Pendahuluan: Salah satu komplikasi Diabetes Melitus(DM) yaitu, Ulkus Diabetikum. Ulkus diabetikum adalah luka yang membutuhkan perawatan khusus, penatalaksanaan untuk mengatasi luka ulkus diabetic, yaitu dengan metode modern dressing. Tujuan dari penelitian ini, yaitu mengetahui pengaruh modern dressingterhadap skor penyembuhan luka ulkus diabetikum. Metode:Quasi eksperimen, pre-testdan post-testtanpa menggunakan kelompok kontrol. Total sampling teknik digunakan dalam penelitian inidengan jumlah 18 pasien. Analisis data dilakukan dengan uji parametrik yaitu paired t-test. Hasil:Adanya perbedaan signifikan dengan p value0,000 dalam rerata skor penyembuhan luka ulkus diabetikum sebelum dan sesudah diberikan modern dressing. Penelitian ini ditemukan perbaikan luka ulkus diabetikum dengan perawatan luka Modern dressing. Simpulan:Modern dressingini mampu menurunkan skor penyembuhan luka ulkus diabetikum. Intervensi ini dapat direkomendasikan untuk pasien ulkus diabetikum.
Foot ulcers are a complication of diabetes which reduce quality of life. This study aimed to explore the perspectives of public health nurses regarding obstacles to carrying out effective neuropathy screening practices to prevent diabetic foot ulcers in public health centers. A qualitative study with a phenomenological approach was carried out using in-depth interviews and focus group discussions. The results of this study indicated five key themes of challenges: 1) inadequate knowledge and lack of skills in neuropathy screening; 2) insufficiency of health facilities in primary health care services; 3) high workload and job demands; 4) lack of human resources; and 5) inaccessibility of health care services. The findings provided important information regarding the challenges and constraints of implementing neuropathy screening practices in community health centers. The public health nurses need to improve their capabilities in implementing neuropathy screening and need to negotiate with stakeholders for the implementation of this screening policy to prevent foot ulcers in patients with diabetes mellitus at the community level. Keywords: challenges in neuropathy screening practice, foot ulcer, public health nurses, diabetes mellitus, qualitative study
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