GAMBARAN TINGKAT HEALTH LITERACY PASIEN ULKUS KAKI DIABETIK

Abstract: Low health literacy is one of the factors that cause delays in treatment of diabetic foot ulcers that are not a few people who experience leg amputation of diabetic foot ulcers. The purpose of this study was to describe the level of health literacy diabetic foot ulcers patients in the city of Manado. This research method used is descriptive reaserch. Health literacy was measured by using questionnaires diabetic diabetes literacy and numeracy. Samples were included in the study were 60 people who had diabetic foot ulcers, obtained through purposive sampling technique. Data were analyzed using descriptive method and display in a frequency distribution table. The results showed that there 63,3% participant had marginal diabetic literacy and 73,3% participant had low diabetes numeracy. Conclusion, patients who have limited health literacy tend to experience delays in the treatment of diabetic foot ulcers. Therefore, health workers need to know the level of health literacy when communicating with patients.Keywords: Health literacy, diabetic foot ulcers Abstrak: Health literacy yang rendah merupakan salah satu faktor yang menyebabkan keterlambatan penanganan ulkus kaki diabetik sehingga tidak sedikit penderita yang mengalami amputasi kaki. Tujuan penelitian ini adalah untuk melihat gambaran tingkat health literacy pasien ulkus kaki diabetik di Kota Manado. Metode penelitian ini menggunakan desain penelitian deksriptif. Health literacy diukur dengan mengunakan quesioner diabetic literacy dan diabetes numeracy. Sampel yang ikut dalam penelitian ini sebanyak 60 orang yang memiliki ulkus kaki diabetik, diperoleh melalui teknik purposive sampling. Data dianalisis dilakukan dengan cara deskriptif melihat frekuensi data. Hasil peneltian menunjukkan bahwa 63,3% responden memiliki tingkat diabetic literacy marginal dan 73% responden memiliki diabetes numeracy rendah. Kesimpulan, pasien yang memiliki keterbatasan health literacy cenderung mengalami keterlambatan dalam penanganan ulkus kaki diabetik. Oleh sebab itu petugas kesehatan perlu mengetahui tingkat health literacy ketika memberikan edukasi kepada pasien.Kata Kunci: Health literacy, ulkus kaki diabetic

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A Qualitative Study Inquiry among Patients with Diabetic Foot Ulcers: What have They Felt?

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6262 ◽

2021 ◽

Vol 9 (E) ◽

pp. 574-580

Author(s):

Kusnanto Kusnanto ◽

Mohamad Alfaqih ◽

Padoli Padoli ◽

Hidayat Arifin

Keyword(s):

Qualitative Study ◽

Diabetic Foot ◽

Health Workers ◽

Wound Care ◽

Sampling Technique ◽

Coping Mechanisms ◽

Foot Ulcers ◽

Diabetic Foot Ulcers ◽

Psychological Condition ◽

And Coping

BACKGROUND: Diabetic foot ulcers (DFU) caused physical and psychosocial problems and the risk of amputations and death. AIM: The aim of the study was to overview the feelings of diabetes mellitus patients with DFU. METHODS: A phenomenological qualitative study design was undertaken from January to April 2020. A total of 25 patients with DFU were determined through the purposive sampling technique. The study was conducted among the patients undertaking home-based wound care in Bojonegoro, Indonesia. The proposed discussion guidelines were used to collect the data through in-depth interviews. Colaizzi’s technique was used to analyze the data and it was managed by NVIVO. RESULTS: We emerged two themes: Psychological and physiological response of patients with DFU and coping mechanisms in caring DFU. Among the patients with DFU, we determined their psychological responses and coping mechanisms as reported in this study. CONCLUSIONS: Patients with DFU are expected to be able to control themselves psychologically. Health workers such as doctors and nurses can provide interventions by considering the psychological condition of patients with DFU. A good psychological condition can ensure that their blood sugar is regulated properly.

