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PERILAKU PERAWATAN DIRI LANSIA DENGAN DIABETES MELITUS TIPE 2 (T2DM) Denny Susanto
Jurnal Penelitian Keperawatan Kontemporer Vol 1 No 2 (2021): Juli 2021
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v1i2.193

Abstract

Latar Belakang: Diabetes mellitus tipe 2 adalah penyakit kronis yang ditandai dengan peningkatan gula darah, dan lebih sering buang air kecil pada malam hari, sering merasa haus dan lapar. T2DM terjadi karena produksi insulin mengalami kerusakan. Insulin yang mengalami kerusakan tidak dapat melakukan tugas dalam mengubah gula menjadi energi, sehingga gula dalam darah meningkat. Penyakit T2DM lebih sering didapatkan pada usia menua (lansia). Peningkatan T2DM terjadi karena pola hidup sehat yang tidak efektif, perawatan diri, dan hambatan yang didapatkan selama proses perawatan. Meskipun telah banyak penelitian yang melakukan tinjauan literatur perawatan diri dan hambatan dalam proses perawatan T2DM, namun hanya sedikit yang berfokus pada pasien lansia. Tujuan: Merangkum dan membahas seluruh proses perawatan diri T2DM pada pasien lansia. Metode: tinjauan literatur dengan cara marangkum seluruh artikel penelitian yang berhubungan dengan perawatan T2DM dengan fokus pada lansia. Pencarian artikel melalui Pubmed, Plos one, Science Direct dan DOAJ dengan hasil keseluruhan artikel setelah dilakukan critical appraisal berjumlah 8 artikel penelitian yang dibuat rangkuman dan dilakukan pembahasan. Hasil: Proses perawatan diri pasien lansia T2DM meliputi diet rutin, aktivitas fisik teratur dan kepatuhan pengobatan serta terapi insulin. Kesimpulan: Perawatan diri pasien lansia T2DM yang meliputi diet, aktivitas fisik, kepatuhan pengobatan dan terapi insulin memberi manfaat dan keuntungan besar dalam menormalkan kadar glukosa dalam darah.
Terapi Bermain Untuk Meningkatkan Kekuatan Motorik dan Kognitif pada Lansia Binaan Stikes Bala Keselamatan Palu di Kota Palu Ni Luh Emilia; Denny Susanto; Meilin Anggreyni; Juliana Neng Rifka Sarman
Idea Pengabdian Masyarakat Vol. 2 No. 02 (2022): May
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (667.098 KB) | DOI: 10.53690/ipm.v2i03.133

Abstract

   The age group with the fastest growth in the world today is elderly. The health problems experienced by the elderly are varied, such as cognitive disorders and physical or motor problems. Various efforts have been made to restore this condition, one of them is play therapy. The purpose of this community service is to provide play therapy to improve motor and cognitive strength to the elderly that are fostered by Stikes Bala Keselamatan Palu which is located in Palu City. The method in this activity was done by interviewing, observing and running a questionnaire to measure cognitive of the elderly using the MMSE (Mini Mental State Examination) questionnaire and to measure the client's motor strength, it was used an assessment of muscle strength then the elderly was divided into several small groups with 5 types of games or activities which will be carried out alternately. The results obtained were that 24 elderly who were willing to take part in play therapy activities with MMSE results data, there were 21 elderly who got an average score of < 21 which means that the elderly have cognitive impairment and the average muscle strength of the elderly has a value of 4 which means there were still lots of elderly who have muscle weakness. After the play therapy was carried out, the elderly seemed active, enthusiastic and very happy with this activity. It is recommended that the health workers, especially community health center, can add this play therapy to the elderly integrated services post program. 
Layanan Keperawatan pada Pasien Lansia saat Kunjungan dan Menerima Perawatan di Instalasi Gawat Darurat Denny Susanto
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 10, No 2 (2019): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.981 KB) | DOI: 10.33859/dksm.v10i2.504

