Cut-Off Point Analysis for Type 2 Diabetes Mellitus Neuropathy Detection: Safety Test E-Skin Diabetic Simple Test Rahmat Bakhtiar(a*) Mayusef Sukmana(b) Yuliana Rahmah Retnaningrum(c)
a) Faculty of Medicine, Departement of Public Health, Mulawarman University, Jalan Krayan Gunung Kelua, Indonesia, r.bakhtiar[at]fk.unmul.ac.id
b) Faculty of Medicine Departement of Nursing, , Mulawarman University, Jalan Krayan Gunung Kelua, Indonesia, mayusef[at]fk.unmul.ac.id
c) Faculty of Medicine, Departement of Internal of Medicine, Mulawarman University, alan Krayan Gunung Kelua, Indonesia,yulianakaltim[at]gmail.com
Abstract
Background: Peripheral neuropathy is the most common complication in DM patients, affecting 50% of type 2 DM patients. Early detection of sensory disturbances in diabetic neuropathy can be done through foot examination, not yet available in health services. Its interpretation can only diagnose loss of pain sensation while there is no temperature sensation. The E Skin Diabetic Simple Test is a tool that can diagnose the sensation of heat on the skin of the soles of the feet. Purpose: The purpose of this study was to analyze the tools safety and determine the tools temperature cut off point.
Methods: The design of the study was a descriptive-analytic study. The inclusion criteria of healthy adults aged 18 to 25. The sampling technique was a random sampling of 103 respondents. Analysis using the frequency distribution test. This research was conducted at 2 (two) NCI Samarinda clinic locations and the D3 Nursing Study Program, Faculty of Medicine, Mulawarman University.
Results: The Results study showed no skin damage by 100%. Complaints of burning sensation were not felt by 92.2% and complaints of burning sensation were felt by 7.8%. There was no feeling of electrocution as much as 87.4%. No sharp pain felt by 98.1%, and sharp pain felt yes by 1.9%. Other complaints are absent by 99% and other complaints are felt like tingling by 1%.
Conclusion: The conclusion of the safety test results of the e skin diabetic simple test tool is proven safe, even though it has a risk of tissue damage, burning, electrocution, sharp pain and other complaints in the form of tingling. The temperature cut off point that the respondent felt for the first time was 43.58 C. Further research is needed with more samples in various subjects of patients with diabetes mellitus without complications and with complications.
