scholarly journals PENDIDIKAN KESEHATAN TENTANG PERAWATAN DAN SENAM KAKI PADA PASIEN DIABETES

2021 ◽  
Vol 4 (3) ◽  
pp. 624
Author(s):  
Dewi Prabawati ◽  
Puspita Sari ◽  
Yohanes Neonbeni
Keyword(s):  
Physical Activity ◽  
Health Education ◽  
Community Service ◽  
Diabetic Foot ◽  
Diabetic Patients ◽  
Foot Care ◽  
Diabetic Ulcers ◽  
Face To Face ◽  
Service Activity ◽  
Exercise Activity

ABSTRAKPenyakit diabetes dapat mengakibatkan komplikasi multi organ, dimana komplikasi yang paling sering adalah ulkus diabetikum sebagai akibat dari neuropati. Perlu dilakukan upaya pencegahan terjadinya ulkus diabetikum bagi masyarakat dengan memberikan edukasi terkait perawatan untuk kesehatan kaki juga senam kaki. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan informasi kesehatan tentang perawatan kaki diabetes dan memotivasi para penderita diabetes untuk melakukan aktivitas fisik salah satunya dengan melakukan senam kaki diabetes. Kegiatan ini diikuti oleh 16 pasien diabetes di polikilinik RS Cinta Kasih Budha Tzu Chi, Jakarta. Ada 3 tahapan yang dilakukan dalam kegiatan ini, yaitu perkenalan dan ice breaking, dilanjutkan dengan penjelasan tentang penyakit diabetes dan perawatan kaki diabetes,  kemudian diakhiri dengan demonstrasi senam kaki diabetes. Kegiatan ini dilakukan secara blended yaitu dengan menggunakan aplikasi daring dan melakukan pertemuan diunit poliklinik dengan mematuhi protokol kesehatan. Hasil evaluasi terhadap kegiatan pengabdian yang telah dilakukan terlihat adanya peningkatan pengetahuan tentang perawatan kaki dan motivasi melakukan senam kaki. Selain itu, dari hasil kuesioner didapatkan bahwa mayoritas peserta memiliki pengetahuan yang baik tentang perawatan kaki sebesar 56.2%. Diharapkan masyarakat dapat meningkatkan pengetahuan dan perilaku dalam melakukan perawatan kaki diabetes serta termotivasi untuk melakukan senam kaki diabetes secara teratur sehingga dapt mencegah komplikasi ulkus diabetikum. Kata kunci: diabetes; perawatan kaki; senam kakiASTRACTDiabetes can lead to multi-organ failure, where the most common complication is diabetic ulcers as a result of neuropathy. It is necessary to perform a prevention program of diabetic ulcers to community by giving health education of foot care and foot exercise. In addition to education, motivation for diabetics is also needed to perform physical activity. This community service activity aimed to provide health education in diabetes foot care and motivate diabetes patients to perform physical activity such as diabetic foot exercise. There were 16 diabetic patients at Cinta Kasih Budha Tzu Chi Hospital, Jakarta participated in this community service. The activity performed in 3 sessions, such as opening and ice breaking, health education sharing of diabetes and foot care, followed by demonstration of diabetic foot exercise. Activity was conducting using blended method by zoom application and face to face meeting at polyclinic unit by complying health protocols of Covid-19. From the results of the evaluation, there has been an increase level of knowledge on diabetic foot care and motivation to perform diabetic foot exercise. Aside from that, as a result of filling out the questionnaire about foot care, the majority of the participants had good knowledge about foot care (56.2%). It is suggested that the community should increase knowledge on diabetes foot care, perform diabetes foot exercise regularly to decrease the complications of diabetic ulcers.Key words: diabetes; foot care; foot exercise 

scholarly journals Effect of Health Education on Improving the Knowledge among Diabetes Mellitus Patients in the Prevention of Diabetic Ulcer in Regional Hospital of Tidore Island

