scholarly journals Video-based health education to support insulin therapy in diabetes mellitus patients

2020 ◽  
Author(s):  
Dinda M.N. Ratri ◽  
Khusnul Fitri Hamidah ◽  
Arina D. Puspitasari ◽  
Muhammad Farid
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Test Method ◽  
Rank Test ◽  
Knowledge And Attitudes ◽  
Signed Rank ◽  
Before And After ◽  
Improper Use ◽  
Signed Rank Test ◽  
Design And Methods

Background: The improper use of insulin usually leads to some unexpected effects, hence, there is a need for right usage. Lack of knowledge and of understanding are key factors leading to the occurrence of medication errors, which could be avoided with proper education. Therefore, an appealing education alternative, such as video, is needed to improve patient’s knowledge and attitudes towards insulin therapy. Design and Methods: One-group pretest and posttest design were conducted on 100 patients with type 2 diabetes mellitus who were receiving subcutaneous insulin therapy at Internal Medicine Unit in Universitas Airlangga Teaching Hospital. The patients filled the provided questionnaires to measure their knowledge and attitudes, before and after watching the video on insulin therapy education. Then, data obtained were analysed with SPSS using Wilcoxon Signed Rank Test Method. Results: Based on the results, there was an increase in the value of the patient’s knowledge, with the value of Z=-8.212 and P<0.05. Similarly, there was an increase in the patient’s attitudes with the value of Z=-8.234 and P<0.05. Conclusions: Insuline therapy video increases the knowledge and improves the attitude of diabetes mellitus patients towards insulin therapy.

scholarly journals PENGARUH PEMBERIAN JAHE (Zingiber officinale) TERHADAP GLUKOSA DARAH PASIEN DIABETES MELLITUS

2019 ◽  
Vol 7 (3) ◽  
pp. 76
Author(s):  
Idola Perdana Sulistyoning Suharto ◽  
Erik Irham Lutfi ◽  
Mega Diasty Rahayu
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Zingiber Officinale ◽  
Rank Test ◽  
Signed Rank ◽  
Significant Difference ◽  
Wilcoxon Signed Rank Test ◽  
Before And After ◽  
Signed Rank Test

The objective of this study was to analysis effect of giving ginger (Zingiber officinale) to the blood glukose in patients of diabetes mellitus. The method was one group pretest – posttest design. There were 16 patients of diabetes mellitus who was given ginger (Zingiber officinale). Ginger (Zingiber officinale) was given twice a day for a week The dose of ginger is 50 mg of ginger boiled with 200 ml of water Blood glucose was measured before and after ginger administration. The data was analyzed by wilcoxon signed rank test. Based on wilcoxon signed rank test, obtained result that there was a significant difference (α

scholarly journals Program Edukasi Kesehatan dan Perubahan Lingkar Pinggang pada Penderita Diabetes Melitus Tipe 2

2013 ◽  
Vol 8 (1) ◽  
pp. 28
Author(s):  
Aguslina Kirtishanti ◽  
Amelia Lorensia ◽  
Ananta Yudiarso ◽  
Linggani Linggani ◽  
Selvia Agustina ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Waist Circumference ◽  
Health Education ◽  
Test Method ◽  
Rank Test ◽  
Self Monitoring ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Diabetes Melitus

Diabetes melitus adalah penyakit yang menyebabkan morbiditas dan mortalitas di dunia. Hubungan antara diabetes melitus dengan obesitas telah diketahui, tetapi peran distribusi pada daerah abdominal belum sepenuhnya dijelaskan. Tujuan penelitian ini untuk mengetahui pengaruh pemberian edukasi kesehatan terhadap perubahan lingkar pinggang pada pasien diabetes melitus tipe 2. Penelitian ini merupakan studi eksperimental dengan satu kelompok desain pretest-posttest di Surabaya pada bulan Juni - Juli 2013, dan melibatkan 31 subjek yang diberi program edukasi kesehatan selama 1 bulan yang dibagi dalam 4 pertemuan. Data dari pretest dan posttest dikumpulkan dan dianalisis dengan metode wilcoxon signed rank test pada data yang tidak normal (p > 0,05). Hasil penelitian menunjukkan peningkatan pengetahuan dan perilaku pasien serta mengurangi besar lingkar pinggang pasien secara signifikan (p < 0,05). Lingkar pinggang mulai menunjukan perbedaan signifikan pada minggu ketiga edukasi (Z = 12,93; P = 0,003) dibandingkan pretest. Penurunan lingkar pinggang antara posttest dan pretest sebesar 0,94 cm (minggu ke-4) dan 1,68 (4 bulan kemudian). Oleh karena itu, edukasi kesehatan memiliki manfaat dalam meningkatkan self-monitoring diabetes melitus yang dapat mengurangi lingkar pinggang yang berguna untuk mengurangi risiko komplikasi.Diabetes mellitus is a disease that causes morbidity and mortality in the world. Association of diabetes mellitus with obesity are well known, but the role of distribution in the abdominal area has not been fully elucidated. The aim of this study was to determine the relationship of giving education to change waist circumference in type 2 diabetes mellitus. This study is an experimental with one group pretest-posttest design in Surabaya, from June July 2013, and involving 31 subjects whom were given health education program for 1 month which are divided in 4 meetings in Surabaya University. Data from the pretest and posttest were collected and analyzed with the Wilcoxon signed rank test method on the data that isn’t normal (p > 0.05). The results showed an increase in knowledge and behavior of patients and reduced significantly the size of the waist circumference (p <0.05). Waist circumference began to show a significant difference in the third week of education (Z = 12.93, P = 0.003) compared to the pretest. The decrease in waist circumferences between the pretest and posttest were 0.94 cm (week 4) and 1.68 (4 months later). Therefore, health education has benefits in increasing self-monitoring of diabetes mellitus that can reduce waist circumference are useful for reducing the risk of complications.

