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Pasek Kardiwinata, Made
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ANALISIS KEJADIAN PENYAKIT GAGAL GINJAL KRONIS PADA PENDERITA DIABETES MELITUS DI INDONESIA : ANALISIS DATA RISET KESEHATAN DASAR 2018 Selita Lailatul Rizka, Aldila; Pasek Kardiwinata, Made
ARCHIVE OF COMMUNITY HEALTH Vol 10 No 3 (2023): Desember 2023
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2023.v10.i03.p21

Abstract

ABSTRAK Peningkatan angka kesakitan Diabetes Melitus (DM) di Indonesia diperkirakan bahwa masyarakat belum waspada pada kemungkinan komplikasi yang dapat diderita. Nefropati Diabetik (ND) atau Gagal Ginjal Kronis (GGK) adalah salah satu komplikasi mikrovaskular pada penderita DM yang telah menyerang 3,3% penderita DM di Indonesia. Penelitian ini bertujuan mengetahui gambaran kejadian GGK pada penderita DM serta hubungan karakteristik demografi dan karakteristik perilaku dengan kejadian GGK pada penderita DM. Penelitian ini merupakan studi kuantitatif dengan rancangan cross-sectional deskriptif. Sampel penelitian sejumlah 14.932 merupakan seluruh penderita DM >15 tahun di Indonesia yang terdaftar sebagai responden Riskesdas 2018. Data dianalisis dengan metode Chi-Square. Didapati dari seluruh sampel yang diteliti angka kejadian GGK padapenderita DM sebesar 2%. Serta karakteristik yang memiliki hubungan signifikan dengan kejadian GGK pada penderita DM adalah jenis kelamin (OR 1,33; 95%CI 00,0-00,0), aktivitas fisik (OR 1,33; 95%CI 00,0-00,0), aktivitas fisik intensitas sedang (OR=1,97 95%CI 1,57-2,48) dan Lama Menderita DM (OR=1,95 95%CI 1,52-2,49). Diperlukannya studi lebih lanjut terkait hubungan lama menderita DM dan aktivitas fisik dengan komplikasi GGK. Serta disarankan peningkatan aktivitas fisik pada penderita DM untuk menghindari komplikasi GGK yang lebih buruk.Kata Kunci : Diabetes Melitus, Gagal Ginjal Kronis ABSTRACTThe increasing morbidity rate of Diabetes Mellitus (DM) in Indonesia is estimated that people are not aware of the possible complications that can be suffered. Diabetic Nephropathy (ND) or Chronic Kidney Failure (CKD) is one of the microvascular complications in patients with DM that has affected 3.3% of DM patients in Indonesia. This study aims to determine the incidence of GGK in patients with DM and the relationship between demographiccharacteristics and behavioral characteristics with the incidence of GGK in patients with DM. This research is a quantitative study with a descriptive cross-sectional design. The study sample of 14,932 was all patients with DM >15 years old in Indonesia who were registered as respondents of Riskesdas 2018. Data were analyzed using the Chi-Square method. It was found that from all samples studied, the incidence rate of GGK in patients with DMwas 2%. And the characteristics that have a significant association with the incidence of GGK in patients with DM are gender (OR 1.33; 95%CI 00.0-00.0), physical activity (OR 1.33; 95%CI 00.0-00.0), moderate intensity physical activity (OR = 1.97 95%CI 1.57-2.48) and duration of DM (OR = 1.95 95%CI 1.52-2.49). Further studies are needed regarding the relationship between duration of DM and physical activity with GGK complications. It is also ecommended to increase physical activity in patients with DM to avoid worse complications of GGK.Keywords : Diabetes Mellitus, Chronic Kidney Failure
KEJADIAN ULKUS DIABETIKUM PADA PENDERITA DIABETES MELITUS DI UPTD PUSKESMAS UBUD I Ayu Aprilia Swandewi, Ni Kadek Putri; Pasek Kardiwinata, Made
ARCHIVE OF COMMUNITY HEALTH Vol 10 No 3 (2023): Desember 2023
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2023.v10.i03.p22

Abstract

ABSTRAK UPTD Puskesmas Ubud I menempati posisi ketiga dengan jumlah penderita DM terbanyak yaitu sebanyak 962 penderita. Meningkatnya kasus DM menyebabkan komplikasi ulkus diabetikum juga meningkat. Diperkirakan sebesar 19–34% penderita DM cenderung mengalami ulkus diabetikum. Penelitian ini bertujuan untuk mengetahui kejadian ulkus diabetikum di UPTD Puskesmas Ubud I. Penelitian ini merupakan penelitian deskriptifobservasional dengan rancangan cross-sectional. Lokasi penelitian di UPTD Puskesmas Ubud I dengan populasi penderita DM di wilayah kerja UPTD Puskesmas Ubud I. Besar sampel 112 orang didapat dengan simple random sampling. Analisis data menggunakan uji statistik deskriptif. Hasil penelitian ini didapatkan proporsi kejadian ulkus diabetikum pada penderita DM sebanyak 29 orang (25,89%) dan yang tidak ulkus sebanyak 83 orang (74,11%)kemudian didapatkan proporsi ulkus diabetikum dominan dominan terjadi pada usia ? 60 tahun (31,25%), jenis kelamin laki-laki (26,56%), tidak bekerja (29,82%), berpendidikan tinggi (28,57%), berpenghasilan kurang dari UMK (27,16%), lama menderita DM durasi panjang (44%), tanpa komorbid (27,27%), berpengetahuan kurang (26,19%), tanpa dukungan keluarga (28,28%), merokok (37,50%), mengonsumsi alkohol (40%), melakukan aktivitas fisik ringan (47,06%), tidak patuh berobat (42,86%), tidak patuh diet (27,38%), serta tidak patuh dalam perawatan kaki (29,79%). UPTD Puskesmas Ubud I diharapkan mengoptimalkan program terkait DM dan memberikan informasi terkait komplikasi ulkus diabetikum.Kata Kunci: Diabetes Melitus, Ulkus Diabetikum ABSTRACTUPTD Puskesmas Ubud I occupies the third position with the highest number of DM patients, namely 962 patients. The increase in DM cases causes diabetic ulcer complications to also increase. It is estimated that 19-34% of DM patients tend to experience diabetic ulcers. This study aims to determine the incidence of diabetic ulcers at UPTD Puskesmas Ubud I. This study was a descriptive observational study with a cross-sectional design. The research location was at UPTD Puskesmas Ubud I with a population of DM patients in the UPTD Puskesmas Ubud I work area. The sample size of 112 people was obtained by simple random sampling. Data analysis using descriptive statistical tests. The results of this study showed that the proportion of diabetic ulcers in patients with DM was 29 people (25.89%) and those without ulcers were 83 people (74.11%) then obtained the proportion of diabetic ulcers dominant in age ? 60 years (31.25%), male gender (26.56%), not working (29.82%), highly educated (28.57%), income less than MSE (27.16%), long duration of DM (44%), without comorbidities (27.27%), less knowledgeable (26.19%), without family support (28.28%), smoking (37.50%), consuming alcohol (40%), doing light physical activity (47.06%), non-compliant with treatment (42.86%), non-compliant with diet (27.38%), and non-compliant in foot care (29.79%). UPTD Puskesmas Ubud I is expected to optimize DM-related programs and provide information related to diabetic ulcer complications.Keywords: Diabetes Mellitus, Diabetic Foot Ulcer
Co-Authors Ayu Aprilia Swandewi, Ni Kadek Putri Selita Lailatul Rizka, Aldila