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Kusdiah Eny Subekti
Pemberdayaan komunitas dalam pemantauan diet dan aktifitas fisik pada Lansia DM di Kelurahan Sukamaju Baru Tapos Kota Depok = Empowerment community in monitoring diet and activity physically on elderly DM in New Sukamaju Tapos Depok
"ABSTRAK
Lansia merupakan kelompok rentan yang memiliki penyakit kronik karena
menurunnya kemampuan fisik, psikologis dan sosialnya. Prevalensi lansia DM di
Jawa Barat mengalami peningkatan dari 1,3% menjadi 2% di tahun 2013. Lansia
memerlukan dukungan dari masyarakat sekitarnya, terutama kader dalam
memberikan pelayanan kesehatan terkait DM. Salah satu jenis pelayanan
kesehatan yang diberikan kepada kelompok lansia di posbindu PTM diantaranya
pemeriksaan adanya gula dalam urine sebagai deteksi awal adanya penyakit
diabetes mellitus, pemeriksaan aktivitas sehari ? hari, pemeriksaan status gizi, dan
kegiatan olah raga. Dukungan dari keluarga, teman, dan kader kesehatan sangat
penting untuk membuat perubahan gaya hidup dalam hal diet dan pola aktivitas.
Praktik residensi bertujuan memberi gambaran pemantauan diet dan aktivitas
sebagai bentuk pemberdayaan kader dalam mempertahankan kadar gula darah
pada lansia DM. Hasil evaluasi kegiatan didapatkan : terjadi peningkatan
pengetahuan kader dari rata-rata 3,29 menjadi 9,84; peningkatan sikap kader dari
rata-rata 33,29 menjadi 36,50; peningkatan keterampilan kader dari rata-rata 29,29
menjadi 32,50, dan penurunan kadar gula setelah dilakukan pemantauan diet dan
aktivitas sebesar 63%. Pendidikan kesehatan dapat dilakukan secara individual
maupun berkelompok oleh petugas kesehatan atau kader yang telah mendapat
pelatihan. Pemberdayaan kader dapat meningkatkan pengetahuan, sikap dan
keterampilan kader. Puskesmas perlu memberikan bimbingan dan pembinaan bagi
kader kesehatan untuk meningkatkan asuhan keperawatan lansia DM. ABSTRACT
Elderly who is vulnerable groups have the disease chronicle because declines in physical
performance, social and psychological. The prevalence of seniors dm in west java has increased
from 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,
especially kaders in providing health services associated dm on elderly. One of the health
services provided for the elderly in posbindu PTM examination of the sugar in urine as the
detection of the beginning of disease diabetes mellitus, the daily activities investigation day, a
nutrition status, and activities sports. Support of the family, friends, and healthcare very
important to make lifestyle change in the diet and the activity. The research aims to give a sense
of monitoring of diet and activity as a form of cadres in empowerment maintain blood sugar
concentration on elderly dm. The evaluation of these activities : increased cadre of knowledge
than average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.
Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoring
diet and activity of 63 %. Health education can be carried out individual and groups for health
workers or cadres have received the training. Empowerment cadres can increase of knowledge ,
attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres to
increase the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physical
performance, social and psychological. The prevalence of seniors dm in west java has increased
from 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,
especially kaders in providing health services associated dm on elderly. One of the health
services provided for the elderly in posbindu PTM examination of the sugar in urine as the
detection of the beginning of disease diabetes mellitus, the daily activities investigation day, a
nutrition status, and activities sports. Support of the family, friends, and healthcare very
important to make lifestyle change in the diet and the activity. The research aims to give a sense
of monitoring of diet and activity as a form of cadres in empowerment maintain blood sugar
concentration on elderly dm. The evaluation of these activities : increased cadre of knowledge
than average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.
Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoring
diet and activity of 63 %. Health education can be carried out individual and groups for health
workers or cadres have received the training. Empowerment cadres can increase of knowledge ,
attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres to
increase the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physical
performance, social and psychological. The prevalence of seniors dm in west java has increased
from 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,
especially kaders in providing health services associated dm on elderly. One of the health
services provided for the elderly in posbindu PTM examination of the sugar in urine as the
detection of the beginning of disease diabetes mellitus, the daily activities investigation day, a
nutrition status, and activities sports. Support of the family, friends, and healthcare very
important to make lifestyle change in the diet and the activity. The research aims to give a sense
of monitoring of diet and activity as a form of cadres in empowerment maintain blood sugar
concentration on elderly dm. The evaluation of these activities : increased cadre of knowledge
than average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.
Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoring
diet and activity of 63 %. Health education can be carried out individual and groups for health
workers or cadres have received the training. Empowerment cadres can increase of knowledge ,
attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres to
increase the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physical
performance, social and psychological. The prevalence of seniors dm in west java has increased
from 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,
especially kaders in providing health services associated dm on elderly. One of the health
services provided for the elderly in posbindu PTM examination of the sugar in urine as the
detection of the beginning of disease diabetes mellitus, the daily activities investigation day, a
nutrition status, and activities sports. Support of the family, friends, and healthcare very
important to make lifestyle change in the diet and the activity. The research aims to give a sense
of monitoring of diet and activity as a form of cadres in empowerment maintain blood sugar
concentration on elderly dm. The evaluation of these activities : increased cadre of knowledge
than average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.
Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoring
diet and activity of 63 %. Health education can be carried out individual and groups for health
workers or cadres have received the training. Empowerment cadres can increase of knowledge ,
attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres to
increase the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physical
performance, social and psychological. The prevalence of seniors dm in west java has increased
from 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,
especially kaders in providing health services associated dm on elderly. One of the health
services provided for the elderly in posbindu PTM examination of the sugar in urine as the
detection of the beginning of disease diabetes mellitus, the daily activities investigation day, a
nutrition status, and activities sports. Support of the family, friends, and healthcare very
important to make lifestyle change in the diet and the activity. The research aims to give a sense
of monitoring of diet and activity as a form of cadres in empowerment maintain blood sugar
concentration on elderly dm. The evaluation of these activities : increased cadre of knowledge
than average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.
Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoring
diet and activity of 63 %. Health education can be carried out individual and groups for health
workers or cadres have received the training. Empowerment cadres can increase of knowledge ,
attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres to
increase the care of nursing elderly dm. "
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Diah Ratnawati
Program Lansia Sehat dengan Diabetes Mellitus (LANSET DM) sebagai strategi intervensi keperawatan komunitas dalam pengendalian DM pada Kelompok Lansia di Kelurahan Cisalak Pasar, Cimanggis, Depok. = Lansia Sehat dengan Diabetes Mellitus (LANSET DM) program as an intervention strategy of community nursing care to controll DM among elderly diabetes in Cisalak Pasar Village, Cimanggis, Depok
"Lansia dengan diabetes mellitus (DM) merupakan kelompok rentan akibat berbagai faktor risiko sehingga perlu perhatian khusus meliputi pencegahan dan penanganannya. Karya ilmiah akhir ini menggambarkan program Lansia Sehat dengan Diabetes Mellitus (LANSET DM) sebagai strategi intervensi untuk pelayanan dan asuhan keperawatan komunitas dalam pengendalian DM melalui penerapan teori manajemen, community as patner, family entered nursing, preceed-proceed model dan teori konsekuensi fungsional di Kelurahan Cisalak Pasar.
Pengambilan data dilakukan dengan wawancara, observasi, penyebaran angket pada 106 responden dengan total sampling. Bentuk intervensi dilaksanakan melalui: terapi komplementer, terapi modalitas, terapi keluarga, coaching, guidance, konseling dan pendidikan kesehatan pada kelompok swabantu maupun kelompok pendukung selama 8 bulan.
Hasil kegiatan didapatkan 47,2% penurunan kadar gula darah. Kesimpulannya, program ini efektif dan aplikatif digunakan dalam pengelolaan pelayanan dan asuhan keperawatan lansia dengan DM. Penulis merekomendasikan perlunya perawat komunitas mengembangkan program dan terlibat aktif dalam pencegahan primer, sekunder serta tersier pengendalian DM terutama di Kota Depok.
Elderly with diabetes mellitus (DM) are a vulnerable population due to multiple risks factors that need special attention in terms of prevention and treatment. This final scientific papers describing Lansia Sehat dengan Diabetes Mellitus (LANSET DM) program as an intervention strategy to give service and community nursing care to control DM through the application of management theory, community as a partner, family entered nursing, preceed - proceed model and the theory of functional consequences in Kelurahan Cisalak Pasar.
