Pemberdayaan Kader Melalui Program “SI KEPO DM” Sebagai Upaya Pencegahan Diabetic Foot Ulcer dengan Pendekatan Paliatif
DOI:
https://doi.org/10.55606/jpikes.v4i2.2633Keywords:
Diabetes Melitus, Diabetic Foot Ulcer, PaliatifAbstract
Diabetes mellitus (DM) is a group of chronic metabolic diseases characterized by increased blood glucose levels, which over time can cause serious complications if not treated properly (WHO, 2018). SI KEPO DM (Screening, Recognizing and Caring for Diabetes Mellitus) program is used to prevent and early detect Diabetes Mellitus and the emergence of DM Ulcers. Screening to prevent the emergence of DM ulcers with SMART, namely regular health checks, get rid of cigarette smoke, exercise and physical activity regularly, have a balanced diet, get enough rest and manage stress well. Nowadays, many people do not provide enough fiber in their food, they consume a lot of food that contains cholesterol, saturated fat and sodium, which is made worse by the frequent consumption of foods and drinks that are rich in sugar. Based on a preliminary study, it was found that there was one resident of Karagayu sub-district with a diabetic ulcer who died due to a lack of knowledge regarding the prevention and treatment of Diabetic Ulcer wounds and chose to seek alternative treatment. There is a lack of knowledge regarding screening for early detection of DM as well as how to recognize and care for diabetes mellitus to prevent the appearance of ulcers, so it is necessary to actualize elderly cadres to carry out the Screening, Recognize and Care for Diabetes Mellitus Program as an effort to prevent the appearance of DM Ulcers in the elderly or those who abbreviated as the “SI KEPO DM” program.
References
American Diabetes Association. (2020). Standards of medical care in diabetes: Response to position statement of the American Diabetes Association-2020. Diabetes Care, 29(2), S1-S207.
Amoah, V. M. K., Anokye, R., Acheampong, E., Dadson, H. R., Osei, M., & Nadutey, A. (2018). The experiences of people with diabetes-related lower limb amputation at the Komfo Anokye Teaching Hospital (KATH) in Ghana. BMC Research Notes, 11(1), 1–5. https://doi.org/10.1186/s13104-018-3176-1
Anumah, F. O., Mshelia-Reng, R., & Omonua, O. S. (2020). Impact of diabetes foot care education on amputation rate in the University of Abuja Teaching Hospital, Nigeria. International Journal of Lower Extremity Wounds. https://doi.org/10.1177/1534734620934578
Badan Penelitian dan Pengembangan Kesehatan. (2018). Riset Kesehatan Dasar (RISKESDAS) 2018. Laporan Nasional 2018, 1–384. https://doi.org/1 Desember 2018
Erfurt-Berge, C., Ronicke, M., Richter-Schmidinger, T., & Walther, F. (2019). Quality of life assessment in family members of patients with chronic wounds. European Journal of Dermatology, 29(5), 484-489.
Gayatri, D., Nurachmah, E., Mansyur, Soewondo, Pradana, & Suriadi. (2020). Relationship between wound severity, discomfort, and psychological problems in patients with a diabetic foot ulcer in Indonesia: A cross-sectional study. Journal of Aquichan. https://doi.org/10.5294/aqui.2020.20.3.3
Joensen, L. E., Willaing, I., Holt, R. I. G., Wens, J., Skovlund, S., & Peyrot, M. (2017). Household composition and psychological health: Results of the Second Diabetes Attitudes, Wishes and Needs (DAWN2) study. Journal of Diabetes and Its Complications, 31(2), 340–346. https://doi.org/10.1016/j.jdiacomp.2016.07.006
Kim, E. J., & Han, K. S. (2020). Factors related to self-care behaviours among patients with diabetic foot ulcers. Journal of Clinical Nursing, 29(9-10), 1712-1722.
Kizilkurt, O. K. (2020). Quality of life after lower extremity amputation due to diabetic foot ulcer: The role of prosthesis-related factors, body image, self-esteem, and coping styles. The Journal of Psychiatry and Neurological Sciences, 109-119. https://doi.org/10.14744/DAJPNS.2020.00070
Kolltveit, B.-C. H., Gjengedal, E., Graue, M., Iversen, M. M., Thorne, S., & Kirkevold, M. (2016). Telemedicine in diabetes foot care delivery: Health care professionals’ experience. BMC Health Services Research, 16(1), 134. https://doi.org/10.1186/s12913-016-1377-7
McGloin, H., Devane, D., & McIntosh, C. D. (2017). Psychological interventions for treating and preventing recurrence of foot ulcers in people with diabetes.
Norman, G., Westby, M. J., Vedhara, K., Game, F., & Cullum, N. A. (2020). Effectiveness of psychosocial interventions for the prevention and treatment of foot ulcers in people with diabetes: A systematic review. Diabetic Medicine, 37(8), 1256-1265. https://doi.org/10.1111/dme.14326
Pedras, S., Carvalho, R., & Pereira, M. G. (2020). Quality of life following a lower limb amputation in diabetic patients: A longitudinal and multicenter study. Psychiatry (New York), 83(1), 47-57. https://doi.org/10.1080/00332747.2019.1672438
Perkeni. (2015). Pedoman pengelolaan Glukosa Darah Mandiri 2015. Pengurus Besar Perkumpulan Endokrinologi Indonesia (PB Perkeni). https://doi.org/10.1017/CBO9781107415324.004
Razjouyan, J., Grewal, G. S., Talal, T. K., Armstrong, D. G., Mills, J. L., & Najafi, B. (2017). Does physiological stress slow down wound healing in patients with diabetes? Journal of Diabetes Science and Technology, 11(4), 685–692. https://doi.org/10.1177/1932296817705397
Suza, D. E., Eltrikanawati, T., & Tarigan, R. (2020). The lived experience of patients from an ethnic group in Indonesia undergoing diabetic foot ulcer treatment. British Journal of Nursing, 29(5), 20-26. https://doi.org/10.12968/bjon.2020.29.5.S20
Taslim, M. A., & Kristiyawati, S. P. (2023). Studi fenomenologi pengalaman kecemasan dengan pendekatan paliatif pada pasien dengan ulkus diabetikum. Nursing Update: Jurnal Ilmiah Ilmu Keperawatan. https://stikes-nhm.e-journal.id/NU/article/view/1019/988
Taslim, M. A., Sari, D. V., & Mirsada, J. N. (2023). Hubungan family support dengan tingkat stres pada pasien diabetes melitus. Nursing Update: Jurnal Ilmiah Ilmu Keperawatan. https://stikes-nhm.e-journal.id/NU/article/view/1473/1376
Vlachakis, C., Dragoumani, K., Raftopoulou, S., Mantaiou, M., Papageorgiou, L., Tsaniras, S. C., ... Vlachakis, D. (2018). Human emotions on the onset of cardiovascular and small vessel related diseases. In Vivo, 32(4), 859–870. https://doi.org/10.21873/invivo.11320
World Health Organization. (2018). Global status report on noncommunicable diseases. World Health Organization. https://doi.org/ISBN 9789241564854
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jurnal Pengabdian Ilmu Kesehatan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
