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METODE PENINGKATKAN SELF MANAGEMENT PASIEN DIABETES MELLITUS: SYSTEMATIC REVIEW Heri Budiawan
HealthCare Nursing Journal Vol. 2 No. 1 (2019): Healtcare Nursing Journal: Vol.2, No.1 Agustus 2019
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.714 KB) | DOI: 10.35568/healthcare.v2i1.527

Abstract

Pendahuluan : Penerapan program self-management perlu penyesuaian dengan berbagai aspek termasuk aspek sistem, biaya, efektifitas, hambatan dan dukungan dari pihak-pihak terkait. Oleh karena itu, review mengenai efektifitas self management pada pasien diabetes mellitus sangat diperlukan sebagai landasan dalam pengembangan metode peningkatan program self management sesuai dengan kebutuhan masing-masing penderita penyakit diabetes mellitus. Objektif : Study yang dilakukan bertujuan untuk melakukan systematic review mengenai metode yang dapat meningkatkan self management pada pasien diabetes mellitus. Metode : Metode yang digunakan dalam penelusura sumber data pada systematic literature review ini yaitu dengan penulusuran database terdiri dari Google Scholar, Pubmed, Ebsco. Artikel diseleksi berdasarkan kriteria inklusi dan melakukan critical apraisel pada setiap artikel. Hasil : Berdasarkan hasil pencarian ditetapkan 10 artikel dengan design Kuantitatif Randomize Control Trial publikasi 10 tahun terakhir (2009-2019) mengenai artikel yang berhubungan dengan peningkatan self management pada pasien dengan diabetes mellitus. Kesimpulan : Metode peningkatan self management pasien diabetes mellitus diantaranya Kunjungan kelompok dan bimbingan kelompok berbasis komunitas, peer coaching dan peer leader, motivasi, dukungan berbasis teknologi.
FAKTOR RISIKO HIPOGLIKEMIA PADA DIABETES MELLITUS: LITERATURE RIVIEW Heri Budiawan; Hikmat Permana; Etika Emaliyawati
HealthCare Nursing Journal Vol. 2 No. 2 (2020): Healtcare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.387 KB) | DOI: 10.35568/healthcare.v2i2.688

Abstract

Pendahuluan : Identifikasi faktor-faktor yang berhubungan dengan kejadian hipoglikemia penting dilakukan untuk mengetahui faktor resiko kejadian hipoglikemia, sehingga dapat digunakan sebagai dasar acuan pencegahan hipoglikemia berat dan hipoglikemia berulang. Objektif : Bertujuan untuk melakukan Literature review mengenai faktor-faktor yang berhubungan dengan kejadian hipoglikemia pada pasien diabetes mellitus. Metode : Metode penelusuran sumber data pada Literature review ini yaitu melakukan penulusuran database terdiri dari Google Scholar, Pubmed, Ebsco dengan kata kunci yang digunakan untuk pencarian pada databased Internasioanal yang pertama yaitu “Diabetes mellitus” AND “Risk factor hypoglycemia” “OR” Predictor hypoglycemia” Sedangkan pada databased Nasional menggunakan kata kunci yang pertama yaitu “Diabetes Mellitus “ dan” Faktor resiko hipoglikemia.”. Artikel diseleksi berdasarkan kriteria inklusi dan melakukan critical apraisel pada setiap artikel. Hasil : Berdasarkan hasil pencarian ditetapkan 8 artikel dengan design Kuantitatif publikasi 10 tahun terakhir (2009-2019). Faktor resiko yang berkaitan dengan kejadian hipoglikemia pada pasien diabetes mellitus yaitu terapi insulin, sulfolinurea, dan terapi kombinasi merupakan prediktor kuat terjadinya hipoglikemia, namun ada beberapa faktor lain yang berkaitan dengan kejadian hipoglikemia diantaranya nilai HbA1c, BMI, usia, jenis kealmin, pekerjaan, tingkat pendidikan, lama menderita diabetes mellitus, penyakit penyerta (penyakit ginjal kronis), dukungan keluarga, dan gaya hidup (konsumsi alcohol). Kesimpulan: Faktor resiko kejadian hipoglikemia pada pasien diabetes mellitus berkaitan dengan faktor medikasi (pemberian insulin, sulfolinurea, terapi kombinasi) dan faktor demografi pasien, oleh karena itu pengkajian resiko hipoglikemia pada pasien diabetes mellitus penting untuk diketahui, sehingga dapat berpotensi mencegah kejadian atau menurunkan kejadian hipoglikemi dan dapat meningkatkan kualitas hidup pasien diabetes mellitus
STUDI KASUS: OBSERVASI PERBAIKAN LUKA PADA PASIEN WOUND DEHISCENCE DENGANNEGATIVE PRESSURE WOUND THERAPY (NPWT) DI RUANG KEMUNING V RSUP Dr. HASAN SADIKIN BANDUNG Budiawan, Heri; Nugroho, Cahyo; Inriyana, Ria; Rahayu, Urip; Ibrahim, Kusman; Mustari Aji, Nandang
Jurnal Perawat Indonesia Vol. 5 No. 1 (2021): May 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.218 KB) | DOI: 10.32584/jpi.v5i1.580

