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1
G, Valentyn. "Diabetic Foot." Clinical Research Notes 2, no. 1 (September 6, 2021): 01–03. http://dx.doi.org/10.31579/2690-8816/036.
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Diabetic foot syndrome is a complex complex of anatomical and functional changes that occur in 40-60% of patients with diabetes mellitus. It is believed that a high blood glucose content reduces its fluidity, impairs arterial and capillary blood circulation (angiopathy), leads to damage to the vessels and nerves of the lower extremities, and to a disorder of muscle innervation processes (neuropathy). At first, gangrene develops on one leg, which can be seen from the swelling and color difference of the skin of the legs, the appearance of a feeling of "foot in a trap", when its squeezing is felt, the temperature of the tissues rises
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Nistiandani, Ana, Mulia Hakam, Jon Haffan Sutawardana, Nur Widayati, Siswoyo Siswoyo, and Fandi Ahmad Kurniawan. "Identifikasi Risiko Terjadinya Ulkus Diabetik Berbasis Diabetic Foot Screening pada Pasien DM Tipe 2." JI-KES (Jurnal Ilmu Kesehatan) 6, no. 2 (February 21, 2023): 162–70. http://dx.doi.org/10.33006/jikes.v6i2.521.
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Abstrak Ulkus diabetik adalah komplikasi DM yang paling sering terjadi. Angka mortalitas diabetisi dengan ulkus diabetik juga semakin meningkat, sehingga dibutuhkan strategi pencegahan untuk mengidentifikasi risiko. Tujuan penelitian adalah teridentifikasi diabetisi yang berisiko mengalami ulkus diabetikum berbasis Diabetic Foot Screening di wilayah Kabupaten Jember. Penelitian ini menggunakan pendekatan kuantitatif dengan jumlah sampel sebesar 100 responden. Teknik sampling yang digunakan adalah multistage random sampling. Instrumen yang digunakan dalam penelitian Michigan Diabetic Neuropathy Score (MDNS), Michigan Neuropathy Screening Instrument (MNSI), Ipswich Touch Test (IpTT) dan Monofilament Test. Alat pengumpulan data berupa ceklist yang telah disesuaikan dengan diabetic foot screening, tensimeter aneroid, dan stetoskop. Penelitian ini dianalisis secara univariat, ditampilkan dalam bentuk tabel distribusi frekuensi. Hasil penelitian memberikan gambaran identifikasi risiko ulkus diabetik berdasarkan nilai neuropathy perifer diabetik, nilai ankle brachial index (ABI), deformitas pada kaki, gangguan mobilisasi, kuku patologis, riwayat ulkus dan amputasi. Diabetisi memiliki risiko ulkus diabetik dengan kategori rendah sebanyak 41 diabetisi (41%), risiko sedang sebanyak 56 diabetisi (56%) dan kategori risiko tinggi sebanyak 2 diabetisi (2%). Diabetisi di Kabupaten Jember memiliki risiko ulkus diabetik. Identifikasi risiko terjadinya ulkus diabetik dibutuhkan oleh diabetisi sebagai rujukan untuk melakukan tindakan preventif agar tidak terjadi perburukan komplikasi dari DM. Kata kunci: diabetic foot screening, DM tipe 2, ulkus diabetik Abstract The most common complication of diabetes is diabetic ulcers. The mortality rate of people with diabetes who have diabetic ulcers is also increasing, prevention strategies to identify risks are required. The study sought to identify diabetics in Jember that were at risk of developing diabetic ulcers. With a sample size of 100 respondents, this study takes a quantitative approach. The sampling technique used is multistage random sampling. The instruments used were Michigan Diabetic Neuropathy Score, Michigan Neuropathy Screening Instrument, Ipswich Touch Test, and Monofilament Test. Data collection are a checklist form that has been adjusted to the diabetic foot screening, aneroid sphygmomanometer, and stethoscope. This was analyzed univariately and displayed as a frequency distribution table. The results provide an overview of ulcer risk identification based on diabetic peripheral neuropathy values, ankle-brachial index values, foot deformities, impaired mobilization, pathological nails, history of ulcers, and amputations. Diabetes patients have a low risk of diabetic ulcers 41 people (41%), a moderate risk 56 people (56%), and a high risk 2 people (2%). Diabetics in Jember are at risk of developing diabetic ulcers. Identifying the risk of diabetic ulcers is necessary for people with diabetes to take prevention. Keywords: diabetic foot screening, DM type 2, diabetic ulcer
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Torikin, Ahmad, and S. Sugiharto. "Proram Studi Sarjana Fisioterapi Universitas Muhammadiyah Pekajangan Pekalongan Jln. Raya Ambokembang No. 8 Kedungwuni Pekalongan Indonesia." Prosiding Seminar Nasional Kesehatan 1 (January 21, 2022): 2388–91. http://dx.doi.org/10.48144/prosiding.v1i.1075.
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AbstractDiabetes mellitus is a chronic disease that occurs because the pancreas does not produce enough insulin or the insulin does not work effectively. Peripheral neuropathy is the most common complication in DM patiens. It can cause diabeticfoot ulcers. Diabetic foot ulcers can be prevented with knowledge and regular footcare. The purpose of this case study is to describe the application of health education in diabetic foot care in preventing the occurrence of diabetic foot ulcers.The research design used was a case study on a client with type 2 diabetes. Themethod used was nursing care. A questionnaire about knowledge of diabetic foot care was also used. After being given health education on diabetic foot care, the knowledge of client I increased from 56% to 80% and client II from 61% to 83%. Both clients were also able to perform diabetic foot care independently. From these results, it can be concluded that health education for diabetic foot care can increase the knowledge and ability of people with diabetes in caring for their feet.This result can be used as consideration for health workers to provide education to the public about diabetic foot care to prevent diabetic foot ulcers.Keywords: Diabetes Mellitus; Diabetic Foot Ulcer (DFU), Health Education, Diabetic Foot Care
AbstrakDiabetes mellitus merupakan suatu penyakit kronis yang terjadi karna pankreas tidak menghasilkan cukup insulin secara efektif. Dampak lanjut dari diabetes mellitus yang paling sering muncul akibat neuropati perifer yaitu ulkus kaki diabetik, dimana ulkus kaki diabetik merupakan komplikasi kronik pada penderita diabetes mellitus. Ulkus kaki diabetik tidak akan terjadi apabila penderita diabetes mellitus mempunyai pengetahuan dan ingin menjaga dan merawat kaki secara rutin. Tujuan dari studi kasus ini adalah untuk menggambarkan penerapan pendidikan kesehatan perawatan kaki diabetik dengan mencegah terjadinya ulkus kaki diabetik. Desain penelitian yang digunakan berupa studi kasus pada klien dengan diabetes tipe II. Metode yang digunakan adalah asuhan keperawatan dan kuesioner pengetahuan perawatan kaki diabetik. Hasil setelah diberikan pendidikan kesehatan perawatan kaki diabetik, didapatkan hasil dari sebelum diberikan dan setelah diberikan dengan adanya peningkatan presentase pengetahuan klien I dari 56% menjadi 80% dan klien II dari 61% menjadi 83%, serta diberikan perawatan kaki diabetik dari tidak bisa menjadi bisa. Kesimpulan studi kasus ini bahwa pendidikan kesehatan perawatan kaki diabetik dapat meningkatkan pengetahuan dan kemampuan merawat kaki diabetik pada penderita diabetes mellitus. Saran bagi pelayanan kesehatan hendaknya memberikan edukasi kepada masyarakat tentang perawatan kaki diabetik guna mencegah terjadinya ulkus kaki diabetik.Kata kunci : Diabetes Melitus; Diabetic Foot Ulcer (DFU), Pendidikan Kesehatan, Perawatan Kaki Diabetik
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Daróczy, Judit. "Diabetic foot – diagnosis, treatment, footcare." Bőrgyógyászati és Venerológiai Szemle 98, no. 6 (December 20, 2022): 301–7. http://dx.doi.org/10.7188/bvsz.2022.98.6.2.
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Diabetes and its associated complications are of a growing concern. The the diabetic foot ulcer and soft tussue infection are due to neuropathy, trauma and concomitant peripheral artery occlusive disease. The diabetic foot is a complication of diabetes affecting 15% of diabetics in their lives. Diabetic foot ulcers can subsequently lead to hospitalisation and lower limb amputation if not recognised and treated in a timely manner. The ulceration of the foot represents a major global medical, social and economic problem. A multidisciplinary approach to care for the diabetic foot is recommended, which includes annual (3-month intervals in high-risk patients) assessments by a primary care physician and referral to a podiatrist and vascular surgeon. Offloading of the diabetic foot remains the cornerstoene for ulceration prevention and healing.
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Zahrun Ni'mah, Fika, and Siti Aisah. "APPLICATIONS OF DIABETIC FOOT EXERCISE TO INCREASE FOOT SENSITIVITY IN ELDERLY WITH TYPE 2 DIABETES MELLITUS." Journal of Vocational Nursing 4, no. 2 (October 31, 2023): 111–17. http://dx.doi.org/10.20473/jovin.v4i2.48049.
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Introduction: Diabetes Mellitus is one of the global health emergencies. Approximately 40-59% of all people with diabetes mellitus will experience diabetic peripheral neuropathy with decreased foot sensitivity. Diabetic foot exercise can improve blood circulation, especially in the legs or lower limbs. This case study was aimed to determine the increased foot sensitivity in elderly with Type 2 Diabetes Mellitus after diabetic foot exercise. Methods: This case study design used a descriptive method with a family nursing care approach. The case study will be carried out at Sendangmulyo, Semarang in June 2023. There were 3 clients in the family developmental stage of the elderly with Type 2 Diabetes Mellitus who were selected using a purposive sampling technique. Inclusion criteria in this study were type 2 diabetics aged ≥ 60 years, female, diagnosed of diabetes > 5 years, and having controlled OADs. While the exclusion criteria were type 2 diabetics with diabetic ulcers. Clients are given foot exercises for 7 days with a duration of 30-45 minutes each. The case study instrument was 10g Retractable Monofilament with a diameter of 0.4 mm. Results: After 7 days of intervention, there was an increased foot sensitivity, with a mean increased score on right and left foot of 0,43 and 0,33. Conclusions: Diabetic foot exercise for 7 days with a duration of 30-45 minutes can increase foot sensitivity in elderly with Type 2 Diabetes Mellitus. Increased foot sensitivity is due to peripheral blood vessel vasodilation. Diabetic foot exercise can be applied as an independent measure to prevent diabetic peripheral neuropathy
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Fatmasari, Diyah, Rastia Ningsih, and Tri Johan Agus Yuswanto. "Terapi Kombinasi Diabetic Self Management Education (DSME) Dengan Senam Kaki Diabetik Terhadap Ankle Brachial Index (ABI) Pada Penderita Diabetes Tipe II." Medica Hospitalia : Journal of Clinical Medicine 6, no. 2 (November 25, 2019): 92–99. http://dx.doi.org/10.36408/mhjcm.v6i2.389.
