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DETEKSI DINI DAN PERAWATAN ULKUS DIABETIK Diah Merdekawati; Ani Astuti; Martina Ardi
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 4 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i4.1410-1418

Abstract

Peningkatan jumlah penderita diabetes mellitus (DM) akan meningkatkan angka resiko kejadian komplikasi seperti ulkus diabetik. Cara yang dapat dilakukan untuk meningkatkan kompetensi baik pengetahuan maupun keterampilan tentang deteksi dini dan perawatan ulkus diabetik dengan metode kegiatan pengabdian kepada masyarakat service learning dengan tujuan meningkatkan kompetensi perawat pada klien dengan ulkus diabetik.  RSUD Hamba Muara Bulian merupakan mitra dalam kegiatan ini dengan alasan belum terpaparnya dengan informasi deteksi dini dan perawatan ulkus diabetik sehingga target kegiatan adalah perawat. Solusi yang ditawarkan adalah deteksi dini dan perawatan ulkus diabetik melalui metode drill method (desiminasi ilmu, demostrasi dan simulasi). Hasil kegiatan diperoleh bahwa sebesar 100% terjadi peningkatan pengetahuan peserta baik tentang perawatan ulkus diabetik maupun deteksi dini (pemeriksaan ABI), namun peningkatan keterampilan perawat dalam melakukan pemeriksaan ABI tidak diketahui dikarenakan hanya 3,19% peserta bersedia melakukan simulasi kembali.
Comparison of The Assessment of The Braden Scale and The Gosnell Scale in Assessing The Level of Risk of Pressure Sores in Bed Rest Patients Marviana Marviana; Ani Astuti; Diah Merdekawati
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 12 No 01 (2022): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 12 Number 01 March 2022
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.066 KB) | DOI: 10.33221/jiiki.v12i01.875

Abstract

Background: Pressure sores will make the healing process take a long time. Skin care to prevent pressure sores can be started since the patient is identified as being at risk for pressure ulcers through a pressure ulcer risk assessment, a pressure ulcer risk assessment method using two scales, namely the Braden and Gosnell scales. Objectives: This study aims to compare the assessment of the Braden scale and the Gosnell scale in assessing the level of risk of pressure sores in bed rest patients. Methods: This research design uses quantitative with comparative studies. The population is 706 people with a total sample of 61 people by accidental sampling. The research was conducted on 12 August – 25 September 2020. Data were analyzed univariate and bivariate using test Kappa. Results: The results show that most of the risk levels of pressure sores are more with moderate risk as much as 47.5% assessed by the Braden scale. Most of the level of risk of pressure sores is more with a mild risk of 62.3% assessed by the Gosnell scale. The Gosnell scale is better used to measure pressure sores in bed rest patients in the Inpatient Room at Bhayangkara Hospital Jambi in 2020 by showing the Kappa test value of 0.797. Conclusion: The Gosnell scale is better used to measure pressure sores in bed rest patients. It is recommended that the Gosnell test scale be applied in hospitals as an assessment of the risk of pressure sores in bed rest patients.
PELATIHAN DAN PENDAMPINGAN TATALAKSANA DIABETES DAN PERAWATAN KAKI DALAM MENURUNKAN RESIKO ULKUS DIABETIK Ani Astuti; Diah Merdekawati; Santi Perawati
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 8, No 3 (2025): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v8i3.1047-1051

Abstract

Diabetes Mellitus (DM) merupakan penyakit kronik progresif yang resikonya akan meningkat seiring dengan bertambahnya usia. Lansia dengan DM cenderung untuk lebih rentan terhadap terjadinya komplikasi. Salah satu komplikasi yang sering terjadi adalah neuropati diabetik yang disebabkan oleh mikroangiopati yang berakibat terjadinya ulkus diabetik. Pengabdian Masyarakat ini bertujuan menurunkan resiko ulkus diabetik pada lansia dengan DM. Metode yang digunakan dalam pengabdian masyarakat ini adalah ceramah, diskusi, simulasi dan demonstrasi serta pendampingan pada perawat dan kader. Sasaran dalam pengabdian masyarakat ini adalah meningkatnya pengetahuan perawat dan kader dalam tata laksana diabetes dan perawatan kaki, sehingga mereka dapat berperan aktif dalam memberikan pelayanan pada lansia dengan DM. Lokasi kegiatan ini dilaksanakan di Puskesmas Simpang Kawat Kota Jambi. Hasil yang diharapkan dalam pengabdian ini adalah peningkatan kualitas hidup lansia dengan DM melalui perubahan perilaku dalam melaksanakan tatalaksana DM dan perawatan kaki.
Web-Based Diabetic Ulcer Screening Class Diah Merdekawati; Rasyidah AZ; Ani Astuti; Yuli Astuti; Zuldevina Karlin
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 8 No. 2 (2026): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/53dn3m33