Abstract

Manajemen bedah dengan sistem tekanan negatif atau negative pressure wound therapy (NPWT) ini dapat menjadi pendekatan baru untuk mengurangi komplikasi luka seperti wound dehiscence. Didapatkan beberapa penelitian mengenai perbaikan luka setelah dilakukan intervensi NPWT, namun sedikit yang mengungkap secara keseluruhan dengan memaparkan berdasarkan data demografi, faktor-faktor wound dehiscence, dan observasi perbaikan luka pada pasien wound dehiscence dengan NPWT. Metode yang digunakan yaitu informed consent, pengumpulan data melalui data primer dan sekunder, lalu dokumentasi. Kriteria inklusi pada studi kasus ini yaitu responden dengan usia >18 tahun, post operasi dengan infeksi akut, infeksi luka post operasi < 3 minggu, dan terpasang NPWT. Didapatkan sampel pada studi kasus ini terdiri dari 2 orang. Data demografi menunjukkan bawa jenis kelamin, usia, lama rawat dan lokasi luka berpengaruh terhadap perbaikan luka. Faktor-faktor wound dehiscence terdapat pengaruh yaitu hipoalbumin, anemia, imobilisasi, dan penyakit penyerta, dimana untuk penyakit penyerta hanya terdapat pada pasien 2. Pengkajian luka pada post NPWT hari ke 6 yaitu lokasi, eksudat, kulit sekitar luka, dan terapi mempengaruhi terhadap perbaikan luka. Simpulan, perbaikan luka pada pasien 1 post pemasangan NPWT terlihat derajat perbaikan yang signifikan ditandai dengan adanya granulasi, pengurangan eksudat sesuai dengan konsep tahapan perbaikan luka. Namun pada pasien 2 pada post 6 hari pemasangan NPWT belum terlihat adanya perbaikan yang signifikan ditandai dengan belum terlihatnya adanya granulasi pada luka tersebut. Keterlambatan perbaikan luka pada pasien 2 dikaitkan dengan faktor penyakit penyerta (diabetes mellitus tipe 2), status vaskularisasi dan oksigenasi.
The Influence of Health Education About Cadre Knowledge on Early Detection of Toddler Growth and Development at the Tamansari Health Center, Tasikmalaya City Sri Mulyanti; Asep Setiawan; Hani Handayani; Miftahul Falah; Heri Budiawan
HealthCare Nursing Journal Vol. 5 No. 2 (2023): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i2.3774

