scholarly journals PENGARUH PEMBERIAN DZIKIR TERHADAP STRES DAN GULA DARAH ACAK PADA PASIEN DIABETES MELLITUS

2020 ◽  
Vol 2 (1) ◽  
pp. 38
Author(s):  
Novilia Qurotun Nisbah ◽  
Harmayetty Harmayetty ◽  
Lingga Curnia Dewi

Pendahuluan: Diabetes Mellitus merupakan salah satu penyebab stres pada penyakit kronis. Stres mempengaruhi kontrol glukosa darah, kepatuhan, biaya perawatan, dan kematian. Dzikir merupakan salah satu alternatif terapi yang dapat digunakan untuk menurunkan stress dan kadar gula darah. Tujuan dari penelitian ini yaitu Menganalisa pengaruh pemberian dzikir terhadap stress dan gula darah acak pada pasien diabetes mellitus.Metode: Penelitian menggunakan pendekatan quasi- eksperimental pre posttest with control group design dengan jumlah sampel 60 pasien Diabetes Mellitus yang, berusia 40-60 tahun, dibagi menjadi dua kelompok yaitu kelompok perlakuan 30 orang dan intervensi 30 orang dan menggunakan metode purposive sampling.  independen yaitu dzikir dan variable dependen terdiri dari stres dan kadar gula darah acak. Penelitian ini menggunakan kuesioner Diabetes Distress Scale (DDS) untuk mengukur stress serta glucometer untuk mengukur kadar gula darah acak. Uji statistik yang digunakan Wilcoxon Signed Rank Test dan Mann Whitney Test dengan signifikansi α ≤ 0,05.Hasil: Hasil penelitian menunjukan tingkat stress setelah intervensi (Wilcoxon signed rank test p=0,000, Mann Whitney test p=0,000) dan nilai gula darah acak setelah diberikan intervensi (Wilcoxon signed rank test    p=0,000, Mann Whitney test p=0,047).Kesimpulan: Dzikir dan doa mengurangi stress dan kecemasan dengan cara membantu individu membentuk persepsi yang lain selain ketakutan yaitu keyakinan bahwa stressor apapun dapat di hadapi dengan baik dengan bantuan Tuhan. Dzikir mempengaruhi stres dan gula darah pada pasien dengan diabetes mellitus. Namun selain zikir, penerimaan penyakit dan kepatuhan terhadap pengobatan akan memaksimalkan perawatan yang sedang dijalani. ABSTRACTIntroduction: Diabetes Mellitus is one of the causes of stress on chronic diseases. Stress affects blood glucose control, compliance, treatment costs, and death. Dhikr is one of the therapeutic alternatives that can be used to reduce stress and blood sugar levels. The purpose of this study is to analyze the effect of dzikir on stress and random blood sugar in patients with diabetes mellitus.Method: The study used a quasi-experimental pre-test approach with control group design with a sample of 60 Diabetes Mellitus patients aged 40-60 years, divided into two groups of treatment group 30 people and intervention 30 people and using methods Purposive sampling. Variables consist of dhikr, stress and random blood sugar levels. This research uses Diabetes Distres Scale (DDS) Questionnaire instruments as well as glucometers to measure random blood sugar levels. The statistical test used was the Wilcoxon Signed Rank Test and the Mann Whitney Test with a significance of α ≤ 0.05.Results:  The results showed that the level of stress before and after the administration of Dhikr in the treatment group had a difference in value with significance p = 0.000. Whereas on blood sugar levels random group treatment acquire significance value P = 0,047.Conclusion: Dhikr and prayer reduce stress and anxiety by helping individuals form perceptions other than fear that is the belief that any stressor can be dealt with well with the help of God. Dhikr affects stress and blood sugar in patients with diabetes mellitus. But in addition to dhikr, acceptance of diseases and compliance with treatment will maximize the treatment that is being lived

2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Lono Wijayanti ◽  
Ghady Anggun M

