Diabetes melitus (DM) merupakan penyakit kronis yang ditandai dengan kenaikan kadar glukosa dalam darah dan dapat menyebabkan komplikasi akut ataupun kronik jika tidak ditangani. Neuropati Perifer merupakan komplikasi kronik yang banyak terjadi pada pasien DM. Perawatan diri (Self Care) yang baik dapat membantu mencegah terjadinya komplikasi tersebut. Penelitian ini bertujuan untuk mengetahui Hubungan Self Care dengan kejadian komplikasi Neuropati Perifer pada pasien DM tipe II. Jenis penelitian ini menggunakan deskriptif korelasi dengan sampel 69 responden, yang diperoleh melalui teknik Accidental sampling. Pengumpulan data menggunakan modifikasi kuesioner Summary Diabetes Self Care Activity (SDSCA) dan kuesioner kejadian komplikasi Neuropati Perifer. Hasil penelitian menggunakanujikorelasi Chi square ini menunjukkan terdapat hubungan antara self care dengan kejadian komplikasi neuropati perifer pada pasien DM tipe II dengan p value 0,010 (p<0,05). Dari 69 responden, 33 responden memiliki self care baik, 24 diantaranya menunjukkan tidak terjadi komplikasi neuropati perifer dan 9 diantaranya menunjukkan terjadi komplikasi neuropati perifer. Sebanyak 36 responden memiliki self care kurang, 14 diantaranya menunjukkan tidak terjadi komplikasi neuropati perifer dan 22 diantaranya menunjukkan terjadi komplikasi neuropati perifer. Peran perawat sebagai edukator sangat penting untuk membekali pasien DM agar memiliki perawatan diri yang baik.
The annual incidence rate of KAD is estimated to be between 4.6 and 8 per 1000 patients with diabetes. Based on the results of the physical examination, the patient was diagnosed as pneumonia with KAD. The mortality rate for community pneumonia on outpatients was 2%, inpatients was 5-20%, more so in patients in intensive care that was more than 50%. The problem in the patient is pneumonia. Resulting in pulmonary dysfunction which causes overload. Infections that can increase morbidity and mortality may be associated with Streptococcus infection (group B, S, pneumonia), Legionella and viral infections (influenza). The most common infections are pneumonia and urinary tract infections which account for between 30% and 50% of cases. Therefore, the choice of empiric antimicrobial therapy in diabetic patients with evidence of staphylococcal pneumonia (consistent with sputum smear results or associated soft tissue infection) should be guided by the prevalence of MRSA in the associated institutions. Respiratory failure is a complication of KAD and increases the mortality rate. and morbidity. Based on the high nasal carriage rate, there is an increased risk of staphylococcal pneumonia infection in diabetic patients. Community pneumonia is acute inflammation due to infection of the lung parenchyma acquired in the community. (J Respir Indo 2018; 38(1): 57-63)
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