Data were collected by interview, observations, questionnaires to 106 respondents with a total sampling. Intervention strategies implemented through: complementary therapies, therapy modalities, family therapy, coaching, guidance, counseling and health education to self-help groups and support groups for 8 months.
The result show a significant changes in 47,2 % decreasing of blood sugar levels. The conclusion, LANSET DM is effective and applicable to be used in the management of service and nursing care for elderly with DM in terms of prevention, health promotion, and controlling Diabetes. I recommend that the need for community nurse to develop the program and actively involved in primary, secondary and tertiary prevention in controlling DM especially in Depok."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Ani Auli Ilmi
Penerapan intervensi ILMI-SpaRe sebagai bentuk intervensi keperawatan komunitas pada lansia dengan depresi di Kelurahan Sukamaju Baru Kecamatan Tapos Kota Depok = Implementation of intervention ILMI-SpaRe as community nursing intervention with depression in older people in Sukamaju Baru Sub Distric Cimanggis Depok
"[ABSTRAK
ILMI-SpaRe merupakan intervensi keperawatan komunitas yang terintegrasi bertujuan untuk menurunkan status depresi pada lansia. Tujuan penulisan untuk memberikan gambaran penerapan intervensi ILMI-SpaRe pada lansia dengan depresi dalam pelayanan dan asuhan keperawatan komunitas. Hasil evaluasi kegiatan adalah terjadi penurunan status depresi pada lansia sebesar 54,21% dengan peningkatan pengetahuan 10,08 %; sikap 8,05 %; keterampilan lansia melakukan intervensi ILMI-SpaRe khususnya spiritual care intervention dan relaksasi otot progresif meningkat menjadi 60,8%. Intervensi spiritual care dan relaksasi otot progresif dapat menurunkan status depresi lansia. Direkomendasikan untuk meningkatkan pemberdayaan masyarakat melalui aktivitas-aktivitas yang positif dan bersahabat, agar tercipta lansia bahagia, mandiri dan produktif.ABSTRACT ILMI-SpaRe is community nursing intervention integrated aiming at decreasing depression level among elderly. This paper seek to provide an overview of the intervention in the community setting. The results showed that there was a decrease in the level of depression in the elderly by 54,21%, accompanied by an increase in knowledge (10,08 %) and in attitudes (8,05%). The elderly ability to rehearse spiritual care intervention and progressive muscle relaxation also increased to 60,8%. ILMI-SpaRe combining spiritual care intervention can reduce depression level of elderly. Recommended to enhanced community empowerment through positive and friendly activities that involve elderly to sustain their health, independence and happiness.;ILMI-SpaRe is community nursing intervention integrated aiming at decreasing depression level among elderly. This paper seek to provide an overview of the intervention in the community setting. The results showed that there was a decrease in the level of depression in the elderly by 54,21%, accompanied by an increase in knowledge (10,08 %) and in attitudes (8,05%). The elderly ability to rehearse spiritual care intervention and progressive muscle relaxation also increased to 60,8%. ILMI-SpaRe combining spiritual care intervention can reduce depression level of elderly. Recommended to enhanced community empowerment through positive and friendly activities that involve elderly to sustain their health, independence and happiness., ILMI-SpaRe is community nursing intervention integrated aiming at decreasing depression level among elderly. This paper seek to provide an overview of the intervention in the community setting. The results showed that there was a decrease in the level of depression in the elderly by 54,21%, accompanied by an increase in knowledge (10,08 %) and in attitudes (8,05%). The elderly ability to rehearse spiritual care intervention and progressive muscle relaxation also increased to 60,8%. ILMI-SpaRe combining spiritual care intervention can reduce depression level of elderly. Recommended to enhanced community empowerment through positive and friendly activities that involve elderly to sustain their health, independence and happiness.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Khairul Andri
Penatalaksanaan keperawatan DM menggunakan booklet dalam mengontrol kadar gula darah pada kelompok lansia diabetisi di Kelurahan Suka Maju Baru Kecamatan Tapos Kota Depok = Applying diabetic booklet in controling blood sugar level for diabetic elderly group as a nursing management in diabetes mellitus care at Sukamaju Baru district Tapos Depok
