scholarly journals EFEKTIFITAS PENGGUNAAN MEDIA EDUKASI BUKU SAKU DAN LEAFLET TERHADAP PENGETAHUAN DAN KEPATUHAN DIET PASIEN RAWAT JALAN DIABETES MELITUS TIPE 2 DI PUSKESMAS

2019 ◽  
Vol 1 (2) ◽  
pp. 66
Author(s):  
Muniratul Hidayah ◽  
Sopiyandi Sopiyandi

Educational activities is one strategy to the management of diabetes mellitus. Education is the activity of delivering health messages to groups or individuals in order to gain a better knowledge. The selected media is pocket books and leaflets, booklets chosen because it is simple, brief, and contains a lot of information. The purpose of this study to determine the effectiveness of the use of educational media pocket books and leaflets on knowledge and dietary compliance of outpatients with diabetes mellitus type 2 in the clinic. The research is a Quasi-Experiment with design used is Pretest-Posttest designnamely in the two groups conducted a pretest to determine the initial state before being given a different treatment, and both were also given the posttestusing the Wilcoxon test and Mann-Whitney test with a significance level of = 0.05. The results showed no significant differences in knowledge after being given nutrition education with media pocket books and leaflets p value. knowledge of 0,000 (Sig. <0.05), whereas the p values   obtained compliance. amounted to 0,641 (p. <0.05) showed no significant difference in adherence respondents after being given nutrition education with media pocket books and leaflets. It is concluded that there are differences in knowledge after being given nutrition education with media pocket books and leaflets. However there was no difference in compliance after being given nutrition education with media pocket books and leaflets.

2020 ◽  
Vol 8 (2) ◽  
pp. 129
Author(s):  
Nurbani Nurbani ◽  
Lily Yuniar

Depresi pada diabetes mellitus tipe 2 lebih umum pada: wanita, ras minoritas, seseorang yang tidak menikah di usia paruh baya, status sosial, ekonomi rendah dan tidak bekerja. Kurangnya perhatian pada kondisi ini seharusnya tidak terjadi, untuk itu kita memerlukan metode psikoterapi untuk membantu pasien diabetes mellitus dalam menangani depresi.Banyak metode psikoterapi yang bisa digunakan, salah satunya adalah teknik kebebasan emosional spiritual. Tujuan dari penelitian ini adalah untuk mengidentifikasi pemberian terapi Spiritual Emotional Fredoom Technique (SEFT) untuk mengurangi tingkat depresi pada pasien diabetes militus di Wilayah Kerja Pusat Kesehatan Singkawang Barat pada tahun 2018. Desain penelitian ini adalah eksperimen semu dengan pre dan post test tanpa kontrol. Hipotesis yang digunakan adalah Ha yaitu Intervensi Teknik Spiritual Emotional Freedom (SEFT) untuk mengurangi tingkat depresi pada pasien Diabetes Millitus, instrument pengumpulan data menggunakan dengan Beck Depression Inventory yang sudah dimodifikasi. Hasil penelitian ini adalah karakteristik responden sebagian besar responden berusia 40-60 tahun 17 responden (68%), mayoritas adalah responden perempuan 17 responden (68%), bekerja sebagai ibu rumah tangga 13 responden (52%), pendidikan Responden SMA 9 (36%) dan sebagian besar responden menderita DM selama <5 tahun sebanyak 15 responden (60%). Hasil penelitian menunjukkan perbedaan nilai antara sebelum dan sesudah melakukan terapi Spiritual Emotion Freedom Technique (SEFT) untuk responden yang dilakukan dengan Wilcoxon Test menghasilkan nilai probabilitas 0,000 (nilai p> 0,05), yang menunjukkan perbedaan yang signifikan antara sebelum dan sesudah perawatan pada pasien diabetes mellitus. Penelitian ini menunjukkan bahwa pemberian terapi SEFT dapat mengurangi depresi pada pasien dengan diabetes mellitus di wilayah Puskesmas Singkawang Barat. Kata kunci: depresi, diabetes millitus, teknik kebebasan emosional spiritual FREDOOM THERAPY SPRITUAL THERAPY THERAPY REDUCES DEPRESSION IN DIABETES MILLITUS PATIENTS ABSTRACTIt turns out that depression in type 2 diabetes mellitus is more common in: women, racial minorities, someone who is not married in middle age, social status, low economy and not work. Lack of attention to this condition should not occur, for that we need a method of psychotherapy to help patients with diabetes mellitus in dealing with depression. Many psychotherapy methods that can be used, one of which is the spiritual emotional freedom technique. The purpose of this study was to identify the provision of Spiritual Emotional Fredoom Technique (SEFT) therapy to reduce levels of depression in diabetes millitus patients in the Working Area of Singkawang Barat Health Center in 2018. The design of this study is a quasi experiment with pre and post test without control. The hypothesis used is Ha namely the Intervention of Spiritual Emotional Freedom Technique (SEFT) to reduce the level of depression in Diabetes Millitus patients. The results of this study are the characteristics of the respondents most of the respondents aged 40-60 years 17 respondents (68%), the majority are female respondents 17 respondents (68%), work as housewives 13 respondents (52%), education SMA 9 respondents (36%) and most of the respondents suffered from DM for <5 years as many as 15 respondents (60%). The results showed differences in values between before and after conducting Spiritual Emotion Freedom Technique (SEFT) therapy for respondents conducted with the Wilcoxon Test resulting in a probability value of 0,000 (p value> 0.05), which indicates a significant difference between before and after treatment in diabetes mellitus patients. The conclusion from the above research shows that the administration of SEFT therapy can reduce depression in patients with diabetes mellitus in the area of Singkawang Barat Health Center in 2018 and it is recommended that psychotherapy is needed by patients experiencing psychosocial problems due to physical illness, one of which is depression. Keywords: depresi, diabetes millitus, spiritual emaotional freedom technique


