Self-Instructional Training Application on Diabetic Patients' Self-Care Behaviors

Background: The diabetes mellitus cases have significantly increased in Indonesia over recent years. Health education for patients has often been carried out; however, education using self-instructional methods, which provided self-learning to solve problems by adjusting the patient's ability to improve self-care behaviors, has not been widely used.Purpose: This study aimed to analyze the self-care behaviors of diabetic patients with the application of self-instructional training.Methods: This research was a quasi-experimental study with a non-equivalent pretest-posttest with a control group design. The participants were 73 diabetic patients in the out-patient units selected by a purposive sampling technique, and divided into two groups: the intervention group (n=37) and the control group (n=36). The intervention group received a self-instructional training program which was carried out in two sessions using a booklet; each session lasted for 45 minutes. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to collect diabetic patients' self-care behavior data. Wilcoxon and Mann-Whitney tests were employed for data analysis.Results: Self-care behaviors of patients with diabetes mellitus increased before and after the training in both groups (p=0.000). However, the increase in the intervention group was higher than that in the control group, from 46.46±5.014 to 58.03±7.320 and from 47.78±4.929 to 51.64±6.406, respectively. There was also a significant difference in the self-care behaviors of diabetic patients between the intervention group and the control group (p=0.000).Conclusion: Self-instructional training significantly improves self-care behaviors of diabetic patients. Therefore, self-instructional training can be considered to apply in the clinical setting for improving self-care behaviors of diabetic patients to prevent complications, and for enhancing nursing care of diabetes mellitus.

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Knowledge, Attitude, and Skill of Family to Treat Elderly with Diabetes Mellitus at Home through the Empowerment of Elderly Cadre in Lampung

10.20944/preprints202104.0551.v1 ◽

2021 ◽

Author(s):

Komang Achjar ◽

Dwi Agustanti ◽

Sri Parasitha ◽

Moses Glorino Rumambo Pandin

Keyword(s):

Diabetes Mellitus ◽

Intervention Group ◽

Sampling Technique ◽

The Elderly ◽

T Test ◽

Control Group ◽

Attitude Score ◽

Control Group Design ◽

Significant Difference ◽

At Home

Diabetes is a chronic disease that often causes progressive complications in the elderly. Along with the decline in cognitive function in the elderly, it causes dependence on disciplined management of diabetes mellitus. This dependence causes a very important mentoring role to be given. The purpose of this study is to provide knowledge, attitudes, and family skills to care for the elderly with diabetes mellitus at home through the empowerment of elderly cadres in Lampung. This research method is a quasi-experimental research with a control group design with a total of 64 elderly respondents and 64 families selected by simple random sampling technique. The assessment used an instrument for assessing family abilities that the researcher developed included aspects of knowledge, attitudes, and skills. The results of the dependent t-test analysis showed a significant increase in the knowledge and skills variable in the intervention group (0.000) but decreased in the attitude variable with p 0.198. Meanwhile, the increase in value also occurred in the attitude and skill variables in the control group. So that the results of the independent t-test only showed a significant difference in the attitude score (0.000) with the highest score in the control group. So that there is no significant increase in the ability of the family after the implementation of elderly cadres empowerment.

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Optimalisasi Pertumbuhan Bayi dengan Baby Massage and Spa

Jurnal Kesehatan ◽

10.26630/jk.v10i2.1416 ◽

2019 ◽

Vol 10 (2) ◽

pp. 276

Author(s):

Yusari Asih ◽

I Gusti Ayu Mirah WS

Keyword(s):

Body Length ◽

Head Circumference ◽

Intervention Group ◽

Sampling Technique ◽

Holistic Approach ◽

The Body ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Significant Difference

Baby Massage and Spa was a traditional effort that uses a holistic approach through comprehensive care using a combination of massage and water therapy methods that are carried out in an integrated manner to balance the body, mind, and feelings. Age 3-6 months is the right time for babies to do massage and spa. The purpose of this study was to determine the effect of baby massage and spa on the growth of infants aged 3-5 months in Pringsewu District in 2018. This study uses a quasi-experimental approach with research design pre and post-test with control group design. The purposive sampling technique was taken with a sample of 30 infants as the intervention group and 30 infants as the control group. Data were processed using computerization and analyzed using the T-Test. The results showed that there were significant differences between body weight, body length and baby head circumference in the pre and post-treatment. There was no significant difference in the average increase in infant weight between babies who were carried out by baby massage and spa with babies who were not carried out by baby massage and spa with p-value 0.116. There is a significant difference in the baby's body length and head circumference performed by baby massage and spa with those not carried out by baby massage and spa with p-value 0.000. Baby Massage and Spa has a significant effect on increasing the growth of babies aged 3-5 months.

