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All Journal Jurnal Keperawatan Nurse Media Journal of Nursing e-Journal Pustaka Kesehatan Jurnal NERS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA UNEJ e-Proceeding NurseLine Journal Media Keperawatan Indonesia Journal of Nursing Care and Biomolecular Jurnal Keperawatan Priority Jurnal Kesehatan Tambusai Nursing and Health Sciences Journal (NHSJ) Bima Nursing Journal Jurnal Keperawatan Jurnal Ilmiah Ners Indonesia DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Dedikasi Saintek Jurnal Pengabdian Masyarakat Jurnal Kegawatdaruratan Medis Indonesia Jurnal Kesehatan dr. Soebandi DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat

Hafan Sutawardana, Jon

Fakultas Keperawatan Universitas Jember

Author-ID : 2568478

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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THE NURSE'S ROLE AS AN EDUCATOR AND DIETARY ADHERENCE IN TYPE 2 DIABETES MELLITUS PATIENTS Syafira Nabillah Wijatmiko; Nur Widayati; Jon Hafan Sutawardana
UNEJ e-Proceeding 2023: 5th International Agronursing Conference (5th IANC) In Conjunction with 1st International Post
Publisher : UPT Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Diabetes Mellitus (DM) requires long-term treatment to prevent further complications. Dietary adherence is useful for reducing the increase in blood sugar levels. However, many patients still do not adhere to the diet for various reasons, including a lack of knowledge. Nurses can provide information by carrying out their role as educators to increase patient knowledge. This study analyzed the correlation between the nurse's role as an educator and dietary adherence in type 2 DM patients. Methods: This study used an analytical observational design with a cross-sectional approach. A total of 112 respondents were selected using a consecutive sampling technique. Data were collected using the nurse's role as an educator and diet adherence questionnaires and were analyzed by the Spearman rank correlation test with a significance level of 0.05. Results: The median score of the nurse's role as an educator was 63 (min-max= 40-90), and the median value of dietary adherence was 26.5 (minmax= 18-40). The Spearman Correlation test showed a significant positive correlation between the nurse's role as an educator and dietary adherence (p-value: 0.032; r: 0.203). The better the nurse's role as an educator, the higher the patient's dietary adherence. Conclusions: This study implies the importance of the nurse's role as an educator to provide appropriate health education to encourage diet compliance in type 2 DM patients.

Analysis Psychosocial Factors Affecting Behaviour of Self-Monitoring Blood Glucose in People with Type 2 Diabetes Mellitus Rondhianto Rondhianto; Jon Hafan Sutawardana; Widya Maulina Cantika Putri
Jurnal Kesehatan dr. Soebandi Vol 10 No 2 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i2.407

Introduction: Compliance with monitoring blood glucose levels is crucial to diabetes management. Self-monitoring behaviour of blood glucose levels can be influenced by psychosocial factors in people with T2DM, such as knowledge, coping, diabetes distress, family support, and nurse support. Objective: The study aimed to analyze psychosocial factors that influence the behaviour of self-monitoring of blood glucose levels in people with T2DM. Methods: The study was a descriptive-analytic study with a cross-sectional design. The sample was T2DM patients in the Jember Regency with a sample size of 138 respondents, taken using multistage random sampling. Data were collected using a questionnaire (SKILLDS, Coping Scale, DDS, HDFSS, Nurse's role perception, and the SMBG questionnaire) and analyzed using a multiple linear regression test. Results The modelling results show that psychosocial factors (knowledge, coping, diabetes distress, family support, and nurse support) have a simultaneous and significant influence on the behaviour of monitoring blood glucose levels (F = 9.292; p = 0.001 < α = 0.05) with adjusted R2 = 0.232. It showed that psychosocial factors could explain the variance of behaviour monitoring blood glucose levels by 23.2%. Partially, there are three influential variables, namely coping, perception of family support, and perception of nurse support (p= 0.039; p= 0.016; and p= 0.020 < α =0.05). Better coping, family support, and nurse support could improve blood glucose monitoring. Conclusion: Psychosocial factors can affect monitoring blood glucose levels in people with T2DM. The nurse can make efforts to improve the behaviour by monitoring blood glucose levels by considering the psychosocial aspects of people with T2DM through preventive promotion efforts to improve coping, family support, and nurse support to improve self-management and quality of life of people with T2DM.

