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Implementasi Model Pemberdayaan Segitiga Kerjasama pada Pengelolaan Posbindu PTM Hotma - Rumahorbo; Nandang Ahmad Waluya; Tarjuman Tarjuman
Media Karya Kesehatan Vol 4, No 2 (2021): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v4i2.32645

Abstract

Peningkatan kejadian penyakit tidak menular(PTM) seperti diabetes dan hipertensi menjadi ancaman terhadap upaya menurunkan angka kematian akibat jantung dan stroke. PTM dapat dicegah melalui deteksi dini faktor risiko dan  pengelolaannya secara efektif. Posbindu PTM sebagai wadah bagi masyarakat untuk mengenal dan belajar bersama  membangun perilaku hidup sehat sebagai upaya mengendalikan PTM. Belum optimalnya pengelolaan Posbindu PTM Kemuning dan Tanjung di Kota Cimahi menjadi latarbelakang  kegiatan pengabdian pada masyarakat (PPM). Tujuan PPM adalah  meningkatkan pengetahuan kader tentang DM dan hipertensi dan keterampilan kader dalam melakukan skrining faktor risiko DM dan Hipertensi dengan implementasi model segitiga kerjasama (SESAMA). Metoda yang digunakan adalah pemberdayaan dengan pelatihan dan pendampingan kader dalam melaksanakan kegiatan pemeriksaan kesehatan dan penyuluhan. Sasaran kegiatan adalah  20 orang kader di posbindu PTM Kemuning dan Tanjung. Hasil menunjukkan peningkatan pengetahuan  sebelum dan sesudah pelatihan sebesar 15.56 poin dengan p: 0.00, peningkatan ketrampilan sebesar 9.70 poin dengan p: 0.00 dan sebagian besar kader menyatakan semakin  memiliki rasa percaya diri untuk melaksanakan tugas . Dalam pelaksanaan pemeriksaan kesehatan,  sebanyak 65 warga di Posbindu Kemuning dan 82 warga di Posbindu Tanjung  mengikuti kegiatan yang dilaksanakan oleh kader. Hasil  pemeriksaan ditindaklanjuti dengan penyuluhan kesehatan dan olahraga bersama kader dan warga. Direkomendasikan agar pelaksanaan Posbindu PTM paska kegiatan PPM dapat  dimonitoring oleh puskesmas Cimahi Utara dan kegiatan PPM serupa dapat diterapkan di Posbindu PTM lainnya di Kota Cimahi.Kata kunci: Kader, ketrampilan, pemberdayaan, pengetahuan, posbindu. 
Control Blood Sugar Levels of Children with Juvenile Diabetes with Creative Education Lia Herliana; Hotma Rumahorbo
Health Notions Vol 5, No 3 (2021): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn.v5i3.637

Abstract

Juvenile Diabetes (JD) is type diabetes I or Insulin Dependent Diabetes Mellitus (IDDM) which occurs in childhood, is hereditary due toreactions autoimmune in pancreatic beta cells. Damage to pancreatic beta cells results in the absence of insulin, leading to hyperglycemia and its complications. People with JD need insulin injections, dietary arrangements and physical exercise as well as emotional conditions that must always be maintained so that blood glucose remains balanced and avoid threatening acute complications. Acute complications such as hypoglycemia and diabetic ketoacidosis are the biggest threat for people with JD. This study aims to obtain an overview of changes in HbA1C levels in children with juvenile diabetes before and after creative education in both the intervention and control groups.research Quasi experimentaldesign pre post intervention with control group design. The research sample consisted of 42 students with JD, each of which consisted of 21 control groups and 21 intervention groups. The results showed a significant effect on the value of HbA1C levels before and after the intervention in the intervention group with p value = 0.02. Conclusion The creative application of education interventions can control blood glucose levels in children with JD, so it is recommended that these interventions be implemented especially in children with JD. Keywords: juvenile diabetes, creative education, HbA1C
The Effectiveness of Melpredia Prediabetes Self Management Education Based on Android Applications on HbA1c Levels in People with Prediabetes Amelia Nurul Hakim; Hotma Rumahorbo; Sudirman Sudirman
Jurnal Keperawatan Vol. 13 No. 1 (2022): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v13i1.18219