scholarly journals Evaluasi Edukasi Personal Dalam Pemahaman, HBA1c dan Kualitas Hidup Pasien DM Tipe 2 di Sidoarjo

2021 ◽  
Vol 8 (1) ◽  
pp. 132
Author(s):  
Khurin In Wahyuni ◽  
Martina Kurnia Rohmah ◽  
Herni Setyawati
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Rank Test ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test ◽  
Sugar Levels

Diabetes Mellitus (DM) merupakan salah satu penyakit degeneratif tertinggi ke-enam di dunia, dimana prevalensi diabetes semakin meningkat sejalan dengan perubahan gaya hidup masyarakat yang cenderung konsumtif dan minim aktifitas fisik. Diabetes Mellitus ditandai dengan kenaikan gula darah karena kelainan insulin, resistensi insulin atau bisa juga keduanya. Salah satu upaya untuk penanganan dan pencegahan timbulnya peningkatan DM tipe 2 adalah dengan pemberian edukasi menggunakan media booklet. Edukasi merupakan penyampaian pesan kesehatan kepada kelompok atau individu dengan tujuan memperoleh pemahaman dan peningkatan kualitas hidup yang ditandai dengan penurunan HBA1c yang lebih baik. Penelitian ini bertujuan untuk mengevaluasi pemahaman, kualitas hidup dan perbedaan kadar gula darah sebelum dan sesudah pemberian edukasi dengan media booklet terhadap pasien DM tipe 2 di Sidoarjo. Rancangan penelitian yang digunakan adalah Random Control Trial Design. Penelitian ini dilakukan dari bulan Juni sampai Oktober 2020 dengan sampel 60 pasien. Pengukuran pemahaman menggunakan kuesioner DKQ Quessioner, perubahan perilaku menggunakan kuesioner DQOL sedangkan penetapan kadar HBA1c dengan alat tes gula darah. Hasil analisis kuantitatif dilakukan dengan menggunakan uji Wilcoxon Signed Rank Test dan uji Mann Whitney dimana terdapat perbedaan yang signifikan antara, pemahaman, kualitas hidup serta kadar gula darah HBA1c sebelum dan sesudah edukasi.  Pada hasil uji Spearman’Rank’s kelompok intervensi diperoleh nilai koefisien korelasi sebesar 0,586 dengan signifikansi 0,001 untuk pemahaman dengan HBA1c, hasil pemahaman dengan kualitas hidup diperoleh korelasi dengan nilai 0,552 dan p= 0,002. Pada uji korelasi antara HBA1c dengan kualitas hidup diperoleh nilai -0,434, sedangkan signifikansi diperoleh p=0,017, Hal ini menunjukan hubungan antara variable didapat korelasi sedang. Berdasarkan penelitian ini maka dapat disimpulan bahwa terdapat efektivitas edukasi terhadap pemahaman, A1c dan kualitas hidup. Kata Kunci: Diabetes Mellitus, Edukasi, Pemahaman, Kualitas Hidup, Kadar HBA1C, Kualitas Hidup  Diabetes Mellitus (DM) is one of the sixth highest degenerative diseases in the world, the prevalence of diabetes is increasing in line with changes in people's lifestyles that tend to be consuming and minimal physical activity. DM is characterized by an increase in blood sugar due to insulin disorders, insulin resistance or both. One of the efforts to handle and prevent an increase in type 2 diabetes is trough education using booklet media. Education is the delivery of health messages to groups or individuals to gain understanding and improve the quality of life, marked by a better decrease in HBA1c. This study used a Random Control Trial Design. This study aims to determine the understanding, quality of life and differences in blood sugar levels before and after giving education with booklet media to type 2 DM patients in Sidoarjo. This study was conducted from June-October 2020 with a sample of 60 patients. Measurement of understanding using the DKQ Quessioner questionnaire, behavior change using the DQOL questionnaire while HBA1c levels using a blood sugar test kit. The results of quantitative analysis were carried out using the Wilcoxon Signed Rank Test and the Mann Whitney test, from these results there were significant differences between, understanding, quality of life and blood sugar levels of HBA1c before and after education. While the results of the Spearman 'Ranks test for the intervention group obtained a correlation coefficient of -0.586 with a significance of 0.001 for understanding with HBA1c, the results of understanding with quality of life obtained a correlation with a value of 0.552 and p = 0.002. In the correlation test between HBA1c and quality of life, the value -0.434, while the significance was p = 0.017, and this shows the relationship between variables obtained moderate correlation. From this research, there is educational effectiveness on understanding, A1c and quality of life.

