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All Journal Pendas : Jurnah Ilmiah Pendidikan Dasar Jurnal Comprehensive Health Care
Juhelnita Bubun
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Health Professions Nursing Other

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Perfusion, Extent, Depth, Infection and Sensation (PEDIS) classification system to assess the severity of Diabetic Foot Wounds in the Homecare setting Sintawati Majid; Juhelnita Bubun; Sri Wahyuni; Eva Arna Abrar; Syaiful, Syaiful
Comprehensive Health Care Vol. 7 No. 3 (2023): Comprehensive Health Care
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Stikes Panrita Husada Bulukumba

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Abstract

Introduction: The prevalence of diabetic foot ulcers in Indonesia is twice the global prevalence. An initial assessment of the severity of the wound is necessary to recognize early signs of skin damage and provide the right decision to begin wound treatment. The purpose of this research was to use the PEDIS classification system to assess the severity of diabetic foot Ulcers in the homecare setting. Methods: This was a quantitative descriptive study on diabetic foot ulcers patients in independent practice and homecare in Makassar City in July–October 2023. Data were collected using the PEDIS classification observation sheet which consists of perfusion measured using vascular doppler to assess peripheral artery disease in the form of a combination of waves and ABI values, extended uses the length x width, depth of skin layers involved, infection assess signs and symptoms of infection and sensation using monofilament test 10g at three points of plantar neuropathy of the foot. Results: 36 samples were found during the research period. The general severity of the injury was grade 2. Almost all patients were non- peripheral artery disease. The wound extenth was >3 cm2, and the depth of skin involved includes superficial, tendon and bone, the level of infection was limited to local infection. Almost all patients were found to experience loss of sensation in the feet. Conclusions: The PEDIS classification system can be used to assess the severity of diabetic foot ulcers in a homecare setting. However, it must be carried out by trained personnel
HUBUNGAN STRES PSIKOLOGIS DENGAN KADAR GULA DARAH SEWAKTU PADA PENDERITA DIABETES MELITUS TIPE II DI WILAYAH KERJA PUSKESMAS TAMANGAPA Juhelnita Bubun; Sardi Anto; Anggi Melani Putri
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 01 (2026): Volume 11 No. 01 Maret 2026 Produce
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i01.42302

Abstract

Background: Maintaining the stability of random blood glucose levels in Type II Diabetes Mellitus (T2DM) patients remains a significant challenge in healthcare, particularly at the primary level. Various psychological stressors experienced by patients can affect their consistency in undergoing treatment, thus requiring attention as part of holistic condition management. Objective: This study aimed to determine the correlation between psychological stress and Random Blood Glucose (RBG) levels in Type II Diabetes Mellitus patients in the working area of Tamangapa Community Health Center (Puskesmas). Method: The research used a quantitative design with a cross-sectional approach. The study population included all T2DM patients registered from October to December 2024, with the sample determined using the total sampling technique. Psychological stress was measured using the DDS-17 questionnaire, categorized on an ordinal scale, while RBG levels were measured using a glucometer and stated in mg/dL on a numerical scale. Data analysis was performed using the Spearman statistical test. Results: There was a significant correlation between psychological stress and random blood glucose levels in T2DM patients p=0.031 (p<0.05). The direction of the correlation showed that the higher the level of psychological stress, the higher the random blood glucose levels.  Conclusion: There is a correlation between psychological stress and random blood glucose levels in T2DM patients in the working area of Tamangapa Community Health Center (Puskesmas). Psychological stress management is an integral part of healthcare services, and nursing care for diabetes patients helps to improve blood glucose control.
Co-Authors Anggi Melani Putri Eva Arna Abrar Sardi Anto Sintawati Majid Sri Wahyuni Syaiful .