PROFIL PASIEN DIABETES MELITUS TIPE 2 RAWAT INAP DI SATU RS X: STUDI DOKUMENTASI [PROFILE OF TYPE 2 DIABETES MELLITUS PATIENTS HOSPITALIZED IN HOSPITAL X: A DOCUMENTATION STUDY]

Angel T. I Saununu, Erland N Lenggu, Kacie R. G Ndaparoka, Juhdeliena Juhdeliena, Yulia Yulia

Abstract


Complications in patients with type 2 diabetes mellitus can increase the number of hospitalizations and even worsen the patient's condition even to death if not handled properly. Based on data from type 2 DM patients who underwent hospitalization at Hospital X in October-November 2021, 145 patients increased to 192 patients the following year. The purpose of this study is to identify the profile of patients hospitalized with type 2 diabetes. This research employed a quantitative descriptive study with a retrospective approach. The instrument in this study used a fill-in sheet. A total of 141 medical record records were included in the sample. The data were analysed using univariate analysis. The findings indicated that the majority of hospitalized patients with type 2 DM presented with complaints of weakness, accounting for 42.55% of cases. Patients with hyperglycaemic conditions were predominantly in the pre-elderly age category, comprising 24.10% of cases, with a higher representation of females at 27.7%. Additionally, a significant proportion of patients had a normal body mass index (17%), while a considerable number did not have their HbA1c levels checked (26.20%). Furthermore, 22.7% of patients had uncontrolled HbA1c levels (>7%), and 35.50% had one to three comorbidities. Several factors require additional investigation, specifically the hormonal history and gestational diabetes in women. Furthermore, there is a need for further research on visceral fat in the body, stress levels in hospitalized Type 2 DM patients, and the types of comorbid diseases commonly found in Type 2 DM patients. Additionally, routine HbA1c checks are necessary.


BAHASA INDONESIA Komplikasi pada pasien diabetes melitus (DM) tipe 2 dapat meningkatkan peningkatan angka rawat inap bahkan dapat memperburuk kondisi penderita bahkan sampai dengan kematian jika tidak ditangani dengan baik. Berdasarkan data rawat inap pasienDMtipe2di satu RS X pada bulan Oktober-November 2021 sebanyak 145 pasien  meningkat menjadi 192 pasien ditahun berikutnya. Tujuan penelitian ini untuk mengidentifikasikarakteristik pasien DMtipe2 yang menjalani rawat inap. Metode penelitian ini deskriptif kuantitatif dengan pendekatan retrospektif. Instrumen dalam penelitian ini menggunakan lembar isian. Sampel yang digunakan berjumlah 141 dokumen rekam medis. Teknik analisis data yaitu analisis univariat. Hasil menunjukkan bahwakarakteristik pasien DM tipe 2 rawatinap mayoritas datang dengan keluhan lemas sebanyak 42,55%, pasien dengan kondisi hiperglikemi mayoritas dalam kategori usia pra lanjut usia sebanyak 24,10%, dengan jenis kelamin perempuansebanyak 27,7%,indeks massa tubuh normal sebanyak 17%,Kadar HbA1c tidak diperiksa sebanyak 26,20%, dan dengan kondisi kadar HbA1c tidak terkendali (>7%) sebanyak 22,7%, serta memiliki satu sampai tiga komorbid sebanyak 35,50%. Ada banyak faktor yang perlu dilakukan penelitian lebih lanjut yaitu riwayat hormonal dan diabetes gestasional pada perempuan, selain itu diperlukan penelitian lebih lanjut terkait lemak viseral dalam tubuh, tingkat stres pada pasien rawat inap DM Tipe 2 dan jenis-jenis penyakit komorbid yang sering terjadi pasien DM Tipe 2, dilanjutkan dengan diperlukannya pemeriksaan rutin HbA1c. 

 


Keywords


hospitalization; patient profile; type 2 diabetes mellitus,



DOI: http://dx.doi.org/10.19166/nc.v12i1.8457

References


Bodke, H., Wagh, V., & Kakar, G. (2023). Diabetes Mellitus and prevalence of other comorbid conditions: A systematic review. Cureus, 15(11): e49374. https://doi.org/10.7759/cureus.49374

Center for Disease Control and Prevention. (2024, February 2). Diabetes and women. https://Www.Cdc.Gov/Diabetes/Risk-Factors/Diabetes-and-Women-1.Html.

Chandrasekaran, P., & Weiskirchen, R. (2024). The role of obesity in Type 2 Diabetes Mellitus—An overview. International Journal of Molecular Sciences, 25(3), 1882. https://doi.org/10.3390/ijms25031882

Cheng, Y. C., Guerra, Y., Morkos, M., Tahsin, B., Onyenwenyi, C., Fogg, L., & Fogelfeld, L. (2021). Insulin management in hospitalized patients with diabetes mellitus on high-dose glucocorticoids: Management of steroidexacerbated hyperglycemia. PLoS ONE, 16. https://doi.org/10.1371/journal.pone.0256682

Chentli, F., Azzoug, S., & Mahgoun, S. (2015). Diabetes mellitus in elderly. Indian Journal of Endocrinology and Metabolism, 19(6), 744. https://doi.org/10.4103/2230-8210.167553

Cleveland Clinic. (2023, August 11). Type 2 Diabetes. https://My.Clevelandclinic.Org/Health/Diseases/21501-Type-2-Diabetes

Dewi, N. H., Rustiawati, E., Sulastri, T., Studi, P., Keperawatan, D., Sultan, U., & Tirtayasa, A. (2021). Analisis faktor-faktor yang berpengaruh terhadap kejadian hiperglikemia pada penderita diabetes mellitus tipe 2 di poliklinik penyakit dalam RSUD Dr Dradjat Prawiranegara Serang. Jurnal Ilmiah Keperawatan, 2(3). https://jurnal.untirta.ac.id/index.php/jik/article/view/14360

