Rancangan Standar Prosedur Operasional Perawatan Ulkus Pedis Diabetikum Grade 3 dan 4
Abstract
This study aims to explore nurses' experience treating ulcers in grades 3 and 4 and make it a standard SOP. This research method is qualitative research with an action research approach. The results of the study resulted in five themes, namely the comprehensive treatment of grade 3 and 4 diabetic ulcers, X-ray examination of grade 3 and 4 diabetic ulcers, the role of infrared and ozone in the management of grade 3 and 4 diabetic ulcers, the culture of grade 3 and grade 3 diabetic ulcers. 4, and health education on the five pillars of diabetes mellitus, grade 3, and grade diabetic ulcers. In conclusion, the Operational Service Standards for grades 3 and 4 are expected to be able to make a comprehensive, scientific, and scientific ulcer treatment so that the quality of service is uniform and suitable, the healing process wound quickly, thus avoiding amputation.
Keywords: Diabetes Mellitus, Pedis Ulcer Grade 3 and 4
References
Albatanony, A., El-Khateep, Y., Sadek, S. M., & Baghid, A. S. (2019). Evaluation of the Effect of Ozone Therapy in Diabetic Foot Ulcers. Menoufia Medical Journal, 32(4), 1272. https://doi.org/10.4103/mmj.mmj_20_19
Anggraini, D., Yovi, I., Yefri, R., Christianto, E., & Syahputri, E. Z. (2020). Pola Bakteri dan Antibiogram Penyebab Ulkus Diabetikum di Rs X Riau Periode. Biomedika, 12(1), 27–35. https://doi.org/10.23917/biomedika.v12i1.9316
Arifin, N. A. W. (2021). Hubungan Pengetahuan Pasien Diabetes Mellitus Tipe II dengan Praktik Perawatan Kaki dalam Mencegah Luka di Wilayah Kelurahan Cengkareng Barat. Jurnal Keperawatan Muhammadiyah Bengkulu, 9(1), 1–10. https://doi.org/10.36085/jkmb.v9i1.1483
Astasio-Picado, A., MartÃnez, E. E., Nova, A. M., RodrÃguez, R. S., & Gómez-MartÃn, B. (2018). Thermal Map of the Diabetic Foot Using Infrared Thermography. Infrared Physics and Technology, 93, 59–62. https://doi.org/10.1016/j.infrared.2018.07.008
Azhar, B., Suza, D. E., & Ariani, Y. (2019). Pengembangan Protokol Pengkajian Sirkulasi Kaki pada Pasien Diabetes Melitus. Jurnal Perawat Indonesia, 3(2), 145. https://doi.org/10.32584/jpi.v3i2.319
Brookes, J. D. L., Jaya, J. S., Tran, H., Vaska, A., Werner-Gibbings, K., D’Mello, A. C., Wong, J., Lemoh, C. N., Saunder, A. C., & Yii, M. K. (2020). Broad-Ranging Nutritional Deficiencies Predict Amputation in Diabetic Foot Ulcers. International Journal of Lower Extremity Wounds, 19(1), 27–33. https://doi.org/10.1177/1534734619876779
Devi, R., Parmin, P., & Aswira, Z. (2019). Asuhan Keperawatan pada Pasien Diabetes Melitus yang Mengalami Masalah Kerusakan Integritas Kulit dengan Penerapan Keperawatan Luka Modern Dressing di Ruangan Kenari Rsu Anutapura Palu 2018. Medika Tadulako: Jurnal Ilmiah Kedokteran, 6(2), 58–70. http://jurnal.untad.ac.id/jurnal/index.php/MedikaTadulako/article/view/13260
Ilo, A., Romsi, P., & Mäkelä, J. (2020). Infrared Thermography and Vascular Disorders in Diabetic Feet. Journal of Diabetes Science and Technology, 14(1), 28–36. https://doi.org/10.1177/1932296819871270
