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Nutrition Monitoring in Post-Surgery Patient with Type 2 Diabetes Mellitus Jon Hafan Sutawardana; Trisya Aulia Damayanti; Akhmad Zainur Ridla
Media Keperawatan Indonesia Vol 6, No 1 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1831.459 KB) | DOI: 10.26714/mki.6.1.2023.54-67

Abstract

Nutrition for patients with type 2 diabetes mellitus (T2DM) may develop postoperative hyperglycemia. Nutrition monitoring is one way to overcome that condition. This study aims to determine the overview of nutritional monitoring in post-surgery patients with type 2 diabetes mellitus. This study used a literature review design with four databases, PubMed, ScienceDirect, Wiley Online Library, and Google Scholar. The inclusion criteria in this study were the articles published from 2018 to 2022, cohort studies, randomized control trial studies, quasi-experimental studies, case-control studies, and accessible full-text, articles in English and Indonesian, indexed by SINTA or SCIMAGOJR. This study got ten articles discussing nutritional monitoring in post-surgery patients with T2DM. The average glucose level in post-surgery patients with T2DM has increased. These conditions are related to parenteral nutrition and ERAS intervention. Meanwhile, nutritional risk or malnutrition before surgery is related to nutritional status after surgery. Nutrition monitoring is used for glucose control and early identification of nutritional conditions in post-surgery patients with T2DM.
Religiosity and illness perception in patient with type 2 diabetes mellitus Maslihah Maslihah; Nur Widayati; Akhmad Zainur Ridla
Media Keperawatan Indonesia Vol 6, No 2 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.2.2023.92-103

Abstract

Illness perception in diabetes mellitus patients can increase uncomfortable feelings. Therefore, religiosity is needed to establish more prosperous psychological well-being. The research aimed to analyze the correlation between religiosity and illness perception in patients with type 2 diabetes mellitus. The study design was a cross-sectional approach. A total of 138 respondents were recruited using consecutive sampling. Data were collected using the Indonesian version of the Centrality Religiosity Scale 15 (CRS-15) and The Brief Illness Perception Questionnaire (B-IPQ) and analyzed using Spearman’s rho with a significant level of 0.05. The results showed that the average value of religiosity was 52.01. The median illness perception was 34.00. Based on statistical values, there was no significant correlation between religiosity and illness perception in type 2 diabetes mellitus patients (p=0,225 and r=-0,104). The absence of the correlation may be due to the assessment of the illness perception that is more directed at the patient's intellectual than the patient's emotional problem. In addition, other factors such as the availability of information and psychological distress can also affect the illness perception. This study indicates the need for further research on other factors related to the perception of disease in type 2 diabetes mellitus patients.
ANALISIS FAKTOR SOSIODEMOGRAFI YANG MEMPENGARUHI PERILAKU AKTIVITAS FISIK PADA PENDERITA DIABETES TIPE 2 DI KABUPATEN JEMBER: Analysis of Sociodemographic Factors Affecting The Behavior Of Physical Activity In Tipe 2 Diabetes In Jember District Muhammad Aldi; Rondhianto Rondhianto; Akhmad Zainur Ridlo
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 2 (2023): JIKep | Juni 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i2.1421

