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Selano, Maria Karolina
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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PENGARUH SELF CARE ACTIVITIES PADA PASIEN DIABETES MELITUS TERHADAP KEJADIAN NEUROPATI DIABETIKUM Selano, Maria Karolina; Tri Sulistyowati, Maria Agustina Ermi; Nono, Emirensiana Anu
Jurnal Perawat Indonesia Vol. 4 No. 3 (2020): November 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.078 KB) | DOI: 10.32584/jpi.v4i3.715

Abstract

International Diabetes  Federation (IDF) Atlas 2017 melaporkan bahwa epidemi diabetes di Indonesia masih menunjukkan kecenderungan meningkat. Diabetes adalah penyakit kronis yang terjadi karena pankreas tidak menghasilkan cukup insulin atau ketika tubuh tidak dapat secara efektif menggunakan insulin yang dihasilkannya. Seiring dengan bertambahnya jumlah penderita diabetes,  maka penderita diabetes  harus melakukan pengaturan diri terhadap penyakit dalam bentuk perawatan diri agar kadar glukosa berada pada level normal. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh self care activities pada pasien diabetes melitus terhadap kejadian neuropati diabetikum yang merupakan salah satu komplikasi mikrovaskuler di Puskesmas yang ada di Kota Semarang. Adapun desain penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional study yang dilakukan terhadap 84 responden. Cara pengambilan sampel dalam penelitian ini menggunakan purposive sampling sesuai dengan kriteria inklusi dan eksklusi. Sumber data dalam penelitian ini adalah data primer. Populasi penelitian ini adalah pasien diabetes melitus baik tipe 1 maupun tipe 2. Data dikumpulkan dengan menggunakan kuesioner  The Summary of Diabetes Self-Care Activities (SDSCA) untuk menilai self care activities yang meliputi pengaturan pola makan (diet), pemantauan gula darah, terapi obat, perawatan kaki dan latihan fisik (olahraga)  serta  melakukan pengukuran sensitifitas kaki dengan menggunakan monofilament test untuk menentukan kejadian neuropati diabetikum. Data dianalisis secara univariat, bivariat dengan komputer menggunakan uji statistik chi-square. Hasil penelitian didapatkan 71 responden (84,5 %) patuh dalam melakukan self care activities, 46 responden (54,8%) mengalami neuropati diabetikum. Berdasarkan hasil uji analisa hubungan kedua variabel ditemukan nilai Asymp Sig 0,942 (P-value = 0,005). Karena nilai 0,942 > 0,005, maka dapat disimpulkan tidak ada pengaruh yang signifikan antara self care activities dengan kejadian neuropati diabetikum.
Pengaruh Manajemen Kasus HIV/AIDS Terhadap Kualitas Hidup Pasien HIV/AIDS Maria Karolina Selano; Untung Sujianto; Bambang Edi Warsito
Jurnal Keperawatan Notokusumo Vol. 4 No. 1 (2016): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.626 KB)

Abstract

Background : The implementation of HIV/AIDS?s case management with ineffective quality of service will impact on the the life quality of HIV/AIDS?s patients. The life quality is an important component in evaluating the welfare and the life of ODHA. Objective : This study aims to determine the impact of HIV/AIDS?s case management on the quality of life of HIV/AIDS?s patients. Method : This study used a quasy research method experiment with the pretest-posttest control group design. The population is the HIV/AIDS patients that are undergo a treatment in the Hospital in Sorong City. The researchsamples are 66 respondents, the statistic test that are used are paired t-test, Independent t-test and simple linear regression. Result : The result from 33 respondents of intervention group and 33 control group showed that there are significant difference in the quality of life of HIV/AIDS?s patients before and after receiving training in the intervention group (p value 0.001) with the average increase value of 14.06, while the control group is 1.96. Conclusion : It is concluded that there are a significant impact of HIV/AIDS case toward the life quality of the HIV/AIDS patients. Where every increasing value of case management are capable to increase the life quality of patients as much as 0,259.
Gambaran Pelaksanaan Program Pelayanan Voluntary Counseling and Testing (Vct) di Rumah Sakit Kota Sorong Maria Karolina Selano
Jurnal Keperawatan Notokusumo Vol. 6 No. 1 (2018): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.444 KB)