2020 ◽  
Vol 11 (1) ◽  
pp. 131
Author(s):  
Ningsih Jaya ◽  
Heriansyah Heriansyah ◽  
Ambo Dalle ◽  
Nasrullah Nasrullah ◽  
Nurhasanah Nurhasanah

Diabetes Mellitus is a chronic condition that is marked by an increase in blood glucose concentration with the appearance of typical main symptoms, namely urine that taste sweet in  large numbers. One of the most common complications of diabetes mellitus is the diabetic foot, which has signs and symptoms such as injury, infection and gangrene. Handling efforts in diabetes mellitus patients as well as prevention of complications is the regularity of diabetes patients perform physical activities. One of the physical activities recommended regularly is foot gymnastic movement. Gymnastics itself is expected to reduce the incidence of complications that occur in the feet of people with diabetes mellitus such as wounds. The purpose of this study to determine the effect of foot gymnastics on foot sensitivity in people with diabetes melitus at the sub-district health center sudiang biringkanaya city of Makassar. This research uses quasi experimental design with one group pretest - posttest design. The sampling technique was done by purposive sampling with 22 respondents. This study uses Wilcoxon test with significance level (<α = 0,05). From the results of statistical tests can be concluded that there is influence of foot gym on foot sensitivity in patients with diabetes mellitus with p value = 0.000.Keywords: Diabetic foot gymnastics, foot sensitivity.


2020 ◽  
Vol 15 (1) ◽  
pp. 46-50
Author(s):  
Muhammad Basri ◽  
Baharuddin K ◽  
Sitti Rahmatia