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Latar belakang: Diabetes melitus tipe II merupakan salah satu penyakit tidak menular yang dapat menyebabkan kematian dan memiliki risiko tinggi terjadi komplikasi. Penatalaksanaan empat pilar diabetes tipe II meliputi edukasi, terapi gizi medis, latihan jasmani dan intervensi non farmakologi. Salah satu penanganan non-farmakologi yang sering dilakukan adalah Diabetic Self Management Education (DSME) dan senam kaki diabetik, tetapi kombinasi keduanya belum pernah di teliti. Gabungan beberapa terapi disebut terapi kombinasi. Penelitian ini bertujuan untuk mengetahui pengaruh terapi kombinasi DSME dan senam kaki terhadap Ankle Brachial Index (ABI) pada penderita diabetes tipe II.
Metode: Desain penelitian adalah penelitian Experimental dengan rancangan pretest-posttest control group design. Kelompok intervensi di beri terapi kombinasi DSME dengan senam kaki dan kelompok kontrol dengan pemberian Range of Motion (ROM). Teknik sampling non-probability dengan metode consecutive sampling dengan 48 responden yang terbagi dalam 2 kelompok.
Hasil Rerata ABI kelompok Intervensi dan Kontrol sebelum perlakuan adalah 0,84 mmHg dan 0,82 mmHg, sedangkan setelah perlakuan adalah 1,09 mmHg dan 0,89 mmHg. Uji independent t test menunjukkan nilai p value 0,000 berarti ada perbedaan rerata selisih ABI kedua kelompok.
Kesimpulan kombinasi Diabetic Self Management Education (DSME) dengan senam kaki efektif dalam peningkatan Ankle Brachial Index (ABI) pada penderita diabetes tipe II.
Kata kunci : Diabetes Melitus, Diabetic Self Management Education (DSME), senam kaki diabetik, Ankle Brachial Index.
COMBINATION THERAPY OF DIABETIC SELF MANAGEMENT EDUCATION (DSME) WITH DIABETIC FOOT EXERCISE TOWARDS ANKLE BRACHIAL INDEX (ABI) ON PATIENTS DIABETIC TYPE II
Background: Type II diabetes mellitus is a non-infectious disease which cause death and have a high risk complications. Management of 4 pillars of type II diabetes includes education, medical nutrition therapy, physical exercise and non pharmacological interventions. One of the non-pharmacological treatments is the combination of Diabetic Self Management Education (DSME) and diabetic foot exercises. Study aims is to determine effect of a combination of Diabetic Self Management Education (DSME) with diabetic foot exercises on Ankle Brachial Index (ABI) in type II diabetics patients.
Method: Research design was Quasy Experimental with pretest-posttest control group design. Intervention group was 24 patients type II diabetic with therapy combination of DSME and foot exercises, the control group was given Range of Motion (ROM) as therapy.
Results: Mean of ABI intervention and control group before treatment are 0.84 mmHg and 0.82 mmHg, while after treatment are 1.09 mmHg and 0,89 mmHg Independent t test shows p value 0.000, that there is a differences of mean of ABI both group. It can be concluded that combination of DSME with foot exercises is effective to increase Ankle Brachial Index (ABI) at patients type II diabetics.
Keywords: Diabetes Melitus, Diabetic Self Management Education (DSME), diabetic foot exercises, Ankle Brachial Index.
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Pondaag, Ferlan Ansye. "GAMBARAN TINGKAT HEALTH LITERACY PASIEN ULKUS KAKI DIABETIK." JURNAL KEPERAWATAN 8, no. 2 (August 28, 2020): 95. http://dx.doi.org/10.35790/jkp.v8i2.32326.
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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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Pondaag, Ferlan Ansye. "GAMBARAN TINGKAT HEALTH LITERACY PASIEN ULKUS KAKI DIABETIK." JURNAL KEPERAWATAN 8, no. 2 (August 28, 2020): 95. http://dx.doi.org/10.35790/jkp.v8i2.32326.
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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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Szabad, Gábor. "Diabetic foot syndrome." Orvosi Hetilap 152, no. 29 (July 2011): 1171–77. http://dx.doi.org/10.1556/oh.2011.29168.
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Diabetes mellitus contributes to a number of disorders that can affect the quality of life. Amongst this diabetic foot syndrome and diabetic foot ulceration are serious secondary complications of diabetes mellitus. Persons with diabetic foot ulceration have an increased risk of amputation. In the first part of this review the author focuses on the pathophysiology of diabetic foot ulceration. The second part covers the topics of current and future therapies. The reader will understand the need and modes for preventive measures, the importance of multi level education in this topic, and the need for specialized wound care centers. As emphasized by the author, diabetic foot syndrome and ulceration are serious complications of diabetes mellitus, which can lead to devastating lower-extremity amputations and possible death. Specialized wound care centers, multi level education and proper adherence to standard treatment regimes can potentially prevent the need for amputation. Orv. Hetil., 2011, 152, 1171–1177.[Formula: see text]
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Hanim, Risyda Zakiyah, and Tuti Herawati. "Mobile Health untuk Mencegah Luka Diabetes: A Systematic Review." Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice") 12, no. 3 (February 6, 2021): 225. http://dx.doi.org/10.33846/sf12301.
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Ulcus diabeticum is the most common complication that results in death. Diabetic foot currently reach 40 to 60 million people in patients diagnosed with diabetes mellitus. This article was a mobile-health systematic review in preventing diabetic foot injuries. The search sources were Scopus, Science Direct, PubMed, ProQuest, Ebscohost and Sage published from 2015 to 2020 with the search keywords of "diabetes mellitus", "ulcus diabetic", "foot ulcer", "diabetic wound", "prevention", "mhealth", "telehealth ", " telemedicine", and "telenursing". The results show that there were four components in preventing diabetes wounds, namely monitoring foot temperature, foot images, directed guidance and virtual consultation. Mhealth has a positive impact on the prevention of diabetes mellitus wounds so that mHealth can be applied to prevent the incidence of diabetic wounds.
Keywords: m-health; prevention; diabetic wounds
ABSTRAK
Ulkus diabeticum merupakan komplikasi yang paling banyak mengakibatkan kematian. Kaki diabetik saat ini mencapai 40 hingga 60 juta jiwa pada pasien yang terdiagnosa diabetes mellitus. Artikel ini merupakan systematic review mobile-health dalam mencegah luka kaki diabetik. Sumber pencarian adalah Scopus, Science Direct, PubMed, ProQuest, Ebscohost dan Sage yang diterbitkan dari 2015 hingga 2020 dengan kata kunci pencarian "diabetes mellitus", "ulcus diabetic", "foot ulcer", "diabetic wound" "prevention", "mhealth", "telehealth", "telemedicine", dan "telenursing". Hasil menunjukkan terdapat empat komponen dalam pencegahan luka diabetes yakni monitoring suhu kaki, gambar kaki, panduan terarah dan konsultasi virtual. mhealth berdampak positif pada pencegahan luka diabetes mellitus sehingga mHealth dapat memungkinkan untuk diterapkan untuk mencegah kejadian luka diabetes.
Kata kunci: mhealth; pencegahan; luka diabetes
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Wąsiewicz, Edward, Aleksandra Kuźniar, Dominik Szawica, Kamila Fularska, Michał Oleszko, Radosław Bernacki, Piotr Bernacki, Martyna Dutka, Witold Zardzewiały, and Fryderyk Sobczak. "Diabetic Foot - treatment and prevention - literature review." Journal of Education, Health and Sport 38, no. 1 (June 13, 2023): 129–33. http://dx.doi.org/10.12775/jehs.2023.38.01.008.
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Introduction: Diabetic foot is a serious condition affecting large percentage of long term diabetics .Proper diabetic foot treatment, education and prevention can greatly influence quality of life of many diabetics who are at risk of developing this condition.
Aim of study: The purpose of the study was to review the latest literature on the most recent diabetic foot treatment, education and prevention.
Matherials and methods: A systemic review was conducted using Google Scholar, PubMed and ScienceDirect databases and the search was limited to studies published between 2000 and 2023. The search strategy was based on following terms: diabetic foot, diabetic neuropathy, diabetic ulcer, diabetic foot treatment.
Results: We found many different studies which show importance of gut microflora in various different ailments and diseases, we have also found many showing factors that influence intestinal microbiota composition.
Conclusions: diabetic foot is a severe complication of diabetes that requires a multidisciplinary approach to treatment. Prevention is essential, and patients should be educated on the importance of foot care and blood sugar control.With proper treatment and management, diabetic foot can be prevented and effectively treated.
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Fitria, Nanda, Novia Rizana, Sri Andala, Mursal, and Dalillah Afifah. "Effect of Diabetes Self-Management Education on the Prevention of Diabetic Foot Injuries." International Journal of Research and Innovation in Applied Science VIII, no. II (2023): 96–100. http://dx.doi.org/10.51584/ijrias.2023.8203.
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Diabetics are at high risk of developing chronic disease problems such as diabetic foot injuries. Diabetic foot injuries can be prevented if diabetics have good knowledge so that they are able to carry out diabetic foot care. The provision of DSME can facilitate the knowledge and ability of diabetes mellitus clients to carry out self-care. This study aims to analyze the effect of DSME on the prevention of diabetic foot injuries. The method used is a quasi-experiment with one group pre-test post-test design. Data collection uses research instruments in the form of questionnaires. The study sample used was 55 people with a purposive sampling technique. The data analysis technique used is the marginal homoegenity test. The results showed that there was an effect of DSME on the prevention of diabetic foot injuries. It is hoped that the Center for Public Health can make DSME a regular health promotion program to improve the self-care ability of type 2 diabetes mellitus clients while preventing complications from diabetic foot injuries.
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Suyanto, Suyanto, and Dwi Sulistyowati. "Meningkatkan motivasi dan efikasi diri penderita diabetes tipe 2 dalam pencegahan kaki diabetik menggunakan dukungan kelompok." Holistik Jurnal Kesehatan 13, no. 4 (January 9, 2020): 292–300. http://dx.doi.org/10.33024/hjk.v13i4.2250.
