GAMBARAN PENGGUNAAN ANTIBIOTIK PADA PASIEN ULKUS DIABETIKUM DI INSTALASI RAWAT JALAN PENYAKIT DALAM RSUD ULIN BANJARMASIN PERIODE JULI – DESEMBER 2018

2020 ◽  
Vol 6 (2) ◽  
pp. 265
Author(s):  
Saftia Aryzki ◽  
Merry Alicia ◽  
Siti Rahmah

Diabetic ulcers are a disease that is experienced by many people with diabetes mellitus, open wounds on the skin surface of the diabetic ulcer have the potential to develop into infection, to deal with the problem of infection needed the right treatment, one of them is by using antibiotics. The purpose of this study was to describe the use of diabetic ulcer patients In Installation Of Outpatient in RSUD Ulin Banjarmasin Period July-December 2018. This study is a non-experimental study with a descriptive type of study through a retrospective search for outpatient prescription for diabetic ulcers. This research was conducted in April-May 2019 in Installation Of Outpatient in RSUD Ulin Banjarmasin. Sampling is done by saturation sampling method, the population in this study were 254 prescrptions. While the sample in this study were 228 prescrptions that met the criteria of inclusion and exclusion. The data obtained is copied to the observation sheet, after the data collected is then entered into a computer and a calculation is carried out to find out the percentage of each factor studied and finally the data will be presented in table form. The results obtained from the study of 228 prescriptions of diabetic ulcer patients obtained the use of single antibiotics as much as 182 (79.82%) and combination antibiotics by 46 (20.18%). The single most prescribed group of antibiotics is the Makrolide group of 49.56%, the Makrolide group which is often prescribed namely Clindamycin 300 mg as much as 39.91%.While the most prescribed combination of 2 antibiotics is Clindamycin 300 mg + Metronidazole 500 mg 14.47%.

2019 ◽  
Vol 4 (2) ◽  
pp. 178
Author(s):  
Elis Anggeria ◽  
Patimah Sari Siregar

<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>


Author(s):  
Candra Kusuma Negara ◽  
Abd Basid ◽  
Sri Erliani ◽  
Inaya Turahman

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.


2019 ◽  
Vol 2 (3) ◽  
pp. 108
Author(s):  
Rola Oktorina ◽  
Aria Wahyuni ◽  
Ervina Yanti Harahap

<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>


2021 ◽  
Vol 4 (4) ◽  
pp. 379-384
Author(s):  
Haeril Amir ◽  
Nur Wahyuni Munir

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  


2021 ◽  
Vol 1 (12) ◽  
Author(s):  
Devi Ratnasari ◽  
Eva Daniati ◽  
Eti Suliyawati ◽  
Zahara Farhan

Diabetic ulcers are one of the most common complications of type 2 diabetes mellitus. Diabetic ulcers are infected sores that develop in the lower extremities. Proper diabetic foot wound care methods will improve wound healing. One of the efforts to treat the complement to prevent infection is wound care with palm sugar. Palm sugar contains antibiotic-like substances such as vitamin C, riboflavin, vitamin A, and ascorbic acid. Dr. Slamet Garut's study aims to determine the effectiveness of wound care with palm sugar media against the repair of diabetic ulcers in patients with type 2 diabetes mellitus after hospitalization in 2021. The study used a quasi experimental research design with one group pretest and posttest design (Pre-action) and one group of subjects receiving palm sugar therapy on diabetic ulcer wounds (Post-action). The researcher used consecutive sampling techniques, samples that met the inclusion criteria could have 8 people. The wounds were treated with palm sugar for two weeks. The findings revealed that wound care with palm sugar had an effect on the repair of diabetic ulcers in patients with type 2 diabetes mellitus, with a Pvalue = 0.000. Then it is possible to conclude that treating wounds with palm sugar affects the improvement of diabetic ulcers.


2020 ◽  
Vol 11 (1) ◽  
pp. 75
Author(s):  
Saenab Dasong ◽  
Suhartatik Suhartatik ◽  
Arlin Afrianti

Diabetic Ulcers was a threat to people with Diabetes Mellitus and even caused amputations. The purpose of this study was to determine the relationship between risk factors and the occurrence of Diabetes Ulcers to the patients with type 2 Diabetes Mellitus at Syekh Hospital of Gowa Regency. This study was an Analytical Survey Study that the researcher conducted a cross sectional study conducted in April to May 2019. The population in this study was Type 2 of DM patients seeking treatment at Syekh Yusuf Hospital Gowa Regency, consisted 30 respondents. The results showed that age, duration of DM and adherence to take medication had a significant relationship with the occurrence of Diabetes Ulcers in type 2 of DM patients. All factors had a value <0.05. It was expected that patients will always increase efforts to prevent the occurrence of Diabetic Ulcers through the prevention of various risk factors for Diabetic Ulcers in patients with type 2 Diabetes. So, this needed to be considered by health workers to pay attention to the risk factors. One of the factors that could be modified was medication adherence because it affected the patient's blood sugar levels that had impacted on the complications of Diabetic Ulcers.Keywords: Age, Length of Suffering from Diabetes Mellitus, Compliance with Taking Medication, Diabetic Ulcer 


2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Sendi Kurnia ◽  
Richard Sumangkut ◽  
Mendy Hatibie

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


2020 ◽  
Vol 6 (1) ◽  
pp. 50-56
Author(s):  
Yulis Hati ◽  
Dirayati Sharfina ◽  
Zamawawi

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.


Author(s):  
M. Elyas Arif Budiman ◽  
Ah. Yusuf ◽  
AV. Sri Suhardiningsih

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


2020 ◽  
Vol 11 (2) ◽  
pp. 59
Author(s):  
Sitti Rahmatia ◽  
Muhammad Basri ◽  
Ainun Nur Zakina ◽  
Mardiana Mustafa ◽  
Baharuddin Baharuddin

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


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