scholarly journals Kajian Etnomedisin dalam Pengobatan Tradisional pada Ulkus Kaki Diabetik (UKD) di Bali

2021 ◽  
pp. 172
Author(s):  
Luh Risma Putri Rahayu ◽  
Dwi Arymbhi Sanjaya ◽  
Putu Era Sandhi Kusuma Yuda ◽  
Erna Cahyaningsih ◽  
Ni Luh Kade Arman Anita Dewi ◽  
...  

Salah satu komplikasi yang terjadi akibat diabetes mellitus (DM) adalah Ulkus Kaki Diabetik (UKD). UKD merupakan kejadian luka yang timbul pada kaki penderita DM akibat komplikasi mikroangiopati dan makroangiopati yang dapat menimbulkan kecacatan bahkan kematian.  Penelitian ini bertujuan untuk mengetahui dan mendokumentasikan pengobatan tradisional yang digunakan oleh pengobat tradisional di Bali untuk mengobati UKD. Penelitian ini dilaksanakan dengan menggunakan metode deskriptif kualitatif komparatif yang membandingkan data yang diperoleh dari hasil wawancara mendalam dan pengisian angket dengan pustaka. Pengumpulan data dilakukan dengan wawancara mendalam pada pengobat tradisional (BATTRA) di Bali sebagai informan yang memiliki kompetensi di bidang pengobatan tradisional UKD. Teknik sampling yang digunakan dalam penelitian ini yaitu teknik snowball sampling. Dari hasil penelitian diperoleh sebanyak 10 ramuan, yang terdiri dari 6 (enam) ramuan yang digunakan secara topikal dan 4 (empat) ramuan yang digunakan secara oral. Bahan utama yang digunakan dalam ramuan topikal adalah madu. Dari 10 ramuan terdapat 15 jenis tanaman obat yang digunakan untuk pengobatan UKD. Tanaman obat terbanyak yang digunakan adalah lidah buaya, bawang putih, merica, bawang merah dan cendana.

Author(s):  
Syaiful . ◽  
A. Haris ◽  
Julhana .

<p class="abstract"><strong>Background:</strong> Repeat hospitalization is a process for a patient who needs to return to hospital as a result of inability to control and take care of their disease. The objective of study is to gather deeper understanding about the meaning experience of repeat hospitalization process among diabetes mellitus type 2 patients. The study is qualitative research within phenomenology method by using deep interview instruments. In this study, the research seeks the experience of diabetes mellitus type 2 patients who are being treated with repeat hospitalization process.</p><p class="abstract"><strong>Methods:</strong> The study applies descriptive phenomenology approach. By using the method, the subject could be explored, analyzed, and explained directly about their experience of repeat hospitalization. The size of sample, in descriptive study, is essential in order to reveal the saturation data. The participants collecting procedure is using the snowball sampling technique.  </p><p class="abstract"><strong>Results:</strong> The age of participants are ranging from 40-79 years old. The level of education among participants are varies, from elementary schools to senior high schools. The occupation type are housewife, farmers or merchants. The participants’ income is ranging between 750.000-2.000.000 rupiah/month.</p><p class="abstract"><strong>Conclusions:</strong> The result reveals four findings among 10 participants: 1) the characteristics of participants 2) the lack of knowledge from diabetes mellitus (DM) management, 3) quality of service, 4) hope of recovery.</p>


BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017648 ◽  
Author(s):  
Li Ge ◽  
Kerstin Wikby ◽  
Mikael Rask

