scholarly journals GAMBARAN PENGETAHUAN CARE GIVER PASIEN DIABETES MELLITUS PADA PERAWATAN KAKI DIABETIK

2021 ◽  
Vol 12 (1) ◽  
pp. 1-6
Author(s):  
Kharisma Pratama

Abstract Background: Diabetes mellitus (DM) is a metabolic disease characterized by an increase in blood sugar levels due to damage to insulin secretion. Neuropathy is a common complication of diabetes mellitus. One way to prevent neuropathy or other complications is to do regular foot care. The role of caregiver in diabetic foot care is important to improve the quality of life of patients living with diabetes mellitus. They need to be provided with the latest knowledge and support regarding diabetic foot care. Purpose: Study was to determine the relationship between care giver knowledge about diabetic foot care and foot ulcers at risk of developing ulceration in DM. Methods: This study was an analytical study with a cross sectional study design. The research sample was 40 respondents who met the criteria. The data were collected using a knowledge questionnaire with 20 questions and a risk observation sheet for diabetic foot. Results: This study showed that most of the respondents had less knowledge about diabetic foot care, namely 26 (65%). The study also showed a relationship between the lack of knowledge about foot care and the risk of foot injury for people with diabetes, a = 0.05 (95% CI). Conclusion: This study has proven that a care giver must be equipped with diabetic foot care competency, and  DM patinets can avoid complications of diabetic foot ulcers. Nurse should provide education to the community regularly, especially on the novelty of the knowledge that has been gained either from research or from the experience gained in the clinic or nursing home.   Abstrak Latar Belakang: Diabetes melitus (DM) merupakan suatu penyakit metabolik yang di tandai dengan adanya peningkatan kadar gula darah akibat kerusakan pada sekresi insulin. Neuropati merupakan salah satu komplikasi diabetes melitus yang sering terjadi. Salah satu cara mencegahan neuropati atau komplikasi lainnya yaitu dengan melakukan perawatan kaki yang rutin. Peran care giver dalam perawtan kaki diabetik sangat diperlukan untuk peningkatan kualitas hidup pasien dengan diabetes mellitus. Mereka perlu diberikan pembekalan serta dukungan ilmu yang terbaru mengenai perawtan kaki diabetik. Tujuan: Adapun tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan care giver tentang perawatan kaki diabetik dengan kejadian kaki beresiko terjadinya ulkus pada penderita DM. Metode: Penelitian ini adalah penelitian analitik dengan  rancangan penelitian cross sectional. Sampel penelitian sebanyak 40 responden yang memenuhi kriteria.  Pengumpulan data dilakukan dengan menggunakan kuesioner pengetahuan dengan 20 pertanyaan dan lembar observasi resiko kaki diabetik. Hasil: Hasil Penelitian menunjukkan sebagian besar responden memiliki pengetahuan yang kurang tentang perawatan kaki diabetik yaitu sebesar 26 (65%). Penelitian juga menunjukkan adanya hubungan antara kurangnya tingkat pengetahuan tentang perawatan kaki dengan resiko terjadinya luka pada kaki penderita DM, a=0.05 (CI 95%). Kesimpulan: Penelitian ini telah membuktikan bahwa pendamping anggota keluarga yang sakit harus dibekali kompetensi perawatan kaki diabetik, dengan harapan penderita DM dapat terhindar dari komplikasi ulkus kaki diabetikum. Bagi kolega perawat untuk terus memberikan edukasi pada masyarakat khususnya terhadap kebaruan ilmu yang telah didapat baik dari penelitian ataupun dari pengalaman yang didapat diklinik atau rumah perawatan.  