Abstract

Perilaku aktivitas fisik sesuai rekomendasi dapat mencegah terjadinya komplikasi akibat diabetes, serta dapat memperlambat perkembangan komplikasi. Salah satu faktor yang dapat mempengaruhi perilaku aktivitas fisik pada penderita diabetes melitus tipe 2 adalah kondisi sosiodemografi. Tujuan penelitian ini adalah menganalisis pengaruh faktor sosiodemografi terhadap aktivitas fisik pada penderita diabetes tipe 2. Metode penelitian ini adalah analitik observasional dengan pendekatan cross-sectional. Subjek penelitian ini adalah penderita diabetes melitus tipe 2 di Kabupaten Jember, dengan sample size 130 responden menggunakan teknik multistage random sampling. Variabel penelitian ini adalah perilaku aktivitas fisik sebagai variabel dependen dan faktor sosiodemografi sebagai variabel independen yang terdiri dari usia, jenis kelamin, status pernikahan, tingkat penghasilan, tingkat pendidikan, suku bangsa dan tipe keluarga. Data dianalisis secara deskriptif dan statistik dengan uji regresi logistik berganda ordinal (?= 0,05). Hasil penelitian menunjukkan bahwa sebagian besar dari responden mempunyai perilaku aktivitas fisik dalam kategori sedang (49,2%). Hasil uji goodness of fit menunjukkan model sudah fit (p = 0,045). Hasil uji parameter parsial menunjukkan bahwa faktor sosiodemografi yang signifikan mempengaruhi perilaku aktivitas fisik yaitu suku bangsa (p = 0,034) dan tipe keluarga (p = 0,002) dengan R2 = 0,186, yang berarti variabel independen mampu menjelaskan variabel perilaku aktivitas fisik sebesar 18,6%. Upaya peningkatan perilaku aktivitas fisik seyogyanya memperhatikan faktor sosiodemografi terutama suku bangsa dan tipe keluarga untuk meningkatkan pengelolaan mandiri dan kualitas hidup penderita diabetes melitus tipe 2.
GAMBARAN CAPAIAN VAKSIN DAN ANGKA KEJADIAN COVID-19 DI KABUPATEN JEMBER: Overview of Vaccine Achievement and COVID-19 Incident Rate in Jember District Alfianza Febriany Astini; Murtaqib; Akhmad Zainur Ridla
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 2 (2023): JIKep | Juni 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i2.1341

Abstract

Vaksin Covid-19 merupakan cara untuk menangani fenomena penyakit covid-19yang ada saat ini, vaksin bertujuan untuk menciptakan kekebalan dalam tubuh dengan begitu masyarakat bisa menjalankan aktivitasnya setiap hari. Adanya program vaksin Covid-19 diharapkan dapat merangsang antibodi pada manusia sehingga kebal terhadap penyakit. Penelitian ini bertujuan untuk mengetahui gambaran capaian vaksin dan angka kejadian Covid-19. Desain penelitian yang digunakan peneliti Deskriptif, Penelitian ini menggunakan teknik total sampling. Data diperoleh dari rekap Dinas Kesehatan berupa capaian vaksin dan kejadian covid-19 tahun 2020-2021. Hasil penelitian menunjukkan bahwa capaian vaksin dosis pertama lebih banyak dibanding dengan dosis yang lainnya, kemudian pada angka kejadian Covid-19 jumlah terkomfirmasi berdasarkan kelompok usia dan jenis kelamin, usia <12 tahun lebih banyak dibanding dengan usia 0-12 tahun dan >60 tahun dan jenis kelamin perempuan lebih banyak terkomfirmasi Covid-19 dibanding dengan laki-laki. Capaian vaksin yang rendah dikarenakan adanya kekhawatiran terhadap keamanan vaksin, Kurangnya kepercayaan terhadap vaksin, ketidakpastian tentang keefektifan vaksin dan takut akan efek samping dari vaksin tersebut. Usia dapat mempengaruhi kognisi dan pola pikir seseorang, Seiring bertambah usia semakin berkembang daya tangkap dan pola pikirnya. Masyarakat dengan usia yang bertambah maka akan cenderung memiliki pandangan yang positif terhadap vaksin Covid-19. Bagi masyarakat diharapkan melakukan vaksinasi dosis lengkap dan tetap menerapkan protokol kesehatan
Pre-Course Inquiries Ika Fitriani; Akhmad Zainur Ridla; Rizki Febri Andika Hudori
Pioneer: Journal of Language and Literature Vol 15 No 1 (2023)
Publisher : Faculty of Letters, Universitas Abdurachman Saleh Situbondo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36841/pioneer.v15i1.2924

Abstract

Need analysis is a pivotal process prior to starting any courses in order to get initial classroom mapping about students’ needs and expectations. This current study aims to describe the result of need analysis conducted prior to the course of Bahasa Inggris for nursing students. The method employed is descriptive quantitative using data that were collected through questionnaires distributed to the students who are taking Bahasa Inggris course in the odd semester 2022/2023. The results show several points, such as the students belonged to the beginner to intermediate level of English users who merely used English in the classroom contexts. The most challenging language skill is speaking, yet they have had learning awareness to acquire all the language skills in the targeted language. The students also propose some criteria of good teaching materials, learning activities, as well as assessment forms. Finally, the result of this current study can be one of the considerations or the basis for future learning designers, course facilitators, and institutions to design the course which meets the students’ needs.
Sociodemographic Factors Affecting Diabetic Dietary Behavior in People with Type 2 Diabetes Mellitus Rondhianto, Rondhianto; Ridla, Akhmad Zainur; Hasan, Hafifah
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v19i3.37856

