Articles
GAMBARAN TINGKAT PENGETAHUAN KADER KESEHATAN TENTANG PERAWATAN KAKI DIABETES DI KOTA MAKASSAR 2019
Elly L. Sjattar;
Sarnida Sarnida;
Titi Iswanti Afelya;
Abdul Majid;
Kusrini Kadar;
Yuliana Syam;
Saldy Yusuf;
Nurhaya Nurdin
Jurnal Kesehatan Masyarakat Maritim Vol. 2 No. 2: Desember 2019
Publisher : Public Health Faculty, Hasanuddin University
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DOI: 10.30597/jkmm.v2i1.8724
Latar belakang: Diabetes mellitus (DM) adalah salah satu penyakit tidak menular yang dilaporkan meningkat setiap tahun. Seiring dengan meningkatnya jumlah penderita diabetes, komplikasi yang dapat terjadi juga meningkat. Salah satu komplikasi yang dapat terjadi adalah ulserasi pada tungkai bawah dengan atau tanpa infeksi yang menyebabkan kerusakan pada jaringan di bawahnya, yang selanjutnya disebut sebagai Diabetic Foot. Perawatan kaki yang tepat dapat meminimalkan faktor risiko dan hal-hal yang tidak diinginkan terjadi. Kunci keberhasilan dan bagian penting dari pengelolaan DM dengan Diabetes secara komprehensif adalah keterlibatan anggota tim seperti dokter, perawat, petugas kesehatan lainnya, orang dan keluarga mereka. Salah satu sukarelawan dari petugas kesehatan lain yang sering ditemukan di masyarakat, yaitu Kader Kesehatan. Salah satu tindakan yang dapat dilakukan oleh Kader Kesehatan adalah untuk mencegah timbulnya cedera pada kaki diabetes, mampu memberikan pendidikan kesehatan dan melakukan perawatan kaki yang baik dan benar untuk penderita diabetes. Tujuan Penelitian: Untuk mengetahui gambaran pengetahuan Kader Kesehatan tentang Perawatan Kaki Diabetes di Kota Makassar. Metode: Penelitian ini menggunakan metode penelitian deskriptif eksploratif. Jumlah sampel yang diperoleh adalah 79 responden dengan teknik purposive sampling pada Kader Kesehatan di kota Makassar. Instrumen yang digunakan adalah hasil penelitian dari kuesioner Konsensus Delphi (Abrar, Yusuf, & Sjattar, 2019). Hasil penelitian menunjukkan bahwa 64 responden (81%) memiliki pengetahuan tentang perawatan kaki Diabetes dalam kategori baik dan 15 responden memiliki pengetahuan tentang perawatan kaki diabetes dalam kategori kurang.
Children mortality in Pediatric Intensive Care Unit (PICU): An Overview
Tuti Seniwati;
Asma Danisa Hasmuddin;
Titi Iswanti Afelya
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 5, No 1 (2022): JKPBK Juni 2022
Publisher : Fakultas Kedokteran
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DOI: 10.30872/j.kes.pasmi.kal.v5i1.7344
Introduction: Pediatric Intensive Care Unit (PICU), is unit of care spesifically for children who have critical medical condition. Critical condition experienced by children treated at PICU are inseparable from emergencies and can be at risk of death. Even though the child mortality rate has decreased every year, the incidence of mortality in the PICU is still a large contributor to the death of children at this time. Objective: To identify characteristics of children mortality in the PICU hospital unit Dr. Wahidin Sudirohusodo Makassar. Method: This study was an analytic survey using a cross-sectional design with purposive sampling. Results: The study of 53 children medical records showed that the average respondent aged 59 months (SD 69.29) experienced death, length of stay of respondents who experienced death was 7.94 days (SD 9,69), the neurological status of patients at the beginning of admission shows the value of 11.43 (SD 4,496). Patients with a diagnosis of sepsis showed the highest mortality in this study. Conclusion: Respondents with infant categories, mild neurological status at the admission of PICU, used mechanical ventilators as oxygen devices, have the highest frequency of mortality in PICU. Hence, this study suggested to the other researcher to examine the variables that relate to child mortality in PICU for revealed as a whole.
