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Senam Kaki Diabetes untuk Memperbaiki Keluaran Polineuropati pada Penderita Diabetes Astiarani, Yunisa; Margareta, Revi; Mutiara Putri, Marcelvina; Shalsamir Cotto, Nadjoua; Kurniawan, Felicia; Santi, Bryany Titi; Hadiyanto; Kristian, Kevin; Satya, Regina
Mitramas: Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol. 2 No. 1 (2024)
Publisher : Universitas Katolik Indonesia Atma Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/mitramas.v2i1.5028

Abstract

Prevalensi ulkus kaki diabetik (Diabetic Foot Ulcer/DFU) di seluruh dunia mencapai 19-34%, dengan dampak serius termasuk risiko amputasi dan kematian. Senam kaki diabetes menjadi salah satu upaya untuk mengatasi prevalensi tersebut. Kegiatan ini mengevaluasi efektivitas senam kaki diabetes dalam memperbaiki rasa kebas, kesemutan dan nyeri serta menilai efek perubahan HbA1c pada responden. Partisipan melibatkan individu dengan DM tipe 2 yang telah mengalami polineuropati atau ulkus kaki. Senam kaki diabetes dilakukan selama 10 menit setiap hari selama 12 minggu, dengan tujuan mengevaluasi efektivitasnya terhadap keluaran kaki diabetes, seperti skor Visual Analogue Scale (VAS), intensitas serta frekuensi nyeri, kesemutan, dan kebas. Kadar HbA1c juga dibandingkan sebelum dan sesudah perlakuan. Sebanyak 27 penderita polineuropati dan DFU datang dalam kegiatan demonstrasi senam kaki. Penurunan signifikan pada skor VAS, intensitas dan frekuensi nyeri, kesemutan, dan kebas setelah senam kaki diabetes diamati. Tidak terdapat perubahan kadar HbA1c yang signifikan, mengindikasikan senam kaki diabetes independen terhadap monitoring glukosa pada pasien DM tipe 2 dengan polineuropati. Senam kaki diabetes dengan 9 gerakan yang direkomendasikan mampu memberikan dampak positif pada keluaran kaki diabetes, menunjukkan penurunan nyeri, kesemutan, dan kebas.  
Medical personnels’ well-being and policy adaptations in hospitals during COVID-19 pandemic Kristian, Kevin; Santi, Bryany Titi; Astiarani, Yunisa; Kurniawan, Felicia; Salama, Ngabila
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.4996

Abstract

Purpose: To explore many forms of adaptations and alterations that occur in the COVID-19 referral hospitals in Jakarta during the COVID-19 pandemic as a preparation to deal with another pandemic in the future. Method: A qualitative study through focus group discussions (FGD) of seven hospitals in Jakarta, including five public and two private hospitals, with the participation of each structural and medical personnel separately. The discussion identifies four main topics that cover the aim of the study: (a) Medical personnel workload; (b) Occupational health and comfort; (c) Relationships; (d) Hospital policy during the COVID-19 pandemic. Results: This study was participated by 40 informants from the medical personnel group and 37 responders from the structural group from various positions in the hospital. Researchers estimated several factors to contribute to medical personnel’s well-being in providing health services during the pandemic of COVID-19. Rising workloads, an increased number of patients and types of procedures, and the unavailability and discomforts from suitable PPE with a lack of IPC socialization influence a decline in their well-being and increase the risk of counterproductive work behavior. Moreover, conflicts among personnel and poor communication also deteriorate well-being. Nevertheless, several hospital policy adaptations, namely incentives provision, regular mental-health check-ups, no salary reduction for COVID-19-positive workers, and supportive attitudes towards each other in the workplace, may enhance their well-being. Conclusion: Increased workloads, problems in PPE availability, and conflict among personnel are the main contributing factors that need to be addressed to increase the medical personnel's well-being during the pandemic, while several hospital policy adaptations support their well-being.
THE RELATIONSHIP BETWEEN VITAMIN D LEVELS AND URIC ACID LEVELS IN THE ELDERLY AT SANTA ANNA NURSING HOME Harita, Ester Elida O; Kurniawan, Felicia; Hananta, Linawati; Sahusilawane, Isadora Gracia
Journal of Social Research Vol. 3 No. 2 (2024): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v3i2.1929

Abstract

As a person ages, the physiological function of the body decreases so that the risk of vitamin D deficiency and gout. The increasing elderly population can create a new era, namely the aging population. This study aims to see the relationship between vitamin D levels and uric acid levels in the elderly at Santa Anna Nursing Home. This study is an analytical observational study with a cross-sectional design with 70 elderly respondents living in Santa Anna Nursing Home, Jakarta. The correlation test is performed using the Pearson Correlation Test. There is a significant negative relationship between vitamin D levels and uric acid levels. In 23 elderly obtained average vitamin D levels of 36.9 + 8.4 ng / mL while high uric acid as many as 23 elderly (46%) with an average of 6.24 ± 1.9 mg / mL. From bivariate analysis, vitamin D levels were significantly associated with uric acid levels (r: -0.295, p: 0.037). There was a significant relationship between vitamin D levels and uric acid levels in the elderly at Santa Anna Nursing Home with a value of p = 0.041 (p < 0.05)