Claim Missing Document
Check
Articles

Found 31 Documents
Search

Hubungan Gaya Hidup Sedentary Terhadap Kejadian Tinggi Prediabetes di Wilayah Kerja Puskesmas Johar Baru Ambarita, Dita Dwi Lestari; Prabawati, Dewi; Hidayah, Ainun J
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 1 (2022): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v17i1.146

Abstract

Introduction: The incidence of prediabetes risk increases every year. This can occur as a result of  lack on physical activity which is exacerbated by a pandemic condition that strengths people to stay at home more. Objectives:  This study was conducted to determine the relationship between a sedentary lifestyle towards the incidence of prediabetes in the working area of the Johar Baru Health Center. Methods:  The study design used is descriptive correlation with a cross sectional approach. The sample in this study was the community in the working area of the Johar Baru Health Center and there were 64 respondents chosen using purposive sampling technique. The Finnish Diabetes Risk Score (FINDRISC) instrument was utilized to assess the prediabetes score, while The Sedentary Behavior questionnaire used to measure sedentary lifestyle. Results: Univariate results showed that the majority of respondents had frequent sedentary behavior (93.8%) and a high risk of prediabetes (54.7%) followed by a very high risk of prediabetes (23.4%). Bivariate analysis using the Kendall Tau-C test revealed a significant relationship between a sedentary lifestyle and the incidence of prediabetes with  p-value of 0.027 (µ = 0.05). Conclusions:  High risk prediabetes was correlate significantly with sedentary lifestyle; therefore,  it is suggested to perform physical activity for 30 minutes every day and lower sedentary lifestyle by limiting the use of gadgets and laptops in daily life.
ISOMETRIC EXERCISES AND MASSAGE FOR HYPERTENSIVE PATIENTS AT PROLANIS MEMBERS AT JOHAR BARU HEALTH CENTER, JAKARTA Prabawati, Dewi; Suprapti, Fitriana; Maxmilla Yoche, Maria; Felicia, Felicia
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 7 No. 3 (2023): SEPTEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v7i3.1942

Abstract

Hypertension is a global health problem and is recognized as a major contributor to the burden of cardiovascular disease. The prevalence of hypertension continues to increase due to lifestyle changes such as smoking, obesity and psychosocial stress. It is important to educate people with hypertension to self-manage themselves at home. This community service activity aimed to provide health information about hypertension and self-management in the form of exercise and massage. This activity was attended by 30 Prolanis (Chronic Disease Management Program) participants at Johar Baru Health Center in Jakarta. There were 5 sessions in this activity: Session 1&2 for registration and measurement of physiological parameters, followed by cardiovascular exercises. Session 3 for health education about hypertension in general, then followed by next session on isometric exercises with a tennis ball and final session on of self-massage exercise. The evaluation done on this activity showed that the participants demonstrated isometric exercises and back massage techniques that can be carried out independently. Hypertensive patients are expected to be actively involved in Prolanis activities and conduct self-management intervention to maintain their blood pressure and prevent the complications.
Effectiveness of Mindfulness Based Intervention: Open Heart Prayer in Diabetic Ulcer Patients at X Bekasi Hospital Apituley, Frian; Prabawati, Dewi; Supardi, Sudibyo
Al Makki Health Informatics Journal Vol. 2 No. 5 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i5.33

Abstract

Diabetic ulcers are open wounds on the skin surface accompanied by necrotic tissue. Patients with diabetic ulcers tend to experience a significant increase in emotional distress, where individuals will feel negative emotions in daily life. This study aims to determine the effectiveness of mindfulness-based intervention: Open Heart prayer on emotional distress and blood sugar levels in diabetic ulcer patients at X Bekasi Hospital. This study used a quasi-experimental method with a two-group pre-test and post-test approach, involving 98 samples divided into a control group (49) and an intervention group (49). Open Heart prayer therapy was given 4 times a week for 4 weeks, with the research instrument being the DASS 42 questionnaire. The results showed a significant relationship between mindfulness-based intervention: Open Heart prayer in reducing emotional distress in the intervention group before and after the intervention (p-value <0.001). Diabetic ulcer patients who underwent Open Heart prayer experienced a 1-time decrease in emotional distress compared to patients who did not undergo the intervention. In addition, the decrease in emotional distress had an impact on reducing blood sugar levels (p-value <0.001). Patients who experienced a decrease in emotional distress showed a decrease in fasting blood sugar levels by 12 times (Exp (B) = 11.795) compared to patients whose emotional distress increased.  Mindfulness-Based Intervention Therapy: Open Heart prayer proved to be effective in helping reduce emotional distress and fasting blood sugar levels in diabetic ulcer patients. Multivariate results showed that the risk factors of gender and degree of injury had a significant effect (p-value <0.05) in reducing emotional distress, while age and degree of DM also had a significant effect (p-value <0.05) in reducing emotional distress.
Effectiveness of Guided E-Booklet-Based Education on Self Care Behavior and Blood Sugar in Hospital X Bandung Asriyanti, Asriyanti; Prabawati, Dewi; Wilhelmus, Wilhelmus
Jurnal Health Sains Vol. 5 No. 8 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i8.1345

