Universitas Syiah Kuala | ELECTRONIC THESES AND DISSERTATION

Electronic Theses and Dissertation

Universitas Syiah Kuala

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Nurjanah Medika Putri Zendroto, HUBUNGAN LAMA MENDERITA DIABETES DAN KONTROL GULA DARAH TERHADAP DERAJAT PROTEINURIA PADA PASIEN DA. Banda Aceh Fakultas Kedokteran,2024

Hiperglikemia kronik pasien diabetes melitus mempengaruhi terjadinya komplikasi seperti nefropati diabetik yang salah satunya ditandai dengan proteinuria. hba1c merupakan pemeriksaan penting untuk mengetahui kontrol gula darah. tujuan penelitian ini yaitu mengetahui hubungan lama menderita diabetes dengan derajat proteinuria dan hubungan kontrol gula darah dengan derajat proteinuria di rsud dr. zainoel abidin banda aceh. penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional terhadap pasien diabetes melitus di poli endokrin rsudza banda aceh yang memenuhi kriteria penelitian sebanyak 30 sampel. data primer diperoleh dengan wawancara. data berupa hba1c dan urinalisis diperoleh secara sekunder dari hasil laboratorium atau rekam medis. data yang diperoleh diolah secara statistic menggunakan uji kendall tau. berdasarkan hasil analisa, diperoleh bahwa dari 30 sampel penelitian sebagian besar sampel berasal dari kelompok dewasa tengah yaitu 70%, jenis kelamin terbanyak adalah perempuan yaitu 63%. sebagian besar sampel sudah >10 tahun menderita dm (43%). sebagian besar sampel penelitian (87%) memiliki kadar hba1c >7% dan mayoritas sampel (73%) menunjukkan hasil proteinuria negatif. hasil analisa bivariat menunjukkan terdapat hubungan antara lama menderita diabetes dengan derajat proteinuria (p=0,029) dan tidak terdapat hubungan antara kontrol gula darah dan derajat proteinuria (p=0,8441). kesimpulan pada penelitian ini yaitu terdapat hubungan antara lama menderita diabetes dengan derajat proteinuria dan tidak terdapat hubungan antara kontrol gula darah dengan derajat proteinuria pada pasien diabetes melitus. kata kunci: diabetes melitus, lama menderita, kontrol gula darah, hba1c, proteinuria



Abstract

Chronic hyperglycemia in patients with diabetes mellitus affects the occurrence of complications such as diabetic nephropathy, one of which is characterized by proteinuria. HbA1c is an important examination to determine blood sugar control. The purpose of this study was to determine the relationship between the duration of diabetes with the degree of proteinuria and the relationship between blood sugar control with the degree of proteinuria at RSUD Dr. Zainoel Abidin Banda Aceh. This study was an observational analytic study with a cross sectional approach to patients with diabetes mellitus in the endocrine clinic of RSUDZA Banda Aceh who met the research criteria as many as 30 samples. Primary data was obtained by interview. Data in the form of HbA1c and urinalysis were obtained secondarily from laboratory results or medical records. The data obtained were statistically processed using the Kendall Tau test. Based on the results of the analysis, it was found that of the 30 research samples, most of the samples came from the middle adult group (70%), the most gender was female (63%). Most of the samples had suffered from DM for >10 years (43%). Most of the study samples (87%) had HbA1c levels >7% and the majority of samples (73%) showed negative proteinuria results. The results of bivariate analysis showed that there is a relationship between the length of time suffering from diabetes and the degree of proteinuria (p=0.029) and there is no relationship between blood sugar control and the degree of proteinuria (p=0.8441). The conclusion of this study is that there is a relationship between the duration of diabetes and the degree of proteinuria and there is no relationship between blood sugar control and the degree of proteinuria in patients with diabetes mellitus. Key words: diabetes mellitus, duration of diabetes, blood sugar control, HbA1c, proteinuria.



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