Self Management Menentukan Kualitas Hidup Pasien Diabetes Mellitus

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>

Author(s):  
Lasmauli Situmorang ◽  
Ahmad Suryawan ◽  
Ninik Asmaningsih Soemyarso

Objective: The purpose of this study was to compare the score of quality of life between parents and children with lupus nephritis.Material and Methods: A cross-sectional study was conducted from February to March 2017 in children with lupus nephritis aged 5-18 years old treated at the Department of Child Health Dr. Soetomo Surabaya Hospital. Quality of life was assessed from parents and children using the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core questionnaires. Statistical analysis of Wilcoxon signed rank test and pair t-test were used with p-value<0.05 being significant.Results: A total of 30 children were included during the study period. Sixteen children were female with a mean age of 11.5 (standard deviation 2.7) years. The differences in score between parents and children were as follows: physical functioning (82.8 vs 87.5) p-value=0.140, emotional functioning (65.0 vs 72.5) p-value=0.173, social functioning (80.0 vs 95.0) p-value=0.016 and school functioning (67.5 vs 70.0) p-value=0.116. There were no differences according to onset of diagnosis and the only differences found were in social functioning based on the induction treatment phase. Children with complications showed significant differences in physical, emotional and social functioning (p-value=0.041, p-value=0.023, p-value=0.038 respectively).Conclusion: Parents and children with lupus nephritis showed different scores of quality of life in social functioning, and it is important to consider the daily life activities of children.


2018 ◽  
pp. 243-247
Author(s):  
Sidik Awaludin ◽  
Anissa Cindy Nurul Afni ◽  
Wiwik Sekarwati

ABSTRAK Penyakit jantung koroner merupakan penyebab kematian terbesar di dunia. Penatalaksanaannya diantaranya dengan pembedahan seperti Coronarry Artery Bypass Graft (CABG). Tindakan CABG dapat menimbulkan kecemasan disetiap tahapannya. Kecemasan dapat menjadi hambatan penyesuaian psikologis pada pasien jantung dan akan menghambat pemulihan fisik yang berdampak pada kualitas hidup. Tujuan penelitian ini untuk mengetahui hubungan kecemasan dengan kualitas hidup pasien post CABG. Penelitian ini dilakukan di Ruang Rehabilitasi Jantung Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita Jakarta. Desain penelitian Desain penelitian ini yaitu cross sectional dengan jumlah sampel 25 pasien. Teknik sampling menggunakan consecutive sampling. Hasil penelitian ini ada hubungan yang bermakna antara kecemasan dan kualitas hidup pasien post CABG di Ruang Rehabilitasi Jantung RSJPD Harapan Kita Jakarta (p value 0.001).   Kata kunci: CABG, kecemasan, kualitas hidup     ABSTRACT Coronary heart diseases is the biggest cause of death in the world. One of its management is by surgery such as Coronarry Artery Bypass Graft (CABG). CABG prosedure can cause anxiety at every stage. Anxiety can be a barrier to psychological adjustment in heart patients and will inhibit physical recovery that impact on quality of life. The purpose of this study to determine the relationship of anxiety with the quality of life of post-CABG patients. The study was conducted in the heart hehabilitation room of RSJPD Harapan Kita. Research design of this study is cross sectional with a sample of 25 patients. The sampling technique uses consecutive sampling. The results of this study there is a significant relationship between anxiety and quality of life of post-CABG patients in the heart rehabilitation room RSJPD Harapan Kita Jakarta (p value 0.001).   Keywords: CABG, anxiety, quality of life  


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Ifana Z. Rahmah ◽  
D. Retnaningsih ◽  
Rista Apriana

