scholarly journals Penerapan Pendidikan Kesehatan Diet Dengan Kepatuhan Pasien Diabetes Milletus Dilihat Dari 3 J

2021 ◽  
Vol 1 ◽  
pp. 786-790
Author(s):  
Yanuar Noer Romadhoni ◽  
S Sugiharto

AbstractDiabetes mellitus control can be in the form of insulin injection, diet, exercise, and medication. Health education can also be provide to improve the knowledge and skills of people with diabetes in controlling their blood sugar. This study aims to find out how the level of knowledge and level of adherence to the diet carried out by DM sufferers is seen from the 3J (schedule, amount, and type of food). The design used in this study was a case study on 2 patients with type 2 diabetes mellitus. The instrument of this research was a questionnaire on the level of adherence to the 3J diet, a questionnaire on the level of adherence. The patient’s knowledge before and after the intervention were compared. Their dietary adherence after the intervention were also observed. The results obtained before the intervention the knowledge value of the two respondents were 60 and 53. After the intervention, the knowledge level of the two respondents became 80 and the average results of the adherence level observation of the two respondents were 86 and 84. Based on the observation data, the result of the level of dietary compliance in both clients considered complaint with the diet program. It can be concluded that health education about the 3J diet can increase the level of knowledge and dietary compliance in people with diabetes mellitus. This result can be used as a consideration for the health workers to recommend and educate DM patiens and their families to carry out implement an agreed diet program such as the 3J diet program.Keywords: Diabetes melltus, Diet, Compliance, Health education AbstrakPengendalian diabetes mellitus dapat berupa injeksi insulin, pengaturan diet, olahraga dan obat-obatan. Untuk meningkatkan pengetahuan dan keterampilan diabetisi dalam pengendalian gula darah dapat dilakukan pemberian pendidikan kesehatan. Penelitian ini bertujuan untuk mengetahui bagaimana tingkat pengetahuan dan tingkat kepatuhan akan diet yang dijalankan oleh penderita DM dilihat dari 3 J (jadwal, jumlah dan jenis makanan). Desain karya tulis ilmiah ini berupa studi kasus pada 2 penderita diabetes mellitus tipe 2. Instrument penelitian ini berupa kuesioner tingkat kepatuhan diet 3J, kuesioner tingkat pengetahuan tentang diet diabetes mellitus dan lembar observasi tingkat kepatuhan. Cara mengevaluasi dengan membandingkan nilai pengetahuan sebelum dan sesudah intervensi dan observasi nilai kepatuhan diet sesudah intervensi. Hasil yang didapat sebelum dilakukan intervensi nilai pengetahuan kedua responden adalah 60 dan 53. Setelah dilakukan intervensi nilai tingkat pengetahuan kedua responden menjadi 80 dan hasil observasi tingkat kepatuhan kedua responden rata-rata 86 dan 84. Berdasarkan data observasi didapatkan hasil tingkat kepatuhan diet pada kedua klien dianggap patuh terhadap program diet yang dilakukan. Kesimpulannya adalah pendidikan kesehatan tentang diet 3J dapat meningkatkan tingkat pengetahuan dan kepatuhan diet pada penderita diabetes mellitus. Saran bagi tenaga kesehatan hendaknya menganjurkan dan mengedukasi penderita DM dan keluarganya untuk melakukan dan melaksanakan program diet yang sudah disepakati seperti program diet 3J.Kata kunci: diabetes mellitus, diet, kepatuhan, pendidikan kesehatan

2021 ◽  
Vol 4 (5) ◽  
pp. 1109-1116
Author(s):  
Sriwahyuni Sriwahyuni ◽  
Sri Darmawan

