scholarly journals EVALUASI RASIONALITAS PENGGUNAAN OBAT DIABETES MELITUS TIPE II PADA PASIEN RAWAT JALAN DI PUSKESMAS PASIR SAKTI TAHUN 2019

2021 ◽  
Vol 9 (1) ◽  
pp. 69-76
Author(s):  
Dwi Aulia Ramdini ◽  
◽  
Lilik Koernia Wahidah ◽  
Dwi Atika ◽  
◽  
...  

Abstract Diabetes mellitus is a metabolic disease characterized by hyperglycemia, due to abnormal insulin secretion, insulin action or both. Hyperglycemia is a condition in which blood glucose levels increase or exceed normal limits. This study aims to evaluate the treatment of type II diabetes mellitus in outpatients in Puskesmas Pasir Sakti. This research is a nonexperimental research with a descriptive design taken retrospectively. The sample in this study were all outpatients with a diagnosis of type II diabetes mellitus at Puskesmas Pasir Sakti 2019. The sampling technique used was Total sampling. The sample of this study is the medical record data of patients with type II diabetes mellitus in 2019 adjusted for inclusion criteria. Characteristics based on gender of patients with type II diabetes melitus there are 23 male patients that is 29% and 57 female patients that is 71 %. Characteristics based on the age of most patients in the Elderly (46-65 years) as many as 65 patients (81%). cases of type II diabetes mellitus patients without complications were 39 patients (49%) cases of type II diabetes mellitus patients with complications of 41 patients (51%). The results of the rationality of antidiabetic use in outpatients at the Puskesmas Pasir Sakti in 2019 According to PERKENI 2015 obtained the use of drugs based on the exact parameters indicated as much as 97.5%, the right drugs as much as 98.75%, the right dosage as much as 100%, the right way of administration as much as 100%, the exact time interval of 100%, and medication adherence of 100%. Treatment of type II diabetes melitus who received rational therapy was 96,25% while irational therapy is 3,75%. Keywords: Diabetes Mellitus, Evaluation, Medicine, Rationality.

2018 ◽  
Vol 5 (2) ◽  
pp. 143-154
Author(s):  
Theresia Anita Pramesti ◽  
I Putu Gede Adiatmika

Pendahuluan: Diabetes mellitus (DM) tipe 2 merupakan penyakit kronis yang tidak dapat disembuhkan namun dapat dikontrol. Penderita diabetes melitus membutuhkan perawatan yang berkesinambungan untuk meningkatkan kualitas hidup yang lebih baik. Self-empowerment diperlukan untuk membangun kepercayaan, meningkatkan harga diri, mengembangkan mekanisme koping dan meningkatkan keterampilan. Self-empowerment dapat memandirikan pasien, merubah pasien dari tidak tahu menjadi tahu, dari tidak mampu menjadi mampu sesuai dengan keadaan pasien serta kemauan pasien untuk berubah. Metode: Penelitian ini dilakukan dengan rancangan penelitian deskriptif dengan pendekatan rancangan penelitian survei menggunakan cross-sectional. Populasi penelitian adalah seluruh penderita diabetes mellitus tipe II di RSUD Kabupaten Badung Mangusada yang berjumlah 80 penderita, sample penelitian sebanyak 67 responden yang diperoleh dengan teknik nonprobability sampling, pendekatan yang digunakan adalah consecutive sampling.Hasil: Kesimpulan penelitian ini adalah aspek psikososial penderita DM tipe II sebagian besar adalah tinggi, ketidakpuasan dan kesiapan untuk berubah adalah cukup, pengaturan dan pencapaian tujuan adalah cukup, self-empowerment  adalah tinggi. Diskusi: Pemahaman responden terhadap Self-empowerment , cara menangani respon emosional pasien akibat lama menderita DM tipe II, dan cara mengatasi hambatan dalam melakukan perawatan diabetes melitus Kata kunci: Self-empowerment , Diabetes Melitus Tipe II   ABSTRACK Introduction: Type 2 Diabetes mellitus is a chronic disease that cannot be cured but can be controlled. People with diabetes mellitus need continuous care to improve the quality of life better. Self-empowerment is needed to build trust, increase self-esteem, develop coping mechanisms and improve skills.  Self-empowerment can empower patients, change patient’s knowledge from not knowing to know, from unable to be able, according to the patient's condition and the patient's willingness to change.Method: This research was conducted with descriptive research design with survey research design approach using cross-sectional. The population of this study were all type II diabetes mellitus patients in Badung Mangusada District Hospital which consisted of 80 patients, the sample of 67 respondents obtained by nonprobability sampling technique, the approach used was consecutive sampling. Result: The conclusion of this research is psychosocial aspect of patient of DM type II mostly is high, dissatisfaction and readiness to change is enough, setting and achieving goal is enough, self-empowerment  is high. Discussion: Understanding of respondents to Self-empowerment , how to handle the emotional response of patients due to long suffering from DM, and how to overcome barriers in doing diabetes mellitus treatment.   Key word: Self-empowerment , Type II Diabetes Mellitus


