GAMBARAN DISTRIBUSI DIABETES MELLITUS DENGAN KOMPLIKASI GAGAL GINJAL PADA LANSIA DI RUMAH SAKIT ST ELISABETH TAHUN 2012-2016

Serlin Halim, Hiswani ., Sri Novita Lubis

Abstract


ABSTRACT

Diabetes Mellitus (DM) is one of non communicable disease have prevalence and death increase in the world. One of DM complication is diabetic kidney disease or nefropathy diabetic. Proportion of  Nefropathy diabetic is 44% as kidney disease in the world (CDC,2014). The proportion nefropathy diabetic was 22% in Indonesia (PERNEFRI,2015). In St Elisabeth hospital Medan, proportion of nefropathy diabetic was 8,5% .

This research is use case series design. The population and sample were all the patiens of DM with complication diabetic kidney disease in the elderly age, 111 cased. The data was collected by using secondary data and analyzed with chi-square and fisher.

The result showed the proportion of patiens with complication diabetic kidney disease was highest in the age group 60-74 age (91%), female (52,3%), bataks (84,7%), Christian (60,4%), household (32,4%), live out of Medan (57,7%), married (91,9%), don’t have family history  (64%), Type II DM (89,2%), KGD ≥200 mg/dL (57,7%), without checkup HbA1c (64,9%), HbA1c ≥6,5% (82,1%), OHO (95,5%), Check-up albumin level (89,2%), Albumin ≥30mg/24jam (96,0%), Non-hemodialisys (58,6%), becoming outpatient (73,9%), dan own cost (70,3%). The statictical test result, there was no difference of age based on treatment therapy (p=0,149), no difference of type DM based on medicine (p=0,089), no difference of type DM based on treatment therapy (p= 0,546), and no difference of KGD based on medicine (p=0,394).

In suggested for St Elisabeth hospital for should do the check up of HbA1c routine so that get the accurate check up and for patient will do the hemodialis accord to medical team. For patient nefropathy diabetic should do hemodialysis as recommended medic team.


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