Pengaruh Aktivitas Fisik Jalan Kaki terhadap Kadar Gula Darah pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Cianjur Kota

Introduction: Diabetes mellitus (DM) is a chronic disease that occurs because the pancreas cannot produce enough insulin or the body cannot effectively use the insulin produced by the pancreas. There are 4 ways to maintain blood glucose levels, namely; pharmacological therapy, nutritional therapy, diabetes self management education, and physical activity. Walking exercise is the most often described as the modalities of physical activity to improve health. Objective: The research objective was to determine the effect of walking physical activity on blood sugar levels in diabetes mellitus patients in the work area of ​​the Cianjur Kota Health Center in 2021. Method: This study used a design quasi-experimental with an approach one-group pretest-posttest design. The population of this study was all 620 people with diabetes mellitus who were taken using a simple random sampling technique, which was 17 respondents. Results: Analysis of data using test paired sample t-test. Statistical test results obtained a p-value of 0.000 < 0.05 so that Ha is accepted, which means there is an effect of physical activity on foot on blood sugar levels in diabetes mellitus patients in the work area of ​​the Cianjur Kota Health Center in 2021. Conclusion: This study found that walking exercise as far as 2,5 km for 30 minutes can lower blood sugar levels significantly in patients with diabetes mellitus.

Hubungan Pola Makan Pasien CKD dengan Indeks Massa Tubuh (IMT) Pasien yang Menjalani Hemodialisa di RS Dik Pusdikkes Kodiklat AD

Introduction: Dietary factors or eating patterns can cause patients to experience anorexia so that it affects the body mass index measured by CKD patients (Susetyowati, 2014). Therefore, it is important to understand the research when studying the relationship between the diet of CKD patients and the body mass index of patients undergoing hemodialysis at the Dik Pusdikkes Hospital in 2021. Objective: This study aims to determine how big the influence of the relationship between the diet of CKD patients and the body mass index of patients undergoing hemodialysis to improve the quality of life of CKD patients. Method: The type of research used is quantitative research with a correlational design to determine whether there is a relationship between variables using experimental research. The population in this study that became the study population were all hemodialysis patients at the AD Pusdikkes Hospital. The sampling technique used was total sampling. The research instrument used is a questionnaire. The questionnaire is not standardized so that validity and reliability tests are carried out. In this study, the analysis used the chi-square test. Results: the results of the chi-square test showed that the p-value (0.028) <0.05 then Ha was accepted or there was a relationship between the diet of CKD patients and the patient's body mass index. Conclusion: Based on the results of the analysis of the relationship between the evaluation of hemodialysis patients at RS Dik Pusdikkes Kodiklat AD, 9 respondents had a poor diet with a body mass index in the lean category of 6 people (66.7%) and the normal category of 3 people (33.3%). And 11 respondents have a good diet relationship with body mass index in the thin category of 2 people (40.0%) and the normal category of 12 people (60%).

Peran Keluarga terhadap Penurunan Tingkat Kecemasan Lanjut Usia

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective: To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.

Tingkat Kecemasan dengan Lama Rawat Inap Covid 19

Introduction: The patient's level of anxiety while undergoing treatment at the hospital greatly affects the length of stay in the hospital. Purpose: The purpose of this study was to determine the relationship between the anxiety level of COVID-19 patients and the length of patient care in the COVID-19 inpatient room at the Kalideres Hospital, Jakarta in 2021. Methods: This type of quantitative research is correlative with a cross-sectional approach. The population in this study were covid 19 patients in the inpatient room for covid 19 patients at Kalideres Hospital, Jakarta in 2021 and the sample needed in this study was 54 respondents with the accidental sampling method. The researcher's data analysis used the Spearman-Ro Rank test. Results: Based on the results of the study, the description of the level of anxiety of most of the patients' anxiety was severe anxiety, as many as 26 respondents (48.1%). The description of the length of treatment partly is long, as many as 38 respondents (70.4%). The results of statistical tests are known with the value of P = 0.000 <0.05. Conclusion: There is a relationship between the anxiety level of COVID-19 patients and the length of patient care in the inpatient room at the Kalideres Hospital in 2021.

