 tahun. Tingkat pendidikan rendah dapat mengalami disfungsi ereksi lebih tinggi daripada yang tingkat pendidikannya tinggi. Dan insiden disfungsi ereksi diantara pasien stroke yang mempunyai faktor resiko diabetes melitus adalah lebih tinggi daripada yang tidak mempunyai faktor resiko tersebut (OR=2,391). Sedangkan faktor resiko hipertensi berkorelasi dengan berkurangnya resiko penyakit (OR=0,771). Kata Kunci: Stroke, disfungsi ereksi, diabetes melitus, hipertensi

2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Natasya Juliani Dodie ◽  
Lydia Tendean ◽  
Benny Wantouw

Abstract: Diabetes mellitus is a condition with excess glucose in the blood which can lead to complications such as chronic diseases, among others cardiovascular disease and sexual dysfunction such as erectile dysfunction. This study aimed to determine the effect of duration of diabetes mellitus on the occurrence of erectile dysfunction. This was an analytic survey with cross sectional study design. Samples were 30 respondents, taken by simple random sampling. Data were collected by using a questionnaire IIEF-5 (International Index of Erectile Function) and the data were univariate analyzed. The results showed that there were 20 people suffered from erectile dysfunction out of 30 respondents. The univariate analysis showed that erectile dysfunction respondents that had diabetes mellitus for 1-4 years were 11 people (36.7%); and that had diabetes mellitus for 5-8 years were 19 people (63.3%). The statistical parametric test T-Test found a significant relationship between the duration of diabetes mellitus and erectile dysfunction with P = 0.025 (a significance level of 0.05). Conclusion: Long duration of diabetes mellitus can lead to erectile dysfunction. Keywords: diabetes mellitus, erectile dysfunction.   Abstrak: Diabetes melitus adalah suatu keadaan dimana terdapat kadar gula berlebihan dalam darah yang dapat mengakibatkan komplikasi berupa penyakit-penyakit kronis seperti penyakit kardiovaskuler dan disfungsi seksual, salah satunya disfungsi ereksi. Penelitian ini bertujuan untuk mengetahui pengaruh lamanya diabetes melitus terhadap terjadinya disfungsi ereksi. Penelitian ini bersifat survei analitik dengan desain penelitian cross sectional. Sampel berjumlah 30 orang yang diambil secara simple random sampling. Data dikumpulkan dengan menggunakan kuesioner IIEF-5 (International Index of Erectile Function) dan data dianalisis secara univariat. Dari penelitian ini didapatkan 20 orang dengan kejadian disfungsi ereksi pada penderita diabetes melitus dari 30 orang responden. Analisa univariat menunjukkan bahwa responden yang mengalami disfungsi ereksi pada pria dengan diabetes melitus selama 1-4 tahun berjumlah 11 orang (36,7%), dan dengan diabetes melitus selama 5-8 tahun berjumlah 19 orang (63,3%). Uji parametrik T-Test memperlihatkan terdapat hubungan bermakna antara diabetes melitus yang lama dengan terjadinya disfungsi ereksi dengan  nilai P = 0,025 dengan tingkat signifikansi 0,05. Simpulan: Diabetes melitus yang lama bisa mengakibatkan terjadinya disfungsi ereksi. Kata kunci: diabetes melitus, disfungsi ereksi.


2018 ◽  
Vol 2 (1) ◽  
pp. 85
Author(s):  
I Ketut Alit Adianta ◽  
Gusti Ayu Wardianti

ABSTRACTDiabetes mellitus (DM) is chronic disease characterized by blood glucose level high than normal. When one of family member suffers from illness, it will affect family condition in managing treatment and caring.This study aimed to identify family burden of patients with Type II DM in Puskesmas III of North Denpasar including objective, subjective, and iatrogenic burden. This study employed descriptive design with cross sectional approach. The study involved 102 respondents with consecutive sampling. Data were collected by questionnaire. Findings indicated that objective burden of family with mild, moderate, and heavy burden were 24.5%, 8.8% and  66.7%; respectively). Subjective burden indicating mild, moderate, and heavy burden were 6.9%, 70.6% and 22.5% respectively. Iatrogenic burden indicating mild, moderate, and heavy burden were 8.8%,  1% and 90.2% respectively. All families experienced heavy burden in caring for patients with DM because of difficulty in treatment.  Keywords: Objective Burden, Subjective Burden, Iatrogenic Burden, Diabetes Mellitus


