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Hubungan Self Efficacy Dengan Self Care Management Penderita Diabetes Mellitus Tipe 2 Di Wilayah Binaan Puskesmas Karangayu Deni Irawan Deni; Ismonah Ismonah; Prita Adisty Handayani
Jurnal Perawat Indonesia Vol. 6 No. 3 (2022): November 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.604 KB) | DOI: 10.32584/jpi.v6i3.1915

Abstract

Diabetes merupakan penyakit kronis yang diakibatkan oleh tidak adekuatnya produksi insulin oleh pankreas. Salah satu faktor yang berperan dalam kejadian komplikasi diabetes mellitus adalah kurang nya keyakinan serta ketidakmampuan dalam melakukan pengelolaan penyakit melalui perawatan diri. Peningkatan keyakinan diri dan motivasi pasien akan mempengaruhi kepatuhan manajemen perawatan diri penderita Diabetes Mellitus, sehingga dapat berimplikasi pada peningkatan kualitas hidup. Tujuan penelitian ini adalah untuk mengetahui hubungan self efficacy dengan self care management penderita diabetes mellitus tipe 2 di Puskesmas Karangayu. Metode yang digunakan yaitu kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini penderita Diabetes Mellitus di Puskesmas Karangayu yang sudah terdata di tahun 2021 sejumlah 124 orang. Teknik sampling yang digunakan adalah purposive sampling. Hasil penelitian didapatkan tingkat self efficacy cukup baik, sebesar 88 responden (71%), dan tingkat self care management cukup baik sebesar 74 responden (59,7%). Hasil uji statistik menggunakan uji Spearman rank menunjukkan p value sebesar 0,000 (<0,05) yang mempunyai makna terdapat hubungan yang signifikan antara self efficacy dengan self care management pada penderita diabetes mellitus di wilayah binaan Puskesmas Karangayu, dengan kekuatan hubungan 0,390 yaitu cukup kuat, serta memiliki arah korelasi positif, yang berarti apabila nilai self efficacy tinggi, maka akan diikuti dengan meningkatnya nilai self care management. Hasil penelitian ini, diharapkan tenaga kesehatan dapat meningkatkan self efficacy dengan cara memberikan motivasi pada penderita diabetes mellitus agar selalu konsisten dalam melaksanakan self care management, supaya pengendalian komplikasi penderita diabetes dapat dicegah. Kata Kunci : Diabates Mellitus, Self Care Management, Self Efficacy
Optimalisasi Peran Perawat Melakukan Screening Palliative Care untuk Menerapkan Intervensi Keperawatan Paliatif Suksi Riani; Ismonah Ismonah; Fransisca Gloria
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 3, No 2 (2023): Abdira, April
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v3i2.305

Abstract

The increasing number of patients chronic and terminal disease such as cancer,COPD, stroke, hearth failure, degenerative desease, HIV/AIDS that requirepalliative care according to the 2007 Ministry of Health Policy. The application ofpalliative care in Indonesia is not optimal because there are still many nurses andthe community who do not know about palliative care. The purpose is to optimizethe role of nurses in screening palliative care and providing palliative nursinginterventions. This study method uses sharing knowledge and training withmeasured their level of knowledge about palliative care. The stages includesocialization, pre test, presentation, demonstrations, post test and follow up plans.The result showed that the majority aged 41-50 years old, female gender, educationbachelor, length of work 11-20 years, increase knowledge majority being good(60%). This community service is important to improve the application ofpalliative care in health services and in the community.
Model Pembelajaran Klinik Keperawatan Medikal Bedah Pendekatan Saintifik Ismonah Ismonah; Oktia Woro Kasmini Handayani; Wahyono Wahyono; Tri Suminar
Prosiding Seminar Nasional Pascasarjana Vol. 6 No. 1 (2023)
Publisher : Pascasarjana Universitas Negeri Semarang