Khasanah, A. U. (2020). Aplikasi Hydrocolloid sebagai Wound Dressing dalam Perkembangan Luas Luka pada Pasien Ulkus Diabetik Grade II Karya. Universitas Muhammadiyah Magelang. http://eprintslib.ummgl.ac.id/id/eprint/2380
Kushmakov, R., Gandhi, J., Seyam, O., Jiang, W., Joshi, G., Smith, N. L., & Khan, S. A. (2018). Ozone Therapy for Diabetic Foot. Medical Gas Research, 8(3), 111–115. https://doi.org/10.4103/2045-9912.241076
Mirawati, M., Wijaya, I. K., & Hasniaty, H. (2020). Pengaruh Edukasi Empat Pilar Diabetes Melitus terhadap Self Efficacy Pasien Diabates Melitus di RSUD Batara Siang Pangkep. Stikes Panakkukang Makassar. https://stikespanakkukang.ac.id/assets/uploads/alumni/1383b61a1e3c8a07f6202e51ae02b003.pdf
Nursanty, O. E., & Arofiati, F. (2020). Penerapan Standar Operasional Prosedur Perawatan Luka Bersih melalui Pelatihan Perawatan Pasca Operasi. Jurnal Ilmiah Kesehatan, 19(01), 29–37. https://doi.org/10.33221/jikes.v19i01.532
Parellangi, P.,Wahyuni, E. P., Mustofa, K., Seda, B., & Tini, T. (2022). Endurance Diabetes Foot Exercise Based on Family Centered Care (EDFE-BFCC) to Reduce Blood Sugar Levels Patients Diabetes Mellitus Type 2. Health Notions, 6(2), 51–54. https://heanoti.com/index.php/hn/article/view/hn60201
Qurniawati, D., Fatikasari, A., Tafonao, J., & Anggeria, E. (2020). Pengaruh Diabetes Self-Management Education (DSME) terhadap Perawatan Diri Pasien Luka Diabetes Melitus. Jurnal Ilmu Keperawatan, 8(1), 10–21. http://e-repository.unsyiah.ac.id/JIK/article/view/17849
Ridawati, I. D., & Elvian, M. R. (2020). Asuhan Keperawatan Penerapan Luka Lembab pada Pasien Diabetes Mellitus. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 848–852. https://doi.org/10.35816/jiskh.v12i2.411
Riskesdas. (2018). Laporan Provinsi Jawa Barat, Riskesdas 2018. In Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://ejournal2.litbang.kemkes.go.id/index.php/lpb/article/view/3662
Rosadi, S. A. (2021). Hubungan Lama Menderita dengan Kualitas Hidup Penderita Diabetes Mellitus (DM) Ulkus Diabetik (Issue Dm). Universitas dr. Soebandi. http://repository.stikesdrsoebandi.ac.id/133/1/17010121%20Shehvia%20Ainida%20Rosadi.pdf
Setyawati, A. D., Ngo, T. H. L., Padila, P., & Andri, J. (2020). Obesity and Heredity for Diabetes Mellitus among Elderly. JOSING: Journal of Nursing and Health, 1(1), 26–31. https://doi.org/https://doi.org/https://doi.org/10.31539/josing.v1i1.1149
Simanjuntak, G. V., Simamora, M., & Sinaga, J. (2020). Optimalisasi Kesehatan Penyandang Diabetes Melitus Tipe II Saat Pandemi COVID-19. Journal of Community Engagement in Health, 3(2), 171–175. https://doi.org/10.30994/jceh.v3i2.59
Sugireng, S., & Rosdarni, R. (2020). Deteksi MRSA (Methicilin Resistant Staphylococccus Aureus) dengan Metode PCR pada Pasien Ulkus Diabetikum. Prosiding Seminar Nasional Biologi di Era Pandemi COVID-19, 6(1), 31–35. https://journal.uin-alauddin.ac.id/index.php/psb/article/view/15232
Suprapto, S. (2021). Nurse Compliance in Implementing Post Op Wound Care Standard Operating Procedures. Media Keperawatan Indonesia, 4(1), 16. https://doi.org/10.26714/mki.4.1.2021.16-21
