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MOTIVASI MELAKUKAN SELF MONITORING BLOOD GLUCOSE DENGAN DIABETES SELF MANAGEMENT PADA PASIEN DIABETES MELITUS TIPE 2 Masi, Gresty Natalia Maria; Yulia, Ns; Masfuri, Ns
JURNAL KEPERAWATAN Vol 8, No 1 (2020): E-JOURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jkp.v8i1.36598

Abstrak Kontrol glukosa darah dapat dipertahankan melalui perawatan mandiri. Motivasi melakukan self monitoring blood glucose (SMBG) yang baik dapat meningkatkan diabetes self management pada pasien diabetes melitus tipe 2. Tujuan penelitian ini adalah untuk mengetahui hubungan motivasi melakukan SMBG dengan diabetes self management pada pasien diabetes melitus tipe 2. Penelitian ini menggunakan metode kuantitatif observasional analitik dengan pendekatan crossectional, melibatkan 96 pasien. Alat ukur yang digunakan berupa kuesioner karakteristik responden, Treatment Self Regulation Questionare, Diabetes Self Management Questionare, Diabetes Knowledge Scale. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara motivasi melakukan SMBG dengan diabetes self management (p = 0,001). Hasil analisis regresi logistik menunjukkan motivasi melakukan SMBG berhubungan dengan didabetes self management setelah dikontrol variabel pengetahuan. Kesimpulan diperlukan perhatian khusus dari perawat untuk meningkatkan motivasi melakukan SMBG pada pasien diabetes melitus tipe 2 dalam self care management. Kata kunci : Motivasi, SMBG, diabetes self management Abstract Glycemic control could be maintained through diabetes self-management. Motivation to perform self-monitoring blood glucose (SMBG) could improve diabetes self-management in type 2 diabetes mellitus patients. The purpose of this study was to explore the relationship between motivation to perform SMBG and diabetes self-management in patients with type 2 diabetes mellitus. This study applied quantitative method with a cross sectional approach, involving 96 patients. The Instruments used were questionnaires for respondent characteristics, Treatment Self-Regulation Questionnaire, Diabetes Self Management Questionnaire and Diabetes Knowledge Scale. The results show that there was a significant relationship between motivation to perform SMBG and diabetes self-management (p = 0,001). Results of logistic regression analysis showed that motivation to perform SMBG is associated with diabetes self-management after controlled by knowledge variable. In conclusion it is a necessarily for nurses to provide attention to increase motivation to perform SMBG in patients with type 2 diabetes mellitus as part of self care management. Keywords: Motivation, SMBG, diabetes self management

HUBUNGAN AKTIVITAS FISIK DAN POLA MAKAN DENGAN PERUBAHAN INDEKS MASSA TUBUH PADA MAHASISWA SEMESTER 2 PROGRAMSTUDI ILMU KEPERAWATAN FAKULTAS KEDOKTERAN Nugroho, Koko; Mulyadi, Ns; Masi, Gresty Natalia Maria
JURNAL KEPERAWATAN Vol 4, No 2 (2016): E-Journal Keperawatan
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jkp.v4i2.12918

Abstract: Body Mass Index (BMI) is a simple method used to assess the nutritional status of an individual. BMI is an inexpensive and simple method for measuring the nutritional status but can not measure body fat directly. The purposethis study to determine the relationship of physical activity and diet with changes in body mass index (BMI) in the second semester students study program of nursing science faculty of medicine UNSRAT Manado. Thesamples in this study is numbered 72 respondents. The design studyused is descriptive analytic research using cross sectional design approach and the data collected from respondents using questionnaires. The research resultsbased pearson Chi-Square there is a significant relationship between physical activity with changes in body mass index in which the value of Î± = 0.008 and for a diet with a body mass index changes there is no relationship in which the value of Î± = 0.106. The conclusionsThis research shows that physical activity There is a relationship with a body mass index PSIK FK second semester students UNSRAT Manado, whereas for relations diet with a body mass index of second semester students PSIK FK UNSRAT Manado there was no correlation. The recommendationfor students PSIK FK UNSRAT order to perform physical activity intensity is slightly increased to prevent the occurrence of overweight. Keywords: Physical Activity, Diet, Body Mass Index. Abstrak: Indeks Massa Tubuh (IMT) adalah metode sederhana yang digunakan untuk menilai status gizi seorang individu. IMT merupakan metode yang murah dan mudah dalam mengukur status gizi namun tidak dapat mengukur lemak tubuh secara langsung. Tujuan penelitian ini untuk mengetahui hubungan aktivitas fisik dan pola makan dengan perubahan indeks massa tubuh (IMT) pada mahasiswa semester 2 program studi ilmu keperawatan fakultas kedokteran unsrat manado. Sampel pada penelitian ini yaitu berjumlah 72 responden. Desain penelitian yang digunakan adalah penelitian deskriptif analitik dengan menggunakan rancangan pendekatan Cross sectional dan data dikumpulkan dari responden menggunakan kuesioner. Hasil Penelitian berdasarkan pearson Chi-Square terdapat hubungan yang bermakna antara aktivitas fisik dengan perubahan indeks massa tubuh dimana nilai Î±=0,008 dan untuk pola makan dengan perubahan indeks massa tubuh tidak terdapat hubungan dimana nilai Î±=0,106. Kesimpulan dari penelitian ini menunjukkan bahwa Terdapat hubungan aktivitas fisik dengan indeks massa tubuh mahasiswa semester 2 PSIK FK UNSRAT Manado,sedangkan untuk hubungan pola makan dengan indeks massa tubuh mahasiswa semester 2 PSIK FK UNSRAT Manado tidak terdapat hubungan. Saran untuk mahasiswa PSIK FK UNSRAT agar dapat melakukan aktivitas fisik dengan intensitas yang sedikit ditingkatkan untuk mencegah terjadinya kelebihan berat badan. Kata kunci : Aktivitas Fisik, Pola Makan, Indeks Massa Tubuh.

