Path Analysis on the Determinants of Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes Mellitus in Surakarta, Central Java


Akhmad Azmiardi1), Didik Tamtomo2), Bhisma Murti2)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Masters Program in Family Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background:  Diabetic neuropathy is nerve damage that can occur in people with diabetes. It can lead morbidity, poor quality of life, and mortality. This study aimed to analyze the determinant of diabetes peripheral neuropathy among patients with type 2 diabetes mellitus in Surakarta, Central Java.

Subjects and Method: This was an analytic observational study with cross sectional design. The study was conducted at Surakarta Hospital, Surakarta, Central Java, in July 2019 A total of 200 type 2 DM out-patients were selected by simple random sampling. The dependent variable was peripheral neuropathy. The independent variables were age, education, income, self-efficacy, diet, medication adherence, physical activity, health literacy, duration of illness, and fasting plasma glucose. Peripheral neuropathy was measured using Michigan neuropathy screening instrument (MNSI). Other vari- ables were collected by questionnaire. The data were analyzed by path analysis.

Results: The risk of diabetic peripheral neuropathy was directly increased with age ≥55 years (b= 1.91; 95% CI= 0.89 to 2.92; p<0.001), fasting plasma glucose ≥110 mg/ dL (b= 3.90; 95% CI= 2.88 to 4.93; p<0.001), and duration of diabetes ≥5 years (b= 0.68; 95% CI= 0.23 to 2.41; p= 0.009). Diabetic peripheral neuropathy was indirectly affected by education, income, self-efficacy, diet, medication adherence, physical acti- vity, and health literacy.

Conclusion: Diabetic peripheral neuropathy is directly increased with age ≥ 55 years, fasting plasma glucose ≥110 mg/dL and duration of diabetes ≥5 years. Diabetic peripheral neuropathy is indirectly affected by education, income, self-efficacy, diet, medication adherence, physical activity, and health literacy.

Keywords: peripheral neuropathy, diabetes mellitus, healthy behavior, path analysis

Correspondence: Akhmad Azmiardi, Masters Program on Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: aazmiardi@gmail.com Mobile: 085245412021.

DOI: https://doi.org/10.26911/the6thicph.01.68

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