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Pengaruh Therapeutic Exercise Walking terhadap Risiko Ulkus Kaki Diabetik pada Klien Diabetes Melitus Tipe 2 di Kelurahan Gebang Kecamatan Patrang Kabupaten Jember (The Effect of Therapeutic Exercise Walking on the Risk of Diabetic Foot Ulcer in Client with Type 2 Diabetes Mellitus at Gebang Village of Patrang District Jember Regency)
Get PDFDiabetes Mellitus is metabolic disease characterized by hyperglycemia. Diabetic foot ulcer is serious complication in diabetic patients which can lead to lower extremity amputation. Therapeutic exercise walking is one of physical activities which can improve blood circulation in the body. This research aimed to analyze the effect of therapeutic exercise walking on the risk of diabetic foot ulcerin patients with type 2 diabetes mellitus. This research employed randomized control group pretest postest design. The sampling technique was simple random sampling involving 15 respondents as intervention group and 15 respondents as control group. Therapeutic exercise walking was done three times a week within a month with the duration of 40 minutes. The data were analyzed using dependent t test and independent t test with significant level of 0.05. The results revealed a significant difference between pretest and postest either in the intervention group (p=0.001) or control group (p=0.048). Furthermore independent t test showed a significant difference between intervention group and control group (p=0.015). This result indicates that there is a significant effect of therapeutic exercise walking on the risk of diabetic foot ulcer. Nurse is expected to apply therapeutic exercise walking to prevent diabetic foot ulcer in diabetes mellitus patients. Keywords: type 2 diabetes mellitus, therapeutic exercise walking, risk of diabetic foot ulce
Hubungan antara Kadar LDL dan HDL terhadap Kejadian Kaki Diabetik pada Pasien DM Tipe 2 di Poli Interna RSD dr. Soebandi: Penelitian Case Control (Relationship between LDL and HDL Levels and Diabetic Foot Incidende in DM Type 2 Patients at the Internal M
Get PDFDiabetic foot is a complication of type 2 DM that happen because of atherosclerosis, which one of the risk factor is dyslipidemia. The LDL and HDL are the indicator of dyslipidemia. The purpose of this study was to investigate the relationship between LDL, HDL and ratio of LDL/HDL levels on diabetic foot complication of type 2 DM patients at the dr. Soebandi hospital. This was a case control study. The total sample was 61 patients. The result showed that there were no correlation between LDL levels and diabetic foot (p = 0,59) as well as the LDL / HDL ratio (p = 0,5). There was no correlation between HDL and diabetic foot (p = 0.063), but they had a clinical relationship because there were over 20% proportion differences. The OR value between HDL levels and diabetic foot was 6.75. In conclusion, there were no relationship between LDL levels and ratio of LDL/HDL on diabetic foot, but there is clinical relationship between HDL levels on diabetic foot.
Keywords: diabetic foot, type 2 DM, LDL, HDL, ratio of LDL/HDL
 
Efikasi Diri, Kepatuhan, dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 (Self Efficacy, Adherence, and Quality of Life of Patients with Type 2 Diabetes)
Get PDFSelf-efficacy and adherence are important factor in improving the quality of life of patients with type 2 diabetes. This study aimed to determine the relationship between self-efficacy and adherence to the quality of life of patients with type 2 diabetes mellitus. This study was a cross-sectional, with sample of 125 patients with type 2 diabetes mellitus. The Diabetes Management Self-Efficacy (DMSES), the Diabetes Activities Questionare (TDAQ), and the Diabetes Quality of Life (DQOL) were employed as instruments. The results showed that self-efficacy (0.0005), and adherence (0.0005) were significantly associated with quality of life and the most dominant variable is adherence. Multivariate test results indicate that the variable self-efficacy, adherence, depression, and education level determines quality of life of diabetic patients. This study suggestion the need for nursing assessment and interventions that focus on the self-efficacy and adherence diabetes mellitus patient. Keywords: self efficacy, adherence, quality of life, diabetes type
Pengaruh Model Pembelajaran Active Learning terhadap Pengetahuan dan Sikap Penggunaan Alat Pelindung Diri (APD) dalam Pencegahan Terjadinya Green Tobacco Sickness (GTS) pada Buruh Tani Tembakau di Desa Plalangan Kecamatan Kalisat Kabupaten Jember The Effe