Hubungan Status Hipertiroid dengan Tingkat Depresi Usia Dewasa Tengah di Komunitas Pita Tosca Wilayah DKI Jakarta

Latar Belakang: Depresi adalah gangguan kejiwaan pada sesorang dengan gejala wajah murung, selalu merasa sedih, merasa tertekan. Hipertiroid merupakan salah satu kondisi dimana aktivitas kelenjar tiroid yang terlalu banyak mensintesis hormon pada tiroid. Akibatnya terjadi peningkatan metabolisme pada jaringan perifer. Tujuan: Penelitian ini bertujuan untuk mengetahui tentang hubungan status hipertiroid dengan tingkat depresi pada usia dewasa menengah. Metode: Jenis penelitian ini mengunakan jenis penelitian korelasional yang mengidentifikasi hubungan antara kejadian hipertiroid dengan kejadian depresi di komunitas pita tossca wilayah DKI jakarta. Hasil: Hasil dari penelitian ini menunjukan bahwa seluruh responden yang mengalami hipertiroid berjenis kelamin wanita yaitu sebanyak 97.3%. Status perkawinan dan status pekerjaan tidak mempunyai hubungan statistik terhadap kejadian hipertiroid. Responden dengan kadar tiroid lebih dari normal (hipertiroid) hampir setengah mengalami depresi sedang yaitu dengan presentase 40,5%. Kesimpulan: Dari penelitian ini dapat disimpulkan bahwa ada hubungan status hipertiroid dengan tingkat depresi usia dewasa menengah di komunitas Pita Tosca wilayah DKI Jakarta Tahun 2021 yaitu dengan p-value = 0,030.

Deskripsi Tingkat Kecemasan Perawat Saat Bertugas di Ruang Perawatan Covid-19

Introduction: Novel Coronavirus Disease (Covid-19) caused by SARS-COV2 was first discovered in Wuhan, China, December 2019. WHO has designated Covid 19 as a pandemic which has resulted in an increase in mortality worldwide. Covid-19 attacks the respiratory system similar to pneumonia but has signs of decreased oxygen saturation. In Indonesia, all health workers and paramedics, especially for a nurse, must always be ready to serve and provide direct care, the transmission rate is very high and the number of cases is increasing every day. This will make nurses as health workers have more workloads and are very vulnerable to experiencing psychological problems in the form of anxiety. Objectives: This study aims to describe the anxiety level of nurses working in the COVID-19 isolation room. Method: This type of research is an analytic study with a cross sectional design. Total population 100 people, with inclusion and exclusion criteria. Result: This study showed that most of the nurses did not experience anxiety, 97 respondents (77.6%), 16 respondents (12.8%) mild anxiety, 11 respondents (8.8%), moderate anxiety, and 1 respondent (0.8%) severe anxiety. Conclusion: the picture of anxiety in nurses who work in the Covid-19 isolation room has the ability to respond to anxiety well.

Studi Kasus: Asuhan Keperawatan pada Orang dengan Gangguan Jiwa dengan Perilaku Kekerasan

Introduction: Perilaku kekerasan adalah suatu keadaan seseorang melakukan tindakan yang dapat membahayakan secara fisik baik terhadap diri sendiri, orang lain dan lingkungan. Dampak atau perubahan yang terjadi dapat berupa perasaan tidak sabar, cepat marah, dari segi sosial kasar, menarik diri, dan agresif. Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with a diagnosis of violent behavior. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mr. J. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is using the mental nursing care format and the SOP on Implementation Strategy (SP). The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: The client was escorted by his family on the grounds of fighting with his friends, feeling humiliated for not working, drugs being hidden and not being taken, being angry at home, speaking rudely and throwing tantrums, having trouble sleeping, the patient dropped out of medicine for approximately 4 weeks Mr. J had previously been admitted to the hospital with the same case, namely violent behavior. There are no families with mental disorders, the patient's communication pattern is closed with the family and the parenting pattern of the client's family is authoritarian. Conclusion: The main nursing problem is violent behavior