Abstract

Diabetes mellitus is a metabolic disorder requiring patients to manage and stabilize their condition to prevent complications. Education using e-booklets can facilitate information access and blood sugar control. This study aimed to eval_uate the effectiveness of e-booklet-based education on self-care behavior and blood sugar levels in diabetes mellitus patients. Conducted from June to August 2023 at X Hospital's internist clinic in Bandung, the research employed a quasi-experimental pre-test and post-test design with a control group. The study involved 126 respondents, with 63 in the intervention group and 63 in the control group, selected through purposive sampling. The intervention lasted 4 weeks, covering 8 materials with ongoing monitoring and active participation. Self-care behavior and random blood sugar levels were measured at the beginning and end of the study using the Summary Diabetes Self-Care Activity (SDSCA) questionnaire and blood glucose tests. The Wilcoxon test revealed significant differences in self-care behavior and blood sugar levels before and after the intervention (p < 0.05). The Mann-Whitney test showed significant differences between the intervention and control groups (p < 0.05). Multivariate analysis indicated that age, gender, education, disease duration, and e-booklet-based education accounted for 22.2% of the variance in self-care behavior and 30.6% in blood sugar levels. E-booklet-based education effectively improves self-care behavior and blood sugar control. The study recommends ongoing development and supervision to establish healthy habits and prevent complications.
Pengaruh Edukasi Kesehatan terhadap Perilaku Perawatan Kaki Penderita Diabetes Mellitus di Puskesmas Tanjung Priok Jakarta Sinurat, Alvin Juliero; Prabawati, Dewi
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.20738