ObjectiveTo explore the lived experience of women with gestational diabetes mellitus (GDM) living in China in order to add knowledge about how the Chinese women suffer from GDM.DesignA qualitative interpretive interview study. Data were collected with a snowball sampling technique. Phenomenological hermeneutics was used as the analysis method based on Ricoeur’s phenomenological hermeneutical interpretation theory.SettingThe study was performed at the participants’ work places, or at the obstetric clinics or wards at two provincial hospitals and one municipal hospital in the southeast of China.ParticipantsInclusion criteria were age ≥18 years, diagnosis of GDM without other pregnancy complications, in 34th gestational weeks—postpartum 4th weeks and speaking Mandarin Chinese without speech impediment. 62 women, who met the inclusion criteria, took part in the study.ResultsThe lived experience of the women with GDM living in China was formulated into a main theme: ‘longing for caring care’. The main theme was derived from four themes: being stricken by GDM, wishing to receive caring GDM care, being left alone to struggle with GDM and trying to adjust and adapt to life with GDM.ConclusionThe eagerness for caring care in China was highlighted. The lack of caring care could be one of the possible reasons why the professional–patient relations were deteriorating in China. It could be useful for health providers and health policymakers to receive education and training about caring care. Using the health metaphor of balance and ‘patient participation’ and ‘patient-centred’ approaches may benefit women with GDM and thus improve the quality of care in China.


2020 ◽  
Vol 15 (1) ◽  
pp. 1-10
Author(s):  
Heti Rais Khasanah ◽  
Heru Laksono ◽  
Putri Widelia W

Background: Diabetes mellitus is a chronic metabolic disease or disorder with multietiology (many causes) which is characterized by high blood sugar levels accompanied by impaired carbohydrate, fat, and protein metabolism as a result of inadequate insulin function. Cherry leaves as an alternative medicine for diabetes mellitus, are used by boiling the carcinoma leaves using water. Boiling process attracts polar compounds found in cherry leaves, cherry leaves contain saponins and flavonids which can inhibit the absorption of blood sugar from the intestine, thus inhibiting the absorption of carbohydrates. Method: this research uses descriptive type with Cross Sectional research design. Sample selection with snowball sampling method. There were 32 respondents, namely type II diabetes mellitus who consumed cherry leaf boiled water (20 routines, and 12 non-routine). Method of blood sugar levels using a glucometer. Results: blood sugar levels in patients with type II diabetes mellitus who consume boiled water cherry leaves regularly at 20 probandus (40% normal and 60% abnormal) obtained an average of 166.6 mg / dl and standard deviation of 35,905, not routine (100% abnormal) an average of 211.3 mg / dl was obtained and a standard deviation of 76,935. Conclusion: cherry leaves boiled water when consumed regularly and regularly can reduce blood sugar levels of patients with type II diabetes mellitus.Keywords: Blood glucose, DM type II, Cherry leaves.


Author(s):  
Tanya Raj

The aim of the present study was to examine the relationship between neuropsychological functioning, depression and quality of life among adults with diabetes mellitus-II.  The study used a quantitative approach with an experimental, cross sectional matched group research design. The sample was divided into two groups; an experimental group of adults with diabetes mellitus and a control group of matched healthy individuals, with 30 participants in each group.  The sample was recruited from Delhi using convenience and snowball sampling. A self designed questionnaire was administered for understanding about diabetes and its management in the experimental group. NIMHANS neuropsychological battery and WAIS- IV (Two subtests only), Beck Depression Inventory and WHOQOL questionnaire was used for examining neuropsychological functioning, depression and quality of life among adults with diabetes mellitus and matched healthy individuals.  Participants among adults with diabetes mellitus group were provided a self –designed brochure on the self-management of diabetes. Descriptive statistics like frequency, percentage etc and inferential statistics like MNOVA and correlations were used for analysis of the data. Results indicated a significant relationship on total neuropsychological functioning between the two groups. Significant differences were found in some components of neuropsychological functioning, viz. executive functions, attention and working memory. Non-significant relationships were found on depression and quality of life. The experimental group was aware about diabetes and its management. Awareness and motivation for self- management provides better health outcomes. Comprehensive psychosocial and behavioural interventions by psychologists can delay complications of neuropsychological functioning of individuals with diabetes mellitus. 


