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Journal : Journal of Nursing Science Update

FAMILY WITH A CHRONIC ILLNESS: ADAPTATION AND CHALLENGES Annisa Wuri Kartika; Wiwin Wiarsih; Henny Permatasari
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4540.62 KB) | DOI: 10.21776/ub.jik.2017.005.02.1

Abstract

Living with a chronic illness surely can affect clients and their families. Family capacity to adapt successfully can be quite different depend on characteristic of chronic illness and family perception about the illness. Consideration of the family’s view of illness support health care professionals in finding the best resources to assist family with chronic illness. The aim of this study was to describe impact of chronic illness to clients and their family. This research use a qualitative design with descriptive phenomenological approach. Using purposive-sampling, eight families living with chronic illness were participated in this study. Colaizzi’s method which involving participants to validate results was used in the research. The theme of this study are changes in the patient's health status, family system changes and family difficulties in maintenance tasks. Conclusion of this research is that family members are the biggest support to motivate clients and also challenged as they strive to assist member diagnosed with chronic condition to stay healthy. Involving clients and families in the decision making support the efforts of families in their self-management of chronic illness. Thus nurses could provide family counseling to strengthen family coping and capacity by providing family with adequate information about illness.   
Diabetes Self-Management Education (DSME) Intervention to Improve Self-Care Management of Diabetes Mellitus Patients Annisa Wuri Kartika; Widyatuti Widyatuti; Etty Rekawati
Journal of Nursing Science Update (JNSU) Vol. 9 No. 2 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.628 KB) | DOI: 10.21776/ub.jik.2021.009.02.2

Abstract

Self-care management is an important component in the management of Diabetes Mellitus Type 2 (DMT2). Knowledge, self-efficacy, and compliance in self-care are the main factors to improving quality of life and preventing complications. Diabetes Self-Management Education (DSME) in support groups was used in community nursing interventions to improve diabetes self-care management. This study used a one-group pre-post design with t-test analysis to determine the ability of self-management levels and blood sugar values of the group with diabetes before and after the intervention. The instrument used was the Diabetes Self Care Management Questionnaire (DSMQ). Diabetes Mellitus patients received DSME intervention for two months. The number of samplings in this study was 49 people with diabetes. The findings show that in intervention groups, self-care improves, and blood sugar levels fall. There were significant changes in the diabetics' group (n = 48) before and after the intervention on self-care and blood glucose levels (p = 0.000 and p = 0.011). We suggest that the DSME might be given to the diabetes group by nurses as one of the strategies for implementing health education in the public health care program (PERKESMAS). 
The Relationship of Self-Efficacy with Diet Compliance in Type 2 Diabetes Mellitus Patients in Puskesmas Gumawang, OKU Timur Regency Ahsan; Nurul Rahmawati; Annisa Wuri Kartika
Journal of Nursing Science Update (JNSU) Vol. 10 No. 1 (2022): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.995 KB) | DOI: 10.21776/ub.jik.2022.010.01.6

Abstract

Dietary compliance in diabetes patients is vital to developing good outcomes for better health. One of the biggest problems in managing diet for patients is feeling bored and pressured with the menu that has been provided. The impact is that they show unwillingness and inability to follow a diet program. Adherence to this diet emphasizes the role and self-efficacy that requires awareness and intention from people who manage diabetes mellitus. This study aimed to determine the relationship between self-efficacy and dietary compliance in patients with Diabetes Mellitus type 2 at the Gumawang Primary Health Center, East OKU district. This study used a cross-sectional approach with 53 respondents. The sampling technique used is purposive sampling. Data collection using research instruments in two questionnaires, namely the Diabetes Management Self Efficacy Scale (DMSES) and Dietary Compliance by Haryono modified by Permatasari (2014). The results of the univariate analysis showed that self-efficacy was in the reasonably good category and diet compliance was in the good category. Based on bivariate analysis, it is known that the p-value is 0.000 <0.005 with a correlation coefficient of 0.773, which means that there is a solid significant correlation between the self-efficacy variable and dietary compliance. It is recommended to create a program to improve patient self-efficacy, one of which is to create a Self-Help Group program for patients with Diabetes Mellitus.