Pengaruh Promosi Kesehatan Keluarga Terhadap Peran Keluarga Dalam Pengelolaan Anggota Keluarga Dengan Diabetes Mellitus Di Puskesmas Kebakkrmat I

Author(s):  
Yeni Nur Rahmayanti

There are 90% diabetes mellitus sufferers in the world. Diabetes mellitus (DM) is a degenerative disease that has increased every year in countries. Diabetes Mellitus if not handled properly will lead to complications. Cooperation between patients and families is expected to prevent chronic complications of DM, by providing information through health promotion. In this study using "pre post test non control group design" where a group before a certain treatment (x) is given a pretest, then given treatment and after the treatment is carried out a post test or a measurement to determine the consequences of the treatment. The independent variable is family health promotion, while the dependent variable is the management of patients with Diabetes Mellitus. This study uses "purposive sampling". In this sampling, families that meet the criteria and can represent the characteristics of the population are selected, namely a family with one of the family members suffering from Diabetes Mellitus. Family health promotion significantly provides a change for the better towards improving the role of the family in the management of family members with DM as shown from the pre-test and post-test data which is then tested with the Kendal tau test on all components of the management of family members with DM. There is a significant influence between family health promotion on improving the role of the family in the management of family members with DM at the Kebakramat 1 Health Center where there is an improvement in the role of the family in the management of family members with DM.

Author(s):  
Yuni Irianti ◽  
Ngadiani Ngadiani

We report the supplementation of noni (Morinda citrifolia) to decrease blood sugar levels in patients with diabetes mellitus Brawijaya Hospital Surabaya, and noni problems whether supplementation is effective in reducing blood sugar levels in diabetes patients mellitus.The goal of this study was to determine the effectiveness of capsule morinda to decrease blood sugar levels in patients with Diabetes Mellitus in Brawijaya Hospital Surabaya. This type of research is to ekperimem quasi control group design with pre-test and post test. The population in this study are patients with diabetes mellitus in hospital outpatient Brawijaya. The sampling technique with a number of 60 people who were divided into 30 groups of control (can drug from a doctor) and 30 in the experimental group (can medicine from the doctor and consumption of noni capsules) .Instrumen this study is the laboratory results of random blood sugar levels with the tools glucometer ( gluko Dr). Data analysis was performed using univariate and bivariate (parametric test, Kolmogorov-Smirnov test z and Independent T-Test). From the results, no significant difference the difference in the results of pre-test and post-test in the control group and the experiment is p = 0.020 (<0.05), then the alternative hypothesis (Ha) is accepted (the results are meaningful). It is concluded that supplementation of noni effective in helping to decrease blood sugar levels of patients with diabetes mellitus, it is advisable to consume noni capsules and routine checks of blood sugar levels so that the blood sugar levels under control.


Author(s):  
Dewi Wijayanti

Education is one of the basic factors that can condition a person to be able to improve their abilities, knowledge, skills and attitude. The process of understanding patients with diabetes mellitus can occur through health education, by providing information, so there will be an awareness of individuals to behave in accordance with the knowledge they have. This study aims to analyze the effect of foot gymnastics education on self care in patients with diabetes mellitus at Panembahan Senopati Hospital, Yogyakarta. This quasi-experimental study used pre-test and post-test with control group design. The results showed that foot gymnastics education affected self care in patients with diabetes mellitus, with a p-value = 0.000. Keywords: diabetes mellitus; foot gymnastics education; self care ABSTRAK Edukasi merupakan salah satu faktor dasar yang dapat mengkondisikan seseorang untuk dapat meningkatkan kemampuan, pengetahuan, ketrampilan dan sikap diri. Proses pemahaman pasien diabetes mellitus dapat terjadi melalui pendidikan kesehatan, dengan memberikan informasi, sehingga akan timbul kesadaran pada individu untuk berperilaku sesuai dengan pengetahuan yang dimilikinya. Penelitian ini bertujuan menganalisis pengaruh edukasi senam kaki terhadap self care pada pasien diabetes mellitus di Rumah Sakit Panembahan Senopati, Yogyakarta. Penelitian eksperiment kuasi ini menggunakan pre-test and post-test with control group design. Hasil penelitian menunjukkan bahwa edukasi senam kaki berpengaruh terhadap self care pada pasien diabetes mellitus, dengan p-value = 0,000. Kata kunci: diabetes mellitus; edukasi senam kaki; self care


