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棉兰市安普拉初级卫生保健中心2型糖尿病患者的糖尿病神经病变

Diabetic Neuropathy among Type 2 Diabetes Mellitus Patients at Amplas Primary Health Care in Medan City.

作者信息

Amelia Rina, Wahyuni Arlinda Sari, Yunanda Yuki

机构信息

Department of Community Medicine, Public Health, Faculty of Medicine, Universitas Sumatera Utara, Jl. dr. Mansyur No.5 Kampus USU Medan 20155, Indonesia.

出版信息

Open Access Maced J Med Sci. 2019 Oct 14;7(20):3400-3403. doi: 10.3889/oamjms.2019.433. eCollection 2019 Oct 30.

Abstract

BACKGROUND

Diabetic neuropathy is one of the most complicated complications of diabetes patients with Type 2 diabetes.

AIM

The purpose of this study was to determine the diagnosis of diabetic neuropathy based on Clinical Neurological Examination (CNE) and the factors that influence the occurrence of diabetic neuropathy in Type 2 DM patients at Amplas Primary Health Care (PHC) in Medan City.

METHODS

The research design was descriptive-analytic with the cross-sectional approach. The study population was all Type 2 DM patients who came to Amplas PHC with a total sample of 53 people using the consecutive sampling. The research data source is primary data, namely the assessment of diabetic neuropathy using the Clinical Neurological Examination (CNE) criteria. Data were processed using SPSS and analysis using the chi-square test.

RESULTS

The results showed the majority of Type 2 DM patients had mild neuropathy as many as 24 people (45.3%). The Chi-square test results showed there was a relationship between age and duration of diabetes with the incidence of diabetic neuropathy in Type 2 DM patients at Amplas Primary Health Care.

CONCLUSION

Education and early detection with proper management can prevent more severe complications so that the quality of life of patients can be maintained better.

摘要

背景

糖尿病神经病变是2型糖尿病患者最复杂的并发症之一。

目的

本研究旨在基于临床神经学检查(CNE)确定糖尿病神经病变的诊断,并确定棉兰市安普拉初级卫生保健中心(PHC)2型糖尿病患者中影响糖尿病神经病变发生的因素。

方法

本研究采用描述性分析的横断面研究方法。研究人群为所有前往安普拉初级卫生保健中心的2型糖尿病患者,采用连续抽样法,共抽取53人作为样本。研究数据来源为原始数据,即使用临床神经学检查(CNE)标准对糖尿病神经病变进行评估。数据使用SPSS进行处理,并采用卡方检验进行分析。

结果

结果显示,大多数2型糖尿病患者患有轻度神经病变,多达24人(45.3%)。卡方检验结果显示,在安普拉初级卫生保健中心,2型糖尿病患者的年龄和糖尿病病程与糖尿病神经病变的发生率之间存在关联。

结论

通过教育和早期发现并进行适当管理,可以预防更严重的并发症,从而更好地维持患者的生活质量。

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