2016 ◽  
Vol 2 (2) ◽  
pp. 60
Author(s):  
Errina Puspitasari ◽  
Sofia Retnowati

This “Lansia Sabar” program which is consisted of reminiscence and art therapy is expected to facilitate the elderly to look back on their lives positively. This programm was administered to nine (9) elderly with type II diabetes mellitus aged 55-70 years who show moderate to severe levels of anxiety. Anxiety level is measured using Beck Anxiety Inventory (BAI). The program lasts for six meetings with a maximum duration of 120 minutes for each session. The experimental design using one-group pretest-posttest with additional double pretest. Data will be analyzed quantitatively using the friedman test, with the additional descriptive data analysis on the results of observation, task book, and the visual inspection. The Friedman test showed Fr(2) = 5,200, p = 0,074 (p > 0,05). It showed that “Lansia Sabar” program has no significant effect to decrease anxiety in the elderly with type II diabetes mellitus.


1990 ◽  
Vol 38 (5) ◽  
pp. 505-510 ◽  
Author(s):  
Richard C. U'Ren ◽  
Matthew C. Riddle ◽  
Muriel D. Lezak ◽  
Margaret Bennington-Davis

2019 ◽  
Vol 1 (1) ◽  
pp. 28-35
Author(s):  
Sabarinah Sabarinah ◽  
Ida Fauziah ◽  
Dewi Nur Anggraeni

Type-II Diabetes Mellitus is a metabolic disorder which characterised by the increase of blood glucose level (hypergliycemia). The purpose of this study was to determine the prevalence of type-II Diabetes Mellitus in the Puskesmas of Blangkejeren, Gayo Lues District in 2015-2017 and to investigate the patient lifestyle. The research was conducted is descriptive method by colleting data from patient medical record and the result showed that the prevalence of type-II Diabetes Mellitus in 2015-2017 is 16,2 %, the patients were dominated by female and those in the age of 40-49. Most of patients found to have higher daily sugar intake


Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 163-175
Author(s):  
Sukron Sukron

Latar Belakang : Meningkatnya angka penyakit diabetes melitus tipe 2 khususnya di Indonesia bersamaan dengan meningkatnya komplikasi salah satunya diabetic foot ulcer yang juga merupakan faktor terjadinya gangguan sensitivitas pada kaki. Pencegahan dapat dilakukan dengan mengukur sensitivitas kaki dengan menggunkan monofilmen test. Tujuan Penelitian : Untuk mengetahui gambaran tingkat sensitivitas kaki pada penderita diabetes melitus tipe 2 di Rumah Sakit Muhammadiyah Palembang. Metode Penelitian : Penelitian ini merupakan penelitian dengan metode Deskripti Analitik dengan pendekatan kuantitatif. Teknik sampling menggunakan convenience sampling pada pasien diabetes melitus tipe 2 di Rumah Sakit Muhammadiyah Palembang yang berjumlah 60 responden. Hasil : Hasil penelitian menunjukkan bahwa rata-rata pasien diabetes melitus tipe 2 berusia 59,45 tahun dan sebagaian besar berjenis kelamin laki-laki dengan tingkat pendidikan sebesar 33,3% SD dan 33,3% SMA. Rerata responden juga menderita diabetes melitus tipe 2 selama 3,58 tahun dengan sebagian besar responden tidak berkerja dan tidak berolahraga. Serta tingkat sensitivitas kaki pada pasien diabetes melitus tipe 2yang tidak ada rasa dengan frekuensi tertinggi yaitu pada dorsal kaki sebanyak 25 orang (41,67%), metatarsal head ke-1 sebanyak 23 orang (38,33%), Midfoot bagian Medial sebanyak 22 orang (36,67), jari tengah sebnayk 21 orang (35%), metatarsal head ke-3 sebanyak 20 orang (33,33%), Midfoot bagian lateral sebanyak 20 orang (33,33%), Tumit sebanyak 18 orang (30%), jari kelingking sebanyak 18 orang (30%), metatarsal haed ke-2 sebanyak 17 orang (28,33%), dan terendah yaitu padajempol kaki dengan frekuensi 12 responden (20%). Kesimpulan : sensitivitas kaki pada pasien diabetes melitus tipe II yaitu terendah pada dorsal kaki.   Background: The increasing number of type II diabetes mellitus, especially in Indonesia together with the increase in complications, one of which is diabetic foot ulcer, which is also a factor in sensitivity to the feet. Prevention can be done by measuring foot sensitivity by using a monofilment test. Objective: To find out the description of the level of sensitivity of the foot in patients with type II diabetes mellitus patients in Muhammadiyah Hospital Palembang. Method of Researvh: This research is a research with Analytic Descriptive method with quantitative approach. The sampling technique uses convenience sampling in patients with type II diabetes mellitus at Muhammadiyah Hospital Palembang, amounting to 60 respondents. Result of Research: The results showed that the average type II diabetes mellitus patients were 59.45 years old and most were male with education level of 33.3% elementary school and 33.3% high school. The average respondent also suffered from type II diabetes mellitus for 3.58 years with most respondents not working and not exercising. And the level of sensitivity of the foot in patients with type II diabetes mellitus that does not have the highest frequency is the dorsal foot of 25 people (41.67%), the first metatarsal head of 23 people (38.33%), Midfoot of the Medial section of 22 people (36.67), middle fingers 21 people (35%), 3rd metatarsal head as many as 20 people (33.33%), lateral midfoot as many as 20 people (33.33%), Heel as many as 18 people ( 30%), the pinky finger was 18 people (30%), the second metatarsal haed were 17 people (28.33%), and the lowest was the big toe with a frequency of 12 respondents (20%). Conclusion: Foot sensitivity in type II diabetes mellitus patients is lowest in the dorsal foot.