XVI + 86 halaman + 7 tabel + 2 Gambar + 12 LampiranLatar Belakang: Kualitas tidur adalah kemampuan individu untuk tetap tertidur dan mendapatkan tidur REM dan NREM yang pas. Perubahan tidur akibat proses penuaan pada lansia dapat mempengaruhi kualitas tidur. Sehingga lanjut usia perlu mendapatkan praktik sleep hygiene yang baik dan tepat agar dapat meningkatkan kualitas tidur pada lansia. Tujuan: Mengetahui hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang. Metode            : Metode penelitian menggunakan metode deskriptif korelatif dengan desain penelitian cross sectional. Sampel yang digunakan dalam penelitian ini sebanyak 35 lansia.Teknik pengambilan sampel menggunakan sampling jenuh. Metode pengumpulan data menggunakan kuesioner. Analisa data menggunakan uji rank spearman dengan nilai signifikasi 5%. Hasil : Hasil uji rank spearman di dapatkan bahwa ada hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang dengan nilai p value = 0,000 yang berarti ≤0,05 (5%), maka H0ditolak dan Ha diterima. Kesimpulan : Ada hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang dengan arah korelasi positif dan tingkat keeratan tinggi. Saran : Untuk pelayanan keperawatan dapat menerapkan praktik sleep hygiene yang dapat di jadikan intervensi mandiri perawat dalam upaya meningkatkan kualitas tidur lansia.Kata Kunci           : Sleep hygiene, kualitas tidur, lansia.Daftar Pustaka   : 37 (2006-2017) Xvi + 87 pages + 7 Tables + 2 Pictures + 12 EnclosuresBackground       :  Sleep quality is the ability of the individual to stay asleep and get a proper REM and NREM sleep. Sleep changes due to the aging process in the elderly can affect sleep quality. So that the elderly need to get a good sleep hygiene practices and appropriate in order to improve the quality of sleep of elderly. Method : Research method using correlative descriptive method with cross sectional studied design. The samples were 35 elderly persons. Simple random sampling used as total sampling. This study employed the questionnaires as data collecting methods. The spearman rank test used as statistical data analysis with significant value 5% . Result : The result of spearman rank statistic test show that there is relation between sleep hygiene and sleep quality at the elderly with p value = 0,000 which mean ≤ 0,05 (5%) then H0 is rejected and Ha is received. Conclusion: There is a relationship between sleep hygiene and sleep quality at the elderly in the nursing home Harapan Ibu Ngaliyan Semarang with the direction of positive and level of high closeness. Advice                : For nursing service can apply the the practice of sleep hygiene that can be made in the independent intervention of nurses in an effort to improve the quality of elderly sleep.Keywords            : Sleep hygiene, sleep quality, elderly.References         : 36 (2006-2017)


2019 ◽  
Vol 51 (2) ◽  
pp. 107-111
Author(s):  
Vincensius Hans Kristian Pratama ◽  
Alwi Shahab ◽  
Nita Parisa

Kualitas hidup merupakan persepsi seseorang tentang dirinya sendiri dalam kaitannya dengan sistem tata nilai di tempat dirinya tinggal yang dapat dipengaruhi banyak faktor, seperti tingkat kemandirian. Tingkat kemandirian berbanding lurus dengan kualitas hidup. Tingkat kemandirian yang baik dapat mengoptimalkan kualitas hidup, serta mencegah komplikasi akut dan kronis dari penyakit diabetes melitus tipe 2. Penelitian ini bertujuan untuk menganalisis hubungan tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2. Penelitian ini adalah studi analitik observational dengan rancangan cross sectional. Sampel adalah pasien diabetes melitus tipe 2 di Poliklinik Penyakit Dalam dan Instalasi Rawat Inap di RSUP Dr. Mohammad Hoesin Palembang bulan November-Desember 2018. Sampel penelitian ini berjumlah 50 kasus. Hasil penelitian ini akan disajikan dalam bentuk tabel dan narasi.Dari 50 kasus pasien DM tipe 2 didapatkan penderita laki-laki berjumlah 27 orang (54%) dan perempuan 23 orang (46%), kelompok usia di bawah 40 tahun sebanyak 3 orang (6%), kelompok usia 40-50 tahun sebanyak 12 (24%), kelompok usia 50-60 tahun sebanyak 13 orang (26%)kelompok usia diatas 60 tahun sebanyak 22 orang (44%). Hasil uji Chi-square terdapat hubungan yang bermakna antara tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2 yang dinyatakan dalam p value=0.011. Hasil odd ratio pada pasien diabetes melitus tipe 2 menyatakan bahwa kemungkinan terjadi peningkatan kualitas hidup 5,271 kali lebih besar pada pasien yang bertingkat kemandirian baik. Tingkat kemandirian juga merupakan faktor yang mempengaruhi kualitas hidup (CI 95% = 1,380-20,138).Terdapat hubungan yang signifikan antara tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 327
Author(s):  
Iskim Luthfa ◽  
Moch Aspihan ◽  
Muhammad Rifqi Lathif

