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PENGARUH STRES TERHADAP FUNGSI MEMORI PADA PASIEN DIABETES MELITUS DI KOTA DEPOK Hanisya, Fathiya; Kurnia, Dikha Ayu
Jurnal Riset Kesehatan Nasional Vol 2, No 2 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (917.76 KB) | DOI: 10.37294/jrkn.v2i2.107

Abstract

Diabetes melitus merupakan penyakit kronis yang dapat mempengaruhi sisi psikologi penderitanya. Stres merupakan salah satu akibat dari penyakit kronis. Stres memiliki dampak negatif pada penderita diabetes melitus karena menyebabkan keadaan hiperglikemia. Hiperglikemia merupakan awal mula dari kerusakan fungsi kognitif, salah satunya kerusakan pada fungsi memori. Penelitian ini bertujuan mengetahui hubungan antara stres dengan fungsi memori. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross sectional, menggunakan 85 responden penderita diabetes melitus di Kecamatan Sawangan Depok. Stres dinilai menggunakan Depression, Anxiety, Stress scale 42 khususnya pada subscale stres sebanyak 14 pernyataan. Sedangkan fungsi memori dinilai menggunakan digit span forward and backward. Uji analisis bivariat menggunakan uji Spearman Rank menyatakan bahwa terdapat hubungan yang bermakna antara stres dan fungsi memori pada penderita diabetes melitus di Kota Depok (p<0,05). Penelitian ini merekomendasikan kepada praktisi kesehatan untuk menekankan manajemen stres dalam tatalaksana diabetes melitus dan penilaian awal tingkat stres sebelum dilakukan pendidikan kesehatan pada penderita diabetes melitus. Kata kunci: stres, fungsi memori, diabetes melitus, depok AbstractDiabetes mellitus is a chronic disease that affect psychological side of individual with diabetes. Stress is one of the result of chronic disease. Stress has a negative impact on people with diabetes melitus because it causes a state of hyperglycemia. Hyperglycaemia is the beginning of cognitive function impairment, one of which is damage to memory function. This study aims was to determine the relationship between stress and memory function. The design of this study was correlative analytic with cross sectional approach, using 85 respondents with diabetes mellitus in Kecamatan Sawangan Depok. Stress was assessed using Depression, Anxiety, Stress scale 42 (DASS 42), especially on stress subscales consists of 14 statements. While the memory function was assessed using the forward and backward digit span. Bivariate analysis test using Spearman Rank test stated that there was a significant relationship between stress and memory function in people with diabetes mellitus in Depok City (p <0,05). This study recommends to health practitioners to emphasize stress management in the management of diabetes mellitus and early assessment of stress levels prior to health education in people with diabetes mellitus. Keywords: stress, memory function, diabetes mellitus, depok
Efektifitas Lembar Pemantauan Insulin Terintegrasi Untuk Mengurangi Kejadian Hipoglikemia pada Pasien Diabetes Mellitus Tipe 2 Dikha Ayu Kurnia; Debie Dahlia
Jurnal Keperawatan Indonesia Vol 21, No 2 (2018): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i2.497

Abstract

Hipoglikemia merupakan salah satu efek samping pemberian terapi insulin pada pasien Diabetes Melitus tipe 2. Penelitian ini bertujuan untuk mengembangkan dan menguji keefektifan lembar pemantauan insulin terintegrasi dalam memantau kejadian hipoglikemia pada pasien DM tipe 2 yang mendapatkan terapi insulin analog. Hasil menunjukkan rerata kejadian hipoglikemia lebih tinggi saat makan pagi (t (18)= 2,9732; p= 0,0059) dan sore (t (18)= 3.0956; p= 0,0043) setelah pemberian rapid-acting insulinmelalui pemantauan lembar insulin terintegrasi Namun, hasil penelitian ini juga menunjukkan bahwa tidak ada hubungan signifikan antara pemantauan asupan kalori, dosis insulin, dan perubahan pola tidur dengan kejadian hipoglikemia. Sehingga lembar pemantauan insulin terintegrasi tidak efektif dalam mencegah kejadian hipoglikemia. Penelitian ini merekomendasikan perawat untuk lebih memahami pengkajian hipoglikemia dalam lembar pemantauan insulin terintegrasi. Kata Kunci: Kejadian hipoglikemia, lembar pemantauan insulin terintegrasi, pasien DM Tipe 2, terapi insulin Abstract The Effectiveness of the Integrated Insulin Monitoring Sheets to Decrease Hypoglycemia Incidence on the Diabetes Mellitus Type 2 Patients. Hypoglycemia is one of the side effects of insulin therapy administration for Type 2 Diabetes Mellitus patients. The study aimed to develop the integrated insulin monitoring sheets and examine its effectiveness in identifying and recording the incidence of hypoglycemia who received analog insulin therapies. The results showed that the integrated insulin monitoring sheet recorded the significantly higher incidence of hypoglycemia during the morning (t (18)= 2.9732; p= 0.0059) and evening (t (18)= 3.0956; p= 0.0043) meals after the administration of rapid-acting insulin). The record integrated insulin monitoring sheet, revealed no significant relationships between the incidence of hypoglycemia and the monitoring of calorie needs, insulin therapy administration, blood glucose, and level insomnia incidences. This study recommended activities that enable nurses to better understand the assessment of hypoglycemia.  Keywords: Diabetes Mellitus Type 2 Patients, hypoglycemia, insulin therapy, the integrated Insulin Monitoring Sheet
Management Leg Positioning After Total Knee Arthroplasty: An Evidence Based Nursing Practice Adelina Vidya Ardiyati Adel; Debie Dahlia; Dikha Ayu Kurnia
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 6 (2021): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v4i6.530

