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Penggunaan Negative Pressure Wound Therapy (NPWT) terhadap Diabetic Foot Ulcer Rinda Apriani; Debie Dahlia; Dikha Ayu Kurnia
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.6184

Abstract

This study aims to conduct a literature review related to research results that discusses the effectiveness of NPWT on diabetic foot ulcers (DFU). The method used is a systematic review method from online databases such as Scopus, ClinicalKey, ClinicalKey Nursing, EBSCOhost, Proquest, ScienceDirect, Springer Link, Pubmed, and SAGE Journals using the keywords diabetes mellitus, negative pressure wound therapy, NPWT, and diabetic foot ulcer. The search uses the boolean logic "AND" and "OR". The results of a systematic review study obtained six articles describing showing that NPWT can help speed up the healing process of DFU wounds. In conclusion, the use of Negative Pressure Wound Therapy (NPWT) in wound care is a relatively effective treatment method for diabetic foot wounds. Keywords: Diabetes Mellitus, Diabetic Foot Wounds, NPWT, Negative Pressure Wound Therapy
TELAAH KEBIJAKAN KESEHATAN DAN KEPERAWATAN DALAM LINGKUP PENDIDIKAN DI INDONESIA Dikha Ayu Kurnia; Dwi Cahya Rahmadiyah; Gipta Galih Widodo; Imelda Imelda; Jesica Pasaribu; Laode Saltar; Pius A. L. Berek; Priyanto Priyanto; Retno Yuli Hastuti; Ria Andriani; Rizky Hidayat; Susanti Niman; Utari Christya Wardhani; Vetty Priscilla
Jurnal Sahabat Keperawatan Vol 3 No 02 (2021): Jurnal Sahabat Keperawatan, Agustus 2021
Publisher : Program Studi Keperawatan, Universitas Timor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32938/jsk.v3i02.1381

Abstract

Latar Belakang: Kondisi keperawatan di Indonesia masih memiliki tantangan untuk memperbaiki diri dalam menjawab tantangan jaman saat ini. Dengan demikian pendidikan tinggi keperawatan memiliki peran penting dalam kualitas asuhan keperawatan di Indonesia. Oleh karena itu insan yang tergabung didalam pendidikan tinggi keperawatan sangat diperlukan melakukan kajian kritis untuk mendukung kualitas kesehatan di Indonesia melalui kebijakan-kebijakan yang diperlukan. Tujuan: menelaah dan mengembangkan kebijakan keperawatan dalam lingkup pendidikan di Indonesia. Simpulan: Faktor determinan kesehatan pada pendidikan tinggi yaitu individu, organisasi, lingkungan dan kebijakan monitoring evaluasi kementerian pendidikan tinggi yang belum mengoptimalkan kualitas lulusan perguruan tinggi. Saran: Pendidikan tinggi keperawatan di Indonesia masih memerlukan berbagai upaya kebijakan untuk meningkatkan mutu lulusan dan menyejahterakan lulusan keperawatan sesuai dengan kompetensi dan kebutuhan stake holder sehingga perawat profesional semakin berperan dalam memberikan solusi yang berbasis keperawatan dan memiliki nilai moral bagi masalah kesehatan di Indonesia
HUBUNGAN KECEMASAN DENGAN MANAJEMEN DIRI PADA PASIEN DIABETES MELLITUS TIPE 2 DI MASA PANDEMI COVID-19 Siska Rahmadiya; Dikha Ayu Kurnia
Jurnal Nurse Vol. 7 No. 1 (2024): Januari: Jurnal Nurse
Publisher : STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/nurse.v7i1.220

Abstract

Introduction : Diabetes mellitus type 2 is a metabolic condition brought on by either the body's ineffective use of insulin or diminished insulin synthesis by pancreatic ß-cells. People with Type 2 Diabetes Mellitus can self-manage their high blood sugar, called hyperglycemia.  During the COVID-19 epidemic, Type 2 Diabetes Mellitus patients had trouble managing their condition on their own. The CoVID-19 pandemic has caused everyone's activities to be limited. People with diabetes mellitus saw a decline in their capacity to do self-care during the Covid-19 epidemic. This study was conducted to determine the relationship between anxiety and self-management of people with Type 2 DM during the COVID-19 pandemic.. Methods: This study's cross-sectional methodology approach and correlational research design involved 88 respondents. Result: The study's findings revealed that respondents who have low anxiety as many as 12 people (14.8%) have good self-management compared to respondents with moderate anxiety.  The statistical test results obtained the p value of COVID-19 anxiety of 1.000 which means there is no relationship between anxiety and self-management.Conclusions : In order to maximize self-management during a pandemic or post-pandemic, researchers believe that nursing services will be able to evaluate the elements that affect the self-management of persons with Type 2 DM.
Intervensi Terapi Musik dapat Meningkatkan Fungsi Kognitif pada Lansia Wahyuni, Anyta Hera; Rekawati, Etty; Kurnia, Dikha Ayu
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9263