Abstract

Background : HIV Counseling and Testing is a key component in HIV programs in both developed and developing countries, including Indonesia. VCT clinic is the gateway for obtaining information on HIV / AIDS. Acquired Immuno Deficiency Syndrome (AIDS) is a collection of symptoms of diseases caused by the decline in the human immune system caused by the HIV virus that has attacked almost all countries in the world, including Indonesia. This research aims to know the description of VCT service program implementation in Sorong City Hospital in 2018. Methods : This research type is qualitative research with descriptive approach. Informants obtained from purposive sampling of 7 informants. Result : The results of this study indicate that the inputs have been good, that is the number of trained human resources with the educational background in accordance with this program, the tools that support the implementation of the program and the funds for the program are available and sufficient. Conclusion : Description of the process of VCT service program implementation in view of the number of patients receiving VCT services is good because there is a referral system between all service units in both inpatient and outpatient services.
Peningkatan Kualitas Hidup Para Lansia dengan Pendidikan Kesehatan dan Permainan Jigsaw Puzzle Berbahasa Inggris Selano, Maria Karolina; Priyastuti, Maria Theresia; Nono, Emirensiana Anu; Larasati, Anastasia Diah
Jurnal Peduli Masyarakat Vol 5 No 3 (2023): Jurnal Peduli Masyarakat: September 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i3.2226

Abstract

Lansia merupakan seseorang yang karena usianya mengalami perubahan biologis, fisik, kejiwaan dan sosial. Perubahan ini akan memberikan pengaruh pada seluruh aspek kehidupan termasuk kesehatannya. Penuaan menyebabkan penurunan sensorik dan motorik pada susuan saraf pusat, termasuk juga otak mengalami perubahan struktur dan biokimia. Terkait dengan penurunan fungsi otak, pada lansia terjadi perubahan pada sistem persarafan dimana otak mengalami penyusutan (atropi). Tujuan dari kegiatan pengabdian masyarakat ini untuk melakukan pendampingan terkait Peningkatan Kualitas Hidup Para Lansia dengan Pendidikan Kesehatan dan Permainan Jigsaw Puzzle di Panti Wredha Rindang Asih II Bongsari. Peserta dalam kegiatan PKM adalah 30 lansia. PKM ini diawali dengan pendidikan kesehatan tentang masalah – masalah kesehatan pada lansia dan dilanjutkan dengan permainan Jigsaw Puzzle yang dapat mengasah otak lansia dan memperlambat onset penurunan fungsi kognitif pada lansia dengan cara sebuah gambar yang dipotong-potong dengan desain khusus dan dapat disambung-sambung kembali menjadi gambar yang utuh. Hasil kegiatan PKM ini, para lansia teredukasi terkait gambaran masalah – masalahan kesehatan yang dialami seorang lansia dan ikut terlibat secara aktif dalam permainan Jigsaw Puzzle. Para lansia tampak sangat antusias dan aktif mengikuti proses PKM.
Pembuatan Aplikasi Asesmen Neuropati Diabetikum untuk Meningkatkan Peran Perawat Puskesmas dalam Pelayanan Pasien Diabetes Melitus Selano, Maria Karolina; Nono, Emirensiana Anu; Sogen, Maria Dolorosa Peni
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.4407

Abstract

Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan peran perawat dalam pelayanan pasien diabetes melalui pembuatan aplikasi asesmen neuropati diabetikum. Aplikasi ini dikembangkan untuk mempermudah perawat dalam mendeteksi dini gejala neuropati pada pasien diabetes, yang merupakan salah satu komplikasi serius penyakit tersebut. Kegiatan ini dilaksanakan di Puskesmas Kagok Kota Semarang dengan melibatkan 14 perawat sebagai responden. Metode yang digunakan meliputi sosialisasi, pelatihan penggunaan aplikasi, dan evaluasi efektivitas aplikasi dalam praktik. Hasil kegiatan menunjukkan bahwa aplikasi ini dapat membantu perawat dalam proses asesmen, meningkatkan pemahaman perawat tentang neuropati diabetikum, serta mempercepat pengambilan keputusan dalam penanganan pasien. Penggunaan aplikasi juga diterima dengan baik oleh para perawat dan diharapkan mampu meningkatkan kualitas pelayanan kesehatan di puskesmas terkait perawatan pasien diabetes.
Skrining Kesehatan dan Edukasi Pencegahan Penyakit Degeneratif pada Kelompok Lansia Selano, Maria Karolina; Nono, Emirensiana Anu; Handayani, Kristiana Prasetia; Sogen, Maria Dolorosa Peni; Tsiompah, Gregorius; Astuti, Oke Dwi
Jurnal Peduli Masyarakat Vol 7 No 1 (2025): Jurnal Peduli Masyarakat: Januari 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i1.5597