Syahputra, A. (2018). Perbedaan Kondisi Luka Sebelum dan Setelah Perawatan dengan Menggunakan Teknik Modern Dressing pada Penderita Ulkus Diabetikum di Klinik Griya Afiat Makassar. Universitas Islam Negeri Alauddin. http://repositori.uin-alauddin.ac.id/id/eprint/13322
Yunir, E., & Aziza, Y. A. N. (2021). Non-Operative Management of Diabetic Foot Osteomyelitis : A Case Report Terapi Non-Operatif pada Osteomielitis Kaki Diabetes Melitus (DM): Laporan Kasus. Jurnal Penyakit dalam Indonesia, 8(2), 99–103. http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/471
Anggraini, D., Yovi, I., Yefri, R., Christianto, E., & Syahputri, E. Z. (2020). Pola Bakteri dan Antibiogram Penyebab Ulkus Diabetikum di Rs X Riau Periode. Biomedika, 12(1), 27–35. https://doi.org/10.23917/biomedika.v12i1.9316
Arifin, N. A. W. (2021). Hubungan Pengetahuan Pasien Diabetes Mellitus Tipe II dengan Praktik Perawatan Kaki dalam Mencegah Luka di Wilayah Kelurahan Cengkareng Barat. Jurnal Keperawatan Muhammadiyah Bengkulu, 9(1), 1–10. https://doi.org/10.36085/jkmb.v9i1.1483
Astasio-Picado, A., MartÃnez, E. E., Nova, A. M., RodrÃguez, R. S., & Gómez-MartÃn, B. (2018). Thermal Map of the Diabetic Foot Using Infrared Thermography. Infrared Physics and Technology, 93, 59–62. https://doi.org/10.1016/j.infrared.2018.07.008
Azhar, B., Suza, D. E., & Ariani, Y. (2019). Pengembangan Protokol Pengkajian Sirkulasi Kaki pada Pasien Diabetes Melitus. Jurnal Perawat Indonesia, 3(2), 145. https://doi.org/10.32584/jpi.v3i2.319
Brookes, J. D. L., Jaya, J. S., Tran, H., Vaska, A., Werner-Gibbings, K., D’Mello, A. C., Wong, J., Lemoh, C. N., Saunder, A. C., & Yii, M. K. (2020). Broad-Ranging Nutritional Deficiencies Predict Amputation in Diabetic Foot Ulcers. International Journal of Lower Extremity Wounds, 19(1), 27–33. https://doi.org/10.1177/1534734619876779
Devi, R., Parmin, P., & Aswira, Z. (2019). Asuhan Keperawatan pada Pasien Diabetes Melitus yang Mengalami Masalah Kerusakan Integritas Kulit dengan Penerapan Keperawatan Luka Modern Dressing di Ruangan Kenari Rsu Anutapura Palu 2018. Medika Tadulako: Jurnal Ilmiah Kedokteran, 6(2), 58–70. http://jurnal.untad.ac.id/jurnal/index.php/MedikaTadulako/article/view/13260
Ilo, A., Romsi, P., & Mäkelä, J. (2020). Infrared Thermography and Vascular Disorders in Diabetic Feet. Journal of Diabetes Science and Technology, 14(1), 28–36. https://doi.org/10.1177/1932296819871270
Khasanah, A. U. (2020). Aplikasi Hydrocolloid sebagai Wound Dressing dalam Perkembangan Luas Luka pada Pasien Ulkus Diabetik Grade II Karya. Universitas Muhammadiyah Magelang. http://eprintslib.ummgl.ac.id/id/eprint/2380
Kushmakov, R., Gandhi, J., Seyam, O., Jiang, W., Joshi, G., Smith, N. L., & Khan, S. A. (2018). Ozone Therapy for Diabetic Foot. Medical Gas Research, 8(3), 111–115. https://doi.org/10.4103/2045-9912.241076
Mirawati, M., Wijaya, I. K., & Hasniaty, H. (2020). Pengaruh Edukasi Empat Pilar Diabetes Melitus terhadap Self Efficacy Pasien Diabates Melitus di RSUD Batara Siang Pangkep. Stikes Panakkukang Makassar. https://stikespanakkukang.ac.id/assets/uploads/alumni/1383b61a1e3c8a07f6202e51ae02b003.pdf
