Diabetic Nephropathy Determinant Factor in Diabetes Mellitus at RSUD Dr. M. Soewandhie Surabaya
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Non-communicable diseases (NCDs) become an important health problem in connection with the shifting causes of death from infectious diseases to NCDs. Diabetes mellitus (DM) ranks 5th out of the top 10 PTM causes of outpatient treatment in hospitals in Indonesia. DM disease if not controlled properly can cause chronic complications such as diabetic nephropathy. This study aims to analyze the relationship of non-clinical factors according to the concept of Hendrik L. Blum with diabetic nephropathy in DM patients. This research is an observational analytic study with a case-control design. This research was conducted at the Internal Medicine Polyclinic (IRJ) Regional Public Hospital of Dr. M. Soewandhie (RSUD Dr. M. Soewandhie) Surabaya in June-July 2014. The independent variables studied were treatment compliance, education level, income, and social support, while the dependent variable was the incidence of diabetic nephropathy. Case samples in this study were DM sufferers who experienced diabetic nephropathy complications and were treated at the IRJ RSUD Dr. M. Soewandhie Surabaya was 36 respondents, while the control sample was DM sufferers who did not experience diabetic nephropathy complications and was treated at the IRJ RSUD Dr. M. Soewandhie Surabaya with 36 respondents. Samples were taken by convenience sampling technique. Data analysis using odds ratio calculation (OR) The results showed the medication non-compliance variables (OR = 2.8; contingency coefficient = 0.243), low education (OR = 1.5; contingency coefficient = 0.091, income less than the District Minimum Wage / City (UMK) (OR = 1.21) with a contingency coefficient of 0.036, and no social support (OR = 1.65; contingency coefficient = 0.117) The conclusions of this study are medical compliance, level of education, income, and social support affect the incidence of diabetic nephropathy in people with DM.
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