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The growth and development of toddlers is one of the tasks of the central government up to the level of basic health services, namely posyandu. Where in its implementation can be carried out by trained cadres. The role of posyandu cadres is very important besides health workers, parents, cadres also play an active role in the process of monitoring growth and development. The purpose of this study was to determine the effect of health education in the implementation of stimulation of early detection of growth and development of toddlers. This study used a quantitative method with pre-experiments and used a pre-post design. Using the One-group pretest and post test design approach, the population in this study were 50 cadres representing each posyandu. The sampling technique in the study was carried out by total sampling. The instrument used to assess the knowledge of cadres is in the form of a questionnaire. The results showed that previously, more than half of the respondents had less knowledge, 26 (52%), whereas after being given health education, they experienced an increase in the good category of 38 people (76%). Wilcoxon - test obtained a p-value of 0.000 <0.05. The conclusion is that there are differences in the level of knowledge of the respondents before and after being given health education. Suggestions for health workers to strive for all posyandu to get the same visit and increase the ability of cadres to strengthen knowledge related to early detection of toddler growth and development.
An Overview Of Cases Of Violence Against Women And Children In Tasikmalaya City Neni Sholihat; Miftahul Falah; Rossy Rosnawanti; Heri Budiawan
HealthCare Nursing Journal Vol. 5 No. 2 (2023): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i2.3793

Abstract

Since 1984, the Government of Indonesia has shown its concern for issues of women's empowerment and child protection. There are no fewer than a dozen policies issued by the government to manage and prevent incidents of violence against women and children. The city of Tasikmalaya is one of the cities that already has a mayoral regulation to manage this issue, by issuing mayoral regulation no. 102 of 2016 concerning woman empowerment and child protection. But, from year to year, the number of cases of violence against women and children is increasing, both quantitatively and qualitatively, with increasingly diverse types of violence. The purpose of this study was to see an overview of cases of violence against women and children in Tasikmalaya city. The Descriptive method with cross sectional approach was used in this study.  The results showed that the most common type of violence was sexual harassment, with the most victims of violence being women, with the highest level of education of victim being elementary and junior high school, and the relationship between the perpetrator and the victim was mostly family, with the scene of the incident in the neighbourhood or a place known to the victim. In conclusion, female gender, elementary and junior high school education, and family are a real picture related to cases of violence against women and children in Tasikmalaya. It is recommended that socialization regarding the prevention of violence against women and children be carried out continuously. Improve the competence of officers who provide women and child protection services and periodic monitoring of service activities by including physical evidence of reporting as well.
HUBUNGAN KARAKTERISTIK PASIEN DIABETES MELITUS TIPE 2 DENGAN KEJADIAN ULKUS KAKI DIABETIKUM : CHARACTERISTICAL CONNOCATION OF DIABETIC PATIENTS WITH TYPE 2 LIVES WITHOUT DIATICAL FOOT ULCUS Budiawan, Heri; Brahmatia, Bayu; Solihatin, Yuyun; Gunawan, Indra; Falah, Miftahul; Nurlina, Fitri
Intan Husada : Jurnal Ilmiah Keperawatan Vol. 12 No. 01 (2024): Vol. 12 No.1 , Januari 2024
Publisher : Politeknik Insan Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52236/ih.v12i1.490

