Perbedaan Diabetic Peripheral Neurophaty dan Kekuatan Otot terhadap Kualitas Hidup Penderita Diabetes Tipe 2 Berdasarkan Durasi Diabetes Mellitus
DOI:
https://doi.org/10.23917/fisiomu.v4i2.5041Keywords:
DM tipe 2, Durasi DM, kekuatan otot ekstremitas bawah, kualitas hidupAbstract
Latar belakang: Diabetes melitus (DM) tipe 2 adalah jenis DM dengan angka kejadian paling tinggi dari pada jenis lainnya. DPN merupakan komplikasi yang banyak terjadi pada DM tipe2 yang berkontribusi terhadap penurunan kekuatan otot ekstremitas bawah. Kondisi hiperglikemi dan durasi yanng lama diduga menjadi faktor pemicu terjadinya DPN yang akan mengganggu kualitas hidup pasien. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan kejadian DPN, kekuatan otot ekstremitas bawah dan kualitas hidup serta untuk mengetahui faktor dominan yang mempengaruhi kualitas hidup pasien antara penderita DM tipe 2 durasi 5-10 tahun dan >10 tahun. Metode: Terdapat 2 kelompok dengan masing-masing terdiri dari 121 responden yang dilakukan di Grha Diabetika Surakarta. DPN diperiksa dengan menggunakan tes MNSI, kekuatan otot ekstremitas bawah dengan tes FTSTS dan kuisioner WHOQoL digunakan untuk mengevaluasi kualitas hidup. Hasil: Pada kelompok DM tipe 2 durasi >10 tahun menunjukkan kejadian DPN lebih banyak dan penurunan kekuatan otot ekstremitas bawah dan kualitas hidup disbanding kelompok DM tipe 2 durasi 5-10 tahun (p<0.05). Faktor kekuatan otot ekstremitas bawah menjadi faktor utama yang mempengaruhi kualitas hidup pasien DMT2 durasi >10 tahun. Kesimpulan: DM tipe 2 dengan durasi lebih dari 10 tahun akan memberikan komplikasi signifikan terhadap kejadian DPN, penurunan kekuatan otot dan kualitas hidup. Kekuatan otot ekstremitas bawah menjadi faktor dominan yang mempengaruhi kualitas hidup pasien DM tipe 2 dengan durasi >10 tahun.
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