Nursanty, O. E., & Arofiati, F. (2020). Penerapan Standar Operasional Prosedur Perawatan Luka Bersih melalui Pelatihan Perawatan Pasca Operasi. Jurnal Ilmiah Kesehatan, 19(01), 29–37. https://doi.org/10.33221/jikes.v19i01.532
Parellangi, P.,Wahyuni, E. P., Mustofa, K., Seda, B., & Tini, T. (2022). Endurance Diabetes Foot Exercise Based on Family Centered Care (EDFE-BFCC) to Reduce Blood Sugar Levels Patients Diabetes Mellitus Type 2. Health Notions, 6(2), 51–54. https://heanoti.com/index.php/hn/article/view/hn60201
Qurniawati, D., Fatikasari, A., Tafonao, J., & Anggeria, E. (2020). Pengaruh Diabetes Self-Management Education (DSME) terhadap Perawatan Diri Pasien Luka Diabetes Melitus. Jurnal Ilmu Keperawatan, 8(1), 10–21. http://e-repository.unsyiah.ac.id/JIK/article/view/17849
Ridawati, I. D., & Elvian, M. R. (2020). Asuhan Keperawatan Penerapan Luka Lembab pada Pasien Diabetes Mellitus. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 848–852. https://doi.org/10.35816/jiskh.v12i2.411
Riskesdas. (2018). Laporan Provinsi Jawa Barat, Riskesdas 2018. In Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://ejournal2.litbang.kemkes.go.id/index.php/lpb/article/view/3662
Rosadi, S. A. (2021). Hubungan Lama Menderita dengan Kualitas Hidup Penderita Diabetes Mellitus (DM) Ulkus Diabetik (Issue Dm). Universitas dr. Soebandi. http://repository.stikesdrsoebandi.ac.id/133/1/17010121%20Shehvia%20Ainida%20Rosadi.pdf
Setyawati, A. D., Ngo, T. H. L., Padila, P., & Andri, J. (2020). Obesity and Heredity for Diabetes Mellitus among Elderly. JOSING: Journal of Nursing and Health, 1(1), 26–31. https://doi.org/https://doi.org/https://doi.org/10.31539/josing.v1i1.1149
Simanjuntak, G. V., Simamora, M., & Sinaga, J. (2020). Optimalisasi Kesehatan Penyandang Diabetes Melitus Tipe II Saat Pandemi COVID-19. Journal of Community Engagement in Health, 3(2), 171–175. https://doi.org/10.30994/jceh.v3i2.59
Sugireng, S., & Rosdarni, R. (2020). Deteksi MRSA (Methicilin Resistant Staphylococccus Aureus) dengan Metode PCR pada Pasien Ulkus Diabetikum. Prosiding Seminar Nasional Biologi di Era Pandemi COVID-19, 6(1), 31–35. https://journal.uin-alauddin.ac.id/index.php/psb/article/view/15232
Suprapto, S. (2021). Nurse Compliance in Implementing Post Op Wound Care Standard Operating Procedures. Media Keperawatan Indonesia, 4(1), 16. https://doi.org/10.26714/mki.4.1.2021.16-21
Syahputra, A. (2018). Perbedaan Kondisi Luka Sebelum dan Setelah Perawatan dengan Menggunakan Teknik Modern Dressing pada Penderita Ulkus Diabetikum di Klinik Griya Afiat Makassar. Universitas Islam Negeri Alauddin. http://repositori.uin-alauddin.ac.id/id/eprint/13322
Yunir, E., & Aziza, Y. A. N. (2021). Non-Operative Management of Diabetic Foot Osteomyelitis : A Case Report Terapi Non-Operatif pada Osteomielitis Kaki Diabetes Melitus (DM): Laporan Kasus. Jurnal Penyakit dalam Indonesia, 8(2), 99–103. http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/471
Published
2022-09-30
Section
Articles
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