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Faktor-faktor yang berhubungan dengan kejadian peningkatan kadar gula darah pada pasien TBC (tuberkulosis) Elsa, Aprina; Antoro, Budi; Sari, Nova Nurwinda
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 4 (2025): September Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i4.1512

Abstract

Background: Tuberculosis (TBC) is a contagious infectious disease caused by Mycobacterium tuberculosis, which primarily affects the lungs but can also impact body metabolism, including increasing blood glucose levels. Factors such as age, duration of medication, and nutritional status are suspected to contribute to this condition. Purpose: To identify the factors associated with increased blood glucose levels in TBC patients at Way Halim Community Health Center, Bandar Lampung, in 2025. Method: This research employed a quantitative approach with a descriptive analytic design and Chi-Square test analysis, involving 51 respondents. Results: Data were collected through observation and medical documentation. The results showed that the majority of respondents were over ≥ 45 years old (64.7%), had a medication history of more than ≥2 (66.7%), and experienced elevated blood glucose levels ≥140 mg/dL (46.8%). There were significant associations between age (p=0.003), duration of medication (p=0.007), and body mass index (p=0.032) with increased blood glucose levels in TBC patients. Conclusion: The study concludes that advanced age, prolonged medication use, and excessive nutritional status are significantly associated with elevated blood glucose levels. Therefore, TBC management should consider metabolic factors to prevent further complications.   Keywords: Age; Blood Glucose Levels; Body Mass Index; Treatment Duration; Tuberculosis.   Pendahuluan: Tuberculosis (TBC) merupakan penyakit infeksi menular yang disebabkan oleh Mycobacterium tuberculosis dan tidak hanya menyerang paru-paru, tetapi juga dapat mempengaruhi metabolisme tubuh seperti peningkatan kadar gula darah. Faktor usia, lama minum obat, dan status gizi diduga turut berperan dalam kondisi tersebut. Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan kejadian peningkatan kadar gula darah pada pasien TBC di Puskesmas Way Halim Kota Bandar Lampung tahun 2025. Metode: Pendekatan kuantitatif dengan desain deskriptif analitik dan teknik analisis uji Chi-Square, melibatkan 51 responden dengan data diperoleh melalui observasi dan dokumentasi medis. Hasil: Mayoritas responden berusia ≥ 45 tahun (64.7%), memiliki riwayat minum obat  ≥ 2 bulan (66.7%), dan mengalami peningkatan kadar gula darah ≥ 140 mg/dL (46.8%). Terdapat hubungan yang signifikan antara usia (p=0.003), lama minum obat (p=0.007), dan indeks massa tubuh (p=0.032) dengan peningkatan kadar gula darah pada pasien TBC. Simpulan: Faktor usia lanjut, lamanya konsumsi obat, dan status gizi berlebih berhubungan signifikan dengan peningkatan kadar gula darah, sehingga penanganan TBC perlu mempertimbangkan faktor-faktor metabolik untuk mencegah komplikasi lebih lanjut.   Kata Kunci: Indeks Massa Tubuh; Kadar Gula Darah; Lama Pengobatan; Usia.
Intensitas Bermain Game Online dengan Kecenderungan Perilaku Agresif pada Agregat Remaja Nengah Budiawan; Sari, Nova Nurwinda; Sujiah, Sujiah
Jurnal Keperawatan Profesional (KEPO) Vol. 5 No. 2 (2024): Volume 5 Nomor 2 November 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v5i2.1098

Abstract

Saat ini, banyak orang menghabiskan waktunya dengan memainkan game online mulai dari anak-anak hingga orang dewasa termasuk remaja. Berdasarkan data Asosiasi Penyedia Jasa Internet Indonesia (APJII) dalam Survei Penetrasi Internet Indonesia 2024, dari 8.720 subjek, sebanyak 2.116 subjek (24,27%) pernah bermain game online. Berdasarkan kelompok konsumen game online tersebut, sebanyak 113 orang (13,52%) menghabiskan waktu bermain game online lebih dari 4 jam/hari. Dalam survei yang dilakukan Komisi Perlindungan Anak Indonesia (KPAI) terhadap 25.164 subjek dengan rentang usia 10-18 tahun, terdapat 13.840 subjek (55%) yang bermain game online. Jenis penelitian kuantitatif dengan rancangan correlational dan pendekatan cross-sectional bertujuan untuk mengetahui hubungan antara intensitas bermain game online dengan kecenderungan perilaku agresif pada agregat remaja di SMP Negeri 1 Rumbia. Sampel sebanyak 177 sampel diambil menggunakan teknik purposive sampling. Berdasarkan hasil uji chi-square, didapatkan p-value 0,001 (p-value ? 0,05) artinya ada hubungan signifikan antara intensitas bermain game online dengan kecenderungan perilaku agresif pada agregat remaja di SMP Negeri 1 Rumbia. Diharapkan remaja bisa lebih memperhatikan durasi bermain game online sehingga dapat mengurangi faktor penyebab perilaku agresif dan sekolah dapat menentukan kebijakan dalam pembatasan bahkan pelarangan untuk bermain game online di sekolah.
Resistance Exercise terhadap Sensitivitas Kaki dan Nilai (ABI) pada Penderita Diabetes Melitus Tipe 2 Prameswari, Dita; Sari, Nova Nurwinda; Kurniasari, Septi
Jurnal Keperawatan Profesional (KEPO) Vol. 5 No. 2 (2024): Volume 5 Nomor 2 November 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v5i2.1195