ABSTRAK Penyakit Diabetes merupakan salah satu penyakit degeneratif yang terkait langsung dengan gaya hidup atau life style, Menurut World Health Organization (WHO), pada tahun 2014, 8,5% dari orang dewasa berusia 18 tahun dan lebih tua menderita diabetes. Indonesia berdasarkan wawancara yang terdiagnosis dokter sebesar 1,5%, dan Provinsi Sulawesi Selatan pada tahun 2014, jumlah Kasus Diabetes Mellitus (282 penderita) terdiri atas Diabetes mellitus yang terlapor (207 penderita), Diabetes mellitus yang tidak terlapor (160 penderita) dan Diabetes mellitus bergantung insulin (72 penderita) Peran dari tenaga kesehatan dan orang terdekat yang sangat dianggap penting oleh penderita juga sangat mempengaruhi perilaku dalam mengontrol kadar gula darah penderita DM Tipe II, karena jika tidak ada dukungan dan motivasi dan health edukasi dari tenaga kesehatan  serta orang terdekat maka penderita cenderung tidak memperhatikan status kesehatannya. Kegiatan ini sasaran utama adalah keluarga penderita Diabetes Mellitus yang aktif melakukan suntik insulin yang ada di Dusun Pattiro Desa Paccelekang Kec.Pattalassang Kab.Gowa . Salah satu cara yang ditempuh sebelum dilakukan pelatihan adalah dengan melakukan pertemuan dan pendataan terlebih dahulu tentang warga yang memiliki riwayat aktif melakukan suntik insulin. Pelatihan teknik dan keterampilan melakukan suntik insulin yang tepat Daya serap para peserta terhadap materi kegiatan cukup baik, hal ini terlihat dari kemampuan masyarakat menjawab dan mempraktikan Teknik Suntik Insulin..Kata kunci : Health Edukasi, Pelatihan, Suntik Insulin, Diabetes Mellitus  ABSTRACT Diabetes is a degenerative disease that is directly related to lifestyle, according to the World Health Organization (WHO), in 2014, 8.5% of adults aged 18 years and older suffered from diabetes. Indonesia based on interviews with diagnosed doctors by 1.5%, and South Sulawesi Province in 2014, the number of Diabetes Mellitus Cases (282 patients) consisted of reported Diabetes Mellitus (207 cases), Unreported Diabetes Mellitus (160 cases), and Diabetes Insulin-dependent Mellitus (72 patients) The role of health workers and loved ones who are very important to sufferers also greatly affects behavior in controlling blood sugar levels for people with Type II diabetes, because if there is no support and motivation and health education from health workers and those closest to them then sufferers tend not to pay attention to their health status. This activity is the main target for families with Diabetes Mellitus who actively inject insulin in the Pattiro Hamlet, Paccelekang Village, Pattalassang District, Gowa Regency. One of the methods taken before training is to conduct meetings and collect data in advance about residents who have a history of actively injecting insulin. Training on techniques and skills for performing the right insulin injection The participants' absorption of the activity material was quite good, this can be seen from the community's ability to answer and practice the Insulin Injection Technique. Keywords: Health Education, Training, Insulin Injection, Diabetes                   Mellitus


Author(s):  
Sony Wahyu tri Cahyono

Abstract   Patients with diabetes mellitus must follow a strict diet to control blood sugar levels to keep them within normal limits. If it is not controlled, it will cause various diseases which will be caused by visual disturbances, cataracts, heart problems, impaired kidney function, sexual impotence, difficulty in healing wounds or even rot/gangrene, lung infections, vascular disorders, and strokes. The purpose of this study was to determine the factors that affect dietary compliance in diabetes mellitus sufferers. This study uses a qualitative method with a phenomenological approach. This study explores the experiences of people with diabetes mellitus when they are on a diet. The participants in this study were 10 people. The technique of collecting data was by conducting in-depth interviews so that the results were 3 themes, namely lack of knowledge about diet, lack of family support, and difficulty in adhering to a diet. The importance of support and motivation from family and health workers for diabetes mellitus sufferers to always adhere to a diet to avoid various complications. Keywords : Diabetes Mellitus, and Diet Compliance