Abstract

ABSTRACT Self-foot care is an essential measure to prevent foot ulcers caused by complications of Diabetes Mellitus (DM). Routine foot inspection and care are components of self-care behavior that should be practiced by individuals with DM. This study aimed to determine the effect of health education on foot care behavior among DM patients at Tanjung Priok Public Health Center, North Jakarta. The study employed a quasi-experimental design with a post-test only non-equivalent control group approach. A total of 60 DM patients were selected using non-probability sampling with a quota sampling method, consisting of 30 participants in both the experimental and control groups. Data collection was conducted in June 2024. The intervention consisted of a one-time health education session delivered using PowerPoint and educational videos. The instrument used to assess foot care behavior was the Foot Care Behavior Scale (FCBS) questionnaire. Univariate analysis showed that the majority of respondents in the experimental group were aged 56–65 years (50.0%), while those in the control group were aged 46–55 years (46.7%). Most respondents were female (63.3% experimental; 73.3% control), had a senior high school education (50.0%) in the experimental group and elementary/junior high school education (53.3%) in the control group, were housewives (40.0% and 33.3%), and had been living with DM for more than five years (56.7% and 53.3%). The Independent Sample T-Test showed a significant difference in foot care behavior between the intervention and control groups (p = 0.000; p < 0.05). The findings indicate that health education has a positive effect on improving foot care behavior in DM patients. It is recommended that foot care education be provided routinely by healthcare professionals and that families actively support patients in performing daily foot care practices. Keywords: Diabetes Mellitus, Health Education, Foot Care Behavior  ABSTRAK Perawatan kaki secara mandiri merupakan langkah penting dalam mencegah terjadinya luka kaki akibat komplikasi Diabetes Mellitus (DM). Pemeriksaan dan perawatan kaki secara rutin termasuk dalam perilaku perawatan kaki mandiri yang perlu dilakukan oleh penderita DM. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi kesehatan terhadap perilaku perawatan kaki pada penderita DM di Puskesmas Tanjung Priok, Jakarta Utara. Desain penelitian ini adalah kuasi-eksperimental dengan pendekatan post-test only non-equivalent control group. Sampel terdiri dari 60 pasien DM yang dipilih menggunakan teknik non-probability sampling dengan metode quota sampling, masing-masing 30 responden pada kelompok eksperimen dan kontrol. Pengumpulan data dilakukan pada Juni 2024. Intervensi berupa edukasi kesehatan diberikan satu kali menggunakan media presentasi (PowerPoint) dan video edukatif. Instrumen yang digunakan adalah kuesioner Foot Care Behavior Scale (FCBS) untuk mengukur perilaku perawatan kaki. Hasil univariat menunjukkan bahwa mayoritas responden pada kelompok eksperimen berusia 56–65 tahun (50,0%) dan kelompok kontrol 46–55 tahun (46,7%), sebagian besar berjenis kelamin perempuan (63,3% dan 73,3%), memiliki pendidikan terakhir SMA/SMK (50,0%) dan SD/SMP (53,3%), bekerja sebagai ibu rumah tangga (40,0% dan 33,3%), serta telah menderita DM lebih dari lima tahun (56,7% dan 53,3%). Hasil uji Independent Sample T-Test menunjukkan terdapat perbedaan yang signifikan pada perilaku perawatan kaki antara kelompok eksperimen dan kontrol (p = 0,000; p < 0,05). Dapat disimpulkan bahwa edukasi kesehatan berpengaruh terhadap peningkatan perilaku perawatan kaki pada penderita DM. Diharapkan edukasi tersebut dapat diberikan secara rutin oleh tenaga kesehatan, serta didukung oleh keluarga untuk meningkatkan kepatuhan pasien dalam melakukan perawatan kaki sehari-hari. Kata Kunci: Diabetes Mellitus, Edukasi Kesehatan, Perilaku Perawatan Kaki
The Effectiveness of Education and Buerger Allen Exercise on Peripheral Neuropathy Symptoms and Fasting Blood Sugar in Type 2 Diabetes Patients at Hospital X, Bandar Lampung Simbolon, Alex Candra Martua; Tjitra, Emiliana; Prabawati, Dewi
Asian Journal of Social and Humanities Vol. 4 No. 3 (2025): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/g57qxx93

Abstract

Type 2 diabetes mellitus (DM) is a prevalent metabolic disorder often accompanied by complications such as diabetic peripheral neuropathy (DPN), which impairs sensation and quality of life. Non-pharmacological interventions such as patient education and Buerger Allen Exercise (BAE) have been recommended for managing symptoms and glycemic control, but evidence on their combined effectiveness in clinical settings in Indonesia remains limited. This study evaluated the effectiveness of structured diabetes education combined with Buerger Allen Exercise (BAE) in reducing peripheral neuropathy symptoms and improving fasting blood glucose (FBG) levels among type 2 diabetes mellitus patients. A quasi-experimental one-group pretest-posttest design was employed with 120 purposively sampled patients at Hospital X in Bandar Lampung. The intervention consisted of comprehensive DM education followed by supervised BAE training, performed twice daily for 15 minutes over 14 consecutive days. Neuropathy symptoms were assessed using the Michigan Neuropathy Screening Instrument (MNSI), and FBG was measured with a digital glucometer. Results showed significant reductions in both outcome measures post-intervention (). The mean MNSI score decreased from 5.600 to 2.996, and mean FBG declined from 146.48 mg/dL to 112.59 mg/dL. The proportion of patients with normal FBG increased from 38.3% to 79.2%. Multivariate analysis (MANCOVA) confirmed the intervention's significant effect after controlling for age, gender, and diabetes duration, contributing 44.2% to neuropathy reduction and 18.8% to FBG improvement. The findings demonstrate that integrated education and BAE is an effective, non-pharmacological strategy for managing diabetic complications and glycemic control, suitable for implementation in clinical and self-care settings.
Efektivitas Buerger Allen exercise dibandingkan dengan Rendam Kaki Air Hangat terhadap Nilai Ankle Brachial Index dan Gula Darah pada Pasien Diabetes Mellitus Richard Mataputun, Donny; Prabawati, Dewi; Hapsari Tjandrarini, Dwi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 3 No. 3 (2020): September 2020
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1183.847 KB) | DOI: 10.56338/mppki.v3i3.1330