2021 ◽  
Vol 4 (4) ◽  
pp. 379-384
Author(s):  
Haeril Amir ◽  
Nur Wahyuni Munir
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Diabetic Foot ◽  
Regional Hospital ◽  
Foot Ulcers ◽  
Control Group ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

International  Diabetes  Federation  (IDF) reported that the number of diabetes mellitus patients worldwide increases every year. Diabetes mellitus is a chronic disease due to damage to the pancreas in producing enough insulin and characterized by impaired metabolism of fats, increased blood sugar, carbohydrates and protein both absolutely and relatively. Diabetic foot ulcers (DFU) are among the most common complications in diabetic patients and are associated with high mortality, morbidity, and health costs.   This study was to determine the effect of health education on knowledge improvement about diabetic ulcers in the regional hospital of Tidore Islands.  This research is a quasi-experimental type with a pretest-posttest without a control group design. The research sample consisted of 30 respondents who met the inclusion criteria. Data were analyzed using a paired test and processed with statistic version 21. Based on the research results, there was an improved knowledge in pre and post-health education counseling, where the average score before health education counseling was 11.6. After health counseling, the average value was 15.0. The results showed the effect of knowledge in the prevention of diabetic ulcers with a p-value =0,000.  Health education is an effort to improve patient's ability to prevent diabetic foot ulcers that have been proven in several scientific studies. Health education methods provide additional information so that patients who previously wondered about their disease can directly ask health workers. Health education affects the knowledge improvement of Diabetes Mellitus patients in the Regional hospital of Tidore Islands  

scholarly journals A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (9) ◽  
pp. 138
Author(s):  
Gopal Teli ◽  
B. G. Ponnappa
Keyword(s):  
Diabetic Foot ◽  
Tertiary Care ◽  
Self Care ◽  
Research Centre ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
The Mean

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.

Penyuluhan tentang Bullying dan pencegahannya di SMK Negeri 1 Lelogama Kecamatan Amfoang Selatan, Kabupaten Kupang

2021 ◽  
Vol 2 (4) ◽  
pp. 321-329
Author(s):  
Arman Rifat Lette
Keyword(s):  
Health Education ◽  
Community Service ◽  
Service Needs ◽  
Health Counseling ◽  
Full Support ◽  
Service Activities ◽  
Post Test ◽  
Service Activity ◽  
Bullying In Schools

Abstrak: Praktik bullying ataupun kekerasan di sekolah masih sering terjadi hingga saat ini. Sudah banyak kasus Bullying yang terungkap dan bahkan menyebabkan kematian bagi korban. Tujuan pengabdian ini adalah memberikan pengetahuan dan pemahaman kepada siswa tentang bullying dan cara pencegahannya. Bentuk kegiatan pengabdian yang dilakukan yaitu Penyuluhan kesehatan tentang bullying dan pencegahannya serta diskusi bersama. Kegiatan pengabdian masyarakat ini dilaksanakan pada hari Sabtu, tanggal 08 Februari 2020 pukul 09.20-11.00 WITA. Peserta kegiatan penyuluhan ini adalah siswa-siswi SMK Negeri 1 Lelogama, Kecamatan Amfoang Selatan, Kabupaten Kupang kelas XI-XII. Peserta penyuluhan sebanyak 68 peserta. Penyuluhan Kesehatan dapat berjalan dengan baik dan lancar. Pihak sekolah juga memberikan dukungan penuh dalam kegiatan pengabdian ini. Pengetahuan dan pemahaman siswa semakin bertambah terkait bullying dan cara pencegahannya, dibuktikan dari hasil pre-test dan post-test dimana terjadi peningkatan pengetahuan sebesar 30% setelah diberikan penyuluhan. Perlu dilakukan pengabdian lanjutan dengan waktu yang lebih lama untuk advokasi aturan/kebijakan terkait pencegahan dan penanganan bullying di sekolah.Abstract: The practice of bullying or violence in schools was still common today. There have been many cases of bullying that have been revealed and have even caused death to victims. The purpose of this service was to provide knowledge and understanding to students about bullying and how to prevent it. The form of service activities carried out was health counseling about bullying and its prevention and discussion together. This community service activity was held on Saturday, February 8, 2020 at 09.20-11.00 WITA. The participants of this counseling activity were students of SMK Negeri 1 Lelogama, Amfoang Selatan District, Kupang Regency in class XI-XII. There were 68 extension participants. Health education can run well and smoothly. The school also provides full support in this service activityStudents' knowledge and understanding is increasing regarding bullying and how to prevent it, as evidenced by the results of the pre-test and post-test where there is an increase in knowledge of 30% after being given counseling. Further service needs to be done with a longer time for advocating for rules / policies related to the prevention and handling of bullying in schools. 

