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"Peningkatan kadar glukosa darah dapat disebabkan oleh peningkatan hormon kortisol dan epineprin yang terjadi selama stress. Terapi zikir dan relaksasi Benson dapat menurunkan kadar glukosa darah dengan menimbulkan respon relaksasi. Desain penelitian ini adalah kuasi eksperimen yang bertujuan membandingkan efektifitas terapi zikir dengan relaksasi Benson terhadap penurunan kadar glukosa darah pasien diabetes mellitus. Sampel berjumlah 72 orang yang terdiri dari 24 orang kelompok kontrol, 24 orang kelompok zikir, dan 24 orang kelompok relaksasi Benson. Hasil penelitian menunjukkan terdapat perbedaan yang signifikan antara kadar glukosa darah sebelum dan setelah intervensi pada masing-masing kelompok (p=0,00), selisih rata-rata kadar glukosa darah sebelum dan setelah intervensi antar kelompok (p=0,000), dan rata-rata kadar glukosa darah setelah intervensi antar kelompok (p=0,00). Terapi zikir lebih efektif dibandingkan relaksasi Benson dalam menurunkan kadar glukosa darah. Penelitian ini merekomendasikan agar perawat menerapkan terapi zikir dan relaksasi Benson sesuai dengan keyakinan dan tingkat keimanan pasien serta direkomendasikan penelitian selanjutnya dengan desain Randomized Controlled Trial (RCT) dengan jumlah sampel yang lebih besar.

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Increased blood glucose levels can be caused by increased hormone cortisol and epineprin that occur during stress. Dhikr Therapy and Benson relaxation can reduce blood glucose levels by causing a relaxation response. The design was quasi-experimental study aims to compare the effectiveness of dhikr therapy with Benson relaxation to blood glucose levels of patients with diabetes mellitus. Sample of 72 people consisted of a control group of 24 people, 24 people of the group of dhikr therapy, and 24 people of Benson relaxation.

The results showed a significant difference between blood glucose levels before and after intervention in each group (p = 0.000), the difference in average blood glucose levels before and after intervention between groups (p = 0.000), and the mean of blood glucose levels after the intervention (p = 0.00). Dhikr therapy is more effective than Benson relaxation on reducing blood glucose levels.

This study recommends that nurses to apply treatment dhikr therapy and relaxation Benson in accordance with levels of faith and confidence of patients and recommended further research by design Randomized Controlled Trial (RCT) with a larger number of samples."

"ABSTRAKPrevalensi hospitalisasi pasien diabetes cukup tinggi dengan berbagai macam alasan untuk dirawat inap, namun upayadalam pengontrolan glukosa darah sering mengalami kegagalan walaupun sudah dilakukan dengan pendekatan medis.Kegagalan dalam pengontrolan glukosa darah dapat mengakibatkan komplikasi baik akut maupun kronis. Pencegahankomplikasi memerlukan peran dari berbagai multidisiplin ilmu salah satunya adalah perawat spesialis medikal bedahdalam memberikan asuhan keperawatan dengan menggunakan pendekatan berbagai teori keperawatan. Salah satunyaadalah Model adaptasi Roy yang dapat dijadikan acuan dalam memberikan asuhan keperawatan yang holistik dankomprehensif dengan meminimalkan stimulus yang mempengaruhi adaptasi agar tercapai perilaku yang adaptif. Praktekberbasis bukti atau evidence based nursing menggunakan kognitif behavioral terapi bertujuan untuk meningkatkankepatuhan pasien terhadap regimen terapeutik. Peran perawat spesialis sebagai inovator untuk meningkatkan self-carepasien DM tipe 2 dengan upaya program self-health assessment. Kata kunci: Diabetes Mellitus, Perawat Spesialis, Model Adaptasi Roy, kognitif behavioral terapi dan self-care.