2020 ◽  
Vol 19 (2) ◽  
Author(s):  
Azmi NH ◽  
Abdul Hadi A ◽  
Md Aris MA ◽  
Nasreen HE ◽  
Che-Ahmad A

  INTRODUCTION: One of the most important and debilitating complication of diabetes mellitus is foot problem such as ulcers, infections and amputations. However, these complications are preventable by simple intervention such as regular foot care practice. This study aims to assess the foot care practice and its associated factors among type 2 diabetes mellitus patients attending primary health clinics in Kuantan. MATERIALS AND METHODS: This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using universal sampling method. Level of awareness and practice toward diabetic foot care was assessed using validated self-administered questionnaire. Multiple logistic regressions were performed to identify factors associated with poor foot care practice among the respondents. RESULTS: About 59.6% of respondents had poor foot care practice and 50.9% had poor awareness level. Multivariate logistic regression analysis identified that, increasing age (OR  0.97, 95% CI: 0.955-0.993) and good awareness towards foot problem (OR  0.43, 95%CI: 0.289-0.643) were less likely to have poor foot care practice. However, Malay ethnicity (OR 1.81, 95% CI: 1.002-3.271) and obesity (OR  1.9, 95% CI: 1.225-2.976) were associated with poor foot care practice after controlling other variables. CONCLUSION: Majority of the respondents had poor foot care practice and poor awareness. Respondents who are older and have better awareness are less likely to have poor foot care practice. Diabetic patients who are Malays and/or obese are predicted to have poor diabetic foot practice and hence must be prioritized for a sustainable patient education and compliance towards foot care practice at primary care level. 


Author(s):  
Siddharth Rai ◽  
Harleen Uppal ◽  
Arvind Kumar Sharma ◽  
Anil Kumar Gupta

Background: Diabetes associated neuropathy and vasculopathy leads to development of diabetic foot ulcers (DFU). They are responsible for considerable morbidity and a significant cost of health‐care worldwide. The magnitude of the problem becomes worse in regions where foot care is inadequate like in our country. The aim of the study to determine the microbiological profile and antimicrobial susceptibility pattern of organisms isolated from patients with diabetic foot ulcers.  Methods: The study was a cross sectional study done at King George’s Medical College, Lucknow from 2012-2014 in Lucknow, Uttar Pradesh. Based on the inclusion criteria sample were collected from 112 patients. The standard protocol for the identification of microorganisms was followed.  A descriptive analysis of the data was done.Results: Out of the 112 ulcers total 180 isolates were found. Of the 112 cases, 78 were monomicrobial, 32 were polymicrobial, and 2 cases were sterile on culture. The most common bacteria found was Staphylococcus aureus. Most of the staphylococcus isolated were sensitive to vancomycin, teicoplanin, cephalosporins, linezolid levofloxacin and pipercillin-tazobactum. Nearly 65% of S. aureus were methicillin‐resistant S. aureus.Conclusions: This study compiled clinical and microbiological profile of diabetic foot ulcers along with their antibiotic susceptibility patterns. Our study illuminates light on a high figure of neglected and poorly treated NHUs which could have been managed well and early treatment will prevent devastating consequences such as sepsis and amputation.  


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Mohammad R. S. Utomo ◽  
Herlina Wungouw ◽  
Sylvia Marunduh

Abstract: Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels that exceed normal values. Riskesdas in 2013 showed that North Sulawesi is one of the provinces with the highest prevalence of diabetes in Indonesia. HbA1c measurement is the most accurate way to determine blood sugar levels over the past two to three months. HbA1c is also the best single examination to assess risks to the tissue damage caused by high blood sugar levels. This study aims to determine the levels of HbA1c in patients with type 2 diabetes mellitus in Bahu Community Health Center Manado. This study is a descriptive cross sectional study. Primary data were collected through interviews, physical examination and laboratory tests. Respondents were all patients with type 2 diabetes mellitus who came in Bahu Community Health Center and willing to become respondents. The sample size is 22 people. The results of this study prove that more than half of the respondents have not controlled HbA1c levels (> 7%) of 17 respondents. Of the 17 respondents were 9 respondents have overweight body mass index, 13 respondents not take the medicine as directed by doctor and 9 respondents did not exercise regularly. It can be concluded that the blood glucose levels of patients in Bahu Community Health Center is still not controlled, by HbA1c values above 7%.Keywords: HbA1c, Diabetes Mellitus Type 2Abstrak: Diabetes mellitus (DM) merupakan penyakit menahun yang ditandai oleh kadar glukosa darah yang melebihi nilai normal. Laporan Riskesdas tahun 2013 menunjukkan bahwa Sulawesi Utara merupakan salah satu provinsi dengan angka prevalensi DM yang tertinggi di Indonesia. Pengukuran HbA1c adalah cara yang paling akurat untuk menentukan tingginya kadar gula darah selama dua sampai tiga bulan terakhir. HbA1c juga merupakan pemeriksaan tunggal terbaik untuk menilai risiko terhadap kerusakan jaringan yang disebabkan oleh tingginya kadar gula darah. Penelitian ini bertujuan untuk mengetahui kadar HbA1c pada pasien diabetes melitus tipe 2 di Puskesmas Bahu Kota Manado. Penelitian ini bersifat deskriptif dengan rancangan cross sectional study. Data primer dikumpulkan melalui wawancara, pemeriksaan fisik dan pemeriksaan laboratorium. Responden adalah semua pasien diabetes melitus tipe 2 yang datang di Puskesmas Bahu dan bersedia menjadi responden. Besar sampel penelitian adalah 22 orang. Hasil penelitian ini membuktikan bahwa lebih dari setengah jumlah responden memiliki kadar HbA1c tidak terkontrol (> 7%) sebanyak 17 responden. Dari 17 responden tersebut 9 responden memiliki indeks massa tubuh overweight, 13 responden tidak mengkonsumsi obat sesuai anjuran dokter dan 9 responden tidak rutin berolahraga. Dapat disimpulkan bahwa kadar gula darah pasien di Puskesmas Bahu masih belum terkontrol berdasarkan nilai HbA1c di atas 7%.Kata kunci: HbA1c, Diabetes Melitus tipe 2