Abstract

This study aims to identify the effect of music therapy interventions on cognitive function in elderly people in nursing homes. The method used in this research was a systematic review using a systematic search through the ProQuest, Clinical Key Nursing, PubMed, Sage journal, and Scopus databases with articles that met the inclusion criteria with publications between 2014 and 2023, as well as an article search technique using the PRISMA scheme stages. The results of this study show that the search results identified ten articles in which various types of music therapy interventions and durations of interventions stated that music therapy had a positive effect on the cognitive function of the elderly. The conclusion obtained is that music therapy interventions can be effective interventions to improve cognitive function in the elderly.
Kepatuhan Regimen Terapi Pada Pasien Hipertensi Di Wilayah Puskesmas Kurnia, Dikha Ayu; Sabichiyyah, Nurul Aini
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 5, No 1 (2020)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v5i1.214

Abstract

ABSTRAK Kepatuhan regimen terapi masih rendah walaupun Program Pengelolaan Penyakit Kronis (Prolanis) telah dijalankan, sehingga menyebabkan kejadian hipertensi di Wilayah Puskesmas masih tinggi. Tujuan penelitian: Mengetahui gambaran kepatuhan regimen terapi pada pasien hipertensi di wilayah Puskesmas. Metode: Penelitian ini menggunakan desain cross-sectional yang melibatkan responden sebanyak 107 responden dari tanggal 16-31 Mei 2019 dengan teknik quota sampling, dengan kriteria berusia ≥18 tahun sampai 65 tahun, terdiagnosis hipertensi berdasarkan rekam medis dan bersedia menjadi responden. Kepatuhan dinilai dengan menggunakan instrumen Hill-Bone HBP Compliance to High Blood Pressure Therapy Scale. Data dianalisis dengan analisis univariat dan analisis bivariat.  Hasil: Sebesar 61,7% (n=66) tidak patuh terhadap regimen terapi hipertensi. Sebesar 66,4% patuh terhadap diet rendah garam, 60,7% tidak patuh pemeriksaan rutin ke pelayanan kesehatan, dan 58,9% tidak patuh terhadap konsumsi obat. Ada hubungan antara keanggotaan prolanis dengan kepatuhan regimen terapeutik (p=0,001). Dari ketiga domain kepatuhan, domain pengurangan konsumsi garam dipatuhi oleh sebagian besar responden.. Diskusi: Keanggotaan prolanis dapat menjadi faktor yang dapat meningkatkan kepatuhan.  Alasan pasien hipertensi tidak patuh regimen terapi karena sudah merasa sehat, mengkonsumsi obat tradisional, merasa tidak nyaman karena pengobatan yang kompleks, merasa lupa dan sibuk. Kesimpulan: Penelitian ini menunjukkan sebagian besar responden tidak patuh terhadap regimen terapi, sehingga perlu meningkatkan strategi yang lebih efektif dalam meningkatkan kepatuhan regimen terapi.Kata kunci: garam, hipertensi, kepatuhan, terapiTherapy Regimen Compliance in Hypertensive Patients in the Working Area of Public Health CenterABSTRACTTherapy regimen compliance is still low although the Chronic Disease Management Program has been implemented. As a result, the incidence of hypertension in the working area of Public Health Centre is still high. Objective: To present an overview of compliance with the therapy regimen in hypertensive patients in the working area of Public Health Centre. Methods: This research employed a cross-sectional design, conducted from 16-31 May 2019. It   involved 107 respondents   taken using quota sampling technique, with criteria of those aged 18 years to 65 years, diagnosed with hypertension based on medical records and willing to become respondents. The compliance was assessed using the Hill-Bone HBP Compliance to High Blood Pressure Therapy Scale instrument. Data were analyzed by using univariate analysis and bivariate analysis. Results: 61.7% (n=66) did not comply with the hypertension therapy regimen. 66.4% complied with a low-salt diet, 60.7% did not comply with routine examinations to health services, and 58.9% did not comply with drug consumption. There was a correlation between the membership of the Chronic Disease Management Program and compliance with the therapy regimen (p=0.001). Of the three compliance domains, most of the respondents complied with the domain of reducing salt consumption. Discussion: The membership of the Chronic Disease Management Program can be a factor that can increase compliance. The reasons for hypertensive patients not complying with the therapy regimen are that they feel healthy, consume traditional medicines, feel uncomfortable because of complex treatment, feel forgetful and busy. Conclusion: This research indicates that most of the respondents do not comply with the therapeutic regimen. Therefore, it is necessary to develop a more effective strategy in improving compliance with the therapy regimen.Keywords: salt, hypertension, compliance, therapy
Asuhan Keperawatan pada Pasien Diabetes Melitus Tipe 2, Fase Akut dengan Pendekatan Model Adaptasi Roy: Studi Kasus Neng Intan; Debbie Dahlia; Dikha Ayu Kurnia
Jurnal Keperawatan Silampari Vol 5 No 2 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.906 KB) | DOI: 10.31539/jks.v5i2.3228

