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Atlas of the diabetic foot
West Sussex: John Wiley & Sons, 2003
R 616.462 ATL
Buku Referensi  Universitas Indonesia Library
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Okti Sri Purwanti
Analisis faktor-faktor risiko terjadi Ulkus Kaki pada pasien Diabetes Melitus di RSUD Dr. Moewardi = Analysis of risk factors of Foot Ulcers on Diabetes Mellitus patients in Dr. Moewardi Hospital
"Pengkajian faktor risiko ulkus kaki merupakan peran perawat untuk mencegah terjadi ulkus diabetik atau ulkus berulang. Tujuan penelitian mengidentifikasi faktor yang berhubungan dengan kejadian ulkus kaki. Rancangan penelitian case control, dengan sampel 68 responden DM terdiri 34 pasien ulkus dan 34 pasien tidak ulkus. Hasil multivariat menunjukkan faktor perawatan kaki, neuropati motorik, Peripheral Arterial Disease, pengendalian kadar gula darah, dan gangguan penglihatan berhubungan signifikan dengan kejadian ulkus. Neuropati motorik yang paling mempengaruhi kejadian ulkus kaki. Rekomendasi penelitian ini adalah perlu pendidikan kesehatan & early detection risiko ulkus kaki dan penelitian lanjutan pengaruh penyuluhan pada pasien berisiko dengan kejadian ulkus kaki.
Assessment of risk factors for foot ulcer is the role of nurses to prevent diabetic ulcers or recurrent ulcers. The research aimed to identify factors associated with the incidence of foot ulcers. Case-control study design, recruited 68 respondents diabetic devided into 34 ulcer patients and 34 no ulcer patients. Multivariate results indicated foot care, motor neuropathy, PAD, controlling blood sugar levels, and visual impairment significant associated with the occurrence of ulcers. Motor neuropathy was the most influence incidence of foot ulcers. Recommendations of this study is the need for health education and early detection of its risk foot ulcers and further had explore research effect of counseling for patients at risk with the incidence of foot ulcers."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
T32540
UI - Tesis Membership  Universitas Indonesia Library
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Titi Iswanti Afelya
Analisis faktor yang mempengaruhi ulkus kaki diabetik berulang pada pasien diabetes melitus di Makassar = Analysis of influencing factors of diabetic foot ulcer recurrence in patients with diabetes mellitus in Makassar
"Penderita Ulkus Kaki Diabetik (UKD) memiliki risiko potensial terjadinya kasus berulang, rehospitalisasi dan amputasi. Diperkirakan 50% dari UKD dan amputasi dapat dicegah dengan mengidentifikasi kaki yang berisiko dan menerapkan strategi pencegahan. Tujuan dari penelitian ini adalah untuk mengidentifikasi faktor yang mempengaruhi UKD berulang. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel 96 orang yang dipilih secara consecutive sampling dari tiga rumah sakit di Makassar. Analisis bivariat menunjukkan bahwa ada hubungan antara usia, lama menderita DM, riwayat ulkus, lokasi ulkus, HbA1C, penyakit penyerta, pengetahuan perawatan kaki, kemampuan perawatan kaki, neuropati sensorik, deformitas kaki dan ABI (p<0.05) dengan frekuensi UKD berulang pada pasien DM di Makassar. Namun tidak ada hubungan bermakna antara dukungan keluarga (p<0.102) dengan frekuensi UKD berulang. Analisis menggunakan Multiple Linier Regresion diperoleh lima faktor yang paling dominan mempengaruhi UKD yaitu usia, HbA1C, perawatan kaki, dukungan keluarga dan penyakit penyerta dengan p<0.05. Rekomendasi dari penelitian ini adalah perawat perlu mengidentifikasi faktor-faktor yang mempengaruhi UKD berulang dan memaksimalkan kontrol glikemik, perawatan kaki teratur, peningkatan dukungan keluarga, dan kontrol penyakit penyerta pada pasien kelompok usia dewasa tengah dan lanjut usia untuk mencegah UKD berulang.