Self-awareness of diabetes mellitus and prediabetes status among patients with overweight in the Jember area Sukma, Anindianti; Sutawardana, Jon Hafan; Kushariyadi, Kushariyadi
Jurnal Keperawatan Vol. 14 No. 01 (2023): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v14i01.17373

Introduction: People who are excess weight have expanded insulin resistance and the development of high blood sugar, which drives prediabetic status and later generates diabetes mellitus. Someone can experience prediabetes for several years, but they don't know any symptoms. Ultimately, they experience health problems leading to type 2 diabetes mellitus. Patients who are overweight lack self-awareness about diabetes mellitus (DM). Objectives: This research aims to determine the relationship between self-awareness and prediabetes status in overweight patients. Method: This research uses an analytic design with a cross-sectional approach. There were 84 respondents obtained from the accidental sampling technique. Data were collected from the Self Awareness Diabetes Mellitus questionnaire and random blood glucose results. Data were analyzed using Spearman rank with a significance value of 0.05. Result: The results showed a significant relationship between self-awareness about DM and prediabetes status with a negative correlation (p < 0.001; r = 0.678). This correlation means that the higher the self-awareness, the lower the respondent has prediabetes. In overweight patients, fat accumulation in the body can reduce insulin action, affecting prediabetes. Self-awareness is an attitude that someone with excess body weight must possess to prevent prediabetes. Conclusion: This study revealed the importance of increasing self-awareness and enforcing blood glucose control routinely so that someone who has entered the prediabetes category can enhance their lifestyle to stop diabetes mellitus.

Kepatuhan dalam Regimen Pengobatan pada Pasien Chonic Kidney Disease (CKD) yang Menjalani Hemodialisa di RSD dr.Soebandi Jember Kurniasari, Dwi Meida; Sutawardana, Jon Hafan; Kushariyadi, Kushariyadi
Jurnal Ilmiah Ners Indonesia Vol 1 No 2 (2020): November 2020
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

The treatment adherence is the key to successful treatment of Chronic Kidney Disease (CKD) patients who undergoing hemodialysis therapy. There are four indicators including; adherence to the hemodialysis schedule, adherence to the consumption of drugs, adherence to fluid restrictions, and adherence to dietary restrictions, which adherence to medication can inhibit the progression of kidney damage. The aim of this study was to determine the image of treatment adherence in Chronic Kidney Disease patients who undergoing hemodialysis in RSD Dr. Soebandi Jember. The method of study was descriptif with cross-sectional design. Total sampels in this study were 111 samples. The result shows that a median value of 43, with a minimum value of 33 and a maximum value of 51. Thus, it be concluded that the adherence treatment patients Chronic Kidney Disease undergoing hemodyalisis is good because value of median it is close a value maximum. Abstrak Kepatuhan pengobatan merupakan kunci kesuksesan perawatan pada klien CKD yang menjalani terapi HD, yang didalamnya terdapat empat indikator diantaranya; kepatuhan terhadap jadwal HD, pengkonsumsian obat, pembatasan cairan, dan pembatasan diet, yang mana kepatuhan terhadap pengobatan dapat menghambat progesifitas kerusakan ginjal. Tujuan dari penelitian ini adalah untuk mengetahui gambaran kepatuhan pengobatan pada pasien Chronic Kidney Disease (CKD) yang menjalani Hemodialisis di RSD dr.Soebandi Jember. Jenis penelitian ini adalah kuantitatif menggunakan desain deskriptif dengan pendekatan cross-sectional. Jumlah sampel yang digunakan dalam penelitian ini adalah sebanayak 111 sampel. Hasil penelitian menunjukkan bahwa skor kepatuhan pengobatan menunjukkan nilai median 43, dengan nilai minimal 33 dan nilai maksimal 51. Dengan demikian dapat disimpulkan bahwa kepatuhan pengobatan pasien Chronic Kidney Disease (CKD) yang menjalani Hemodialisis di Unit hemodialisa RSD dr.Soebandi adalah baik karena nilai median mendekati nilai skor maksimal. Kata Kunci : Gagal Ginjal Kronik, Hemodialisis, Kepatuhan Pengobatan

