ABSTRACT

 

Diabetes mellitus is a lifelong condition which is one of the leading causes of death in the world. Approximately 15% of patients with diabetes mellitus will suffer from diabetic foot ulcers. The incidence of lower extremity amputation associated with diabetic foot ulcers was significantly inversely correlated with the provision of foot care services. The purpose of this study was to determine the relationship between foot care and the occurrence of foot ulcers in patients with Type 2 Diabetes Mellitus based on literature studies in the last 5 years. Literature review is carried out based on issues, methodologies, similarities and further research proposals. Of the 11 articles, it shows that one researcher conducted a design using case control, one researcher used the cohort study method, while three researchers used a quasi experiment (pre-post test with control design), one researcher used a questionnaire design and five researchers used a cross sectional study ( documentation studies). The population is all patients with diabetes mellitus. Based on 11 studies, it was found that there was a significant relationship between foot care and the occurrence of foot ulcers in patients with Type 2 Diabetes Mellitus. people with type 2 DM. Given the high prevalence of UKD in patients with type 2 diabetes, it is recommended that they perform routine foot care.

 

Keywords: Diabetes Mellitus, Diabetic Foot Ulcers, Foot CareABSTRAK

 

ABSTRAK

 

Diabetes melitus adalah kondisi seumur hidup yang merupakan salah satu penyebab utama kematian di dunia. Sekitar 15% pasien diabetes melitus akan menderita ulkus kaki diabetik. Insiden amputasi ekstremitas bawah terkait ulkus kaki diabetes secara signifikan berkorelasi terbalik dengan penyediaan layanan perawatan kaki. Tujuan dari penelitian ini adalah untuk mengetahui hubungan perawatan kaki dengan terjadinya ulkus kaki pada pasien dengan Diabetes Mellitus Type 2 berdasarkan studi literatur dalam 5 tahun terakhir. Literatur review dilakukan berdasarkan issue, metodologi, persamaan dan proposal penelitian lanjutan.  Dari 11 artikel menunjukan terdapat satu peneliti melakukan desain dengan menggunakan case control, satu peneliti menggunakan metode cohort study sedangkan tiga peneliti menggunakan quasy experiment (pre-post test with control design), satu peneliti dengan menggunakan kuesioner design dan lima peneliti menggunakan cross sectional study (studi dokumentasi). Populasinya adalah seluruh pasien diabetes melitus. Berdasarkan 11 penelitian didapatkan bahwa ada hubungan yang signifikan antara perawatan kaki dengan terjadinya ulkus kaki pada pasien dengan Diabetes Mellitus Type 2. Hubungan kejadian UKD dengan perawatan kaki cukup signifikan dengan arah hubungan negatif yang bermakna semakin buruk perilaku merawat kaki maka akan semakin tinggi kejadian UKD pada orang dengan DM tipe 2. Mengingat tingginya prevalensi UKD pada pasien DM tipe 2 maka disarankan agar melakukan perawatan kaki secara rutin.

 

Kata Kunci: Diabetes Melitus, Ulkus Kaki Diabetic, Perawatan Kaki

Amilia, Y., Saraswati, L. D., Epid, M., Muniroh, M., Med, M. S., Ph, D., Udiyono, A., & Kes, M. (2018). Hubungan Pengetahuan , Dukungan Keluarga Serta Kejadian Ulkus Kaki Diabetes ( Studi di Wilayah Kerja Puskesmas Ngesrep Semarang ). Jurnal Kesehatan Masyarakat (e-Journal), 6(1). http://ejournal3.undip.ac.id/index.php/jkm

Ariani, Y., Br Tarigan, R., & Pase, A. (2017). Foot Care and Risk of Diabetic Foot in Patient with Type 2 Diabetes at H. Adam Malik Hospital Medan. 1(PHICo 2016), 209–212. https://doi.org/10.2991/phico-16.2017.38

Arianti, Yetti, K., & Nasution, Y. (2015). Hubungan Antara Perawatan Kaki dengan Risiko Ulkus Kaki Diabetes di Rumah Sakit PKU Muhammadiyah Yogyakarta. Muhammadiyah Journal of Nursing, 2008, 9–18.

Bahador, R. S., Afrazandeh, S. S., Ghanbarzehi, N., & Ebrahimi, M. (2017). The impact of three-month training programme on foot care and self-efficacy of patients with diabetic foot ulcers. Journal of Clinical and Diagnostic Research, 11(7), IC01–IC04. https://doi.org/10.7860/JCDR/2017/29025.10261

Bolajoko, E. B., Akinosun, O. M., & Khine, A. A. (2020). Hyperglycemia-induced oxidative stress in the development of diabetic foot ulcers. In Diabetes. INC. https://doi.org/10.1016/b978-0-12-815776-3.00004-8

Decroli, E. (2019). Dibetes Melitus Type 2. http://repo.unand.ac.id/21867/1/Buku Diabetes Melitus %28Lengkap%29.pdf

Dini, Cleonara Yanuar., Maulida Sabila., Intan Yusuf Habibie., dan F. A. N. (2017). Asupan Vitamin C dan E Tidak Mempengaruhi Kadar Gula Darah Puasa Pasien DM Tipe 2. Indonesian Journal of Human Nutrition, 4(2), 65–78. https://doi.org/10.21776/ub.ijhn.2017.004.02.1

Embuai, S., Siauta, M., & Tuasikal, H. (2018). Hubungan Diabetes Self Care Terhadap Risiko Foot Ulcer pada Klien Diabetes Melitus ( The Correlation Between Self Care Diabetes on Foot Ulcer Risk in Diabetes Mellitus Clients ). 2(September), 83–87.