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Improving motivation and self-efication of type 2 diabetics in prevention of diabetic foot ulcers and infections using group supportBackground: Management of DM (Diabetics) patients according to expectations requires a variety of support, one of them is group support such as the Persadia Club as an organization that helps people with diabetes to manage disease conditions become more controlled. Through group support, motivation and self-efficacy which are important factors in diabetes care behavior will increase. Thus the main action in the prevention of diabetic foot in the form of routine foot care will be carried out by the person with diabetes optimally.Purpose: To determine the effect of group support on motivation and self-efficacy of type 2 diabetics in prevention of diabetic foot ulcers and infectionsMethods: The study design was a quasi-experimental one pre group test one group method to see if there were differences in motivation and self-efficacy in diabetic foot care before and after group support. The study was conducted in May to August 2019 at the Surakarta City Persada Club as a population and a sample of 135 respondentResults: Research shows that there are differences in the self-efficacy of people with diabetes before and after getting group support with p value = 0,000. Thus the hypothesis that the influence of group support on self-efficacy is accepted. Furthermore, the results obtained that there are differences in motivation to take preventive measures for diabetes feet between before and after group support is given with a p value = 0,000. This means that the hypothesis that there is an influence of group support on motivation for diabetic foot prevention.Conclusion: As a suggestion, it is expected that people with diabetes through the Persadia club will always be supported so that their motivation and efficacy is high so that the diabetic foot care measures will be optimally carried out. Keywords: Motivation; Self-Efication; Type 2 Diabetics; Prevention; Diabetic Foot Ulcers and Infections; Group SupportPendahuluan: Pengelolaan pasien DM (Diabetisi) yang sesuai harapan memerlukan berbagai dukungan salah satu diantaranya yaitu dukungan kelompok seperti Club persadia sebagai organisasi yang membantu para diabetisi untuk mengelola kondisi penyakit menjadi lebih terkontrol. Melalui dukungan kelompok maka motivasi dan efikasi diri yang merupakan faktor penting dalam perilaku perawatan diabetes akan meningkat. Dengan demikian tindakan utama dalam pencegahan kaki diabetik berupa tindakan perawatan kaki secara rutin akan dilakukan para diabetisi dengan optimal.Tujuan: Untuk mengetahui pengaruh dukungan kelompok terhadap motivasi dan efikasi diri penderita diabetes tipe 2 dalam pencegahan kaki diabetikMetode : Rancangan penelitian berupa kuasi eksperimen dengan metode pre post test one group untuk melihat apakah terdapat perbedaan motivasi dan efikasi diri dalam tindakan perawatan kaki diabetik sebelum dan sesudah mendapat dukungan kelompok. Penelitian dilakukan pada bulan Mei hingga Agustus 2019 pada Club Persadia Kota Surakarta sebagai populasi dan diambil sampel sebanyak 135 respondenHasil: Penelitian menunjukkan bahwa terdapat perbedaan efikasi diri para diabetisi sebelum dan sesudah mendapt dukungan kelompok dengan p value = 0,000, Dengan demikian hipotesis terdapat pengaruh dukungan kelompok terhadap efikasi diri diterima. Selanjutnya diperoleh hasil bahwa terdapat perbedaan motivasi melakukan tindakan perawatan pencegahan kaki diabetes antara sebelum dan sesudah diberikan dukungan kelompok dengan nilai p value= 0,000. Hal ini berarti hipotesis terdapat pengaruh dukungan kelompok terhadap motivasi tindakan perawatan pencegahan kaki diabetis.Simpulan: Sebagai saran diharapkan para diabetisi melalui club Persadia selalu diberi dukungan agar motivasi dan efikasi dirinya tinggi sehingga tindakan perawatan kaki diabetik akan optimal dilakukan
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BALOCH, G. M. KHAN, KHALID HUSSAIN QURESHI, and ASIM BHATTI. "DIABETIC FOOT;." Professional Medical Journal 19, no. 01 (January 3, 2012): 006–10. http://dx.doi.org/10.29309/tpmj/2012.19.01.1951.
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Objective: Diabetic foot is one of challenging diseases based on uncontrolled diabetes mellitus. The aim of this study was toevaluate the surgical management in diabetic foot patients presenting with different grades of infection. Design: Descriptive study. Place andduration of study: Surgical unit I, Department of Surgery at Nishtar Hospital Multan for a periods of two years from January 2009 to December2010. Patients and methods: A total of 120 diabetic patients with different severity of foot infections who presented in causality and surgicaloutpatient department Nishtar Hospital Multan, where included in this study. Patients included in this study were above age of twelve years andwere of both sexes. A detailed history was taken followed by the clinical examination. Routine investigations including complete bloodexaminations, complete urine examination, renal parameters, X-ray foot, CXR, ECG and pus for culture and sensitivity were recorded. Lesionswere raded according to Wagner classification and appropriate medical and surgical treatment carried out. Results: This study was carried outon 120 diabetic patients, out of which ninety six (80.0%) were male and twenty four (20%) were female. Male to female ratio was 4:1. Majority ofthe patients (n=66) were between the age group of 50 to 60 years. In majority of these patients forefront was involved, mostly big or little toe,.Patients were grouped into five grades according to the severity of infection. Twenty six (21.6%) patients were managed with antibiotics anddressings, thirteen (10.8%) patients needed debridement and skin grafting while eighty-one needed amputations of different types.Staphylococcus aureus was the commonest organism isolated. Conclusions: Majority of the diabetic foot lesions were in grade II to V. Lessergrade lesions responded well to conservative management with antibiotics, dressings and debridement. While those with higher grades neededamputations. Basic principles of management include early detection of diabetic foot, proper control of infection, control of diabetes mellitus andwound care. Delayed and improper treatment leads to osteomyelitis resulting in amputation and permanent disability of deformity
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Otu, Akaninyene Asuquo, Victor Aniedi Umoh, Okon Ekwere Essien, Ofem Egbe Enang, Henry Ohem Okpa, and Patrick Ntui Mbu. "Profile, Bacteriology, and Risk Factors for Foot Ulcers among Diabetics in a Tertiary Hospital in Calabar, Nigeria." Ulcers 2013 (September 8, 2013): 1–6. http://dx.doi.org/10.1155/2013/820468.
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Diabetic foot disease is a major medical, social, and economic problem. This retrospective study assessed the profile of diabetes mellitus patients with foot ulcers in the University of Calabar Teaching Hospital (UCTH), Nigeria. Admission records of all patients admitted unto the medical wards of UCTH over a 5 year period were analysed. The records of diabetic patients were retrieved. Data on patient characteristics and possible risk factors for diabetes mellitus foot ulcers was extracted. Of the 3,882 patients admitted, 297 (7%) were on account of complications of diabetes mellitus. Foot ulcers accounted for 63 (21.2%) of all diabetic admissions. The elderly constituted the majority of patients admitted with foot ulcers. The average duration of stay of diabetics with foot ulcers was 38.5 days. Diabetics admitted for other conditions had average duration of admission of 15.8 days. Staphylococcus aureus was the commonest organism isolated from swabs of foot ulcers. Most of the organisms identified from ulcer swab cultures were sensitive to quinolones and resistant to penicillins. These diabetic foot ulcers were significantly associated with peripheral sensory neuropathy, peripheral vascular disease, intermittent claudication, and walking barefoot. An effective diabetes foot programme is required to address these risk factors and reverse the current trend.
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Stepchenkov, Roman. "Diabetic foot." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 6 (June 1, 2020): 39–46. http://dx.doi.org/10.33920/med-10-2006-05.
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Diabetes mellitus is a disease based on a violation of insulin synthesis, resulting in an increase of glucose concentration in blood with the development of hyperglycemia. The World Health Organization calls diabetes a non-infectious epidemic of our time. Violation of all types of metabolism - carbohydrate, fat, protein, water and mineral ones - occurs during this disease. The pathological process is characterized by a chronicity with the gradual development of complications, one of the most severe is the syndrome of “diabetic foot”. The development of this syndrome is based on angiopathic tissue damage involving vessels in the process against a background of severe neuropathy associated with impaired innervation. The concept of “diabetic foot” syndrome combines a complex of pathological changes affecting the peripheral nervous system, arterial bed and microvasculature, the osteoarticular apparatus of the foot, and represents a direct threat in terms of the development of ulcerative necrotic lesions and gangrene of the foot. According to the World Health Organization, “diabetic foot” syndrome develops in approximately 15% of patients with diabete, 5 or more years after the onset of the disease. In place of the slightest, sometimes not even noticed by the patient lesions on the lower extremities, a slight wound first appears, which gradually transforms into a trophic ulcer. As the process progresses, it becomes chronic, as a result of which the “diabetic foot” syndrome develops, which is extremely difficult to treat. The development of this syndrome causes amputation of the lower extremities of a non-traumatic genesis in 70% of cases.
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Pandey, Ritesh A., and Priyank Deepak. "Assessment of foot deformities in patients with type 2 diabetes mellitus." International Journal of Research in Orthopaedics 9, no. 3 (April 28, 2023): 559–64. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20231183.
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Background: Affection of lower extremity in diabetic patients leads to development of several foot deformities. The knowledge so far about the particulars of foot deformity in diabetic population is limited. The current study aimed to assess prevalence of foot deformities in known diabetics and to compare it with non-diabetic population. It also aimed to know its association with various risk factors. Methods: Foot was evaluated for presence of deformity in 80 patients with type 2 diabetes mellitus and was compared with the control group of 80 non-diabetic individuals. Type of deformity was noted and its prevalence was compared between the two groups. Statistical analysis was done to see the association of foot deformity with various risk factors. Results: Prevalence of foot deformity was more in diabetics as compared to normal population (p<0.004). Forefoot was involved in majority of cases (84.93%) and nail deformities were most commonly seen (38.35%). Deformities were less common in patients who were aware of diabetic foot care measures (p<0.004) and were more common in presence of diabetic neuropathy, vasculopathy and uncontrolled glycaemic index. Conclusions: All patients with diabetes should be screened for presence of neuropathy as this is the most common factor for development of a foot deformity and hence a foot ulcer. Other helpful screening measures include assessment for peripheral vascular disease and monitoring of glycaemic index (HbA1c). Patients should be educated about the diabetic foot care measures to avoid potential complications.
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Wardhani, Annalia. "SENAM KAKI DIABETIK DENGAN RESPON NEUROPATI PADA PENDERITA DIABETES MELITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS SUNGAI TABUK 2." Journal of Nursing Invention E-ISSN 2828-481X 1, no. 2 (December 30, 2020): 83–90. http://dx.doi.org/10.33859/jni.v1i2.41.
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Background: Neuropathy is a chronic complication that is often found in cases of type 2 diabetes mellitus. This condition causes the need for easy and inexpensive primary care, namely diabetic foot exercises. Purpose: to analyze the relationship between diabetic foot exercises and neuropathic responses in type 2 diabetes mellitus sufferers in the work area of the Sungai Tabuk 2 public health center. Methods: This type of research used a cross sectional approach with a population of 264 people, the total sample size of 42 respondents, the sample technique used was Accidental Sampling. The instrument in this study used a questionnaire and for neuropathy responses using the Score Diabetic Neuropathy Symptoms (DNS) and data analysis using Spearmans Rho. Results: there is a relationship between diabetic foot exercise and neuropathic response in type 2 diabetes mellitus patients with a value of ρ = 0.000. Rho value = 0.756. Conclusion: the majority of categories of diabetic foot exercise did diabetic foot exercise, namely 59.5%, the majority of neuropathic responses were in the category of no neuropathy, namely 54.8%. There is a relationship between diabetic foot exercise and neuropathic response in people with type 2 diabetes mellitus with a value of ρ = 0.000. The rho value = 0.756.