Abstract

Peripheral Arterial Disease (PAD) merupakan penyempitan pembuluh darah arteri perifer yang disebabkan karena aterosklerosis akibat komplikasi dari Diabetes Mellitus (DM). Akibatnya terjadi penurunan aliran darah ke ekstremitas yang bila  tidak ditangani akan menyebabkan klaudisio intermiten, luka gangrene hingga berisiko amputasi. Penelitian ini bertujuan untuk mengetahui Efektivitas Buerger Allen exercise (BAE) dibandingkan dengan Rendam Kaki Air Hangat Terhadap Nilai Ankle Brachial Index (ABI) dan Gula Darah Sewaktu(GDS) pada pasien DM tipe 2. Jenis penelitian ini adalah Quassy Eksperimen prepost test and between two groups. Total sampel 54 penderita diabetes melitus di Rumah Sakit Sumber Waras yang diperoleh secara random dengan blok permutasi. Sampel dibagi menjadi 2 kelompok perlakuan yaitu BAEdan Rendam kaki air hangat. Perlakuan diberikan selama 5 hari berturut-turut dengan pelaksanaan 2 kali sehari yaitu pagi dan sore selama 15-20 menit. Alat yang digunakan untuk mengukur nilai ABIadalah Vascular Dopler. Berdasarkan uji paired T test di temukan ada perbedaan yang bermakna nilai ABI sebelum dan sesudah intervensi pada kelompok BAE (p=0.00), dan pada kelompok Rendam kaki air hangat (p=0.00); namun tidak ada perbedaan bermakna pada nilai GDS sebelum dan sesudah intervensi pada kedua kelompok perlakuan (p>0.05).Uji statistic Ancova di temukan ada pengaruh BAE terhadap nilai ABI dan Gula Darah Sewaktu yang dikontrol oleh variabel confounding dengan Corrected Model 0,000; namun tidak ada pengaruh rendaman kaki air hangat terhadap nilai ABIdan GDS yang dikontrol oleh variabel confounding dengan Corrected Model 0,065. BAE merupakan intervensi yang efektif dalam meningkatkan nilai ABI dibandingkan rendam kaki air hangat, namun Rendam kaki air hangat  lebih efektif dalam menurunkan nilai GDS.
Efektivitas Edukasi Self-Care Terhadap Perilaku Manajemen Diri pada Pasien Diabetes Melitus di Wilayah Puskesmas Sukapura Jakarta Erida Silalahi, Lenny; Prabawati, Dewi; Priyo Hastono, Sutanto
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 4 No. 1 (2021): January 2021
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (453.004 KB) | DOI: 10.56338/mppki.v4i1.1385

Abstract

Diabetes Mellitus (DM) merupakan penyakit yang membutuhkan pengontrolan status metabolik untuk meminimalkan terjadinya komplikasi multi organ. Diperlukan edukasi yang terarah untuk meningkatkan perawatan diri dan indeks glikemik yang terkontrol. Tujuan penelitian ini untuk mengetahui efektivitas edukasi Self-care terhadap perilaku manajemen diri dan Gula Darah Sewaktu (GDS) pada pasien DM. Penelitian ini dilakukan bulan Juni-Juli 2020 diwilayah kerja Puskesmas Kelurahan Sukapura Jakarta. Desain penelitian adalah quasy eksperimental dengan pre-test dan post-test one group. Sampel dalam penelitian sebanyak 25 responden dipilih secara purposive sampling. Variabel GDS dan perilaku manajemen diri dinilai pada minggu 1 dan 4 dengan menggunakan kuesioner Diabetes Self-Management Instrument (DSMI). Berdasarkan uji Paired T-test ditemukan ada perbedaan bermakna pada perilaku manajemen diri sebelum dan sesudah diberikan edukasi Self-care (p 0,000 < 0,05 ), namun, tidak ditemukan adanya perbedaan bermakna pada GDS sebelum dan sesudah diberikan edukasi Self-care (p 0,956 > 0,05). Berdasarkan uji multivariate ditemukan bahwa lamanya menderita DM dan kadar GDS sebelum intervensi berpengaruh secara parsial terhadap variabel GDS setelah intervensi (p<0.05), sedangkan variabel usia dan lamanya menderita DM berpengaruh secara parsial terhadap perilaku manajemen diri (p< 0.05). Edukasi Self-care merupakan program efektif untuk memperbaiki perilaku perawatan diri dan GDS sebagai kontrol glikemik. Penelitian ini merekomendasikan perlunya menerapkan edukasi Self-care secara berkelanjutan untuk mencegah terjadinya komplikasi pada pasien DM. 
Hubungan Self-awareness Pola Makan terhadap Kejadian Prediabetes di wilayah Kerja Puskesmas Johar Baru: The Relationship between Self-awareness Eating Pattern towards Prediabetes in the work area of Johar Baru Health Center Dewi Ratih; Prabawati, Dewi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 4 (2022): April 2022
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.816 KB) | DOI: 10.56338/mppki.v5i4.2240