scholarly journals Diabetic Foot Care - A Public Health Problem

2011 ◽  
Vol 12 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Jamil Ahmed Somroo ◽  
Anjum Hashmi ◽  
Zafar Iqbal ◽  
Aslam Ghori
Keyword(s):  
Diabetic Foot ◽  
Fungal Infections ◽  
Public Health Problem ◽  
Global Scale ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Health ◽  
Care Practices

Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic patients taking proper foot care according to International Guidelines and its impact on their foot health. Methods: A cross sectional study was conducted at outdoor patients department of Medicine, Liaquat University of Medical Sciences Hospital Hyderabad from 17th January 2008 to 16th January 2009. 100 diabetic patients were selected by non probability convenience sampling according to Performa having questions regarding diabetic foot care derived from American Diabetic Association Guidelines for Diabetic Foot care. Results: Diabetic patients taking proper foot care was only 6%. There were 45(45%) males and 55(55%) females. Mean age was 51.57+10.72 years. 38% patients knew about foot care. 17% used to inspect their feet daily, 20% washed their feet daily, while 73% washed their feet more than once. 23% patients dried their feet after every foot wash, 27% applied emollients, 25% checked shoes before wearing, 24% used to wear correct shoes, 8% used to wear cotton socks and 36% used to walk bare feet. Foot care practices on foot health has statistically highly significant association (p<0.01) e.g. number of foot washes with foot hygiene, fungal infections with proper foot drying, emollient application with skin texture, cracks and fissures. Associations of proper foot care were statistically significant with literacy status of patients and foot care teachings (p<0.05). Conclusion: Few diabetic patients are taking proper foot care. Proper Foot care practices were associated with provision of education of foot care and literacy status of patients. Community health education programs regarding diabetic foot care will likely to reduce diabetic foot complications. Keyword: Diabetes, Foot care education, Diabetic foot care, Diabetic foot, Ulceration; Prevention. DOI: http://dx.doi.org/10.3329/jom.v12i2.7604 JOM 2011; 12(2): 109-114

scholarly journals Assessment of Prevalence, Associations ,Knowledge, and Practices about Diabetic Foot Disease in a Tertiary Care Hospital in Colombo, Sri Lanka

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
V. T. S. Kaluarachchi ◽  
D. U. S. Bulugahapitiya ◽  
M. H. Arambewela ◽  
M. D. Jayasooriya ◽  
C. H. De Silva ◽  
...  
Keyword(s):  
Peripheral Neuropathy ◽  
Sri Lanka ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Foot Care ◽  
Diabetic Foot Disease ◽  
Care Practices ◽  
Foot Disease

