DETERMINAN FAKTOR RISIKO NEUROPATI PERIFER DIABETIK TERHADAP KELEMBABAN KULIT KAKI PADA PASIEN DM TIPE II DI UPTD PUSKESMAS UBUD I TAHUN 2023

Gayatri, Ni Wayan Cening Setiari (2023) DETERMINAN FAKTOR RISIKO NEUROPATI PERIFER DIABETIK TERHADAP KELEMBABAN KULIT KAKI PADA PASIEN DM TIPE II DI UPTD PUSKESMAS UBUD I TAHUN 2023. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2023.

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Abstract

DETERMINANTS OF DIABETICS PERIPHERAL NEUROPATHY RISK FACTORS WITH FOOT SKIN MOISTURE IN TYPE II DM PATIENTS Ni Wayan Cening Setiari Gayatri ABSTRACT Diabetic peripheral neuropathy is one of the chronic complications of DM which causes dysfunction of the peripheral nervous system, can occur in the autonomic nerves characterized by a decrease in foot skin moisture. This study aims to determine the determinants of diabetic peripheral neuropathy risk factors with foot skin moisture in type II DM patients. The design of this research is non-experimental with a simple correlational methode. The sample in this research is 35 respondents who were selected by consecutive sampling at the UPTD Puskesmas Ubud I. The results of the ordinal logistic regression statistical test obtained p-value of Model Fitting Information is 0.002 (p-value <0.05) and p-value Pseudo R-Square Negelkerke is 0.681, which means the risk factors of diabetic peripheral neuropathy (age, duration of diabetes mellitus, gender, transient blood glucose, total cholesterol, waist circumference, systolic blood pressure, and diastolic pressure) together have a significant effect of 68.1% with foot skin moisture. The P-value of the Wald test for gender, duration of DM, transient blood glucose, and blood pressure <0.05 so that it can be stated that each the four risk factors of diabetic peripheral neuropathy partially have a significant effect with foot skin moisture. The odds ratio for systolic blood pressure is 1.132, which means that the higher the systolic blood pressure, the 1.312 times will have problems with foot skin moisture. Based on this research, suggested that the puskesmas service unit conduct inspection activities for diabetic peripheral neuropathy risk factors at least every month. Keywords: Determinants risk factors; diabetic peripheral neuropathy; autonomic neuropathy; foot skin moisture   DETERMINAN FAKTOR RISIKO NEUROPATI PERIFER DIABETIK TERHADAP KELEMBABAN KULIT KAKI PADA PASIEN DM TIPE II Ni Wayan Cening Setiari Gayatri ABSTRAK Neuropati perifer diabetik merupakan salah satu komplikasi kronis DM yang menyebabkan disfungsi sistem saraf perifer, dapat terjadi pada saraf otonom ditandai dengan penurunan kelembaban kulit kaki. Penelitian ini bertujuan untuk mengetahui determinan faktor risiko neuropati perifer diabetik terhadap kelembaban kulit kaki pada pasien DM Tipe II. Desain penelitian ini adalah non-eksperimen dengan metode korelasional sederhana. Sampel dalam penelitian ini adalah 35 responden yang diseleksi secara consecutive sampling di UPTD Puskesmas Ubud I. Hasil uji statistik regresi logistik ordinal diperoleh p-value Model Fitting Information sebesar 0,002 (p-value <0,05) dan nilai Pseudo R-Square Negelkerke sebesar 0,681 yang berarti faktor risiko neuropati perifer diabetik (usia, lama menderita DM, jenis kelamin, glukosa darah sewaktu, kolesterol total, lingkar pinggang, tekanan darah sistolik, dan tekanan diastolik) secara bersama-sama berpengaruh signifikan sebesar 68,1% terhadap kelembaban kulit kaki. P-value uji wald jenis kelamin, lama DM, glukosa darah sewaktu, dan tekanan darah <0,05 sehingga dapat dinyatakan bahwa masing-masing keempat faktor risiko neuropati perifer diabetik tersebut secara parsial berpengaruh signifikan terhadap kelembaban kulit kaki. Nilai odds ratio tekanan darah sistolik sebesar 1,132 yang berarti bahwa semakin tinggi tekanan darah sistolik maka 1,312 kali mengalami masalah kelembaban kulit kaki. Berdasarkan hal tersebut, disarankan kepada unit pelayanan puskesmas untuk melaksanakan kegiatan pemeriksaan faktor risiko neuropati perifer diabetik minimal setiap bulan. Kata kunci: Determinan faktor risiko; neuropati perifer diabetik; kelembaban kulit kaki

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