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Health Education for Diabetes Patients in Consumption of Oral Hypoglycemic Drugs (OHO) Sylvia, Ester Inung; Munikaire, Ellen
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Diabetes mellitus is a disease of body metabolic disorders with a sign of an increase in blood glucose levels. This disease is chronic and requires treatment for life. The instability of blood glucose levels can cause chronic complications, so prevention is needed with treatment therapy. Compliance with someone taking oral hypoglycemic medication is one of the contributions to the occurrence or absence of complications of diabetes mellitus so education needs to be done so that the client is compliant in taking medication. This research was a quantitative type with the method of quasi experimental pre and post test without control. Subjects were respondents 34, selected by purposive  sampling. Data were analyzed by Wilcoxon test. The results showed that there was a significant difference between adherence to taking oral hypoglycemic drugs clients in Diabetes Melitus before and after health education with p-value of 0.000. Health education can support health programs in managing diabetes so as to produce changes and increase knowledge in controlling blood sugar levels in diabetes clients. Keywords: Health education, Diabetes mellitus, Oral hypoglycemic drug

HEALTH LITERACY AND DIABETES RISK FACTORS SCORE Fitria, Elis; Sylvia, Ester Inung; Datak, Gad
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: Health literacy is an ability of people to get, process and understand the health information and services to make a health decision. Diabetes Mellitus (DM) is known as one of major health problem around the world. Decreasing the new cases of DM can be done by applying healthy lifestyle. Health literacy affects to people?s life style. This study aims to examine health literacy level of civil administration servant in Central Kalimantan with Diabetes risk factors score. Methods: Totally 42 respondents were recruited in this study. HLS-EU-Q16 was used to measure health literacy level and Finnish Diabetes Risk Score (FINDRISC) questionnaire was used to measure diabetes risk factors score. The data was analyzed in univariate and bivariate analysis used Chi-square. Results: Majority of respondents had aged under 45 years old (85.7%) and male (54.8%). The health literacy level of respondents was high (59.5%) and most of them had low risk of diabetes (69.0%). By using Chi-square, health literacy level was statistically significant with diabetes risk factors score (p=0.028). The risk factors for diabetes that mostly found were overweight, low physical activity, family history of diabetes and not consumed fruit and vegetables every day. Conclusion: Health literacy level was statistically significant with diabetes risk factors score. The government should promote healthy lifestyle to decrease the risk of getting non-communicable disease such as Diabetes Mellitus not only for civil servant but also general population.

Determinants of Pre-Diabetes on Teenagers in Palangka Raya City Sylvia, Ester Inung; Datak, Gad; Ardiyani, Visia Didin
GHMJ (Global Health Management Journal) Vol 3, No 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Background: Pre-diabetes is a stage prior to diabetes mellitus (DM) and many studies in west countries found the risk factors of diabetes were mostly related to the nutri onal status of being overweight and obese. Dia- betes mellitus is not only experienced by adults but also by teenagers. They have the poten al for pre-diabetes because they may have unhealthy lifestyles such as smoking, consuming alcohol, high-calories, and junk foods and lack of physical ac vity. This study aims to determine the risk factors of pre-diabetes among senior high school students in Palangka Raya, Central Kalimantan, Indonesia. Methods: This study was a qualita ve study using a ques onnaire as an instrument for data collec on. It consists of a set of ques ons on diabetes risk. This research conducted in four public senior high schools in Palangka Raya with the total sample was 131 respondents have par cipated in this research. Results: 25 respondents (19.1%) from a total sample of 131 par cipants suffered from pre-diabetes and 30.5% of respondents had a family with DM. Some students (6.9%) had a smoking habit and 13% incidence of pre- diabetes in high school students related to these factors (R2: 0.13). Only less than half of the total respondents (43.5%) had a normal BMI. As many as 39.7% of respondents were undernourished while the rest were over- weight. Conclusion: Pre-diabetes factors on teenagers in Palangka Raya are female dominate had a history of DM, and being overweight. This study further leads to the importance of weight control that focusing on physical ac vity and dietary management as early precau ons. Health educa on is required to suppress the number of risk fac- tors for diabetes.

PENINGKATAN PENGETAHUAN PASIEN DIABETES MELITUS MELALUI EDUKASI TENTANG KATARAK DENGAN MEDIA BOOKLET Sylvia, Ester Inung; Azizah, Isma; Manuntung, Alfeus; Datak, Gad
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 4 (2019): Oktober
Publisher : LPPM STIKES KENDAL