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Latar Belakang: Peningkatan morbiditas dan mortalitas lansia merupakan tantangan bagi pelayanan keperawatan yang berdampak pada peningkatan kunjungan dan perawatan di Instalasi Gawat Darurat. Kebutuhan perawatan dan perawatan lansia memiliki kepentingan yang sesuai dengan kondisi kesehatannya. Instalasi Gawat Darurat disesuaikan dengan kebutuhan dan permintaan untuk meningkatkan pelayanan keperawatan.Tujuan: Tinjauan literatur untuk mendeskripsikan pelayanan keperawatan yang diberikan oleh perawat kepada lansia saat melakukan kunjungan dan perawatan di Instalasi Gawat DaruratMetode: Kajian literatur dilakukan DENGAN using pencarian artikel jurnal di basis data CINAHL, DOAJ, Dan Pubmed. Dapat diperoleh 254 artikel penelitian yang akan diambil dalam pemeriksaan artikel yang diajukan yang telah ditentukan dan diselesaikan dengan menggunakan format Joanna Briggs Intitute (JBI) versi terbaru sehingga diperoleh total 7 artikel jurnal yang akan dilakukan kajian literatur.Hasil: Kebutuhan lansia saat melakukan dan menerima perawatan di Instalasi Gawat darurat adalah kebutuhan biopsisosial. Tantangan pelayanan keperawatan selama proses perawatan biopsikososial yang membahas tentang budaya dan lingkungan, transisi, komunikasi, dan diskusi keluarga selama proses pemberian pelayanan di Instalasi Gawat Darurat.Kesimpulan: Deskripsi tentang pengalaman perawat sebagai perawat di Instalasi Gawat Darurat mencakup IGD, transisi pasien lansia, komunikasi antara penyedia layanan perawatan lansia dan partisipasi keluarga selama proses perawatan di IGD.Kata Kunci: Keperawatan, Layanan, Lansia, Perawatan, Instalasi Gawat Darurat
Terapi Aktivitas Okupasi Untuk Meningkatkan Produktivitas Lansia Freny Ravika Mbaloto; Denny Susanto; Gustini Gustini
Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Vol. 3 No. 1 (2023): Januari 2023 - Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat
Publisher : Indonesian Scientific Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25008/altifani.v3i1.348

Abstract

Proses menua pada lansia terjadi seiring bertambahnya usia lansia yang menyebabkan penurunan daya tahan fisik sehingga rentan terhadap penyakit dan penurunan kemampuan motorik seperti kekuatan dan kecepatan. Berbagai penurunan tersebut berdampak pada kemampuan lansia dalam melakukan aktivitas sehari-hari dan status kesehatan. Oleh karena itu, perlu adanya peningkatan pelayanan kesehatan lansia agar lansia dapat produktif di masa tuanya. Berdasarkan hal tersebut telah dilakukan pengabdian kepada masyarakat dengan sasaran lansia binaan STIKes Bala Keselamatan Palu yaitu pelaksanaan terapi okupasi. Melalui pengabdian kepada masyarakat diharapkan dapat meningkatkan produktivitas lansia dengan memanfaatkan waktu luang untuk menghasilkan karya dengan menggunakan material siap pakai atau bahan bekas. Metode pelaksanaan pengabdian masyarakat ini menggunakan observasi, wawancara, demonstrasi. Saat terapi berlangsung, para lansia tampak antusias mengikuti seluruh rangkaian kegiatan. Lansia sudah mengetahui dan memahami cara mengalihkan perhatian atau pikiran dari kebosanan dan kebosanan.
Pengaruh Teknik Relaksasi Benson Terhadap Penurunan Skala Nyeri Pada Pasien Post Operasi TUR-P Sena Wahyu Purwanza; Ni Luh Emilia; Juliana Neng Ribka Sarman; Denny Susanto; Meilin Anggreyni; Janice Janice; Ida Yanriatuti
Adi Husada Nursing Journal Vol 8 No 2 (2022): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v8i2.303

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Tujuan penelitian ini dilakukan untuk mengetahui pengaruh teknik relaksasi benson terhadap penurunan skala nyeri pada pasien dengan post oprasi TURP. Enam pasien setelah 2 jam post oprasi TURP di ambil sebagai responden untuk diterapkan relaksasi benson selama 10 menit. Sebelum dan setelah intervensi, skala nyeri pasien di ukur menggunakan skala nyeri numerik reating scale, data tambahan seperti tekanan darah dan nadi pasein yang kemudian data diolah dan dianalisis mengguanakan SPSS. Hasil penelitian yaitu rata-rata skor nyeri pada pasien sebelum dan sesudah intervensi 3,50 dan 2,00 dengan nilai p= 0,024. Untuk tekanan darah nilai rata-rata sistol sebelum dan sesudah 126,67 dan 121, 67 dengan nilai p= 0,203, sedangaknan nilai rata-rata tekanan darah diastole sebelum dan sesudah 73,33 dan 73,33 dengan nilai p= 1,000. Untuk nadi skor rata-rata sebelum dan sesudah intervensi yaitu 78,00 dan 75,00 dengan nilai p=0,279. Penelitian kami menunjukkan bahwa teknik relaksasi benson memiliki pengaruh dalam menurunkan skala nyeri.
Peningkatan Fungsi Kognitif Lansia Melalui Terapi Aktivitas Kognitif Freny Ravika Mbaloto; Estelle Lilian Mua; Robi Adikari Sekeon; Denny Susanto; Ida Yanriatuti; Sabarulin Tarigan; Ni Luh Emilia
Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Vol. 3 No. 4 (2023): Juli 2023 - Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat
Publisher : Indonesian Scientific Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59395/altifani.v3i4.440