Fatimah, R. N. (2015). Diabetes Melitus Tipe 2. 4, 93–101.

Hartalkar, A., Hartalkar, S., Peshwe, K., & Nath, B. (2016). Profile of Patients with Diabetes Taking Self Foot Care: Data from a Rural Teaching Hospital. Indian Journal of Forensic and Community Medicine, 3(1), 1. https://doi.org/10.5958/2394-6776.2016.00001.1

Hasanah, U., Yusuf, S., Rachmawaty, R., Mukhtar, M., & Sandi, S. (2020). Differences in foot care practice between participants at risk for and with diabetic foot ulcers (DFUs) in community. Enfermería Clínica, 30(Supplement 2), 144–148.

Kartika, R. W. (2017). Pengelolaan gangren kaki Diabetik. Continuing Medical Education - Cardiology, 44(1), 18–22.

Kurdi, F., & Ratna Puji Priyanti. (2019). Manajemen Ulkus Kaki Diabetikum : Efektifitas Foot Exercise Terhadap Risiko DFU (Diabetic Foot Ulcers) Pasien Diabetes Mellitus di AL Hijrah Wound Care Center. Jurnal Ilmiah PANNMED, 14(2).

Netten, J. J. Van, Monteiro-soares, M., Raspovic, A., Lavery, L. A., Rasmussen, A., Sacco, I. C. N., & Bus, S. A. (2020). Prevention of foot ulcers in the at-risk patient with diabetes : a systematic review. 36(June 2019), 1–22. https://doi.org/10.1002/dmrr.3270

Nh Azmi, A Abdul Hadi, MA Aris, HE Nasreen, A, C.-A. (2020). Prevalence and Associated Factors of Diabetic Foot at Risk among Type 2 Diabetes Mellitus Patients Attending Primary Health Clinics in Kuantan . 19(3), 11–19.

Nongmaithem, M., Pal, A., Bawa, S., Pithwa, A. K., Bhatia, S. K., Singh, G., & Gooptu, S. (2016). Original Article A study of risk factors and foot care behavior among diabetics. 399–403. https://doi.org/10.4103/2249-4863.192340

Nursalam, P. H. (2020). Penulisan Literature Review dan Systematic Review.

Paisey, R. B., Abbott, A., Levenson, R., Harrington, A., Browne, D., Moore, J., Bamford, M., & Roe, M. (2018). Research: Care Delivery DIABETICMedicine DOI: 10.1111/dme.13512 Diabetes-related major lower limb amputation incidence is strongly related to diabetic foot service provision and improves with enhancement of services: peer review of the South-West of Engla. Diabetic Medicine, 35(1), 53–62. https://doi.org/10.1111/dme.13512

Perkeni. (2011). Konsensus Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Di Indonesia 2011.

Surya, Defrima Oka., Agus Setiawan., & P. F. (2018). Efektifitas Pelaksanaan Intervensi Early Self Management Intervension (ES-Mager) Terhadap Pencegahan Komplikasi Kaki Diabetik Pada Agregat Dewasa di Kota Depok. MENARA Ilmu, XII(80), 137–145. https://www.jurnal.umsb.ac.id/index.php/menarailmu/article/view/618

Świątoniowska, N., Chabowski, M., & Jankowska-Polańska, B. (2020). Quality of Foot Care Among Patients With Diabetes: A Study Using a Polish Version of the Diabetes Foot Disease and Foot Care Questionnaire. Journal of Foot and Ankle Surgery, 59(2), 231–238. https://doi.org/10.1053/j.jfas.2019.07.020

Tini, T., Setiadi, R., & Noorma, N. (2019). Mengurangi Resiko Kaki Diabetik pada Pasien Diabetes Melitus Tipe 2. 7(1).

Westby, M., Norman, G., Vedhara, K., & Game, F. (2020). Systematic Review or Meta-analysis Psychosocial and behavioural prognostic factors for diabetic foot ulcer development and healing : a systematic review. 1244–1255. https://doi.org/10.1111/dme.14310

Wintoko, R., Dwi, A., & Yadika, N. (2020). Manajemen Terkini Perawatan Luka Update Wound Care Management. JK Unila, 4, 183–189.

Woody, J. (2020). Overview of Diabetic Foot Care for the Nurse Practitioner. Journal for Nurse Practitioners, 16(1), 28–33. https://doi.org/10.1016/j.nurpra.2019.08.011

Yazdanpanah, L., Shahbazian, H., Nazari, I., Arti, H. R., Ahmadi, F., Mohammadianinejad, S. E., Cheraghian, B., & Hesam, S. (2018). Incidence and Risk Factors of Diabetic Foot Ulcer : A Population-Based Diabetic Foot Cohort ( ADFC Study ) — Two-Year Follow-Up Study. 7631659. https://doi.org/10.1155/2018/7631659

Yoyoh, I., Mutaqqijn, I., & Nurjanah, N. (2017). Hubungan Antara Perawatan Kaki Dengan Risiko Ulkus Kaki Diabetes Di Ruang Rawat Inap Rsu Kabupaten Tangerang. Jurnal JKFT, 1(2), 8. https://doi.org/10.31000/jkft.v2i2.14