Relationship between the amount of protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic

Authors

  • Naufal Zuhdi Rabbani Fakultas Kedokteran Universitas Ahmad Dahlan
  • Barkah Purwanto Ahmad Dahlan University
  • Dyah Suryani Ahmad Dahlan University
  • Dewi Yuniasih Ahmad Dahlan University

DOI:

https://doi.org/10.12928/admj.v3i1.6249

Keywords:

Diabetic ulcers; dietary protein intake; the healing process

Abstract

The healing process of diabetic ulcers is influenced by the nutritional status of the patient, especially the nutritional status of the patient's protein intake.  This study was conducted to determine the relationship between the amount of dietary protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic. This study uses a non-experimental quantitative method with a cross-sectional approach, conducted in May - June 2021 with the research subjects being diabetic ulcer patients who underwent treatment, either outpatient or inpatient stay 1 week with the number of subjects 32 patients aged more than 45 years with this type of male and female, patients with type 2 diabetes mellitus, diabetic ulcers in the leg region, the degree of diabetic ulcers according to Wagner with a score of 1-3, and the patient has full consciousness. Data collection on the amount of dietary protein intake of DM patients was obtained through interviews and questionnaires. The data were analyzed by using the chi-square correlation test or Fisher's exact. The research subjects on average did not have sufficient daily protein intake and did not experience the healing process of their diabetic ulcers. The relationship between the amount of dietary protein intake in DM patients and the healing process of diabetic ulcers was found. This study concludes that there is a relationship between the amount of dietary protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic.

Abstrak

Proses penyembuhan ulkus diabetikum dipengaruhi oleh status gizi pasien, terutama status gizi asupan protein pasien. Penelitian ini dilakukan untuk mengetahui hubungan antara jumlah asupan protein diet pasien DM dengan proses penyembuhan ulkus diabetikum di Klinik Pratama Rawat Inap Ampel Sehat. Penelitian ini menggunakan metode kuantitatif non eksperimental dengan pendekatan cross sectional, dilakukan pada bulan Mei – Juni 2021. dengan subjek penelitian adalah pasien ulkus diabetikum yang menjalani pengobatan, baik rawat jalan maupun rawat inap 1 minggu dengan jumlah subjek 32 pasien berusia lebih. dari 45 tahun dengan tipe ini pria dan wanita, pasien diabetes mellitus tipe 2, ulkus diabetik di daerah kaki, derajat ulkus diabetik menurut Wagner dengan skor 1-3, dan pasien memiliki kesadaran penuh. Pengumpulan data jumlah asupan protein diet pasien DM diperoleh melalui wawancara dan kuesioner. Analisis data menggunakan uji korelasi chi-square atau Fisher's exact. Subyek penelitian rata-rata tidak memiliki asupan protein harian yang cukup dan tidak mengalami proses penyembuhan ulkus diabetikumnya. Ditemukan hubungan antara jumlah asupan protein diet pada pasien DM dengan proses penyembuhan ulkus diabetikum. Penelitian ini menyimpulkan bahwa ada hubungan antara jumlah asupan protein diet pasien DM dengan proses penyembuhan ulkus diabetik di Klinik Pratama Rawat Inap Ampel Sehat

 

     


This is an open access article under the CC–BY-SA license.

_______

References

Schnell, O., Weng, J., Sheu, W. H. H., Watada, H., Kalra, S., Soegondo, S.,& Grzeszczak, W. 2016.

Acarbose Reduces Body Weight Irrespective of Glycemic Control in Patients with Diabetes: Results

of a Worldwide, Non-Interventional, Observational Study Data Pool. Journal of Diabetes and its

Complications. Vol. 30, No. 4, Hal. 628-637.

Kemenkes RI. 2019. Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI. Vol.

, No. 9, Hal 1689–1699.

Fauzan, A., & Yuli Kusumawati, S. K. M. 2017. Hubungan Indeks Massa Tubuh (IMT), Asupan

Purin dan Olahraga dengan Kejadian Gout Arthritis pada Lansia di Wilayah Kerja Puskesmas

Tanjungsari Pacitan (Doctoral dissertation, Universitas Muhammadiyah Surakarta).

Handi, P., Sriwidodo, & Ratnawulan, S. 2017. Review Sistematik : Proses Penyembuhan dan Perawatan Luka. Farmaka Journal. Vol. 15, No. 2, Hal. 251–256.