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ABSTRACTAbstract Prevalence of hospitalization diabetes patient is quiet high with various reason to be admitted, but the efforts incontrolling blood glucose often fail even after performed by medical approach. Failure of glucose control could causeboth acute and chronic complication. A multidisciplinary approach is essential to prevent DM complications and improvepatient rsquo s quality of life. The medical surgical nurse specialist is expected to have a central role in diabetes care, and toperform nursing care based on nursing theories. Roy adaptation model can be utilized as a framework for nurses inproviding a holistic and comprehensive nursing care by minimizing stimuli that affect patient rsquo s ability to become adaptive.Evidence based nursing used cognitive behavioral therapy purposed to improve patient rsquo s adherence towards DM therapyprogram. The medical surgical nurse specialist took part as the innovator of care to enhance self care diabetes tipe 2through self health assessment program.Key word diabetes mellitus, nurse specialist, adaptation model Roy, cognonitive behavioral therapy and self care"

"Pendahuluan: Diabetes Melitus (DM) adalah salah satu penyakit tidak menular (PTM) dengan jumlah populasi tertinggi di Indonesia dan penyebab kematian tertinggi keenam di Indonesia. Dampak dari DM memberikan kerugian kesehatan dari tahun ke tahun, sehingga perlu penanganan yang serius maka dikembangkan inovasi Diet, Senam Kaki dan Relaksasi Benson (DEKADEE). Tujuan: Memberi gambaran tentang pengaruh Intervensi Keperawatan DEKADEE terhadap pengendalian Kadar gula darah pada lansia diabetisi. Metode: Studi kasus keluarga dengan pendekatan asuhan keperawatan keluarga yang melibatkan 10 keluarga sesuai praktik berbasis fakta dan inovasi dalam asuhan keperawatan komunitas pada 44 lansia. Inovasi DEKADEE terdiri 9 sesi selama 14 kali pertemuan. Data sebelum dan sesudah intervensi diukur menggunakan alat pemeriksaan gula darah, perilaku (pengetahuan sikap dan keterampilan), kemandirian, kadar gula darah. Hasil: Adanya peningkatan perilaku pada keluarga meliputi rerata sebesar 3.95%, sikap rerata sebesar 2.53%, keterampilan rerata sebesar 3.66% dan tingkat kemandirian rerata 2 tingkat sebesar 80% dan 3 tingkat rerata sebesar 20% serta penurunan kadar gula darah 61.045 mg/dl. Hasil Uji T dengan nilai rerata signifikan 0,000 (p<0,05). Kesimpulan: Terdapat pengaruh Inovasi DEKADEE terhadap pengetahuan, sikap, keterampilan serta adanya pengaruh yang signifikan intervensi DEKADEE pada penurunan kadar gula darah sewaktu di Kelurahan Jatijajar Kota Depok.

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Introduction: Diabetes Mellitus (DM) is one of the non-communicable diseases (PTM) with the highest population in Indonesia and the sixth highest cause of death in Indonesia. The impact of DM causes health losses from year to year, so it needs serious treatment, so the Benson Diet, Foot Exercise and Relaxation (DEKADEE) innovation was developed.

Objective: To provide an overview of the effect of DEKADEE Nursing Intervention on controlling blood sugar levels in elderly people with diabetes.

Methods: A family case study with a family nursing care approach involving 10 families according to fact-based practices and innovations in community nursing care for 44 elderly people. DEKADEE's innovation consists of 9 sessions of 14 meetings. Data before and after the intervention were measured using blood sugar checkers, behavior (knowledge, attitudes and skills), independence, and blood sugar levels.

Results: There was an increase in family behavior including an average of 3.95%, an average attitude of 2.53%, an average skill of 3.66% and an average level of independence of 2 levels of 80% and 3 levels of an average of 20% and a decrease in blood sugar levels of 61,045 mg/dl. T test results with a significant mean value of 0.000 (p <0.05).

Conclusion: There is an effect of DEKADEE's innovation on knowledge, attitudes, skills and a significant effect of DEKADEE's intervention on reducing blood sugar levels while in Jatijajar Village, Depok City."

"ABSTRAKTerapi nutrisi medis merupakan salah satu intervensi untuk mengoptimalkan kontrol glikemik dan menyediakan kalori yang cukup untuk memenuhi kebutuhan metabolik. Pada pasien diabetes yang tidak dapat memenuhi kebutuhan gizinya melalui asupan makanan oral, membutuhkan enteral feeding. Penelitian ini bertujuan untukmengetahui perbandingan pemberian enteral feeding secara bolusdengan frekuensi tiga kali dan enam kali terhadap toleransi feeding dan kadarglukosa darah pada pasien diabetes melitus tipe 2. Penelitian ini adalah penelitian dengan desain quasi experimental yang melibatkan 26 orang pasien diabetesmelitus tipe 2. Hasil penelitian menunjukkan adanya perbedaan yang signifikan antara frekuensi pemberian enteral feeding sebanyak tiga kali dan enam kali terhadap toleransi feeding (p = 0.000), ada perbedaan signifikan antara frekuensi pemberian enteral feeding sebanyak tiga kali dan enam kali terhadap kadar glukosa darah (p=0.000). Hasil Penelitian ini dapat membantu pengontrolan gula darah dengan pengaturan frekuensi pemberian nutrisi pada pasien diabetes melitustipe 2.

