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Community-Based Client Empowerment in Therapy Management of Type 2 Diabetes Mellitus Clients in the City of Surabaya Adin Mu'firo; Irine Christiany; Kiaonarni Ongko Waluyo; Joko Suwito
Health Notions Vol 5, No 9 (2021): September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50903

Abstract

The Government of the Republic of Indonesia affirms its commitment to prevent and control diabetes through community empowerment. The research objective was to identify community-based client empowerment strategies in the management of client therapy with type 2 diabetes mellitus in the city of Surabaya. This type of research is a quasi-experiment using a pre-post test control group design. The research subjects were some of the diabetic patients in the Tambakrejo Health Center, Surabaya, totaling 80 people, divided into treatment and control groups. The independent variable is a community-based client empowerment strategy. The dependent variable is therapy management of DM clients. Data analysis using t-test. The results showed that there was an effect of Community-based Client Empowerment Strategies in the treatment group (p = 0.000≤α = 0.05) and the control (p = 0.078 ≥α = 0.05). At the pre-test, the mean of self-care management in the treatment group was 22.20 ± 6.65, while the control group was only 19.30 ± 5.27. There is a difference in the treatment group which has a delta mean of self-care management of 6.35 ± 7.66 and the control group of 2.28 ± 7.96. At the time of the pre-test the mean of self care management in the treatment group was 22.20 ± 6.65, while the control group was only 19.30 ± 5.27. The post-test the mean self-care management in the treatment group was 28.15±6.18, while the control group was 21.57±6.76Keywords: community; empowerment; T2DM; management-therapy;  health-promotion; nursing
Pengaruh intervensi kesehatan seluler terhadap manajemen diri pada pasien dengan Diabetes Melitus Tipe 2: A systematic review Ika Adelia Susanti; Kusnanto Kusnanto; Joko Suwito
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 7, No 2 (2021): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.7.2.141-152

Abstract

Pendahuluan: Diabetes melitus tipe 2 (DMT2) merupakan penyakit kronis yang menyebabkan komplikasi berat dan berkontribusi dalam menaikkan angka morbiditas dan mortalitas. Penelitian ini bertujuan untuk mengevaluasi efektivitas mobile health (kesehatan seluler) dalam manajemen diri pasien diabetes mellitus tipe 2. Metode: Sebuah tinjauan sistematis dilakukan pada penelitian ini menggunakan PRISMA. Lima database digunakan dalam penelitian ini yang diterbitkan antara tahun 2016 dan 2020 dan menargetkan pasien dengan DMT2. Hasil: Tiga belas artikel terdaftar dalam penelitian yang dilakukan di negara maju (61,5%). Hasil juga melaporkan tiga jenis intervensi kesehatan seluler, yaitu aplikasi (46,2%), pesan teks (46,2%), dan panggilan telepon (7,6%). Intervensi diberikan oleh perawat dan tim multidisiplin, dengan durasi studi yang paling sering adalah 4-6 bulan (38,5%). Simpulan: Meskipun intervensi yang berbeda memiliki efek yang berbeda pada manajemen diri dan nilai glikemik, aplikasi seluler dan pesan teks berpotensi diimplementasikan di negara maju dan berkembang.
HOSPITAL NURSES' SUPPORT IN USING EVIDENCE-BASED NURSING PRACTICE Muafiro, Adin; Suwito, Joko; Kiaonarni; Supriyanto; Adinata, Ach Arfan; NA, Hepta; Hidayati, Sri; Subagyo, Teguh
Community Service Journal of Indonesia Vol 5 No 2 (2023): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v5i2.598

