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Hubungan Efikasi Diri, Kepatuhan dan Dukungan Keluarga Dengan Manajemen Diri Penderita Diabetes Mellitus Tipe 2 di Surabaya Adinata, Ach. Arfan; Minarti, Minarti; Kastubi, Kastubi
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.v17i1.160

Abstract

Introduction: Diabetes care is complex, requiring long-term care and support. Diabetics face challenges in managing themselves by making the right decisions every day, so people with diabetes mellitus often experience decreased motivation, hopelessness decreased capacity to manage diabetes and, difficulty reducing habits or routines that take. Objectives: The purpose of this study was to identify the relationship of self-efficacy, compliance and family support with self-management of people with DMT2. Methods: The design of this study is a cross-sectional approach. The relationship between one and several variables is expressed by the magnitude of the correlation coefficient and statistical significance. The research population was 165 people, the sample size based on Isaac & Michael's table with an error rate of 10% was 103 respondents. The sampling technique is done by non-probability sampling that is purposive sampling. Results: The results showed that there was a significant relationship between self-efficacy (P-Value 0.042), compliance (P-Value 0.001) and family support (P-Value 0.035), with self-management. Conclusions: Based on the results of the study, it can be concluded that in this study self-management of patients with type 2 diabetes mellitus was associated with self-efficacy, compliance and family support. DMT2 sufferers who have good self-efficacy will help them in managing self-management well, as well as compliant DMT2 patients will also have good self-management. Good family support for people with DMT2 will have a good impact on their self-management.
The Effect of Combined Balance Exercise and Tandem Walking on Elderly Stability in Nursing Homes Nazhifah, Maretha Salsabilla; Adinata, Ach. Arfan; Najib, Mohammad; Mu’afiro, Adin; Azizan, Azliyana
Public Health Research Development Vol. 2 No. 1 (2025): Public Health Research Development
Publisher : Indonesian Association Environmental Health of West Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/phrd.v2i1.26

Abstract

Balance disorders pose a significant risk for falls among the elderly and can greatly diminish their quality of life. This study seeks to inspect the impact of incorporating balance exercises with tandem walking on enhancing balance in the elderly demographic. A quasi-experimental design with pre-test and post-test control groups was utilized. A total of thirty-two elderly participants from two nursing homes in East Java were chosen through purposive sampling. The independent variable comprised the combination of balance exercises and tandem walking, while the dependent variable was the balance level, evaluated using the Time Up and Go Test (TUGT). Statistical analyses were operated utilizing the Paired t-Test, Wilcoxon Sign Rank Test, and Mann Whitney U Test with a significance level established at p < 0.05. In the intervention group, the average TUGT score before the intervention was 21.35 seconds (indicating unstable mobility), which improved to 16.01 seconds (indicating good mobility) after the intervention (p=0.000). Conversely, the control group, which did not undergo the combined intervention, showed average scores of 26.67 seconds before and 25.38 seconds after the intervention, both categorized as unstable mobility (p=0.326). The intervention group revealed a greater enhancement in balance with a average improvement of 5.33 seconds, compared to 1.28 seconds in the control group (p=0.002). These outcomes demonstrate that the combination of balance exercises and tandem walking is significantly effective in enhancing balance in the elderly. This intervention has the potential to minimize the danger of falls and enhance the overall quality of life among older adults.
Self-care of chronic illness prevents the risk of diabetic foot ulcers in patients with diabetes: a cross-sectional study Joeliantina, Anita; Adji Norontoko, Dwi; Adinata, Ach. Arfan; Ragayasa, Adivtian; Nurul Hamid, Irfany
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.48387

