PENGARUH EDUKASI MANAJEMEN DIRI TERHADAP DAN TEKANAN DARAH PASIEN HIPERTENSI DI RUANG RAWAT INAP RUMAH SANTA ELISABETH MEDAN

2020 ◽  
Vol 5 (1) ◽  
pp. 104-112
Author(s):  
Rusmauli Rusmauli ◽  
Connie M Sianipar

Introduction: The risk for cardiovascular disorder caused by hypertension can be forestalled and controlled by applying healthy behavior such as exercises, cognitive symptom management, healthy diet, and blood pressure monitoring. In this case, education plays an important role in increasing the control of blood pressure. The objective of the research was to identify the influence of self-management education on healthy behavior and blood pressure in hypertension patients in the Hospital Elisabeth Medan Method: The research used quasi experiment and nonequivalent control group pre-post test design. The samples for this study were 60 hypertension patients as the respondents divided into two group, 30 in the intervention group and 30 in the control group taken by consecutive sampling technique. The data were gathered by using modification instruments from Stanford University; they were exercise behavior scale, cognitive symptom scale, questionnaires on healthy diet, and digital Omron tensimeter for measuring blood pressure Result: The data were gathered by using modification instruments from Stanford University; they were exercise behavior scale, cognitive symptom scale, questionnaires on healthy diet, and digital Omron tensimeter for measuring blood pressure. Data were analyzed using descriptive statistics, Wilcoxon and Mann Whitney test. The result of the research showed that there was no influence of self-management education on exercise (p-value = 1.00 > 0.05), there was the influence of self-management education on cognitive symptom (p-value = 0.00 < 0.05), there was the influence of self-management education on healthy diet (p-value = 0.00 < 0.05), and there was the influence of self-management education on systolic and diastolic blood pressure (p-value = 0.00 < 0.05).. Discussion: The conclusion of the research was that education could increase the application of healthy behavior and controlling blood pressure in hypertension patients. The result of the research could be an input for health care to maintain and increase education in hypertension patients so that they could control their blood pressure and forestall hypertension complication.

2019 ◽  
Vol 2 (1) ◽  
pp. 121-127
Author(s):  
Lam Murni Sagala

Hypertension is a persistent blood pressure with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The treatment of hypertension is highly depend on the information given by nurse to patients’ skills on self care management to modify and maintain effective behavior. These activities include self management in prescribed medication, health monitoring, adequate rest, stress management and prescribed diet and exercises. The purpose of this study was to determine the effect of Hypertension Self Management Education (HSME) on controlling blood pressure in hypertensive patients in the Kabanjahe health center.This research used the quasi experimental research, using pretest and posttest with control group design. The samples of  research consisted of 40 respondents, and they were divided into two groups, namely: control group and intervention group. The data of research were analyzed by using the Paired T-test. The result of research shows that the p-values of Paired T-test of the experiment and control groups were 0.782 and 0.577 respectively whereas the p- value of Independent T-test was 0.001 (p <α; α = 0.05). Thus, there was an effect of Hypertention Self Management Education (HSME) on the control of  blood pleasure of the patient hypertention, Community Health Center, Kabanjahe. The nurses, therefore, are suggested to extend the HSME to control the blood pleasure hypertention client and and utilize the HSME as a health promotion program.   Hipertensi adalah tekanan darah persisten dengan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg. Perawatan hipertensi sangat tergantung pada informasi yang diberikan oleh perawat kepada keterampilan pasien tentang manajemen perawatan diri untuk memodifikasi dan mempertahankan perilaku yang efektif. Kegiatan-kegiatan ini termasuk manajemen diri dalam pengobatan yang diresepkan, pemantauan kesehatan, istirahat yang cukup, manajemen stres dan diet dan olahraga yang ditentukan. Tujuan  penelitian ini untuk mengetahui pengaruh Hypertention Self Management Education (HSME) terhadap pengontrolan tekanan darah pasien hipertensi di puskesmas kabanjahe. Metode penelitian adalah quasi experimental dengan menggunakan metode pre-test and post-test with control group design. Sampel penelitian terdiri dari 40 responden, dan mereka dibagi menjadi dua kelompok, yaitu: kelompok kontrol dan kelompok intervensi. Data penelitian dianalisis dengan menggunakan Paired T-test. Hasil penelitian menunjukkan bahwa nilai-p dari uji-T Berpasangan dari eksperimen dan kelompok kontrol masing-masing adalah 0,782 dan 0,577 sedangkan p-nilai dari Independent T-test adalah 0,001 (p <α; α = 0,05). Dengan demikian, ada efek dari Edukasi Manajemen Diri Hipertensi (HSME) pada kontrol tekanan darah dari pasien hipertensi, Puskesmas, Kabanjahe. Oleh karena itu, perawat disarankan untuk memberikan penkes HSME untuk mengendalikan tekanan darah pasien hipertensi dan memanfaatkan HSME sebagai program promosi kesehatan.


