Analisis Faktor Individu Terhadap Tugas Kesehatan Keluarga Penderita Diabetes Melitus Di Wilayah Kerja Puskesmas Driyorejo Kabupaten Gresik

2020 ◽  
Vol 10 (1) ◽  
pp. 24-29
Author(s):  
Dwi Ernawati ◽  
Nuh Huda ◽  
Amelia Kristina Merry Pitaloka

ABSTRACT The family function as a support system for members suffering from Diabetes Melitus demands greater economic, social, and psychological sacrifice from the family. The inability of the family to carry out five family health tasks for people with DM can be caused by several factors, including family knowledge and family social economy. This is can be related to family health duties. The aim of this study is determine the relationship of individual factors to family health tasks that have been carried out on families of people with Diabetes Mellitus at Primary Health Center of Driyorejo Gresik . The design of this study used observational analytic methods. The sampling was done by  cluster sampling method and obtained a sample of 67 respondents. Independent variables is individual  factors while the dependent variable is family health tasks. Research instruments for individual factors were age, sex, education, occupation, duration of suffering from diabetes mellitus and family’s health tasks measuring by questionnaire. Analysis data with Spearman Rank test. The results of this study indicate that there is a relationship between individual factors consisting of age and education with the health assignments of families with diabetes mellitus patients. Spearman rank test results obtained p-value of 0.003 <0.05 at age, and 0.013 <0.05 in education. Health workers can improve health promotion to the community regarding ideal body weight monitoring, healthy living,  routine blood sugar and family checkups to support diabetics to participate in health programs to prevent further complications of diabetes mellitus  Keywords : Individual factors,  family’s health tasks,  Diabetes Mellitus

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Dwi Ernawati ◽  
Nuh Huda ◽  
Amelia Kristina Merry Pitaloka

ABSTRACTThe family function as a support system for members suffering from Diabetes Melitus demands greater economic, social, and psychological sacrifice from the family. The inability of the family to carry out five family health tasks for people with DM can be caused by several factors, including family knowledge and family social economy. This is can be related to family health duties. The aim of this study is determine the relationship of individual factors to family health tasks that have been carried out on families of people with Diabetes Mellitus at Primary Health Center of Driyorejo Gresik . The design of this study used observational analytic methods. The sampling was done by  cluster sampling method and obtained a sample of 67 respondents. Independent variables is individual  factors while the dependent variable is family health tasks. Research instruments for individual factors were age, sex, education, occupation, duration of suffering from diabetes mellitus and family’s health tasks measuring by questionnaire. Analysis data with Spearman Rank test.The results of this study indicate that there is a relationship between individual factors consisting of age and education with the health assignments of families with diabetes mellitus patients. Spearman rank test results obtained p-value of 0.003 0.05 at age, and 0.013 0.05 in education.Health workers can improve health promotion to the community regarding ideal body weight monitoring, healthy living,  routine blood sugar and family checkups to support diabetics to participate in health programs to prevent further complications of diabetes mellitus Keywords : Individual factors,  family’s health tasks,  Diabetes Mellitus


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 327
Author(s):  
Iskim Luthfa ◽  
Moch Aspihan ◽  
Muhammad Rifqi Lathif

Introduction: Diabetes mellitus (DM) is known as the silent killer, where sufferers often do not realize its signs and symptoms and are frequently diagnosed during another health complication. To maintain quality of life, the family is required to provide support, therefore, this study aims to determine the relationship between family and the patient through observational analytic research.Methods: 120 people with DM make up the research sample using an accidental sampling technique, and data analysis was carried out using the Spearman rank test. The results found that 62 respondents (51.7%) agreed to their families providing good support, and 102 (85%) were satisfied with their quality of life.Results: The Spearman test resulted in a P value of 0,000 and R of 0.334. This means the higher the support provided by the family, the greater the increase in quality of life.Conclusion: The suggestions proposed from this study is for health workers to advocate and encourage family in the planning management of DM sufferers in order to improve their quality of life.