Abstract

Penyakit degeneratif merupakan salah satu tantangan kesehatan utama yang dihadapi oleh kelompok lansia. Pengabdian kepada masyarakat ini bertujuan untuk melakukan skrining kesehatan dan edukasi pencegahan penyakit degeneratif pada lansia di Puskesmas Kagok, Kota Semarang. Metode yang digunakan adalah pendekatan partisipatif dengan melibatkan lansia dalam kegiatan skrining kesehatan dan edukasi. Hasil dari kegiatan ini menunjukkan bahwa sebagian besar lansia memiliki risiko tinggi terhadap penyakit degeneratif, terutama hipertensi dan diabetes melitus. Edukasi yang diberikan berhasil meningkatkan pengetahuan lansia mengenai pentingnya pola hidup sehat dan pencegahan penyakit. Kegiatan ini diharapkan dapat meningkatkan kualitas hidup lansia dan mendorong mereka untuk lebih proaktif dalam menjaga kesehatan.
Strengthening The Capacity of Health Cadres Through Active Diabetes Education at The Kagok Health Center, Semarang City, 2025 Maria Karolina Selano; Oke Dwi Astuti
Journal of Community Engagement in Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i2.749

Abstract

Diabetes mellitus (DM) remains a serious health threat in Indonesia and worldwide. The number of people with diabetes is estimated to increase sharply, with around 20.4 million people in Indonesia living with diabetes in 2024. The prevalence of diabetes in Indonesia was around 11.7% in 2023 and continues to rise. The majority of diabetes cases are type 2, which is strongly associated with unhealthy lifestyle factors such as excessive sugar intake, obesity, and lack of physical activity. Health cadres as the spearhead of health services have an important role in educating and assisting DM patients. Based on interviews with the Kagok Health Center, it was found that health cadres have limited knowledge and skills related to diabetes, therefore improvement through training and active education is needed. This community service program aims to increase the capacity of cadres through Active Diabetes education which will be held on June 26, 2025 with interactive and simulation training methods. A total of 80 health cadres participated in the training, whose knowledge improvement was then assessed using valid and reliable questionnaire instruments, with the sampling method employing purposive sampling, which involves selecting samples based on specific criteria relevant to the study objectives. The pre-test and post-test data were analyzed descriptively and statistically using the paired t-test after the Shapiro-Wilk normality test was performed. Results showed a significant increase in the average knowledge score from 40.3% to 75.8% (p < 0.001). Post-training monitoring indicates that cadres are able to implement diabetes education and early detection in a sustainable manner. The program strengthens the role of health cadres in the control of DM at the community level and can be a recommended model of health empowerment for other regions.
Profile of Health Based on Body Mass Index, Blood Pressure, and Blood Sugar Levels in the Elderly Selano, Maria Karolina; Nono, Emirensiana Anu; Handayani, Kristiana Prasetia; Sogen, Maria Dolorosa Peni; Tsiompah, Gregorius; Astuti, Oke Dwi
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5859

Abstract

Diabetes mellitus (DM) is an escalating global health issue, characterised by its increasing prevalence and the significant complications it entails. Effective management of blood glucose levels is a critical component in preventing DM-related complications. This study aims to analyse the health profiles of elderly individuals based on Body Mass Index (BMI), blood pressure, and blood glucose levels. An observational cross-sectional design was employed, involving data collection at a single point in time to identify relationships between variables. The sample consisted of 120 respondents aged 60 and above residing in the Puskesmas Kagok area. Purposive sampling was utilised to select respondents based on inclusion criteria, specifically targeting elderly individuals willing to participate and without any medical conditions necessitating specialised care. The data revealed that the average BMI of respondents was 25.3, with 25% classified as normal weight, 50% as overweight, and 25% as obese. In terms of blood pressure, 58.33% of respondents were found to be hypertensive, while 41.67% were within the normal range. Additionally, the average random blood glucose level was 205 mg/dL, with 33.33% of respondents exhibiting glucose levels ≥ 200 mg/dL, indicating a high risk of diabetes. Demographic characteristics indicated that 66.7% of respondents were female, and 75% had been diagnosed with diabetes for over five years. Educational attainment varied, with 51.6% having completed secondary education and 31.7% possessing higher education qualifications. Notably, 46.6% of respondents were not engaged in employment. These findings highlight a high prevalence of overweight, hypertension, and elevated blood glucose levels among the elderly population in the Puskesmas Kagok area, underscoring the necessity for preventative measures and management of non-communicable diseases within this age group. It is anticipated that this research will provide valuable insights for the development of health programmes tailored to the needs of the elderly.
Co-Authors Anastasia Diah Larasati Astuti, Oke Dwi Bambang Edi Warsito Emerensiana Anu Nono Freaty Ayu Agustina Hubertus Agung Pambudi Kristiana Prasetia Handayani Laurentius Denis Satria Maria Agustina Ermi Tri Sulistiyowati Maria Theresia Priyastuti Nono, Emirensiana Anu Oke Dwi Astuti Priyo Sambodo Ranis Nyadin Panjaitan Rina Dwi Pangesti Setyaningrum, Niken Sofyan Budi Raharjo Sogen, Maria Dolorosa Peni Suhadi Suhadi Suhadi Suhadi Suhadi Tsiompah, Gregorius Untung Sujianto Veronica Ririn Marwaningsih Yohanes Hendy Kurniawan