2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Trina Kurniawati ◽  
Titih Huriah ◽  
Yanuar Primanda

AbstrakEdukasi kepada pasien Diabetes Mellitus (DM) yang dapat memperbaiki hasil klinis adalah Diabetes Self Management Education (DSME). DSME merupakan salah satu metode yang dapat memfasilitasi pengetahuan dan keterampilan. Penelitian ini bertujuan untuk mengetahui pengaruh Diabetes Self Management Education terhadap Self Management pada pasien DM. Penelitian ini menggunakan metode penelitian quasi experimental dengan control group pre test- post test design. Teknik pengambilan sampel menggunakan teknik Simple random sampling dengan jumlah sampel sebanyak 46 orang yang terbagi menjadi 23 orang pada kelompok intervensi mendapatkan DSME sebanyak 4 sesi dalam satu bulan dan 23 orang pada kelompok kontrol mendapatkan edukasi dari Program PERSADIA. Instrumen yang digunakan menggunakan kuesioner. Analisis statistik menggunakan Wilcoxon dan Mann Whitney test. Hasil penelitian menunjukkan bahwa P value uji Wilcoxon test sebesar 0,000 pada kelompok intervensi, P value uji Mann Whitney test adalah 0,000 pada variabel self management. Berdasarkan hasil uji statistik didapatkan p<0,05 yang menunjukkan bahwa terdapat perbedaan nilai self management antara kelompok intervensi dengan kelompok kontrol secara signifikan. Kesimpulan penelitian ini adalah DSME dapat meningkatkan self management pada pasien DM. Disarankan petugas kesehatan dapat memberikan DSME untuk meningkatkan self management pasien diabetes dan menggunakan DSME sebagai program promosi kesehatan.Kata kunci: Diabetes Mellitus; DSME;Self Management  The Influnce of Diabetes Self Management Education (DSME) to the Self Management on the Diabetes Patient AbstractEducation to patients Diabetes Mellitus (DM) who can improve clinical outcomes is Diabetes Self Management Education (DSME). DSME is one method that can facilitate knowledge and skills. The purpose of this research is to determine the effect of Diabetes Self Management Education (DSME) to Self Management on the diabetes patients. This study is used the quasi experimental research method with control group pre test post test design. The sampling technique used Simple random sampling with a samples of 46 people and it is devided 23 people in the intervention group get DSME as much as 4 sessions in one month and 23 people in the control group get education programe at PERSADIA. The instrument used was questionnaire. Statistical analysis used Wilcoxon and Mann Whitney test. The results showed that P value of Wilcoxon test  was 0.000 in the intervention group, P test value of Mann Whitney test was 0.000 in self management variable. Based on statistical test results obtained p <0.05 which indicates that there are differences in self-management value between the intervention group and the control group significantly. The conclusions of this research is DSME can improve self-management on the patients with diabetes. It is recommended that health workers can provide DSME to improve self-management  in diabetic patients and use DSME as a health promotion program.Keywords  : Diabetes Mellitus, DSME, Self Management