Author(s):  
M. Elyas Arif Budiman ◽  
Ah. Yusuf ◽  
AV. Sri Suhardiningsih

Diabetic ulcers are the most feared complications of Diabetes mellitus patients because of reduced blood supply to the tissues, causing tissue death and compounded with bacterial infections that can cause amputations and even have wide impact because they can cause death, morbidity, disability, and decreased quality of life. The purpose of this study was to determine the relationship of diabetic ulcers in patients with diabetes mellitus with body image. The research design used was analytic survey with cross sectional design. The sample in this study proves 40 samples taken Probability of Samples with the type of sampling in a row that was a diabetic ulcer sufferer who performs examinations in the clinic of Jember. This research was conducted by observing the degree of injury for diabetic ulcers and questionnaire sheets for body image. The results of this study were analyzed using the statistical test Spearman rank test. The results of the analysis showed that first-degree injuries were 22 respondents (55%), second-degree injuries were 17 respondents (42.5%), and third-degree injuries were respondent (2.5%). While the body image results in diabetics with 13 respondents (32.5%) had a negative body image, while 27 respondents (67.5%) had a positive body image. The results of the analysis of the two variables obtained by the value of p value Sig. (two tailed) of 0.023 α α (0.05) which shows that there was a relationship between diabetic ulcers in patients with diabetes mellitus with body image. Clients who suffer from diabetes mellitus will affect the appearance of the body, especially will have an impact on body image so it is very important for clients diabetes mellitus to improve adjustment in dealing with the disease process and the consequences of the disease. Keywords: diabetic ulcer; body image ABSTRAK Ulkus diabetikum merupakan komplikasi yang paling ditakuti pasien Diabetes Melitus karena berkurangnya suplay darah ke jaringan tersebut menyebabkan kematian jaringan dan diperparah dengan infeksi bakteri yang dapat menyebabkan amputasi bahkan berdampak luas karena dapat menyebabkan kematian, morbiditas, peningkatan biaya perawatan, dan penurunan kualitas hidup. Tujuan dari penelitian ini adalah untuk mengetahui hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh di Klinik Jember. Desain penelitian yang digunakan yaitu survey analitik dengan rancangan coss sectional. Sampel dalam penelitian ini diambil secara Probability Sample dengan jenis Consecutive Sampling yaitu penderita ulkus diabetik yang melakukan pemeriksaan di klinik jember sebanyak 40 responden Penelitian ini dilakukan dengan cara melihat/observasi derajat luka untuk ulkus diabetik dan lembar kuesioner untuk citra tubuh. Hasil penelitian ini dianalisa menggunakan uji statistic spearman rank test. Hasil analisanya didapatkan bahwa luka derajat 1 sebanyak 22 responden (55%), luka derajat 2 sebanyak 17 responden (42,5%), dan luka derajat 3 sebanyak 1 responden (2,5%). Sedangkan hasil citra tubuh pada penderita diabetes melitus sebanyak 13 responden (32,5%) memiliki citra tubuh negatif , sedangkan 27 responden (67,5%) memiliki citra tubuh positif. Hasil analisa dari kedua variabel didapatkan nilai p value Sig (two tailed) sebesar 0,023 ≤ α (0,05) yang menunjukkan bahwa ada hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh. Klien yang menderita diabetes mellitus akan mempengaruhi penampilan tubuh, terutama akan berdampak pada citra tubuh sehingga sangat penting bagi klien diabetes mellitus untuk meningkatkan penyesuaian dalam menangani proses penyakit dan konsekuensi penyakit. Kata kunci: ulkus diabetic; citra tubuh


