scholarly journals PILOT STUDI: MANAJEMEN DIRI PASIEN DIABETES MELITUS DI RUMAH SAKIT HL. MANAMBAI ABDULKADIR

2019 ◽  
Vol 5 (2) ◽  
pp. 107-113
Author(s):  
Satriya Pranata

Background: The population of people with diabetes mellitus is increasing every year, furthermore included into number three of deadliest disease in Indonesia. The total number of patients with diabetes mellitus currently are 10.3 million, predicted in 2045, the population will increase to 16.7 million. The main cause population of people with diabetes mellitus are increasing due to public awareness regarding self-management is still less. No researcher has been conducted research about diabetes self-management in HL. Manambai Abdulkadir hospitals. Objectives of the Pilot Study: the main objective in this pilot study was to understand the self-management of people with diabetes mellitus in HL Manambai Abdulkadir hospitals. Methodology: The participants in this pilot study were people diabetes mellitus type 2 in HL Manambai Abdulkadir hospitals using cross sectional design by diabetes self-management, self-efficacy, diabetes self-management knowledge and diabetes distress scale questionnaire. Results: 60% of patients in HL Manambai Abdulkadir hospitals had lack of self-management. The result from measuring of distress scale, knowledge and self-efficacy of patients are related to self-management of patients with diabetes mellitus with P Value <0.05. Conclusion: further research is needed with additional interventions to overcome the lack of self-management to people who suffer diabetes mellitus in HL Manambai Abdulkadir Hospital.

2019 ◽  
Vol 7 (1) ◽  
pp. 28-38
Author(s):  
Ni Komang Desi Tri Handayani ◽  
Putu Wira Kusuma Putra ◽  
Ida Ayu Agung Laksmi

  Diabetes mellitus is a group of metabolic diseases with characteristics of hyperglycemia that occur due to abnormal insulin secretion and insulin performance. Prevention of the occurrence of DM complications can be done by obediently doing good self-management behavior. Self-management compliance of good diabetes mellitus can achieve success if individuals have the knowledge, skill, and self-efficacy to manage diabetes mellitus. Self-efficacy determines how a person feels, thinks, motivates himself, and behaves from time to time. This study aimed to determine the correlation between self-efficacy and self-management compliance of diabetes mellitus patients. This study used the Cross-Sectional approach with a number of samples was 139 respondents. The sample selection used nonprobability sampling, especially purposive sampling. Data collection tools used questionnaires. Self-efficacy could be measured using the general self-efficacy questionnaire (GSE) and self-management compliance could be measured using the DSMQ (Diabetes Self-Management Questionnaire). Data analysis used Spearman Rank correlation analysis. The results obtained that p-value 0,0001 (p <0,05), therefore it could be concluded that there was a correlation between self-efficacy and self-management compliance of diabetes mellitus patients. Researchers suggest that health care workers can help patients with diabetes mellitus in improving their self-efficacy by providing motivation and IEC regarding patients’ self-management with diabetes mellitus.


Author(s):  
Dr Kalpana Singh ◽  
Dr Dhiraj Balwir ◽  
Dr Jeetendra Singh ◽  
Dr Ruchita Raikar

Aim: To study the relationship between severity of diabetic retinopathy (PDR or NPDR) and systemic complications of diabetes mellitus such as Neuropathy, Nephropathy or Cardiovascular manifestation as hypertension. Methods and Materials: This prospective observational study of 100 patients suffering from diabetic retinopathy. Such patients were recruited as a part of the study and further examined for any other systemic abnormality as neuropathy, nephropathy or hypertension. Statistical Analysis: Chi square test, univariate and multivariate logistic regression analysis was performed. P value < 0.05 was taken as significant. Results: Male: Female ratio of presence of diabetic retinopathy was 2.13: 1. The rate of proliferative diabetic retinopathy (PDR) was 1.47 % in persons who had diabetes for less than 5 years to 7.35 % in persons who had diabetes more than 15 years. In our study, it was seen that nephropathy was present in 35.71 % cases with PDR as compared to 8.93% of cases with Non proliferative diabetic retinopathy (NPDR). Conclusion: Our study showed that there is a significant correlation between severity of retinopathy and duration in type 2 Diabetes mellitus patients. Maximum number of patients with Diabetes mellitus having cardiovascular involvement, had hypertension (68%).In patients suffering from neuropathy as a complication of DM, maximum number of patients had diabetic foot (56%).It was seen that the severity of diabetic retinopathy had some association with presence of nephropathy. Also it can be postulated that patients with severe NPDR and PDR have high risk of developing nephropathy than patients suffering with mild and moderate NPDR. Hence it can be recommended that all patients of diabetes mellitus suffering from clinically significant neuropathy, nephropathy or hypertension as a complication of diabetes should always be screened for presence of retinopathy. Further studies with larger sample size are to be conducted to further look into this association. Keywords: Diabetic retinopathy, Diabetic nephropathy, diabetic neuropathy, complications


