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Pengaruh Motivasi dan Health Locus of Control terhadap Kepatuhan Pengobatan pada Pasien DM Tipe 2: The Influence of Motivation and Health Locus of Control on Treatment Adherence in Patients Type 2 Diabetes Mellitus Puja Dias Rama Novianto; Nanda Desreza; Cut Oktaviyana
Jurnal Keperawatan Bunda Delima Vol 8 No 1 (2026): EDISI JANUARI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i1.224

Abstract

Pendahuluan: Diabetes mellitus merupakan penyakit metabolik ditandai dengan adanya hiperglikemia dan termasuk penyakit silent killer artinya penyakit yang membunuh orang secara perlahan. Penyakit ini dapat menimbulkan komplikasi serius bagi penderitanya. Komplikasi penyakit DM tipe 2 disebabkan oleh rendahnya faktor kepatuhan pengobatan ketika menjalani perawatan. Faktor kepatuhan ini memiliki kaitan dengan dukungan atau motivasi diri seseorang serta health locus of control dimana seseorang mempersepsikan kontrol terhadap kesehatan mereka ketika menjalani perawatan penyakit DM tipe 2. Tujuan penelitian ini untuk mengetahui pengaruh motivasi dan health locus of control terhadap kepatuhan pengobatan pada pasien DM Tipe 2. Metode: Jenis penelitian yaitu deskriptif korelasi dengan desain cross sectional study. Populasi adalah seluruh pasien diabetes mellitus tipe 2 berjumlah 254 orang dengan teknik pengambilan sampel yaitu purposive sampling sehingga sampel dalam penelitian ini berjumlah 72 orang. Instrumen pengumpulan data menggunakan lembar kuesioner. Penelitian ini telah dilaksanakan di ruang poli penyakit dalam RSUD Teungku Peukan Kabupaten Aceh Barat Daya pada tanggal 11 s/d 16 Juni tahun 2025. Analisis data menggunakan uji chi square. Hasil penelitian ini yaitu pengaruh motivasi terhadap kepatuhan pengobatan didapatkan p-value 0,000 serta pengaruh health locus of control terhadap kepatuhan pengobatan didapatkan p-value 0,000. Kesimpulan penelitian yaitu ada pengaruh motivasi dan health locus of control terhadap kepatuhan pengobatan pada pasien DM Tipe 2.
Asuhan Keperawatan Perfusi Perifer Tidak Efektif dengan Intervensi Perawatan Kaki pada Pasien Diabetes Mellitus Tipe 2 di Ruang Aqsa 2 RSUDZA Banda Aceh Husna Faidzi; Maimun Tharida; Nanda Desreza
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 4 No. 2 (2026): Juni: Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v4i2.2324

Abstract

Type 2 Diabetes Mellitus (DM) is a chronic disease that can lead to impaired peripheral perfusion and increase the risk of complications in the lower extremities. Foot care is one of the essential nursing interventions to prevent these complications. This scientific paper aims to describe nursing care through foot care interventions in patients with type 2 DM experiencing ineffective peripheral perfusion in Aqsa 2 Ward, Zainal Abidin Regional General Hospital, Banda Aceh. The method used is a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment results showed that the patient experienced ineffective peripheral perfusion, characterized by tingling in the feet, pale skin, and decreased peripheral circulation. The interventions provided included foot care education, maintaining foot hygiene, routine foot inspection, and foot exercises. After the nursing interventions were implemented, there was a reduction in complaints in the lower extremities and an increase in the patient’s knowledge regarding the prevention of diabetes complications. The conclusion shows that foot care is effective in improving peripheral perfusion and preventing complications in patients with type 2 DM. Therefore, foot care should be performed routinely as part of self-care in diabetes patients.
EDUCATION ON THE PREVENTION OF HYPERTENSIONTO AVOID COMPLICATIONS IN THE CLINIC ROOM OF THE ACEH BESAR HOSPITAL Edy Cahyady; Rizkidawati Rizkidawati; Nanda Desreza
JOURNAL OF SUSTAINABLE COMMUNITY SERVICE Vol. 4 No. 4 (2024): SEPTEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/jscs.v4i4.790

Abstract

Hypertension is currently known as the ‘silent killer’ because it is not often found with obvious signs and symptoms. Risk factors for hypertension include family genetic history, overweight or obesity, lack of physical activity, unhealthy lifestyle, alcohol consumption, and stress. The purpose of the activity is to increase public understanding in the prevention of hypertension in order to avoid its complications. This activity was held in the polyclinic room of the Aceh Besar Hospital. Participants who attended directly were patients who visited the hospital for re-control and treatment with a total of 17 patients. This community service method was carried out in the form of counselling and discussion. This activity was carried out on 25 April 2024 in the hospital poly room at 09.30 WIB until completion. The activity began with recording the participants and continued with the presentation of the objectives of the activity and material related to hypertension and its complications. From the activity it was found that the patient's level of understanding of poor diet was low in fibre, low physical activity, the use of excess salt content in cooking. It is recommended that people with hypertension can improve their lifestyle, diet, rest patterns that are not appropriate, and for families to continue to provide strong motivation to sufferers.