Pengalaman Pasien Ulkus Kaki Diabetik Terkait Dukungan Keluarga Di Klinik Kitamura Pontianak

Agus Sudiana Nurmansyah, Erna Rochmawati, Yanuar Primanda

Abstract


Latar Belakang: Dukungan keluarga merupakan sumber motivasi untuk ulkus kaki diabetik. Dukungan keluarga dapat mencakup dukungan informasi, dukungan emosional, dukungan instrumental atau dukungan penilaian. Dukungan keluarga juga dapat mempengaruhi kepatuhan pasien luka kaki diabetik dengan rejimen terapeutik.

Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pengalaman pasien luka kaki diabetik yang berhubungan dengan dukungan keluarga

Metode: Penelitian ini merupakan penelitian kualitatif fenomenologis. Pemilihan responden menggunakan metode purposive sampling, yaitu berjumlah 6 responden. Pengumpulan data menggunakan metode wawancara semi-terstruktur.

Hasil: Hasil penelitian ini menunjukkan bahwa pasien luka kaki penderita diabetes di klinik Kitamura Pontianak mendapatkan formulir melalui direct dan indirect. Pasien juga memiliki harapan dan kenyataan yang tercermin seperti fakta dukungan dan perasaan cemas yang dirasakan. Dukungan yang diberikan oleh keluarga dan lingkungan dalam berbagai cara seperti informasi yang diberikan oleh keluarga berdampak pada perubahan pada responden.

Kesimpulan: Pasien di klinik Kitamura Pontianak memiliki dukungan keluarga seperti dukungan langsung dan tidak langsung, dan memiliki harapan dukungan dan realitas dukungan yang mempengaruhi responden karena keluarga dan lingkungan yang mendukung, informasi yang diterima untuk menyebabkan perubahan perilaku pada responden.

 

Kata kunci: Ulkus Kaki Diabetik, Pengalaman, Dukungan Keluarga.


Abstract

Background: Family support is a source of motivation for diabetic foot ulcers. Family support can include information support, emotional support, instrumental support or assessment support. Family support can also affect the adherence of diabetic foot wound patients to therapeutic regimens.

Objective: This study aimed to explore the experiences of diabetic foot wound patients related to family support

Method: This research is a phenomenological qualitative research. Selection of respondents used purposive sampling method, which amounted to 6 respondents. Data collection uses semi-structured interview methods.

Results: The results of this study indicated that diabetic foot wound patients at the Kitamura Pontianak clinic get the form through direct and indirect. Patients also have expectations and realities that are reflected such as the fact of support and feelings of anxiety felt. Support provided by families and the environment in a variety of ways such as information provided by the family has an impact on the changes in the respondents.

Conclusion: Patients at the Kitamura Pontianak clinic have family support such as direct and indirect support, and have support expectations and the reality of support that affects respondents because of the family and supportive environment, information received to cause behavior changes in the respondents.

Suggestion: Health services can provide maximum support to respondents and families. This study can be extended to studies such as social, spiritual and internal aspects of respondents.

Keyword : Diabetic Foot Ulcer,  Experience, Family Support.


Full Text:

FULL TEXT PDF

References


Adnan, Miftahul, Tatik Mulyati, & Joko Teguh Isworo. (2013). Hubungan Indeks Massa Tubuh (IMT) dengan kadar gula darah penderita diabetes mellitus (DM) tipe 2 rawat jalan di RS Tugurejo Semarang. Jurnal Gizi 2.1.

Catherine, H., et al. (2013). Rigour in qualitative case-study research. Nurse Researcher (through 2013) 20.4: 12.

Creswell, J.W. (2015). Penelitian Kualitatif & Desain Riset; Memilih di Antara Lima Pendekatan. Yogyakarta: Pustaka Pelajar

Figueira, A.L.G., et.al. (2012). Perception of social support by individuals with diabetes mellitus and foot ulcers. Acta Paulista de Enfermagem 25.SPE1: 20-26.

Grant, Richard, W., & Julie A. Schmittdiel. (2013). Adults With Diabetes Who Perceived Family Members Behaviour as Unsupportive are Less Adherent to Their Medication Regimen. Evidance Based Nursing. Vol.16,No.1. 15-16.

Gouin, J.P., Janice, K. & Kiecolt-Glaser. (2012). The Impact of Psychological Stress on Wound Heaking: methods and Mechanisms. NIH Public Access, 31(1): 81-93

Jain, Amit, Kumar, C., D. Diab, & F. Diab. (2016). Type 1 diabetic foot complications. J Diab Foot Comp 8.1: 17-22.