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Abstract: In general, the older a person is, the more susceptible they are to experiencing a decline in function, including cognitive function. The condition that often occurs in the elderly is a decrease in the ability to remember so that they often forget easily. Reduced cognitive function in the elderly is an early manifestation of dementia. Decreasing cognitive function in the elderly causes an increase in cognitive function disorders such as dementia which affects the ability to meet daily needs and a high degree of dependence on others. The elderly can fill their declining cognitive abilities by optimizing themselves through cognitive activities. Based on this, community service has been carried out targeting the elderly at PWST Tresno Mukti Turen. Through community service it is hoped that it can improve the cognitive function of the elderly. The implementation of this community service uses the method of assessment, observation, interviews, demonstrations. During the therapy, the elderly seemed enthusiastic about participating in all the activities. Cognitive therapy is effective in improving the cognitive function of the elderly if it is carried out routinely and scheduled in the daily activities of the elderly Abstrak: Pada umumnya semakin bertambah usia seseorang maka semakin rentan mengalami penurunan fungsi termasuk fungsi kognitif. Keadaan yang kerapkali terjadi pada lansia adalah menurunnya kemampuan mengingat sehingga sering akan mudah lupa. Berkurangnya fungsi kognitif pada lansia merupakan manifestasi awal demensia. Penurunan fungsi kognitif pada lansia menyebabkan peningkatan gangguan fungsi kognitif seperti demensia yang berdampak terhadap kemampuan memenuhi kebutuhan sehari-hari dan tingkat ketergantungan yang tinggi terhadap orang lain. Lansia dapat mengisi kemampuan kognitif mereka yang menurun dengan mengoptimalkan diri mereka sendiri melalui aktivitas kognisi. Berdasarkan hal tersebut telah dilakukan pengabdian kepada masyarakat dengan sasaran lansia di PWST Tresno Mukti Turen. Melalui pengabdian kepada masyarakat diharapkan dapat meningkatkan fungsi kogntif lansia. Pelaksanaan pengabdian masyarakat ini menggunakan metode pengkajian, observasi, wawancara, demonstrasi. Saat terapi berlangsung, para lansia tampak antusias mengikuti seluruh rangkaian kegiatan. Terapi kognitif efektif dalam meningkatkan fungsi kognitif lansia jika dilaksanakan rutin dan dijadwalkan dalam aktivitas keseharian lansia
The Effectiveness of Puzzle Therapy in Improving the Cognitive Function of the Elderly Freny Ravika Mbaloto; Estelle Lilian Mua; Robi Adikari Sekeon; Denny Susanto; Ida Yanriatuti; Sabarulin Tarigan; Juliana Neng Rifka Sarman; Nova Natalia Beba
Adi Husada Nursing Journal Vol 9 No 2 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i2.454

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Mild cognitive impairment is a term for people who are at risk of developing dementia. Cognitive decline is an elderly perspective that is commonly a health problem because it is closely related to physical health, psychological health, and quality of life in the elderly. This study aimed to determine the effect of puzzle therapy on the cognitive function of the elderly. This type of quantitative research is pre-experimental with a one-group pretest-posttest design approach. The population in this study was 24 elderly people, using a saturated sampling technique. The intervention carried out was puzzle therapy given for 30-60 minutes over a period of 1 week. Puzzle therapy is a fragment of several images from a complete picture that is designed to stimulate the brain so that the brain's cognitive role increases. The cognitive abilities of the elderly were measured using the MMSE (Mini-Mental State Examination) questionnaire in the form of a test consisting of 30 points of cognitive function including orientation, registration, attention and calculation, remembering, and language. Score 24-30 (good cognitive function), score 1-23 (cognitive impairment). hypothesis analysis using the Wilcoxon test. The results of the study showed that the puzzle therapy variables influence the cognitive abilities of the elderly (p.value 0.01). To improve the cognitive function of the elderly, it can be done through scheduled puzzle therapy in the daily activities of the elderly.
Penyuluhan Pengetahuan Bahaya merokok pada Remaja di Desa Doda Kecamatan Kinovari Kabupaten Sigi Sulawesi Tengah Mutmainnah. HS; Estelle Lilian Mua; Janice Sepang; Nova Natalia Beba; Denny Susanto; Juliana Neng Ribka; Sabarulin Sabarulin; Jumain Jumain; Meilin Anggreyni Madude; Sri Purwaningsih; I Gede Restawan; Anggri Alfira Yunita Assa
Jurnal Abdimas Kesehatan (JAK) Vol 6, No 1 (2024): Januari
Publisher : Sekolah Tinggi Ilmu Kesehatan Baiturrahim Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i1.601