2021 ◽  
Vol 2 (1) ◽  
pp. 23-28
Author(s):  
Alexander Petra Sihite ◽  
I Gusti Ngurah Pramesemara ◽  
I Wayan Surudarma

Background: Type 2 diabetes mellitus is a metabolic disease that characterized by high blood sugar levels. This condition is often not noticed immediately and usually patient starting to realize it when complications have been occurred. A long-term complication of type 2 DM that occurred in men is erectile dysfunction (ED). ED is a condition when a person is unable to achieve or maintain an erection for sexual intercourse. One factor that influence the occurrence of ED and its severity in type 2 DM patients is the duration of the disease. Objective: The aim of this study was to determine the relationship of type 2 DM duration and the occurrence of ED. Methods: This study is an observational analytic cross-sectional study conducted at the Puskesmas (Public Health Center) Denpasar Barat I. The research data was obtained through medical record data and fill the International Index of Erectile Function (IIEF-5) questionnaire on 36 type 2 DM patients aged around 40-60 years. The statistical analysis used was Fisher's exact test. Results: The results showed that of the 36 samples, 19 (52.8%) samples had type 2 DM <24 months and 17 (47.2%) samples had type 2 DM >24 months. It was found that 5 (13.9%) samples did not experience ED while the rest experienced ED with different severity. There was a significant relationship between the type 2 DM duration and the occurrence of erectile dysfunction at Puskesmas Denpasar Barat I (p = 0.022). Conclusion: Study has found that type 2 DM patients with the longer duration (>24 months)  have a higher occurrence of ED and tended to be more severe compared to those with shorter duration (<24 months). Further studies should be performed with higher number of patients and more controlled risk factor so it will be more accurate in determining the relationship between the duration of type 2 DM and ED.


Jurnal JKFT ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 62
Author(s):  
Popy Irawati ◽  
Arif Firmansyah

Diabetes melitus merupakan sekumpulan gangguan metabolik yang ditandai dengan peningkatan kadar glukosa darah (hiperglikemia) akibat kerusakan pada sekresi insulin, kerja insulin atau keduanya. Tujuan Peneitian Untuk mengetahui factor- dukungan keluarga  yang berhubungan dengan kepatuhan dalam menjalankan diet pada penderita diabetes melitus di Puskesmas Cipondoh Kota Tangerang-Banten. Jenis penelitian ini merupakan penelitian kuantitatif dengan desain deskriptif korelasi menggunakan rancangan cross sectional. Populasi dalam penelitian ini adalah pasien diabetes millietus sebanyak 86 responden. Teknik pengambilan sampel yang dipilih secara non probability sampling yaitu pemilihan sampel yang tidak dilakukan secara acak. Dengan teknik Consecutive Sampling. Hasil uji chi-square dengan menunjukan p value α 0,01 sehingga Ha diterima bahwa terdapat hubungan Dukungan Keluarga Dengan Kepatuhan Diet pada pasien Diabetes Militus. Kesimpulan dari penelitian ini adalah adanya hubungan dukungan keluarga dengan kepatuhan diet pada pasien diabetes mellitus.


