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Abstrak :
Latar Belakang: Ulkus diabetik merupakan komplikasi diabetes melitus dengan morbiditas dan mortalitas yang tinggi, dengan prevalensi 6,3% populasi dunia dan angka amputasi mencapai 139,97 kasus per 100.000 orang. Pada kasus lanjut, pasien ulkus diabetik dilakukan debridemen atau bahkan amputasi yang sangat mempengaruhi kualitas hidup pasien. Prediksi penyembuhan luka pasca debridemen merupakan suatu penilaian yang sangat penting untuk memberikan pelayanan terbaik bagi pasien. Namun, hingga saat ini, penelitian untuk mengetahui hubungan antara tekanan sistolik, fasisitas dan volume flow pada pasien ulkus diabetik terhadap penyembuhan luka pasca debridemen belum banyak dilakukan.

Tujuan: Mengetahui hubungan antara tekanan sistolik, fasisitas and volume flow pasien ulkus diabetik terhadap penyembuhan luka pasca debridemen.

Metode: Desain penelitian ini adalah potong lintang, dilakukan di RSUPN Cipto Mangunkusumo. Penelitian dilaksanakan pada bulan Agustus 2023 – Oktober 2023.

Hasil: Terdapat 40 subjek penelitian yang memenuhi kriteria inklusi. Profil subjek penelitian  sebagian besar terdiri dari jenis kelamin perempuan dengan rata-rata usia 56,93 tahun. Jumlah pasien yang memiliki riwayat hipertensi adalah 21 orang (52,5%), riwayat dislipidemia adalah 10 orang (25%), dan riwayat merokok adalah 17 orang (42,5%). Analisis bivariat dengan uji Pearson mendapatkan faktor risiko yang berhubungan signifikan terhadap skor DFUAS adalah diabetes melitus (p<0,001), merokok (p<0,001), dan hipertensi (p=0,007). Terdapat hubungan korelasi yang kuat dan signifikan antara nilai ABI yang semakin kecil dengan skor DFUAS yang semakin besar (p<0,001). Selain itu, terdapat juga hubungan korelasi kuat dan signifikan antara fasisitas arteri poplitea bifasik dengan nilai DFUAS yang semakin besar (p<0,001). Sementara itu, tidak terdapat hubungan korelasi yang signifikan antara tekanan sistolik arteri poplitea, fasisitas arteri femoralis komunis, dan volume flow arteri poplitea maupun femoralis komunis terhadap skor DFUAS atau penyembuhan luka.

Kesimpulan: Pemeriksaan ABI dan fasisitas arteri poplitea dengan ultrasonografi dapat menjadi prediksi penyembuhan luka pada pasien ulkus diabetik. ......Diabetic ulcer is a complication of diabetes mellitus with high morbidity and mortality, with a prevalence of 6.3% of the world population and an amputation rate of 139.97 cases per 100,000 people. In advanced cases, diabetic ulcer patients undergo debridement or even amputation which greatly affects the patient's quality of life. Prediction of wound healing after debridement is a very important assessment to provide the best service for patients. However, until now, there has not been much research to determine the relationship between systolic pressure, fascicity and volume flow in diabetic ulcer patients on post-debridement wound healing.

Objective: Knowing the relationship between systolic pressure, fascicity and volume flow of diabetic ulcer patients on wound healing after debridement.

Method: The design of this study was cross-sectional, conducted at Cipto Mangunkusumo Hospital. The study was conducted in August 2023 - October 2023.

Results: There were 40 research subjects who met the inclusion criteria. The profile of the research subjects mostly consisted of female gender with an average age of 56.93 years. The number of patients who had a history of hypertension was 21 people (52.5%), a history of dyslipidemia was 10 people (25%), and a history of smoking was 17 people (42.5%). Bivariate analysis with the Pearson test found that the risk factors significantly associated with DFUAS scores were diabetes mellitus (p<0.001), smoking (p<0.001), and hypertension (p=0.007). There was a strong and significant correlation between a smaller ABI value and a larger DFUAS score (p<0.001). In addition, there was also a strong and significant correlation between biphasic popliteal artery fascicity and greater DFUAS score (p<0.001). Meanwhile, there was no significant correlation between popliteal artery systolic pressure, common femoral artery fascicity, and popliteal or common femoral artery flow volume on DFUAS score or wound healing.

