scholarly journals MANAJEMEN ULKUS KAKI DIABETIKUM : EFEKTIFITAS FOOT EXERCISE TERHADAP RISIKO DFU (DIABETIC FOOT ULCERS) PASIEN DIABETES MELLITUS DI AL HIJRAH WOUND CARE CENTER

2019 ◽  
Vol 14 (2) ◽  
pp. 95-101
Author(s):  
Fahruddin Kurdi ◽  
Ratna Puji Priyanti
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Wound Care ◽  
Care Center ◽  
Foot Ulcers ◽  
P Value ◽  
Diabetic Foot Ulcers ◽  
Post Test ◽  
Diabetic Foot Screening ◽  
Diabetes Melitus

ABSTRAK Jumlah penderita DM (diabetes melitus) saat ini semakin meningkat. Salah satu komplikasi yang terjadi yaitu DFU (diabetic foot ulcers). Banyak cara yang dapat dilakukan untuk mencegah DFU, salah satunya dengan diabetic foot exercise. Penelitian ini bertujuan untuk mengetahui efektifitas diabetic foot exercise terhadap risiko dfu (diabetic foot ulcers) pasien diabetes mellitus. Penelitian menggunakan design pre-eksperimen dengan pendekatan one-group pra-post test design. Populasi penderita diabetes yang berjumlah 60 orang, besar sampel 40 orang yang diambil menggunakan teknik purposive sampling. Resiko DFU dinilai menggunakan inlow’s 60-second diabetic foot screening tool dengan metode observasi. Analisa data menggunakan uji statistik Wilcoxon. Hasil penelitian ini didapatkan bahwa sebelum dilakukan diabetic foot exercise sebagian besar reponden mempunyai risiko sedang sebanyak 30 orang (75%), sesudah dilakukan diabetic foot exercise diperoleh bahwa sebagian besar responden risiko rendah sebanyak 32 orang (80%). Uji statistik Wilcoxon diperoleh nilai p value = 0,001 dimana nilai p value<α (0,05) yang berarti ada pengaruh diabetic foot exercise terhadap risiko diabetic foot ulcers. Diabetes foot exercise sangat efektif untuk penderita diabetes dalam mencegah risiko DFU. Penderita diabetes dapat melakukan diabetic foot exercise 2 kali dalam seminggu secara teratur.  Kata Kunci : Diabetes mellitus, Diabetic foot ulcers, diabetic foot exercise

scholarly journals Diabetic Foot Ulcers and Risk Fall in People with Type 2 Diabetes Mellitus in BLUD RSUD Dr. Ben Mboi Manggarai Regency, NTT

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Oliva Suyen Ningsih ◽  
Kornelia Romana Iwa ◽  
Maria Getrida Simon ◽  
Kataria Anastasia Sinar
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
P Value ◽  
Diabetic Foot Ulcers ◽  
Risk Of Falling ◽  
Risk Of Falls

The prevalence of diabetes mellitus in Manggarai Regency in 2019 is 535 people and some of them have diabetic foot ulcers. Patients with diabetic foot ulcers had a higher risk of falling than others.This study was to determine the risk factors for diabetic foot ulcers and the risk of falls in patients with type 2 diabetes mellitus. A quantitative study using a cross-sectional study was conducted at BLUD RSUD dr. Ben Mboi  in April-June 2020 (n = 51).The sampling technique used was purposive sampling with a questionnaire of diabetic foot screening and risk stratification form and Morse scale. Logistic regression results showed that there was a significant relationship between claudication (AOR: 8.409, 95% CI 1.664-42.500, p value 0.010), history of previous diabetic foot ulcers (AOR: 5,680, 95% CI 1,151-28,035, p value 0.033) with diabetic foot ulcers. There was a significant relationship between hypertension (AOR: 0.152, 95% CI 0.028-0.834, p value 0.030), diabetic foot ulcers (AOR: 11.392, 95% CI 1.277-101.651, p value 0.029) with the risk of falling for patients with type 2 diabetes mellitus.  Assessment of the risk of diabetic foot ulcers and the risk of falls should be done in patients with diabetes mellitus with or without neuropathy peripheral

Preprocessing Medpar Data

2010 ◽  
pp. 57-68
Author(s):  
Patricia Cerrito ◽  
John Cerrito
Keyword(s):  
Diabetic Foot ◽  
Additional Data ◽  
Wound Care ◽  
Care Center ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Multiple Forms ◽  
Risk Population ◽  
Population Means ◽  
Medicare Data