Siswandi, A., Wulandari, M., Erianto, M., & Mawaddah Noviska, A. 2020. Hubungan Status Gizi

dengan Proses Penyembuhan Luka pada Pasien Post Apendektomi. ARTERI : Jurnal Ilmu

Kesehatan. Vol. 1, No. 3, Hal. 226–232

Pritasari, Damayanti, D., & Lestari, N. T. 2017. Gizi Dalam Daur Kehidupan. Kementrian

Kesehatan Republik Indonesia.

Perkumpulan Endokrinologi Indonesia. 2015. Petunjuk Praktis Terapi Insulin pada Pasien

Diabetes Melitus. Jakarta: Perkumpulan Endokrinologi Indonesia.

Kurniawan, L. 2010. Diabetes Melitus Tipe 2 pada Usia Lanjut. Majalah Kedokteran Indonesia.

Vol. 3, Hal. 576-584

Sajid, N., Miyan, Z., Zaidi, S. I. H., Jaffri, S. S. A., & Abdeali, M. 2018. Protein Requirement and Its

Intake in Subjects with Diabetic Foot Ulcers at a Tertiary Care Hospital. Pakistan Journal of

Medical Sciences. Vol. 34. No. 4, Hal. 886–890.

Breslow, R. A., Hallfrisch, J., Guy, D. G., Crawley, B., & Goldberg, A. P. 2013. The Importance of

Dietary Protein in Healing Pressure Ulcers. Journal of the American Geriatrics Society, Vol. 41, No.

, Hal. 357–362

Subandiyono, S., & Hastuti, S. 2016. Trivalent Shromium (Cr+ 3) in Dietary Carbohydrate and Its

Effect on the Growth of Commonly Cultivated Fish. Jurnal Teknologi Undip. Vol. 78, No. 4, Hal.

-237.

Siswandi, A., Wulandari, M., Erianto, M., & Mawaddah Noviska, A. 2020. Hubungan Status Gizi

dengan Proses Penyembuhan Luka pada Pasien Post Apendektomi. ARTERI : Jurnal Ilmu

Kesehatan. Vol. 1, No. 3, Hal. 226–232.

Decroli, E. 2019. Diabetes Melitus. Padang: Pusat Penerbitan Bagian Ilmu Penyakit Dalam

Fakultas Kedokteran Universitas Andalas.

Kemenkes RI. 2018. Survey Konsumsi Pangan. Jakarta:Kementrian Kesehatan RI

Herwindi, H., Ahmad, Z. S., & Sulasmini, S. 2018. Hubungan Nilai Ankle Brachial Index (ABI)

Dengan Risiko Ulkus Diabetikum Pada Diabetes Melitus Tipe II Di Wilayah Kerja Puskesmas

Dinoyo Malang. Nursing News: Jurnal Ilmiah Keperawatan. Hal. 3.

Normahani, P. M. 2018. Management of Peripheral Arterial Disease in Diabetes: A National

Survey of Podiatry Practice in The United Kingdom. Journal of foot and ankle research. Vol. 11,

No. 1, Hal 29.

Wahyuni, L. 2017. Effect Moist Wound Healing Technique Toward Diabetes Mellitus Patients

With Ulcus Diabeticum In Dhoho Room RSUD Prof Dr. Soekandar Mojosari. Jurnal Keperawatan.

Vol. 6, No. 1, Hal 63–69.

Primadani, A. F., & Safitri, D. N. P. 2021. Proses Penyembuhan Luka Kaki Diabetik Dengan

Perawatan Luka Metode Moist Wound Healing. Ners Muda. Vol. 2. No. 1, Hal 9.

Triwibowo, C. 2014. Gangrene pada Penderita Diabetes Mellitus di Ruang Rawat Inap RSUD DR

. Pirngadi Medan. Hal 241–245.

Ariani, D. 2019. Hubungan Kepatuhan Diet Pasien Dm Dengan Proses Penyembuhan Luka

Gangren Di Klinik Bedah Rsud dr. Sayidiman Magetan. Journal of Chemical Information and

Modeling, Vol. 53. No. 9, Hal 1689–1699.

Downloads

Published

2022-05-31

Issue

Section

Articles