Conclusion: Ankle brachial index examination and popliteal artery fascicity with ultrasonography can be predictive of wound healing in diabetic ulcer patients.

Abstrak :
Latar Belakang: Penyakit Kaki Diabetik memiliki prevalensi 6,3% populasi dunia. Angka amputasi mayor 139,97 kasus per 100.000 populasi. Penyakit arteri perifer pada kaki diabetik erat kaitannya dengan arteri femoralis ke distal yaitu arteri femoralis komunis sebagai gambaran inflow dan arteri poplitea sebagai arteri yang berhubungan langung dengan arteri infrapoplitea. Keputusan tatalaksana debridemen dan amputasi sangat penting dan berhubungan dengan biaya, morbiditas dan mortalitas yang salah satunya bisa ditentukan dengan pemeriksaan vaskular. Penelitian untuk mengetahui hubungan antara tekanan sistolik, fasisitas and volume flow pasien kaki diabetik terhadap keputusan debridemen atau amputasi belum banyak dilakukan. Metode: Desain penelitian adalah potong lintang, dilakukan di RSUPN Cipto Mangunkusumo. Penelitian dilaksanakan pada bulan Januari 2023 – April 2023. Hasil: Total subyek 38 orang, sebanyak 19 subyek yang dilakukan debridemen, 19 subjek yang dilakukan amputasi. Terdapat hubungan yang bermakna antara gambaran fasisitas bifasik arteri poplitea dengan keputusan amputasi pasien kaki diabetik (p<0,05). Uji Chi-Square menunjukkan hasil pemeriksaan ultrasonografi bifasik memiliki faktor prediksi terhadap keputusan amputasi pada pasien kaki diabetik, didapatkan jumlah subjek yang bifasik dan dilakukan amputasi tiga kali lipat lebih tingi daripada yang dilakukan debridemen. Pada pemeriksaan tekanan sistolik arteri popliteal, fasisitas arteri femoralis komunis, volume flow arteri popliteal dan arteri femoralis komunis tidak didapatkan hubungan yang bermakna terhadap keputusan tatalaksana debridemen atau amputasi pada pasien kaki diabetik. Kesimpulan: Pemeriksaan fasisitas ultrasonografi pada arteri popliteal dapat menjadi prediksi tindakan amputasi pada pasien kaki diabetik. ......Background: Diabetic Foot Disease has a prevalence of 6.3% of the world's population. The major amputation rate is 139.97 cases per 100,000 population. Peripheral arterial disease in the diabetic foot is closely related to the distal femoral artery. Common femoral artery as an inflow feature and the popliteal artery as an artery that is directly related to the infrapopliteal artery. The decision to treat debridement and amputation is very important and is related to costs, morbidity and mortality, one of which can be determined by vascular examination. Research to determine the relationship between systolic pressure, fascisity and volume flow of diabetic foot patients on debridement or amputation decisions has not been carried out much. Methods: The research design was cross-sectional, conducted at Cipto Mangunkusumo General Hospital. The research was conducted in January 2023 – April 2023. Results: A total of 38 subjects, 19 subjects underwent debridement, 19 subjects underwent amputations. There was a significant relationship between the description of the popliteal artery biphasic phasicity and the decision to amputation in diabetic foot patients (p<0.05). The Chi-Square test showed that the results of biphasic ultrasound examination had a predictive factor for the decision to amputation in diabetic foot patients. It was found that the number of subjects who were biphasic and had amputation three times higher than those who underwent debridement. On examination of popliteal artery systolic pressure, common femoral artery phasicity, popliteal artery volume flow and common femoral artery found no significant relationship to the decision of debridement or amputation treatment in diabetic foot patients.

