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<![CDATA[The Relation between Fatigue and Self-management in Patient with Diabetes Melitus Type 2 in Dr Soebandi Hospital Jember ]]>
<![CDATA[Yazid, Syahrul Abdul]]>;
<![CDATA[Sutawardana, Jon Hafan]]>;
<![CDATA[Siswoyo, Siswoyo]]>
<![CDATA[ Jurnal Keperawatan Vol 11, No 1 (2020): Januari ]]>
Publisher : <![CDATA[University of Muhammadiyah Malang ]]>
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DOI: 10.22219/jk.v11i1.8348
<![CDATA[Introduction: Fatigue that felt by diabetes melitus patient will be a barrier when doing self-management. An ineffectiveness of self-management will affect many complications, either macrovascular and microvascular. Objective: The goal of this research is determine the relation of fatigue and self-management of diabetes melitus type 2. Method: The design of this research is using observative correlative with cross – sectional way. There are 102 research samples obtained from the calculation G*Power. The methode of taking the data doing with way to gather use with Multidemensional Fatigue Inventory (MFI20) questionnaire and Diabetes Self-Management (DSMQ) that has tested validity and realibility for analyze the fatigue and self-management. The data from analyzed using spearman rank (α = 0,05). Results: Research’s result average of respondent showed that general fatigue (15,66), physical fatigue (13,8), reduced activity (12,44), reduced motivation (11,01), mental fatigue (11,37). Patient self-management showed if from 102 respondent in majority has good self-management 86 (84.3%) dan 15 (14,7%) the rest of respondent has enough – good. The second analyzed test showed that no relation that significant between fatigue and self-management. Discussion: There are other factor can influence self-management such as, social support and family support. Analyzed test showed if have corelation between reduce activity with managemen glukosa]]>
<![CDATA[Peran Perawat sebagai Edukator terhadap Persepsi Sakit pada Pasien Diabetes Mellitus Tipe 2 Kabupaten Jember ]]>
<![CDATA[Anggraeni, Nabila Cindy]]>;
<![CDATA[Widayati, Nur]]>;
<![CDATA[Sutawardana, Jon Hafan]]>
<![CDATA[ JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 6, No 1 (2020): VOL 6, NO 1 (2020) ]]>
Publisher : <![CDATA[Universitas Pendidikan Indonesia ]]>
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DOI: 10.17509/jpki.v6i1.24364
<![CDATA[ABSTRAKPasien dengan diabetes melitus (DM) tipe 2 akan menggambarkan penyakit yang dialami sesuai dengan apa yang ada dalam pikirannya untuk memahami masalah terkait. Persepsi sakit dapat ditingkatkan melalui pendidikan kesehatan oleh perawat tentang bagaimana mengelola penyakit dan manajemen perawatan diri. Penelitian ini bertujuan untuk menganalisa hubungan antara peran perawat sebagai edukator dengan persepsi sakit pada pasien DM tipe 2. Jenis penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Teknik sampling penelitian ini adalah consecutive sampling dengan sampel sebanyak 112 responden. Pengumpulan data menggunakan kuesioner peran perawat sebagai edukator dan kuesioner Brief Illness Perception Questionnaire (BIPQ). Analisis data dilakukan dengan menggunakan uji korelasi Spearman-rank dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara peran perawat sebagai edukator dengan persepsi sakit (p value: 0,001; r: -0,433). Tingkat korelasi sedang dan bersifat negatif yang berarti semakin tinggi nilai peran perawat sebagai edukator maka semakin rendah nilai persepsi sakit. Semakin baik peran perawat sebagai edukator, semakin positif persepsi pasien tentang penyakit, yang berarti semakin sedikit ancaman penyakit yang dirasakan oleh pasien. Studi ini menunjukkan bahwa perawat harus dapat meningkatkan penyediaan pendidikan kesehatan untuk pasien dengan DM tipe 2 sehingga pasien dapat memiliki persepsi positif terhadap penyakit.   