scholarly journals Currents Nutritional Practices of Nutritionists in the Management of Type 2 Diabetes Patients at Public Health Centres in Padang, Indonesia

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1975
Author(s):  
Ice Yolanda Puri ◽  
Barakatun-Nisak Mohd Yusof ◽  
Zalina Abu Zaid ◽  
Amin Ismail ◽  
Hasnah Haron ◽  
...  

(1) Background: The interest in nutrition practices and education is slowly gaining traction among Indonesian nutritionists. However, there is a lack of local studies that evaluate nutritional practices, especially in the management of type 2 diabetes (T2DM). This cross-sectional study aimed to determine the nutritional practices among nutritionists and the adequacy of the current practices in the management of Type 2 Diabetes Mellitus (T2DM) patients at the Public Health Clinic in Padang (PHC), Indonesia. (2) Methods: An online survey form was distributed to all the nutritionists (n = 50) involved in the management of T2DM patients in their daily practices at the PHC. Socio-demographic characteristics, the current practice of T2DM, the need for DM nutrition education, and an evaluation questionnaire on the Indonesian Non-Communicable Diseases guideline and the Public Health Centre guideline were captured in the survey. (3) Result: A total of 48 completed survey forms were received, providing a response rate of 96% from the recruited nutritionists. One-third (37.5%) of the respondents counselled between one and ten patients per day. Nearly half (41.7%) conducted a monthly follow-up session for the patients at their respective PHC in the previous three months. Each nutritionist educated five to ten T2DM patients. The most common nutrition education topics delivered included appropriate menus (89.6%) as well as the etiology and symptoms of T2DM (85.5%). Almost all the nutritionists (93.8%) used leaflets and about 35.4% used poster education. Around 70.8% of counseling sessions lasted 30 min and two-thirds (66.7%) of the sessions included nutrition education. Based on the results, about half (52.1%) of them claimed that T2DM patients were reluctant to attend individual nutrition education. One-fifth of them (20.8%) claimed that it was because the T2DM patients were not interested in the tool kits and materials used. (4) Conclusions: T2DM patients are reluctant to attend individual nutrition education due to uninteresting tool kits and materials.

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Rinco Siregar ◽  
Rumondang Gultom ◽  
Marthalena Simamora ◽  
Jek Amidos Pardede ◽  
Dwi Utari

Objective: The objective of this study was to determine the effect of Self-Efficacy Enhancing Intervention Program (SEEIP) with online method on Self-Efficacy in Self-Management in Type 2 Diabetes Mellitus (T2DM) at Juli I Public Health CentreMethods: This study was a pre-experimental pre-test and post-test with only one group design. The population wasT2DM at Juli I Public Health Center in 2020. The sample size was 22 participants, selected by purposive sampling technique. Diabetes Management Self-Efficacy Scale (DMSES) was used to measure the Self-Efficacy in Self- Management of T2DM patients. Data were analyzed using paired t-testResults: The results of the study showed that the means score of Self- Management of T2DM before receiving SEEIP was 39,00 (SD: 15,455) and 90,23 (SD: 7,571)after receiving the SEEIP. Paired t-test showed that there was a significant difference on Self- Efficacy in Self-Management in T2DM at Juli I Public Health Centre in 2020Conclusion:  SEEIP could improve self-efficacy in self-management for Type 2 diabetes mellitus at Juli I Public Health Centre.


Author(s):  
Eka Yudha Chrisanto ◽  
Yoko Saputra ◽  
Bahjatun Nadrati

Background: Diabetes Mellitus ranks 8th out of 10 major diseases in Lampung province with a prevalence of 0.4%. Based on Rikesdas Lampung Province results in 2013 it is known that DM pavelence reaches 0.7% with pravelensi in Bandar Lampung reaches 0.8% and for Public Health Services (Puskesmas) Panjang in 2017 cases of DM was found as much as 2145.Purpose: Knowing that the relation family roles and blood glucose management  in patients with type 2 Diabetes Mellitus at Bandar Lampung, IndonesiaMethods: This was quantitative research type with analytical survey design and cross sectional approach. Population in this research were all patient of Diabetes Mellitus (DM) Type 2 in April 2018, at Puskesmas Panjang Bandar Lampung and the samples were 79 respondents given of questioner. The statistical test used is Chi Square test.Results: The frequency distribution of respondents aged between 60-69 years 54 (68.4%) respondents, female of 54 (68.4%) respondents, primary elementary education (45.6%) respondents, Duration of DM ≥ 5 years of 42 (53.2%) respondents, uncontrol blood sugar as many as 53 respondents (67.1%), poor family roles as many as 42 (53.2%) respondents, with p-value 0,000.Conclusion: There the relation of family roles and blood glucose management  in patients with type 2 Diabetes Mellitus at Bandar Lampung, IndonesiaSuggestions: The management of Public Health Centre (Puskesmas) to give counseling to the family about the importance of family roles and blood glucose management  in patients with type 2 Diabetes Mellitus