2020 ◽  
pp. 41-50
Author(s):  
K Komariah ◽  
Sri Rahayu

Diabetes melitus biasa disebut “the silent killer” karena penyakit ini dapat menimbulkan dampak pada semua organ tubuh dan berbagai macam keluhan. Data World Health Organization (WHO) memprediksi kenaikan jumlah pasien diabetes melitus di Indonesia dari 8,43 juta jiwa pada tahun 2000 menjadi 21,257 juta jiwa pada tahun 2030. Peningkatan kejadian kasus diabetes melitus dipengaruhi berbagai faktor seperti perubahan pola gaya hidup, perubahan usia, dan kultur. Penelitian ini bertujuan untuk mengetahui hubungan usia, jenis kelamin dan indeks massa tubuh dengan kadar gula darah puasa pada pasien diabetes melitus tipe 2. Metode penelitian ini menggunakan desain penelitian cross-sectional study. Penelitian ini dilakukan di Klinik Pratama Rawat Jalan Proklamasi, Depok, Jawa Barat dengan jumlah sampel sebanyak 134 responden. Pengambilan sampel pada penelitian ini menggunakan metode purposive sampling. Analisa data menggunakan uji Chi Square. Hasil penelitian menunjukkan bahwa yang berhubungan dengan kadar gula darah puasa adalah usia (p-value=0,004). Pada variabel yang tidak memiliki hubungan dengan kadar gula darah puasa adalah jenis kelamin (p-value=0,331), dan dan indeks massa tubuh (p-value=0,502). Jadi, dapat disimpulkan bahwa usia perlu diperhatikan dalam melakukan perawatan diabetes melitus tipe 2.   Diabetes mellitus is commonly called “the silent killer” because this disease can have an impact on all organs of the body and various complaints. The World Health Organization (WHO) predicts an increase in the number of diabetes mellitus patients in Indonesia from 8.43 million in 2000 to 21.257 million in 2030. Increased incidence of diabetes mellitus cases is influenced by various factors such as changes in lifestyle patterns, age changes, and culture. This study aimed to determine the relationship of age, sex and body mass index with fasting blood sugar levels in patients with type 2 diabetes mellitus. The method of this study used a cross-sectional study design. This research was conducted at the Klinik Pratama Rawat Jalan Proklamasi, Depok, West Java with a total sample of 134 respondents. Sampling in this study used a purposive sampling method. Data analysis using the Chi-Square test. The results showed that age-related blood fasting blood sugar levels (p-value=0,004). The variables that have no relationship with fasting blood sugar levels are gender (p-value=0,331) and body mass index (p-value=0,502). It can be concluded that age has to be considered in treating type 2 diabetes mellitus.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 316
Author(s):  
Rohmatul Faizah ◽  
Gabriel Wanda Sinawang ◽  
Andrik Hermanto ◽  
Mohamad Roni Alfatih