Gujral, U. P., & Narayan, K. M. V. (2019). Diabetes in normal-weight individuals: High susceptibility in nonwhite populations. Diabetes Care, 42(12), 2164–2166). https://doi.org/10.2337/dci19-004 6

Gunawan, S., & Rahmawati, R. (2021). Hubungan Usia, Jenis Kelamin dan Hipertensi dengan Kejadian Diabetes Mellitus Tipe 2 di Puskesmas Tugu Kecamatan Cimanggis Kota Depok Tahun 2019. ARKESMAS (Arsip Kesehatan Masyarakat), 6(1), 15–22. https://doi.org/10.22236/arkesmas.v6i1.5829

International Diabetes Federation. (2021). IDF Diabetes atlas 2021. https://diabetesatlas.org/atlas/tenth-edition/

Irawan, Q. P., Utami, K. D., Reski, S., & Saraheni. (2022). Hubungan Indeks Massa Tubuh (IMT) dengan Kadar HbA1c pada Penderita Diabetes Mellitus Tipe II di Rumah Sakit Abdoel Wahab Sjahranie. Formosa Journal of Science and Technology, 1(5), 459–468. https://doi.org/10.55927/fjst.v1i5.1220

Isnaini, N., & Ratnasari, R. (2018). Faktor risiko mempengaruhi kejadian Diabetes mellitus tipe dua. Jurnal Kebidanan dan Keperawatan Aisyiyah, 14(1), 59–68. https://doi.org/10.31101/jkk.550

Lestari, L., Zulkarnain, Z., & Sijid, S. A. (2021). Diabetes Melitus: Review etiologi, patofisiologi, gejala, penyebab, cara pemeriksaan, cara pengobatan dan cara pencegahan. Prosiding Seminar Nasional Biologi, 7(1). http://journal.uin-alauddin.ac.id/index.php/psb

Lin, W., Chen, C., Guan, H., Du, X., & Li, J. (2016). Hospitalization of elderly diabetic patients: characteristics, reasons for admission, and gender differences. BMC Geriatrics, 16(1), 160. https://doi.org/10.1186/s12877-016-0333-z

Mamo, Y., Bekele, F., Nigussie, T., & Zewudie, A. (2019). Determinants of poor glycemic control among adult patients with type 2 diabetes mellitus in Jimma University Medical Center, Jimma zone, south west Ethiopia: A case control study. BMC Endocrine Disorders, 19(1). https://doi.org/10.1186/s12902-019-0421-0

National Institute of Diabetes & Digestive and Kidney Disease. (2022, July). Risk factors for Type 2 Diabetes. https://www.niddk.nih.gov/Health-Information/Diabetes/Overview/Risk-Factors-Type-2-Diabetes

Pangestika, H., Ekawati, D., & Murni, N. S. (2022). Faktor-faktor yang berhubungan dengan kejadian Diabetes Mellitus tipe 2. Jurnal ’Aisyiyah Medika, 7(1). https://doi.org/10.36729/jam.v7i1.779

Pati, S., Pati, S., Akker, M. V. D., Schellevis, F. G., Jena, S., & Burgers, J. S. (2020). Impact of comorbidity on health-related quality of life among type 2 diabetic patients in primary care. Primary Health Care Research and Development, 21, 1–8. https://doi.org/10.1017/S1463423620000055

Petrosyan, Y., Bai, Y. Q., Koné Pefoyo, A. J., Gruneir, A., Thavorn, K., Maxwell, C. J., Bronskill, S. E., & Wodchis, W. P. (2017). The Relationship between Diabetes Care Quality and Diabetes-Related Hospitalizations and the Modifying Role of Comorbidity. Canadian Journal of Diabetes, 41(1), 17–25. https://doi.org/10.1016/j.jcjd.2016.06

Robot, R. P., Sengkey, R., & Rindengan, Y. D. Y. (2018). Aplikasi manajemen rawat inap dan rawat jalan di rumah sakit. Jurnal Teknik Informatika, 13(2). https://ejournal.unsrat.ac.id/v3/index.php/informatika/article/view/28109

Rukminingsih, F., & Nova, V. C. (2021). Pengumuman insulin pada pasien diabetes mellitus tipe 2 peserta JKN di instalasi farmasi rawat jalan rumah sakit ST. Elisabeth Semarang. Jurnal Ilmiah Ibnu Sina, 6(1), 79–86. https://doi.org/10.36387/jiis.v6i1.609

Salim, M. F., Lubis, I. K., & Sugeng, S. (2019). Perbedaan Length of Stay (LOS) Pasien Diabetes Mellitus Berdasarkan Komplikasi Di RSUP Dr. Sardjito Yogyakarta. Jurnal Manajemen Informasi Kesehatan Indonesia, 7(1), 17. https://doi.org/10.33560/jmiki.v7i1.216

Suciana, F., Daryani, Marwanti, & Arifianto, D. (2019). Penatalaksanaan 5 pilar pengendalian DM terhadap kualitas hidup pasien DM tipe 2. Jurnal Ilmiah STIKES Kendal, 9(4), 311-318. https://journal.stikeskendal.ac.id/index.php/PSKM/article/view/587/351

Westman, E. C. (2021). Type 2 Diabetes Mellitus: A pathophysiologic perspective. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.707371

Windartik, E., & So’emah, E. N. (2024). Analysis of the comparison of HbA1c measures in Diabetes Mellites Tipe 2 patients with complications and without complications. Innovative: Journal of Social Science Research, 4, 8305–8311. https://j-innovative.org/index.php/Innovative/article/view/10324

World Health Organization. (2023, April 5). Diabetes. Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Diabetes


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