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ABSTRACTMedical nutrition therapy is one of the interventions to optimize glycemic controland provide adequate calories to meet metabolic needs. In diabetic patients who cannot meet their nutritional needs through oral food intake, it requires an EnteralFeeding. This study aimed to compare the three times and six timesfrequencies of bolus enteral feeding towards feeding tolerance and blood glucose levels in type 2 diabetes patients. This research was an experimental quasi-designinvolving 26 type 2 diabetes patients. The results showed that there were asignificant difference between three times and six times frequencies of bolusenteral feeding towards the feeding tolerance (p = 0.000); a significant differencebetween three times and six times the blood glucose level (p = 0.000). The results suggest that feeding tolerance and blood control sugar level can be controlled with the frequencies of the enteral feeding."

"Penelitian ini bertujuan untuk menentukan faktor-faktor yang terkait dengan tingkat kepatuhan tipe diabetes 2 untuk memeriksa kadar gula pada peserta JKN di Jakarta Selatan 2019. Jenis penelitian ini adalah penelitian kuantitatif dengan desain cross sectional. Hasil penelitian ini menunjukkan bahwa 52,1% responden memiliki tingkat kepatuhan yang tinggi dan 47,9% memiliki tingkat kepatuhan yang rendah Variabel yang ditemukan memiliki hubungan yang signifikan dengan kepatuhan periksa kadar gula adalah jenis kelamin (Nilai P = 0,055) dan kepuasan pasien terhadap pelayanan kesehatan (Nilai P = 0,056).

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This study aims to determine the factors associated with the level of diabetes type compliance 2 to check sugar levels in JKN participants in South Jakarta 2019. This type of research is quantitative research with cross sectional design. The results of this study indicate that 52.1% of respondents have a high level of compliance and 47.9% have a low level of compliance Variables found have a significant relationship with compliance check that sugar is gender (P value = 0.055) and patient satisfaction with health care (P value = 0.056)."

"ABSTRAKDiet Rendah Gula dan Tinggi Serat sebagai Intervensi Menurunkan glukosa Darah pada   Keluarga dengan Masalah Ketidakstabilan Kadar Glukosa Darah Peningkatan jumlah penduduk dewasa di perkotaan sebagai populasi berisiko berdampak pada munculnya berbagai penyakit, diantaranya Diabetes Mellitus. Diet tidak seimbang dapat menjadi faktor risiko terjadinya Diabetes Mellitus. Tujuan karya ilmiah ini adalah untuk menggambarkan keefektifan intervensi keperawatan diet rendah dan gula tinggi serat dengan pendekatan keluarga selama lima minggu dalam menurunkan kadar glukosa darah. Hasil asuhan keperawatan diperoleh penurunan kadar glukosa darah pada Ibu R dari 258 mg/dL menjadi 146 mg/dL.Kesimpulan hasil karya ilmiah ini adalah intervensi diet rendah gula dan tinggi serat dengan pendekatan keluarga efektif dalam menurunkan kadar glukosa darah. Hasil penelitian merekomendasikan diterapkannya intervensi diet rendah gula dan tinggi serat dengan melibatkan keluarga oleh perawat komunitas pada keluarga dengan masalah risiko ketidastabilan kadar glukosa darah.

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ABSTRACT

Glucose Level in Family with Risk for Unstable Blood Glucose Level. The increase of adult population in urban areas as at-risk population have an impact on the emergence of various diseases, including Diabetes Mellitus. An unbalanced diet can be a risk-factor for Diabetes Mellitus. The purpose of this scientific paper is to describe the effectiveness of low sugar and high fiber diet intervention with family approach for five weeks in reducing blood glucose levels. The result obtained from nursing care show a decrease in blood glucose levels in Mrs. R from 258 mg/dL to 146 mg/dL. The conclusion is a low sugar and high fiber diet intervention with family approach was effective in reducing blood glucose levels. This results recommends the implementation of low sugar and high fiber diet intervention with family involvement by community nurses in families with a risk for unstable blood glucose levels. Diabetes Mellitus, diet, blood glucose."