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


2019 ◽  
Vol 3 (1) ◽  
pp. 23-27
Author(s):  
Edy Soesanto ◽  
Edi Dharmana ◽  
Soeharyo Hadisaputro ◽  
Siti Fatimah Muis

Introduction: Bamboo shoot Gigantochloa apus extract has antioxidant compounds that act as lipid peroxidation inhibitors and reduce free radical formation so that it can be used as an anti-inflammatory and anti-oxidative stress in the atherosclerosis. Aim: Knowing the effect of bamboo shoot Gigantochloa apus extract in reducing MDA levels and IL-10 increasing levels in rabbits given atherogenic diet. Methods: This experiment used randomized pre-test and post-test with control group design, in 24 New Zealand White rabbits divided into 4 groups randomly. MDA and IL-10 levels were examined by the ELISA method. Results and conclusion: Bamboo shoot Gigantochloa apus extract can reduce MDA levels and increase IL-10 levels significantly in accordance with increasing doses. The increase of MDA levels in the control group with all treatment groups was different (p = 0.0001), and between the treatment groups and other treatment groups there were also differences (p


2019 ◽  
Vol 8 (3) ◽  
pp. 131-137
Author(s):  
Chantika Lady ◽  
Fillah Fithra Dieny ◽  
Enny Probosari

Latar Belakang : Lebih dari 90% penderita diabetes mellitus berstatus gizi obesitas. Olahraga yang tepat dilakukan dan direkomendasikan oleh American Diabetes Association dalam mengontrol kadar glukosa darah dan profil lipid adalah olahraga dengan intensitas sedang, seperti yoga. Penelitian ini bertujuan untuk mengetahui pengaruh latihan yoga terhadap kadar glukosa darah puasa (GDP) pada wanita dengan kelebihan berat badan. Metode: Penelitian quasi experiment dengan rancangan pre-post test with control group design sebanyak 22 subjek dan dipilih dengan menggunakan metode consecutive sampling, dibagi menjadi 2 kelompok dengan metode simple randomization. Subjek penelitian adalah 22 wanita usia 19-25 tahun yang dibagi menjadi 2 kelompok, yaitu kelompok perlakuan mendapat latihan yoga 60 menit sebanyak 10 kali selama 20 hari dan edukasi gizi, dan kelompok kontrol hanya mendapatkan edukasi gizi. Data glukosa darah puasa diukur  2 kali yaitu sebelum dan sesudah penelitian dengan alat spektofotometri dengan metode Glucocard TM Test Strip; sedangkan data asupan makanan diambil sebanyak 5 kali selama intervensi berlangsung dengan menggunakan metode Food Recall. Data dianalisis dengan uji Wilcoxon, Uji Mann Whitney, dan regresi linier untuk variable perancu selama intervensi. Hasil :  Terdapat penurunan nilai Glukosa Darah Puasa yang bermakna (p = 0,01) pada kelompok perlakuan dengan nilai GDP dari 113,64 mg/dl ± 55,24 menjadi 102 mg/dl ± 52,69. Pada kelompok kontrol ada penurunan GDP namun tidak bermakna (p = 0,18) yaitu 117,73 mg/dl ± 60,32 menjadi 110,73 mg/dl ± 65,47. Berdasarkan selisih penurunan GDP antara kelompok perlakuan lebih besar (11,63 mg/dl ± 11,77) dibanding kelompok kontrol (7,00 mg/dl ± 17,07).Namun selisih GDP pada kedua kelompok setelah intervensi latihan yoga tidak bermakna (p = 0,18). Kesimpulan : Latihan yoga selama 10 kali pada wanita obesitas tidak signifikan berpengaruh terhadap penurunan kadar glukosa darah puasa.


