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Edukasi Upaya Mencegah Kejadian Nyeri Neuropati Diabetik Pada Pasien Diabetes Mellitus Tipe 2 Dengan Dislipidemia di Puskesmas Trowulan Kabupaten Mojokerto Harsa, I Made Subhawa; Andiani, Andiani; Wiradinata, Harsono; Sulistiawati, Sulistiawati; Shanty, Ni Putu Chintya Eka; Zahiroh, Viky Nauvalia
Journal of Community Development Vol. 4 No. 3 (2024): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v4i3.169

Abstract

Diabetes mellitus can lead to dyslipidemia, which can increase the risk of vascular obstruction or atherosclerosis. The occurrence of dyslipidemia in people with diabetes mellitus can trigger diabetic neuropathic pain (DNP). Diabetes mellitus with complications of diabetic neuropathic pain became the top 5 disease of the Prolanis program in Puskesmas Trowulan, Mojokerto. DNP is difficult to treat and severely interferes with the quality of the daily lives of patients. The purpose of this Public Service (Pengmas) is to increase public knowledge and understanding of efforts to prevent the occurrence of diabetic neuropathy pain in patients with type 2 diabetes mellitus with dyslipidemia in the Puskesmas Trowulan, Mojokerto. The method used in this activity is carried out in three stages: planning, implementation, evaluation, and follow-up. The results of this activity showed that the average pre- and post-test scores increased significantly before and after education, which is 0.94. This indicates that the public has understood the material submitted in connection with efforts to prevent an increase in the incidence of type 2 diabetes mellitus, dyslipidemia, and diabetic neuropathic pain in the Puskesmas Trowulan, Mojokerto.
Edukasi Upaya Mencegah Kejadian Nyeri Neuropati Diabetik Pada Pasien Diabetes Mellitus Tipe 2 Dengan Indek Glikemik Yang Tinggi di RS Bhayangkara PUSDIK Brimob Watukosek Harsa, I Made Subhawa; Andiani, Andiani; Wiradinata, Harsono; Al Aska, Andra Agnez; Shanty, Ni Putu Chintya Eka
Journal of Community Development Vol. 5 No. 1 (2024): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v5i1.252

Abstract

Diabetes mellitus is one of the health problems that has so far been quite high and is predicted to continue to experience increases in both morbidity and mortality rates. High glycemic index in patients with type 2 diabetes treated at Bhayangkara Pusdik Brimob Watukosek Hospital is known to be a major factor in the emergence of complications of Diabetic Neuropathy Pain (NND). The purpose of this activity is to educate on the efforts to prevent the occurrence of diabetic neuropathic pain in patients with type 2 diabetes mellitus with a high glycemic index at Bhayangkara Pusdik Brimob Watukosek Hospital. The method used is carried out in three stages: planning, implementation, evaluation, and follow-up. The results of this test show an increase in public knowledge and understanding related to efforts to prevent the occurrence of diabetic neuropathy pain in patients with type 2 diabetes mellitus with high glycemic index at Bhayangkara Pusdik Brimob Watukosek Hospital based on pre-test and post-test results. The results of this activity showed that the average pre- and post-test scores increased significantly before and after education, which is 0.91 (91%).
Hypertension and Lipid Profiles in Middle-Aged Male Patients: A Study at a Tertiary Hospital in Surabaya, Indonesia Arin Nurtya; Artaria Tjempakasari; Ummi Maimunah; Sulistiawati; I Made Subhawa Harsa
Folia Medica Indonesiana Vol. 59 No. 4 (2023): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v59i4.49674

Abstract

Highlights: 1. Uncertainty regarding the association between hypertension and the levels of low-density lipoprotein (LDL) and high-density lipoprotein (HDL) signifies the need for more research, particularly in the realm of sex-specific analysis.2. Our study uncovered significant associations between hypertension and the levels of total cholesterol and triglycerides, expanding our understanding of the impact of lipid profiles on hypertension.3. This research may potentially pave the way for personalized diagnostic and therapeutic strategies, ultimately enhancing hypertension management and patient outcomes.    Abstract Hypertension is one of the most frequent non-communicable diseases and a risk factor for cardiovascular disease, contributing to most deaths globally. The risk of hypertension is higher in those with uncontrolled lipids. In this study, the incidence of hypertension and lipid profiles were examined from March 2020 to March 2022. The aim of this study was to determine the relationship between hypertension in men aged 45–60 years and their lipid profiles, which include total cholesterol, triglycerides, low-density lipoprotein (LDL), and high-density lipoprotein (HDL). This study used an analytical observational design with a cross-sectional approach. Medical records were utilized as secondary data. Statistical analysis was conducted using the Spearman rank correlation test. Statistical significance was determined at p<0.05. This research examined 115 patients with hypertension. The results showed that the stage of hypertension was correlated with total cholesterol (r=0.317; p=0.001) and triglyceride levels (r=0.217; p=0.02). However, the stage of hypertension was not significantly correlated with LDL (r=0.158; p=0.91) and HDL (r=0.75; p=0.423). Hence, this current study underscores the nuanced relationship between lipid profiles and the stage of hypertension in middle-aged male patients. This study highlights the importance of sex-specific analysis in hypertensive research. It also provides promising avenues for further investigation. 
Edukasi Permainan Ular Tangga Stunting Bagi Kader Kesehatan Dukuh Pakis Sebagai Strategi Jitu Pencegahan Balita Stunting Kartika Ishartadiati; Noer Kumala Indahsari; Olivia Herliani; I Made Subhawa Harsa
Prosiding Seminar Nasional Kusuma Vol 2 (2024): Prosiding Seminar Nasional Kusuma
Publisher : LPPM UWKS

