Duration of suffering diabetes melitus type 2 causes glucose increase in blood results in blood vessels damage, creates a risk of complications which will usually appear in 5-10 years. Further examination is needed is to measure Ankle brachial index (ABI), which is the ratio of blood pressure in the ankle and arm. The purpose of this research was to investigate the relationship between duration of diabetes melitus and an ankle brachial index in patients with type 2 diabetes melitus in Hospital Dr. Moewardi Surakarta. This research is a descriptive correlative with cross sectional approach. The sample used in this study 30 patients with type 2 diabetes melitus who were hospitalized in Dr. Moewardi Surakarta Hospital. Sampling technique used is consecutive sampling. The instrument used to record data are questionnaires, sphygmomanometer and stethoscope. Analysis of the data used is the chi square test. Bivariat results found that respondents who had normal ABI values with the duration of diabetes 0.05), which means that Ho is accepted. The conclusions of this study indicate that there is no relationship between duration of diabetes melitus with an ankle brachial index in patients with diabetes melitus type 2 whichmeans that the duration of diabetes melitus does noteffect the value abnormality ABI.
Tuberculosis (TB) is a pulmonary infectious diseases that can attack the lungs. Handling of the high prevalence of TB should be taken to control the disease Pulmonary TB , one of which is the treatment. In addition to treatment to achieve a cure is very important for patients with pulmonary TB have the knowledge about the disease and have a high self-efficacy. The purpose of this study was to determine the relationship between knowledge and self-efficacy pulmonary tuberculosis patients. This research is quantitative research with a cross-sectional approach. The method used non-probability sampling. This research is pulmonary tuberculosis patients who underwent outpatient at Polyclinic BBKPM TB. The samples were 72 respondents with an accidental sampling technique. The instrument was a questionnaire of knowledge and self-efficacy has been tested on 20 patients with pulmonary tuberculosis. Non-parametric data analysis using the Spearman rho correlation coefficient test with the results showed that most of the patients are in the category of enough knowledge and most have high self-efficacy with p = 0.001 < α = 0.05 and Spearman correlation value for 0381. The conclusion that the existence of a positive and significant relationship between knowledge and self-efficacy pulmonary tuberculosis patients in Surakarta BBKPM.
Objective: One of the diabetes mellitus (DM) complications is foot ulcers. Foot ulcers are influenced by many factors. DM puts patients at risk of injury because of visual impairment. Hyperglycemia can damage blood vessels, which results in peripheral artery disease (PAD). The purpose of this study was to find the relationship of visual impairment and PAD with diabetic foot ulcers. Methods: This research used observational analytic study with case-control methods. It used purposive sampling in 34 DM patients with foot ulcers and 34 DM patients without foot ulcers. The research instruments were an interview guide to assess visual impairment, physical examination to assess PAD, and documentation study, which was used to know the incidence of diabetic ulcers. Results: The results showed that the respondents who experienced ulcers with visual impairment were 44.1% and the respondents who had foot ulcers with PAD were 73.5%. The results of statistical tests showed that there was no relationship between visual impairment and the incidence of ulcers (P = 0.166). The respondents with PAD will have a chance to suffer from foot ulcers 5.808 times higher than those who do not have PAD. Conclusions:There is no relationship between visual impairment and the incidence of diabetic foot ulcers in Dr. Moewardi Hospital, but there is relationship between PAD and the incidence of diabetic foot ulcers in Dr. Moewardi Hospital. Suggestions of this study are to do foot screening and educate about the importance of foot care to prevent the occurrence of diabetic ulcers.
Hemodialysis is a treatment for patients with terminal stage chronic renal failure, kidney function is replaced by a device called a dyalizer. Patients undergoing hemodialysis may be at higher risk for infection with COVID-19 due to frequent repetitive physical presence in health care facilities and physical closeness of patients during hemodialysis. The purpose of this case study is to describe the management of hemodialysis patients infected with the coronavirus disease 2019 (COVID-19). The method used in this research is descriptive with an exploratory research design. Database searches are taken from review literature, literature is obtained by keyword searches using sources such as Springer Link, Cambridge, Nature.com, Ebsco, Proquest and Google Scholar. Management of hemodialysis patients infected with COVID-19, namely screening at the beginning when the patient arrived with a temperature check, wearing a mask, and exposure to epidemic areas and the readiness of patients and health workers such as use of complete PPE, hand hygiene, correct cough etiquette. Management of patients and health workers during hemodialysis is appropriate initial treatment such as screening patients, when hemodialysis is performed, patients are spaced apart if necessary, isolation rooms, after completion of hemodialysis treatment the patient and the room must be disinfected.