2018 ◽  
Vol 13 (3) ◽  
Author(s):  
Santi Damayanti, Nazwar Hamdani Rahil

Latar Belakang : Ulkus kaki diabetik  merupakan salah satu komplikasi  diabetes melitus (DM).Untuk mencegah komplikasi, pilar utama penatalaksanaan DM yaitu edukasi. Diabetes Self Management Education (DSME) adalah  memberikan  pengetahuan  kepada  pasien mengenai  aplikasi  strategi  perawatan  diri  secara  mandiri  untuk  mengoptimalkan kontrol metabolik, mencegah komplikasi, dan memperbaiki kualitas hidup pasien DM.  Sampai saat ini puskesmas Ngaglik I belum menerapkan edukasi dengan metode DSME, tetapi masih menggunakan edukasi konvensional.Tujuan:  mengetahui kefektifan DSME terhadap kejadian kaki diabetik non ulkus di puskesmas Ngaglik I Sleman Yogyakarta.Metode  : Jenis penelitian Quasi Experiment dengan rancangan nonequivalent control group design.Teknik pengambilan sampel yaitu consecutive sampling. Analisis statistik yang digunakanWilcoxon Signed Ranks Testdan mann-whitneyU.Hasil : Hasil analisis beda mean kejadian kaki diabetic non ulkus pre tes dan post test pada kelompok intervensi dengan p value 0,009, sedangkan pada kelompok kontrol p value 0,069. Hasil analisis beda mean kejadian kaki diabetic non ulkus sesudah DSME pada kelompok intervensi dan control dengan P value 0.003Simpulan : DSME efektif menurunkan kejadian kaki diabetik non ulkus di Puskesmas Ngaglik I Sleman Yogyakarta. Kata kunci : DSME, Kaki diabetik non ulkus


2019 ◽  
Vol 6 (2) ◽  
pp. 92-99
Author(s):  
Diyah Fatmasari ◽  
Rastia Ningsih ◽  
Tri Johan Agus Yuswanto

Latar belakang: Diabetes melitus tipe II merupakan salah satu penyakit tidak menular yang dapat menyebabkan kematian dan memiliki risiko tinggi terjadi komplikasi. Penatalaksanaan empat pilar diabetes tipe II meliputi edukasi, terapi gizi medis, latihan jasmani dan intervensi non  farmakologi. Salah satu penanganan non-farmakologi yang sering dilakukan adalah   Diabetic Self Management Education (DSME) dan senam kaki diabetik, tetapi kombinasi keduanya belum pernah di teliti. Gabungan beberapa terapi disebut terapi kombinasi.  Penelitian ini bertujuan untuk mengetahui pengaruh terapi kombinasi DSME dan senam kaki terhadap Ankle Brachial Index (ABI) pada penderita diabetes tipe II. Metode: Desain penelitian adalah penelitian Experimental dengan rancangan pretest-posttest control group design. Kelompok intervensi di beri terapi kombinasi DSME dengan senam kaki dan kelompok kontrol dengan pemberian Range of Motion (ROM). Teknik sampling non-probability dengan metode consecutive sampling dengan  48 responden yang terbagi dalam 2 kelompok. Hasil Rerata ABI kelompok Intervensi dan Kontrol sebelum perlakuan adalah 0,84 mmHg dan 0,82 mmHg, sedangkan setelah perlakuan adalah 1,09 mmHg dan 0,89 mmHg. Uji independent t test menunjukkan nilai p value 0,000 berarti ada perbedaan rerata selisih ABI kedua kelompok. Kesimpulan kombinasi Diabetic Self Management Education (DSME) dengan senam kaki efektif dalam peningkatan Ankle Brachial Index (ABI) pada penderita diabetes tipe II. Kata kunci : Diabetes Melitus, Diabetic Self Management Education (DSME), senam kaki diabetik, Ankle Brachial Index.   COMBINATION THERAPY OF DIABETIC SELF MANAGEMENT EDUCATION (DSME) WITH DIABETIC FOOT EXERCISE TOWARDS ANKLE BRACHIAL INDEX (ABI) ON PATIENTS DIABETIC TYPE II Background: Type II diabetes mellitus is a non-infectious disease which cause death and have a high risk complications. Management of 4 pillars of type II diabetes includes education, medical nutrition therapy, physical exercise and non pharmacological interventions. One of the non-pharmacological treatments is the combination of Diabetic Self Management Education (DSME) and diabetic foot exercises. Study aims is to determine  effect of a combination of Diabetic Self Management Education (DSME) with diabetic foot exercises on Ankle Brachial Index (ABI) in type II diabetics patients. Method: Research design  was Quasy Experimental with pretest-posttest control group design. Intervention group was 24 patients type II diabetic with therapy combination of DSME and foot exercises, the control group was given  Range of Motion (ROM) as therapy. Results: Mean of ABI intervention and control group before treatment are 0.84 mmHg and 0.82 mmHg, while after treatment are 1.09 mmHg and 0,89 mmHg  Independent t test shows p value 0.000, that there is a differences of mean of ABI both group. It can be concluded that combination of DSME with foot exercises is effective to increase  Ankle Brachial Index (ABI) at patients type II diabetics. Keywords: Diabetes Melitus, Diabetic Self Management Education (DSME), diabetic foot exercises, Ankle Brachial Index.  


