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HUBUNGAN DUKUNGAN SOSIAL DENGAN MEKANISME KOPING INDIVIDU PADA PENYANDANG DIABETES MELITUS TIPE 2 DI PUSKESMAS GUNUNGPATI Imam Bachtiar; Ismonah; Hartoyo, Mugi
Jurnal Ilmu Keperawatan Komunitas Vol. 6 No. 2 (2023)
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikk.v6i2.2436

Abstract

Diabetes Mellitus is a disease indicated by high blood glucose. This disease is a chronic disease that an individual suffers in his or her life. The psychological changes, such as stress suffered by Diabetes Mellitus type-2 patients could influence their blood glucose content instability. Thus, the patients require adaptive coping mechanisms to manage and adapt the stress. One of the influential factors of individual coping mechanisms is social support from family, friends, and significant other. This research examined the correlation between social support and individual coping mechanism of diabetes mellitus type-2 patients. This cross-sectional research applied consecutive sampling on 63 respondents suffering from diabetes mellitus type 2 in Gunungpati health care center. The researchers took the data with the Multidimensional Scale of Perceived Social Support (MSPSS) and Cope Inventory. The Pearson Product Moment obtained a p-value of 0.000 (< 0.05) with an r-value of 0.430, indicating a significant, strong, and positive correlation between social support with individual coping mechanisms in diabetes mellitus type-2 patients. This result suggested high social support led to high individual adaptive coping mechanisms. The researchers recommended nurses educate the families, friends, and close friends of diabetes mellitus type-2 patients so they could provide social support. This effort could realize adaptive coping mechanisms
The Influence of Audiovisual Education on Foot Care Compliance to Prevent Diabetic Ulcers in DM Type 2, Ngemplak Simongan Public Health Care Aisyah, Siti Nur; Ismonah, Ismonah; Hartoyo, Mugi
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.529

Abstract

Audiovisual education is important to increase foot care compliance to prevent diabetic ulcers in DM Type 2 patients. This study examines the influence of audiovisual education on foot care compliance to prevent diabetic ulcers in DM Type 2. This is a quantitative research with a one-group pre-post-test quasi-experimental design at the working area of the Ngemplak Simongan Community Health Center. The sample consisted of 44 respondents selected by purposive sampling. Variables involved in this research are the audiovisual education and the foot care compliance. Foot care compliance was measured using the foot care compliance questionnaire. Based on the univariate analysis, the majority of respondents are female (72.2%), late elderly aged 56-65 years (43.2%), work as housewives (54.5%), and primary schooled (68.2%), also 50% suffered DMT2 for >5 years, 56.8% had hypertension complications, 79% did not smoke, and 33% did not have hypercholesterolemia history. The univariate analysis also stated that only 4.5% of respondents had foot care compliance behavior before intervention, then increased to 97.7% after intervention. Bivariate analysis stated that there is a significant influence of audiovisual education on compliance with foot care in people with type 2 DM at the Ngemplak Simongan Community Health Center, with p-value of 0.000. Healthy living practices can be influenced by appropriate health information. People with type 2 diabetes can try to avoid diabetic ulcers by learning about good foot care.
Peningkatan Pengetahuan Lansia dengan Diabetes Mellitus melalui Program Edukasi Senam Kaki DM Adila, Desita Triana; Indrawati, Hani; Kristiyawati, Sri Puguh; Sovianti, Vivi; Ismonah, Ismonah
Jurnal Peduli Masyarakat Vol 7 No 4 (2025): Jurnal Peduli Masyarakat: Juli 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i4.6921

