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Perbedaan Mekanisme Koping Penderita Diabetes Mellitus dengan Ulkus dan Tanpa Ulkus Diabetikum Desta Opchera Dina Rahmawati; Atyanti Isworo; Yunita Sari
JURNAL KEPERAWATAN MERSI Vol 14 No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12858

Abstract

Background: Diabetes mellitus is a long-term disease that causes alterations in lifestyle, influences physical, psychological health, and causes many complications, including diabetic ulcers. The alteration of life in diabetic patients that was caused by diabetes mellitus, or diabetic ulcer, could be a stressor for patients. The coping mechanism was formed as an adaptation to that stressor. Coping mechanisms in patients could be problem-focused coping and emotion-focused coping. Objective: This research aimed to determine the differences in coping mechanisms between diabetic patients with and without diabetic ulcers at RSUD Margono Soekarjo Purwokerto. Methods: This research was a comparative research design. The sampling technique was purposive sampling. There were 49 respondents, 18 patients with diabetic ulcers and 31 patients without diabetic ulcers. Data was collected using the COAP questionnaire and analyzed using the Chi-square test. Results: There was no difference in coping mechanisms between diabetic patients with and without diabetic ulcers (p=0.443). Emotion-focused coping was the most used coping mechanism among subjects with and without diabetic ulcers, and the coping mechanism of diabetic patients with and without ulcers was not different. The most important aspects of emotion-focused coping in respondents with and without diabetic ulcers were oriented to religion, which caused positive emotion and mental endurance to face the problem. Conclusion: Coping mechanisms between diabetic patients with and without diabetic ulcers were commonly performed emotion-focused coping.
The role of low-level laser therapy as a complementary approach in promoting wound healing among patients with diabetic foot ulcers: A systematic review Rosana Nurwulandari; Yunita Sari
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.835

Abstract

Background: A common and complicated side effect of diabetes is diabetic foot ulcers (DFUs), which frequently lead to chronic wounds that are challenging to heal. Another technique that has gained interest is low-level laser therapy (LLLT), which speeds up the healing of diabetic foot ulcers. The purpose of this systematic review is to evaluate how well LLLT aids in the healing of diabetic foot ulcers that are chronic. Purpose: To assess the effects of low-level laser therapy on the healing of diabetic foot ulcers, particularly with regard to ulcer size reduction, pain relief, and overall wound healing. Method: A comprehensive search for English-language full-text studies published between 2015 and 2024 was conducted across a number of databases, including PubMed, ScienceDirect, and Google Scholar. Randomized controlled trials that assessed the impact of LLLT on diabetic foot ulcers are required for inclusion. Measurements of wound size, ulcer healing progress, and pain reduction were used to analyze the results. Results: The analysis includes seven studies that consistently showed benefits from using LLLT. Significant decreases in ulcer size, better tissue repair, and when comparing the treated groups to the control groups, pain relief was seen. Although different laser parameters, such as wavelengths and dosages, were reported in the research, all of them shown positive outcomes in terms of speeding up wound healing and lowering pain levels related to diabetic foot ulcers. Conclusion: Low-level laser therapy is a useful supplementary technique for promoting the healing of diabetic foot ulcers. Patients with chronic diabetic foot ulcers benefit from LLLT by experiencing less pain, faster wound healing, and an overall higher quality of life. To ascertain the optimal laser parameters and assess the long-term efficacy of LLLT in the management of diabetic wounds, more extensive research is necessary.