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Challenges in communicating with ethnically diverse populations

10.1093/med/9780198736134.003.0041 ◽

2017 ◽

Author(s):

Bejoy C. Thomas ◽

Rebecca L. Malhi

Keyword(s):

Health Literacy ◽

Ethnically Diverse ◽

Clinical Encounter ◽

Diverse Populations ◽

Educational Materials ◽

Patient Decision Making ◽

Limited Health Literacy ◽

Low Health Literacy ◽

Patient Decision ◽

Limited Health

Effective cancer communication is crucial for both clinicians and patients, yet is often suboptimal. Health literacy—the ability to access, comprehend, evaluate, and communicate health information—is a latent factor that may contribute to ineffective medical interactions. Limited health literacy has been associated with significant negative health outcomes and higher medical costs. Given the compelling evidence that ethnically diverse populations are particularly vulnerable, we use a narrative case example—a hypothetical clinical meeting between an oncologist and a newly-diagnosed patient—to highlight how patient risk factors for low health literacy (e.g. age, language, distress, etc.) may be amplified by clinician and contextual factors (e.g. using medical jargon, complexity of patient educational materials, etc.). Finally, we re-imagine the same clinical encounter and illustrate how some simple strategies could ameliorate the effects of low health literacy and facilitate communication and patient decision-making.

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SELF CARE PADA PASIEN DIABETES MELITUS DENGAN PENYULIT ULKUS KAKI DIABETIK

Jurnal Riset Kesehatan Nasional ◽

10.37294/jrkn.v5i1.306 ◽

2021 ◽

Vol 5 (1) ◽

pp. 13

Author(s):

Sri Dewi Megayanti ◽

Ns. Putu Inge Suantika, S.Kep.,M.Kep

Keyword(s):

Diabetes Mellitus ◽

Diabetic Foot ◽

Self Care ◽

Foot Ulcer ◽

Sampling Technique ◽

Foot Ulcers ◽

Diabetic Patients ◽

Diabetic Foot Ulcers ◽

Foot Care ◽

Convenience Sampling

ABSTRAKLatar Belakang: Diabetes self-care merupakan perilaku perawatan diri pasien diabetes yang meliputi pengaturan diet, penggunaan insulin, olahraga dan perawatan kaki. Diabetes self-care memiliki efek langsung pada kontrol glikemik dalam terjadinya ulkus kaki diabetic. Skor PEDIS merupakan form pemeriksaan yang digunakan perawat dalam menilai keparahan ulkus kaki. Keterbatasan intervensi ulkus kaki yang diberikan oleh perawat saat ini disebabkan oleh terbatasnya data tentang self-care pada pasien diabetes. Tujuan penelitian mengetahui self-care pasien diabetes dengan komplikasi ulkus kaki menggunakan metode pengukuran skor PEDIS yang teridiri dari pemeriksaan perfusi, luas luka, kedalaman luka, keberadaan infeksi dan sensasi kaki.Metode: Penelitian ini termasuk penelitian kuantitatif, dimana penentuan responden menggunakan teknik Convenience sampling dengan jumlah sampel adalah 125, analisa data yang digunakan dengan metode deskriptif.Hasil: Pada penelitian ini 53,8 % reponden memiliki diabetes self-care yang adekuat dan rata- rata responden memiliki Skor PEDIS 2,08.Kesimpulan: dalam penelitian ini sebagian besar responden memiliki diabetes self-care yang tidak adekuat. Nilai Diabetes self-care dapat digunakan oleh perawat untuk mengetahui tingkat kualitas perawatan diri pasien selama ini sehingga memudahkan dalam menentukan intervensi yang tepat untuk mencegah terajadinya perburukan ulkus kaki. Kata kunci: diabetes mellitus tipe 2, diabetes self-care, dan ulkus kaki diabetik. ABSTRACTBackground: Diabetes self-care is a diabetes patient self-care behavior that includes diet management, insulin use, exercise and foot care. Diabetes self-care has a direct effect on glycemic control in the occurrence of diabetic foot ulcers. The PEDIS score is an examination form that nurses use in assessing the severity of foot ulcers. The limitations of the foot ulcer intervention given by nurses at this time are due to limited data on self-care in diabetic patients. The aim of this study was to determine the self-care of diabetic patients with complications of foot ulcers using the PEDIS score measurement method which consists of examination of perfusion, wound area, wound depth, presence of infection and foot sensation.Methods: This research is a quantitative study, where the determination of the respondents using the convenience sampling technique with a sample size of 125, the data analysis used is the descriptive method.Results: In this study 53.8% of respondents had adequate diabetes self-care and the mean of respondents had a PEDIS score of 2.08. Conclusion: in this study most of the respondents had inadequate self-care diabetes. The value of diabetes self-care can be used by nurses to determine the level of quality of patient self-care so far, making it easier to determine the right intervention to prevent worsening of foot ulcers. Keywords: type 2 diabetes mellitus, diabetes self-care, and diabetic foot ulcers.

