scholarly journals The Description Of Diabetics’ Acceptance Stage Toward Diabetes Mellitus’ Diagnoses

2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Ana Nistiandani ◽  
Achmad Zulfa Juniarto ◽  
Niken Safitri Dyan

<p class="Normal1" align="center"><strong>Abstract</strong></p><p class="Normal1" align="center"><strong> </strong></p><p>Diabetes Mellitus (DM) is a chronic condition which requires various kinds of lifetime treatment which cause grief. Grief has stages which can be passed though normally with the attainment of acceptance stage. Acceptance attainment renders a description maintaining that grief in its process is undergone normally through uncomplicated grief reaction and emotional responsiveness. A diabetics who manages to attain the acceptance stage will have a better glycemic control, while a diabetics with a low acceptance stage may experience an ineffective coping, improper self-treatment, and distress increase, all of which end up in a bad glycemic control which causes physical complications. This suggests that a description of s’ acceptance stage is important to identify. Accordingly, the aim of this research is to identify and analyze the description of diabetics’ acceptance of DM diagnoses. The method utilized is descriptive-observational, the data collected using the ‘Acceptance of Disease and Impairments Questionnaire’ (ADIQ). The analysis employed in this research is a descriptive analysis. The sampling technique used is consecutive sampling. The research result shows that, based on the diagram of ADIQ administered on 20 s, there are 30% found to be in the stage of acceptance, while there exist 70% to be in the stage of not yet attaining acceptance, which comprises denial (20%), resistance (10%), and sorrow (40%). Failure in attaining the acceptance stage is caused by the s’ still being in the states of denial, resistance, and sorrow. Based on the research result, it can be concluded that the s dominantly stay at the stage of not yet attaining acceptance. The diabetics who have attained acceptance may still be exposed to the risk of undergoing a maladaptive response which may trigger depression, anxiety, worsened physical health, self-treatment discontinuation, powerlessness, low self-esteem, social isolation, even suicidal drive. This is all caused by grief which constitutes a fluctuate condition where every diabetes can contribute to describing his or her condition at every stage.</p><p> </p><strong><em>Keywords</em></strong><em>: stages of grief, acceptance, denial, resistance, sorrow</em>

Author(s):  
Linawati Kuswanda ◽  
Sulistyono Sulistyono ◽  
Anna Fitri Hindriana

This study aims to improve the KPS and students' high cognitive abilities after the implementation of self assessment through research-based learning. The research method used is mixed methods with Sequential Exploratory design. The population of this research is the students of class XI one of the vocational competence of nursing skills in Cirebon Regency. The research sample consisted of two classes determined by purposive random sampling technique, namely control class amounted to 27 people and 27 experimental class. The results showed that the average of self-assessment of the experimental class students is 81% with the superior category. The result of observation of experimental class KPS based on teacher observation is 88% with superior category and observation result of control class KPS is 77% with competent category. Thus, KPS increases after the implementation of self assessment. The data of research result of high level cognitive ability obtained by giving cognitive test at cognitive level of C3 until C6 growth and plant growth material in the form of pre test and post test. The collected data were analyzed by using descriptive statistics and comparative inferential statistics 2 paired sample groups. The result of descriptive analysis shows that the average value of pre test result of experiment class is 45,74 and post test result is 82,96, N-gain 0,70 with high category. The mean value of pre test result of control class 54,72 and post test result is 67,22, N-gain 0,30 with low category. KKM Biology lesson in class XI is 70, this shows the average post test experimental grade above KKM and control class is still below KKM. The result of t test dependent on pre test score and post test of high cognitive ability obtained by significance value 0,00 (sig <0,05) hence Ho refused and Ha accepted. This proves that Self Assessment can improve students' high cognitive abilities. Thus it can be concluded that the implementation of Self Assessment can improve the KPS and students' high cognitive abilities on the material growth and development of plants through research-based learningKeywords: Self assessment; Science process skills; High cognitive abilities; Research-based learning


2021 ◽  
Vol 6 (2) ◽  
pp. 143-151
Author(s):  
Alfyan Rahim ◽  
Thaslifa ◽  
Irwansyah

Background: Diabetes mellitus (DM) is a dangerous disease with prevalence in Indonesia, including South Sulawesi, until now it has reached 3.4% of the total population. Prediabetes is an early condition for diabetes where blood glucose levels are above normal levels. One of the factors that are most closely related to the incidence of prediabetes is obesity which is also a problem currently faced at the age of children and adolescents. One way to detect a disturbance in glucose metabolism is the Oral Glucose Tolerance Test (TTGO).Objective: This study aims to determine the incidence of prediabetes in obese students. Methods: The study design was analytical descriptive, analyzing the test variables of OGTT as a prediabetes screening in the obese. The population was all active students of Megarezky University who were obese obtained by purposive sampling technique. Results: Based on the research result of 40 respondents, after the measured levels of GDP and two-hour glucose levels after oral glucose administration (postprandial), obtained a mean grade of respondents OGTT was 120,45 mg/dl and 8 (20%) of whom had an abnormal OGTT level ( 140-199 mg/dl). Conclusion: It reveals that the eight respondents experienced impaired glucose tolerance (IGT) and prediabetes. Obese people should begin to keep a balance between intake and energy expended to avoid Diabetes Mellitus.


