?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=HUBUNGAN+DURASI+TERDIAGNOSIS+DIABETES+MELITUS+TIPE+2+DAN+KADAR+HbA1C+DENGAN+DERAJAT+RETINOPATI+DIABETIK+PADA+PASIEN+YANG+MENGIKUTI+PROGRAM+PENGELOLAAN+PENYAKIT+KRONIS+DI+PUSKESMAS+KEDATON+BANDARLAMPUNG&rft.creator=EVA+NARULITA+KURNIA+PERDANA%2C+1418011076&rft.subject=R+Medicine+(General)&rft.subject=RE+Ophthalmology&rft.description=Latar+Belakang%3A+Retinopati+diabetik+adalah+komplikasi+mikrovaskular+DM+yang+disebabkan+oleh+kerusakan+pembuluh+darah+di+retina+dan+memicu+kebutaan.+Retiopato+diabetic+terbagi+menjadi+dua+yaitu+Non+Proliferative+Diabetic+Retinopathy+(NPDR)+dan+Proliferative+Diabetic+Retinopathy+(NPDR).+Faktor+yang+dapat+mempengaruhi+terjadinya+retinopati+diabetik+diantaranya+faktor+internal+(durasi+terdiagnosis+diabetes+melitus+tipe+2)+dan+faktor+eksternal+(hiperglikemia)+dimana+pemeriksaan+hiperglikemia+diantaranya+menggunakan+HbA1C.+Tujuan%3A+Penelitian+ini+bertujuan+untuk+mengetahui+hubungan+durasi+terdiagnosis+diabetes+melitus+tipe+2+dan+kadar+HbA1c+dengan+derajat+retinopati+diabetik+pada+pasien+yang+mengikuti+program+pengelolaan+penyakit+kronis+(Prolanis)+di+Puskesmas+Kedaton+Bandarlampung.+Metode%3A+Penelitian+ini+menggunakan+metode+survey+analitik+dengan+pendekatan+cross+sectional.+Sampel+berjumlah+50+pasien+diabetes+melitus+tipe+2+yang+mengikuti+Prolanis+di+Puskesmas+Kedaton.+Pengambilan+sampel+dilakukan+dengan+cara+consecutive+sampling+dan+data+dianalisis+dengan+uji+mann+whitney+dan+kruskal+wallis.+Hasil+Penelitian%3A+Sebanyak+46%25+responden+memiliki+durasi+diabetes+melitus+5-15%2C+44%25+%3C+5+tahun%2C+10%25+%3E+15+tahun.+Kadar+HbA1C+tidak+terkontrol+sebanyak+68%25+dan+terkontrol+sebanyak+32%25.+Dari+50+responden%2C+68%25+tidak+menderita+diabetic+retinopathy%2C+32%25+NPDR%2C+dan+2%25+PDR.+Durasi+terdiagnosis+diabetes+melitus+tipe+2+dan+retinopati+diabetik+secara+statistik+memiliki+hubungan+dengan+nilai+p%3D0%2C008+(p%3C0%2C05)+dan+kadar+HbA1C+dan+retinopati+diabetik+juga+secara+statistik+memiliki+hubungan+dengan+nilai+p+%3D+0.043%2C+(p%3C0.05).+Simpulan%3A+Dari+penelitian+ini+dapat+disimpulkan+bahwa+terdapat+hubungan+antara+durasi+terdiagnosis+diabetes+melitus+tipe+2+dan+kadar+HbA1c+dengan+derajat+retinopati+diabetik+pada+pasien+yang+mengikuti+program+pengelolaan+penyakit+kronis+di+Puskesmas+Kedaton+Bandarlampung.+Kata+kunci%3ADurasi+dm+tipe+2%2C+kadar+HbA1C%2C+retinopati+diabetik.+ABSTRACT+Background%3A+Diabetic+retinopathy+is+a+microvascular+complication+of+diabetes+caused+by+blood+vessels+damage+in+the+retina+and+lead+to+blindness.+The+common+factors+that+lead+to+retinopathy+were+internal+and+external.+One+of+the+internal+factor+is+duration+of+diabetes+mellitus+and+one+of+the+external+factor+is+hyperglycemia.+HbA1C+is+an+indicator+to+identify+the+presence+of+hyperglycemia.+Objective%3AThis+study+aims+to+determined+the+relationship+duration+of+diabetes+mellitus+type+2+and+HbA1C+levels+with+diabetic+retinopathy+degree+in+patients+who+followed+chronic+disease+management+program+in+Kedaton+Primary+Health+Care+Bandarlampung.+Methods%3A+This+research+used+analytic+survey+with+cross+sectional+approach.+Samples+were+50+patients+with+type+2+diabetes+who+followed+Prolanis+in+Puskesmas+Kedaton.+Sampling+was+done+by+consecutive+sampling+and+data+were+analyzed+by+using+2+methods%2C+mann+whitney+and+kuskal+wallis.+Results%3A+Around+46%25+participants+had+duration+of+diabetes+mellitus+5-15+years%2C+44%25+%3C+5+years%2C+10%25+%3E+15+years.+Uncontrolled+HbA1C+level+were+68%25+dan+and+controlled+were+32%25.+From+50+participants%2C+68%25+had+no+diabetic+retinopathy%2C+32%25+NPDR%2C+and+2%25+PDR.+Duration+of+diabetes+mellitus+type+2+and+diabetic+retinopathy+had+statistically+relationship+(p%3D0%2C008%2C+p%3C0%2C05)+and+HbA1C+levels+and+diabetic+retinopathy+also+had+statistically+relationship+(p+%3D+0.043%2C+p%3C+0.05).+Conclusion%3A+From+this+study+we+concluded+that+there+was+a+relationship+between+duration+of+diabetes+mellitus+type+2+and+HbA1C+levels+with+diabetic+retinopathy+grading+in+patients+who+followed+chronic+disease+management+program+in+Kedaton+Primary+Health+Care%2C+Bandarlampung.+Keywords%3A+Diabetic+retinopathy%2C+duration+of+diabetes+mellitus+type+2%2C+HbA1C+level&rft.publisher=FAKULTAS+KEDOKTERAN&rft.date=2018-01-25&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F30160%2F1%2FABSTRAK.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F30160%2F2%2FSKRIPSI%2520FULL.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F30160%2F3%2FSKRIPSI%2520TANPA%2520BAB%2520PEMBAHASAN.pdf&rft.identifier=++EVA+NARULITA+KURNIA+PERDANA%2C+1418011076++(2018)+HUBUNGAN+DURASI+TERDIAGNOSIS+DIABETES+MELITUS+TIPE+2+DAN+KADAR+HbA1C+DENGAN+DERAJAT+RETINOPATI+DIABETIK+PADA+PASIEN+YANG+MENGIKUTI+PROGRAM+PENGELOLAAN+PENYAKIT+KRONIS+DI+PUSKESMAS+KEDATON+BANDARLAMPUNG.++FAKULTAS+KEDOKTERAN%2C+UNIVERSITAS+LAMPUNG.+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F30160%2F