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All Journal Jurnal Ners Sehat Rakyat: Jurnal Kesehatan Masyarakat
Djoko Priyono
Tanjungpura University
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Trigona Honey For Infection Control And Wound Healing In Diabetic Foot Ulcers: A Case Report Sukarni Sukarni; Djoko Priyono; Kharisma Pratama
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55289

Abstract

Background: Diabetes-related foot ulcer (DFU) is a chronic complication of diabetes mellitus that is frequently accompanied by infection and carries a high risk of lower-limb amputation. Effective infection control and continuous monitoring of wound progression are critical determinants of therapeutic success. Trigona honey has been reported to possess antibacterial and anti-inflammatory properties that may support wound healing. Case Presentation: A 47-year-old man with a five-year history of type 2 diabetes mellitus presented with a Wagner grade 2 DFU on the left toe following trauma. The ulcer exhibited signs of severe infection, including erythema, pain, and purulent exudate. Laboratory findings revealed leukocytosis and elevated blood glucose levels. The patient received systemic antibiotic therapy in combination with standard wound care, including cleansing, debridement, and topical application of Trigona honey using gauze dressings. Dressings were changed every 24–96 hours depending on wound condition. Results: Over a 30-day treatment period, there was a gradual reduction in infection status and progressive improvement in wound healing, characterized by decreased inflammation and the formation of healthier granulation tissue. However, prolonged use of Trigona honey during the proliferative phase was associated with maceration and hypergranulation around the wound. Conclusion: Trigona honey, when used as an adjuvant therapy, is effective in controlling infection and promoting wound healing during the early phase of DFU. Continued application should be reassessed if signs of maceration or hypergranulation occur, and treatment strategies should be adjusted according to the wound-healing phase to optimize clinical outcomes.
Exploring Diabetes Wellbeing: A Panel Data Analysis of Physical Activity, Depressive Symptoms, and Health-Related Quality of Life in Korea Djoko Priyono; Ju Hye Jin; Min-Song Kim; Ainun Najib Febrya Rahman; Haryati Septiani
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7449

Abstract

Background: Negative health outcome is the result of both physical activity and depressive symptoms aggravating each other. The potential impact of the interaction between physical activity and depressive symptoms on health-related quality of life is not well understood. This study was conducted to investigate the association between physical activity, depressive symptoms, and health-related quality of life in diabetic patients in Korea. Methods: Data was collected from 1,472 participants with diabetes mellitus from the Korea Health Panel Survey (KHPS) in 2020 after missing values were excluded. Sociodemographic characteristics, physical activity, depressive symptoms, and EQ -5D scores were obtained from the KHPS. To determine the association between physical activity, depressive symptoms, and health-related quality of life, linear regression analysis was performed after controlling for confounding variables. Results: Results showed that physical activity and depressive symptoms had a significant impact on health-related quality of life. After adjustment for gender, age, occupation, and alcohol consumption, physical activity and depressive symptoms remained strongly associated. The incidence of depressive symptoms was 0.74 higher with irregular physical activity than among those who took part in regular physical activity (p < 0.05). Conclusion: Physical activity and depression symptoms are correlated with health-related quality of life. Physical activity intensity and depressive symptoms should be considered when developing programs to improve health-related quality of life.
Co-Authors Ainun Najib Febrya Rahman Haryati Septiani Ju Hye Jin Kharisma Pratama Min-Song Kim Sukarni Sukarni