Pengetahuan Remaja Di Kota Manado Tentang Penyakit Degeneratif MOKALU, FEREN LEDYA; Masi, Gresty Natalia Maria; Sirait, Imelda
Mapalus Nursing Science Journal Vol. 1 No. 2 (2023): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background. Degenerative disease is a condition of organs and body system that getting worse over time. The level of knowledge of the teenagers about degenerative diseases is an important information for medical workers in the planning process and determination of medical services to improve health quality. Purpose. To discover the knowledge of the teenagers in Manado City about degenerative diseases, which are diabetes mellitus and hypertension. Method. Using a descriptive quantitative approach. A total sample of 395 teenagers, using the DKQ-24 questionnaire (Diabetes Knowledge Questionnaire) and the knowledge questionnaire about hypertension. Results. 93 teenagers (23.5%) had good knowledge of diabetes mellitus, 300 teenagers (75.9%) sufficient category, 2 teenagers (0.5%) poor category. The knowledge of the teenagers about hypertension was in the good category, 341 teenagers (86.3%), in the moderate category, 54 teenagers (13.7%), in the less category, 0 teenagers (0%). Conclusion. Knowledge of the teenagers in Manado City about diabetes mellitus is in the sufficient category and the knowledge of the teenagers in Manado City about hypertension is in the good category. Keywords : Degenerative Disease, Knownledge, Teenagers

Self Care Management pada Pasien Penyakit Kronis dengan Pendekatan Edukasi di Ruang Hemodialisa Melati RSUP. Prof. Dr. R. D. Kandou Manado Mandias, Veronica; Masi, Gresty Natalia Maria; Wirawan, Alfonsius Ade; Larira, Dina Mariana
Mapalus Nursing Science Journal Vol. 2 No. 2 (2024): Mapalus Nursing Science Journal (MNSJ)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i2.55324