Medicare data provide information that hospitals submit for billing purposes, Medpar, or Medicare Provider Analysis and Review. It is publicly available (for a fee) at http://www.cms.hhs.gov/Limited- DataSets/02_MEDPARLDSHospitalNational.asp. There are multiple forms in Medicare data and we provide the SAS code on how to “unpack” the different forms for use in analysis. We are using the 2005 version of the data. It can be provided for one or several providers. We use Medpar data from a Wound Care Center to investigate the treatment of diabetic foot ulcers. We want to determine how such patients are treated, especially those with infections. The Medicare population is at highest risk for such problems. Using a higher risk population means that there will be more patients with what are, essentially, rare occurrences of a disease. As stated in the Chapter 3, MEPS data is insufficient to examine rare occurrences, so we need to use additional data for such problems.

scholarly journals Pengaruh Senam Kaki Diabetes Terhadap Nilai Ankle Brachial Index Pada Pasien Diabetes Melitus Tipe II Di Puskesmas Bergas Kabupaten Semarang

2019 ◽  
Vol 9 (02) ◽  
pp. 571-576
Author(s):  
Tut Wuri Prihatin ◽  
Rahadian Dwi M
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
P Value ◽  
Post Test ◽  
Diabetes Melitus ◽  
Quasi Experiment

ABSTRAK Latar Belakang : Diabetes Melitus (DM) merupakan suatu penyakit degeneratif dan salah satu penyakit tidak menular dengan jumlah pasien yang meningkat. Salah satu komplikasi penyakit diabets melitus yang sering dijumpai adalah kaki diabetic (diabetic foot) yang bermanifestasi sebagai ulkus, infeksi dan gangren dan atropati charcot. Kaki diabetes adalah salah satu komplikasi kronik DM yang paling ditakuti. Ada tiga alasan mengapa orang dengan diabetes lebih tinggi resikonya mengalami masalah kaki yaitu sirkulasi darah  dari kaki ketungkai menurun (gangguan pembuluh darah), berkurangnya perasaan pada kedua kaki (gangguan saraf) dan berkurangnya daya tahan tubuh terhadap infeksi. Tujuan : Tujuan penelitian ini untuk Menganalisa pengaruh senam kaki diabetes mellitus terhadap nilai Ankle Brachial Index pada pasien DM Tipe II.Metode : Penelitian ini penelitian kuantitatif dengan desain penelitian quasi experiment dengan rancangan one group pre test post test. Hasil : Hasil analisa bivariat pada tindakan senam kaki diabetes mellitus terhadap perubahan nilai Ankle Brachial Index pada pasien DM Tipe II didapatkan nilai p value sebesar 0.001 (<0.05). Kesimpulan : Terdapat pengaruh senam kaki diabetes mellitus terhadap perubahan nilai Ankle Brachial Index pada pasien DM Tipe II di Puskesmas Bergas Kabupaten Semarang

A Multicenter, Blinded, Randomized Controlled Clinical Trial Evaluating the Effect of Omega-3–Rich Fish Skin in the Treatment of Chronic, Nonresponsive Diabetic Foot Ulcers

2021 ◽  
Vol 33 (7) ◽  
pp. 169-177
Author(s):  
Eric Lullove ◽  
Brock Liden ◽  
Christopher Winters ◽  
Patrick McEneaney ◽  
Allen Raphael ◽  
...  
Keyword(s):  
Skin Graft ◽  
Diabetic Foot ◽  
Wound Care ◽  
Final Analysis ◽  
Foot Ulcers ◽  
Controlled Clinical Trial ◽  
P Value ◽  
Diabetic Foot Ulcers ◽  
Omega 3 ◽  
Fish Skin

