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Review: Self-management Support Program on Dietary Behaviors in Patients with Type 2 Diabetes Mellitus Primanda, Yanuar; Kritpracha, Charuwan
Nurse Media Journal of Nursing Vol 1, No 1 (2011): (JUNE 2011)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.693 KB) | DOI: 10.14710/nmjn.v1i1.747

Abstract

Background: Dietary behaviors are the cornerstone in diabetes management. Diabetes self-management support program in which patients play an active role to determine their health care is an important strategy to improve dietary behaviors in type 2 diabetes mellitus (T2DM) patients. Its elements which contribute to the successfulness of the program need to be identified.Purpose: To review and identify the elements of self-management support program to improve dietary behaviors in T2DM patients.Method: An integrative review was conducted. Relevant studies published in English language during last 10-year, measured dietary behaviors in T2DM patients, and retrieved from CINAHL and PubMed were included.Results: 13 experimental studies and 3 meta-analysis studies were reviewed. Goal setting and action planning combined with other strategies (brief counseling and problem solving) seemed more effective to improve dietary behaviors. Either trained lay people or clinicians could lead the program although clinician-led programs were common. Contents and materials of the education vary across the studies. The effects on dietary behaviors could be detected in short term duration of program (<6 months). Continuing follow-up was essential element which face-to-face follow-up as the most common strategy. The utilization of technology such as telephone-call and internet based follow-up might provide more benefits for patients.Conclusion: Diabetes self-management support program is effective to improve dietary behaviors in T2DM patients. Further research is needed to test the effectiveness of goal setting strategy and technology utilization for follow-up strategy such telephone call in Indonesian T2DM population.Keywords: self-management, dietary behaviors, type 2 diabetes mellitus
RELAKSASI BENSON DAN TERAPI MUROTTAL SURAT AR-RAHMAAN MENURUNKAN KADAR GLUKOSA DARAH PUASA PADA PENDERITA DIABETES MELITUS TIPE 2 DI KECAMATAN MAOS Purwasih, Esti Oktaviani; Permana, Iman; Primanda, Yanuar
Jurnal Ilmiah Kesehatan Keperawatan Vol 13, No 2 (2017): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v13i2.211

Abstract

Uncontrolled diabetes might generate the physical and psychological complication. The objective of this study was to analyze the effect of Benson’s relaxation and murottal “Ar-Rahmaan” to the fasting blood glucose (FBG) and stress score. This research was quasi experimental study with two group pre test-post test control group design. The research has been done  in the Health Care Center of Maos and “Graha Amanah” Clinic of Maos. Sample technique used total sampling, with 60 according to the inclusion criteria. The respondents were divided into control group and intervention group. Every group had 30 respondents. The intervention group was given Benson’s relaxation and murottal, menwhile the control group was given the Benson’s relaxation only. This intervention was done twice a day, in the morning and in the afternoon, for 7 days.The results showed the difference of the FBG level before and after intervention between groups (p value=0,000; Z score=- 4,097;Mean+SD intervention group= -66,300+45,672;Mean+SD control group= -23,766+13,438). Benson’s relaxation and murottal therapy could decrease FBG  significantly.
Pengaruh Shalat Dalam Menurunkan Tingkat Ansietas Dan Kadar Glukosa Darah Pada Pasien Diabetes Mellitus Tipe 2 Kartika, Umy; Rosa, Elsye Maria; Permana, Iman; Primanda, Yanuar
Journal of Nursing and Health Vol. 1 No. 2 (2016): Journal of Nursing and Health
Publisher : Yakpermas Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52488/jnh.v1i2.45

