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PROGRAM PEMBERDAYAAN MOTIVATIONAL INTERVIEWING UNTUK MENINGKATKAN MANAJEMEN DIRI DAN KONTROL GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 DI DESA LAMAHU PROVINSI GORONTALO Ratnawati Ratnawati; Fakhriatul Falah; Paulus Pangalo
Jurnal Abdimas Bina Bangsa Vol. 4 No. 2 (2023): Jurnal Abdimas Bina Bangsa
Publisher : LPPM Universitas Bina Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46306/jabb.v4i2.831

Abstract

Diabetes Mellitus (DM) is a chronic condition that occurs when there is an increase in glucose levels in the blood because the body cannot produce enough insulin hormones effectively. Gorontalo Province is also an area where the prevalence of type 2 DM sufferers is quite high. This is caused by insufficient self-management and insufficient self-awareness to improve health. Improving the self-management of type 2 diabetes patients can be improved through a motivational interviewing program. The aim of this community service activity is to empower community cadres and social groups through a motivational interviewing program for people with type 2 diabetes mellitus. The activity is carried out in two stages, in the first stage providing outreach in the form of lectures and discussions about type 2 diabetes mellitus and motivational program training interviewing. After that, cadres and community social groups provide assistance to type 2 diabetes mellitus patients for one week. Then in the second stage, the results of the mentoring are evaluated. The evaluation results showed that there was a decrease in blood sugar of 53.57 mg/dL. From the results of this activity, it can be concluded that the motivational interviewing program is recommended for self-management of type 2 Diabetes Mellitus patients
Compliance with Medication and Family Support for Hypertension Patients in the Work Area of the Talaga Biru Health Center Gorontalo City Pangalo, Paulus; Buheli, Kartin L.; Bakari, Novalina
Journal of Experimental and Clinical Pharmacy (JECP) Vol 1, No 1 (2021): February, 2021
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jecp.v1i1.195

Abstract

Hypertension was one problem in health sector because of its high incidence rate worldwide, and until now still increasing. According to WHO data in 2015, around 1.13 billion people in the worldwide suffer hypertension. It was estimated that 1.56 billion adults in the world will hypertension by 2025. Based on national research data in 2018, Gorontalo Province was 20th position with the number of cases of hypertension. Adherence to taking medication was one of the problems in the treatment of this disease. However, this adherence could overcome through monitoring by members of family regarding treatment, and determining whether to use health services or not. This study aims to determine the relationship between role of family with compliance treatment of patients in the working area of community health centers of Telaga Biru, Gorontalo city. This study used cross sectional research design with purposive sampling technique. Total of 34 respondents with hypertension obtained then dianalysis using Chi Square test. The results of show that the calculated X2 value of 18.2 and greater than the X2 table with p value = 0.000 (p<0.05). These findings indicate that role of the family was very influential on the regularity level of treating hypertension patients in the working area of the Telaga Biru Health Center, Gorontalo city. We conclude that regular treatment could improved through the role and duties of the family in controlling patients with hypertension
ANALISIS DAYA TERIMA PROKIES PADA BALITA GIZI BAIK DAN GIZI KURANG Napu, Arifasno; Pangalo, Paulus; Domili, Indra; Tumenggung, Imran; Marendra, Zulfito; Dewi, Ayu Bulan Febry Kurnia; Pomalingo, Anna Yuliastani; Alam, Raden Ayu Cahyaning
JOURNAL HEALTH AND NUTRITIONS Vol 11, No 2 (2025): Health and Nutritions
Publisher : Jurusan Gizi Politeknik Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jhn.v11i2.1562