ABSTRACT Patients with type 2 diabetes mellitus will describe their illness based on what is in their minds to understand related problems. Illness perception can be improved through health education by nurses about how to manage the illness and self-care management. This study aimed to analyze correlation between the role of nurse as educator and illness perception in patients with type 2 diabetes mellitus. This research applied an observational analytic design with cross sectional approach. A total of 112 respondents were obtained by using consecutive sampling technique. Data collection was conducted by administering questionnaires of Role of Nurse as Educator and Brief Illness Perception Questionnaire (BIPQ). Data analysis was performed with Spearman-rank correlation test with significance level of 0,05. The result showed a significant correlation between the role of nurse as educator and illness perception (p value: 0,001; r: -0,433). The correlation was moderate and negative which means the higher the value of the role of nurse as educator, the lower the value of illness perception. The better the role of the nurse as educator, the more positive the patient’s perception about the illness, which means the less threatening the illness is perceived by the patients. This study indicates that nurses should be able to improve the provision of health education to patients with type 2 diabetes mellitus so that patients can have positive perceptions of the illness.]]>
<![CDATA[HUBUNGAN SELF COMPASSION DENGAN KEPATUHAN TERAPI INSULIN PADA PASIEN DIABETES MELITUS TIPE 2 DI RSD DR. SOEBANDI JEMBER ]]>
<![CDATA[Sutawardana, Jon Hafan]]>;
<![CDATA[Putri, Wildiah Nursyafiqoh]]>;
<![CDATA[Widayati, Nur]]>
<![CDATA[ Journal of Nursing Care and Biomoleculer Vol 5, No 1 (2020) ]]>
Publisher : <![CDATA[STIKes Maharani Malang ]]>
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DOI: 10.32700/jnc.v5i1.158
<![CDATA[ABSTRACT Introduction: Insulin therapy is one of the treatments in type 2 diabetes mellitus. Patients undergoing insulin therapy often experience side effects such as hypoglycemia. As a result, the patient feels a trauma that makes the patient change the insulin dose, ignores insulin injection time and lack of confidence when giving insulin injections independently. This condition makes managing blood sugar levels more difficult to achieve. This study aimed to analyze the correlation between self-compassion and adherence to insulin therapy in patients with type 2 diabetes mellitus at RSD dr. Soebandi Jember. Method: This research applied a descriptive correlational design with a cross-sectional approach. A total of 84 respondents obtained using consecutive sampling. Data collection conducted administering a questionnaire of the Self Compassion Scale (SCS) and the Morisky Medication Adherence Scale (MMAS-8). Data analyzed using the spearman correlation test with a significance level of 0.05. Result and analysis: The result showed a significant positive correlation between self-compassion and adherence to insulin therapy (p value=0.001; r=0.694). Discussion: Patients in managing diabetes need adherence to treatment. The existence of adherence in patients begins with the patient's self-acceptance of the illness. Self-compassion in patients is present when patients can accept themselves and love themselves without looking at the problem they face. The higher self-compassion makes a better adherence to insulin therapy. This study indicates the importance of self-compassion in patients with type 2 diabetes mellitus to improve insulin therapy compliance to control the patient's blood sugar levels. Key Words: Type 2 Diabetes Mellitus, Self compassion, Adherence to insulin therapy]]>
<![CDATA[Pengaruh Familiar Auditory Sensory Training Pada Tingkat Kesadaran Pasien Stroke Di RSD dr. Soebandi Jember ]]>
<![CDATA[Aripratiwi, Cirilia]]>;
<![CDATA[Sutawardana, Jon Hafan]]>;
<![CDATA[Hakam, Mulia]]>
<![CDATA[ JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 6, No 2 (2020): VOL 6, NO 2 (2020) ]]>
Publisher : <![CDATA[Universitas Pendidikan Indonesia ]]>
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DOI: 10.17509/jpki.v6i2.26917
<![CDATA[ABSTRAKStroke dapat menyebabkan penurunan kesadaran. Pada kasus stroke dengan penurunan kesadaran dapat mengakibatkan pasien mengalami kematian, defisit neurologi, semakin lamanya waktu perawatan, dan akan meningkatkan biyaya perawatan. Kasus stroke dengan penurunan kesadaran banyak dijumpai di RSD dr. Soebandi Jember. Namun upaya perawat dalam meningkatkan kesadaran pasien berfokus pada terapi farmakologi sehingga memerlukan terapi non farmakologi seperti terapi Familiar Auditory Sensory Training (FAST) untuk membantu proses pemulihan kesadaran. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh FAST pada tingkat kesadaran pasien stroke. Penelitian didesain dengan quasi experimental menggunakan rancangan Non equivalent control group melibatkan 29 pasien stroke yang mengalami penurunan kesadaran. 