Introduction: Diabetes mellitus is a chronic disease of the endocrine system that has numerous complications such as diabetic foot ulcers. Amputation is the last frontier for the treatment of diabetic foot ulcers but they can be prevented through proper self-foot-care behavior. The aim of this study was to explain the support factors of self foot care for diabetes mellitus patients.Methods: The methods used were self-foot-care identification in the literature, with the relevant literature identification based on the topics and titles obtained from Scopus, ScienceDirect and ProQuest. This was as well as analysis of the results from examining the various behaviors that support self-foot-care behavior in the literature. The references included was the research conducted from 2013 - 2019 as follows: 2 descriptive correlation studies, 3 descriptive studies, 2 prospective studies, 1 prospective cohort study, 1 pre-experimental study, 3 quasi-experimental studies, 1 case study and 3 cross-sectional studies.Results: All of the journals included discussed foot care behavior. Education programs regarding foot care are a major factor that supports foot care behavior.Conclusion: All of the journals that were obtained stated that there was a positive influence on the diabetic foot condition where routine foot care behavior was implemented. Self-foot-care behavior also requires other supporting factors to obtain the maximum results.


MEDISAINS ◽  
2018 ◽  
Vol 16 (2) ◽  
pp. 76
Author(s):  
Srimiyati Srimiyati

Latar Belakang: Komplikasi yang sering terjadi pada penderita diabetes melitus salah satunya kaki diabetik.  Masalah kaki diabetik memerlukan waktu dan biaya cukup banyak. Pencegahan kaki diabetik dapat dilakukan dengan perawatan kaki. Penderita diabetes yang memiliki pengetahuan cukup tentang perawatan kaki diabetik menjadi dasar dan memotivasi untuk mengendalikan komplikasi penyakitnya.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan pencegahan kaki diabetik bagi penderita diabetesMetode: Penelitian ini adalah descriptive correlational, menggunakan pendekatan cross sectional study.  Populasinya seluruh penderita diabetes melitus yang berobat jalan. Sampel berjumlah 53 responden, pengambilan sampel menggunakan purposive sampling. Pengumpul data menggunakan kuesioner terdiri dari 20 item untuk menggali pengetahuan pencegahan kaki diabetik dan 15 item perawatan kaki. Penelitian dilakukan di RSI Siti Khatijah PalembangHasil: penelitian menunjukkan sebagian besar responden perempuan  (58,5%), usia > 55 tahun (83,0%), pendidikan menengah kebawah (67,9%), menderita diabetes mellitus > 5 tahun (58,5%), responden yang memiliki pengetahuan pencegahan kaki diabetik dengan kriteria tinggi  sebanyak 36 (67,9%), melakukan perawatan kaki diabetik (60,4%). Hasil uji statistik chi squere menunjukkan ada hubungan yang signifikan antara pengetahuan dan perawatan kaki (p= 0,024; OR= 4.767). .Kesimpulan: Ada hubungan yang signifikan antara pengetahuan dan perawatan kaki pada pasien diabetes. Pasien diabetes yang memiliki pengetahuan baik mengenai perwatan kaki berpeluang 4.767 kali lebih besar dalam melakukan perawatan kaki dari pada yang memiliki pengetahuan kurang.


2019 ◽  
Vol 1 (01) ◽  
pp. 38-45
Author(s):  
Helena Wadja ◽  
Hamidah Rahman ◽  
Nani Supriyatni