2020 ◽  
Vol 7 (3) ◽  
pp. 439-442
Author(s):  
Suprajitno Suprajitno ◽  
Sri Mugianti

Patient with tuberculosis who already experience 6 months of treatment may felt body alteration. The study aimed to illustrate the body alteration of Tuberculosis patients who got medication at the Public Health Centre. The design of the study used cross sectional. The sample was 141 tuberculosis patients who got medication at the Public Health Centre in Blitar which was selected by simple random sampling. The variables were height, weight, urine color, feeling of bored related to the medication and willingness to stop taking the medication routinely. The data was collected at the patient's home on August - November 2018. The data was collected by instruments of height gauge, weights, and interview form. The data was analyzed descriptively. The results showed that most of the changes were in the physical such as the weight loss, the red urine, and nausea. The patient’s nausea caused a decrease in intake and had an impact on the patient's weight that went down. It is important for nurses in Public Health Centre to provide medical services and information through health education before the first medication.


2017 ◽  
Vol 3 (2) ◽  
pp. 87
Author(s):  
Citra Trisna ◽  
Asfian Asfian

Abstract: Individual Factors Related To Implementation Of Integrated Management Of Childhood Illness (IMCI) In Sambas. Integrated Management of Childhood Illness (IMCI) is one of the government programs aimed at improving officer skills, strengthening health systems and improving care capabilities by families and communities. A public health centre is said to have implemented IMCI if it meets the criteria of carrying out IMCI at least 60% of the number of visits. Achievement of Implementation of IMCI at the public health centre in Sambas district in 2014 is still below 60%. Conducted research to determine the correlation between knowledge factor, performance and motivation toward the implementation of IMCI in public health centre Sambas District. This research was analytical descriptive with the cross-sectional design. The subjects of the study were the staff of the public health centre in Sambas district were 40 respondents. Data collection was done by using primary data through a checklist. Data were analyzed using univariate analysis with frequency distribution table and bivariate analysis using chi-square test. The result of bivariate analysis with chi-square test and significance of alpha 0,05 found no correlation between age (p-value = 0,905), knowledge (p-value = 0,064) and performance (p-value = 0,057) with IMCI implementation. Motivation factor (p-value = 0,013) had significant relation with IMCI implementation.Absrak: Faktor-Faktor Individu Yang Berhubungan Dengan Pelaksanaan Manajemen Terpadu Balita Sakit Di Sambas.Manajemen Terpadu Balita Sakit (MTBS) merupakan salah satu program pemerintah yang bertujuan untuk meningkatkan keterampilan petugas, memperkuat sistem kesehatan serta meningkatkan kemampuan perawatan oleh keluarga dan masyarakat. Puskesmas dikatakan sudah menerapkan MTBS apabila memenuhi kriteria melaksanakan MTBS minimal 60% dari jumlah kunjungan. Pencapaian Pelaksanaan MTBS pada puskesmas di wilayah Kecamatan Sambas tahun 2014 masih di bawah 60 %. Dilakukan penelitian untuk mengetahui hubungan faktor-faktor individu berupa pengetahuan, kinerja dan motivasi terhadap pelaksanaan MTBS di Puskesmas Wilayah Kecamatan Sambas. Penelitian ini bersifat deskriptif analitik dengan desain cross-sectional. Subjek penelitian adalah petugas Puskesmas wilayah kerja Puskesmas Sambas berjumlah 40 responden. Pengumpulan data dilakukan menggunakan data primer melalui cheklist. Data dianalisis menggunakan analisis univariat dengan tabel distribusi frekuensi dan analisis bivariat menggunakan uji chi-square. Hasil analisis bivariat dengan uji chi-square dan kemaknaan alpha 0,05 didapatkan tidak ada hubungan antara umur (p value = 0,905), pengetahuan (p value=0,064) dan kinerja (p value=0,057) dengan pelaksanaan MTBS. Faktor motivasi (p value= 0,013) mempunyai hubungan signifikan dengan pelaksanaan MTBS.


