Diabetic Ulcer Management (Education, Training and Assistance) Through Family Care Giver for Diabetes Mellitus Patients
Abstract
Diabetic ulcers are a chronic complication of DM caused by angiopathy, neuropathy and the presence of infection, also of the most detrimental and serious complications of diabetes mellitus, 10% to 25% of diabetic patients develop foot ulcers diabetes. This activity is to improve the health status of the community with diabetic who can understand the prevention and know about the basic ways of treating diabetic ulcers. In this activity, counseling/education is carried out, demonstrations of foot callus care as well as basic diabetic wound care and care giver assistance in providing diabetic foot care to diabetic. It was held on August 18 2022, at Jabung, Sragen, attended by 20 elderly Posyandu cadres and 20 family with diabetic. There was a significant increase in the level of caregiver knowledge, before being given the material the highest level was in the sufficient of 16 and in the post-test the increase was dominated by a good level of 30 people. Of the 17 diabetics, on the day 2 visit after the training, 10 were still fully dependent on providing foot care, on the day 5 visit after the training, it increased to 9 who were independent, 6 were still assisted and only 2 were fully dependent. The conclusion of this activity is an increase in ability to practice DM foot exercise as an effort to avoid the risk of blood vascular disorders, neuropathy and infection of the feet. Participants of family caregiver showed increased knowledge and ability to provide basic diabetic ulcer care.
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References
Pusat Data dan Informasi Kementrian Kesehatan RI, 2020. Tetap Produktif Atasi dan Cegah Diabetes Melitus. Infodatin Kemenkes RI. https://www.kemkes.go.id/article/view/20120100005/infodatin-tetap-produktif-cegah-dan-atasi-diabetes-melitus-2020.html. Di akses tanggal 06 Oktober 2022.
Kemenkes RI, (2013). Diabetes Melitus Penyebab Kematian Nomor 6 di Dunia: Kemenkes Tawarkan Solusi CERDIK Melalui Posbind. Di akses tanggal 06 Oktober 2022. https://www.kemkes.go.id/article/view/2383/diabetes-melitus-penyebab-kematian-nomor-6-di-dunia-kemenkes-tawarkan-solusi-cerdik-melalui-posbindu.html.
Kurdi, Fahruddin dan Ratna Puji Priyanti (2019), Manajemen Ulkus Kaki Diabetikum : Efektifitas Foot Exercise Terhadap Risiko DFU (Diabetic Foot Ulcers) Pasien Diabetes Mellitus Di Al Hijrah Wound Care Center. LSP-Jurnal Ilmiah Dosen. https://repository.unej.ac.id/handle/123456789/103949. Diakses tanggal 06 Oktober 2022.
Sucitawati, I Gusti Ayu (2021). Gambaran Tingkat Pengetahuan Tentang Ulkus Diabetikum Pada Pasien Diabetes Mellitus Di Desa Adat Padangaji Tahun 2021. Diploma thesis, Jurusan Keperawatan Poltekes Denpasar. http://repository.poltekkes-denpasar.ac.id/7158/. Di akses tanggal 05 Oktober 2022.
American Diabetes Assosiation (2021). Microvascular Complications and Foot Care: Standards of Medical Care in Diabetes—2021. Volume 44, Issue Supplement_1 https://diabetesjournals.org/care/issue/44/Supplement_1. Diabetes Care 2021;44(Supplement_1):S151–S167. https://doi.org/10.2337/dc21-S011. Di akses 03 Oktober 2022.
American Diabetes Assosiation (2021). Standards of Medical Care in Diabetes Centered on Evolving Evidence, Technology, and Individualized Care. Diabetes Care 2021. https://diabetes.org/newsroom/press-releases/2020/ADA-releases-2021-standards-of-medical-care-in-diabetes. Di akses 03 Oktober 2022.