Abstract

People with diabetes mellitus (DM) are at risk of developing ulcers. Simpang Kawat Health Center in Jambi City experiences an increase in the number of DM patients every year. Prevention efforts can be done through screening. In line with the times, screening can be done easily and quickly without visiting health services, namely through a web-based application. Participants in this activity were 15 elderly posyandu cadres in the Simpang Kawat Health Center Work Area. Participants were given training in diabetic ulcer screening and access to the provided smart screening application. There was an increase in participant knowledge after being given training (p value = 0.000). Training can increase participants' knowledge in conducting web-based diabetic ulcer screening.
Ankle Brachial Indeks (ABI), Kadar Glukosa Darah dan Nutrisi Pada Ulkus Diabetikum Riwanti Silaban; Pina Lestari; May Daryeti; Diah Merdekawati
Jurnal Endurance Vol. 4 No. 3 (2019): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The increasing number of people with diabetes mellitus each year, the client has also experienced one of the complications, namely ulcers. During this time, the concern of nurses at Raden Mattaher Jambi Hospital is only an ulcer on the client, but no intervention has been made to determine the factors causing the duration of the client's ulcer resolved. The kind of is a cross-sectional. The sample in this study was 27 respondents who had criteria by what was to be studied. The sampling technique is done by accidental sampling that is taking samples by taking cases or respondents who happen to be available or available. Analysis of the data in this study was Univariate and Bivariate. It was held on April 29th until June 29th 2019 with uses observation sheets and questionnaires as aids in data collection. Statistical test results obtained p-value <0.05, meaning that there is a relationship between ABI values, blood glucose levels and nutrients with the area of diabetic ulcer. It can be concluded that the ABI value, blood glucose level and nutrition affect the area of diabetic ulcer. It is expected that Raden Mattaher Jambi Hospital can make ABI examination a Standard Operational Procedure and control blood glucose and nutrition levels as a factor in accelerating wound healing. Semakin meningkatnya angka penderita diabetes mellitus tiap tahunnya, maka semakin meningkat pula klien mengalami salah satu komplikasinya yaitu ulkus. Selama ini, yang menjadi perhatian perawat di RSUD Raden Mattaher Jambi hanya ulkus pada klien, namun belum ada intervensi yang dilakukan guna mengetahui faktor penyebab lamanya ulkus klien teratasi. Jenis penelitian ini adalah penelitian cros sectional. Sampel dalam penelitian ini 27 responden yang memiliki kriteria sesuai dengan yang akan diteliti. Teknik pengambilan sampel dilakukan dengan cara accidental sampling yaitu pengambilan sampel dilakukan dengan mengambil kasus atau responden yang kebetulan ada atau tersedia. Analisa data dalam penelitian ini secarra Univariat dan Bivariat. Penelitian ini dilaksanakan dari 29 April-29 Juni 2019 dengan menggunakan lembar observasi dan kuesioner sebagai alat bantu dalam pengumpulan data. Hasil uji statistik diperoleh nilai p-value < 0,05, artinya ada hubungan antara nilai ABI, kadar glukosa darah dan nutrisi dengan luas ulkus diabetikum. Dapat disimpulkan bahwa nilai ABI, kadar glukosa darah dan nutrisi mempengaruhi luas ulkus diabetikum. Diharapkan kepada pihak RSUD Raden Mattaher Jambi dapat menjadikan pemeriksaan ABI sebagai Standar Prosedur Operasional dan melakukan pengontrolan kadar glukosa darah serta nutrisi sebagai faktor mempercepat penyembuhan luka.
Efektivitas Terapi Psikoedukasi dan Terapi Murattal Terhadap Kecemasan Pasien Preoperasi Fraktur di Ruang Perawatan Bedah Rsud Raden Mattaher Jambi Merdekawati, Diah; Sagiran, Sagiran; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol. 3 No. 1 (2016): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v3i1.2217

Abstract

Fracture is a break of continuity of bone and cartilage tissue caused by injury or trauma. Fracture treatments are konservasif and operating based on the severity of fracture and mental attitude of the patient. Fracture patients who underwent surgery at the Raden Mattaher Jambi Hospital in 2012 (January-October) is 157, 36 patients get delay surgery becaused increase in blood pressure, pulse and body temperature is always changing as a result of anxiety. Therapy can be used to reduce the anxiety are psychoeducation and murattal. This research is a quasi-experiment with form nonequivalent control group design that aims to analyzing the effectiveness of psychoeducation and murattal therapy on anxiety of preoperative fracture patient in Ruang Perawatan Bedah Raden Mattaher Jambi Hospital 2013. Sample as many as 35 respondents. The research instrument was Rate Hamilton Anxiety Scale (HARS) and using statistical tests Repeated Anova. This research shows that a decline in the level of anxiety before and after the intervention given that the biggest difference is the respondent given murattal therapy, the difference was found in 3 interventions measures through. Comparison of anxiety of preoperative fracture patients with murattal therapy and interventions to a room have a large difference. Murattal therapy can be used to decline the anxiety of preoperative fracture patient in Raden Mattaher Jambi Hospital. The next research can analyze about physiology symptom and factors that cause anxiety. Keywords: Anxiety, Fracture, Psychoeducation and Murattal