Abstract

Latar belakang: Penatalaksanaan DM dapat dilakukan dengan perawatan diri yang optimal, salah satunya melalui penanganan yang sehat. Shalat dapat membantu tercapainya koping yang sehat dengan dipromosikan relaksasi dan mengurangi kecemasan sehingga berdampak pada pengendalian glikemik. Tujuan penelitian ini adalah menguji pengaruh shalat terhadap tingkat kecemasan dan kadar glukosa darah. Rancangan penelitian ini adalah quasi eksperimental design dengan pre-post test without control group design. Dua belas orang berpartisipasi dalam studi protokol ini melalui pengambilan sampel berurutan. Responden diberikan intervensi shalat lima kali selama lima hari kemudian dilakukan pengukuran kadar kecemasan dan kadar glukosa darah. Analisis data menggunakan Wilcoxon Sign Rank Test, Friedman Test, dan Mann Whitney. Hasil penelitian menunjukkan bahwa shalat menurunkan tingkat kecemasan (p = 0,003, mean rank = 6,00-0,00) dan kadar glukosa darah (p = 0,002, mean rank = 6,50-0,00) . Usia pasien, pola makan, dan dosis insulin juga mempengaruhi tingkat kecemasan dan glukosa darah pasien. Kesimpulannya, shalat dapat menurunkan tingkat kecemasan dan glukosa darah pada penderita diabetes melitus tipe 2. Perawat disarankan memfasilitasi pasien untuk shalat lima kali sehari dan memperhatikan usia pasien, pola makan, dan dosis insulin. Metode penelitian selanjutnya dapat dimodifikasi dengan menggunakan metode campuran. Kata kunci: Shalat, tingkat kecemasan, kadar glukosa darah, DM tipe 2.
Pengaruh Siklus Belajar 5E Kombinasi Problem Based Learning (PBL) Terhadap Peningkatan Kognitif, Afektif, Psikomotor Pada Mahasiswa Diploma Keperawatan Yuliani, Nila; Huriah, Titih; Primanda, Yanuar
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 3 (2017): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.1366

Abstract

Mutu pendidikan yang rendah merupakan masalah utama dalam dunia pendidikan. Hasil uji kompetensi nasional untuk tingkat diploma keperawatan masih sangat rendah bila dibandingkan tenaga kesehatan lain. Nilai batas lulus untuk D3 Keperawatan masih dibawah 50 yaitu 42,16 dengan prosentase kelulusan hanya 47,81%. Proses belajar mengajar merupakan salahsatu faktor yang berkontribusi terhadap kualitas pendidikan. Tujuan pada penelitian ini adalah untuk mengetahui pengaruh model siklus belajar 5E kombinasi PBL dalam meningkatkan kemampuan kognitif, afektif, dan psikomotor mahasiswa diploma keperawatan. Desain penelitian menggunakan kuasi eksperimen dengan rancangan pretest-posttest control group design. Lokasi penelitian dilakukan di Akper Samawa Sumbawa. 58 mahasiswa didapatkan melalui Total Sampling. Data analisis menggunakan analisis deskriptif, chi square dan t-test. Hasil penelitian menunjukkan nilai rerata kognitif sebelum intervensi adalah 39,28 dan setelah intervensi meningkat menjadi 47,85, nilai rerata afektif sebelum intervensi adalah 45,17 dan setelah intervensi meningkat menjadi 52,89, nilai rerata psikomotor sebelum intervensi adalah 44,39 dan setelah intervensi meningkat menjadi 53,03. Setelah diterapkan intervensi model siklus belajar 5E dengan kombinasi PBL, terdapat peningkatan kognitif, afektif, dan psikomotor yang signifikan dengan nilai p-value 0,041, 0,012 dan 0.000.
Student's Satisfaction on Online Nursing OSCE (ON-OSCE) Assessment Application Sutrisno, Resti Yulianti; Primanda, Yanuar; Haris, Fahni
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 2 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v4i2.10142