"[ABSTRAK
Kerentanan lansia terhadap masalah kesehatan seperti diabetes mellitus meningkat seiring dengan bertambahnya usia. Karya Ilmiah Akhir ini mengintegrasikan teori manajemen pelayanan keperawatan dan tiga model keperawatan yaitu Community as Partner, Family Centred Nursing dan Functional Consequencies. Asuhan keperawatan diberikan pada 32 lansia diabetisi di kelurahan Sukamaju Baru selama 9 bulan. Intervensi inovasi yang dikembangkan adalah booklet DM yang didasari pada program CERDIIK Kemenkes RI, Diabetes Self Management Education (DMSE) dan empat pilar penatalaksanaan DM. Hasil intervensi yang dilakukan menunjukkan adanya perubahan perilaku lansia diabetisi, kelompok pendukung dan sebaya dalam melakukan penatalaksanaan DM. Penurunan rata-rata kadar gula darah lansia kelompok sebaya sebesar 101,5 poin. Penggunaan booklet DM efektif dalam mengontrol kadar gula darah lansia diabetisi dengan wadah kelompok sebaya dan dukungan kader kelompok pendukung. program ini diharapkan dapat diteruskan dengan peningkatan keterlibatan keluarga, kader dan tenaga kesehatan.
ABSTRACT
The vulnerability of the elderly to health problems such as diabetes mellitus increases with age. This final internship report integrated nursing service management theory with three nursing models, which are Community as Partner, Family Centred Nursing dan Functional Consequencies. A nursing care was provided to 32 elderly with diabetic at district Sukamaju Baru for 9 months. An innovative intervention was developed that was DM booklet based on CERDIIK program from Ministry of Health Indonesia, Diabetes Self Management Education (DMSE) and the four pillars of DM management of care. Result of intervention showed changes of healthy behavior from elderly with DM, support group dan peer group in providing DM care management. There was a reduce of elderly blood glucose level in average about 101,5 poin. The DM booklet usage was effective in controlling blood glucose level of elderly with DM who actively involved in peer group and support group of community workers. This program was expected to be sustained and get more family involvement, as well as involvement from community workers and health workers. , The vulnerability of the elderly to health problems such as diabetes mellitus increases with age. This final internship report integrated nursing service management theory with three nursing models, which are Community as Partner, Family Centred Nursing dan Functional Consequencies. A nursing care was provided to 32 elderly with diabetic at district Sukamaju Baru for 9 months. An innovative intervention was developed that was DM booklet based on CERDIIK program from Ministry of Health Indonesia, Diabetes Self Management Education (DMSE) and the four pillars of DM management of care. Result of intervention showed changes of healthy behavior from elderly with DM, support group dan peer group in providing DM care management. There was a reduce of elderly blood glucose level in average about 101,5 poin. The DM booklet usage was effective in controlling blood glucose level of elderly with DM who actively involved in peer group and support group of community workers. This program was expected to be sustained and get more family involvement, as well as involvement from community workers and health workers. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Sri Novita Yuliet
Penerapan intervensi keperawatan MADURASA diabetes terhadap perubahan perilaku, penurunan stres dan kadar gula darah pada lansia dengan diabetes melitus di Kelurahan Curug Kecamatan Cimanggis Kota Depok = Application of nursing interventions for diabetes MADURASA on behavior change, stress reduction and blood sugar levels in elderly with diabetes mellitus in Curug Village, Cimanggis District, Depok City