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EFFECT OF HEALTH PROMOTION AND WHATSAPP REMINDER TO SELF EFFICACY OF ADHERENCE CONSUME FE TABLETS PREGNANT WOMEN

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.682 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Dyah Dyah Dewi ◽

Wiwik Wiwik Kusumawati ◽

Ismarwati Ismarwati Ismarwati

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Sampling Technique ◽

Control Group ◽

Control Group Design ◽

Significant Difference ◽

Before And After ◽

The Government

Background: Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.Objective: To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.Method: This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.Results: There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.Conclusion: There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.

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Pengaruh Diabetes Self Management Education and Support (DSME/S) terhadap Diabetes Distress pada Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember (The Effect of Diabetes Self Management Education and Support [DSME/S] on Diabetes Distress in Patie

Pustaka Kesehatan ◽

10.19184/pk.v6i1.6868 ◽

2018 ◽

Vol 6 (1) ◽

pp. 133

Author(s):

Novita Nurkamilah ◽

Rondhianto Rondhianto ◽

Nur Widayati

Keyword(s):

Diabetes Mellitus ◽

Management Education ◽

Intervention Group ◽

Self Care ◽

T Test ◽

Self Management ◽

Diabetes Distress ◽

Control Group ◽

Significant Difference

Diabetes Mellitus (DM) is a chronic disease that requires a continous self-care. A low level ofknowledge about self-care can worsen health condition and cause diabetes distress. The continuingstress can cause hyperglycemia that lead to complications of DM. DSME/S is a structured healtheducation that facilitates DM patients in implementing and maintaining their behavior for sustainableself-care. This research aimed to analyze the effect of DSME/S on diabetes distress in patients withtype 2 DM. This research was quasi experimental with non randomized control group pretestposttest design. Thirty respondents in this study were divided into 15 respondents as theintervention group and 15 respondents as the control group by consequtive sampling technique.DSME/S was conducted in 6 sessions: 4 sessions in the hospital and 2 sessions at respondent'shouse. The data were analyzed by using dependent t test and independent t test with significancelevel of 0.05. The result of dependent t test revealed a significant difference of diabetes distressbetween pretest and posttest both in the intervention group (p=0.001) and in the control group(p=0.046). Furthermore, independent t test showed a significant difference between interventiongroup and control group (p=0.001). The decrease of diabetes distress was higher in the interventiongroup than control group. This result indicates that there was a significant effect of DSME/S ondiabetes distress in patients with type 2 DM. Nurses are expected to apply DSME/S as a dischargeplanning to reduce diabetes distress in patients with type 2 DM.Keywords: diabetes distress, DSME/S, Diabetes Mellitus

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Effect of health promotion and Whatsapp reminder to self-efficacy of the consumption of Fe tablets adherence among pregnant women

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.683 ◽

2019 ◽

Vol 2 (1) ◽

pp. 23-32

Author(s):

Dyah Tri Kusuma Dewi ◽

Wiwik Kusumawati ◽

Ismarwati Ismarwati

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Sampling Technique ◽

Control Group ◽

Control Group Design ◽

Significant Difference ◽

Before And After ◽

The Government

Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.

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SWEDISH MASSAGE THERAPY UPAYA PERCEPATAN INVOLUSI UTERI PADA IBU POSPARTUM DI WILAYAH CILACAP KOTA

Jurnal Kebidanan ◽

10.35872/jurkeb.v12i01.369 ◽

2020 ◽

Vol 12 (01) ◽

pp. 103

Author(s):

Anisa Sevi Oktaviani

Keyword(s):