Patients with Diabetic Foot Ulcer (DFU) have a potential risk for recurrence, rehospitalized and amputation. It is estimated that 50% of DFU and amputation can be prevented by identifying of foot risk and implementing prevention strategies. This study aimed to identify influencing factors of DFU's recurrence. This study used cross-sectional design with the 96 samples selected consecutively at three different hospitals in Makassar. Bivariate analysis showed that there were relationship between age, duration of diabetes mellitus, ulcers history, ulcers location, HbA1C, comorbidities, foot care knowledge, foot care ability, sensory neuropathy, foot deformities and ABI with DFU's recurrence frequency in patients with DM in Makassar (p<0.05). However, there was no significant relationship between family support with DFU's recurrence frequency (p= 0.102). Analysis result of Multiple Linear Regresion found the most dominant influencing factors of DFU's recurrence were age, HbA1C, foot care, family support, and comorbidities. This study recommends that nurses need to identify the influencing factors of DFU's recurrence and motivate the patient to increase routine glycemic control, regular foot care, increase family support and control of comorbidities in middle adult and elderly patients to prevent DFU's recurrence."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
T36141
UI - Tesis Membership  Universitas Indonesia Library
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Siahaan, Hendriek
Faktor-Faktor Predisposisi Amputasi Pada Kaki Diabetik Di Rumah Sakit Dr. Cipto Mangunkusumo = Predisposing Factors For Amputation In Diabetic Foot At Cipto Mangunkusumo Hospital
"Pendahuluan
Kaki Diabetik merupakan penyebab utama amputasi ekstremitas non traumatik. Pengenalan dan manajemen awal terhadap faktor-faktor predisposisi amputasi dapat mencegah tindakan amputasi.
Metode
Kami mengumpulkan data klinis dan laboratorium, data komplikasi-komplikasi diabetes, dan data riwayat komorbiditas pada 242 pasien yang dirawat dengan permasalahan kaki diabetik untuk menilai faktor-faktor predisposisi amputasi. Kami membagi pasien-pasien ini menjadi 2 grup (amputasi dan tidak amputasi) dan melakukan anasisis komparatif menggunakan variabel faktor-faktor predisposisi amputasi pada kedua grup.
Hasil
Dari dua buah grup dibandingkan apakah terdapat hubungan yang signifikan dengan faktorfaktor predisposisi amputasi sebagai variabel independen.Secara analisis univariat didapatkan pada grup amputasi terdapat insidens yang lebih tinggi signifikan (p<0,05) pada faktor predisposisi sepsis, ketoasidosis, neuropati perifer dan iskemia diabetik. Didapatkan odds ratio 2,57 untuk sepsis (95% CI:1,44-4,60; P=0,001); 2,67 untuk ketoasidosis (95% CI:1,16-2,58;
P=0,018); 1,79 untuk iskemia diabetik (95% CI:0.970-3,37; P=0,041); dan 4,30 untuk neuropati perifer (95% CI:0.95-19,2; P=0,030).
Kesimpulan
Sepsis, ketoasidosis, neuropati perifer dan iskemia diabetik merupakan faktor-faktor predisposisi amputasi yang signifikan pada pasien-pasien kaki diabetik.
Introduction
Diabetic foot is the main cause of nontraumatic lower extremity amputation. Early recognition and management of predisposing factors for amputation may prevent amputations.
Method
We collected clinical and laboratory data, details of diabetes complications and history of comorbidities in 242 patients who were admitted for management of diabetic foot to determine the predisposing factors of amputation in these patients. We devided these patients into two groups, those whose treatment included amputation and those who were treated conservatively
and carried out a comparative analysis of the variables in the two groups.
Result
From the two groups we compared if there is significant relationship with the predisposing factors for amputation as independent variable. In univariat analysis we found higher incidence (p<0,05) of sepsis, ketoacidosis, peripheral neuropathy and diabetic ischemia on amputated group. Univariat adjusted odds ratios was 2,57 for sepsis (95% CI:1,44-4,60; P=0,001); 2,67 for
ketoacidosis (95% CI:1,16-2,58; P=0,018); 1,79 for diabetic ischemia (95% CI:0.970-3,37; P=0,041); and 4,30 for peripheral neuropathy (95% CI:0.95-19,2; P=0,030).