29 pasien dibagi menjadi 15 kelompok intervensi yang diberi terapi FAST selama tiga hari. FAST diberikan 3 kali sehari. 14 pasien berikutnya dalam kelompok kontrol hanya dilakukan pemeriksaan GCS. Tingkat kesadaran pasien diukur menggunakan instrumen Glasgow Coma Scale (GCS) yang terdiri dari 3 komponen yakni respon mata, verbal, dan motorik. Data dianalisis dalam SPSS menggunakan uji Mann-Whitney dan uji Wilcoxon. Hasil analisis uji baik pada kelompok intervensi maupun kontrol diperoleh nilai p 0,010 (nilai p α). Hasil uji yang signifikan membuktikan bahwa ada pengaruh FAST dalam meningkatkan kesadaran pasien stroke. FAST dapat dijadikan terapi nonfarmakologi untuk membantu proses pemulihan kesadaran pada pasien stroke.ABSTRACTStroke can cause a decrease in consciousness. In the case of stroke with decreased consciousness can result in the patient experiencing death, neurological deficits, the longer treatment time, and will increase the cost of treatment. Cases of stroke with decreased consciousness are often found in RSD dr. Soebandi Jember. However, nurses' efforts in increasing patient awareness focus on pharmacological therapy so that it requires non-pharmacological therapy such as Familiar Auditory Sensory Training (FAST) therapy to help the process of recovering consciousness. The purpose of this study was to determine the effect of FAST on the level of awareness of stroke patients. This study involved 29 stroke patients who experienced a decrease in consciousness. 29 patients were divided into 15 intervention groups who were given FAST therapy for three days. FAST is given 3 times a day. The next 14 patients in the control group only performed GCS examination. The level of patient awareness was measured using the Glasgow Coma Scale (GCS) instrument consisting of 3 components namely eye, verbal, and motor response. Data were analyzed in SPSS using the Mann-Whitney test and Wilcoxon test. The results of the test analysis in the intervention and control groups obtained p-value 0.010 (p-value α). Significant test results prove that there is an influence of FAST in increasing stroke patient awareness. This study shows that nurses should be able to increase the application of nonpharmacological therapies such as FAST to help the process of recovering consciousness in stroke patients.]]>
<![CDATA[The Relation between Fatigue and Self-management in Patient with Diabetes Melitus Type 2 in Dr Soebandi Hospital Jember ]]>
<![CDATA[Syahrul Abdul Yazid]]>;
<![CDATA[Jon Hafan Sutawardana]]>;
<![CDATA[Siswoyo Siswoyo]]>
<![CDATA[ Jurnal Keperawatan Vol. 11 No. 1 (2020): Januari ]]>
Publisher : <![CDATA[University of Muhammadiyah Malang ]]>
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DOI: 10.22219/jk.v11i1.8348
<![CDATA[Introduction: Fatigue that felt by diabetes melitus patient will be a barrier when doing self-management. An ineffectiveness of self-management will affect many complications, either macrovascular and microvascular. Objective: The goal of this research is determine the relation of fatigue and self-management of diabetes melitus type 2. Method: The design of this research is using observative correlative with cross – sectional way. There are 102 research samples obtained from the calculation G*Power. The methode of taking the data doing with way to gather use with Multidemensional Fatigue Inventory (MFI20) questionnaire and Diabetes Self-Management (DSMQ) that has tested validity and realibility for analyze the fatigue and self-management. The data from analyzed using spearman rank (α = 0,05). Results: Research’s result average of respondent showed that general fatigue (15,66), physical fatigue (13,8), reduced activity (12,44), reduced motivation (11,01), mental fatigue (11,37). Patient self-management showed if from 102 respondent in majority has good self-management 86 (84.3%) dan 15 (14,7%) the rest of respondent has enough – good. The second analyzed test showed that no relation that significant between fatigue and self-management. Discussion: There are other factor can influence self-management such as, social support and family support. Analyzed test showed if have corelation between reduce activity with managemen glukosa]]>
<![CDATA[HUBUNGAN MANAJEMEN ENERGI DENGAN KELELAHAN PADA PASIEN DIABETES MELITUS TIPE 2 ]]>
<![CDATA[Nisrina Na'ilah Rahmatika]]>;
<![CDATA[Jon Hafan Sutawardana]]>;
