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Implementasi Model Inkola (Informasi, Komunikasi, dan Tatakelola) dalam Pengelolaan Anak Penyandang Diabetes Tipe 1 pada Program Pengembangan Desa Sehat di Wilayah Bandung Raya dan Cimahi Widiawati, Ida; Rumahorbo, Hotma; Sasmita, Anah; Kusniasih, Susi; Nurhayati, Betty; Damayanti, Didit
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.4063

Abstract

There is an increasing number of cases of children with type 1 diabetes in the community, especially in the Greater Bandung area and Cimahi City, there are 50 children with diabetes who need special treatment. The InKoLa (Information, Communication and Governance) model is a sustainable care model that has been empirically proven to improve the quality of life of children with diabetes and control blood sugar. The purpose of implementing the InKoLa Model is to improve the ability and independence of parents in caring for children and improve the ability of teachers/school parties to assist children at school and provide optimal health services by Puskesmas health workers. This model was implemented using training/education and mentoring methods in partner areas with a target group of 30 children and parents, 10 teachers/school officials and 12 Puskesmas health workers. The increase in parents' knowledge in the good category by 43.3%, high self-efficacy increased by 43.5%; UKS teacher knowledge in the good category increased by 40% and high self-efficacy increased by 40%. Children's knowledge in the good category increased by 42.6% and self-efficacy increased by 60%.  The meeting resulted in a common perception and commitment to bring optimal information, communication and governance at home and school. The INKOLA model was implemented to manage children with type 1 diabetes in the community. It is recommended that the Health Office and Puskesmas use the InKoLa model to manage children with type 1 diabetes in the community.
Extremity Joint Range of Motion Exercise on Intradialytic Blood Pressure Control in Hemodialysis Patients Maula, Dedeh Riayatul; Rumahorbo, Hotma; Mauliku, Novi Elvinawaty; Suryati, Yayat; 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.
The Effect of Acupressure on Increasing Oxygen Saturation in Pneumonia Patients Mauliku, Novie Elvinawaty; Yudistira, Andy; Rumahorbo, Hotma; Inayah, Iin; Susilawati, Susilawati
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3287

Abstract

Pneumonia is one of the top 10 hospital admissions, with a case proportion of 53.95% male and 46.05% female. Pneumonia can cause complications in the oxygenation process that lead to decrease the oxygen saturation value and causes hypoxemia. The puspose of this study was to analyze the effectiveness of acupressure on increasing oxygen saturation in patients with pneumonia. The design used quasi experiment pre test and post test with control group design approach. The sampel of this study was patiens with pneumonia between of 18 to 64 years, which choosing by convenience sampling. Participants in the experimenal group received auricular acupressure at the Shen Men and 5 meridian points, that is LU1, LU2, BL11, BL 12, and BL13. Data collection was done by measuring oxygen saturation using a plus oxymeter. The analysis test to determine the effect of acupressure on oxygen saturation using the Mann-Whitney Test with a significance level of 0.05, and N-Gain. The results showed that average oxygen saturation before acupressure in the intervention group was 74.00% and in the control group 73.15%. After acupressure there was an increase of saturation oxygen 23,8% in the intervention group and 21% in the control, and the effect test showed that there was an effect of acupressure on oxygen saturation (pValue 0.000). The conclusion is acupressure therapy can accelerate increaseing oxygen saturation in pneumonia patients. Therefore,  it is recommended that besade  addition standard therapy, pneumonia patients can also be given acupressure to accelerate healing.
“ATemp”, A Tempe-based product with High Nutritional Value and Low Glycemic Index (Alternative Plant-Based Protein Sources for Diabetic Patients) Rumahorbo, Hotma; Saleky, Yohannes Willihelm; Lucas, Jedya; Herdianta, Dhimas
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3379

Abstract

Diabetes Mellitus (DM) is a metabolic endocrine disease with the identical symptom of hyperglycemia. One of the main pillars in DM management is nutrition therapy through limiting the intake of carbohydrates and high simple sugar (monosaccharides). The availability of foods with low glucose levels has become one of the crucial needs of DM patients in controlling blood glucose levels. Tempeh is a soy-fermented local food that has been known widely by Indonesian Society. Tempeh-based food products with high nutritional value and low sugar are still scarcely found in society. Thus, this research aims to develop a tempeh-based product with high nutrition value (protein), low Glycemic Index (GI) level and adequate fibre content. Research and Development Design method was used in this research with the selecting, sorting and processing done with respecting the standard of food processing. The yield product was tested on 40 panellists for organoleptic tests, analyzed in the laboratory to measure the nutrient content, and calculated for glycemic index. The results show that “ATemp” (a tempeh floss) has a result of organoleptic test with the panellist who stated like and very like for colour of the product 65%, for the aroma 67,5%, for the texture 58% and for the taste of the product 50%. Laboratory analysis has shown that 100 g of ATemp contains 23 g of fat, 19 g of protein, 45 g of carbohydrate, 1 g of sugar, 257 mg of sodium, 12 g of fibre and 465 kcal of total energy. The result of GI test shows that Atemp has a GI level of 12 (low) and GL level of 2,7 (low). ATempt has a high potential to be an alternative food for diabetes or for those who are doing low-sugar diet.