Post Partum ◽

Intervention Group ◽

Experimental Studies ◽

Massage Therapy ◽

Sampling Technique ◽

Control Group ◽

Test Statistic ◽

Control Group Design ◽

Group Design ◽

Significant Difference

ABSTRAKLatar Belakang Masalah. Kegagalan involusi uterus untuk kembali pada keadaan tidak hamil akan menyebabkan sub involusi yang menyebabkan perdarahan masa postpartum. Angka Kematian Ibu karena perdarahan post partum mempunyai peringkat tertinggi dimana salah satu penyebab perdarahannya adalah subinvolusi uteri. Swedish Massage Therapy (SMT) mempertahankan kesehatan dan menambah baiknya fungsi tubuh, merangsang pengeluaran hormone endorphin yang melancarkan reflek let down untuk mengeluarkan hormon oksitosin. Tujuan penelitian untuk mengetahui pengaruh Swedish Massage Therapy (SMT) pada ibu pospartum sebagai upaya penatalaksanaan involusi uteri di wilayah Cilacap Kota. Metode: Studi eksperimental dengan Posttest Only Control Group Design. Alat yang digunakan dalam penelitian berupa metline. Diberikan perlakuan SMT pada kelompok intervensi dan tidak diberi perlakuan SMT pada kelompok kontrol, kemudian dilakukan pengukuran tinggi fundus uteri hari ke-3 dan hari ke-5. Pengambilan sampel menggunakan teknik incidental sampling sebesar 30 responden. Data dianalisis dengan uji Mann Whitney melalui program SPSS 20. Hasil penelitian. Terdapat perbedaan yang signifikan penurunan tinggi fundus uteri antara kedua kelompok pada hari ke-3 (p=0,31) dan hari ke 5 (p=0,33). Dari hasil penelitian dapat disimpulkan bahwa Swedish Massage Therapy (SMT) berpengaruh pada ibu postpartum sebagai upaya percepatan involusi uteri di wilayah Cilacap Kota. Kata Kunci: SMT, Involusi, Pospartum SWEDISH MASSAGE THERAPY ATTEMPTS TO ACCELERATE INVOLUTION OF UTERI IN THE POSPARTUM MOTHER REGION IN CILACAP CITYABSTRACTBackground problem. Failure of the involution of the uterus to return to the Unexpectant state will cause a sub involution that causes the bleeding of postpartum period. The maternal mortality rate of post-partum hemorrhage has the highest ranking in which one of the causes of the land is the uterine atony or the involution of utero. Swedish Massage Therapy (SMT) maintains health and augments body function, stimulating the production of endorphin hormone that launches a quick reflec let down to secrete oxytocin hormones. The research aims to determine the effect of the Swedish Massage Therapy (SMT) on the Pospartum mother as an effort to manage utero involution in Cilacap Kota. Methods: Experimental studies with Posttest Only Control Group Design. The tools used in the study of the Metline. Administered SMT treatment in the intervention group and was not given SMT treatment in the control group, then carried out the high measurement of Fundus utero Day 3 and day-5. Sampling using the incidental sampling technique of 30 respondents. The Data is analyzed by Mann Whitney test statistic through the SPSS 20 program. Research results. There is a significant difference in the high decline of utero fundus between the two groups on day 3 (P = 0.31) and day 5 (P = 0.33). From the results of the study can be concluded that the Swedish Massage Therapy (SMT) has an effect on the mother postpartum as an attempt to accelerate utero involution in the area of Cilacap Kota. Keywords: SMT, Involusi, Pospartum

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The Effect of Family Empowerment Model on Self-care in Hemodialysis Patients of Zahedan, Iran

Health Scope ◽

10.5812/jhealthscope.90951 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Alireza Salar ◽

Hoda Taheri

Keyword(s):

Intervention Group ◽

Self Care ◽

Hemodialysis Patients ◽

T Test ◽

The Self ◽

Control Group ◽

Significant Difference ◽

The Family ◽

Empowerment Model ◽

Family Centered

Background: Self-care is one of the important aspects of treatment in hemodialysis patients. This study was done to determine the effect of the family-centered empowerment model on the self-care of hemodialysis patients. Methods: This study was performed on 100 hemodialysis patients referring to the Zahedan hemodialysis department in 2018. For the intervention group, the family-centered empowerment model was executed in four stages, including understanding the threat, problem-solving, educational participation, and evaluation according to the steps of the model, and the control group received the usual care of the department. The data collection tools were the demographic information questionnaire and self-care questionnaire. Data were analyzed using SPSS V.22 by analysis of variance (ANOVA), independent t-test, repeated measures t-test, and Chi-square test. Results: Based on the independent t-test, the mean self-care score of patients in the intervention and control group was significantly different (P < 0.001). There was a significant difference in the "main caregiver relation" variable (P = 0.006). The results of the "time" and "intervention" effects of this test also showed that these two variables had a significant effect on mean self-care scores (P < 0.001). The results of ANOVA showed that self-care score changed in the two groups there was an increase in the self-care score in the intervention group compared with the control group (P < 0.001). Conclusions: Implementing the family-centered empowerment model in hemodialysis patients by strengthening the ability of the patient and their families to care provides a platform for their promotion and maintenance of their self-care.