Latar Belakang: Neuropati merupakan salah satu komplikasi kronis yang sering ditemukan pada kasus diabetes melitus tipe 2. Kondisi inilah yang menyebabkan perlunya perawatan primer yang mudah dan murah yaitu senam kaki diabetic. Tujuan: untuk menganalisis hubungan senam kaki diabetik dengan respon neuropati pada penderita diabetes melitus tipe 2 di wilayah kerja puskesmas sungai tabuk 2. Metode: Jenis penelitian menggunakan pendekatan Cross Sectional dengan populasi sebanyak 264 orang, jumlah sampel 42 responden tehnik sampel yang digunakan adalah Accidental Sampling. Instrumen dalam penelitian ini menggunakan kuesioner dan untuk respon neuropati menggunakan Score Diabetic Neuropaty Symptoms (DNS) dan analisis data menggunakan Spearmans Rho. Hasil: ada hubungan senam kaki diabetik dengan respon neuropati pada penderita diabetes melitus tipe 2 dengan nilai ρ = 0,000. Nilai rho = 0,756. Kesimpulan: senam kaki diabetik mayoritas kategori melakukan senam kaki diabetic yaitu 59,5%, respon neuropati mayoritas dalam kategori tidak ada neurapati yaitu 54,8%. Ada hubungan senam kaki diabetik dengan respon neuropati pada penderita diabetes melitus tipe 2 dengan nilai ρ = 0,000. Nilai rho = 0,756.
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Devi, Dr Kangujam Satyabati. "Association between Diabetic Foot Ulcer and Diabetic Retinopathy." Journal of Medical Science And clinical Research 11, no. 06 (June 30, 2023): 100–105. http://dx.doi.org/10.18535/jmscr/v11i6.19.
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Diabetes mellitus is a metabolic disorder with disturbance in carbohydrate, protein and fat metabolism because of partial or complete deficiency of insulin secretion or action. As it can cause various complications and Diabetic retinopathy being the most common and perhaps the most serious of all ocular complications. Diabetic foot ulcer is one of the most serious and disabling complications of diabetes mellitus which result in significantly elevated morbidity and mortality. Aim of the study was to assess the severity of diabetic retinopathy in relation to various grades of diabetic foot ulcer among 100 patients with clinically diagnosed type 2 Diabetes Mellitus with diabetic foot ulcer patients. 25% of the study participants were found to have Moderate NPDR with 15% of the study participants having severe NPDR. 11.1% of study participants with grade 4 DFU had PDR with HRC and 33.3% of study participants with grade 4 DFU had Severe NPDR. 47.1% and 35.3% of study participants with grade 3 DFU had Severe NPDR and moderate NPDR respectively. The association was found to be statistically significant between the severity of diabetic retinopathy and the grades of diabetic foot ulcer of the study participants. The study concluded that the severity of diabetic retinopathy increases with the increase in the stages of DFU and there is a possibility that the presence of DFU can predict the progression to advanced stages of DR. The results of our study support the need for a system of ophthalmological referral in case of detection of DFU, as well as a prompt referral of DR patients to a DFU specialist. Also, in advanced age DFU patients, and particularly those with longer duration of diabetes, early detection of DR and timely treatment may decrease the risk of severe vision loss or blindness. Keywords: diabetic foot ulcer, diabetic retinopathy, risk factors, severity, India
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Rashid, Asif Zaman, Mohammad Zafar Iqbal, Khalid Mehmood, and Riaz Anwar Bashir. "DIABETIC FOOT ULCER." Professional Medical Journal 23, no. 01 (January 10, 2016): 001–5. http://dx.doi.org/10.29309/tpmj/2016.23.01.730.
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Objective: The number of diabetic patients is increasing at a rapid rate1.Management of diabetic foot has been a challenge for medical professionals. This study wascarried out to find the sequelae of diabetic foot ulcer management. Study design: Observationalanalytical study. Setting: Military Hospital, Combined Military Hospitals Rawalpindi and MIMCteaching Hospital, Mirpur (AJK). Period: Sep 2009 to August 2013. Materials and methods:Total 310 patients were included in this study as outdoor and indoor cases. Out of these 184were males and 126 were females. Age affected ranged from 20 years to 90 years. Average agewas 50 years. Wagner’s grading for diabetic foot ulcer was used as guideline for management.Results: Hyperglycemia was controlled in consultation with physicians in all these patients.Out of these 310patients 199 (64%) patients got their feet wounds healed on conservativemanagement without amputation while 111(35.8%) patients had to undergo some amputationat some level. Conclusion: Diabetes mellitus, fore runner of so many diseases requires multidisciplinaryapproach. Well controlled diabetes mellitus, good feet hygiene, rational antibioticsin light of culture/sensitivity report and timely conservative or active surgical interventionproduce good results in diabetic foot management.
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Aarathi Reddy, Tummala. "Homoeopathy in Diabetic Foot." Galore International Journal of Health Sciences and Research 8, no. 3 (December 20, 2023): 49–52. http://dx.doi.org/10.52403/gijhsr.20230309.
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Diabetes mellitus is chronic disorder. Due to poor diabetes control leads to one of the complications like neurological impairment because of which there may be ulceration over the foot and legs called as Diabetic foot ulcer. Most of the cases may even lead to foot amputation. Homoeopathy plays a major role in treating cases of Diabetic foot ulcer. Keywords: Diabetic foot ulcer, Diabetes, Homoeopathy
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Surya, Defrima Oka, Zulham Efendi, Afrizal Afrizal, and Ria Desnita. "Diabetic Foot Self Care Pada Diabetisi." Malahayati Nursing Journal 1, no. 1 (January 1, 2022): 124–30. http://dx.doi.org/10.33024/mnj.v1i1.5720.
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ABSTRACT: DIABETIC FOOT SELF CARE ON DIABETES PATIENTS Background: Diabetes Mellitus (DM) can cause complications in various body systems. One of the complications of DM is complications in the feet which can cause diabetic foot ulcers and lead to leg amputation. Diabetic foot complications can be prevented by performing routine foot care or diabetic foot care. Objective: The purpose of this study was to determine the description of diabetic foot care in patients with diabetes mellitus consisting of personal self-care, podiatric care, and footwear and socks. Method: This type of research is descriptive quantitative research. Data was collected using a diabetic foot care questionnaire. The number of samples in this study was 51 people. The sampling method is a non-probability technique using consecutive sampling. The study was conducted in the Kuranji Health Center Working Area in July – November 2021. Result: The results showed that most respondents (64.70%) had poor personal self-care in foot care, 82.3% of respondents had poor podiatric care habits. and 52.94% of respondents have good habits in choosing footwear. Conclusion: From the results of the study, it was concluded that people with diabetes have bad habits in performing foot care so that this is one of the risk factors for complications in the feet. To increase awareness of people with diabetes in performing foot care, it is recommended that nurses can provide education and teach people with diabetes to take care of their feet Keywords: Diabetes Mellitus; Foot Complications; Foot Care INTISARI : DIABETIC FOOT SELF CARE PADA DIABETISI Latar Belakang : Diabetes Melitus (DM) dapat menyebabkan komplikasi pada berbagai sistem tubuh. Salah satu komplikasi DM adalah komplikasi pada kaki yang dapat menimbulkan ulkus kaki diabetik dan berujung dengan amputasi kaki. Pencegahan komplikasi pada kaki dapat dilakukan diabetisi dengan melakukan perawatan kaki rutin atau diabetic foot care.Tujuan : Tujuan penelitian ini adalah untuk mengetahui gambaran diabetic foot care pada pasien diabetes melitus yang terdiri dari personal self care, podiatric care, serta footwear and sock.Metode : Jenis penelitian ini adalah penelitian deskriptif kuantitatif. Pengumpulan data dilakukan menggunakan kuesioner diabetic foot care. Jumlah sampel dalam penelitian ini adalah 51 orang. Metode pengambilan sampel adalah dengan Teknik non probability dengan menggunakan consecutive sampling. Penelitian dilakukan di Wilayah Kerja Puskesmas Kuranji pada Bulan Juli – November 2021.Hasil : Hasil penelitian menunjukkan bahwa sebagian besar responden (64,70%) memiliki personal self care yang kurang baik dalam perawatan kaki, 82,3% responden memiliki kebiasan podiatric care yang kurang baik dan 52,94% responden memiliki kebiasaan baik dalam pemilihan alas kaki.Kesimpulan : Diabetisi memiliki kebiasaan yang kurang baik dalam melakukan perawatan kaki sehingga ini menjadi salah satu faktor resiko terjadinya komplikasi pada kaki. Untuk meningkatkan kesadaran diabetisi dalam melakukan perawatan kaki disarankan perawat dapat memberikan edukasi dan mengajarkan diabetisi untuk melakukan perawatan kaki Kata Kunci : Diabetes Melitus; Komplikasi Kaki; Perawatan Kaki
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Gedela, Vasavi, and Sree Lakshmi Gosala. "Diabetes a risk for antimicrobial resistance?" International Journal of Basic & Clinical Pharmacology 6, no. 12 (November 23, 2017): 2811. http://dx.doi.org/10.18203/2319-2003.ijbcp20175103.
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Background: Diabetic foot infections can cause substantial morbidity. The role of Diabetes mellitus in the antimicrobial resistance of pathogens in patients with foot infections is not well clarified. So, we compared the profile of antibiotic resistance in diabetic and non-diabetic foot ulcer infections. Objectives were to compare the antimicrobial resistance pattern in diabetic and non-diabetic lower limb infections.Methods: T Pus was isolated in 50 Diabetic and 50 non-diabetic foot ulcer infections. The organisms were isolated on specific media and antibiotic susceptibility was done by using Kirby-Bauer disc diffusion method.Results: The most frequent causative organism in diabetic and non-diabetics is Pseudomonas 27.5% vs 27.1%, Staphylococcus 24.1% vs 27.1%, Klebsiella 24.1% vs 22.03%, E. coli 10.3% vs 10.16%, Proteus 5.17% vs 5.08%. No significant differences in resistance rates to Amikacin, Penicillin, Ofloxacin, Vancomycin, Piperacillin + Tazobactum were observed between diabetic and non-diabetic patients. There is significant difference in resistance to Ampicillin (p=0.017).Conclusions: Diabetes per se does not seem to influence the susceptibility pattern to antimicrobials in our group of patients with foot ulcer infections.
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Andhika, Cakra. "Clinical Profile of Diabetic Foot Amputation in Hasan Sadikin Hospital, Bandung, Indonesia." Journal of Endocrinology, Tropical Medicine, and Infectiouse Disease (JETROMI) 2, no. 2 (May 12, 2020): 57–62. http://dx.doi.org/10.32734/jetromi.v2i2.3734.
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Diabetes mellitus related to foot ulcers is common. Most studies use amputation rates as a measure of foot management in diabetics. The aim of this study was to determine the description of diabetic foot clinical profile at Hasan Sadikin Hospital, Bandung, Indonesia. The study was conducted on diabetic foot who came to Hasan Sadikin Hospital, Bandung from January 2014 to December 2018, retrospectively. There are 243 diabetic foot patients at Hasan Sadikin Hospital in this study. There are 112 males (46.1%) and 131 females (53.9%). There are more patients with the duration of diabetes was more than 10 years than the shorter duration of diabetes. The 51-60 year age group is the group with the largest percentage (41.6%). Based on the Wagner classification group, patients with grade 2 Wagner diabetic foot became the most group (28.4%). Total amputations were 91 patients (37.5%). The most diabetic foot management is debridement, which is 110 patients (45.3%). The most common type of amputation is below knee amputation, which is 45 patients (49.5%).
