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HUBUNGAN KEPATUHAN MINUM OBAT DENGAN KADAR GULA DARAH HBA1C PASIEN DIABETES MELITUS TIPE 2 DI PUSKESMAS SUKOSARI KOTA MADIUN
ABSTRACT
THE RELATIONSHIP BETWEEN MEDICATION ADHERENCE AND HbA1c BLOOD SUGAR LEVELS IN TYPE 2 DIABETES MELLITUS PATIENTS AT PUSKESMAS SUKOSARI, KOTA MADIUN
Lupi Sugiyanti
Bachelor of Nursing Program, Universitas Muhammadiyah Ponorogo,
Ponorogo, East Java, Indonesia
[email protected]
Insulin resistance is a hallmark of type 2 diabetes mellitus (DM), which requires proper management, including regular medication use. This study aims to investigate the relationship between medication adherence and blood sugar levels (HbA1c) in type 2 diabetes patients at Puskesmas Sukosari, Kota Madiun. A correlational design with a cross-sectional approach was used, involving 45 respondents selected through a total sampling method. HbA1c levels were measured using an HbA1c Analyzer, while medication adherence was assessed using the MMAS-8 questionnaire.The results showed that the majority of respondents were female, aged 54–58 years, had a high school education, were employed, and had suffered from diabetes for 6–10 years. With a correlation value of -919** and a significance level of 0.000, bivariate analysis using Spearman’s rank test indicated a significant relationship between medication adherence and HbA1c levels. Most patients had low adherence (60,0 %) and poor HbA1c control (62.2%).Age, gender, employment status, and disease duration were key factors influencing adherence. Older patients, females, unemployed individuals, and those who had diabetes for more than ten years tended to have lower adherence levels, increasing the risk of high HbA1c levels and microvascular complications. To improve adherence and optimize glycemic control in type 2 diabetes patients, interventions such as patient education, social support, and personalized treatment programs are necessary.
Keywords: Medication adherence, HbA1c, Type 2 diabetes mellitus
PENGARUH UKURAN PERUSAHAAN, PROFITABILITAS, SOLVABILITAS, DAN UMUR PERUSAHAAN TERHADAP AUDIT DELAY PADA PERUSAHAAN MANUFAKTUR SUB SEKTOR MAKANAN DAN MINUMAN YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2019-2023
Penelitian ini bertujuan untuk menganalisis pengaruh ukuran perusahaan, profitabilitas, solvabilitas dan umur perusahaan terhadap Audit Delay pada perusahaan manufaktur sub sektor makanan dan minuman di Indonesia. Populasi dalam penelitian ini adalah perusahaan manufaktur sub sektor makanan dan minuman yang terdaftar di Bursa Efek Indonesia tahun 2019-2023. Pengambilan sampel berdasarkan metode purposive sampling yang mengikuti kriteria tertentu. Sampel yang digunakan dalam penelitian ini adalah 33 perusahaan. Analisis regresi linear berganda adalah metode analisis yang digunakan dalam penelitian. Hasil penelitian menunjukkan bahwa ukuran perusahaan berpengaruh negatif dan signifikan terhadap audit delay artinya semakin besar aset perusahaan maka semakin kecil terjadinya audit delay. Profitabilitas berpengaruh negatif dan signifikan terhadap audit delay artinya semakin besar nilai profit perusahaan maka semakin kecil terjadinya audit delay. Solvabilitas berpengaruh positif dan signifikan terhadap audit delay artinya semakin kecil nilai solvabilitas perusahaan maka semakin kecil terjadinya audit delay. Umur perusahaan berpengaruh negatif dan signifikan terhadap audit delay artinya semakin besar umur perusahaan maka semakin kecil terjadinya audit delay. Berdasarkan uji simultan, ukuran perusahaan, profitabilitas, solvabilitas, dan umur perusahaan secara bersama-sama berpengaruh terhadap audit delay. Pada penelitian koefisien determinasi, ukuran perusahaan, profitabilitas, solvabilitas dan umur perusahaan memiliki pengaruh sebesar 14% dan sisanya 86% dari variabel lain diluar penelitian ini
HUBUNGAN POLA PEMBERIAN MAKAN DENGAN KEJADIAN STUNTING PADA BALITA USIA 24 - 35 BULAN DI POSYANDU BALITA KLANAN DESA GROGOL KECAMATAN SAWOO KABUPATEN PONOROGO
THE RELATIONSHIP OF FEEDING PATTERNS AND INCIDENTS OF STUNTING IN TODDLER AGE 24 - 35 MONTHS AT POSYANDU TODDLER KLANAN IN GROGOL VILLAGE, SAWOO DISTRICT
By:
Masruroh Hanifatul Maulida
23632471
Improper feeding patterns for toddlers can have an impact on the growth of toddlers, resulting in stunting. Stunting can have an impact on reduced intelligence levels and susceptibility to disease. The aim of this research was to determine the relationship between feeding patterns and the incidence of stunting in toddlers aged 24 - 35 months at the Klanan Toddler Posyandu, Grogol Village, Sawoo District, Ponorogo Regency.