The Degree of Subjective Complaints of Students Practice in Mechanical Technology Laboratories

2018 ◽  
Vol 4 (1) ◽  
pp. 22
Author(s):  
I Ketut Widana
Keyword(s):  
Engineering Students ◽  
Standing Position ◽  
Statistical Test ◽  
Rank Test ◽  
Cross Sectional ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test ◽  
The Difference ◽  
Paired T Test

The working practice of the engineering students is part of the learning process that is irreducible and indispensable. The composition of  lecturing between theoretical and practical one is 40% to 60%. With this condition, the students spend more time at the laboratory. Generally, the students perform in the laboratory work by standing position. The design of research is observational cross-sectional. The method applied is observation, interview and measuring. The subjects of research are practicing students amounting to 21 students. Referring to the analysis of statistical test or Wilcoxon signed ranks test, the difference of effect of work position is significant, namely p < 0.05 towards musculoskeletal disorders (MSDs) before and after working. The quantity of the average complaint after working is score 44.62 ± 9.47. The result of Wilcoxon signed rank test shows that there is significant different effects of standing work position, namely p < 0.05 towards fatigue generally before and after working. The degree of the working pulse is on the average of 110.78  ± 17.80 bpm (beats per minutes) which can be categorized into the medium workload. Using paired t-test, the result is p < 0.05.

PERBANDINGAN KADAR ENZIM KREATININ FOSFOKINASE DAN NYERI OTOT SEBELUM DAN SESUDAH LATIHAN BERENANG SELAMA EMPAT MINGGU PADA PERENANG UNIT KEGIATAN MAHASISWA KLUB RENANG

2020 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
Nur Akmal Binti A'ffan ◽  
Reni Farenia ◽  
Delita Prihatni
Keyword(s):  
Muscle Soreness ◽  
Creatine Phosphokinase ◽  
Rank Test ◽  
Healthy Male ◽  
Blood Draw ◽  
Normality Test ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test ◽  
Enzyme Elevation

A research has been done to compare the differences on the enzyme creatine phosphokinase (CPK) level and muscle soreness before and after 4-weeks swim practices on swimmers of College swimming club. Eighteen healthy male swimmers (mean ± SD; age: 19,94 ± 1,86 years; weight: 65,28 ± 6,14 kg; height: 1,72 ± 0,43 m) participated in this study. All subjects performed their 4-weeks swim practices which consist of 2x120 hours per week with 500 meters average daily swim distance and weight training. Blood was collected before and after the practices and CPK were analyzed. Questionnaires concerning muscle soreness were filled put before each blood draw. Results were analyzed using normality test and Wilcoxon signed rank test (p<0.05). There was significant increase in CPK level during 4-weeks swim practices by 59.41% (p=0.044). Whereas for muscle soreness (overall and specifically in arms and thighs), there was no significant differences between before and after the 4-weeks swim practices. As a conclusion, participation in 4-weeks swim practices resulted in significant serum CPK enzyme elevation, but there was lack of significance in muscle soreness differences on swimmers of College swimming club.