Abstrak :
[ABSTRAK
Latar Belakang : Kelelahan umum merupakan salah satu faktor risiko untuk terjadi kecelakaan kerja. Peningkatan tekanan darah sering disertai dengan kondisi lelah pada seseorang. Penelitian ini bertujuan untuk mengetahui hubungan perubahan tekanan darah (sistolik, diastolik,MAP) dengan timbulnya kelelahan umum dan faktor-faktor yang berhubungan pada operator heavy dump truck di Binungan yaitu usia, status perkawinan, status gizi, kebiasaan olah raga, kebiasaan merokok, shift kerja, lama kerja,dan stres kerja. Metode : Penelitian ini menggunakan desain cross sectional dengan sampel sebanyak 125 responden yang dipilih secara propotional random. Pengumpulan data dilakukan dengan wawancara, data medical check up dan kuesioner. Pengukuran kelelahan dan tekanan darah menggunakan tensimeter dan waktu reaksi L77 Lakassidaya yang diukur sebelum dan sesudah bekerja. Analisis data menggunakan uji regresi linear untuk variabel numerik dan uji regresi logistik untuk variabel katagorik. Hasil : Prevalensi kelelahan umum operator sebelum kerja sebesar 20% dan sesudah kerja 22.4% dengan tingkat kelelahan ringan. Faktor yang berhubungan dengan kelelahan pada operator yaitu masa kerja > 3 tahun (r = 0.268) dengan nilai adjusted R square sebesar 6.4%. Faktor-faktor lain yang diteliti tidak berhubungan dengan kelelahan umum. Kesimpulan : Perubahan tekanan darah tidak berhubungan dengan kelelahan umum. Faktor yang berhubungan dengan kelelahan umum adalah masa kerja.

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ABSTRACT
Background : Increased blood pressure is often associated with general fatigue which one of risk factors for accidents in the workplace. The aim of this study is to determine the relationship blood pressure (systolic, diastolic, and MAP) with general fatigue and related factors related such as age, marital status, nutritional status, exercise, smoke, shift work, working periode, and stres. Methodology: this study used a cross-sectional design with 125 respondents selected by proportional random sampling. Data collected through interviews, medical check-up data and questionnaires. Fatigue and blood pressure measurement using a sphygmomanometer and Lakassidaya L77 reaction time measured before and after work. Analysis data using linear regression test for numerical variables and logistic regression for catagorical variables. Result : The prevalence of general fatigue in operators before work is 20% and 22.4% after working with mild fatigue level. Factors that related to fatigue is working period > 3 years with adjusted R-square value of 6.4% (r =0.268).Other factors are not associated with general fatigue. Conclusions: Blood pressure are not associated with general fatigue. Working periode is associated with general fatigue.;Background : Increased blood pressure is often associated with general fatigue which one of risk factors for accidents in the workplace. The aim of this study is to determine the relationship blood pressure (systolic, diastolic, and MAP) with general fatigue and related factors related such as age, marital status, nutritional status, exercise, smoke, shift work, working periode, and stres. Methodology: this study used a cross-sectional design with 125 respondents selected by proportional random sampling. Data collected through interviews, medical check-up data and questionnaires. Fatigue and blood pressure measurement using a sphygmomanometer and Lakassidaya L77 reaction time measured before and after work. Analysis data using linear regression test for numerical variables and logistic regression for catagorical variables. Result : The prevalence of general fatigue in operators before work is 20% and 22.4% after working with mild fatigue level. Factors that related to fatigue is working period > 3 years with adjusted R-square value of 6.4% (r =0.268).Other factors are not associated with general fatigue. Conclusions: Blood pressure are not associated with general fatigue. Working periode is associated with general fatigue., Background : Increased blood pressure is often associated with general fatigue which one of risk factors for accidents in the workplace. The aim of this study is to determine the relationship blood pressure (systolic, diastolic, and MAP) with general fatigue and related factors related such as age, marital status, nutritional status, exercise, smoke, shift work, working periode, and stres. Methodology: this study used a cross-sectional design with 125 respondents selected by proportional random sampling. Data collected through interviews, medical check-up data and questionnaires. Fatigue and blood pressure measurement using a sphygmomanometer and Lakassidaya L77 reaction time measured before and after work. Analysis data using linear regression test for numerical variables and logistic regression for catagorical variables. Result : The prevalence of general fatigue in operators before work is 20% and 22.4% after working with mild fatigue level. Factors that related to fatigue is working period > 3 years with adjusted R-square value of 6.4% (r =0.268).Other factors are not associated with general fatigue. Conclusions: Blood pressure are not associated with general fatigue. Working periode is associated with general fatigue.]