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The Influence of the Four Pillars of Diabetes Mellitus Control on Complications in Diabetes Mellitus Patients Endrian Mulyadi Justitia Waluyo; Diki Arif Hidayat; Dedi Supriadi; Andan Firmansyah; Iif Taufiq El Haque
Jurnal Vocational Nursing Sciences (VNUS) Vol 1 No 2 (2019): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (393.509 KB) | DOI: 10.52221/jvnus.v1i2.158

Abstract

There needs to be an effort in the management of Diabetes mellitus to keep blood sugar levels as close to normal as possible to prevent complications. Diabetes mellitus control can be done through four pillars, namely education, medical nutrition therapy, physical exercise, and pharmacological intervention. According to data from the District Health Office. Ciamis in 2019 there were 305 people suffering from diabetes mellitus in Kawali sub-district. The purpose of the study was to determine the effect of the four pillars of diabetes mellitus control on the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district. This research is a descriptive-analytic study using a cross-sectional approach. Samples were taken using the purposive sampling method as many as 30 respondents. Data were collected using questionnaires and observation sheets. Data analysis used the Chi-Square test with a 95% confidence level. The results showed that 83% of respondents had a good level of education, 60% had appropriate medical nutrition therapy settings, 60% did not do physical exercise, and 66.7% adhered to pharmacological interventions. The results of statistical tests showed that there was a relationship between the pillars of education, medical nutrition therapy, and pharmacological intervention with the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district. There is no relationship between physical exercise and the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district     
Nurse competence in using the Glasgow Coma Scale in the emergency installation room of hospital Waluyo, Endrian Mulayady; Kusumawaty, Jajuk; Nurapandi, Adi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 1: June 2020
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (99.181 KB) | DOI: 10.30604/jika.v5i1.253

Abstract

The Glasgow Coma Scale technique is used by nurses and health care professionals to facilitate assessment documentation of the consciousness scale. A consciousness assessment needed in patients with neurological problems and injuries. The Glasgow Coma Scale is also needed to determine clinical decisions in the hospital emergency unit. The purpose of this study is to assess the nurses' ability in the Emergency Installation room who already have an emergency training certificate and to analyze the factors that influence the emergency nurses' competence about the Glasgow Coma Scale at the Emergency Installation room of Government General Hospital.  The method used is descriptive-analytic with the chi-square relationship test approach and the samples were taken based on total sampling, namely all nurses in Emergency Installation as many as 73 people spread across three hospitals in West Java. The sample has nurses' inclusion criteria who have emergency department training certificates and served in the Emergency Installation. Exclusion criteria were nurses who served structurally (head of the room and deputy head of the room) and were not on duty. The results showed that nurse competence was influenced by nurses' age and years of service. In conclusion, the Glasgow Coma Scale instrument has an important role in the emergency room so, it needed the same benchmarks between the hospital and the training which was followed by nurses. The recommendations based on this research are the need for standard benchmarks and modification of the Glasgow Coma Scale Instrument to make it easier to use and remain accurate as a predictor of death.  Kompetensi perawat dalam menggunakan Glasgow Coma Scale di ruang instalasi darurat rumah sakitAbstrak: Teknik Glasgow Coma Scale digunakan oleh perawat dan tenaga medis kesehatan untuk memudahkan pendokumentasian penilaian skala kesadaran, penilaian kesadaran dibutuhkan pada pasien permasalahan neurologis dan cedera. Glasgow Coma Scale  juga diperlukan untuk menentukan keputusan klinis pada unit gawat darurat di rumah sakit. Tujuan dari penelitian, yaitu menilai kemampuan perawat di ruangan Instalsi Gawat Darurat  yang sudah memiliki sertifikat pelatihan gawat darurat dan menganalisa faktor-faktor yang mempengaruhi kompetensi perawat gawat darurat tentang Glasgow Coma Scale  di  Instalasi Gawat Darurat Rumah Sakit Umum Pemerintah. Metode yang digunakan adalah deskriptif analitik dengan pendekatan uji hubungan chi square dengan sampel  diambil berdasarkan total sampling yaitu seluruh perawat Instalsi Gawat Darurat  sebanyak 73 orang yang tersebar di tiga rumah sakit di Jawa Barat. Sampel memiliki kriteria inklusi perawat yang memiliki sertifikat pelatihan gawat darurat dan bertugas di Instalsi Gawat Darurat  Kriteria  eksklusi yaitu perawat yang menjabat struktural (kepala ruangan dan wakil kepala ruangan) dan sedang tidak bertugas. Hasil penelitian menunjukan bahwa kompetensi perawat dipengaruhi oleh usia dan masa kerja perawat. Kesimpulan instrument Glasgow Coma Scale  memiliki peranan penting di ruang unit gawat darurat sehingga di perlukan tolak ukur yang sama antara rumah sakit dan pelatihan yang di ikuti oleh perawat. Rekomendasi berdasarkan penelitian ini yaitu perlu tolak ukur yang baku dan modifikasi Instrument Glasgow Coma Scale  agar lebih mudah di gunakan dan tetap akurat sebagai prediktor kematian.
The Relationship Between Diet and Gastritis in Adolescents Irpan Ali Rahman; Adi Nurapandi; Endrian Mulyadi Justitia Waluyo; Rudi Kurniawan; Ginda Risgia
Jurnal Vocational Nursing Sciences (VNUS) Vol 4 No 2 (2022): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v4i2.151