Abstract

Background: Objective Structured Clinical Examination (OSCE) is one of the final assessment components for nursing students. OSCE assessment uses the ON-OSCE (Online Nursing OSCE) application to fulfill the need and overcome the manual OSCE assessment challenges using papers. The manual OSCE assessment with multiple checklists is very detailed and takes a long time in scoring. Besides, the evaluation using papers tends to cause a miscalculation in scoring a total of ratings that can harm the student.Method: This research is a non-experimental study with a descriptive design and cross-sectional approach. The samples were 480 respondents of nursing students. The instrument of assessment of satisfaction was analyzed based on the score accuracy, time to retrieve score, and examiner's attention. Data analysis used descriptive frequency and percentage distributions. Results: Students' satisfaction based on the time to retrieve score revealed that 365 students (76%) were satisfied. Two hundred eighty-five students (59,4 %) were also satisfied with ON-OSCE related to the score accuracy. Regarding the examiners' attention, 273 students (56,9 %) felt the examiners ignored the students' actions. They focused on the laptop to provide an assessment. It could be due to the new ON-OSCE application for the examiners and their unfamiliarity with operating the application.Conclusion: Most students were satisfied with the assessment using the ON-OSCE application to retrieve scores and the score accuracy. However, they were less satisfied with the examiners' attention. The examiners should be more familiar with the ON-OSCE.
Latihan Pernapasan Diafragma Meningkatkan Arus Puncak Ekspirasi (APE) dan Menurunkan Frekuensi Kekambuhan Pasien Asma Dian Kartikasari; Ikhlas Muhammad Jenie; Yanuar Primanda
Jurnal Keperawatan Indonesia Vol 22, No 1 (2019): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i1.691

Abstract

 Salah satu penatalaksanaan asma yaitu latihan pernapasan diafragma yang dapat meningkatkan fungsi paru pasien asma. Tujuan penelitian untuk menguji pengaruh latihan pernapasan diafragma terhadap peningkatan Arus Puncak Ekspirasi (APE) dan penurunan frekuensi kekambuhan pasien asma. Penelitian true experiment pretest-posttest with control group melibatkan 28 subyek penelitian secara random. Subyek dibagi menjadi kelompok intervensi dan kelompok kontrol melalui randomisasi sejumlah 14 orang untuk masing-masing kelompok. Pengukuran APE menggunakan peak flow meter dan frekuensi kekambuhan dicatat dengan lembar catatan observasi. Hasil penelitian terdapat perbedaan yang signifikan rerata selisih APE kelompok intervensi (mean 126,43±22,05 L/menit) dan kelompok kontrol (mean 52,14±56,45 L/menit) dengan p 0,001, serta terdapat perbedaan yang signifikan rerata selisih frekuensi kekambuhan kelompok intervensi (mean 1,29±0,61) dan kelompok kontrol (mean 0,79±0,57) dengan p 0,038. Latihan pernapasan diafragma menjadi pertimbangan dalam penatalaksanaan pasien asma. Kata kunci: arus puncak ekspirasi, asma, frekuensi kekambuhan, latihan pernapasan diafragma  AbstractEffect of Diaphragmatic Breathing Exercises on Peak Expiratory Flow Rate (PEFR) Enhancement and The Mild-Moderate Asthma Patients’ Relapse Frequency Reduction. One of the management of asthma is diaphragmatic breathing exercises that could improve lung function of asthma patients. The objective of the study was to examine the effect of diaphragmatic breathing exercises on Peak Expiratory Flow Rate (PEFR) and decreased frequency of mild-moderate asthma relapse on the patients. True experiment method pretest-posttest with control group was applied in this study with involved 28 random research subject. Subjects were divided into intervention groups and control groups through randomization of 14 people for each group. PEFR measurements using peak flow meter and relapse frequency were recorded with an observation note sheet. There was a significant difference of difference PEFR mean between intervention groups (mean 126.43±22.05) and control group (mean 52.14±56.45) with p 0.001. There was a significant difference of difference mean frequency between intervention group (mean 1.29±0.61) and control group (mean 0.79±0.57) with p 0.038. Diaphragmatic breathing exercise is a consideration in the management of asthma patients.Keywords: asthma, diaphragmatic breathing exercises, frequency of recurrence, peak expiratory flow rat
DETEKSI DINI RESIKO PENYAKIT KARDIOVASKULAR MELALUI PEMERIKSAAN SEDERHANA KOLESTEROL TOTAL DALAM DARAH Ferika Indarwati; Yanuar Primanda
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2018: 3. Penguatan Inovasi Kesehatan dan Obat Bagi Pemerintah Daerah
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.484 KB)

