scholarly journals KADAR HBA1C PADA PASIEN DIABETES MELITUS TIPE 2 DI PUSKESMAS BAHU KECAMATAN MALALAYANG KOTA MANADO

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Mohammad R. S. Utomo ◽  
Herlina Wungouw ◽  
Sylvia Marunduh

Abstract: Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels that exceed normal values. Riskesdas in 2013 showed that North Sulawesi is one of the provinces with the highest prevalence of diabetes in Indonesia. HbA1c measurement is the most accurate way to determine blood sugar levels over the past two to three months. HbA1c is also the best single examination to assess risks to the tissue damage caused by high blood sugar levels. This study aims to determine the levels of HbA1c in patients with type 2 diabetes mellitus in Bahu Community Health Center Manado. This study is a descriptive cross sectional study. Primary data were collected through interviews, physical examination and laboratory tests. Respondents were all patients with type 2 diabetes mellitus who came in Bahu Community Health Center and willing to become respondents. The sample size is 22 people. The results of this study prove that more than half of the respondents have not controlled HbA1c levels (> 7%) of 17 respondents. Of the 17 respondents were 9 respondents have overweight body mass index, 13 respondents not take the medicine as directed by doctor and 9 respondents did not exercise regularly. It can be concluded that the blood glucose levels of patients in Bahu Community Health Center is still not controlled, by HbA1c values above 7%.Keywords: HbA1c, Diabetes Mellitus Type 2Abstrak: Diabetes mellitus (DM) merupakan penyakit menahun yang ditandai oleh kadar glukosa darah yang melebihi nilai normal. Laporan Riskesdas tahun 2013 menunjukkan bahwa Sulawesi Utara merupakan salah satu provinsi dengan angka prevalensi DM yang tertinggi di Indonesia. Pengukuran HbA1c adalah cara yang paling akurat untuk menentukan tingginya kadar gula darah selama dua sampai tiga bulan terakhir. HbA1c juga merupakan pemeriksaan tunggal terbaik untuk menilai risiko terhadap kerusakan jaringan yang disebabkan oleh tingginya kadar gula darah. Penelitian ini bertujuan untuk mengetahui kadar HbA1c pada pasien diabetes melitus tipe 2 di Puskesmas Bahu Kota Manado. Penelitian ini bersifat deskriptif dengan rancangan cross sectional study. Data primer dikumpulkan melalui wawancara, pemeriksaan fisik dan pemeriksaan laboratorium. Responden adalah semua pasien diabetes melitus tipe 2 yang datang di Puskesmas Bahu dan bersedia menjadi responden. Besar sampel penelitian adalah 22 orang. Hasil penelitian ini membuktikan bahwa lebih dari setengah jumlah responden memiliki kadar HbA1c tidak terkontrol (> 7%) sebanyak 17 responden. Dari 17 responden tersebut 9 responden memiliki indeks massa tubuh overweight, 13 responden tidak mengkonsumsi obat sesuai anjuran dokter dan 9 responden tidak rutin berolahraga. Dapat disimpulkan bahwa kadar gula darah pasien di Puskesmas Bahu masih belum terkontrol berdasarkan nilai HbA1c di atas 7%.Kata kunci: HbA1c, Diabetes Melitus tipe 2

2019 ◽  
Vol 4 (8) ◽  
pp. 474
Author(s):  
Litae Litae ◽  
Maria Magdalena Purba ◽  
Irene Febriani Febriani

Diabetes Mellitus (DM) is a medical disorder is a collection of symptoms caused by elevated levels of sugar or due to insulin resistance. DM is a non-communicable diseases. Riskesdas 2007 in Central Kalimantan diabetes prevalence of 0.9%, but were diagnosed by health personnel by 0.6%. While in the city of Palangkaraya. Prevalence of diabetes of 1.4%, but were diagnosed DM client just as much as 1.1%. This study aims to determine the relationship of the level of anxiety with increased blood sugar levels in diabetes mellitus clients in the region of Bukit Pukesmas Hindu city of Palangkaraya. Methods descriptive analytic cross sectional study design. The research sample as many as 65 people. The results showed that the DM Client Anxiety in Puskesmas Bukit Hindu city of Palangkaraya that her blood sugar levels <200 mg / dl was 23.1% mild anxiety and 24.6% were worried. Anxiety DM client that blood glucose levels> 200 mg / dl was 21.5% mild anxiety, and 30.8% were worried. Obtained a significant relationship between the level of anxiety with increased levels of sugar in clients with diabetes mellitus, where respondents blood sugar> 200 mg / dl with a moderate level of anxiety has peluag 5.787 times greater risk than the volunteers were mild anxiety level.


