scholarly journals EFEKTIFITAS TERAPI MUSIK LANGGAM JAWA DAN MUSIK ALAM TERHADAP PERUBAHAN KADAR GULA DALAM DARAH PADA ORANG DENGAN DIABETES MELLITUS TIPE II DI WILAYAH KERJA PUSKESMAS PRAMBANAN KLATEN TAHUN 2019

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  

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


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.


2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care


2018 ◽  
Vol 3 (2) ◽  
pp. 72
Author(s):  
Setyoadi Setyoadi ◽  
Heri Kristianto ◽  
Siti Nur Afifah

Diabetes mellitus is a disease that required good self-management. Noncompliance in diet and meal plans cause the instability of blood glucose levels. Nutrition education calendar method can improve knowledge and ability to consume food that matches the number, hours and types with dietary adjustments listed in the calendar diet. This study aimed to determine the effect of nutrition education calendar method on blood glucose levels of patients with type 2 diabetes mellitus in Community Health Center Pakis Malang. Pre-experimental design one group pretest-posttest with purposive sampling was conducted in this study and sample obtained as many as 21 people. Blood glucose levels were measured before and after the nutrition education calendar methods. Compliance in using calendar method with the observation sheet. Statistical analysis values obtained by Wilcoxon, the p-value of 0.007 (p <0.05). The results of the analysis, 16 respondents showed a decrease in blood glucose levels and 5 respondents experienced an increase in blood glucose levels after the given intervention. It can be concluded that there are differences between blood glucose levels before and after nutrition education calendar method. Differences in blood glucose levels can be influenced by controlling diet respondent in accordance with the calendar method in education, but also antidiabetic drugs, and sports. Should be added to the control group to determine objectively the effect of nutrition education on the calendar method.


Author(s):  
Wahyuni Herda ◽  
Insan Sosiawan A Tunru ◽  
Yusnita Yusnita

Tuberculosis is a disease of global concern. By 2015 six countries contributing to 60% of the global total are India, Indonesia, China, Nigeria, Pakistan and South Africa. China, India and Indonesia alone accounted for 45% of cases in the world.The World Health Organization (WHO)has recommended the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control by involving Drug Supervisors (PMO). It aims to achieve patient recovery, prevent transmission, and avoid drug resistant cases. This study aims to determine the relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.This research was conducted by Cross-Sectional non-experimental quantitative method. Population and sample are the patient of adult pulmonary and extrapulmonary tuberculosis at community health center of Johar Baru Central Jakarta in 2016. Samples are selected by using Simple Random Sampling. The data were collected by interview using questionnaire. Data analysis using SPSS with Chi-Square test.There were 45 respondents (80,4%) succeed in TB treatment and respondent with PMO roles category were 40 (71,4%). Result of statistical test using Chi-Square test obtained P value = 1,000 (> 0,05).There is no relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.


2019 ◽  
Vol 14 (2) ◽  
pp. 252
Author(s):  
Dita Rahmatika

Hypertension is a condition where a person's blood pressure reaches 140/90 mmHg. Hypertension is the silent disease that causes death in Indonesia. Elderly people mostly suffer from hypertension. This study aims to investigate the correlationof emotional support and dietary compliance of elderly patients with hypertension around the area of Sukomulyo Community Health Center, Manyar subdistrict, Gresik. This study was an observational analytical research, based on the data collection.This research employed a cross sectional method. The samples used simple random sampling with a sample size of 37 respondents who were elderly patients with hypertension. The respondents’ characteristicswere mostly female with the age criteria of 60- 70 years old, and working as housewives. Meanwhile, the characteristics based on education level suggested that more than half of the respondents were high school graduates. Almost all respondents got emotional support with good category (83.8%), and most respondents were quite obedient in doing diet reaching 67.6%. The result of statistical test of the correlation between emotional support andthe adherence of elderly diet of hypertension show a p-value of 0.552.There is no correlation between family emotional support and the compliance of elderly diet in hypertensive patients in the integrated health postof elderly in the working area of Sukomulyo Community Health Center. The elderly’s family is expected to provide more attention to the elderly to be obedient in having the hypretensive diet.


Author(s):  
Putri Mufrida Rahmah

Tuberculosis (TB), infection disease caused by M. tuberculosis, is a global challenge in health. TB can damage socially by causing stigma and isolation society also inflict financial loss. About 75% TB patients is productive ages economically (15-50 years old) and is estimated would lose working times 3-4 months and thus would lose their incomes about 20-30%. This study aims to determine the relation between incomes with the success of tuberculosis in treatment at Community Health Center of Johar Baru Central Jakarta in 2016. This study was done by analytical survey with cross sectional design. Population and sample are adult patients at Community Health Center of Johar Baru in 2016. Samples are selected using Simple Random Sampling. The data were collected by using questionnaires and crosschecked by looking at TB03 Card. Data was analyzed by using Chi Square test. There were 45 patients (80,4%) succeed in TB treatment and 32 patients (78%) have low incomes (<Regional minimum wage).  Results from statistical tests using Chi Square test obtained P value = 0.115 (>0.05). There is no relation between incomes with the success of Tuberculosis treatment on Tuberculosis patients in Community Health Center of Johar Baru Central Jakarta in 2016.


