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Abstrak :
Self management diabetes berdampak positif terhadap peningkatan outcome klinis. Observasi pada fasilitas pelayanan kesehatan menunjukkan pelaksanaan edukasi kurang efektif. Inovasi teknologi dapat menjadi alternatif solusi dalam mengatasi masalah ini. Penelitian bertujuan mengetahui pengaruh aplikasi self management berbasis android terhadap tingkat pengetahuan dan perilaku self management pada pasien diabetes melitus tipe 2. Penelitian ini berdesain quasi eksperimental pre-posttest dengan kelompok kontrol. Partisipan direkrut di poli rawat jalan dan rawat inap sejak Juni-Agustus 2020. Analisis data menggunakan SPSS versi 25 pada 66 responden. Pada analisis bivariat, terdapat peningkatan pengetahuan pada kelompok intervensi di akhir penelitian (p=0,07). Tidak ada pengaruh aplikasi terhadap perilaku self management diabetes (p=0,940). Pada analisis multivariat, didapatkan hubungan yang signifikan antara penggunaan aplikasi (p=0,045) dan tingkat pengetahuan sebelumnya (p=0,0001) terhadap tingkat pengetahuan posttest. Aplikasi D-SyIs berpotensi meningkatkan pengetahuan diabetes. Perbaikan desain aplikasi diharapkan dapat meningkatkan efektivitas penggunaan aplikasi. ......Self management diabetes has positive impact on increasing clinical outcome. Field observation in healthcare setting showed an ineffective implementation of health education. Technology innovation could be an alternative solution to solve this problem. This research was to examine the effect of android based self management apps towards diabetes self management behavior and diabetes knowledge among type 2 diabetes mellitus patients. A pre-posttest quasy experimental design with control group is used. Participants were recruited from outpatient and inpatient from June to July 2020. SPSS version 25 was used to analyse 66 participants. In bivariat analysis, there was enhancement of diabetes knowledge in intervention group (p=0,07) at the end of research. There was no significant different in self management (p=0,908). In multivariate analysis, there were significant effect of D-SyIs apps (p=0,045) and previous diabetes knowledge (p=0,0001) towards diabetes knowledge. This apps has potential effects to increase diabetes knowledge. Upgrading the app design is needed to increase the apps effectiveness.

Abstrak :
Praktek klinik residensi keperawatan medikal bedah kekhususan ginjal urologi memberikan bekal kemampuan pemberi asuhan keperawatan secara langsung, clinical case manager, penerapan evidence-based nursing, dan penerapan inovasi. Asuhan keperawatan diberikan dengan pendekatan Teori 14 kebutuhan dasar Virginia Henderson pada kasus utama Unilateral non-functioning kidney dan 30 kasus resume. Pengelolaan nyeri akut dan manajemen kesehatan ginjal menjadi fokus pada kasus utama. Peran sebagai clinical case manager tampak pada pengelolaan kasus resume. Masalah kelebihan cairan menjadi masalah keperawatan yang paling banyak diangkat pada kasus resume. Intervensi yang diberikan berfokus pada manajemen cairan dan pemberian konseling untuk pembatasan cairan dan konsumsi garam. Peran sebagai peneliti tampak dalam literature review evidence-based nursing. Hasil literature review menunjukkan bahwa passive leg raising bermakna (p<0,05). Peran sebagai inovator dan kepemimpinan tampak pada pelaksanaan proyek inovasi. Proyek inovasi berupa buku harian HD meningkatkan proporsi Interdialytic weight gain baik (<2,5 kg) sebesar 14,8% di akhir penerapan inovasi. ......Clinical practice phase of medical surgical nursing specialist in nephrology gives basic skill in delivering nursing care, clinical case manager, implementing evidence-based nursing, and innovation project. We used 14 basic needs Virginia Henderson theory towards one main case-study and thirty resume case. In the main case-study, the focus is managing acute pain post-operatively and preserve the remain kidney. The role as clinical case manager was gained from managing 30 resume cases. Excess fluid volume is the most prevalent problem across resume cases. The intervention then focused on fluid management and counselling about fluid and sodium intake. The role as researcher was gained from evidence-based nursing project. The literature review showed that passive leg raising could increase blood pressure among intradialytic hypotension case. Passive leg raising showed significant results (p<0,05). The innovation project gave experience as innovator and leadership. The implementation of HD diary book showed improvement of the proportion of good Interdialytic weight gain (<2.5 kg) 14.8% at the end of observation.