Hubungan neuropati diabetik dengan kualitas tidur pada penderita diabetes mellitus di wilayah kerja Puskesmas Bendosari Sukoharjo

Abstract

Abstract Background: Diabetes mellitus is a chronic metabolic disorder caused by the inability of the pancreas to use insulin effectively. Diabetes mellitus is known as a silent killer which sufferers often do not realize. Patients realize when complications have been discovered. Diabetic neuropathy is a complication or advanced disease that occurs most often and is faced by diabetes mellitus sufferers. Symptoms of neuropathy include burning sensations, vibrations and pain in oneself which is more at night and disrupts the sufferer's sleep patterns. Purpose: To determine the relationship between diabetic neuropathy and sleep quality in people with diabetes mellitus. Method: Quantitative research with correlational design on neuropathy in 63 DM patients at Bendosari Sukoharjo Health Center. The research instruments used were the Toronto Clinical Scoring System (TCSS) questionnaire consisting of 15 questions to measure the level of diabetic neuropathy and the Pittsburgh Sleep Quality Index (PSQI) questionnaire consisting of 19 questions to measure sleep quality. Data analysis used univariate and bivariate Spearman Rho statistical tests to determine the relationship between the two variables. Results: The majority of respondents were male, aged 51-60 years, worked as farmers, suffered for 1-5 years, had blood sugar levels ≥200 mg/dL, underwent treatment with antidiabetic drugs, did not experience neuropathy, and had good sleep quality. The Spearman Rho test showed a p-value of 0.00 (<α 0.05). This indicates a relationship between diabetic neuropathy and sleep quality in DM patients. Conclusion: There is a significant relationship between diabetic neuropathy and sleep quality in DM patients as indicated by the results of the correlation test p-value 0.000 (<0.05). Suggestion: DM patients with diabetic neuropathy should check their blood sugar levels regularly and control them periodically, undergo regular diabetic neuropathy therapy to control symptoms of diabetic neuropathy pain and optimize quality of life. Keywords: Diabetes Mellitus; Diabetic Neuropathy; Sleep Quality