2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Rian Panelewen ◽  
Janette M. Rumbayan ◽  
Lusiana Satiawati

Abstract: Diabetes mellitus (DM) is a disease with high blood glucose level due to the inadequasy of insulin. Erectile dysfunction or inability to maintain an erection often occurs among males due to various factors. Males with DM have higher risk of erectile dysfunction compared to those without DM. This study was aimed to determine the relationship of the age of type 2 diabetes mellitus (T2DM) patient and erectile dysfunction. This was an analytical survey study with a cross sectional design. Respondents were all patients with T2DM at the Endocrine Polyclinic of Prof. Dr. R. D. Kandou Hospital Manado from October 2015 to January 2016. There were 38 respondents in this study; most had mild erectile dysfunction (36.8%). The Chi-square analysis showed a significant relationship (p<0.05) between the age of T2DM patients and erectile dysfunction. Conclusion: There was a significant relationship between the age of T2DM patients and erectile dysfunction. The older the patient, the more severe the erectile dysfunction.Keywords: diabetes mellitus, erectile dysfunction Abstrak: Diabetes melitus (DM) adalah penyakit dimana kadar glukosa dalam darah tinggi karena tubuh tidak dapat melepaskan atau menggunakan insulin secara adekuat. Disfungsi ereksi (DE) atau ketidakmampuan mempertahankan ereksi seringkali dialami oleh pria karena berbagai faktor. Laki-laki yang menyandang DM berisiko DE lebih tinggi dibandingkan dengan yang tidak menyandang DM. Penelitian ini bertujuan untuk mengetahui hubungan usia penyandang DMT2 dan tingkat DE. Jenis penelitian ialah survei analitik dengan desain potong lintang. Responden penelitian ialah semua pasien DMT2 di Poliklinik Endokrin periode Oktober 2015-Januari 2016. Hasil penelitian mendapatkan dari 38 responden, terbanyak yang mengalami DE ringan (36,8%). Berdasarkan analisis chi-square didapatkan hubungan bermakna (p <0,05) antara usia penyandang DMT2 dan DE. Simpulan: Terdapat hubungan bermakna antara usia penyandang DMT2 dan disfungsi ereksi. Semakin tinggi usia, semakin parah tingkat disfungsi ereksi yang terjadi.Kata kunci: diabetes mellitus, disfungsi ereksi


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Mario E. Katuuk ◽  
Vandri D. Kallo

Abstract: Motivation of each individual is related to the self-efficacy that each individual has. The low level of client motivation affects client's self-efficacy, so that self-care management of DM patients cannot run well. The purpose of this study is to know the relationship between motivation and self-efficacy in patients with type 2 diabetes mellitus at the GMIM Hospital Pancaran Kasih Manado in 2018. The Design of this study was descriptive analytical with cross sectional approach. The study was conducted at the GMIM Hospital Pancaran Kasih Manado. The sample used was 34 patients. The instruments used were questionnaire demographic characteristics of respondents, motivational questionnaires, and self-efficacy questionnaires tested using the Fisher Exact test. The results of the Fisher Exact statistic test are the relationship between motivation and self-efficacy of patients with Type 2 Diabetes Mellitus at GMIM General Hospital Pancaran Kasih Manado obtained p = 0.026 (α = 0.05). The conclusion is that there is a relationship between motivation and self-efficacy of patients with Type 2 Diabetes Mellitus in RSU GMIM Pancaran Kasih Manado. Keywords: Motivation, Self-Efficacy.Abstrak: Motivasi dari setiap individu berkaitan dengan efikasi diri yang dimiliki oleh masing-masing individu tersebut. Tingkat motivasi klien yang rendah mempengaruhi efikasi diri klien, sehingga manajemen perawatan diri pasien DM tidak dapat berjalan dengan baik. Tujuan dalam penelitian ini ialah diketahui hubungan antara motivasi dengan efikasi diri pada pasien diabetes melitus tipe 2 di RSU GMIM Pancaran Kasih Manado tahun 2018.. Jenis penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di RSU GMIM Pancaran Kasih Manado.. Sampel yang digunakan sebanyak 34 pasien. Instrumen yang digunakan kuesioner karakteristik demografi responden, kuesioner motivasi, dan kuesioner efikasi diri yang diuji menggunakan uji Fisher Exact. Hasil uji statistik Fisher Exact hubungan antara motivasi dengan efikasi diri pasien Diabetes Melitus Tipe 2 di Rumah Sakit Umum GMIM Pancaran Kasih Manado diperoleh nilai p = 0,026 (α = 0,05). Kesimpulan yaitu ada hubungan antara motivasi dengan efikasi diri pasien Diabetes Melitus Tipe 2 di RSU GMIM Pancaran Kasih Manado.Kata Kunci: Motivasi, Efikasi Diri