2021 ◽  
Vol 6 (2) ◽  
pp. 161-170
Author(s):  
Edison Siringoringo ◽  
Asri ◽  
Safruddin

Diabetes mellitus is one of the biggest health problems in the world. Diabetes mellitus or what is commonly called diabetes (diabetes) is a disease that causes the patient’s body to be unable to control the level of sugar (glycose) in the blood. At this time, many people are doing treatment by using plants as traditional medicine. One of them is cherry leaves. Kersen leaves are believed to reduce blood glucose levels in type II diabetes mellitus sufferers. The purpose of this study was to determine the effect of Kersen leaf decoction on blood glucose levels in patients with Type II diabetes in the Bontobahari Community Health Center in 2021. The research design used in this study was a quantitative research design with a true-experimental method (pure experiment) with a pre-post design. Test control group design. The sample used was 38 respondents, with a sampling technique that is probability sampling with simple random sampling. Analysis of the data in this study using the Unpaired T test statistical test. The results of the analysis using the unpaired T-test statistical test obtained p-value = 0.000 (p ≤ 0.05), which means that Ho is rejected and Ha is accepted. There is an effect of Kersen Leaf Decoction on Blood Glucose levels in people with Type II Diabetes in the Bontobahari Community Health Center Work Area. 2021.


2021 ◽  
Vol 17 (4) ◽  
pp. 157
Author(s):  
Ni Ketut Sutiari ◽  
Ali Khomsan ◽  
Hadi Riyadi ◽  
Faisal Anwar ◽  
Desak Putu Yuli Kurniati ◽  
...  

Health status and micronutrient intake among vegetarian and non-vegetarian in BaliBackground: Several studies have reported that vegetarian diets have health benefits for those adopting the diets.Objective: This study aimed to compare anemia status and micronutrient intake between vegetarians and non-vegetarians in Bali.Methods: This cross-sectional study was conducted in Bali. A total of 240 samples consisting of 160 vegetarians and 80 non-vegetarians were randomly selected. Hemoglobin (Hb) and fasting blood sugar levels were measured using the cyanmethemoglobin method and enzymatic colorimetric, respectively. Meanwhile, the data on micronutrient intakes were collected by interviews using the semi-quantitative food frequency questionnaire (SQFFQ). The data were analyzed using descriptive statistics, and the Mann-Whitney test was performed to analyze the differences.Results: The study’s results showed that the mean Hb levels in the vegetarian group were significantly lower than non-vegetarians (p=0.002; p<0.05), and the anemia status in vegetarian women were higher (22.5%) than non-vegetarian women (2.5%). The mean fasting blood glucose level in non-vegetarians was significantly higher than in the vegetarian group (p=0.000; p<0.05). There were no differences in zinc (Zn) intake between vegetarians and non-vegetarians, but there were significant differences (p<0.05) in vitamin C, vitamin D, vitamin B12, folic acid, magnesium (Mg), calcium (Ca), and iron (Fe) intakes.Conclusions: There were differences in anemia status and fasting blood glucose levels between vegetarians and non-vegetarians. The fasting blood glucose levels of non-vegetarians were higher than vegetarians, and there were differences in the intake of certain micronutrients between vegetarians and non-vegetarians.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


2018 ◽  
Vol 14 (2) ◽  
pp. 163-171
Author(s):  
Fatma Zulaikha ◽  
Rina Triasih ◽  
Purwanta Purwanta

Pneumonia is the most common cause of morbidity and mortality among young children worldwide. Integrated Management of Childhood Illness (IMCI) is a procedural form in the care of childhood illness which aims to minimize morbidity and mortality rate in children, including pneumonia. This was a cross-sectional study at Samarinda and Kutai Kartanegara community health center from July to October 2015. The health workers’ knowledge was assessed through questionnaire. The quality of IMCI implementation was evaluated through direct observation in primary health care. A total of 46 health workers were involved in this study. Observation of IMCI implementation quality was conducted in 104 children. The majority of respondents (73.9) had sufficient knowledge; however, in terms of direct implementation on the field, most of the respondents (87%) were included in incompetent category. It can be concluded that level of knowledge was related to implementation of cough IMCI in community health center, but the correlation was weak.