Abstract

Prevalensi diabetes melitus tipe 2 mencapai 90-95% dari semua tipe. Salah satu komplikasi diabetes melitus yaitu ulkus kaki yang beresiko 5 kali lebih mudah terjadi pada penderita diabetes melitus dibandingkan penderita tanpa diabetes melitus. Studi epidemologi menyatakan lebih dari satu juta amputasi dilakukan pada penderita diabetes melitus setiap tahunnya. Tujuan penelitian ini adalah mengetahui hubungan karakteristik pasien diabetes melitus tipe 2 dengan kejadian ulkus kaki menggunakan metode deskriptif correlational. Populasi pasien diabetes melitus tipe 2 sejumlah 42 orang. Data yang dikumpulkan yaitu data sekunder menggunakan instrumen lembar pengkajian keperawatan. Analisis data menggunakan uji Chi-Square untuk menentukan hubungan antara variabel karakteristik pasien diabetes melitus tipe 2 dengan kejadian ulkus kaki diabetikum. Tidak terdapat hubungan yang signifikan antara variabel karakteristik pasien diabetes melitus tipe 2 dengan kejadian ulkus kaki diabetikum di Klinik Az-zahra Medika Kota Tasikmalaya yaitu: jenis kelamin (ρ = 1.000), usia (ρ = 0.608 ), Indeks Masa Tubuh (ρ = 0.799), gula darah sewaktu (ρ = 1.000), tekanan darah (ρ = 0.354), lamanya mengalami penyakit diabetes melitus tipe 2 (ρ = 0.87). Bidang keperawatan diharapkan dapat membuat protap bahwa setiap pasien diabetes melitus dengan ulkus kaki atau tidak, harus diberikan konseling tentang pencegahan terjadinya ulkus kaki diabetikum ataupun pencegahan perkembangan ulkus kaki diabetikum.
THE CORRELATION BETWEEN HEMODIALISA DURATION AND APPETITE TO PATIENTS WITH CHRONIC KIDNEY FAILURE (CKD) AT PUBLIC HOSPITAL OF dr. SOEKARDJO TASIKMALAYA CITY Bayu Brahmantia; Mila Herlina; Yuyun Solihatin; Hana Ariyani; Heri Budiawan; Asep Mukhsin
Indonesian Health Literacy Journal Vol. 1 No. 1 (2024): Volume 1 Number 1 2024
Publisher : Suluh Adiluhung Publisher (SAPub)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic Kidney Failure (CKD) is a condition where the kidneys do not function properly, occurring for or more than 3 months. CKD patients require prolonged renal replacement therapy to survive, one of which is hemodialysis. The problem often faced by patients undergoing hemodialysis is decreased appetite. The aim of this research is to determine the relationship between the duration of hemodialysis and appetite in CKD sufferers at Public Hospital of dr. Soekardjo, Tasikmalaya City. The method used is quantitative correlational with a cross sectional approach. The population in this study were all hemodialysis patients at Public Hospital of dr. Soekardjo Tasikmalaya City numbered 97 people using total sampling techniques. Data collection on appetite was obtained using the SNAQ (Simplified Nutritional Appetite Questionnaire) questionnaire, duration of hemodialysis using a characteristic data collection sheet and analyzed using the chi square test. The results showed that most of the respondents' hemodialysis duration was ≤1 year (28.9%) and most of the respondents' appetite was poor (50.5%). The results of statistical tests on the correlation between duration of hemodialysis and appetite in chronic kidney failure sufferers obtained p value = 0.003 < 0.05. So, it can be concluded that there is a correlation between hemodialysis duration and appetite to patients CKD at Public Hospital of dr. Soekardjo, Tasikmalaya City. It is recommended that nurses provide education to families in dealing with appetite complaints by providing attractive foods according to dietary recommendations.
Risk Assessment For Type 2 Diabetes Using The Finnish Diabetes Risk Core Instrument Budiawan, Heri; Solihatin, Yuyun; Brahmantia, Bayu; Permana, Azril Rizqi; Pangripta, Genta; Abdurrahman, Imam
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 11 No. 2 (2024): Jurnal Kesehatan (October 2024)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v11i2.758