This study aimed to determine the effect of video education about hypoglycemia on knowledge of diabetes mellitus patients and their families. This type of research is a quantitative study with a pre-experiment method. This study focused on two groups, namely, type 2 diabetes mellitus patients by 162 people, and the families of diabetes mellitus patients by 162 people. In the group of diabetes mellitus patients, the sample used 30 respondents who were divided into two groups, namely 15 respondents in the experimental group and 15 respondents in the control group. In the population of family diabetes mellitus patients, the sample applied 30 respondents, who were divided into 15 respondents for the experimental group and 15 respondents for the control group. Non-probability sampling with a purposive sampling technique was utilized. Data analysis using the paired t-test showed a p-value of 0.001 <0.05. So, it can be concluded that health education on knowledge of hypoglycemia in type 2 diabetes mellitus patients was effective in the working area of Puskesmas Nguter Sukoharjo. For the results of the paired t-test, we found p = <0.001 in the experimental group, which showed that there was an effect of hypoglycemia health education with videos on knowledge of type 2 diabetes families. Diabetes mellitus patients need to always adopt a healthy lifestyle so as to create a good health status and avoid complications of diabetes mellitus patients.
Introduction: Acute and chronic complications can occur in diabetes mellitus with high blood glucose levels and tend to fluctuate. The most common chronic complication is diabetic neuropathy. Treatment of diabetic neuropathy that is not carried out can lead to diabetic foot ulcers and even amputation. The prevention of diabetic neuropathy can be done by improving patients' knowledge to ease neuropathy treatment; as a result, the disability can be avoided. This study aims to determine the relationship between knowledge about preventing and treating diabetic neuropathy in people with diabetes mellitus in Sukoharjo.Methods: This type of research is descriptive with a correlation design using a cross-sectional approach. The population used in this study was all people with diabetes mellitus, who collected 17,403 patients. The sample used was 120 respondents who were selected by purposive sampling. The research instrument used a knowledge questionnaire. To analyze the data, used Spearman Rank correlation test.Results: The sample in this study was 120 respondents obtained by the purposive sampling technique. The sample used as research respondents are people with diabetes mellitus who have met the research criteria. This study uses an instrument in the form of google form with data analysis using the Spearman rank test. The results showed the respondents' knowledge level was excellent, as many as 76.7% of 120 respondents and the treatment of diabetic neuropathy was good as many as 65% of 120 respondents. Spearman Rank test results showed an r count of 0.439 and a p-value of 0.001 (<0.05).Conclusion: Based on the research that has been done, it can be concluded that knowledge about the prevention of neuropathy in patients with diabetes mellitus in Sukoharjo Regency is mostly very good, the management of neuropathy in patients with diabetes mellitus in Sukoharjo Regency is mostly good. There is a significant relationship between knowledge about the prevention and treatment of diabetic neuropathy in people with diabetes mellitus in the Sukoharjo Regency.
Para warga lanjut usia merupakan populasi yang sering terkena berbagai jenis penyakit yang berkaitan dengan penuaan/degenerative yang salah satunya adalah Diabetes. Penyakit Diabetes tipe 2 atau Non Insulin Dependent Diabetes Mellitus (NIDDM) di populasi lanjut usia prevalensinya sangat tinggi yaitu sekitar 6 persen. Analisa situasi yang didapatkan menunjukkan bahwa lansia yang angka proporsinya tinggi ditunjang dengan rentan terhadap risiko diabetes perlu diberikan penyuluhan kesehatan untuk peningkatan pengetahuan mereka mengenai luka kaki diabetes. Metode penyuluhan kesehatan ditawarkan sebagai solusi karena banyak pembuktian dari studi dan penelitian serta publikasi di jurnal yang menunjukkan keefektifan penuluhan kesehatan dalam meningkatkan pengetahuan, sikap dan perilaku perawatan kaki diabetes. Pada penyuluhan yang ditawarkan nantinya akan berupa sesi ceramah, tanya jawab serta diskusi dan demonstrasi. Sebagai alat ukur untuk menilai keefektifan penyuluhan tersebut diberikan soal pre test dan post test.
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