2019 ◽  
Vol 2 (1) ◽  
pp. 101-108
Author(s):  
Berthiana Berthiana ◽  
Mimin Lestari ◽  
Dian Ana Mutriqah

The world is now inhabited by 171 million people with Diabetes Mellitus (DM) and will double, an estimated 366 million by 2030. Obesity is a risk factor for type II DM. From the results of surveys and observations of researchers at the Palangka Raya Polytechnic, it was seen that some special program class students fall into the category of overweight and obese. This research aims to find out the relationship between overweight and the risk level of type II diabetes melitus in class students specialized in nursing and midwifery courses at Palangka Raya Polytechnic. A quantitative study with correlational studies and research design using a cross-sectional approach. There is a significant relationship between overweight to the risk level of type II DM based on the analysis of chi-square test data, obtained p-value = 0.077. There was a relationship between excess body weight based on body mass index on the risk level of type II DM


2015 ◽  
Vol 9 (3) ◽  
pp. 277
Author(s):  
Rikawarastuti Rikawarastuti ◽  
Eka Anggreni ◽  
Ngatemi Ngatemi

Penyakit periodontal merupakan masalah kesehatan gigi dan mulut dengan prevalensi cukup tinggi di Indonesia (60%). Diabetes melitus merupakan salah satu faktor predisposisi terjadinya penyakit periodontal. Tujuan penelitian adalah menganalisis hubungan diabetes melitus terhadap tingkat keparahan jaringan periodontal. Jenis penelitian observasional analitik potong lintang. Penelitian dilakukan di Puskesmas Kecamatan Jagakarsa Jakarta Selatan pada bulan Oktober - November 2014 dengan populasi penelitian adalah pengunjung Puskesmas Kecamatan Jagakarsa. Pengambilan sampel menggunakan simple random sampling sebanyak 122 orang. Status diabetes melitus didapat dari rekam medis poli penyakit tidak menular. Analisis data menggunakan kai kuadrat dan regresi logistik sederhana. Hasil penelitian menunjukkan proporsi penderita diabetes melitus usia > 50 tahun mengalami kerusakan jaringan periodontal yang lebih parah dibandingkan penderita diabetes melitus ≤ 50 tahun. Kelompok diabetes melitus berisiko 3,5 kali mengalami keparahan jaringan periodontal dibandingkan kelompok nondiabetes melitus, OR = 3,505 (1,609 – 7,634), nilai p = 0,002. Kelompok diabetes melitus tidak terkendali berisiko 2,5 kali mengalami keparahan jaringan periodontal dibandingkan kelompok diabetes melitus terkendali, nilai OR = 2,514 (0,892 – 7,085), nilai p = 0,12 disebabkan ukuran sampel terlalu kecil. Penderita diabetes melitus lebih berisiko mengalami keparahan jaringan periodontal dibandingkan dengan nondiabetes melitus. Pada diabetes melitus tidak terkendali, risiko penyakit periodontal semakin tinggi. Diabetes Melitus and Severity of Periodontal TissuePeriodontal disease is a teeth and oral health problem, with a quite high prevalence in Indonesia (66%). Diabetes mellitus one of predisposing factors of periodontal occurence. This study aimed to analyze relation between diabetes mellitus and the severity of periodontal tissue. The study was observational analytic study with cross-sectional design. The study was conducted in Jagakarsa District Primary Health Care of South Jakarta on October to November 2014 with the primary health care visitors as population. Sample was taken using simple random sampling as much as 122 respondents. Diabetes mellitus status was identified from the non-infectious disease medical record. Data analysis used chi-square and simple logistic regression. Results showed proportion of diabetes mellitus patients > 50 years suffered periodontal tissue damage more severe than ≤ 50 years old patients. Diabetes mellitus group had 3.5 times risk of suffering severe periodontal tissue than nondiabetes mellitus group, OR = 3.505 (1.609 - 7.634), p value = 0.002. Uncontrolled diabetes mellitus group had 2.5 times risk of suffering severe periodontal tissue than controlled diabetes mellitus group, OR = 2.514 (0.892 - 7.085), p value = 0.12 due too small size of sample. Diabetes mellitus sample patients were more risky to suffer severe periodontal tissue than nondiabetes mellitus patients. On uncontrolled diabetes mellitus, the risk of periodontal disease was getting higher.


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