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Hubungan Persepsi Tentang Penyakit Dengan Kepatuhan Minum Obat Penderita Hipertensi Purwandari, Galuh; Purwandari, Galuh; Hartoyo, Mugi; Hartoyo, Mugi; Metasari, Sherly; Metasari, Sherly
MNJ (Mahakam Nursing Journal) Vol 3 No 4 (2024): Nov 2024
Publisher : Poltekkes Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mnj.v3i4.247

Background: Hypertension treatment requires a long period, often lasting a lifetime. Patients frequently experience fatigue in taking medication, leading to non-adherence and treatment discontinuation. Misconceptions about the disease usually influence this non-adherence. This study aims to determine the relationship between illness perception and medication adherence among hypertension patients. Method: The study employed a quantitative approach with a cross-sectional design involving 30 hypertension patients selected through simple random sampling. The instruments used were the Brief Illness Perception Questionnaire and the Morisky Medication Adherence Scale 8. Data analysis was performed using the Spearman Rank test. Results: The results indicated a significant relationship between illness perception and medication adherence (p = 0.000), with a strong positive correlation (r = 0.916). Conclusion: The better the patient’s perception of hypertension, the higher the level of medication adherence. This study is expected to be a reference for promoting positive perceptions of hypertension, leading to improved treatment adherence.

Hubungan Persepsi Tentang Penyakit Dengan Kepatuhan Minum Obat Penderita Hipertensi Purwandari, Galuh; Purwandari, Galuh; Hartoyo, Mugi; Hartoyo, Mugi; Metasari, Sherly; Metasari, Sherly
MNJ (Mahakam Nursing Journal) Vol 3 No 4 (2024): Nov 2024
Publisher : Poltekkes Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mnj.v3i4.247

Background: Hypertension treatment requires a long period, often lasting a lifetime. Patients frequently experience fatigue in taking medication, leading to non-adherence and treatment discontinuation. Misconceptions about the disease usually influence this non-adherence. This study aims to determine the relationship between illness perception and medication adherence among hypertension patients. Method: The study employed a quantitative approach with a cross-sectional design involving 30 hypertension patients selected through simple random sampling. The instruments used were the Brief Illness Perception Questionnaire and the Morisky Medication Adherence Scale 8. Data analysis was performed using the Spearman Rank test. Results: The results indicated a significant relationship between illness perception and medication adherence (p = 0.000), with a strong positive correlation (r = 0.916). Conclusion: The better the patient’s perception of hypertension, the higher the level of medication adherence. This study is expected to be a reference for promoting positive perceptions of hypertension, leading to improved treatment adherence.

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 : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

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

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

MANAGEMENT INTERPROFESSIONAL EDUCATION OF ETHICS COURSE ON HANDLING NONCOMMUNICABLE DISEASES Pujiastuti, Rr. Sri Endang; Widiyati, Sri; Metasari, Sherly; Suheri, Titin; Hartoyo, Mugi; Agussalim, Agussalim; Mutmainah, Ainun
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/595

Interprofessional education has been defined as a process learning program which includes learning outcomes, lecturers, material topics and skills enabling a synergistic influence of grouped student competence, so that interprofessional education becomes one of the initial stages for introducing collaboration and teamwork to students so that they can be applied of work. The explore the appropriateness and meaningfulness of Ethics and Health Law Course-based learning for nursing students. The research is a research and development design whose stages were carried out for 6 months with a research sample of 40 respondents, namely first semester students of the postgraduate nursing program. The results of this study showed that the significant for the materials of ethics, curriculum, learning outcomes (P=0.000). The students showed active participation, communication and good collaboration regarding health problem solving on handling non-communicable diseases. Management of interprofessional education (pretest = 54.32 and posttest mean 67.48) is needed in health education, as an approach to the learning process, includes the flexibility to respond to the specific (P=0.002), self-identified learning needs of students (P= 0.000). The results of the focus group discussion showed that knowing how to learn, having high expectations in problem solving, applying competencies to case tasks, collaborating with others, and being creative are all signs of a capable practitioner. There are important characteristics that determine the effectiveness of interprofessional education ethics courses, including faculty and students who consider their roles important to the team, open communication, autonomy, and equality of resources so that interprofessional education has a positive impact on the development of holistic care to improve the quality of patient care.

COGNITIVE IMPAIRMENT IN CHRONIC RENAL FAILURE PATIENTS UNDERGOING HEMODIALYSIS Pramudyta, Risdananda Desy; Hartoyo, Mugi; Dwiningsih, Sri Utami; Budiyati, Budiyati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/607

Background: Hemodialysis is a therapy to control uremia, fluid overload, and electrolyte imbalance in patients with chronic renal failure. However, the long time undergoing hemodialysis can risk causing cognitive function instability. The purpose of this study was to determine the presence of cognitive impairment chronic renal failure patients undergoing hemodialialysis. Methods: Type of quantitative research using cross-sectional correlational analysis research design, conducted on 121 samples with purposive sampling technique. Data collection was done using the Montreal Cognitive Assessment questionnaire using the Pearson Product Moment test. Results: The results showed that the majority of respondents were 46–65 years old, male; their last level of education was college; and the majority did not work. The long time undergoing hemodialysis is 120 months, with an average of 46 months. Most respondents experienced mild cognitive function impairment with memory domain, followed by visuospatial and attentional cognitive domains that cause the risk of dementia. Conclusion: There is a significant relationship between the long time undergoing hemodialysis and the cognitive function of chronic renal failure patients at RSUP Dr Kariadi Semarang (p = 0.000), with a strong relationship in the opposite direction (r = -0.610). The need to improve cognitive memory domain, such as conducting periodic cognitive screening with high-sensitivity instruments on hemodialysis patients who have a risk of severe dementia.

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