2021 ◽  
Vol 2 (2) ◽  
pp. 165-171
Author(s):  
Dhanty Mukhlisa ◽  
Jason Liando ◽  
Helen ◽  
Wahyu Arfina Juwita

Indonesia is the fourth most populous country in the world. One third of all deaths in Indonesia are caused by cardiovascular and cardiometabolic diseases. We estimate this is related to gender, specific age and vascular risk factors and other modifiable risk factors, such as smoking, hypertension, diabetes, increased total cholesterol and overweight. This research is a cross sectional study. The study was conducted in four Palembang City Health Centers namely Sei Selincah Health Center, Merdeka Health Center, Basuki Rahmat Health Center and Gandus Health Center. The study data was taken consecutively for each adult patient who came for treatment at the puskesmas, met the inclusion criteria and agreed to participate in the study. The data that has been collected is then analyzed using SPSS 18.0 for Windows. In this study obtained cases of hypertension, diabetes mellitus, hypercholesterolemia in the four health centers period 30 October - 25 November 2017 as many as 200 respondents. Obtained cases of hypertension as many as 152 respondents (76%), cases of diabetes melitus as many as 73 respondents (36.5%) and hypercholesterolemia as many as 39 respondents (19.5%). In this study no association was found between Diabetes mellitus and hypertension and hypercholesterolemia. risk factors for sex, age, BMI and smokers are risk factors that influence hypertension, while risk factors for diabetes mellitus are, gender, age, and BMI. As for hypercholesterolemia, the only risk factor that influences education level.


2020 ◽  
Vol 3 (1) ◽  
pp. 299-312
Author(s):  
Fera Natalia Sembiring ◽  
Tarsyad Nugraha ◽  
Linda Hernike Napitupulu

Immunization has proven to be one of the most important public health efforts. The report of the Kosik Putih Health Center in North Padang Lawas Regency in 2016 recorded a complete basic immunization achievement of 52 babies (63.9%) from the baby target of 76 babies and in 2017 amounted to 59 babies (73.8%) from the baby target of 80 babies. The purpose of this study was to study the determinants that influence mothers in giving immunizations to infants in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019. Study design used an analytical survey with a cross sectional study approach. The population in this study were all mothers who brought their babies for basic immunization in the working area of ​​Kosik Putih Community Health Center in North Padang Lawas Regency in 2019 totaling 59 mothers. The sampling technique uses the entire population as samples (total sampling). Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The results of this study indicate the sig value on the knowledge variable (p=0.003), attitudes (p=0.018), socio-cultural (p=0.271), availability of health facilities (p=0.376), affordability of health facilities (0.472), personnel support health (p=0.030) and husband's support (p=0.725). The variable with the greatest Exp (B) value is knowledge (39,565). The variables that influence behavior in providing basic immunization to infants in the working area of ​​Kosik Putih Community Health Center, North Padang Lawas Regency in 2019 are knowledge, attitudes and support of health workers and the most influential variable is knowledge.     Abstrak Imunisasi telah terbukti sebagai salah satu upaya kesehatan masyarakat yang sangat penting . Laporan Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2016 tercatat capaian imunisasi dasar lengkap sebesar 52 bayi (63,9%) dari sasaran bayi sebesar 76 bayi dan tahun 2017 sebesar 59 bayi (73,8%) dari sasaran bayi sebesar 80 bayi. Tujuan dari penelitian ini untuk mengetahui faktor penentu yang memengaruhi perilaku ibu dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019. Jenis penelitian menggunakan survei analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh ibu yang membawa bayinya untuk imunisasi dasar yang ada di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 berjumlah 59 ibu. Teknik pengambilan sampel menggunakan seluruh populasi menjadi sampel (total sampling).. Analisis data menggunakan analisis univariat, bivariat dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukkan nilai sig pada variable pengetahuan (p= 0,003), sikap (p=0,018), sosial budaya (p=0,271), ketersediaan fasilitas kesehatan (p=0,376), keterjangkauan fasilitas kesehatan (0,472), dukungan tenaga kesehatan (p=0,030) dan dukungan suami (p=0,725). Variabel dengan nilai Exp (B) terbesar adalah pengetahuan (39,565). Variable yang mempengaruhi perilaku dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 adalah pengetahuan, sikap dan dukungan tenaga kesehatan dan variabel yang paling berpengaruh adalah pengetahuan.