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Djuma, Elviera, Yulia Yulia, and Dikha Ayu Kurnia. "Efektivitas penggunaan terapi topical herbal pada perawatan ulkus kaki diabetik: A systematic literature review." Holistik Jurnal Kesehatan 18, no. 2 (April 29, 2024): 202–8. http://dx.doi.org/10.33024/hjk.v18i2.281.
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Background: Diabetic foot ulcers are a complication that affects the health and quality of life of diabetes mellitus patients. Topical herbs are botanical treatments used to treat diabetic foot ulcers, with the aim of speeding up the healing process and reducing inflammation by applying them directly to the affected area. Purpose: To identify the effectiveness of topical herbal use in the intervention group compared to those receiving standard care in the control group in type 1/type 2 DM patients. Method: Using a systematic review by selecting articles according to a randomized controlled trial (RCT) research design and arranged based on Preferred Reporting Items For Systematic Reviews and Meta Analyzes (PRISMA). Article searches were carried out through a number of databases, Science Direct, Clinical Key, Pubmed, Proquest, and Sage published in the last 5 years (2018-2023). Results: Wound healing in diabetics is often complicated and involves many things besides local infection. In addition, vascular problems resulting in systemic infections and a decrease in the immune system make it more difficult for diabetic wounds to heal. The use of topical herbal medicine can improve the healing of diabetic foot ulcers and does not have significant side effects. To manage superficial diabetic foot ulcers, topical use of herbs may be an effective, safe, accessible, and inexpensive adjunct option to conventional therapy. Conclusion: The use of topical herbal therapy improves the healing of diabetic foot ulcers and does not have significant side effects. Keywords: Diabetic Foot Ulcers (UKD); Diabetes Mellitus; Tropical Herbs. Pendahuluan: Ulkus kaki diabetik merupakan komplikasi yang mempengaruhi kesehatan dan kualitas hidup pasien diabetes melitus. Herbal topikal adalah perawatan botani yang digunakan untuk mengatasi ulkus kaki diabetik, dengan tujuan mempercepat proses penyembuhan dan mengurangi peradangan dengan menerapkannya langsung ke daerah yang terkena. Tujuan: Untuk mengidentifikasi efektifitas penggunaan topical herbal pada kelompok intervensi dibandingkan dengan yang menerima perawatan standar pada kelompok kontrol pada pasien DM tipe 1/tipe 2. Metode: Menggunakan systematic review dengan memilih artikel sesuai desain penelitian randomized controlled trial (RCT) dan disusun berdasarkan Preferred Reporting Items For Systematic Reviews and Meta Analyzes (PRISMA). Pencarian artikel dilakukan melalui sejumlah database, Science Direct, Clinical Key, Pubmed, Proquest, dan Sage terbitan 5 tahun terakhir (2018-2023). Hasil: Penyembuhan luka pada penderita diabetes seringkali rumit dan melibatkan banyak hal selain infeksi lokal. Selain itu, masalah vaskular sehingga mengalami infeksi sistemik dan penurunan sistem kekebalan tubuh menyebabkan luka diabetes lebih sulit sembuh. Penggunaan obat topikal herbal dapat meningkatkan penyembuhan ulkus kaki diabetik dan tidak memiliki efek samping yang signifikan. Untuk mengelola ulkus kaki diabetik superfisial, penggunaan topikal herbal dapat menjadi pilihan tambahan yang efektif, aman, mudah diakses, dan murah untuk terapi konvensional. Simpulan: Penggunaan terapi topical herbal meningkatkan penyembuhan ulkus kaki diabetik dan tidak memiliki efek samping yang signifikan. Kata Kunci: Diabetes Melitus; Herbal Tropis; Ulkus Kaki Diabetik (UKD).
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K.S., Savita. "Clinical Profile Analysis of Diabetic Foot." New Indian Journal of Surgery 15, no. 1 (March 31, 2024): 13–17. http://dx.doi.org/10.21088/nijs.0976.4747.15124.2.
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Introduction: Diabetic foot is one of the common problems encountered by surgeons in India. The surgeon would be better equipped to treat if data regarding the demographics, clinical presentation and factors leading to foot complications in diabetics is available along with the treatment and outcomes. Materials and Methods: This study aims to describe the clinical profile of patients with diabetic foot. This is a retrospective study. The study material was obtained from the patient records from 2018 to 2019. A total of 40 patients were included in the study. The demographics, clinical features, treatment and outcomes were noted. Statistical analysis was done. Results: Most common presentation was diabetic foot ulcers in 50% patients. Other presentations included cellulitis and gangrene. In 20% cases, diabetes was newly diagnosed. The mean duration of diabetes was 5 years. Treatment included regular dressings for 27.5% patients, debridement for 30%, incision and drainage in 15% and amputations in 15% patients. Empirical antibiotics given were amoxicillin-clavulanate and cephalosporins. The mean duration of hospital stay was 12.9 days. All patients improved with treatment. Conclusion: Early treatment is effective and limb saving. This study suggests inadequate control of diabetes and infection as a major cause for diabetic foot which may progress to sepsis with/without gangrene in the presence of PAD or neuropathy.
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Lestari, Putri Hidayasyah Purnama, Nurahmi Nurahmi, Tenri Esa, and Liong Boy Kurniawan. "Analisis rasio profil lipid kolesterol total, High Density Lipoprotein (HDL), Low Density Lipoprotein (LDL), dan trigliserida pada pasien Diabetes Melitus Tipe 2 (DM-2) dengan dan tanpa komplikasi ulkus kaki diabetik." Intisari Sains Medis 11, no. 3 (December 1, 2020): 1333–40. http://dx.doi.org/10.15562/ism.v11i3.764.
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Background: One of the serious macrovascular complications in type 2 diabetes mellitus is a diabetic foot ulcer. Besides causing chronic complications of diabetes, poor glycemic control can also cause dyslipidemia, which plays a role in diabetic foot ulcers' pathophysiology. The ratio of total cholesterol/HDL cholesterol, LDL cholesterol/HDL cholesterol, and triglyceride/HDL ratio play a role in the pathophysiology of endothelial dysfunction closely related to diabetic foot ulcers.Methods: A retrospective study was performed at the DR. Wahidin Sudirohusodo Hospital, Makassar, by taking secondary data from type 2 DM patient medical records from January 2018 to September 2019. The study sample consisted of forty-seven patients with diabetic foot ulcer complications and 50 patients without diabetic foot ulcers. Chi-Square, Independent T test, and Mann-Whitney test were used as statistical analysis by SPSS version 17 for Windows.Results: Total cholesterol to HDL ratio and LDL to HDL ratio are significantly greater in type 2 DM patients with diabetic foot ulcer compare to those without diabetic foot ulcers (7.70±6.62 vs. 5.21±1.55, p=0.040 and 4.93±4.75 vs. 3.21±1.16, p=0.014, respectively). There is no significant difference in triglycerides to HDL ratio in type 2 DM with and without diabetic foot ulcers (7.73±8.82 vs. 4.43±3.44, p=0.053). Receiver Operating Curve (ROC) analysis has found cut-off of Total Cholesterol to HDL ratio is 7.13 and LDL to HDL ratio is 3.58.Conclusion: Total cholesterol to HDL ratio and LDL to HDL ratio are show more relationship with diabetic foot ulcer events. Latar Belakang: Komplikasi makrovaskuler yang serius dari dari diabetes melitus tipe 2 salah satunya adalah ulkus kaki diabetik. Kontrol glikemik yang buruk, selain dapat menyebabkan komplikasi kronik dari diabetes, juga dapat menyebabkan dislipidemia yang berperan dalam patofisiologi terjadinya ulkus kaki diabetik. Rasio kolesterol total/kolesterol HDL, kolesterol LDL/kolesterol HDL, dan rasio trigliserida/HDL berperan dalam patofisiologi disfungsi endotel yang erat kaitannya dengan komplikasi ulkus kaki diabetik.Metode: Penelitian retrosepektif ini dilakukan pada Rumah Sakit DR. Wahidin Sudirohusodo Makassar dengan mengambil data rekam medis pasien diabetes melitus tipe 2 periode Januari 2018 sampai September 2019. Sampel penelitian terdiri dari empat puluh tujuh pasien diabetes melitus dengan komplikasi ulkus kaki diabetik dan lima puluh pasien tanpa komplikasi ulkus kaki diabetik. Uji statistik yang digunakan adalah Chi Square, uji T tidak berpasangan, dan uji Mann-Whitney dengan SPSS versi 17 untuk Windows.Hasil: Rasio kolesterol total/HDL dan LDL/HDL berturut-turut lebih besar pada pasien DM tipe 2 dengan ulkus kaki diabetik dibandingkan tanpa ulkus kaki diabetik (7,70±6,62 vs 5,21±1,55, p = 0,040 dan 4,93±4,75 vs 3,21±1,16, p=0,014). Tidak terdapat perbedaan bermakna rasio trigliserida/HDL pasien DM tipe 2 dengan ulkus kaki diabetik (7,73±8,82 vs 4,43±3,44, p=0,053). Menurut analisis Receiver Operating Curve (ROC) cutoff rasio kolesterol total/HDL sebesar 7,13 sedangkan untuk rasio LDL/HDL dipilih cutoff 3,58.Kesimpulan: Rasio Kolesterol total/HDL dan rasio LDL/HDL menunjukkan hubungan dengan kejadian ulkus kaki diabetik.
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Lubis, Irmayanti, Naziyah Naziyah, and Millya Helen. "Pengaruh Pemberian Zinc Cream Terhadap Luka Kaki Diabetik pada Proses Penyembuhan pada Fase Proliferasi Luka Pasien Ulkus Diabetik di Wocare Center Bogor." Malahayati Nursing Journal 5, no. 10 (October 1, 2023): 3483–95. http://dx.doi.org/10.33024/mnj.v5i10.9183.