<![CDATA[Mulia Hakam]]>
<![CDATA[ Jurnal Keperawatan Priority Vol. 5 No. 1 (2022) ]]>
Publisher : <![CDATA[Universitas Prima Indonesia ]]>
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DOI: 10.34012/jukep.v5i1.2103
<![CDATA[Metabolic disorders in blood sugar levels are caused by damage to insulin secretion so that it affects energy production. Fatigue is one of the complaints and symptoms of Diabetes Mellitus (DM) patients. This study aims to analyze the relationship between energy management and fatigue in patients with diabetes mellitus. This study used a correlational design with a cross sectional approach. Calculation of the sample in this study using the Slovin formula, which obtained 34 respondents with diabetes mellitus at the Kejayan Health Center, Pasuruan Regency using purposive sampling technique. Data collection in this study used an energy management questionnaire and Multidimensional Fatigue Invantory (MFI20). The results show that in energy management, energy management in patients with diabetes mellitus is obtained with a good category of 55,9%. On fatigue, the median result is 60.50 with a min-max value of 34-73. The correlation test showed that there was a relationship between energy management and fatigue (p = 0,033, r = -0,366, = 0,05). There is a negative correlation which shows that the higher the energy management, the lower the fatigue felt. Fatigue felt by diabetic patients does not go away easily so that energy management must be carried out properly. It is expected that diabetes mellitus patients maintain good energy management. It is a concern for nurses in improving energy management of diabetes mellitus patients to reduce the fatigue they feel.]]>
<![CDATA[Hubungan Diabetes Distress dengan Perilaku Perawatan Diri pada Penyandang Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Rambipuji Kabupaten Jember (Correlation between Diabetes Distress and Selfcare Behaviour in People with Type 2 Diabetes Mellitus i ]]>
<![CDATA[Ary Januar Pranata Putra]]>;
<![CDATA[Nur Widayati]]>;
<![CDATA[Jon Hafan Sutawardana]]>
<![CDATA[ Pustaka Kesehatan Vol 5 No 1 (2017) ]]>
Publisher : <![CDATA[UPT Percetakan dan Penerbitan Universitas Jember ]]>
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<![CDATA[Diabetes distress is an emotional problem that is directly related to the burden and worriesresulted from living with chronic disease. Stress has an impact on self-care behaviour whichaffects metabolic control. This study aimed to analyze the correlation between diabetesdistress and self-care behaviour in people with type 2 diabetes mellitus.This research appliedan observational analytic design with cross sectional approach. A total of 66 respondents wereenrolled in this study by using quota sampling technique. Data collection was conducted byadministering questionnaires of Diabetes Distress Scale (DDS) and Summary of Diabetes SelfCare Activities (SDSCA). Data were analyzed by using Spearman test with significance level of0.05. The result showed that the mean value of diabetes distress and self-care behaviour was2.16 and 3.97 respectively. The p value was 0.000 (p <0.05) with the correlation (r) of -0.629.There was significant correlation between diabetes distress and self-care behaviour. Thecorrelation was strong and negative which means the higher the level of diabetes distress thelower the performance of self-care behaviour. This study suggests the importance of assessingexperienced distress to optimize self-care behaviour in type 2 diabetes patients.Keywords: type 2 diabetes mellitus, diabetes distress, self-care behaviour]]>
<![CDATA[Hubungan Ketakutan akan Hipoglikemia dengan Manajemen Diri Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember ]]>
<![CDATA[Novian Dwi Roessanti]]>;
<![CDATA[Jon Hafan Sutawardana]]>;
<![CDATA[Kushariyadi Kushariyadi]]>
<![CDATA[ Pustaka Kesehatan Vol 10 No 1 (2022): Volume 10 No.1, 2022 ]]>
Publisher : <![CDATA[UPT Percetakan dan Penerbitan Universitas Jember ]]>
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DOI: 10.19184/pk.v10i1.11326