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Siti Lestari ◽  
Tri Sunaryo

Abstract: Self-Management Education, Hypoglycemia. Diabetes Mellitus is a metabolic disease that needs attention and care for a long time in order to prevent complications. People with DM must have good knowledge, skill, and behavior so they can manage their life by themselves. Research showed that 50–80%, people with DM have not enough knowledge to manage their disease. Through the self-management, people with diabetes can improve their competence in early detection of hypoglycemia so it would increase the quality of life and reduce the risk of developing complications. The purpose of this study was to investigate the impact of diabetes self-management education toward early detection of hypoglycemia among patients with diabetes. A quasi-experimental pre and post design with a control group was used to investigate the impact of using education on self-management. The participants were 40 that divided into intervention and control group. Purposive sampling was used to take the samples. T-Test was used to analyze the data. The competence of diabetes in early detection of hypoglycemia was an increase, from 6,1 with SD 13.7 to 71,7 with SD 19.2. Then, the model of Self Management education influenced the competence of people with diabetes in the early detection of hypoglycemia, P value 0,011 (α = 0,05). The findings demonstrate that self-management education could improve the competence of diabetes in the early detection of hypoglycemia.


Author(s):  
Nurul Jannah ◽  
Ayudiah Uprianingsih

Failure to manage diabetes occurs due to patient non-compliance in implementing therapy, controlling risk factors, low knowledge and family involvement in caring for diabetes sufferers. Patient diabetics are risk for diabetic foot ulcers. Diabetic foot ulcer problems are a chronic complication and can lead to physical disabilities. This study was a quasi-experimental study with a non-equivalent control group design where the study used pre-post-test and cluster sampling. Data were collected through questionnaires and observation sheets. The results showed p value = 0.000 (p <0.05) means diabetes self management education with family centered care could prevent the occurrence of diabetic foot ulcers. Improving the quality of life of diabetics can be done with good self-management to avoid complications that can worsen the condition. There is no best educational program if it is not accompanied by compliance, commitment and family support in carrying out treatment.


2021 ◽  
Vol 3 (2) ◽  
pp. 103-109
Author(s):  
Sri Sakinah ◽  
Sulkifli Nurdin

Background: Hypertension is still a risk factor for the leading cause of death in the world. Hypertension is a blood pressure condition of more than 140/90 mmHg. Patient with hypertension who are an uncontrolled their blood pressure and the number continues to increase, one of which is through services nursing. Nurses are one of the health professions involved in achieving health development goals both in the world and in Indonesia. Health information technology is increasingly developing which must be of concern, especially in the world of nursing to help answer health problems public through telenursing which was developed by providing telecommunications assistance via WhatsApp. Purpose: To determine the effect of telenursing and self-management among patient with hypertensionMethod: This study was conducted in June - August 2020 with a method quasi experimental pre and post test with control group (giving treatment telenursing via WhatsApp to the intervention group and control group using the media short message service (SMS). The sample in this study were all patients with hypertension in accordance with the inclusion criteria (hypertensive patients who undergo treatment, have android, and are able to read and write) The media used in this study were cell phones Results: Through the Paired Sample Test it is known that the p value in thegroup is controlled SMS based on systolic blood pressure was 0.008 (<0.05), while in the intervention group the WA p value was 0.001 (<0.05). This shows a significant result, but the researchers considered that the intervention group had a more significant value when compared to the control. Likewise, the diastolic blood pressure in which the control group was obtained p-value 0.051 (> 0.05) while the intervention group obtained p value of 0.000 (<0.05).  Conclusion: There was no significant difference in  blood pressure in the group, control use media short message service (SMS).  While the intervention group showed a very significant difference between before and after telenursing used media WhatsApp


