UPAYA PENINGKATAN PERSEPSI PERAWATAN KAKI PASIEN DIABETES MELITUS TIPE 2: ACTION RESEARCH DI KLINIK PRATAMA 24 JAM FIRDAUS UMY
DOI:
https://doi.org/10.32504/sm.v12i1.79Abstract
Background: Diabetic Mellitus (DM) patient rarely to obtain health education related foot care from the health services, therefore patients perceived that DM foot care is unnecessary. This study was aimed to enhance the patient’s perception on Diabetic foot care in DM type 2 in the Firdaus Primary Clinic Muhammadiyah University of Yogyakarta (UMY).Â
Methods: Qualitative study with action research design which composed three cycles was applied to frame this study. Six of DM type 2 clients in the Firdaus Primary Clinic Muhammadiyah University of Yogyakarta (UMY) were selected to participate as respondents in this research.
Results: Before received intervention, DM patients were assumed that foot care was not being required and has not performed special foot care yet. This might happen because insufficient information related the diabetic foot care.DM type 2 client have perceived that diabetic foot care was the same treatment like healthy people have. After received intervention and perform the foot care at the first cycle, the DM patients were perceived that foot care is important. They felt some foot disorder such as numb, aches and pain were decreased after performing the foot care at the second stage. Moreover, at the third cycle evaluation’s patients still conducting the foot care. Furthermore, diabetic foot care has become daily activity because they felt the advantages.
Conclusion: Based on the Focus Group Discussion (FGD) analysis and interview with the DM type 2 patients found that the diabetic foot care training could improve perception related the importance and beneficence of foot care so that patients keep performing the foot care.
References
Arsyad, A. (2003). Media Pembelajaran. Jakarta: PT Raja Grafindo Persada.
Basuki, E (2009). Teknik Penyuluhan Diabetes Mellitus dalam PenatalaksanaanDiabetes Mellitus Terpadu. Jakarta : BalaiPenerbit FKUI
Black, J.M & Hawks, J.H (2009). Medical Surgical Nursing Clinical Managemen for Positive Outcome (8 ed). Singapore : Elsevier Pte Ltd
Callaghan, G.M. (2007). Improving Diabetes Self-Management Through Acceptance, Mindfulness, and Values: A Randomized Controlled Trial. Journal of Consulting and Clinical Psychology, 75(2), 336-343, Copyright 2007 by the American Psychological Association.
Desalu, O.O, Salawu, F.K, Jimoh, A.K., Adekoya, A.O., Busari, A.O., & Olokaba, A.B (2011). Diabetic Foot Care : Self Reported Knowledge and Practice among Patient Att ending There Tertiary Hospital in Nigeria. Ghana medical Journal, 45 (2), 60- 65.
Dewi A (2007). Hubungan Aspek-aspek Perawatan Kaki Diabetes dengan Kejadian Ulkus Kaki Diabetes pada Pasien Diabetes Mellitus. Bagian Ilmu Kesehatan Masyarakat/ Kedokteran Keluarga, Fakultas Kedokteran Universitas Muhammadiyah Yogyakarta. Journal Mutiara Medika.
Ewles, L and Simnett, I., 1994; Promosi Kesehatan, Petunjuk Praktis. Edisi Kedua. Yogyakarta: UGM Press.
Frykberg, R. G. (2000). Diabetic Foot Disorders A Clinical Practice Guideline. American College of Foot and Ankle Surgery. The Journal Of Foot & Ankle Surgery, 5(5), 1-68.
Guell and unwin (2015) “ Barriers to diabetic foot care in a developing country with a high incidence of diabetes related amputations: anexploratory qualitative interview study†Journal BMC Health Services Research (2015).15(1), 1.
Guyton & Hall. (2007). Fisiologi Kedokteran, Edisi 11. Jakarta: EGC.
Hasnain, S. & Sheikh, H.S (2009) Knowledge and Practice Regarding Foot Care In Diabetic Patiens Visiting Diabetic Clinic In Jinnah Hospital Lahore. Journal Pakistan Medical Assosiation, 59(10), 659-687.
Hokkam, EN. (2009). Assesment of Risk Factors in Diabetic Foot Ulceration and Their Impact on the Outcome of the Disease. PrimaryCare Diabetes 3 (2009) 219-224.
