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Hubungan Karakteristik Pasien Hipertensi Dengan Perilaku Pencegahan Covid-19 Di Pelayanan Rawat Jalan Rumah Sakit Panti Rahayu Yogyakarta Lola Panggah Pertiwi, Hedwigis; Subiyanto, Paulus; Ratnawati, Emmelia
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 4 No 1 (2023): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v4i1.208

Abstract

ABSTRAC Background: Coronavirus disease (COVID-19) is an infectious disease caused by a new type of coronavirus and became an outbreak in Wuhan, China, in December 2019. Hypertension patients are the highest comorbidities because it will complicate the patient's condition. COVID-19 such as wearing masks, washing hands, maintaining distance and much more. Objective: To determine the relationship of characteristics of hypertension patients (age, gender, education, occupation) with the prevention behavior of COVID-19 transmission in outpatient services Panti Rahayu Hospital Yogyakarta. Methods: The method used is descriptive cross sectional with sampling accidental sampling technique and obtained by 32 respondents. The research instrument which used was questioner developed by the researcher and has been tested for validity, reliability. Results: The results of data analysis, there is no relationship between the factors of age (P value: 0.170), gender (P value: 1.000), education (P value: 0.567) and employment (P value: 0.433) with Covid-19 prevention behavior in out patient Panti Rahayu Hospital, Yogyakarta. Conculsion: From the results of the study, it was concluded that there is no relationship between the characteristics of hypertension patients and the prevention behavior of COVID-19 transmission. Hypertension patients are obliged to implement preventive behaviors for the transmission of COVID-19. Keywords: hypertension, prevention of COVID-19
Faktor-Faktor yang Berhubungan Dengan Keberhasilan Penanganan Pasien Covid-19 di Rumah Sakit Panti Rapih Yogyakarta Rahmadi, Alexander Dadi; Subiyanto, Paulus; Suparmi, Lucilla
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 4 No 1 (2023): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v4i1.209

Abstract

Background: Coronavirus disease 2019 (COVID-19) is an inflammation that starts from the nasal cavity to the throat to the ends of the lungs caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV2). On March 11, 2020, WHO declared the COVID-19 case a pandemic because its spread continues to spread and the number of victims continues to grow. In Indonesia until February 16, 2021, the death rate due to COVID-19 reached 33,367 while in the Special Region of Yogyakarta it reached 595. Purpose: This study aims to determine the relationship between the classification of signs and symptoms, age, sex, length of stay, comorbid and management with successful treatment of COVID-19 patients at Panti Rapih Hospital Yogyakarta 13 March 2020 to 16 October 2020. Method: The method used is a cross-sectional quantitative method with the sampling technique used is non-probability sampling with a total sampling technique, namely 107 confirmed cases of COVID-19 and a sample of 81 with complete data. Results: Most of the sample demographic data with mild symptoms (34.6%), age ≤60 years (76.5%), male gender (76.9%), length of stay> 14 days (56.8%), there were no comorbidities (59.3%), management according to guidelines (85.2%) and a success rate of 86.4%. The statistical test used was chi-square and fisher's test alternative test with a significant level of 0.05 where the results obtained the classification of signs and symptoms (p-value 0.003), age (p-value 0.017), gender (p-value 0.489), length of days treated. (p-value 0.049), comorbid (p-value 0.006) and management (p-value 0.355) Conclusion: Signs and symptoms, age, length of stay, comorbid diseases have significant relationship with the successful handing of Covid-19 patienst at Panti Rapih Hospital, Yogyakarta. Keywords: COVID-19, success, handling COVID-19
Hubungan Karateristik Pasien Daibetes Melitus Tipe 2 Dengan Perilaku Pencegahan Penularan Covid-19 Di Pelayanan Rawat Jalan Rumah Sakit Panti Rahayu Yogyakarta Puji Lestari, Monica; Subiyanto, Paulus; Ratnawati, Emilia
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 4 No 1 (2023): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v4i1.211