Abstract

Introduction: Prediabetes is a condition that will develop into type 2 Diabetes Mellitus (DMT2) within 3-5 years. Glycaemic control is the primary intervention in long-term management, so structured education with appropriate and sustainable media is needed using mobile health technology. Objectives: The development of the "Melpredia" application based on an android application as a media for health promotion and its effect on HbA1c glycaemic control and self-care management. Methods: The Research type was Research and Development (R&D), and model testing using Quasi-experiments with pre-test post-test control group design was carried out for three months from January to April 2021. The purposive sampling technique consisted of 15 intervention groups and 15 control groups. The data were tested using Paired t-test and an independent t-test. The research instrument used by application "Melpredia." Results: The Android-based Melpredia application obtained a percentage of 89% (Fair) and the feasibility test for material aspects with a percentage of 90% (excellent). Using the Melpredia application has the effect of Prediabetes Self-Management Education based on an android application on HbA1c levels of 5.927 ± 0.1831 in people with prediabetes than conventional health promotion (p = 0.001). Conclusions: Application "Melpredia" android based and can effectively improve the HbA1c levels and self-care management of prediabetes in preventing diabetes mellitus by utilizing educational menu, meal planning, physical activity, and reminders use applications. "Melpredia" is more effective than conventional.
GAMBARAN KEPATUHAN KONTROL PASIEN PASKA STROKE BERDASARKAN FAKTOR DEMOGRAFI Sofi Novia Andriani; Ali Hamzah; Lina Erlina; Hotma Rumahorbo
Jurnal Keperawatan Indonesia Florence Nightingale Vol. 2 No. 1 (2022)
Publisher : UPPM. Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jkifn.v2i1.71

Abstract

This research was motivated by the high incidence and mortality of stroke patients in Indonesia every year. Strokes can also cause disability and even death and often occur repeatedly, so it is necessary to control risk factors that can prevent the occurrence of these attacks, among others by exercising routine control. Routine control needs to be followed by adherence from the patient so that the effectiveness of treatment and complications that may arise can be monitored and controlled. This study aims to determine the compliance of post-stroke control patients based on demographic factors in Dr. Salamunun Hospital. The research method used is descriptive method, with a total sample of 191 people obtained through total sampling techniques. The data obtained came from secondary data, namely from the patient's medical record report. The results showed that demographic factors had a contribution to patient compliance, which was based on the age factor of almost half (33.5%) patients aged> 65 years and more than half of the respondents were male patients (68.9%) obedient do control post stroke. Meanwhile, according to the level of education, almost half (37.8%) of the graduates who were educated were compliant to control, and almost half (44.4%) of those who worked as compliant entrepreneurs exercised control after stroke and according to the status of patient visits that adhered to control, which was partly besaar (86.7%) old patients. Thus it can be concluded that only a small proportion (23.6%) of stroke patients who adhere to routine control after they have had a stroke. For this reason it is advisable for nurses to always remind the control schedule of both the patient and the patient's family after stroke about 2-3 days before the control schedule via social media.
Extremity Joint Range of Motion Exercise on Intradialytic Blood Pressure Control in Hemodialysis Patients Dedeh Riayatul Maula; Hotma Rumahorbo; Novi Elvinawaty Mauliku; Yayat Suryati; Murtiningsih Murtiningsih
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2657

Abstract

Changes in blood pressure during hemodialysis is an important point that must be a concern. The occurrence of hypotension and intradialytic hypertension can have an impact on reducing the adequacy of dialysis, decreasing kidney function, and can even affect the patient's quality of life. Among the non-pharmacological interventions that are considered safe and effective in the management of intradialytic blood pressure control are intradialytic exercises, one of which is range of motion exercises for the extremities. To determine the effect of extremity joint range of motion exercises on intradialytic blood pressure control in hemodialysis patients. This research used a quasi-experimental pre-test and post-test control group design using cluster sampling with a purposive sampling technique with a sample size of 46 respondents (23 intervention and 23 control group respondents) with Wilcoxon test data analysis. in the intervention group the average systolic blood pressure before and after intradialytic exercise was -6.42mmHg, the diastolic blood pressure difference was -2.38mmHg with p value of systolic and diastolic blood pressure p=<0.05, In the control group systolic blood pressure p= 0.024 with a difference of 2.4, independent t test results mean systolic blood pressure 2.88mmHg and diastolic blood pressure mean 1.12mmHg with p value both P>0.05. Extremity joint range of motion exercises can affect blood pressure in the intervention group.
Senam Yin Yoga terhadap Penurunan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe II Jayusman, Muhamad Ifadh Arifqy; Budiman, Budiman; Sitorus, Ria Eviyantini; Kosasih, Cecep Eli; Rumahorbo, Hotma
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.6517