Mitigation Of Non-Natural Disaster Outbreaks Through Increasing Awareness Of The COVID-19 Protocol In Mayang Village, Jember Indonesia: Mitigasi Bencana Non-Alam Wabah Penyakit Melalui Peningkatan Kesadaran Protokol Covid-19 Pada Masyarakat Desa Mayang Jember Sutawardana, Jon Hafan; Hakam, Mulia; Nistiandani, Ana; Siswoyo, Siswoyo
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

At the end of the COVID-19 Pandemic, as it is today, people tend to lose their self-awareness regarding implementing their health protocols. On the other hand, a new variant of Covid 19 threatens public health, as evidenced by the recent increase in the number of cases in Indonesia. The community needs to get educated about mitigating non-natural disasters of the Covid 19 outbreak, so they can prepare themselves when the danger of this outbreak re-emerges in the community through self-awareness of the Covid 19 Protocol. The time of health education is about 60 minutes. Health education methods are used through lectures, discussions, and demonstrations using information media such as LCD projectors, leaflets, posters, and X-banners. Understanding evaluation methods using pre-test and post-test. The community showed enthusiasm during the activity, as evidenced by the many questions asked. Participants could also practice washing their hands properly and wearing a mask. When the verbal evaluation was carried out, participants could also answer the questions the teaching team posed correctly. The results of the written test evaluation showed an increase in the average value, namely from the pre-test score of 70.5 to 90.1 for the post-test average value. The community expressed their commitment to implementing the COVID-19 protocol in their daily lives to prevent the spread of COVID-19 cases.

Pencegahan Kerusakan Saraf Perifer Pada Penderita Diabetes Mellitus Tipe 2 Nistiandani, Ana; Sutawardana, Jon Hafan; Rondhianto
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2023): April 2023
Publisher : Al-Hijrah Indonesia

Kerusakan saraf perifer merupakan komplikasi diabetes melitus (DM) yang dapat menyebabkan kecacatan secara permanen. Kabupaten Jember memiliki angka DM yang tinggi dan penderitanya memiliki resiko untuk mengalami kerusakan saraf perifer. Desa Mayang merupakan mitra sasaran yang membutuhkan informasi untuk mencegah kerusakan saraf perifer. Pengabdian masyarakat ini bertujuan untuk mencegah kerusakan saraf perifer pada penderita diabetes melitus tipe 2 di Kabupaten Jember. Metode pelaksanaan dilakukan dengan ceramah, diskusi, adanya evaluasi berdasarkan nilai pretes dan postes yang diberikan kepada peserta. Hasil kegiatan ini menunjukkan nilai pretes yang didapatkan dari rata-rata jawaban benar yaitu 41,79%. Sedangkan nilai benar rata-rata peserta postest yaitu 69,5%. Meskipun jawaban benar peserta belum mencapai 100%, dapat dikatakan bahwa terdapat peningkatan secara pengetahuan terkait diabetes melitus dan pencegahan komplikasi kerusakan saraf perifer pada peserta.Berdasarkan hasil tersebut, terdapat peningkatan nilai rata-rata jawaban benar dari peserta pengabdian kepada masyarakat. Sehingga dapat disimpulkan bahwa edukasi dengan metode diskusi dan ceramah efektif meningkatkan pengetahuan masyarakat.