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Abstract

Latar belakang: Stunting di Asia Tenggara merupakan masalah serius, dengan prevalensi tinggi di Indonesia. Kota Surabaya telah menunjukkan penurunan signifikan dalam kasus stunting, namun masih ada tantangan yang harus diatasi. Kader Kesehatan, kini dikenal sebagai Kader Surabaya Hebat, berperan penting dalam pencegahan stunting dengan meningkatkan pengetahuan dan keterampilan masyarakat, terutama dalam pemberian makanan pendamping air susu ibu (MPASI). Tujuan: Kegiatan Pengabdian kepada Masyarakat ini bertujuan membuat penyampaian informasi mengenai stunting menjadi menyenangkan dan mudah diingat melalui permainan ular tangga. Metode: Metode yang dilakukan dengan memberikan kuesioner berupa pre-test sebelum edukasi dan post-test setelah edukasi kepada kader kesehatan Dukuh Kupang. Hasil: Didapatkan nilai rata-rata pengetahuan sebelum dilakukan edukasi 54,38 dan setelah dilakukan edukasi meningkat menjadi 63,76. Dilakukan uji Paired T-test didapatkan p hitung = 0.000. Kesimpulan: Ada peningkatan Pengetahuan yang signifikan para kader kesehatan Dukuh Kupang dari sebelum diberikan edukasi dengan sesudah diberikan edukasi.
Studi Literatur Hubungan Antara Lamanya Menderita Diabetes Mellitus Dengan Terjadinya Neuropati Diabetik I Made Subhawa Harsa; Ni Putu Intan Mulyasari
Prosiding Seminar Nasional COSMIC Kedokteran Vol 1 (2023): Prosiding Seminar Nasional COSMIC Kedokteran
Publisher : Lembaga Penelitian Dan Pengabdian Kepada Masyarakat Universitas Wijaya Kusuma Surabaya

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Abstract

Diabetes mellitus adalah kondisi tidak menular yang ditandai dengan hiperglikemia kronis yang disebabkan oleh disfungsi sekresi insulin, disfungsi cara kerja insulin atau keduanya. Hiperglikemia kronis yang menyebabkan stres oksidatif dan menurunkan enzim antioksidan yang dapat menyebabkan disfungsi endothelial dan komplikasi diabetes mellitus. Neuropati diabetik adalah salah satu komplikasi jangka panjang yang paling umum. Semakin lama durasi menderita diabetes mellitus, maka lebih rentan terjadi komplikasi neuropati perifer. Tujuan penelitian ini adalah untuk mengetahui hubungan antara lamanya menderita diabetes mellitus dengan terjadinya neuropati diabetik. Penelitian ini merupakan literature review berdasarkan data sekunder yang diperoleh melalui jurnal, buku, dan sumber data resmi lainnya dari rentang tahun 2011-2021. Penelitian ini menunjukkan bahwa ada hubungan antara lamanya menderita diabetes mellitus dengan terjadinya neuropati diabetik. Kejadian neuropati diabetik pada penderita diabetes mellitus dengan durasi 5 tahun sebesar 25% dengan rentang waktu menderita 2-5 tahun, durasi > 5 tahun sebesar 75% dengan minimal durasi menderita 6 tahun, dan rata-rata menderita diabetes mellitus sampai terjadinya komplikasi neuropati diabetik yaitu 8,8 tahun.
The Cure Rate of COVID-19 Patients with Comorbid Hypertension Giri, Made Widiantara; I Made Subhawa Harsa
Nusantara Medical Science Journal Volume 9 Issue 2, July - December 2024
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.vi.33144