Abstract

Dietary behavior is one of the components of self-care that is difficult for people with type 2 diabetes mellitus (T2DM) to perform. The study aimed to determine the sociodemographic factors that influence the dietary behavior of people with T2DM. The study method is an analytic observational study with a cross-sectional design. The subjects of this study were people with T2DM in Jember Regency, with a sample size was 130 respondents using a multistage random sampling technique. This study had two variables: dietary behavior as a dependent variable, measured using Self-Management Dietary Behavior Questionnaire (SMDBQ, and sociodemographic factors (age, gender, marital status, income level, education level, ethnicity, and family type) as an independent variable measured using a sociodemographic questionnaire. Data were analyzed using a multiple logistic regression test (α = 0.05). The results of the study showed that most of the respondents were  55 – 65 years old (51.5%), female (71.5%), married (85.4%), a primary education level (50.8%), low-income level (73.1%), Madurese (54.6%), and nuclear family type (37.7%). Most of the respondents had dietary behavior in the medium category (66.9%), and the sociodemographic factors that influenced diabetes diet behavior were education level (p = 0.001) and family type (p = 0.001) with R2 = 0.241. Efforts to improve self-care regarding adherence to diabetes diet behavior must pay attention to sociodemographic factors to prevent complications and improve the quality of life of people with T2DM.
PENERAPAN ELEVASI HEAD OF BED 45 DERAJAT PADA PASIEN CEREBROVASCULAR ACCIDENT UNTUK PENCEGAHAN VENTILATOR ASSOCIATED PNEUMONIA DI RUANG ICU RSD DR SOEBANDI JEMBER: Application of 450 Degree Head of Bed Elevation in Patient with Cerebrovascular Accident To Prevent Ventilator Associated Pneumonia in the Intensive Care Unit of General Hospital dr Soebandi Jember Salim, Vigo; Akhmad Zainur Ridla; Baskoro Setioputro; Sugito Tri Gunarto
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 3 (2023): JIKep | Oktober 2023
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i5.1671

Abstract

Pendahuluan : Kejadian VAP di ruang ICU dilakukan penatalaksanaan dengan diterapkan VAP Bundle di ruang ICU. Penerapan VAP Bundle di Ruang ICU dengan memberikan posisi elevasi head of bed (HOB) dengan kemiringan 45 derajat memberikan efek dalam mengurangi terjadinya VAP dan juga dijadikan sebagai bentuk pencegahan selama perawatan pasien dengan terpasang ventilator mekanik di ruang ICU. Metode : Penelitian ini menggunakan pendekatan studi kasus pada salah satu pasien yang memiliki diagnosa medis cerebrovascular accident (CVA) yang menjalani perawatan di ruang ICU RSD dr Soebandi Jember dengan diberikan intervensi elevasi head of bed (HOB) 450 selama 3 hari yang diukur menggunakan Clinical Pulmonary Infection Score (CPIS) dengan diberikan intervensi elevasi head of bed (HOB) 450 selama perawatan. Hasil : Hasil skor CPIS pada Pre-Intervensi hari pertama diperoleh hasil yakni 5 dan setelah diberikan intervensi diperoleh hasil penurunan basis 1 point pada saat dilakukan pengukuran CPIS pada hari perawatan ketiga dengan nilai skor 4. Intervensi elevasi head of bed (HOB) 450 yang diberikan kepada pasien dengan CVA menunjukkan penurunan. Kesimpulan : Penerapan elevasi head of bed (HOB) 450 pada pasien dengan CVA selama perawatan di ruang ICU ditunjukkan dapat mencegah terjadinya VAP.
Perbedaan Tingkat Depresi Pasien Kanker Sebelum dan Sesudah Kemoterapi Pertama A'la, Muhamad Zulfatul; Arini, Puji; Wantiyah, Wantiyah; Setioputro, Baskoro; Ridla, Akhmad Zainur
Jurnal Ilmiah Ners Indonesia Vol 4 No 2 (2023): November 2023
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v4i2.27472

