Hasil Pencarian  ::  Simpan CSV :: Kembali

"Klien luka diabetes dapat mengalami perubahan bentuk dan fungsi pada organ yang mengalami luka. Perubahan tersebut dapat menyebabkan gangguan citra tubuh pada klien tersebut jika klien menyikapinya secara negatif. Penelitian ini dilakukan untuk melihat gambaran citra tubuh klien tersebut. Desain penelitian ini deskriptif dengan teknik total sampling terhadap 13 klien Rumah Perawatan Luka Bekasi. Hasilnya sebanyak 53,8% klien mengalami gangguan citra tubuh. Perawat luka disarankan untuk memberikan asuhan keperawatan yang berhubungan dengan citra tubuh selain perawatan pada luka diabetes klien agar gangguan citra tubuh klien teratasi dengan baik sehingga klien dapat beradaptasi dengan perubahan yang terjadi pada tubuhnya.

---

Clients with diabetic ulcer might experience changes of structure and function of damaged skin. The changes could cause body image disturbance of clients if they adapt negatively. This study aims to describe the body image of clients with diabetic ulcer. Design of this study is descriptive with total sampling to 13 clients in Rumah Perawatan Luka, Bekasi. The result was 53,8 % clients have body image disturbance. Ulcers nurses are recommended to give nursing intervention related to body image in order to resolve body image disturbance properly, so that the client can adapt better with the changes that in the body."

"Pengkajian faktor risiko ulkus kaki merupakan peran perawat untuk mencegah terjadi ulkus diabetik atau ulkus berulang. Tujuan penelitian mengidentifikasi faktor yang berhubungan dengan kejadian ulkus kaki. Rancangan penelitian case control, dengan sampel 68 responden DM terdiri 34 pasien ulkus dan 34 pasien tidak ulkus. Hasil multivariat menunjukkan faktor perawatan kaki, neuropati motorik, Peripheral Arterial Disease, pengendalian kadar gula darah, dan gangguan penglihatan berhubungan signifikan dengan kejadian ulkus. Neuropati motorik yang paling mempengaruhi kejadian ulkus kaki. Rekomendasi penelitian ini adalah perlu pendidikan kesehatan & early detection risiko ulkus kaki dan penelitian lanjutan pengaruh penyuluhan pada pasien berisiko dengan kejadian ulkus kaki.

---

Assessment of risk factors for foot ulcer is the role of nurses to prevent diabetic ulcers or recurrent ulcers. The research aimed to identify factors associated with the incidence of foot ulcers. Case-control study design, recruited 68 respondents diabetic devided into 34 ulcer patients and 34 no ulcer patients. Multivariate results indicated foot care, motor neuropathy, PAD, controlling blood sugar levels, and visual impairment significant associated with the occurrence of ulcers. Motor neuropathy was the most influence incidence of foot ulcers. Recommendations of this study is the need for health education and early detection of its risk foot ulcers and further had explore research effect of counseling for patients at risk with the incidence of foot ulcers."

"ABSTrAKPenyakit ulkus diabetikum menyebabkan penurunan fungsi fisik dan psikologis yang berdampak pada kualitas hidup. Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi kualitas hidup pasien ulkus diabetikum. Adapun variabel independen dalam penelitian ini adalah umur, jenis kelamin, pendidikan, penghasilan, lama menderita ulkus diabetikum, depresi, nyeri, koping, dukungan sosial dan kondisi luka. Penelitian ini menggunakan analitik korelasi dengan desain cross sectional. Jumlah sampel dalam penelitian ini ada 100 responden. Pada analisis regresi linier ganda didapat 3 variabel yang berpengaruh terhadap kualitas hidup yaitu penghasilan depresi dan nyeri. Hasil penelitian lebih lanjut didapatkan depresi sebagai faktor yang paling berhubungan dengan kualitas hidup (p=0.000). Berdasarkan hal tersebut perawat perlu mendeteksi secara dini depresi yang dialami oleh pasien dan memberikan pendidikan kesehatan.

---

ABSTRACTDiabetic ulcer can decline in physical function and psychological impact on quality of life. This study aims to examine the factors that affect the quality of life of diabetic ulcer patients. The independent variables in this study were age, gender, education, income, long suffering from diabetic ulcers, depression, pain, coping, social support and wound conditions. This research used analytic correlation with cross-sectional design. Samples in this research there were 100 respondents. In the multiple linear regression analysis obtained 3 variables that affect the quality of life of the income depression and pain. The results obtained further depression as factors most related quality of life (p = 0.000). Based on that nurses need early detection of depression experienced by patients and providing health education."