Diabetes Melitus (DM) merupakan salah satu kelompok penyakit metabolik dan kronis dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin, kerja insulin atau keduaduanya yang membutuhkan perawatan medis dan pendidikan pengelolaan mandiri untuk mencegah komplikasi akut jangka panjang (Nian, 2017). Tujuan penelitian ini adalah Mendeskripsikan hubungan kualitas tidur dengan kadar glukosa darah Puasa pada pasien DM tipe II di PKM Kassi-Kassikota Makassar. Manfaat : Meningkatkan pengetahuan pada Penderita DM Tipe II yang mengalami gangguan Kwalitas dan Pola Tidur shari-hari Meningkatkan pengetahuan pada Penderita DM Tipe II yang mengalami gangguan Kwalitas dan Pola Tidur shari-hari Metode : Pada penelitian ini menggunakan desain cross sectional, jenis penelitian ini menggunakan metode analitik yaitu metode penelitian yang dilakukan dengan tujuan untuk mengetahui hubungan antara Kualitas tidur dengan kadar glukosa darah puasa pada pasien DM Tipe II. Sampel menggunakan purposive sampling dengan menggunakan rumus Slovin dengan jumlah sampel  55  orang  yaitu  seluruh pasien DM tipe 2 yang menjalani rawat jalan di PKM Kassi-Kassi Kota Makassar. Hasil Uji Statistik Chi Square diperoleh p value 0,000 < 0,05.sehingga peneliti berasumsi bahwa  ada hubungan antara kualitas tidur dengan kadar glukosa darah pada pasien DM Type 2 di Puskesmas Kassi-Kassi Makassar.  Kesimpulan yaitu terdapat hubungan kualitas tidur dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 di Puskesmas Kassi-Kassi Makassar. Saran dapat dijadikan sebagai salah satu acuhan bagi pasien diabetes melitus tipe 2 untuk meningkatkan kualitas tidur dan menjaga kadar glukosa darah puasa


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rosliana Dewi ◽  
Fanny Dwi Agustina ◽  
Johan Budhiana ◽  
Syiva Dwi Fatmala

Diabetes mellitus (DM) can cause physical and psychological changes for sufferers. Psychological changes include changes in self-concept and depression. Psychological changes can be treated with nonpharmacological therapies, one of which is five-finger relaxation technique. The research aimed to reveal the effect of five-finger relaxation technique on depression experienced by type 2 DM patients. The five-finger relaxation technique is one of the generalist relaxation techniques by recalling pleasant experiences. This research is a quasi-experiment. Samples of this research were 34 respondents whom were selected using purposive sampling.  The intervention was carried out once a day for 3 consecutive days.  In order to measure depression, a valid and reliable questionnaire of Indonesian version of the Beck Depression Inventory (BDI) was employed.  Data were analyzed using the Wilcoxon Test and the Mann-Whitney Test. The results showed the was a decrease in depression in the control group (p-value of 0.008) and the intervention group (p-value of 0.000) and there were differences in depression in the control group and the intervention group (p-value of 0.000). It can be concluded that there is an effect of five-finger relaxation technique on depression in type 2 DM patients<em>.</em>


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Nina S Widiarto ◽  
Jimmy Posangi ◽  
Arthur Mongan ◽  
Maya Memah

Abstract: Diabetes mellitus (DM) is a degenerative disease which has increased from year to year. Type 2 diabetes has the highest number of cases. There is a change in platelet count in type 2 diabetes. The change in platelet count can lead to vascular complications in DM. This was a descriptive analytic study with a cross sectional design by using the medical record data of type 2 diabetic patients in the outpatient department of Prof. DR. R. D. Kandou Hospital, Manado. Subjects who met the inclusion criteria were 72 patients; 36 patients with vascular complications and 36 patients without vascular complications. Data were analyzed by using the Mann-Whitney test to determine the ratio of the platelet count in patient with type 2 diabetes patient with and without vascular complication, with α = 0.05. The Mann-Whitney test showed that there was no significant difference in platelet count among patients with type 2 diabetes, with and without vascular complication (P = 0.051). Conclusion: There was no significant difference in the platelet count of type 2 diabetes patients with and without vascular complication.Keywords: type 2 diabetes mellitus, vascular complication, platelet countAbstrak: Diabetes Melitus (DM) merupakan salah satu penyakit degeneratif yang semakin meningkat jumlahnya dari tahun ke tahun. Jenis DM yang paling banyak kasusnya ialah DM tipe 2. Pada DM tipe 2 terjadi perubahan jumlah trombosit, yang dapat menyebabkan terjadinya komplikasi vaskular pada DM. Penelitian ini bersifat deskriptif analitik dengan rancang penelitian cross sectional dengan menggunakan data rekam medik pasien DM tipe 2 yang rawat jalan di RSUP Prof. DR. R. D. Kandou Manado. Subjek penelitian yang memenuhi kriteria inklusi berjumlah 72 pasien; 36 pasien dengan komplikasi vaskular dan 36 pasien tanpa komplikasi vaskular. Hasil penelitian diuji menggunakan uji Mann-Whitney untuk mengetahui perbandingan jumlah trombosit pada pasien DM tipe 2 dengan komplikasi vaskular dan tanpa komplikasi vascular, α = 0,05. Uji Mann-Whitney menunjukkan bahwa perbedaan jumlah trombosit tidak bermakna antara pasien DM tipe 2 dengan komplikasi vaskular dan tanpa komplikasi vaskular (p=0,051). Simpulan: Tidak terdapat perbedaan bermakna antara jumlah trombosit pada pada DM tipe 2 dengan komplikasi vaskular dan tanpa komplikasi vaskular.Kata kunci: DM tipe 2, komplikasi vaskular, jumlah trombosit


