Hubungan Antara Intensitas Gatal dengan Kualitas Hidup pada Pasien Pruritus Diabetes Melitus

Abstract

Background: Pruritus can be caused by various dermatological diseases ranging from autoimmune, genetic, and infectious to various systemic diseases such as endocrine and metabolic. Pruritus is a non-infectious skin manifestation that often occurs in patients with diabetes mellitus (DM). Skin complaints such as pruritus can significantly affect the quality of life in DM patients and evaluated using the Dermatology Life Quality Index (DLQI) questionnaire. Aim: To determine the relationship between itching intensity and quality of life in pruritic DM patients. Subjects and Methods: This study was an observational study with a crosssectional design of 76 DM patients with pruritus. All study subjects underwent anamnesis, physical examination, dermatological examination, filling out the DLQI questionnaire, and pruritus severity assessment with the Numerical Rating Scale. The relationship between itching intensity and quality of life was analyzed using the Chi Square test and was significant if the p-value <0.05. Results: DM pruritus is most common in women (60.5%) with group 55-65 years (48.7%), duration of the disease 6.8 years, oral antidiabetic treatment (46.1%), randomized blood glucose 242.78 mg/dL, and HbA1c 10.280%. Pruritus DM subjects mostly were found to have moderate itching (57.9%). The quality of life of pruritus DM patients based on the DLQI is mostly moderately influential on the quality of life of patients (73.6%). The results of this study showed that there was no relationship between itching intensity and quality of life of pruritus DM patients (p=0.157). Conclusion: There was no relationship between itching intensity and quality of life in pruritus DM patients.