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Factors Associated with Foot Ulcer among Diabetic Patients Theodehild M. Theresia Dee; Tintin Sukartini; Ririn Probowati
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 3 (2020): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Diabetic foot ulcers (DFU) are among the most common complications in diabetic patients and are associated with high morbidity, mortality, and health costs. Peripheral neuropathy, peripheral arterial disease, and foot deformity are risk factors for diabetic foot ulcers. Identification of risk factors is needed to improve diabetic foot ulcer prevention strategies. This study aimed to describe the results of the monofilament 10 g test and ankle-brachial index in patients with diabetes mellitus. In this cross-sectional study, a total of 70 patients with diabetes mellitus type 1 and type 2 were included. The sampling technique used was purposive sampling. The results showed 54.3% of respondents had peripheral neuropathy with a monofilament score ? 8. There were 27.1% of respondents with a lower score in ABI ? 0.9 and indicated peripheral arterial disease. The monofilament test with a score of ? 8 was more common in women than in men, ages 56-65 years, and duration of diabetes mellitus for more than ten years. A lower ABI was more common in women than in men, aged 56-65 years, and duration of diabetes mellitus for more than ten years. Peripheral neuropathy and peripheral arterial disease are risk factors for diabetic foot ulcers. Therefore prevention and early screening are needed

Effect of Theory-Based Education on Diabetic Ulcer Prevention Among Diabetes Mellitus Patients Theodehild M. Theresia Dee; Siti Sakinah
Journal of Ners and Midwifery Vol 11 No 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i1.ART.p031-038

Diabetic ulcers are one of the complications often experienced by patients with diabetes mellitus. The incidence of diabetic ulcers has an impact on patients, families, health care, and society in general. Education plays an important role in the prevention of diabetic ulcers. This study aims to analyze the effect of health education based on the theory of planned behavior on the main factors of theory of planned behavior (attitudes, subjective norms, perceived behavioral control), intentions and diabetic ulcer prevention in patients with diabetes mellitus. The quasi-experimental approach pre-test and post-test with control group design was used in this study. There were 84 patients with diabetes mellitus divided into intervention groups and control groups. Questionnaires are used to assess attitudes, subjective norms, perceived behavioral control, intentions, and behavior prevention of diabetic ulcers. The statistical analysis showed significant differences in attitudes, subjective norms, perceived behavioral control, intentions, and diabetic ulcers prevention between the intervention group and the control group (p=0,000). This research suggests that education based on the theory of planned behavior can enhance the construction of the Theory of Planned Behavior (attitude, subjective norms, perceived behavioral control), intention, and diabetic ulcer prevention in patients with diabetes mellitus. Patient behavior change strategies can be done by applying health education based on the theory of planned behavior.

Efektivitas Pendidikan Kesehatan Menggunakan Media Buku Kesehatan Jiwa Berbahasa Lokal Terhadap Pengetahuan Kesehatan Jiwa Remaja SMA di Kabupaten Kupang Riantiarno, Flavianus; Suhardin, Saverinus; Lagut, Yosefina Frisnarati Novita; Dee, Theodehild M. Theresia; Sakinah, Siti; Lote, Rian Rifaldo; Bire, Deriensi D. Aprilin
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.301

Mental health problems in adolescents are a serious health problem. There is an increase in mental health problems in adolescents. Knowledge is one of the contributing factors. Mental health knowledge can make the right decisions about their own mental well-being and seek help when they need it. Health education is an effort to increase knowledge. Many studies use health media to increase mental health knowledge. The novelty in this study is the use of local language health pocket books. The purpose of the study was to determine the effectiveness of health education using local language mental health pocket books on adolescent knowledge of mental health. This type of research is a Quasi Experiment with a Pretest and Posttest two Group Design research design. The sample size was 150 respondents, with a sampling technique: purposive sampling. Data collection using a knowledge questionnaire in the pre-test and post-test. The results of the study using the Wilcoxon test showed that health education using local language books was effective in increasing adolescent mental health knowledge with a p value of 0.000 (p <0.05). In conclusion, local language Mental Health Books can be used to improve adolescent mental health knowledge.

Pelatihan Komunikasi Antar Pribadi (KAP) dalam Pemberian Informasi Penanganan Stunting Bagi Kader dan Penggerak PKK di Desa Manusak Kabupaten Kupang Sakinah, Siti; Dee, Theodehild M. Theresia; Lewar, Emanuel Suban Bala; Sormin, Roslin E. M; Riantiarno, Flavianus
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.18172

