CASE REPORT : PENYEMBUHAN LUKA KAKI DIABETIK PADA PASIEN DENGAN GULA DARAH TERKONTROL

Zulmah Astuti, Hamka Hamka

Abstract


ABSTRACT: CASE REPORT OF HEALING OF DIABETIC FOOT ULCERS ON A PATIENT WITH DM TYPE 2 AND PROLONGED BLOOD SUGAR MONITORING
Background: Diabetic foot ulcers are the most common complications in patients with neuropathy. When diabetic foot ulcers could be cared properly, then preventing the risk of greater amputation. Methods: Case studies on a patient with DM type 2 and has diabetic foot ulcers with a history of irregular DM treatment. Wound care was using modern dressing and an estimated length of healing based on wound presentation with Bettes Jensen in patients followed by prolonged blood sugar monitoring independently by the patient and reported the progress of wound healing Result: The progress of foot ulcers healing in patients as well as prediction in healing condition. During the healing process, the patient was paying attention in diabetic diet and prolonged blood sugar monitoring by selfexamination independently.

 

Pendahuluan : luka kaki diabetik merupakan komplikasi yang paling sering terjadi pada pasien yang mengalami Neuropathy. Apabila luka kaki diabetic tidak ditangani dengan baik dan pasien tidak terlibat dalam penatalaksanaan perawatan yang benar maka resiko terjadi amputasi semakin besar Metode : studi kasus pada pasien DM Tipe 2 yang memiliki luka kaki diabetik dengan riwayat pengobatan DM tidak teratur. Perawatan luka dengan menggunakan modern dressing dan dilakukan estimasi lama penyembuhan berdasarkan presentasi luka dengan bettes jensen pada pasien diikuti dengan pemantauan gula darah sewaktu dan gula darah puasa yang diperiksa secara mandiri oleh pasien dan dilaporkan pada saat perawatan luka Hasil : percepatan penyembuhan luka kaki pada pasien sesuai dengan prediksi dan kondisi luka semakin membaik. Hal ini dikarenakan selama proses penyembuhan, pasien berperan aktif dalam melakukan manajemen kontrol gula darah sendiri dengan melakukan pemeriksaan kadar gula darah mandiri serta mengatur pola dan jumlah porsi makan perhari termasuk membatasi makan malam lebih awal yaitu 4 jam sebelum tidur


Keywords


diabetic foot ulcers, blood sugar, wound healing. Kata kunci : Luka kaki diabetik, gula darah, penyembuhan luka

Full Text:

PDF

References


Advance Collaborative Group. (2008). Intensive Blood Glucose Control And Vascular Outcomes In Patients With Type.

Ahmad, N. S., Islahudin, F., & Paraidathathu, T. (2014). Factors Associated With Good Glycemic Control Among Patients With Type 2 Diabetes Mellitus. Journal Of Diabetes Investigation, 5(5), 563-569.

American Diabetes Association. (2017). 10. Microvascular Complications And Foot Care. Diabetes Care, 40(Supplement 1), S88-S98.

Armstrong, D. G., Boulton, A. J., & Bus, S. A. (2017). Diabetic Foot Ulcers And Their Recurrence. New England Journal Of Medicine, 376(24), 2367-2375.

Atlas, I. D. (2016). 2015. The Qualitative Data Analysis. Disponível Em: Http://Atlasti. Com/Acesso Em, 26.

Canadian Task Force On Preventive Health Care. (2012). Recommendations On Screening For Type 2 Diabetes In Adults. Canadian Medical Association Journal, 184(15), 16871696

Cho, N. H., Shaw, J. E., Karuranga, S., Huang, Y., Da Rocha Fernandes, J. D., Ohlrogge, A. W., & Malanda, B. (2018). IDF Diabetes Atlas: Global Estimates Of Diabetes Prevalence For 2017 And Projections For 2045. Diabetes Research And Clinical Practice, 138, 271-281.

Data, P., & Informasi Kementerian, R. I. (2013). Pusat Data Dan Informasi Kemenkes RI, 2013.

Febriyani, F., & Darliana, D. (2017). Perasaan Ketidakberdayaan Dengan Kualitas Hidup Pasien Ulkus Diabetik. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, 2(4)

Goodridge, D., Trepman, E., & Embil, J. M. (2005). Health-Related Quality Of Life In Diabetic Patients With Foot Ulcers: Literature Review. Journal Of Wound Ostomy & Continence Nursing, 32(6), 368-377.

Kateel, R., Augustine, A. J., Prabhu, S., Ullal, S., Pai, M., & Adhikari, P. (2018). Clinical And Microbiological Profile Of Diabetic Foot Ulcer Patients In A Tertiary Care Hospital. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 12(1), 27-30.

Lim, J. Z & Thomas, C. (2017). Prevention And Treatment Of Diabetic Foot Ulcers. Journal Of The Royal Society Of Medicine, 110(3), 104-109.

Lindgård Andersen, S., Pedersen, M., & Steffen, V. (2017). Illness, Normality, And SelfManagement: Diabetic Foot Ulcers And The Logic Of Choice. EWMA Journal, 17(1).

Masykur, F., Kom, M., Gernowo, R., Si, S., Si, M., & Suhartono, M. (2012). Implementasi Sistem Pakar Diagnosis Penyakit Diabetes Ellitus

Rachmawati, N., & Kusumaningrum, N. S. D. (2017). Gambaran Kontrol Dan Kadar Gula Darah Pada Pasien Diabetes Melitus Di Poliklinik Penyakit Dalam Rsj Prof. Dr. Soerojo Magelang (Doctoral Dissertation, Universitas Diponegoro).

Sanal, T. S., Nair, N. S., & Adhikari, P. (2011). Factors Associated With Poor Control Of Type 2 Diabetes Mellitus: A Systematic Review And Meta-Analysis. Journal Of Diabetology, 2(3), 4.

Semadi, I. N., & Irawan, H. (2017). Blood Glucose And Lipid Profile In Patients With Diabetic Foot Ulcer That Underwent Hyperbaric Oxygen Therapy. BALI MEDICAL JOURNAL, 6(2), 405-408.

Suantika, P. I. R., & Suantika, P. I. R. (2015). Hubungan Self Care Diabetes Dengan Kualitas Hidup Pasien DM Tipe 2 Di Poliklinik Interna Rumah Sakit Umum Daerah

Wijesinha, S. (2007). Self-Monitoring Of Blood Glucose Among Diabetes Patients Attending Government Health Clinics. Med J Malaysia, 62(2), 147.

Wu, H. I. (2005). A Case Study Of Type 2 Diabetes Self-Management. Biomedical Engineering Online, 4(1), 4.




DOI: https://doi.org/10.33024/hjk.v12i2.188

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 HOLISTIK JURNAL KESEHATAN

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

If this paper is accepted for publication, you will be asked to pay an Article Publication Fee to cover publications costs.