"Diabetes melitus menjadi salah satu masalah kesehatan dunia dimana angka kejadian, komplikasi dan mortalitas lebih tinggi pada kelompok lansia daripada kelompok usia yang lebih muda. Prevalensi kejadian diabetes melitus tipe II pada lansia terus meningkat. Diabetes melitus memerlukan perhatian dalam perawatan bagi penderita dan keluarga. Dukungan keluarga dan dukungan sosial menjadi bagian penting bagi lansia DM dalam meningkatkan manajemen diri sebagai upaya pengontrolan kadar gula darah. Tujuan untuk memberikan gambaran implementasi program MADURASA DIABETES (Manajemen Dukungan Rawat Lansia Diabetes) sebagai inovasi dalam asuhan keperawatan komunitas untuk meningkatkan perilaku perawatan diri kelompok diabetesi. Pelaksanaan intervensi MADURASA DIABETES dilakukan pada keluarga dan komunitas di kelurahan Curug Kota Depok selama 6 bulan. Hasil evaluasi menunjukkan terjadi perubahan perilaku, penurunan nilai stress dan penurunan gula darah sewaktu (GDS) pada diabetesi. Terdapat perubahan yang signifikan pada kelompok diabetesi (n=35) sebelum dan sesudah intervensi pada perilaku (p<0,05), nilai stress (p<0,05) dan GDS (p<0,05). serta peningkatan kemandirian keluarga Program MADURASA DIABETES diharapkan dapat diterapkan perawat sebagai salah satu strategi pelaksanaan program perawatan kesehatan masyarakat (PERKESMAS) di lingkup pelayanan kesehatan primer

 

Diabetes mellitus is one of the world's health problems where the incidence, complications and mortality are higher in the elderly group than in the younger age group. The prevalence of type II diabetes mellitus in the elderly continues to increase. Diabetes mellitus requires attention in the care of patients and their families. Family support and social support are an important part for DM elderly in improving self-management as an effort to control blood sugar levels. The aim is to provide an overview of the implementation of the MADURASA DIABETES (Diabetes Elderly Support Management) program as an innovation in community nursing care to improve self-care behavior in the diabetic group. The implementation of the MADURASA DIABETES intervention was carried out on families and communities in the Curug sub-district, Depok City for 6 months. The results of the evaluation showed that there was a change in behavior, a decrease in stress values ​​and a decrease in temporary blood sugar (GDS) in diabetes. There were significant changes in the diabetes group (n=35) before and after the intervention in behavior (p<0.05), stress scores (p<0.05) and GDS (p<0.05). as well as increasing family independence. The MADURASA DIABETES program is expected to be implemented by nurses as one of the strategies for implementing the public health care program (PERKESMAS) in the scope of primary health services.

"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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T. Widya Naralia
Penerapan intervensi “Cerdas Serasi” dalam pengendalian kadar glukosa darah pada lansia dengan diabetes mellitus di Kelurahan Curug Kota Depok = Application of "Cerdas Serasi" intervention in controlling blood glucose levels in elderly with diabetes mellitus in Curug Village, Depok City
"Penyakit Diabetes Mellitus masih menjadi salah satu penyakit tidak menular dengan angka kejadian yang terus meningkat dan menyebabkan komplikasi berbagai organ bagi penderitanya. Lansia menjadi populasi paling berisiko terkena Diabetes Mellitus karena telah mengalami penurunan fungsi organ pankreas sehingga terjadi kegagalan sekresi hormon insulin.  Lansia dengan diabetes mellitus membutuhkan dukungan baik dari keluarga maupun komunitas disekitarnya untuk dapat menjalankan perawatan diri. Intervensi keperawatan melalui pendekatan pada keluarga dan kelompok dinilai dapat meningkatkan perilaku perawatan diri lansia DM. Karya ilmiah akhir spesialis ini bertujuan untuk memberikan gambaran pengaruh penerapan Cegah dan Rawat Diabetes melalui Serat, Aktivitas dan Relaksasi (CERDAS SERASI) sebagai bentuk praktik keperawatan berbasis fakta pada lansia DM di keluarga dan komunitas. Metode penelitian dalam karya ilmiah ini adalah studi kasus terhadao keluarga dan kelompok binaan. Hasil evaluasi terhadap 10 keluarga binaan menunjukkan terjadinya peningakatan kemandirian keluarga setelah diintervensi selama 6 bulan. Selain itu baik keluarga maupun kelompok yang dilakukan intervensi CERDAS SERASI menunjukkan terjadi peningkatan perilaku perawatan diri lansia DM meliputi peningkatan pengetahuan, sikap dan keterampilan dalam melakukan perawatan diri DM. Hasil menunjukkan bahwa terdapat perbedaan signifikan pada perilaku perawatan diri dan penurunan kadar glukosa darah lansia DM sebelum dan sesudah intervensi (p=0.000) dan perubahan pada status kemandirian fungsional lansia setelah dilakukan intervensi kelompok (p=0.000). Intervensi CERDAS SERASI efektif dalam meningkatkan perilaku perawatan diri, penurunan kadar glukosa darah, dan peningkatan status kemandirian fungsional lansia. Intervensi ini sebaiknya dilakukan berkelanjutan untuk mempertahankan status kesehatan dan meningkatkan kualitas hidup lansia dengan maslah penyakit diabetes mellitus.
