Karakteristik Penderita DM Dengan Ulkus Diabetikum Yang Dirawat Di Bagian Bedah RSUD Labuang Baji Makassar

Irma Syanti Irwan; Harakati Wangi; Andi Anissa Rahmadani

doi:10.56326/bmj.v2i2.2474

Authors

Irma Syanti Irwan Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Bosowa
Harakati Wangi Rumah Sakit Pelamonia Makassar
Andi Anissa Rahmadani Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Bosowa

DOI:

https://doi.org/10.56326/bmj.v2i2.2474

Keywords:

Ulkus Diabetikum, Usia, Jenis Kelamin, Menderita DM, Kadar HbA1c, Kadar HDL, Kadar Kolestrol Total

Abstract

Diabetic ulcers are a chronic complication of DM that can occur due to complications of macroangiopathy and microangiopathy, which cause vascular insufficiency and neuropathy. These risk factors are divided into risk factors that can be changed and risk factors that cannot be changed. The aim of the study was to determine the characteristics of DM patients with diabetic ulcers based on (1) age, (2) gender, (3) duration of DM, (4) HbA1c levels, (5) HDL levels, and (6) total cholesterol levels. This study included 55 diabetic patients with diabetic ulcers treated at the Surgical Department of Labuang Baji General Hospital Makassar from January 1, 2021 to December 31, 2022. This study used a retrospective descriptive method using secondary data in the form of medical records of DM patients with diabetic ulcers who were treated at the Department of Surgery at the Labuang Baji Hospital, Makassar. Data analysis was processed using SPSS software. The findings of this study show the distribution of DM patients with diabetic ulcers who were treated at the Surgical Department of Labuang Baji Hospital Makassar from January 1-2021 to December 31-2022, namely: (1) mostly in the elderly age group of 46-65 years (56.4%); (2) more women (54.5%) than men (45.5%); (3) more people with DM > 10 years (65.5%) than DM 10 years (34.5%); (4) more patients with HbA1c The conclusion of this study was that most DM sufferers with diabetic ulcers were in the elderly age group of 46–65 years, were women, had HbA1c levels >8%, HDL levels 45 mg/dl, and total cholesterol levels >200 mg/dl.

References

American Diabetic Association 2015, Microvascular Complications and foot care. Diabetes care,

Depkes RI 2018, Laporan Nasional Riset Kesehatan Dasar (Riskesdas).

Detty AU, Fitriyani N, Prasetya T, Florentina B 2020, ‘Karakteristik Ulkus Diabetikum Pada Penderita Diabetes Melitus’, Jurnal Ilmiah Kesehatan Sandi Husada, Vol 11 no 1.

Hanun NN 2013, Hubungan kadar glukosa darah puasa dengan profil lipid pada pasien Diabetes Melitus Tipe, Jakarta.

Hao W, Friendman A 2014, The LDL-HDL Profile Determines the risk of Atherosclerosis: A Mathematical Model. Vol. 9 (3). Ohio. The Ohio State University.

Hasan CM. Parial MM. Islam et al 2013, ‘Association of HbA1c, Creatinine and Lipid Profile in Patients with Diabetic Foot ulcer’, Middle-East journal of scientific research, 16 (11) : 1508-1511.

Hastuti RT 2008, Faktor-faktor resiko ulkus diabetikaa pada penderita diabetes mellitus, Semarang: universitas Diponegoro.

Husen SH, Basri A 2021, ‘Faktor-faktor yang mempengaruhi terjadi ulkus diabetik pada penderita diabetes mellitus di Diabetes Center Kota Ternate’, Jurnal kesehatan Masyakat, Vol 11 no 1.

International Diabetes Federation 2019, Diabetes Atlas 9th.

International Diabetes Federation 2021, Diabetes Atlas 10th.

Ikura, et.al 2015, HDL cholesterol as a predictor for incidence of lower extremity amputation and wound-related death in patients with diabetic foot ulcer.

Mitasari G, Saleh I, Marlenywati 2012, ‘Faktor-faktor yang berhubungan dengan kejadian ulkus diabetikum pada penderita diabetes mellitus di RSUD Dr. Soedarso dan Klinik Kitamura Pontianak’.

PERKENI 2021, Pedoman pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia. PB PERKENI.

Reina SA, Liabre MM, Allison MA, Wilkins JT, Mendez AJ, et al 2015, ‘HDL cholesterol and stroke risk: The Multi-Ethnic Study of Atherosclerosis’, Elsevier Journal. Miami: Elsevier Ireland Ltd.

Roza LR, Afriant R, Edward Z 2015, ‘Faktor Risiko Terjadinya Ulkus Diabetikum pada Pasien Diabetes Melitus yang Dirawat Jalan dan Inap di RSUP Dr. M. Djamil dan RSI Ibnu Sina Padang’, Jurnal Kesehatan Andalas 4(1).

Sinulingga S, Kohar E, Subandrate 2018, ‘Hubungan Profil Lipid dengan Kejadian Ulkus Kaki Diabetik pada Pasien Diabetes Melitus Tipe 2 RSUP dr. Mohammad Hoesin Palembang’, Sriwijaya Journal Medicine, Vol 1 no 3. Hal 183-192.

Sugiarto I 2013, Faktor risiko yang berhubungan dengan terjadinya ulkus diabetik pada pasien diabetes mellitus tipe 2 di RSUD dr. Margono Soekarjo Purwokerto. Universitas Jendral Soedirman.

Waspadji S 2006, Komplikasi Kronik Diabetes Melitus: Pengenalan dan Penangan dalam. Jilid I, Edisi 3. Jakarta: Penerbit FK UI.

Waspadji S 2006, Komplikasi Kronik Diabetes Melitus: Mekanisme terjadinya, Diagnosis dan Strategi Pengelolaan. Jilid III, Edisi 4, Jakarta: Penerbit FK UI.

Wiratmoko W, Anggunan 2014, ‘Hubungan Antara Kolestrol Total, Trigliserida dan Status Vaskuler (ABI) Pada Pasien Kaki Diabetik di RSUD Dr. H. Abdul Moeloek Bandar Lampung’, Jurnal Medika Malahayati, vol 1, no 3. 101-106.

Yurianto PN, Santosa A, Munawir A 2017, ‘Hubungan antara Kadar LDL dan HDL terhadap Kejadian Kaki Diabetik pada Pasien DM Tipe 2 di Poli Interna RSD dr. Soebandi’, Fakultas Kedokteran Universitas Jember. E-jurnal Pustaka