"Anak dengan Diabetes Melitus Tipe 1 DMT1 sangat rentan mengalami gangguan tidur. Edukasi sleep hygiene merupakan intervensi yang dianjurkan untuk mengatasi gangguan tidur. Tujuan penelitian ini adalah untuk mengidentifikasi pengaruh edukasi sleep hygiene terhadap kualitas tidur dan status glukosa darah pada anak DMT1 di Ikatan Keluarga Penyandang Diabetes Anak dan Remaja IKADAR. Jenis penelitian quasi experimen pre-post test with control group. Sampel penelitian adalah penderita DMT1 usia 6-18 tahun yang tergabung di IKADAR berjumlah 46 terbagi atas 23 anak kelompok intervensi dan 23 anak kelompok kontrol. Kelompok intervensi mendapat edukasi selama 10 menit melalui video yang berisi tips sleep hygiene yang kemudian diterapkan selama 3 hari dan kelompok kontrol mendapat intervensi standar. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index PSQI . Data glukosa darah saat bangun pagi diperoleh berdasarkan rekapan hasil pemeriksaan secara mandiri oleh sampel penelitian. Hasil penelitian menunjukkan kualitas tidur meningkat p

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Children with Diabetes Mellitus Type 1 DMT1 are susceptible to sleep disorders. Sleep hygiene education is the recommended intervention for sleep disorders. The purpose of this study was to identified the effect of sleep hygiene education on sleep quality and blood glucose status in children DMT1 in Ikatan Keluarga Penyandang Diabetes Anak dan Remaja IKADAR . The type of this study was quasi experimental pre post test with control group. The sample was the patients aged 6 18 DMT1 who joined in IKADAR total 46 divided into 23 sample of the intervention group and 23 control group. The intervention group was educated for 10 minutes via a video containing sleep hygiene tips which are then applied for 3 days and the control group received standard intervention. Sleep quality was measured using the Pittsburgh Sleep Quality Index PSQI . Data on blood glucose in the morning was collected based on a sample diary at home. The results of this study showed the sleep quality score increased p "

"Diabetes melitus merupakan penyakit gangguan metabolik yang ditandai dengan tingginya kadar glukosa darah akibat kelainan pada sekresi insulin, aksi insulin, atau keduanya. Tingginya kadar glukosa darah pada penderita diabetes berhubungan dengan kerusakan jangka panjang, disfungsi, dan kegagalan pada beberapa organ tubuh terutama mata, ginjal, jantung, saraf, dan pembuluh darah. Kadar glukosa darah pada penderita diabetes dapat dipengaruhi oleh berbagai faktor seperti asupan, aktivitas fisik, dan lainlain. Skripsi ini bertujuan untuk melihat perbedaan proporsi kadar glukosa darah pada penderita diabetes berdasarkan aktivitas fisik dan faktor lainnya. Penelitian ini dilakukan pada penderita diabetes di Puskesmas Kecamatan Pasar Minggu pada bulan April 2018. Desain penelitian ini menggunakan desain cross-sectional dengan jumlah sampel 110 orang. Kadar glukosa darah diketahui melalui catatan medik responden, aktivitas fisik dan asupan diketahui melalui kuesioner aktivitas fisik GPAQ dan Semi-quantitative Food Frequency Questionnaire SFFQ. Hasil penelitian menunjukkan bahwa 57,3 penderita diabetes memiliki kadar glukosa darah terkontrol. Uji chi-square menyatakan bahwa variabel aktivitas fisik, kepatuhan minum obat, asupan serat, durasi penyakit, dan stres memiliki perbedaan bermakna dengan kadar glukosa darah. Untuk meningkatkan angka kadar glukosa darah terkontrol pada penderita diabetes, disarankan untuk diberikan edukasi mengenai aktivitas fisik, kepatuhan minum obat, asupan serat, dan manajemen terhadap stres apabila diperlukan kepada penderita diabetes.

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Diabetes mellitus is a metabolic disorder characterized by high blood glucose levels due to abnormalities in insulin secretion, insulin action, or both. High blood levels in diabetics are associated with long term damage, dysfunction, and failure of some organs, especially the eyes, kidneys, heart, nerves, and blood vessels. Blood glucose levels of diabetics can be influenced by various factors such as intake, physical activity, and others.