Background: Effective management of diabetes mellitus depends on efficacy of therapy as well as patient adherence to medication therapy and non-pharmacological approaches. One of the most important tools to improve patient adherence is counseling. Community pharmacists can effectively contribute to patient care as they have the expertise and accessibility to do the task appropriately. Objective: The objective of the study was to evaluate the impact of pharmacist counseling on glucose control and medication adherence of diabetic patients attending community pharmacies in Pakistan. Method: A randomized, controlled, single blinded, pre-post intervention study design was used. The respondents included patients diagnosed with both diabetes mellitus (Type I or II) visiting community pharmacies for purchasing their regular medicine. Simple random sampling technique by lottery method was used to select community pharmacies to be included in-group A (intervention n=4) and group B (control n=4). The total number of patients were 40 in each group while estimating a drop-out rate of 25%. Convenience sampling technique was used to select patients visiting community pharmacies. Patients in the intervention group received special counseling. Blood glucose was checked after every 15 days for a period of six months. Pre-validated tools such as diabetes knowledge questionnaire 24 and brief medication questionnaire were used. Data was cleaned, coded and analyzed in SPSS 21. Wilcoxon test (p≥0.05) was used to compare pre-post intervention knowledge regarding diabetes and. Mann-Whitney test (p≥0.05) was used to find differences among medication adherence among control and intervention groups as well as pre and post intervention. Results: The results of the present study showed that respondents having diabetes since the past 1-3 years had comparatively better knowledge scores (18.8, 3±2.04) after intervention. Mean knowledge scores regarding diabetes mellitus among intervention group at baseline was (16.02, ±2.93) which was improved after six months (19.97, ±2.66). Significant difference was observed (p≤0.05) in pre-post intervention knowledge regarding diabetes management. Knowledge of patients was improved regarding different aspects of diabetes management after counseling by community pharmacists. The fasting blood glucose improved at three months (9.32, ±1.92) and after six months (8.95, ±1.45) in intervention group. Conclusion: The results of the current study concluded that counseling by community pharmacist has a positive impact on blood glucose management among diabetic and patients. Educational programs should be initiated by community pharmacists as this can lead to improvement in glycemic control and enhance the image of pharmacist as a key health care member in management of chronic diseases.


2019 ◽  
Vol 13 (3) ◽  
pp. 340
Author(s):  
Komen Komen ◽  
Hendrik Johannes Nadapdap

Employee’s work satisfaction is used to describe the employee’s feeling towards their work. This research was aimed to describe the employee’s work satisfaction and analyze the effect of some factors, such as work motivation, organization culture, leadership style, work facility and work environment toward the work satisfaction of the employees in Tambi Tea Plantation Factory, Tambi Plantation Unit, Wonosobo Regency. The method used for this research was survey. The sampling technique used was random sampling technique, which consisted of 57 respondents. The research started from January to February 2019. The data were then analyzed through descriptive analysis and multiple linear regression. The research result showed that the employees felt satisfied when working as tea leaf pickers for this work gave them challenges, they got the proper salary, conducive working place, they showed some respect to each other, and also got the job that fitted desire. Work motivation variable (X1), organization culture (X2), and work environment (X5) had significant effect toward the employee’s work satisfaction (Y). Whereas leadership style (X3) and work facility (X4) did not have significant effect toward the employee’s work satisfaction (Y).


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Teklewoini Mariye Zemicheal ◽  
Degena Bahrey Tadesse ◽  
Hagos Tasew Atalay ◽  
Girmay Teklay Weldesamuel ◽  
Gebrewahd Bezabh Gebremichael ◽  
...  

