scholarly journals Model Psikoedukasi untuk Meningkatkan Pemahaman dan Efikasi Diri Penderita Diabetes Mellitus Tipe2

2018 ◽  
Vol 8 (1) ◽  
pp. 19-26
Author(s):  
Nailiy Huzaimah

Health education is one part of type 2 diabetes mellitus (T2DM) management. Healtheducation on T2DM has been given to patients with T2DM but has not resulted in positivebehavioral changes, seen from uncontrolled blood glucose levels and complications. Acomprehensive knowledge of T2DM, appropiate education with engaging families, can give apositive impact on comprehension and self-confidence of people with T2DM.The purpose of this study was to determine the effect of PsychoeducationMods (PM) on comprehension and self-efficacy patients with T2DM. This study uses quasyexperiment, pre and post test control group design. Respondents were patients with T2DM andtheir families who are undergoing outpatient in Dr. H. Moh. Anwar Sumenep Hospital (n = 40).Data collection used a comprehension and self-efficacy questionnaires for people withT2DM. Statistical analysis used different test with α <0,05. Mann Whitney U test result showed thatthere were differences in comprehension and self-efficacy variables between treatment group andcontrol group. Different independent sample test results in the treatment group using Paired Ttest and Wilcoxon signed rank test showed that PM improves comprehension (p = 0.007) and selfefficacy (p = 0.002) of patients with T2DM. MP needs to be applied by health personnel, especiallynurses in assisting patients with T2DM improves comprehension with the awareness and selfefficacy of patients with T2DM. Comprehension with awareness and good self efficacy with familysupport will be a reinforcing factor for the establishment of a positive behavior to control bloodglucose levels.

2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Ah Yusuf ◽  
Rr. Dian Tristiana ◽  
Leni Anitasari ◽  
Ira Suarilah

 Diabetes mellitus is a chronic disease that caused meaning of life disturbance. Logotherapy is an intervention that could affect people life perspective. The purpose of this study was to analyze the effect of logotherapy implementation to the meaning of life in diabetes mellitus client. This study used quasy-experimental pretest-post-test with control group. The dependent variable was meaning of life, and the independent variable was the implementation of logotherapy. Sample in this study was 30 respondents, were taken by using consecutive sampling. The meaning of life were taken by using Purpose in Life Test (PIL Test) then analyzed by using Wilcoxon Sign Rank Test and Mann Witney U statistic test, a= £0.05. The result showed logotherapy had significant effect on meaning of life in the treatment group (p=0,001). Statistical test Mann Whitney U Test showed that there was a difference meaning of life in control group and the treatment group after implementation of logotherapy. It could be concluded that the implementation of logotherapy has an effect to increasing the meaning of life in diabetes mellitus client. Further study was recommended to developing deeper study that related to logotherapy in diabetes mellitus client.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 155
Author(s):  
Eka Mishbahatul Mar'ah Has ◽  
Amira Aulia ◽  
Tiyas Kusumaningrum ◽  
Ferry Efendi

A well-balanced diet is one of the four pillars of diabetes self-management. Patient's culture strongly influences intake food. Diabetic dietary guidelines which fit with the patient's culture is expected to improve patient's self-efficacy and diet compliance. This study was aimed to analyze the effect of ethnic foods diet program in improving self-efficacy and diet compliance among Type-2 Diabetes Mellitus (T2DM) patients. This was quasy experiment research with pre and post-test control design. The population was 112 T2DM patients from Sasak Tribes, West Nusa Tenggara. Samples were 36 respondents, divided into intervention (18) and control (18) groups. The independent variable was the ethnic food diet (EFD) program, while the dependent variables were patient's self-efficacy and diet compliance. Data were collected using self-efficacy questionnaire and a 24-hour dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test. The result showed differences in self-efficacy between pre and post-test in the treatment group (p=0,001), but there were no differences in the control group. There were differences in diet compliance in the treatment group (p=0,001), but there were no differences in the control group. There were differences between treatment and control groups on self-efficacy (p=0,000) and diet compliance (p=0,000). Ethnic foods diet program can improve self-efficacy and diet compliance among T2DM patients because more comfortable and easier to be applied. Nurses can apply ethnic foods diet program as an intervention to promote healthy diet for T2DM patients.


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.