Frenotomy in Infants with Tongue-Tie and Breastfeeding Problems

2018 ◽  
Vol 35 (4) ◽  
pp. 706-712 ◽  
Author(s):  
Anjana Srinivasan ◽  
Alex Al Khoury ◽  
Svetlana Puzhko ◽  
Carole Dobrich ◽  
Meira Stern ◽  
...  
Keyword(s):  
Medical Community ◽  
Rank Test ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Before And After ◽  
Signed Rank Test ◽  
Breastfeeding Counseling ◽  
The Right ◽  
Breastfeeding Problems ◽  
Numeric Rating

Background: Infant tongue-tie can cause breastfeeding problems, which may be improved by frenotomy. However, controversy exists among the medical community. Research aim: To examine the influence of frenotomy on infants with posterior ankyloglossia, by quantifying the changes in breastfeeding and maternal nipple pain using standardized tools. Methods: Newborns ( N = 30) below 12 weeks of age were recruited from the Herzl–Goldfarb Breastfeeding Clinic between April 2014 and April 2015. Diagnosis of posterior ankyloglossia was made clinically. Frenotomy was performed. Mothers received breastfeeding counseling before and after the procedure. Pain and breastfeeding were assessed before the procedure, immediately after the procedure, and after 2 days, 7 days and 14 days. Breastfeeding was assessed using the LATCH Tool and by subjective questioning. Maternal nipple pain was assessed using the Numeric Rating System. Results: No complications were reported with frenotomy. There was a significant improvement in LATCH score immediately post-frenotomy, with an increase in median scores from 7.5 to 8.5 ( p < .0001, Wilcoxon signed rank test). There was a significant decrease in median pain score immediately post-frenotomy, from 3.0 on the left nipple and 3.25 on the right nipple, to 0 bilaterally ( p < .0001, Wilcoxon signed rank test). Subjective improvement in breastfeeding was reported by 90% of mothers immediately after frenotomy and 83% of mothers at Day 14. Conclusion: Frenotomy for posterior ankyloglossia may improve breastfeeding and nipple pain.

scholarly journals Improving indicators of tuberculosis program cascades by leveraging HIV program strategies

2019 ◽  
Vol 9 (4) ◽  
pp. 191-195
Author(s):  
S. C. Meribe ◽  
E. Harausz ◽  
I. Lawal ◽  
A. Ogundeji ◽  
C. Mbanefo ◽  
...  
Keyword(s):  
Standard Of Care ◽  
Rank Test ◽  
Military Hospitals ◽  
Us Army ◽  
Signed Rank ◽  
Before And After ◽  
Army Medical Research ◽  
Signed Rank Test ◽  
The Impact ◽  
Number Of Individuals

Background: To improve rates of human immunodeficiency virus (HIV) case detection and treatment, the Nigerian Ministry of Defense Health Implementation Program and the US Army Medical Research Directorate-Africa/Nigeria introduced a HIV standard of care (SOC) package. Given the integration of tuberculosis (TB) and HIV programs and evolving policies, we evaluated the impact of this strategy on TB program indicators.Methods: Routine, de-identified program data from 27 Nigerian military hospitals were analyzed. Using Wilcoxon signed-rank test, bivariate analyses were performed to compare data from 12 months before and after implementation of the SOC package.Results: Our data showed improvements post-implementation as follows: the number of individuals receiving antiretroviral therapy (ART) screened for TB increased from 14 530 to 29 467 (P < 0.001); the number of individuals with presumptive TB identified increased from 803 to 1800 (P < 0.001); the number of ART clients bacteriologically tested for TB increased from 746 to 1717 (P < 0.001); and the number of ART clients treated for TB increased from 152 to 282 (P < 0.001). Newly registered or relapsed TB cases increased from 436 to 906 (P < 0.001), the number of TB cases with known HIV status increased from 437 to 837 (P < 0.001), the number of TB-HIV co-infected cases increased from 182 to 301 (P = 0.006), and the number of TB-HIV co-infected clients who started ART increased from 101 to 176 (P = 0.003).Conclusion: The implementation of the updated HIV SOC package led to the improvement in key TB diagnosis and treatment indicators. When emulated, this could help improve the performance of other TB programs in countries other than Nigeria.

scholarly journals PENGARUH SENAM TERHADAP PENURUNAN KADAR GULA DARAH PADA PENDERITA DM TIPE 2 DI PUSKESMAS PAKIS SURABAYA

2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Lono Wijayanti ◽  
Ghady Anggun M
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Diabetes Mellitus Patient ◽  
Rank Test ◽  
Control Group ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Almost All