Abstract

Cancer is one of the main causes of death in the world. The most common cancer treatment is chemotherapy. Chemotherapy in its implementation has a physical and psychological impact on cancer patients. This study aims to determine the differences in depression in cancer patients before and after the first chemotherapy at Baladhika Husada Hospital, Jember. It was a longitudinal study with a comparative design. A total of 39 respondents were recruited using purposive sampling. Respondents before chemotherapy were 39 patients and after chemotherapy there were 39 patients. Beck Depression Inventory II with 21 statement items is utilized as a measuring tool to see the level of depression. Data were analyzed using the Wilcoxon test with a significance level <0.05. The results showed that 3 patients experienced a decrease, 5 patients did not change, and 31 patients experienced an increase in depression after 7 days of first chemotherapy. The Wilcoxon test showed no difference in depression in cancer patients before and after the first chemotherapy (p = 0.000; Z = -4.574). The conclusion of this study showed that there were differences in depression in cancer patients before and seven days after the first chemotherapy at Baladhika Husada Hospital, Jember. This difference is influenced by the side effects of chemotherapy that cause depression in cancer patients. Further research recommends exploring at the factors that influence depression after the first chemotherapy and subsequent chemotherapy. ABSTRAK Kanker adalah salah satu penyebab utama kematian di dunia. Perawatan kanker yang paling umum adalah kemoterapi. Kemoterapi dalam implementasinya memiliki dampak fisik dan psikologis pada pasien kanker. Penelitian ini bertujuan untuk mengetahui perbedaan depresi pada pasien kanker sebelum dan sesudah kemoterapi pertama di rumah sakit Baladhika Husada, Jember. Ini adalah studi longitudinal dengan desain komparatif. Sebanyak 39 responden direkrut dengan menggunakan purposive sampling. Responden sebelum kemoterapi adalah 39 pasien dan sesudah kemoterapi ada 39 pasien. Beck Depression Inventory II dengan 21 item pernyataan digunakan sebagai alat ukur untuk melihat tingkat depresi. Data dianalisis menggunakan uji wilcoxon dengan tingkat signifikansi <0,05. Hasil penelitian menunjukkan bahwa 3 pasien mengalami penurunan, 5 pasien tidak berubah, dan 31 pasien mengalami peningkatan depresi sesudah 7 hari pasca kemoterapi pertama. Uji Wilcoxon menunjukkan ada perbedaan dalam depresi pada pasien kanker sebelum dan sesudah kemoterapi pertama (p = < 0,01; Z = -4,574). Kesimpulan dari penelitian ini menunjukkan bahwa ada perbedaan depresi pada pasien kanker sebelum dan tujuh hari sesudah kemoterapi pertama di Rumah Sakit Baladhika Husada Jember. Perbedaan ini dipengaruhi oleh efek samping kemoterapi yang menyebabkan depresi pada pasien kanker Penelitian selanjutnya merekomendasikan untuk melihat faktor-faktor yang mempengaruhi depresi pasca kemoterapi pertama maupun kemoterapi selanjutnya. Kata Kunci: Depresi, Pasien Kanker, Kemoterapi Pertama
Asuhan Keperawatan Pada Penurunan Curah Jantung Dengan Intervensi Posisi Semi fowler: Studi Kasus Pada Pasien Acute Decompensated Heart Failure (ADHF) Di Ruang ICCU Ardiyanto, Makhrufi M.A.S.; Zulfatul A'la, Muhamad; Tri Gunarto, Sugito; Zainur Ridla, Akhmad
Jurnal Ilmiah Ners Indonesia Vol 5 No 1 (2024): May 2024
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v5i1.31655

