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Foot Assesment untuk Pencegahan Diabetic Foot Ulcer: A Literatur Review Indiriadi Indiriadi; Saldy Yusuf; Kusrini Kadar
Jurnal Keperawatan Vol 14 No 4 (2022): Jurnal Keperawatan: Desember 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.425 KB) | DOI: 10.32583/keperawatan.v14i4.525

Abstract

Diabetes Melitus (DM) merupakan salah satu penyakit kronis yang menjadi masalah kesehatan masyarakat di dunia dengan prevalensi yang begitu tinggi. Semakin meningkatnya jumlah penderita DM menjadikan peningkatan komplikasi kasus DFU. Foot assesment merupkan penilain yang dilakukan pada kaki untuk mendeteksi terjadinya DFU. Untuk mengetahui foot assessment dalam mengurangi DFU. Pendekatan literature review dengan melakukan pencarian artikel pada enam database yaitu: Pubmed, EBSCO, Proquest, Wiley Online Library dan Garuda pada rentang tahun 2017-2022. Foot assesment dapat meningkatkan sensivitas kaki pada pasien DM dan penurunan terjadinya neuropati, namun sebuah artikel menjelaskan  bahwa pasien dalam kelompok berisiko tinggi memiliki usia yang lebih tinggi, lebih lama durasi diabetes, HbA1C lebih tinggi dan kurang aktivitas, risiko lebih tinggi dengan adanya retinopati, jenis kelamin pasien, BMI, merokok dan nefropati tidak memiliki korelasi yang signifikan dengan risiko ulkus kaki diabetik.
Diabetes Self Management Education dalam Mencegah Risiko Diabetic Foot Ulcer: A Systematic Review Sitti Nurhadijah; Kadek Erika; Saldy Yusuf; Dirga Dijaya Mulyadi
Jurnal Keperawatan Vol 14 No 4 (2022): Jurnal Keperawatan: Desember 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.635 KB) | DOI: 10.32583/keperawatan.v14i4.527

Abstract

Diabetes Melitus (DM) merupakan salah satu jenis penyakit kronis dengan prevalensi cukup tinggi dan komplikasi yang bervariasi, salah satunya adalah diabetic foot ulcer. DFU harus ditangani dan diobati secara cepat dan tepat. Untuk mencegah risiko DFU dengan pemberian Diabetic Self Management Education sebagai tindakan edukasi. Penelitian ini merupakan systematic review menggunakan pedoman ceklist Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Pencarian artikel melalui PuBmed, ProQuest, Ebsco, dan Google Sholar dengan kirteria studi; pasien DM usia >18 tahun;  semua intervensi DSME; semua studi yang membahas risiko DFU outcome; semua jenis studi experimen termasuk Randomized Controlled Trial (RCT) dan quasi-experiment; studi dari semua negara yang berbahasa Inggris dan Indonesia; dan dipublikasikan sejak tahun 2016-2021. Kualitas studi dinilai meggunakan CASP dan JBI Critical Appraisal Checklist for Quasi Eskperiment. Semua studi secara jelas membahas penyebab dan efek setiap variabel dalam penelitian; semua studi menunjukkan bahwa peserta yang dimasukkan dalam penelitian bersifat homogen atau tidak ada perbedaan antara responden pada setiap kelompok. Hasil review kami secara keseluruhan mendukung bukti pemberian DSME dalam mencegah terjadinya risiko DFU.
Tantangan dan Hambatan Perawat Manajer dalam Penerapan Evidence Based Practice: A Scoping Review Musdalipa Kendeng; Erfina Erfina; Saldy Yusuf
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.337 KB) | DOI: 10.32583/keperawatan.v15i1.703