2019 ◽  
Vol 4 (2) ◽  
pp. 402
Author(s):  
Iskim Luthfa ◽  
Nurul Fadhilah

<p><em>People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus.</em></p><p> </p><p><em>Penderita </em><em>Diabetes mellitus </em><em>beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bert</em><em>ujuan </em><em>untuk</em><em> menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. </em><em>Jenis p</em><em>enelitian ini </em><em>adalah</em><em> deskriptif korelasi</em><em> dengan desain cross sectional</em><em>. Teknik pengambilan sampel menggunakan non probability </em><em>sampling </em><em>dengan pendeka</em><em>t</em><em>an consecutive sampling</em><em>.</em><em> </em><em>J</em><em>umlah </em><em>sampel sebanyak</em><em> </em><em>118 responden.</em><em> </em><em>Instrumen </em><em>penelitian </em><em>untuk mengukur self management </em><em>menggunakan</em><em> </em><em>diabetes self management questionnaire</em><em> (DSMQ), </em><em>dan instrumen untuk mengukur kualitas hidup menggunakan </em><em>quality of life </em><em>WHOQOL-BREEF.</em><em> Analisis data menggunakan spearman rank dan didapatkan hasil nilai </em><em>p value 0,000</em><em> dan r 0,394.Terdapat </em><em>hubungan </em><em>antara </em><em>self management</em><em> dengan kualitas hidup pasien diabetes mellitus</em><em> dengan arah korelasi positif.</em></p>


2021 ◽  
Vol 7 (2) ◽  
pp. 308-313
Author(s):  
Eko Prabowo ◽  
Lediana Oktaviani

Introduction: Illness and hospitalization cause a crisis in children's lives. In the hospital, the child must face an unfamiliar environment. Often they have to undergo procedures that cause pain, loss of independence and various unknowns. Anxiety that occurs in hospitalized children can be caused by separation which is indicated by refusing to eat, crying and being uncooperative with health workers. Loss of control causes children to become irritable and aggressive, loss of self-concept and body image. Objective: The purpose of this study was to determine the anxiety of children in terms of the anxiety of parents in the RSU. Bhakti Husada Krikilan. Methods: This study uses a correlational design with the type of research used is descriptive analytic. The population in this study was the average of pediatric patients and their parents during the last 3 months in the Inpatient Room at the RSU. Bhakti Husada Krikilan as many as 60 people. Sampling technique using simple random. The tool for the data collection process is a questionnaire sheet, which is then analyzed by the Spearman Rank statistic test. The decision was taken by comparing the p value < 0.05. Results: Based on the results of the study showed that from 49 respondents showed that most of the respondents had parental anxiety in the moderate category as many as 33 people (67.3%). While most of the respondents had child anxiety in the severe category as many as 28 people (57.1%). Based on the results of the Spearman Rank test, it is known that there is a relationship between children's anxiety in terms of parental anxiety at the RSU. Bhakti Husada Krikilan Banyuwangi in 2020 because the p value < 0.05, which is 0.25. Conclusion: Parents with excessive anxiety tend to be more afraid of things that are uncertain. This keeps them from paying close attention to what is really going on and what is in front of them. So, this will make parenting not work as it should. This condition also triggers anxiety in children. For this reason, it is necessary to increase assistance to children to provide a sense of security and comfort so that children's anxiety will decrease


2019 ◽  
Vol 2 (1) ◽  
pp. 61-67
Author(s):  
Ira Titisari ◽  
Sumy Dwi Antono ◽  
Imroatul Chumaida

Low birth weight is still a nutritional problem which has serious consequences for the quality of human resources in Indonesia. Low birth weight is a major cause of increased mortality, morbidity and disability in neonates, infants and children. Pre eclampsia are the causes of low birth weight. When high blood pressure presents the uteroplacental circulation decreases which results in the drainage of nutrients, oxygen, and the release of metabolic results being disrupted , allowing the low birth weight baby. Previous research explained that maternal and diastolic blood pressure associated with the baby's weight . This study aims to determine the relationship of preeclampsia with the incidence of low birth weight babies (LBW) in Gambiran Hospital, Kediri. This type of research uses observational analytic with a retrospective study approach and uses the Spearman rank test . The population in this study were all medical records of low birth weight babies (LBW ) in January - December 2018 who were born at Gambiran Hospital, Kediri City. The sampling technique used is simple random sampling . The sample size used 118 respondents who have met the inclusion criteria and exclusion criteria. The results obtained from the Spearman rank correlation test with a p value of 0.031 < 0.05, the value of the 1,000 Correlation Coefficient and has the direction of positive (+) correlation. As a conclusion, there was a significant relationship between preeclampsia and the incidence of LBW in Gambiran Hospital , Kediri City , the relationship between two variables was impactful, and the direction of relations between two positive variables . Based on this research, it is expected that health workers will increase their efforts to prevent low birth weight (LBW ) in newborns by early detection on risk factors of low birth weight babies (LBW ) .