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Abstract

Pengalaman belajar klinik merupakan suatu proses transformasi peserta didik menjadi seorang perawat yang profesional, dengan memberikan kesempatan bagi peserta didik beradaptasi dengan perannya sebagai perawat profesional. Selain itu juga berperan dalam membina sikap, pandangan, dan kemampuan profesional lulusan, perawat mampu bersikap dan berpandangan profesional, berwawasan keperawatan yang luas, serta mempunyai pengetahuan ilmiah keperawatan yang memadai, serta menguasai keterampilan profesional secara baik dan benar. Pembelajaran dengan pendekatan saintifik adalah proses pembelajaran yang dirancang agar peserta didik secara aktif mengkonstruksi, konsep, hukum atau prinsip melalui tahapan-tahapan mengamati, merumuskan masalah, mengajukan atau merumuskan hipotesis, mengumpulkan data dengan berbagai teknik, menganalisis data, menarik kesimpulan dan mengkomunikasikan konsep atau prinsip yang ditemukan. Penelitian ini bertujuan untuk menemukan model pembelajaran klinik keperawatan medikal bedah pendekatan saintifik. Metode penelitian yang digunakan adalah penelitian pengembangan. Dengan mengidentifikasi kondisi yang ada saat ini, kemudian menyusun sebuah model dan dilakukan uji coba, agar mendaptkan suatu bentuk model yang sesuai. Hasil penelitian didapatkan bahwa penerapan model manajemen pembelajaran klinik keperawatan medikal bedah efektif dalam meningkatkan kompetensi klinik peserta didik yang meliputi kognitif, afektif maupun psikomotorik. Kompetensi klinik ditunjukan dengan kemampuan peserta didik dalam melaksanakan praktik klinik kepada pasien, melalui asuhan keperawatan. Implikasi dalam penelitian ini adalah Model Pembelajaran Klinik Pendekatan Saintifik dapat diterapkan kepada mahasiswa yang praktik keperawatan medikal bedah, guna meningkatkan kompetensi klinik mahasiswa keperawatan.
Medical-Surgical Nursing Scientific Method in Improving Clinical Competence Ismonah Ismonah; Oktia Woro Kasmini Handayani; Wahyono Wahyono; Tri Suminar
International Conference on Science, Education, and Technology Vol. 9 (2023)
Publisher : Universitas Negeri Semarang

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Abstract

Problems that arise in the implementation of medical-surgical nursing clinical learning make students weak in achieving clinical competence, critical thinking skills, case analysis, and clinical decision-making. The scientific method is a learning approach that uses steps and scientific rules to implement the learning process. So that students always find out from various sources and information through observing, asking, trying, processing, presenting, concluding, and creating. This method is a learning method that touches on three domains: knowledge (cognitive), attitude (affective), and skills (psychomotor). This study aimed to assess the effectiveness of the scientific method in improving clinical competence and learning outcomes for nursing students in medical-surgical nursing courses. This study used a quasi-experimental method with the subject of nursing professional education students. The data analysis technique uses the t-test with the help of the SPSS program. The results of clinical studies before and after applying the scientific method showed differences in the pre-and post-test scores, with a p-value of 0.000. The results of this study indicate that the scientific method can improve students' clinical competence, including the ability to think critically and analyze cases.
REDISCOVERING LIFE (POST TRAUMATIC GROWTH ON PEOPLE LIVING WITH HIV) Niken Wulan Hasthi Murti; Sri Puguh Kristiyawati; Ismonah Ismonah
Nurse and Health: Jurnal Keperawatan Vol 11 No 2 (2022): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v11i2.371

