scholarly journals Perbandingan kepekaan pola kuman ulkus diabetik terhadap pemakaian PHMB gel dan NaCl gel secara klinis

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Sendi Kurnia ◽  
Richard Sumangkut ◽  
Mendy Hatibie
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Diabetic Patient ◽  
Analytical Study ◽  
Developed Countries ◽  
Diabetic Ulcer ◽  
Common Cause ◽  
Diabetic Ulcers ◽  
Prevalence Of Diabetes Mellitus ◽  
Diabetes Melitus

Abstract: The prevalence of diabetes mellitus (DM) is increased globally every year, especially in developed countries. In Indonesia, the prevalence of diabetic ulcers is amounted to 15%. Mortality and amputation are as high as 32.5% and 23.5% and are the most common cause of diabetic patient care in the hospital. This study was aimed to compare the sensitivity of diabetic ulcers’ bacteria to PHMB gel with 0.9% saline gel. This was a descriptive analytical study. Subjects were 57 patients of diabetic ulcer associated with infection. Pus samples obtained from the diabetic ulcers were cultured and were further evaluated for the sensitivity test to PHMB gel and saline gel. Data were analyzed by using the ƻ test. The results showed that the proportion of bacteria’ sensitivity to PHMB was significantly different (P <0.05) meanwhile to 20% saline gel was not significantly different (P <0.05). Conclusion: Application of PHMB gel could improve the process of wound healing of diabetic ulcer with infection.Keywords: PHMB gel, Na Cl gel, diabetic ulcer with infectionAbstrak: Prevalensi penyandang diabetes melitus (DM) secara global semakin meningkat setiap tahunnya terutama di negara berkembang. Di Indonesia, prevalensi ulkus diabetik pada penyandang DM sebesar 15%. Angka kematian dan amputasi sangat tinggi yaitu sebesar 32,5% dan 23,5% yang merupakan penyebab terbanyak perawatan di rumah sakit. Penelitian ini bertujuan untuk mendapatkan pola kuman pada ulkus diabetik serta membandingkan kepekaan kuman terhadap PHMB gel dan NaCl gel. Jenis penelitian ialah deskriptif analitik. Subyek penelitian ialah 57 pasien dengan ulkus diabetik disertai infeksi. Sampel pus dari ulkus diabetik dibuat kultur kemudian dilanjutkan dengan uji kepekaan kuman terhadap PHMB gel dan NaCl gel. Data dianalisis menggunakan uji ƻ. Hasil uji statistik mendapatkan perbedaan proporsi kepekaan kuman terhadap PHMB yang bermakna (P < 0,05) sedangkan perbedaan proporsi kepekaan kuman terhadap NaCl gel 20% tidak bermakna (P >0,05). Simpulan: Pemberian PHMB gel dapat meningkatkan proses penyembuhan luka pada penyandang DM dengan ulkus yang disertai infeksi.Kata kunci: PHMB gel, Na Cl gel, ulkus diabetik dengan infeksi

scholarly journals Hubungan Ulkus Diabetik Dengan Citra Tubuh Klien Diabetes Mellitus Tipe 2

2020 ◽  
Vol 11 (3) ◽  
pp. 283
Author(s):  
M. Elyas Arif Budiman ◽  
Ah. Yusuf ◽  
AV. Sri Suhardiningsih
Keyword(s):  
Diabetes Mellitus ◽  
Body Image ◽  
The Body ◽  
Rank Test ◽  
P Value ◽  
Diabetic Ulcer ◽  
Spearman Rank ◽  
Diabetic Ulcers ◽  
Patients With Diabetes ◽  
Diabetes Melitus