ABSTRAK Stunting merupakan masalah kesehatan yang membutuhkan perhatian dan partisipasi dari semua pihak. Kader Posyandu dalam melaksanakan tugasnya membutuhkan keterampilan komunikasi antar pribadi dalam memberikan informasi kepada orang tua terkait penanganan stunting. Pesan yang diberikan diharapkan diterima dengan baik oleh orang tua. Namun belum semua kader memiliki keterampilan komunikasi antar pribadi yang baik. Tujuan dari kegiatan pelatihan komunikasi antar pribadi (KAP) adalah meningkatkan pengetahuan dan keterampilan kader serta penggerak PKK dalam pemberian informasi tentang penanganan stunting. Kegiatan pengabdian masyarakat ini dilakukan melalui kegiatan pelatihan dan praktik lapangan bagi 35 orang kader Posyandu dan 5 orang ibu PKK Desa Manusak. Setelah kegiatan pelatihan tingkat pengetahuan dan keterampilan kader dan ibu PKK meningkat. Sebagian besar memiliki tingkat pengetahuan dan keterampilan yang baik dalam melakukan komunikasi antar pribadi dalam pemberian informasi penanganan stunting. Pelatihan komunikasi antar pribadi (KAP) dapat meningkatkan pengetahuan dan keterampilan tentang komunikasi antar pribadi dalam pemberian informasi penanganan stunting pada kader dan penggerak PKK di Desa Manusak, Kabupaten Kupang. Kata Kunci: Komunikasi Antar Pribadi, Stunting ABSTRACT Stunting is a health problem that requires attention and participation from all parties. Posyandu cadres, in carrying out their duties, require interpersonal communication skills to provide information to parents regarding stunting management. It was hoped that the message given would be well received by parents. However, not all cadres possessed good interpersonal communication skills. The aim of the interpersonal communication training activity was to increase the knowledge and skills of PKK mothers and posyandu cadres in providing information about handling stunting. This community service activity was carried out through training and field practice activities for 35 Posyandu cadres and 5 PKK mothers in Manusak Village. After the training activities, the level of knowledge and skills of PKK mothers and posyandu cadres increased. Most participants achieved a good level of knowledge and skills in interpersonal communication for providing information on handling stunting. Interpersonal communication training successfully increased knowledge and skills in interpersonal communication for providing information on handling stunting to PKK mothers and posyandu cadres in Manusak Village, Kupang Regency. Keywords: Interpesonal Communication, Stunting.

Efektivitas Pendidikan Kesehatan Menggunakan Media Buku Kesehatan Jiwa Berbahasa Lokal Terhadap Pengetahuan Kesehatan Jiwa Remaja SMA di Kabupaten Kupang Riantiarno, Flavianus; Suhardin, Saverinus; Lagut, Yosefina Frisnarati Novita; Dee, Theodehild M. Theresia; Sakinah, Siti; Lote, Rian Rifaldo; Bire, Deriensi D. Aprilin
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.301

Mental health problems in adolescents are a serious health problem. There is an increase in mental health problems in adolescents. Knowledge is one of the contributing factors. Mental health knowledge can make the right decisions about their own mental well-being and seek help when they need it. Health education is an effort to increase knowledge. Many studies use health media to increase mental health knowledge. The novelty in this study is the use of local language health pocket books. The purpose of the study was to determine the effectiveness of health education using local language mental health pocket books on adolescent knowledge of mental health. This type of research is a Quasi Experiment with a Pretest and Posttest two Group Design research design. The sample size was 150 respondents, with a sampling technique: purposive sampling. Data collection using a knowledge questionnaire in the pre-test and post-test. The results of the study using the Wilcoxon test showed that health education using local language books was effective in increasing adolescent mental health knowledge with a p value of 0.000 (p <0.05). In conclusion, local language Mental Health Books can be used to improve adolescent mental health knowledge.

Foot Exercise and Related Outcomes in Patient With Diabetes Mellitus: A Literature Review Dee, Theodehild M. Theresia; Fiah, Fransita M.A.; Pandie, Fance R.
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 5 (2022): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i5.638

Background: Diabetic foot ulcer is one of the most common complications in patients with diabetes mellitus. The incidence of diabetes foot ulcers affects morbidity, mortality, and financing. Foot exercise is one of the recommendations for a patient with diabetes to prevent dan accelerate the healing of the diabetic wound. Objective: This paper aims to review the literature on foot exercise and its effect. Method: A literature review was conducted in this study. Search literature used predefined keywords through several databases, namely Scopus, ProQuest, PubMed, and CINAHL. The selection of journals is based on the inclusion and exclusion criteria. Results: Seven articles met the inclusion criteria. The review showed the effect of foot exercise on diabetic foot ulcer risk factors, wound healing, and recurrence of ulcers. Recommendation: Foot exercise can be used as an option for the patient with diabetes mellitus to prevent or treat the complications related to diabetic foot ulcers

SELF-EFFICACY AND DIETARY ADHERENCE IN PATIENT WITH DIABETES MELLITUS: A CROSS SECTIONAL STUDY Kause, Serli; Dee, Theodehild M. Theresia; K. Lette, Priska
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 2 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i2.594

Diabetes mellitus is a non-communicable disease with a steadily increasing prevalence. Diet management plays an pivotal role in controlling blood glucose and preventing complications, but patient compliance still varies. Self-efficacy is a major factor that influences the success of diet management. The purpose of this study is to investigate the correlation between self-efficacy and dietary management in individuals with diabetes mellitus. A descriptive cross-sectional study was conducted from March to April 2024 involving 181 respondents within the working area of Pasie Panjang Public Health Center. Data were analyzed using the Spearmen rank correlation test. The finding showed that 36.5% of patients had moderate self-efficacy, while 51.4% had high dietary compliance. There was a significant relationship between self-efficacy and diet adherence (p=0.000; r=0.785), indicating a strong correlation. Individuals with high self-efficacy tended to be more compliant in following their diet, while low self-efficacy was associated with low diet adherence. Thus, increasing self-efficacy needs to be a focus in interventions to improve diet compliance in individuals with diabetes mellitus

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