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ABSTRACT Diabetic ulcers, also know as diabetic foot ulcers, are medical conditions characterized by long-standing, non-healing, deep, sunken wounds with swelling and firm borders. Diabetic foot ulcers are a long-term side effect of diabetes mellitus. They are wounds on the skin of a diabetic's feet that cause deep tissue damage or death, with or without an infection. To determine the effect of using zinc cream on diabetic foot wounds. The research was in the form of a quasi-experiment with a pretest-posttest design approach, namely in this design an initial observation was made through a pretest, then given an action or intervention, after which it was continued by giving a posttest. Techniques in conducting samples in this study with total sampling technique with a total of 20 respondents. This research instrument uses a winner scale observation sheet. The statistical tests used were univariate and bivariate using Wilcoxon. The results of the study obtained an average pretest winner scale observation score of 24.80 ± 7.05 and a posttest of 18.55 ± 6.79. The results showed a difference in pretest and posttest winner scale observation scores with a p-value of 0.000. There is a difference in diabetic foot wounds before and after the administration of zinc cream on diabetic foot wounds. This research is expected to be used as a reference and improve nursing services and increase understanding of the effect of zinc cream on diabetic foot wounds in the proliferation phase of healing. in the proliferation phase of wound healing of diabetic ulcer patients. Keywords : Zinc Cream, Winner Scale, Diabetic Foot Wounds ABSTRAK Ulkus diabetik, umumnya disebut sebagai ulkus kaki diabetik, ialah penyakit medis ditandai oleh luka yang terus-menerus, tidak sembuh-sembuh, dalam, cekung dengan edema dan batas yang jelas. Ulkus kaki diabetik sebagai akibat kronis dari diabetes melitus yang bermanifestasi sebagai lesi pada permukaan kulit kaki penderita diabetes, diikuti dengan kerusakan jaringan dalam atau kematian jaringan, dengan atau tanpa infeksi. Mengetahui bagaimana pengaruh dari penggunaan zinc cream pada luka kaki diabetik. Jenis penelitiannya yaitu quasi-experimental dan memakai desain pretest-posttest design. Pada desain ini, observasi awal dilakukan melalui pretest, dilanjutkan dengan tindakan atau intervensi, kemudian penelitian dilanjutkan dengan pemberian posttest. Pengambilan sampel penelitian ini memakai pendekatan tota sampling dengan jumlah responden sebanyak 20 orang. Alat investigasi berupa lembar observasi skala pemenang Wilcoxon dipakai untuk melakukan pengujian univariat dan bivariat. Penelitian ini menghasilkan rata-rata skor observasi skala pemenang pre-test 24,80 7,05 dan skor rata-rata post-test 18,55 6,79. Nilai p sebesar 0,000 menunjukkan bahwa adanya variasi yang signifikan antara skor observasi skala pemenang sebelum dan sesudah tes. Adanya perbedaan pada luka kaki diabetik sebelum dan sesudah pemberian zinc cream pada luka kaki diabetik. Penelitian ini diharapkan bisa menjadi referensi, meningkatkan pelayanan keperawatan, dan meningkatkan kesadaran akan dampak zinc cream pada luka kaki diabetik selama fase proliferasi penyembuhan luka pada pasien ulkus diabetik.Kata Kunci: Zinc Cream, Winner Scale, Luka Kaki Diabetik
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Kurdi, Fahruddin, and Ratna Puji Priyanti. "MANAJEMEN ULKUS KAKI DIABETIKUM : EFEKTIFITAS FOOT EXERCISE TERHADAP RISIKO DFU (DIABETIC FOOT ULCERS) PASIEN DIABETES MELLITUS DI AL HIJRAH WOUND CARE CENTER." Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 14, no. 2 (December 30, 2019): 95–101. http://dx.doi.org/10.36911/pannmed.v14i2.593.
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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
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Akhtar, Naveed, Sultan Ahmed, Hassan Mahmood Tabassum, and Sadaf Lanjar. "DIABETIC FOOT AMPUTATION;." Professional Medical Journal 24, no. 02 (February 14, 2017): 302–7. http://dx.doi.org/10.29309/tpmj/2017.24.02.501.
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Introduction: Diabetic foot lesions have remained a major cause of morbidity inpatients with kidney failure. Foot complications are more than twofolds in diabetic nephropathypatients, and the rate of amputation is 6 to 10 times higher in diabetic nephropathy patientsin comparison to the general diabetic population. Objectives: To determine the frequencyof diabetic nephropathy in patients undergoing diabetic foot amputation. Study Design:Observational cross-sectional study. Setting: Surgical Department Unit-II, Sheikh ZayedMedical College and Hospital Rahim Yar khan. Material and Methods: The duration of thestudy was 2 years from Dec-2013 to Dec-2015. A total number of 73 patients were includedin this study. Patients who were admitted to the department of surgery for amputation of thefoot or the leg having the history of diabetes regardless of their age and sex were selectedfor this study. Data analyses were carried out using SPSS Version17 software. Quantitativevariables were presented as Mean and standard deviations. Frequency and percentages werecomputed for qualitative variables. Results: The mean age of the patients was 57.51±7.61years. Out of 73 cases, there were 43(58.9%) males and 30 (41.1%) females. Previous historyof amputation was observed in 26 (35.62%) cases, 48 (65.75%) patients were hypertensive.Out of 73 patients, Forty (54.79%) had controlled diabetes and 33 (45.21%) had uncontrolleddiabetes. Twenty seven patients (36.99%) were diagnosed for diabetic nephropathy. Theincidence of nephropathy was high in patients with advancing age. This incidence was in 26(56.62%) patients with age 51 to 60 years and 18 (39.13%) in patients having age more than 60years. Conclusions: Lower extremity amputations are strongly associated with nephropathy indiabetic patients. It is very important to check and improve the renal function in patients withdiabetic foot ulcers who are hypertensive, increasing age and long duration of DM to preventlower limb amputations.
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Ayu Indrianisa, Sukma, and Raudhotun Nisa. "RELATIONSHIP KNOWLEDGE OF DIABETIC FOOT CARE WITH THE OCCURRENCE DIABETIC ULCER IN PUSKESMAS TEGUHAN." Journal of Vocational Nursing 1, no. 2 (October 29, 2020): 125. http://dx.doi.org/10.20473/jovin.v1i2.23559.
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Introduction: Diabetes mellitus is a condition in which the body is unable to produce insulin so hyperglycemic. Uncontrolled hyperglikemi can result in several complications, one of which occurs in diabolical ulcers or leg injuries. Prevention of diasecond ulcers can be done by controlling blood sugar levels, exercising, and undergoing foot care. Knowledge of foot care needs to be known by diabetics in order to minimize the risk of diabetic ulcers. The purpose of this study is to know the level of knowledge of foot care in diabetics mellitus with the occurrence of diabetic ulcers. The design used is a scriptive correlation with the cross sectional approach. Methods: The technique of taking sambel with accidental sempling with a sample of 73 respondents. Analyze data using chi square. Results: The results of the study obtained as many as 40 reseponden (55.8%) knowledgeable and 50 respondents (68.5%) did not have a diabetikum ulcer. The results of the chi square analysis test obtained Pvalue = 0,000 which showed that there is a link between the knowledge of foot care and the incidence of diabetic ulcers in diabetics mellitus. Conclusion: From the results of this study, diabetics are expected to perform foot treatment so as to reduce the risk of diabetic ulcers.
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Feroz, Zohaib, Abdul Raheem Memon, Nisar Ahmed Shah, and Syed Zulfiquar Ali Shah. "DIABETIC FOOT ULCER." Professional Medical Journal 25, no. 10 (October 10, 2018): 1498–502. http://dx.doi.org/10.29309/tpmj/18.4441.
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Objectives: To determine the frequency of hypomagnesemia in patients withdiabetic foot ulcer. Study Design: Cross sectional descriptive nature. Setting: Liaquat UniversityHospital Jamshoro / Hyderabad. Period: 29-09-2016 to 28-03-2017. Patients and Methods:The patients with history of diabetes mellitus (known cases) for more than 3 years durationhad diabetic foot ulcer for ≥ 02 weeks duration, of 30-60 years of age & either gender wererecruited and evaluated for serum magnesium level while the data was analyzed in SPSS 16.Results: Total 100 patients with diabetic foot ulcer were evaluated for hypomagnesaemia. Themean age ±SD of age (years), duration of diabetes (years) and foot ulcer (weeks), BMI (kg/m2),hypertension (systolic and diastolic mmHg), HBA1C and magnesium for whole population was52.86±6.87, 6.95±1.85 and 5.86±2.31, 31.92±2/43, 150.38±10.52 and 95.97±5.97, 9.96±2.73and 1.16±0.95 respectively. Out of one hundred, 55% were males and 45% were females. Thehypertension, smoking, dyslipidemia, obesity, raised HBA1C and hypomagnesemia was foundin 65%, 59%, 59%, 55%, 56% and 67%. Conclusion: Hypomagnesemia detected in subjectswith type 2 diabetes mellitus having foot ulcers.
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Hidayat, Rizki, Pradana Soewondo, and Dewi Irawaty. "Pengaruh Edukasi dan Perawatan Kaki terhadap Pencegahan Luka Kaki Diabetik." Malahayati Nursing Journal 4, no. 8 (August 1, 2022): 2147–62. http://dx.doi.org/10.33024/mnj.v4i8.7113.
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ABSTRACT Diabetic foot ulcer (DFU) is classified as an incurable chronic wound that causes skin irritation with a long and frustrating healing process. DFU can be prevented and the frequency of lower extremity amputations can be reduced by 49-87% by preventing the development of DFU. Evidence in the literature suggests that early detection and treatment of diabetic foot complications can reduce the prevalence of ulceration by 44% to 85%. Foot care, especially diabetes, is becoming a new standard of care and the mainstay of therapy in preventing the development of DFU. To See The Effect Of The Combination Of Education And Foot Care Model On The Prevention Of Diabetic Foot Wounds. Systematic Review, through systematic searches on 9 databases (Hindawi, Pubmed, Researchgate, Science Direct, Journal of diabetes & metabolism, National Public Health Journal, American Journal of Nursing Science, & International Journal of Foot and Ankle). published since 2010, Of the 30 references that have been identified, 30 references have been examined in detail, of that number, 12 research references meet the inclusion and exclusion criteria, all of which contain instruments relevant to the variables in this systematic review. From 12 References Used The Results Show Foot Education and Care Affect the Healing Process of Diabetic Foot Wounds. Diabetic foot ulcers are a complication of diabetes mellitus and have complex problems so that the wound is difficult or delays wound healing, prevention with education and foot care is very helpful to avoid this condition, especially in reducing the risk in wound prevention. Keywords: Diabetic Foot Wound, Education, Foot Care, Wound Prevention ABSTRAK Diabetic foot ulcer (DFU) diklasifikasikan sebagai luka kronis yang tidak dapat disembuhkan yang menyebabkan gangguan pada kulit dengan proses penyembuhan yang lama dan frustrasi. DFU dapat dicegah dan frekuensi amputasi ekstremitas bawah dapat diturunkan hingga 49-87% dengan mencegah perkembangan DFU. Bukti dalam literatur menunjukkan bahwa deteksi dini dan pengobatan komplikasi kaki diabetik dapat mengurangi prevalensi ulserasi sebesar 44% hingga 85% (Wirsing, 2015). Perawatan kaki khususnya diabetes menjadi standar perawatan baru dan terapi andalan dalam mencegah perkembangan DFU. Untuk Melihat Pengaruh Model Kombinasi Edukasi Dan Perawatan Kaki Terhadap Pencegahan Luka Kaki Diabetik. Sistematika Review, melalui penelusuran secara sistematis pada 9 database (Hindawi, Pubmed, Researchgate, Science Direct, Jurnal Of diabetes & metabolism, National Public Health Jurnal, American Journal Of Nursing Science, & International Jurnal Of Foot and Ankle). yang dipublikasikan sejak tahun 2010, Dari 30 jumlah referensi yang telah diidentifikasi, ada 30 referensi yang diperiksa dengan detail, dari jumlah tersebut, terdapat 12 referensi penelitian yang memenuhi kriteria inklusi dan eksklusi , dimana seluruhnya memuat instrument yang relevan dengan variabel pada sistematika review ini . Dari 12 Referensi Yang Digunakan Hasil Nya Menunjukkan Edukasi dan perawatan kaki Mempengaruhi Proses Penyembuhan Luka Kaki Diabetik. Luka kaki diabetic merupakan Kompilkasi dari diabetes militus serta mengalami kompleksitas masalah sehingga luka sulit atau mengalami penundaan penyembuhan luka, pencegahan dengan edukasi dan perawatan kaki sangat membantu untuk menghindari kondisi tersebut, terutama dalam menurunkan resiko dalam pencegahan luka. Keyword: Luka Kaki Diabetic, Edukasi, Perawatan Kaki, Pencegahan Luka.