Diabetic ulcers are the most feared complications of Diabetes mellitus patients because of reduced blood supply to the tissues, causing tissue death and compounded with bacterial infections that can cause amputations and even have wide impact because they can cause death, morbidity, disability, and decreased quality of life. The purpose of this study was to determine the relationship of diabetic ulcers in patients with diabetes mellitus with body image. The research design used was analytic survey with cross sectional design. The sample in this study proves 40 samples taken Probability of Samples with the type of sampling in a row that was a diabetic ulcer sufferer who performs examinations in the clinic of Jember. This research was conducted by observing the degree of injury for diabetic ulcers and questionnaire sheets for body image. The results of this study were analyzed using the statistical test Spearman rank test. The results of the analysis showed that first-degree injuries were 22 respondents (55%), second-degree injuries were 17 respondents (42.5%), and third-degree injuries were respondent (2.5%). While the body image results in diabetics with 13 respondents (32.5%) had a negative body image, while 27 respondents (67.5%) had a positive body image. The results of the analysis of the two variables obtained by the value of p value Sig. (two tailed) of 0.023 α α (0.05) which shows that there was a relationship between diabetic ulcers in patients with diabetes mellitus with body image. Clients who suffer from diabetes mellitus will affect the appearance of the body, especially will have an impact on body image so it is very important for clients diabetes mellitus to improve adjustment in dealing with the disease process and the consequences of the disease. Keywords: diabetic ulcer; body image ABSTRAK Ulkus diabetikum merupakan komplikasi yang paling ditakuti pasien Diabetes Melitus karena berkurangnya suplay darah ke jaringan tersebut menyebabkan kematian jaringan dan diperparah dengan infeksi bakteri yang dapat menyebabkan amputasi bahkan berdampak luas karena dapat menyebabkan kematian, morbiditas, peningkatan biaya perawatan, dan penurunan kualitas hidup. Tujuan dari penelitian ini adalah untuk mengetahui hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh di Klinik Jember. Desain penelitian yang digunakan yaitu survey analitik dengan rancangan coss sectional. Sampel dalam penelitian ini diambil secara Probability Sample dengan jenis Consecutive Sampling yaitu penderita ulkus diabetik yang melakukan pemeriksaan di klinik jember sebanyak 40 responden Penelitian ini dilakukan dengan cara melihat/observasi derajat luka untuk ulkus diabetik dan lembar kuesioner untuk citra tubuh. Hasil penelitian ini dianalisa menggunakan uji statistic spearman rank test. Hasil analisanya didapatkan bahwa luka derajat 1 sebanyak 22 responden (55%), luka derajat 2 sebanyak 17 responden (42,5%), dan luka derajat 3 sebanyak 1 responden (2,5%). Sedangkan hasil citra tubuh pada penderita diabetes melitus sebanyak 13 responden (32,5%) memiliki citra tubuh negatif , sedangkan 27 responden (67,5%) memiliki citra tubuh positif. Hasil analisa dari kedua variabel didapatkan nilai p value Sig (two tailed) sebesar 0,023 ≤ α (0,05) yang menunjukkan bahwa ada hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh. Klien yang menderita diabetes mellitus akan mempengaruhi penampilan tubuh, terutama akan berdampak pada citra tubuh sehingga sangat penting bagi klien diabetes mellitus untuk meningkatkan penyesuaian dalam menangani proses penyakit dan konsekuensi penyakit. Kata kunci: ulkus diabetic; citra tubuh

scholarly journals STUDI LITERATUR HUBUNGAN STRES DENGAN PENERIMAAN DIRI PADA PASIEN ULKUS DIABETIK

2020 ◽  
Vol 11 (2) ◽  
pp. 59
Author(s):  
Sitti Rahmatia ◽  
Muhammad Basri ◽  
Ainun Nur Zakina ◽  
Mardiana Mustafa ◽  
Baharuddin Baharuddin
Keyword(s):  
Diabetes Mellitus ◽  
Human Body ◽  
Research Articles ◽  
Literature Study ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Self Acceptance ◽  
Scientific Research Articles ◽  
Patient’S Perception ◽  
Diabetes Melitus

