Skripsi

Profil Pasien Diabetes Melitus Tipe 2 di Klinik Dokter Keluarga Kayu Putih dan Hubungannya Dengan Rasio Low Density Lipoprotein Cholesterol Terhadap High Density Lipoprotein Cholesterol. = Type 2 Diabetes Mellitus Patients Profile in Kayu Putih Family Doctor’s Clinic and Its Association With Low Density Lipoprotein Cholesterol to High Density Lipoprotein Cholesterol Ratio.

Tujuan: Mendapatkan karakteristik pasien diabetes melitus (DM) tipe 2 di pelayanan kesehatan primer yang berupa klinik dokter keluarga (KDK). Metode: Studi potong lintang berbasis populasi ini melibatkan pasien DM tipe 2 di KDK Kayu Putih periode Januari 2009 sampai Mei 2010 yang dipilih secara total sampling. Data rekam medis subyek penelitian dianalisis untuk mengetahui karakteristik sosiodemografik dan biologik pasien. Turut dicari asosiasi faktor-faktor biologik dengan rasio LDL terhadap HDL. Hasil: Dari 158 subyek yang diteliti, diketahui proporsi terbanyak usia pasien (55-64 tahun), jenis kelamin (perempuan), status pernikahan (kawin), tingkat pendidikan (tamat SLTA), jenis pekerjaan (tidak bekerja), riwayat keluarga DM (tanpa riwayat), kebiasaan merokok (tidak merokok), indeks massa tubuh (obesitas derajat I), tekanan darah (prehipertensi), rasio LDL terhadap HDL (2,00-2,99), kadar GDP awal (buruk), dan kadar GD2PP awal (buruk). Tidak terdapat asosiasi yang bermakna secara statistik antara faktor-faktor biologik dengan rasio LDL terhadap HDL. Kesimpulan: Telah diketahui karakteristik pasien DM tipe 2 di KDK Kayu Putih. Pemeriksaan profil lipid dan penentuan rasio LDL terhadap HDL dapat dipertimbangkan sebagai bagian dari pemeriksaan penunjang rutin pada pasien DM tipe 2 di KDK Kayu Putih.
Kata kunci: Diabetes melitus tipe 2; klinik dokter keluarga; karakteristik sosiodemografik; karakteristik biologik; rasio LDL terhadap HDL.




Purpose: To obtain type 2 diabetes mellitus (DM) patients’ characteristics in primary health care provider in the form of family doctor’s clinic (FDC). Methods: Type 2 DM patients in Kayu Putih FDC on the period of January 2009 to May 2010 were included by total sampling method in a population-based, cross sectional study. Data in subjects’ medical record were analyzed to obtain sociodemographic and biologic characteristics. Association between biologic factors and LDL to HDL ratio were also recorded. Results: From 158 subjects, the study showed the largest proportion of patients’ age (55-64 years old), sex (female), marital status (married), education level (high school graduate), occupation (jobless), family history of DM (no history), smoking habit (not smoking), body mass index (obesity grade I), blood pressure (prehypertension), LDL to HDL ratio (2,00-2,99), fasting blood glucose level (poor), and 2 hours postprandial blood glucose level (poor). There were no statistically important associations between biologic factors and LDL to HDL ratio. Conclusions: The characteristics of type 2 DM patients in Kayu Putih FDC were known. Examining lipid profile and establishing LDL to HDL ratio could be considered as parts of routine laboratory examination in type 2 DM patients in Kayu Putih FDC.
Keywords: Type 2 diabetes mellitus; family doctor’s clinic; sociodemographic characteristics; biologic characteristics; LDL to HDL ratio.