This study aims to see the differences proportion of blood glucose levels in diabetics based on physical activity and other factors. The study was conducted on diabetics at Puskesmas Kecamatan Pasar Minggu on April 2018. The design of this study is cross sectional with a total sample of 110 people. Blood glucose levels are known through the medical records of respondents, physical activity and intake are known through physical activity questionnaires GPAQ and Semi quantitative Food Frequency Questionnaire SFFQ.

The results showed that 57.3 of diabetics had controlled blood glucose levels. Chisquare test showed that physical activity, medication adherence, fiber intake, duration of disease, and stress have significant differences with blood glucose levels. To increase the rate of controlled blood glucose in diabetics, it is recommended to be educated about physical activity, fiber intake, and management of stress if necessary in diabetics."

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"Latar Belakang: Bekerja di lingkungan offshore berpotensi menimbulkan stres kerja. Menurut penelitian sebelumnya stres kerja dapat meningkatkan kadar glukosa darah, Penelitian ini bertujuan mengidentifikasi adanya hubungan antara kadar glukosa darah puasa tinggi dan DM dengan stres kerja serta faktor risiko lainnya pada pekerja offshore. Metode: Penelitian ini menggunakan desain cross sectional dengan 156 orang responden. Variabel yang diteliti adalah usia, indeks massa tubuh, lingkar perut, dislipidemia,tekanan darah, jabatan pekerjaan, masa kerja, dan stres kerja. Data diperoleh dari penilaian tingkat stress melalui Survei Diagnostik stres dan hasil medical check up tahun 2017. Analisis data menggunakan univariat, bivariat, dan multivariat dengan regresi logistik. Hasil: Prevalensi glukosa darah puasa tinggi dan diabetes mellitus sebesar 12.2 . Berdasarkan uji Fisher terdapat hubungan yang bermakna antara usia, dislipidemia, jabatan pekerjaan dan masa kerja dengan kadar glukosa darah puasa tinggi dan Diabetes Mellitus , namun pada analisis multivariat hanya faktor jabatan pekerjaaan supervisor merupakan yang paling dominan mempengaruhi dgn OR=7,051 95 CI 1,963-25,325. Tidak ditemukan adanya hubungan antara hasil SDS dengan kadar glukosa darah tinggi dan DM. Kesimpulan dan saran: Faktor risiko paling dominan terhadap glukosa darah puasa tinggi dan diabetes mellitus adalah faktor jabatan pekerjaan oleh karena itu perlu dilakukan hal-hal sebagai berikut, yaitu skrining hasil MCU untuk pekerja khususnya jabatan supervisor, melakukan pemeriksaan berkala kadar glukosa darah, memperbanyak aktivitas fisik ketika bekerja dilapangan serta program peningkatan kesadaran kesehatan, terutama mengenai pencegahan penyakit Diabetes Mellitus.

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Background: Working in offshore environments where workers are placed in remote locations will potentially cause work stress. According to previous researches, work stress can increase blood glucose levels. This study aims to prove Relation of High Fasting Blood Glucose level and DM with Job Stress and Other Risk Factors In Offshore Workers.

Method: This study used cross sectional design with total 156 respondents. The studied variables were age, body mass index, abdominal circumference, dyslipidemia, and blood pressure as well as job risk, job position, working period, and work stress. The tools used to evaluate the stress level were Stress Diagnostic Survey and results of periodic Medical Check up in 2017. The analysis of research data used univariate, bivariate and multivariate analysis with logistic regression.

Study Results: The prevalence of high fasting blood glucose anad Diabetes Meliitus is 12,2 . Using Fisher statistic test, an association was found between age, dyslipidemia, job position,woking period and high fasting blood glucose or diabetes mellitus. But multivariate analyses showed that only job title supervisor is the most dominant influential factor Oradj 7,051 95 CI 1,963 25,325. There was no correlation between SDS results with high fasting blood glucose level and DM.

Conclusion and Suggestion: The employee's job function is the most dominant factor in high fasting blood glucose Diabetes Mellitus, therefore it is important to conduct several activities such as screening on MCU record, particularly on Supervisors conducting routing blood glucose check increasing physical activities at work and carrying out the health awareness program, especially awareness on DM prevention. "