Abstract

This study aims to describe nursing care in patients with diabetes mellitus in the acute phase, using the Roy application theory model. This type of research is a case study. The results showed that after nursing interventions were carried out in the form of diet education and adherence to therapy management, blood sugar control improved, client and family understanding increased, treatment days did not extend. In conclusion, the right way that nurses can prevent the recurrence of diabetes patients is to educate as early as possible on how to regulate nutrition through eating patterns with proper diet control and education on correct therapy management compliance. Keywords: Diabetes Mellitus, Diet, Education, Insulin
Buerger Allen Exercise terhadap Sirkulasi dan Sensori Perifer pada Pasien dengan Diabetes Melitus Fina Mahardini; Debie Dahlia; Dikha Ayu Kurnia; Etty Rekawati
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v6i2.6099

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This study aims to systematically evaluate the results of studies assessing the effectiveness of the Buerger Allen Exercise (BAE) in improving circulation and peripheral sensory status in patients with Diabetes Mellitus (DM). The method used is a systematic review in which researchers carry out a comprehensive and systematic search based on PRISMA's recommendations for research articles using randomized controlled trial (RCT) methods, quasi-experiments, and cohorts using the keywords "diabetes," "Buerger Allen, "perfusion," "neuropathy," and related MeSH terms published in international journals over the last five years. The results showed that of the nine articles included, six proved the effectiveness of BAE in improving peripheral circulation, two reports showed their effectiveness in improving peripheral neurosensory, and one other showed the efficacy of BAE in improving peripheral circulation and neurosensory. In conclusion, BAE can significantly improve DM patients' circulation and peripheral sensory status. Keywords: Buerger Allen Exercise (BAE), Diabetes Mellitus, Peripheral Sensory, Peripheral Circulation
HUBUNGAN PENGETAHUAN DENGAN MANAJEMEN DIRI PADA PENYANDANG DIABETES MELITUS TIPE 2 PADA MASA PANDEMI COVID-19 Rahmadiya, Siska; Herawati, Tuti; Kurnia, Dikha Ayu
HUMAN CARE JOURNAL Vol 9, No 3 (2024): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v9i3.3258

