Electronic Theses and Dissertation

PROGRAM STUDI MAGISTER KESEHATAN MASYARAKAT
FAKULTAS KEDOKTERAN UNIVERSITAS SYIAH KUALA

Tesis, Agustus 2021
N.Haryati

Faktor Risiko Komplikasi Neuropati Diabetik di Puskesmas Darul Imarah Tahun 2021
91 Halaman + 21 Tabel + 2 Gambar + Lampiran

Abstrak
Latar Belakang : Diabetes melitus merupakan penyakit tidak menular yang mengalami peningkatan kasus setiap tahun. Diabetes melitus yang tidak terkendali akan menyebabkan terjadinya komplikasi neuropati diabetik. Berbagai penelitian menjelaskan hasil yang berbeda tentang neuropati diabetik. Tujuan : Untuk menganalisis hubungan umur, jenis kelamin, durasi penyakit, kepatuhan minum obat, diet, obesitas, aktifitas fisik, riwayat hipertensi dan riwayat merokok dengan kejadian neuropati diabetik dan menganalis faktor dominan kejadian neuropati diabetik di Puskesmas darul Imarah tahun 2021. Metode : Penelitian ini menggunakan desain cross sectional. Besar sampel 92 responden yang diambil dengan tekhnik consecutive sampling. Variabel independen dalam penelitian yaitu umur, jenis kelamin, durasi penyakit, kepatuhan minum obat, diet, obesitas, aktifitas fisik, riwayat merokok dan riwayat hipertensi. Kejadian neuropati diabetik diukur menggunakan skor Diabetic Neuropathy Symptom (DNS). Analisis bivariat menggunakan uji korelasi chi-square dan Fisher’s Exact Test. Sedangkan analisis multivariat menggunakan uji regresi logistik. Hasil: Ada hubungan antara umur (p = 0,001; OR =18,33), durasi penyakit (p = 0,004; OR = 9,120), kepatuhan minum obat (p = 0,004; OR = 8,296), diet (p = 0,018; OR = 5,333), obesitas (p = 0,022; OR = 4,974), aktifitas fisik (p = 0,006; OR = 7,233), dan riwayat hipertensi (p = 0,010, OR = 6,364) dengan neuropati diabetik. Faktor yang paling dominan adalah aktifitas fisik (p=0,020 ; OR = 8,445, 95% CI = 1,394 < OR < 51,170). Kesimpulan : Faktor yang berpengaruh terhadap kejadian neuropati diabetik adalah umur, durasi penyakit, kepatuhan minum obat, diet, obesitas, aktifitas fisik dan riwayat hipertensi. Faktor dominan adalah aktifitas fisik.

Kata kunci : Diabetes melitus, neuropati diabetik, umur, durasi penyakit, kepatuhan minum obat, diet, obesitas, aktifitas fisik, hipertensi.

MASTER PROGRAM OF PUBLIC HEALTH MEDICINE FACULTY, SYIAH KUALA UNIVERSITY Thesis, August 2021 N.Haryati The Risk Factors of Diabetic Neuropaty Complication at Darul Imarah Public Health Center in 2021 91 Pages + 21 Table+ 2 Pictures + Appendices Abstract Backgrounds : Diabetes mellitus is a non-communicable disease that has increased cases every year. Uncontrolled diabetes mellitus will lead to complications of diabetic neuropathy. A numbers of study showed a different result about diabetic neuropathy. Objective : To analyse the association of age, sex, duration of illness, medication adherence, diet, obesity, physical activity, hypertension history and smoking history with diabetic neuropathy. and to analyse a dominant factor for diabetic neuropaty at Darul Imarah Public Health Center in 2021. Methode: This study used cross sectional design. Sample numbered 92 respondents, The sampling technique used consecutive sampling. Independent variables are age, sex, duration of illness, medication adherence, diet, obesity, physical activity, hypertentension history and smoking history. Presence of diabetic neuropathy measured with Diabetic Neuropaty Symptom (DNS). Bivariate analysis used Chi-square correlation test and Fisher’s Exact Test. Whereas multivariate analysis used logistic regression. There is an association between age (p = 0,001; OR =18,33), duration of illness (p = 0,004; OR = 9,120), medication adherence (p = 0,004; OR = 8,296), diet (p = 0,018; OR = 5,333), obesity (p = 0,022; OR = 4,974), physical activity (p = 0,006; OR = 7,233), and hypertension history (p = 0,010, OR = 6,364) with diabetic neuropathy. The most dominant factor was physical activity (p=0,020 ; OR = 8,445, 95% CI = 1,394 < OR < 51,170). Conclusion : Factors influencing the onset of diabetic neuropathy are age, duration of illness, medication adherence, diet, obesity, physical activity and hypertension history. While the most dominant factor was physical activity. Kata kunci : Diabetes mellitus, diabetic neuropathy , age, duration of illness, medication adherence, diet, obesity, physical activity, hypetension.