Conclusion
Sepsis, ketoacidosis, peripheral neuropathy and diabetic ischemia are significant predisposingfactors for amputation in patients hospitalized for diabetic foot lesions."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2103
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Dogma Handal
Karakteristik kaki diabetik di hubungkan dengan penilaian "PEDIS" yang dilakukan Débridement di Divisi Bedah Vaskular RSUPN Dr. Cipto Mangunkusumo = Characteristic of diabetic foot in association with "PEDIS" assessment as do Débridement in the Division Vascular Surgery RSUPN Dr. Cipto Mangunkusumo
"[ABSTRAK
Pendahuluan: Kaki diabetik (KD) merupakan salah satu komplikasi kronik dari Diabetes Mellitus (DM), karena sering berujung pada kecacatan karena tingginya angka amputasi dan bahkan kematian. WHO merekomendasikan klasifikasi Perfusion, Extent/Size, Depth/Tissue Loss, Infection, Sensation (PEDIS) sebagai sarana penegakkan diagnosis dan membantu menentukan tatalaksana KD. Pada beberapa studi yang menggunakan klasifikasi PEDIS dapat memprediksi perlunya perawatan kasus KD di RS dan perkiraan angka amputasi yang hanya di tinjau dari aspek Infection saja. Namun hubungan kriteria PEDIS secara keseluruhan yang dapat memengaruhi outcome belum diketahui. Atas dasar itu perlu dilakukan penelitian untuk mengetahui gambaran KD berdasarkan penilaian PEDIS yang dilakukan tindakan débridement. Metode penelitian: Kohort retrospektif. Hasil penelitian: Didapatkan hubungan bermakna kriteria PEDIS dengan sembuh tidak diamputasi; Perfusi derajat 1 [OR=38,46; p<0,05]. Perfusi derajat 2 [OR=26,86; p<0,05]. Depth derajat 1 [OR=107,25; p<0,05]. Depth derajat 2 [OR=20,20; p<0,05]. Infeksi derajat 2 [OR=18,00; p<0,05]. Infeksi derajat 3 [OR=2,67; p<0,05]. Didapatkan juga hubungan bermakna kriteria PEDIS dengan sembuh diamputasi; Perfusi derajat 3 [OR=0,03; p<0,05]. Depth derajat 3 [OR=0,01; p<0,05]. Dari kategori sensasi [OR=0,29; p<0,05]. Rerata lama rawat subkategori infeksi derajat 1,2,3 dan 4 bermakna (p<0,05). Kesimpulan: Semakin tingginya tingkat keparahan atau derajat dari setiap subkategori kriteria PEDIS, secara statistik bermakna kecenderungan ke arah meningkatnya risiko buruknya outcome. ABSTRACT Background: Diabetic foot (DF) is one of the chronic complications of Diabetes Mellitus (DM). It often lead to disability due to the high number of amputations and even ended in mortality. WHO recommended classification of Perfusion, Extent / Size, Depth / Tissue Loss, Infection, Sensation (PEDIS) as the means of diagnosis and to help determine the treatment of DF. In some studies using PEDIS classification could predict the need for hospital care in cases of diabetic foot and predict the rate of amputations in review to Infection aspect only. However, the overall relationship PEDIS criteria that could influence the outcome is not yet known. Based on that, it is necessary to study the distribution of DF based on PEDIS assessment which undergone debridement. Method: Retrospective cohort. Results: In this study we found a significant association of PEDIS criteria toward the patients outcome recover without amputation with; Perfusion grade 1 [OR=38,46; p<0,05]. Perfusion grade 2 [OR=26,86; p<0,05]. Depth grade 1 [OR=107,25; p<0,05]. Depth grade 2 [OR=20,20; p<0,05]. Infection grade 2 [OR=18,00; p<0,05]. Infection grade 3 [OR=2,67; p<0,05]. The others found a significant associated PEDIS criteria toward the patients outcome were cured in amputation is; Perfusion grade 3 [OR=0,03; p<0,05]. Depth grade 3 [OR=0,01; p<0,05]. From sensation category [OR=0,29; p<0,05]. There are significant differences in the average length of stay of patients from infection subcategories grade 1, 2, 3 and 4 (p<0,05). Conclusions: With increasing of severity or grade of each subcategory of PEDIS criteria, there was a statistically significant trend toward increased risk for adverse outcome.;Background: Diabetic foot (DF) is one of the chronic complications of Diabetes Mellitus (DM). It often lead to disability due to the high number of amputations and even ended in mortality. WHO recommended classification of Perfusion, Extent / Size, Depth / Tissue Loss, Infection, Sensation (PEDIS) as the means of diagnosis and to help determine the treatment of DF. In some studies using PEDIS classification could predict the need for hospital care in cases of diabetic foot and predict the rate of amputations in review to Infection aspect only. However, the overall relationship PEDIS criteria that could influence the outcome is not yet known. Based on that, it is necessary to study the distribution of DF based on PEDIS assessment which undergone debridement. Method: Retrospective cohort. Results: In this study we found a significant association of PEDIS criteria toward the patients outcome recover without amputation with; Perfusion grade 1 [OR=38,46; p<0,05]. Perfusion grade 2 [OR=26,86; p<0,05]. Depth grade 1 [OR=107,25; p<0,05]. Depth grade 2 [OR=20,20; p<0,05]. Infection grade 2 [OR=18,00; p<0,05]. Infection grade 3 [OR=2,67; p<0,05]. The others found a significant associated PEDIS criteria toward the patients outcome were cured in amputation is; Perfusion grade 3 [OR=0,03; p<0,05]. Depth grade 3 [OR=0,01; p<0,05]. From sensation category [OR=0,29; p<0,05]. There are significant differences in the average length of stay of patients from infection subcategories grade 1, 2, 3 and 4 (p<0,05). Conclusions: With increasing of severity or grade of each subcategory of PEDIS criteria, there was a statistically significant trend toward increased risk for adverse outcome., Background: Diabetic foot (DF) is one of the chronic complications of Diabetes Mellitus (DM). It often lead to disability due to the high number of amputations and even ended in mortality. WHO recommended classification of Perfusion, Extent / Size, Depth / Tissue Loss, Infection, Sensation (PEDIS) as the means of diagnosis and to help determine the treatment of DF. In some studies using PEDIS classification could predict the need for hospital care in cases of diabetic foot and predict the rate of amputations in review to Infection aspect only. However, the overall relationship PEDIS criteria that could influence the outcome is not yet known. Based on that, it is necessary to study the distribution of DF based on PEDIS assessment which undergone debridement. Method: Retrospective cohort. Results: In this study we found a significant association of PEDIS criteria toward the patients outcome recover without amputation with; Perfusion grade 1 [OR=38,46; p<0,05]. Perfusion grade 2 [OR=26,86; p<0,05]. Depth grade 1 [OR=107,25; p<0,05]. Depth grade 2 [OR=20,20; p<0,05]. Infection grade 2 [OR=18,00; p<0,05]. Infection grade 3 [OR=2,67; p<0,05]. The others found a significant associated PEDIS criteria toward the patients outcome were cured in amputation is; Perfusion grade 3 [OR=0,03; p<0,05]. Depth grade 3 [OR=0,01; p<0,05]. From sensation category [OR=0,29; p<0,05]. There are significant differences in the average length of stay of patients from infection subcategories grade 1, 2, 3 and 4 (p<0,05). Conclusions: With increasing of severity or grade of each subcategory of PEDIS criteria, there was a statistically significant trend toward increased risk for adverse outcome.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Veves, Aristidis, editor
The diabetic foot : medical and surgical management
"This book, a distinguished panel of clinicians provides a thorough update of the significant improvements in knowledge surrounding the pathogenesis of diabetic foot problems, as well as the optimal healthcare treatment for this debilitating condition. The authors, many practicing at the famous Joslin-Beth Israel Deaconess Foot Center, again illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of diabetic foot. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, plastic and orthopedic surgeons, this invaluable third edition, so timely given the continued rise of diabetes and its complications, clearly describes established techniques known to be effective. This updated edition blends new knowledge with the time-tested principles of diabetic foot management and will be of significant value to all physicians and researchers with an interest in a state-of-the-art understanding of diabetic foot."
