Gambaran Rasa Takut Pasien Diabetic Foot Ulcer (DFU) terhadap Tindakan Amputasi di RSUP Dr. Sardjito

https://doi.org/10.22146/jkkk.87563

Indah Rizky(1), Intansari Nurjannah(2*), Christantie Effendy(3), Suko Basuki(4), Sri Wandansari(5), Ulfa Hikmawati(6)

(1) Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Keperawatan Jiwa dan Komunitas, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(4) Rumah Sakit Umum Pusat Dr. Sardjito
(5) Rumah Sakit Umum Pusat Dr. Sardjito
(6) Rumah Sakit Umum Pusat Dr. Sardjito
(*) Corresponding Author

Abstract


Background: Diabetes is often associated with complications in the lower extremities, including diabetic foot ulcer (DFU). One of the risks associated with DFU is amputation. Previous studies have found a high risk of amputation in DFU cases. Prior research also indicates that fear affects the effectiveness of therapy and the quality of life of DFU patients.
Objective: To describe the fear of amputation in patients with DFU at Dr. Sardjito Hospital.
Method: Descriptive study used quantitative approach involving 84 participants from January to April 2022 at Dr. Sardjito Hospital. Sampling was done by total sampling through cross-sectional method. The instrument used was the Fear Scale Measurement (FSM) with a scale of 1-10. The higher FSM scores indicated the higher level of fear. Fear was analyzed univariately (frequency, percentage, and mean). Kruskal Wallis Test was used to observe the description of fear based on respondent’s characteristics.
Results: Overall, the average level of fear based on FSM was at level 4 (severe anxiety). Around 30,9% were at level 1 (calmness), and 16,7% were at level 3 (moderate anxiety). The smallest percentage, which was 3,6% of the respondents, experienced fear level 8 (severe fear) and level 10 (panic). It was also found that respondents without a history of amputation experienced significantly higher levels of fear. 
Conclusion: This study described how the morbid fear of patients with DFU in Dr. Sardjito Hospital varies. Most of the respondents are at the level of calmness to moderate anxiety with an average fear of FSM level 4 (severe anxiety). Respondents without a history of amputation experience significantly higher levels of fear.

INTISARI

Latar belakang: Diabetes sering dikaitkan dengan komplikasi ekstremitas bawah, termasuk diabetic foot ulcer (DFU). Salah satu risiko akibat DFU adalah amputasi. Studi sebelumnya menemukan risiko amputasi pada DFU masih tinggi. Hasil penelitian sebelumnya juga menemukan ketakutan memengaruhi efektivitas terapi dan kualitas hidup penderita DFU.
Tujuan: Mengetahui gambaran rasa takut terhadap amputasi pada pasien DFU di RSUP Dr. Sardjito.
Metode: Penelitian deskriptif ini menggunakan pendekatan kuantitatif dengan 84 responden, dilaksanakan pada bulan Januari-April 2022 di RS Dr. Sardjito. Pengambilan sampel menggunakan metode total sampling secara cross-sectional. Instrumen yang digunakan adalah Fear Scale Measurement (FSM) dengan skala 1-10. Semakin tinggi score FSM menunjukkan peningkatan level rasa takut. Rasa takut dianalisis secara univariat (frekuensi, persentase, dan mean). Uji Kruskal Wallis digunakan untuk melihat gambaran rasa takut berdasarkan karakteristik responden. 
Hasil: Secara keseluruhan, rata-rata level rasa takut responden menurut skor FSM adalah level 4 (severe anxiety).  Sebanyak 30,9% responden mencapai level 1 (calmness) dan sebesar 16,7% berada di level 3 (moderate anxiety). Jumlah paling sedikit, sebanyak 3,6% responden mengalami rasa takut level 8 (severe fear) dan level 10 (panic). Selain itu, didapatkan hasil bahwa responden tanpa riwayat amputasi, mengalami level takut yang lebih tinggi secara signifikan.
Simpulan: Penelitian ini menggambarkan bagaimana ketakutan pasien DFU di RSUD Dr. Sardjito. Sebagian besar responden berada pada tingkat calmness hingga moderate anxiety dengan rata-rata ketakutan FSM level 4 (severe anxiety). Responden tanpa riwayat amputasi mengalami level takut yang lebih tinggi secara signifikan. 


Keywords


amputasi; kaki diabetes; ulkus diabetes; takut

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References

  1. Del Core MA, Ahn J, Lewis RB, Raspovic KM, Lalli TAJ, Wukich DK. The Evaluation and Treatment of Diabetic Foot Ulcers and Diabetic Foot Infections. Foot Ankle Orthop. 2018; 3(3). https://doi.org/10.1177/2473011418788864.