ABSTRAK Latar Belakang: Penyakit kronis berpengaruh terhadap aspek fisik dan biopsikososial kehidupan individu dengan penyakit tersebut. Gagal ginjal merupakan salah satu penyakit kronis, dimana terjadi kerusakan ginjal baik struktur dan atau fungsinya yang berlangsung selama 3 bulan atau lebih. Self care management merupakan suatu upaya untuk memberdayakan pasien berpartisipasi dalam perawatan kesehatan mereka untuk mencegah komplikasi, mengontrol tanda dan gejala yang dirasakan, mengikuti program pengobatan dan meminimalkan efek penyakit dalam kehidupan mereka. Peningkatan self care dapat dilakukan dengan cara memberikan edukasi kepada pasien. Tujuan: Untuk analisis self care management pasien penyakit kronis dengan pendekatan edukasi. Metode: Studi kasus, penulis mengambil 1 orang pasien Ny. E.W., dengan diagnosa medis Penyakit Ginjal Kronis dan Diabetes Mellitus di Ruang Hemodialisa Melati Prof DR. R. D. Kandou Manado dengan intervensi berupa edukasi menggunakan media booklet dan flipchart kalender yang didalamnya terdapat manajemen penyakit ginjal kronis dan diabetes mellitus untuk meningkatkan self care. Hasil: Setelah pemberian intervensi edukasi pasien dan keluarga dapat mengetahui tentang manajemen penyakit ginjal kronis dan diabetes mellitus, pasien dapat melaporkan pantauan balance cairan dan gula darah secara mandiri di rumah dalam 3 hari. Kesimpulan: Pemberian intervensi edukasi tentang manajemen penyakit ginjal kronis dan diabetes mellitus dapat meningkatkan self care bagi pasien dan keluarga dalam perawatan sehari-hari. Kata Kunci : Edukasi ; Penyakit Kronis ; Self Care. ABSTRACT Background: Chronic diseases affect the physical and biopsychosocial aspects of the lives of individuals with these diseases. Kidney failure is a chronic disease, where there is damage to the kidneys, both structure and/or function, that lasts for 3 months or more. Self-care management is an effort to empower patients to participate in their health care to prevent complications, control perceived signs and symptoms, follow treatment programs and minimize the effects of disease on their lives. Improving self-care can be done by providing education to patients. Objective: To analyze the self-care management of chronic disease patients with an educational approach. Method: Case study, the author took 1 patient Mrs. E.W., with a medical diagnosis of Chronic Kidney Disease and Diabetes Mellitus in the Melati Hemodialysis Room Prof DR. R. D. Kandou Manado with intervention in the form of education using booklet and calendar flipchart media which includes management of chronic kidney disease and diabetes mellitus to improve self-care. Results: After providing educational interventions, patients and families can learn about the management of chronic kidney disease and diabetes mellitus, patients can report monitoring fluid balance and blood sugar independently at home within 3 days. Conclusion: Providing educational interventions regarding the management of chronic kidney disease and diabetes mellitus can improve self-care for patients and families in daily care. Keywords: Education; Chronic Diseases; Self-Care

GAMBARAN FAKTOR RESIKO TERJADINYA HIPERTENSI Lamangida, Sri Yuningsi; Masi, Gresty Natalia Maria; Renteng , Septriani
JURNAL KEPERAWATAN Vol. 13 No. 1 (2025): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v13i1.60775

Background: Hypertension is a cardiovascular disease and is the most prevalent health issue in society. It is often referred to as "The Silent Killer" because it frequently occurs without noticeable symptoms. The exact causes of hypertension remain uncertain to date. However, there are two risk factors contributing to hypertension: non-modifiable and modifiable risk factors. Objective: This research aims to provide an overview of the risk factors for hypertension in the Gorontalo city area. Method: This study utilizes a descriptive research approach with a sample size of 110 respondents selected through non-probability sampling, specifically purposive sampling. Results: The majority of hypertensive patients are aged 56-65 years (44.5%), female (62.7%), with a family history of hypertension (82.7%), non-smokers (55.5%), classified as obese (53.6%), and not engaging in physical activity (70.9%). Conclusion: Based on the research findings, it can be concluded that factors such as age, gender, family history, obesity, and physical activity play a role in the occurrence of hypertension in the Gorontalo city area. Keywords: Hypertension; Age; Gender; Family History; Obesity.

Literature Review: Kecemasan dengan Activity Daily Living pada Penderita Diabetes Melitus Singal, Yesi Yosua; Kundre, Rina Margaretha; Masi, Gresty Natalia Maria
Mapalus Nursing Science Journal Vol. 3 No. 2 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i2.57806

Background: Diabetes mellitus is a metabolic disease that occurs due to impaired insulin action, impaired insulin secretion, or both. In addition to physical effects, people with diabetes mellitus tend to suffer from psychological effects such as anxiety. Psychological and physical health problems result in disability that leads to dependence on other people and sufferers need help in fulfilling their daily living activity. The purpose of this study was to analyze Anxiety and Daily Living Activity in Diabetes Mellitus sufferers with the Literature Review The method used to compile this literature review was to search through an electronic database. The article search was carried out using the keywords Anxiety, Activity dalily living, diabetes Mellitus which was traced through Google Scholar and Pubmed 1934 articles were found, only 15 articles were eligible. Result Based on the articles that have been reviewed, it shows that anxiety and activity daily living greatly affect people with diabetes mellitus, patients with anxiety and poor activity daily living independence experience abnormal blood sugar levels and even affect quality of life and increase the risk of complications and disability. Conclusion from the fifteen articles it was found that there is a relationship between anxiety and activity daily living in people with diabetes mellitus. Keywords: Anxiety, Activity Daily Living, Diabetes Mellitus.