New York: Springer, 2012
e20420799
eBooks  Universitas Indonesia Library
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Kemas Muhammad Dahlan
Analisis polimorfisme gen vaskular endothelial growth factor 405 c>g dan -406 c>t pada penderita diabetik foot ulcer pederita diabetes melitus tipe 2 di Rumah Sakit pusat Nasional Cipto Mangunkusumo = Analysis of vascular endothelial growth gene 405 c g and 406 c t polymorphism with type 2 diabetic foot ulcer patient in Cipto Mangunkusumo National Hospital Jakarta
"Latar Belakang: Faktor resiko terbesar Diabetik foot ulcer DFU adalah neuropati. Gen Vascular endothelial growth factor VEGF 7 merupakan gen yang mengkode protein Vascular Endothelial Growth Factor VEGF memiliki fungsi angiogenesis dan neurogenesis. VEGF berperan pada patogenesis terjadinya neuropati, angiopati dan penyembuhan luka karena trauma.
Metode Penelitian: Penelitian case control study, kasus diambil dari penderita DM tipe 2 dengan DFU dan kontrol dari DM tipe 2 tanpa DFU, dilakukan Polimerase Chain Reaction Restriction Fracment lenght Polymorphism PCR-RFLP untuk melihat genotipe gen VEGF, analisis statistik menggunakan SPSS 20.
Hasil: Genotip mutan GG gen VEGF 405C>G tidak memiliki hubungan bermakna dengan terjadinya DFU pada penderita DM di RSCM GG CG/CC ; OR; 0,52, 95 CI; 0,15-1,73 p; 0,289. Alel G; kemungkinan sebagai faktor protektif OR;0,86, 95 CI 0,57-1,28 dan p;0,456. Genotip mutan TT gen VEGF -460 C>T; tidak memiliki hubungan yang bermana dengan DFU TT CT/CC ; OR; 0,97, 95 CI; 0,41-2,26 dan p; 0,942. Alel T kemungkinan sebagai faktor protektif OR;0,90, 95 CI; 0,59-1,37 dan p;0,641.
Kesimpulan: Genotip GG dan TT tidak memiliki hubungan yang bermakna dengan penyakit DFU, alel G dan alel T kemungkinan sebagai faktor protektif terhadap terjadinya DFU pada penderita DM Tipe 2.
Background: The greatest risk factor for Diabetic foot ulcer DFU is neuropathy. Vascular endothelial growth factor VEGF gene is a gene encodes a protein vascular endothelial growth factor VEGF, which has function of angiogenesis and neurogenesis. VEGF play a role in neuropathy, angiopathy and wound healing in DFU.
Methods: Case control study, case is type 2 DM with DFU and control is type 2 DM without DFU, Polymerase Chain Reaction Restriction Fracment lenght polymorphism was done to find genotype polymorphism of VEGF gene.
Results: Genotype GG VEGF 405C G does not have a significan association with DFU in DM patients GG CG CC OR 0.52, 95 CI 0.15 to 1.73 p 0.289. G allele is proposed as protective factor in DFU OR 0.86, 95 CI 0.57 to 1.28, and p 0.456. Genotype TT from VEGF gene 460 C T have no significant association with DFU TT CT CC OR 0.97, 95 CI 0.41 to 2.26 and p 0.942. T allele is predicted as protective factor in DFU OR 0.90, 95 CI 0.59 to 1.37 and p 0,641.