This research uses a correlative method using a cross sectional approach. The population in this study was 56 respondents. The sampling technique used was purposive sampling. The instruments used were a questionnaire and height measurement using a microtoice and converted into a standardized value (z-score). Data analysis was carried out using the chi square statistical test.
The results of this research showed that of the 56 respondents, 51.8% had inappropriate eating patterns and 28.6% of toddlers experienced stunting. Based on statistical tests, the p value (0.001) < α (0.05) so it can be concluded that H1 is accepted, meaning there is a relationship between feeding patterns and the incidence of stunting in toddlers at the Klanan Toddler Posyandu, Grogol Village, Sawoo District, Ponorogo Regency.
The results of the research are expected to be an evaluation for respondents so that they can prevent stunting by providing a good and nutritional diet that can meet children's nutritional needs in the first 1000 days of life, and become evaluation material for the Community Health Center to be able to provide education to the community both for mothers pregnant women and young women regarding stunting prevention. The better the feeding pattern, the level of toddler stunting at the Klanan Toddler Posyandu, Grogol Village, Sawoo District, Ponorogo Regency can decrease.
Keywords: Feeding Patterns, Stunting, Toddler
HUBUNGAN KUALITAS TIDUR DENGAN TEKANAN DARAH PADA LANSIA DI POSYANDU LANSIA DESA DOHO WILAYAH KERJA PUSKESMAS BANGUNSARI MADIUN
Abstrak
Tidur merupakan faktor yang penting bagi kualitas hidup. Setiap individu
memiliki kebutuhan tidur yang berbeda baik dalam kuantitas maupun kualitas.
Kualitas tidur mengacu pada tidur yang dijalani seorang individu menghasilkan
kesegaran dan kebugaran saat terbangun dari tidurnya. Penelitian ini bertujuan
untuk menganalisa kualitas tidur dengan tekanan darah pada lansia di Posyandu
Desa Doho.
Metode penelitian yang digunakan adalah penelitian kuantitatif desain cross
sectional. Populasi adalah seluruh lansia yang mengikuti posyandu yaitu sebanyak
145 orang. Sampel penelitian menggunakan teknik purposive sampling , berjumlah
36 sampel. Variabel penelitian ini adalah kualitas tidur dan tekanan darah lansia.
Intrumen pada penelitian ini adalah kuesioner dan spynomanometer. Uji statistik
yang digunakan adalah uji fisher exact
Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki
tekanan darah normal sebanyak 24 orang (66.6%) dan kualitas tidur yang baik
sebanyak 21 orang (58.3%). Analisis data didapatkan bahwa ada hubungan kualitas
tidur dengan tekanan darah pada lansia di Posyandu Desa Doho (p value = 0.01).
Kesimpulannya bahwa kualitas tidur sangat berpengaruh pada kondisi tekanan
darah pada lansia. Petugas dan kader Posyandu Desa perlu komitmen dan konsisten
bersama dalam hal mengembangkan penyuluhan tentang pentingnya edukasi
kepada lansia sehingga dapat meningkatkan kualitas tidur yang baik dengan
tekanan darah pada lansia.
Kata Kunci : Kualitas Tidur, Tekanan darah pada lansi
HUBUNGAN PELAYANAN BIMBINGAN KEROHANIAN ISLAM DENGAN KEPUASAN PASIEN Di Ruang Rawat Inap Rumah Sakit Amal Sehat Wonogiri
Patient satisfaction is a top priority for health service providers in hospitals. One of them is the application of Islamic spiritual guidance services to patients who are undergoing inpatient treatment as a strategy to increase patient satisfaction. The aim of this research is to determine the role of spiritual guidance officers (spirit team) at the Wonogiri Charity Health Hospital in carrying out their duties with patients who experience spiritual weakness due to the illness they are suffering from. This research is a quantitative research, correlational design and cross sectional approach. The population in this study was 92 patients in the inpatient room. Data was obtained through questionnaires filled in by respondents and analyzed using the Chi-Square statistical test. The research results showed that 48 (52.2%) respondents considered that Islamic spiritual guidance services were implemented well, 44 (47.8%) respondents were satisfied with the nursing services received and the results of the analysis showed that there was a significant relationship between Islamic spiritual guidance services and patient satisfaction, as evidenced by a p-value of 0.000 (p-value < 0.05). The conclusion of this research is that good Islamic spiritual guidance services contribute positively to patient satisfaction. As a suggestion, the Amal Sehat Hospital is advised to increase supervision over the implementation of Islamic spiritual guidance and receive input from patients to further improve the standards of nursing services so that they can meet patient expectations.