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Diabetes Melitus (DM) merupakan penyakit dengan pengobatan jangka panjang bahkan seumur hidup. Diabetes sering menimbulkan komplikasi katarak. Katarak diabetik dapat terjadi karena kurangnya pengetahuan mengenai perilaku yang dapat dilakukan untuk mencegah komplikasi tersebut. Penelitian ini bertujuan untuk menguji pengaruh edukasi dengan media booklet terhadap peningkatan pengetahuan katarak diabetik. Metodologi penelitian menggunakan desain pra expriment dengan one group pretest dan posttest kepada 30 anggota Klub Prolanis Sanang Barigas Palangka Raya dengan pemilihan purposive sampling. Hasil uji validitas kuesioner didapatkan 21 item pertanyaan yang valid dengan r tabel > 0,444 maka artinya 21 item pertanyaan tersebut dapat dinyatakan valid. Dan uji reliabilitas diperoleh alpha (0,927) > r tabel (0,444), maka artinya 21 item pertanyaan tersebut dapat dinyatakan reliabel. Tahap pelaksanaan hari ke-1 diberikan pretest tentang katarak diabetik, edukasi katarak diabetik dan booklet untuk dibawa pulang. Hari ke-4 subyek diingatkan untuk membaca booklet. Hari ke-7 subyek diminta menjawab kuesioner katarak diabetik. Hari ke-11 subyek diingatkan kembali untuk membaca booklet dan hari ke-14 subyek diminta untuk menjawab kuesioner katarak diabetik untuk evaluasi akhir. Hasil penelitian mengunakan analisis univariat untuk menjelaskan frekuensi variabel penelitian dan analisis bivariat dengan uji normalitas Uji Shapiro-Wilk dengan nilai signifikasi atau p value < 0,05 artinya data tidak berdistribusi normal sehingga perlu menggunakan uji wilcoxon. Hasil uji statistik wilcoxon test diperoleh p value 0,000 (<0,05) yang bermakna adanya peningkatan pengetahuan sebelum dan sesudah diberikan edukasi dengan media booklet.   Kata kunci: booklet,edukasi,diabetes melitus, katarak diabetik, pengetahuan   INCREASE OF DIABETES MELITUS PATIENTS THROUGH EDUCATION ABOUT CATARAC WITH BOOKLET MEDIA   ABSTRACT Diabetes Mellitus (DM) is one of the diseases with long-term treatment. Diabetes is often causes complications, one of them is cataracs. Diabetic cataracts can occur due to a lack of knowledge about the behavior to prevent these complications. This research aims to examine the effect of education with booklet on increasing knowledge of diabetic cataracts. The research methodology used the pra experiment design with one group pretest and posttest to 30 Prolanis Club Sanang Barigas Palangka Raya members with the selection of purposive sampling. The results of the questionnaire validity test with 21 question item which r tabel > 0,444 this mean These 21 question items is valid and reliability test was obtained alpha (0,927) > r tabel (0,444), this mean These 21 question items is reliable. On the first day the respondent was given a pretest about diabetic cataracts, diabetic cataract education and a booklet to take home. The fourth day respondents were reminded to read the booklet. The seventh day respondents were asked to answer a diabetic cataract questionnaire. The eleventh day, respondents were expected to read the booklet again and on the fourteen day respondents were asked to answer the diabetic cataract questionnaire for the final evaluation. Univariate analysis using to explain the frequency of research variables and bivariate analysis with the normality test of Shapiro-Wilk test with significance value or p value <0.05 this meaning the data are not normally distributed and need to use the Wilcoxon test. The Wilcoxon test results obtained p-value 0,000 (<0.05) which means there was an increase in knowledge after being given education with booklet.   Keywords: booklet, education,diabetic cataract, diabetes melitus, knowledge  

The relationship between self-esteem and diabetes distress in type 2 diabetes mellitus patients at pahandut community health center Palangka Raya City Febertha Atuh, Christine; Datak, Gad; Utama, Nang Randu; Sylvia, Ester Inung
Journal of Midwifery and Nursing Vol. 6 No. 1 (2024): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i1.4390

Diabetes Mellitus is a non-communicable metabolic disease characterized by an increase in blood sugar levels >200 mg/dl due to impaired secretion of insulin. Manifestations of Diabetes Mellitus are polyphagia, poldipsi, polyuria and drastic weight loss. This research aims to determine the relationship between Self-Esteem and Diabetes Distress in Type 2 Diabetes Mellitus Patients at the Pahandut Community Health Center, Palangka Raya City. The research design is quantitative with a cross-sectional approach, the number of samples used was 41 respondents using a purposive sampling technique. The data collected in this study is demographic data including age, gender, highest level of education, occupation, income, length of time suffering from DM, visits to health services, Self-Esteem, Diabetes Distress and questionnaires. The results of the study showed that there was a relationship between self-esteem and Diabetes Distress in Type 2 Diabetes Mellitus Patients at the Pahandut Health Center, Palangka Raya City (p=0.036).