Get PDFGreen Tobacco Sickness (GTS) suffered by the tobacco leaf pickers who have direct contact withwet tobacco leaves. The method used to increase the knowledge and attitude of the use of personalprotective equipment in order to prevent the occurrence of green tobacco sickness is a learningmodel of active learning on the tobacco farmers. The research objective was to analyze the effect ofactive learning teaching model to the knowledge and attitude of the use of personal protectiveequipment in the prevention of green tobacco sickness among tobacco farmers in the villagePlalangan Kalisat District of Jember. The study design used pre-experimental approach one grouppretest-posttest design. Total population in the study was 836 tobacco farmers with the total sampleof 30 respondents. Sample was selected by using probability sampling. Research data analysisusing the Wilcoxon test showed differences dn knowledge influences attitudes before and afterintervention with p value = 0,000; CI = 95% of the respondents with the following study model ofactive learning. Research conclusion that there was an influence of active learning teaching modelof knowledge and attitude of the use of personal protective equipment. Community health centersprogram is expected to enable the existing occupational health unit, to undergo its role in providinghealth promotion and prevention of work accidents as an occupational health unit.Keywords: active learning model, knowledge and attitude of the use of PPE, Green tobaccosicknes
Hubungan Parental Monitoring dengan Perilaku Seksual Berisiko pada Remaja di Desa Puger Kulon Kecamatan Puger Kabupaten Jember (Correlation of Parental Monitoring with Risky Sexual Behavior in Adolescents in the Puger Kulon Village Districts Puger of Jember Regency)
Get PDFAdolescence is a part of group or individual that is were on transition from children to adult and is vulnerable for any problem on themselves and environment problems. The purpose of this study is to analyze the correlation of parental monitoring with risky sexual behavior on adolescents in the Puger Kulon Village District Puger of Jember Regency. The type of this research is descriptive analytic using cross sectional approach. Sample of this research is 87 adolescents taken using multistage random sampling technique. Data of parental monitoring and risky sexual behavior is collected using questionnaire instrument already done to validity test and reliability test. The reliability value test of parental monitoringquestionnaire are 0,834 and risky sexual behavior questionnaire are 0,930. Data analyzed using Spearman rank test with confidence level 95%. The result of this research shows that most of parental monitoring is 57 (65%) less precise, while 22 (25,3%) parental monitoring is unappropiate. Independent variable result shows 61 adolescents (70,1%) have moderate sexual behavior risk and 1 adolescent (1,1%) have high risk of sexual behavior. Analysis result shows there’s no significant correlation between parental monitoring with risky sexual behavior on adolescents with p value 0,158 (p>0,05). Its caused by parental monitoring as one of factor that can changed when the environment adolescent doesn’t support and which is very influence the adolesence behavior against their peers. This research recomended to indicate the important of having deep assasment of another factors that is influence risky sexual behavior on adolescent. Keywords : Parental Monitoring, Risky Sexual Behavior, Adolescent
Analisis Nilai Laju Endap Darah pada Pasien Sindrom Koroner Akut dan Stable Angina di RSD dr. Soebandi Jember (The Erythrocyte Sedimentation Rate Analysis in Acute Coronary Syndrome and Stable Angina Patients at dr. Soebandi General Hospital)
Get PDFErythrocyte sedimentation rate (ESR) is non-specific blood tests that can be used as a marker of chronic inflammation. Some proteins that affect the erythrocyte sedimentation rate are fibrinogen, lipoprotein, and immunoglobulins. These proteins elevate in patients with atherosclerosis and acute coronary syndrome. This study aimed to determine the relationship between erythrocyte sedimentation rate and the incidence of acute coronary syndrome and stable angina at dr. Soebandi General Hospital Jember. This analytic observasional study using cross-sectional design.This study used 40 samples, divided into four groups; stable angina, UA, NSTEMI, and STEMI. The average value of ESR were 12,1mm/h, 20,7mm/h, 28,9mm/h, and 25,3mm/h for stable angina, UA, NSTEMI, and STEMI, respectively. Kolmogorov-Smirnov statistical test showed significant difference between groups(p=0.001). It indicated that there was relationship between erythrocyte sedimentation rate and the incidence of acute coronary syndrome and stable angina in dr. Soebandi General Hospital Jember.
Keywords: erythrocyte sedimentation rate, acute coronary syndrome, stable angina
 
Optimasi Sintesis Asam 3-benzamido-4-metil benzoat (Optimization Synthesis 3-benzamido-4-Methyl Benzoic Acid)
Get PDFBenzoic acid derivative has been developed as new drugs that have antioxidant, antifungal, analgesic, anti-cancer, anti-inflammatory, and anti-herpes simplex virus activity. In this study, a new compound of benzoic acid derivative, 3-benzamido-4-methyl benzoic acid (3-BM) was synthesized by reacting 3-amino-4-methyl benzoic acid with benzoyl chloride. This study used benzoylation reaction with Schotten-Baumann method. Temperature, time, and TLC mobile phase were needed to be optimized to make optimum condition, so the synthetis reaction can be done. The reaction time was 24 hours, the samples were taken at 1,2,3,4,5,6,12,24 hours then spotted on TLC plates and eluated with optimum eluent chloroform: ethyl acetate: acetic acid (100:5:1). 3-BM compound can be synthesized by benzoylation reaction with optimum synthesis condition at room temperature 25-27 °C and 2 hours reaction time.