2017 ◽  
Vol 24 (02) ◽  
pp. 221-227
Author(s):  
Ghazanfar Ali Sandhu ◽  
Ghulam Abbas Tahir ◽  
Zaheer Ahmad ◽  
Aqeel Maqsood Anjum

Diabetes Mellitus is a rapidly increasing problem which is contributing tochronic illnesses like Cerebrovascular, Cardiovascular, Diabetic Retinopathy and End StageKidney Disease. These dreaded complications can be prevented if treated early. In patientswith diabetes mellitus type 2, microalbuminuria is an independent and strong risk factor forcardiovascular mortality & morbidity and diabetic nephropathy. If diagnosed early, diabeticnephropathy can be treated at this stage. Angiotensin converting enzyme inhibitors (ACEInhibitors) and Angiotensin Receptor Blockers (ARBs) are effective in prevention and treatmentof microalbuminuria. Material & Methods: Study Design: randomized controlled trial. Setting:medical department, allied hospital, Faisalabad. Duration of study: Feb 2013 to July 2013.Sample size: 60 (30 in each group). Sampling technique: Non-probability consecutivesampling. Results: 60 patients were included in the study. 28(46.7%) were males and 32(53.3%)were females. Mean age of study population was 50.15±7.27 years. Albumin creatinine ratio(mcg/mg) at start of study was 193±67.5 in Losartan potassium group and 209.5±72.00 inlisinopril group (independent sample t-test p value=0.302). Albumin creatinine ratio (mcg/mg) at 12 weeks of study was 36.33±54.68 in Losartan potassium group and 72±83.42 inlisinopril group (independent sample t-test p value = 0.056). Paired sample t test applied toboth treatment groups and p value was found to be 0.0001 which is highly significant for bothgroups and shows that both drugs are effective in reducing microalbuminuria in both groups.Microalbuminuria was reduced significantly in 26 patients (86.7%) in Losartan potassiumgroup and 20 patients (66.7%) in lisinopril group (p-value=0.067). Conclusion: It has beenconcluded from this study that lisinopril and Losartan potassium, both significantly reducemicroalbuminuria in type 2 diabetes mellitus and there is no statistically significant difference inefficacy of these two drugs in reducing microalbuminuria in type 2 diabetes mellitus.


BioScience ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 34
Author(s):  
Syam Syamsurizal

Dermatoglyphic of patterns (finger prints) could be used as genetic markers with type 2 diabetes. Analysts dermatoglyphic patterns can quantitatively through several parameters: frequency fingerprint patterns (arch, loop and whorl), the number of vines, pattern type index consists of the Dankmeijer index, Furuhata index, pattern intensity index and atd angle. Atd angle is the angle formed by connecting point triradius a, t and d on the palm area. Objective studies link dermatoglyphic characteristics (atd angle) with type 2 diabetes mellitus in Minangkabau ethnic.The research method used descriptive with 132 sample consisted of 66 patients with type-2 diabetes mellitus and 66 control. Results of research on atd angle in type 2 diabetes was 40,44± 3,34 and 40,42±3,96 in controls. The results of t-test and α = 5% p value = 0.75. It can be concluded that there was no significant difference in the average of atd angle in diabetes mellitus type 2 Minangkabau ethnic.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Masoud Mohebbi ◽  
Katayoun Samadi ◽  
Nazafarin Navari ◽  
Melika Ziafati-fahmideh-sani ◽  
Golshid Nourihosseini ◽  
...  

