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Journal : Media Keperawatan Indonesia

Differences Exudates After Irrigation With Measured Pressure on Diabetic Ulcers Noor, Mohammad Arifin; Suyanto, Suyanto
Media Keperawatan Indonesia Vol 2, No 2 (2019)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.212 KB) | DOI: 10.26714/mki.2.2.2019.1-5

Abstract

Diabetic ulcer is a further complication of the presence of diabetic ulcers that are not handled properly. Gangren ulcers are very difficult to cure. One of them is the characteristic of gangrene wounds that have a hollow (hard) that is very difficult to do cleansing. In addition, the types of bacteria that are in gangrene are anaerobic bacteria that are difficult to treat with antibiotics. The number of bacteria will also be proportional to the number of production of pus. One of the most possible actions is to irrigate the wound tunnel so that the wound is clean and anaerobic bacteria are reduced. The modern wound irrigation device, which is one of the developments of existing irrigation devices, is expected to be able to reach gangrenous wound tunnels with a modified form of output. This study aimed to determine the effect of modification of the output of the modern wound irrigation device (MWID) on the number of bacteria in diabetic gangrenous ulcer sufferers. The method used in this study was quasi-experimental without a control group. The intervention group was given wound irrigation using a modified MWID tool. The instrument was used to determine exudate production using the observation sheet Leg Ulcer Measurement Tool (LUMT). The results of the analysis by the Mc Nemar test showed that p value 0.67 (p value> 0.05) means that there is no difference in the amount of exudate production with modification of the MWID output. Further research is needed regarding the effect of irrigation angle on the number of bacteria in diabetic ulcers.
Analysis of Foot Sensation and Physical Activity in Diabetes Mellitus Suyanto Suyanto; Uchrizal Febby Millenniantary; Mohammad Arifin Noor
Media Keperawatan Indonesia Vol 5, No 4 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1383.78 KB) | DOI: 10.26714/mki.5.4.2022.274-279

Abstract

Neuropathy is a condition in which the patient experiences a decreased sensation of pain in the legs that can affect the physical activity of diabetic patients mellitus, until work productivity decreases. This pain is often disturbing, limiting activity and decreasing the work productivity of diabetic patients. The aim of this study was to identify a correlation between foot sensation and physical activity of diabetic mellitus patients.  cross-sectional was used in this study. Data collection uses instruments in the form of observation sheets to assess the results of foot sensation examination with a 10 gr monofilament test and IPAQ-SF (International Physical Activity Questionnaire Short Form) questionnaire sheet on 70 respondents with a purposive sampling technique. The data was processed using Kendall's Tau statistical test. A total of 70 respondents obtained an average age of 57 years, long-suffering from diabetes mellitus for an average of 4 years. 39 people received normal test results and 31 experienced decreased leg sensation and an average score of 5 with moderate physical activity categories. Gamma statistical test results p-value value 0.0001 or (p≤0.05) with a positive relationship direction and strangeness (r = -0.706). There is a relationship between decreased leg sensation and physical activity of diabetic mellitus patients at Bangetayu Health Center Semarang