Abstract

Background: Post-traumatic growth is a life change. People living with HIV who start to adapt to the current condition have a better life and positive emotion by rediscovering happiness. Post-traumatic growth occurs due to individual thoughts regarding life purposes and reviewing their life priorities. Objectives: This study aimed to explore the post-traumatic growth process experienced by people living with HIV. Methods: This study employed the qualitative study method with a descriptive phenomenology approach on six participants with HIV at Yayasan Sehat Peduli Kasih, Semarang. The participants were selected following the inclusion criteria, i.e., 24-25-year-olds with no cognitive disorders and regular treatments. The exclusion criteria in this study were participants who could not attend the interview process, although the researchers already made recurring appointments. The interview type utilized in this study was a semi-structured interview. The data analysis model in this study followed the data analysis steps of the colaizzi method. Results: Four themes emerged as part of post-traumatic growth. The four identified themes in this study are 1) early stage of HIV positive, 2) post-traumatic growth process, 3) becoming a better person after rediscovering life, and 4) future wishes after rediscovering life. The acquired themes are illustrations of post-traumatic growth in rediscovering life. Conclusion: Most People living with HIV have rediscovered purposes and wishes, although they continue to eliminate self-stigma and transform self-image to be positive. It is necessary to develop an HIV intervention program to improve and help the sufferers encounter internal stigma. The interventions include any ECT and spiritual mindfulness that focus on improving self-confidence.
Hubungan Pengetahuan Dan Efikasi Diri Terhadap Kepatuhan Minum Obat Anti Tuberkulosis (OAT) Tahap Lanjutan Pada Penderita Tb Paru Di Puskesmas Candi Lama Nani Fattiya Suryani; - Ismonah; Felicia Risca R
Prosiding Seminar Nasional Unimus Vol 4 (2021): Inovasi Riset dan Pengabdian Masyarakat Post Pandemi Covid-19 Menuju Indonesia Tangguh
Publisher : Universitas Muhammadiyah Semarang

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Abstract

TB Paru adalah penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis. Keberhasilanpengobatan TB Paru sangat ditentukan oleh kepatuhan penderitanya dalam mengkonsumsi ObatAnti Tuberkulosis (OAT). Terdapat beberapa faktor yang dapat mempengaruhi kepatuhan minumobat yaitu pengetahuan dan efiksi diri. Tujuan penelitian ini adalah mengetahui hubunganpengetahuan dan efikasi diri terhadap kepatuhan minum OAT tahap lanjutan pada penderita TBParu yang dilakukan di Puskesmas Candi Lama. Penelitian ini menggunakan pendekatan crosssectionalyangmelibatkan49repondendanmenggunakantekniktotalsamplinguntukpengambilandata.Berdasarkan  uji statistic menggunakan Spearman Rank didapatkan hasil p value 0,655(p>0,05), yang artinya tidak terdapat hubungan antara pengetahuan terhadap kepatuhan minumOAT tahap lanjutan  pada penderita TB Paru dan didapatkan hasil  p value 0,088 (p>0,05), yangartinya juga tidak terdapat hubungan antara efikasi diri terhadap kepatuhan minum OAT tahaplanjutan pada pendrita TB Paru. Hasil penelitian ini diharapkan dapat menjadi acuan bagipenelitian selanjutnya dalam menentukan variabel yang memiliki peran lebih kuat dalam merubahatau membentuk kepatuhan. Kata kunci : Efikasi Diri, Kepatuhan, OAT Tahap Lanjutan, Pengetahuan
Pengaruh Edukasi Audiovisual Terhadap Self Care Management Penyandang Diabetes Melitus di Wilayah Kerja Puskesmas Pabelan Kabupaten Semarang Feni Salsabila; - Ismonah; Novy Hery Yono
Prosiding Seminar Nasional Unimus Vol 4 (2021): Inovasi Riset dan Pengabdian Masyarakat Post Pandemi Covid-19 Menuju Indonesia Tangguh
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Diabetes melitus merupakan penyakit kronis yang diderita seseorang karena tubuh tidak bisamemproduksi insulin atau tidak mampu menggunakan insulin secara efektif, sehingga dapatmenyebabkan  kadar gula darah menjadi rendah. Strategi yang tepat sangat dibutuhkan untukmenjaga kestabilan gula darah dan mencegah komplikasi yaitu dengan penerapan self caremenegemement melalui edukasi audiovisual. Tujuan penelitian ini adalah mengetahui pengaruhpemberian edukasi audiovisual terhadap self care management penyandang diabetes melitus.Penelitian  ini menggunakan quasy experiment (one group pre-test post-test) yang melibatkan 43reponden dan menggunakan teknik purposive sampling untuk pengambilan data. Berdasarkan ujiwilcoxon didapatkan hasil p value 0,001 (<0,05), angka tersebut menunjukan adanya peningkatanself-care management oleh penyandang diabetes mellitus dengan menerapkan edukasi audiovisual.Oleh karena itu, pemanfaatan media audiovisual dapat digunakan dan diterapkan sebagai saranauntuk meningkatkan self care management bagi penyandang diabetes melitus.Kata Kunci : Edukasi audiovisual, self care management
Pemberdayaan Kader Melalui Program “SI KEPO DM” Sebagai Upaya Pencegahan Diabetic Foot Ulcer dengan Pendekatan Paliatif Muhammad Anis Taslim; Ismonah Ismonah; Linda Pramusinta
Jurnal Pengabdian Ilmu Kesehatan Vol. 4 No. 2 (2024): Juli : Jurnal Pengabdian Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v4i2.2633