Abstract

Salah satu metode preventif yang cukup efektif dan mudah dilakukan pada penderita DM adalah senam kaki diabetik. Di sisi lain, senam kaki diabetik juga dapat menjadi sarana edukasi yang efektif dalam meningkatkan kesadaran pasien terhadap pentingnya perawatan kaki secara rutin. Meskipun senam kaki diabetik memiliki berbagai manfaat, tingkat pengetahuan pasien mengenai hal ini masih tergolong rendah, terutama di tingkat pelayanan primer seperti puskesmas. Salah satu program peningkatan pengetahuan pada penderita DM yaitu dengan memberikan pendidikan kesehatan pada pasien Prolanis di Puskesmas. Tujuan pengadian kepada masyarakat ini adalah meningkatkan pengetahuan lansia yang memiliki riwayat penyakit diabetes mellitus dengan senam diabetik. Metode yang digunakan dalam pengabdian masyarakat ini antara lain penyuluhan kesehatan dan demonstrasi dengan cara diskusi tanya jawab menggunakan media leaflet serta latihan senam diabetes. Tahapan kegiatan yang akan dilakukan adalah tahap persiapan, tahap pelaksanakan dan tahap evaluasi. Peserta dalam kegiatan ini adalah lansia berjumlah 15 lansia. Kegiatan dilakukan melalui observasi langsung antara peserta dengan pemateri penyuluhan saat pemaparan materi, sesi tanya jawab serta keaktifan masyarakat dalam kegiatan pendidikan kesehatan. Pengumpulan data pada kegiatan pengabdian masyarakat ini melalui pengisian kuisioner sebelum dan sesudah kegiatan. Hasil pengabdian masyarakat ini mengenai tingkat perubahan pengetahuan lansia mengenai senam kaki pada penderita diabetes melitus menunjukkan peningkatan yang sangat signifikan yaitu dari awalnya 3 responden (20%) berpengetahuan kurang, 7 (46,7%) cukup, dan 5 (33,3%) baik, menjadi 100% responden memiliki kategori pengetahuan baik pasca‑edukasi.
Hubungan Self Acceptance dan Kepatuhan Diet dengan Kadar Glukosa Darah Penyandang Diabetes Melitus Tipe 2 Fiana, Melia Viva Norma; Ismonah, Ismonah; Hartoyo, Mugi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 2 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i2.687

Abstract

Tujuan Penelitian: Mengetahui hubungan self acceptance dan kepatuhan diet dengan kadar glukosa darah penyandang DM tipe 2. Metode: Kuantitatif dengan pendekatan cross-sectional. Sampel dipilih dengan accidental sampling, 42 responden dari pasien Prolanis di Puskesmas Karangayu pada Maret 2023. Pengambilan data menggunakan kuesioner USAQ (Unconditional Self Acceptance Questionare), kepatuhan diet, serta hasil glukosa darah puasa (GDP). Data dianalisis dengan Pearson product moment dan Spearman’s rank. Hasil: Penyandang DM tipe 2 terbanyak adalah perempuan (64,3%), usia lansia akhir 40,5%, berpendidikan SD 31,0%, dan lama menderita mayoritas selama < 5 tahun dan 5–10 tahun, masing-masing 35,7%, kebanyakan sudah tidak bekerja (52,4%). Responden kebanyakan memiliki self acceptance yang sedang (68,95), memiliki kepatuhan diet dengan nilai 50,48 (cukup), dan memiliki kadar glukosa darah dengan nilai 139,33 (buruk). Uji Spearman rank menunjukkan adanya hubungan self acceptance dengan kestabilan kadar glukosa darah, dengan arah korelasi (–) dan kekuatan hubungan sedang (p-value = 0,003; r = –0,449). Sementara itu, uji Pearson product moment menunjukkan adanya hubungan kepatuhan diet dengan kestabilan kadar glukosa darah, dengan arah korelasi (–) dan kekuatan hubungan sedang (p-value = 0,009; r = –0,401). Diskusi: Self acceptancedan kepatuhan diet yang baik, memiliki hubungan dengan kestabilan kadar glukosa darah. Semakin baik self acceptance dan kepatuhan diet, semakin baik juga kadar glukosa darah pasien DM tipe 2 di Puskesmas Karangayu. Kesimpulan: Terdapat hubungan self acceptance dan kepatuhan diet dengan kestabilan kadar glukosa darah. Dari hasil penelitian, direkomendasikan agar peneliti selanjutnya meneliti faktor lain yang memengaruhi kestabilan kadar glukosa darah, seperti obesitas, faktor genetik, prediabetes, pola hidup, dan aktivitas fisik.Kata Kunci: DM tipe 2, kadar glukosa darah,  kepatuhan diet, self acceptanceCorrelation Between Self-Acceptance and Dietary Compliance with Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus ABSTRACTResearch Objective: This research aims to identify the correlation between self-acceptance and dietary compliance with blood glucose levels in patients with type 2 diabetes mellitus (T2DM). Methods: A quantitative research design with a cross-sectional approach was employed. The sample consisted of 42 respondents selected through accidental sampling, drawn from PROLANIS participants at Karangayu Public Health Center in March 2023. Data were collected using the Unconditional Self-Acceptance Questionnaire (USAQ), a dietary compliance questionnaire, and fasting blood glucose test results. Data analysis was conducted using Pearson Product Moment and Spearman Rank correlation tests. Results: The majority of T2DM patients were female (64.3%), in the late elderly age category (40.5%), with elementary school education (31.0%), and had been diagnosed for less than 5 years or 5–10 years (35.7% each). Most were no longer employed (52.4%). Respondents predominantly exhibited moderate self-acceptance (mean score: 68.95), moderate dietary compliance (mean score: 50.48), and poor fasting blood glucose control (mean level: 139.33 mg/dL). The Spearman rank test revealed a significant negative moderate correlation between self-acceptance and blood glucose levels (p = 0.003; r = –0.449). The Pearson correlation test also showed a significant negative moderate correlation between dietary compliance and blood glucose levels (p = 0.009; r = –0.401). Discussion: Higher levels of self-acceptance and better dietary compliance were correlated with more stable blood glucose levels. Improved self-acceptance and adherence to dietary recommendations contribute to better glycemic control among T2DM patients at Karangayu Public Health Center. Conclusion: There is a significant correlation between self-acceptance and dietary compliance with blood glucose stability. Future research is recommended to explore additional factors influencing blood glucose levels, such as obesity, genetic predisposition, prediabetes, lifestyle habits, and physical activity.Keywords: self-acceptance, dietary compliance, blood glucose level, type 2 diabetes mellitus
PENERAPAN TERAPI AKUPRESUR TITIK PERIKARDIUM 6 UNTUK MENGATASI NAUSEA PADA PASIEN DENGAN GASTROPATI DIABETES MELITUS TIPE I: STUDI KASUS Ismonah; Kusuma, Abigail Sharon
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1893