  2. Martínez Delgado MM. Clinical case: complicated diabetic foot ulcer. Rev Esp Sanid Penit. 2018;20(3):121–124. https://pubmed.ncbi.nlm.nih.gov/30908567.

  3. Rina, Setyawan H, Nugroho H, Hadisaputro S, Pamayun TGD. Faktor-faktor Risiko Kejadian Kaki Diabetik pada Penderita Diabetes Melitus Tipe 2 (Studi Kasus Kontrol di RSUP dr. M. Djamil Padang). J Epidemiol Kesehat Komunitas. 2016; 1(2): 48–60. https://doi.org/10.14710/j.e.k.k.v1i2.3943.

  4. Herdman T. NANDA International Nursing Diagnoses: Definitions and Classification 2018-2020. Jakarta: ECG; 2018.

  5. Cambridge Dictionary. Fear [homepage on the internet]. c.2020. [update 2020; cited 2024]. Available from https://dictionary.cambridge.org/dictionary/learner-english/fear.

  6. Sherman LD, Williams JS. Perspectives of Fear as A Barrier to Self-Management in Non-Hispanic Black Men with Type 2 Diabetes. Heal Educ Behav. 2018: 45(6); 987-996. https://doi.org/10.1177/1090198118763938.

  7. Arend F, Müller UA, Schmitt A, Voigt M, Kuniss N. Overestimation of Risk and Increased Fear of Long-Term Complications of Diabetes in People with Type 1 and 2 Diabetes. Exp Clin Endocrinol Diabetes. 2019; 127(10): 645-652. https://doi.org/10.1055/a-0977-2667.

  8. Wukich DK, Raspovic KM, Suder NC. Patients with Diabetic Foot Disease Fear Major Lower-Extremity Amputation More Than Death. Foot Ankle Spec. 2017; 20(10): 1–5. https://doi.org/10.1177/1938640017694722.

  9. Pemayun TGD, Naibaho RM. Diabetic Foot Ulcer Registry at A Tertiary Care Hospital in Semarang, Indonesia: An Overview of Its Clinical Profile and Management Outcome. Diabetes Manag. 2016; 6(4): 82–9.

  10. Kam A, Efendi YP, Decroli GP, Rahmadi A. Editors. Diabetes Melitus Tipe 2. 1st ed. Padang, Pusat Penerbitan Bagian Ilmu Penyakit Dalam Fakultas Kedokteran: Universitas Andalas; 2019.

  11. Sugiyono. Metode Penelitian Kuantitatif Kualitatif dan R&D. Bandung: Alfabeta; 2009.

  12. Nurjannah I, Novianti Z, Suharto A, Sudarmo, M.Y, Hariyadi K. Su Jok Therapy by Twist and Seed Method of Therapy to Reduce The Level of Fear on COVID-19’s Patient: A Case Series. Int J Res Med Sci. 2021; 9(10): 3148-3155. https://doi.org/10.18203/2320-6012.ijrms20213947.

  13. Ntokos S. Level of Fear : Analysis of Fear Spectrum into A Tool to Support Horror Game Design for Immersion and Fear. Comput Game Dev Educ An Int J. 2018; 1(1): 33–43. https://airccse.org/journal/ijcgde/papers/1113cgdeij03.pdf.

  14. Sugiyono. Metode Penelitian Kuantitatif Kualitatif dan R&D. 2nd ed. Bandung: Alfabeta; 2019.

  15. Kurdi F, Kholis AH, Hidayah N, Fitriasari M. Stres Pasien dengan Ulkus Kaki Diabetikum di Al Hijrah Wound Care Center Jombang. J Ilm Keperawatan. 2020; 6(1): 1-9. https://doi.org/10.33023/jikep.v6i1.577.

  16. Tabita G, Ruri S, Kristiana IF. Kuterima Kekuranganku (Studi Fenomenologis Deksriptif tentang Pengalaman Psikologis Penderita Diabetes Mellitus Pasca-Amputasi). Empati. 2017; 6(1): 206–214. https://doi.org/10.14710/empati.2017.15213.



DOI: https://doi.org/10.22146/jkkk.87563

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Copyright (c) 2024 Indah Rizky, Intansari Nurjannah, Christantie Effendy, Suko Basuki, Sri Wandansari, Ulfa Hikmawati



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