Introduction: Diabetes mellitus (DM) is known as the silent killer, where sufferers often do not realize its signs and symptoms and are frequently diagnosed during another health complication. To maintain quality of life, the family is required to provide support, therefore, this study aims to determine the relationship between family and the patient through observational analytic research.Methods: 120 people with DM make up the research sample using an accidental sampling technique, and data analysis was carried out using the Spearman rank test. The results found that 62 respondents (51.7%) agreed to their families providing good support, and 102 (85%) were satisfied with their quality of life.Results: The Spearman test resulted in a P value of 0,000 and R of 0.334. This means the higher the support provided by the family, the greater the increase in quality of life.Conclusion: The suggestions proposed from this study is for health workers to advocate and encourage family in the planning management of DM sufferers in order to improve their quality of life.


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Nety Mawarda Hatmanti

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Diabetes Mellitus type 2 is a significant problem in the global health. This research was purposed to find out the correlation between self-efficacy and quality of life of the patients with Diabetes Mellitus type 2. The design of this research was cross sectional, in which 16 patients visiting the polyclinic of Puskesmas Gayungan Surabaya were chosen as the samples. The result of research using Spearman rho test showed that there was a significant correlation between self-efficacy and quality of life proved by the p value = 0.016 < 0.05. The conclusion of this research found a positive intermediate correlation between selfefficacy and quality of life so that nurses are required to ask the family to increase the patients’ self-efficacy. 


2019 ◽  
Vol 6 (2) ◽  
pp. 12-16
Author(s):  
Ica Wahyuni ◽  
Nonok Karlina ◽  
Citra Setyo Dwi Andhini

Patients with chronic kidney failure each year experience an increase of 3.8 percent. To overcome kidney failure, hemodialysis therapy is needed. But patients undergoing hemodialysis will experience problems such as discomfort, increase stress and affect quality of life. To reduce these problems, intervention is needed to give self efficacy to patients, based on this it will also affect the stress adaptation of patients undergoing hemodialysis.Purpose of this research was to knew correlation of self efficacy with stress adaptation on chronic kidney failure patients that have hemodialysis in the Waled Hospital of Cirebon.Design of this research was descriptived correlating with cross sectional approach. Sample of this research using purvosive sampling amounted 99 respondens. Instruments used in the form of questionnaire. Data analysis using Spearman- rank test. The place of research at waled hospital in the Cirebon.The results showed that the majority of self-efficacy carried out in the hemodialysis room of Waled Hospital in Cirebon District was mostly in the low category of 90 (90.9%) and stress adaptation was mostly in the very severe category 54 (54.5%). The results of the Spearman rank test 0.000 ( P Value = 0.000 ; α.= 0.05 ; r = 0.546 ).show that H0 is rejected. Conclusion of this research there was a correlation of self efficacy with stress adaptation on chronic kidney failure patients that have hemodialysis in the waled hospital of Cirebon.