2019 ◽  
Vol 2 (1) ◽  
pp. 101-108
Author(s):  
Berthiana Berthiana ◽  
Mimin Lestari ◽  
Dian Ana Mutriqah

The world is now inhabited by 171 million people with Diabetes Mellitus (DM) and will double, an estimated 366 million by 2030. Obesity is a risk factor for type II DM. From the results of surveys and observations of researchers at the Palangka Raya Polytechnic, it was seen that some special program class students fall into the category of overweight and obese. This research aims to find out the relationship between overweight and the risk level of type II diabetes melitus in class students specialized in nursing and midwifery courses at Palangka Raya Polytechnic. A quantitative study with correlational studies and research design using a cross-sectional approach. There is a significant relationship between overweight to the risk level of type II DM based on the analysis of chi-square test data, obtained p-value = 0.077. There was a relationship between excess body weight based on body mass index on the risk level of type II DM


2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Sri Suparti ◽  
Sri Purwanti

Katarak merupakan kelainan  lensa mata yang keruh di dalam bola mata. Kekeruhan lensa atau katarak akan mengakibatkan sinar terhalang masuk ke dalam mata sehingga penglihatan menjadi menurun. Banyak faktor dikaitkan dengan katarak, yaitu usia sebagai faktor utama, dan faktor lain seperti penyakit diabetes melitus (DM), pajanan kronis terhadap sinar ultraviolet (sinar matahari), konsumsi alkohol, merokok, tingkat pendidikan, dan pekerjaan. Desain penelitian yang digunakan adalah desain cross sectional subyek penelitian diobservasi hanya satu kali saja dan faktor risiko serta dampak diukur menurut keadaan atau status pada saat observasi. Penelitian ini dilaksanakan untuk mengetahui risiko pekerjaan.Hasil: faktor pekerjaan yang terbukti sebagai faktor risiko terjadinya katarak adalah Satus gizi (p = 0.033; OR adjusted 2.568; 95% CI = 0.962-6851) Umur tua akan berisiko terjadi katarak dengan nilai (p = 0.05 OR adjusted; OR 0.441; 95% CI = 0.962-6851) Kebiasaan merokok (p = 0.001; OR adjusted 5.182 ;95% CI = 1846-14545) Kadar gula darah dalam  tubuh yang lebih dari dua ratus yeng mengalami DM berisiko terjadi katarak dengan nilai (p = 0.000 OR adjusted OR 0.588; 95% CI = 0.740-4.053) Pekerjaan (p = 0.040; OR adjusted OR 5.902 ;95% CI = 0.740-4.053)Simpulan: Umur yang lebih dari empat puluh tahun berisiko 0.441 kali untuk terjadi katarak. Kebiasaan merokok akan berisiko 5.182 kali terjadi katarak. Kadar gula darah yang tinggi lebih dari dua ratus berisiko 0.588 kali terjadi katarak.  Pekerjaan yang terpapar sinar UV secara langsung akan berisiko 5.902 kali terjadi katarak.Kata Kunci: Katarak, Pekerjaan, Faktor Risiko Cataract is an abnormality of eye's lens.Cloudly lens or cataract Will block the ray to the eye so the vision decreases.Many risk factors of cataract these are:Age(the main of risk factor),and other factors are diabetes mellitus(DM),chronic exposure to ultraviolet rays,alchohol,smoking,education,working. Experience design was used cross sectional design and the subject was observed once in experience,risk factor and also the impact measured according to the situations and statues of the observation.this experience did to know the risk factor in work. The result:Risk of work already proven risk to be cataract,statues of nutritions (p:0,033;OR adjusted 2,568;95%,CI:0,962-6851),old age would risk to be cataract with value(p:0,05,OR adjusted;0,441;95%,CI:0,962-6851), habitually of smoking (p:0,001;OR adjusted:5,182;95%CI:1846-14545).glucose in blood more than two hundred of DM risk to be cataract with value p:0,000,OR adjusted 0,588,95%CI:0,740-4,053,working (p:0,040;OR adjusted OR 5,902;95%,CI :0,740-4053).The conclusion:Age more fourty risk 0,441x to be cataract. Habitually of smoking riks 5,182x,glucose in blood more than two hundred risk 0,588x to be cataract,working with UV exposured risk 5,902x to be cataract.Keywords:cataract,working,risk factor.