Studi Kasus: Asuhan Keperawatan Jiwa dengan Kecemasan pada Orang Dewasa Menerapkan Cognitive Behaviour Therapy (CBT)

Introduction: Anxiety that often occurs during a pandemic can cause a decrease in health conditions, quality of life and feelings of discomfort so that people experience obstacles in the process of life. Objectives: This study aims to determine the effect of Cognitive Behavior Therapy on anxiety during the pandemic. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mrs. E. The sampling technique used was simple random sampling. The study was conducted in the Bogor area in August 2020. The data was collected by means of interviews, observations, and documentation studies. The research instrument was the researcher himself with the tools of a sphygmomanometer, stethoscope, thermometer, penlight, as well as assessment guidelines and Cognitive Behavior Therapy guidelines. The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: After 5 visits to the client's home, the anxiety level was reduced with an anxiety score from an initial score of 25 (moderate anxiety) to 19 (mild anxiety), when the anxiety came the client applied what the nurse had taught, namely doing deep breathing assisted by the family, applying techniques Cognitive Behavior Therapy, and clients are able to carry out activities at home such as cleaning the house, cooking and when leaving the house always pay attention to health protocols. Conclution: Most of the clients who got anxiety disorder problems with Cognitive Behavior Therapy (CBT) were resolved.

Studi Kasus: Asuhan Keperawatan Jiwa Dengan Terapi Kreasi Seni Menggambar Terhadap Pasien Harga Diri Rendah : HDR

Introduction: The prevalence of severe mental disorders in Indonesia is 1.7 permil exceeding the world ratio of only 1 per mile. The number of cases of low self-esteem at the research site is 25%. How to increase self-esteem in clients one of them is with environmental therapy in the form of drawing creation therapy. Objectives: This study aims to find out the increase in client's self-esteem after being given art drawing creation therapy. Method: This research is qualitative research with case study design using nursing process approach. Participants in this study were Mrs. S. Sampling techniques used were purposive sampling. The research was conducted at Laras X Orphanage in October 2020. Data collection is conducted with interviews, observations and documentation studies. Research instruments are researchers themselves with the help of assessment guidelines and daily activity schedule. Result: After being given therapy for 4 meetings the client showed significant progress by attending therapy sessions until completion and willing to interact with other residents, showing eye contact while communicating, and cheerful facial expressions. Conclusion: The main nursing problem in Mr. S is low self-esteem.

Studi Kasus: Asuhan Keperawatan pada Orang Dewasa dengan Isolasi Sosial

Introduction : Mental disorders are individual behavior patterns associated with a symptom of suffering and weakness in one or more important functions of the human being, namely psychological, behavioral, biological functions, these disorders affect the relationship between themselves and society (Maramis, 2010). Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with social isolation. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mrs. B. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is the researcher himself with the assessment guide tool. The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, implement and then carry out nursing evaluations. Result: Implementation strategy 1 (SP1): helping the client identify the causes of the client's social isolation, discussing with the client the advantages of interacting and the disadvantages of not interacting with others, teaching the client how to get to know one person and encouraging the client to include practice talking to people others into daily activities. Implementation Strategy 2 (SP2): evaluates the client's daily schedule of activities, provides opportunities for clients to practice how to get to know one person, and helps clients include talking to other people as one of their daily activities. Implementation Strategy 3 (SP3): evaluate the client's daily activity schedule, provide opportunities for the client to get acquainted with two or more people, and encourage the client to include it in the daily activity schedule Conclusion: Nursing care for Mrs. B found that the first priority nursing problem is social isolation