The Effect Of Boiled Sail Leaf Water On Blood Pressure In Hypertension Patients Rini, Rini; Sylvia, Ester Inung; Kusnaningsih, Aida; Datak, Gad
Journal of Midwifery and Nursing Vol. 6 No. 2 (2024): May: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i2.4959

Hypertension is a major health problem that can cause complications from various diseases such as heart disease, stroke, kidney failure and other diseases. One effort to lower blood pressure is with bay leaf boiled water therapy. Bay leaves contain flavonoids which function to relax arterial muscles so they can reduce high blood pressure in hypertensive patients. The aim of the research was to determine the effect of bay leaf boiled water therapy on blood pressure in hypertensive patients. The research design used a quasi-experiment with a one group pre-post test design approach, the sample size was 39 people using a purposive sampling technique. The patient drank water boiled with bay leaves ½ glass in the morning and ½ glass before eating for 2 weeks. Blood pressure was measured before and after drinking boiled bay leaves. The results of the research before therapy were carried out, the average systolic blood pressure was 160.67 mmHg and diastolic 93.1 mmHg, after therapy with bay leaf boiled water the average systolic blood pressure was 147.74 mmHg and diastolic 81.72 mmHg. The results of the analysis showed that bay leaf boiled water therapy had an effect on reducing blood pressure in hypertensive patients at the Menteng Community Health Centers, Palangka Ra (p=0.00)

Nursing intervention of Head Up 30° position to reduce intracranial pressure in ICH patients in the Nusa Indah room of Dr. Doris Sylvanus Hospital Palangka Raya Hartati, Sri; Datak, Gad; Missesa; Sylvia, Ester Inung
Journal of Midwifery and Nursing Vol. 7 No. 3 (2025): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v7i3.6486

Intracerebral Hemorrhage (ICH) is a medical emergency characterized by bleeding in the brain tissue, which can increase intracranial pressure (ICP) and risk causing death or severe neurological disability. One non-invasive nursing intervention to reduce ICP is the position of the head-up 30° which can increase blood flow to the brain thereby contributing to changes in Mean Arterial Pressure (MAP) and oxygen saturation (SpO2). This study aims to determine the effectiveness of implementing the 30° head-up position intervention to reduce MAP and increase SpO2 in hemorrhagic stroke patients with ICH. This research design is an application of Evidence Based Nursing Practice (EBNP) using a case study approach. The number of patients is 2 people according to the main EBNP journal. The intervention given is a 30° head-up position carried out in the morning and afternoon for 30 minutes each for 3 days. MAP and SpO2 measurements were carried out before and after the 30° head-up intervention for 3 days. The results of the 30° head-up intervention showed an average decrease in MAP in both patients of around 11–12 mmHg and an increase in SpO2 of around 1.5–2.5%. This indicates that the nursing intervention of 30° head-up positioning is proven to be effective in helping to reduce intracranial pressure in hemorrhagic stroke patients with ICH. The results of the application of this EBNP have limitations due to the limited number of patients implemented, the short time of implementation of the intervention and consideration of other factors that influence.

Finger hold relaxation intervention on reducing pain intensity in postoperative craniotomy patients in the Dahlia Room of Dr. Doris Sylvanus Hospital in 2025 Ristiana, Ayu; Sylvia, Ester Inung; Supriandi; Datak, Gad
Journal of Midwifery and Nursing Vol. 7 No. 3 (2025): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v7i3.6489

Postoperative craniotomy pain is a common issue experienced by approximately 90% of patients within the first 48 hours after surgery. Effective pain management is crucial to prevent the progression of acute pain into chronic pain, which can hinder the patient’s recovery. This study aims to evaluate the effectiveness of the finger grasp relaxation technique as a nonpharmacological intervention in post-craniotomy care. A descriptive design with a case study approach was used, involving two respondents who had undergone craniotomy at RSUD dr. Doris Sylvanus Palangka Raya. Data were collected through semi-structured interviews and direct observation. Data validity was ensured through source and method triangulation, and reliability was maintained by repeated measurement from two observers. Pain intensity was assessed using the Numerical Rating Scale (NRS) before and after the intervention. The finger grasp relaxation technique was applied for 15 minutes per session, once daily for three consecutive days. This technique is distinctive in combining gentle finger pressure with regulated breathing to stimulate reflex points believed to influence the central nervous system. The results indicated a decrease in pain intensity from a score of 5 to 2 in the first respondent, and from 6 to 2 in the second respondent, accompanied by a reduction in pain duration. Despite limitations such as a small sample size, the finger grasp relaxation technique has proven to be an effective, simple, and safe nonpharmacological therapy, with potential for application in nursing practice for postoperative pain management in craniotomy patients.

Nursing Practice Guidance: A practical strategy for skills' development in nursing clinics Datak, Gad; Sylvia, Ester Inung
GHMJ (Global Health Management Journal) Vol. 5 No. 1 (2022)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-51604

A documentation of calcaneus region diabetic foot care: Wound healing during outpatient treatment Sylvia, Ester Inung
GHMJ (Global Health Management Journal) Vol. 5 No. 2 (2022)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-52937

Summary: Patients with diabetes are vulnerable to infection and poor healing after injury. Wound care using the steps and techniques described can achieve healing over time. Post healing care instructions are an important part of successful treatment Photos of the wound healing process are a good way to document the effects of treatment and provide a record for the health care team. Such photos can also be used to encourage patients with new wounds to work hard to obey care instructions

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