Keywords : Islamic Spiritual Guidance, Patient Satisfactio
FOREIGN STUDENTS’ PERCEPTIONS TOWARD HELLOTALK MEDIA IN OVERCOMING SPEAKING ENGLISH ANXIETY
This study aimed to explore students' perception of using the HelloTalk
application to overcome English speaking anxiety and analyze and describe the
level of English speaking anxiety factor experienced by students. The researcher
started by explaining the background of the problem, where speaking anxiety was
identified as a significant challenge for many students in language learning. It also
presented a literature review that discussed theories related to speaking anxiety and
the role of technology in English language education, including previous studies
that had shown the positive impact of using HelloTalk in language learning.
HelloTalk as a medium that allowed interaction with native speakers, was expected
to provide a supportive learning experience.
The research method used a descriptive qualitative approach to delve deeper
into students' perceptions. Data were obtained through interviews and observations
of randomly selected HelloTalk application users. The data collected were
described thematically after being processed with careful methods to ensure that the
research data could be documented in depth.
In the findings section, the researcher presented the results of data analysis
obtained through interviews and observations. According to the study, students'
nervousness when speaking English was caused by their lack of confidence, worries
about being judged, and heightened anxiety during academic tasks. Students give
feedback on the HelloTalk application's usefulness and recommendations for future
users, and it provides practice chatroom, voiceroom, and voice massage
capabilities.
The study showed that the HelloTalk application could be an effective tool
for overcoming English speaking anxiety, and provided recommendations for
readers in general for a better learning experience, and the researcher also suggested
further research in the future, regarding exploring the long-term impact of using the
app on students' English learning. These findings were expected to make a
significant contribution to the development of more innovative and effective
English learning and teaching strategies
HUBUNGAN PENERAPAN KOMUNIKASI TERAPEUTIK ISLAMI DENGAN KEPUASAN PASIEN RAWAT INAP DI RUMAH SAKIT AMAL SEHAT WONOGIRI
Pelayanan keperawatan dikatakan bermutu jika mampu menimbulkan kepuasan bagi pasien. Hasil laporan Tim Care Sulution pengendali laporan komplain pada tahun 2023 di Rumah Sakit Amal Sehat Wonogiri dengan capaian komplain yang terdiri dari komplain tentang prosedur pelayanan 51%, Komunikasi 28%, Fasilitas 14 %, lingkungan 7%. Ketidakpuasan yang disampaikan oleh pasien ialah terkait kurangnya komunikasi dari perawat seperti ketidakjelasan akan proses keperawatan, sikap perawat yang tidak bersahabat, lamanya perawat menjawab panggilan pasien, kurangnya perhatian dan tidak dijelaskanya program pengobatan serta proses penyakitnya. Penelitian ini bertujuan untuk menganalisis hubungan antara penerapan komunikasi terapeutik Islami dengan kepuasan pasien rawat inap di Rumah Sakit Amal Sehat Wonogiri. Desain penelitian ini adalah cross-sectional dengan menggunakan teknik purposive sampling. Sampel terdiri dari 93 pasien rawat inap, sedangkan instrumen yang digunakan adalah kuesioner untuk menilai penerapan komunikasi terapeutik Islami dan tingkat kepuasan pasien. Hasil penelitian menunjukkan bahwa mayoritas responden (64,5%) menilai komunikasi terapeutik Islami diterapkan dengan baik, dan sebagian besar pasien (65,6%) merasa puas terhadap pelayanan keperawatan. Analisis statistik dengan uji Chi-Square menunjukkan hubungan yang signifikan antara komunikasi terapeutik Islami dan kepuasan pasien dengan nilai p-value 0.000 (p < 0.05). Kesimpulannya, terdapat hubungan signifikan antara penerapan komunikasi terapeutik Islami dengan tingkat kepuasan pasien. Rumah sakit disarankan untuk meningkatkan supervisi dalam penerapan komunikasi terapeutik Islami, menyediakan ruang untuk umpan balik pasien, serta mendorong perawat untuk menerapkan komunikasi ini secara konsisten guna meningkatkan kepercayaan dan kepuasan pasien.