Abstract

Acute Decompensated Heart Failure (ADHF) is characterized by initial complaints such as fatigue, jugular vein distention, cough, shortness of breath, paroxysmal nocturnal dyspnea, CRT<3 seconds, and arrhythmia indicated by auscultation results. In this case study, observations were made of individuals diagnosed with ADHF and a low heart rate, who underwent treatment in a semifowler position for three days in a Bali hospital. An increase in heart rate was observed as a result of the intervention in this case study, along with reduced shortness of breath or dyspnea, less fatigue, and increased ability to engage in minimal bed activity in patients.Similarly, jugular vein distention, coughing, and muscle contractions all contribute to reduced breathing. Semi-fowler positions are used with patients as an alternative to diuretic treatment in cases of elevated heart rate. It is hoped that future researchers will be able to combine a semi-Fowler intervention with other more complex research designs that include more detailed observation sheets or monitoring in order to monitor not only the patient's hemodynamic status, but also the oxygenation status and other factors that contribute to improvement in patients with heart rate reduction disorders Abstrak Gagal jantung dekompensasi atau yang disebut juga Acute Decompensated Heart Failure (ADHF) terjadi secara langsung (akut atau subakut) dengan gejala yang bertahap dari keluhan awal berupa keletihan, distensi vena jugularis, batuk disertai sesak napas, paroksimal nocturnal dispnea, hingga CRT > 3 detik dan hasil auskultasi dengan interpretasi aritmia pada irama bunyi jantung. Penurunan curah jantung menjadi salah satu masalah keperawatan prioritas pada pasien ADHF. Metode dalam studi kasus ini yakni berupa pengamatan yang dilakukan pada pasien ADHF dengan diagnosa keperawatan penurunan curah jantung dan diberikan intervensi posisi semi fowler selama tiga hari di rumah sakit di Bali. kondisi sadar dan tidak takut untuk mengikuti serangkaian intervensi yang diberikan. Hasil dari pemberian intervensi yang dilakukan dalam studi kasus ini yakni berupa peningkatan curah jantung dan hasil evaluasi yang diperoleh dari keluhan pasien berupa sesak napas atau dispnea yang menurun, keletihan menurun, dan juga mampu beraktivitas dengan minimum di tempat tidur. Begitu juga tidak teraba distensi vena jugularis, batuk dan otot bantu napas menurun. Pemberian posisi semi fowler yang diimplementasikan kepada pasien sebagai bentuk alternatif selain pemberian obat diuretik dalam meningkatan curah jantung. Harapan peneliti selanjutnya dapat menerapkan intervensi semi fowler dengan desain penelitian lain yang lebih kompleks dengan lembar observasi atau pengamatan yang lebih lengkap dalam melakukan pengamatan tidak hanya status hemodinamik pasien, namun juga status oksigenasi dan juga faktor lainnya yang menjadi aspek peningkatan pasien dengan gangguan penurunan curah jantung. Kata kunci : Acute Decompensated Heart Failure, Penurunan curah jantung.
Analysis of Psychosocial Factors Affecting Dietary Behavior among People with Type 2 Diabetes Mellitus in Indonesia Rondhianto, Rondhianto; Ridla, Akhmad Zainur; Kurniawan Setia Budi, Fandi Ahmad
Jurnal Keperawatan Soedirman Vol 18 No 3 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.3.6488

Abstract

Dietary behavior is essential to diabetes self-management in people with type 2 diabetes mellitus. Understanding factors influencing diabetes self-management will help in designing appropriate intervention. The study aims to determine the effect of psychosocial on dietary behavior. This study was an analytical observational with a cross-sectional design. The sample size was 138 respondents recruited with multistage random sampling. Psychosocial factors were identified using; 1) Spoken Knowledge in Low Literacy patients with Diabetes Scale, 2) The Coping Scale, 3) Diabetes Distress Scale, 4) Hensarling Diabetes Family Support Scale, 5) Perceived nurse support questionnaire, while dietery behaviour was measured by Self-Management Dietary Behaviors Questionnaire. Data analysis used multiple linear regression. Among five psychosocial factors only two factors influenced dietary behaviour, such as; distress and perceived family support (p=0.004; p=0.001 < α=0.05). Meanwhile, knowledge, coping, and perceived nurse support did not affect diabetes diet (p=0.133; p=0.527; p=0.535 > α=0.05) with R2 = 0.275 (F=11.148; p=0.001 <α=0.05). Distress and perceived family support are two psychosocial factors that can affect dietary behavior. Preventing the occurrence of distress and increasing family support are important to improve dietary behavior adherence in people with type 2 diabetes mellitus.