2019 ◽  
Vol 7 (2) ◽  
pp. 78
Author(s):  
Tri Wijayanto ◽  
Widya Widya

Diabetes melitus merupakan penyakit kronis progresif akibat produksi insulin tidak adekuat yang menimbulkan ketidakmampuan tubuh melakukan metabolisme karbohidrat, protein dan lemak yang mengakibatkan kadar gula darah dalam tubuh meningkat diatas normal atau hiperglikemia. Salah satu faktor yang mempengaruhi kadar gula darah dalam tubuh adalah stress psikologis. Tujuan dalam penelitian ini adalah untuk diketahui hubungan kecemasan dengan kadar gula darah pada pasien diabetes melitus. Penelitian ini menggunakan metode survey analytic dengan pendekatan cross sectional. Populasi pada penelitian ini adalah pasien diabetes mellitus tipe 1 dan tipe 2 dengan jumlah sampel 81 orang, dan teknik sampling yang digunakan adalah consecutive sampling. Pengumpulan data pada penelitian ini mengunakan lembar observasi dan kuesioner kecemasan HRS-A. Uji statistic yang digunakan chi square.  Hasil penelitian didapatkan bahwa sebagian besar responden mengalami kecemasan berat  sebanyak 64,2 % dan paling banyak responden dengan kadar gula darah tinggi > 200 mg/dL sebanyak  49,4%. Ada hubungan kecemasan dengan kadar gula darah pada pasien diabetes melitus dengan p value 0,025 < α  (0,05). Peneliti merekomendasikan  kepada petugas kesehatan agar dapat memberikan edukasi kesehatan kepada pasien diabetes mellitus tentang proses penyakit diabetes melitus dan penatalaksanaannya  untuk mengurangi kecemasan pada pasien diabetes mellitus sehingga kadar gula darah dapat terkontrol.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Daniel Gams Massi ◽  
Gervais Ngoupayou Mountap ◽  
Hervé Edouard Moby ◽  
Frantz Guy Epoupa Ngalle ◽  
Sidick Mouliom ◽  
...  

Background. Stroke is a severe disease due to its morbidity-mortality. It is the first cause of acquired disability including erectile dysfunction (ED). The purpose of this study was to determine the prevalence of ED in stroke patients at the Douala General Hospital, to identify associated factors and to evaluate their quality of life. Materials and Methods. A cross-sectional study was conducted over a period of seven months from November 2016 to May 2017 on two groups of patients in neurology, cardiology, and endocrinology units of the Douala General Hospital (Cameroon): stroke patients (stroke+) and nonstroke patients (stroke-). We collected sociodemographic and clinical data using a preestablished questionnaire. Erectile function was assessed using International Index of Erectile Function (IIEF-5). Associated and predictive factors were determined using univariate and multivariate analyses. Results were significant for a p value < 0.05. Results. A total of 269 patients were included, among them 87 stroke+ (32.34%) and 182 stroke- (67.66%) (controlled group). The mean age was 56.37 ± 12.89 years and 57.18 ± 10.24 years of stroke+ and stroke-, respectively ( p = 0.608 ). Prevalence of poststroke ED was 64.4% ( OR = 3.41 , 95% CI: 1.99-5.82, p < 0.001 ). The average time of occurrence of the poststroke ED was 5 ± 5.85 months. Diabetes and dyslipidemia were the predictive factors of occurrence of poststroke ED. Depression was found both in stroke+ with ED and stroke+ without ED with no difference ( p = 0.131 ). Conclusion. About two-thirds of stroke patients developed ED. Diabetes and dyslipidemia were predictive factors of ED in stroke patients.


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