2014 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Alfiah Kusuma Wardani ◽  
Muhammad Atoillah Isfandiari

ABSTRACTDiabetes Mellitus is a chronic disease whose prevalence continues to increase. WHO predicts that diabetes will be 7 major diseases that will cause the death in 2030. Many people with diabetes are not aware of  it so that they get complications. The increasing number of people with diabetes mellitus who develop complications because of the bad controlling of blood sugar levels  and the lack of support from family. The Complications were observed in this study is microvascular complications. This study aims to analyze between family support and control blood sugar levels with the incidence of microvascular complications in the patients with symptoms of diabetes mellitus in the Community Health Center Jagir Surabaya.This research uses analytic observational study sample of patients with diabetes mellitus who had diabetes mellitus ≥ 5 years as many as 34 samples. The Sampling was done by the simple random sampling, while the data analysis was done by the Chi Square test.The results showed that there was no relationship between family support with symptoms of microvascular complications (p=0.069), but there is a relationship between the control of blood sugar levels with symptoms of microvascular complications (p=0.002).The Microvascular symptoms that are often experienced by people with diabetes mellitus in the Community Health Center Jagir is symptomatic neuropathy complications . The proportion of patients with diabetes mellitus who received family support at 55.9%, while  the patients with diabetes mellitus who control the blood sugar levels well totaling 17 respondents. It is expected that people with diabetes mellitus to control eating diet and regular exercise. Keywords : Family support, blood sugar levels control, symptoms of microvascular complications.


2019 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Sunarti Hanapi ◽  
Nuryani Nuryani ◽  
Rahmawaty Ahmad

Based on Indonesian Basic Health Research 2018Vitamin A capsule coverage for children 6-59 months reached 53.1%. Based on Department of Health Gorontalo district Vitamin A capsule coverage in work area of Asparaga community health center reached 80%. The research aims at investigating association of giving vitamin A toward toddler. This research used observational analytic method with cross sectional study approach. This research was conducted in February until April with total of samples were 262 children  6-59 mount and respondents were toddler mother. The technique of collecting samples was using purposive sampling technique and the technique of data collection was using questionnaire. The technique of data analysis was chi square test. The findings reseacrh was found that the giving of vitamin A on toddler was 126 (48,1%) and not giving vitamin A was 136 (51,9%) toddlers, low mothers knowledge 63,4%, active cadre 28,2%, active participation toddlers 5,0%. Base on analysis bivariate indicated that sufficient knowledge of mothers 67,7% of the toddlers were given vitamin A and chi square test showed knowledge of p value = 0,000, the role of active cadres 82,4% of the toddlers were given vitamin A with p value = 0,000 and the activity of toddlers visiting community health center / Posyandu 100% of the toddlers were given vitamin A with p value = 0,000. It was concluded that the mothers knowledge factor, the role of cadres and the activity of toddlers visiting Community Health Center and Posyandu were related to the provision of viramin A in the toddlers. It was recommended for mothers of toddlers to explore more information regarding the importance of providing vitamin A to toddlers, and to be active partisipation in Community Health Center / Posyandu activities.Berdasarkan hasil Riskesdas 2018 cakupan kapsul vitamin A pada anak 6-59 bulan mencapai 53,1%. Berdasarkan data Dinas Kesehatan Kabupaten Gorontalo cakupan pemberian vitamin A di Wilayah Kerja Puskesmas Asparaga mencapai 80%. Tujuan dalam penelitian ini untuk mengetahui sejumlah faktor yang berhubungan dengan pemberian vitamin A pada balita. Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional study. Penelitian ini dilakukan pada Februari sampai April dengan jumlah sampel 262 balita umur 6-59 bulan dengan ibu balita sebagai responden. Pengambilan sampel dengan tekhnik purvosive sampling dan pengumpulan data dengan menggunakan kuesioner, analisis menggunaka chi square test. Hasil penelitian didapatkan pemberian vitamin A pada balita sebanyak 126 (48,1%) dan tidak diberikan vitamin A sebanyak 136 (51,9%) balita, pengetahuan ibu kurang 63,4%, keaktifan kader 28,2%, keaktifan kunjungan balita 5,0%. Berdasarkan hasil uji bivariat menunjukkan pengetahuan ibu cukup 67,7% anak balita diberikan vitamin A chi square  test menunjukkan pengetahuan  p value = 0,000, peran kader aktif 82,4% balita diberikan vitamin A dengan p value = 0,000, dan keaktifan kunjungan balita ke Puskesmas / Posyandu 100% balita diberikan vitamin A dengan p value = 0,000 berhubungan dengan pemberian vitamin A pada balita. Disimpulkan bahwa faktor pengetahuan ibu, peran kader dan keaktifan kunjungan balita ke Puskesmas dan Posyandu berhubungan dengan pemberian viramin A pada balita. Disarankan kepada ibu balita agar lebih menggali informasi terkait pentingnya pemberian vitamin A pada balita, serta aktif dalam kegiatan Puskesmas / Posyandu.