Background: Diabetic nephropathy occurs in 20 - 30% of diabetic cases globally, and microalbuminuria (MA) is the first symptom of this disorder. Some studies have suggested that there is an association between the serum magnesium (Mg) level and MA. Objectives: Therefore, we investigated the association between the serum Mg level and MA in type 2 diabetes mellitus (T2DM) patients. Methods: We conducted a cross-sectional study on 122 subjects with T2DM. We categorized them into two groups of microalbuminuria (MA) and non-microalbuminuria (NMA) according to their urine albumin-creatinine ratio (UACR). MA was considered as a UACR of 30 to 300 mg/g. Participants were excluded if they had the following conditions: The age of under 16 years, cardiac, renal, or hepatic disorders, using corticosteroids, diuretics, Mg /calcium (Ca) supplements, and antiepileptic drugs, heavy physical activity within 24 hours before the test, pregnant and breastfeeding women, febrile patients, and patients who were unwilling to participate in the study. The analysis was performed using SPSS version 15. A P-value < 0.05 was considered significant. Results: Among the patients, 50.81% were male. Also, the mean body mass index (BMI) of the NMA group was greater than the MA group (29.84 ± 5.64 vs. 27.31 ± 3.14, P-value = 0.003). Mg levels of the MA and NMA groups showed no significant differences (2.13 ± 0.42 and 2.10 ± 0.43, respectively; P-value = 0.67). Overall, data analysis provided no significant difference between Mg level and the urine albumin concentration between the MA and NMA groups (P-value = 0.21 and 0.81, respectively.). Conclusions: Serum Mg level and MA have no significant relationship. Further prospective studies are needed to assay this issue.


Author(s):  
Valentina Meta Srikartika ◽  
M. Rasyid Akbar ◽  
Herningtyas Nautika Lingga

ABSTRAKKeberhasilan pengobatan diabetes melitus tidak hanya dipengaruhi oleh kualitas pelayanan kesehatan, keterampilan petugasnya, sikap, dan pola hidup pasien, tetapi dipengaruhi juga oleh kepatuhan pasien terhadap pengobatannya. Tingkat kepatuhan minum obat pasien diabetes mellitus di Indonesia mayoritas masih berada dibawah 50%. Tujuan dari penelitian ini adalah mengukur pengaruh edukasi melalui media booklet terhadap pengetahuan dan kepatuhan pasien diabetes melitus tipe 2. Jenis penelitian yang digunakan adalah Randomized Controlled Trial (RCT). Populasi yang didapat dari penelitian ini sebanyak 40 orang dengan kelompok kontrol 20 orang dan kelompok intervensi 20 orang. Kelompok kontrol merupakan kelompok yang tidak mendapatkan booklet, sedangkan kelompok intervensi adalah kelompok yang mendapatkan booklet sebagi media edukasi. Pengetahuan dan kepatuhan responden diukur melalui kuesioner yang diberikan sebelum (pretest) dan 2 minggu kemudian (posttest). Rata-rata skor pengetahuan dan kepatuhan pre-test dibandingkan dengan skor post-test dengan menggunakan uji Wilcoxon. Berdasarkan hasil analisis, terjadi perbedaan tingkat pengetahuan dan kepatuhan yang signifikan (p value < 0,001) antara sebelum dan sesudah pemberian booklet pada kelompok intervensi dan tidak ada perbedaan yang signifikan pada tingkat pengetahuan (p value = 0,83) dan kepatuhan (p value = 0,317) pada kelompok kontrol. Oleh karena itu, dapat disimpulkan bahwa media booklet dapat meningkatkan tingkat pengetahuan dan kepatuhan pada pasien diabetes melitus.Kata-kata kunci: Diabetes melitus, pengetahuan, kepatuhan, bookletABSTRACTThe success of a treatment of diabetes mellitus is not only influenced by the quality of health services, the skills of its officers, attitudes, and lifestyle of patients, but it is also influenced by patient adherence to treatment. The level of medication compliance among diabetes patients in Indonesia were still below 50%. The purpose of this study was to measure the effect of education through booklet media on the knowledge and compliance of patients with type 2 diabetes mellitus. The type of research used was Randomized Controlled Trial (RCT). The population obtained from this study were 40 people with a control group of 20 people and an intervention group of 20 people. The control group was the group that did not get the booklet, while the intervention group was the group that received the booklet as an educational medium. Knowledge and compliance of respondents was measured through questionnaires given before (pretest) and 2 weeks later (posttest). The average score of knowledge and adherence between pretest and posttest will be compared using Wilcoxon analysis. Based on the results of data analysis with the Wilcoxon test, there was a significant difference in the level of knowledge and compliance (p value < 0.001) between before and after booklet administration in the intervention group and no significant difference in knowledge level (p value = 0.83) and compliance (p value = 0.317) in the control group. It can be concluded that the booklet media can increase the level of knowledge and compliance in diabetes mellitus patients.Keywords: Diabetes mellitus, knowledge, compliance, booklet