Hosler,A.S.& Melnik,T.A. (2005). Language And Others Factors Assosiated With Foot Self Management Among Puerto Ricans With Diabetes In New York City. The Diabetes Educator, 31 (3): 418-426.
Indian Health Diabetes Best Practices. (2011). Foot Care. Indian Health Service Division Of Diabetes Treatment and Prevention. Available http://www.ihs.gov/MedicalPrograms/Diabetes/HomeDocs/Tools/BestPractices/2011_BP_FootCare_508c.pdf
Khamseh, M.E., Vatankah, N., Baradaran, H.R. (2007). Knowledge and practice of foot care in Iranian people with type 2 diabetes. International Wound Journal, 4(4), 298-302.
Muninjaya, A.A.G. (2004) Manajemen Kesehatan. Edisi II. Jakarta : Penerbit Buku Kedokteran EGC.
National Diabetes Education Program (NDEP).(2009). Feet Can Last a Lifetime..www.ndep.nih.gov/media/feet_HCGuide.pdf
Notoatmodjo, S., 2003; Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
Pieter, H., Z., Lubis., N., L. (2010). Pengantar Psikologi dalam Keperawatan.Jakarta: Prenada Media Group.
Potter, Patricia A. & Perry, Anne Griffin. (2005). Fundamentals of Nursing (4th Ed.). Philadelphia: Mosby Elsevier.
Qamar, M. Z A. (2011) tentang “Foot care within the jordanian healtcare system: a qualitative inquiry of patien’s prespectives†Australian Journal Of Advanced Nursing, 29(1), 28-36.
Robbins, Stephen P.(2006). Perilaku Organisasi.Edisi kesepuluh. Jakarta: PTIndeks Kelompok Gramedia
Smeltzer, Suzanne C dan Bare, Brenda G. 2001. Buku Ajar Keperawatan Medikal Bedah Brunner & suddat Vol.3. jakarta: EGC
Soegondo, S. (2009). Penatalaksanaan diabetes melitus terpadu. Jakarta: Pusat diabetes dan lipid RSUPN Dr Cipto Mangunkusumo dan FKUI, bekerjasama dengan WHO dan Kementrian kesehatan RI.
Sudoyo, Aru W., Setiyohadi, Bambang., Alwi, Idrus., Marcellus., Simadibrata., Setiati, Siti., (2007). Buku Ajar Ilmu Penyakit Dalam, Jilid 1 Edisi IV. Jakarta: Pusat Penerbitan Departemen Ilmu Penyakit Dalam FKUI.
Sutandi, Aan. (2012). Self Management Education (DSME) Sebagai Metode Alternatif Dalam Perawatan Mandiri Pasien Diabetes Melitus Di Dalam Keluarga. Jurnal Manajemen. Vol.29 nomor 321.
Tambunan, M. (2004). Perawatan Kaki Diabetes. Dalam: Penatalaksanaan Diabetes Melitus Terpadu. Jakarta: Balai Penerbit FK UI
Tovar, E G (2007) . Relationship Between Psychosocial Factor and Adherence to Diet and Exercise in Adult With Type 2 Diabetes: A Test Of a Theoretical Model. The University of Texas Medical Branch
Vatankhah, Nasibeh., Khamseh, Mohammad Ebrahim., Noudeh, Younes Jahangiri., Aghili, Rokhsareh.,, Baradaran, Hamid Reza., Haeri, Nami Safai. (2009). The EffectivenesThe effectiveness of foot care education on people with type 2 diabetes in Tehran, Iran. Primary Care Diabetes 3(2), 73-77.
Wahyuni, T.D. (2013). Ankle Brachial Index (ABI) Sesudah Senam Kaki Diabetes Pada Penderita Diabetes Melitus tipe 2, Journal KeperawatanUMM. 4(2), 143-151
Walgito, B. (2001). Pengantar Psikologi Umum. Yogyakarta: Andi Offset.
Waspadji, S (2009). Diabetes Mellitus : Mekanisme Dasar Dan Pengelolaannya yang Rasional Dalam : Penatalaksanaan Diabetes Mellitus Terpadu Edisi 2. Jakarta : Balai Penerbit FKUI.
Windani, M.S (2012). Pengaruh perawatan Kaki Berbasis Keluarga Terhadap Perilaku Perawatan Kaki Pasien Diabetes Mellitus Pada pasien Diabetes Mellitus Type 2 di Kota Bandung. Tesis, Universitas Padjajaran Bandung
.jpg)