Kata Kunci: Komunikasi Terapeutik Islami, Kepuasan Pasien, Rawat Inap
HUBUNGAN KUALITAS HIDUP DENGAN KESEIMBANGAN TUBUH PADA LANSIA YANG MENJALANI SENAM DI UPT PELAYANAN SOSIAL TRESNA WERDHA MAGETAN
A common problem faced by the elderly was the decline in the function of various organs in the body. One effort to maintain the health of the elderly was to maintain body balance, while to maintain it was to maintain quality of life. The purpose of this study was to determine the relationship between quality of life and body balance in the elderly who underwent exercise at the UPT Social Services Tresna Werdha Magetan. This research design was quantitative analytical correlative with a cross-sectional method. The population in this study were all elderly at the UPT Social Services Tresna Werdha Magetan as many as 110 people, and with a purposive sampling technique, a sample of 53 people was obtained. The independent variable was quality of life and the dependent variable was body balance. The research instruments were questionnaires and observation sheets. The statistical test used was Rank Spearman. The results showed that almost half of the respondents had a good quality of life, namely 26 people (49,1%). Almost half of the respondents had a body balance in the Independent category, namely 24 people (45,3%). The results of the data analysis obtained a p-value = 0,000, which means that there was a relationship between quality of life and body balance in the elderly who undergo gymnastics at the UPT Social Services Tresna Werdha Magetan. The conclusion was that the better the quality of life of the elderly, the better (independent) their body balance will be. The elderly are expected to improve their quality of life so that body balance is maintained properly
HUBUNGAN CARING PERAWAT DENGAN TINGKAT KECEMASAN PASIEN PRE OPERASI Di Rumah Sakit Amal Sehat Wonogiri
Caring is a core component of nursing practice that encompasses patients' physical, emotional, and psychological well-being. For preoperative patients, nurse caring can help manage anxiety and enhance their mental preparedness before undergoing surgical procedures. This study aims to analyze the relationship between nurse caring and preoperative patient anxiety levels at Amal Sehat Wonogiri Hospital.
This study employed a cross-sectional design with a sample of 65 preoperative patients selected through purposive sampling. The instrument used to measure nurse caring was a questionnaire based on Swanson's (1991) theory, covering the aspects of maintaining belief, knowing, being with, doing for, and enabling. Meanwhile, patient anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The results indicated that almost all respondents (84.6%) reported receiving positive nurse caring (55 respondents), while a small proportion (15.4%) reported receiving negative nurse caring (10 respondents). Most patients experienced mild anxiety (56.9%), accounting for 37 respondents, whereas severe anxiety was reported by 6 respondents (9.2%). Statistical analysis using the Chi-Square test revealed a significant relationship between nurse caring and patient anxiety levels, with a p-value of 0.001 (p < 0.05) and a contingency coefficient of 0.457, indicating a moderate level of association.
In conclusion, nurse caring has a significant relationship with preoperative patient anxiety levels. Therefore, it is recommended that hospitals enhance training on nurse caring skills and integrate them into nursing performance assessments. Future research is encouraged to explore caring-based interventions in reducing preoperative patient anxiety.
Keywords: Nurse Caring, Anxiety Levels, Preoperative Patients
PENGARUH PERTUMBUHAN PDRB, TINGKAT INFLASI, DAN UPAH MINIMUM TERHADAP TINGKAT PENGANGGURAN TERBUKA DI PROVINSI JAWA TENGAH TAHUN 2010-2023
Penelitian ini memiliki tujuan untuk mengetahui bagaimana pengaruh Pertumbuhan PDRB, tingkat Inflasi, dan Upah Minimum Terhadap Tingkat Pengangguran terbuka di Provinsi Jawa Tengah. Dalam penelitian ini, peneliti menggunakan penelitian kuantitatif. Data yang digunakan oleh peneliti merupakan data sekunder dan bersifat time series dari tahun 2010-2023. Pengambilan data menggunakan metode dokumentasi, Dimana data tersebut bersumber dari Badan Pusat Statistik Provinsi Jawa Tengah. Data yang telah diperoleh dibentuk dalam model Regresi dan dianalisis dengan menggunakan aplikasi statistik SPSS. Hasil dari penelitian ini menunjukan variabel PDRB berpengaruh positif dan signifikan terhadap Tingkat Pengangguran Terbuka, variabel Inflasi tidak berpengaruh terhadap Tingkat Pengangguran Terbuka, variabel Upah Minimum berpengaruh secara signifikan terhadap Tingkat Pengangguran Terbuka