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Implementasi Penyesuaian Obat Diabetes pada Saat Puasa Ramadan dan Pengaruhnya Terhadap Nilai HbA1c Safyanty, Rahmi; Andrajati, Retnosari; Supardi, Sudibyo; Dewi Sartika, Ratu Ayu
JSFK (Jurnal Sains Farmasi & Klinis) Vol 7 No 2 (2020): J Sains Farm Klin 7(2), Agustus 2020
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jsfk.7.2.126-134.2020

This study aimed to evaluate the effect of diabetes medication adjustment during Ramadan fasting according to the recommendation of International Diabetes Federation-Diabetes and Ramadan International Alliance (IDF-DAR) to HbA1c values in type-2 diabetes mellitus patients. The study was conducted at a hospital in Jakarta, Indonesia with a cross-sectional study design involving 80 ambulatory patients with type-2 DM who fasted during Ramadan in 2016. About 60% of patients used oral antidiabetes drug (OAD), mostly the combination of biguanide + sulfonylurea drugs (27.5%). The adjustments were made in which 56.2% was in accordance with IDF-DAR recommendations. The study showed that the HbA1c values decreased insignificantly (p = 0.082) from 8.75 Â± 1.90 to 8.63 Â± 1.82 after the adjustment. The appropriate drug adjustment based on IDF-DAR had a significant effect on the HbA1c value of DM patient with p-value 0.030 (p < 0.05).The discrepancy of drug use based on IDF-DAR 3.222 times greater caused uncontrolled HbA1c. The most influential variable to HbA1c value was drug type with p-value 0.006 (p < 0.05). Improper adjustment of Insulin or combination insulin-OAD caused HbA1c value 5 times greater to be uncontrolled than OAD.

HUBUNGAN ANTARA KEJADIAN ACNE VULGARIS DAN HARGA DIRI REMAJA Siahaan, Tetty Diana; Lestari, Theresia Budi; Supardi, Sudibyo
Jurnal Ilmiah Keperawatan Vol 3 No 1 (2020): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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

Acne vulgaris is a skin disease that commonly complaint among adolescents. Acne vulgaris is characterized by the presence of comedones, papules, pustules and nodules with their severity. Acne vulgaris were present in a large proportion of face and affecting their appearance. It can have psychological implications for the adolescents.The purpose of this study was analyzed the relationship between the incidence of acne vulgaris and the self-esteem of adolescents who seek treatment at the beauty clinic X in Central Jakarta. This study used descriptive correlation design with cross-sectional approach. In this study total 77 respondents of acne vulgaris were investigated who attended in the outpatient beauty clinic. Two measures of evaluation were applied to assess the severity of a patient’s acne and adolescent self-esteem, which are as follows: The modified Global Acne Grading System (GAGS) and the Rosenberg Self Esteem Scale (RSES). This study used a chi-square test. The results showed that 86.7% of participants had moderate acne vulgaris, and 55.8% of participants had low self-esteem. There was a significant relationship between acne vulgaris and adolescent self-esteem (p = 0.003). The appropriate treatment is expected to cure acne vulgaris among adolescents that impact on increasing of adolescents self-esteem. Keywords: acne vulgaris; self-esteem; adolescents.

EFEKTIFITAS PELATIHAN KEPEMIMPINAN DAN MANAJEMEN BAGI KETUA TIM TERHADAP KEPUASAN PASIEN DI METRO HOSPITALS CIKUPA KABUPATEN TANGERANG Sirait, Jesman Jhonny; Tarigan, Emiliana; Supardi, Sudibyo
Jurnal Ilmiah Keperawatan Vol 5 No 1 (2022): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v5i1.2306

Leadership in nursing management will affect the quality of nurse services and patient satisfaction, seen from access, effectiveness, efficiency, safety and security, continuity of service, and service standards to patients. This study aims to identify the effectiveness of Leadership and Management training for team leaders on patient satisfaction, using a Pre-experiment two groups post test design at Metro Hospitals Cikupa on 11 June - 11 August 2021. The team leader trained as many as 20 nurses and 9 nurses in the control group. The impact of the training was assessed based on satisfaction with 393 hospitalized patients in both groups. Data collection tools are questionnaires and Chi-Square Test Data Analysis and Multivariate Logistic Regression Test. The results showed that the satisfaction of inpatients based on 5 dimensions (tangibles, empathy, reliability, responsiveness, assurance) the largest percentage of the intervention group was satisfied and the control group was the largest quite satisfied. The effect of training was statistically significant (p<0.05). Inpatients in the intervention group had 8.5 times higher probability of satisfaction than patients in the control group. Patient characteristics, namely age, education, occupation and class of care were significantly related to inpatient satisfaction (p<0.05). This study recommends ongoing leadership and management training for all team leaders in the hospital, continuous monitoring and evaluation of patient satisfaction.

