scholarly journals Pendekatan Komunikasi Terapeutik Dokter Spesialis Penyakit Dalam pada Pasien Diabetes Mellitus di Kota Kediri

2019 ◽  
Author(s):  
ROISYA NUR FARHANIA

Communication is one of the most important aspects in diagnostic process, therapy, and educating patients. The purpose of this research is to describe how therapeutic communication between internal medicine specialist and patient with diabetes mellitus in Kediri. In this research, author uses qualitative method with a qualitative descriptive approach. The way to communicate carried out by internal medicine specialists to patients with diabetes mellitus depends on the condition and personality of the patient. Besides using verbal therapeutic communication techniques, doctors also communicate nonverbally. The right communication between doctors and patients will make patients feel comfortable and can increase patient's trust. Hopefully this research can be a reference for further research.

2017 ◽  
Vol 3 (2) ◽  
pp. 98 ◽  
Author(s):  
Rezmelia Sari ◽  
Dahlia Herawati ◽  
Rizky Nurcahyanti ◽  
Pramudita Kusuma Wardani

Prevalence of periodontal diseases in patients with  diabetes mellitus (An observational study     at internal medicine polyclinic in  Dr.  Sardjito General Hospital). Diabetes Mellitus (DM) is a  chronic disease    with an increasing prevalence and causes complications. The most frequent complication found in the oral cavity of patients with diabetes mellitus is periodontal diseases is characterized by the loss of tissue attachment. There have been numerous studies on the association of DM with periodontal diseases but there has not been any data on the prevalence of periodontal diseases in diabetic group, especially in Yogyakarta and Central Java. Dr. Sardjito General Hospital is a referral hospital in DIY and Central Java, so this study is expected to provide a picture regarding the level of periodontal tissue health among people in Yogyakarta and Central Java. This research was an observational study, involving 36 patients with DM according to criteria of the subjects: suffering from type 2 diabetes, being cooperative  and willing to sign an informed consent. The controlled variables: being 40 – 60 years of age, having good oral hygiene (OHI) according to Green and Vermillion, taking neither antibiotics nor anti-inammatory drugs in the last 3 months, not having a history of other systemic diseases. Oral hygiene exams were carried out, followed by examination using probe WHO to determine if there is CAL. The data were presented descriptively. The results showed that the prevalence of periodontal diseases in patients with DM at Internal Medicine Polyclinic in Dr. Sardjito General Hospital is 88.24% with a mean of CAL distance of 4.6 mm. The conclusion of this study is that the prevalence of periodontal diseases in patients with DM is high although the oral hygiene status is good. ABSTRAKDiabetes Mellitus (DM) adalah penyakit kronis menahun dengan prevalensi yang semakin meningkat dan menimbulkan komplikasi. Komplikasi yang paling sering terjadi di rongga mulut pasien DM adalah periodontitis yang ditandai dengan kehilangan perlekatan jaringan. Penelitian tentang hubungan DM dengan periodontitis banyak dilakukan namun belum ditemukan data mengenai prevalensi periodontitis pada kelompok  DM  khususnya di DIY dan  Jawa Tengah.  RSUP Dr. Sardjito merupakan rumah sakit rujukan DIY dan Jawa Tengah sehingga penelitian ini diharapkan dapat memberi gambaran mengenai tingkat kesehatan jaringan periodontal di masyarakat DIY dan Jawa Tengah. Jenis penelitian ini adalah observasional dengan melibatkan 36 orang pasien DM sesuai kriteria subjek yaitu menderita DM tipe II, kooperatif dan bersedia menandatangani informed consent. Variabel terkendali yaitu usia 40 – 60 tahun, kebersihan mulut (OHI) menurut Green and Vermillion dalam kriteria baik, tidak menggunakan antibiotik dan antiinamasi dalam 3 bulan terakhir dan tidak memiliki riwayat penyakit sistemik lain. Dilakukan pemeriksaan kebersihan mulut dilanjutkan dengan pemeriksaan menggunakan probe WHO untuk menentukan ada tidaknya CAL. Data disajikan secara deskriptif. Hasil penelitian menunjukkan bahwa prevalensi periodontitis pada pasien DM di Poli Klinik Penyakit Dalam RSUP Dr. Sardjito adalah 88,24% dengan rata-rata jarak CAL adalah 4,6 mm. Kesimpulan penelitian ini adalah prevalensi periodontitis pada pasien DM tinggi walaupun status kebersihan mulut tergolong dalam kriteria baik.


