ANALYSIS OF PREDICTOR INDEX OF DETERMINANT FACTORS OF DIABETIC NEUROPATHY PAIN ON THE EFFECTIVENESS OF LOCAL ANESTHESIA LIDOCAINE INJECTION THERAPY LIDOCAINE FOR DIABETIC NEUROPATHIC PAIN

Abstract

Background: Diabetic neuropathy is a common complication of diabetes mellitus that requires relatively long-term management. Health status is determined by genetic factors, behavioral factors, environmental factors, and healthcare service factors. These factors are also associated with determinants of disease, including neuropathic pain in diabetes mellitus.

Materials and Method: This study involved 244 diabetic neuropathic pain patients who received lidocaine injections at the Bhayangkara Hospital Pusdik Brimob Watukosek from August 2020 to April 2021. Sampling was carried out using the consecutive sampling method based on medical records at the peak of visits to the pain clinic. The design of this study was observational analytic with a cross-sectional approach.

Results: Genetic factors that showed significant results were the age category (0.047) and family history (0.004). In behavioral factors, significant results were found in the categories of physical activity (0.010), education level (0.001), and smoking (<0.001). In terms of health services, significant results were found in the category of regularity of treatment (<0.001), for environmental factors, significant results were found in the category of alternative therapy (0.001) and for quality of life with SCREEM (0.036).

Conclusion: The results of the logistic regression analysis, the influencing factors are in accordance with HL Blum's concept regarding the effectiveness of using lidocaine local anesthetic therapy by 50%.