Abstract

Perawat manajer merupakan faktor pendukung dalam penerapan EBP pada layanan asuhan keperawatan. Berbagai penelitian terkait hambatan penerapan EBP hanya membahas mengenai hambatan yang dialami oleh perawat. Tujuan penelitian ini untuk memetakan penelitian yang telah dilakukan terkait tantangan dan hambatan perawat manajer dalam penerapan EBP. Scoping review ini menggunakan panduan PRISMA-ScR. Artikel diperoleh dari PubMed, Cochrane, ERIC dan Wiley Online Library dengan kriteria population: nurse manager OR nurse administrator, concept: evidence based practice OR evidence based management  dan context: challenge OR barrier. Batasan yang diterapkan adalah artikel jurnal, publikasi tahun 2016-2021 dan memiliki full text. Dari hasil pencarian ditemukan 35.369 artikel. Artikel yang memenuhi kriteria kelayakan sebanyak enam artikel. Tantangan penerapan EBP yakni kurangnya partisipasi pasien, pengembangan kepemimpinan, kurang terbiasa dengan kegiatan EBP dan anggapan bahwa EBP merupakan aktivitas rasional dan metode perawatan yang efektif. Hambatan penerapan EBP yakni kurangnya dukungan manajemen, sumber daya dan kompetensi terkait EBP, serta gaya kepemimpinan.
Faktor-faktor Pelaksanaan Kompetensi Klinis Perawat dalam Pelayanan Keperawatan: A Scoping Review Andi Hastuti; Syahrul Syahrul; Rosyidah Arafat; Saldy Yusuf
Jurnal Keperawatan Vol 15 No 2 (2023): Jurnal Keperawatan: Juni 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.68 KB) | DOI: 10.32583/keperawatan.v15i2.878

Abstract

Kewenangan klinis merupakan kompetensi perawat dalam melakukan pelayanan asuhan keperawatan yang aman untuk memberikan perlindungan atas keselamatan pasien maupun perawat itu sendiri. Meskipun demikian pelaksanaan kompetensi klinis masih terdapat banyak kendala. Mengidentifikasi faktor yang berhubungan dengan pelaksanaan kompetensi klinis di rumah sakit. Tinjaun ini menggunakan kerangka scoping review oleh Arkey dan O'Malley. Panduan PRISMA ScR juga digunakan untuk melengkapi. Pencarian artikel di 5 database: PubMed, ProQuest, ScienceDirect, Cochrane Library, Garuda dan 1 website publisher: Wiley Online Library dengan rentang tahun 2017-2022 menggunakan kata kunci Nurse OR Nurses OR Nursing AND Clinical Competence OR Clinical Competencies  AND Nursing Service OR Nursing. Dari 317 artikel yang didapatkan, terdapat 9 artikel yang memenuhi kriteria dan masuk dalam tinjaun ini. Faktor-faktor yang mendukung pelaksanaan kompetensi klinis adalah tingkat pendidikan, sistem kredensial, dukungan manajer keperawatan, pengalaman kerja, usia, status psikologis, kepuasan kerja. Sedangkan faktor-faktor yang menghambat adalah kekurangan sumber daya, status perkawinan, stress, kelelahan.
Jenis-Jenis Terapi Komplementer dalam Menurunkan Gangguan Pernafasan yang Mendekati Gejala pada Pasien ARDS Covid 19: A Scoping Review Rice Mandowa; Aswar Musakkir; Saldy Yusuf; Syahrul Syahrul
Jurnal Penelitian Perawat Profesional Vol 4 No 1 (2022): Februari 2022, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v4i1.811

Abstract

Pasien COVID-19 komplikasi yang sering terjadi pada angka kematian yaitu Acute respiratory distress syndrome (ARDS). ARDS sebagai gambaran disfungsi organ pada fase kritis pada pasin COVID-19. Salah satu kemungkinan yang dapat terjadi penurunan gangguan pernafasan.Tujuan penelitian untuk mengidentifikasi jenis-jenis terapi komplementer terhadap pasien ARDS COVID-19 dalam mengurangi gangguan pernafasan. Desain menggunakan scoping review melalui review artikel tentang jenis complementary therapy terhadap pasien ARDS COVID-19 dalam mengurangi gangguan pernafasan. Pencarian artikel yang diakses melalui database yaitu PubMed, Science Direct, Preques, Ebsco, Springer dan BASE dan diterbitkan sejak 2015-2021. Pencarian mengidentifikasi sebanyak 1667 artikel. Hasil tinjauan pustaka ini, ada lima belas artikel yang memenuhi kriteria inklusi menunjukkan bahwa jenis terapi komplementer yang paling banyak digunakan adalah Mind-body-spirit therapies seperti latihan otot nafas.
Pengembangan Instrumen Perawatan Kaki untuk Pasien Diabetes dalam Upaya Pencegahan Terjadinya Luka Kaki Diabetes (LKD): Study Delphy Eva Arna Abrar; Saldy Yusuf; Elly Lilianty Sjattar
Jurnal Kesehatan Manarang Vol 5 No 1 (2019): Juli 2019
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v5i1.81

