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All Journal Journal of Research in Social Science and Humanities Jurnal Multidisiplin Dehasen (MUDE)
Yanto Suryanto
Universitas Dehasen Bengkulu
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The Effect Of Education On Self-Confidence And Self-Care In Type Ii Diabetes Mellitus Patients In The Working Area Of The Batujaya Karawang Community Health Center Yanto Suryanto; Danur Azizah; Emi Pebriani; Ajeng Bela Dwi Pratiwi; Salma Salma
Journal of Research in Social Science and Humanities Vol 5, No 3 (2025)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jrssh.v5i4.547

Abstract

Diabetes Mellitus (DM) is a chronic disease that requires long-term management through lifestyle modification and adherence to therapy. Health education is an essential intervention to improve patients’ self-efficacy and self-care in supporting lifelong treatment. Good self-efficacy enhances patients’ confidence in managing their condition, while optimal self-care contributes to improved quality of life. This study aimed to determine the effect of education on self-efficacy and self-care among patients with Type 2 Diabetes Mellitus in the working area of Batujaya Primary Health Center, Karawang. This research employed a quantitative approach with a quasi-experimental method using a one-group pretest–posttest design. The sampling technique used was proportional purposive sampling, involving 32 respondents. The instruments used were the Diabetes Management Self-Efficacy Scale (DMSES) and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Data were analyzed using the paired t-test. The results showed an improvement in self-efficacy and self-care after the educational intervention. Statistical analysis revealed a p-value of 0.000 for self-efficacy and 0.000 for self-care (p 0.05), indicating a significant effect of education on self-efficacy and self-care among patients with Type 2 Diabetes Mellitus. It is recommended that primary health centers optimize continuous health education, counseling, and health promotion programs to enhance patients’ ability to manage their condition and improve their quality of life
Manajemen Keperawatan Paliatif Pada Pasien HIV/AIDS Dalam Meningkatkan Kepatuhan Terapi Antiretroviral (ARV): Studi Kasus Di Rumah Sakit Umum Kabupaten Empat Lawang Yanto Suryanto; Berlian Kando Sianipar; Rita S; Atifah Syahputri; Novia Afrini F; Nanda Adelia
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.11835

Abstract

HIV/AIDS is a chronic disease that causes a decline in the immune system and increases the risk of opportunistic infections as well as various physical, psychological, social, and spiritual problems that can affect adherence to antiretroviral (ARV) therapy. To describe the application of palliative nursing management in improving adherence to ARV therapy in HIV/AIDS patients. The study used a descriptive method with a case study approach on Mr. W, 25 years old, diagnosed with HIV/AIDS accompanied by Pulmonary Tuberculosis and suspected Toxoplasma Cerebri at Empat Lawang District Hospital. Data were collected through interviews, observations, physical examinations, and medical record documentation. Nursing problems were found in the form of nutritional deficits, activity intolerance, sleep pattern disturbances, anxiety, spiritual distress, and the risk of non-adherence to ARV therapy. Interventions were carried out through symptom management, health education, therapeutic communication, spiritual support, and family involvement. After the intervention, the patient showed an improvement in physical condition, decreased anxiety, and increased motivation and commitment to ARV therapy. Holistic palliative nursing management can improve adherence to ARV therapy and the quality of life of HIV/AIDS patients.
Co-Authors Ajeng Bela Dwi Pratiwi Atifah Syahputri Berlian Kando Sianipar Danur Azizah Emi Pebriani Nanda Adelia Novia Afrini F Rita S Salma Salma