ABSTRAKDiabetes melitus merupakan penyakit kronis yang disebabkan karena pankreas tidak memproduksi insulin secara adekuat atau ketika tubuh manusia tidak bisa menggunakan insulin tersebut secara efektif. Di Indonesia terdapat 10,7 juta jiwa penderita diabetes melitus dan di Sulawesi Selatan sendiri terdapat 33,693 ribu jiwa penderita. Ulkus diabetik merupakan komplikasi dari diabetes melitus berupa luka pada anggota tubuh yang diawali oleh neuropati dan tidak terkontrol, kemudian ulkus diabetik tersebut akhirnya menjadi stresor psikologis bagi penderitanya dan menyebabkan stres hingga penerimaan diri rendah. Jenis penelitian ini adalah studi literatur dimana peneliti mengumpulkan beberapa artikel penelitian untuk kemudian disimpulkan isinya. Tujuan dari studi literatur ini adalah untuk mengidentifikasi rekomendasi penelitian-penelitian terdahulu tentang hubungan stres dengan penerimaan diri pada pasien ulkus diabetik. Studi literatur ini disusun atas penelusuran artikel penelitian ilmiah terkait, dalam rentang tahun 2015 sampai 2020. Terdapat 7 artikel yang sesuai dengan kriteria inklusi dan kemudian disimpulkan isinya. Hasil penelitian dari 7 artikel yang dijabarkan dapat ditarik kesimpulan bahwa terdapat hubungan yang saling mempengaruhi antara stres dan penerimaan diri pada pasien ulkus diabetik. ulkus diabetik merupakan stressor yang akan menyerang psikis pasien dengan kondisi tubuh lemah dan akhirnya memicu stres, selanjutnya dampak stres membuat persepsi terhadap diri pasien sendiri menjadi kurang baik dan menurunkan kualitas penerimaan dirinya. Kemudian ibadah, melakukan kontrol terhadap kondisi penyakit, dan keluarga adalah metode-metode  yang digunakan  untuk mengurangi stres dan meningkatkan penerimaan diri pasien.Kata Kunci: Ulkus Diabetik, Stres, Penerimaan DiriABSTRACTDiabetes mellitus is a chronic disease caused by the pancreas that not producing insulin adequately or when the human body cannot use insulin effectively. In Indonesia there are 10.7 million people with diabetes mellitus and in South Sulawesi  there are 33.693 patients. Diabetic ulcers are a complication of diabetes mellitus in the form of lesion on human body that are established by neuropathy and are not controlled, then these diabetic ulcers eventually become psychological stressors for the patients which leads to stress and low self-acceptance. This type of research is a literature study in which researcher gather several research articles and then conclude its contents. The purpose of this literature study is to identify any recommendations from previous studies on the correlation between stress and self-acceptance in diabetic ulcer patients. This literature study was compiled by a search of related scientific research articles, in the period 2015 to 2020. There were 7 articles that fit the criteria and then being concluded. The results of the 7 articles researcher can conclude that there is a mutually influential relationship between stress and self-acceptance in patients with diabetic ulcers. Diabetic ulcers are stressors that will psychologically attack patients with weak conditions and ultimately trigger their stress, then the stress would worsen patient’s perception and eventually decreases the quality of their self-acceptance. Then worship, controlling ulcers conditions, and family are the methods used to reduce stress and increase patient self-acceptance.Keywords: Diabetic Ulcer, Stress, Self Acceptance

EFEKTIVITAS PERAWATAN ULKUS DIABETIKUM TERHADAP PENERIMAAN DIRI PASIEN DIABETES MELITUS TIPE II DI ASRI WOUND CARE CENTRE MEDAN

2019 ◽  
Vol 4 (2) ◽  
pp. 178
Author(s):  
Elis Anggeria ◽  
Patimah Sari Siregar
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Wound Care ◽  
Type Ii Diabetes Mellitus ◽  
P Value ◽  
Type Ii ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Self Acceptance ◽  
Ulcer Treatment

<p><em>Diabetes mellitus (DM) is a group of metabolic diseases characterized by high levels of glucose in the blood (hyperglycemia) that occurs due to impaired insulin secretion, decreased insulin action, or a result of both. Self-acceptance is the ability and desire of individuals to live with all the characteristics themselves against diabetes mellitus. This study aims to determine the effectiveness of diabetic ulcer treatment on self-acceptance of Type II Diabetes Mellitus patients at Asri Wound Care Center Medan. This study uses quantitative research methods with a quasi-experimental design through the one-group pretest-posttest design approach. The population in the study as many as 20 people, with sampling techniques using saturated sampling, the research sample amounted to 20 people. This study uses a nonparametric statistical test that is paired t-test. The results of research on self-acceptance of patients with type II diabetes mellitus before treatment of diabetic ulcers showed that the majority of self-acceptance was not good, and the self-acceptance of patients after treatment of diabetic ulcers obtained the majority of good self-acceptance. The effectiveness of diabetic ulcer treatment on self-acceptance of type II diabetes mellitus patients obtained significance value p-value = 0.00 (p-value &lt;0.05) then H0 was rejected. This means that there are differences in self-acceptance of type II Diabetes mellitus patients before and after diabetic ulcer treatment at Asri Wound Care Center Medan. Future researchers are expected to discuss more deeply about the factors that affect the self-acceptance of diabetes mellitus patients who are undergoing treatment for diabetic ulcers.</em></p>

scholarly journals The Relationship Between Discharge Planning and The Quality of Life of Patients with Diabetic Ulcer