Abstract

Diabetes melitus menjadi perhatian di seluruh dunia karena angka kejadiannya yang terus meningkat dan dapat menimbulkan berbagai komplikasi misalnya mikrovaskuler dan makrovaskuler. Tujuan penelitian ini adalah diketahui pengaruh resistance exercise terhadap sensitivitas kaki dan nilai ankle brachial index (ABI) pada kelompok dewasa penderita diabetes melitus tipe 2 di Puskesmas Kedaton. Jenis penelitian adalah kuantitatif, desain Quasy Eksperiment, pendekatan Pretest Post Test Without Control Group Design. Populasi penelitian ini adalah penderita diabetes melitus tipe 2 yang tidak memiliki ulkus diabetic. Jumlah sampel penelitian sebanyak 31 dengan teknik sampling purposive sampling. Uji analisis yang digunakan adalah uji t berpasangan dengan tingkat kemaknaan 95% (p-value <0,05). Hasil statistic uji t didapatkan p-value <0.001 (p-value <0.05) maka dapat disimpulkan bahwa ada pengaruh resistance exercise terhadap sensitivitas kaki dan nilai ankle brachial index (ABI) pada kelompok dewasa penderita diabetes melitus tipe 2 di Puskesmas Kedaton, Bandar Lampung tahun 2024. Resistance exercise dapat dijadikan sebagai alternatif bagi penderita diabetes untuk meningkatkan nilai sensitivitas kaki dan nilai ankle brachial index (ABI).
The Relationship between Peer and Family Factors with The Tendency for Aggressive Behavior in Adolescents Rosyadi, Khairunnisa; Sari, Nova Nurwinda; Agata, Annisa
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.619

Abstract

Introduction: Adolescence is a critical developmental stage characterized by significant biological, cognitive, and socio-emotional changes. Both peer and family factors have been identified as influential in shaping adolescent aggression. Objective: This study aims to examine the relationship between peer and family factors and the tendency of aggressive behavior among adolescents at SMP Negeri 1 Pulau Panggung in 2024. Method: A quantitative correlational study with a cross-sectional design was conducted involving 265 students selected through simple random sampling. Data were collected using validated questionnaires and analyzed with univariate and bivariate statistical methods, including the Pearson chi-square test. Results: The findings revealed a significant relationship between peer factors and aggressive behavior tendencies, with students experiencing poor peer influences showing higher aggression levels. Similarly, family factors were significantly associated with aggressive tendencies, where adolescents from less supportive family environments exhibited increased aggression. Statistical analysis confirmed these associations with p-values below 0.05. Conclusion: Peer and family environments play crucial roles in influencing aggressive behavior among adolescents. Interventions targeting positive peer interactions and supportive family dynamics are essential to mitigate aggressive tendencies. Future research should consider larger sample sizes and focus on developing effective strategies to reduce adolescent aggression.
Hubungan Self Efficacy Dengan Kepatuhan Perawatan Diri Pada Lansia Penderita Hipertensi Di Wilayah Kerja Puskesmas Sumur Batu Kota Bandar Lampung Klareta Sari, Silvia Gristina; Rukmana, Nova Mega; Sari, Nova Nurwinda
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 4 (2025): Volume 12 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i4.17760