Abstract

Gastritis is a digestive tract problem that is most often found in daily life and a health problem that is often encountered. Habits of poor eating and consuming unhygienic food are risk factors for gastritis. Irregular eating patterns are caused by busy teenagers who are outside the home. The impact of gastritis can interfere with the patient's daily activities. Objective: This study aims to determine the relationship between diet and the incidence of gastritis in adolescents in the Work Area of the Cigugur Public Health Center, Pangandaran Regency in 2021. Methods: The research method used is a quantitative analysis using a cross-sectional approach. The population in this study were all adolescents aged 16-19 years in the Work Area of the Cigugur Health Center, Pangandaran Regency as many as 4,798 people. Samples were taken using the proportional random sampling technique to obtain a sample of 98 people. Results: The results of the study showed that the diet in adolescents, most of the respondents, namely 60 people (61.2%) had a bad diet, and the incidence of gastritis in adolescents, most of the respondents 56 people (57.1%) had gastritis and there was a relationship between the pattern of eating with the incidence of gastritis in adolescents because the value of > value (0.05 > 0.000) Conclusion: There is a significant relationship between diet and the incidence of gastritis in adolescents
The Effect of Implementing Self-Management Education for Patients with Diabetes Mellitus in Controlling Blood Glucose Levels Rudi Kurniawan; Endrian Mulyadi Justitia Waluyo; Yanti Srinayanti; Ninik Yunitri; Syamsul Anwar; Lily Herlinah
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3167

Abstract

With the increasing prevalence of diabetes mellitus, patient self-management education is an important concern. The aim of this study was to determine the effect of community-based self-management education on blood glucose levels in patients with diabetes mellitus. Method this study used a quasi-experimental design through a group pre-test and post-test design. The sampling technique was through convenience sampling, which amounted to 31 respondents. Data analysis includes univariate analysis, namely analysis of demographic data, and bivariate analysis to determine the effect of self-management education on lowering blood glucose levels using paired sample t-test. The results of the paired simple t-test with p-value <0.05 showed that there was a significant effect of self-management education on reducing blood glucose levels, knowledge level, behavior, visits to health facilities and medication adherence. However, there was no effect of self-management education on BMI. Conclusion Community-based self-management education has a significant effect on reducing blood glucose levels in patients with diabetes mellitus in the Ciamis Health Center working area.
Analisis Pemberdayaan Masyarakat Di Bidang Kesehatan Masyarakat Desa Sirnabaya Kecamatan Rajadesa Jawa Barat Endrian Mulyady Justitia Waluyo; Jajuk Kusumawaty; Elis Noviati; Lilis Lismayanti; Adi Nurapandi
Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 2 (2023): Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat (Juli-Desember 2023)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/daipkm.v1i2.390