Abstract

This research aims to determine the effect of yin yoga on reducing blood sugar levels with type 2 diabetes mellitus in the Karawang Regency General Hospital. The method used in this research is quantitative with a quasi-experimental design, with a pre-posttest with a control design. The results of the study showed the results of the T-test (paired sample) showed that the average blood sugar level measurement before control was 334.95 mg/dl with a standard deviation of 95.697 mg/dl. The measurement value for the respondents' sugar levels after control was an average of 251.80 mg/dl. In conclusion, both blood sugar levels during pre-intervention and pre-control had similar results. Keywords: Diabetes Mellitus Type 2, Blood Sugar Levels, Yin Yoga Exercises
DIABETES MELITUS SEBAGAI SALAH SATU PENYULIT PENYEMBUHAN PASIEN COVID19 Wahdana, Wahyu; Rumahorbo, Hotma; Murtiningsih
JURNAL KESEHATAN KARTIKA Vol. 15 No. 3 (2020): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v15i3.60

Abstract

Secara global telah dilaporkan 40,2 juta kasus konfirmasi COVID-19 di 72 negara dengan 13.782 kematian sampai dengan 30 Oktober 2020, termasuk Indonesia. Pandemi virus korona yang disebabkan oleh SARS-CoV-2 (penyakitnya disebut dengan COVID-19). Data di Indonesia saat ini juga memperlihatkan kecenderungan yang terus meningkat. Penyakit ini relatif baru, memiliki perjalanan penyakit yang cepat dan sangat mudah menular namun sebagian besar sifat-sifatnya masih belum dipahami. Kontak yang erat dengan pasien yang terinfeksi COVID-19 adalah rute penularan utama (Morfi, C. W., 2020). Penyandang DM memiliki risiko tinggi tertular covid 19 dan memilik prognosis yang buruk apabila terinfeksi covid 19. Namun, kebanyakan penyandang DM hanya fokus pada pencegahan covid 19 sehingga mereka lupa untuk mengontrol kadar gula darah. Mereka jarang untuk memeriksa kadar gula darah, jarang minum obat, kurang melakukan aktifitas fisik dan kurang memperhatikan pola makan, Kita tahu bahwa apabila gula darah penyandang DM tidak dikontrol baik, dapat menimbulkan komplikasi seperti Stroke, Penyakit jantung koroner, gagal ginjal dan sebagainya. Penelitian ini untuk mengetahui apakah penderita DM lebih rentan untuk Covid-19, tetapi beberapa penelitian telah melaporkan risiko yang lebih besar Covid-19 parah pada pasien diabetes. Pada penelitian ini, penulis menggunakan literatur review sebagai kerangka yang disusun untuk mengklasifikasikan sumber-sumber data dan informasi umum yang dikaji dalam penelitian. Penulis berusaha untuk menghimpun informasi dari studi terdahulu yang berkaitan dengan variabel bebas, variabel terikat dan korelasi antar kedua variabel tersebut. Dengan adanya literature review, akan memudahkan penulisan karya ilmiah.
Youtube-based stroke care education development and its effectiveness on the levels of compliance with physical rehabilitation in post-stroke patients Cahyani, Gita; Rumahorbo, Hotma; Sudirman, Sudirman
Media Keperawatan Indonesia Vol 6, No 3 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.3.2023.234-243