2018 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Andika Siswoaribowo ◽  
Mateus Sakundarno ◽  
Muhammad Mu’in

Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with diabetes mellitus type II.Methods: This research used a quasi experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited puposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.


2018 ◽  
Vol 1 (1) ◽  
pp. 41
Author(s):  
Sukma Murni ◽  
Asep Ikin Sugandi

The purpose of this study is to analyze  the role of mathematics realistic education (RME)  approach on students’ mathematical critical  thinking  and resiliency. This study is an experiment with pre test-post test control group design and involves 62  eleventh grade students, a mathematical critical  thinking test, a mathematical  resiliency scale, and a perception on RME approach scale. The study found, on mathematical critical   thinking  ability (MCTA), its N Gain, and  mathematical resiliency (MR) students getting treatment with RME approach attained better grades than the grades  of students taught by conventional teaching. The first group students attained at medium grade level on MCTA and fairly good grade level on MR, while the second group students  obtained  at low grade level on MCTA, medium grade level on MR, and they realized difficulties in some  items of  mathematical critical  thinking tasks. The other findings, there was no association between MCTA and MR, and students learned actively, thought critically and creatively, were unafraid to pose their opinion and performed to be  self confident during  RME approach.


2017 ◽  
Vol 7 (2) ◽  
pp. 104
Author(s):  
Nyayu Fitriani ◽  
Kamalia Layal ◽  
Kamila Kamila

Diabetes mellitus merupakan sekelompok penyakit metabolik yang ditandai dengan hiperglikemia kronik yang diakibatkan oleh defek pada sekresi insulin, aksi insulin atau keduanya. Daun Andrographis paniculata dan Vernonia amygdalina merupakan tanaman yang dapat digunakan sebagai pengendali kadar gula dalam darah. Penelitian ini bertujuan untuk mengetahui efektivitas kombinasi ekstrak kedua daun dibandingkan dengan acarbose dalam menurunkan kadar gula darah postprandial tikus diabetes. Penelitian ini adalah penelitian eksperimental, dengan pre dan post test control group design. Tikus diinduksi dengan aloksan kemudian diobati dengan kombinasi ekstrak dengan dosis yang berbeda selama 7 hari. Sebanyak 25 ekor tikus dibagi dalam 5 kelompok, yaitu kelompok yang diberikan aquadest (kontrol negatif); acarbose 75mg/kgBB (kontrol positif), kombinasi ekstrak etanol daun Andrographis paniculata 500mg/kgBB dan daun Vernonia amygdalina 100mg/kgBB; kombinasi ekstrak etanol daun Andrographis paniculata 1000mg/kgBB dan daun Vernonia amygdalina 200mg/kgBB; dan kombinasi ekstrak etanol daun Andrographis paniculata 2000mg/kgBB dan daun Vernonia amygdalina 400mg/kgBB. Analisis data kadar gula darah tikus menggunakan uji T- berpasangan dan PostHoc. Hasil penelitian didapatkan bahwa tidak terdapat perbedaan bermakna antara semua kombinasi ekstrak daun Andrographis paniculata dan daun Vernonia amygdalina dengan acarbose dalam menurunkan kadar gula darah postprandial tikus wistar yang diinduksi aloksan (p>0,05). Dari penelitian ini dapat disimpulkan bahwa kombinasi ekstrak etanol daun Andrographis paniculata dan daun Vernonia amygdalina efektif dalam menurunkan kadar gula darah postprandial tikus diabetes.


