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"[Peningkatan jumlah lansia berkontribusi pada peningkatan penyakit degeneratifkronis seperti diabetes melitus yang memerlukan penatalaksanaan manajemendiri. Penelitian bertujuan untuk mengetahui arti dan makna pengalamanmanajemen diri lansia dengan diabetes melitus di Kota Depok. Penelitianmenggunakan metode kualitatif fenomenologi deskriptif dengan wawancaramendalam pada sembilan partisipan, Hasil wawancara dianalisis menggunakanmetode Colaizzi. Penelitian mengidentifikasi 11 tema yaitu mengenali gejalaawal, pengetahuan tentang diabetes melitus, upaya terhadap respon padaperubahan kadar gula darah, perawatan diri, faktor pendukung perawatan diri,faktor penghambat perawatan diri, dampak diabetes melitus, upaya mengeloladampak diabetes melitus, perubahan aktivitas, dukungan keluarga yang dirasakan,dan kualitas hidup lebih baik.

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ABSTRACTIncreasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life., Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi’s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.]"

"Peningkatan jumlah lansia diabetisi berdampak pada status kesehatan individu, keluarga dan negara. Diabetes melitus merupakan penyakit kronis yang memerlukan penatalaksanaan jangka panjang melalui manajemen diri. GELAS MANDIRI merupakan sebuah intervensi keperawatan dengan mengaplikasikan manajemen diri diabetes melitus yang berlandaskan pendidikan manajemen diri diabetes dan dukungan manajemen diri diabetes melalui integrasi manajemen layanan kesehatan, community as partner, family centered nursing, konsekuensi fungsional, perawatan diri pada lansia diabetisi. Penulisan ini bertujuan untuk memberikan gambaran pelaksanaan GELAS MANDIRI pada manajemen layanan kesehatan, komunitas, dan keluarga lansia diabetisi. Hasil kegiatan ini terbentuk posbindu dan kelompok B3 (belajar, berbagi, bertindak) lansia, dan terjadi peningkatan perilaku kader yaitu pengetahuan (36,2%), sikap (14,3%), dan ketrampilan (25%). Hasil menunjukkan peningkatan perilaku kelompok lansia diabetisi yang meliputi pengetahuan (32,6%), sikap (18,7%), ketrampilan (60%), dan penurunan kadar gula darah lansia (32,5%). Hasil juga menunjukkan terjadi peningkatan tingkat kemandirian keluarga (100%), pengetahuan (35%), sikap (20,2%), dan ketrampilan (24%). Kesimpulan dari penulisan ini yaitu intervensi GELAS MANDIRI meningkatkan kemampuan kader, lansia, dan keluarga dalam merawat lansia diabetesi secara mandiri serta penurunan gula darah lansia diabetisi. Penelitian ini merekomendasikan perlunya dukungan kebijakan, peran perawat komunitas, dan dukungan keluarga bagi lansia diabetisi untuk mampu melakukan manajemen diri.

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The increase of older adults population with diabetes mellitus have impacted the health status of individual, family, and the nation. Diabetes is a chronic disease that requires long term management through self management. GELAS MANDIRI is a nursing intervention by applying diabetes self management based on diabetes self management education and diabetes self management support through the integration model of health service management, Community as Partner, Family Centered Nursing, functional consequence, and self care in older adults with diabetes mellitus. This report aimed to provide an overview of the implementation GELAS MANDIRI on health services management, community, and family of older adults with diabetes mellitus.

The results of these activities were the establishment of Posbindu and B3 older adult group, also the increasing of health volunteer behavior, including knowledge (36,2%), attitudes (14,3%), and skills (25%). The result showed increasing of older adults behavior include knowledge (32,6%), attitudes (18,7%), and skills (60%), also the decrease in blood glucose level (32,5%). There was an increase of family independence (100%), knowledge (35%), attitude (20,2%), and skill (24%).

This report concludes that GELAS MANDIRI improves the ability of health volunteer, older adults, and families in the care of older adults with diabetes mellitus independently as well as a decrease in blood glucose level. The study recommends the need of policy support, community health nurses and family supports for older adults with diabetes mellitus to be able to do self management.;"