Diabetes Mellitus is still a non-communicable disease with an increasing incidence and causing complications in various organs for sufferers. The elderly are the population most at risk of developing Diabetes Mellitus because they have experienced a decrease in the function of the pancreas organ resulting in failure of insulin secretion. The elderly with diabetes mellitus need support from both their family and the surrounding community to be able to carry out self-care. Nursing interventions through approaches to families and groups are considered to be able to improve self-care behavior of DM elderly. This specialist's final scientific work aims to provide an overview of the effect of implementing Prevent and Treat Diabetes through Fiber, Activity and Relaxation (CERDAS SERASI) as a form of fact-based nursing practice for DM elderly in the family and community. The research method in this paper is a case study of families and target groups. The results of the evaluation of 10 assisted families showed an increase in family independence after 6 months of intervention. In addition, both families and groups with the CERDAS SERASI intervention showed an increase in self-care behavior for the elderly with DM including increased knowledge, attitudes and skills in self-care for DM. Further analysis showed that there were significant differences in self-care behavior and a decrease in blood glucose levels in DM elderly before and after the intervention (p=0.000) and changes in the functional independence status of the elderly after group intervention (p=0.000). The SMART SERASI intervention was effective in improving self-care behavior, decreasing blood glucose levels, and increasing the functional independence status of the elderly. This intervention should be carried out continuously to maintain health status and improve the quality of life of the elderly with diabetes mellitus."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Rini Warini
Latihan senam kaki sebagai intervensi keperawatan pada resiko cidera lansia diabetisi dalam keluarga di Sukamaju Baru Kota Depok = Foot exercise as a nursing intervention of risk for injury in diabetic elderly within family at Sukamaju Baru Kota Depok
"[Gaya hidup yang tidak sehat meningkatkan prevalensi DM di masyarakat perkotaan.
Lansia termasuk angregat yang rentan mengalami DM, dikarenakan terjadinya
penurunan fungsi tubuh. Salah satugejala DM yang timbul akibat peningkatan kadar
gula darah adalah penurunan sensitivitas kaki yang ditandai dengan rasa kebas dan
kesemutan.Penulisan Karya Ilmiah ini bertujuan untuk memberikan gambaran latihan
senam kaki sebagai intervensi keperawatan pada risiko cedera lansia dengan DM.
Hasil asuhan keperawatan keluarga yang dilakukan selama 6 minggu menunjukkan
perbaikan sensitivitas kaki yang dibuktikan dengan pengukuran Ankle Brachial Index
(ABI) meningkat dari 0,7 menjadi 1,2. Dukungan keluarga dibutuhkan untuk
mempertahankan kepatuhan melakukan senam kaki secara rutin.;Unhealthy life style increase DM prevalence in urban society. Elderly at risk to
develop DM caused by decreasing body function. One of DM symptom caused by
high blood glucose level was decreased foot sensitivity.This paper purposes to give
an illustration of foot exercise as nursing intervention for the risk of injury in elderly
with DM. The result after six weeks intervention show the improvement of foot
sensitivity which is analyzed based on Ancle Brachial Index measurement increase
from 0,7 to 1,2.The family?s support is needed in order to increase adherence toward
foot exercise implementation, Unhealthy life style increase DM prevalence in urban society. Elderly at risk to
develop DM caused by decreasing body function. One of DM symptom caused by
high blood glucose level was decreased foot sensitivity.This paper purposes to give
an illustration of foot exercise as nursing intervention for the risk of injury in elderly
with DM. The result after six weeks intervention show the improvement of foot
sensitivity which is analyzed based on Ancle Brachial Index measurement increase
from 0,7 to 1,2.The family’s support is needed in order to increase adherence toward
foot exercise implementation]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Fitriani
Pengaruh Pemberdayaan Keluarga: EKOMS Terhadap Efikasi Diri Keluarga, Kontrol Glikemik Dan Status Fungsional Lansia Diabetes Melitus = The Effects Of Family Empowerment: EKOMS On Family Self-Efficacy, Glycemic Control And Functional Status Of Elderly With Diabetes Mellitus