Abstract

ABTRACT Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by a new type of Coronavirus. The disease began with the emergence case of pneumonia in Wuhan, China at the end of December 2019. The symptoms that include COVID-19 infection are acute respiratory distress such as fever, cough, and asthma. The prevalence of diabetes for COVID-19 patients is almost three times higher with poor conditions (16.2%) compare to those who were not in bad (5.7%). Goal: This research aims to find out the characteristic relation of Diabetes Mellitus Type 2 patients with the prevention infection of COVID-19 behavior in Panti Rahayu Hospital Yogyakarta. Method: This study used descriptive cross-sectional type conducted of Diabetes Mellitus Type 2 patients with a sample of 33. There were 39 participants of this research with Diabetes Mellitus type2 cases in Panti Rahayu Hospital. The researcher found there were 33 respondents with accidental sampling techniques. The research instrument used was a questionnaire. Result: The results of the data were age > 60 years old (48,5%), female (66,7%), elementary school, junior high school, and senior high school (81,8%), not working (51,5%), and COVID-19 good prevention behavior (81.8%) which includes good 3M (81.8%), less body immunity increase (63.6%), good indoor environmental sanitation (72.7%). The statistical tests that used are chi-square and fisher test alternative test obtained age-behavior results (p value 0.232), gender-behavior (p value 1,000), education-behavior (p value 1,000) and occupation-behavior (p value 0.398). Conclusion: The researcher concluded there was a relation between the characteristic of Diabetes Mellitus type 2 patients and the prevention infection of COVID-19 behavior in Panti Rahayu Hospital Yogyakarta. Keyword: Diabetes Mellitus Type 2, Prevention Infection Behavior, COVID-19
Hubungan Kepatuhan Minum Obat Dengan Rerata Glukosa Darah Sewaktu di Poliklinik Penyakit Dalam Prabu Ageng, Franciscus Asisi Gada; Subiyanto, Paulus; Pujiastuti, Theresia Tatik
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 5 No 1 (2024): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v5i1.275

Abstract

ABSTRACT Background:Type 2 diabetes mellitus is a disease with the typical characteristics of chronic hyperglycemia due to insulin resistance. Compliance with taking medication for type 2 DM patients can affect blood sugar. Objective:This study aims to determine the relationship between medication adherence in DM patients and average blood glucose over time Method :Researchers used a cross sectional method using accidental sampling technique in type 2 diabetes mellitus patients based on 72 populations according to the inclusion criteria, obtaining 52 respondents. Correlation analysis uses the Spearman test results:The results of the study showed that the highest type of treatment for type 2 DM patients was 42.3% with single and combination oral drugs. Compliance with taking medication showed a poor category of 44.2%. The average blood glucose of type 2 DM respondents was in the Low category, namely 46.2%. The results of the Spearman correlation test obtained a p value of 0.003 (p 0.05) and a correlation coefficient value of -0.406 Conclusion:There is a significant relationship between adherence to taking medication and the average blood glucose level of type 2 DM patients in the internal medicine clinic at Panti Rini Hospital, Yogyakarta. Patients with a low level of adherence to taking medication tend to have a high average blood glucose, but the higher the level of adherence to taking medication, the lower the patient's average blood glucose. Recommendations:Hospitals as health service centers are advised to increase education regarding having their own glucometer and having independent blood pressure monitoring records, education on 7 self-care behaviors for glycemic management of DM patients and a multidisciplinary approach. Keywords: Medication Compliance; Average Blood Glucose; Diabetes Mellitus Type 2
Combination of Diabetes Self-Management Education and Support Through Telehealth and Hypnotherapy Optimizes Self-Care Behaviors and Lowering HbA1c Levels in Patients with Type 2 Diabetes Mellitus: Combination of Diabetes Self-Management Education and Support Subiyanto, Paulus; Saifulaman, Muhammed; Sitorus, Ratna
Journal of Tropical Life Science Vol. 15 No. 1 (2025)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.15.01.03