Background. Diabetic nephropathy is real damage resulting from having uncontrolled diabetes mellitus. Unmanaged diabetic nephropathy is one of the most leading causes of kidney failure. There is a scarcity of information on the determinants of diabetic nephropathy among diabetes mellitus patients in Ethiopia. Identification of the determinants can help devise a strategy to properly address the disease and its consequences. Therefore, this study was designed to assess the determinants of diabetic nephropathy among diabetes mellitus patients. Methods. Unmatched case-control study design with 168 cases and 672 controls with a mean age of 45.18 and 62.12, respectively, participated in the study. An interviewer-administered questionnaire was employed for data collection, and a systematic sampling technique was used to select the study participants. Data were entered into Epi data and exported to SPSS for data clarification and analysis. Binary logistic regression analysis was carried out to check the level of association between diabetic nephropathy and the independent variables. Results. Comorbidity (AOR: 4.96 at 95 CI: 1.77–13.87), hypertension (AOR: 6.33, 95% CI: 2.51–16.02), poor glycemic control (AOR: 3.27, 95% CI: 1.31, 8.21), age (AOR: 1.14, 95%: 1.09–1.19), duration with diabetes mellitus since diagnosis (AOR: 1.83, 95 CI: 1.62–2.06), and nonadherence to diabetic medication (AOR: 3.3, 95% CI: 1.34, 8.15), diet (AOR: 5.96, 95%: 1.92–18.54), and exercise (AOR: 5.60, 95% CI: 1.94–16.21) were the determinants of diabetic nephropathy. Conclusion. Adherence to medication, diet, and exercise should be empowered to achieve glycemic control and to prevent diabetic nephropathy. More attention has to be also given for old aged diabetic patients, long duration since diagnosis of diabetes mellitus, hypertension, and other comorbidities.


2019 ◽  
Vol 12 (2) ◽  
pp. 118-132
Author(s):  
Aan Shar ◽  
Herry Novrianda

The objective of this research is to test the effect of compensation toward employee performance with self esteem as intervening variable. This study is a descriptive research which aims to clarify the relationship or influence that exist between the variables studied. The type of data used a primary data that is collected from questionnaires. Respondents of this study is the employees of plantation company in Bengkulu Province as many 196 people were taken with the judgemental (purposive sampling) technique. The methods of data analysis used are descriptive analysis by using the mean, frequency distribution table and regression analysis. The based on result of analysis, obtained result that: 1). Compensation has a positive and significant effect on the employee's self esteem. This means that the higher the employee's compensation, the employee self esteem will also be higher; 2). Compensation has a positive and significant effect on employee performance. This means that the higher the employee's compensation the employee's performance will also be better; 3). Self esteem has a positive and significant effect on employee performance. This means that the higher the self esteem of an employee the employee performance is also better; And 4). Compensation affects employee performance with self esteem as intervening variable, but direct influence is greater than indirect influence. This means that self esteem serves only as a partial mediation variable only.Keywords: compensation, performance, self esteem.


2019 ◽  
Vol 2 (2) ◽  
pp. 246-251
Author(s):  
Angga Arfina

Diabetes mellitus (DM) is a chronic disease that causes hyperglycemia thereby increasing glucose levels in the blood. One component of management and care that is essential for people with DM is the regulation of diets that can be provided through educational programs. Education a role in helping sufferers improve metabolic control and change their eating behavior. This study aims to determine the effect of dietary education on diet management behavior in patients with diabetes mellitus in Agrowisata Rumbai Pekanbaru. This research is a quantitative descriptive study with a quasi experimental design with pre and postest without control. The research sample was DM patients with 28 people with consecutive sampling technique. Data collection was done by DM diet management behavior questionnaire. Data were analyzed using dependent T test statistics. The results showed that there was an influence of dietary education education on diet management behavior of DM sufferers (p = 0,000 <0.05). The results showed that education increased the behavior of respondents in managing the diet from an average of 39.29 to 46.36. The results of this study can be input for health services to be able to maintain and improve education in DM patients. Education can improve the skills of sufferers to manage diabetes more effectively by regulating a healthy diet so that people with diabetes are expected to be able to prevent complications that can arise.   Diabetes melitus (DM) merupakan salah satu penyakit kronis yang menyebabkan hiperglikemia sehingga meningkatkan kadar glukosa dalam darah. Salah satu komponen penatalaksanaan dan perawatan yang esensial bagi penderita DM adalah dengan pengaturan diet yang dapat diberikan melalui program edukasi. Edukasi berperan membantu penderita meningkatkan pengendalian metabolisme serta mengubah perilaku makan mereka. Penelitian ini bertujuan mengetahui pengaruh edukasi pengaturan diet terhadap perilaku pengelolaan diet pada penderita diabetes melitus di Kelurahan Agrowisata Kecamatan Rumbai Kota Pekanbaru. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan desain quasi eksperiment pre and post test without control. Sampel penelitian adalah penderita DM berjumlah 28 orang dengan teknik consecutive sampling. Pengumpulan data dilakukan dengan kuesioner perilaku pengelolaan diet DM. Data dianalisis menggunakan statistik uji T dependen.  Hasil penelitian menunjukkan ada pengaruh edukasi pengaturan diet terhadap perilaku pengelolaan diet penderita DM (p=0,000 < 0,05). Hasil penelitian menunjukkan bahwa edukasi meningkatkan perilaku responden dalam pengelolaan diet dari rata-rata 39,29 menjadi 46,36. Hasil penelitian ini dapat menjadi masukan bagi pelayanan kesehatan untuk dapat mempertahankan dan meningkatkan edukasi pada pasien DM. Edukasi dapat meningkatkan keterampilan penderita mengelola diabetes secara lebih efektif dengan pengaturan diet sehat sehingga diharapkan penderita DM mampu mencegah komplikasi yang dapat muncul.