Jiang, Y., Ran, X., Jia, L., Yang, C., Wang, P., Ma, J., & Xu, Z. (2015). Epidemiology of Type 2 Diabetic Foot Problems and Predictive Factors for Amputation in China. The International Journal of Lower Extremity Wounds, 14 (1), 19–27.

Leung, Janni, Nancy A. Pachana, & Deirdre, M. (2014). Social support and healthâ€related quality of life in women with breast cancer: a longitudinal study. Psychoâ€Oncology 23.9: 1014-1020.

Mayberry, Lindsay, S., & Chandra, Y. Osborn. (2012). Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes care: DC_112103.

McKinley, Christopher J., & Paul J. Wright. (2014). Informational social support and online health information seeking: Examining the association between factors contributing to healthy eating behavior. Computers in Human Behavior 37: 107-116.

Nuryani, S. (2012). Gambaran Pengetahuan Dan Perilaku Pengelolaan Penyakit Diabetes Melitus Pada Penderita Diabetes Melitus Di Puskesmas Parit H.Husin Ii Pontianak Tahun 2011. Naskah Publikasi

Nongmaithem, M., et al. (2016). A Study Of Risk Factors And Foot Care Behavior Among Diabetics. Journal Of Family Medicine And Primary Care 5.2: 399.

Pedras. et.al. (2016). Sociodemographic and clinical characteristics of patients with diabetic foot ulcer. Revista da Associação Médica Brasileira 62.2: 171-178.

Riskesdas. (2013). Riset Kesejatan Dasar. Kementrian Kesehatan RI. (http://emidicine.medscape.com/article/460282-overview#showall) diakses 3 juni 2017.

Rizky, Tengku, M. (2015). Gambaran Pola Makan Dan Dukungan Keluarga Penderita Diabetes Melitus Yang Menjalani Rawat Jalan Di Rsu Dr. Pirngadi Medan Tahun 2015.

Ruslan, Dessy Kurniawati, & Arief Wahyudi Jadmiko. (2016). Hubungan Antara Dukungan Keluarga Dengan Harga Diri Pada Pasien Ulkus Diabetikum Di Poliklinik Penyakit Dalam RSUD Dr. Moewardi. Diss. Universitas Muhammadiyah Surakarta.

Saraha, Suryaningsih M., Esrom Kanine, & Ferdinan, W. (2013). Hubungan Dukungan Keluarga Dengan Depresi Pada Pasien Penyakit Ginjal Kronik Di Ruangan Hemodialisa Blu Rsup Prof. Dr. R D. Kandou Manado. Jurnal Keperawatan 1.1.

Sugiyono. (2012). Metode Penelitian Kombinasi. Alfabeta. Bandung

Sukarni. (2015). Efektivitas muscle stimulator terhadap penyembuhan luka di Klinik Kitamura Pontianak. Tesis. Universitas Padjajaran.

Tamara, Ervy, & Fathra, A.N. (2014). Hubungan Antara Dukungan Keluarga Dan Kualitas Hidup Pasien Diabetes Mellitus Tipe Ii Di Rsud Arifin Achmad Provinsi Riau. Jurnal Online Mahasiswa Program Studi Ilmu Keperawatan Universitas Riau 1.2: 1-7.

Thomas, E., & Magilvy. (2011). Qualitative rigor or research validity in qualitative research. Journal for specialists in pediatric nursing 16.2: 151-155.

Uchino, B.N. (2006). Social Support And Health: A Review Of Physiological Processes Potentially Underlying Links To Disesase Outcomes. Journal of Behaviour Medicine. Vol.2, No.4. pages 377-387.

Yazdanpanah et.al. (2015). Literature review on the management of diabetic foot ulcer. World journal of diabetes 6.1: 37.

Yusuf, A.M. (2013). Metode Penelitian Kuantitatif, Kualitatif, dan penelitian Gabungan. Kencana. Jakarta.

Yusra, A. (2011). Hubungan Antara Dukungan Keluarga Dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Di Poliklinik Penyakit Dalam Rumah Sakit Umum Pusat Fatmawati Jakarta. Program Magister Fakultas Ilmu Keperawatan. UI: Tesis tidak dipublikasikan.

Yusfita, & Tiana. (2015). Dukungan Keluarga Dengan Kepatuhan Diet Rendah Glukosa Pada Pasien Diabetes Melitus Tipe 2 Di Klinik Kitamura Pontianak Tahun 2014. ProNers 3.1.

Zubair, Mohammad, M. Malik, & Jamal Ahmad. (2015). Diabetic foot ulcer: a review. American Journal of Internal Medicine 3.2: 28-49.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Agus Sudiana Nurmansyah, Erna Rochmawati, Yanuar Primanda

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.