Abstract

Diabetes Mellitus (DM) is one of the chronic diseases that cause detrimental effects if left untreated. One of which is the occurrence of diabetic foot ulcer that may lead to amputation. Therefore, an effort is needed to avoid the aforementioned effects. One of the prevention acts is conducting foot care. In conducting foot care, a guide is needed as a reference. Therefore, this study aims to analyze the components of foot care that serve as a guide in performing foot care. Methode Classic Delphi and 3 Delphi online Rounds (Specific parts of Delphi study) are used in this study along with using 7 panelists from several cities in Indonesia. All panelist that consist of a person from Samarinda, a person from Medan, a person from Makassar, a person from Palu, a person from Tanjung Selor, and 2 people from Pontianak. They are qualified with Enterostomal therapy nurse (ETN) certification. Round 1 is started by using open question (Classic Delphi), round 2 and 3 using Online Delphi sent via WhatsApp application. Delphi 3 rounds produced 5 components which are: foot examination and pre-ulcer sign observation, foot washing, nail cutting, socks wearing and shoes checking (the inside and outside part) before and after use, can be used as a guide in foot care. Analysis of the foot care component through the Delphi study has resulted in a consensus that will be served as a reference for the implementation of foot care.
Identifikasi Jenis Bakteri pada Luka Kaki Diabetik berdasarkan Penyebab Luka di Rumah Perawatan Luka dan Poliklinik Luka di Kota Makassar Nurwahidah Nurwahidah; Saldy Yusuf; Takdir Tahir
Jurnal Kesehatan Manarang Vol 4 No 2 (2018): Desember 2018
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v4i2.70

Abstract

The high incidence of Diabetes Mellitus (DM) causes increased complications associated with DM. One is the Diabetic Foot Ulcer (DFU). Delayed healing in DFU is usually caused by infection. The infection of DFU contains many gram negative (-) and gram positive (+) bacteria, so it is important. To identify the type of bacteria present on the DFU based on the cause. This was an experimental cross sectional study conducted at ETN Center, Griya Afiat, Avaro, Isam Cahaya, RSUP DR. Wahidin Sudirohusodo Makassar and Microbiology Laboratory Hospital Unhas Makassar. There were 29 respondents who met the inclusion criteria. Specimens of wound fluid were taken by swabbing technique. The specimen was inoculated on NA (Nutrient Agar) and MCA (MacConcey Agar) then incubated at 37 ° C for ± 18-24 hours to see bacterial morphology. If a gram negative bacteria (-) is tested biochemically by bacteria is grown on TSI (Tripple Sugar Iron), SIM (Indole Motility Sulfide), citrate urea, kovacks. As for gram positive bacteria (+) in MSA medium (Manitol Salt Agar), catalase (H2O2), incubated for 18-24 hours at 37 ° C, record the results of identification and match the bacterial identification table based on gram properties. Based on morphological test, 29,5% gram negative (-) and Gram positive (+) bacteria were 8.8% in traumatic LKD, with the dominant gram negative (-) species being proteus vulgaris (8.8%) and staphylococcus aureus 8.8%) in the gram bacteria (+). While for non trauma LKD found gram negative bacteria (-) as much as 58.8% and gram positive bacteria (+) 2.9% with the dominant type of bacteria are S.Aureus (2.9%) and P. Mirabilis (17.6%) for gram negative bacteria (-). Identification of bacteria in DFU caused by trauma and non trauma is dominant gram negative bacteria (-). Further research is expected to identify the type of bacteria based on the Wagner and sensitivity of the bacteria.
Identifikasi Jenis Bakteri pada Luka Kaki Diabetik (LKD) berdasarkan Lama Menderita Luka Risnawati R Risnawati R; Saldy Yusuf; Yuliana Syam
Jurnal Kesehatan Manarang Vol 4 No 2 (2018): Desember 2018
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v4i2.71

