Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKPermasalahan lansia DM bersifat kompleks dan berbagai intervensi berupa edukasi telah dilakukan dalam pengendalian kadar gula darah namun hasilnya belum optimal. Berdasarkan hal tersebut, peneliti ingin mengetahui pengaruh intervensi keperawatan COSEHI (coaching dan self-hypnosis) terhadap pengendalian kadar gula darah dan status kesehatan diabetesi lansia di Kota Depok. Desain penelitian quasi eksperimen menggunakan kelompok perlakuan dan kontrol. Pengambilan sampel dengan multistage random sampling tetapi kelompok intervensi dipilih sesuai tujuan, dengan 76 responden di Kecamatan Cilodong Kota Depok. Independent t-test dan general linier model digunakan. Hasil diperoleh ada perbedaan yang bermakna kadar gula darah dan status kesehatan sesudah diberikan intervensi COSEHI antara kelompok perlakuan dan kontrol. Intervensi COSEHI berpengaruh terhadap kadar gula darah dan status kesehatan diabetesi lansia. Disimpulkan bahwa intervensi COSEHI menurunkan kadar gula darah dan meningkatkan status kesehatan serta memberi peluang perawat mengembangkan upaya promotif maupun preventif. Direkomendasikan perlunya kebijakan yang mengintegrasikan intervensi COSEHI dalam program pencegahan PTM atau posbindu PTM.

---

ABSTRACTDiabetic elderly health problem is complexity and many glicemic control interventions have been done but the results didn't optimalize. Therefore, the researcher want to know impact of COSEHI (coaching and self-hypnosis) intervention to glicemic control and health status elderly in Depok. This study used quasi experiment design with intervention dan control group. The method of sampling used multistage random sampling and sampel is choiced based research goal, which amounts to 76. Independent t test and general linear model are used. The results of the study show that there are significant difference of glicemic control and health status after COSEHI intervention in intervention and control group. COSEHI intervention impacts of glicemic control and health status. Moreover, it is provide nurse oportunities to promote promotive and preventive effort that integrated COSEHI intervention in non communicable disease prevention program or posbindu."

"ABSTRAK Permasalahan DM bersifat kompleks dan berbagai intervensi telah dilakukan dalam pencegahan dan pengendalian komplikasi namun hasilnya belum optimal. Berdasarkan hal tersebut, penulis ingin mengidentifikasi pengaruh pelaksanaan intervensi budaya keperawatan diabetes dalam pencegahan dan pengendalian komplikasi pada agregat dewasa di Kelurahan Curug Kecamatan Cimanggis Kota Depok dengan metode praktik keperawatan berbasis fakta EBNP dengan inovasi intervensi budaya keperawatan. Studi ini dilakukan pada 44 responden dewasa DM, 10 keluarga dan 30 kader kesehatan yang berpartisipasi aktif dalam pelaksanaan inovasi ini. Hasil diperoleh ada perbedaan yang bermakna kadar gula darah dan kemandirian dengan pendekatan budaya setelah diberikan intervensi. Intervensi budaya keperawatan berpengaruh terhadap kadar gula darah dan kemandirian dewasa DM dalam pengelolaan penyakitnya. Disimpulkan bahwa intervensi budaya keperawatan menurunkan kadar gula darah dan meningkatkan kemandirian dewasa DM serta memberi peluang perawat mengembangkan upaya promotif maupun preventif. Direkomendasikan perlunya kebijakan yang mengintegrasikan intervensi budaya keperawatan dalam program pencegahan PTM atau posbindu PTM.Kata kunci : Dewasa, Intervensi Budaya Keperawatan, Kadar gula Darah, Kemandirian dan metode praktik keperawatan berbasis fakta EBNP ABSTRACT Diabetes problem is complex and various interventions have been done in the prevention and control of complications but the results are not optimal. Based on this, the study to know implementation of integrated nursing culture intervention model with COSEHI coaching and self-hypnosis to prevention and control of diabetes complications in adult aggregate in Curug, Cimanggis, Depok with the evidence based nursing practice EBNP as a method inovation nursing culture intervention. This study was done to 44 diabetes adult respondents, 10 families and 30 social workers that participate in intervention. The results were significant differences in blood sugar level and independence with a cultural approach after being given this intervention. Nursing Intervention culture was affect the blood sugar and adult DM independence in the management of the disease. It was concluded that nursing cultural intervention decreased blood sugar level and increased adult with diabetes independence and gave nurse opportunity to develop promotion and preventive effort. It is recommended that policies that integrate nursing culture interventions in prevention programs of PTM or posbindu.Keywords : Adult, nursing culture intervention model glicemic control, independence and the evidence based nursing practice EBNP "

"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.

