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Diabetes Self Management Dengan Kadar Hba1c Dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Reni Widiyati; Paulus Subiyanto; Margaretha Hesti Rahayu
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 8 No. 1 (2023): 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.v8i1.207

Abstract

Diabetes self management  merupakan suatu pengelolaan penyakit yang seharusnya dapat dilakukan secara mandiri untuk mengendalikan diabetes melitus tipe 2 termasuk pengobatan dan penanggulangan komplikasi akibat diabetes melitus tipe 2 dapat dinilai dari hasil kadar HbA1c tujuannya untuk meningkatkan kualitas hidup penderita diabetes mellitus tipe 2. Dari hasil penelitian dilaporkan bahwa terdapat hubungan diabetes self management dengan kadar HbA1c dengan hasil p value = 0,001 dan terdapat hubungan kadar HbA1c dengan kualitas hidup dengan hasil p value = 0,003. Tujuan penelitian ini adalah untuk mengetahui hubungan antara Diabetes Self  Management dengan kadar HbA1c Dan kualitas hidup pasien diabetes militus tipe 2 di polikinik rawat jalan rumah sakit Santo Antonio Baturaja. Penelitian ini meggunakan analisis kuantitatif dengan kuesioner.populasi dalam penelitian ini adalah semua pasien poliklinik rawat jalan di rumah sakit Santo antonio Baturaja dengan Diabetes mellitus tipe 2 yang melakukan pemeriksaan HbA1c. Sampel yang digunakan dalam penelitian ini 32 responden berdsarkan kebetulan. Metode pengumpulan data digunakan dengan teknik pengisian kuesioner.
Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pengobatan Pasien Diabetes Melitus Tipe 2 Agata Della; Paulus Subiyanto; Avin Maria
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 2 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.83090

Abstract

Background: Pharmacological intervention with oral antidiabetic drugs is the main choice in patients with type 2 diabetes mellitus whose blood glucose levels fail to be controlled by diet and exercise programs. Identifying non-adherent patients in outpatient treatment is important in order to be able to carry out therapy effectively, prevent further complications, so as to improve the quality of life of patients with type 2 diabetes mellitus.Objective: Knowing the relationship between age, gender, education, occupation, self-motivation, family support and health worker support with medication adherence in type 2 diabetes mellitus patients at Panti Rini Hospital.Method: This research is quantitative cross-sectional study using accidental sampling on January 13-27 2022. The total number of respondents in this study were 60 respondents who fit the inclusion and exclusion criteria. The questionnaires used included demographic data, self-motivation, family support, health worker support and Medication Adherence Report Scale (MARS) which are valid and reliable. Data analysis used was univariate test and bivariate test using chi square test.Results: The results of the related factors are age (p value 0,036), gender (p value 0,045), occupation (p value 0,014), self-motivation (p value 0,000), family support (p value 0,002), support from health workers (p value 0,028 ) while the unrelated factor is education (p value 0,673).Conclusion: There is a relationship between the factors of age, gender, occupation, self-motivation, family support, support from health workers and there is no relationship between educational factors and medication adherence in type 2 diabetes mellitus patients at Panti Rini Hospital.ABSTRAKLatar belakang: Intervensi farmakologis dengan obat antidiabetes secara oral menjadi pilihan utama pada pasien diabetes melitus tipe 2 yang kadar glukosa darahnya gagal dikendalikan dengan program diit dan olahraga. Mengidentifikasi pasien yang tidak patuh dalam pengobatan rawat jalan penting agar dapat melaksanakan terapi dengan efektif, mencegah terjadinya komplikasi lebih lanjut, sehingga dapat meningkatkan kualitas hidup pasien diabetes melitus tipe 2.Tujuan: Mengetahui hubungan usia, jenis kelamin, pendidikan, pekerjaan, motivasi diri, dukungan keluarga dan dukungan tenaga kesehatan dengan kepatuhan pengobatan pada pasien diabetes melitus tipe 2 di Rumah Sakit Panti Rini.Metode: Penelitian ini merupakan kuantitatif cross sectional dengan menggunakan accidental sampling pada 13 – 27 Januari 2022. Total responden dalam penelitian ini adalah 60 responden yang sesuai dengan kriteria inklusi dan eksklusi. Kuesioner yang digunakan meliputi data demografi, motivasi diri, dukungan keluarga, dukungan tenaga kesehatan dan Medication Adherence Report Scale (MARS) yang sudah valid dan reliabel. Analisis data yang digunakan yaitu uji univariat dan uji bivariat menggunakan uji chi square.Hasil: Hasil faktor yang berhubungan yaitu usia (p value 0,036), jenis kelamin (p value 0,045), pekerjaan (p value 0,014), motivasi diri (p value 0,000), dukungan keluarga (p value 0,002), dukungan tenaga kesehatan (p value 0,028) sedangkan faktor yang tidak berhubungan yaitu pendidikan (p value 0,673).Simpulan: Terdapat hubungan antara faktor usia, jenis kelamin, pekerjaan, motivasi diri, dukungan keluarga, dukungan tenaga kesehatan dan tidak terdapat hubungan antara faktor pendidikan  dengan kepatuhan pengobatan pada pasien diabetes melitus tipe 2 di Rumah Sakit Panti Rini.
Transforming Education in The Digital Age : How Technology Affects Teaching and Learning Methods Agung Kurniawan S. Djibran; Paulus Subiyanto; Wakhudin Wakhudin; Nenden Sri Rahayu
Journal of Pedagogi Vol. 1 No. 3 (2024): Journal of Pedagogi - June
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/ksq9jc13