Abstract

Abstract. Total Knee Arthroplasty (TKA) is an effective surgical treatment in patients with moderate to severe knee arthritis. This surgical intervention has the potential to cause blood loss of up to 1000cc, which can lead to a decrease in haemoglobin levels and postoperative functional abilities. There are many methods to reduce the amount of blood loss after TKA surgery, one of the most effective and efficient methods is to position the knee flexion 45° for 24 hours post-operative TKA. This study was the application of Evidence Based Nursing (EBN) with a sample of 10 that meet theInclusion criteria were patients with knee osteoarthritis stage III and IV and underwent TKA Total Knee Arthroplasty (TKA) is an effective surgical treatment in patients with moderate to severe knee arthritis. This surgical intervention has the potential to cause blood loss of up to 1000cc, which can lead to a decrease in haemoglobin levels and postoperative functional abilities. There are many methods to reduce the amount of blood loss after TKA surgery, one of the most effective and efficient methods is to position the knee flexion 45° for 24 hours post-operative TKA. This case series aims to present the result of applying evidence-based leg positioning after TKA to reduce blood loss with a sample of 10 that meet the Inclusion criteria were patients with knee osteoarthritis stage III and IV and underwent TKA (Total Knee Arthroplasty) surgical procedures. The results show that all respondents are female, most of them are <60 years old (60%), and BMI in the overweight category is 70%, the amount of Hidden Blood Loss is in the range of 420cc-700cc, 30% of respondents have post-op Hb levels <10gr/dl, and 60% of respondents have a ROM value of 90° on day 5 Post Operation. The Implementation of EBN Knee flexion position for 24 hours post TKA effective to reduce the amount of blood loss and improve the patient's functional ability by facilitating the patient to start rehabilitation exercises early
Hubungan Pengetahuan HIV/AIDs, Terapi Antiretroviral, dan Infeksi Oportunistik Terhadap Kepatuhan ODHA dalam Menjalani Terapi Antiretroviral Dikha Ayu Kurnia; Umi Solekhah
Faletehan Health Journal Vol 5 No 2 (2018): Faletehan Health Journal, Juli 2018
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.002 KB) | DOI: 10.33746/fhj.v5i2.13

Abstract

Increasing the number of People Living with HIV / AIDS (PLWHA) is one of the serious global health problems. Antiretroviral (ARV) is the only available therapeutic for PLWHA to be consumed for a lifetime with high adherence (95%) in order to achieve drug effectiveness. However, compliance issues are still a major problem for PLWHA. Knowledge is one of many factors that can support adherence in therapy. This study aims to determine the correlation between the level of knowledge about HIV / AIDS, ARV therapy and opportunistic infections and the level of adherence of PLWHA in antiretroviral therapy. This study used a cross sectional total sampling method with a total sample of 50 respondents. The results of this study showed no significant relationship between the level of knowledge with the level of obedience of PLWHA in ARV therapy (p value = 0.107 > 0.05). These results contrast with the previous study who stated that there was a relationship between knowledge of ARV therapy and the level of obedience of PLWHA in undergoing ARV therapy in Padang Hospital.
Tingkat Pengetahuan Generasi Millennial terhadap Faktor Resiko Diabetes Melitus Tipe 2 Dikha Ayu Kurnia; Dewi Ayu Pratiwi
Ners Jurnal Keperawatan Vol 17, No 1 (2021)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.17.1.29-41.2021