Abstract

Bi’o is a traditional Gorontalo food for toddlers which predominantly contains carbohydrates because it is only made from sago and palm sugar. Cookies in a pot/pan while stirring until thick/cookies, cooled and then ready to be served. Bi’o modified from sago and palm sugar are added with HPI (hydrolysis of mackerel protein), eggs, butter, chocolate and chocochip into a dough, molded, baked for 30 minutes at 150 degrees Celcius and the results are called prokies (protein cookies). The objective of study was to analyze the acceptability of prokies for well-nourishe and malnourished toddlers. The method of study was experimental research design that analyzing the acceptability of prokies. The pediatrician performs a medical examination. There were 38 well-nourished toddler respondents 39 malnourished toddler who met the criteria. The results indicated that  the average acceptability for prokies in well-nourished toddlers on the firts day was 4.11±0.65 and on the thirtieth day 4.18±0.56, while malnutrition on the first day was 4.00±0.61 and on the thirtieth day 4.33±0,66 which showed there was no signifikan difference ( p value = 0,05). Likewise, the reason for score aceptance was because the taste, aroma, color and texture average >4.0. The conclution showed that  prokies were liked by normal nutrition and wasted nutrition toddlers because of  taste, aroma, color and texture that were eaten completely in the first day to the thirtieth day, so it can be used to overcame in nutritional problems.Bi’o merupakan makanan tradisional Gorotalo untuk balita, sebagian besar hanya mengandung karbohidrat karena terbuat dari sagu dan gula aren. Bi’o dimasak dalam panci/wajan sambil diaduk hingga kental/matang, didinginkan lalu siap dihidangkan. Bi’o yang dimodifikasi yakni menggunakan sagu dan gula aren ditambahkan dengan HPI (hidrolisis protein ikan tenggiri), telur, mentega, coklat dan chocochip menjadi adonan, dicetak, dipanggang selama 30 menit pada suhu 150 derajat Celcius dan hasilnya disebut prokies (protein cookies). Tujuan penelitian adalah untuk menganalisis daya terima prokies pada balita gizi baik dan gizi kurang. Desain penelitian menggunakan penelitian eksperimental dengan menganalisis daya terima prokies. Dokter anak melakukan pemeriksaan kesehatan. Responden balita gizi baik berjumlah 38 orang dan balita gizi kurang ada 39 orang yang memenuhi kriteria. Hasil penelitian  menunjukkan bahwa rata-rata tingkat kesukaan prokies balita gizi baik pada hari pertama adalah 4,11±0,65 dan pada hari ketiga puluh 4,18±0,56, sedangkan pada gizi kurang pada hari pertama adalah 4,00±0,61 dan pada hari ketiga puluh 4,33±0,66 yang menunjukkan tidak ada perbedaan signifikan (p value = 0,05). Demikian pula, alasan kesukaan karena rasa, aroma, warna dan tekstur rata-rata >4,0. Kesimpulan menunjunkkan bahwa prokies disukai oleh balita gizi baik dan gizi kurang karena rasa, aroma, warna dan teksturnya serta dihabiskan sejak hari pertama hingga hari ketiga puluh sehingga dapat digunakan untuk mengatasi masalah gizi. 
Pelatihan Spritual Emotional Freedom Technque (Seft) untuk Menurunkan Stres dan Pada Penderita Diabetes Tipe 2 di Wilayah Kerja Puskesmas Telaga Biru Ariani, Gusti Agung Ayu; Manumba, Ruliyani; Pangalo, Paulus; Falah, Fakhriatul Agung Ayu
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.17780