2019 ◽  
Vol 4 (1) ◽  
pp. 20
Author(s):  
Candra Kusuma Negara ◽  
Abd Basid ◽  
Sri Erliani ◽  
Inaya Turahman
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Planning Process ◽  
Discharge Planning ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Ex Post ◽  
Ex Post Facto ◽  
Ex Post Facto Study

Introduction: Diabetic ulcer is one of the chronic complications of diabetes mellitus. Several studies in Indonesia reported that the mortality rate of gangrene ulcers in people with diabetes ranged from 17-32%, and diabetic ulcers affected the quality of life of sufferers. All patients hospitalized require discharge planning. From the explanation above, it can be concluded that Diabetes Mellitus is a degenerative disease that indeed requires hospitalization. The purpose of this study is to find out whether the Discharge planning process has a relationship with the quality of life of patients with Diabetic Ulcers. Methods: With the Ex post facto study design, 28 respondentwho were in accordance obtained measurements of discharge planning processes using interview methods and measurements on quality of life using the WHOQOL-BREEF questionnaire with spearman rank non parametric correlation analysis methods. Results: The results of the value are obtained: a = 0.05 with = rs table (0.707), RHO count (0.949)>rs table then categorized in the table Relationship Strengths correlation results obtained in this category is very strong / near perfect with the value 0.76- 1.00. Conclusions:This shows that there is a significant relationship with the strength of a very strong / near-perfect relationship according to the table.

scholarly journals PERBANDINGAN MOTIVASI PENGGUNAAN MODERN DRESSING PADA PENDERITA ULKUS DIABEKTIKUM DI KELURAHAN KALIJIRAK DAN KELURAHAN WONOLOP O KECAMATAN TASIKMADU KARANGANYAR

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Budi Kristanto ◽  
Nur Cahyo Saputro ◽  
Elga Firdian Candra
Keyword(s):  
Diabetes Mellitus ◽  
Study Design ◽  
Analytical Study ◽  
Diabetes Complications ◽  
Wound Care ◽  
Epidemiological Studies ◽  
Diabetic Ulcers ◽  
The World ◽  
Patients With Diabetes ◽  
The Village

ABSTRACTIntroduction: The increasing prevalence of diabetes in the world led to an increase in cases of amputation due to diabetes complications. Epidemiological studies reported more than one million amputations are performed on people with diabetes each year. Therefore, prevention and appropriate management of lesions of the foot is the most important thing. The development of wound care is growing very rapidly in the world of health.Objective: This study aimed to compare the motivation of the use of modern dressings in patients with diabetic ulcers in the Wonolopo and Kalijirak villagedistrict of Karanganyar.Methods: This study is a comparative analytical study design to compare the motivation of the use of modern dressings in patients with diabetic ulcers in the Wonolopo and Kalijirak village district of Karanganyar.Respondents: The study sample was taken from the population of people who have diabetic ulcers in the Village Kalijirak as much as 20 and as many as 20 Wonolopo village.Results: Based on the results of independent sample t test with SPSS for Windows series 18 with α = 5% (0.05), obtained p equal to 0825 which means p> 0.05 it indicates that Ha is not accepted, which means there is no difference in motivation to use modern dressings in patients with diabetes mellitus with diabetic ulcers among respondents in the Village and Village Wonolopo Kalijirak.Keywords: Motivation, Modern dressings, Wound care

scholarly journals PROSES PENYEMBUHAN LUKA ULKUS DIABETIKUM DENGAN METODE MODERN DRESSING DIKLINIK MAITIS EFRANS WOUND CARE