Abstract

This study aims to explore the effectiveness of the combination of Diabetes Self-Management Education and Support (DSMES) through telehealth and hypnotherapy in optimizing self-care behavior and reducing hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes mellitus (T2DM). The study used a quasi-experimental approach and comparative study with a pretest-posttest design and a 3-month cohort design. This study was conducted after obtaining a letter of ethical eligibility involving 40 T2DM patients divided into two groups. The control group received conventional medical services face-to-face. The intervention group received a DSMES program of seven self-care behaviors via telehealth with additional hypnotherapy sessions. The respondents in this study are women (60%) with an average age of 55.3 (31–65) years, who are highly educated (80%). A significant increase in DSM scores before and after the intervention occurred in the intervention group, (49.35–81.20) or (+31.85), and in the control group, (55.70–55.52) or (−0.18). The decrease in A1c in the intervention group (8.9%–7.37%) was (−1.53) and in the control group (8.12%–8.10%) was (−0.02). There were significant differences in DSM attainment and HbA1c levels in both types of interventions (p = 0.000; p = 0.030 with alpha 5%). DSMES, through telehealth combined with hypnotherapy, can provide a synergistic effect with medical treatment commonly given to patients with T2DM during and after the COVID-19 pandemic. This approach not only improves healthcare accessibility but also addresses the psychological barriers associated with lifestyle change.
Hubungan Distres dengan Kadar HbA1c dan LDL pada Pasien DM Tipe 2 Tyas, Asih; Subiyanto, Paulus; Kristanti, Fittriya
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 1 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.100984

Abstract

Background: Diabetes mellitus (DM) type 2 is a metabolic condition that requires long-term and strict management. In addition, HbA1c level is a determinant for the level of blood sugar in certain time. Furthermore, for patient with DM, high levels of distress can affect glycemic control, HbA1c, and lipid profiles, including Low-Density Lipoprotein (LDL).Objective: To determine the correlation between distress level with HbA1c and LDL levels in patients with type 2 DM at the Panti Rapih Hospital Polyclinic.Method: This research was quantitative and correlational analytical research with cross-sectional design. The study population was 194 patients with type 2 DM who used Oral Hypoglycemic Drugs (OHO) from April, 15th to 20th 2024. Consecutive sampling technique was used to choose 131 respondents diagnosed with type 2 DM who were treated at the Panti Rapih Hospital Polyclinic. Data was collected through Diabetes Distress Scale (DDS) questionnaires to see the correlation between distress level with analysis of HbA1c and LDL levels. The Spearman correlation test was carried out to determine the correlation between distress levels with HbA1c and LDL levels.Results: The result of the Spearman correlation test showed that the correlation between distress levels and HbA1c levels had coefficient of 0,075 and p-value of 0,393. Meanwhile, the result of data analysis between distress levels and LDL levels had a correlation coefficient of -0,019 and a p-value of 0,826.Conclusion: There is no significant correlation between the level of distress with the levels of HbA1c and LDL in Type 2 DM patients at the Panti Rapih Hospital Polyclinic.INTISARILatar belakang: Diabetes Melitus (DM) tipe 2 adalah kondisi metabolik yang memerlukan manajemen jangka panjang dan ketat. Kadar HbA1c merupakan penanda tingginya glukosa dalam darah pada periode waktu tertentu. Pada pasien DM, tingkat distres yang tinggi dapat memengaruhi kontrol glikemik HbA1c dan profil lipid, salah satunya Low-Density Lipoprotein (LDL).Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan tingkat distres dengan kadar HbA1c dan LDL pada pasien DM tipe 2 di Poliklinik Rumah Sakit Panti Rapih.Metode: Penelitian ini merupakan penelitian kuantitatif analitis korelasional dengan desain cross sectional. Populasi penelitian ini sebanyak 194 pasien DM tipe 2 yang menggunakan obat hipoglikemik oral (OHO) dalam periode 15-20 April 2024. Sejumlah 131 responden dengan diagnosis DM tipe 2 yang berobat di Poliklinik Rumah Sakit Panti Rapih, dipilih dengan teknik consecutive sampling. Data dikumpulkan melalui kuesioner Diabetes Distress Scale (DDS) untuk melihat hubungan tingkat distres dengan analisis kadar HbA1c dan LDL. Uji korelasi Spearman dilakukan untuk mengetahui hubungan tingkat distres dengan kadar HbA1c dan LDL.Hasil: Uji korelasi Spearman menunjukkan hasil data antara tingkat distres dan kadar HbA1c dengan koefisien korelasi 0,075 serta nilai p-value 0,393. Sementara itu, hasil analisis data antara tingkat distres dan kadar LDL dengan koefisien korelasi -0,019 dan nilai p-value 0,826.Simpulan: Tidak ada hubungan yang signifikan antara tingkat distres dengan kadar HbA1c dan LDL pada pasien DM Tipe 2 di Poliklinik Rumah Sakit Panti Rapih.
Hubungan Tingkat Risiko Dengan Health Beliefs Tentang Perilaku Pencegahan Diabetes Melitus Tipe 2 Pada Mahasiswa STIKes Panti Rapih Yogyakarta Jekau, Beatrix Vionita; Subiyanto, Paulus; Kristanti, Fittriya
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 6 No 1 (2025): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v6i1.317