Abstract

Prevalence of diabetic increased causes many comorbidities that appear like diabetic foot ulcers. Diabetic foot ulcers are a common complication of DM that has shown an increasing trend over the past decade. Diabetic foot ulcers is an open wound on the skin surface due to complications that can develop into infection. The ulcer becomes the entrance gate of bacteria that includes Gram positive bacteria and Gram negative aerobs that spread rapidly and cause tissue damage. The purpose of this study was to identify the type of bacteria in diabetic foot ulcers based on long-standing diabetic foot ulcers. This study was a descriptive observational study, with cross sectional design study conducted by taking swab samples from diabetic foot ulcers. Research respondents were 20 patients with diabetic foot ulcers who did wound care at wound clinic and RSUP Dr Wahidin Sudirohuosodo Makassar. This research is done by Accidental Sampling, the data is analyzed descriptively. Gram stain examination results showed that the identification of bacterial species based on long periods suffered from diabetic foot ulcers with onset <6 months, the dominant bacterial colony was Proteus Mirabilis, 5 respondents (50.0%). And identification of bacterial type based on long suffered diabetic foot injury with onset >6 months, showed colony bacterium that was dominant found was Staphylococcus aureus that is 3 respondent (30.0%). Based on the results of the study of bacterial identification in wounded diabetic foot ulcer with onset <6 months dominated by gram-negative bacteria and identification of bacteria in wounded diabetic foot injuries with onset> 6 months dominated by gram-positive bacteria. Suggestions for further research are identification of bacterial types based on identification of antibiotic therapy used by respondents.
Application of Cadexomer Iodine Powder to Minimize Biofilms in Diabetic Foot Ulcer Patients (DFU) at Griya Afiat Wound Care Clinic Case Report Moh Gifari S; Uyunul Jannah; Takdir Tahir; Saldy Yusuf
Jurnal Keperawatan Respati Yogyakarta Vol 7 No 3 (2020): SEPTEMBER 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v7i3.461

Abstract

Every wound in diabetics has the potential to experience a setback in healing into a chronic wound so that the wound also has the potential to form into biofilm. One of the modern dressings commonly used to suppress the growth of biofilm is Cadexomer Iodine Powder. However, there is still limited research that addresses directly related to the effectivity of Cadexomer Iodine Powder towards wound healing. Therefore, this report aims to evaluate effectiveness Cadexomer Iodine Powder on wound healing with biofilm problems at Griya Afiat Makassar's wound care clinic. The study aimed to identify the effectiveness of Cadexomer Iodine Powder in minimizing biofilms in diabetic foot ulcer (DFU) patients. This study was conducted on one patient who was followed prospectively for 32 days from 10 July to 10 August 2019 with 10 treatments. The dressing used for wound care is Cadexomer Iodine Powder. To evaluate the reduction in the number of biofilms performed by the expert wound when treatment continues. Meanwhile, to evaluate the wound healing process, the modified Bates-Jensen Wound Assessment was used. This report shows a decrease in biofilm from the first treatment to the last treatment with the number of biofilms in the first treatment (+++) to a few (+) in the 10th treatment. The treatment also took a short period of time which is 32 days with a wound condition at the beginning of treatment which is 30% of slough and 70% of granulation experiencing a very swift healing in the 10th treatment to 40% of epithelium and 60% of granulation. Cadexomer Iodine Powder is very effective in the process of wound treatment which can be seen through the reduction of biofilms. In addition, wound healing is much better with shorter treatment time as a proof.
The effectiveness of complementary and alternative medicine therapy in reducing pain in diabetic neuropathy: A systematic review Syahriyani, St; Yusuf, Saldy; Syam, Yuliana
Public Health of Indonesia Vol. 7 No. 1 (2021): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v7i1.385