Author(s):  
Friska Aritonang ◽  
Iky Sumarthita Putri Prayitno ◽  
Yurulina Gulo

This paper aims to determine the effect of traditional Martumba games on children's character education. Martumba is a traditional game while dancing. Martumba was originally performed at night in page during the poltak of the moon, this dance is played adults, where men insinuate each other describing the introduction of the Toba Batak youth in ancient times to the woman he liked. But along with times, this game is no longer done at night but in accordance with the context of the activity and the players are no longer adults but children and adolescents. Given that children are the right media in maintaining the culture of the modern era. This paper uses a qualitative research method with a qualitative descriptive approach to children in Batak Toba through cultural memory theory and this study concludes that the Martumba Traditional game has an influence on children's character development because the game can be used as a teaching medium for children because in it there are activities to educate characters children who are disciplined, communicative, cooperate with groups, observations and as a means of interaction between humans so that children's creativity will emerge through movements and interpret songs to the message to be conveyed through song and movement in the game.


2017 ◽  
Vol 2 (02) ◽  
pp. 53-90
Author(s):  
Yulianto

As a knowledge that is derived from eternal ray of light (TranscendentalGod) into majazi light (with different potentials) included in four human’sspirituality: mind, soul, spirit, and heart, Ladunni is an the innate and internal part ofhuman being that wait to be re-actualized. Therefore, the right perspective about thebirth of Ladunni is it becomes real because of the human’s effort and emanation ofGod’s gift. Since the mediator of Ladunni actually has been stored in variouspotentials that belong to human beings since they were born, the role of education isto activate those innate abilities from potentials into the real human’s identity. Anactualization of human’s potential which is systematized in the learning process iscalled as humanistic curriculum. The objectives of this research were (1) determiningthe essence of Ladunni, (2) determining the method that was offered by Abu Hamidal-Ghazali to obtain the knowledge of Ladunni, and (3) determining the contributionof the knowledge of Ladunni towards Islamic education. This research was a libraryresearch with qualitative-descriptive approach. It used documentation as the datacollection, and content analysis to explore various data from the books written byAbu Hamid al-Ghazali which were then composed into systematic narration. Theresult of this research are (1) Ladunni is a product of actualization from varioushuman’s potential which has been integrated in human’s spirituality; (2) everybodyis able to obtain the knowledge of Ladunni; (3) two methods which are used to obtainthe knowledge of Ladunni are internal and external methods. The coverage ofinternal method is learning, thinking, riyāḍatun nafsi, mujāhadah also being patient,and the external method is by consuming halal food; (4) the access of Ladunni is alsodivided into external and internal, where external access is mirrored through aknowledge access called as divine revelation and divine inspiration while internalaccess can be seen from human’s spirituality; (5) humanistic curriculum is the mostsuitable curriculum in formal education to reflect the knowledge of Ladunni.Keyword: Ladunni in the Perspective of Islamic Education