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Diabetes melitus tipe 2 merupakan kelainan metabolik yang disebabkan oleh menurunnya produksi insulin oleh sel ß-pankreas atau tubuh tidak mampu lagi menggunakan insulin secara efektif yang mempengaruhi kerja insulin dalam penyerapan glukosa. Diabetes Melitus merupakan penyakit degeneratif yang tidak dapat disembuhkan tetapi dapat dikontrol atau dikelola, salah satu pengelolaan DM adalah pengelolaan diri. Pengelolaan diri penderita Diabetes Melitus Tipe 2 mengalami kendala pada masa pandemi COVID-19. Pada masa pandemi covid-19, penderita diabetes melitus mengalami penurunan kemampuan dalam melakukan perawatan diri. Salah satu intervensi untuk mengatasi dan menekan penularan infeksi COVID-19 adalah dengan bentuk strategi kebijakan pemerintah berupa pemberlakuan pembatasan kegiatan masyarakat. Faktor yang mempengaruhi penderita DM tipe 2 untuk melakukan pengelolaan diri salah satunya adalah tingkat pengetahuan tentang diabetes. Desain penelitian ini adalah korelasi dengan pendekatan cross-sectional dengan jumlah sampel 88 pasien. Populasi dalam penelitian ini adalah seluruh penderita diabetes melitus tipe 2. Dalam penelitian ini, teknik pengambilan sampel yang digunakan adalah teknik non-probability sampling dengan jenis pengambilan sampel secara konsekutif. Penelitian dilakukan di Puskesmas IV Koto Kabupaten Agam. Instrumen yang digunakan dalam penelitian adalah kuesioner DKQ-24 (Diabetes Knowledge Questionaire) dan Kuesioner SDSCA. Hasil analisis menunjukkan bahwa tidak ada hubungan antara pengetahuan dengan manajemen diri pasien DM Tipe 2 pada masa pandemi Covid-19.Kata Kunci: Pengetahuan, DM Tipe 2, Pandemi, Covid-19
Hubungan Dukungan Sosial Dengan Manajemen Diri Penderita DM Tipe 2 Selama Pandemi Covid-19 Rahmadiya, Siska; Herawati, Tuti; Kurnia, Dikha Ayu
REAL in Nursing Journal Vol 7, No 2 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i2.3021

Abstract

Background: Diabetes Mellitus (DM) is a chronic degenerative disease that cannot be cured but can be controlled with routine care. The COVID-19 pandemic imposes a policy of limiting physical activity so that people with Type 2 Diabetes Mellitus experience difficulties in physical activity, fulfilling food and medicine needs access to health services and lack of self-awareness of checking blood sugar, so that people with diabetes mellitus experience a decrease in their ability to carry out self-care. Self-management is a drive or motivation that comes from within and outside the individual to achieve certain goals in managing and organizing themselves as well as possible. Social support has a major effect on the well-being of people with type 2 DM. Getting social support helps people with type 2 diabetes better control their disease.Methods: This quantitative study used a cross-sectional approach. The target population is Type 2 DM clients who seek treatment at the IV Koto Health Center. The sample in this study were all Type 2 DM patients selected in this study as many as 88 people. Data collection through questionnaires. The research instruments were the Summary Of Diabetes Self Care Activities Revised (SDSCA) Questionnaire and the S4-MAD Questionnaire for social support. Researchers conducted bivariate analysis, namely with self-management with a categorical data scale and the dependent variable was self-management so that the test used was the chi-Square test. As for age and length of suffering using the t test and Mann Whitney test. Results: The statistical test results of social support on good self-management obtained p value 0.010 which means there is a relationship between social support and self-management there are 53 people (93.0%) of 88 respondents who get less social support to do good self-management
Peer-Based Interventions to Improve Self-Efficacy in Patients with Chronic Diseases Bengu Ndona, Maria Fulgensia; Nurachmah, Elly; Kurnia, Dikha Ayu
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6755

Abstract

Chronic diseases such as heart failure, diabetes, and hypertension require active patient involvement in self-management. Self-efficacy is a key factor that influences the success of self-management among individuals with chronic conditions. This article aims to synthesize current empirical evidence on the effectiveness of peer-based interventions in improving self-efficacy among patients with chronic diseases. This study employed a systematic review approach based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Literature was retrieved from PubMed, ScienceDirect, ProQuest, EBSCOhost, Wiley, and Google Scholar databases. The inclusion criteria were full-text articles in English, with designs such as randomized controlled trials, quasi-experiments, and pilot studies published between 2015 and 2025. Of the 635,062 8 articles identifie the inclusion criteria and were analyzed. The included articles were critically appraised using appropriate tools and independently reviewed for quality and relevance, with data systematically extracted and narratively synthesized due to methodological heterogeneity. All reviewed studies reported a significant increase in self-efficacy following peer-based interventions. These interventions were implemented in various formats, including group training, theory-based peer coaching (eg, Health Belief Model, Health Promotion Model), digital peer support, and nurse-facilitated peer programs. Some studies also demonstrate long-term effects and additional benefits such as improved quality of life, better stress management, and reduced stigma. Peer-based interventions are proven effective in enhancing self-efficacy among patients with chronic diseases and may serve as a complementary strategy in clinical practice and primary health care services.