scholarly journals Hubungan Perilaku Perawatan Kaki dengan Terjadinya Komplikasi Luka Kaki Diabetes pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Tuntungan Kota Medan

2018 ◽  
Vol 1 (1) ◽  
pp. 124-131
Author(s):  
Rina Amelia
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
Diabetic Foot ◽  
Foot Care ◽  
Chi Square ◽  
Public Health Center

Diabetes merupakan peyakit kronis yang disebabkan karena kekurangan atau tidak efektifnya insulin yang dihasilkan. WHO memperkirakan jumlah penduduk dunia yang menderita diabetes pada tahun 2030 akan meningkat paling sedikit menjadi 366 juta. Indonesia menempati urutan keempat terbanyak dengan prevalensi 8,6% dari seluruh penduduk. Diabetes akan menjadi masalah yang serius apabila telah terjadi komplikasi, salah satu komplikasi adalah luka kaki diabetes (diabetic foot). Komplikasi luka kaki diabetes menjadi penyebab lamanya hospitalisasi dan amputasi lebih dari 90% ekstremitas bawah pada penderita diabetes. Tujuan penelitian adalah untuk menganalisis hubungan perilakuperawatan kaki dengan terjadinya komplikasi luka kaki diabetes pada pasienDM tipe 2di Puskesmas Tuntungan Medan. Disain penelitian adalah analitik dengan pendekatan cross sectional. Populasi penelitian adalah seluruh penderita DM tipe 2 yang datang ke Puskesmas Tuntungan Medan dengan sampel sebanyak 83 orang (consecutive sampling). Instrumen penilaian perilaku perawatan kaki yang digunakan adalah Questions determining the knowledge and practice about foot careyang terdiri dari 15 item pertanyaan. Analisis data menggunakan uji statistik chi square. Hasil penelitian menunjukkansebanyak 48 orang pasien diabetes (57,8%) memiliki perilaku yang buruk terhadap perawatan kaki, sebanyak 29 orang (349%) mempunyai riwayat komplikasi luka kaki dibetes (ulkus). Hasil analisis chi square menunjukkan terdapat hubungan antara perilaku perawatan kaki diabetes dengan kejadian komplikasi luka kaki diabetes pada pasien DM tipe 2 di Puskesmas Tuntungan Medan (p<0.05). Perilaku perawatan kaki sangat berperan terhadap terjadinya luka kaki diabetes. Untuk membentuk perilaku yang baik dibutuhkan edukasi oleh dokter maupun oleh petugas kesehatan kepada pasien diabetes. Diabetes is a chronic disease caused by lack or ineffectiveness of insulin. WHO estimates that the world population with diabetes in 2030 will increase to at least 366 million people. Indonesia is the world’s fourth most populated country and its prevalence of diabetes is 8.6% of the entire population. Diabetes will be a serious problem once complications occurrs. One of the complications is diabetic foot.  diabetic foot  caused a longer length of hospital stay and more than 90% leads to the amputation of the lower limb . The objective of this study was to analyze the relationship between diabetic foot care behaviors and the diabetic foot complications in patients with type 2 diabetes mellitus at Tuntungan Public Health Center in Medan. This study employed an analytic study  with cross sectional approach. The population of this study was all patients with type 2 diabetes mellitus who came to Tuntungan Public Health Center in Medan  and 83 patients were recruited as samples (consecutive sampling). The research used a questionnaires with 15 questions   to collect data of knowledge and foot care behaviour. Data were analyzed using chi square test. The results showed that 48 diabetic patients (57.8%) demonstrated poor behavior towards foot care, 29 patients (349%) had a history of diabetic foot ulcer complications. The results of the chi square analysis showed that there was a significant relationship between diabetic foot care behavior and diabetic foot complications in patients with type 2 Diabetes Mellitus at Tuntungan Public Health Center in Medan (p <0.05). It was concluded that foot care behavior had a high correlation with the incidence of diabetic foot. It is recommended that doctors and health staffs educate diabetic patients to perform good foot care behaviors.

scholarly journals The Experience of Adult Clients with Type 2 Diabetes Mellitus at the Cigugur Tengah Public Health Center

2021 ◽  
Author(s):  
Budiman . ◽  
Nadirawati . ◽  
Alfi Ariansyah
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
Adult Type ◽  
Design Data ◽  
Public Health Center ◽  
Diabetes Mellitus Treatment