Abstract

Stroke is damage to brain tissue due to disruption of blood flow to the brain. One impact in stroke patients is weakness on one side of the body or hemiparesis. The management of stroke includes physical rehabilitation. However, many post-stroke patients still do not comply with physical rehabilitation, so education is needed about the importance of complying with physical rehabilitation to accelerate recovery and restore movement function in post-stroke patients. The purpose of this study is to develop Stroke Care Education and analyze its effectiveness on adherence to physical rehabilitation in post-stroke patients. The design of this study used Research and Development (R&D) and a quasy experiment with a pretest-posttest control group design which was carried out for 21 days. The sampling technique used purposive sampling which consisted of 60 respondents who were divided into the intervention and control groups. The intervention group was given YouTube-based Stroke Care Education twice a day (20 minutes), while the control group was given a leaflet. The measurement method used a level of adherence questionnaire, namely the Morinsky Medication Adherence Scale (MMAS) with low, medium, and high measurement values. The data were analyzed using the Wilcoxon test and the Mann-Whitney test. The results of this study YouTube-based Stroke Care Education is suitable for use for post-stroke patients with a validity test result value of 87.5%. The statistical test results showed an increase in adherence to physical rehabilitation in the intervention group compared to the control group, from an average score of 4.40 to 7.57. Meanwhile, in the control group, it increased from 3.77 to 4.23 with a value of p = 0.000. In conclusion, YouTube-based Stroke Care Education is effective in increasing adherence to physical rehabilitation in post-stroke patients.
Development of Instruments Test to Detect Diabetes Mellitus in Pregnancy Anissa, Kintan; Rumahorbo, Hotma; Wahyuni, Sri
Jurnal Kebidanan Vol 12, No 1 (2023): February 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jk.12.1.2023.27-36

Abstract

Background: Diabetes mellitus in pregnancy is a disorder of carbohydrate tolerance that results in hyperglycemia which is characterized by polyuria, polydipsy, and polyphagia. Pregnant women with DM in pregnancy are associated with high morbidity and mortality. Early detection of DM in pregnancy is important so that further treatment can be done. There is no test instrument that can be used to detect DM in pregnancy. Obtain a test instrument to detect the symptoms of Diabetes Mellitus in pregnancy. Method: The type of research used is R&D (Research and Development). Development research conducted to produce a product in the form of an early detection instrument for diabetes mellitus in pregnancy. The study was conducted by providing early detection instruments for Diabetes Mellitus in pregnancy in first trimester pregnant women and then examining fasting blood sugar in first trimester pregnant women. The number of samples in the study 119 taken by Purposive Sampling technique. Analysis of data using the value of sensitivity, specificity, and accuracy. Result: The test instrument consisted of 13 questions, with a sensitivity value of 72.41%, a specificity value of 91.11%, and an accuracy value of 86.55%.. Conclusion: Early detection instruments for diabetes mellitus in pregnancy can be used as standard guidelines for antenatal care in pregnant women and can be used as an alternative to detect DM in pregnancy before supporting examinations by midwife professionals can be further developed research development using standard methods for measuring blood sugar more accurately and The research was carried out by measuring the precision value so that the instrument produced accurate and consistent results.
The Prolanis Gymnastic Intervention and Autogenic Relaxation on Blood Sugar Levels and Stress Levels Among Type 2 Diabetes Mellitus Patients Nur Rezki; Rumahorbo, Hotma; Arwani; Pujiastuti, Rr. Sri Endang
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 6 (2022): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i6.649

Abstract

Background: Hyperglycemia in people with diabetes mellitus can be motivated by stress factors which include physical, biological, psychological, and socio-cultural stress. The importance of the nurse's role in the implementation of diabetes mellitus management will be able to provide a reduction in stress levels and increase the ability of self-care in self-controlling blood sugar levels of diabetics. Non-pharmacological management such as prolanis gymnastic and autogenic relaxation can control blood sugar levels and stress levels in patients with type 2 diabetes mellitus. Objective: The study aims to determine the effectiveness of prolanis gymnastic and autogenic relaxation on fasting blood sugar levels and stress levels among type 2 diabetes mellitus patients. Design: Quasi Experiment study pretest and post-test with control group design were applied in this study. Result: Repeated Measure Anova test showed a significant difference with the mean fasting blood sugar level and stress level with p=value 0.000 (<0.05). Independent T-test showed a significant difference between intervention group and control group on fasting blood sugar levels and stress levels after post-test in the third week. The intervention group is better at lowering fasting blood sugar levels and stress levels than control group seen from the higher value difference. Conclusion: The conclusion of this study is prolanis gymnastic and autogenic relaxation three times a week for three weeks effectively reduces fasting blood sugar levels and stress levels in patients with type 2 diabetes mellitus. This study can be used for reference for future research, controlling the patient’s diet, lifestyle, etc, and longer duration of intervention, so that the result obtained are more valid Keywords: Prolanis gymnastic, autogenic relaxation, fasting blood sugar levels, stress levels, type 2 Diabetes Mellitus