Anita Joeliantina
Department Of Nursing, Politeknik Kesehatan Kemenkes Surabaya Anita@poltekkesdepkes-sby.ac.id (Corresponding Author)

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A literature review of complementary and alternative medicine used among diabetes mellitus patients Anita Joeliantina; Oedojo Soedirham; Mangestuti Agil; M. Bagus Qomaruddin; Kusnanto Kusnanto
International Journal of Public Health Science (IJPHS) Vol 8, No 2: June 2019
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.147 KB) | DOI: 10.11591/ijphs.v8i2.16537

Abstract

Diabetes is a chronic disease that requires regular and sustainable health management that involves proper treatment. Some diabetic patients use CAM, as well as conventional medicine, to maintain their health and control their blood sugar. This literature review aimed to 1) determine the prevalence of CAM used by patients with diabetes, summarize and evaluate the CAM use that includes: characteristics, patterns, types and reasons, 2) propose a conceptual model associated with CAM used by patients with diabetes. Systematic reviews were searched using an electronic database. The systematic reviews were published between 2005 and 2015 by using specific keywords. The number of systematic reviews obtained as a search result is 14 articles from 14 countries. The prevalence of CAM used by patients with diabetes ranged from 16.6% to 76%. Determinants associated with the CAM use were age, gender, family income, occupation, residence, and the characteristics of the disease, such as the length of time since diagnosed and complications. Most patients used CAM, along with the conventional treatment, and did not inform health professionals about the CAM use. The CAM use by patients with diabetes was relatively high and the confidence of patients believed the benefits of CAM. Therefore, integration with health professionals to develop CAM management is highly required.
Complementary treatment to reduce blood sugar levels of type 2 diabetes mellitus patients Jujuk Proboningsih; Anita Joeliantina; Aida Novitasari; Dewi Purnamawati
International Journal of Public Health Science (IJPHS) Vol 9, No 3: September 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v9i3.20434

Abstract

Diabetes mellitus is a chronic disease that requires long-term management. There is a tendency in type 2 diabetes mellitus patients to use herbs as a complement to medical treatment. The purpose of this study was to analyze the use of herbs as a complement to medical treatment in reducing blood sugar levels of T2DM patients. This type of research is quasi-experimental, with 40 research subjects divided into 4 groups. Determination of research subjects by purposive sampling in accordance with established inclusion criteria. Data analysis using paired T test. The majority of respondents was women (77.5%) and had no genetic history (75%). The duration of type 2 diabetes mellitus  majority was >5 years 72.5%). Data on random blood sugar levels before (p=0.098) and after (p=0.113) intervention were normally distributed and homogeneous p>0.05 (0.839). The treatment group (groups 2, 3, and 4) showed a significant decrease in random blood sugar levels as the control group (1) with a significance value <0.05. Giving herbs has a tendency to reduce random blood sugar levels when used as a complement to medical treatment. Bitter melon shows the effect of decreasing random blood sugar levels greater than the provision of bay leaves and cinnamon.
The health beliefs of patient with type 2 diabetes mellitus who use herbs as a complement to self-care Anita Joeliantina; Hepta Nur Anugrahini; Jujuk Proboningsih
International Journal of Public Health Science (IJPHS) Vol 10, No 2: June 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i2.20729

Abstract

Diabetes mellitus type 2 patients who have a tendency to use herbs, are based on the patient's health belief that herbal medicine is a natural ingredient that has efficacy and is safe. This study aimed to explore health beliefs as predictors of herbal use as a complement to diabetes self-care. A cross-sectional study was conducted on 230 patients with type 2 diabetes mellitus who had been clinically diagnosed, received medical treatment and used herbs. The data was collected using a questionnaire at seven community health centers (Puskesmas) in Surabaya City. Data analysis using Partial Least Square. The indicator of health belief variables has a loading factor value>0.5: perceived vulnerability and severity (0.820), perceived benefits (0.739), perceived barriers (0.822), sense of self-efficacy (0.695). Health beliefs have a significant effect on the use of herbs as a complement to diabetes self-care, the value of T>1.97 (T>10.07). Health beliefs consisting of perceived vulnerability and severity, perceived benefits, perceived inhibition, and perceived self-efficacy were strong predictors associated with the use of herbs as a complement to diabetes self-care. Nurses as part of health workers must pay attention to patient health beliefs in providing education to patients.
Responses of Diabetes Mellitus Patients Who Used Complementary Medicine Anita Joeliantina; Mangestuti Agil; M. Bagus Qomaruddin; Arijanto Jonosewojo; Kusnanto Kusnanto
International Journal of Public Health Science (IJPHS) Vol 5, No 4: December 2016
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.051 KB) | DOI: 10.11591/ijphs.v5i4.4831