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a global health problem whose prevalence is increasing and is characterized by decreased insulin function and/or relative insulin deficiency. In Indonesia, the prevalence of T2DM is increasing and is ranked fourth in the number of diabetes sufferers worldwide at 20.4 million or 8.4%. This disease can occur at productive ages < 35 years. STIKes Panti Rapih Yogyakarta students are included in the population that is vulnerable to risk with a prevalence of 34.92%. Objective: This study aims to determine the relationship between risk level and health beliefs regarding T2DM prevention behavior among STIKes Panti Rapih students Method: This research is a quantitative survey type research with a cross sectional design. The population in this study was 573 STIKes Panti students. By using random sampling techniques, a sample of 260 people was obtained. Results: Based on the research results, there were 142 students, 54.65%) who had a low risk of experiencing T2DM and 179 students (68.8%) had high health beliefs. The results of the statistical test of the relationship between risk level and health beliefs regarding behavior to prevent type 2 DM among students at the Yogyakarta neat and tidy institutions showed a p-value of 0.0095. Conclusion: There is no relationship between the risk level of T2DM and health beliefs because based on education level, age, and disease history, the majority have a low risk of experiencing Type 2 DM. So further research is needed on the relationship between risk level and T2DM prevention behavior among STIKes Panti Rapih students. Keywords: Risk level, Health Beliefs in students, Type 2 DM
The Overview Of Management Documentation Hypertension Patients: A Qualitative Study: English Susanti, Indah; Subiyanto, Paulus; Burhan, Asmat
Viva Medika Vol 16 No 3 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i3.1042

Abstract

Latar belakang: Hipertensi adalah terjadinya peningkatan tekanan darah diatas normal. Prevalensi hipertensi di kota Yogyakarta sebesar 25%. Tujuan: Untuk mengetahui prinsip-prinsip dokumentasi asuhan keperawatan pada pasien hipertensi. Metode penelitian: Desain penelitian yang digunakan dalam penelitian ini dengan pendekatan kualitatif dengan model multikasus terpancang. penelitian dilakukan di ruang Elisabeth Gruyter’s 3 Rumah Sakit Panti Rapih Yogyakarta pada bulan Januari- September tahun 2017 sebanyak 161 pasien hipertensi. Jumlah sampel yang di ambil pada penelitian ini adalah dua Rekam Medis pasien yang menderita hipertensi disertai komplikasi dan hipertensi tanpa komplikasi. Kesimpulan dan Saran: Pasien kasus 1 menderita hipertensi tanpa komplikasi dan terkontrol dengan riwayat CA Cerebri, sedangkan pasien kasus 2 menderita hipertensi disertai dengan komplikasi CKD (chronic kidney disease) dan tidak terkontrol. Prinsip-prinsip dokumentasi sudah sesuai dengan data yang ada pada pasien. Diharapkan hasil penelitian ini dapat menjadi referensi untuk meningkatkan pelayanan optimal tentang penatalaksanaan untuk penderita hipertensi.