Penerapan Diabetes Self-Management Education terhadap Peningkatan Pengetahuan dan Self-Care Management Pasien Diabetes Melitus Tipe II Mantiri, Sintha; Masi, Gresty Natalia Maria; Fitriani, Fitriani
Mapalus Nursing Science Journal Vol. 2 No. 3 (2024): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i3.57977

Background: Diabetes mellitus is a chronic disease where the pancreas is unable to produce enough insulin for the body's needs so that it can cause complications such as kidney failure, heart failure, stroke, injury and death. These complications can be minimized by providing education with a diabetes self-management education approach which consists of five pillars of diabetes mellitus management, namely dietary management, physical activity, blood sugar monitoring, medication compliance and foot care. Objective: To implement nursing interventions in the form of self-management education for Mrs. L. P with a medical diagnosis of type two diabetes mellitus. Methods: Case study on Mrs. L. P with a medical diagnosis of type two diabetes mellitus using booklet media. The intervention was given for two sessions. The instrument used is a questionnaire of the level of knowledge and self-care management of diabetes mellitus which has been tested for validity and reliability. Results: After being given the diabetes self-management education intervention, it was found that there was an increase in Mrs. L. P's knowledge which was marked by an increase in the number of correct answers from 17 during the pre-test to 19 during the post-test. In addition, the patient showed an increase in self-care management after being given the intervention which was marked by an increase in the number of scores from 64 when the pre-test increased to 72 when the post-test as well as an increase in skills in foot care, physical activity and eating arrangements. Conclusion: The Implementation of diabetes self-management education can improve knowledge and self-care management in patients with diabetes mellitus.. Keywords: diabetes self-management education; knowledge; self-care management.

Analisis Asuhan Keperawatan Pada Pasien dengan Diabetic Foot Ulcer dan Observasi Penerapan Madu Pada Perawatan Luka Kaki Diabetes di Ruang Perawatan Irina A Bawah RSUP. Prof. Dr. R. D. Kandou Manado Didide, Christa; Masi, Gresty Natalia Maria; Pondaag, Ferlan Ansye
Mapalus Nursing Science Journal Vol. 2 No. 3 (2024): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i3.58943

Background: Wounds are not treated with proper nutrition, they will take a long time to heal and require pharmacological and non-pharmacological interventions. One non-pharmacological option that can be used is honey, because it contains antibiotics which function as antiseptic and antibacterial, providing protection to wounds and helping treat infections. Its anti-inflammatory properties contribute to pain relief, support circulation, and encourage the regeneration of new tissue, which can help eliminate tissue scarring on the skin (Tasalim, 2021). The aim of this scientific work is to explain nursing care for diabetic foot ulcer patients by treating wounds using honey. This case study method uses a descriptive method, with a nursing care process approach. The case study subjects were type 2 diabetes mellitus sufferers with diabetic foot wounds that had been around for more than 2 weeks. The subject of the case study was 1 person and was obtained randomly. The results of the case study before wound treatment with tilapia honey Bates-Jensen Wound Assessment Tool patient was 47 and after wound treatment with honey it was 41. Conclusions based on case studies of problems with skin/tissue integrity disorders with wound care interventions implemented for 5 days show that the results of using honey dressings to treat foot wounds in diabetics can reduce swelling in the area around the wound and minimize bleeding but there are no visible changes in granulation and epithelialization. Keywords: Honey, Diabetic Foot Ulcer

Hubungan Dukungan Keluarga dengan Kepatuhan Pembatasan Cairan pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di Rs. Sentra Medika Minahasa Utara Pongantung, Edelina; Masi, Gresty Natalia Maria; Fitriani, Fitriani
Mapalus Nursing Science Journal Vol. 3 No. 2 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i2.63369

Background Adherence to fluid intake restrictions is a necessary part of therapy for hemodialysis patients in order to maintain the balance between fluid intake and output. However, many hemodialysis patients fail to comply with these restrictions. This non-adherence poses a significant problem, as it can negatively affect the patient’s condition. Family support is one of the key factors that plays an important role in encouraging patient adherence to therapy. With optimal support from family members, patients are more likely to comply with the recommended treatment or therapeutic process. Objective This study aims to examine the relationship between family support and adherence to fluid restriction among CKD patients undergoing hemodialysis at Sentra Medika Hospital, North Minahasa. Methods A quantitative study was conducted using a cross-sectional design. A total of 143 respondents were selected through purposive sampling. Data were collected using a family support questionnaire and a fluid restriction adherence questionnaire. Statistical analysis was performed using the Gamma correlation test. Results The results indicated that the majority of respondents reported a moderate level of family support (62.94%) and low adherence to fluid restriction (84.6%). The Gamma correlation test revealed a significant relationship between family support and adherence to fluid restriction (p = 0.000). Conclusion There is a statistically significant relationship between family support and adherence to fluid restriction in CKD patients undergoing hemodialysis. Keywords: Chronic kidney disease, family support, fluid restriction adherence, hemodialysis

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