Type 2 diabetes mellitus is a health problem that tends to increase every year and has the most complications among other generative diseases. This study aimed at gaining a deeper understanding of the meaning of type 2 diabetes mellitus treatment for adult clients. The study used a qualitative approach with a phenomenological design. Data were collected through in-depth interviews, and field notes were analysed by applying the Collaizi technique. In total, five individuals were included in the study. The study included seven themes: risk factors for type 2 diabetes; changes experienced by the patients of type 2 diabetes; efforts made by the patients to overcome diabetes; behaviour towards diet and treatment, support from the family; expectations of the patients; and complications faced by the patient. For this reason, the authorities, especially nurses at the Cigugur Tengah Public Health Center, should continue to monitor and counsel DM patients so that the complications due to DM can be resolved as early as possible. Keywords: experience, adult, type 2 DM

scholarly journals The Relationship Of The Level Of Family Knowledge And Efforts To Prevent Complications Of Diabetes Mellitus Tipe 2 In The Working Area Of Babakan Public Health Center District Of Cirebon

2021 ◽  
Vol 8 (1) ◽  
pp. 14-19
Author(s):  
Lukatul Khoiriyah ◽  
Ramli Effendi ◽  
Thia Oktiany
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
P Value ◽  
Chi Square ◽  
Work Area ◽  
Chi Square Test ◽  
The Relationship

The level of family knowledge is a very important factor in the actions of families of people with Diabetes Mellitus, behavior based on knowledge will be easier to carry out than those not based on knowledge. Diabetes Mellitus is a disease that requires proper and immediate treatment efforts because it can cause complications such as heart disease, kidney failure, and damage to the nervous system. One way to overcome the effects of Type 2 Diabetes Mellitus is by applying a diet. This study aims to determine the relationship between the level of family knowledge with efforts to prevent complications of type 2 diabetes mellitus in the work area of Babakan Puskesmas, Cirebon Regency. This research method uses descriptive correlational, this research uses cross section research. The population is all families with type 2 Diabetes Mellitus in the work area of Babakan Puskesmas in Cirebon Regency as many as 144 respondents and sampling using Purposive Sampling obtained 60 respondents. The instruments used were questionnaire sheets, and data analysis using chi-square test that is the significance value α = 0.1. The results of the above study indicate between the level of family knowledge and prevention of complications of type 2 diabetes mellitus in getting p-value = 0.04, because the p-value of 0.04 <0.1 then Ho is rejected and Ha is accepted which means there is a relationship between the level of family knowledge and prevention of complications of type 2 diabetes mellitus in the work area of Babakan Health Center, Cirebon Regency.

scholarly journals Hubungan Perilaku Self-Management Dengan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Pucang Sewu, Surabaya

2019 ◽  
Vol 3 (3) ◽  
pp. 176
Author(s):  
Milda Hidayah
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
Medication Compliance ◽  
International Diabetes Federation ◽  
Self Management ◽  
Foot Care ◽  
Cross Sectional

Background: Diabetes Mellitus (DM) is one of the four priorities for Non-Contagious Diseases in the world. According to the IDF (International Diabetes Federation), people with Diabetes Mellitus in Indonesia will increase from 9.1 million in 2014 to 14.1 million in 2035. Diabetes Mellitus Type 2 can affect can affect the quality of life from the sufferers and can be at risk of causing complications, these problems can be solved by applying self-management to their disease.Objectives: The purpose of this research is to describe the self-management behavior which consists of five aspects, that is settings of diet, physical activity/exercise, self/foot care, medication compliance, and monitoring of blood sugar in Type 2 Diabetes Mellitus patients at Pucang Sewu Health Center, Surabaya.Methods: This research used observational study design using cross sectional approach. The population in this research were outpatients with Type 2 Diabetes Mellitus in Pucang Sewu Health Center, Surabaya. Data collection using random sampling technique and obtained 79 respondents. The research data was obtained using the SDSCA (The Summary of Self-Care Activities) questionnaire developed by the General Service Administration (GSA) Regulatory Information Servive Center (RISC).Results: The research found that some respondents had a good level of self-management (59.5%). In several aspects such as settings of diet, and medication compliance, most respondents were included in the good category, but in physical activity/ exercise, self/foot care, and monitoring of blood sugar aspect were still in the less category. In addition, most of the respondents had normal blood glucose levels (50.6%). Conclusion: There is a relationship between self-management behavior with blood glucose levels in patients with Type 2 Diabetes Mellitus in Pucang Sewu Health Center, SurabayaABSTRAK Latar Belakang: Diabetes Mellitus (DM) menjadi satu dari empat prioritas Penyakit Tidak Menular di dunia. Menurut IDF (International Diabetes Federation), peningkatan penyandang DM di Indonesia akan mengalami peningkatan dari 9,1 juta di tahun 2014 menjadi 14,1 juta di tahun 2035. Penyakit DM Tipe 2 dapat mempengaruhi kualitas hidup penderitanya dan dapat beresiko menimbulkan terjadinya komplikasi, masalah tersebut dapat dikendalikan salah satunya dengan menerapkan perilaku self-management terhadap penyakitnya.Tujuan: Tujuan dari penelitian ini yaitu untuk mengetahui gambaran serta hubungan perilaku self-management (pengaturan pola makan, aktivitas fisik/olahraga, perawatan diri/kaki, kepatuhan konsumsi obat, dan monitoring gula darah) dengan kadar gula darah pada pasien Diabetes Mellitus Tipe 2 di wilayah kerja Puskesmas Pucang Sewu, Surabaya.Metode: Penelitian ini menggunakan desain studi observasional dengan menggunakan pendekatan cross sectional. Populasi pada penelitian ini adalah pasien rawat jalan yang menderita Diabetes Mellitus Tipe 2 di Puskesmas Pucang Sewu, Surabaya. Pengambilan data menggunakan teknik random sampling dan didapatkan 79 responden. Data penelitian didapatkan dengan menggunakan kuisioner SDSCA (The Summary of Diabates Self-Care Activities) yang telah dikembangkan oleh General Service Administration (GSA) Regulatory Information Servive Center (RISC). Analisis data menggunakan uji statistik chi-square.Hasil: Hasil penelitian didapatkan bahwa sebagian responden memiliki tingkat self-management baik (59.5%). Beberapa aspek seperti pengaturan pola makan, dan kepatuhan konsumsi obat, sebagian besar responden termasuk dalam kategori baik, namun pada aspek aktivitas fisik/olahraga, perawatan diri/kaki, dan monitoring gula darah masih dalam kategori kurang. Selain itu, sebagian besar responden memiliki kadar gula darah yang terkontrol (50,6%).Kesimpulan: Terdapat hubungan antara perilaku self-management dengan kadar gula darah pada pasien Diabetes Mellitus Tipe 2 di wilayah kerja Puskesmas Pucang Sewu Surabaya.

