Membangun Kewaspadaan Munculnya Komplikasi Neuropati Perifer pada Gangguan Metabolik di Lingkungan Klinik Pratama

Anita Soraya Soetoko, Dina Fatmawati

Abstract


Gangguan metabolik merupakan salah satu penyakit kronis yang banyak dijumpai di Klinik Pratama. Komplikasi yang umum dijumpai pada penyakit ini berupa neuropati perifer. Membangun kewaspadaan melalui peningkatan pengetahuan dan kegiatan deteksi dini terhadap neuropati perifer pada penderita gangguan metabolik dapat mencegah penurunan kualitas hidup penderita akibat komplikasi ini. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan dan deteksi dini neuropati perifer pada penderita gangguan metabolik di Klinik Pratama. Kegiatan ini dilakukan dengan metode penyuluhan mengunakan media power point (PPT) dan pemeriksaan gejala dan tanda neuropati perifer menggunakan tes Michigan dan monofilamen. Kegiatan ini dihadiri oleh 38 peserta yang berasal dari 2 Klinik Pratama di Semarang. Hasil evaluasi setelah selesai kegiatan penyuluhan, didapatkan 70% peserta memiliki pengetahuan yang baik tentang definisi dan mekanisme, 90% mengetahui tanda dan gejala, serta 100% peserta memahami cara mencegah terjadinya neuropati perifer. Hasil tes Michigan, didapatkan 13 peserta memiliki gejala subjektif dan 4 peserta memiliki tanda objektif neuropati perifer, sedangkan pada hasil tes monofilamen didapatkan 5 peserta terdiagnosis neuropati perifer dan 7 memiliki risiko tinggi dalam kurun waktu 4 tahun ke depan. Kegiatan ini menunjukan kemanfaatannya dalam meningkatkan pengetahuan dan mampu mendeteksi dini gejala neuropati perifer pada penderita gangguan metabolik di Klinik Pratama.

Metabolic disorders are one of the chronic diseases commonly found in primary clinics. The common complication found in this disease is peripheral neuropathy. Building awareness through increased knowledge and early detection for peripheral neuropathy in patients with metabolic disorders can prevent a decline in the quality of life of patients. The aim of this activity is to enhance knowledge and early detection of peripheral neuropathy in patients with metabolic disorders at the primary clinic. This activity was conducted by giving health education using PowerPoint (PPT) media and examination of peripheral neuropathy symptoms and signs using the Michigan test and monofilament. This activity was attended by 38 participants from 2 primary clinics in Semarang. The evaluation results after giving health education showed that 70% of the participants had a good understanding of the definition and mechanism, 90% knew the signs and symptoms, and 100% of the participants understood how to prevent peripheral neuropathy. The results of the Michigan test showed that 13 participants had subjective symptoms and 4 participants had objective signs of peripheral neuropathy, while the results of the monofilament test indicated that 5 participants were diagnosed with peripheral neuropathy and 7 were at high risk within the next 4 years. This activity demonstrates its usefulness in increasing knowledge and being able to detect early symptoms of peripheral neuropathy in patients with metabolic disorders at the primary clinic.


Keywords


Metabolic disorder; Peripheral neuropathy; Self-awareness; Screening

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References


Afifah, L. A. N., Arso, S. P., & Fatmasari, E. Y. (2019). Analis Mekanisme Pengelolaan Dana Kapitas Pada Klinik Pratama di Kecamatan Pendurungan Kota Semarang. Jurnal Kesehatan Masyarakat (e-Jurnal), 7(4), 683–694.

Bahar, A., Kashi, Z., Kheradmand, M., Hedayatizadeh-Omran, A., Moradinazar, M., Ramezani, F., Afshari, M., & Moosazadeh, M. (2020). Prevalence of metabolic syndrome using international diabetes federation, National Cholesterol Education Panel- Adult Treatment Panel III and Iranian criteria: results of Tabari cohort study. Journal of Diabetes & Metabolic Disorders 2020 19:1, 19(1), 205–211. https://doi.org/10.1007/S40200-020-00492-6

Fatmawati, D., & Soetoko, A. (2022). Peningkatan Pengetahuan Dan Pelatihan Penyusunan Menu Diet Harian Penderita Penyakit Kronis di Klinik Pratama Semarang. ARSY: Jurnal Aplikasi Riset Kepada Masyarakat, 2(2), 117–123. https://doi.org/10.55583/arsy.v2i2.184

Hiligsmann, M., Wyers, C. E., Mayer, S., Evers, S. M., & Ruwaard, D. (2017). A systematic review of economic evaluations of screening programmes for cardiometabolic diseases. In European Journal of Public Health (Vol. 27, Issue 4, pp. 621–631). Oxford University Press. https://doi.org/10.1093/eurpub/ckw237

Listyandini, R., Pertiwi, F., & Riana, D. (2020). Asupan Makan, Stress, dan Aktivitas Fisik dengan Sindrom Metabolik pada Pekerja Di Jakarta. Jurnal Kajian Dan Pengembangan Kesehatan Masyarakat, 01(01), 19–32.