Introduction. Omega-3–rich fish skin grafts have been shown to accelerate wound healing in full-thickness wounds. Objective. The goal of this study was to compare the fish skin graft with standard of care (SOC) using collagen alginate dressing in the management of treatment-resistant diabetic foot ulcers (DFUs), defined as superficial ulcers not involving tendon capsule or bone. Materials and Methods. Patients with DFUs who were first treated with SOC (offloading, appropriate debridement, and moist wound care) for a 2-week screening period were then randomized to either receiving SOC alone or SOC plus fish skin graft applied weekly for up to 12 weeks. The primary endpoint was the percentage of wounds closed at 12 weeks. Results. Forty-nine patients were included in the final analysis. At 12 weeks, 16 of 24 patients' DFUs (67%) in the fish skin arm were completely closed, compared with 8 of 25 patients' DFUs (32%) in the SOC arm (P value = .0152 [N = 49]; significant at P < .047). At 6 weeks, the percentage area reduction was 41.2% in the SOC arm and 72.8% in the fish skin arm. Conclusions. The application of fish skin graft to previously nonresponsive DFUs resulted in significantly more fully healed wounds at 12 weeks than SOC alone. The study findings support the use of fish skin graft for chronic DFUs that do not heal with comprehensive SOC treatment.

scholarly journals PENGARUH SENAM KAKI TERHADAP PENYEMBUHAN LUKA DIABETIK PADA PASIEN DIABETES MELLITUS DI RUANG RAWAT INAP RA1 DAN RA2 PENYAKIT DALAM RSUP. H. ADAM MALIK MEDAN

2020 ◽  
Vol 3 (1) ◽  
pp. 265-271
Author(s):  
Dewi Astuti Pasaribu ◽  
Septian Mixrova Sebayang
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Diabetic Foot ◽  
Intervention Group ◽  
T Test ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Diabetic Wound ◽  
Post Test ◽  
Diabetic Wound Healing

Diabetic foot ulcers (DFUs) are a serious complication of diabetes mellitus (DM) that can be slow to heal, result in repeated hospitalizations, require intense and costly treatment, and reduce the quality of life. The purpose of this study was to investigate the effect of foot exercises on wound healing in type 2 diabetic patients with a diabetic foot ulcer. Quasi-experimental study using before and after changes to wound healing in between February until May 2019.Thirty patients from an inpatient rooms with ulcers who met study criteria agreed to participate. Subjects were recruited by the researchers in the hospital where they received treatment. Data were collected using investigator-developed forms: patient information form and the diabetic foot exercises log. Patients in the intervention group received standard wound care and performed daily foot exercises for 3 week. Diabetic wound healing of the patients in the intervention were examined and measured at the 3rd weeks. To analyze and compare the data, frequency distribution, mean (standard deviation), and the paired samples t test were used. The mean of diabetic wound healing were 3.50, 2.90, and 2.40 in the study intervention group in 1st, 2nd, and 3rd weeks, respectively. Significant differences were found between diabetic wound healing in pre-test and post-test group (p=0.041). An important finding in this study was the DFU area decreased more in those who exercised more. Findings suggest foot exercises should be included in the treatment plan when managing patients with diabetic foot ulcers.     Abstrak Luka kaki diabetic adalah suatu komplikasi yang serius pada diabetes mellitus dimana dapat memperlambat penyembuhan, hospitalisasi berulang, membutuhkan pengobatan yang mahal dan menurunkan kualitas hidup. Tujuan penelitian ini adalah untuk mengetahui efek senam kaki terhadap penyembuhan luka pada pasien diabetes mellitus tipe 2. Jenis penelitian Quasi eksperimen digunakan untuk melihat perubahan sebelum dan sesudah penyembuhan luka dari Februari sampai Mei 2019. Tiga puluh pasien dari ruang inap dengan luka menjadi kriteria inklusi sebagai responden. Responden direkrut oleh peneliti di rumah sakit dimana pasien sedang menjalani perawatan. Pengumpulan data menggunakan kuesioner data demografi dan lembar observasi penyembuhan luka. Pasien akan diberikan latihan selama 3 minggu. Penyembuhan luka diabetic pada pasien akan dikaji dan diukur sampai minggu ke tiga. Untuk menganalisis dan membandingkan data, distribusi frekuensi, mean (standar deviasi), dan paired t test dilakukan. Mean penyembuhan luka diabetik diantaranya 3.50, 2.90 dan 2.40 pada kelompok intervensi pada minggu pertama, kedua, dan ketiga secara berurutan. Perbedaan signifikan penyembuhan luka diabetic antara kelompok pre-test dan post-test (p=0.041). Suatu temuan penting bahwa area luka kaki diabetic semakin menurun pada orang yang melakukan senam. Temuan ini juga senam kaki sebaiknya dimasukkan dalam rencana perawatan ketika merawat pasien dengan luka kaki diabetik.