The type of sport suggested for Diabetes Mellitus patient is Diabetes Gym, but most societies, especially diabetes mellitus patients are lazy to do it. On diabetes mellitus type 2, diabetes gym acts as glycemic control which manages and control blood sugar rate. This research purposes to know diabetes gym influence toward the decrease of blood sugar rate on Diabetes Mellitus patient type 2 in Puskesmas Pakis Surabaya. This research used quasy experiment design. Total of the population of all Diabetes Mellitus patients type 2 is 28 respondents taken by probability sampling - simple random sampling technique; 14 respondents in control group and 14 respondents in treatment group. The independent variable is Diabetes Gym and the dependent variable is the decrease of blood sugar rate. Data are collected by using Glucometer, striptest, needle and observation sheet. Data are analyzed by using Wilcoxon signed rank test with α < 0.05. The result of this research shows that almost all of the respondents in the treatment group have a good category of blood sugar decrease after performing gym, meanwhile almost all of the respondents in control group that do not perform gym have an adequate category of blood sugar decrease. Then, the result is analyzed by Wilcoxon signed rank test and obtained ρ (0,019) < α (0,05) so H0 is refused. It means that there is an influence of diabetes gym to the decrease of blood sugar on the Diabetes Mellitus patients type 2 in Puskesmas Pakis Surabaya. Performing Diabetes Gym influences in decreasing blood sugar rate. Therefore, nurse can take a part in leading diabetes patients to perform diabetes gym so it can be used as the therapy in controlling and decreasing blood sugar rate.

scholarly journals Effectiveness of Booklet on Exclusive Breastfeeding in Improving the Knowledge and Attitudes of Mother Who Do Not Exclusively Breastfeed in the Work Area of Posyandu Sisir Batu City, East Java, Indonesia

2021 ◽  
Author(s):  
Septa Katmawanti ◽  
Hartati Eko Wardani ◽  
Rosuzeita Fauzi ◽  
Lia Dewi Ningrom ◽  
Dea Aflah
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Centre ◽  
Rank Test ◽  
Maternal Knowledge ◽  
Knowledge And Attitudes ◽  
Work Area ◽  
Inadequate Knowledge ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Quota Sampling

In February 2019, the Sisir Health Centre in Batu reported that about 110 mothers in the area did not exclusively breastfeed. This behaviour of mothers was associated with their inadequate knowledge about and their attitude towards exclusive breastfeeding. The purpose of this research was to determine the effectiveness of a booklet on exclusive breastfeeding in improving the knowledge and the attitude of mothers who did not exclusively breastfeed in the working area of Sisir Health Centre, Batu. This research uses a pre-experimental design with a one group pre- and post-tests. A total of 53 samples were included in this study, selected through quota sampling. Knowledge and attitudes of mother were collected using questionnaire. Data were analysed using the Wilcoxon signed-rank test (nonparametric data analysis statistics) as the distribution was unnormal. The results showed that the Asymp. Sig Values (2-tailed) of both the mothers’ knowledge and their attitude were 0.000 or <0.05. Thus, it can be concluded that “Exclusive breastfeeding booklets are effective in improving maternal knowledge on and their attitude towards exclusive breastfeeding in mothers who do not exclusively breastfeed in the working area of Sisir Health Centre, Batu. Keywords: booklet, mother’s knowledge, exclusive breastfeeding, exclusive breastfeeding

scholarly journals Senam Prolanis Dm Dan Jalan Kaki Terhadap Penurunan Kadar Gula Darah Pada Penderita Diabetes Millitus Tipe II Di Klinik UMP Purwokerto

2021 ◽  
Vol 6 (2) ◽  
pp. 94
Author(s):  
Agus Sutiono ◽  
Dedy Purwito
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
The Body ◽  
Rank Test ◽  
Type Ii ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Sugar Levels ◽  
Blood Glucose Monitor

Diabetes mellitus is one of cronical degenerative disease. The prevalence of sufferers continues to increase every year, one of the non-pharmacological therapies is exercise such as gymnastics prolanis DM and walking exercises to decrease the glucose level by the body muscles during the physical body. Objective this research is to find out the effectiveness of Prolanis and walking exercises in reducing blood sugar levels in DM patients type II. Method this study uses the Quasi experiment with pre and post with two group design. The study population was 92 DM patients type II with a sample of 82 people. Glucometer (Auto check blood glucose monitor) is used to collect the data. Wiloxon Test is used to analyze the statistical data. Results the research shows that the value of Prolanis Exercises (DM) is p=0.002 which means a significant influence on decrease of the sugar level of DM patients type II. Meanwhile the value of walking exercises is p=0.001. From the statistic test of WIlconxon Signed Rank Test, It obtained Z correlation = 7.886. It means that there is a significant correlation between Prolanis and walking exercises towards the decrease of blood sugar level of Diabetes Mellitus patients type II. Physical activities done regularly, measurably, and correctly are suggested to be considered as non-pharmacological therapies for Diabetes Mellitus patients type II to decrease blood sugar level. Keywords: Prolanis Exercises (DM), Walking, sugar blood level.

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