Author(s):  
Yuyun Diatiningsih ◽  
Kusnanto Kusnanto ◽  
Abu Bakar

Introduction: Diabetes Mellitus is a chronic disease that cannot be cured so that compliance is required to manage the disease. Patient compliance is in accordance with the provisions of the behavior of health workers. The aimed of this study was to analyze the effect of peer group support on the compliance of type 2 Diabetes mellitus disease management.Methods: This research was used a quasy experiment pre post test designed. The selection of sample using a purposive sampling and was obtained 16 respondents from 77 population. The independent variable was a peer group support that carried out for two weeks while dependent variable was dietary compliance, exercise and drugs consumption which data was collected by observation sheet. The data were analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test with significantvalue of ≤α 0.05.Result: The results showed that there was increase of dietary compliance (p=0.012) but there was no effect of peer group support for dietary compliance (p=0.14), the increase of exercise compliance (p=0.012) and there was effect of peer group support for exercisecompliance (p=0.004), and the increase of drugs consumption compliance (p=0.027) and there was effect of peer group support for drugs consumption compliance (p=0.048).Discussion: It can be concluded that peer group support had good effect to improve dietary compliance, exercise, and drugs consumption so that blood sugar could be controlled. Larger respondents, more proper instruments and longer duration of study will be needed to get a better result of the further research.


Author(s):  
Himani Patel ◽  
Daxaben P. Patel

Introduction: Diabetes Mellitus is an endocrine disorder, characterized by hyperglycemia that is, high blood sugar levels. This is caused due to a relative or absolute insulin deficiency, a hormone produced by the pancreas. Lack of insulin, either relative or absolute affects metabolism or breaking down of carbohydrates, proteins, fat, water and electrolytes leading to an accumulation of glucose in the blood. Till the earlier part of this century, it was believed that there was no effective treatment for this condition, until the discovery of insulin, in 1922, by Fredrick Banting and his student, John McCleod1 Design: A descriptive survey approach was used for assessing the knowledge and attitude of Diabetes Mellitus patients regarding Self-Administration of insulin injection. Participants: The target population consisted of 60 Diabetic patients who were on Insulin Therapy within the age group of 40-70 years. Half of the patients were admitted and a few were attending the OPD services in Nootan General Hospital at visnagar. Interventions: Booklet information was given to the patients. Tool: Structure questionnaire was used to assess the level of Knowledge regarding Self-Administration of insulin injection and used Likert’s attitude scale to assess attitude regarding Self-Administration of insulin injection among diabetes mellitus patients. Results: In this study. The total 60 sample under the study were 38.3% sample 61-70 years, 20% sample 51-60 years, 20% sample 41-50 years 8.3% sample below 40 years of age. Distributed sample according to gender were 73.3% are male and 26.7% are female. Distribution of sample based on education is 1.7% graduated 3.3% had higher secondary, 21.7% completed secondary and 73.3% sample had completed primary education as regards 53.3% samples were unemployed 23% self-employed. According to family history 36.7% had family history of DM 63.3% had no family history. The level of knowledge regarding self-administration of the insulin injection were 81.7% had average knowledge, 13.3% had poor knowledge and only 5% had good knowledge regarding self-administration of insulin injection. The overall mean value of the diabetic patients knowledge regarding self-administration of insulin injection was 14.45 with a standard deviation of 3.326. This finding showed that the most of the diabetic patients were not much aware of self-administration of insulin injection. The level of attitude regarding self-administration of insulin injection was assessed were, only 18.3% had most favorable and 81.7% had a favorable attitude towards self- administration of insulin injection. It revealed the mean percentage of the positive attitude, which was 69.05 with a standard deviation of 5.585. These results showed that most of the diabetic patients were not having a most favourable attitude towards self-administration of insulin injection. Conclusion: The finding indicates that the Booklet information was a suitable and effective method of instruction for updating and enhancing the knowledge and attitude among patients.