Abstract

Salah satu hal yang mempengaruhi tingkat kepatuhan dalam melakukan perawatan diri penderita hipertensi yaitu dengan self efficacy. Meningkatkan self efficacy maka dapat meningkatkan kepatuhan perawatan diri penderita hipertensi. Tujuan dari penelitian ini untuk mengetahui self efficacy dengan kepatuhan perawatan diri pada lansia penderita hipertensi di Wilayah Kerja Puskesmas Sumur Batu Kota Bandar Lampung tahun 2024. Jenis penelitian ini adalah kuantitatif dengan desain penelitian desktiptif kuantitatif dan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh lansia usia 60 - 74 tahun yang menderita hipertensi berjumlah 65 responden. Total sampel yaitu 56 responden. Teknik sampel yang digunakan adalah purposive sampling. Alat pengumpulan data dengan melakukan pengisian kuesioner kemudian diolah menggunakan uji chi-square. Hasil penelitian dari 56 lansia penderita hipertensi terdapat 41 (73,2%) mempunyai self efficacy kurang baik dan 15 (26,8%) mempunyai self efficacy yang baik. Selain itu, terdapat 43 (76,8%) lansia yang tidak patuh terhadap perawatan diri dan 13 (23,2%) lansia yang patuh terhadap perawatan diri. Hasil analisa bivariat, nilai P value = 0,027 yang menunjukkan bahwa nilai ini lebih kecil dari nilai signifikan α = 0,05. Sehingga ada hubungan yang signifikan antara self efficacy dengan kepatuhan perawatan diri pada lansia penderita hipertensi di Wilayah Kerja Puskesmas Sumur Batu Kota Bandar Lampung tahun 2024. Saran untuk puskesmas Sumur Batu diharapkan dapat meningkatkan program posbindu lansia dan lebih memperhatikan lansia usia 60-74 tahun yang tidak aktif dalam kegiatan dan pemerikasaan kesehatan, agar aktif kembali dan tetap melakukan pemeriksaan kesehatan secara berkala.
Pengaruh Jalan Kaki 30 Menit Terhadap Nilai Gula Darah Pada Pasien Diabetes Mellitus Tipe II di Puskesmas Banjar Agung Lampung Selatan Lestari, Indah; Anita, Fitri; Sari, Nova Nurwinda
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20571

Abstract

ABSTRAK Diabetes Mellitus is a chronic disease whose complications can be prevented and controlled. Data from the Lampung Provincial Health Office in 2022 there were 22,345 cases. While in South Lampung Regency in 2020 there were 11,626 (76.75%) people with DM. Data at Puskesmas Banjar Agung has increased from year to year in 2023 there were 65 cases of DM with an average age between 40-70 years, while in 2024 there was an increase where it was found that the number of DM patients from January - October was 95 cases with an average age between 40-70 years. The purpose of this study was to determine the effect of a 30-minute walk on blood sugar values in patients with type II Diabetes Mellitus at the Banjar Agung South Lampung Community Health Centre in 2024. The type of research is quantitative research with a Pre and Post Test Only Control group Design approach. The sampling technique used purposive sampling technique with a total sample of 34 people (17 control group and 17 intervention group). The measuring instrument used in this study was a digital glucometer and an observation sheet for observing the examination of blood sugar values. The results showed that there was an effect of a 30-minute walk on blood sugar values in patients with Type II diabetes mellitus with a p-value of 0.000 (p-value <0.05), it can be concluded that walking for 30 minutes has an effect on blood sugar values in patients with Type II diabetes mellitus, at the Banjar Agung South Lampung Health Centre in 2024. Suggestions for health centres should diabetics diligently do physical activities such as walking to help lower blood levels. Keywords: Diabetes Mellitus, Blood Sugar, Walking Exercise  ABSTRAK Diabetes Mellitus merupakan penyakit kronik yang komplikasinya dapat dicegah dan dapat dikendalikan. Data Dinkes Provinsi Lampung tahun 2022 terdapat 22.345 kasus. Sementara di Kabupaten Lampung Selatan pada tahun 2020 ada 11,626 (76,75%) penderita DM. Data di Puskesmas Banjar Agung mengalami peningkatan dari tahun ke tahun pada tahun 2023 ada 65 kasus DM dengan usia rata-rata antara 40-70 tahun, sementara pada tahun 2024 mengalami peningkatan dimana didapati data jumlah penderita DM dari bulan Januari – Oktober ada 95 kasus dengan usia rata-rata antara 40-70 tahun. Tujuan penelitian ini adalah diketahuinya pengaruh  jalan kaki 30 menit terhadap nilai gula darah pada pasien Diabetes Mellitus tipe II di Puskesmas Banjar Agung Lampung Selatan tahun 2024. Jenis penelitian penelitian kuantitatif dengan pendekatan Pre and Post Test Only Control group Design. Teknik pengambilan sampel mengunakan teknik purposive sampling dengan jumlah sampel sebanyak 34 orang (17 kelompok kontrol dan 17 orang kelompok intervensi). Alat ukur yang digunakan dalam penelitian ini adalah menggunakan glucometer digital dan lembar observasi observasi pemeriksaan nilai gula darah sewaktu. Hasil penelitian diketahui ada pengaruh jalan kaki 30 menit terhadap nilai gula darah pada pasien diabetes mellitus Tipe II dengan p-value 0,000 (p-value<0,05) dapat disimpulkan bahwa jalan kaki selama 30 menit berpengaruh terhadap  nilai gula darah pada pasien diabetes mellitus Tipe II, di Puskesmas Banjar Agung Lampung Selatan Tahun 2024. Saran untuk puskesmas sebaiknya penderita diabetes rajin melakukan aktivitas fisik seperti jalan kaki untuk membantu menurunkan kadar darah Kata Kunci: Diabetes Mellitus, Gula Darah, Jalan Kaki
hubungan pola makan dan aktivitas fisik terhadap kadar gula darah pasien DM Sugi, Chut Atzel Guslia Putri; maryuni, sri; sari, nova nurwinda
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 9 No 2 (2024): Vol. 9 No. 2 Desember 2024
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v9i2.1692