Milita, F., Handayani, S., & Setiaji, B. (2021). Kejadian Diabetes Mellitus Tipe II pada Lanjut Usia di Indonesia (Analisis Riskesdas 2018). Jurnal Kedokteran Dan Kesehatan, 17(1). https://jurnal.umj.ac.id/index.php/JKK

Murman, D. L. (2015). The Impact of Age on Cognition. Seminars in Hearing, 36(3), 111–121. https://doi.org/10.1055/s-0035-1555115

Nilsson, P. M., Tuomilehto, J., & Rydén, L. (2019). The metabolic syndrome – What is it and how should it be managed? European Journal of Preventive Cardiology, 26(2_suppl), 33–46. https://doi.org/10.1177/2047487319886404

Oktowaty, S., Setiawati, E. P., & Arisanti, N. (2018). Hubungan Fungsi Keluarga Dengan Kualitas Hidup Pasien Penyakit Kronis Degeneratif di Fasilitas Kesehatan Tingkat Pertama. Jurnal Sistem Kesehatan, 4(1), 1–6. https://doi.org/10.24198/jsk.v4i1.19180

Purwanti, O. S., Istiningrum, A. I., & Wibowo, S. F. (2023). Peningkatan Pengetahuan Penyandang Diabetes Melitus Dalam Penanganan Neuropati. JMM (Jurnal Masyarakat Mandiri), 7(4), 3831. https://doi.org/10.31764/jmm.v7i4.16403

Selvarajah, D., Kar, D., Khunti, K., Davies, M. J., Scott, A. R., Walker, J., & Tesfaye, S. (2019). Diabetic peripheral neuropathy: advances in diagnosis and strategies for screening and early intervention. The Lancet Diabetes and Endocrinology, 7(12), 938–948. https://doi.org/10.1016/S2213-8587(19)30081-6

Putri, A. M., Hasneli, Y., & Safri. (2020). Faktor-Faktor Yang Mempengaruhi Derajat Keparahan Neuropati Perifer Pada Pasien Diabetes Melitus : Literature Review. Jurnal Ilmu Keperawatan, 8(1), 38–53.

Rachmantoko, R., Afif, Z., Rahmawati, D., Rakhmatiar, R., & Nandar Kurniawan, S. (2021). Diabetic Neuropathic Pain. JPHV (Journal of Pain, Vertigo and Headache), 2(1), 8–12. https://doi.org/10.21776/ub.jphv.2021.002.01.3

Selvarajah, D., Kar, D., Khunti, K., Davies, M. J., Scott, A. R., Walker, J., & Tesfaye, S. (2019). Diabetic peripheral neuropathy: advances in diagnosis and strategies for screening and early intervention. The Lancet Diabetes and Endocrinology, 7(12), 938–948. https://doi.org/10.1016/S2213-8587(19)30081-6

Silviliyana, M., Maylasari, I., Agustina, R., Ramadani, K. D., Sulistyowati, R., Annisa, L., & Dewi, F. W. R. (2018). Statistik Penduduk Lanjut Usia. Badan Pusat Statistik, 1–260.

Soetoko, A. S., & Soetoko, D. F. (2022). Meningkatkan Kualitas Hidup Penderita Gangguan Metabolik di Klinik Pratama Semarang melalui Pelatihan Pengaturan Diet dan Senam Kaki. Jurnal Pengabdian Masyarakat Kedokteran, 1(3), 126-133.

Spaeth, G. L., Thomas, R., & Ekici, F. (2014). Objective Sounds Better Than Subjective: Is It? Issues of Validity, Relevance, and Cost in Diagnostic Testing. Asia-Pacific Journal of Ophthalmology, 3(3), 133–135. https://doi.org/10.1097/APO.0000000000000062

Tonasih, T., & Gunawan, U. I. (2021). Kepuasan Pasien Terhadap Pelayanan Kesehatan di Klinik Pratama. Jurnal SMART Kebidanan, 8(1), 44. https://doi.org/10.34310/sjkb.v8i1.427

Utami Cahyaningtyas, & Rini Werdiningsih. (2022). Analisis Faktor Lama Penyembuhan Kaki Diabetes/Ulkus Diabetikum Pada Pasien Dm Tipe 2. Jurnal Media Administrasi, 7(1), 28–39. https://doi.org/10.56444/jma.v7i1.61

Van Skike, C. E., DeRosa, N., Galvan, V., & Hussong, S. A. (2023). Rapamycin restores peripheral blood flow in aged mice and in mouse models of atherosclerosis and Alzheimer’s disease. GeroScience, 45(3), 1987–1996. https://doi.org/10.1007/s11357-023-00786-6

Waldfogle, G. E., Hagerty-Koller, M. R., Lane, L. R., Garibaldi, A. E., & Szalma, J. L. (2019). Exploring Sex Differences in Vigilance Performance with Knowledge of Results. Proceedings of the Human Factors and Ergonomics Society, 63(1), 1321–1325. https://doi.org/10.1177/1071181319631130

Wang, H. H., Lee, D. K., Liu, M., Portincasa, P., & Wang, D. Q. H. (2020). Novel Insights into the Pathogenesis and Management of the Metabolic Syndrome. Pediatric Gastroenterology, Hepatology & Nutrition, 23(3), 189. https://doi.org/10.5223/PGHN.2020.23.3.189

You, L., & Qiu, P. (2020). An Effective Method for Online Disease Risk Monitoring. Technometrics, 62(2), 249–264. https://doi.org/10.1080/00401706.2019.1625813




DOI: http://dx.doi.org/10.30659/abdimasku.4.1.25-32

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