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All Journal Holistik Jurnal Kesehatan Enrichment: Journal of Multidisciplinary Research and Development
Rahmiati, Cut
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Humanities Economics, Econometrics & Finance Engineering Health Professions Nursing Social Sciences

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Analysis of factors affecting the quality of life of people with type II Diabetes Mellitus Afrianti, Novi; Rahmiati, Cut
Enrichment: Journal of Multidisciplinary Research and Development Vol. 1 No. 5 (2023): Enrichment: Journal of Multidisciplinary Research and Development
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/enrichment.v1i5.37

Abstract

Diabetes Mellitus is still a global health problem that has an impact on the welfare of individuals, families and communities and affects the quality of life of sufferers. The purpose of this study was to determine the factors that affect the quality of life of people with diabetes mellitus. This type of study used a cross sectional approach to 132 people with diabetes mellitus selected with a purposive sampling approach. Data collection by conducting interviews with type 2 DM patients and filling out the Diabetes Quality of Life Clinical Trial Quessionnaire (DQLCTQ) questionnaire The data analysis carried out was univariate and bivariate analysis using chi-square test and multivariate analysis using multiple logistic regression tests. The results showed that there was a relationship between knowledge (p = 0.000), dietary adherence (p = 0.044), medication adherence (p = 0.000), and family support (p = 0.000) with the quality of life of patients with type II diabetes. Of several factors, knowledge / education is the factor that has the strongest influence on the quality of life of people with type II DM.
Application of Kegel Gymnastics in Reducing Urinary Incontinence in the Elderly in Gampong Lamleuot, Kuta Cot Glie District, Aceh Besar Rahmiati, Cut; Afrianti, Novi
Enrichment: Journal of Multidisciplinary Research and Development Vol. 1 No. 5 (2023): Enrichment: Journal of Multidisciplinary Research and Development
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/enrichment.v1i5.45

Abstract

The elderly are someone who has reached the age of 60 years and over, where in old age a person has experienced various declines in system function, as well as changes in body structure, one of which is a change in the structure of the urinary system and has weakened pelvic floor muscles and decreased bladder capacity, so the elderly are very vulnerable to urinary incontinence. Urinary incontinence is a bladder sphincter defect or neurological dysfunction that causes loss of control over urination. Thus causing a person to experience physical, psychological, social, and economic problems that affect the quality of life of the elderly, one of the treatments for urinary incontinence in the elderly is by practicing Kegel exercises. The purpose of this study was to find out the picture of the application of Kegel exercises in reducing urinary incontinence in the elderly with urinary incontinence. This research method is a case study with 2 (two) research subjects, which was carried out in Gampong Lamleuot, Kuta Cot Glie District, Aceh Besar Regency on March 9-20, 2023. The instruments used are SOPs for Kegel exercises, observation sheets and Resived Urinary Incontinence Scale (RUIS) questionnaires. The results showed a decrease in the level of incontinence in the elderly after the application of Kegel exercises, thus it is hoped that elderly gymnastics can be used as one of the therapies in reducing the level of urinary incontinence in the elderly.
Efektifitas precede-proceed model dalam meningkatkan kualitas hidup pasien penyakit kronis Dewiyuliana, Dewiyuliana; Junizar, Junizar; Juliana, Juliana; Rahmiati, Cut
Holistik Jurnal Kesehatan Vol 17, No 10 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i10.13199

Abstract

Background: Increasing cases of chronic diseases lead to higher death rates in the world. Chronic diseases are caused by unhealthy people's behaviour, environmental factors, increased use of technology, socio-cultural influences that can affect the quality of life of sufferers. Chronic illness can affect the health of individuals, families, communities and governments. The precede-proceed model is an approach that can be used to influence individuals in their activities by adjusting to their conditions, compliance with treatment and enthusiasm for treatment so as to improve the quality of life for people with chronic diseases. Purpose: To identify the effectiveness of the precede-proceed model in improving the quality of life of patients with chronic diseases.Method: This research is a pre-experimental research with a pre-test and post-test design approach. The population in this study were people with chronic diseases and the sample was 17 respondents who were selected by random sampling with the inclusion and exclusion criteria set by the researcher. The precede-proceed model was carried out in 7 stages which lasted for 7 weeks. The instrument used to assess the patient's quality of life is Whoqol-Brief. Hypothesis testing using the Paired T-sample statistic. Results: the most dominant sex in this study was women with a percentage of reaching (76.47%), the most age was elderly with a percentage of 52.94%, secondary education level with the highest percentage of 58.82% and the most type of DM disease dominant in this study with a percentage of 35.29%. The precede-proceed model can improve the quality of life of patients with chronic diseases (p=0.00).Conclusion: The precede-proceed model is an approach to increasing the knowledge of people with chronic diseases with health services through the support of patients, families and the community.  Keywords: Chronic Diseases; Precede-Proceed Model; Quality of Life. Pendahuluan: Peningkatan kasus penyakit kronis menyebabkan semakin tingginya angka kematian di dunia. Penyakit kronis disebabkan perilaku masyarakat, faktor lingkungan, peningkatan penggunaan teknologi, pengaruh sosial budaya yang dapat mempengaruhi kualitas hidup penderita. Penyakit kronis dapat mempengaruhi kesehatan individu, keluarga serta masyarakat dan pemerintahan. Precede-proceed model merupakan suatu pendekatan dalam bentuk pendekatan, yang dapat mempengaruhi individu untuk beraktivitas dengan menyesuaikan dengan kondisinya, pemenuhan dalam pengobatan dan semangat dalam menjalani pengobatan sehingga mampu meningkatkan kualitas hidup penderita penyakit kronis. Tujuan: Untuk melihat keefektifan precede-proceed model dalam meningkatkan kualitas hidup penderita dengan penyakit kronis. Metode: Penelitian quasi eksperimen dengan pendekatan pre-test dan post-test design. Populasi dalam penelitian ini adalah penderita penyakit kronis, dengan sampel sebanyak 17 responden yang dipilih secara random sampling. Kriteria inklusi meliputi responden yang bersedia menjadi responden, pasien yang mengalami penyakit kronis lebih dari 6 bulan, kesadaran compos mentis, nilai kualitas hidupnya rendah, sedangkan yang menjadi kriteria eksklusi merupakan responden yang tidak bersedia menjadi responden, ada gangguan penglihatan dan pendengaran. Pelaksanaan precede-proceed model ini dilaksanakan dalam 7 tahapan yang berlangsung selama 7 minggu. Instrumen yang digunakan untuk menilai kualitas hidup pasien berupa Whoqol-Brief. Pengujian hipotesis menggunakan statistik Paired sampel T-test.Hasil: Menunjukkan bahwa jenis kelamin yang paling dominan dalam penelitian ini adalah perempuan dengan persentase mencapai 76.47%, usia yang paling dominan dalam penelitian ini adalah lanjut usia dengan persentase mencapai 52.94%, tingkat pendidikan paling banyak menengah dengan persentase 58.82% dan jenis penyakit kronis yang paling banyak adalah penyakit diabetes mellitus dengan persentase 35.29%. Model precede-proceed dapat meningkatkan kualitas hidup penderita dengan penyakit kronis (p=0.00).Simpulan: Precede-proceed model merupakan suatu pendekatan dalam meningkatkan pengetahuan penderita penyakit kronis dengan pelayanan kesehatan melalui dukungan dari pasien, keluarga dan masyarakat Kata Kunci: Kualitas Hidup; Penyakit Kronis; Precede Proceed Model.
Co-Authors afrianti, novi Dewiyuliana, Dewiyuliana Juliana Junizar, Junizar