Background. One in five adults in Sri Lanka has either diabetes or prediabetes, and one-third of those with diabetes are undiagnosed. Diabetic foot is a debilitating condition affecting up to 50% of patients with both type 1 and type 2 diabetes. The risk of nontraumatic lower limb amputations is 15 times higher in diabetic patients when compared with nondiabetics. Patient education about correct foot care practices is the cornerstone of prevention of diabetic foot disease. Objective. To assess the prevalence of diabetic foot disease, knowledge, and practices about diabetic foot care among diabetic patients. Methods. 334 patients attending the diabetic clinic in Colombo South Teaching Hospital were recruited according to the inclusion and exclusion criteria. Data were collected using 3 questionnaires, and they were filled using the foot examination findings, patients’ medical records, and direct interviewing of the patients. Results. The mean age of the patients included in the study was 58.23 ± 10.65 years while the median duration of diabetes was 10.54 ± 7.32 years. 34.1% patients had peripheral neuropathy, and 29.5% had peripheral vascular disease. Diabetic foot disease according to the WHO definition was present only in 23 (6.9%) patients. There was a significant association between peripheral neuropathy and current or past foot ulcer which took more than 2 weeks to heal ( p < 0.05 ). Knowledge about foot care was less among the studied population, and it was associated with poor foot care practices. Presence of diabetic foot and current or past foot ulcer which took more than 2 weeks to heal were significantly associated with the foot care knowledge and practices ( p < 0.05 ) Conclusion. Improvement of patients’ knowledge about foot care and their practices have a significant impact on the reduction of diabetic foot disease.

scholarly journals Prevention and treatment of diabetic foot ulcers

2017 ◽  
Vol 110 (3) ◽  
pp. 104-109 ◽  
Author(s):  
Jonathan Zhang Ming Lim ◽  
Natasha Su Lynn Ng ◽  
Cecil Thomas
Keyword(s):  
Diabetic Foot ◽  
Healthcare Access ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Foot Care ◽  
Healthcare Provision ◽  
Foot Complications

The rising prevalence of diabetes estimated at 3.6 million people in the UK represents a major public health and socioeconomic burden to our National Health Service. Diabetes and its associated complications are of a growing concern. Diabetes-related foot complications have been identified as the single most common cause of morbidity among diabetic patients. The complicating factor of underlying peripheral vascular disease renders the majority of diabetic foot ulcers asymptomatic until latter evidence of non-healing ulcers become evident. Therefore, preventative strategies including annual diabetic foot screening and diabetic foot care interventions facilitated through a multidisciplinary team have been implemented to enable early identification of diabetic patients at high risk of diabetic foot complications. The National Diabetes Foot Care Audit reported significant variability and deficiencies of care throughout England and Wales, with emphasis on change in the structure of healthcare provision and commissioning, improvement of patient education and availability of healthcare access, and emphasis on preventative strategies to reduce morbidities and mortality of this debilitating disease. This review article aims to summarise major risk factors contributing to the development of diabetic foot ulcers. It also considers the key evidence-based strategies towards preventing diabetic foot ulcer. We discuss tools used in risk stratification and classifications of foot ulcer.

scholarly journals Factors associated with wound healing outcome among Diabetic Foot patients- A cross sectional Study

2021 ◽  
Vol 5 (1) ◽  
pp. 36-46
Author(s):  
M Jayalakshmi ◽  
P Thenmozhi
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Cross Sectional Study ◽  
Wound Management ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
One Year

Diabetic foot ulcer (DFU) has been identified as the leading reason for hospitalization among patients with diabetes. Patients with diabetes are at greater risk of complications, the most important of them are diabetic neuropathy and peripheral vascular disorders leading to the development of foot ulcers. The problem is generally faced and as well is considered as one among the most common complications of diabetes that affect millions of people all over the world. The current study, aimed to document the clinical profile and healing outcome of diabetic foot ulcer management which may become guidance for further improvement in wound management among diabetic foot ulcer patients. Cross sectional descriptive study was conducted over one-year period of time. A total of 246 Diabetic patients with a foot ulcer of Grade 1 to 3 participated in the study. Patients with higher grade ulcers of Grade 4 and 5 were excluded from the study. Final data analysis of 160 patients was done using SPSS version 20. The prevalence of Grade 2 and 3 ulcers were observed 54.37% and 31.8 % while Grade 1 ulcer was observed 13.75%. No risk factors were found to be significantly associated with diabetic foot ulcer. Wound was healed well in 50 % and partially healed in 21 % of the participants. Wound remains unchanged in 3 % of study participants, while 8% of participants underwent toe amputation. Foot ulceration is a preventable in many diabetic patients with adequate education, routine foot care and attention to foot wear.