SCREENING DISFAGIA DENGAN INSTRUMENT STANDARDIZED SWALLOWING ASSESSMENT PADA PASIEN DENGAN GANGGUAN NEUROLOGI DI RSUP DR. WAHIDIN SUDIROHUSODO
Indra Junsen Asri;
Rosnia Rosnia;
Rahmat Hidayat;
Elly L Sjattar;
Titi Iswanti Afelya
Journal of Islamic Nursing Vol 4 No 2 (2019): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar
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DOI: 10.24252/join.v4i2.10190
Screening of Dysphagia is one of the applications of Evidence Based Nursing (EBN) to reduce complications. From the results of the study found that Screening Dysphagia can be effectively carried out by nurses and cause a decrease in the level of pneumonia (Palli et al., 2017). Screening of Dysphagia also reduces the level of bronchoaspiration in acute stroke patients (Cocho et al., 2015). Many instruments that can be used in Screening of Dysphagia. The best instruments are used with top sensitivity and specificity and evaluation of the results of methodological quality evaluations with a 12 steps criterion adapted from (Jaeschke et al) Namely the Standarized Swallowing Assessment (SSA) instrument. The purpose of this EBN is to assess the effective, efficient and safe use of SSA instruments and the prevalence of dysphagia in dysphagia screening in the lontara neuro treatment room 3 floors 1 behind RSUP Dr. Wahidin SudirohusodoMakassar. In implementing this EBN, it was found that Dysphagia Screening using SSA instruments was effective, efficient and safe to use. Of the 19 patients, 6 were found to have dysphagia.
Diabetic Foot Ulcer Treatment Post AutoAmputation Digiti Pedis Sinistra: Case Study
Nur Azizah;
Irfani Intan;
Dwiyana Tulak;
Muhammad Adhan Kurniawan;
Titi Iswanti Afelya
Indonesian Contemporary Nursing Journal Volume 4 No. 1 Agustus 2019
Publisher : Faculty of Nursing, Universitas Hasanuddin
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DOI: 10.20956/icon.v4i1.5595
Introduction: Diabetes mellitus is a chronic disease that occurs when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. According to the International Diabetes Federation, there are 425 million people suffering from diabetes in the world and will increase by 629 million in 2045. There were more than 10,276,100 cases of diabetes in Indonesia in 2017 and ranked 6 out of the top 10 countries for the number of diabetics. Diabetics have an increased risk of a number of serious health problems, one of which is the cause of foot amputation. Amputation occurs 15 times more often in diabetics than non-diabetics. Effective and comprehensive foot care can prevent the risk of ulcer becoming amputation. This study aims to provide an overview of the treatment process and the development of wounds for five weeks of treatment. Method: This study was conducted prospectively using a prospective cohort study by providing wound care to one respondent with diabetic foot ulcer for five weeks at Griya Afiat Wound Care Clinic, Makassar. Wounds were assessed using the Wound Nursing Care format from Griya Afiat Clinic. Result: the first and second week is inflammatory phase, the third to fifth week is proliferation process There is a change in the size of each wound and increasing the process of granulation and epithelialization every week of treatment until the fifth week of treatment, the wound begins to increase epithelialization and changes in wound size, especially in undermining. Conclusion: During the five weeks of treatment, the wound healing process has developed well. The wound has no potential for amputation if the wound care process is still balanced with the selection of appropriate dressings and patient compliance in performing wound care. Other factors that inhibit the wound healing process need to be known.
Evaluation of Family Knowledge in Detecting Risk of Diabetes Foot Ulcer in Public Health Center
Sarina Musdiaman;
Saldy Yusuf;
Titi Iswanti Afelya;
Nurul Hidayah
Indonesian Contemporary Nursing Journal Volume 4 No. 2 Februari 2020
Publisher : Faculty of Nursing, Universitas Hasanuddin
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DOI: 10.20956/icon.v4i2.8434
Introduction: Diabetes Foot Ulcer (DFU) is one of the most common DM complications, due to several factors including lack of knowledge in foot care, maladaptive behaviors in preventing DFU, and inadequate of education to the community related to the detection of DFU. This study aimed to evaluate family knowledge in detecting the risk DFU in public health centres. Method: This is a quantitative research used descriptive research methods. The instrument used was a questionnaire that consisted of 10 question items. The sample in this study was 40 families and have been educated in the previous studies. Results: The result of this study stated that family knowledge related detection of risk of DFU more better in younger compare to elderly (25% vs 2.5%), and mainly house wife has a good ability in knowledge Conclusions: Family knowledge related to the detection of DFU consider good.