2021 ◽  
Vol 12 (2) ◽  
pp. 411
Author(s):  
Rusnoto Rusnoto ◽  
Nur Laily Prasetyawati

Latar Belakang : Diabetes Melitus merupakan salah satu penyakit degenerative. Terdapat lebih dari 220 juta DM diseluruh dunia pada tahun 2011 dan 80% lebih penderita berada di negara berkembang termasuk Indonesia (Soegondo, 2009). Kurang lebih 5-10% pasien diabetes menderita DMT1, selebihnya sekitar 90-95% pasien diabetes menderita DMT2 (Smeltzer & Bare, 2002). Beberapa faktor yang dapat meningkatkan kejadian DM adalah umur, keturunan, pola makan yang salah, aktivitas fisik kurang gerak, obesitas, stres, dan pemakaian obat-obatan. Salah satu factor yang dapat meningkatkan kejadian DM yaitu stres. Stres yang menetap menimbulkan respon stres berupa aktivasi sistem saraf simpatis dan peningkatan kortisol. Kortisol ini akan meningkatkan konversi asam amino, laktat, dan piruvat di hati menjadi glukosa melalui proses glukoneogenesis, dengan demikian stres akan meningkatkan kadar glukosa darah.                                                                                                        Tujuan : Mengetahui pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Jepara Tahun 2021.                                                   Metode : Metode dalam penelitian ini adalah kuasi eksperimen dengan rancangan control group pre-test and post-test. Sampel 50 responden yang terdiri dari kelompok intervensi dan kelompok kontrol. Alat ukur yang digunakan glukometer digital, lembar observasi latihan PMR. Analisis data menggunakan uji wilcoxon.                                                                                                                   Hasil Penelitian : Hasil analisis uji wilcoxon signed rank test didapatkan bahwa p value = 0,001 (p value < α) maka dapat disimpulkan Ho ditolak dan Ha diterima yang berarti ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu  pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021.                                                                                                                                 Kesimpulan : Ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah  sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021. Dengan penelitian ini diharapkan ada kelanjutan penelitian ini dengan metode lebih baik.


2016 ◽  
Vol 1 (1) ◽  
pp. 47-65
Author(s):  
Lilis Novitarum

Spirituality was the unifying aspect and the aspect of integration in a person's life to nature and the Creator. A holistic approach to the spiritual function can affect human welfare. Anxiety is a feeling of fear and consciousness accompanied by physical sensations such as palpitations, shortness of breath or chest pain, this will be experienced by the patient with the family. Intensive patient's family are those who have a relationship with the patient is the father, mother, or sister who still have blood relations with patients. Goal: The purpose of this study identifies the relationship of spirituality to family anxiety levels of patients in the Intensive Space Santa Elisabeth Hospital Medan in 2015. Methods: This research uses design korelation with the type of cross-sectional research, 19 research samples using purposive sampling, data collection and analysis of data in the form of a questionnaire conducted by the Spearman rank test. Result: The survey results revealed the majority (68.4%) patients had a level of spirituality family well and most (57.9%) families of patients have mild anxiety levels. Analysis of the data showed 0.943 alpha r very reliable because the value is greater than 0.60. Based on the test Spearman rank correlation coefficient = - 0.692 obtained and p value = 0.001(p <0.05) this value indicates a strong relationship and a negative pattern means there is a significant relationship with the level of anxiety spirituality where the better the spirituality of the family, the lower anxiety experienced. Conclusion: Expected nurses can provide spiritual care to patients and families of patients in the Intensive Santa Elisabeth Hospital Medan.