2021 ◽  
Vol 2 (1) ◽  
pp. 363-367
Author(s):  
Untung Halajur ◽  
Irfan Setiawan

Knowledge or cognitive domain is very important for the formation of a person's actions. Knowledge is the main basis for treatment and prevention of diabetes perfect. Someone who has less knowledge about diabetes mellitus will be difficult to prevent the occurrence of diabetes and if a person suffering from diabetes with less knowledge will easily suffer complications of diabetes. Identifying Knowledge Relationships with Self-Management Patient Diabetes Militus in Poli Disease dr. Doris Sylvanus Palangkaraya. This research is quantitative questionnaires. The study design used in the form of cross-sectional analysis, the measurement and data collection only at one time.Measured variables, namely the relationship between knowledge as independent variables and self-management of diabetes mellitus as the dependent variable. Results of the analysis above shows respondents who have a good knowledge with good self-management (82.2%). While knowledge is good with a poor self-management amounted to (17.8%). The results of the analysis the table showed there (48.1%) who had a poor knowledge with good self-management. While knowledge was poor with poor self-management amounted to (51.9%). This study suggests knowledge of Diabetes Militus patients in Poli Disease dr. Doris Sylvanus Palangkaraya in getting significant value p-value of 0.002 or <0.05 that means there is a close relationship between knowledge and self-management of patients with diabetes mellitus.


2019 ◽  
Vol 10 (2) ◽  
pp. 11-19
Author(s):  
Harun Harun Al Rasid ◽  
Ami Ami Oetami Wiharjo

In 2012 diabetes mellitus is the cause of death from 1,5 million (WHO,2016). The population of diabetes mellitus (DM) in indonesia is currently ranked fifth in tyhe world. In 2013 people with diabetes mellitus in the homeland reaches 8.554.155 people. The continuous increase in the number of patients with diabetes mellitus and the magnitudeof the cost of treatment due to complications, then the best effort is prevention. Exercise of physical exercise is an early attempt to prevent, control, and overcome diabetes. Type of Quasi Experimenta research with Non Randomited Pretest and Posttest Control Group Design methods. Research location in RS Dr. H. Marzoeki Mahdi dated 26 April 2017 number of sample counted 32 respondents with diabetes mellitus with sample Purposive Sampling. Tools used in date collection are Accu-Chek Akctive and observation sheet. Technique of date analysis is bivariate analysis with SPSSM program. The influence of diabetes mellitus gymnastics on changes in blood sugar levels in Dr. H. Marzoeki Mahdi Hospital in 2017. The ntervention group of blood sugas levels before gymnastics and after gymnastics decreased 24,69 mg/dL, in the control group of blood sugar levels on the first day and the fourth day increased 10,56 mg/dL. Statistical test results using Independent T Test obtained P value = 0,000 which means P value <0,05 means the influence of diabetes gymnastics to changes in blood sugar levels in people with diabetes mellitus in Dr. H. Marzoeki Mahdi Hospital. This research is expected


2021 ◽  
Vol 1 (1) ◽  
pp. 142-146
Author(s):  
Samuel Ginting ◽  
Chaidir Saputra Harahap ◽  
Grace Erlyn Damayanti ◽  
Pitri Ani ◽  
Syatria Wati ◽  
...  

Diabetes mellitus was more commonly known as diabetes was a disease or disorder that affects the ability of the body in amounts or concentrations of glucose or sugar in the blood than normal. Accorded to WHO (2009), the number of patients with Diabetes Mellitus as many as 7.0 million people, WHO estimates the number of patients with diabetes mellitus have increased in the year 2030 as many as 12.0 million people. This type of research was a quasi-experiment (quasi experiment) with a model of design time series design. This study aims to determine the effect of exercise on blood sugar levels in people with diabetes mellitus in the Desa Paluh Baji Kecamatan Pantai Labu Kabupaten Deli Serdang 2012. The population in this study were all patients with diabetes mellitus in the Desa Paluh Baji Kecamatan Pantai Labu Kabupaten Deli Serdang week as many as 54 people, with a sample of as many as 35 people. Sampled technique with a non probability purposive sampling technique approach. From the results obtained that all respondents have a blood sugar> 120 mg / dl before exercise and the majority of respondents had a blood glucose <120 mg / dl as many as 28 people (20.0%) performed after exercise. Based on the results of statistical tests obtained p-value = 0.012 (α = 0.05) we can conclude there was significant influence between blood sugar levels before and after exercise. It was recommended to patients with diabetes mellitus in order to apply the exercises in an effort to decrease blood sugar levels and to further research in order to further develop the material handling problems researchers about how blood sugar levels in people with diabetes mellitus.  


