Rendi Editya Darmawan
Department Of Nursing, Poltekkes Kemenkes Surakarta

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The Effect of Diabetes Self Management Education (DSME) with Audiovisual Media on Self-Care and Decreasing Blood Sugar Levels in Diabetes Mellitus Patients Type II Nugrahenny, Fabella Finandatyan; Darmawan, Rendi Editya; Lestari, Siti
Basic and Applied Nursing Research Journal Vol 3 No 2 (2022): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.03.02.01

Abstract

Background: Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia that occurs due to abnormal insulin secretion. Diabetes Self Management Education (DSME) is an important role in preventing or delaying complications in people with pre-diabetes and diabetes. Aim of study is to analize effect of Diabetes Self Management Education (DSME) with audiovisual media on self-care and decreasing blood sugar levels in diabetes mellitus patients type II Methods: Using a quasy experiment research design with control group design. Samples is 34 respondents (17 respondents in the control group and 17 respondents in the experimental group) that chosen randomly with odd and even way according to data patients DM. Self care measured by Summary of Diabetes Self-Care Activity (SDSCA) questionnaire, and blood sugar level measure with a glucometer. Intervention group given DSME for 14 days, and control group get treatment according to community standards. Bivariate analysis used the non-parametric Wilcoxon test and to see the difference between pre-test and post-test on the self-care variable and to see the differences between groups using the Mann-Whitney test. Analysis of bivariate test on blood sugar levels drop variables using parametric test Paired T-Test and to see the difference between groups using Independent T-Test test. Results: The results of the Wilcoxon test of self-care control group p=0.246 (p=<0.05), so there is no effect, the experimental group p = 0.005 (p=<0.05), so that concluded no effect. Mann-Whitney test results with personal care and experimental control group p=0.000 (p=<0.05), so that there is a significant difference. Results of Paired T-Test blood sugar control group p = 0.812 (p =<0.05), so there is no effect, the experimental group, p = 0.000 (p=<0.05), so that concluded no effect. The results of the Independent T-Test blood sugar levels in the control and experimental groups p=0.020 (p=<0.05), so there is a significant difference in effect. Conclusion: There is the influence of Diabetes Self-Management Education (DSME) The Audiovisual Media on self-care and decrease blood sugar levels in people with Type II DiabetsMellitus.
Influence Combination Exercise William Flexion and Mckenzie Extension to Scale Painful Back Lower on Farmer Hartono, Hartono; Darmawan, Rendi Editya; Listyowati, Devi
Basic and Applied Nursing Research Journal Vol 3 No 2 (2022): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.03.02.03

Abstract

Background: Low Back Pain is one of the musculoskeletal disorders that can be experienced by those who have poor standing posture, especially farmers. Farmer risk caught low back pain caused by position work that is not ergonomically carried out continuously long, increasing with age. Method: This study used a pre-experimental research design with one group pre-post test design. Technique sampling used purposive sampling. A total of 32 respondents were involved, and the intervention was three times a week for two weeks. Scale painful be measured using the Numeric Rating Scale (NRS). Result: Results showed the scale of sore back lower before conducted intervention obtained an average of 4.06 (painful currently). After the intervention, the average scale lower back pain decreased to 2.16 (mild pain). Results analysis data using the test Wilcoxon shows the p-value = 0.000 < (0.005) value. Conclusion: There is an influence gift practice combination of William Flexion and McKenzie Extension to drop scale painful back lower on the farmer.
Can the Calculator Clinic Deter Hypoglycemia, Prevent Hypoglycemia in Hemodialysis Patients, and Reduce D40% Use? Anindhita, Rakhma; Kiswanto, Agus; Noviana, Siska Andika; Juwandi, Juwandi; Darmawan, Rendi Editya
Indonesian Basic and Experimental Health Sciences Vol. 14 No. 1 (2025): November
Publisher : Rumah Sakit Umum Daerah Dr. Moewardi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ibehs.vol14iss1pp89-97

Abstract

IntroductionHypoglycemia is a common complication in diabetic nephropathy (DN) patients undergoing hemodialysis. Early detection is essential to prevent adverse outcomes. A calculator-based clinical tool (cyclic hypoglycemia calculator) was developed to estimate hypoglycemia risk and guide additional glucose needs. This study aimed to analyze the effect of using the calculator on preventing hypoglycemia during hemodialysis. MethodsA quasi-experimental pre–post test control group design was conducted among hemodialysis patients at Dr. Moewardi Hospital (March–July 2024). Samples were selected via simple random sampling: odd medical record numbers for the control group and even numbers for the intervention group. The intervention group received hypoglycemia-risk calculation and glucose adjustment recommendations, while the control group followed standard procedures. Blood glucose levels were measured before and after 4-hour hemodialysis using a standardized glucometer. Data were homogeneous (P=0.903) and non-normally distributed (P=0.00), so the Mann–Whitney test was applied. ResultsThere was no significant difference in blood glucose levels between groups (P=0.811). Pre-dialysis glucose levels were similar (115.45 vs. 114.71 mg/dL), and post-dialysis levels remained comparable (99.39 vs. 98.21 mg/dL). In the control group, 33% experienced increased glucose, 3% remained unchanged, and 64% decreased, with an average reduction of 33.67 mg/dL. In the intervention group, 36% increased and 64% decreased, with an average reduction of 24.5 mg/dL. ConclusionsThe hypoglycemia-deterrent calculator did not produce significant differences in glucose levels compared with standard care. However, its use showed 75% efficiency in reducing unnecessary D40% administration. Further studies are recommended to refine D40% dosing strategies during hemodialysis based on individualized risk scoring.