2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Ahsan Ahsan ◽  
Kumboyono Kumboyono ◽  
Melida Nur Faizah

Abstract : Physical changes make elderly limited in performing activities of daily living (ADL) and tend to depend on the family cause the closest has an important role in maintaining the health of the elderly. It can be seen from the implementation of family task in health. The purpose of this study was to determine the correlation implementation of family task in health with independence of elderly in ADL compliance using cross sectional method. Samples were selected by purposive sampling technique with the inclusion criteria and obtained a sample of 40 people. The results showed the number of families who carry out the task of the family in good health with the independence of the elderly category independent category as many as 22 people (55%). While on a family who carry out tasks in the family health category with the independence of the elderly poor are as many categories 1 (2.5%). Based on using the Spearman rank test p-value 0.000 <0.05, which means there is a very strong correlation between the two variables. In addition, because the correlation coefficient 0.817 and the results obtained are positive, so we can conclude that the relationship between the two variables is the direction in which the better execution of tasks in the family health, the higher the independence of the elderly in meeting the ADL. Keywords : family, family task, elderly, ADL independence  Abstrak : Perubahan fisik menjadikan lansia terbatas dalam melakukan activity of daily living (ADL) dan cenderung tergantung keluarga karena paling dekat sehingga berperan penting dalam menjaga kesehatan lansia. Hal ini dapat dilihat dari pelaksanaan tugas keluarga dalam kesehatan. Tujuan penelitian ini adalah mengetahui hubungan pelaksanaan tugas keluarga dalam kesehatan dengan kemandirian lansia dalam pemenuhan ADL dengan menggunakan metode cross sectional. Sampel dipilih dengan teknik purposive sampling dengan kriteria inklusi dan didapatkan sampel sejumlah 40 orang. Hasil penelitian didapatkan jumlah keluarga yang melaksanakan tugas keluarga dalam kesehatan kategori baik dengan kemandirian lansia kategori mandiri sebanyak 22 orang (55%). Sedangkan pada keluarga yang melaksanakan tugas keluarga dalam kesehatan kategori kurang baik dengan kemandirian lansia kategori sedang sebanyak 1 orang (2,5%). Berdasarkan uji rank spearman menggunakan p-value 0,000 < 0,05, berarti ada hubungan yang sangat kuat antara dua variabel. Selain itu, karena koefisien korelasi didapatkan hasil 0,817 dan bernilai positif, jadi dapat disimpulkan bahwa hubungan antara kedua variabel adalah searah dimana semakin baik pelaksanaan tugas keluarga dalam kesehatan, semakin tinggi kemandirian lansia dalam memenuhi ADL. Kata kunci: keluarga, tugas keluarga, lansia, kemandirian ADL


2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Nur Fadhilah

Diabetes saat ini menjadi penyakit yang mulai menjangkiti penduduk di Negara-negara berkembang seperti Indonesia. World Healt Organitation (WHO) memperkirakan pada tahun 2030 nanti sekitar 21,3 juta orang Indonesia terkena diabetes. Tujuan penelitiari ini adalah untuk mengetahui perbedaan pengaruh konsumsigula pasir dan gula aren terhadap kadar gula darah pada diabetes melitus Di Desa Bulokarto Kecamatan Gatling Rejo Kabupaten Pringsewu Tahun 2010. Penelitian ini dilakukan dengan metode quasi eksperiment dengan sampel 44 penderita diabetes. Sampel diambil dengan teknik i7>tal sampling dengan cara acak dibagi dalam dua kelompok eksperiment, yaitu kelompok gula pasir dan kelompok gula aren. Pengaruh gula pasir dan gula aren didapat dengan menggunakan uji T dependent dan uji T i,1dependent.Distribusi rata - rata perubahan kadar gula pada kelompok gula aren 25,56 mg/dl dengan standar deviasi 11,74 mg/dL Sedangkan perubahan kadar gula darah pada kelompok gula pasir didapat rata - rata 45,80 mg/dl dengan standar deviasi 14,92 mg/dl. Dengan p value 0.00 maka dapat disimpulkan bahwa terdapat perbedaan selisih peningkatan kadar gula yang signifikan antara konsumsi gula pasir dan gula aren terhadap kadar gula darah pada penderita diabetes mellitus di Desa Bulokarto Kecamatan Gadingrejo Kabupaten Pringsewu. Diharapkan penderita diabetes mellitus dapat mengganti pengunaan gula pasir dengan gula aren.


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