<![CDATA[Hypoglycemia is a complication of diabetes that causes unpleasant symptoms and fear for recurrence. This fear can influence diabetes management and patient metabolic control. The study aimed to analyze the relationship between fear of hypoglycemia and self-management of type 2 DM patients at dr. Soebandi Jember general hospital. The fear of hypoglycemia variable was measured using the Fear of Hypoglycemia Scale questionnaire (FH-15) and the variable of diabetes self-management was measured by the Diabetes Self-Management Questionnaire (DSMQ). The sample was 84 respondents that recruited using consecutive sampling method. Data was analyzed using the Spearman correlation test with α = 0.05. The results showed that patients did not experience fear of hypoglycemia (78.6%) and self-management of diabetic patients showed a good category (77.4%). There is a significant and positive correlation between the two variables (p-value = 0.012 and r = 0.272) which means that the more fearful the patient the more self-management gets worse, and conversely the less afraid of the patient the better self-management of diabetes. Family involvement is support for patients in controlling their fears, recognizing signs of hypoglycemia and as a reminder in managing proper diabetes. Diet control is an indicator of diabetes management that must be considered for patients to improve their health status by optimizing nutrition to prevent recurrent hypoglycemia.]]>
<![CDATA[Resiko Ulkus Kaki Diabetes pada Petani di Wilayah Kerja Puskesmas Palengaan Kabupaten Pamekasan Madura ]]>
<![CDATA[Muhammad Rofiqi]]>;
<![CDATA[Jon Hafan Sutawardana]]>;
<![CDATA[Kushariadi Kushariadi]]>
<![CDATA[ Pustaka Kesehatan Vol 10 No 3 (2022): Volume 10 No.3, 2022 ]]>
Publisher : <![CDATA[UPT Percetakan dan Penerbitan Universitas Jember ]]>
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DOI: 10.19184/pk.v10i3.30352
<![CDATA[A diabetic foot ulcer is one of the complications of diabetes mellitus. The farmer is a job that is at risk of developing diabetic ulcers, especially farmers with diabetes. Farmers pay less attention to protecting their feet, so they risk foot trauma. This study aimed to describe the risk of diabetic foot ulcers in farmers. In this descriptive observational study in the working area of Community Health Center of Palengaan Pamekasan Madura, 76 farmers were selected by purposive sampling. All of the respondents were examined within low's 60-second diabetic foot instrument. The data were analyzed with univariate analysis. This study found that 72.4% of farmers had a moderate risk of developing diabetic ulcers and 11,8% of patients were at risk for severe foot ulcers. Most farmers are at high risk of developing diabetic foot ulcers. Therefore, farmers with diabetes need special attention from nurses in providing education on the importance of foot protection when working]]>
<![CDATA[Description of sedentary lifestyle in patients with cardiovascular disease during the Covid-19 pandemic ]]>
<![CDATA[Jon Hafan Sutawardana]]>;
<![CDATA[Yustika Dian Pawesti]]>;
<![CDATA[Murtaqib Murtaqib]]>
<![CDATA[ Media Keperawatan Indonesia Vol 5, No 4 (2022) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/mki.5.4.2022.317-325
<![CDATA[A sedentary lifestyle is any type of activity that only expends a small amount of energy with an energy expenditure of not more than 1.5 METs when sitting or lying down. this has a very bad impact on health. These activities have a very bad impact on health. During the COVID-19 pandemic, people face many big challenges, one of which is social distancing in a sedentary lifestyle. The objective of this study is to describe changes in sedentary lifestyles among cardiovascular disease patients during the COVID-19 pandemic. The research design used was a literature review using 3 databases (Pubmed, Proquest, and Science Direct). The process of searching for articles using keywords and Boolean operators (AND, OR, or NOT) aims to define and expand the literature. The review found that the sedentary lifestyle increased up to 8 hours/day. In addition to what has been mentioned 4 other articles also mention an increase in sedentary lifestyle time and an increase in sitting time, this is in accordance with research conducted on the average daily duration of sedentary behaviour is 8.3 hours between Koreans and 7, 7 hours among American adults due to government regulations during the pandemic. All articles show that people who tend to be older and male have a higher risk of developing cardiovascular cases that lead to death during the COVID-19 pandemic. So it is necessary to expand the scope of information about the importance of physical activity so that all people with cardiovascular disease have high vigilance.]]>