Keywords: synthesis, benzoic acid derivative, 3-benzamido-4-methyl benzoic acid, benzoyl chloride
 
Prevalensi, Karakteristik dan Faktor-faktor yang Berhubungan dengan Penyakit Skabies di Pesantren Nurul Qarnain Kabupaten Jember (The Prevalence, Characteristic and Factors of Scabies in Pesantren Nurul Qarnain Jember)
Get PDFScabies is a common skin disease caused by infection of Sarcoptes scabei, which is transmitted directly human-to-human contact especially in crowded community like pesantren. The characteristics of the students in pesantren are seemingly to be associated with Scabies. The purpose of this study was to determine the prevalence, characteristics of Scabies and its association with gender and education level of students in Pesantren Nurul Qarnain Jember. This cross sectional study was conducted to all students (1120 students) in 2016. Diagnosis was made based on anamnesis and dermatology examination. Data were analyzed using chi square test. The results showed that the prevalence of Scabies was 13.48% (male 24.89% and female 5.82%; education level tsanawiyah 15.14.1% and aliyah 10.85%). Most lesions were found in the interdigital space of the hands (40.40%). Chi square test showed significant difference between the prevalence of Scabies with gender (p=0.048) and education level (p=0.023) of the students. In conclusion, the prevalence of Scabies in Pesantren Nurul Qarnain Jember was 13.48% and there was association between the prevalence of Scabies with gender and education level of the students. Â Keywords: Scabies, prevalence, students, gender, educational leve
Pengaruh Relaksasi Otot Progresif Terhadap Tingkat Stres Narapidana Wanita di Lapas Kelas IIA Jember (The Effect of Progressive Muscle Relaxation on Women Prisoners’s Stress Levels at Prison Class IIA Jember)
Get PDFWomen prisoners have a high risk of stress because of the detention of their social life,environment, and behavior. Stress is tensions caused by physical, emotional, social, economic,employment or circumstances, events, or experiences that are difficult to manage or defend. Stresswill increase sympathetic nervous system that causes increased muscle tension, blood pressure,dizziness, indigestion, fatigue, anxiety, anger, and fear. Progressive muscle relaxation is one of thestress management to reduce stress levels. The purpose of this study to determine the effect ofprogressive muscle relaxation against stress levels of women prisoners. Design of the study is apre-experimental with one group pretest-posttest. Samples were taken using a total sampling of 16respondents. Progressive muscle relaxation was given 6x a week for 25-30 minutes. Data weretaken using DASS questionnaire. Data were analyzed using paired t-test. The results obtained frompaired t-test on stress levels is p=0.009. We can conclude that there is a progressive musclerelaxation effect on stress levels of women prisoners in Prisons Class IIA Jember. Suggestions fromthis study were nurses can provide education and training progressive muscle relaxation techniquesfor women prisoners. Progressive muscle relaxation can also be used as a therapy program toreduce stress levels on woman prisoners.Keywords: stress, progressive muscle relaxation, woman prisoner
Pengaruh Pelatihan Manajemen Diri terhadap Perilaku Merokok pada Remaja Di SMK Negeri 2 Jember Kecamatan Sumbersari Kabupaten Jember (The Effect of Self-Management Training on Teenager’s Smoking Behavior at SMK Negeri 2 Jember of Sumbersari Sub-District Jember Regency)
Get PDFSmoking has become life among teenagers. Predisposisi factors of smoking behavior among teenage are psychological satisfaction to reduce their stress, peer pressure and try new things in life. One of the efforts to reduce negative effects of smoking habit is counseling through self management. This research aimed to analyze the effect of self-management training on teenager’s smoking behavior at SMK Negeri 2 Jember. The design of research was quasi experiment. The sample size was 15 respondents as control group and 15 respondents as treatment group. The t-test dependent showed the different of teenage smoking behavior before and after self-management training (intervention group p value= 0.000; CI = 95% and control group p value= 0.012; CI = 95%). The t-test independent showed the different about smoking behavior for the intervention group and the control group (p value= 0.000; CI = 95%). Self management technique consist of self monitoring, reinforcement positive, self contracting, and stimulus control. So, it can be concluded that self management training can decrease average by 6.5 cigarettes consumption in two weeks. Nurse is one of health practitioners who can increase their ability to show their role for health services for school by collaborating with educational department especially counseling teacher to implementing teenager’s smoking prevention program.Keywords: Self-management, counseling, smoking behavior, teenag