Conclusion: G alles and T alleles are predicted as a protective factors in DM patients associated with DFU."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Tom Christy Adriani
Polimorfisme gen transforming growth factor-beta1 tgf-β1 rs1982073 c>t dan rs1800469 c>t dengan pada ulkus diabetik penderita diabetes mellitus tipe 2 di RSCM = Polymorphism on transforming growth factor gene rs1982073 c>t and rs1800469 c>t in diabetc foot ulcer disease patients with type 2 diabetes mellitus in RSCM
"Objektif: Diabetic Foot Ulcer DFU merupakan komplikasi Diabetes Mellitus Tipe 2 DMT2 yang dapat berujung pada disabilitas dan kematian. Kondisi vaskularisasi yang tidakadekuat dapat mempengaruhi proses penyembuhan pada DFU. Studi terbarumenunjukkan TGF-?1 mempunyai peran dalam proses penyembuhan luka danmenghasilkan neuropati, penyebab utama terjadinya DFU. Oleh sebab itu, studi inimelakukan investigasi terhadap ekspresi dari polimorfisme TGF-β1 dalam hubungannyapada kejadian DFU pada DMT2.
Metode: Penelitian ini menggunakan studi kasus kontrol untuk membandingkan polimorfismeTGF-?1 gen 1800469 C>T dan gen 1982073 C>T pada DMT2 di RS CiptoMangunkusumo RSCM Jakarta Juni hingga Desember 2016. Teknik PCR digunakanuntuk membandingkan hasilnya pada grup DMT2 dengan DFU dan DMT2 tanpa DFU.
Hasil: Terdapat 197 pasien secara keseluruhan yang terbagi atas 96 pasien dengan DFU dan 101pasien kontrol grup tanpa DFU. Distribusi allel dari TGF- ?1 1800469 C>T adalah 54,3 dan T 45,7 , sedangkan distribusi TGF-β1 1982073 C>T adalah C 72,3 dan T 27,7 .Dengan kata lain, polimorfisme TGF-β1 mempunyai peran dalam pembentukan danproses penyembuhan DFU pada pasien DMT2.
Kesimpulan: Didapatkan hubungan bermakna pada gen RS1982073 sebagai factor pencegah danRS1800469 sebagai factor resiko terjadinya DFU.
Objective: Diabetic Foot Ulcer DFU is one of the complication of Type 2 Diabetes Mellitus T2DM that can lead to disability and death. Inadequate vascularization condition willaffect healing process of DFU. Recent study showed, TGF 1 has a role in the processof wound healing and process of resulting neuropathy, the most common cause of DFU.Therefore, we investigated the expression of polymorphism TGF 1 in relation of theoccurance of DFU in T2DM.
Methods: We designed a case control study to investigate the polymorphism TGFβ1 gene1800469 C T and 1982073 C T in T2DM in Cipto Mangunkusumo National Hospital RSCM Jakarta from june to December 2016. We used PCR techniques and comparedthe results in group of T2DM patients with DFU as the case study and without DFU asthe control group.
Results: There were 197 patients, 96 patients with DFU and 101 patients control without DFU.49,8 is male and 50,2 female with mean age about 56 years. Distribution of wildtype genotype TGFβ1 1800469 C T wild type CC were found in 44,8, the number ofmutant heterozygote CT was 10,8 and mutant homozygote is 11,3. Distribution ofTGF B1 1982073 C T wild type CC was 32,5, mutant heterozygote is 38,9 andmutant homozygote 25,1.