scholarly journals Clinical profiles of diabetic foot ulcer patients undergoing major limb amputation at a tertiary care center in North-eastern Tanzania

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Shabhay ◽  
Pius Horumpende ◽  
Zarina Shabhay ◽  
Andrew Mganga ◽  
Jeff Van Baal ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Diabetic Foot ◽  
Care Center ◽  
Tertiary Care ◽  
Limb Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Random Blood Glucose ◽  
North Eastern ◽  
The Mean

Abstract Background Diabetic foot ulcers complications are the major cause of non-traumatic major limb amputation. We aimed at assessing the clinical profiles of diabetic foot ulcer patients undergoing major limb amputation in the Surgical Department at Kilimanjaro Christian Medical Centre (KCMC), a tertiary care hospital in North-eastern Tanzania. Methods A cross—sectional hospital-based study was conducted from September 2018 through March 2019. Demographic data were obtained from structured questionnaires. Diabetic foot ulcers were graded according to the Meggitt-Wagner classification system. Hemoglobin and random blood glucose levels data were retrieved from patients’ files. Results A total of 60 patients were recruited in the study. More than half (31/60; 51.67%) were amputated. Thirty-five (58.33%) were males. Fifty-nine (98.33%) had type II diabetes. Nearly two-thirds (34/60; 56.67%) had duration of diabetes for more than 5 years. The mean age was 60.06 ± 11.33 years (range 30–87). The mean haemoglobin level was 10.20 ± 2.73 g/dl and 9.84 ± 2.69 g/dl among amputees. Nearly two thirds (42/60; 70.00%) had a haemoglobin level below 12 g/dl, with more than a half (23/42; 54.76%) undergoing major limb amputation. Two thirds (23/31; 74.19%) of all patients who underwent major limb amputation had mean hemoglobin level below 12 g/dl. The mean Random Blood Glucose (MRBG) was 13.18 ± 6.17 mmol/L and 14.16 ± 6.10 mmol/L for amputees. Almost two thirds of the study population i.e., 42/60(70.00%) had poor glycemic control with random blood glucose level above 10.0 mmol/L. More than half 23/42 (54.76%) of the patients with poor glycemic control underwent some form of major limb amputation; which is nearly two thirds (23/31; 74.19%) of the total amputees. Twenty-eight (46.67%) had Meggitt-Wagner classification grade 3, of which nearly two thirds (17:60.71%) underwent major limb amputation. Conclusion In this study, the cohort of patients suffering from diabetic foot ulcers treated in a tertiary care center in north-eastern Tanzania, the likelihood of amputation significantly correlated with the initial grade of the Meggit-Wagner ulcer classification. High blood glucose levels and anaemia seem to be also important risk factors but correlation did not reveal statistical significance.

scholarly journals Staphylococcus aureus strains isolated from diabetic foot ulcers. Identification of the antibiotic resistant phenotypes

2013 ◽  
Vol 20 (4) ◽  
pp. 389-393 ◽  
Author(s):  
Teodora Chiţă ◽  
Delia Muntean ◽  
Luminiţa Badiţoiu ◽  
Bogdan Timar ◽  
Roxana Moldovan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Staphylococcus Aureus ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Foot Ulcers ◽  
Resistance Pattern ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Bacterial Strains ◽  
Diabetes Clinic

Abstract Background and aims: Infected foot ulcer is one of the most feared complications of diabetes mellitus. Staphylococcus aureus is the most frequently isolated pathogen in diabetic foot infections. The aim of this study was to evaluate the prevalence of S. aureus strains involved in producing foot infections in diabetic patients and the antibiotic resistance pattern of these strains. Material and methods: The study included 33 S. aureus strains isolated from 55 diabetic foot ulcers. The subjects were selected from the 2465 patients with diabetes mellitus hospitalized in the Timişoara Diabetes Clinic, between 2011 and 2013. Germs’ identification relied on cultural and biochemical characteristics. Final identification and antimicrobial testing were performed using the Vitek 2 (Bio Merieux France) automatic analyzer. Results: All the 55 samples collected from diabetic foot ulcers were positive. We isolated 64 bacterial strains (some samples were positive for 2 microorganisms). The most frequently isolated germ was S. aureus, in 33 samples (51.56%). All these S. aureus strains showed resistance to benzylpenicillin, while only 33.33% were methicillin-resistant (MRSA). Conclusions: The most frequently isolated germ in the wound secretions from diabetic foot ulcers was S. aureus. The highest percentage of antimicrobial resistance was recorded to benzylpenicillin and erythromycin.