Abstract

Diabetes Mellitus as a chronic disease tend to seek appropriate medical treatment to heal the condition. Health-seek searched can be either medical treatment or Complementary and Alternative Medicine. This study explored deeply on the response of diabetes mellituspatients who visited to Indonesian Traditional Medicine Polyclinic on Regional Public Hospital dr. Soetomo Surabaya in using complementary medicine. This study used qualitative study with phenomenological method approach. The focus of this study was diabetes mellitus patients who use complementary medicine. Nine participants were selected based on purposive sampling method with certain criteria. Data collection used was in-depth interview and field note. Data analysis used thematic content analysis. Determining five themes that correspond with the purpose of study and a new theme. Some themes were psychological response after being diagnosed diabetes mellitus, opinion on the diabetes mellitus disease, complementary medicine usage patterns, reasons, the response after the use of complementary medicine, and family support. As a chronic disease, patients need proper treatment and conduct it continuously. Healer shopping was often taken by diabetes mellituspatients. It was required cooperation between patients and health professionals to monitor the behavior in order to achieve the effectiveness of medical treatment.
Self-Efficacy of Patients with Type 2 Diabetes Mellitus Who Consume Herbs Anita Joeliantina
Health Notions Vol 5, No 07 (2021): July
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50703

Abstract

Diabetes mellitus (DM) is a chronic disease with metabolic disorders characterized by hyperglycemia that can cause it. Self-efficacy is a factor that contributes to preventing complications. This study aims to explore self-efficacy in managing blood sugar levels in patients with DM. This study was a cross sectional study, with a sample size of 125 T2DM patients who used herbs and carried out controls to the public health center in Surabaya. The instrument used for data collection was a questionnaire. The data analysis used was descriptive analysis and Spearman analysis. The self-efficacy value obtained was 52% having low self-efficacy. Patients with DM, had a low self-efficacy regarding dietary management (59.2%) and the use of herbs as a complement to treatment was high (80%). There was a relationship between self-efficacy of eating management, physical activity, and herbal use with random blood sugar levels, with p-values of 0.017, 0.023, and 0.040, respectively. Self-efficacy is an important part that can support the success of T2DM patients in managing blood sugar levels. T2DM patients who use herbs have low self-efficacy, which has the potential to reduce self-care behavior. Nurses must support patients in self-care by paying attention to patient self-efficacy. Keywords: self-efficacy; diabetes mellitus; use of herbs
Self-Care Behavior in Diabetes Mellitus Patients Using Herbals as a Complement to Treatment Anita Joeliantina; Hepta Nur Anugrahini
Health Notions Vol 4, No 10 (2020): October
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn41004

Abstract

Diabetes mellitus (DM) is a chronic disease that requires treatment or management in the long term. DM patients have a tendency to seek other treatment besides medical treatment. The use of herbs is one of the choices for DM patients in complementing self-care, especially in the treatment component. This study aims to explore in depth about self-care behavior in DM patients who use herbs as a complement to medical treatment. This study used a qualitative design with a phenomenological method approach. Participants were determined by purposive sampling technique as many as 9 participants. Data collection was carried out in August and October 2015 with in-depth interview techniques. Data analysis using Interpretative Phenomenological Analysis. The data validation was done by using triangulation technique. There are three themes generated in this study, namely: 1) reasons for going to health services, 2) patient expectations after being diagnosed with diabetes, and 3) diabetes self-care. DM patients who have a tendency to use herbs as a complement to medical treatment must continue to carry out self-care regularly so that their blood sugar levels are controlled. The pattern of diabetes self-care behavior needs the attention of health workers, so that DM patients continue to carry out self-care regularly when using herbs as a companion to medical treatment. Keywords: diabetes mellitus; herbs; self-care
Communication, Information, Education (Cie) To The Community About Utilization Of Family Medicine Plants For Patients With Diabetes Mellitus: Komunikasi, Informasi, Edukasi (Kie) Pada Masyarakat Tentang Pemanfaatan Tanaman Obat Keluarga (Toga) Untuk Pasien Diabetes Melitus Anita Joeliantina
Jurnal Pengabdian Masyarakat Kesehatan Vol. 8 No. 1 (2022): JPM | Maret 2022
Publisher : LPPM - STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jpm.v8i1.925