The type of sport suggested for Diabetes Mellitus patient is Diabetes Gym, but most societies, especially diabetes mellitus patients are lazy to do it. On diabetes mellitus type 2, diabetes gym acts as glycemic control which manages and control blood sugar rate. This research purposes to know diabetes gym influence toward the decrease of blood sugar rate on Diabetes Mellitus patient type 2 in Puskesmas Pakis Surabaya. This research used quasy experiment design. Total of the population of all Diabetes Mellitus patients type 2 is 28 respondents taken by probability sampling - simple random sampling technique; 14 respondents in control group and 14 respondents in treatment group. The independent variable is Diabetes Gym and the dependent variable is the decrease of blood sugar rate. Data are collected by using Glucometer, striptest, needle and observation sheet. Data are analyzed by using Wilcoxon signed rank test with α < 0.05. The result of this research shows that almost all of the respondents in the treatment group have a good category of blood sugar decrease after performing gym, meanwhile almost all of the respondents in control group that do not perform gym have an adequate category of blood sugar decrease. Then, the result is analyzed by Wilcoxon signed rank test and obtained ρ (0,019) < α (0,05) so H0 is refused. It means that there is an influence of diabetes gym to the decrease of blood sugar on the Diabetes Mellitus patients type 2 in Puskesmas Pakis Surabaya. Performing Diabetes Gym influences in decreasing blood sugar rate. Therefore, nurse can take a part in leading diabetes patients to perform diabetes gym so it can be used as the therapy in controlling and decreasing blood sugar rate.


2021 ◽  
Vol 6 (2) ◽  
pp. 94
Author(s):  
Agus Sutiono ◽  
Dedy Purwito

Diabetes mellitus is one of cronical degenerative disease. The prevalence of sufferers continues to increase every year, one of the non-pharmacological therapies is exercise such as gymnastics prolanis DM and walking exercises to decrease the glucose level by the body muscles during the physical body. Objective this research is to find out the effectiveness of Prolanis and walking exercises in reducing blood sugar levels in DM patients type II. Method this study uses the Quasi experiment with pre and post with two group design. The study population was 92 DM patients type II with a sample of 82 people. Glucometer (Auto check blood glucose monitor) is used to collect the data. Wiloxon Test is used to analyze the statistical data. Results the research shows that the value of Prolanis Exercises (DM) is p=0.002 which means a significant influence on decrease of the sugar level of DM patients type II. Meanwhile the value of walking exercises is p=0.001. From the statistic test of WIlconxon Signed Rank Test, It obtained Z correlation = 7.886. It means that there is a significant correlation between Prolanis and walking exercises towards the decrease of blood sugar level of Diabetes Mellitus patients type II. Physical activities done regularly, measurably, and correctly are suggested to be considered as non-pharmacological therapies for Diabetes Mellitus patients type II to decrease blood sugar level. Keywords: Prolanis Exercises (DM), Walking, sugar blood level.


Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 41
Author(s):  
Ah Yusuf ◽  
Hanik Endang Nihayati ◽  
Krisna Eka Kurniawan

Introduction: Scizophrenia is a disease which affect of brain, causing impaired perception, thought, emotion, movement, and behavior, such as self care deficit. Self-care deficit is an impaired ability to bathing, dressing, eating and toileting. Modeling participant is a technique required to address the problem of self-care deficit where clients are taught and trained to meet the needs of self-care. The purpose of this study was to analyze the influence of participants modeling on self-care ability in schizophrenic clients with self-care deficit. Method: This study used quasi experimental design. Sampling was carried out with total sampling to all affordable population comprising 20 respondents in Dr Radjiman Wediodiningrat Mental Hospital, Lawang. This study analyzed by Wilcoxon Signed Rank Test and Mann-Whitney Test with significance level of p < 0.05. Result: The results showed the influence of participants modeling on self-care ability in schizophrenic clients with self-care deficit. Wilcoxon Signed Rank Test in treatment group showed p = 0.005 and control group showed p = 0,206. Mann-Whitney Test showed p = 0.030. Modeling participant improved self-care ability in schizophrenic clients with self-care deficit. Analysis: Modeling participant will improve cognitive, self-confidence and motivation of schizophrenic clients so that their ability to bathing, dressing, eating and toileting will increase. Discussion: Modeling participant can be applied as a technique to improve self-care ability in schizophrenic clients with self-care deficit. For further research can be explored further implementation of the modeling of participants in the group activity theraphy.