Abstract

Introduction: The results of the study in Sirnabaya Village have problems with stunting and non-communicable diseases (Hypertension and Diabetes Mellitus) and waste management. Based on the results of the ranking of community problems, there are problems regarding readiness to improve health management: knowledge of mothers who have toddlers, Ineffective health management: adolescent reproductive health, readiness to increase community coping: increased knowledge of tasks in family development stages in the community, readiness to improve community health management of couples of childbearing age. Objective: The purpose of this service was community empowerment in Sirnabaya aims to improve health status. Method: community empowertment used is the method of counseling or lectures and demonstrations or practice. Result: The results are to train children's motor skills, and increase knowledge about adolescent health, couples of childbearing age, families, and the elderly. The results of knowledge on the average increase, especially in the elderly. Conclusion empowering the Sirnabaya community is to increase the knowledge and skills of cadres in solving health problems to improve the health of the community.
Edukasi Pola Hidup Bersih dan Sehat Pada Lansia Untuk Meningkatkan Kualitas Hidup Lansia Di Dusun Landeuh Desa Sadananya Kecamatan Ciamis Jawa Barat Endrian Mulyady Justitia Waluyo; Riska Ayu Nur Azizah; Lenna Mahdalena
Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat Vol. 2 No. 1 (2024): Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat (Januari-Juni 2024)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/daipkm.v2i1.565

Abstract

Introduction: The elderly population in Indonesia in the next few years will increase. The proportion of elderly people is estimated to be ten percent of the total population. The screening results show that the Ciamis area, especially Sadana, has a significant elderly population and experiences problems where the elderly still smoke, then in Landeuh hamlet there are other problems such as septic tank ownership and waste management. Objective:This community service aims to increase the knowledge of the elderly regarding the dangerous impacts of smoking, the impact of waste, and the impact of septic tanks. Method: This community service uses community nursing screening in Landeuh Sadananya hamlet, Ciamis Regency. The results of the screening netted 70 people. Counseling was carried out for the elderly, 56 people attended. The outreach media uses leaflets. Result: Shows an increase in knowledge, the average pre-test result is 47.8 while the post-test is 78 Conclusion: Leaflet media can be used for health education to effectively increase knowledge in the elderly
Effectiveness Of Rom Exercise In Minimizing Delirium In Stroke Patients At Ciamis Hospital MJW, Endrian; Prasetyo, Teguh; Supriadi, Dedi; Pauji Salam, Wulan Anugrah; Wahyudi, Deni
Asy-Syifa : Journal of Science and Technology Nursing Vol. 2 No. 1 (2024): Asy-Syifa: Journal Of Science and Technology Nursing (March 2024)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/asyjstn.v2i1.538

Abstract

Purpose: this study aims to determine the effectiveness of ROM in minimizing the occurrence of delirium in stroke patients at Ciamis Hospital. Methods: this study used a cohort study approach with the type of prospective cohort which was carried out for approximately 3 months. Results: the number of stroke patients with delirium obtained by the researchers was 14 people, the results of the Wilcoxon test analysis showed that there was no significant difference in the level of delirium in respondents before and after giving ROM to stroke patients with delirium with a p value of 0.180 > 0.05. Conclusions: the respondent's delirium level before doing ROM on average is hypoactive delirium, the respondent's delirium level after doing ROM is on average hypoactive delirium. and after ROM is done.  
Analysis of Sociodemographic Factors on Deprresion Levels in Stroke Patients Using Structural Equating Modelling (SEM) MJW, Endrian; Pratama Putra, Denden; Suhanda, Suhanda; Anugrah Pauji Salam, Wulan
Asy-Syifa : Journal of Science and Technology Nursing Vol. 2 No. 2 (2024): Asy-Syifa: Journal Of Science and Technology Nursing (September 2024)
Publisher : LPPM STIKes Muhammadiyah Ciamis

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

Abstract

Purpose: The purpose of this study is to analyze the sociodemographic factors that affect the level of depression in stroke patients. Methods: This research method employs a Prospective Cohort approach conducted over approximately 3 months. The population and sample in this study consist of 40 respondent stroke patients in the Mawar Ward of RSUD Ciamis. Sampling was carried out using the Purposive Sampling technique. Data collection was conducted using a questionnaire assessing the level of depression using the HDRS assessment with the Structural Equating Modelling (SEM) method. Results: This research was conducted from March to May 2023. The research results from 40 respondents revealed that 12 individuals experienced depression, with 8 having mild depression, 3 with moderate depression, and 1 with severe depression. The most dominant sociodemographic factors were age and educational level, with education obtaining an R-square value of 0.198 and age 0.032. Conclusions: The conclusion drawn from this research is that sociodemographic factors influencing the level of depression in stroke patients are age and educational level.
GAMBARAN TINGKAT KEMANDIRIAN LANSIA DALAM PEMENUHAN ACTIVITY DAILY LIVING DI PANTI WELAS ASIH SINGAPARNA TASIKMALAYA NOVIATI, ELIS; Mulyady, Endrian; Kurniawan, Rudi; Kurniawan, Efik
Jurnal Keperawatan Sriwijaya Vol. 11 No. 1 (2024): Vol 11, No 1 (2024)
Publisher : Bagian Keperawatan Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jks.v10i1.254