Diabetes adalah penyakit yang berlangsung lama atau kronis serta ditandai dengan kadar gula (glukosa) darah yang tinggi atau di atas nilai normal. Glukosa yang menumpuk di dalam darah akibat tidak diserap sel tubuh dengan baik dapat menimbulkan berbagai gangguan organ tubuh. Diabetes melitus (DM) menjadi ancaman serius bagi kesehatan manusia pada abad ke-21. Jumlah penderita DM mencapai 422 juta orang di dunia pada tahun 2014. Sebagian besar dari penderita tersebut berada di negara berkembang. Indonesia sebagai salah satu negara berkembang memiliki jumlah penderita yang cukup tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan, tingkat stres, dan durasi tidur terhadap kejadian Diabetes Mellitus. Metode penelitian dengan menggunakan desain cross sectional study. Populasi dalam penelitian ini adalah  pasien yang datang memeriksakan kadar gula darah di UPTD Diabetes Center Kota Ternate Tahun 2018. Jumlah sampel 95 orang yang diambil dengan cara accidental sampling. Hasil uji statistik dengan menggunakan uji chi square menunjukkan bahwa faktor-faktor yang berhubungan dengan penyakit Diabetes Mellitus adalah tingkat stres dengan p-value = 0,037 ( <0,1 ) dan durasi tidur dengan p-value = 0,025 ( <0,1 ), sedangkan yang tidak berhubungan adalah tingkat pengetahuan dengan p-value = 0,709 ( >0,1 ). Oleh karena itu, disarankan kepada petugas kesehatan lebih meningkkatkan lagi  informasi kepada masyarakat tentang penyakit Diabetes Mellitus, agar masyarakat lebih tahu tentang penyakit Diabetes Mellitus.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tesfamichael G. Mariam ◽  
Abebaw Alemayehu ◽  
Eleni Tesfaye ◽  
Worku Mequannt ◽  
Kiber Temesgen ◽  
...  

Diabetes mellitus is a metabolic disorder which is characterized by multiple long-term complications that affect almost every system in the body. Foot ulcers are one of the main complications of diabetes mellitus. However, there is limited evidence on the occurrence of foot ulcer and influencing factors in Ethiopia. An institutional-based cross-sectional study was conducted in Gondar University Hospital, Ethiopia, to investigate foot ulcer occurrence in diabetic patients. Systematic random sampling was used to select 279 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. Odds ratio with 95% confidence interval was computed to determine the level of significance. Diabetic foot ulcer was found to be 13.6%. Rural residence [AOR = 2.57; 95% CI: 1.42, 5.93], type II diabetes mellitus [AOR = 2.58; 95% CI: 1.22, 6.45], overweight [AOR = 2.12; 95% CI: 1.15, 3.10], obesity [AOR = 2.65; 95% CI: 1.25, 5.83], poor foot self-care practice [AOR = 2.52; 95% CI: 1.21, 6.53], and neuropathy [AOR = 21.76; 95% CI: 8.43, 57.47] were factors associated with diabetic foot ulcer. Diabetic foot ulcer was found to be high. Provision of special emphasis for rural residence, decreasing excessive weight gain, managing neuropathy, and promoting foot self-care practice would decrease diabetic foot ulcer.


2011 ◽  
Vol 12 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Jamil Ahmed Somroo ◽  
Anjum Hashmi ◽  
Zafar Iqbal ◽  
Aslam Ghori

Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic patients taking proper foot care according to International Guidelines and its impact on their foot health. Methods: A cross sectional study was conducted at outdoor patients department of Medicine, Liaquat University of Medical Sciences Hospital Hyderabad from 17th January 2008 to 16th January 2009. 100 diabetic patients were selected by non probability convenience sampling according to Performa having questions regarding diabetic foot care derived from American Diabetic Association Guidelines for Diabetic Foot care. Results: Diabetic patients taking proper foot care was only 6%. There were 45(45%) males and 55(55%) females. Mean age was 51.57+10.72 years. 38% patients knew about foot care. 17% used to inspect their feet daily, 20% washed their feet daily, while 73% washed their feet more than once. 23% patients dried their feet after every foot wash, 27% applied emollients, 25% checked shoes before wearing, 24% used to wear correct shoes, 8% used to wear cotton socks and 36% used to walk bare feet. Foot care practices on foot health has statistically highly significant association (p<0.01) e.g. number of foot washes with foot hygiene, fungal infections with proper foot drying, emollient application with skin texture, cracks and fissures. Associations of proper foot care were statistically significant with literacy status of patients and foot care teachings (p<0.05). Conclusion: Few diabetic patients are taking proper foot care. Proper Foot care practices were associated with provision of education of foot care and literacy status of patients. Community health education programs regarding diabetic foot care will likely to reduce diabetic foot complications. Keyword: Diabetes, Foot care education, Diabetic foot care, Diabetic foot, Ulceration; Prevention. DOI: http://dx.doi.org/10.3329/jom.v12i2.7604 JOM 2011; 12(2): 109-114


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