Abstract

Background: Pain is quite often felt in approximately 30 to 50% of people with diabetic neuropathy. As a result, the quality of life is low, indicated by the high morbidity and mortality rates. The availability of symptomatic pharmacological agents has the potential to have side effects and adverse effects in the elderly and in addition to the high risk of addiction. Complementary therapy and alternative medicine in chronic pain are clinically safe, cost-effective, and affordable. However, scientific evidence of its effectiveness is limited.Objective: This systematic review aims to evaluate the intervention modalities and the effectiveness of complementary and alternative medicine therapy in diabetic neuropathy pain.Methods: The searched literature databases included PubMed, ProQuest, ScienceDirect, EBSCO host, DOAJ, Clinical Key for Nursing, and Cochrane. The criteria for the article, among others, focus on complementary therapy and alternative medicine in diabetic neuropathy pain, publications in the last five years, full text, and in English. Results: Fifteen articles were identified in reporting the effectiveness of complementary therapy and alternative medicine in reducing diabetic neuropathy pain, including mindfulness-based stress reduction, mindfulness meditation, relaxation, whole-body vibration, Abzan, aerobic resistance training, nano curcumin, Citrullus colocynthis, dietary, acupuncture, laser, and reflexology.Conclusion: Most scientific evidence reports the effectiveness of complementary and alternative medicine therapies in reducing pain in diabetic neuropathy, thus strengthening its application as an adjunct to conventional medicine is needed.
Co-Authors Abdul Gaffar Abdul Majid Abdul Majid Abdul Majid Ade Irma Rahayu, Ade Irma Adhisty, Weny Anggraini Afelya, Titi Iswanti Amrullah, Fitria Andi Hastuti Andi Minhajuddin Andriana Arfah Anita Rosman Arafah, Masniati Arifuddin, Fitrawati Ariyanti Saleh Aswar Musakkir Awal Darmawan Baharia Laitung, Baharia Bambi, Adi Angriawan Burhanuddin Bahar Cahyono Kaelan Deliaty Bagenda Dirga Dijaya Mulyadi Elisa Sinaga Elly L. Sjattar Elly L. Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Erfina Erfina Etri Selpawani Etty Etty Eva Arna Abrar Fachry Abda El Rahman Fitria Amrullah Fredy, Etri Selpawani Hade, Nurwahidah Hade, Nurwahidah Halbina Famung Halmar Harbaeni, Harbaeni Hasdi, Hasdi Hasni Hasniati, Hasniati Hasriyani Hasriyani, Hasriyani Herman Priyono Luawo Huddu, Risma I Gusti Ngurah Antaryama Ilhamjaya Patellongi Indiriadi Indiriadi Irfanita Nurhidayah Irna Satriani Irwan Irwan Irwan, Andi Masyitha Jannah, Uyunul Jasmin, Muh juhelnita bubun Juhelnita Juhelnita Kadek Ayu Erika Kadek Erika Kaelan, Cahyono Kasma Yuliani KHOIRUL ANAM Kiki Rizky Aulina Kusrini Kadar Kusrini S. Kadar Liza Fauzia Lya Fitriyani M. Alfian Rajab Makbul Aman, Makbul Makkaraka, Nurhidayah Makkaraka, Nurhidayah Malasari, Silvia Maryunis Maryunis Maryunis Maryunis Masriadi, Masriadi Megawati Syam Minhajuddin, Andi Minhajuddin, Andi Moh Gifari S Moh. Syafar Sangkala Muh Hatta Muh. Syahrul Muhammad Darwis Muhrawi Yunding Muhtar, Trini Andini Muhtar, Trini Andini Mulyati Mulyati Musdalifah Musdalipa Kendeng Musfirah Ahmad Nur Febrianti Nur Ila Nur Isnah, Wa Ode Nurbaya Nurbaya Nurfiah, Nurfiah Nurhaya Nurdin Nurul Hidayah Nurwahidah Nurwahidah Nurwahidah Nurwahidah Paridah Paridah R, Risnawati R, Risnawati Rasnah, Rasnah Rasyid, Nur Awaliah Rice Mandowa Rini Angriani Rini Rachmawaty Risnah Risnah, Risnah Risnawati R Risnawati R Risnawati R Risnawati R Rosman, Anita Rosyidah Arafat Rosyidah Arafat, Rosyidah S, Moh Gifari Sabir, Nurfadillah Sari, Mutmainnah Sari, Mutmainnah Sarina Musdiaman Sarina Sukri Sarnida Sarnida Selvia, Heni Silvia Malasari Sintawati Majid Siska Misali Sitti Nurhadijah Sitti Salmawati Sjattar, Elly L St Syahriyani Subu, Muhammad Arsyad Suhirman Suhirman Sukmawati Sukmawati Sulaeha Sulaeha Syahriyani, St Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syaiful Rassa, Syaiful Syakib Bakri Syam, Yuliana Syam, Yuliana Syam, Yuliana Syam, Yuliana Takdir Tahir Tarigan, Sumiati Tarigan, Sumiati Ul Husna, Annisa Dirani Usman, Suharno Uyunul Jannah Wahyu Hidayat Wahyu Hidayat Wahyuna Sahmar Wawan Karniawan Yuliana Syam Yuliana Syam Zulfahmi