scholarly journals UPAYA PENINGKATAN PENGETAHUAN TENTANG ASAM URAT PADA LANSIA DI POSYANDU LANSIA RT 12 KELURAHAN RAWASARI

2019 ◽  
Vol 1 (2) ◽  
pp. 132
Author(s):  
Mila Triana Sari
Keyword(s):  
Health Education ◽  
Elderly People ◽  
Community Service ◽  
Negative Impact ◽  
Community Health Center ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Work Area ◽  
Service Activity ◽  
Selection Of

Lack of knowledge of the elderly about gout and various things related to gout will have a negative impact on the health of the elderly, family and society. One effort that can be done by nurses is to provide health education to the elderly. Elderly Posyandu in the Rawasari Community Health Center work area is one of the partners who have carried out the elderly posyandu activities according to the program, but in practice most of the elderly do not know about gout. The target and outcome of community service activities is to increase the knowledge of elderly gout, understanding, causes, signs and symptoms of gout, gout treatment, selection of foods that are allowed and which are not recommended for gout and complementary therapies for gout. The method of implementation used is survey, observation, interview, discussion, question and answer, demonstration through health education and examination of gout. This community service activity was attended by 25 elderly people. The results of this activity were 35% of elderly people suffering from gout, most of the elderly knew about gout and things related to gout, all the elderly attended health education from the beginning to the end and most actively participated during the activity. It is recommended to increase diposyandu activities for the elderly by providing health education with various material and regular health checks.

scholarly journals Determinants Influencing Awareness and Healthy Practices among a Sample of Insulin-dependent Diabetic Egyptian Patients: A Rural Community-based Study

2021 ◽  
Vol 9 (E) ◽  
pp. 500-508
Author(s):  
Ammal M. Metwally ◽  
Hanaa Yousof ◽  
Monira M. Elkholy ◽  
Lobna A. Eletreby ◽  
Abeer A. Barakat ◽  
...  
Keyword(s):  
Physical Activity ◽  
Morbidly Obese ◽  
High Educational Level ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Disease Awareness ◽  
Positive Effects ◽  
Insulin Dependent ◽  
Insulin Dependent Diabetic

BACKGROUND: The prevalence of diabetes mellitus (DM) is predicted to increase over the coming years. AIM: The objectives of the study were to measure the level of awareness and healthy practices related to five healthy domains and assess the effect of different demographic characteristics, glycated hemoglobin (HbA1c) level, and body mass index (BMI) on these levels among diabetic patients in a rural Egyptian village. METHODS: A cross-sectional study was done on 300 selected insulin-dependent diabetic patients resident in an Egyptian village. Data were collected using a questionnaire covering five domains: General disease awareness and management compliance practice, check-up, foot care, diet, and physical activity. HbA1c and BMI were also measured as an impact of the management adherence. RESULTS: The study found that more than three quarters of the participants (82.0%) were uncontrolled or poorly uncontrolled (HbA1c >8) diabetics and 76.0% were either obese or morbidly obese. Total awareness and practices percentage scores were low (42.4 ± 16.8% and 40.5 ± 12.3%, respectively). The linear regression model showed that high educational level had significantly positive effects on both the total awareness and practice scores as well as their domains. The study found that female participants and those having relatives with DM had significantly higher diet awareness and practice scores (p < 0.05). Younger age had significantly higher scores on foot care and diet awareness scores, physical activity, general disease awareness, and management compliance practices domains. CONCLUSION: The studied awareness and practice domains were inadequate. Their improvement is cornerstones to impact glycemic control of diabetics and control their health risks, especially in rural communities.

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