2020 ◽  
Vol 9 (1) ◽  
pp. 34
Author(s):  
Rosi Arista

Background: Problems that often attack tuberculosis patients are psychological problems such as anxiety and about self efficacy or self-confidence that affect the patient's medication adherence. Method: Quasy experiment research design with pre-post test control group design involving 25 respondents in the treatment group and 25 respondents in the control group, selection technique with purposive sampling. The independent variable is video media psychoeducation while the dependent variable is the level of anxiety and self efficacy. Data were obtained using a questionnaire which was then analyzed using the Wilcoxon Signed Rank Test and Mann Whitney Test with a degree of significance α ≤ 0.05. Results: Video media psychoeducation significantly affected anxiety levels (p = 0.00) and increased self efficacy (p = 0,000). Discussion: Video media psychoeducation has positive benefits for overcoming the problem of anxiety and self-efficacy of tuberculosis patients. Video media psychoeducation is able to provide information and anxiety management in the form of deep breathing relaxation techniques through audio visual to clarify the presentation of the message so as not to be too verbalistic. Information received by the patient affects the mindset and behavior that will reduce anxiety. When the patient is not anxious the patient has high self efficacy. For further research, the researcher suggests that an objective assessment of the anxiety level of tuberculosis patients be further studied. Keywords: anxiety , self-efficacy, tuberculosis, video media psychoeducation


2019 ◽  
Vol 2 (2) ◽  
pp. 108-121
Author(s):  
Syarifah Faradina ◽  
Sarah Sisilya Az Badal ◽  
Meutia Natasya ◽  
Kamilah Kamilah ◽  
Elda Oviyani ◽  
...  

ABSTRAKKecemasan merupakan fenomena psikologis yang umum dirasakan oleh setiap individu. Mahasiswa sebagai penuntut ilmu tidak pernah lepas dari tuntutan tugas dan lingkungan, membuat mahasiswa sering dihadapkan pada situasi yang memicu timbulnya berbagai hambatan. Terdapat berbagai upaya untuk mengurangi kecemasan tersebut, salah satunya adalah dengan mewarnai mandala. Tujuan penelitian ini adalah untuk mengetahui pengaruh mewarnai mandala terhadap menurunnya kecemasan pada mahasiswa. Penelitian ini menggunakan metode quasi eksperimen dengan desain pre-test post-test control group. Responden terdiri dari 20 mahasiswa yang mengalami kecemasan ringan sampai sangat berat, yang terbagi atas kelompok eksperimen dan kelompok kontrol. Hasil analisis penelitian menggunakan wilcoxon signed rank test ditemukan perbedaan sebelum dan sesudah diberikan perlakuan mewarnai mandala dengan nilai Z = -2,831 dengan nilai signifikansi 0,005 (p0,05). Hasil analisis ini menunjukkan bahwa mewarnai mandala dapat menurunkan kecemasan. Selain itu, penelitian ini juga melakukan analisis antara kelompok kontrol dan kelompok eksperimen. Hasil analisis menggunakan ujiMann-Whitney diperoleh nilai signifikansi 0,404 (p0,05). Hasil analisis menunjukkan bahwa tidak ada perbedaan hasil penurunan tingkat kecemasan pada kelompok eksperimen maupun kelompok kontrol.Kata Kunci: Kecemasan, Mewarnai Mandala, MahasiswaABSTRACTAnxiety is a psychological phenomenon that is commonly felt by everyone. Students with various activities can also experience anxiety. Students in the academic environment, who have never been separated from the demands of the task, make students often faced with the situations that trigger anxiety. There are various efforts to reduce this anxiety, one of which is to color the mandala. The purpose of this study was to determine the effect of coloring mandalas on decreasing anxiety in students. This study uses a quasi-experimental method with a pre-test post-test control group design. Respondents consisted of 20 students who experienced mild to extremely severe anxiety, which was divided into experimental groups and control groups. The results of the study analysis using Wilcoxon signed rank test found differences before and after the mandala coloring treatment given with a value of Z = -2,831 with a significance value of 0,005 (p 0,05). The results of this analysis indicate that coloring mandalas can reduce anxiety. In addition, this study also conducted an analysis between the control group and the experimental group. The results of the analysis using the Mann-Whitney test obtained a significance value of 0,404 (p 0,05). The results of the analysis showed that there were no differences in the results of the decrease in anxiety levels in the experimental group and the control group.Keywords: Anxiety, Coloring Mandala, Student