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Adolescence according to WHO is the phase between childhood and adulthood in the age range between 10 to 19 years. The world's youth age group is 1.2 billion or 18% of the world's population. Cigarettes and tobacco products consumed by humans are generally are plant leaves (Nicotina, tabacum, nicotina rustica, and other species) that are burned, smoked, inhaled or chewed. There is 2550, a chemical in processed tobacco leaves. Some chemicals quickly cause health problems, lung damage, and weakening of stamina, if burnt cigarette smoke contains about 4000 chemicals, 43 of which are toxic such as nicotine such as nicotine (pesticide), CO (toxic gas), tar. The high prevalence of smokers in Indonesia will increase the risk of these diseases which threaten not only active smokers but also smokers. In active smokers, the danger threatens all organs of the body with impaired function to cancer such as those of the heart and blood vessels (coronary heart disease and blood vessels), respiratory tract (COPD, asthma and nasopharyngeal cancer), and disorders of the reproductive system and pregnancy (disability fetuses, miscarriages, pelvic infections and cancer in the organs of passive smoking adults and children). Users of tobacco products are decreasing, the number of teenagers aged 13-15 who smoke cigarettes has increased in 2014 (18.3%), 2019 (18.8% ). The method used is face-to-face through counseling and using questionnaires, the application of education in the health sector. The results of health education activities through this training are that there is an increase in knowledge about the dangers of smoking by 70% and 70% of adolescents wish to stop smoking
Senam Hipertensi dan Pemeriksaan Tekanan Darah sebagai Upaya dalam Pencegahan dan Pengendalian Hipertensi pada Lansia I Gede Restawan; Mutmainnah Mutmainnah; Sri Purwiningsih; Denny Susanto
Jurnal Abdimas Kesehatan (JAK) Vol 6, No 3 (2024): November
Publisher : Sekolah Tinggi Ilmu Kesehatan Baiturrahim Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i3.878

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Hypertension is high blood pressure that is often found in the elderly population. Currently, the prevalence of hypertension in Sigi Regency is still quite high, namely 1,325 people. Meanwhile, there are still many hypertension sufferers who do not control their blood pressure. Thus, preventive and control measures are needed so that serious complications do not occur in sufferers. Actions that can be taken to achieve positive results for hypertension sufferers in controlling their blood pressure are by conducting direct blood pressure checks, health education and hypertension exercise training. The purpose of this community service is to increase public knowledge and awareness in controlling and controlling their blood pressure within normal limits. The method used is through lectures and direct training (demonstrations and simulations) on hypertension exercise. The results of this community service activity showed an increase in knowledge about hypertension and a decrease in average systolic and diastolic blood pressure. In addition, participants were able to do hypertension exercise movements correctly and independently after participating in the training. Counseling and training in hypertension exercise are very important because they provide significant benefits in increasing public knowledge in order to maintain optimal blood pressure and prevent more serious complications.
THE INFLUENCE OF AUDITOR INDEPENDENCE, COMPETENCE AND ETHICS ON AUDIT QUALITY WITH AUDIT FEES AS A MODERATION VARIABLE Farhan Ramadhan; Agus Ismaya H.; Denny Susanto
International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC) Vol. 3 No. 1 (2025): February
Publisher : PT. ZILLZELL MEDIA PRIMA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61990/ijamesc.v3i1.450

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This study aims to analyze the influence of auditor independence, competence, and ethics on audit quality with audit fees as a moderation variable. This study uses a quantitative approach with a data collection method through questionnaires distributed to Public Accounting Firms in DKI Jakarta Province. The purposive sampling technique is used in the selection of respondents to ensure the relevance and quality of the data obtained. Data analysis was carried out using descriptive statistical methods and Structural Equation Modelling (SEM) through Partial Least Square (PLS). Descriptive statistics provide an overview of the characteristics of respondents, while PLS is used to assess the outer model and the inner model. The results of the study show that the independence, competence, and ethics of auditors have a positive and significant influence on audit quality. In addition, audit fees have been proven to moderate the relationship between independence, competence, and ethics of auditors to audit quality. These findings emphasize the importance of independence and ethics in improving the quality of the audits produced.