Abstract

Diabetic gastropathy may develop as a complication of Type 1 Diabetes Melitus, where the stomach experiences delayed emptying, called gastroparesis. Nausea, vomiting, abdominal pain, heartburn, and early satiety after meals characterize this condition.Previous research provided an overview of the decrease in nausea in the third and seventh weeks after acupressure therapy at pericardium point 6, but the researcher wanted to describe the change in nausea score every time acupressure therapy was given at pericardium point 6.This study used a single case study method with one subject experiencing diabetic gastropathy. The main nursing intervention was to lower nausea of the patient by using the 6-pericardial acupressure point therapy for five minutes twice a day. The aim of this study was to analyze the decrease in nausea score every time acupressure therapy was given through measuring the Gastroparesis Cardinal Symptom Index (GCSI) score. After three days of treatment, the patient’s nausea value decrease from 5 (very severe) to 0 (none) followed with the decreasing of the GCSI score from 35 (severe gastroparesis) to 0 (no gastroparesis). The 6-pericardial acupressure point therapy activated the flow of body’s bioenergy or Qi to restore the body’s homeostasis for the medulla oblongata in controlling nausea and vomiting.
Co-Authors - Hendrajaya Achmad Solechan Adila, Desita Triana Afitaria Qulsum Anak Agung Gede Sugianthara Andreas Endarto Anita Putri Octaviani Aprilina Nurhayati Fuad Arif. SN, M. Syamsul Ayu Wulansari, Ni Made Bagus Ananta Tanujiarso, Bagus Daru Eko Sriharyanti Deni Irawan Deni Destya Ariyanti Devi Lusiana, Devi Dian Ayu Cahyaningrum Dian Ayu Cahyaningrum, Dian Ayu Elia Purnamasari, Elia Feni Salsabila Fiana, Melia Viva Norma Fransisca Gloria Freddy Dwi Saputro Geglorian, Theodora Rosaria Hari Mukti Sehati Icha Violet Rahmatika Ike Yuyun Mardiani, Ike Yuyun Imam Bachtiar Indrawati, Hani Isti Wahyuningsih Kusuma, Abigail Sharon Linda Pramusinta Lucky Angelia Shabrini Lucky Angelia Shabrini, Lucky Angelia M. Syamsul Arief M. Syamsul Arief, M. Syamsul M. Syamsul Arif M. Syamsul Arif, M. Syamsul M. Syamsul Arif. SN Mia Intania Ramelan Mugi Hartoyo Muhammad Anis Taslim Muhammad Suherly Murti, Niken Wulan Hasthi Mutia Aulia Nani Fattiya Suryani Ni Made Ayu Wulansari Novy Hery Yono Oktia Woro Kasmini Handayani Prita Adisty Handayani Rahmatika, Icha Violet Rika Lolyta Riris Risca Megawati Rizqi Ady Wibowo, Rizqi Ady Ryandini, Felicia Risca Shobirun - Siti Nur Aisyah Sovianti, Vivi Sri Puguh Kristiyawati Sriharyanti, Daru Eko Sukesi - Sukesi -, Sukesi Suksi Riani Supriyadi - Supriyadi - Syamsul Arif syamsul arif Theodora Rosaria Geglorian Tri Murti Tri Suminar Wahyono Wahyono Wahyono Wahyono Wulandari Meikawati Wulandari, Endah Sri Yunita Murtisari, Yunita