Conclusion: Were found meaning relationship in gene RS1982073 as inhibitor factor and geneRS1800469 as risk factor of the DFU in T2DM patients."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Sari Febriana
Hubungan prokalsitonin dan faktor-faktor lain dengan amputasi ekstremitas bawah pada kaki diabetik terinfeksi di IGD RSCM pada Januari 2013-Juni 2016 = Relations procalcitonin and other factors with lower extremity amputation in infected diabetic foot in the emergency room rscm in January 2013-June 2016
"ABSTRAK
Latar Belakang. Kaki diabetik terinfeksi masih menjadi permasalahan serius bagi penderitanya dan kerapkali berujung pada amputasi ekstremitas bawah. Penentuan agresifitas tindakan diperlukan untuk mencegah perburukan kondisi pasien. Prokalsitonin sebagai salah satu penanda infeksi sensitif diharapkan dapat membantu untuk mendiagnosis lebih awal sehingga manajemen yang diterapkan lebih tepat. Penelitian ini bertujuan untuk mengetahui hubungan prokalsitonin terhadap risiko terjadinya amputasi ekstremitas bawah. Metode. Dilakukan studi analitik komparatif dengan desain cross-sectional yang dilakukan di Divisi Bedah Vaskular dan Endovaskular Departemen Ilmu Bedah FKUI-RSCM periode Januari 2013-Juni 2016 pada semua pasien kaki diabetik terinfeksi yang datang ke IGD RSCM yang tidak disertai infeksi pneumonia, malaria, trauma berat, luka bakar, autoimun, dan karsinoma tiroid medula. Subjek dikelompokkan menjadi amputasi dan tidak, kemudian dilakukan analisis untuk melihat hubungan nilai prokalsitonin terhadap terjadinya amputasi ekstremitas bawah. Sumber data diambil dari rekam medik data sekunder . Dilakukan uji statistik dengan kemaknaan p ABSTRACT
Background. Diabetic foot infection remains a serious problem for the patient and often lead to lower limb amputation. Determination of aggressive action is needed to prevent the worsening of the patient 39 s condition. Procalcitonin as a sensitive marker of infection is expected to help to diagnose early so that management implemented more precise. This study aims to determine the relationship of procalcitonin on the risk of lower limb amputation. Method. Comparative analytic study with cross sectional design conducted at the Vascular and Endovascular Divison Department of Surgery Faculty of Medicine Universitas Indonesia Cipto Mangunkusumo Hospital from January 2013 to June 2016 in all patients with diabetic foot infection who come to the ER RSCM without pneumonia, malaria, severe trauma, burns, autoimmune, and medullary thyroid carcinoma. Subject are grouped into amputation and not amputation, then do analysis to find correlation values of procalcitonin on the occurence of the lower limb amputation. Data are extracted from medical records secondary data and performed statistical tests with significance p "
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Fitriah Afriani
Pengetahuan perawat tentang manajemen kaki diabetikum = Knowledge of nurses on the management of diabetic foot / Fitriah Afriani
"ABSTRAK
Kaki diabetikum merupakan salah satu komplikasi serius yang tanpa disadari oleh penyandang diabetes melitus. Kaki diabetikum disebabkan oleh neuropati dan kelainan vaskular. Penelitian bertujuan untuk mengetahui gambaran tingkat pengetahuan perawat tentang manajemen kaki diabetikum. Penelitian ini menggunakan metode kuantitatif dengan desain penelitian menggunakan deksriptif analitik dengan potong lintang (cross- sectional). Hasil penelitian menunjukkan bahwa mayoritas perawat berusia remaja akhir sebesar 65,2%, mayoritas perawat berjenis kelamin perempuan sebesar 68,5%, perawat dengan tingkat pendidikan diploma 3 keperawatan lebih banyak sebesar 65,2%, perawat dengan masa kerja baru (< 3tahun) sebesar 59,6% dengan mayoritas perawat tidak memiliki pengalaman pelatihan luka sebesar 80,9%. Hasil penelitian pada tingkat pengetahuan perawat tentang manajemen kaki diabetikum menunjukkan tingkat pengetahuan perawat baik sebesar 56,2%. Hasil ini merekomendasikan perawat diberikan pelatihan terkait manajemen kaki diabetikum untuk meningkatkan pengetahuannya.
ABSTRACT
Diabetic foot is one serious complication that is unnoticed by people with diabetes mellitus. Diabetic foot is caused by neuropathy and vascular abnormalities. The study aims to describe the level of knowledge of nurses about diabetic foot management. This research uses quantitative methods with research design using cross-sectional analytic descriptive. The results showed that the majority of nurses aged late adolescents were 65.2%, the majority of female nurses were 68.5%, nurses with more nursing diploma level 3 were 65.2%, nurses with new years of service (<3 years) by 59.6% with the majority of nurses not having a wound training experience of 80.9%. The results of the study on the level of knowledge of nurses about diabetic foot management showed that the level of knowledge of good nurses was 56.2%. These results recommend that nurses be given training in diabetic foot management to improve their knowledge."
2019
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UI - Skripsi Membership  Universitas Indonesia Library
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