PENINGKATAN KETERAMPILAN KELUARGA DALAM DETEKSI DINI DIABETIC FOOT ULCER DI KOTA MATARAM

Agus Supinganto, Aan Dwi Sentana, Ni Putu Sumartini, Mardiatun Mardiatun

Abstract


Abstrak: Gangguan sensasi (Neuropati) penderita Diabetes Mellitus (DM) merupakan faktor penyebab terjadinya Diabetic Foot Ulcer (DFU). New normal pandemic Covid-19 terbatasnya melakukan aktifitas dan kunjungan ke pelayanan kesehatan. Pemeriksaan neurologi di pelayanan kesehatan memerlukan waktu dalam pelaksanaannya sehingga penderita tidak mau datang untuk memeriksakan kesehatannya. Berdasarkan analisis situasi, permasalahan yang dihadapi mitra yaitu keluarga belum tahu gangguan sensasi dan mengenal deteksi dini DFU, sehingga resiko komplikasi DM pada penderita masih tinggi. Pengabdian ini bertujuan untuk (1) Memberikan pengetahuan kepada keluarga mengenai gangguan sensasi; dan (2) Meningkatkan keterampilan keluarga dalam deteksi dini DFU menggunakan Ipswich Touch Test (ITT). Metode yang digunakan dalam pengabdian ini berupa penyuluhan dan pendampingan oleh tim pengabdian dengan materi berupa (1) Pengenalan gangguan Neuropati penderita DM; (2) Pengenalan cara melakukan ITT; dan (3) Pengenalan peralatan untuk deteksi dini Neuropati menggunakan ITT. Mitra pengabdian ini yaitu keluarga penderita DM di Wilayah kerja Puskesmas Cakranegara, Puskesmas Tanjung Karang dan Puskesmas Dasan Agung Kota Mataram. Jumlah peserta sebanyak 45 Kepala Keluarga dengan evaluasi berupa pre-test dan post-test. Hasil kegiatan menunjukkan bahwa peningkatan pengetahuan 2.68 dan peningkatan keterampilan keluarga sejumlah 12.24 tentang deteksi dini DPU menggunakan ITT. Sehinga keluarga mampu melakukan deteksi dini gangguang sensasi serta meningkatkan peran serta keluarga dalam perawatan penderita DM.

Abstract: Impaired sensation (neuropathy) in people with diabetes mellitus (DM) is a factor that causes Diabetic Foot Ulcer (DFU). The new normal for the Covid-19 pandemic is limited to activities and visits to health services. Neurological examinations in health services require time to be carried out so that patients do not want to come to check their health. Based on the situation analysis, the problems faced by partners are that the family does not know about sensation disorders and knows early detection of DFU, so the risk of DM complications in patients is still high. This service aims to (1) provide knowledge to families about sensation disorders; and (2) Improving family skills in early detection of DFU using the Ipswich Touch Test (ITT). The method used in this service is in the form of counseling and assistance by the service team with the materials in the form of (1) Introduction to Neuropathic disorders in DM patients; (2) Introduction of how to do ITT; and (3) Introduction of equipment for early detection of Neuropathy using ITT. The partners of this service are families of DM sufferers in the working area of the Cakranegara Health Center, Tanjung Karang Health Center and Dasan Agung Health Center, Mataram City. The number of participants was 45 families with evaluations in the form of pre-test and post-test. The results of the activity showed that the increase in knowledge of 2.68 and improvement of family skills was 12.24 regarding the early detection of DPU using ITT. So that families are able to make early detection of sensation disorders and increase family participation in the care of people with DM.


Keywords


skills; family; education; DFU; Ipswich Touch Test.