THE EFFECT OF FLEXIBILITY EXERCISE ON FATIGUE SCORE AND BLOOD PRESSURE IN HEMODIALYSIS PATIENTS AT HOSPITAL X, SERANG DISTRICT Esterlise Nainggolan, Marischa Wanti; Widani, Ni Luh; Supardi, Sudibyo
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9497

Chronic kidney failure is becoming increasingly common and rising annually. Patients in stage five require hemodialysis or kidney transplantation due to the risk of blood pressure instability and fatigue. This study aimed to analyze the effect of flexibility exercise on reducing fatigue scores and blood pressure in hemodialysis patients at "X" Hospital, Serang Regency. A quasi-experimental pretest-posttest design was conducted from August to September 2024, involving 28 participants in the intervention group and 28 in the control group. The participants were selected using purposive sampling to ensure they met specific inclusion criteria relevant to the study. The intervention lasted for four weeks, utilizing the Fatigue Severity Scale (FSS) questionnaire and blood pressure measurements as research instruments. At baseline, most participants in both groups had severe fatigue (intervention: 85.7%; control: 92.9%) and hypertension (systolic: severe in 78.6% vs. 82.1%; diastolic: mild in 100% vs. 96.4%). Post-intervention, the exercise group showed significant reductions in fatigue (p=0.001) and systolic blood pressure (p=0.001), but not in diastolic blood pressure (p=0.599). The control group showeed no significant changes (fatigue: p=0.117; systolic: p=0.085; diastolic: p=0.225). Logistic regression indicated that flexibility exercise, occupation, and dialysis duration significantly influenced reductions in fatigue and systolic pressure (p<0.05), while gender and education did not (p>0.05). The intervention reduced fatigue by 71% (OR: 9.954; p=0.016) and systolic hypertension likelihood by 4-fold (p=0.003) compared to controls. The flexibility exercise intervention resulted in a 71% reduction in fatigue (OR = 9.954; p = 0.016) and significantly increased the likelihood of systolic blood pressure improvement by a factor of four compared to the control group (OR = 4.012; p = 0.003). Flexibility exercise is thus effective in reducing fatigue and blood pressure in hemodialysis patients. Further research is recommended to investigate external factors, such as social support, psychological conditions, and lifestyle influences to better understand the health outcomes of hemodialysis patients.

Korelasi Lama Pengobatan dan Dukungan Keluarga Terhadap Kepatuhan Minum Obat Anti-Tuberkulosis Kinanti, Ambarini Desya; Lisum, Kristina; Supardi, Sudibyo
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/sm.v20i3.1166

Latar belakang : Indonesia masih menjadi peringkat ketiga kasus TBC tertinggi di dunia, dan terdapat 8000 kasus TBC di kota Depok tahun 2019. Kasus TBC yang tinggi disebabkan karena kurangnya kepatuhan pasien TBC dalam meminum OAT. Faktor yang mempengaruhi kepatuhan ialah lama pengobatan dan juga dukungan keluarga Penelitian ini bertujuan untuk mengetahui hubungan lama pengobatan dan dukungan keluarga dengan kepatuhan minum OAT pasien TBC. Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif dengan desain deskriptif korelasional melalui pendekatan cross sectional. Penelitian ini dilakukan di Puskesmas Jatijajar dan Cilangkap Depok, sejak bulan April – Mei 2023. Teknik sampling menggunakan purposive dengan 61 responden yang berusia 15-54 years. Penelitian ini menggunakan kuesioner dukungan keluarga dan MMAS-8 dan dianalisis dengan Chi Square. Hasil: Sejumlah 62,3% responden patuh terhadap pengobatan yang diberikan serta 87,5% responden mendapat dukungan keluarga dengan baik. Ada korelasi yang signifikan antara dukungan keluarga dan kepatuhan minum OAT dengan nilai p adalah 0,000, akan tetapi tidak ada korelasi yang signifikan antara lama pengobatan dan kepatuhan minum OAT demgam nilai p sebesar 0,105. Kesimpulan: Dukungan keluarga memegang peranan penting selama fase pengobatan pasien TBC. Penelitian ini diharapkan dapat meningkatkan dukungan yang diberikan keluarga selama pengobatan pasien, sehingga pengobatan bisa tuntas.