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Efficacy of Listening to Murattal in Reducing the Pain Experienced by ICU Patients

Jurnal Keperawatan Soedirman ◽

10.20884/1.jks.2021.16.3.1567 ◽

2021 ◽

Vol 16 (3) ◽

Author(s):

Iwan Purnawan ◽

Arif Imam Hidayat ◽

Eman Sutrisna ◽

Galih Noor Alivian ◽

Ikit Netra Wirakhmi

Keyword(s):

Healing Process ◽

Intervention Group ◽

Sampling Technique ◽

Wilcoxon Test ◽

Pharmacological Intervention ◽

Control Group ◽

Control Group Design ◽

Icu Patients ◽

Pain Scores ◽

Significant Difference

Background: Pain is one of the main problems in patients with ICU. Inadequate handling can cause adverse effects such as unstable hemodynamics, trigger stress, and thus hinder the healing process. Non-pharmacological intervention is needed to help manage pain in patients with ICU. Purpose: This study aims to identify the effect of murottal listening to pain in ICU patients. Methods: This is a quasi-experiment with pre-test and post-test with control group design. The sampling technique was simple random sampling, consisting of 40 respondents divided into two groups. The Critical Pain Observation Tool (CPOT) is used to measure pain. Statistics using a paired t-test, Wilcoxon-test, and Mann Whitney. Results: Significant decreases in pain scores were observed in treatment groups of 4, 5 to 4,0; p = 0,013. In the control group, there was a significant decrease in pain scores from 4,8 to 4,3; p = 0,001. There was no significant difference between the median decrease in pain in the intervention group (0.001 (-1-2.0) and the control group (0.001 (0.001-1.0)) with p = 0.242. Conclusion: Murottal listening does not have a significant effect on pain in patients of ICU.

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Effect of Endorphine Massage to Pain Scale High School In The Disminore Experience

Jurnal IPTEKS Terapan ◽

10.22216/jit.2018.v12i2.1542 ◽

2018 ◽

Vol 12 (2) ◽

pp. 155

Author(s):

Mariza Elvira

Keyword(s):

High School ◽

Quantitative Research ◽

Health Workers ◽

Statistical Tests ◽

Intervention Group ◽

Sampling Technique ◽

Pain Scale ◽

Control Group ◽

Control Group Design ◽

Significant Difference

ABSTRACTThe woman is a being that has a pretty unique reproductive system. One of them is they are experiencing menstruation each month that are not experienced by men. Women who are experiencing menstruation usually complain of symptoms in the first two days as disminore. Disminore is a pain in the abdomen that was felt shortly before or at the time of menstruation. This research aims to look at the influence of endorphine massage against the scale of pain students high school. This research is quantitative research using the method of Experimental Design approach Quasy Nonequivalent Control Group Design. Sampling technique used was purposive sampling with samples of 12 people comprising 6 intervention group and the control group 6. Statistical tests used are the dependent T-test. The results of this research obtained p = 0.004 (p < 0.05), it means there is a significant difference between massage endorphine against pain scale disminore. There are means so that it can influence pain scale endorphine massage against disminore on the school girl. For health workers should start applying massage therapy endorphine when disminore from the use of drugs in pain-lowering.Keywords : Endorphine massage, the pain disminore

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The effectiveness of dalethyne dressings for reducing bacteria in diabetic foot ulcers

Frontiers of Nursing ◽

10.2478/fon-2021-0017 ◽

2021 ◽

Vol 8 (2) ◽

pp. 153-158

Author(s):

Suriadi Jais ◽

Djoko Priyono

Keyword(s):

Ankle Brachial Index ◽

Intervention Group ◽

Foot Ulcers ◽

Control Group ◽

Diabetic Patients ◽

Control Group Design ◽

Significant Difference ◽

Quasi Experimental ◽

Bacteria Culture ◽

Study Participants

Abstract Objective This study evaluates the effectiveness of a dalethyne dressing for decreasing bacteria in diabetic patients with infected foot ulcers. Methods This study was conducted from March to September 2018 with a sample of 30 participants from the outpatient Kitamura Wound Clinic in Pontianak City, Indonesia. A quasi-experimental non-equivalent pretest–posttest control group design was used for the study. Participants were divided into two groups: an intervention group (treated with a dalethyne dressing) and a control group (treated with a standard dressing). Two trained research assistants collected the data using the Wagner wound classification system and a bacteria counter. The assistants swabbed each wound surface with sterile cotton, and the swabs were used to conduct a bacteria culture and count. Results The study population was 50% female and 50% male with no significant differences between each other in age, HbA1c, blood pressure, or ankle-brachial index (ABI; P > 0.05). Both groups had a significant reduction in the number of bacteria from the pretest to posttest (P < 0.05). Mann–Whitney analysis of posttest data indicated a significant difference in bacteria reduction between the control group (median = 2.25) and the intervention group (median = 7.6; P = 0.018). It was noted that Staphylococcus aureus was found in the control group at posttest, but not in the intervention group. Conclusions This study provides evidence that a dalethyne dressing is effective for killing S. aureus in the infected foot ulcers of diabetic patients.

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