Skripsi

Hubungan Status Pasien Osteoartrtitis Genu Komorbid Diabetes Melitus dengan Perubahan Nilai Verbal Numeric Analog Scale Pasca Terapi di Poli Rehabilitasi Medik RSCM = The Relationship between Diabetes Mellitus Status on Knee Osteoarthtritis and Verbal Numeric Analog Scale Score Changes After Treatment in Medical Rehabilitation Unit in Cipto Mangunkusumo Hospital.

Osteoarthritis genu adalah penyakit sendi degeneratif akibat kerusakan kartilago artikular dan tulang subkondral yang mengakibatkan disabilitas. Diabetes melitus sebagai komorbid osteoartritis genu menyebabkan kekakuan matriks ekstraseluler, kerusakan tulang subkondral, dan disfungsi kondrosit. Penelitian ini membahas tentang hubungan status pasien osteoartritis genu komorbid diabetes melitus dengan perubahan nilai verbal numeric analog scale pasca terapi di Poli Rehabilitasi Medik RSCM. Tujuan penelitian untuk mencari hubungan kemaknaan status pasien osteoartritis genu komorbid diabetes melitus dengan perubahan nilai VNAS pasca terapi. Desain penelitian cross sectional dengan teknik sampling non-probable consecutive. Jumlah sampel 72 (36 komorbid DM dan 36 non komorbid DM). Analisis data menggunakan uji Mann-Whitney. Selisih VNAS diperoleh melalui pengurangan VNAS terakhir dengan VNAS saat kunjungan pertama pada rekam medik. Hasil penelitian menunjukkan pasien osteoartritis genu memiliki rentang usia 61-70 tahun (36,1%), mayoritas perempuan (66,7%), dan jenis terapi TENS (58,3%). Rerata selisih VNAS OA genu komorbid DM 1,6389, dan OA genu tanpa komorbid DM 2,6389. Hasil uji statistika menunjukkan perbedaan bermakna antara status pasien OA genu diabetes melitus dengan selisih VNAS (P 0,024).
Kata Kunci : Osteoartritis genu, Diabetes melitus, Nilai VNAS, Pasca terapi


Knee osteoarthtritis, is a joint degenerative disease the process of which include damage of knee articular cartilage and subchondral bone that may caused dissabilitation. Diabetes mellitus as a comorbid disease for knee OA may cause joint extracellular matrix rigidity, subchondral bone defect, and chondrosite dysfunction. This research discuss the relationship between diabetes mellitus status on knee osteoarthtritis and verbal numeric analog scale score changes after treatment in medical rehabilitation unit in Cipto Mangunkusumo Hospital. This research purporse is finding the significant relationship between diabetes mellitus status on knee osteoarthtritis and verbal numeric analog scale score changes after treatment. This research use cross sectional design and non-probable consecutive sampling technique. Total sample used is 72 medical records (36 knee OA with DM and 36 knee OA without DM). The test used to analyze the data is Mannwhitney test. VNAS score changes is a score gained by reducing the final VNAS score with the initial one in the medical record. The results of this research includes the common age which have knee OA [61-70 years old (36,1%)], woman gender majority (66,7%), and TENS treatment (58,3%). Mean VNAS score changes of knee OA with DM comorbidity and knee OA without DM comorbidity are 1,6389 and 2,6389. Statistic test shows significant relationship between diabetes mellitus status on knee osteoarthtritis and verbal numeric analog scale (VNAS) score changes after treatment (P 0,024).
Key Words : Knee osteoarthritis, Diabetes mellitus, VNAS score, After treatment