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Indonesia ranks sixth in the world in the number of people with diabetes with an increase in prevalence from 5.7% in 2007 to 8.5% in 2018. This study aims to describe the risk factors for T2DM in the community who visit the Tamansari Health Center, Tasikmalaya City. This study is a descriptive quantitative study with a cross-sectional design. Respondents as many as 100 people were selected using the total accidental sampling method. Data were collected using the Finnish Diabetes Risk Score (FINDRISC) questionnaire which includes various T2DM risk factors, such as age, gender, body mass index (BMI), waist circumference, physical activity, hypertension, and family history. The majority of respondents were female (68%) with an average age of 45.29 years. A total of 39% of respondents had hypertension, and 39% were physically inactive. The mean BMI of the respondents was 24.83 kg/m², close to the overweight category, while the mean waist circumference was 83.21 cm, indicating abdominal obesity in some respondents. A total of 13% of respondents had a family history of T2DM, and the risk level of T2DM showed that 49% were at low risk, while the other 51% were at risk levels varying from slightly elevated to very high. The main risk factors identified were age, abdominal obesity, hypertension, physical inactivity, and family history. Most of the respondents were at low risk, but 51% were at increased to very high risk. Lifestyle-based interventions such as weight management, increased physical activity, and early detection are needed to reduce the prevalence of T2DM in this population.
Perception And Intention Of Adolescents Regarding Breastfeeding In Bangladesh Shajeda Akhter; Tumpa Gharami; Halima Akter; Miftahul Falah; Fitri Nurlina; Heri Budiawan
HealthCare Nursing Journal Vol. 7 No. 1 (2025): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i1.5867

Abstract

Perceptions and intentions about breastfeeding, especially among adolescents who represent future parents vary widely. Understanding these views is essential for designing impactful health education programs. This study aimed to assess perceptions and intentions toward breastfeeding among adolescents in Bangladesh. Method used a cross-sectional survey conducted on 132 adolescents aged 14-18 years from urban and rural areas of Bangladesh, who were selected through appropriate sampling. Data were collected using a structured questionnaire. Analysis was conducted using a computer program that used descriptive and inferential statistics. Significant relationships were identified between breastfeeding perception and several socio-demographic factors such as class level (t=2.107, p=.037), mother’s education level (t=2.215, p=.029), father’s education level (F=5.189, p=.007), and source of information on breastfeeding (F=4.290, p=.006). Additionally, a positive correlation was found between the number of siblings and breastfeeding perceptions (r=.047, p=.047). On the other hand, no significant relationship between a range of socio-demographic factors and adolescents' intentions regarding breastfeeding in Bangladesh was noticed in this study. P<.05 was used as the significant of this study. It is concluded that educational interventions that address both male and female adolescents, emphasizing the health benefits of breastfeeding and overcoming social barriers, are crucial for promoting a supportive breastfeeding culture.
The Relationship Between Maternal Knowledge and Attitude Towards Stunting Prevention Efforts and the Incidence of Stunting in Toddlers Dwista Anggraeni, Dinda; sri mulyanti; Budiawan, Heri; Handayani, Hani
HealthCare Nursing Journal Vol. 7 No. 1 (2025): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i1.5903

Abstract

Stunting is a condition of impaired physical and cognitive growth due to malnutrition during the growth period. Children who are stunted can experience disruptions in physical, mental, cognitive, and intellectual development, making them unable to learn optimally. The aim of the research is to determine the relationship between maternal knowledge and attitudes towards stunting prevention efforts and the incidence of stunting in toddlers. The research method is quantitative with a correlational research design using a cross-sectional approach. The population consists of all mothers with toddlers in the working area of the Cigeureung Health Center in Tasikmalaya City, with proportional random sampling yielding a total of 94 samples. Data were analyzed using frequency distribution and chi-square test. The research results showed that the majority of toddlers experienced stunting, with 54 toddlers (57.4%), the majority of mothers had low knowledge, with 67 respondents (71.3%), and negative maternal attitudes, with 55 respondents (58.5%). The results of the Chi-square test for knowledge showed that there is a significant relationship between mothers' knowledge and attitudes about stunting prevention efforts and the incidence of stunting in toddlers. Based on the research results, it is recommended to conduct health education regularly and on schedule to improve mothers' knowledge and attitudes about stunting prevention efforts, especially for mothers with toddlers, by implementing health promotion methods in both small and large groups.