"Lansia diabetesi membutuhkan bantuan keluarga dalam menjalani manajemen diabetes yang bersifat lama. Namun sejauh mana kemampuan keluarga dalam manajemen perawatan diabetes turut dipengaruhi oleh efikasi diri. Penelitian kuasi eksperimental (dengan kontrol grup) ini bertujuan untuk mengetahui pengaruh pemberdayaan keluarga: edukasi, komunikasi, manajemen stres (EKOMS) terhadap efikasi diri keluarga, kontrol glikemik dan status fungsional lansia diabetesi. Sebanyak 70 pelaku rawat lansia diabetesi yang dipilih dengan teknik multistage random sampling dan terbagi menjadi kelompok intervensi dan kontrol. Pengukuran post-test dilakukan pada pekan ke-6 dan ke-12 dengan menggunakan instrumen Family-carer diabetes management self-efficacy scale (F-DMSES) yang diadaptasi dalam bahasa Indonesia untuk melihat efikasi diri keluarga, Functional independence measure (FIM) untuk melihat status fungsional, dan pemeriksaan darah tepi untuk pemeriksaan kadar gula darah puasa sebagai indikator kontrol glikemik. Hasil analisis didapatkan terdapat perbedaan rerata efikasi diri keluarga, kontrol glikemik dan status fungsional lansia diabetesi antara kelompok intervensi dan kelompok kontrol pada post test pertama (p value <0.001; 0.017; 0.005) dan post test kedua (p value <0.001; 0.002; 0.024). Analisis lebih lanjut menunjukkah bahwa 71.4% efikasi diri keluarga dipengaruhi oleh intervensi pemberdayaan keluarga: EKOM, 12.8% kontrol glikemik dipengaruhi pemberdayaan keluarga EKOMS dan durasi menyandang DM, serta 16% status fungsional lansia diabetesi dipengaruhi oleh usia dan penyakit penyerta. Intervensi pemberdayaan keluarga: EKOMS efektif meningkatkan efikasi diri keluarga, kontrol glikemik dan status fungsional lansia diabetesi. Direkomendasikan untuk mengintegrasikannya dalam standar pelayanan keperawatan keluarga.
Elderly diabetics need family assistance in undergoing long term diabetes management. However, the extent of family ability in diabetes care management is also influenced by selfefficacy. This quasi-experimental study (with group control) aims to determine the effect of family empowerment: education, communication, stress management (EKOMS) on family self-efficacy, glycemic control and functional status of elderly diabetics. A total of 70 diabetics were selected using multistage random sampling technique and divided into intervention and control groups. Post-test measurements were carried out in weeks 6 and 12 using the Family-carer diabetes management self-efficacy scale (F-DMSES) instrument adapted in Indonesian to measure family self-efficacy, Functional independence measure (FIM) to measure functional status, and peripheral blood examination to check fasting blood sugar levels as an indicator of glycemic control. The results of the analysis found that there were differences in the mean family self-efficacy, glycemic control and functional status of elderly diabetics between the intervention group and the control group in the first post test (p value <0.001; 0.017; 0.005) and the second post test (p value <0.001; 0.002; 0.024). Further analysis showed that 71.4% of family self-efficacy was affected by the family empowerment: EKOMS, 12.8% of glycemic control was influenced by EKOMS family empowerment and duration of DM, and 16% of functional status of elderly diabetics was influenced by family empowerment: EKOMS, age and comorbidities. Family empowerment intervention: EKOMS is effective in improving family self-efficacy, glycemic control and functional status of elderly diabetics. It is recommended to integrate it in family nursing service standards."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tesis Membership  Universitas Indonesia Library
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Khairul Andri
Hubungan penatalaksanaan dm dengan kadar gula darah pada kelompok lanjut usia diabetisi di Kelurahan Cisalak Pasar Kecamatan Cimanggis Kota Depok = The correlation between diabetes mellitus management with blood sugar level on elderly with dm in Cisalak Cimanggis District Depok City
"Penatalaksanaan DM memiliki hubungan erat dengan kadar gula darah diabetisi. Penelitian ini bertujuan untuk mengetahui hubungan penatalaksanaan DM dengan kadar gula darah lansia diabetisi. Disain penelitian menggunakan pendekatan crossectional study. Penelitian dilakukan pada 49 orang lansia di kelurahan Cisalak Pasar. Analisis bivariat menunjukkan bahwa terdapat hubungan antara diit dengan kadar gula darah (p value: 0,035), tidak ada hubungan antara latihan fisik dengan kadar gula darah (p value: 0,246), ada hubungan antara minum obat dengan kadar gula darah (p value: 0,011) dan ada hubungan antara pengendalian stres dengan kadar gula darah (p value: 0,007). Analisis multivariat menyimpulkan bahwa elemen penatalaksanaan DM yang dominan adalah minum obat (OR 10,7).
