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Journal : Indonesian Journal of Global Health research

The Ipswich Touch Test (IPTT) has the Sensitivity and Specificity Equivalent to the Monofilament Test for the Detection of Diabetic Sensory Neuropathy Alvira, Revalina Silmy; Dahrizal, Dahrizal; Idramsyah, Idramsyah; Septiyanti, Septiyanti; Lestari, Widia
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3701

Abstract

The most common complication of diabetes is neuropathy. Diabetic foot screening includes secondary prevention efforts against further complications from diabetes. The need for practitioners to have practical, simple, and affordable sensory neuropathy screening techniques that can be independently is a demand in today's health services. A study aimed to assess the sensitivity and specificity of the ipswich touch test (IPTT) to the 10g monofilament test in the early detection of diabetic neuropathy. Methods: This quantitative observational research design used a cross-sectional method with 61 respondents who had diabetes mellitus for more than one year in the working area of the Pasar Ikan Health Center, Bengkulu City. Samples were taken by consecutive sampling. The researcher conducted an ipswich touch test (IPTT) first and then an examination with a monofilament test of 10g as the gold standard. The data is processed and analyzed with a computer application to see the sensitivity and specificity values. Ipswich touch test (IPTT) had a sensitivity value of 91.3%, specificity of 92.1%, positive predictive value of 87.5%, negative predictive value of 94.59%, positive probability ratio of 11.55, negative probability ratio of 0.09 and AUC value of 91%. The ipswich touch test (IPTT) has the same sensitivity, specificity, and accuracy as the monofilament test.
Neurovascular Treatment in Improving Peripheral Perfusion in Diabetes Mellitus Patients Shazhabilla, Neice Shieva; Septiyanti, Septiyanti
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4077

Abstract

Diabetes Mellitus (DM) is a long-term metabolic disorder caused by insulin function insufficiency, with many etiologies characterized by hyperglycemia accompanied by problems with carbohydrate, lipid, and protein metabolism. More than 90% of DM patients experience neuropathy complications and 50% experience peripheral neuropathy. DM patients with peripheral neuropathy experience decreased peripheral nerve perfusion so that neurovascular care is needed. Objective: This study was conducted to provide an overview of neurovascular care in improving peripheral perfusion in DM patients. Method: This study used a descriptive case study design using the nursing process. This study focuses on improving peripheral perfusion in DM patients with Neurovascular Care interventions to 2 respondens. The intervention carried out on two respondents according to the evidence base was foot exercises with diaball, foot spa, and ROM for 3 x 8 hours. The research instrument used is The Michigan Neuropathy Screening Instrument (MNSI) in assessing the complications of peripheral neuropathy which focuses on data on decreased peripheral perfusion and monofilaments to measure foot sensitivity. Results: Nursing activities start from assessing the patient's circulation needs and continue to data analysis. The data analyzed showed that >80% of the major and minor data listed in the guidelines for raising nursing diagnoses, namely the Indonesia Nursing Diagnose Standards (SDKI). From the data obtained, the diagnosis that can be raised is that peripheral perfusion nursing is ineffective with peripheral perfusion nursing outcomes with increased expectations. On the last day of the nursing evaluation, there was an increase in peripheral perfusion from a decreasing level to a moderate level in the respondents. Conclusions: Neurovascular Treatment can be applied to improve peripheral perfusion in DM patients.