Abstract

Dewasa ini, maraknya tren makanan cepat saji dengan makanan yang banyak mengandung pemanis dan lemak menyebabkan perubahan pola makanan dan diet yang tidak seimbang pada generasi millennial. Konsumsi pemanis makanan dan makanan berlemak secara berlebihan dapat menyebabkan terjadinya obesitas dan resistensi insulin yang berimplikasi pada terjadinya diabetes melitus tipe 2. Pengetahuan yang memadai terkait hal ini seharusnya dimiliki oleh generasi millennial agar mereka dapat meminimalkan resiko serta dampak dari penyakit tersebut. Akan tetapi belum ada penelitian tentang pengetahuan generasi millenial mengenai konsumsi pemanis makanan dan makanan berlemak. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan pemanis makanan dan makanan berlemak pada generasi millennial. Metode penelitian dalam ini adalah deksriptif analitik dengan pendekatan cross sectional pada generasi millennial sebanyak 109 responden. Penelitian menunjukan bahwa 70,6 % (n=109)  berpengetahuan cukup. Penelitian ini menunjukan sebagian besar responden memiliki pengetahuan yang cukup terhadap pemanis makanan dan makanan berlemak sehingga diperlukan upaya edukasi lebih lanjut.
Penerapan Akupresur Titik Perikardium 6 (P6) melalui Pendekatan Model Adaptasi Roy pada Pasien Karsinoma Tiroid dengan Keluhan Mual Muntah: A Case Study I Putu Adi Suryawan; Debie Dahlia; Dikha Ayu Kurnia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 2 (2022): April 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i2.1984

Abstract

Patients with thyroid cancer that obstruct the airways require a tracheostomy as an emergency measure, which results in immediate improvement of ventilation and circulation. Mrs. WS, a 56 year old woman, with the main complaints of nausea and vomiting that got worse after the tracheostomy surgery, after having a gasogastric tube (NGT) installed and the accumulation of phlegm in the trachea. The study was carried out using Roy's Adaptation Model theory so that the main problem was obtained, namely nausea with an RINVR score index of 21. The intervention focused on the implementation of nausea and vomiting management using acupressure therapy at point P6 and emphasized the patient's ability to adapt to the nausea he felt. The implementation of acupressure was carried out for 7 days with a frequency of twice a day, in the morning and evening. Nursing evaluations were carried out in a formative manner every day, where on the second day there was no decrease in the RINVR score. The RINVR score decreased after the third day to the seventh day, from a score of 21 (heavy category) to a score of 8 (mild category). Management of nausea and vomiting with non-pharmacological therapy, namely acupressure, is recommended as a complementary therapy of choice, because apart from being caused by physical problems, nausea and vomiting can also be triggered by stress.Keywords: thyroid carcinoma; acupressure at point P6; Roy's adaptation modelABSTRAK Pasien dengan kanker tiroid yang menyumbat saluran pernafasan memerlukan trakeostomi sebagai tindakan emergensi, yang segera menghasilkan perbaikan ventilasi dan sirkulasi. Nyonya WS, wanita berumur 56 tahun, dengan keluhan utama yaitu mual dan muntah yang semakin memberat pada post operasi trakeostomi, setelah terpasang NGT (gaso gastric Tube) serta adanya penimbunan dahak pada trakea. Pengkajian dilakukan menggunakan teori Model Adaptasi Roy sehingga diperoleh masalah utama yaitu nausea dengan indeks skor RINVR 21. Intervensi terfokus pada pelaksanaan manajemen mual dan muntah dengan menggunakan terapi akupresur pada titik P6 dan ditekankan pada kemampuan pasien untuk beradaptasi terhadap mual yang dirasakan. Implementasi akupresur dilaksanakan selama 7 hari dengan frekuensi dua kali sehari yaitu pada pagi dan sore hari. Evaluasi keperawatan dilakukan secara formatif setiap hari, dimana pada hari kedua tidak terjadi penurunan skor RINVR. Skor RINVR menurun setelah hari ke tiga sampai dengan hari ke tujuh yaitu dari skor 21 (kategori berat) menurun menjadi skor 8 (kategori ringan). Manajemen mual dan muntah dengan terapi nonfarmakologis yakni akupresur, direkomendasikan sebagai terapi komplementer pilihan, karena selain disebabkan oleh masalah fisik, mual dan muntah juga dapat dipicu oleh stres.Kata kunci: karsinoma tiroid; akupresur pada titik P6; model adaptasi Roy
PENGARUH STRES TERHADAP FUNGSI MEMORI PADA PASIEN DIABETES MELITUS DI KOTA DEPOK Fathiya Hanisya; Dikha Ayu Kurnia
Jurnal Riset Kesehatan Nasional Vol. 2 No. 2 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (917.76 KB) | DOI: 10.37294/jrkn.v2i2.107