Author(s):  
Hidayat Arifin ◽  
Kusnanto Kusnanto ◽  
Ika Yuni Widyawati

Introduction: Diabetes resilience is a condition where people with diabetes can accept their incurable disease as well. It is characterized by regular blood sugar, a diet-controlled, active, and not stressful. However, various kinds of feelings must be passed to become diabetes resilience. The study aimed to know what adult type 2 diabetes mellitus (T2DM) felt before becoming resilient. Methods: A qualitative phenomenology design was conducted to observe the experience of adult T2DM before becoming resilient. The total participants were ten T2DM patients obtained through snowball sampling. The data collection was conducted through in-depth interviews with interview guidelines and analyzed using qualitative thematic analysis. Results: The results of the study found two major themes namely psychological response and diet. Participants felt quite severe stress when diagnosed with diabetes mellitus and felt difficulty when undergoing diabetes mellitus treatment. In addition, changes in diet are also felt very difficult by participants in undergoing a diabetes mellitus diet. Conclusions: Psychological responses and diet are the hard parts felt by the participants. Increasing understanding, support, and acceptance can be one strategy to increase diabetes resilience in participants.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (2) ◽  
pp. 118
Author(s):  
Kusnanto Kusnanto ◽  
Elfa Lailatul Izza ◽  
Tri Johan Agus Yuswanto ◽  
Hidayat Arifin

Introduction: Diabetes mellitus (DM) is a chronic disease with the characteristic of treatment complexity. The toughest challenge for DM patients is dietary adherence. On the other hand, the socio-culture is one of the factors that influences dietary adherence. The aim of this study was to examine the dietary adherence of adults with type 2 Diabetes mellitus (T2DM), particularly to dietary programs.Methods: This study used a qualitative case study design with a positivist approach. The total participants consisted of 14 T2DM patients obtained through snowball sampling. The research phenomenon was the adherence of adults with type 2 Diabetes mellitus to dietary programs. The data collection was conducted through in-depth interviews with question guidelines analyzed using qualitative thematic analysis.Results: This study obtained five themes regarding the dietary adherence of T2DM patients such as activity, motivation, intention, behavior, and the benefits of dietary adherence. The focus points were activity, motivation, and the intention to comply with the dietary recommendations, including reducing the fatty and fried foods consumed. The patients who felt the benefits of complying with the dietary program found following the dietary adherence to be easier.Conclusions: Activity, motivation, intention, behavior and the benefits of the dietary adherence program all make it easier for the patient to comply with their diet. This result suggests that health workers should provide education to the patients on the importance, benefits and the way to comply with the T2DM dietary program.


1998 ◽  
Vol 39 (5) ◽  
pp. 663-668 ◽  
Author(s):  
Harry N. Bawden ◽  
Aidan Stokes ◽  
Carol S. Camfield ◽  
Peter R. Camfield ◽  
Sonia Salisbury

Author(s):  
Bruce R. Pachter

Diabetes mellitus is one of the commonest causes of neuropathy. Diabetic neuropathy is a heterogeneous group of neuropathic disorders to which patients with diabetes mellitus are susceptible; more than one kind of neuropathy can frequently occur in the same individual. Abnormalities are also known to occur in nearly every anatomic subdivision of the eye in diabetic patients. Oculomotor palsy appears to be common in diabetes mellitus for their occurrence in isolation to suggest diabetes. Nerves to the external ocular muscles are most commonly affected, particularly the oculomotor or third cranial nerve. The third nerve palsy of diabetes is characteristic, being of sudden onset, accompanied by orbital and retro-orbital pain, often associated with complete involvement of the external ocular muscles innervated by the nerve. While the human and experimental animal literature is replete with studies on the peripheral nerves in diabetes mellitus, there is but a paucity of reported studies dealing with the oculomotor nerves and their associated extraocular muscles (EOMs).


1971 ◽  
Vol 104 (4) ◽  
pp. 442-444 ◽  
Author(s):  
R. Tankel
Keyword(s):  

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