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Novita Kumalasari, Dian
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Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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STUDI KASUS: DIABETES MELITUS DISERTAI KOMPLIKASI CHRONIC KIDNEY DISEASE (CKD) DAN STROKE NON HEMORAGIK Wulansari, Esti; Novita Kumalasari, Dian
Journal Healthcare Education Vol. 1 No. 1 (2023): Volume 1 No. 1 2023
Publisher : Yayasan Healing and Healthcare Education

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Abstract

The number of patients suffering from Diabetes Mellitus in January - 2023 who were treated in Abimanyu Ward was 74 people. This research aims to obtain a picture and real experience in implementing nursing care for patients with Diabetes Mellitus accompanied by complications of Chronic Kidney Disease and Non-Hemorrhagic Stroke using the nursing process. This research method uses a descriptive method, while to complete the data it uses interviews, observation, physical examination and documentation studies. In providing nursing care, the author uses the nursing process which consists of assessment, nursing diagnosis, nursing planning, nursing implementation and evaluation. The research results showed that there were eight nursing problems that emerged. In theory, there are fifteen nursing diagnoses that appear in patients with Diabetes Mellitus, Chronic Kidney Disease (CKD) and Non- Hemorrhagic Stroke. Meanwhile, in the case, 3 diagnoses emerged that were in accordance with the theory, namely instability of blood glucose levels, risk of ineffective cerebral perfusion and risk of infection. And the diagnoses found in the case but not in theory were: noncompliance, hypervolemia, impaired tissue integrity, ineffective peripheral perfusion and disturbed sleep patterns. The conclusion of the research is that there are three nursing problems, the goals achieved are the risk of cerebral perfusion, while the goals partially achieved are instability of blood glucose levels and risk of infection.
STUDI KASUS: DIABETES MELITUS DISERTAI KOMPLIKASI CONGESTIVE HEART FAILURE (CHF) Supatmi, Supatmi; Novita Kumalasari, Dian; Wulandari, Anisa
Journal Healthcare Education Vol. 1 No. 1 (2023): Volume 1 No. 1 2023
Publisher : Yayasan Healing and Healthcare Education

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Abstract

The International Diabetes Federation (IDF) estimates that at least 463 million people aged 20-79 years in the world have diabetes in 2019, or the equivalent of a prevalence rate of 9.3% of the total population at the same age. Indonesia is ranked 7th among 10 countries with the highest number of DM sufferers, which is 10.7 million.The method used is descriptive method using case studies. The study was conducted in the Abimanyu Room, Panembahan Senopati Regional General Hospital using 1 participant with a Medical Diagnosis of Diabetes Mellitus accompanied by complications of Congestive Heart Failure (CHF) and with the main Nursing Diagnosis of Ineffective Breathing Pattern. After continuous nursing care for three days with good cooperation between the nurse and the patient and the patient's family, as well as with other health teams, it can be concluded that from the results of the study, there were seven nursing diagnoses that appeared in the patient, Mr. M. There are four problems in theory and cases. Two problems exist in theory but not in Mr. M. Three problems do not exist in theory but arise in the case of Mr. M. planning is made and determined according to the nursing problems that arise. The implementation of nursing care in collaboration with other health teams and the patient's family, with the evaluation results of the seven problems, three problems were resolved and four problems were partially resolved. Cconclusions from the nursing care that has been carried out on Mr. M with Diabetes Mellitus accompanied by complications of Congestive Heart Failure (CHF) was found seven nursing problems, out of seven nursing diagnoses three diagnoses were resolved, namely acute pain, sleep pattern disturbance, risk of infection. and there were four partially resolved diagnoses, namely ineffective breathing patterns, decreased cardiac output, unstable blood glucose levels, activity intolerance.
ANALISIS FAKTOR KEJADIAN STUNTING DI WILAYAH KERJA PUSKESMAS PUNDONG BANTUL YOGYAKARTA Purwaningsih, Eni; Pamungkasih, Wahyu; Hanifatun Fajria, Siti; Supatmi; Novita Kumalasari, Dian
Jurnal Riset Daerah Vol 24 No 3 (2024): JURNAL RISET DAERAH
Publisher : Badan Perencanaan Pembangunan Daerah Kabupaten Bantul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64730/jrdbantul.v24i3.119