Abstract

Diabetes melitus merupakan penyakit kronis yang dapat mempengaruhi sisi psikologi penderitanya. Stres merupakan salah satu akibat dari penyakit kronis. Stres memiliki dampak negatif pada penderita diabetes melitus karena menyebabkan keadaan hiperglikemia. Hiperglikemia merupakan awal mula dari kerusakan fungsi kognitif, salah satunya kerusakan pada fungsi memori. Penelitian ini bertujuan mengetahui hubungan antara stres dengan fungsi memori. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross sectional, menggunakan 85 responden penderita diabetes melitus di Kecamatan Sawangan Depok. Stres dinilai menggunakan Depression, Anxiety, Stress scale 42 khususnya pada subscale stres sebanyak 14 pernyataan. Sedangkan fungsi memori dinilai menggunakan digit span forward and backward. Uji analisis bivariat menggunakan uji Spearman Rank menyatakan bahwa terdapat hubungan yang bermakna antara stres dan fungsi memori pada penderita diabetes melitus di Kota Depok (p<0,05). Penelitian ini merekomendasikan kepada praktisi kesehatan untuk menekankan manajemen stres dalam tatalaksana diabetes melitus dan penilaian awal tingkat stres sebelum dilakukan pendidikan kesehatan pada penderita diabetes melitus. Kata kunci: stres, fungsi memori, diabetes melitus, depok AbstractDiabetes mellitus is a chronic disease that affect psychological side of individual with diabetes. Stress is one of the result of chronic disease. Stress has a negative impact on people with diabetes melitus because it causes a state of hyperglycemia. Hyperglycaemia is the beginning of cognitive function impairment, one of which is damage to memory function. This study aims was to determine the relationship between stress and memory function. The design of this study was correlative analytic with cross sectional approach, using 85 respondents with diabetes mellitus in Kecamatan Sawangan Depok. Stress was assessed using Depression, Anxiety, Stress scale 42 (DASS 42), especially on stress subscales consists of 14 statements. While the memory function was assessed using the forward and backward digit span. Bivariate analysis test using Spearman Rank test stated that there was a significant relationship between stress and memory function in people with diabetes mellitus in Depok City (p <0,05). This study recommends to health practitioners to emphasize stress management in the management of diabetes mellitus and early assessment of stress levels prior to health education in people with diabetes mellitus. Keywords: stress, memory function, diabetes mellitus, depok
PENERAPAN THAI-DIABETES MANAGEMENT SELF-EFFICACY SCALE (T-DMSES): EVIDENCE BASED NURSING (EBN) Rima Novia Putri; Debie Dahlia; Dikha Ayu Kurnia; Yunizar Gultom
Menara Medika Vol 5, No 1 (2022): VOL 5 NO 1 SEPTEMBER 2022
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v5i1.3545

Abstract

Pendahuluan: Diabetes melitus adalah penyakit kronik yang membutuhkan perawatan seumur hidup. Manajemen aktif dari pasien merupakan salah satu kunci keberhasilan perawatan diabetes melitus tipe 2 (DM tipe 2). Self efikasi merupakan salah satu faktor yang mempengaruhi manajemen DM tipe 2. Thai-Diabetes Management Self-Efficacy Scale (T-DMSES) merupakan salah satu alat ukur self efikasi. Tujuan: Studi ini merupakan penerapan EBN dengan sampel 10 pasien DM tipe 2 dengan kriteria inklusi pasien DM tipe 2, di ruang poliklinik endokrin, berusia > 20 tahun, didiagnosis DM tipe 2 ≥ 3 tahun, mampu membaca dan mengerti bahasa indonesia, mengisi inform consent. Hasil: penerapan EBN menunjukkan rata-rata skor self efikasi subjek 70,5, skor paling rendah 30 dan paling tinggi 85, sedangkan rata-rata kadar HbA1c subjek 7,59%, paling rendah 5,7% dan paling tinggi 10,6%. Skor self efikasi dan kadar HbA1C subjek menunjukkan pola yang bervariasi. Subjek dengan skor self efikasi rendah, 2 orang memiliki HbA1c tak terkendali, sedangkan 1 orang memiliki HbA1c terkendali. Subjek dengan skor self efikasi tinggi, 4 subjek memiliki HbA1C tak terkendali, sedangkan 3 subjek memiliki HbA1C terkendali. Kadar HbA1C dipengaruhi oleh banyak faktor salah satunya kadar hemoglobin, perubahan hormon, dan perubahan jenis terapi. Kesimpulan: T-DMSES ini dapat diterapkan sebagai salah satu alat pengkajian dalam asuhan keperawatan.
Dampak Resistance Exercise terhadap Sirkulasi Perifer, Glycaemic Control dan Neuropati pada Pasien Diabetes Mellitus I Putu Adi Suryawan; Debie Dahlia; Sri Yona; Dikha Ayu Kurnia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 3 (2022): Juli 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13301