Abstract

ABSTRAK Diabetes Militus merupakan penyakit menahun yang apabila tidak ditangani dengan baik dapat menyebabkan berbagai macam komplikasi dan masalah psikologi. Berdasarkan hasil wawancara awal pada 20 penderita Diabetes yang hadir dalam kegiatan prolanis di Puskesmas Telaga Biru mendapatkan hasil 86,4% penderita mudah marah , 81 % mudah tersinggung, 78 % tidak sabar dalam menghadapi masalah 87,1% sulit beristirahat dengan baik, dimana hal tersebut merupakan tanda gejala stres. Sejauh ini belum ada intervensi yang diberikan pada penderita diabetes terkait dengan penangan masalah psikologis/stres. Kegiatan pengabdian masyarakat ini bertujuan menurunkan stres  pada penderita diabetes dengan penerapan psikoterapi  SEFT (Spritual Emotional Freedom Technique). Kegiatan pengabdian masyarakat ini melibatkan  3 orang dosen dan 3 orang mahasiswa serta sebanyak 30 penderita DM type 2 dan 5 orang kader kesehatan. Kegiatan ini diawali dengan persiapan area kerja selanjutnya kegiatan utama terdiri dari pengukuran tingkat stres dengan kuesioner DDS pada awal dan akhir pertemuan, memberikan edukasi kesehatan tentang 5 pilar penanganan diabetes, edukasi perawaatan kaki diabetes dan pelatihan SEFT yang diikuti oleh peserta dan kader kesehatan. Hasil kegiatan ini dapat disimpulkan peserta mengalami pemahaman yang jauh lebih baik dibandingkan sebelum pelaksanaan kegiatan, selain itu terjadinya penurunan tingkat stres dan peserta merasa lebih rileks setelah mengikuti pelatihan SEFT. Harapannaya setelah kegiatan ini akan ada program berkelanjutan mengenai pemberian terapi nonfarmakologis untuk mengatasi masalah psikososial atau stres pada penderita diabetes yang dapat diberikan oleh kader keseahatan sehingga masalah pada penderita dibetes militus dapat ditangani tidak hanya pada aspek fisik tapi juga aspek psikologis.  Kata Kunci: Stres, Penderita Diabetes Militus, Terapi SEFT  ABSTRACT Diabetes mellitus is a chronic disease, if not treated properly, can cause various complications and psychological problems. Based on the results of initial interviews with 20 diabetes sufferers who attended prolanis activities at the Telaga Biru Publich Health Center, the results were that 86.4% of sufferers were irritable, 81% were irritable, 78% were impatient in facing problems, 87.1% had difficulty resting well, where things This is a sign of stress. So far there has been no intervention given to diabetes sufferers related to dealing with psychological problems/stress. This community service activity aims to reduce stress in diabetes sufferers by applying SEFT (Spritual Emotional Freedom Technique) psychotherapy. This community service activity involved 3 lecturers and 3 students as well as 30 type 2 DM sufferers and 5 health cadres. This activity begins with preparation of the work area, then the main activities consist of measuring stress levels with the DDS questionnaire at the beginning and end of the meeting, providing health education about the 5 pillars of diabetes management, education on diabetes foot care and SEFT training which is attended by participants and health cadres. The results of this activity can be concluded that participants experienced a much better understanding than before carrying out the activity, apart from that there was a decrease in stress levels and participants felt more relaxed after participating in the SEFT training. It is hoped that after this activity there will be an ongoing program regarding the provision of non-pharmacological therapy to overcome psychosocial problems or stress in diabetes sufferers which can be provided by health cadres so that problems in diabetes mellitus sufferers can be treated not only on the physical aspect but also on the psychological aspect.  Keywords: Stress, Diabetes Mellitus Sufferers, SEFT Therapy
Information Technology Innovation With Tricky Card Game For Prevention And Handling Hypertension and Diabetes Mellitus In An Effort to Improve the Quality Of Healthy Life Of the Elderly in Tilongkabila Public Health Center Adam, Lusiane; Pangalo, Paulus; Ischak, Wenny Ino; Usman, Lisdiyanti; Buheli, Kartin
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.627

