International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 9, Issue 2, pp: (165-172), Month: October 2021 - March 2022, Available at: www.researchpublish.com
THE OVERVIEW OF DIABETIC FOOT RISK IN PUSKESMAS SERIRIT 1 IN DECEMBER 2021 Ketut Santika Susanti1, I Putu Eka Dharma Putra2 1
Puskesmas Seririt 1, Buleleng, Bali, Indonesia
2
Departement of Internal Medicine, Karya Dharma Husada Hospital, Buleleng, Bali, Indonesia Email: santika1190@gmail.com
Abstract: Diabetes Melitus (DM) is a chronic disease which its cases has continued to increase in the last decades. One of the most common complication is Diabetic foot which may cause the amputation. Early detection of Diabetic foot risk becomes very important so that the treatment can be started as early as possible for preserving the limbs. The present study aimed to identify the Diabetic foot risk in Diabetic patients admitting to Puskesmas Seririt 1. We conducted a qualitative study with cross sectional approach. Forty Diabetic patients who admitted to Puskesmas Seririt 1 in December 2021 were enrolled by the consequtive sampling technique. The data collection was based on interviews and physical examination, regarding “The Simplified 60-Second Diabetic Foot Screen” questionnaire. The data analysis was conducted using the frequency distribution tables. From this study, it can be inferred that 45% respondents are at high risk to suffer from The Diabetic Foot. Higher risk is more experienced by the men (61,1%), age between 55-64 years old (44,4%), Overweight (50%), Hypertension (77,8%), less than 5 years being diagnosed with Diabetes (72,2 %), unemployment (33,3%) and elementary school as the former education level (44,4%). The early detection of Diabetic foot risk is the main priority in the prevention approach to reduce the complication. It is very important not only to increase the promotion but also to maintain the general practitioners and nurses competencies. Keywords: Diabetes Melitus, Diabetic Foot, Diabetic Foot Risk.
I. INTRODUCTION Diabetes Melitus (DM) is a chronic progressive disease which the pancreatic cells can not produce the sufficient amount of insulin, or there is any decreasing of insulin sensitivity. The prevalence of Diabetes has continued to increase, especially in the last decades. Its worldwide prevalence has increased about two times after 1980, from 4,7% to 8,5% of the adult population. Meanwhile, the total Diabetes population in Indonesia has reached 8,4 million people in 2000, and has been predicted to reach for about 21,3 million people in 2030. Based on the Socioeconomic Survey in 2018, the prevalence of Diabetes in Bali is 1,7% (1). The Diabetes is a serious health problem due to its high morbidity and mortality. Many complication which caused by the Diabetes such as the cardiovascular disease, kidney problems, blindness, and neuropathy should be identified meticulously, as soon as possible (1). One of the most common and serious complication is Diabetic Foot which may end to foot amputation. The prevalence of Diabetic Foot was known to be approximately 3,3% of total Diabetes Melitus case (2). It may affect to the high medical cost, and may become the socioeconomic burden. In addition, the Diabetic Foot will increase the mortality rate for about 43-50% (3). For Diabetic patients, either within normal feet condition or in mild neuropathy disorder without ulcer, the main priority for the management is by early detection. The early detection of Diabetic Foot Risk is really important so that if it is can be detected sooner, the intervention can be started earlier, especially the approach to preserve the limbs. It is also beneficial not only for decreasing the socioeconomic burden, but also reducing the morbidity and mortality rate (3)
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