Diabetes Mellitus management has close correlation with blood sugar level of Diabetes patient. The purpose of this study was to examine the correlation between Diabetes Mellitus Management with Blood Sugar Level on Elderly with DM. This is descriptive cross-sectional study, where recruiting 49 elderly people from Cisalak Pasar area. The result shows that there is significant correlation between diet (p value: 0,035), take medication (p value: 0,011), stress management (p value: 0,007) with blood sugar level but no significant correlation between physical exercise (p value: 0,246) with blood sugar level. Multivariate analysis result shows that taking medication is the most predominant element in diabetes management (OR 10,7)."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
T42016
UI - Tesis Membership  Universitas Indonesia Library
cover
Abdurrasyid
Penerapan intervensi keperawatan MAPAN DM dalam pengontrolan gula darah dan kesehatan kaki lansia diabetes di Cisalak Pasar Kota Depok = The Application of MAPAN DM as nursing intervention to controlled blood sugar and elderly diabetic foot health in Cisalak Pasar Depok
"ABSTRAK
Gula darah tidak terkontrol dan neuropati pada kaki adalah masalah kesehatan yang muncul pada lansia diabetes melitus tipe 2 (DMT2). Upaya pengontrolan masalah pada lansia DMT2 dapat dilakukan dengan kegiatan manajemen pengontrolan gula darah dan kesehatan kaki. Latihan kaki menggunakan bola tenis diberikan pada lansia DMT2 dalam keluarga dan Manajemen Pengendalian Diabetes Melitus (MAPAN DM) diberikan kepada kelompok lansia DMT2 sebanyak 58 orang, intervensi diberikan selama 30-60 menit per sesi sebanyak 12 sesi. Hasil implementasi dalam asuhan keperawatan keluarga dan kelompok, didapatkan penurunan rerata nilai gula darah sebanyak 5,1% dan neuropati pada kaki 41,7%. MAPAN DM berpengaruh terhadap penurunan gula darah (p value<0,05) dan neuropati pada kaki (p value < 0,05). Latihan kaki menggunakan bola tenis berpengaruh terhadap penurunan gula darah dan neuropati pada kaki. Latihan kaki dan Manajemen diri disarankan untuk dilakukan sebagai upaya pengontrolan gula darah dan mencegah komplikasi penyakit pada lansia DMT2.
ABSTRACT
Uncontrolled blood sugar and foot neuropathy are health problems that arise in elderly type 2 diabetes mellitus (DMT2). Efforts to control the problem in elderly DMT2 can be done with activities to control blood sugar and foot health. Foot exercises using tennis balls were given to elderly DMT2 in the family and Manajemen Pengendalian Diabetes Melitus (MAPAN DM) was given to a group of elderly DMT2 58 people were selected, intervention was given for 30-60 minutes per session as many as 12 sessions. The results of the implementation in family and elderly group, obtained a mean change in blood sugar values ​​of 5.1% and foot neuropathy 41.7%. MAPAN DM influences the decrease in blood sugar (p value <0.05) and neuropathy in the foot (p value <0.05). Foot exercises using tennis balls affect the decrease in blood sugar and neuropathy in the legs. Foot exercises and self-management are recommended to be done as an effort to control blood sugar and disease complications prevention in DMT2 elderly."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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UI - Tugas Akhir  Universitas Indonesia Library
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