"Penderita Ulkus Kaki Diabetik (UKD) memiliki risiko potensial terjadinya kasus berulang, rehospitalisasi dan amputasi. Diperkirakan 50% dari UKD dan amputasi dapat dicegah dengan mengidentifikasi kaki yang berisiko dan menerapkan strategi pencegahan. Tujuan dari penelitian ini adalah untuk mengidentifikasi faktor yang mempengaruhi UKD berulang. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel 96 orang yang dipilih secara consecutive sampling dari tiga rumah sakit di Makassar. Analisis bivariat menunjukkan bahwa ada hubungan antara usia, lama menderita DM, riwayat ulkus, lokasi ulkus, HbA1C, penyakit penyerta, pengetahuan perawatan kaki, kemampuan perawatan kaki, neuropati sensorik, deformitas kaki dan ABI (p<0.05) dengan frekuensi UKD berulang pada pasien DM di Makassar. Namun tidak ada hubungan bermakna antara dukungan keluarga (p<0.102) dengan frekuensi UKD berulang. Analisis menggunakan Multiple Linier Regresion diperoleh lima faktor yang paling dominan mempengaruhi UKD yaitu usia, HbA1C, perawatan kaki, dukungan keluarga dan penyakit penyerta dengan p<0.05. Rekomendasi dari penelitian ini adalah perawat perlu mengidentifikasi faktor-faktor yang mempengaruhi UKD berulang dan memaksimalkan kontrol glikemik, perawatan kaki teratur, peningkatan dukungan keluarga, dan kontrol penyakit penyerta pada pasien kelompok usia dewasa tengah dan lanjut usia untuk mencegah UKD berulang.

---

Patients with Diabetic Foot Ulcer (DFU) have a potential risk for recurrence, rehospitalized and amputation. It is estimated that 50% of DFU and amputation can be prevented by identifying of foot risk and implementing prevention strategies. This study aimed to identify influencing factors of DFU's recurrence. This study used cross-sectional design with the 96 samples selected consecutively at three different hospitals in Makassar. Bivariate analysis showed that there were relationship between age, duration of diabetes mellitus, ulcers history, ulcers location, HbA1C, comorbidities, foot care knowledge, foot care ability, sensory neuropathy, foot deformities and ABI with DFU's recurrence frequency in patients with DM in Makassar (p<0.05). However, there was no significant relationship between family support with DFU's recurrence frequency (p= 0.102). Analysis result of Multiple Linear Regresion found the most dominant influencing factors of DFU's recurrence were age, HbA1C, foot care, family support, and comorbidities. This study recommends that nurses need to identify the influencing factors of DFU's recurrence and motivate the patient to increase routine glycemic control, regular foot care, increase family support and control of comorbidities in middle adult and elderly patients to prevent DFU's recurrence."

"Ulkus diabetikum merupakan salah satu komplikasi yang sering terjadi pada pasien diabetes mellitus. Ulkus diabetikum tidak hanya menyebabkan ketidaknyamanan fisik tetapi juga menyebabkan ketidaknyamanan psikologis berupa stres. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara strategi koping dengan tingkat stres pada pasien ulkus diabetikum di Rumah Perawatan Luka RUMAT . Jenis penelitian ini adalah kuantitatif dengan desain cross-sectional, pengambilan sampel menggunakan metode purposive sampling sejumlah 93 responden pasien ulkus diabetikum . Sebanyak 93 pasien ulkus diabetikum diwawancarai dengan menggunakan Brief COPE untuk mengukur strategi koping dan Perceived Stress Scale untuk mengukur stres, kemudian dianalisis menggunakan uji t-independen. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang bermakna antara emotion-focused coping dan stres p: 0,003, ?: 0,05 namun tidak terdapat hubungan bermakna antara problem-focused coping dengan stres p: 0,996; ?: 0,05. Penelitian ini merekomendasikan perlunya penelitian lanjutan terkait aspek psikologis pasien ulkus diabetikum.

---

Diabetic ulcer is one of the complications that occurs among diabetic patients. It caused physical discomfort and also psychological discomfort stress. This study aimed to identify correlation between coping strategy and stress on diabetic ulcer patients in RUMAT Wound Care. This research was quantitative with cross sectional design, using purposive sampling with 93 respondents. Total of 93 diabetic ulcer patients were interviewed using Brief COPE to measure coping strategies and Perceived Stress Scale to measure stress, then analyzed by independent t test. Results of this study found that there were significant correlation between emotion focused coping and stress p 0,003, 0,05 while there were no correlation between problem focused coping and stress p 0,996, 0,05 . This study recommended further research on psychological aspects of diabetic ulcer patients."