Prevalence of Foot Complications in People With Type 2 Diabetes Mellitus: A Community-Based Survey in Rural Udupi

2018 ◽  
Vol 17 (3) ◽  
pp. 169-175 ◽  
Author(s):  
Arun Gundmi Maiya ◽  
Shubha Gundmi ◽  
Prabhath Matpady ◽  
Radhika Jadhav ◽  
Ramachandra Lingadakai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Social Health ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Complications ◽  
Rural Part

The objective of the study was to determine the prevalence of foot complications among people with type 2 diabetes mellitus in the rural part of Udupi district, Karnataka, India. A cross-sectional observational study design was conducted in the rural area of Udupi district. In the study, accredited social health activists were trained to screen people with type 2 diabetes mellitus for diabetic foot complications at a community level. Adults over 35 years of age were screened for the presence of type 2 diabetes mellitus by accredited social health activists who reside in the rural part of Udupi district. Participants with type 2 diabetes mellitus were included in the study. Blood glucose level was measured using a glucometer. Foot examination was done by visual inspection, monofilament, tuning fork, and pedal pulse. In the present study, 2110 among the total participants were found to have type 2 diabetes mellitus. The prevalence of musculoskeletal foot complications was 1218 (58%), vascular problem 466 (22.2%), sensory neuropathy 634 (30.2%), autonomic neuropathy 1729 (81.9%), ulcer 134 (6.38%), and infection 561 (26.7%) among people with type 2 diabetes mellitus. In the current study, we found 84.7% of people residing in rural Udupi had type 2 diabetes mellitus. Hence, there is a strong need to create awareness about diabetic foot care in these people.

scholarly journals Awareness of diabetic foot disease amongst patients with type 2 diabetes mellitus attending the chronic outpatients department at a regional hospital in Durban, South Africa

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Thea T. Goie ◽  
Mergan Naidoo
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Regional Hospital ◽  
Foot Care ◽  
Diabetic Foot Disease ◽  
Foot Disease

