Hubungan Kadar HbA1c Terhadap Kejadian Ulkus Kaki Diabetik pada Penderita DM Tipe 2 RSUD Dr. H. Chasan Boesoirie Ternate Tahun 2023
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Abstract
Latar Belakang: Diabetes Melitus (DM) adalah penyakit metabolik kronis yang ditandai dengan hiperglikemia akibat kelainan sekresi insulin atau kerja insulin. Ulkus kaki diabetik (UKD) merupakan salah satu komplikasi kronik yang berisiko menyebabkan amputasi. Sekitar 25% penderita DM mengalami UKD, yang berisiko terjadi amputasi 5-25% dalam 6-18 bulan. Tujuan: Penelitian ini bertujuan untuk menilai hubungan kadar HbA1c dengan kejadiaan UKD pada pasien penderita DM tipe 2 di RSUD Dr. H. Chasan Boesoirie Ternate Tahun 2023. Metode: Retrospektif observasional dengan menggunakan data sekunder rekam medik. Hasil: Penelitian dilakukan pada 133 sampel pasien DM, didapatkan perempuan sebanyak 55,6% dan laki-laki 44,4% dengan prevalensi terbanyak pada usia paruh baya yaitu 51,1% dan terjadi peningkatan pada dewasa muda yaitu 21,8%. Prevalensi pasien dengan kadar HbA1c tidak terkontrol 61,7%. Uji statistik chi-square menunjukkan hubungan bermakna antara kadar HbA1c dan kejadian UKD (p-value < 0,001) di mana kontrol glukosa yang buruk meningkatkan risiko terjadi UKD. Kesimpulan: Kadar HbA1c yang tinggi memiliki kolerasi bermakna terhadap kejadian ulkus kaki diabetik pada penderita DM tipe 2 RSUD Dr. Chasan Boesoirie Ternate 2023.
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