Abstract

Cardiovascular disease is one of serious health problems worldwide including in Indonesia. Early detection and screening for cardiovascular disease is beneficial to decrease mortality and morbidity caused by the disease. Unfortunately, early screenings of cardiovascular disease are rarely done by communities (particularly elder adults) in Indonesia. Lack of knowledge of early screening of cardiovascular disease and minimum facilities influenced this phenomenon. Therefore, this project was aimed to help community in Ranting Muhammdiyah and Aisyiyah Tamantirto Selatan to detect early onset of cardiovascular disease. This project was integrated with a social program held by the Ranting Muhammdiyah and Aisyiyah Tamantirto Selatan. There were five steps of the screening program namely spirituality supports, moderate exercises, glucose screenings, physical assessments and drug prescriptions, and health educations. Overall 263 people voluntarily participated in this project and 219 of them finished the screening program. Most of the participants was female, aged from 41-60 years. Based on the total cholesterol screening, more than 26% of participants had total cholesterol more than 200 mg/dl. This means that those people had a high risk of developing cardiovascular diseases. Only 133 participants had total cholesterol lower than the normal range (<200mg/dl). Routine screening of total cholesterol level can prevent the development of cardiovascular diseases and its complications which will eventually may reduce mortality and morbidity rates of cardiovascular diseases in Indonesia.
PEMERIKSAAN PENYARING KADAR GULA DARAH SEBAGAI UPAYA DETEKSI DINI DIABETES MELITUS Yanuar Primanda; Ferika Indarwati
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2018: 3. Penguatan Inovasi Kesehatan dan Obat Bagi Pemerintah Daerah
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.567 KB)

Abstract

Diabetes mellitus (DM) is one of serious health problems worldwide including in Indonesia. Early detection and screening for DM is beneficial to prevent the development of DM. Unfortunately, early screenings of DM are rarely done by communities (particularly elder adults) in Indonesia. Lack of knowledge of early screening of DM and minimum facilities influenced this phenomenon. Therefore, this project was aimed to help community in Ranting Muhammadiyah and Aisyiyah Tamantirto Selatan to detect early onset of DM. This project was integrated with a social program held by the Ranting Muhammadiyah and Aisyiyah Tamantirto Selatan. There were five steps of the screening program namely spirituality supports, moderate exercises, glucose screenings, physical assessments and drug prescriptions, and health educations. Overall 263 people voluntarily participated in this project and 219 of them finished the screening program. Most of the participants was female, aged from 41-60 years. Blood glucose screening showed that 3.2% had low blood glucose level (<60 mg/dl), 57.3% had normal blood glocose level (60-140 mg/dl), 22.5% had random blood glucose 140-200 mg/dl which categorized as pre DM and almost 20% had random blood glucose more than 200 mg/dl which categorized as DM. Screening and early detection is important for people to prevent DM and implement measures to delay the complecations among people with DM
Edukasi Pengenalan Dan Pencegahan Diabetes Melitus Yanuar Primanda; Ferika Indarwati; Yuni Astuti; Kellyana Irawati; Laili Nur Hidayati
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2021: 3. Kesehatan Keluarga dan Masyarakat
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (631.639 KB) | DOI: 10.18196/ppm.43.906