2021 ◽  
Vol 3 (3) ◽  
pp. 235
Author(s):  
Daranindra Dewi Saraswati ◽  
Atika Atika ◽  
Dwi Purwanti

Abstrak Latar Belakang: Metode Kontrasepsi Jangka Panjang (MKJP) merupakan metode kontrasepsi dengan efektivitas tinggi terdiri dari IUD, implan dan kontrasepsi mantap. Penggunaan MKJP yang rendah menyebabkan berbagai upaya dilakukan pemerintah untuk meningkatkan penggunaan MKJP. Konseling kontrasepsi merupakan salah satu upaya dalam meningkatkan penggunaan MKJP pasca persalinan. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan konseling kontrasepsi dengan Alat Bantu Pengambilan Keputusan (ABPK) dan konseling lisan terhadap pengetahuan ibu hamil trimester III mengenai MKJP. Metode: Penelitian ini merupakan penelitian quasi experimental terdiri dari 2 kelompok, kelompok perlakuan berupa konseling kontrasepsi dengan ABPK dan kelompok kontrol berupa konseling secara lisan. Pengambilan sampel menggunakan accidental sampling masing-masing kelompok 35 orang, total responden 70 orang. Variabel independen pada penelitian ini yaitu konseling kontrasepsi; variabel terikat adalah pengetahuan tentang MKJP. Analisis data menggunakan analisis univariat dan bivariat (Wilcoxon Signed Rank Test dan Mann-Whitney Test). Hasil: Nilai pengetahuan mengalami peningkatan yang signifikan pada kelompok perlakuan (74,3%) pada kategori baik, sementara kelompok kontrol (62,9%) pada kategori baik. Pengaruh intervensi terhadap pengetahuan didapatkan dengan Mann-Whitney Test signifikansi p=0,000 (p<0,05). Kesimpulan: Terdapat perbedaan pengetahuan yang bermakna pada kelompok perlakuan dan kontrol antara pretest-posttest. Ada perbedaan bermakna antara konseling ABPK dan lisan terhadap pengetahuan ibu hamil tentang MKJP, sehingga pemberian konseling dengan ABPK lebih efektif dibanding konseling secara lisan.Abstract Background: Long Acting and Permanent Contraceptive Method (LPAMs) is a highly effective contraceptive method consisting of IUDs, implants, tubectomy, and vasectomy. The low use of LPAMs has caused various efforts made by the government to increase the use of LPAMs. Contraceptive counseling is an effort to improve the use of postpartum LPAMs. Objective: This study aim to determine the differences in contraceptive counseling with Contraception Decision Making Tool (CDMT) and verbal counseling on the knowledge of third trimester pregnant women regarding LPAMs. Method: This study was a quasi experimental study consisting of 2 groups, the treatment group in the form of contraceptive counseling with LPAMs and the control group in the form of verbal counseling. Sampling used accidental sampling each group of 35 people, a total of 70 respondents. The independent variable in this study was contraceptive counseling; the dependent variable were knowledge regarding LPAMs. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann-Whitney Test). Results: The value of knowledge experienced a significant increase in the treatment group (74.3%) in the good category, while the control group (62.9%) in the good category. The effect of intervention on knowledge was obtained by Mann-Whitney test of significance p = 0,000 (p <0.05). Conclusion: There were significant differences in knowledge in the treatment and control group between the pretest-posttest. There was a significant difference between CDMT and verbal counseling in knowledge of pregnant women about LPAMs, so that counseling with CDMT was more effective than verbal counseling.


