Hubungan Komorbiditas dengan Mortalitas Pasien Diabetes Melitus di Ruang Intensive Care Unit (ICU)

Tri Sakti Wirotomo; Dwi Fijianto; Firman Faradisi; Yuni  Sandra Pratiwi

doi:10.48144/jiks.v17i1.1747

Authors

Tri Sakti Wirotomo Universitas Muhammadiyah Pekajangan Pekalongan
Dwi Fijianto Universitas Muhammadiyah Pekajangan Pekalongan
Firman Faradisi Universitas Muhammadiyah Pekajangan Pekalongan
Yuni Sandra Pratiwi Universitas Muhammadiyah Pekajangan Pekalongan

DOI:

https://doi.org/10.48144/jiks.v17i1.1747

Keywords:

Diabetes mellitus, intensive care unit, complications of diabetes mellitus, comorbidities, mortality

Abstract

Diabetes melitus is a group of metabolic diseases characterized by hyperglicemia that occurs due to abnormalities in insulin secretion, insulin action or both. Diabetes melitus patients can experience a decline in health status which results in physiological changes that require treatment in an intensive care unit. Apart from causing complications, diabetes melitus also causes deterioration ogf the body’s system if the patien suffers from comorbidities. This study aim to determine the relationship between comorbidities and mortality in diabetes melitus patients treated in the intensive care unit. The research method is observational with a croos-sectional design. Sampling used total sampling. Data was obtained secondary data in form of medical records in the ICU room at Kajen Hospital, Pekalongan Regency in January-December 2022. The number of respondents was 40 diabetes melitus patients. Data analysis used the Pearson correlation statistical test to determine whether there are wasvrelationship between comorbidity and respondent mortality. The research results obtained a p-value of 0,022 (<0,05). The conclusion from this study is that there is a relationship between comorbidity and mortality of diabetes melituspatients in the intensive care unit of Kajen Regional Hospital, Pekalongan Regency.

References

Wild, S., et al., Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes care, 2004. 27(5): p. 1047-1053.

Chan, J.C., et al., Diabetes in Asia: epidemiology, risk factors, and pathophysiology. Jama, 2009. 301(20): p. 2129-2140.

Mohan, V., Y.K. Seedat, and R. Pradeepa, The rising burden of diabetes and hypertension in southeast asian and african regions: need for effective strategies for prevention and control in primary health care settings. International journal of hypertension, 2013. 2013.

Kemenkes. Riset Kesehatan Dasar. 2018 30 Januari 2024; Available from: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf.

WHO, Diabetes. 2023.

Trisnawati, S.K. and S. Setyorogo, Faktor risiko Kejadian diabetes melitus tipe II di puskesmas kecamatan cengkareng Jakarta Barat Tahun 2012. Jurnal ilmiah kesehatan, 2013. 5(1): p. 6-11.

Fijianto, D., et al., Perilaku Lansia Penderita Diabetes Mellitus di Pedesaan. Jurnal Ilmiah Kesehatan, 2023. 16(2): p. 76-82.

Susanti, E.F.N., N.D. Hudiyawati, and M. Kep, Gambaran faktor risiko terjadinya diabetes melitus pada penderita diabetes melitus tipe 2. 2019, Universitas Muhammadiyah Surakarta.

Wirotomo, T.S., Studi Deskriptif Kadar Kolestrol, Gula Darah dan Asam Urat Berdasarkan Usia di Desa Bojong Kabupaten Pekalongan. Jurnal Ilmiah Kesehatan, 2019. 12(2).

Ferlitasari, S.N., M.A. Wuryanto, and D. Sutiningsih, Gambaran Karakteristik Pasien Diabetes Melitus Tipe 2 Rawat Inap di Rumah Sakit Pertamina Cirebon Tahun 2019. Jurnal Riset Kesehatan Masyarakat, 2022. 2(1).

Kurniawaty, E. and B. Yanita, Faktor-faktor yang berhubungan dengan kejadian Diabetes Melitus tipe II. Jurnal Majority, 2016. 5(2): p. 27-31.

Pangestika, H., D. Ekawati, and N.S. Murni, Faktor-Faktor Yang Berhubungan Dengan Kejadian Diabetes Mellitus Tipe 2. Jurnal’Aisyiyah Medika, 2022. 7(1): p. 27-31.

Saputri, R.D., Komplikasi Sistemik Pada Pasien Diabetes Melitus Tipe 2. Jurnal Ilmiah Kesehatan Sandi Husada, 2020. 9(1): p. 230-236.

Fauzi, A., FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN MORTALITAS PADA PASIEN DIABETES MILITUS DENGAN KOMPLIKASI MASUK DI RUANG ICU RS. PELABUHAN JAKARTA: Factors Affecting the Events of Mortality in Diabetes Mellitus Patients with Complications in The ICU of Pelabuhan Jakarta Hospital. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 2023. 9(4): p. 210-218.

Muhani, N. and N. Sari, Analisis Survival pada Penderita Gagal Ginjal Kronik dengan Komorbiditas Diabetes Melitus. 2020.