2018 ◽  
Vol 8 (1) ◽  
pp. 19-26
Author(s):  
Nailiy Huzaimah

Health education is one part of type 2 diabetes mellitus (T2DM) management. Healtheducation on T2DM has been given to patients with T2DM but has not resulted in positivebehavioral changes, seen from uncontrolled blood glucose levels and complications. Acomprehensive knowledge of T2DM, appropiate education with engaging families, can give apositive impact on comprehension and self-confidence of people with T2DM.The purpose of this study was to determine the effect of PsychoeducationMods (PM) on comprehension and self-efficacy patients with T2DM. This study uses quasyexperiment, pre and post test control group design. Respondents were patients with T2DM andtheir families who are undergoing outpatient in Dr. H. Moh. Anwar Sumenep Hospital (n = 40).Data collection used a comprehension and self-efficacy questionnaires for people withT2DM. Statistical analysis used different test with α <0,05. Mann Whitney U test result showed thatthere were differences in comprehension and self-efficacy variables between treatment group andcontrol group. Different independent sample test results in the treatment group using Paired Ttest and Wilcoxon signed rank test showed that PM improves comprehension (p = 0.007) and selfefficacy (p = 0.002) of patients with T2DM. MP needs to be applied by health personnel, especiallynurses in assisting patients with T2DM improves comprehension with the awareness and selfefficacy of patients with T2DM. Comprehension with awareness and good self efficacy with familysupport will be a reinforcing factor for the establishment of a positive behavior to control bloodglucose levels.


2020 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Aisyah Dzil Kamalah ◽  
Ahsan Ahsan ◽  
Heri Kristianto

Ulkus diabetes mellitus merupakan komplikasi dari penyakit diabetes mellitus yang digolongkan dalam penyakit luka kronik sehingga biaya yang digunakan dalam penyembuhan relatif banyak. Kondisi pasien ulkus yang tidak stabil menyebabkan masalah psikososial pada keluarga, seperti beban pada keluarga. Beban keluarga dapat mempengaruhi keluarga dalam merawat pasien ulkus DM. Penelitian ini bertujuan untuk mengetahui efektifitas psikoedukasi keluarga dalam menurunkan beban keluarga dalam merawat pasien ulkus DM. Desain penelitian ini adalah quasi experimental pre-post test with control group. Cara pengambilan sampel pada penelitian ini adalah dengan purposive smpling. Jumlah sampel sebanyak 30 caregiver yang terbagi dalam kelompok perlakuan dan kelompok kontrol. instrumen yang digunakan adalah The Burden Scale untuk mengukur beban keliarga. Hasil uji validitas dan reliabilitas menunjukkan r tabel (0,361) r hitung (0,765) dan r alpha / koefisien reliabilitas (0,907). Psikoedukasi keluarga dilakukan dalam 5 sesi. Hasil penelitian menunjukkan p value (0,000) < α (0,05) baik. Psikoedukasi efektif dalam menurunkan beban keluarga. Kata kunci: beban keluarga, pasien ulkus diabetes mellitus, psikoedukasi keluarga THE EFFECTVENESS OF FAMILY PSYCHOEDUCATION IN REDUCES FAMILY BURDEN IN THE FAMILY WITH ULCERS DIABETIC PATIENTS  ABSTRACTUlcers Diabetes Mellitus is a complication of Diabetes Mellitus which is classified in wound chronic, it needs a lot of cost to recovery a. Unstable physical and emotional condition of a patient can make psychosocial problems such as burden family. Burden can affect the family in taking care of patients with diabetic ulcers. This study aimed to determine the effectiveness of family psychoeducation in reducing  family  burden when taking care of patients with diabetic ulcers in Malang. This design of study was quasi – experimental pre – post test with control group. The sampling method used was purposive sampling with 30 caregiver as total sample and divided into treatment group and control group. The instruments of this research were The Burden Scale to measure the family burden . The results of the validity and reliability test show r table (0.361) r count (0.765) and r alpha / reliability coefficient (0.907). Family psychoeducation was conducted in five sessions. The results showed the p value (0.000) < α (0.05) in burden family. Psychoeducation is effective in reducing family burden.  Keywords: burden family, patients with ulcer diabetes mellitus, family psychoeducation.


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