2020 ◽  
Author(s):  
Galih Tri Winata

Diabetes mellitus merupakan penyakit kronis yang membutuhkan perawatan jangkapanjang sehingga memerlukan pendidikan pengelolaan mandiri untuk mencegah komplikasi akut dan kronis. Salah satu bentuk pendidikan kesehatan yang dapat diberikan adalah diabetesself management education (DSME) yang dapat memfasilitasi pengetahuan, ketrampilan dan perawatan diri. Penelitian ini bertujuan untuk membuktikan pengaruh DSME dalam dischargeplanning terhadap self care behavior pasien DM tipe 2. Rancangan penelitian menggunakan quasi experiment dengan non randomized control group pretest posttest design. Kelompok perlakuan diberikan penerapan DSME dalam discharge planning. Kelompok kontrol tidak dilakukan perlakuan (mendapatkan discharge planning sesuai yang dilakukan di ruangan). Hasil penelitian menunjukkan terdapat perbedaan self care behavior yang signifikan antara kelompok perlakuan dan kontrol dengan p value 0,000. Penelitian ini menjadi salah satu pertimbangan rumah sakit dalam menyusun discharge planning menggunakan konsep DSME.


2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Vera Kurnia ◽  
Desti Nataria

Hypertension is one of the most common causes of morbidity and mortality  all over the world, also known as “the silent killer” because people with hypertension are without symptoms. West Sumatera Province reported that the prevalence of hypertension at the age 18 years has increased from 25,8% in 2013 to 31,7% in 2018. Successful strategies to manage the blood preasure depends on patients self-care management or the ability and willingness of the patient to change and maintain certain behavior.The purpose of this research is to determine the effect of self-education management of hypertension patients in the working area of primary health care in Bukittinggi.Design of this research is a quasi experimental design with pretest-posttest with control group. The sample which used were 62 respondents consist of 31 people in the intervention group and 31 people in the group control. Sampling was done by consecutive sampling technique. Data was analyzed Wilcoxon signed rank test and Mann Whitney test. The result of this research shows that there isn’t any effect of self education management to healthy behavior which includes exercise and healthy diet of the intervention group and the control group at community health center in Bukittinggi (mean rank after the intervention < 10; p> 0,05). Based on the result of this research it can be concluded that the habits of respondents who carry out light and medium activities every day and also education provided by primary health care  have given big impact to respondent’s habits where they always do exercise and healthy diet in their daily life.The result of this research can be used as an input for primary health care to maintain and improve education of healthy behavior for hypertension patients.


2018 ◽  
Vol 7 (2) ◽  
pp. 116
Author(s):  
Budi Darmawan ◽  
Diyah Fatmasari ◽  
Rr. Sri Endang Pujiast

Background: Wet cupping, furthermore mentioned cupping, decreases blood pressures through the level of negative air pressures added by hydrostatics filtration pressure to reinforce the power of fluids filtration in capillaries. However, an appropriate negative air pressure to decrease blood pressure remains an uncertainty.Purpose: This study aimed to analyze negative air pressure differences on cupping in decreasing blood pressures in hypertensive patients.Methods: This is a quasi-experimental design conducted in three Community Health Centers in Langsa City, Aceh, Indonesia. The samples were 36 hypertensive males with age from 45 to 55, who were randomly stratified into two groups with cupping pressures 400 mbar (n=18) as the control group; and 540 mbar (n=18) as the intervention group. The cupping session was performed to each group on T1 (alkahil) point and in the middle line of both shoulders blade points. The systolic blood pressure (SBP) and diastolic blood pressures (DBP) were measured by validated automatic sphygmomanometer. The follow-up periods were one week and two weeks. The data were then analyzed by repeated measures ANOVA.Results: Cupping pressure of 400 mbar decreased the mean of SBP and DPB with a p-value of 0.450 and 0.026, respectively after two weeks of intervention. Meanwhile, cupping pressure of 540 mbar decreased the mean of SBP and DBP with a p-value of 0.006 and 0.057, respectively. Tests of within-subjects resulted in the p-value of 0.250 (SBP) and 0.176 (DBP) after two weeks of intervention. There were no significant differences in SBP and DBP between the intervention group and the control group.Conclusion: The cupping pressure between 400 mbar and 540 mbar could reduce blood pressure; however, the cupping pressure of 540 mbar yielded greater effect in decreasing blood pressure than the 400 mbar. Negative air vacuum pressure loads on cupping to decrease blood pressure should be considered between 400 to 540 mbar, and further studies are needed.


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