PENILAIAN LOWER URINARY TRACT SYMPTOMS (LUTS) PADA PENDERITA DIABETES MELITUS DI KOTA TEGAL

Dwi Uswatun Khasanah; Suparjo Suparjo; Anny  Fauziyah

doi:10.31983/juk.v5i2.13644

Penulis

Dwi Uswatun Khasanah Poltekkes Kemenkes Semarang
Suparjo Poltekkes Kemenkes Semarang https://orcid.org/0000-0003-1401-596X
Anny Fauziyah Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.31983/juk.v5i2.13644

Kata Kunci:

Diabetes Mellitus, LUTS, LURN SI-29, nocturia, urgensi

Abstrak

Diabetes Melitus (DM) berhubungan dengan komplikasi urologi, khususnya Lower Urinary Tract Symptoms (LUTS). LUTS atau gejala saluran kemih bagian bawah meliputi nokturia, urgensi, frekuensi, penurunan aliran urin, pengosongan kandung kemih yang tidak tuntas, dan inkontinensia, yang dapat menimbulkan distress fisik maupun psikologis serta menurunkan kualitas hidup. Identifikasi dini LUTS pada penderita DM penting dilakukan untuk mencegah progresivitas dan memperbaiki penatalaksanaan gejala. Penelitian deskriptif ini bertujuan mengidentifikasi LUTS pada penderita DM di Kota Tegal. Sebanyak 106 responden dengan DM dipilih secara purposive sampling dari wilayah kerja Puskesmas Tegal Timur, Bandung, Debong Lor, dan Margadana. Data dikumpulkan melalui wawancara menggunakan kuesioner LURN Symptom Index-29 (LURN SI-29). Analisis data dilakukan secara deskriptif untuk menghitung nilai rata-rata, standar deviasi, nilai minimum, dan maksimum. Hasil penelitian menunjukkan skor rata-rata tertinggi terdapat pada Bagian E (Nokturia) sebesar 65,89 (SD = 22,16), diikuti Bagian D (Urgensi) sebesar 22,42 (SD = 22,66). Skor terendah terdapat pada Bagian B (Nyeri kandung kemih) sebesar 7,02 (SD = 14,19). Skor total LURN SI-29 memiliki rata-rata 19,15 (SD = 9,98) dengan rentang 5,70–53,30. Disimpulkan bahwa gejala nokturia merupakan keluhan yang paling dominan dialami penderita DM di Kota Tegal, diikuti oleh gejala urgensi. Sementara itu, gejala nyeri kandung kemih relatif jarang dilaporkan. Secara keseluruhan, skor total LUTS menunjukkan bahwa sebagian besar penderita DM mengalami gejala saluran kemih bawah dengan tingkat keparahan bervariasi. Deteksi dini LUTS direkomendasikan untuk membantu penderita DM mengenali gejala lebih awal dan memperoleh intervensi yang tepat.

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