Abstract

Latar belakang: Tingginya kejadian obesitas menjadi salah satu pemicu terjadinya prediabetes, dan banyak masyarakat yang tidak menyadari bahwa mereka menderita prediabetes. Penelitian bertujuan untuk mengetahui hubungan antara self-awareness pola makan terhadap kejadian Prediabetes di wilayah kerja Puskesmas Johar Baru. Tujuan: Penelitian yang bertujuan untuk menganalisa hubungan Self-awareness pola makan terhadap kejadian Prediabetes pada responden yang berada di wilayah kerja Puskesmas Johar Baru. Metode: Penelitian menggunakan Kuantitatif-non eksperimental dengan pendekatan cross sectional. Jumlah responden sebanyak 64orang yang dipilih menggunakan teknik purposive sampling. Penelitian ini menggunakan kuesioner Self Awareness Pola Makan dan Finnish Diabetes Risk Score (FINDRISC) untuk mengukur prediebetes. Analisa data menggunakan uji statistic Kendall Tau-C. Hasil: Analisis univariat menunjukkan mayoritas responden memiliki self-awareness rendah (62.5%) dan responden memiliki risiko prediabetes sedikit meningkat (34.4%) diikuti dengan risiko prediabetes tinggi (26.6%). Analisis bivarat menunjukkan ada hubungan yang bermakna antara self-awareness pola makan terhadap kejadian prediabetes (p <0.05). Kesimpulan: Hasil penelitian ini menunjukkan terdapat bahwa self-awareness pola makan berhubungan dengan kejadian prediabetes di wilayah kerja Puskesmas Johar Baru, Jakarta.
Efektifitas Pendidikan Kesehatan terhadap Pengetahuan Perawatan Kaki pada Pasien Diabetes Mellitus di Rumah Sakit X, Bekasi : The Effectiveness of Health Education on Knowledge of Foot Care in Diabetes Mellitus Patients at X Hospital, Bekasi Prabawati, Dewi; Ratnasari, Puspita Ayu
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 8 (2023): August 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i8.3538

Abstract

Latar belakang: Salah satu komplikasi yang paling sering terjadi pada penderita Diabetes Mellitus (DM) adalah adanya ulkus diabetik. Masih banyak pasien DM yang tidak menjalankan perawatan kaki dikarenakan rendahnya pengetahuan pasien. Kurangnya informasi yang didapat oleh pasien menyebabkan pasien kurang memahami tentang tindakan yang perlu dilakukan untuk perawatan kaki. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas pendidikan kesehatan terhadap pengetahuan perawatan kaki pada pasien DM di RS X, Bekasi. Metode: Penelitian ini menggunakan metode penelitian quasi eksperimen dengan bentuk posttest with control group. Terdapat 60 responden pasien DM yang dipilih menggunakan tehnik purposive sampling dan dibagi menjadi kelompok intervensi dan control masing-masing sebanyak 30 responden. Kelompok intervensi diberikan Edukasi perawatan kaki DM, dan tingkat pengetahuan diukur menggunakan kuesioner Knowledge of Foot Care. Hasil: Mayoritas responden pada kelompok intervensi memiliki pengetahuan yang baik (96,7%), sedangkan kelompok control memiliki pengetahuan sedang (36,7%). Menggunakan uji statistik Mann Whitney U Test didapatkan adanya perbedaan signifikan pada pengetahuan perawatan kaki antara kelompok intervensi dan kelompok control dengan p value=0,000. Kesimpulan: Pendidikan kesehatan perawatan kaki DM harus diberikan sejak dini sebagai upaya pencegahan terjadinya ulkus diabetikum berulang, terutama pada pemeriksaan kaki secara rutin, kebersihan kaki dan pemilihan alas kaki.