Panduan Penulisan
Korelasi Kadar Gula Darah Sewaktu dengan Nilai Fecal Incontinence Severity Index (FISI) pada Kelompok Lanjut Usia
Sari
ABSTRACT
Physiological changes occur to every organ systems along with age. Fecal incontinence (FI) is one of them. FI should not be underestimated. There are a lot of risk factors for FI in elderly, including age, obesity, gender, and comorbidities like dementia and diabetes melitus. High prevalence of FI and diabetes mellitus will affect clinical and managements in elderly care. To find out the correlation between blood sugar level and fecal incontinence severity index (FISI) score in elderly patients. This is an analytic study with cross sectional design. Samples are elderly patients in Santa Anna Nursing Home in July 2023 that met the criteria. Data obtained through questionnaire interview and blood examination. Statistical analysis used in the study are Pearson or Spearman correlation test. Data distribution is tested with Kolmogorov-Smirnov test. Level of significance in the study is 5%. There are 60 respondents with the mean age of 76,30 (±7,88) years, dominated by female (66,7%). High blood sugar level obtained in 11,7% of the respondents. There is a significant correlation between blood sugar level and FISI score (p-value = 0,041; r-correlation : 0,264). From the R square evaluation we found a value of 0.091, which indicates that 9.1% of FISI score is influenced by blood sugar level. There is a correlation between elevated blood sugar and fecal incontinence. Fecal incontinence in older adults requires attention due to its adverse impact on their quality of life.
Keywords: Blood Sugar Level, Elderly, Fecal Incontinence
ABSTRAK
Perubahan fisiologis terjadi pada seluruh sistem organ seiring dengan bertambahnya usia. Salah satu hal yang dapat terjadi pada lansia adalah fecal incontinence (FI). Hal ini tidak dapat dipandang sebelah mata. Terdapat berbagai faktor risiko untuk FI pada lansia, termasuk bertambahnya usia, obesitas, jenis kelamin, dan berbagai jenis penyakit penyerta, seperti demensia dan diabetes melitus. Tingginya prevalensi FI dan diabetes melitus akan berdampak pada klinis dan manajemen perawatan lansia. Mengetahui korelasi kadar gula darah sewaktu dengan nilai fecal incontinence severity index (FISI) pada kelompok lanjut usia. Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional. Sampel merupakan pasien lanjut usia di Panti Lansia Santa Anna pada Juli 2023 serta memenuhi kriteria. Data diperoleh melalui wawancara kuesioner dan pemeriksaan darah. Analisa statistik pada penelitian ini menggunakan korelasi Pearson atau korelasi Spearman. Distribusi data diperiksa menggunakan uji Kolmogorov-Smirnov. Nilai kemaknaan dalam penelitian ini adalah sebesar 5%. Didapatkan 60 responden dengan rerata usia adalah 76,30 (±7,88) tahun, yang didominasi jenis kelamin perempuan (66,7%). Kadar gula darah sewaktu yang tergolong tinggi didapatkan pada 11,7% responden. Terdapat korelasi yang bermakna antara kadar Gula Darah Sewaktu dengan nilai FISI (p-value = 0,041; r-correlation : 0,264). Penelusuran dari nilai R square didapatkan nilai sebesar 0,091, yang menunjukkan bahwa 9,1% nilai FISI dipengaruhi oleh kadar gula darah sewaktu. Terdapat korelasi antara peningkatan gula darah sewaktu dengan inkontinensia fekal. Inkontinensia fekal pada usia lanjut perlu mendapat perhatian karena dapat menurunkan kualitas hidup.
Kata Kunci: Gula Darah Sewaktu, Fecal Incontinence, Lanjut Usia
Teks Lengkap:
Download ArtikelReferensi
Bhutto, A., & Morley, J. E. (2008). The clinical significance of gastrointestinal changes with aging. Current Opinion in Clinical Nutrition & Metabolic Care, 11(5), 651–660. https://doi.org/10.1097/MCO.0b013e32830b5d37
Boss, G. R., & Seegmiller, J. E. (1981). Age-related physiological changes and their clinical significance. The Western Journal of Medicine, 135(6), 434–440.
CDC. (2022). National Diabetes Statistics Report.
De La Luz Nieto, M., Wu, J. M., Matthews, C., Whitehead, W. E., & Markland, A. D. (2015). Factors associated with fecal incontinence in a nationally representative sample of diabetic women. International Urogynecology Journal, 26(10), 1483–1488. https://doi.org/10.1007/s00192-015-2730-9
Demir, N., Yuruyen, M., Atay, K., Yavuzer, H., Hatemi, I., Doventas, A., Erdincler, D. S., & Dobrucalı, A. (2017). Prevalence of fecal incontinence and associated risk factors in elderly outpatients: a cross-sectional study. Aging Clinical and Experimental Research, 29(6), 1165–1171. https://doi.org/10.1007/s40520-017-0723-x
Flint, B., & Tadi, P. (2023). Physiology, Aging. StatPearls.