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References


American Diabetes Association. (2017). Standards of Medical in Diabetes. Diabetes Care, 40(January), s33–s43. https://doi.org/10.2337/dc14-S014

Boulton, A. J. M., Armstrong, D. G., Albert, S. F., Frykberg, R. G., Hellman, R., Sue Kirkman, M., Lavery, L. A., LeMaster, J. W., Mills, J. L., Mueller, M. J., Sheehan, P., & Wukich, D. K. (2008). Comprehensive fool examination and risk assessment: A report of the task force of the foot care interest group of the American diabetes association, with endorsement by the American association of clinical endocrinologists. Physical Therapy, 88(11), 1437–1443. https://doi.org/10.2337/dc08-9021

Calle-Pascual, A. L., Durán, A., Benedí, A., Calvo, M. I., Charro, A., Diaz, J. A., Calle, J. R., Gil, E., Maraes, J. P., & Cabezas-Cerrato, J. (2002). A preventative foot care programme for people with diabetes with different stages of neuropathy. Diabetes Research and Clinical Practice, 57(2), 111–117. https://doi.org/10.1016/S0168-8227(02)00024-4

Christia, S., Yuwono, A., & Fakhrurrazy. (2015). Kejadian Neuropati Vaskulopati Pada Pasien Ulkus Diabetik di Poliklinik Kaki Diabetik. Berkala Kedokteran, 11(1), 25–32.

Dewantha, I, M. (2020). Pencegahan Komplikasi DM Pada Era Pandemi Covid 19.

Friedman, M. (2013). Buku ajar keperawatan keluarga: Riset, Teori, praktek. Gosyen Publishing.

Keukenkamp, R., Busch-Westbroek, T. E., Barn, R., Woodburn, J., & Bus, S. A. (2021). Foot ulcer recurrence, plantar pressure and footwear adherence in people with diabetes and Charcot midfoot deformity: A cohort analysis. Diabetic Medicine, 38(4), 1–9. https://doi.org/10.1111/dme.14438

Liu, Z., Dumville, J. C., Hinchliffe, R. J., Cullum, N., Game, F., Stubbs, N., Sweeting, M., & Peinemann, F. (2018). Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus. Cochrane Database of Systematic Reviews, 2018(10). https://doi.org/10.1002/14651858.CD010318.pub3

Massi, G., Kallo, V., Studi, P., Keperawatan, I., Kedokteran, F., & Ratulangi, U. S. (2018). Efektifitas Pemberian Edukasi Dengan Metode Video Dan Focus Group Discussion (Fgd) Terhadap Tingkat Pengetahuan Pasien Dm Tipe 2 Di Klinikdiabetes Kimia Farma Husada Manado. Jurnal Keperawatan, 6(1), 1–6.

Notoatmodjo, S. (2012). Promosi Kesehatan dan Ilmu Perilaku. Rhinika Cipta.

PERKENI. (2015). Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia,.

Sentana AD, Fatoni A,Sumartini NP. (2020). Using The Booklets “Raka” (Rawat Kaki) In Preventing Diabetic Neuropati In Mataram City. Jurnal Kesehatan Prima, Volume 14(2), 106–111. https://doi.org/10.32.807/jkp.v14i2.539

Sharma, S., Kerry, C., Atkins, H., & Rayman, G. (2014). The Ipswich Touch Test: A simple and novel method to screen patients with diabetes at home for increased risk of foot ulceration. Diabetic Medicine, 31(9), 1100–1103. https://doi.org/10.1111/dme.12450

Sugiharto, S. (2021). Healthy eating : A concept analysis. 04(1), 18–27.

Suriadi and Wida Kuswida Bhakti. (2020). DMIST Scale for Predicting Healing Time within 12 Weeks in Patients with Diabetic Ulcer. European Journal of Molecular and Clinical Medicine, 07(10), 2285–2295.

Trisnadewi, N. W., Supinganto, A., & Pardosi, J. F. (2022). Healthy Living Patterns Towards Diabetes Mellitus: A Literature Review. STRADA Jurnal Ilmiah Kesehatan, 11(1), 7–14. https://doi.org/10.30994/sjik.v11i1.881




DOI: https://doi.org/10.31764/jmm.v6i5.10490

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