Fernando, M. E. et al. (2014) ‘Plantar pressure in diabetic peripheral neuropathy patients with active foot ulceration, previous ulceration and no history of ulceration: A meta-analysis of observational studies’, PLoS ONE, 9(6). doi: 10.1371/journal.pone.0099050. https://pubmed.ncbi.nlm.nih.gov/24915443/. Di akses tanggal 03 Oktober 2022.
Purnamasari, Sari. et.al. (2021). Edukasi perawatan luka menggunakan natrium clorida 0,9% terhadap penyembuhan luka pasien DM. Jurnal ABDIMAS Vol. 4 No. 2 (2021): Juli. https://ejournal.stikeskesosi.ac.id/index.php/abdimas/article/view/33. Di Akses tanggal 23 Januari 2023.
Wardani, Erika Martining et al. (2022). Pemeriksaan dan Perawatan Kaki dengan SPA Kaki Diabetik Bagi Penderita Diabetes Mellitus di Kabupaten Bondowoso. http://repository.unusa.ac.id/id/eprint/8988. Diakses tanggal 23 Januari 2023.
Fatmawati, Baiq Nuril. (2020). Edukasi perawatan foot and ankle exercises terhadap pencegahan komplikasi kaki diabetik pada penderita diabetes mellitus. DOI: https://doi.org/10.31764/jces.v3i3.2919.http://journal.ummat.ac.id/index.php/JCES/article/view/2919. Diakses tanggal 23 Januari 2023
Astuti, Dewi et al. (2021). Edukasi Perawatan Kaki Pada Penderita Diabetes Mellitus. Vol. 4 No. 2 (2021): TRIDARMA: Pengabdian Kepada Masyarakat (PkM) DOI:10.35335/abdimas.v4i2.2422.http://ejournal.iocscience.org/index.php/abdimas/article/view/2422. Diakses tanggal 24 Januari 2023.
Flora, Rostika. (2013). Pelatihan senam kaki pada penderita diabetes mellitus dalam upaya pencegahan komplikasi diabetes pada kaki (diabetes foot). Jurnal Pengabdian Sriwijaya.https://doi.org/10.37061/jps.v1i1.1543.https://ejournal.unsri.ac.id/index.php/jpsriwijaya/article/view/1543. Diakses tanggal 24 Januari 2023.
Frisca, Sanny et al. (2019). Pendampingan dalam peningkatan perilaku hidup sehat peduli diabetes mellitus tipe 2 dan pencegahan luka kaki diabetes di Palembang. Journal of Character Education Society, 2 (1). pp. 12-18. ISSN 26143666. http://eprints.ukmc.ac.id/id/eprint/3163. Diakses tanggal 24 Januari 2023
Adam, Muhammad. (2021). Penerapan Perawatan Kaki untuk Meningkatkan Sirkulasi Darah pada Penderita Diabetes Melitus Tipe 2. DOI:https://doi.org/10.48144/prosiding.v1i.923.https://jurnal.umpp.ac.id/index.php/prosiding/article/view/923. Diakses tanggal 24 Januari 2023
Ratnasari, Nita Yunianti.(2019). Upaya pemberian penyuluhan kesehatan tentang diabetes mellitus dan senam kaki diabetik terhadap pengetahuan dan keterampilan masyarakat desa Kedungringin, Wonogiri. DOI:http://dx.doi.org/10.30659/ijocs.1.1.105-115. http://lppm-unissula.com/jurnal.unissula.ac.id/index.php/ijocs/article/view/4172. Diakses tanggal 25 Januari 2023.
Mewo, Meity Kristine dan Berthiana Berthiana. (2021). Pendidikan Kesehatan tentang Perawatan Kaki pada Keluarga Lansia dengan Diabetes Melitus di Wilayah Kerja Puskesmas Kayon Kota Palangka Raya. Vol. 6 No. 5 (2021): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat. DOI: https://doi.org/10.33084/pengabdianmu.v6i5.2087. https://journal.umpr.ac.id/index.php/pengabdianmu/article/view/2087. Diakses tanggal 25 Januari 2023.
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