2019 ◽  
Vol 7 (1) ◽  
pp. 27-36
Author(s):  
Nimsi Melati ◽  
Yan Castika

Latar Belakang : Diabetes Mellitus (DM) merupakan penyakit yang ditandai dengan kadar glukosa tinggi (hiperglikemia). Untuk mengatasi kadar gula yang tinggi dapat dilakukan terapi psikologis dengan cara hipnoterapi, imajinasi terbimbing dan terapi musik. Tujuan : Mengetahui efektifitas terapi musik langgam jawa dan musik alam terhadap perubahan kadar gula dalam darah pada penderita diabetes melitus tipe II di wilayah kerja Puskesmas Prambanan Klaten tahun 2019. Metode : Jenis penelitian ini quasi eksperimental dengan time series design. Populasi orang dengan DM tipe II di wilayah kerja Puskesmas Prambanan Klaten berjumlah 120 penderita. Teknik sampling yang digunakan adalah purposive sampling dan simple random sampling sebanyak 54 orang. Analisis data menggunakan Mann-Whitney dengan komputerisasi. Hasil : Hasil uji mann-whitney didapatkan hasil p value sebesar 0.000 (P value < 0,05). Terjadi penurunan nilai mean sesudah terapi musik langgam jawa sebesar 46,59 dan musik alam sebesar 24,52. Kesimpulan : Terapi musik langgam jawa lebih efektif dibandingkan dengan terapi musik alam terhadap perubahan kadar gula darah pada orang dengan DM tipe II di wilayah kerja Puskesmas Prambanan Klaten tahun 2019. Saran : Kepada Puskesmas Prambanan Klaten dapat menerapkan penggunaan terapi musik langgam jawa untuk membantu penurunan kadar gula darah pada pasien DM.   Kata Kunci : Diabetes Mellitus – Kadar Gula Darah - Musik Langgam Jawa – Musik Alam   ABSTRACT   Background: Diabetes mellitus (DM) is a disease characterized by high levels of hyperglycemia. To overcome high sugar levels psychological therapy can be done by means of hypnotherapy. Objective: To find out the effectiveness of Javanese musical style and natural music on glucose levels in people with type II diabetes mellitus in the working area of ​​Prambanan Klaten Health Center in 2019. Method: This type of research is quasi experimental with a time series design. The population in this study was type II DM patients in the work area of ​​Prambanan Klaten Community Health Center with 120 sufferers. The sampling technique used was purposive sampling and simple random sampling of 54 people. Data analysis using Mann-Whitney with computerization. Results: The results of the Mann-Whitney test are obtained as a result of p value of 0,000 (P value < 0,05).There was a decrease in the mean value after music therapy in Java style at 46.59 and natural music at 24.52. Conclusion: Javanese music therapy is more effective than natural music therapy for glucose levels in people with type II DM in the working area of ​​Prambanan Klaten Health Center in 2019. Suggestion: Prambanan Klaten Community Health Center can apply the use of Javanese music therapy to help reduce glucose levels in DM patients.   Keywords: Diabetes Melitus - Glucose Level - Javanese Music - Natural Music  


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