Author(s):  
Don Jose K ◽  
Femi Sebastian ◽  
Fiby Franklin ◽  
Divya Davis ◽  
Iriene B. Padanilath ◽  
...  

A study was conducted in order to assess the knowledge regarding glycemic control and self-management among diabetic patients in Amala Institute of Medical Science, Thrissur. A Nonexperimental descriptive survey design is used for the study. The sample consists of 30 subjects. Samples were selected by convenient sampling technique and according to inclusion and exclusion criteria. The tools used were Structured Knowledge Questionnaire and Demographic variables. Structured knowledge questionnaires were administered after giving necessary instructions. The collected data were analyzed by using descriptive and inferential statistics. Findings of the study showed that the majority of subjects have good knowledge (56.6%) on glycemic control and self- management of diabetes mellitus. Area wise Analysis of knowledge obtained based on diabetes mellitus are in general (66.6%), definition, etiology, and risk factors (76.6%), diagnostic measures and insulin administration immediate (63%), self-care and dietary management (63.3%) respectively. The results also shows that there is a significant association between knowledge regarding glycemic control and self-management among diabetic patients with age group, religion, educational status, occupation, residence, dietary pattern, duration of illness and previous knowledge.


Author(s):  
Yulianto Yulianto ◽  
Yufi Aris Lestari ◽  
Hartin Suidah ◽  
Anik Supriani ◽  
Riska Aprilia ◽  
...  

This study aimed to identify the relationship between self-esteem and the level of depression in people with Diabetes Mellitus. Cross sectional design was used in the study. There were 48 respondents chosen by Simple Random Sampling technique. The instrument used was a questionnaire and then data was analyzed by Pearson test with a significance level of α 0.05. The results showed that more than half of respondents had mild depression of 33 people (68.8%). In addition, there is a relationship of self-esteem with the level of depression which based on the results of the Spearman Rho statistical test with the Significant value p=0.014 < α 0.05. It is expected that health care professionals can provide support and motivate diabetic patients to maintain their daily activities.


2019 ◽  
Vol 17 (1) ◽  
pp. 15-18
Author(s):  
Maria Ghafoor ◽  
Najma Farhat ◽  
Firdous Khatoon ◽  
Asifa Ghazi ◽  
Fauzia Anbreen ◽  
...  

Background: In developing countries, miscarriage is one of the common and increasing problems of pregnancy. The objectives of this study were to determine the frequency of pre-gestational diabetes mellitus among pregnant women with miscarriage in our population. Materials & Methods: This descriptive, cross-sectional study was conducted in the Department of Gynecology and Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 3rd November 2015 to 2nd May 2016. Sample size was 268 pregnant women with miscarriage selected through consecutive sampling technique. Inclusion criteria were all pregnant women with miscarriage. Exclusion criteria were molar pregnancy, ectopic pregnancy and diabetics. HbA1c levels of ≤6% was taken as normal, whereas a level >6 was taken as raised level or pre-gestational diabetes. Variables were age, pre-gestational diabetes mellitus, number of pregnancies and duration of pregnancy (≤24, >24). Mean and SD were calculated for quantitative while frequency and percentages for qualitative variables. Descriptive analysis was performed by using SPSS version 16. Results: Mean age of the patients was 27.66 ±4.93 years. Out of 268 participants, 81(30.22%) were having pre-gestational diabetes mellitus and 187(69.78) were normal, 234(87.31%) were having first pregnancy whereas 34 were having >1 pregnancies, the pre-gestational age ≤ 24 weeks were 130(48.51%) and >24 weeks were 138(51.49%). Conclusion: One third of the patients with miscarriage were having pre-gestational diabetes mellitus. Almost half of the patients were having gestational age of


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