2019 ◽  
Vol 2 (3) ◽  
pp. 135-141
Author(s):  
Ratna Dewi ◽  
Rostinah Manurung ◽  
Sarmaida Siregar

Appropriate diet and physical exercise is part of diabetes management. The role of health professionals is critical to regulating the lifestyle of type 2 DM patients. The study aimed at examining the effectiveness of cell phone-based mentoring on dietary compliance. A quasi-experimental study design, pre and post-test equivalent with the control group. The research was conducted at Bromo Medan Health Center. We recruited 84 diabetic patients and divided into the experimental and control group. The findings showed there was a positive effect on the patients in the experimental group who received the program than patients in the control group who did not receive the application. This strategy is essential and recommended to apply in the routine diet at home. Keywords: short message service (SMS), diet compliance, type 2 diabetes mellitus


2019 ◽  
Vol 1 (1) ◽  
pp. 19-24
Author(s):  
Vina Nurul Utami ◽  
Riza Amalia

Many children are found to experience growth and development delays caused by a lack of caring parents in the early detection of growth and development. Health education can make a change of attitude. The purpose of this study was to determine the effect of video on maternal attitudes regarding early detection of growth and development in infants. The method used is pre-experimental design with pretest-posttest. The sample of this study was mothers who had 30 babies with cluster sampling. One group first observes their attitude and then is given a video at the beginning of the meeting, the material is given through strength points, videos and leaflets after that every day using video via WhatsApp and observing again after 2 weeks. The results obtained are different test with Wilcoxon test obtained p-value 0.008, it means that there are differences in attitude before and after exposure to a video about early detection of growth and development of infants. And the conclusion in this study is the provision of health education, videos that can change the attitude of mothers regarding the early detection of growth and development in infants significantly. It is hoped that policy makers will provide training facilities for early detection of children's growth and development for health workers and cadres so that they can be widely applied to children, especially infants.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Arnis Prilli Dharmastuti ◽  
Dwi Ariani Sulistyowati

Abstract: Hypoglycemia, Health Education, Knowledge, Patient. Hypoglycemia is one of the complications faced by people with diabetes mellitus, ie blood glucose levels fall below 50 to 60 mg / dl. Hypoglycemia may occur acutely, suddenly and can be life-threatening. Management of diabetes mellitus one of them is health education, especially about complications, namely Hypoglycemia. The objectives of this study were 1) to identify the level of knowledge of diabetes mellitus patients about prevention of hypoglycemia prior to health education 2) to identify the knowledge level of diabetes mellitus patients about hypoglycemia prevention after health education 3) to analyze knowledge change about prevention of hypoglycemia in patients with diabetes mellitus before and after the provision of health education in the intensive space of Dr Moewardi Hospital in 2016. This research type is experimental with pre-experimental design, variable approach using pre and post test designs method and data analysis used is Paired T-Test. The result of this research is there is influence of health education toward prevention effort of hypoglycemia in patient of diabetes mellitus in intensive room of Dr Moewardi Hospital 2016. This is proved by Paired T-Test test analysis on the value of knowledge before and after given health education obtained t count = -19,090, whereas t table value 2,042 so value -t arithmetic <-t table (-19,090 <-2,042) and sig. 0.000 (<0.05) then Ho is rejected and Ha accepted, meaning there is a significant difference between the value of knowledge before and after being given health education about hypoglycemia. There is an influence of health education on prevention of hypoglycemia in people with diabetes mellitus in intensive space Dr Moewardi Hospital in 2016.


2020 ◽  
Vol 9 (1) ◽  
pp. 64
Author(s):  
Dewi Nopiska Lilis ◽  
Imelda Imelda

Abstract Diabetes  in women of reproductive age needs to be observed and watched out for. Risks associated with gestational diabetes include pre-natal morbidity and death as well as an increase in chronic cesarean delivery and hypertension in the mother. This study aims to determine the effect of diabetes mellitus on the psychology of WUS in Jambi City in Putri Ayu Health Center in Jambi City in 2019.Data were analyzed using univariate analysis, bivariate with chi square and multivariate using logistic regression analysis. Fertile Age Women (WUS) with higher education have the opportunity not to stress with OR 0.2. WUS with impaired physical health have the opportunity not to stress with OR 4.2. WUS with problem solving skills have the opportunity to not stress with OR 4.2. WUS with high knowledge have a no stress opportunity with OR 0.2. The level of education, physical health, problem solving skills and the level of knowledge of WUS sufferers of diabetes mellitus significantly influence psychology (stress). This research is expected to be able to provide information on knowledge and be able to detect early on the factors that affect the stress level of sufferers of diabetes mellitus by using a scoring scale that can be utilized by health workers in the service and as a reference for diabetes mellitus patients.