2021 ◽  
Vol 8 (1) ◽  
pp. 132
Author(s):  
Khurin In Wahyuni ◽  
Martina Kurnia Rohmah ◽  
Herni Setyawati

Diabetes Mellitus (DM) merupakan salah satu penyakit degeneratif tertinggi ke-enam di dunia, dimana prevalensi diabetes semakin meningkat sejalan dengan perubahan gaya hidup masyarakat yang cenderung konsumtif dan minim aktifitas fisik. Diabetes Mellitus ditandai dengan kenaikan gula darah karena kelainan insulin, resistensi insulin atau bisa juga keduanya. Salah satu upaya untuk penanganan dan pencegahan timbulnya peningkatan DM tipe 2 adalah dengan pemberian edukasi menggunakan media booklet. Edukasi merupakan penyampaian pesan kesehatan kepada kelompok atau individu dengan tujuan memperoleh pemahaman dan peningkatan kualitas hidup yang ditandai dengan penurunan HBA1c yang lebih baik. Penelitian ini bertujuan untuk mengevaluasi pemahaman, kualitas hidup dan perbedaan kadar gula darah sebelum dan sesudah pemberian edukasi dengan media booklet terhadap pasien DM tipe 2 di Sidoarjo. Rancangan penelitian yang digunakan adalah Random Control Trial Design. Penelitian ini dilakukan dari bulan Juni sampai Oktober 2020 dengan sampel 60 pasien. Pengukuran pemahaman menggunakan kuesioner DKQ Quessioner, perubahan perilaku menggunakan kuesioner DQOL sedangkan penetapan kadar HBA1c dengan alat tes gula darah. Hasil analisis kuantitatif dilakukan dengan menggunakan uji Wilcoxon Signed Rank Test dan uji Mann Whitney dimana terdapat perbedaan yang signifikan antara, pemahaman, kualitas hidup serta kadar gula darah HBA1c sebelum dan sesudah edukasi.  Pada hasil uji Spearman’Rank’s kelompok intervensi diperoleh nilai koefisien korelasi sebesar 0,586 dengan signifikansi 0,001 untuk pemahaman dengan HBA1c, hasil pemahaman dengan kualitas hidup diperoleh korelasi dengan nilai 0,552 dan p= 0,002. Pada uji korelasi antara HBA1c dengan kualitas hidup diperoleh nilai -0,434, sedangkan signifikansi diperoleh p=0,017, Hal ini menunjukan hubungan antara variable didapat korelasi sedang. Berdasarkan penelitian ini maka dapat disimpulan bahwa terdapat efektivitas edukasi terhadap pemahaman, A1c dan kualitas hidup. Kata Kunci: Diabetes Mellitus, Edukasi, Pemahaman, Kualitas Hidup, Kadar HBA1C, Kualitas Hidup  Diabetes Mellitus (DM) is one of the sixth highest degenerative diseases in the world, the prevalence of diabetes is increasing in line with changes in people's lifestyles that tend to be consuming and minimal physical activity. DM is characterized by an increase in blood sugar due to insulin disorders, insulin resistance or both. One of the efforts to handle and prevent an increase in type 2 diabetes is trough education using booklet media. Education is the delivery of health messages to groups or individuals to gain understanding and improve the quality of life, marked by a better decrease in HBA1c. This study used a Random Control Trial Design. This study aims to determine the understanding, quality of life and differences in blood sugar levels before and after giving education with booklet media to type 2 DM patients in Sidoarjo. This study was conducted from June-October 2020 with a sample of 60 patients. Measurement of understanding using the DKQ Quessioner questionnaire, behavior change using the DQOL questionnaire while HBA1c levels using a blood sugar test kit. The results of quantitative analysis were carried out using the Wilcoxon Signed Rank Test and the Mann Whitney test, from these results there were significant differences between, understanding, quality of life and blood sugar levels of HBA1c before and after education. While the results of the Spearman 'Ranks test for the intervention group obtained a correlation coefficient of -0.586 with a significance of 0.001 for understanding with HBA1c, the results of understanding with quality of life obtained a correlation with a value of 0.552 and p = 0.002. In the correlation test between HBA1c and quality of life, the value -0.434, while the significance was p = 0.017, and this shows the relationship between variables obtained moderate correlation. From this research, there is educational effectiveness on understanding, A1c and quality of life.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 340
Author(s):  
Tintin Sukartini ◽  
Candra Panji Asmoro ◽  
Nandani Alifah