Forouhi, N. G., & Wareham, N. J. (2014). Epidemiology of diabetes. Medicine, 42(12), 698–702. https://doi.org/10.1016/j.mpmed.2014.09.007
Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI, 53(9), 1689–1699.
Maisey, A. (2016). A Practical Approach to Gastrointestinal Complications of Diabetes. Diabetes Therapy, 7(3), 379–386. https://doi.org/10.1007/s13300-016-0182-y
Markland, A. D., Goode, P. S., Burgio, K. L., Redden, D. T., Richter, H. E., Sawyer, P., & Allman, R. M. (2010). Incidence and Risk Factors for Fecal Incontinence in Black and White Older Adults: A Population-Based Study. Journal of the American Geriatrics Society, 58(7), 1341–1346. https://doi.org/10.1111/j.1532-5415.2010.02908.x
Menees, S., & Chey, W. D. (2022). Fecal Incontinence: Pathogenesis, Diagnosis, and Updated Treatment Strategies. Gastroenterology Clinics of North America, 51(1), 71–91. https://doi.org/10.1016/j.gtc.2021.10.005
Musa, M. K., Saga, S., Blekken, L. E., Harris, R., Goodman, C., & Norton, C. (2019). The Prevalence, Incidence, and Correlates of Fecal Incontinence Among Older People Residing in Care Homes: A Systematic Review. Journal of the American Medical Directors Association, 20(8), 956-962.e8. https://doi.org/10.1016/j.jamda.2019.03.033
Pasricha, T., & Staller, K. (2021). Fecal Incontinence in the Elderly. Clinics in Geriatric Medicine, 37(1), 71–83. https://doi.org/10.1016/j.cger.2020.08.006
Roslani, A. C., Ramakrishnan, R., Azmi, S., Arapoc, D. J., & Goh, A. (2014). Prevalence of faecal incontinence and its related factors among patients in a Malaysian academic setting. BMC Gastroenterology, 14(1). https://doi.org/10.1186/1471-230X-14-95
Schiller, L. R., Ana, C. A. S., Schmulen, A. C., Hendler, R. S., Harford, W. V., & Fordtran, J. S. (1982). Pathogenesis of Fecal Incontinence in Diabetes Mellitus. New England Journal of Medicine, 307(27), 1666–1671. https://doi.org/10.1056/NEJM198212303072702
Smith, T. M., Menees, S. B., Xu, X., Saad, R. J., Chey, W. D., & Fenner, D. E. (2013). Factors associated with quality of life among women with fecal incontinence. International Urogynecology Journal, 24(3), 493–499. https://doi.org/10.1007/s00192-012-1889-6
Soenen, S., Rayner, C. K., Jones, K. L., & Horowitz, M. (2016). The ageing gastrointestinal tract. Current Opinion in Clinical Nutrition and Metabolic Care, 19(1), 12–18. https://doi.org/10.1097/MCO.0000000000000238
Søfteland, E., Brock, C., Frøkjær, J. B., Simrén, M., Drewes, A. M., & Dimcevski, G. (2014). Rectal Sensitivity in Diabetes Patients with Symptoms of Gastroparesis. Journal of Diabetes Research, 2014, 1–8. https://doi.org/10.1155/2014/784841
Stevens, T. K., Soffer, E. E., & Palmer, R. M. (2003). Fecal incontinence in elderly patients: Common, treatable, yet often undiagnosed. Cleveland Clinic Journal of Medicine, 70(5), 441–448. https://doi.org/10.3949/ccjm.70.5.441
Tamanini, J. T. N., de Jesus, F. A., Castro, R. A., Ferreira Sartori, M. G., Castello Girão, M. J. B., dos Santos, J. L. F., de Oliveira Duarte, Y. A., & Lebrão, M. L. (2016). The prevalence of fecal incontinence and associated risk factors in older adults participating in the SABE study. Neurourology and Urodynamics, 35(8), 959–964. https://doi.org/10.1002/nau.22836
Tokay Tarhan, S., Atug, O., Giral, A., & Imeryuz, N. (2019). Effect of gender on the etiology of fecal incontinence: Retrospective analysis of a tertiary referral center in Turkey. The Turkish Journal of Gastroenterology, 30(9), 782–788. https://doi.org/10.5152/tjg.2019.18923
WHO. (2023). Diabetes.
DOI: https://doi.org/10.33024/mahesa.v3i11.11402
Refbacks
- Saat ini tidak ada refbacks.
Publisher: Universitas Malahayati Lampung
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
kostenlose besucherzähler