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Pratama, Kharisma. "GAMBARAN PENGETAHUAN CARE GIVER PASIEN DIABETES MELLITUS PADA PERAWATAN KAKI DIABETIK." Jurnal Keperawatan dan Kesehatan 12, no. 1 (April 30, 2021): 1–6. http://dx.doi.org/10.54630/jk2.v12i1.146.
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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.
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Joshi, A. "Risk of Diabetic Foot in Diabetic Patients with Peripheral Arterial Disease." Kathmandu University Medical Journal 18, no. 1 (January 6, 2020): 38–41. http://dx.doi.org/10.3126/kumj.v18i1.33358.
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Background The prevalence of peripheral arterial disease is higher in diabetic patients. And 11.6% of the patients with diabetic foot ulcer have associated peripheral arterial disease.
Objective The main objective of the study is to assess the risk of diabetic foot in diabetic patients with peripheral arterial disease.
Method This was a case control study conducted in Bir Hospital, National Academy of Medical Sciences (NAMS). The sample size was 173 out of which cases (diabetic foot) and unmatched controls (diabetics without diabetic foot) were divided in the ratio of 1:2. The Odds Ratio (OR) of peripheral arterial disease in diabetic foot was calculated. The study was conducted after taking ethical clearance from Institutional Review Board of National Academy of Medical Sciences.
Result There were 173 participants enrolled in the study. Four were excluded, 55 participants were cases of diabetic foot (cases) and 114 participants were diabetics without diabetic foot (controls). The odds of diabetic foot in patients with peripheral arterial disease was 4.12, p < 0.001.
Conclusion The risk of diabetic foot in diabetic patients with peripheral arterial disease was higher as compared to diabetic patients without peripheral arterial disease.
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Safutri, Nofi Amelia, Naziyah Naziyah, and Millya Helen. "Pengaruh Pendidikan Kesehatan melalui Media Leaflet tentang Senam Kaki Diabetik terhadap Pencegahan Kaki Ulkus Diabetikum pada Pasien Diabetes Mellitus di Wilayah Puskesmas Kecamatan Kebayoran Baru Kelurahan Cipete Utara." Malahayati Nursing Journal 5, no. 8 (August 1, 2023): 2437–50. http://dx.doi.org/10.33024/mnj.v5i8.9080.
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ABSTRACT Diabetes mellitus is recognized by the increase of blood glucose levels, if not maintained properly could lead to some complications, and further a person suffering from diabetes, it increases risk of complications which as diabetic foot ulcers. The prevalence of diabetes mellitus based on doctor’s diagnosis of residents of all ages in South Jakarta is 2.83%, the prevalence of diabetic ulcers in Indonesia is 15% with death percentage is 3.25%, amputation by 23.5%, and the percentage of hospitalized DM patients are 80%. Therefore, it’s necessary to take an effort to control such as diabetic foot exercises to prevent diabetic foot ulcer complications. The purpose of this research is to understand the impact of health education through leaflet media about diabetic foot exercise towards diabetic foot ulcer prevention of diabetes mellitus patients in Puskesmas Kebayoran Baru districts North Cipete ward. This research is using quasi-experiment with a pretest-posttest design without control group. The samples are 30 people in total with a purposive sampling technique. The result of this research shows that before giving health education to 14 respondents with good knowledge (46.7%) and 16 respondents with poor knowledge (53.3%), after giving health education, the respondent with good knowledge increased to 26 respondents (86.7%) and the respondent with poor knowledge is decreased to 4 respondents (13.3%). Through this research, the p-value is obtained by 0.000 < 0.005, which means H0 is rejected and Ha is accepted. Hence there are impacts of the health education through leaflet media about diabetic foot exercise towards the diabetic foot ulcer prevention of diabetes mellitus patients in Puskesmas Kebayoran Baru district North Cipete ward. Keywords: Diabetes Mellitus, Diabetic Foot Ulcers, Diabetic Foot Exercises ABSTRAK Diabetes mellitus ditandai dengan peningkatan kadar glukosa darah, jika tidak dikelola dengan baik dapat menyebabkan berbagai komplikasi, dan semakin lama seseorang menderita diabetes, maka semakin beresiko menderita komplikasi salah satunya kaki ulkus diabetikum. Populasi diabetes mellitus berdasarkan diagnosis dokter pada penduduk semua umur di Jakarta Selatan sebesar 2,83%, populasi ulkus diabetikum di Indonesia sebesar 15% dengan persentase kematian 32,5%, amputasi sebesar 23,5%, dan persentase jumlah perawatan penderita DM di rumah sakit sebesar 80%. Oleh karena itu diperlukan usaha pengendalian seperti senam kaki diabetik untuk mencegah komplikasi kaki ulkus diabetikum. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan melalui media leaflet tentang senam kaki diabetik terhadap pencegahan kaki ulkus diabetikum pada pasien diabetes mellitus di puskesmas Kecamatan Kebayoran Baru Kelurahan Cipete Utara. Desain penelitian ini menggunakan quasi-eksperiment dengan pretest-posttest design without control group. Sampel berjumlah 30 orang dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa sebelum diberikan pendidikan kesehatan sebanyak 14 responden (46,7%) dengan pengetahuan baik, dan 16 responden (53,3%) dengan pengetahuan kurang, setelah diberikan pendidikan kesehatan responden dengan pengetahuan baik meningkat menjadi 26 responden (86,7%), dan responden dengan pengetahuan kurang berkurang menjadi 4 responden (13,3%). Hasil penelitian menunjukkan p value 0,000 < 0,005, yang artinya H_0 ditolak dan H_a diterima. Terdapat pengaruh pendidikan kesehatan melalui media leaflet tentang senam kaki diabetik terhadap pencegahan kaki ulkus diabetikum pada pasien diabetes mellitus di puskesmas Kecamatan Kebayoran Baru Kelurahan Cipete Utara. Kata Kunci: Diabetes Mellitus, Kaki Ulkus Diabetikum, Senam Kaki Diabetik
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Wulandari Arifin, Nur Afni. "HUBUNGAN PENGETAHUAN PASIEN DIABETES MELLITUS TIPE II DENGAN PRAKTIK PERAWATAN KAKI DALAM MENCEGAH LUKA DI WILAYAH KELURAHAN CENGKARENG." JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU 9, no. 1 (April 17, 2021): 1–10. http://dx.doi.org/10.36085/jkmb.v9i1.1483.
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The endocrine system controls the body's processes through chemicals, most of these chemicals are secreted in the glands. Endocrine glands are located throughout the body and each gland contains a special group of cells that secrete hormones directly into the bloodstream, circulated throughout the body. This hormone acts on distant tissues (called target tissue) via endocrine signals. Diabetic clients are very at risk for the incidence of preventing diabetic foot injury in diabetics with foot care. This study aims to determine the relationship between the knowledge of type II diabetes mellitus patients with daily foot care practices in preventing wounds. The many problems faced by diabetic clients, especially regarding foot care, can be prevented and minimized if clients carry out proper foot care knowledge and practices. This research is a quantitative study with a cross-sectional design and a sample size of 30 people. The results of the Chi-Square test analysis showed that there was a significant relationship between the knowledge of type II diabetes mellitus patients and the practice of foot care in preventing wounds (p = 0.020). Knowledge is very important in the actions of a person who practices foot care. Diabetic foot injury will not occur if people with diabetes have extensive knowledge and want to look after and want to take care of their feet regularly. Clients with diabetes mellitus must be aware that foot care activities are part of their daily habits. Therefore, it is necessary to develop health education on foot care and foot examination to minimize or prevent foot injuries in people with diabetes mellitus. So that cases of diabetic foot injury can be prevented from an early age.Keywords: Diabetes Mellitus Type II, Knowledge, Foot care
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Prabawati, Dewi, Puspita Sari, and Yohanes Neonbeni. "PENDIDIKAN KESEHATAN TENTANG PERAWATAN DAN SENAM KAKI PADA PASIEN DIABETES." SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan 4, no. 3 (August 5, 2021): 624. http://dx.doi.org/10.31764/jpmb.v4i3.4775.
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ABSTRAKPenyakit diabetes dapat mengakibatkan komplikasi multi organ, dimana komplikasi yang paling sering adalah ulkus diabetikum sebagai akibat dari neuropati. Perlu dilakukan upaya pencegahan terjadinya ulkus diabetikum bagi masyarakat dengan memberikan edukasi terkait perawatan untuk kesehatan kaki juga senam kaki. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan informasi kesehatan tentang perawatan kaki diabetes dan memotivasi para penderita diabetes untuk melakukan aktivitas fisik salah satunya dengan melakukan senam kaki diabetes. Kegiatan ini diikuti oleh 16 pasien diabetes di polikilinik RS Cinta Kasih Budha Tzu Chi, Jakarta. Ada 3 tahapan yang dilakukan dalam kegiatan ini, yaitu perkenalan dan ice breaking, dilanjutkan dengan penjelasan tentang penyakit diabetes dan perawatan kaki diabetes, kemudian diakhiri dengan demonstrasi senam kaki diabetes. Kegiatan ini dilakukan secara blended yaitu dengan menggunakan aplikasi daring dan melakukan pertemuan diunit poliklinik dengan mematuhi protokol kesehatan. Hasil evaluasi terhadap kegiatan pengabdian yang telah dilakukan terlihat adanya peningkatan pengetahuan tentang perawatan kaki dan motivasi melakukan senam kaki. Selain itu, dari hasil kuesioner didapatkan bahwa mayoritas peserta memiliki pengetahuan yang baik tentang perawatan kaki sebesar 56.2%. Diharapkan masyarakat dapat meningkatkan pengetahuan dan perilaku dalam melakukan perawatan kaki diabetes serta termotivasi untuk melakukan senam kaki diabetes secara teratur sehingga dapt mencegah komplikasi ulkus diabetikum. Kata kunci: diabetes; perawatan kaki; senam kakiASTRACTDiabetes can lead to multi-organ failure, where the most common complication is diabetic ulcers as a result of neuropathy. It is necessary to perform a prevention program of diabetic ulcers to community by giving health education of foot care and foot exercise. In addition to education, motivation for diabetics is also needed to perform physical activity. This community service activity aimed to provide health education in diabetes foot care and motivate diabetes patients to perform physical activity such as diabetic foot exercise. There were 16 diabetic patients at Cinta Kasih Budha Tzu Chi Hospital, Jakarta participated in this community service. The activity performed in 3 sessions, such as opening and ice breaking, health education sharing of diabetes and foot care, followed by demonstration of diabetic foot exercise. Activity was conducting using blended method by zoom application and face to face meeting at polyclinic unit by complying health protocols of Covid-19. From the results of the evaluation, there has been an increase level of knowledge on diabetic foot care and motivation to perform diabetic foot exercise. Aside from that, as a result of filling out the questionnaire about foot care, the majority of the participants had good knowledge about foot care (56.2%). It is suggested that the community should increase knowledge on diabetes foot care, perform diabetes foot exercise regularly to decrease the complications of diabetic ulcers.Key words: diabetes; foot care; foot exercise
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Prabawati, Dewi, Puspita Sari, and Yohanes Neonbeni. "PENDIDIKAN KESEHATAN TENTANG PERAWATAN DAN SENAM KAKI PADA PASIEN DIABETES." SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan 4, no. 3 (October 27, 2021): 624. http://dx.doi.org/10.31764/jpmb.v4i3.4825.