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Impact of Health Literacy on Time Spent Seeking Hand Care

Hand ◽

10.1177/1558944717708027 ◽

2017 ◽

Vol 13 (5) ◽

pp. 538-546 ◽

Cited By ~ 1

Author(s):

Aaron Alokozai ◽

David N. Bernstein ◽

Nicole Sheikholeslami ◽

Lauren Uhler ◽

David Ring ◽

...

Keyword(s):

Health Literacy ◽

Medical Center ◽

Academic Medical Center ◽

Hand Surgery ◽

Limited Health Literacy ◽

Low Health Literacy ◽

Academic Medical ◽

Efficient Access ◽

Study Results ◽

Limited Health

Background: Patients with limited health literacy may have less knowledge and fewer resources for efficient access and navigation of the health care system. We tested the null hypothesis that there is no correlation between health literacy and total time spent seeking hand surgery care. Methods: New patients visiting a hand surgery clinic at a suburban academic medical center were asked to complete a questionnaire to determine demographics, total time spent seeking hand surgery care, and outcomes. A total of 112 patients were included in this study. Results: We found health literacy levels did not correlate with total time seeking hand surgery care or from booking an appointment to being evaluated in clinic. Conclusions: In this suburban academic medical center, patients with low health literacy do not spend more time seeking hand surgery care and do have longer delays between seeking and receiving care. The finding that—at least in this setting—health literacy does not impact patient time seeking hand care suggests that resources to improve health disparities can be focused elsewhere in the care continuum.

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Edukasi Kesehatan: Perawatan Kaki terhadap Pengetahuan, Sikap dan Tindakan Pencegahan Ulkus Kaki Diabetik

Critical Medical and Surgical Nursing Journal ◽

10.20473/cmsnj.v8i1.13241 ◽

2019 ◽

Vol 8 (1) ◽

pp. 23

Author(s):

Munali Munali ◽

Kusnanto Kusnanto ◽

Hanik Endang Nihayati ◽

Hidayat Arifin ◽

Rifky Octavia Pradipta

Keyword(s):

Diabetes Mellitus ◽

Health Education ◽

Diabetic Foot ◽

Sampling Technique ◽

Foot Ulcers ◽

Rank Test ◽

Control Group ◽

Diabetic Foot Ulcers ◽

Foot Care ◽

Control Group Design

Introduction: People with diabetes mellitus were at 15% risk of developing diabetic foot ulcers. Diabetic foot ulcers can be prevented if people with DM have the knowledge, positive attitude and thus able to perform the diabetic foot care. The aim was to determine the effect of health education on knowledge, attitudes and preventionof diabetic foot ulcers of people with diabetes mellitus. Method: quasi-experiment research design pretest-posttest control group design. Sample was DM patients who visited the Bangkalan City Health Center, recruited by purposive sampling technique with sample size of 35 people in the treatment group and 35 people in the control group. Independent variable was the health education and the dependent variables were knowledge, attitudes and of diabetic foot ulcers. Data were collected with questionnaires andthen analyzed by Wilcoxon Sign Rank Test and Mann-Whitney Test.Result: The results showed that there was an effect of health education on knowledge (p=0.000), attitudes (p=0.000) and preventive actions (p=0.000) of diabetic foot ulcers.Conclussion: Health education was important as an effort to persuade DM patients to take charge on their knowledge and attitude foot care by firstly enhancing.

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