Background: Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients.Method: The study design used quasi-experimental pre-post test with control group. Samples were 28 respondents using purposive sampling and divided into two groups of 14 respondents each. The independent variable is diabetic foot training, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument was Weinstein Monofilament 10 g Semmes and a diabetic foot training checklist. Data analysis using the Wilcoxon-signed rank test and Mann Whitney test with α≤0.05.Result: The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment (p=0,000) and no difference in the control group (p=0.564). The Mann Whitney test results showed differences in sensory peripheral neuropathy between the treatment group and the control group after treatment p=0.039.Conclusion: Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy.


2021 ◽  
Vol 2 (2) ◽  
pp. 165
Author(s):  
Vendi Riswanda ◽  
Gusti Ayu Sri Puja Warnis Wijayanti

Kalender pengelolaan cairan dan mobile phone merupakan media yang dapat mengontrol interdialytic weight gain (IDWG).Pengontrolan IDWG dapat juga dilakukan melalui layanan pesan singkat pada mobile phone pasien. Penelitian ini bertujuan untuk mengetahui efektifitas penggunaan kalender pengelolaan cairan dan mobile phone terhadap interdialytic weight gain pada pasien gagal ginjal kronik. Penelitian ini merupakan penelitian quasy experiment dengan rancangan pretest-posttest without control. Populasi peneletian seluruh pasien yang menjalani hemodialisa pada periode Juli-September 2019. Sampel diambil dari populasi dengan teknik purposive sampling sebanyak 40 orang. Data yang dikumpulkan adalah karakteristik umum responden dan data berat badan antar dua waktu dialysis sebelum dan sesudah dilakukan intervensi. Analisa data dengan uji Wilcoxon Signed Rank Test dan uji Mann Whitney Test. Hasil menunjukkan adanya penurunan interdialytic weight gain pada pasien setelah intervensi kontrol cairan menggunakan kalender pengelolaan cairan, dengan p-value= 0,006 (p < α=0,05). Ada penurunan interdialytic weight gain pada pasien setelah intervensi kontrol cairan menggunakan mobile phone dengan p value = 0,000 (p < α=0,05). Hasil uji Mann Whitney U Test menunjukkan tidak ada perbedaan efektifitas penggunaan kalender pengelolaan cairan dan mobile phone terhadap interdialytic weight gain pada pasien gagal ginjal kronik (p value= 0,328 atau p>0,05). Penggunaan kalender pengelolaan cairan dan mobile phone sama-sama efektif terhadap penurunan interdialytic weight gain pada pasien gagal ginjal kronik


2019 ◽  
Vol 22 (1) ◽  
pp. 19-26
Author(s):  
Muhtar Muhtar ◽  
Abdul Haris ◽  
Aniharyati Aniharyati