Abstract

Introduction: Coronavirus Disease 2019 (COVID-19) is an outbreak that has resulted in a global pandemic. In 2020, 185 countries were affected, and more than 3,000,000 cases have been reported worldwide, with more than 210,000 deaths. COVID-19 is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV 2), an RNA virus that can cause respiratory system disorders. Hypertension, commonly called high blood pressure, is a health problem that often occurs in the community because its prevalence is relatively high throughout the world. Approximately 7.5 million deaths, or 12.8% of all annual deaths in the world, are caused by hypertension. Generally, the presence of comorbid hypertension in COVID-19 can worsen the patient's condition. Methods:  This literature review study aims to determine the recovery rate of COVID-19 patients with comorbid hypertension. Journals in this literature review used three databases, including Google Scholar, PubMed, and Science Direct, using the keywords COVID-19 with Hypertension and COVID-19 with Hypertension. The literature search was adjusted based on the inclusion and exclusion criteria. Results: The search results obtained 25 journals consisting of 4 national journals and 21 international journals. The results showed that the average recovery rate for COVID-19 patients with comorbid hypertension was 75.40%. Factors influencing the recovery rate of COVID-19 patients with comorbid hypertension include ACE-2, ACEI/ARBs, age, male, and cytokines. Conclusions:  It can be concluded that the presence of comorbid hypertension affects the recovery rate of COVID-19 patients.
Faktor Risiko Terjadinya Diabetes Melitus Tipe 2 di Puskesmas Wonomerto Kabupaten Probolinggo Tahun 2023 Malik, Moch Lukman; I Made Subhawa Harsa; Harya Narottama
Calvaria Medical Journal Vol 2 No 2 (2024): Edisi Desember 2024
Publisher : Institute for Research and Community Services (LPPM) of University of Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/cmj.v2i2.167

Abstract

Latar Belakang: Diabetes merupakan penyakit tidak menular yang cukup serius dimana insulin tidak dapat diproduksi secara maksimal oleeh pankreas. Di Indonesia, diabetes masih menjadi persoalan kesehatan yang cukup serius bahkan terus mengalami peningkatab jumlah penderita di setiap tahunnya seiring bertambahnya jumlah penduduk, pertambahan usia, meningkatnya gaya hidup tidak seehat, pola makan tidak sehat, diet yang tidak sehat, dan obesitas. Tujuan: penelitian ini untuk mengetahui faktor risiko yang dapat mengakibatkan diabetes melitus tipe 2 di Puskesmas Wonomerto Kabupaten Probolinggo. Metode: Penelitian ini menggunakan desain observasional dengan pendekatan cross sectional. Hasil: hasil pokok termasuk analisis statistik, dan Kesimpulan: Hasil penelitian menunjukkan bahwa faktor risiko seperti jenis kelamin, genetik, aktivitas fisik, dan pola makan memiliki hubungan terhadap kejadian diabetes mellitus tipe 2 di Puskesmas Wonomerto Kabupaten Probolinggo. Sedangkan, faktor risiko usia tidak memiliki hubungan terhadap kejadian diabetes mellitus tipe 2 di Puskesmas Wonomerto Kabupaten Probolinggo.
Edukasi, Pemeriksaan Kesehatan, dan Pengobatan Gratis dalam Mencegah Kejadian Nyeri Neuropati Diabetik pada Pasien Diabetes Mellitus Tipe 2 Di Puskesmas Dukuh Kupang Surabaya Harsa, I Made Subhawa; Andarini, Sri; Lestari, Pudji; Wiradinata, Harsono; Aska, Andra Agnez Al
Jurnal Abdidas Vol. 6 No. 4 (2025): Agustus 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdidas.v6i4.1175

Abstract

Tingginya prevalensi Nyeri Neuropati Diabetik (NND) menunjukkan urgensi penanganan komplikasi pada penderita Diabetes Melitus (DM) tipe 2. Faktor risiko diabetes memengaruhi kualitas hidup pasien. Di wilayah kerja Puskesmas Dukuh Kupang, sebagian besar penderita diabetes diketahui merupakan kelompok usia lanjut dan memiliki tingkat pendidikan yang rendah. Kegiatan ini bertujuan untuk meningkatkan pemahaman masyarakat tentang komplikasi NND, pemeriksaan kesehatan, serta memberikan pengobatan gratis bagi penderita DM tipe 2 dengan NND. Kegiatan dilaksanakan di Puskesmas Dukuh Kupang Surabaya yang dihadiri oleh seluruh pasien DM tipe 2 sebanyak 65 orang. Metode pelaksanaan meliputi ceramah, diskusi, pemeriksaan kesehatan, dan pengobatan gratis. Hasil evaluasi terhadap efektivitas kegiatan dilakukan menggunakan instrumen pre- dan post-test menunjukkan terdapat peningkatan yang signifikan pengetahuan peserta setelah diberikan edukasi (p<0,001). Melalui program ini disimpulkan bahwa edukasi dapat meningkatkan pengetahuan pasien DM tipe 2 dan diharapkan masyarakat dapat memperoleh layanan kesehatan dasar yang cepat dan tepat, sehingga mampu mengatasi permasalahan terkait NND.