2020 ◽  
Vol 10 (1) ◽  
pp. 1273-1284
Author(s):  
Endang Subandi ◽  
Kelvin Adam Sanjaya

Luka Diabetes merupaka luka kronis yang susah disembuhakan. Luka diabetes berasal dari komplikasi penyakit diabetes. Luka diabetes sebagian besar dilakukan tindakan amputasi dan memiliki dampak kepada psikologi pasien. Sudah lama perawatan luka menggunakan konvensional yang memiliki kekurangan, seperti: menimbulkan rasa nyeri, menimbulkan luka baru, resiko infeksi lebih tinggi. Metode yang baru teknik perawatan luka  modern dressing dimana luka akan dibuat moisture balance atau lembab karena akan memfasilitasi chemokines dan cytokines untuk pertumbuhan sel pada luka.  Penelitian ini bertujuan untuk mengetahui efektifitas modern dressing terhadap proses penyembuhan luka diabetes mellitus tipe 2. Jenis penelitian menggunakan Pre-Postest With Control Group Desain terhadap suatu kelompok. Pengambilan sampel menggunakan  accidental sampling dengan jumlah sampel sebanyak 15 responden intervensi dan kontrol. Pengumpulan data dilakukan dengan observasi, Instrument penelitian yang digunakan lembar observasi Betes-Jensen Wound Assessment Tool (BWAT). Penelitian dilakukan selama 45 hari. Analisa data yang digunakan adalah uji shapiro-wilk. Data analisa dengan uji statistik Wilcoxon test. Hasil penelitian didapatkan ada perbedaan skor luka sebelum dan sesudah pada kelompok pada kelompok perlakuan dengan p-value =0.005 (≤ 0.05) dan pada kelompok kontol dengan p-value =1.000 (≥ 0,05). Lalu hasil uji beda antar kelompok dengan p-value=0,001(≤ 0,05).  Jadi dapat disimpulkan bahwa modern dressing memiliki efektifitas terhadap proses penyembuhan luka diabetes bellitus tipe 2.Kata kunci: Luka, DM Tipe 2, Modern Dressing   ABSTRACTDiabetic wound are the chronic wounds that are difficult to cure. Diabetic wounds originate from complications of diabetes mellitus. Diabeteic wound are mostly implementation is amputation  and have impact on the psychology of patients. Long time a wound treatment has deficiencies, causes pain, raises new wound, high risk of infection. New methods of modern dressing wound care tecniques where wound will be made moisture balance or moiist because it will facilitate chemokines and cytokines for cell growth in wounds. Therefore this study aims to determine the effectiviness of modern dressing on the wound healing process of  type 2 diabetes mellitus.  This type of research uses the Pre Postest With Control Group Desig for a sampling group conducted at Cirebon Wound Care Center using accidental sampling. The samples was 15 respondents treatments and control. Research instrument used were sheets observation Betes Jensen Wound Assessment Tool. The Study was conducted for 45 days. The data analysis used is the shapiro wilk test and data analysis sattistic with wilcoxon test. The result are obtained before and after in the treatment group with p value=0.005 (≤ 0.05 and in the control group with p value =1.000 (≥ 0,05). Then the result of different test between groups with a p value =0,001(≤ 0,05).The conclusion is a modern dressing has the effectiviness of the wound healing process of type 2 diabtes mellitus.Kata kunci: Diabetic Wound, Type 2 Diabetes Mellitus, Modern Dressing


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