Abstract

Stunting is a serious public health problem and reflects chronic malnutrition that occurs during a child's growth period. The Indonesian Nutrition Status Survey (SSGI) reported a stunting prevalence of 21.6% in 2022, a small decrease from 24.4% in 2021, but still above the 2024 target of 14%. In 2023, the prevalence will stabilize at around 21.5%. Stunting not only impacts a child's physical growth, but can also disrupt cognitive development and productivity in the future. To analyze factors in the incidence of stunting in children aged 0-5 years in the work area of ​​the Pundong Community Health Center, Bantul, Yogyakarta. Using a quantitative approach with a cross-sectional research design. The population of this study was stunted children aged 0-5 years who were registered at the Pundong Community Health Center, with samples taken by total sampling. This research involved 178 respondents, of which 78.1% experienced stunting, with 21.9% in the very short category. Most of the respondents were male (56.18%) and aged between 13-24 months (37.08%). Analysis shows that chronic energy deficiency (CED) in pregnant women is the dominant factor influencing the incidence of stunting (P < 0.05). Other influencing factors are early initiation of breastfeeding, exclusive breastfeeding, maternal education, and a history of anemia in pregnant women. Chronic Energy Deficiency in mothers during pregnancy is the dominant factor influencing the incidence of stunting in toddlers. Therefore, increasing understanding of pregnant women's nutrition is very important. Exclusive breastfeeding during the first six months of life is also crucial in preventing stunting. Integrated efforts to improve the nutritional status of pregnant women and education about nutrition during pregnancy and breastfeeding are needed to reduce stunting rates in Indonesia.
ANALISIS PERBANDINGAN KEPATUHAN KUNJUNGAN PASIEN HIPERTENSI TAHUN 2023 DAN 2024 DI PUSKESMAS PUNDONG BANTUL Supatmi; Pamungkasih, Wahyu; Pamungkasih, Eni; Novita Kumalasari, Dian
Jurnal Riset Daerah Vol 24 No 3 (2024): JURNAL RISET DAERAH
Publisher : Badan Perencanaan Pembangunan Daerah Kabupaten Bantul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64730/jrdbantul.v24i3.121

Abstract

Patient adherence to hypertension follow-up visits at Pundong Community Health Center is a primary concern in hypertension management. This study aims to analyze the comparison of patient adherence between 2023 and 2024 and identify factors influencing patient adherence. This research utilized a cross-sectional design with a quantitative approach. Data were collected from hypertension patient visit documentation at Pundong Community Health Center from January 2023 to August 2024. The sample was taken using purposive sampling, involving patients who had been diagnosed with hypertension. Variables analyzed included visit frequency and patient age. The results showed a decrease in the number of patients attending visits from 2023 to 2024, although patient adherence increased during this period. This study found no significant relationship between older age and adherence levels, despite many studies showing that older patients tend to have higher adherence, possibly due to increased health awareness. Factors such as knowledge about hypertension, family support, and access to healthcare facilities played significant roles in determining adherence. Key challenges identified include a lack of knowledge, difficulty in accessing care, and dissatisfaction with healthcare services. Despite the decrease in the number of visits from 2023 to 2024, patient adherence to hypertension treatment showed improvement, indicating the effectiveness of possible interventions. Older patients demonstrated better adherence, while issues such as lack of knowledge and difficulty accessing care still need to be addressed. Improving patient education, enhancing family support, and refining healthcare systems are essential steps to further enhance adherence and the overall management of hypertension.
HUBUNGAN ANTARA UMUR DAN JENIS KELAMIN DENGAN KEPATUHAN TERHADAP KUNJUNGAN KONTROL TEKANAN DARAH PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS PUNDONG BANTUL Novita Kumalasari, Dian; Supatmi; Purwaningsih, Eni; Pranawati, Erma
Jurnal Riset Daerah Vol 24 No 3 (2024): JURNAL RISET DAERAH
Publisher : Badan Perencanaan Pembangunan Daerah Kabupaten Bantul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64730/jrdbantul.v24i3.122

Abstract

As age increases, an individual's susceptibility to hypertension also rises. Individuals over the age of 60 have a higher risk of hypertension, with approximately 50-60% having blood pressure equal to or greater than 140/90 mmHg. Hypertension is more common in the elderly population. Data indicates that the prevalence of hypertension significantly increases after the age of 55, reaching 63.8% among those aged 75 and older in Indonesia. This study aims to explore and determine the relationship between age and gender with adherence to blood pressure control visits among hypertension patients in the Pundong Health Center area, Bantul. This research employs a quantitative study design with an observational analytical approach. The analysis used is the Pearson correlation test to assess the relationship between the dependent variables (age and gender) and the independent variable (adherence to visits). Data collected from 1,373 respondents at the Pundong Health Center indicate that there is no significant relationship between gender and adherence to control visits. Similarly, the results for age categories also show a P-value >0.005, indicating that age does not influence adherence to control visits among hypertension patients in Pundong. As age increases, the risk of hypertension rises, with around 50-60% of individuals over 60 experiencing high blood pressure. This study reveals that adherence to antihypertensive treatment varies based on age and gender.
Co-Authors Eni Purwaningsih Hanifatun Fajria, Siti Pamungkasih, Eni Pamungkasih, Wahyu Pranawati, Erma Supatmi Supatmi Supatmi Supatmi Wulandari, Anisa Wulansari, Esti