THE EFFECTIVENESS OF FOOT CARE EDUCATION VIDEO IN MAKASSAR LANGUAGE TO INCREASE PATIENTS’ KNOWLEDGE RELATED FOOT CARE IN COMMUNITY
Emilia Hamzah;
Saldy Yusuf;
Titi Iswanti Afelya
Journal of Nursing Science Update (JNSU) Vol. 8 No. 1 (2020)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya
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DOI: 10.21776/ub.jik.2020.008.01.5
Uncontrolled Diabetes Mellitus (DM) causes chronic complications, such as Diabetic Foot Ulcers (DFU). This complication could be prevented by foot care education using video. However, in terms of providing this information, the delivery technique using the language approach is one that needs attention, especially for people with Diabetes Mellitus who spoke traditional languages. This study was pre-experimental quantitative research with a one-group pretest-posttest design. The instrument used in this research were 10 question items questionnaire and a foot care education video lasted 5 minutes 15 seconds. The results revealed that 36.7% of respondents showed good knowledge, 56.7% moderate knowledge, and 6.7% poor knowledge. Meanwhile, after providing education, respondents having a good knowledge increase to 90%, respondents having moderate knowledge increase to 10%, and no respondent having poor knowledge. In conclusion, there is a significant improvement in the foot care of patients with DFU after receiving an educational video with traditional languages. Therefore, the strategy of providing video education using traditional language needs to be integrated into the promotive program.
Hubungan Pengetahuan dengan Perilaku Diet Hipertensi: Relationship between Knowledge and Hypertension Diet Behavior
Fitriani;
Titi Iswanti Afelya;
Syahrani Hikmatullah Syam;
Dg Mangemba
Lentora Nursing Journal Vol. 4 No. 1 (2023): Oktober
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu
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DOI: 10.33860/lnj.v4i1.3079
Introduction: Behavior is an important component of individual success in improving their health status. Dietary behavior for hypertensive patients is one of the efforts recommended by health workers to stabilize blood pressure. Knowledge is very influential on hypertensive patients in carrying out dietary compliance. Objective: To determine the relationship between knowledge and hypertension diet behavior. Methods: Descriptive research type, correlation method with cross sectional approach. The study population was hypertensive patients with a total sample of 83 selected by purposive sampling technique. Data collection using a questionnaire. Results: The results showed that there was a relationship between knowledge and hypertension diet behavior with a p-value of 0.006. Conclusion: There is a relationship between knowledge and hypertension diet behavior. The research suggestion is that further research be carried out to discuss hypertensive diet behavior in more depth with observation.
Hubungan Pengetahuan Dengan Perilaku Diet Hipertensi: Relationship between Knowledge and Hypertension Diet Behavior
Fitriani;
Afelya, Titi Iswanti;
Syam, Syahrani Hikmatullah;
Mangemba, Dg.
Lentora Nursing Journal Vol. 4 No. 1 (2023): Oktober
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu
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DOI: 10.33860/lnj.v4i1.3475
Latar Belakang: Perilaku merupakan komponen penting keberhasilan individu dalam meningkatkan status kesehatannya. Perilaku diet bagi pasien hipertensi merupakan salah satu upaya yang dianjurkan petugas kesehatan untuk menstabilkan tekanan darah. Pengetahuan sangat berpengaruh pada pasien hipertensi dalam menjalankan kepatuhan diet. Tujuan: Untuk mengetahui hubungan pengetahuan dengan perilaku diet hipertensi. Metode: Jenis penelitian deskriptif, metode korelasi dengan pendekatan cross sectional. Populasi penelitian adalah pasien hipertensi dengan jumlah sampel 57 yang dipilih dengan teknik purposive sampling. Pengumpulan data dengan menggunakan kuisioner. Hasil: Hasil penelitian menunjukkan ada hubungan pengetahuan dengan perilaku diet hipertensi dengan nilai p-value 0,006. Kesimpulan: Terdapat hubungan pengetahuan dengan perilaku diet hipertensi. Saran penelitian yaitu agar dilakukan penelitian selanjutnya dapat membahas lebih dalam tentang perilaku diet hipertensi dengan observasi.