---

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."

"ABSTRAKGula 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.

---

ABSTRACTUncontrolled 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."

"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.

"

"Prevalensi penyakit DM meningkat seiring bertambahnya usia lansia sebagai kelompok yang rentan. Sehingga perlu pemantauan dan pengendalian faktor risiko mencegah terjadinya komplikasi. Karya Ilmiah Akhir ini menggunakan integrasi teori manajemen keperawatan, community as partner, family centre nursing, dan health belief model. Pengkajian pada 30 lansia dengan total sampling. Bentuk intervensi yang digunakan yaitu pembentukan kelompok swabantu dan pendukung, promosi kesehatan, konseling, coaching dan terapi modalitas, dengan media dokumentasi BP2DM. Hasil pre-post intervensi CERDIKK selama 9 bulan menggunakan uji paired t-test dengan nilai p:0.000 memberikan makna ada pengaruh perilaku lansia dalam pengendalian DM, meningkat perilaku kelompok pendukung dan terjadi penurunan kadar gula darah lansia DM 73 mg/dl. Program CERDIKK dinyatakan efektif dalam pemantauan dan pengendalian DM lansia. Diharapkan program ini melibatkan kader dan perawat komunitas secara aktif.

---

The prevalence of DM increased as ones getting older and are categorized as a vulnerable group. There is a need to monitor and control the risk factors of DM to prevent complication. This scientific paper used the integration of theory management nursing, community as partners, family centered nursing and health belief model. A total sampling of 30 elderlies were involved for the assesment. The intervention used were the self help group and support group, health promotion, counseling, coaching and therapeutic modalities, using media documentation BP2DM. The result of pre-post intervention CERDIKK for 9 months using paired t-test with p:0.000 showed there was significant influence of the the elderly behavior in controlling DM. The increase of support group behavior and the decline in blood sugar levels 73 mg/dl were also evident. CERDIKK program is effective to use in the monitoring and controlling of DM elderlies. It is recommended to actively involve cadres and community nurses."

"[Jatuh merupakan salah satu masalah yang serius pada lansia. Gangguankeseimbangan tubuh merupakan salah satu penyebab jatuh yang cukup penting. Penelitian ini bertujuan mengetahui pengaruh latihan keseimbangan lansia selama 8 minggu terhadap keseimbangan tubuh, risiko jatuh, status kesehatan dan kualitas hidup lansia. Penelitian quasi experimental ini terdiri dari dua kelompok; 30 lansia sebagai kelompok kontrol dan 30 perlakuan. Tekhnik pengambilan sampel yang digunakan adalah multistage random sampling. Hasil penelitianmenunjukkan latihan keseimbangan lansia berpengaruh signifikan meningkatkan keseimbangan tubuh (p=0,0005), status kesehatan (p=0,0005), kualitas hidup (p=0,0001) dan menurunkan risiko jatuh (p=0,0005). Hasil uji mancova menunjukkan pengaruh LKS lansia diperkuat oleh usia (p=0,0005). Latihan keseimbangan lansia dapat digunakan sebagai salah satu upaya pencegahan gangguan keseimbangan tubuh, risiko jatuh dan upaya meningkatkan statuskesehatan dan kualitas hidup pada lansia di komunitas. Penelitian selanjutnya dapat melakukan penelitian pada kelompok usia yang berbeda untuk mengetahui keefektifan latihan keseimbangan lansia;Falls are the one of serious problem among elderly. Balance impairment is one of important cause of fall. The aim of this study was to investigate the effect of elderly balance exercise on postural balance, risk of fall, health status and quality of life among elderly. This quasi experimental design included two groups; 30 subjects as intervention groups and 30 subjects as control groups. Sample was taken by multistage random sampling. There were significant improvements inpostural balance (p=0,0005), health status (p=0,0005) and quality of life (p=0,0001). However, there was a significant reducing in risk of fall (p=0,0005). The result of mancova showed that elderly balance exercise strengthened by age (p=0,0005). Balance exercise can be utilized as one of the preventive effort to maintain postural balance, reduce risk of fall, increase health status and quality of life among elderly in the community. Future research may consider variation ofage to know effectiveness of balance exercise, Falls are the one of serious problem among elderly. Balance impairment is one ofimportant cause of fall. The aim of this study was to investigate the effect ofelderly balance exercise on postural balance, risk of fall, health status and qualityof life among elderly. This quasi experimental design included two groups; 30subjects as intervention groups and 30 subjects as control groups. Sample wastaken by multistage random sampling. There were significant improvements inpostural balance (p=0,0005), health status (p=0,0005) and quality of life(p=0,0001). However, there was a significant reducing in risk of fall (p=0,0005).The result of mancova showed that elderly balance exercise strengthened by age(p=0,0005). Balance exercise can be utilized as one of the preventive effort tomaintain postural balance, reduce risk of fall, increase health status and qualityof life among elderly in the community. Future research may consider variation ofage to know effectiveness of balance exercise]"

