Hubungan Kontrol Glikemik dan Lama Menderita Diabetes dengan Kejadian Neuropati Perifer Diabetik di Rumah Sakit DR. Bratanata Kota Jambi
Authors: Billa Mutia Salsa , Sulistiawan Andika , Subandi Andi 
Published: June 2023

ABSTRACT Poor glycemic control and long-standing diabetes increase the risk of diabetic peripheral neuropathy. Consistent and regular glycemic control is needed to prevent diabetic peripheral neuropathy complications. The purpose of this study was to determine the relationship between glycemic control and duration of diabetes with the incidence of diabetic peripheral neuropathy at Dr. Bratanata Hospital, Jambi City. Type of quantitative research with descriptive correlative design and cross sectional approach. Population of diabetes mellitus patients at the diabetes polyclinic of Dr. Bratanata Hospital, Jambi City. Sample 72 respondents with purposive sampling technique. The instruments used were glycemic control observation sheets and Neuropathy Symptom Score (NSS) questionnaires. Univariate data analysis using frequency distribution and bivariate analysis using chi-square test. A total of 18 respondents had no diabetic neuropathy (25.0%), mild neuropathy 9 respondents (12.5%), moderate neuropathy 14 respondents (19.1%), and severe neuropathy 31 respondents (43.1%). Bivariate analysis, glycemic control (fasting blood sugar and 2-hour postprandial blood sugar) obtained a value of (p = 0.000), glycemic control (HbA1c) obtained a value of (p = 0.000), and length of diabetes obtained a value of (p = 0.001). This shows that there is a relationship between glycemic control and duration of diabetes with the incidence of diabetic peripheral neuropathy. Keywords: Diabetic Peripheral Neuropathy, Duration of Diabetes, Glycemic Control ABSTRAK Kontrol glikemik yang buruk dan lama menderita diabetes meningkatkan risiko neuropati perifer diabetik. Diperlukan kontrol glikemik yang konsisten dan teratur untuk mencegah komplikasi neuropati perifer diabetik. Tujuan penelitian ini untuk mengetahui hubungan kontrol glikemik dan lama menderita diabetes dengan kejadian neuropati perifer diabetik di Rumah Sakit Dr. Bratanata Kota Jambi. Jenis penelitian kuantitatif dengan desain deskriptif korelatif dan pendekatan cross sectional. Populasi pasien diabetes melitus di poliklinik diabetes Rumah Sakit Dr. Bratanata Kota Jambi. Sampel 72 responden dengan teknik purposive sampling. Instrumen yang digunakan adalah lembar observasi kontrol glikemik dan kuesioner Neuropathy Symptom Score (NSS). Analisa data univariat menggunakan distribusi frekuensi dan analisa bivariat menggunakan uji chi-square. Sebanyak 18 responden tidak neuropati diabetik (25,0%), neuropati ringan 9 responden (12,5%), neuropati sedang 14 responden (19,1%), dan neuropati berat 31 responden (43,1%). Analisis bivariat kontrol glikemik (gula darah puasa dan gula darah 2 jam postprandial) diperoleh nilai (p= 0,000), kontrol glikemik (HbA1c) diperoleh nilai (p= 0,000), dan lama menderita diabetes diperoleh nilai (p= 0,001). Hal ini menunjukkan bahwa ada hubungan kontrol glikemik dan lama menderita diabetes dengan kejadian neuropati perifer diabetik. Kata Kunci: Lama Menderita Diabetes, Kontrol Glikemik, Neuropati Perifer Diabetik