Abstract

Diabetes is a chronic metabolic disease characterized by increased blood sugar levels (hyperglycemia).Diabetes is caused by diet, unhealthy habits, stress, and lack of exercise. The aim of this research is to determine the relationship between diet and physical activity on blood sugar levels in DM patients at the Beringin Raya Community Health Center, Bandar Lampung City in 2024.the type of research used is quantitative research using a cross-sectional survey design and overall sampling techniques.The samples used in this research were all DM patients who were in the work area of ​​the Beringin Raya Community Health Center during the period January to June 2024, totaling 61 people and my sample who were there were 61 people.Data collection used questionnaires and glucose tests, and the data analysis technique used was the chi-square test. The results of the research show that the statistical test of the relationship between diet and blood sugar produces a value of (0.000), and the statistical test of the relationship between physical activity and blood sugar produces a value of (0.037).
Efektivitas pendekatan mindfulness therapy terhadap penurunan tekanan darah pada lansia dengan hipertensi Dewi, Komala; Sulastri, Diah; Sari, Nova Nurwinda
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 6 (2025): November Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i6.1808

Abstract

Background: Hypertension is a chronic condition characterized by increased blood pressure in the walls of the arteries. Hypertension is treated in two ways: pharmacological and non-pharmacological. Purpose: To determine the effectiveness of mindfulness therapy in reducing blood pressure in the elderly at the Tresna Werdha Lampung Elderly Social Services Unit (UPTD) in 2024. Method: Quantitative research, with a quasi-experimental design using a non-equivalent control group pretest-posttest approach. The population in this study was all 33 elderly respondents with hypertension. The sampling technique used was total sampling. The average systolic blood pressure after mindfulness therapy was 128, with a minimum value of 120 and a maximum of 145. Meanwhile, the average diastolic blood pressure after mindfulness therapy was 82.666, with a minimum value of 80 and a maximum value of 90. Results: Based on the Independent Sample T-Test, the significance value for the control group was 0.000, while the significance value for the intervention group was 0.000, or a significance value <0.05. Conclusion: Mindfulness therapy has an effect on blood pressure in elderly people with hypertension at the UPTD PSLU Tresna Werdha, Natar District, South Lampung Regency in 2024.   Keywords: Mindfulness Therapy; Blood Pressure Reduction; Hypertension.   Pendahuluan: Hipertensi adalah kondisi kronis yang ditandai dengan terjadinya peningkatan tekanan darah di dinding pembuluh darah arteri. Pengobatan hipertensi dilakukan dengan dua cara yaitu pengobatan secara farmakologis dan pengobatan non farmakologis. Tujuan: Untuk mengetahui efektivitas terapi mindfulness terhadap penurunan tekanan darah pada lansia di UPTD Pelayanan Sosial Lanjut Usia Tresna Werdha Lampung tahun 2024 Metode: Penelitian Kuantitatif dengan desain atau rancangan penelitian Quasi Eksperimen dengan pendekatan Non-equivalent Control Group Pretest –Posttest. Populasi dalam penelitian ini adalah seluruh lansia yang mengalami hipertensi berjumlah 33 responden. Teknik sampel dalam penelitian ini menggunakan Total Sampling. Diketahui bahwa rata-rata (mean) tekanan darah sistolik sesudah diberikan terapi mindfulness adalah 128 dengan nilai minimal 120 dan maksimal 145. Sedangkan rata-rata (mean) tekanan darah diastolik sesudah diberikan terapi mindfulness adalah 82.666 dengan nilai minimal 80 dan maksimal 90. Hasil: Berdasarkan Uji Independent Sample T-Test didapatkan kelompok kontrol nilai signifikansi sebesar 0.000, kemudian pada kelompok intervensi nilai signifikansi sebesar 0.000 atau nilai signifikan < 0.05. Simpulan: Terdapat pengaruh pemberian terapi mindfulness terhadap tekanan darah pada lansia dengan hipertensi.   Kata Kunci: Terapi Mindfulness; Penurunan Tekanan Darah; Hipertensi.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN UPAYA PENGENDALIAN KADAR GULA DARAH PENDERTA DIABETES MELLITUS TYPE 2 Saputra, Anggi Happy; Putri, Dian Utama Pratiwi; -, Febria Listina; Sari, Nova Nurwinda
Jurnal Ilmiah Kesehatan Media Husada Vol 14 No 2 (2025): November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v14i2.421