Analysis Of The Effectiveness Of Treatment Of Gangrene Footwear With Hydrogel In Diabetes Mellitus Patients In Catleya Room Rsd Dr. Soebandi Jember: Analisis Efektivitas Penanganan Gangrene Kaki Dengan Hydrogel Pada Pasien Diabetes Mellitus Di Ruang Catleya, Rsd Dr. Soebandi Jember Ika Hestri; Ruris Haristiani; Jon Hafan Sutawardana; Sri Wahyuningsih
Caring : Jurnal Keperawatan Vol. 12 No. 1 (2023): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v12i1.1568

Penderita diabetes melitus rentan terhadap infeksi kaki yang menyebabkan kematian jaringan oleh obstruksi pembuluh darah yang memberikan nutrisi kepada jaringan yang biasa terjadi pada ekstermitas bawah atau disebut gangren pedis. Perawatan luka dengan menggunakan hydrogel merupakan salah satu intervensi yang dapat dilakukan untuk mengatasi gangren pedis. Karya ilmiah ini bertujuan mengetahui efektifitas asuhan keperawatan perawatan luka gangren pedis menggunakan bahan hydrogel pada pasien diabetes melitus. Asuhan keperawatan dilakukan selama 3 hari dengan intervensi utama yakni perawatan luka dengan observasi hasil intervensi menggunakan Bates-Jensen Wound Assessment Tool (BWAT). Setelah dilakukan intervensi, hasil menunjukkan adanya peningkatan kondisi luka dan penurunan keluhan nyeri pasien. Pada hari pertama perawatan pasien mengeluh nyeri skala NRS 4 (sedang), ukuran luka lebar 2,5 cm dan panjang 4 cm, terdapat jaringan nekrotik berwarna hijau kehitaman tidak keras, berbau, kulit sekitar luka berwarna gelap, tepi luka terlihat. Pada hari ketiga perawatan, pasien mengatakan nyeri berkurang menjadi skala 2 (ringan), ukuran luka lebar 2,5 cm dan panjang 4 cm, jaringan nekrotik berkurang banyak, bau berkurang, kulit sekitar luka berwarna pucat/putih, tepi luka terlihat menyatu dengan dasar luka. Perawatan luka menggunakan hydrogel pada luka gangren efektif dilakukan karena menunjukkan perubahan dalam 3 hari perawatan. Diharapkan untuk analisis selanjutnya dapat memberikan intervensi lebih lama agar dapat menunjukkan efektifitas perawatan luka lebih rinci dan baik.

Resiko Ulkus Kaki Dabetes pada Petani di Madura Indonesia Rofiqi, Muhammad; Sutawardana, Jon Hafan; Kushariadi, Kushariadi
Pustaka Kesehatan Vol 12 No 2 (2024): Volume 10 No.2, 2024
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v12i2.30355

A diabetic foot ulcer is one of the diabetes mellitus complications. The farmer is a job that has a risk for 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. This was a descriptive observational study conducted at the Palengaan Pamekasan Health Center working area. As many as 76 respondents were chosen using the purposive sampling technique. All respondents were examined using inlow'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. This data showed that most farmers are at high risk of developing diabetic foot ulcers. Therefore, farmers with diabetes need intensive attention from medical practitioners to provide education on the importance of foot protection while working.

Analysis of Nursing Care for Patients with Impaired Skin Integrity by Providing Back Massage in Intracerebral Hemorrage Cases Zahro, Siti Fatimatus; Murtaqib, Murtaqib; Sutawardana, Jon Hafan; Mustakim, Mustakim
Pustaka Kesehatan Vol 12 No 1 (2024): Volume 12 No.1, 2024
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v12i1.38037