Abstract

There is currently a severe dearth of evidence-based nursing practice (EBNP) utilization among nurses. Because of this, it's essential to enhance nurses' professional skills through workshops and training. Enhancing nurses' capacity to deliver nursing interventions grounded in Evidence-Based Nursing Practice is the goal of this activity. The EBNP workshop is used to carry out the activity approach. The nurses at Dr. RSUD are participants in this activity, or one of its strategic target audiences. There were thirty persons in Sososdoro Djatikoesoemo Bojonegoro. The information is given through lectures, Q&A sessions, practica, field research, literature reviews, and searches. Results and debate come in third. Prior to training, most people's initial understanding of EBNP was quite inadequate; up to 19 individuals (76%). After participating in training sessions that included talks and worksheets on EBNP, it was discovered that the number of participants who started off with very little understanding had increased by 12 (44%). Three nurses (11%), whose expertise was initially inadequate, improved to good. In summary The asking phase, which involves creating clinical questions, has been accomplished by the nurse. In the first step, known as acquisition, participants seek for the best available data on the subject selected in accordance with the clinical question. In the third step, known as evaluation, participants critically evaluate the data they have found. Still, nurses are unable to perform the subsequent actions, which are Applying, Assessing, and Disseminating. It is advised.
Comparative Analysis of Video and Demonstration Methods in Enhancing Basic Life Support (BLS) Knowledge and Skills among Youth in Surabaya, Indonesia Sri Rahayu Estiningtyas; Utari W, Dwi Utari W; Suwito, Joko; Mu’afiro, Adin; I Reyes, Christine
International Journal of Advanced Health Science and Technology Vol. 4 No. 5 (2024): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i5.321

Abstract

Tim Gerak Cepat (TGC) is one of Surabaya's command centers that serves various real time reports related to medical emergencies, one of which is cardiac arrest. Not every time TGC can arrive to provide rapid assistance, which can be influenced by inadequate road access to the location. This causes the provision of help including help for victims of cardiac arrest to be delayed. The objectives is to analyze the video effectiveness and demonstration methods on the ability to perform BLS on youth organizations RW 04 Ambengan Tengah Surabaya. Using pre-experimental using Two Group Pretest-Posttest Design. The study population was all youth organizations in RW 04 Ambengan Tengah Surabaya. The research sample amounted to 36 adolescents who were selected by random sampling by meeting the inclusion criteria. The data analysis used was the Wilcoxon Signed Rank Test and Mann Whitney test. The Wilcoxon test showed that both methods could improve knowledge about BLS with a significance value of 0.000 (p<0.05) and could improve adolescents' skills in performing BLS with a significance value in the video group of 0.002 while in the demonstration group it was 0.001 (p<0.05). The different results score pre-test post-test knowledge of both methods with the Mann Whitney test showed a significance value in 0.129 (p <0.05) while the skill different score pre-test post-test had a significance 0.500 (p>0.05) value . This shows that between the video and demonstration methods there is no significant difference.
Factors Influence Non-suicidal Self-Injury Behavior among Young Adults Herdaetha, Adriesti; Ismaya, Matius Dimas Reza Dana; Suwito, Joko
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5481

Abstract

Background: Non-suicidal self-injury (NSSI) behavior is increasing among young adults in Indonesia due to the experienced stress. This behavior is influenced by sleep quality, parenting style, and alexithymia mediated by emotional dysregulation. Objectives: To determine the influence of sleep quality, parenting style, and alexithymia on NSSI behavior mediated by emotional dysregulation in the young adult population. Methods: This study used an analytical observational design with a cross-sectional approach. The study subjects consisted of 573 young adult respondents who met the inclusion and exclusion criteria. The study was conducted using a Google Form distributed through social media. Statistical tests were performed using structural equation modeling-partial least square (SEM-PLS). Results: Directly, sleep quality increased NSSI (p=0,000; OS=0,219) and emotional dysregulation (p=0,012; OS=0,076), authoritative parenting style decreased emotional dysregulation (p=0,000; OS=-0,109), authoritarian parenting style increased NSSI (p=0,013; OS=0,125), alexithymia increased emotional dysregulation (p=0,000; OS=0,655), and emotional dysregulation increased NSSI (p=0.000; OS=0.252). Indirectly, through emotional dysregulation mediation, sleep quality increased NSSI (p=0,032; OS=0,019), authoritative parenting style decreased NSSI (p=0,008; β=-0,027), and alexithymia increased NSSI (p=0,000; OS=0,165). Conclusions: Sleep quality, parenting style, and alexithymia influence NSSI behavior directly and indirectly through emotional dysregulation mediation.
A Stress Management and Smart Management in Prevention and Control of Hypertension Suwito, Joko; Mu'afiro, Adin; Kiaonarni, Kiaonarni; Hidayati, Sri
Frontiers in Community Service and Empowerment Vol. 4 No. 2 (2025): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v4i2.92