Abstract

The development of digital technology has brought significant changes to education, affecting teaching and learning methods. This article examines the impact of technology on education, especially in supporting more interactive, flexible and personalized learning. Various digital tools and platforms, such as online learning applications, educational software, as well as augmented reality and virtual reality technologies, enable more engaging and efficient learning experiences for learners. This research uses the literature study method to investigate scientific journal articles that discuss the transformation of learning in the digital era with the use of technology in modern education. The articles were selected based on criteria such as topic relevance, quality of research methodology and theoretical contribution. Searches were conducted in reputable academic databases such as Google Scholar and Sinta (Science and Technology Index) with the keywords "digital education transformation," "technology in education," and "educational innovation”. Once relevant articles were identified, a selection was made to ensure quality standards and significant contributions to the literature. An in-depth analysis was conducted to identify the main themes, methodological approaches, and findings of each study. The results of the analysis are expected to provide insights into recent developments in the use of technology in education and help identify future trends, challenges and opportunities. The findings are expected to provide a basis for the development of more effective education policies and practices in the evolving digital age
Hubungan Dukungan Keluarga dengan Perilaku Self- Management Pasien Diabetes Melitus Tipe 2 di Prolanis Puskesmas Depok III Aurelia Elvina Damayanti; Paulus Subiyanto; Dita Hanna Febriani
Jurnal Keperawatan Vol 21 No 2 (2023): Jurnal Keperawatan September 2023
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v21i2.1295

Abstract

Diabetes melitus merupakan penyakit tidak menular yang sering ditemui di rawat jalan Puskesmas di Daerah Istimewa Yogyakarta. Penyakit ini ditandai dengan peningkatan kadar glukosa darah yang membutuhkan pengendalian di sepanjang kehidupannya. Beberapa bukti ilmiah menunjukkan bahwa kunci keberhasilan pengendalian diabetes adalah pada self-management yaitu tujuh perilaku self-care yang membutuhkan dukungan keluarga untuk mencegah komplikasi yang tidak diharapkan. Tujuan penelitian ini adalah untuk mengetahui karakteristik responden, gambaran dukungan keluarga & perilaku self-management serta hubungan dukungan keluarga dengan perilaku self-management pasien diabetes melitus (DM) tipe 2 di Prolanis Puskesmas Depok III. Metode penelitian menggunakan studi deskriptif korelasi dengan teknik purposive sampling. Instrumen yang digunakan pada penelitian ini adalah Diabetes Self-Management Instrument (DSMI) & Hensarling Diabetes Family Support Scale (HDFSS). Sebanyak 106 responden berpartisipasi dalam penelitian ini. Hasil penelitian menunjukkan sebanyak 76.4% adalah perempuan, rerata usia 61 tahun (40-73 tahun), 38,8% memiliki pendidikan terakhir SMA, dan 77.4% memiliki penghasilan bulanan keluarga < Rp 2.000.000,-. Nilai median dukungan keluarga adalah 97 (62-116) dan nilai median perilaku self-management 115.5 (69-139). Hasil uji statistik didapatkan hubungan yang signifikan, positif, dan kuat antara dukungan keluarga dengan perilaku self-management pada pasien DM tipe 2 (p-value=0.000; r=0.628). Dibutuhkan intervensi self-management oleh tenaga kesehatan yang terlatih dan kompeten dengan melibatkan peran keluarga untuk terus mempertahankan dan memperbaiki gaya hidup yang lebih sehat. Upaya berkelanjutan ini penting dilakukan untuk mencapai kontrol glikemik yang optimal dan mencegah komplikasi yang tidak diharapkan. Kata Kunci: Dukungan Keluarga, Self-Management Diabetes, Diabetes
The Role of Community Nurses in Improving Public Health: Strategies and Implementation of Educational Programs Paulus Subiyanto; Masruroh; Catur Budi Susilo; Destiana
Oshada Vol. 1 No. 4 (2024): Oshada Journal - August
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/sp67wd98

Abstract

Community nurses play an important role in improving community health through the implementation of educational strategies and programmes tailored to local needs. This study aims to explore the role of community nurses in designing, implementing and evaluating health education programmes to improve the quality of community health. The methodology used included an extensive literature review and case study analysis of several communities that have adopted such programmes. The results showed that community nurses contribute significantly to improving health awareness, knowledge and behaviours, resulting in improved quality of life and reduced incidence of preventable diseases. Effective education programmes are designed using interactive learning methods, such as workshops, group discussions and individual counselling, tailored to the characteristics of the local community. The success of the programme relies heavily on a collaborative approach between nurses, communities and local health stakeholders. Ongoing support through professional training and increased community engagement are key factors for long-term success. This study concludes that the role of community nurses extends beyond basic medical care to include functioning as change agents in sustainable health promotion. Recommendations include strengthening the capacity of community nurses through ongoing training and developing policies that support the integration of this role in a holistic public health system.
Community Nursing in the digital age, utilizing Technology to improve health Services Paulus Subiyanto; Syam Gunawan`; Ambar Sulianti; Chatarina Suryaningsih
Oshada Vol. 1 No. 4 (2024): Oshada Journal - August
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/dy4nh153

Abstract

This research explores how digital technologies are utilized in community nursing to improve the quality of health care. Through the literature review method, this research analyzes various sources that discuss the use of technologies such as telehealth, health apps, cloud-based data management systems, and wearable devices. The results showed that digital technologies can improve accessibility, efficiency, and coordination in community healthcare, especially for populations living in remote areas. However, the study also identified challenges such as data privacy and security concerns, technology infrastructure gaps, and low digital literacy in some communities. Policy support, training programs, and culturally sensitive approaches are seen as key factors to overcome these challenges and maximize the benefits of technology in community nursing. This study concludes that digital technology has great potential to empower community nurses to provide better care and contribute to improving people's quality of life, provided that the challenges can be overcome through appropriate strategies and adequate support.