Abstract

Diabetes Melitus (DM) merupakan kelompok penyakit metabolik dengan karakteristik hiperglikemia dan harus melakukan self-care dalam waktu yang lama. Tujuan pengabdian kepada masyarakat ini adalah menerapkan metode Komunikasi, Informasi, dan Edukasi (KIE) untuk meningkatkan pengetahuan dan keterampilan kader kesehatan tentang pemanfaatan Tanaman Obat Keluarga (TOGA/herbal) sebagai pelengkap pengobatan pasien DM untuk meningkatkan regulasi kadar gula darah. Metode yang digunakan adalah penerapan KIE dengan memberikan modul pemanfaatan TOGA (herbal) untuk pasien DM pada kader kesehatan. Peserta pengabdian kepada masyarakat ini adalah kader kesehatan di wilayah Puskesmas Tambak Rejo Surabaya dengan jumlah 50 orang. Pengabdian kepada masyarakat dilaksanakan secara daring selama 2 hari yaitu hari Selasa - Rabu, tanggal 24 – 25 Agustus 2021 melalui ruang zoom.  Pengukuran pengetahuan menggunakan analisis deskriptif yaitu perubahan nilai dan rerata sebelum dan sesudah penerapan metode KIE. Jenis kelamin peserta mayoritas adalah perempuan, merupakan kader Posbindu atau Posyandu Lansia. Rerata nilai sebelum dilakukan edukasi adalah 71 dan setelahnya adalah 88. Terdapat perubahan pengetahuan dari para kader setelah mendapatkan informasi melalui metode KIE. Pada kegiatan ini kader kesehatan telah berpartisipasi secara aktif dalam proses pelaksanaan pengabdian kepada masyarakat. Tenaga Kesehatan harus memberikan informasi yang tepat dan berkelanjutan tentang pemanfaatan TOGA atau herbal kepada kader kesehatan
The Behavior of Patients with Type 2 Diabetes Mellitus in Monitoring Blood Glucose Levels and Foot Care: A Cross-sectional, Community-Based Study Anita Joeliantina; Jujuk Proboningsih; Hepta Nur Anugrahini; Joylyn L. Mejilla
International Journal of Advanced Health Science and Technology Vol. 2 No. 2 (2022): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v2i2.9

Abstract

Hyperglycemia in patients with Diabetes Mellitus (DM) can lead to complications such as diabetic foot ulcers. Therefore, efforts are needed to prevent this chronic complication through proper foot care. This study aimed to determine the behavior of patients with type 2 diabetes mellitus (T2DM) in performing blood glucose monitoring and correct foot care. This study is a descriptive cross-sectional study, with a sample size of 125 patients with T2DM from the Community Health Center in Surabaya Indonesia. Data was collected with the use of a self-made questionnaire from May to October 2018. The variables of the study were patient characteristics, random blood glucose levels, blood glucose monitoring and foot care skills. The data analysis used was Spearman rho to determine the factors associated with foot care behaviors.  Fifty-six percent (56%) of the participants have poor behavior on foot care, 36 % have moderate and only 7.2% have good.  Factors that were significantly associated with foot care behavior were signs and symptoms (p = 0.023), blood glucose monitoring (p = .000), and random blood glucose levels (p = 0.040). The behaviors of patients with T2DM in blood glucose monitoring and foot care need to be improved to prevent complications from diabetic foot ulcers. Nurses must provide health education about the importance of regular foot care to patients and their families. The results of this study can be used to further improve the programs and services to prevent DM and delay the progression of chronic complications like diabetic foot ulcers at the community level.
PERILAKU PERAWATAN KAKI PADA PASIEN DIABETES MELITUS FOOT CARE BEHAVIOR IN DIABETES MELLITUS PATIENTS Dhesinta Suryandari; Anita Joeliantina
JURNAL KEPERAWATAN Vol. 14 No. 1 (2020)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.852 KB)

