scholarly journals Quality of self-management among diabetes mellitus patient

2021 ◽  
Vol 10 (1) ◽  
pp. 33
Author(s):  
Rapitos Sidiq ◽  
Widdefrita Widdefrita ◽  
John Amos ◽  
Novelasari Novelasari ◽  
Mahaza Mahaza ◽  
...  

Diabetes mellitus is a chronic disease that has very high morbidity and mortality rate. This disease cannot be cured but can be controlled with good self-management. This research determined the quality of self-management of diabetics at community health centers in Padang City in 2019. This is a descriptive-analytic study with amount of samples 105 people with diabetes. Data collection was carried out from July to November 2019 at seven community health centers in Padang City, namely: Nanggalo, Lapai, Alai, Andalas, Ambacang, Kuranji and Pauh community health centers. Data were collected by interviewing and processed by the stages of coding, editing, tabulating, and transferring. Data were analyzed by bivariate and multivariate analysis (Chi-square and logistic regression) with a significant level of 0.05 (5%). The results showed that 60% of the quality of self-management in good category. Factors that significantly affect the quality of self-management are physical exercise/sports (p-value=0.003), education (p-value=0.006) and regularity of taking medication (p-value=0.021). The quality of self-management is largely good and physical exercise greatly affects the quality of self-management of diabetes mellitus patients.

Author(s):  
Sri Purnama Rezeki ◽  
Dumilah Ayuningtyas

Peningkatan angka kematian ibu dan kesenjangan cakupan pelayanan kesehatan ibu antar puskesmas, diasumsikan berhubungan dengan kinerja bidan yang dipengaruhi lingkungan tempat bekerja (puskesmas). Penelitian dengan desain potong lintang dengan metode kuantitatif dan kualitatif ini bertujuan mengetahui hubungan antara komponen quality of work life (QWL) dengan kinerja bidan puskesmas pada pelayanan kesehatan ibu. Studi ini dilaksanakan di 11 puskesmas wilayah kerja Kabupaten Bintan pada bulan Februari - Maret 2013. Data dikumpulkan dengan menggunakan kuesioner pada 67 responden dan wawancara pada 10 informan. Berdasarkan hasil penelitian, hanya 35,8% bidan puskesmas mempunyai skor kinerja di atas rata-rata, beberapa puskesmas mempunyai skor komponen QWL di bawah rata-rata. Hubungan yang signifikan ditemukan antara komponen keterlibatan karyawan (nilai p = 0,005) dan rasa bangga terhadap institusi (nilai p = 0,039) dengan kinerja bidan puskesmas dalam pelayanan kesehatan ibu.Increasing maternal mortality ratio and also gaps of the maternal health services scope among community health centers, assumed related to the performance of midwife clinics who is affected by the environment in which working (community health centers). This cross sectional study with quantitative and qualitative approaches aims to determine the relationship between Quality of Work Life (QWL) components with the midwives clinics performance in maternal health services. The study is implemented in 11 community health centers in working area Bintan Regency in February - March 2013. Data are collected by using questionnaires with 67 respondents and interview with 10 informants. Based on the study results, only 35.8% midwives clinics having performance scores above average, some community health center having component QWL scores below average. There is a relationship between employee engagement (p value = 0.005) and sense ofpride to the institution (p value = 0.039) with midwives clinics performance in maternal health services.


2019 ◽  
Vol 4 (2) ◽  
pp. 402
Author(s):  
Iskim Luthfa ◽  
Nurul Fadhilah

<p><em>People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus.</em></p><p> </p><p><em>Penderita </em><em>Diabetes mellitus </em><em>beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bert</em><em>ujuan </em><em>untuk</em><em> menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. </em><em>Jenis p</em><em>enelitian ini </em><em>adalah</em><em> deskriptif korelasi</em><em> dengan desain cross sectional</em><em>. Teknik pengambilan sampel menggunakan non probability </em><em>sampling </em><em>dengan pendeka</em><em>t</em><em>an consecutive sampling</em><em>.</em><em> </em><em>J</em><em>umlah </em><em>sampel sebanyak</em><em> </em><em>118 responden.</em><em> </em><em>Instrumen </em><em>penelitian </em><em>untuk mengukur self management </em><em>menggunakan</em><em> </em><em>diabetes self management questionnaire</em><em> (DSMQ), </em><em>dan instrumen untuk mengukur kualitas hidup menggunakan </em><em>quality of life </em><em>WHOQOL-BREEF.</em><em> Analisis data menggunakan spearman rank dan didapatkan hasil nilai </em><em>p value 0,000</em><em> dan r 0,394.Terdapat </em><em>hubungan </em><em>antara </em><em>self management</em><em> dengan kualitas hidup pasien diabetes mellitus</em><em> dengan arah korelasi positif.</em></p>


2021 ◽  
Vol 16 (1) ◽  
pp. 66-74
Author(s):  
Mustara Mustara

Community Health Centers is one of the leading units in providing health services to the community. Along with the increasing demands of the community for quality health services, the accredited Community Health Centers must always improve the quality of its services. This study aims to find out how the quality of health services is seen in terms of service aspects, staff attitudes, and room conditions and attributes that are considered important by patients to improved. This research is a quantitative descriptive method to the Importance Performance Analysis approach. The study population was registered patients and utilizing health services provided by the X Community Health Center. The sample in this study used a quota sampling technique with 101 respondents. Data collection instruments using a questionnaire. The analysis used is the suitability of performance with its importance to all attributes, then the attributes described in the quadrant Importance Performance Analysis. The results showed the service variables, staff attitudes, and room conditions were categorized according to the expectations of their level of importance. Puskesmas need to encourage officers to be empathetic towards patients who will seek treatment, provide answers to any questions asked, have a patient waiting room equipped with a seat, have a clean corner room, and have a clean and non-slippery floor.


Author(s):  
Andy Nuriyanto ◽  
Laili Rahayuwati ◽  
Mamat Lukman

Background - Public Health Nursing program is an integration of the implementation public health and individual  health program conducted at the community health centers  to improve the independence and the health status of the community level. Public Health Nursing performance is a value of the public health nursing program implementation based on indicators as a benchmark for achieving of Minimum Achievement Standard goals. In order to achieve their performance, nurses have competencies and authorities based on their position in accordance with the applicable regulations and are carried  out in according to their main duties and functions. Aims - This study aims to determine the relationship between nurse competence and the achievement of Public Health Nursing program at the community health centers. Methodology - This study used cross-sectional approach form secondary data with quantitative methods with the samples of 57 nurses (44 vocational and 13 professional nurses) at 5 Community Health Centers in Berau District during 2019. Findings - The findings indicated that there were significant relationships beetwen competence  of vocational nurses (p-value 0.026), professional nurses (p-value 0.000),  and simultaneously both (p-value 0.004) and the achievement of Public Health Nursing program at the Community Health Centers. Conclusion - The evaluation of the nurse's competence is the basis for realizing the achievements of the Public Health Nursing program at the Community Health Centers in base on their functional position level. A more thorough analysis is required to determine the effect of implementing these competencies to increase the Public health nursing performance at the Community Health Centers.


Author(s):  
Edward Sieferd ◽  
Nivedita Mohanty ◽  
Richard J. Holden

The After Visit Summary (AVS) is provided to patients after clinical visits to summarize what happened during the visit and guide future care. Despite its potential to improve shared decision-making, self-management, and communication, the design of the typical AVS is not optimized to communicate useful information in an understandable way. The AVS usability challenge is magnified in vulnerable patient populations such as those served by community health centers (CHCs). The purpose of this research was to evaluate and refine a redesigned AVS intended to better communicate information to CHC patients.


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