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ABSTRAKPenyakit diabetes dapat mengakibatkan komplikasi multi organ, dimana komplikasi yang paling sering adalah ulkus diabetikum sebagai akibat dari neuropati. Perlu dilakukan upaya pencegahan terjadinya ulkus diabetikum bagi masyarakat dengan memberikan edukasi terkait perawatan untuk kesehatan kaki juga senam kaki. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan informasi kesehatan tentang perawatan kaki diabetes dan memotivasi para penderita diabetes untuk melakukan aktivitas fisik salah satunya dengan melakukan senam kaki diabetes. Kegiatan ini diikuti oleh 16 pasien diabetes di polikilinik RS Cinta Kasih Budha Tzu Chi, Jakarta. Ada 3 tahapan yang dilakukan dalam kegiatan ini, yaitu perkenalan dan ice breaking, dilanjutkan dengan penjelasan tentang penyakit diabetes dan perawatan kaki diabetes, kemudian diakhiri dengan demonstrasi senam kaki diabetes. Kegiatan ini dilakukan secara blended yaitu dengan menggunakan aplikasi daring dan melakukan pertemuan diunit poliklinik dengan mematuhi protokol kesehatan. Hasil evaluasi terhadap kegiatan pengabdian yang telah dilakukan terlihat adanya peningkatan pengetahuan tentang perawatan kaki dan motivasi melakukan senam kaki. Selain itu, dari hasil kuesioner didapatkan bahwa mayoritas peserta memiliki pengetahuan yang baik tentang perawatan kaki sebesar 56.2%. Diharapkan masyarakat dapat meningkatkan pengetahuan dan perilaku dalam melakukan perawatan kaki diabetes serta termotivasi untuk melakukan senam kaki diabetes secara teratur sehingga dapt mencegah komplikasi ulkus diabetikum.Kata kunci: diabetes; perawatan kaki; senam kaki ASTRACTDiabetes can lead to multi-organ failure, where the most common complication is diabetic ulcers as a result of neuropathy. It is necessary to perform a prevention program of diabetic ulcers to community by giving health education of foot care and foot exercise. In addition to education, motivation for diabetics is also needed to perform physical activity. This community service activity aimed to provide health education in diabetes foot care and motivate diabetes patients to perform physical activity such as diabetic foot exercise. There were 16 diabetic patients at Cinta Kasih Budha Tzu Chi Hospital, Jakarta participated in this community service. The activity performed in 3 sessions, such as opening and ice breaking, health education sharing of diabetes and foot care, followed by demonstration of diabetic foot exercise. Activity was conducting using blended method by zoom application and face to face meeting at polyclinic unit by complying health protocols of Covid-19. From the results of the evaluation, there has been an increase level of knowledge on diabetic foot care and motivation to perform diabetic foot exercise. Aside from that, as a result of filling out the questionnaire about foot care, the majority of the participants had good knowledge about foot care (56.2%). It is suggested that the community should increase knowledge on diabetes foot care, perform diabetes foot exercise regularly to decrease the complications of diabetic ulcers.Key words: diabetes; foot care; foot exercise
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Armstrong, David G., Tze-Woei Tan, Andrew J. M. Boulton, and Sicco A. Bus. "Diabetic Foot Ulcers." JAMA 330, no. 1 (July 3, 2023): 62. http://dx.doi.org/10.1001/jama.2023.10578.
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ImportanceApproximately 18.6 million people worldwide are affected by a diabetic foot ulcer each year, including 1.6 million people in the United States. These ulcers precede 80% of lower extremity amputations among people diagnosed with diabetes and are associated with an increased risk of death.ObservationsNeurological, vascular, and biomechanical factors contribute to diabetic foot ulceration. Approximately 50% to 60% of ulcers become infected, and about 20% of moderate to severe infections lead to lower extremity amputations. The 5-year mortality rate for individuals with a diabetic foot ulcer is approximately 30%, exceeding 70% for those with a major amputation. The mortality rate for people with diabetic foot ulcers is 231 deaths per 1000 person-years, compared with 182 deaths per 1000 person-years in people with diabetes without foot ulcers. People who are Black, Hispanic, or Native American and people with low socioeconomic status have higher rates of diabetic foot ulcer and subsequent amputation compared with White people. Classifying ulcers based on the degree of tissue loss, ischemia, and infection can help identify risk of limb-threatening disease. Several interventions reduce risk of ulcers compared with usual care, such as pressure-relieving footwear (13.3% vs 25.4%; relative risk, 0.49; 95% CI, 0.28-0.84), foot skin measurements with off-loading when hot spots (ie, greater than 2 °C difference between the affected foot and the unaffected foot) are found (18.7% vs 30.8%; relative risk, 0.51; 95% CI, 0.31-0.84), and treatment of preulcer signs. Surgical debridement, reducing pressure from weight bearing on the ulcer, and treating lower extremity ischemia and foot infection are first-line therapies for diabetic foot ulcers. Randomized clinical trials support treatments to accelerate wound healing and culture-directed oral antibiotics for localized osteomyelitis. Multidisciplinary care, typically consisting of podiatrists, infectious disease specialists, and vascular surgeons, in close collaboration with primary care clinicians, is associated with lower major amputation rates relative to usual care (3.2% vs 4.4%; odds ratio, 0.40; 95% CI, 0.32-0.51). Approximately 30% to 40% of diabetic foot ulcers heal at 12 weeks, and recurrence after healing is estimated to be 42% at 1 year and 65% at 5 years.Conclusions and RelevanceDiabetic foot ulcers affect approximately 18.6 million people worldwide each year and are associated with increased rates of amputation and death. Surgical debridement, reducing pressure from weight bearing, treating lower extremity ischemia and foot infection, and early referral for multidisciplinary care are first-line therapies for diabetic foot ulcers.
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Bém, Robert, Michal Dubský, Vladimíra Fejfarová, Jitka Husáková, and Veronika Wosková. "Diabetic foot." Vnitřní lékařství 66, no. 2 (April 2, 2020): 92–96. http://dx.doi.org/10.36290/vnl.2020.015.
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Idramsyah, Idramsyah, Bella Samya Dwi Putri, and Rahma Annisa. "Application of Diabetic Foot Spa Procedure to Optimize Foot Function Post-Creating Diabetic Foot Ulcer." Jurnal Keperawatan Silampari 7, no. 1 (July 31, 2023): 106–20. http://dx.doi.org/10.31539/jks.v7i1.6528.
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This study aims to provide an overview of the application of diabetic foot spa procedures to optimize foot function after healing diabetic foot wounds. This qualitative research method uses a descriptive case study design. The results of the study indicate that the diabetic foot spa procedure can be applied to people with diabetes mellitus by using therapeutic communication stages which consist of a pre-interaction phase for conducting assessments, diagnoses, and learning action procedures. The introduction orientation phase builds trusting relationships, explanations of actions, and approval of activities. The interaction phase is to carry out the preparation of equipment, environment, patients, and nurses, as well as all implementation of action procedures, and the termination phase is for evaluation, as well as future contracts and follow-up plans. In conclusion, diabetic foot spa can be used as a nursing intervention in foot care to fulfill security and protection needs, focusing on nursing problems and the risk of disrupting skin/tissue integrity.
Keywords: Diabetic Wounds, Diabetic Foot Disease, Foot Spa Treatment Procedures
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Đorđević-Janićijević, Bratislava, and Mila Dimitrijević. "Diabetic foot." Praxis medica 48, no. 3-4 (2019): 33–36. http://dx.doi.org/10.5937/pramed1904033d.
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Azzoug, Said, Djamila Meskine, and Farida Chentli. "Diabetic foot." Batna Journal of Medical Sciences (BJMS) 4, no. 2 (December 31, 2017): 133–38. http://dx.doi.org/10.48087/bjmsra.2017.4202.
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Les lésions du pied chez les diabétiques constituent un problème majeur de santé publique. Elles sont non seulement à l’origine d’hospitalisations fréquentes mais peuvent également mettre en jeu le pronostic vital et plus souvent, fonctionnel. Leur pathogénie est multifactorielle faisant intervenir des facteurs neuropathiques, vasculaires et biomécaniques et où l’infection joue un facteur d’aggravation certain. Leur prise en charge doit être précoce et multidisciplinaire, la prévention demeure cependant l’élément essentiel pour réduire le poids de cette affection.
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Kim, Kwang-Won. "Diabetic Foot." Journal of the Korean Medical Association 50, no. 5 (2007): 447. http://dx.doi.org/10.5124/jkma.2007.50.5.447.
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Pinzur, Michael S. "Diabetic foot." Current Opinion in Orthopaedics 9, no. 3 (June 1998): 14–17. http://dx.doi.org/10.1097/00001433-199806000-00003.
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Al-Agha, Rani, Jayesh Sheth, and Esra Sami. "Diabetic Foot." Bahrain Medical Bulletin 36, no. 2 (January 2014): 78–80. http://dx.doi.org/10.12816/0004480.
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Chand, Gyan, Anand K. Mishra, Sanjeev Kumar, and Amit Agarwal. "Diabetic foot." Clinical Queries: Nephrology 1, no. 2 (April 2012): 144–50. http://dx.doi.org/10.1016/s2211-9477(12)70009-2.
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GREEN, MELISSA F., ZARRINTAJ ALIABADI, and BRYAN T. GREEN. "Diabetic Foot." Southern Medical Journal 95, no. 1 (January 2002): 95–101. http://dx.doi.org/10.1097/00007611-200201000-00019.
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GREEN, MELISSA F., ZARRINTAJ ALIABADI, and BRYAN T. GREEN. "Diabetic Foot." Southern Medical Journal 95, no. 1 (January 2002): 95–101. http://dx.doi.org/10.1097/00007611-200295010-00019.
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