Abstract

Diabetes mellitus is a group of metabolic diseases that are characterized by hyperglycemia that occurs due to impaired insulin secretion, insulin action or both, diabetes mellitus is often referred to as a silent killer and often causes various impacts on sufferers. Knowledge, attitudes, behavior and family support are some of the factors that can trigger blood sugar levels in Diabetes Mellitus sufferers. The purpose of this study was to determine the factors related to efforts to control blood sugar levels in patients Diabetes Mellitus Type 2 at Puskesmas Kalirejo in 2024. This study uses a quantitative research type with a cross-sectional research design. Sampling in this study used a purposive sampling technique with a sample size of 78 respondents. Data analysis with univariate analysis and bivariate analysis with Chi-Square. The results showed that there was a significant relationship between Knowledge (p = 0.000), Attitude (p = 0.011), family support (p = 0.037) with efforts to control blood sugar levels in patients Diabetes Mellitus Type 2. Knowledge is most strongly related to efforts to control blood sugar levels in patients Diabetes Mellitus Type 2, namely Diabetes Mellitus patients who have less knowledge are 22 times more likely to be at risk of lack of efforts to control blood sugar levels in patients DM Type 2.
Factors Associated with Diabetic Ulcer Prevention Behavior in Patients with Type 2 Diabetes Mellitus Sari, Yoan Permata; Sari, Nova Nurwinda; Stiexs, Anggie
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.783

Abstract

Introduction: Diabetes mellitus is a major non-communicable disease with a rapidly increasing prevalence and is associated with serious complications, including diabetic foot ulcers that contribute to disability and mortality. Preventive behaviors, particularly proper foot care, play a crucial role in reducing the risk of diabetic ulcers; however, these behaviors are influenced by various individual and contextual factors that require further investigation. Objective: Type 2 diabetes mellitus often causes macrovascular and microvascular complications, Macrovascular complications are more caused by hyperglycemia, hypoglycemia, diabetic nephropathy, diabetic neuropathy, and diabetic ulcers. The appearance of diabetic foot wounds is characterized by the presence of open wounds on the surface of the skin so that it results in infection due to the entry of germs or bacteria to the surface of the wound if not treated immediately, the infection will expand to the lower skin tissue, tendons, muscles, and even bones. This study aims to determine the factors related to diabetic ulcer prevention behavior in type 2 diabetes mellitus patients at the Kedaton Health Center Bandar Lampung. Method: The type of quantitative research with a cross sectional, sampling technique purposive research design with population 109 a sample of 86 respondents. The data analysis used was univariate and bivariate analysis using the chi square test. Result: The results of this study found that there was a relationship between knowledge and ulcer prevention behavior with a p-value of 0.000 (p-value < 0.05); there was a relationship between attitude and diabetic ulcer prevention behavior with a p-value of 0.000 (p-value < 0.05); and there was a long-standing relationship between suffering from DM and diabetic ulcer prevention behavior with a p-value of 0.022 (p-value < 0.05) at the Kedaton Health Center Bandar Lampung. Conclusion: People with diabetes mellitus should know and practice diabetic ulcer such as good and proper foot care prevention behaviors in order to prevent complications, especially diabetic wounds.