Background: Diabetic foot disease (DFD) is a major challenge for the healthcare system, with enormous economic consequences for people living with diabetes, their families, and society, affecting both quality of life and quality of care. The study aim was to assess the level of awareness of DFD amongst patients with type 2 diabetes mellitus (T2DM).Methods: An observational descriptive cross-sectional study was conducted at the chronic outpatients department of a regional hospital in Durban, South Africa.Results: Two hundred participants with T2DM participated in the study. Ninety-one per cent of participants were either overweight or obese. Ninety-two per cent of participants had concomitant hypertension (57.5%), dyslipidaemia (26.7%) and eye disease (7.2%). Seventy-six per cent reported altered sensation in their lower limbs, and 90% reported having no previous DFD education. Only 22.2% of participants reported having examined their feet, but only when they experienced a problem. Participants achieved mediocre scores for knowledge (mean 4.45, standard deviation (s.d.) 2.201, confidence interval (CI) 4.2–4.7) and practice (mean 11.09, s.d. 2.233, CI 10.8–11.5) on diabetic foot care (DFC). Those who had a higher level of education and who were less than 65 years old had a significantly better score for previous foot care education (p < 0.05).Conclusion: The study demonstrated that awareness of DFD was suboptimal, based on current DFC guidelines. To minimise the burden of DFD, improved screening and prevention programmes as well as patient education should be provided to T2DM patients, whilst maintaining an aggressive approach to risk factor modifications, footwear and identifying the at-risk foot.

scholarly journals PENGARUH SENAM KAKI DIABETIK TERHADAP PENURUNAN RISIKO ULKUS DIABETIKUM PADA PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS TAUPAH BARAT KECAMATAN TAUPAH BARAT KABUPATEN SIMEULE TAHUN 2020

2020 ◽  
Vol 6 (1) ◽  
pp. 50-56
Author(s):  
Yulis Hati ◽  
Dirayati Sharfina ◽  
Zamawawi
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
Diabetic Foot ◽  
Sampling Technique ◽  
The West ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

Diabetes mellitus is a chronic disease that cannot be cured but can be controlled which can cause various complications. To reduce the risk of complications due to diabetes mellitus, diabetes exercise exercises can be done. This study aims to find out the Effect of Diabetic Foot Gymnastics on Reducing the Risk of Diabetic Ulcer in Type 2 Diabetes Mellitus Patients in West Taupah Health Center, West Taupah District, Simeule Regency 2020. This study uses a Pre-Experimental. The population in this study were all people with diabetes mellitus who visited the West Taupah Health Center as many as 32 people. The sampling technique used a purposive sampling technique of 20 people.  The results showed that the risk of diabetic ulcers before the implementation of diabetes foot exercises at the West Taupah Health Center was mostly high risk. The risk of diabetic ulcers after the implementation of diabetes foot exercises at the West Taupah Health Center was mostly low risk. There is an Influence before and after the implementation of Diabetic Foot Gymnastics on the Reduction of the Risk of Diabetic Ulcer in Type 2 Diabetes Mellitus Patients in West Taupah Health Center, West Taupah Subdistrict, Simeule Regency in 2020 with p = 0.0001 <α = 0.05. Suggestions in this study, especially for health workers should continue to try to do diabetic foot exercises on a scheduled basis in order to minimize the risk of diabetic ulcers.

scholarly journals The Consumption of Traditional Medicine by Type 2 Diabetes Mellitus Patients at the Public Health Center of Panjatan in the Regency of Kulon Progo as a Case Study

2019 ◽  
Vol 2 (1) ◽  
pp. 32
Author(s):  
Enuk Endah Sunarto ◽  
Mora Claramita ◽  
M Robikhul Ikhsan
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Traditional Medicine ◽  
Health Center ◽  
Medical Doctors ◽  
The Public

Background: The consumption of traditional medicine is very much done in the society including by type 2 diabetes mellitus patients.Purpose: This study is purposed to understand the reasons of type 2 diabetes mellitus patients at the Public Health Center of Panjatan in the Regency of Kulon Progo in consuming traditional medicine and their knowledge about type 2 diabetes mellitus.Method: This study is a qualitative research with case study approach. The data is obtained through focus group discussion involved 56 type 2 diabetes mellitus patients. The data is analyzed by qualitative analysis techniques from Miles and Huberman.Results: The reasons of type 2 diabetes mellitus patients in consuming traditional medicine, i.e. (1) they are following friends or relatives who has consumed traditional medicine that is considered successful, or (2) they are not believing in the medical doctor's treatment. The economic and distance factors are not their consideration. The type 2 diabetes mellitus patients who have consumed traditional medicine but have now stopped have the following reasons: (1) they are asked to stop in consuming traditional medicine by medical doctors; (2) they said that it is not practical how to mix traditional medicine so that they become lazy to consume traditional medicine; or (3) the mixing of traditional medicine is easily depleted. In addition, from this study also known that some type 2 diabetes mellitus patients understand very well about type 2 diabetes mellitus disease suffered, some others do not have enough knowledge about type 2 diabetes mellitus.Conclusion: The type 2 diabetes mellitus patients in consuming traditional medicine are due to various factors, i.e. the trust of medical doctors, following friends or relatives as well as sufficient knowledge about the effects of traditional medicine. This study also founded that generally all type 2 diabetes mellitus patients understand the disease they suffered well.

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