Korelasi Kadar Gula Darah Sewaktu dan HbA1c dengan Nilai International Consultant Incontinence Questionnaire – Urinary Incontinence Short Form (ICIQ-UISF) pada Lanjut Usia di Rumah Sakit Prof. Dr. Chairuddin P. Lubis Medan

Abstract

Background. Urinary incontinence is defined by the International Continence Society (ICS) as the involuntary or unintentional leakage of urine, often referred to as urine leakage. Diabetes mellitus is known to be a significant risk factor for urinary incontinence, as shown by various previous studies. However, the available evidence remains inconsistent, particularly regarding the role of random blood glucose (RBG) levels and HbA1c. Objective. This study aims to explore the relationship between random blood sugar and HbA1c levels and urinary incontinence in the elderly. Method. This study was an observational analytic study with a cross-sectional design conducted in September 2024 at Prof. Dr. Chairuddin P. Lubis Hospital, Medan. A total of 100 respondents were selected using consecutive sampling based on medical records. Data were collected through direct telephone interviews using the International Consultant Incontinence Questionnaire – Urinary Incontinence Short Form (ICIQ – UISF). Statistical analysis was performed using the Spearman correlation test with SPSS software, with a significance level set at p < 0.05. Results and Discussion. Out of 100 respondents, the majority experienced urinary incontinence (82%), while 18% did not. Based on the distribution of severity levels, most respondents experienced severe urinary incontinence (36%), followed by moderate incontinence (24%), no incontinence (18%), mild incontinence (12%), and very severe incontinence (10%). The results of the Spearman correlation analysis showed no significant relationship between random blood glucose levels (RBG) and urinary incontinence (p=0.966). Additionally, no significant relationship was found between HbA1c levels and urinary incontinence (p=0.518). Conclusion. This study shows no relationship between random blood glucose (RBG) levels and HbA1c with urinary incontinence.