PERBEDAAN KADAR GLUKOSA DARAH PUASA METODE POCT DENGAN DAN TANPA HAPUSAN KAPAS KERING DI RUMAH SAKIT ANGKATAN DARAT (RSAD) UDAYANA

Pradnyaswari, I Gusti Agung Ayu Dewi Chandra (2026) PERBEDAAN KADAR GLUKOSA DARAH PUASA METODE POCT DENGAN DAN TANPA HAPUSAN KAPAS KERING DI RUMAH SAKIT ANGKATAN DARAT (RSAD) UDAYANA. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Teknologi Laboratorium Medis 2026.

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Abstract

DIFFERENCES IN FASTING BLOOD GLUCOSE LEVELS POCT METHOD WITH AND WITHOUT DRY COTTON SWAB AT RUMAH SAKIT ANGKATAN DARAT (RSAD) UDAYANA ABSTRACT Background: Fasting blood glucose testing is important for the diagnosis and monitoring of diabetes mellitus. The Point of Care Testing (POCT) method is widely used because it is fast and practical, but the results may be affected by pre-analytical factors, one of which is the use of the first blood drop without dry cotton wiping. Purpose: To determine the differences in fasting blood glucose levels using the POCT method with and without dry cotton wiping at RSAD Udayana. Method: This was an analytic descriptive study with a cross sectional design. The sample consisted of 95 respondents selected by purposive sampling. Each respondent was examined twice, without dry cotton wiping and with dry cotton wiping. Data were analyzed using Kolmogorov-Smirnov and Wilcoxon Signed Rank Test. Results: The normality test showed a significance value of 0.000 (p < 0.05), indicating non-normal data distribution. Wilcoxon test showed a significance value of 0.001 (p < 0.05), meaning there was a significant difference between both treatments. Conclusion: There were differences in fasting blood glucose levels using the POCT method with and without dry cotton wiping. Wiping the first blood drop is recommended to improve examination accuracy. Keywords: glucose, POCT. PERBEDAAN KADAR GLUKOSA DARAH PUASA METODE POCT DENGAN DAN TANPA HAPUSAN KAPAS KERING DI RUMAH SAKIT ANGKATAN DARAT (RSAD) UDAYANA ABSTRAK Latar Belakang: Pemeriksaan glukosa darah puasa penting untuk diagnosis dan pemantauan diabetes melitus. Metode Point of Care Testing (POCT) banyak digunakan karena cepat dan praktis, namun hasilnya dapat dipengaruhi tahap pra-analitik, salah satunya penggunaan tetesan darah pertama tanpa hapusan kapas kering. Tujuan: Mengetahui perbedaan kadar glukosa darah puasa metode POCT dengan dan tanpa hapusan kapas kering di RSAD Udayana. Metode: Penelitian deskriptif analitik dengan desain cross sectional. Sampel berjumlah 95 responden menggunakan teknik purposive sampling. Pemeriksaan dilakukan dua kali pada setiap responden, yaitu tanpa hapusan kapas kering dan dengan hapusan kapas kering. Data dianalisis menggunakan uji Kolmogorov-Smirnov dan Wilcoxon Signed Rank Test. Hasil: Uji normalitas menunjukkan nilai signifikansi 0,000 (p < 0,05), sehingga data tidak berdistribusi normal. Uji Wilcoxon Signed Rank Test menunjukkan nilai signifikansi 0,001 (p < 0,05), yang berarti terdapat perbedaan signifikan antara kedua perlakuan. Simpulan: Terdapat perbedaan kadar glukosa darah puasa metode POCT dengan dan tanpa hapusan kapas kering. Penghapusan tetesan darah pertama disarankan untuk meningkatkan keakuratan hasil pemeriksaan. Kata kunci: glukosa, POCT.

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