2020 ◽  
Vol 12 (4) ◽  
pp. 1001-1010
Author(s):  
Roza Erda ◽  
Cindy Monica Harefa ◽  
Revi Yulia ◽  
Didi Yunaspi

Diabetes is a serious chronic disease that occurs because the pancreas does not produce enough insulin. Quality of life is very important to get serious attention, because the quality of life is something that is closely related to a person's health condition, the severity of the disease, the duration of healing, and can even aggravate the condition of the disease to death if a person has a poor quality of life. This study aims to determine the relationship between family support and stress with the quality of life of the elderly with type II diabetes mellitus in the Sekupang Health Center, Batam City, 2020. Data collection usedthe questionnaire brought by the researcher to the population elderly people with Type II Diabetes Mellitusin Batam City in 2020. The inclusion criteria are elderly who are willing to be respondents, elderly who suffer from Diabetes Mellitus Type II, elderly who are ≥60 years old, elderly who can communicate well, and elderly who do not experience cognitive impairment. Research respondents involved in this study were 64 respondents. Chi-Square statistical test results obtained value (p value = 0.000 <0.05), indicating that H0 is rejected and Ha is accepted. Conclusion: there is a significant relationship between family support and stress with the quality of life of the elderly with type II diabetes mellitus in the Sekupang Health Center, Batam City, 2020.


2021 ◽  
Vol 1 (2) ◽  
pp. 112-117
Author(s):  
Fahruddin Kurdi ◽  
Zainal Abidin ◽  
Ratna Puji Priyanti ◽  
Anja Hesnia Kholis

Elderly are high risk for the development of type 2 diabetes due to the combined effects of increasing insulin resistance and impaired pancreatic function with aging. Diabetes mellitus is a chronic disease that causes insulin in the pancreas is not effective one of the treatments that can be done by diabetics to reduce blood sugar levels One of them with physical activity, the activity is taichi exercises.The purpose of this study was to investigate the effect of taichi exercises on reducing blood sugar levels in patients with type II diabetes mellitus.The design of this study was pre-experiment one group pre-test and post-test design with a population of 88 patients and a sample of 44 respondents. Research sampling technique used purposive sampling. Data collection with observation sheets. The intervention was carried out four times during 4 weeks. Before the intervention, sugar levels of type II diabetics were classified as moderate as 24 people (54.5%) and high as many as 20 people (45.5%). After the management of taichi exercises sugar levels experienced changes in the categories of good as many as 16 people (36.4%), moderate as many as 20 people (45.5%) and high as many as 8 people (18.2%). Data analized with Wilcoxon Signed Rank test with a significant level α = 0.05, the result ρ-value = 0.001 means ρ-value <α so that there is a significant effect of taichi exercises on decreasing blood sugar levels in patients with type II diabetes mellitus. Blood sugar levels in patients with diabetes mellitus before doing taichi exercises with the number of respondents 44 people mostly experienced changes, evidenced by the level of blood sugar levels from moderate levels to good. Keywords: Elderly, Taichi, Diabetes Mellitus, Blood sugar level


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