Abstract

Tujuan: Untuk menilai tingkat kemandirian lansia di Panti Welas Asih Singaparna Tasikmalaya dalam melakukan aktivitas kehidupan sehari-hari. Metode: Metode penelitian ini adalah menggunakan metode deskriptif kuantitatif. Teknik sampel yang digunakan dalam penelitian ini adalah total sampling dengan jumlah sampel sebanyak 31 lansia yang tinggal di Panti Welas Asih Tasikmalaya. Penelitian ini dilakukan pada bulan Juni 2023. Instrumen penelitian menggunakan kuesioner. Hasil: Hasil penelitian ini menunjukkan kategori mandiri yaitu 7 orang (22,6%), tergantung paling ringan yaitu 2 orang (6,5%), tergantung ringan yaitu 6 orang (19,4%), tergantung sedang yaitu 4 orang (12,9%), tergantung berat yaitu 4 orang (12,9%), tergantung paling berat yaitu 4 orang (12,9%), dan tergantung total yaitu 4 orang (12,9%). Simpulan: Tingkat kemandiran ADL di Panti Welas Asih Singaparna Tasikmalaya memiliki kategori mandiri yaitu 7 orang (22,6%), sedangkan sisanya sebanyak 24 orang (77,4%) tergolong kedalam kategori ketergantungan dengan kategori ketergantungan paling ringan sampai ketergantungan total.
Hubungan Aktivitas Fisik Dengan Derajat Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Cipaku Kabupaten Ciamis Widyanisya, Intan Niki; Rahman, Irpan Ali; Supriadi, Dedi; MJW, Endrian; Fauziah, Diny Nur
Prosiding Seminar Nasional Unimus Vol 7 (2024): Transformasi Teknologi Menuju Indonesia Sehat dan Pencapaian Sustainable Development G
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Abstrak Hipertensi merupakan kondisi di mana tekanan darah meningkat melebihi batas normal. Gaya hidup yangbisa menyebabkan hipertensi meliputi merokok, pola makan, kebiasaan tidur dan dan aktivitas fisik.Aktivitas fisik memiliki peran yang sangat penting, terutama bagi orang lanjut usia. Dengan beraktivitasfisik, lansia dapat menjaga dan bahkan meningkatkan kondisi kesehatannya. Namun, karena keterbatasanfisik yang muncul seiring bertambahnya usia serta perubahan dan penurunan fungsi fisiologis, lansia perlumelakukan beberapa penyesuaian dalam menjalankan aktivitas fisik sehari-hari. Penelitian ini bertujuanuntuk mengetahui hubungan antara aktivitas fisik dan tingkat hipertensi pada lansia di wilayah PuskesmasCipaku, Kabupaten Ciamis. Menggunakan metode deskriptif analitik dengan pendekatan cross sectional.Sampel yang diambil berjumlah 99 orang dengan teknik proporsional random sampling. Hasil penelitianmenunjukan bahwa aktivitas fisik lansia frekuensi tertinggi pada kategori aktivitas kurang sebanyak 53orang (58,9%), derajat hipertensi pada lansia frekuensi tertinggi pada kategori hipertensi tingkat I sebanyak50 orang (55,6%), dan terdapat hubungan yang signifikan aktivitas fisik dengan derajat hipertensi padalansia, karena nilai signifikansi atau sig (2-tailed) antara variabel aktivitas fisik dan kejadian hipertensiadalah 0,000<0,05. Diharapkan hal ini dapat diterapkan dalam kehidupan sehari-hari, dengan memperbaikipola hidup dan melakukan aktivitas fisik yang cukup untuk mencegah peningkatan kejadian hipertensi.Kata Kunci : Aktivitas fisik, Hipertensi, Lansia