PENGARUH PENYULUHAN DAN PEMBERIAN LEAFLET PADA IBU TERHADAP PENGETAHUAN, PERSEPSI DAN PENYIMPANAN ANTIBIOTIK DI KELURAHAN BEJI DAN PANCORAN MAS KOTA DEPOK Zainuddin, Fuad; Andrajati, Retnosari; Supardi, Sudibyo
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 2 (2023)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i2.1455

Swamedikasi antibiotik dapat meningkatkan terjadinya resistensi dan risiko penggunaan antibiotik yang tidak tepat. Salah satunya disebabkan kurangnya pengetahuan masyarakat terhadap bahaya menyimpan antibiotik dirumah. Penelitian ini bertujuan untuk menilai pengaruh penyuluhan dan pemberian leaflet pada ibu terhadap pengetahuan, persepsi dan penyimpanan antibiotik. Penelitian ini menggunakan rancangan penelitian Quasi Experiment non randomized pre post control group. Intervensi berupa penyuluhan dan pembagian leaflet pada ibu. Penelitian dilakukan di Kota Depok pada bulan Januari-Oktober 2014. Wilayah kerja kelurahan Pancoran Mas sebagai lokasi intervensi dan kelurahan Beji sebagai kontrol. Subjek penelitian adalah ibu rumah tangga usia 18-65 tahun. Jumlah subjek untuk kelompok intervensi 52 dan kontrol 52 ibu rumah tangga. Analisis data dilakukan dengan menggunakan uji beda dan analisis multivariat. Hasil penelitian menunjukkan pengetahuan awal ibu didapatkan informasi sebesar 81,7% tidak tahu bahwa membeli antibiotik harus menggunakan resep, persepsi awal ibu didapatkan informasi sebesar 42,3 % menganggap antibiotik bukan obat keras dan sebesar 51% diketahui ibu menyimpan antibiotik dirumah. Perbedaan bermakna pengetahuan dan persepsi ibu pada kelompok penyuluhan dan pemberian leaflet lebih tinggi dibanding sebelum penyuluhan. Sedangkan pada kelompok kontrol tidak bermakna (p>0,05). Penyuluhan dan pemberian leaflet memberikan pengaruh secara bermakna terhadap peningkatan pengetahuan dan persepsi. Ada hubungan yang bermakna antara pengetahuan, persepsi dan penyimpanan antibiotik ditunjukan dengan nilai p < 0,05.

Handover Training Using Proin Ho On Self-Efficacy and Nurse Satisfaction at Anna Hospital, Bekasi City Banjarsari, Dewi; VT Novita, Regina; Supardi, Sudibyo
Asian Journal of Social and Humanities Vol. 2 No. 7 (2024): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i7.296

The quality of hospital services is focused on patient safety. The use of electronic technology in the form of health information improves patient safety through effective communication between health workers. A structured electronic handover process that can be used to support verbal handovers and reduce the risk of medication errors. This study aims to determine the effectiveness of the electronic Handover (Proin Ho) training program on nurses' self-efficacy and satisfaction. The research was conducted in June 2023. The research sample used a total sampling of 124 nurses with 62 respondents in each group. Quantitative Quasi Experimental research method with pre post with control group with criteria for nurses with PK level 2 and 3, following full training, willing to be respondents. The data collection tool is a questionnaire. Data analysis used t test and mutivariate backward LR linear regression. The research results showed that most of the nurses were <25-35 years old, women with D3 Nursing and PK III education. There are differences in Self-Efficacy from the 3 dimensions, most of them are good. There are differences in nurse satisfaction from the 4 dimensions, most of whom are satisfied. There was an influence on nurses' self-efficacy before and after being given the electronic handover program (Proin Ho) (p-value 0.001). There is an influence of satisfaction (p-value 0.000). Training and age are related to Self-Efficacy with p value: 0.000. Meanwhile, training ((pvalue: 0.000), age (pvalue: 0.001) and education (pvalue: 0.026) with nurse satisfaction (p<0.05).

Pengaruh Penyuluhan Dan Pemberian Leaflet Pada Ibu Terhadap Pengetahuan, Persepsi Dan Penyimpanan Antibiotik Di Kelurahan Beji Dan Pancoran Mas Kota Depok Zainudin, Fuad; Andrajati, Retnosari; Supardi, Sudibyo
Cerdika: Jurnal Ilmiah Indonesia Vol. 3 No. 4 (2023): Cerdika : Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v3i4.572