"Ekspresi transforming growth factor beta 1 (TGF β1) pada luka DM mengalami penurunan yang berdampak terhadap kenyamanan dan proses penyembuhan luka. Penelitian ini bertujuan menganalisa perbandingan perawatan luka teknik modern dan konvensional terhadap ekspresi TGF β1 dan respon nyeri pada luka DM. Penelitian menggunakan quasi experimental pretest-posttest design dengan metode pengumpulan sampel secara consecutive sampling. Pengukuran ekspresi TGF β1 dan respon nyeri dilakukan pada hari ke 0 (pretest) dan 4 (posttest). Sampel yang diambil yaitu pasien dengan luka kaki DM di Rumah Sakit Wilayah Malang dan Madiun. Ekspresi TGF β1 diukur dengan metode imunohistokimia di laboratorium Faal Divisi Fisiologi Molekuler dan Histologi FK Universitas Brawijaya Malang, sedangkan pengukuran respon nyeri dengan skala nyeri numerik yang telah teruji validitas dan reliabilitasnya. Hasil penelitian didapatkan data pada kelompok modern terjadi peningkatan ekspresi TGF β1 dan penurunan respon nyeri, sedangkan pada kelompok konvensional terjadi penurunan ekspresi TGF β1 dan peningkatan respon nyeri. Hasil uji t menunjukkan ada perbedaan perawatan luka teknik modern dan konvensional terhadap ekspresi TGF β1 dan respon nyeri pada luka DM (p value <0,05). Hasil uji korelasi pearson menunjukkan adanya hubungan yang signifikan antara perubahan respon nyeri dengan perubahan ekspresi TGF ß1 (p= 0,0005). Dapat disimpulkan bahwa teknik perawatan luka secara modern mampu meningkatkan ekspresi TGF β1 dan menurunkan respon nyeri dibandingkan teknik konvensional yang akan berpengaruh terhadap kenyamanan pasien secara fisik.

---

Reduction of expression of transforming growth factor beta 1 (TGF β1) in diabetic ulcers affects overall wound healing and patient?s comfort. This study tried to draw a comparison of Transforming Growth Factor Beta 1 (TGF β1) level and pain response between modern dressing and conventional dressing in diabetic ulcer. This study applied a quasi-experimental pretest-posttest design and a consecutive sampling method of data collection. The data were collected from patients with diabetic foot ulcer at general hospitals in Malang and Madiun. Immunohistochemical analysis of TGF β1 level was measured on the day 0 (pretest) and the day 4 (posttest) in Physiology and Histology Laboratories, University of Brawijaya Medical Faculty. Pain response was also measured on the day 0 and day 4 using a validated and reliable numerical rating scale. In this study, the modern dressing application improves TGF β1 level and reduces pain response. Meanwhile, the conventional dressing application decreases TGF β1 level and intensifies pain response. T-test analysis showed significant differences between modern and conventional dressings in both TGF β1 level and pain response (p value < 0.05). Pearson?s correlation analysis showed a significant relation between pain response and TGF β1 level (p value = 0.0005). Thus, it can be concluded that the modern dressing application can increase TGF β1 level and decrease pain response. The combined effect of those may eventually promote physical comfort."

"This book is designed with two overriding objectives, to help readers understand the impact of vision impairment in people living daily with diabetes rather than considering diabetic retinopathy solely as a medical problem, and to explore what we know and don't know about the ways diabetes affect the eye. With the plethora of new information being generated, there are still a series of fundamental questions that must be addressed if effective treatments for diabetic retinopathy are to be found and applied. Developed by a renowned group of authorities, Visual dysfunction in diabetes, the science of patient impairment and improvement offers responses and context for a range of questions, such as, do metabolic factors beyond glucose contribute to vision-threatening diabetic retinopathy? If so, how do these lead to vision impairment? Is diabetic retinopathy a response to systemic metabolic abnormalities or are there unique ocular problems related to insulin resistance? What is the relationship between the neural, vascular, and inflammatory abnormalities in diabetic retinopathy? Do they represent a pathological cascade induced sequentially or simultaneous responses to one or more metabolic perturbations? The authors note that if we do not address these types of questions, it is possible that the long process of developing new therapeutic"