Abstract

Hypertension and diabetes mellitus (DM) are degenerative diseases that are often suffered by the elderly. Efforts made in the form of information technology innovation application based on whatsapp bot with tricky card game. The purpose of this study Knowing the design and implementation of information technology innovation whatsapp bot gopos health with tricky card game for the prevention and treatment of hypertension and diabetes mellitus to improve the quality of healthy life of the elderly at the Tilongkabila Community Health Center. The method used in this study is a mixed method with the type of research used is sequential transformation (sequential transformative strategy). where researchers design information technology innovation with a qualitative approach then the results of implementation and testing using a quantitative approach. The quantitative component measured in the form of a questionnaire sheet MO SF - 12 using a paired t test statistical test to test the effectiveness of a treatment and compare the average pre-test value and the average post-test value. The results of this study state that elderly people with hypertension and diabetes mellitus who have measured their quality of healthy life through the MO SF-12 questionnaire obtained statistical test results stating that the hypothesis Ha is accepted and H0 is rejected (P<0.05), namely that there is an influence of the application of information technology innovation for the prevention and treatment of hypertension and diabetes mellitus in an effort to improve the quality of healthy life of the elderly
Pemberdayaan Kelompok Keluarga dalam memenuhi Protein Hewani (Ikan Lele) untuk Pencegahan dan Penanganan Balita Stunting di Huntu Utara Pangalo, Paulus; Ischak, Wenny Ino; Aswad, Ahmad; Zulfiayu, Zulfiayu; Papuke, Sri Susanti
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 5, No 2 (2025): November 2025
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v5i2.1429

Abstract

Prevalensi stunting di Provinsi Gorontalo tahun 2021 sebesar 29% dan tahun 2022 terjadi penurunan menjadi 23,8%. Di Kabupaten Bone Bolango prevalensi stunting tahun 2021 sebesar 25,1% dan pada tahun 2022 terjadi penurunan menjadi 22,3%. Hasil penimbangan pada bulan Maret 2023 menunjukkan bahwa dari 65 balita, sebanyak 8 balita (12%) tergolong sangat pendek berdasarkan indikator tinggi badan menurut umur (TB/U), dan 10 balita (15%) mengalami gizi kurang berdasarkan indikator berat badan menurut umur (BB/U). Temuan ini menunjukkan bahwa proporsi balita stunting di Desa Huntu Utara masih berada di bawah angka rata-rata Kabupaten Bone Bolango. Stunting di desa tersebut terutama disebabkan oleh rendahnya asupan nutrisi, khususnya protein hewani, yang berkaitan dengan keterbatasan pendapatan keluarga. Program pengabdian kepada masyarakat ini bertujuan untuk menurunkan prevalensi stunting, meningkatkan pengetahuan keluarga mengenai pencegahan dan penanganan stunting, serta memperkuat pemahaman keluarga tentang peran mereka dalam bidang kesehatan, dan tersedianya 1 unit kolam budidaya ikan lele dengan metode bioflok. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan sasaran mengenai pencegahan dan penanganan stunting, dari < 80% sebelum intervensi menjadi > 85% setelah intervensi. Selain itu, terjadi pula peningkatan pengetahuan sasaran tentang peran keluarga di bidang kesehatan, dari < 75% sebelum intervensi menjadi > 85% setelah intervensi. Terjadi penurunan kasus balita stunting dari 8 balita menjadi 4. Tersedia kolam sudah terisi ikan lele sebanyak 1.300 ekor dan dapat dipanen bulan Januari 2025.The prevalence of stunting in Gorontalo Province in 2021 was 29%, and it declined to 23.8% in 2022. In Bone Bolango Regency, the prevalence of stunting was 25.1% in 2021 and decreased to 22.3% in 2022. Anthropometric assessments conducted in March 2023 showed that among 65 children under five, 8 children (12%) were classified as severely stunted based on the height-for-age (H/A) indicator, and 10 children (15%) were identified as underweight according to the weight-for-age (W/A) indicator. These findings indicate that the proportion of stunted children in Huntu Utara Village remains below the average prevalence in Bone Bolango Regency. Stunting in this village is primarily attributed to inadequate nutritional intake, particularly animal protein, which is associated with limited household income. This community engagement program aimed to reduce stunting prevalence, improve family knowledge regarding stunting prevention and management, strengthen family understanding of their roles in maintaining health, and establish one unit of a biofloc-based catfish aquaculture pond. The results demonstrated an increase in participants’ knowledge of stunting prevention and management, from <80% prior to the intervention to >85% after the intervention. In addition, knowledge related to family roles in health increased from <75% before the intervention to >85% afterward. A reduction in stunting cases was also observed, from eight children to four. One aquaculture pond stocked with 1,300 catfish was successfully established and is expected to be ready for harvest in January 2025.