Intracerebral Hemorrhage (ICH) occurs due to the presence of cerebral hemorrhage as a result of rupture of blood vessels in the brain tissue. Clinically Intracerebral Hemorrhage can be characterized by the presence of a decrease in consciousness. So that bed rest is one of a person's efforts in restoring his condition by lying in bed for a long time. It is at risk for experiencing impaired skin integrity. One of the skin integrity disorders that occurs in clients with bed rest is a decubitus ulcer. Skin care is one of the efforts to improve pressure sores by providing back massage therapy. This study aimed to analyze the nursing care of Skin Integrity Disorder patients by giving back massage in ICH cases in the Jasmine room of Dr. Soebandi Jember Hospital. The design of this study is descriptive in the form of a case study in patient who experienced redness of the skin of his back due to prolonged bed rest. After being given a back massage for 2 x 24 hours for 3 days, the patient experienced a change in skin integrity as evidenced by reduced redness of the skin. The administration of back massage therapy is effective in reducing the problem of skin integrity disorders in intracerebral hemorrhage patients who are lying down

An Overview of Ocular Transmission as Alternative Route Transmission Coronavirus Disease 2019 (COVID-19): Literature Review Ahmad Rizki Nur Hakiki; Siswoyo; Jon Hafan Sutawardana; Murtaqib; Rismawan Adi Yunanto
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 1 (2023): March 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v3i1.182

Coronavirus Disease 2019 (COVID-19) becomes a health crisis in the world. The main route of spreading COVID-19 is through the respiratory tract, but this virus also spread through extra respiratory route. This literature review aimed to describe the ocular transmission as an alternative route of COVID-19 transmission. This literature review study used sources of article obtained through ProQuest, Springer, ScienceDirect, PubMed, and Google Scholar with range 2019-2020 publication years and were traced using a combination of search term for ocular transmission, virus receptor, eye manifestation and COVID-19. Previous research used Experimental design, Case study, and Cross-sectional study, and published from 2019 to 2020. Then analyzed by PRISMA diagram method with four stages starting from identification, screening, eligibility, and included. 4 articles used Experimental study design, 4 articles used Cross-sectional study design, and 2 articles used case study design. This study showed that COVID-19 RNA was found on ocular (conjunctiva and cornea) in a low percentage (2.23%-24%). Patients with confirmed COVID-19 could have ocular manifestations. COVID-19 enter the human body through the eye by spike protein binds to eye receptors that are: ACE2, CD147/Basigin/EMMPRIN, TMPRSS2, ANPEP and AGTR2. Then this virus transferred to the respiratory tract through the nasolacrimal duct. The study showed that ocular transmission can be an alternative route of COVID-19 transmission even with a low percentage level, so it is important for health worker to wear eye protector.

Co-Authors Agung Waluyo Ahmad Rizki Nur Hakiki Akhmad Zainur Ridla Anggraeni, Nabila Cindy Aripratiwi, Cirilia Ary Januar Pranata Putra Cristina Esria Valentin Tambunan Dewi, Risma Eka Putri Arlyani Kusuma Dwi Ayu Sari Enggal Hadi Kurniyawan Erti Ikhtiarini Dewi Evi Nursyafitri Fahruddin Kurdi Ika Hestri Kurniasari, Dwi Meida Kushariadi Kushariadi Kushariadi, Kushariadi Kushariyadi Kushariyadi Kushariyadi Kushariyadi Lianawati Lianawati Muhamad Zulfatul A’la Muhammad Rofiqi Muhammad Rofiqi Mulia Hakam Murtaqib Murtaqib Murtaqib Mustakim Mustakim Mustakim Nisrina Na'ilah Rahmatika Nistiandani, Ana Novian Dwi Roessanti Nur Widayati Nurmaidah, Ruri Pangestu, Adinda Widia Putri, Wildiah Nursyafiqoh Rima Ulfa Fahra Risma Arlyani Dewi Rismawan Adi Yunanto Rondhianto Rondhianto Rurin Nurmaidah Ruris Haristiani Sekar Ayu Widowati Shodikin, Mohammad Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Sri Wahyuningsih Sukma, Anindianti Syafira Nabillah Wijatmiko Syahrul Abdul Yazid Trisya Aulia Damayanti Wantiyah Wantiyah Widya Maulina Cantika Putri Yazid, Syahrul Abdul Yeni Fitria Yofita Refvinda Desfiani Yosep Filiandri Yulia Yulia Yustika Dian Pawesti Zahro, Siti Fatimatus

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