Abstract

Diabetes melitus adalah penyakit metabolik dengan karakteristik hiperglikemi yang terjadi karena kelainan sekresi insulin. Dampak diabetes melitus dengan komplikasi kronis jaringan perifer kaki adalah kaki diabetik Tujuan penelitian ini untuk mengetahui pengetahuan, sikap, dan tindakan perawatan kaki pada pasien diabetes melitus di wilayah kerja Puskesmas Tanah Kali Kedinding Surabaya. Jenis penelitian merupakan penelitian deskriptif. Pengumpulan data menggunakan teknik purposive sampling dengan jumlah sampel 27 pasien di wilayah kerja Puskesmas Tanah Kali Kedinding Surabaya pada bulan Februari – April Tahun 2019. Penelitian ini dilakukan dengan pengisian lembar kuesioner sesuai pernyataan subyektif responden. Hasil penelitian menunjukkan bahwa sebagian besar (52%) memiliki pengetahuan cukup, sebagian besar memiliki sikap positif (78%), dan sebagian besar memiliki tindakan melakukan (56%) dalam perawatan kaki diabetik, mengenali tanda ulkus diabetik, dan melakukan senam diabetik. Petugas pelayanan kesehatan diharapkan tetap melaksanakan program pendidikan kesehatan mengenai perawatan kaki pada pasien diabetes melitus untuk meningkatkan pengetahuan, sikap, dan tindakan sehingga dapat melakukan perawatan kaki yang baik, mengenali tanda ulkus diabetik, serta melakukan senam kaki diabetik secara rutin Kata kunci: diabetes melitus, perawatan kaki
KEPATUHAN PELAKSANAAN PROTOKOL KESEHATAN COVID-19 DI DESA TIKUSAN BOJONEGORO padolipdl; Ayu Novita Febriyanti; Anita Joeliantina
JURNAL KEPERAWATAN Vol. 15 No. 1 (2021)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v15i1.59

Abstract

Abstrak COVID-19 merupakan penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). WHO menetapkan bahwa COVID-19 merupakan suatu “pandemi global”. Penambahan kasus COVID-19 terjadi setiap harinya. Upaya pemerintah untuk menurunkan angka kejadian COVID-19 yaitu dengan menetapkan kebijakan untuk wajib melaksanakan protokol kesehatan COVID-19 guna pencegahan dan pengendalian angka penyebaran COVID-19. Kebijakan ini harus dipatuhi dan diterapkan sepenuhnya oleh masyarakat. Tujuan penelitian ini yaitu untuk mengetahui kepatuhan masyarakat desa Tikusan terhadap protokol kesehatan COVID-19. Jenis penelitian ini yaitu deskriptif dengan pendekatan cross sectional dan menggunakan teknik quota sampling dengan jumlah sampel 170 orang. Pengumpulan data dilakukan pada bulan April 2021 dengan kuesioner yang dibuat sendiri oleh peneliti yang telah melewati uji validitas reliabilitas. Hasil penelitian didapatkan bahwa kepatuhan masyarakat dalam memakai masker sebagian besar (61%) patuh, kepatuhan masyarakat dalam mencuci tangan sebagian besar (55%) patuh dan kepatuhan masyarakat dalam menerapkan social distancing sebagian besar (51%) patuh. Masyarakat diharapkan meningkatkan kepatuhan terhadap protokol kesehatan COVID-19 agar angka penyebaran COVID-19 dapat berhenti dan angka kematian akibat COVID-19 dapat berkurang.   Kata kunci : Kepatuhan, Protokol Kesehatan COVID-19   ABSTRACT   COVID-19 is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). WHO has determined that COVID-19 is a "global pandemic". Additional cases of COVID-19 occur every day. The government's effort to reduce the incidence of COVID-19 is by establishing a policy to implement the COVID-19 health protocol to prevent and control the spread of COVID-19. This policy must be fully complied with and implemented by the community. The purpose of this study was to determine the compliance of the Tikusan village community with the COVID-19 health protocol.This type of research is descriptive with a cross sectional approach and using a quota sampling technique with a sample size of 170 people. Data collection was carried out in April 2021 with a questionnaire that was made by researchers who had passed the validity and reliability test. The results showed that most of the community obedience in wearing masks (61%) obeyed, most of the community obedience (55%) obeyed and the community obedience in implementing social distancing mostly (51%) complied. The community is expected to increase compliance with the COVID-19 health protocol so that the spread of COVID-19 can stop and the death rate from COVID-19 can be reduced   Keywords : Compliance, Health Protocol for COVID-19