Abstract

Diabetes mellitus (DM) is a group of chronic metabolic diseases characterized by increased blood glucose levels, which over time can cause serious complications if not treated properly (WHO, 2018). SI KEPO DM (Screening, Recognizing and Caring for Diabetes Mellitus) program is used to prevent and early detect Diabetes Mellitus and the emergence of DM Ulcers. Screening to prevent the emergence of DM ulcers with SMART, namely regular health checks, get rid of cigarette smoke, exercise and physical activity regularly, have a balanced diet, get enough rest and manage stress well. Nowadays, many people do not provide enough fiber in their food, they consume a lot of food that contains cholesterol, saturated fat and sodium, which is made worse by the frequent consumption of foods and drinks that are rich in sugar. Based on a preliminary study, it was found that there was one resident of Karagayu sub-district with a diabetic ulcer who died due to a lack of knowledge regarding the prevention and treatment of Diabetic Ulcer wounds and chose to seek alternative treatment. There is a lack of knowledge regarding screening for early detection of DM as well as how to recognize and care for diabetes mellitus to prevent the appearance of ulcers, so it is necessary to actualize elderly cadres to carry out the Screening, Recognize and Care for Diabetes Mellitus Program as an effort to prevent the appearance of DM Ulcers in the elderly or those who abbreviated as the “SI KEPO DM” program.
THE RELATIONSHIP BETWEEN ENVIRONMENTAL FACTORS AND QUALITY OF LIFE OF TYPE 2 DIABETES MELLITUS Kusuma, Abigail Sharon; Ismonah; Hartoyo, Mugi
Lux Mensana: Journal of Scientific Health Vol. 3 Issue 4 (2024)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/jsh.v3i4.658

Abstract

Introduction. Type 2 diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia, which causes complications and affects quality of life. Environmental factors influence the quality of life of DM patients. This study aimed to determine the relationship between environmental factors and the quality of life of type 2 DM patients at the Manyaran Public Health Center, Semarang City. Method. This research was quantitative study with a cross-sectional approach. Sixty-three respondents were involved in this study, which was determined using a simple random sampling technique. The Perceived Neighborhood Environment questionnaire measures environmental factors, and DQOL measures quality of life. Result & Analysis. The analysis results showed that most respondents were >65 years old at 42.9%, 61.9% were female, and 38.1% had primary school as their last education. The analysis results also showed that most respondents have good environmental factors (98.4%) and a high quality of life (79.4%). Discussion. The results of the Spearman Rank test stated that there was a significant relationship between environmental factors and the quality of life of type 2 DM patients at the Manyaran Public Health Center (p-value 0.000), with the strength of moderate and positive (r = 0.467), where the better the environment, the higher the quality of life.
LITERATURE REVIEW: PREVENTION OF ANTERIOR LIGAMENT INJURY WITH PLYOMETRIC EXERCISE IN PRE-ELDERLY Endah Sri Wulandari; Linda Pramusinta; Ismonah
Physiotherapy and Physical Rehabilitation Journal Vol. 1 No. 2 (2022): November : Physiotherapy and Physical Rehabilitation Journal
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/pprj.v1i2.302

Abstract

Background : The aging process is associated with a progressive decline in neuromuscular function, increased risk of injury and fractures, impaired functional performance, and loss of independence. Plyometric training can reduce or even improve the ability of the anterior ligament mass. However, little research has been done on the effects of plyometric training on the elderly.Research objective : To prevent anterior ligament injuries in pre-elderly.Methodology : The method used is a literature review of several articles on plyometric exercises to prevent anterior ligament injuries.Results : Plyometric training can have a significant effect on preventing anterior ligament injuries in pre-elderly.Conclusion : Giving exercise therapy can increase daily physical activity in pre-elderly.