2020 ◽  
Vol 1 (3) ◽  
pp. 127-133
Author(s):  
Yayuk Yuliana ◽  
Diana Sopha

In the village, Batu Jong-Jong Village, Bahorok District the land is very fertile. Lush plants that can be used as a mixture of traditional medicines. Housewives with a hereditary recipe to produce herbs derived from plants that become traditional business ingredients Karo. The purpose of this research is to find out alternative strategies and priority strategies that can be used as an effort to develop karo traditional ingredients in Batu Jong-Jong Village. Research methods with a qualitative descriptive approach. Data collection through interviews, observations, discussions. Interviews were conducted with the owners of the traditional herbs Karo business in the stone frog hamlet and also a questionnaire with forestry counselors and village heads. The results of the study, based on the results of the calculation of the IFE (Internal Factor Evalution) matrix, found that the total score was 3.15. While the results of calculations on the EFE (External Factor Evalution) matrix table, obtained a total weighted score of 2.87. The conclusion is that the traditional herb business in Karo is of moderate value because the score weight is above 2.50. So that the right strategy is market penetration and product development strategies.


2018 ◽  
pp. bcr-2018-226346 ◽  
Author(s):  
Rajesh Rajput ◽  
Vaibhav Pathak ◽  
Pawan Kumar Yadav ◽  
Sanat Mishra

Though patients with diabetes mellitus are at a high risk of atherothrombotic events, every such event should not be attributed to the disease itself. We present a case of a patient with diabetes with headache and blurring of vision for 3 days. Brain imaging revealed right transverse sinus thrombosis and acute infarct of the right posterior parieto-occipital region, predominantly in the posterior cortical watershed zone. The patient was on subcutaneous dulaglutide for 3 weeks and was having nausea and vomiting. Various causes of cerebral venous thrombosis were ruled out with appropriate laboratory investigations. Finally, cerebral venous thrombosis was attributed to dulaglutide-induced nausea and vomiting which led to severe dehydration.


2018 ◽  
Vol 218 (6) ◽  
pp. 271-278 ◽  
Author(s):  
J. Ena ◽  
R. Gómez-Huelgas ◽  
B.C. Gracia-Tello ◽  
P. Vázquez-Rodríguez ◽  
J.N. Alcalá-Pedrajas ◽  
...  

2012 ◽  
Vol 20 (4) ◽  
pp. 685-692 ◽  
Author(s):  
Marta Maria Coelho Damasceno ◽  
Maria Lúcia Zanetti ◽  
Emilia Campos de Carvalho ◽  
Carla Regina de Souza Teixeira ◽  
Márcio Flávio Moura de Araújo ◽  
...  

The objective of this cross-sectional study was to analyze therapeutic communication techniques used by health workers with patients under care for diabetes mellitus. Data were collected in 2010 in a public facility in the interior of Ceará, Brazil using video camera equipment and direct observation. Results showed that the most frequently used techniques within the "expression" group were: asking questions, voicing interest, and using descriptive phrases. The most frequently used technique within the "clarification" group was: asking the patient to specify the agent of action. Finally, in regard to the "validation" group, only the technique "summarizing content of the interaction" was employed. The conclusion is that despite the use of communication techniques on the part of professionals, there is still an alarming gap concerning communication skills. Such skills should be allied with technical expertise to enable the delivery of qualified care to individuals with diabetes mellitus.


2019 ◽  
Vol 5 (11) ◽  
pp. 908
Author(s):  
Mar‟atus Sholikah ◽  
Suherman Rosyidi

Poverty is a serious problem in Indonesia. As a developing country, the poor inhabitants in Indonesia is still high. According to BPS, shows that 27,7 thousand individu is the poor. Therefore to reduce the problem of poverty, empowerment is one of the right solutions. Especially for poor farmers. Dompet Dhuafa Amil Zakah institution has a empowerment program for the poor farmers, namely “Ternak Berdaya” This study aims to describe the role of Dompet Dhuafa (DD) amil zakat institution in economic empowerment of Farmers in Lantek Temor village, Galis District, Bangkalan City. Using qualitative descriptive approach with study case method, the data collected are donetrough interviews, observation, and documentation. In validating the data, this study uses source triangulation and technique triangulation. Analytical Technique uses descriptive analysis with stages data reduction, presentation, and conclusion. The results of this study indicate that DD has a role in economic empowerment of Farmers as a capital giver from zakah and market network provider, but didn‟t optimal yet. It could be seen through the results of the analysis of four indicators of program success, namely welfare consisting of food, clothing, shelter, and spiritual aspects, increasing income, making itwork, and transforming mustahik into muzaki. Among four indicators there are some that have not been met, namely welfare from the spiritual aspect, due to the absence of special religious programs for farmers groups. In addition, the additional income from this program is still relatively small so it can not transform the mustahik be the muzaki of zakah mal.