2020 ◽  
Vol 14 (1) ◽  
pp. 8-16
Author(s):  
Eka Yudha Chrisanto ◽  
Sapti Ayubbana ◽  
Yola Anjani

Detection of hypoglycemia by adult with diabetes mellitus.Background : The increasing prevalence of people with diabetes mellitus occurs every year along with the increasing prosperity of a country, especially in developing countries because the wrong lifestyle changes can cause obesity which is one of the risk factors for diabetes.Purpose: Know factors that are related to Detection of hypoglycemia by adult with diabetes mellitus.Method: This is a descriptive correlational study, a cross sectional research design. The population in this study was the number of patients with diabetes mellitus of 40 respondents. The sample technique used was accidental sampling, research instruments using a questionnaire, with data analysis namely the chi square test.Results: Finding that there was no relationship of age (p-value 0.071) and availability of glucometer with (p-value 0.052), there was a relationship with education (p-value 0.026), duration of suffering of DM (p-value 0.016 ), there is a relationship of gender with (p-value 0.010), there is a relationship of knowledge (p-value 0.008). In detecting episodes of hypoglycemia (p-value 0.052).Conclusion: Several factors in detecting episodes of hypoglycemia in the context of nursing care are closely related such as; education, duration of diabetes, gender, and knowledge.Keywords: Detection; Hypoglycemia; Adult; Diabetes mellitus.Pendahuluan: Hipoglikemia terjadi karena peningkatan insulin dalam darah dan penurunan kadar glukosa. Terapi insulin yang tidak adekuat disebabkan oleh ketidaksempurnaan terapi insulin saat ini, dimana pemberian insulin masih belum sepenuhnya dapat menirukan (mimicking) pola sekresi insulin yang fisiologis. Hipoglikemia diabetik lebih sering terjadi pada pasien diabetes tipe 1, namun dapat juga terjadi pada pasien diabetes tipe 2 yang mendapatkan terapi insulin, dan merupakan faktor penghambat utama dalam penanganan diabetes mellitus.Tujuan: Mengetahui faktor faktor yang berhubungan dengan kemampuan pasien diabetes mellitus dalam melakukan deteksi episode hipoglikemia dalam konteks asuhan keperawatan .Metode: Penelitian dilakukan pada Juli 2019 dengan menggunakan metode Cross Sectional. Melibatkan 40 responden di Poli Penyakit Dalam Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Propinsi Lampung. Pengumpulan data dilakukan dengan cara wawancara langsung menggunakan kuisioner pengetahuan tentang Hipoglikemia untuk menilai tingkat pengetahuan dan kuisioner kemampuan deteksi hipoglikemia untuk menilai kemampuan melakukakn deteksi episode hipoglikemia pada responden.Hasil: Tidak terdapat hubungan usia (p-value 0.071) dan ketersediaan alat glukometer dengan (p-value 0.052), terdapat hubungan pendidikan dengan (p-value 0,026), lama menderita DM dengan (p-value 0,016), jenis kelamin dengan (p-value 0,010), dan pengetahuan (p-value 0,008) dalam melakukan deteksi episode hipoglikemia dalam konteks asuhan keperawatan (p-value 0,052).Simpulan: Beberapa faktor dalam melakukan deteksi episode hipoglikemia dalam konteks asuhan keperawatan sangat erat berhubungan seperti; pendidikan, lama menderita DM, jenis kelamin, dan pengetahuan


2016 ◽  
Vol 24 (2) ◽  
pp. 101-113 ◽  
Author(s):  
Priscila Peruzzo Apolinario ◽  
Danilo Donizetti Trevisan ◽  
Roberta Cunha Matheus Rodrigues ◽  
Fernanda Freire Jannuzzi ◽  
Júlia Fazzio Ferreira ◽  
...  

1970 ◽  
Vol 4 (3) ◽  
Author(s):  
Titis Kurniawan ◽  
Kurniawan Yudianto

Self-management is essential in preventing complications among patients with Diabetes Mellitus. The behaviourof patients to implement Diabetes Self-Management (DSM) is influenced by several factors which needsfurther study. This descriptive study aimed to identify factors contributing to DSM among patients with Type2 Diabetes Mellitus (DMT2). 94 respondents were recruited using randomized sampling obtained from aninpatient unit in one hospital in West Java province. Self-rating instruments were used to identify demographydata, knowledge about DSM, self-efficacy scale, and DSM questionnaire. Descriptive analysis was conductedto explain demography data, knowledge, self-efficacy and DSM. Findings indicated respondents demonstratedmoderate level of knowledge (M=7,53), and self-efficacy (M=34,8), and high level of DSM (M=89,28).Post-hoc analysis demonstrated a significant relationship between age (r=-0,209); p=0,043), education level(p=0,008), and self-efficacy (r=0,214; p= 0,038). No significant relationship was not identified with DSM(r=0,317; p=0,187). It is concluded that age, level of education, and self-efficacy were contributed to DSM.


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