Abstract

Through this community service, it is attempted to make the community accustomed to implementing CERDIK behavior in daily life and can make efforts to control psychological stress to prevent hypertension and control blood pressure fluctuations even though they have routinely taken antihypertensive medication. The purpose of this community service activity is to improve the competence of health cadres who provide daily education and assistance and strive to increase the role of the community independently in controlling stress and getting used to CERDIK behavior to prevent and control hypertension incidents in the community in the Tambakrejo Sutabaya Health Center area, with one Surabaya Hebat Health Cadre. The service method used is to provide training and at the same time assistance to the target Surabaya Hebat Health Cadre, in order to provide education, assistance, training in controlling psychological stress and CERDIK behavior, with an emphasis on routine health checks (checking random blood sugar, blood cholesterol, blood pressure, acute psychological stress conditions), Diligent activities and sports (by encouraging hypertension gymnastics once a week in the hypertension community group), and Managing stress (with the Affirmation-tapping method) and refreshment to maintain the behavior that exists in CERDIK. Activities related to increasing the caregiver's ability to care for the elderly who experience daily problems related to psychological approaches and the like have never been carried out. Supported by the results of research conducted at the Nursing Home for the Elderly, it showed that there was a difference between pre and post-test in the group that received guidance or counseling treatment on the happiness of the elderly with a significant value. The purpose of this training is to empower elderly caregivers at Nursing Home at St. Yosef, Surabaya, and identifying the effectiveness of the guidance model (Guidance) by caregivers. The number of participants is 50 people. The method used is. Discussions, demonstrations, skills training, and evaluation of skills. The result of training for caregivers is an increase in knowledge-based on pre-test and post-test scores. There was an increase in skills seen in four skills, namely communication in the elderly, active movement, passive movement, mobilization, and daily activity training. The implication of this activity is to increase the knowledge and skills of caregivers in providing care for the elderly through effective communication with the elderly in nursing homes as an effort to improve their health of the elderly .
Coping Mechanism in Women with Breast Cancer Apriliyanti, Titis Eka; Kusnanto, Kusnanto; Suwito, Joko; Fauzi, Abdul
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p408-411

Abstract

Background: Impaired coping mechanisms often occur in women with breast cancer. The purpose of this study is to determine the description of coping mechanisms in women with breast cancer who undergo chemorepy, radiation or both.Methods: The population in this study were women with breast cancer who underwent chemotherapy, radiation or both. Sampling was done by random sampling where the number of samples is 70. Taking data using the COPE Brief instrument.Result: Four indicators in the destructive category were acceptance (54.3%), denial (61.4%), emotional support (52.9%) and positive reframing (67.1%) while three indicators were mostly in the constructive category, namely self blame (60%), active (64.3) %), and Behavioral disengagement (72.9%).Conclusion: Four destructive indicators indicate poor avoidance and positive thinking in breast cancer patients, while 3 constructive indicators describe good problem solving. Assessment based on this indicator can be taken into consideration in the selection of appropriate interventions to improve coping mechanisms in breast cancer patients.
The Effect of Family Support through ROMPA MATREH on the Improvement of Lower Extremity Muscle Strength in Post Stroke Patients Dwiretnaningtyas, Rina; Suwito, Joko; Luthfiyah, Sari; Najib, Mohammad
Jambura Nursing Journal Vol 7, No 2: July 2025
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v7i2.31467

Abstract

Stroke is a sudden attack on brain tissue that causes cell death and is the second most common killer on a global scale, right after cardiovascular disease. Hemiparesis (weakness) and hemiplegia (paralysis) are motor impairments that can result from a stroke. Families must ROMPA MATREH for this reason. Those who have had a stroke can regain strength via the use of massage treatment and range-of-motion exercises. The goal of this research at Puskesmas Pucang Sewu is to find out how much of an impact family support through ROMPA MATREH has on helping stroke survivors regain strength in their lower extremities. The research strategy used in this study is a one-group pre-post test. Included in the population are all stroke patients within the working area of Puskesmas Pucang Sewu from January to August 2024, totaling 135 individuals, averaging 17 patients per month. The sample for this study includes 16 post-stroke respondents from Puskesmas Pucang Sewu, selected using purposive sampling. Data collection utilized the SOP Manual Muscle Testing to assess lower extremity muscle strength. Data analysis was performed using the Wilcoxon test. The study results indicate that the lower extremity muscle strength before ROMPA MATREH by families was predominantly in categories 2 and 3. After ROMPA MATREH by families, most participants' lower extremity muscle strength improved to category 3. Conclusion: There is an effect of ROMPA MATREH by families on the improvement of lower extremity muscle strength in post-stroke patients within the working area of Puskesmas Pucang Sewu.