"ABSTRAKStatus fungsional adalah kemampuan individu untuk melakukan pemenuhankebutuhan dan perawatan diri secara mandiri dalam aktivitas rutin sehari-hari.Status fungsional yang menurun berdampak pada penurunan kemandirian,sehingga lansia menjadi ketergantungan. Penelitian ini bertujuan untukmengetahui pengaruh intervensi keperawatan spiritual dan latihan chair yogaselama 12 sesi latihan terhadap status fungsional dan kepuasan hidup lansia.Penelitian kuasi eksperimen dengan kelompok kontrol dengan sampel 42 lansiakelompok perlakuan dan 42 lansia kelompok kontrol. Teknik pengambilan sampelyang digunakan adalah simple random sampling. Hasil penelitian menunjukkanintervensi keperawatan spiritual dan latihan chair yoga berpengaruh signifikanmeningkatkan status fungsional (p=0,000) dan kepuasan hidup (p=0,000). Hasil uji MANCOVA menunjukkan pengaruh intervensi keperawatan spiritual dan latihan chair yoga diperkuat oleh usia dan aktivitas fisik (p=0,000). Spiritual dan latihan chair yoga dapat meningkatkan status fungsional dan kepuasan hidup pada lansia secara signifikan. Intervensi keperawatan spiritual dan latihan chair yoga merupakan salah satu terapi komplementer sebagai upaya peningkatan status fungsional dan kepuasan hidup lansia yang dapat digunakan oleh perawat di masyarakat

---

ABSTRACTFunctional status is an individual's ability to perform self intervention andactivities of daily routine. The impact of functional status decreased onindependence, so that the older people to dependency. The aim of this study to determine the effect of spiritual nursing intervention and chair yoga exercises on functional status and life satisfaction of older adults. The research design was quasi experimental with 42 subjects as intervention groups and 42 subjects as control groups. The simple random sampling was used. The results showed that spiritual nursing intervention and chair yoga exercises significantly effect to improve functional status (p = 0.000) and life satisfaction (p = 0.000). MANCOVA analyze that spiritual nursing intervention and chair yoga exercise were significantly increased with controled by age and physical activity (p = 0.000). Spiritual and chair yoga exercise can improve functional status and lifesatisfaction among older adults significantly. Spiritual nursing intervention andchair yoga exercise is an one of the complementary therapy as preventive effort to improve the functional status and life satisfaction among older adults can used by nurse in the community."

"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."

"ABSTRAKPenelitian bertujuan mengetahui pengaruh senam kaki terhadap sensitivitas kakidan kadar gula darah pada aggregate lansia diabetes melitus di Magelang.Penelitian eksperimen semu desain pre and post test group design with controlgroup. Sampel secara aksidental atau convenience sampling, 125 responden (62lansia kelompok intervensi dan 63 kelompok kontrol). Instrumen penilaianmenggunakan skala sensitivitas dan nilai kadar gula darah. Senam kaki dilakukan3 kali seminggu selama 4 minggu. Hasil penelitian kadar gula darah lebih baikpada lansia sesudah diberikan senam kaki (p value 0,000). Sensitivitas kaki lebihbaik pada lansia sesudah diberikan latihan senam kaki (p value 0,000).

---

AbstractThe study aimed to determine the effect of leg exercise on the feet sensitivity andblood sugar levels in elderly with diabetes melitus at Magelang. It applied quasiexperimentaldesign with accidental sampling to 62 elderly in intervention groupand 63 elderly in control group. Assessment instruments used the scale sensitivityof blood sugar levels. Leg exercises activities performed 3 times a week for 4weeks. The results showed better blood sugar levels after a given leg exercises aswell as leg sensitivity). A series of leg exercise is recommended to be done bycommunity nurses to the elders."