Abstract

Introduction: Diabetic foot ulcer (DFU) is a serious and chronic complication of diabetes mellitus (DM). This study aims to explain a model of self-care of chronic illness on the prevention of DFU risk in patients with DM, including foot self-care of maintenance, monitoring, and management. Methods: This study was an analytical study with a cross-sectional approach, with 300 patients randomly selected from six Public Health Centers in Surabaya, Indonesia, from June to August 2022. The inclusion criteria were individuals with DM and aged more than 26 years. Exclusion criteria were reading disabilities or having cognitive impairments Data were collected using a questionnaire. The correlation between variables was analyzed using the statistical method  of Partial Least Squares. Results: The risk of DFU in patients with DM was 40% with low risk, 38% with moderate risk, 8% with high risk, 5% remission, and 10% with DFU. This research shows that there is a significant correlation between foot self-care management and the risk of DFU, where the p-value = 0.000, while the indicators of foot self-care maintenance and self-care monitoring do not have a significant correlation with the risk of DFU, where the p-value is respectively equal to 0.350 and 0.844. Conclusions: Foot self-care management was a factor that directly correlates with the risk of DFU. Autonomous self-care management behaviors still needed to be improved, because most patients still had these inadequate behaviors. Further research is needed to improve the behavior quality of patients with DM in managing foot care independently.
Hubungan Efikasi Diri, Kepatuhan dan Dukungan Keluarga Dengan Manajemen Diri Penderita Diabetes Mellitus Tipe 2 di Surabaya Adinata, Ach. Arfan; Minarti, Minarti; Kastubi, Kastubi
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.v17i1.160

Abstract

Introduction: Diabetes care is complex, requiring long-term care and support. Diabetics face challenges in managing themselves by making the right decisions every day, so people with diabetes mellitus often experience decreased motivation, hopelessness decreased capacity to manage diabetes and, difficulty reducing habits or routines that take. Objectives: The purpose of this study was to identify the relationship of self-efficacy, compliance and family support with self-management of people with DMT2. Methods: The design of this study is a cross-sectional approach. The relationship between one and several variables is expressed by the magnitude of the correlation coefficient and statistical significance. The research population was 165 people, the sample size based on Isaac & Michael's table with an error rate of 10% was 103 respondents. The sampling technique is done by non-probability sampling that is purposive sampling. Results: The results showed that there was a significant relationship between self-efficacy (P-Value 0.042), compliance (P-Value 0.001) and family support (P-Value 0.035), with self-management. Conclusions: Based on the results of the study, it can be concluded that in this study self-management of patients with type 2 diabetes mellitus was associated with self-efficacy, compliance and family support. DMT2 sufferers who have good self-efficacy will help them in managing self-management well, as well as compliant DMT2 patients will also have good self-management. Good family support for people with DMT2 will have a good impact on their self-management.
Pengaruh Terapi Pendamping Aktivitas Fisik Home-Based Walking Exercise Selama 45 Menit Terhadap Kadar Glukosa Darah Acak pada Pasien Diabetes Melitus Tipe 2 Arifah, Novia Rofiqoh; Adinata, Ach. Arfan; Bahrudin , Moch.; Utami, Sri
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 19 No 2 (2024): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v19i2.362

Abstract

Introduction:  Type 2 diabetes mellitus is often called the mother of all diseases which can result in complications. The risk of complications increases over the age of 40 years, so physical activity is needed to improve blood flow and increase the effectiveness of insulin use in the body. Objectives: This study aimed to determine the effect of home-based walking exercise companion physical activity therapy for 45 minutes on random blood glucose levels in patients with type 2 diabetes mellitus. Methods:  This research design uses a quasi-experimental one-group pretest-posttest. The sampling technique uses a non-probability sampling technique: purposive sampling. The sample for this study was 19 patients with type 2 diabetes mellitus at the Puskesmas Lidah Kulon. Data were collected using an observation sheet on the results of random blood glucose clinic examinations. Statistical test data analysis used the Wilcoxon signed rank test with α < 0,05.  Results: The results of the study showed that the average random blood glucose level before implementation was 247,9474 and after implementation, it was 196,8947. The statistical test results obtained p value 0,00<0,05, which means H1 is accepted.  Discussion: The results of the study show that home-based walking exercise companion physical activity therapy for 45 minutes affects reducing random blood glucose levels in patients with type 2 diabetes mellitus