Latar Belakang: Penyakit TB merupakan masalah kesehatan masarakat di seluruh dunia dan menjadi penyebab kematian ketiga terbesar setelah penyakit kardiovaskuler dan penyakit saluran pernafasan, dan merupakan nomor satu terbesar dalam kelompok penyakit infeksi. Penerapan discharge planning terstruktur melalui 5 (lima) tahap langkah kegiatan dapat meningkatkan pengetahuan, kesadaran dan perilaku perawatan diri (self care) penderita TB paru selama menjalani pengobatan TB yang biasanya berlangsung sampai 6 bulan. Tujuan : Penelitian ini bertujuan untuk membuktikan pengaruh penerapan model discharge planning terstruktur dan home care dalam meningkatkan self care penderita tuberkulosis paru di Rumah Sakit Umum Daerah Bima. Metode: Menggunakan randomized control group pretest posttest design, penelitan ini melibatkan dua kelompok subjek yaitu kelompok perlakuan dan kelompok kontrol yang dilakukan randomisasi. Populasi dalam penelitan ini adalah semua penderita TB paru yang menjalani rawat inap di RSUD Bima selama tahun 2017 yang tersebar di dua ruangan yaitu ruangan penyakit dalam dan ruangan perawatan isolasi. Pengambilan sampel menggunakan tehnik non probability sampling yaitu purposive sampling. Analisis data menggunakan statistik non parametris  Wilcoxon sign rank test dan Mann-Whitney test, hipotesis alternatif diterima bila nilai p ≤ 0,05. Hasil: Self care demand dan self care agency penderita TB paru mengalami peningkatan, uji Wilcoxon Signed Rank Test dan uji Mann-Whitney Test menunjukan nilai p<0,05, yang berarti ada pengaruh penerapan model discharge planning terstruktur dan home care dalam meningkatkan self care penderita tuberkulosis. Kesimpulan: ada pengaruh penerapan model discharge planning terstruktur dan home care terhadap self care demand penderita TB paru di Rumah Sakit Umum Daerah Bima.


2019 ◽  
Vol 7 (3) ◽  
pp. 76
Author(s):  
Idola Perdana Sulistyoning Suharto ◽  
Erik Irham Lutfi ◽  
Mega Diasty Rahayu

The objective of this study was to analysis effect of giving ginger (Zingiber officinale) to the blood glukose in patients of diabetes mellitus. The method was one group pretest – posttest design. There were 16 patients of diabetes mellitus who was given ginger (Zingiber officinale). Ginger (Zingiber officinale) was given twice a day for a week The dose of ginger is 50 mg of ginger boiled with 200 ml of water Blood glucose was measured before and after ginger administration. The data was analyzed by wilcoxon signed rank test. Based on wilcoxon signed rank test, obtained result that there was a significant difference (α


2019 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Dismalyansa Dismalyansa ◽  
Kusnanto Kusnanto ◽  
Retnayu Pradanie ◽  
Hidayat Arifin

Pendahuluan: Diabetes Mellitus (DM) dengan Ulkus Kaki Diabetes (UKD) dapat berakibat pada gangguan psikologis. Terapi Hiperbarik Oksigen (HBO) dapat mempercepat penyembuhan luka sehingga psikologis pasien dapat membaik. Penelitian ini bertujuan menjelaskan pengaruh hiperbarik oksigen terhadap psikologis penderita UKD. Metode: Penelitian ini menggunakan desain quasi experimental dengan pendekatan non-equivalent control group design. Sampel sebanyak 70 pasien pasien DM dengan UKD. Variabel indepeden adalah terapi HBO dan dependen adalah psikologis penderita UKD. Data dikumpulkan melalui kuesioner WHOQOL-BREF. Data dianalisis dengan Wilcoxon signed rank test dan Mann Whitney U test. Hasil: Intervensi HBO meningkatkan psikologis pasien UKD (p=0,012) dan terdapat perbedaan yang signifikan antara kelompok kontrol dan perlakuan yang signifikan (0,040). Diskusi: Pasien DM dengan UKD yang diberi HBO menunjukkan perbaikkan psikologis yang terlihat dari pasien lebih sehat, semangat, dan terdapat perbaikan UKD. HBO dapat dijadikan sebagai pilihan pengobatan dalam meningkatkan respon psikologis penderita UKD.


Sign in / Sign up

Export Citation Format

Share Document