What are the most effective wound care measures for diabetic foot ulcers?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jillian Trieff Waller ◽  
Karen Borchert
Keyword(s):  
Diabetic Foot ◽  
Wound Care ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers

scholarly journals FAKE (FOOT AND ANKLE EXERCISES) UNTUK PENCEGAHAN KOMPLIKASI PADA KAKI PENDERITA DIABETES MELLITUS DI SURABAYA

2019 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Ika Nur Pratiwi ◽  
Lailatun Ni'mah ◽  
Ika Yuni Widyawati ◽  
Lingga Curnia Dwi
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
Foot And Ankle ◽  
Post Test ◽  
Diabetes Melitus

Pendahuluan: Salah satu komplikasi penyakit diabetes melitus (DM) yang sering dijumpai adalah kaki diabetik (diabetic foot), yang dapat ber- manifestasikan sebagai ulkus, infeksi dan gangren dan artropati Charcot. Ada dua tindakan dalam prinsip dasar pengelolaan diabetic foot yaitu tindakan pencegahan dan tindakan rehabilitasi. Tindakan pencegahan meliputi edukasi perawatan kaki, sepatu diabetes dan senam kaki (Yudhi, 2009). Fake (Foot and Ankle Exercises) atau dikenal juga dengan senam kaki merupakan latihan yang dilakukan bagi penderita DM atau bukan penderita untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki (Soebagio, 2011). Melakukan perawatan kaki secara teratur dapat mengurangi penyakit kaki diabetik sebesar 50-60%. Untuk meningkatkan vaskularisasi perawatan kaki dapat juga dilakukan dengan gerakan-gerakan kaki yang dikenal sebagai senam kaki diabetes (Black & Hawks, 2009; Smeltzer et al., 2010; Lewis et al., 2011). Puskesmas Klampis Ngasem memiliki jumlah kunjungan pasien dengan diabetes mellitus yang cukup tinggi di Surabaya. Berdasarakan data dari Puskesmas Klampis Ngasem dalam kurun waktu Januari-September 2017 jumlah kunjungan pasien dengan DM mencapai 2219 kasus.Metode: Wilayah Kerja Puskesmas yang akan menjadi tempat pengabdian masyarakat ini adalah Puskesmas Klampis Ngasem Surabaya. Metode yang digunakan melalui pendidikan dan pelatihan senam kaki “Fake” (Foot and Ankle Exercises) sebagai upaya pencegahan terhadap komplikasi pada kaki penderita Diabetes Mellitus Di Puskesmas Klampis Ngasem Surabaya sebanyak 30 orang pasien dengan DM. Peserta pengmas akan dilakukan kegiatan pre-test dan post-test dengan mengisi kuesioner pengetahuan dan kemampuan perawatan kaki pada penderita diabetes serta dilakukan pengukuran sirkulasi darah sebelum dan sesudah kegiatan menggunakan tensimeter di lengan dan kaki hingga diperoleh tekanan sistolik lengan dan kaki untuk pemeriksaan ankle brachial index (ABI).Hasil: Evaluasi Akhir Program Pengabdian Kepada Masyarakat diperoleh bahwa pengetahuan penderita DM terhadap perawatan kaki yang menunjukkan peningkatan nilai rerata post test menjadi 70 dari nilai rerata pada pre test 49 terhadap 30 peserta DM. Sementara itu, didapatkan 18 orang memiliki skor ABI dengan interpretasi borderline perfusion (0,6-0,8) dan sisanya berada dalam rentang normal. Sedangkan setelah dilakukan latihan jasmani berupa senam kaki didapatkan 6 orang masih memiliki skor ABI rentang 0,6-0,8 dengan interpretasi borderline perfusion dan 24 orang berada dalam rentang normal dengan skor ABI 0,9-1,3. Kesimpulan: Diharapkan informasi yang telah disampaikan dalam modul dapat dijadikan panduan dalam memantau penatalaksanaan perawatan kaki pada diabetes mellitus serta Kegiatan senam kaki ini dapat dilakukan secara teratur dirumah dan gerakannya disesuaikan dengan kemampuan tubuh.

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