EXPLORATION OF SELF MANAGEMENT OF HYPERTENSION PATIENTS IN THE CITY OF JAYAPURA
Fitriani;
Titi Iswanti Afelya
Journal of Islamic Nursing Vol 8 No 2 (2023): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar
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DOI: 10.24252/join.v8i2.41364
Abstract Introductions : Hypertension is an asymptomatic chronic disease that can lead to complications and death. To control hypertension, patients can do pharmacological or non-pharmacological treatment. In non-pharmacological treatment, patients can make lifestyle changes in daily behavior, so that patients are responsible for themselves, which is called self management. The application of self management can reduce the risk of complications in patients. Aims : This study aims to identify Self Management in patients with hypertension. Methode : The research method is an analytic survey with a cross sectional study design. Identification of self management of hypertension patients using the Hypertension Self Management Behavior Questionaire (HSMBQ). The research sample was hypertension patients at Jayapura City Hospital selected by simple random sampling. The results of this study indicate that self management of hypertension patients is in the good category. Good self management can help patients manage their disease and improve their quality of life. Keywords: Hypertension, Self Management.
Edukasi Kesehatan Tentang Manajemen Nyeri Di Kota Jayapura: Health Education About Pain Management in Jayapura City
Fitriani, Fitriani;
Afelya, Titi Iswanti
Jurnal Pengabdian Masyarakat Lentora Vol. 3 No. 1 (2023): SEPTEMBER 2023
Publisher : Jurusan Keperawatan Politeknik Kesehatan Kementerian Kesehatan Palu
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DOI: 10.33860/jpml.v3i1.3319
Latar Belakang : Nyeri merupakan hasil sensasi yang penting bagi tubuh yaitu pengalaman sensorik dan emosional yang tidak menyenangkan berkaitan dengan kerusakan jaringan atau dijelaskan dalam istilah seperti kerusakan. Meskipun nyeri biasanya dialami sebagai ketidaknyaman dan ketidak inginan, nyeri juga memberikan peran perlindungan, memberi peringatan terhadap kemungkinan kondisi yang mengancam kesehatan. Salah satu pelayanan yang dapat diberikan untuk mengatasi permasalah nyeri yang dialami oleh seseorang adalah dengan menajemen nyeri. Hal ini menjadi dasar dirancangnya kegiatan pengabdian ini melalui edukasi terkait manajemen nyeri di Kota Jayapura. Tujuan : Kegiatan Pengabdian ini bertujuan untuk meningkatkan pengetahuan peserta tentang manajemen nyeri dalam mengurangi respon nyeri yang dialami. Metode : Kegiatan Pengabdian dilaksanakan dengan metode edukasi menggunakan media serta diskusi dengan peserta. Kegiatan dilakukan dengan pre test dan post test untuk menilai tingkat keberhasilan kegiatan. Hasil : Pengetahuan peserta tentang manajemen nyeri setelah dilaksanakan edukasi semakin meningkat dimana kategori pengetahuan baik sebelum intervensi berjumlah 40 orang dan setelah diberikan edukasi menjadi 52 orang. Kesimpulan : Kegiatan edukasi kesehatan tentang manajemen nyeri untuk membantu peserta dalam mengelola nyeri berhasil, dimana pengetahuan peserta tentang manajemen nyeri meningkat. kegiatan tentang edukasi dapat dilanjutkan bukan hanya terbatas pada penyuluhan namun dilengakpi dengan pelatihan yang dapat memberikan keterampilan mandiri kepada masyarakat dalam menerapkan manajemen nyeri secara non farmakologi