A STUDY ON PREVALENCE OF DIABETIC FOOT ULCER AND QUALITY OF LIFE OF TYPE 2 DIABETES MELLITUS PATIENTS IN A MULTI SPECIALITY HOSPITAL

Author(s):  
Tamilselvan T.
2018 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Alfi Dewi Sholat ◽  
Dairion Gatot ◽  
Savina Handayani ◽  
Andri Iskandar Mardia ◽  
Santi Syafril

In type 2 diabetes mellitus, there are changes in hemostasis components, including overexpression of PAI-1. By these facts, the authors are interested in conducting the study of PAI-1 level in diabetic patients with and without foot ulcer. Methods: The sample of this research was collected cross-sectionally on 20 type 2 diabetic patients with foot ulcer and 20 without foot ulcer. Blood samples were taken to measure serum PAI-1 level, complete blood count and hemostasis screening test. Results: Statistical analysis showed there are significant differences in hemoglobin, trombosit, Fibrinogen and D-dimer levels in the ulcer and non-ulcer groups but no significant difference in PAI-1 level. Conclusions: No higher PAI – 1 level were found in diabetic foot ulcer group than those without diabetic foot ulcer. There was no significant difference between PAI-1 level and grade of diabetic foot ulcer.


2019 ◽  
Vol 7 ◽  
pp. 205031211983209 ◽  
Author(s):  
Sana A AlSadrah

Objectives: This study aimed to assess the overall health-related quality of life in type 2 diabetes mellitus patients with diabetic foot disease compared to diabetic patients without diabetic foot and to identify the clinical utility of this assessment. Methods: A total of 250 consecutive patients with type 2 diabetes mellitus (100/150 with/without diabetic foot, respectively) were interviewed. The questionnaires of the 36-item short-form survey and region-specific foot and ankle ability measure were applied. Wagner–Meggitt wound classification was used for foot-ulcer evaluation. Follow-up of patients for 3–6 weeks was done to identify the potential clinical short outcomes of diabetic foot ulcers. Results: Type 2 diabetes mellitus patients with diabetic foot exhibited poor mental and physical health consequences. Females had more prevalence of forefoot lesions, larger ulcer size, advanced Wagner grade, and higher frequency of unhealed ulcers. Receiver operating characteristic curve analysis demonstrated high value of foot and ankle ability measure and 36-item short-form questionnaires to discriminate type 2 diabetes mellitus patients with and without diabetic foot at cutoff values of 66 and 49.6, respectively. Foot and ankle ability measure questionnaire also showed high performance for differentiating the clinical outcome of foot ulcer. Total foot and ankle ability measure subscale score above the cutoff value of 65.5 could discriminate patients with complete healing and unhealed ulcer lesions at a high sensitivity and specificity. Conclusion: The current findings confirm the impact of diabetic foot disease on type 2 diabetes mellitus overall health-related quality of life reflected in 36-item short-form questionnaire and foot and ankle ability measure questionnaire which showed high discriminative values for type 2 diabetes mellitus patient sub-grouping. Their application in routine clinical health assessment with continuous medical education programs is highly recommended to achieve a better health-related quality of life.


2020 ◽  
Vol 14 (3) ◽  
pp. 391-400
Author(s):  
Eka Yudha Chrisanto ◽  
Agustama Agustama

Self-management behaviour of diabetic foot ulcer occurrence among patient with  type 2 diabetes mellitusBackground: Diabetes mellitus is one of the silent killers. Indonesia is a country with the 4th largest number of people with diabetes mellitus after China, India, and the United States. In Indonesia people with diabetes mellitus increased from 8.4 million in 2000 to 21.3 million in 2030.Purpose: To determine the self-management behaviour and diabetic foot ulcer occurrence among patient with  type 2 diabetes mellitus.Method: A quantitative research type, with cross sectional analytic and analytical research designs. The population of all people with diabetes mellitus as many as 432 people and a sample of 38 people with a total sampling technique. Data collection using questionnaire sheets and statistical tests used were Chi-Square statistical tests.Results: The frequency distribution of the incidence of diabetic ulcers in patients with type 2 diabetes mellitus, with the category of diabetic ulcers occurring as many as 14 respondents (36.8%). Diabetes diet adherence in patients with diabetes mellitus, with the category of non-compliance with 16 respondents (42.1%). Monitoring blood sugar levels in patients with type 2 diabetes mellitus, with non-routine categories of 15 respondents (39.5%). Physical activity in patients with type 2 diabetes mellitus, with a less good category of 19 respondents (50%).Conclusion: There is a relationship between blood sugar and diabetic ulcer diabetes in type 2 diabetes mellitus patients. There is a relationship between diabetes diet and diabetic ulcer diabetes in type 2 diabetes mellitus patients. There is a relationship between physical activity and the incidence of diabetic ulcers in patients with type 2 diabetes mellitus. It is expected that DM patients can routinely carry out physical and routine activities with high salt levels) in health care facilities and carry out a diabetes diet in accordance with the rules proposed by nutritionists.Keywords: Self-management; Behaviour; Diabetic foot ulcer; Occurrence; Patient; Type 2 diabetes mellitusPendahuluan: Diabetes melitus salah satu the silent killer. Indonesia merupakan negara dengan jumlah penderita diabetes melitus ke-4 terbanyak setelah Cina, India, dan Amerika Serikat.di Indonesia penyandang diabetes melitus mengalami kenaikan dari 8,4 juta pada tahun 2000 menjadi 21,3 juta pada tahun 2030.Tujuan: Diketahui hubungan perilaku self-management dengan kejadian ulkus diabetikum pada pasien diabetes mellitus tipe 2Metode: Jenis penelitian kuantitatif, dengan rancangan penelitian analitik dan pendekatan cross sectional. Populasi seluruh seluruh penderita diabetes melitus sebanyak 432 orang dan sampel sebanyak 38 orang dengan teknik total Sampling. Pengumpulan data menggunakan lembar kuesioner dan Uji statistik yang digunakan adalah uji statistik Chi-Square.Hasil: Distribusi frekuensi kejadian ulkus diabetikum pada penderita diabetes melitus tipe 2, dengan kategori terjadi ulkus diabetikum sebanyak 14 responden (36,8%). Kepatuhan diet diabetes pada pasien diabetes melitus, dengan kategori tidak patuh sebanyak 16 responden (42,1%). Pemantauan kadar gula darah pada pasien diabetes melitus tipe 2, dengan kategori tidak rutin sebanyak 15 responden (39,5%). Aktivitas fisik pada pasien diabetes melitus tipe 2, dengan kategori kurang baik sebanyak 19 responden (50%).Simpulan: Ada hubungan pemantauan kadar gula darah dengan kejadian ulkus diabetikum pada pasien diabetes melitus tipe 2. Ada hubungan kepatuhan diet diabetes dengan kejadian ulkus diabetikum pada pasien diabetes melitus tipe 2. Ada hubungan aktivitas fisik dengan kejadian ulkus diabetikum pada pasien diabetes melitus tipe 2. Diharapkan pasien DM agar rutin melakukan aktivitas fisik  serta rutin mengontrol kadar gula darah pada fasilitas pelayanan kesehatan Serta menjalankan diet diabetes sesuai dengan aturan yang disarankan ahli gizi.


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