2018 ◽  
Vol 13 (2) ◽  
pp. 8
Author(s):  
Cecep Eli Kosasih ◽  
Tetti Solehati ◽  
Chandra Isabela Purba

AbstractStroke patients face a number of problems that include physical, social, emotional, psychological, and spiritual which can cause a decrease in their well-being. Strengthening the role of the family, family support, and preparation for care by the family at home is needed. One effort is to increase the knowledge of stroke patients and families through health education. This study aimed to determine the effect of health education on the knowledge of stroke patients and families on the role, support, and preparation of care at home. The research method used a quasi-experimental design with a one group pre-post test design. The study was conducted at Al Islam Bandung Hospital in 2018. Respondents consisted of 16 stroke patients and 16 stroke family families. The instrument uses a questionnaire. Data analysis using univariate and bivariate analysis. The results showed that before and after the intervention there were significant mean differences in the level of knowledge of patients from 7.94 to 10.38 (p = 0.002), but in the variable readiness of stroke patients there was no significant difference in average seen from the mean value of 14.25 became 15.88 (p = 0.411). In the patient's family, it was shown that before and after the intervention there was a significant of mean difference in the level of knowledge from 5.19 to 6.81 (p = 0.012). Conclusion: health education has been shown to be influential in increasing the level of knowledge of patients and their families regarding stroke, readiness, the role of family carers for stroke patients, psychological support, and preparation for the care of stroke patients at home. However,health education does not affect the level of readiness of stroke patients for transition. Suggestion: readiness to accept the transition in stroke patients is not enough only by health education alone but family participation is needed in providing support to these patients therefore it is recommended that nurses always support the family to support stroke patients. AbstrakPasien stroke menghadapi sejumlah masalah yang mencakup fisik, sosial, emosional, psikologis, dan spiritual yang dapat menyebabkan penurunan kesejateraannya. Diperlukan penguatan peran keluarga, dukungan keluarga, serta persiapan perawatan oleh keluarga di rumah. Salah satu upayanya adalah dengan meningkatkan pengetahuan pasien stroke dan keluarga melalui edukasi kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi kesehatan terhadap pengetahuan pasien stroke dan keluarga akan peran, dukungan, dan persiapan perawatan. Metode penelitian menggunakan desain quasi eksperiment dengan rancangan one group pre-post test design. Penelitian dilakukan di Rumah Sakit Al Islam Bandung pada tahun 2018. Responden terdiri dari 16 pasien stroke dan 16 keluarga pasien stroke. Instrumen menggunakan kuesioner. Analisis data menggunakan analisis univariat dan bivariat. Hasil penelitian menunjukan bahwa sebelum dan setelah intervensi terdapat perbedaan rata-rata yang signifikan tingkat pengetahuan pasien dari 7,94 menjadi 10,38 (p = 0,002), tetapi pada variabel kesiapan  pasien stroke tidak  terdapat perbedaan rata-rata yang signifikan terlihat dari rata-rata nilai 14,25 menjadi 15,88 (p = 0,411). Pada keluarga pasien menunjukan bahwa sebelum dan setelah intervensi terdapat perbedaan rata-rata tingkat pengetahuan yang signifikan dari 5,19 menjadi 6,81 (p = 0,012). Simpulan: edukasi kesehatan terbukti berpengaruh dalam meningkatkan tingkat pengetahuan pasien dan keluarganya mengenai stroke, kesiapan, peran keluarga pengasuh pasien stroke, dukungan psikologis, dan persiapan perawatan pasien stroke di rumah. Edukasi Kesehatan tidak berpengaruh terhadap tingkat kesiapan pasien stroke untuk transisi. Saran : kesiapan untuk menerima transisi pada pasien stroke tidak cukup dengan edukasi kesehatan saja tapi diperlukan peran serta keluarga dalam memberikan dukungan kepada pasien tersebut oleh karena itu disarankan agar perawat selalu mensupport keluarga agar melakukan dukunganpada pasien stroke.


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