2018 ◽  
Vol 10 (2) ◽  
pp. 146-151
Author(s):  
Nadya Putri Nabila
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Wound Care ◽  
Healing Process ◽  
Case Study Research ◽  
World Population ◽  
Care Clinic ◽  
Diabetic Ulcer ◽  
Patients With Diabetes

Diabetes mellitus (DM) is one of the most common chronic diseases experienced by the world population and ranks fourth cause of death in developing countries. Long-term complications of diabetes mellitus one of them is diabetic ulcer (15%) and is the most cause (85%) of amputation in patients with diabetes mellitus. Currently, more than 5,000 modern types of dressings are reported to be available to treat wounds, especially diabetic ulcers. To know the process of wound healing diabetic ulcer was done with the design of case study research with a sample of 2 people and this study was conducted for 4 weeks. The study was conducted at the Maitis Efrans Wound Care clinic in Bengkulu City. The result was obtained that the assessment of diabetic ulcer wounds before modern wound care on the respondents was a total score of 54 and the respondents two total score of 50 were stated wound regeneration. The healing process of the responder's second ulcers progressed, the total score of one respondent was 30 and the respondent two was 28. Respondents. Progress on the two respondents stated better influenced by wound healing factor that is, age factor.

scholarly journals EXPERIENCE OF SEXUAL DISFUNCTION IN MEN CLIENTS WITH DIABETIC ULCERS

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Haifah Maulida
Keyword(s):  
Diabetes Mellitus ◽  
Qualitative Method ◽  
Phenomenological Approach ◽  
System Support ◽  
Diabetic Ulcers ◽  
Men 2 ◽  
Sexual Change ◽  
The World ◽  
The Impact ◽  
Prevalence Of Diabetes Mellitus

The prevalence of diabetes mellitus in the world is getting increased either developed or developing countries, it will lead the complication toward one of sexual activity. The aim of this research to find in depth about sexual disfunction with Diabetic ulcers patient experiance. This research used a qualitative method with a phenomenological approach and interview as collacting data technique. Therewere 7 informants, with 6 item of experiance question those are (1) sexual views in men, (2) description of sexual changes, (3) the impact of sexual change, (4) how to overcome problems, (5) expectations of condition, (6) response from system support. The results of this study are known that diabetes mellitus clients who experience sexual dysfunction that affects themselves and couple, clients look for ways to deal with their perceptions, expect conditions for sexual change in themselves and couple, and expect support from spouses and families to improve sexual function.

scholarly journals Faktor-Faktor Yang Berhubungan Dengan Perilaku Pencegahan Ulkus Diabetikum Pada Penderita Diabetes Mellitus

2019 ◽  
Vol 2 (3) ◽  
pp. 108
Author(s):  
Rola Oktorina ◽  
Aria Wahyuni ◽  
Ervina Yanti Harahap
Keyword(s):  
Diabetes Mellitus ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Health Workers ◽  
Bivariate Analysis ◽  
Diabetic Ulcer ◽  
Low Socioeconomic ◽  
Diabetic Ulcers ◽  
Prevention Behavior ◽  
Ulcer Complications

<span>DM sufferers continue to increase every year. Diabetic ulcers are a common complication that often occurs in DM patients. complications prevention behavior that must be performed by DM patients in order to prevent complications. This study aims to determine the factors related to the behavior of prevention of diabetic ulcers in patients with diabetes mellitus at Achmad Mochtar Bukittinggi Hospital in 2019<br />This type of research is analytic descriptive with cross sectional study approach. The population in this study was 334 people. Sampling using accidental sampling technique with a sample size of 35 people. Data collection in this study used a questionnaire sheet. Data analysis included univariate and bivariate analyzes using the chi-square test.<br />The results showed that 62.9% of respondents had low knowledge, 88.6% had no ulcers, 51.4% were low socioeconomic. The results of bivariate analysis showed that there was a relationship between knowledge (p = 0.038, OR = 6) and socioeconomic status (p = 0.028, OR = 6.417) with the prevention behavior of diabetic ulcer complications, whereas the ulcer experience variable was not related to the prevention behavior of diabetic ulcer complications (p = 0.619).<br />It was concluded that knowledge and socioeconomic status were significantly related to the prevention of diabetic ulcers in DM patients. It is expected that all parties, especially health workers, will maximize education and counseling for DM patients, especially in the low knowledge group and with low socioeconomic status.</span>

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  

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