Author(s):  
Nurul Laili

Diabetes self management require compliance with complex management regimens to achieve glycemic control. Management of diabetes mellitus begins with the setting of food, physical exercise, weight control and optimal adjustment of medication. Treatment of diabetes mellitus to improve the quality of life of patients and prevent complications makrovasculer and mikrovasculer. The purpose of this research is to identify the relationship of diabetes self-management to the quality of life of patients with diabetes mellitus type 2. The design used in this study was cross sectional. The population in this study were all patients with diabetes mellitus type 2. The sample in this study are patients with diabetes mellitus type 2 who came controls on poli Amelia Pare Hospital in September 2016. The analysis performed in this study using Spearman Rank Correlation. Obtained value of Rho = 0.33 which indicates the level of relationship is. Statistical test value t = 7.23 is greater than t table = 2.457, then H₁ acceptable and it can be concluded that there is a relationship between diabetes self-management and quality of life mellitus type 2 diabetes patients with a degree of closeness of the relationship that is being nurses in providing nursing care also pay attention to the patient's needs will be perceptions about the treatment. Nurses as educators can provide explanations and correct health information about treatment and care so that quality of life can be achieved. Keyword: Diabetes Self-Management, Quality of life, Diabetes Mellitus tipe 2


2021 ◽  
Vol 5 (1) ◽  
pp. 70
Author(s):  
Erna Suwanti ◽  
Sulistyo Andarmoyo ◽  
Lina Ema Purwanti

Diabetes Melitus merupakan penyakit kronis yang memerlukan terapi dan perawatan jangka panjang bahkan menyertai seumur hidup penderita. Berbagai komplikasi dapat terjadi bila kadar gula darah tidak terkontrol dengan baik. Dari komplikasi yang terjadi akan berdampak pada kualitas hidup penderita. Dukungan keluarga sangat diperlukan  bagi kelangsungan hidup penderita Diabetes Melitus, sehingga dengan dukungan keluarga yang baik diharapkan penderita Diabetes Melitus mempunyai kualitas hidup yang baik pula. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kualitas hidup pasien Diabetes Melitus tipe 2 di poli rawat jalan Rumah Sakit Islam Siti Aisyah Madiun. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross-sectional. Teknik sampling yang digunakan  purposive sampling.  Sampel yang digunakan sejumlah 86 responden yang merupakan pasien Diabetes Mellitus tipe 2 yang berkunjung di poli penyakit dalam Rumah Sakit Islam Siti Aisyah Madiun. Instrumen penelitian menggunakan 3 kuisioner, yakni kuisioner demografi responden, kuisioner dukungsn keluarga dan kuisioner DQOL (Diabetes Quality Of Life). Analisis hipotesis menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa ada hubungan dukungan keluarga dengan kualitas hidup pasien Diabetes Melitus tipe 2 di poli penyakit dalam Rumah Sakit Islam Siti Aisyah Madiun dengan p value = 0.000 (<0,05) dan nilai keeratan hubungan cukup kuat (0,463). Kesimpulan dari penelitian ini adalah dukungan keluarga dalam bentuk dukungan penghargaan, emosional, instrumental, dan informasi sangat penting dalam membantu meningkatkan kualitas hidup pasien Diabetes Melitus tipe 2 di poli penyakit dalam Rumah Sakit Islam Siti Aisyah Madiun.


2021 ◽  
Vol 4 (1) ◽  
pp. 28-33
Author(s):  
Anita Gandaria Purba ◽  
Kuat Sitepu ◽  
Arfah May Sara ◽  
Jesiska Yolanda Sirait ◽  
Nur Hamida Pohan

Rheumatoid arthritis is a autoimmune that causes a long period of inflammation in the joints. This might cause a deprcrease in the quality of life of a person resulting in limited activity and depression. The purpose of this study was to determine the relationship between self management and the quality of life of patients with rheumatoid arthritis . the research method uses quantitative research by using descriptive correlation research methods. Then this research uses a Cross sectional approach design research method and correlation design with a sampling total sampling, and the number of sample in this study was 25 respondents. The measuring instrument used in this research in a questionnaire. Data analysis was carried out using the chi-square tets, the result of this study showed that 18 people (51%) had a good self management and 17 people  (49%) had a good quality of life. This show that there is a relationship between self managemnet and quality of life of rheumatoid arthritis patient at Grandmed Lubuk Pakam hospital in 2021 with the result of the chi-square test (p Value 0,001). Therefore, it is hoped that patients will be able to further improve self management so that the quality of life is getting better.  


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