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Hubungan Status Merokok dengan Kejadian Ulkus Diabetikum pada Laki-Laki Penderita Diabetes Melitus

*Shofia Aji Hidayatillah  -  Universitas Diponegoro, Indonesia
Nugroho Heri  -  Universitas Diponegoro, Indonesia
Mateus Sakundarno Adi  -  Universitas Diponegoro, Indonesia

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Abstract

Background: The incidence of diabetic ulcers in Indonesia is 12% and the risk of diabetic ulcers is 55.4% .10 Cases of diabetic ulcers and gangrene in Indonesia are the most known cases in hospitals. Mortality due to ulcers and gangrene ranges from 17-23%, while the amputation rate starts at 15-30%. Diabetic ulcers are the most common complication in people with Diabetes Mellitus (DM). The purpose of this study is to study the relationship of smoking with the incidence of diabetic ulcers in men with DM. The study design in this study is case control.


Methods: This research was conducted in the outpatient and inpatient installation of RSUD dr. Loekmono Hadi Kudus Regency and RSI Sunan Kudus on August - September 2019. The population in this study were men with DM who received 25−80 years who had a health examination at dr. Loekmono Hadi Kudus Regency and RSI Sunan Kudus. A total of 35 cases and 35 controls were selected using consecutive sampling. Data were analyzed with chi square.


Result: The results showed a significant relationship between smoking and the incidence of diabetic ulcers in men with DM (p = 0.030; 95% CI = 1,235-8,997) and physical activity (p = 0.015; 95% CI = 1,401-10,590).


Conclusion: In this study, smoking and physical activity are related with the incidence of diabetic ulcers in men who are diabetic patients.

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Keywords: Diabetes Mellitus; Male; Smoking; Diabetic Ulcer

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  1. Waspadji. Buku Ajar Ilmu Penyakit Dalam: Kaki Diabetes. Jakarta: Penerbit Fakultas Kedokteran Universitas Indonesia; 2007. 1911-1914 p
  2. Lipsky BA, Berendt AR, Cornia PB, et al. Infectious Diseases Society of America Clinical Practice Guidelines for The Diagnosis and Treatment of Diabetic Foot Infections. Infect Dis Clin Pract. 2013;21(1):43-45. doi: 10.1097/IPC.0b013e318278f3e6
  3. J. Doupis, A. Veves. Classification, Diagnosis, and Treatment of Diabetic Foot Ulcers. 2008:20(5):117-26
  4. Frykberg RG, Zgonis T, Armstrong DG, et al. Diabetic Foot Disorders: A Clinical Practice Guideline (2006 revision). J Foot Ankle Surg. 2006;45(5 SUPPL.):1-66. doi: 10.1016/S1067-2516(07)60001-5
  5. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med. 2017;49(2):106-116. doi: 10.1080/07853890.2016.1231932
  6. Yusuf S, Okuwa M, Irwan M, et al. Prevalence and Risk Factor of Diabetic Foot Ulcers in a Regional Hospital , Eastern Indonesia. Open J Nurs. 2016;6(January):1-10. doi: 10.4236/ojn.2016.61001
  7. Deribe B. Prevalence and Factors Influencing Diabetic Foot Ulcer among Diabetic Patients Attending Arbaminch Hospital, South Ethiopia. J Diabetes Metab. 2014;05(01). doi: 10.4172/2155-6156.1000322
  8. Hastuti RT. Faktor-Faktor Risiko Ulkus Diabetika Pada Penderita Diabetes Mellitus (Studi Kasus di RSUD Dr. Moewardi Surakarta). Tesis. 2008
  9. Suryamin. Global Adult Tobacco Survey (GATS)| Indonesian Report.; 2011
  10. Barnoya J, Glantz SA. Cardiovascular Effects of Secondhand Smoke Nearly as Large as Smoking. Circulation. 2005;111:2684-2699. doi: 10.1161/CIRCULATIONAHA.104.492215
  11. Musa HG, Ahmed ME. Associated Risk Factors and Management of Chronic Diabetic Foot Ulcers Exceeding 6 Months’ Duration. Diabet Foot Ankle. 2012;1:1-6
  12. Khuwaja AK, Rafique G, White F AT. Macrovascular Complications and Their Associated Factors Among Persons with Type 2 Diabetes in Karachi , Pakistan - a Multi-Center Study. J Pak Med Assoc. 2004;54(2):60-66
  13. Armstrong DG. Guidelines : Wound Management in Diabetic Foot Ulcers. Presented at the: 2014
  14. Ferawati I. Faktor - Faktor yang Mempengaruhi Terjadinya Ulkus Diabetikum pada Pasien Diabetes Melitus Tipe 2 di RSUD Prof. DR. Margono Soekarjo Purwokerto. 2014
  15. T, Wibisono. Olah Raga dan Diabetes Mellitus Penyakit Dalam RS Adi Husada Undaan Surabaya. Dexa Media. 2004;17(2)
  16. Yadav R, Tiwari P, Dhanaraj E. Risk factors and complications of type 2 diabetes in Asians. Crips. 2008;9(2):8-12. http://www.niper.gov.in/risk_factor.pdf
  17. Yunir EM. Terapi Non Farmakologis Pada Diabetes Melitus. Jilid III,. (W, Aru, eds.). Jakarta: FK UI; 2006
  18. Istiqomah, Efendi AA. Faktor Resiko yang Berhubungan dengan Kejadian Ulkus Kaki Diabetik Pada Pasien Diabetes Mellitus di RSU Anutapura Palu. J Ilm Kedokt. 2014;1(2):1-16
  19. Fauziyah N. Hubungan Pengetahuan Pasien Diabetes Melitus Tipe 2 tentang Risiko terjadinya Ulkus Diabetik dengan Kejadian Ulkus Diabetik di RSUD DR.Moewardi. Naskah Publ. 2012
  20. Husniawati N, Kunci K. Faktor-Faktor Yang Berhubungan Dengan Kejadian Ulkus Kaki Diabetes Mellitus Di Klinik Diabetes Mellitus Tahun 2015. 2015;7(September):1-6
  21. Tandra H. Segala Sesuatu Yang Harus Anda Ketahui Tentang Diabetes. Jakarta: PT. Gramedia Pustaka Utama.; 2008

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