Ners Journal ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 23-32
Author(s):  
Tuty Alawiyah Alimuddin

Perubahan dalam hidup yang mendadak membuat penderita DM menunjukan beberapa reaksi psikologis yang negatif diantaranya marah, merasa tidak berguna, kecemasan yang meningkat dan depresi. Salah satu bentuk intervensi nonfarmakologis yang dapat menurunkan kecemasan yaitu latihan mindfulness based on breathing dengan pendekatan spiritual. Tujuan penelitian ini untuk menjelaskan pengaruh spiritual mindfulness based on breathing exercise terhadap kecemasan pada pasien DM tipe 2. Penelitian ini menggunakan quasy experimental study rancangan pre test dan post test with control group design. Intervensi diberikan pada 32 responden selama 15 menit tiap kali intervensi. Variabel terdiri dari spiritual mindfulness based on breathing exercise, dan kecemasan. Uji statistik menggunakan Mann Whitney Test, dan Wilcoxon Signed Rank Test. Hasil uji statistik menunjukkan bahwa spiritual mindfulness based on breathing exercise berpengaruh terhadap penurunan kecemasan pada tiap kelompok (p=0,010 untuk kelompok perlakuan dan p=0,014 untuk kelompok kontrol). Intervensi spiritual mindfulness based on breathing exercise membantu pasien dalam meningkatkan fokus terhadap kondisi saat ini tanpa adanya upaya untuk menyalahkan diri sendiri, orang lain, dan lingkungan sehingga pasien mampu lebih nayaman dan merasa tenang sehingga memberi pengaruh positif terhadap penuruanan kecemasan pasien DM tipe 2.


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.


Jurnal NERS ◽  
2016 ◽  
Vol 9 (2) ◽  
pp. 279
Author(s):  
Ilkafah Ilkafah ◽  
Kusnanto Kusnanto

Introduction: Diabetes mellitus (DM) is a chronic disease with many complications. Self-efficacy is a psychosocial aspects refer to patient’s belief about their ability to do Diabetes managements. Self-efficacy can be enhanced by providing a mutual support from other Diabetic patients. This study aimed to analyze the influence of peer group support on self-efficacy, glicemic control and self-care activities of Diabetic patients. Method: This research was a pre-experimental with one-group pre-post test design and was evolved 29 respondents. Peer Group Support indicators were checking in, presenting problems, clarifying issues, sharing experiences, action planning and checking out. Implementation of peer group support activity was 60 minutes meeting, once a week for totally 6 weeks. The datas were analyzed by Wilcoxon signed rank test and Spearman’s Rho test with significance values p≤ 0.05. Result: Self efficacy, self care activities, and blood glucose level were increased (p=0.000). Discussion: Peer group support was recommended to enhance self-efficacy and self-management of diabetic patients. Further research is needed about health promotion for improving self-efficacy.Keywords: peer group support, self-efficacy, glicemic control, self care activities, Diabetes Mellitus (DM)


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Faridatul Istibsaroh ◽  
Yunita Amilia ◽  
Ahmad Zaini Arif ◽  
Tintin Sukartini ◽  
Ima Nadatien

Background: Diabetes Mellitus is a disease characterized by an increase in blood glucose levels which has a risk of long-term or short-term complications. The inability of the community to carry out treatment independently is one of the causes that affect the ability of Diabetes Mellitus sufferers to carry out activities. Objective: This study aims to analyze the effect of client-centered guidance on independence in Diabetes Mellitus patients.Methods:This study used a quasy-experimental design with a pre-post test control group design approach, The sample in this study was 46 respondents divided into 23 interventions group and 23 control groups. The sampling technique is consecutive sampling. The intervention was given by providing client-centered guidance on day 1 with 4 stages, time duration ± 60 minutes, and evaluation for 7 days. Analysis of data using an independent t-test with a significance level of = 0.05.Results: The results of the t-test independent t-test with the value of P = 0.001, it means is an effect of client-centered guidance on the independence of Diabetes Mellitus patients.Conclusion: Providing client-centered guidance can increase independence and it can as part of nursing care interventions in the form of a support education system.


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