Swamedikasi antibiotik dapat meningkatkan terjadinya resistensi dan risiko penggunaan antibiotik yang tidak tepat. Salah satunya disebabkan kurangnya pengetahuan masyarakat terhadap bahaya menyimpan antibiotik dirumah. Penelitian ini bertujuan untuk menilai pengaruh penyuluhan dan pemberian leaflet pada ibu terhadap pengetahuan, persepsi dan penyimpanan antibiotik. Penelitian ini menggunakan rancangan penelitian Quasi Experiment non randomized pre post control group. Intervensi berupa penyuluhan dan pembagian leaflet pada ibu. Penelitian dilakukan di Kota Depok pada bulan Januari-Oktober 2014. Wilayah kerja kelurahan Pancoran Mas sebagai lokasi intervensi dan kelurahan Beji sebagai kontrol. Subjek penelitian adalah ibu rumah tangga usia 18-65 tahun. Jumlah subjek untuk kelompok intervensi 52 dan kontrol 52 ibu rumah tangga. Analisis data dilakukan dengan menggunakan uji beda dan analisis multivariat. Hasil penelitian menunjukkan pengetahuan awal ibu didapatkan informasi sebesar 81,7% tidak tahu bahwa membeli antibiotik harus menggunakan resep, persepsi awal ibu didapatkan informasi sebesar 42,3 % menganggap antibiotik bukan obat keras dan sebesar 51% diketahui ibu menyimpan antibiotik dirumah. Perbedaan bermakna pengetahuan dan persepsi ibu pada kelompok penyuluhan dan pemberian leaflet lebih tinggi dibanding sebelum penyuluhan. Sedangkan pada kelompok kontrol tidak bermakna (p>0,05). Penyuluhan dan pemberian leaflet memberikan pengaruh secara bermakna terhadap peningkatan pengetahuan dan persepsi. Ada hubungan yang bermakna antara pengetahuan, persepsi dan penyimpanan antibiotik ditunjukan dengan nilai p < 0,05

Effectiveness of Mindfulness Based Intervention: Open Heart Prayer in Diabetic Ulcer Patients at X Bekasi Hospital Apituley, Frian; Prabawati, Dewi; Supardi, Sudibyo
Al Makki Health Informatics Journal Vol. 2 No. 5 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i5.33

Diabetic ulcers are open wounds on the skin surface accompanied by necrotic tissue. Patients with diabetic ulcers tend to experience a significant increase in emotional distress, where individuals will feel negative emotions in daily life. This study aims to determine the effectiveness of mindfulness-based intervention: Open Heart prayer on emotional distress and blood sugar levels in diabetic ulcer patients at X Bekasi Hospital. This study used a quasi-experimental method with a two-group pre-test and post-test approach, involving 98 samples divided into a control group (49) and an intervention group (49). Open Heart prayer therapy was given 4 times a week for 4 weeks, with the research instrument being the DASS 42 questionnaire. The results showed a significant relationship between mindfulness-based intervention: Open Heart prayer in reducing emotional distress in the intervention group before and after the intervention (p-value <0.001). Diabetic ulcer patients who underwent Open Heart prayer experienced a 1-time decrease in emotional distress compared to patients who did not undergo the intervention. In addition, the decrease in emotional distress had an impact on reducing blood sugar levels (p-value <0.001). Patients who experienced a decrease in emotional distress showed a decrease in fasting blood sugar levels by 12 times (Exp (B) = 11.795) compared to patients whose emotional distress increased. Mindfulness-Based Intervention Therapy: Open Heart prayer proved to be effective in helping reduce emotional distress and fasting blood sugar levels in diabetic ulcer patients. Multivariate results showed that the risk factors of gender and degree of injury had a significant effect (p-value <0.05) in reducing emotional distress, while age and degree of DM also had a significant effect (p-value <0.05) in reducing emotional distress.

PERILAKU WORKPLACE INCIVILITY PERAWAT DAN KOMITMENNYA TERHADAP ORGANISASI DI RUMAH SAKIT X Tahulending, peggy Sara; Bunga, Asnet Leo; Supardi, Sudibyo
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 01 (2021): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v9i01.1209

Latar Belakang: Workplace Incivility (WI) merupakan perilaku menyimpang dengan intensitas rendah dengan maksud yang tidak jelas untuk melukai target, melanggar norma tempat kerja untuk saling menghormati. Workplace Incivility yang terjadi pada perawat merupakan masalah yang kompleks dan tengah tersebar luas dan menjadi masalah global. Dalam lingkup keperawatan WI dapat memberikan dampak negatif salah satunya menurunnya komitmen perawat terhadap organisasi. Tujuan penelitian ini untuk melihat pengaruh incivility terhadap komitmen organisasi perawat di rumah sakit X. Metode: Penelitian ini menggunakan metode kuantitatif desain Cross sectional yang melibatkan 74 responden. Hasil: analisis didapatkan Workplace incivility berpengaruh terhadap Komitmen Organiasasi (P = 0.036). Uji regresi logistik menyatakan Workplace incivility berpengaruh terhadap komitmen perawat (P = 0,022) dalam organisasi dibandingkan variable lainnya. Berdasarkan hal tersebut penelitian ini merekomendasikan dibuatnya suatu pedoman pembelajaran Civility agar meningkatkan persepsi perawat dan komitmen perawat terhadap organisasi meningkat. Kesimpulan: Perilaku incivil yang ada berupa bergosip, menganggu orang lain, menyalahgunakan posisi, tidak berbicara langsung dengan orang yang memiliki masalah. Sebagian besar responden memiliki komitmen afektif baik, komitmen kontinu baik, komitmen normative baik. Kata Kunci: Workplace incivility, Komitmen Organisasi, Komitmen Perawat

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