2019 ◽  
Vol 4 (2) ◽  
pp. 29
Author(s):  
Susanti Susanti

ABSTRAK Penderita Diabetes Mellitus (DM) berisiko mengalami penurunan sensitivitas pada kaki. Kebiasaan maupun perilaku penderita seperti kurang menjaga kebersihan kaki dan tidak menggunakan alas kaki saat beraktivitas akan beresiko terjadi perlukaan pada daerah kaki. Keadaan kaki diabetik lanjut yang tidak ditangani secara tepat dapat memicu dilakukannya tindakan amputasi kaki.  Tujuan penelitian untuk menganalisis Pengaruh Senam Kaki Diabetes terhadap Leg Sensitivity Monofilament Test pada penderita Diabetes Melitus di Wilayah Posyandu Lansia Endrosono Surabaya. Penelitian ini menggunakan metode pre-experiment designs dengan rancangan yang digunakan yaitu one group pretest-postest dengan sample 54 responden lansia di Posyandu Lansia Endrosono Kelurahan Wonokusumo Kecamatan Semampir Kota Surabaya diambil menggunakan tehnik sampling Simple Random Sampling. Pengukuran Leg Sensitivity dipeoleh dari observasi menggunakan Monofilament Test. Data dianalisis menggunakan Uji Mc. Nemar didapatkan p value = 0,008 pada kaki kanan dan p value = 0,003 pada kaki kiri dengan α=0,05 (p< α). Hal ini berarti tidak terdapat pengaruh antara senam kaki diabetes dengan leg sensitivity monofilament test (H0 diterima, H1 ditolak). Implikasi hasil penelitian bahwa senam kaki diabetes tidak dapat mempengaruhi leg sensitivity monofilament test. sehingga perlu lebih ditingkatkan aktivitasnya sehari-harinya dan melakukan senam kaki diabetes 5-7x perhari. Kata Kunci : Senam Kaki Diabetes, Leg Sensitivity, Monofilament Test   ABSTRACT Patients with Diabetes Mellitus (DM) are risked with Leg Sensitivity decreasing. Patient’s habits or behavior such as less maintaining of their cleanliness and not wearing footwear or slippers will make the risk of them infect their feet increase. If the conditions of further diabetics are not handled properly, it can increase the act of foot amputations.  This research objective is to analyze the effect of Diabetics Foot Exercise against Leg Sensitivity Monofilament Test to patients with Diabetes Mellitus in Posyandu Lansia Endorsono Surabaya. This research is using pre-experiment designs methods and the design used is one group pretest-posttest with 54 elderly respondents from Posyandu Lansia Endorsono Wonokusumo Village, Semampir sub-district, Surabaya as sample and using Simple Random Sampling as the sampling technique. Leg sensitivity measuring is collected from Monofilament Test observation. The Data are analyzed by SPSS 16.0 program and using Mc. Nemar obtained p value = 0,008 for the right foot and p value = 0,003 for the left foot α=0,05 (p< α). It means that there is no effect between Diabetic Foot Exercise with the Leg Sensitivity Monofilament test (H0 is approved, H1 is disapproved). The implication of the research is that Diabetic Foot Exercise cannot be affecting Leg Sensitivity Monofilament Sensitivity Test. As the result patients with diabetes mellitus need to increase their daily activity and do the Diabetic Foot Exercise 5-7 times per-day. Key words: Diabetic Foot Exercise, Leg Sensitivity, Monofilament Test


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