2019 ◽  
Vol 4 (2) ◽  
pp. 235
Author(s):  
Dian Sari

<p><em>Pulmonary Tuberculosis is one of the infectious diseases that become the main problem of Indonesian society. Based on a survey conducted at Andalas Public Health Centre obtained PMO (supervisor taking medicine) TB Lungless provide support to the patient of Pulmonary TB.. This study aims to determine the relationship of knowledge and attitude with the support of family as the PMO of Pulmonary TB patients. The study was conducted at the Andalas Public Health Centre Padang in 2017. The type of descriptive analytic research using a cross-sectional approach with a sample of 59 people taken from a population of 145 people PMO using simple random sampling systematic techniques. The results showed that 27.1% of PMO was not good at providing support, 32.2% knowledge was low, and 37.3% had a negative attitude. Chi-square test concluded that there is a significant correlation between knowledge (p = 0,036), and attitude (p = 0,000), with family support as PMO in Public health centre working area Andalas Padang of the year 2017. The result of this research can be used as a reference in improving TB program Lung so it can reduce the incidence of Pulmonary TB in Public health centre working area Andalas Padang.</em><em></em></p><p> </p><p><em>Tuberkulosis Paru merupakan salah satu penyakit menular yang menjadi masalah utama masyarakat Indonesia. Berdasarkan survei yang dilakukan di Puskesmas Andalas Kota Padang didapatkan sebahagian PMO (pengawas minum obat) TB Paru kurang memberikan dukungan kepada penderita TB Paru. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap dengan dukungan keluarga sebagai PMO penderita TB Paru.Penelitian dilakukan di Wilayah Kerja Puskesmas Andalas Padang Tahun 2017. Jenis penelitian deskriptif analitik dengan menggunakan pendekatan cross sectionaldengan sampel sebanyak 59 orang yang diambil dari populasi 145 orang PMO menggunakan teknik sistematik simple random sampling. Hasil penelitian menunjukkan 27,1% PMO kurang baik dalam memberikan dukungan, 32,2% pengetahuan rendah, dan 37,3% mempunyai sikap negatif. Uji chi-square disimpulkan bahwa terdapat hubungan yang signifikan antara pengetahuan (p= 0,036), dan sikap (p=0,000), dengan dukungan keluarga sebagai PMO di Wilayah kerja Puskesmas Andalas Padang Tahun 2017. Hasil penelitian ini dapat dijadikan referensi dalam meningkatkan program TB Paru sehingga dapat menurunkan angka kejadian TB Paru di Wilayah Kerja Puskesmas Andalas Padang</em></p>


Author(s):  
A Gomathi ◽  
S. Kamalam ◽  
Jeevaanand N

Background: Diabetes is traditionally known as a “silent disease,” exhibiting no symptoms until it progresses to severe target organ damage. Aims & Objective: The study was conducted to determine the knowledge of foot care ,knowledge regarding foot care practice and its associated factors among type 2 diabetes patients. Material and Methods: A Community based cross-sectional study was conducted at a primary health centre, Pondicherry, 107 subjects were selected by convenience sampling technique. Data was collected from December 2020 to March 2021, among type 2 diabetes who attended the diabetic clinic. A validated pretested questionnaire was used to assess the knowledge of foot care, knowledge regarding foot care practice and its associated factors among type 2 diabetes patients. Data was analysed using SPSS 21. Results: Among 107 diabetes patients 68(75.6%) of them had poor knowledge and only 2 (2.2%) of them had good practice. There was highly significant (p<0.001) relationship between knowledge of foot care and knowledge regarding foot care practice scores. There was highly significant association (p<0.05) between the knowledge of foot care with selected demographic variables of gender, occupation, alcohol consumption, regularity of treatment and source of information. Conclusions: It is a need of the hour to conduct health education programme to create awareness among rural people for better glycaemic control and prevention of ulcer foot in type 2 diabetes mellitus patients.