Abstract

One of the four pillars of the management of Diabetes Mellitus (DM) is exercise. One form of exercise that can be done at home and can prevent complications in the blood vessels is Resistance Exercise. This article is a systematic review which aims to identify the effect of Resistance Exercise on increasing peripheral circulation, decreasing neuropathy symptoms and glycemic control in DM and pre-diabetic patients. The search sources used were Scopus, Embase, EBSCO, PubMed and ProQuest published from 2016 to 2021. Furthermore, 11 articles that met the criteria were obtained. The results of the study show that there are four main components of resistance exercise in controlling blood sugar, preventing neuropathy and increasing circulation, namely exercise consistency, exercise frequency and duration, exercise intensity, and repetition. Resistance exercise can be used as an alternative solution to foot circulation problems in DM patients, so that the risk of diabetic foot injuries can be prevented or reduced.Keywords: resistance exercise; diabetes mellitus; peripheral circulation  ABSTRAK Salah satu dari empat pilar penatalaksanaan Diabetes Mellitus (DM) adalah exercise. Salah satu bentuk exercise yang dapat dilakukan di rumah dan mampu mencegah komplikasi pada pembuluh darah adalah Resistance Exercise. Artikel ini berjenis systematic review yang bertujuan untuk mengidentifikasi pengaruh dari Resistance Exercise terhadap peningkatan sirkulasi perifer, penurunan gejala neuropati dan glycaemic control pada pasien DM maupun pra diabetes. Sumber pencarian yang digunakan adalah Scopus, Embase, EBSCO, PubMed dan ProQuest yang diterbitkan pada tahun 2016 sampai 2021. Selanjutnya diperoleh 11 artikel yang memenuhi kriteria. Hasil studi menunjukkan bahwa terdapat empat komponen utama dari resistance exercise dalam mengontrol gula darah, mencegah neuropati dan meningkatkan sirkulasi yaitu konsistensi exercise, frekuensi dan durasi exercise, intensitas exercise, dan repetisi. Resistance Exercise dapat dijadikan alternatif solusi masalah sirkulasi kaki pada pasien DM, sehingga resiko terjadinya luka kaki diabetes dapat dicegah maupun dikurangi.Kata kunci: resistance exercise; diabetes mellitus; sirkulasi perifer
The Effectiveness of Virtual Reality (VR) on Preoperative Anxiety in Elective Surgery Patients Under General Anesthesia: A Systematic Review Eva Yulianti; I Made Kariasa; Agung Waluyo; Dikha Ayu Kurnia
Jurnal Ipteks Terapan Vol. 17 No. 2 (2023): Jurnal Ipteks Terapan
Publisher : Lembaga Layanan Pendidikan Tinggi Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22216/jit.v17i2.2075

Abstract

Background: The high prevalence of preoperative anxiety is associated with adverse postoperative outcomes such as pain, prolonged recovery, impaired wound healing, prolonged hospitalization, increase in the need for anesthetic drugs, prolonging the duration of anesthesia, one of the possible causes of canceling surgeries and death. One of the current non-pharmacological interventions to reduce preoperative anxiety is Virtual Reality (VR). This systematic review aims to evaluate the effectiveness of virtual reality on preoperative anxiety in elective surgery patients under general anesthesia. Methods: This study was a systematic review of randomized controlled trials (RCTs) and prospective cohort study. A systematic was conducted using ClinicalKey, Clinicalkey for Nursing, EBSCOhost, Proquest, ScienceDirect, Scopus, Pubmed, SpringerLink, and the Cochrane library, and using keywords and Boolean Operators. Search for English and publish from January 2018 to December 2022. Results: Eight studies were found eligible for inclusion, seven studies showed a significant decrease in perioperative anxiety levels in patients with the use of virtual reality in providing education and distraction compared to the standard care group. Conclusion: The findings of the systematic review show that Virtual reality is an effective education and distraction method to reduce preoperative anxiety in elective surgery patients under general anesthesia..