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Diabetes Melitus merupakan salah satu penyakit kronis dengan jumlah penderita yang banyak di seluruh dunia yang menimbulkan berbagai komplikasi dan penurunan kualitas hidup. Program pengenalan Diabetes Melitus telah banyak dilakukan, tetapi jumlah penderita Diabetes Melitus terus mengalami peningkatan. Hal ini menunjukkan bahwa edukasi mengenai Diabetes Melitus tetap perlu dilakukan dengan melibatkan banyak lapisan masyarakat. Telebih di masa pandemi Covid-19 yang membatasi mobilisasi manusia. Implementasi program edukasi yang biasanya dilaksanakan saat kegiatan tatap muka di masyarakat dan pusat pelayanan kesehatan seperti posyandu, puskesmas dan rumah sakit menjadi sangat terbatas. Tujuan dari pengabdian masyarakat ini adalah untuk mengenalkan tentang Diabetes Melitus di masyarakat melalui media online Zoom sehingga dapat menjangkau peserta di berbagai lokasi. Kegiatan ini merupakan implementasi kerjasama antara Program Studi Ilmu Keperawatan Universitas Muhammadiyah Yogyakarta, Majelis Kesehatan Pimpinan Ranting Aisyiyah Tamantirto Selatan, dan Bidang Edukasi Pimpinan Ranting Istimewa Muhammadiyah Queensland, Australia. Edukasi dilaksanakan dengan metode presentasi power poin dari narasumber dan diikuti dengan diskusi. Kegiatan pengabdian masyarakat diikuti oleh 22 peserta di Yogyakarta, Australia, dan Taiwan. Sebelum edukasi, peserta diberikan kesempatan untuk melakukan pretest untuk mengukur pengetahuan sebelum edukasi. Setelah edukasi, peserta diberikan posttest dan evaluasi kegiatan. Hasil menunjukkan bahwa sebelum dilakukan edukasi, rerata pengetahuan peserta adalah 92 dan setelah dilakukan edukasi, rerata pengetahuan meningkat menjadi 98. Pertanyaan dengan peningkatan rerata skor tertinggi terdapat pada item pertanyaan tentang pengaturan porsi makan pada pasien DM dengan metode piring. Hasil evaluasi proses menunjukkan bahwa 100% peserta sangat setuju bahwa kegiatan dapat meningkatkan pengetahuan dan pembicara menguasai materi yang disampaikan. Sebanyak masing-masing 83.3% menyatakan sangat setuju bahwa kegiatan dilaksanakan secara rutin dan mampu memotivasi untuk menjalankan hidup sehat
PENGARUH MENDENGARKAN DAN MEMBACA SHOLAWAT TERHADAP TINGKAT KECEMASAN PASIEN POST OP ORIF DI RSUD NGUDI WALUYO WLINGI Niafatun Nofiah; Fitri Arofiati; Yanuar Primanda
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 10, No 1 (2019): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.577 KB) | DOI: 10.33859/dksm.v10i1.415

Abstract

Latar Belakang : Open reduction internal fixationORIF merupakan salah satu penatalaksanaan pada kasus fraktur yang menggunakan tehnik pembedahan, dan pembedahan tersebut dapat mengakibatkan ketidaknyamanan dan kecemasan pada pasien. Untuk mengatasi kecemasan dapat menggunakan terapi non farmakologi dengan tehnik distraksi, salah satu nya mendengarkan dan membaca Sholawat. Tujuan : Untuk mengetahui pengaruh pemberian intervensi mendengarkan dan membaca Sholawat terhadap tingkat Kecemasan pasien Post Op ORIF di RSUD Ngudi Waluyo Wlingi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan jenis pre eksperiment dengan one group pretest-posttest, tehnik sampling yang digunakan yaitu Accidental sampling, sampel pada penelitian ini yaitu pasien dengan Post Op ORIF dan di dapatkan 32 responden. Instrument yang di gunakan yaitu MP3 dan headset yang berisi rekaman Sholawat, serta kuasioner HARS untuk menilai tingkat kecemasan pasien.Hasil: Hasil dalam penelitian di dapatkan adanya penurunan tingkat kecemasan setelah diberikan intervensi secara signifikan, dan analisis   di gunakan yaitu Uji Wilcoxon dan mendapatkan hasil  p value 0.000 (p0.05), Kesimpulan: Terdapat pengaruh yang signifikan pada pemberian intervensi mendengarkan dan membaca Sholawat terhadap tingkat kecemasan pasien Post Op ORIF di RSUD Ngudi Waluyo Wlingi.Kata kunci: Sholawat, tingkat kecemasan, ORIF Background: open reduction internal fixtation (ORIF) is one of fracture management that reguires surgical prosedur which coused unfortable an anxiety. Listeing and reading Sholawat is one of distraction methods to reduce anxiety. Objective: The object of this study was to examine the effect of listening and reading Sholawat on anxiety level among patients with ORIF in RSUD Ngudi Waluyo Wlingi. Method: This was Pre-experimental study with one-group pre-post test. 32 respondent were selected through accidental sampling. The Sholawat recording was tested for validity and given to the respondent by using Mp3 and headset. The HARS questionnaire was used to test anxiety level. Results: The result of this study showed that listening and reading Sholawat signyficanthy decreased anxiety level among patients with ORIF p value 0,000 Conclusion: There was an effect of listening and reading Sholawat on patients anxiety level.Keywords: Prayer, level of anxiety, ORIF Â