2008 ◽  
Vol 23 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Antoine Guedeney ◽  
Christophe Foucault ◽  
Eva Bougen ◽  
Beatrice Larroque ◽  
France Mentré

AbstractObjectivesThe objectives of this study were (1) to evaluate the prevalence of relational withdrawal behaviour in infants aged 14–18 months attending a public health centre in Paris, (2) to check some identified risk factors for relational withdrawal behaviour in this population.MethodsA cross-sectional study was conducted in infants aged 14–18 months attending a child health screening centre during the year 2005.ResultsA total of 640 children were included in the study. Thirteen percent of the 640 infants (n = 83, 95% CI [10.4%; 15.6%]) had an ADBB score at 5 and over 5 on the ADBB. There was a clear relationship between withdrawal behavior and having psychological difficulties as reported by parents, and between withdrawal and developmental delay. Withdrawal was also significantly associated with being a boy, with living in risk conditions (e.g. child being in joint custody, or with living in a foster family), with being adopted, or with being a twin. More withdrawn infants were taken care of at home.ConclusionSustained relational withdrawal behaviour was linked with developmental disorders and psychopathology and not with SES, ethnical origin or rank of birth. The scale could be used in screening early psychopathology in infants aged 2–24 months of age.


2015 ◽  
Vol 7 (S1) ◽  
Author(s):  
Sheila Mara Silva de Oliveira ◽  
Débora Bohnen Guimarães ◽  
Janice Sepúlveda Reis

2021 ◽  
Vol 7 (2) ◽  
pp. 226-230
Author(s):  
Ratnasari Iskandar ◽  
Febriani Eka Putri

Background: Personal Hygiene includes all activities required to meet the needs of day-to-day, which is commonly known activity of daily life (ADLs). The issue of personal hygiene or self-care deficit is the most common problem occured in mental patients, because patients with mental disorders have the abnormalities in the ability to perform or complete activities of daily living independently. Objective: To determine the relationship between family support and personal hygiene of mental patients in Wara Public Health Centre, Palopo in 2020. Method: This study used the cross-sectional research method. The population in this research was all mental patients registered on Wara Public Health Centre. The samples was recruited using a total sampling technique obtaining 43 respondents. Data were collected using questionnaire sheet and observation. The data obtained were processed and analyzed by using Microsoft Excel program and statistical program (SPSS) version 20 for the Chi-square test. Result: The univariate analysis showed the frequency distribution, while bivariate analysis showed a relationship between family support and personal hygiene (? = .003). Conclusion: There is a relationship between family support and the personal hygiene of mental patient in Wara Public Health Centre, Palopo City in 2020  


2019 ◽  
Vol 1 (2) ◽  
pp. 57
Author(s):  
Riauni Syaputri ◽  
Yecy Anggreny ◽  
Sekani Niriyah

The period of growth and development in preschoolers is strongly influenced by the provision of nutrition and food intake, but mothers can not always to fulfil these needs, especially in fulfilling the consumption of vegetables and fruit. This study aims to determine the description of maternal efforts in fulfilling the consumption of vegetables and fruit in preschool children. This research was a quantitative study with a descriptive research design. The study population was all mothers who have preschool children in Public Health Centre “Payung Sekaki Pekanbaru”. Total sample 192 people, taken by Proportional Random Sampling technique. The process of collecting data using an instrument in the form of a questionnaire. Data were analyzed by the Chi-square test. The results showed that of the 192 respondents most of which are 169 people (88.0%) have adequate eating habits, parenting eating most obtained good parenting patterns that are 191 people (99.5%), feeding practices of most respondents were correct namely 97 people (50.5%), the majority of respondents provide good food namely 190 people (99.0%), and the method of food processing shows that the majority of respondents have processed food properly, namely 145 people (75.5%). Mother's efforts in fulfilling the consumption of vegetables and fruit in preschool children in the work area of Payung Sekaki Health Center are good. It is expected that the public health centre will always provide counselling to the public on the importance of balanced food consumption, one of which is to consume spinach and spinach as well as papaya and bananas which have many benefits for children's growth and development, as well as educating parents to more routinely provide vegetable and fruit intake in children every meal hour.


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