87 research outputs found
Implementasi Senam Diabetes Terhadap Perubahan Kadar Gula Darah Pada Pasien Diabetes: Studi Kasus
No full textDiabetes adalah infeksi kronis yang ditandai dengan tingginya kadar glukosa yang terjadi akibat tubuh tidak bisa menggunakan insulin yang diproduksi secara efektif. Latihan jasmani merupakan salah satu pilar dalam pengelolaan diabetes, Latihan jasmani bermanfaat untuk menjaga kebugaran, menurunkan berat badan dan memperbaiki sensitivitas insulin, sehingga akan memperbaiki kendali glukosa darah. Senam diabetes adalah latihan fisik aerobik bagi penderita diabetes dengan serangkaian gerakan yang dipilih secara sengaja dengan cara mengikuti irama music sehingga melahirkan ketentuan ritmis, kontinuitas dan durasi tertentu untuk mencapai tujuan tertentu. Senam diabetes akan lebih baik dilakukan dalam waktu 45menit dengan frekuensi 3-5 kali perminggu. Studi kasus bertujuan untuk mengetahui penurunan kadar gula darah yang dilihat dari GDS pada pasien DM setelah dilakukan Senam DM selama 3 hari. Desain studi kasus adalah desain deskriptif dengan pendekatan proses keperawatan pada pasien DM. Subjek studi kasus adalah 3 orang pasien DM di komunitas, dipilih sesuai kriteria inklusi. Alat untuk studi kasus adalah glucometer. Hasil studi kasus menunjukkan ada penurunan kadar gula darah setelah dilakukan senam diabetes. Setelah diberikan intervensi senam diabetes selama tiga hari terjadi penunrunan kadar gula darah pada 3 responden dari rata-rata 9 mg/dl hari pertama, 17 mg/dl hari kedua dan 12 mg/dl hari terakhir. Senam diabetes sangat efektif dapat menurunkan kadar gula darah pada pasien DM. Intervensi senam diabetes bisa dijadikan sebagai salah satu terapi non farmakologi yang aman dan efektif sebagai upaya pencegahan komplikasi pasien DM
THE EFFECT OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) TOWARDS WOUND HEALING
No full textBackground: Instead of reduce pain, TENS is also capable of stimulating the peripheral nerves to work optimally and improving blood circulation where the electrodes are applied. Having good blood circulation enhances good wound healing as well. The decrease in pain level will boost the immune system thus the wound healing can also be improved. It needs further studies on the effect of TENS on wound healing. Objective: The research aimed to explore specific effect of TENS on wound healing. Methodology: The research was conducted by using Science Direct article, Medline, Google Search and Pro Quest to find articles which are appropriate with inclusion and exclusion criteria to be reviewed. Results: The necrosis cases of the post-operative wound were higher in the control compared to the intervention group, there were no complications with significant p-value of (P <0.0001). There were differences in the provision of TEENS with additional of heat protocol before, during and after the intervention towards the blood circulation with the significance p value of (P, 0.05). Good granulation occurs, the hair follicle grew well and Pro-inflammatory declined (TNF-α) with the significance p-value of (P <0.05). The comparison of necrosis percentage in five groups were 43.88%, 39.20%, 38.57%, 32.14% and 44.13% in G1 to G5 respectively. The statistical tests proved the TEENS intervention in group G4 was more effective with the significance p value of 0.032. The TENS with frequency of 10 Hz is more effective compared to 100 Hz TENS and control groups who received placebo towards the adrenergic receptor. TENS intervention at a dose of 100 Hz can improve the reactivity of venous blood circulation well. The amount of oedema in the wound is reduced and capillary refills 2 seconds with the significance p-value of (P <0.001) significantly. Discussion: TENS at a frequency of 10 Hz to 100 Hz is the bioelectrical body frequency. At low frequencies, it will be able to stimulate the secretion of endorphin hormone so the patients who received TENS intervention can be more relaxed and feel better as the pain is relieved. The immune system works well and can help the wound heals properly by inhibition of inflammatory factor. Conclusions: TENS therapy is proven to help wound healing. TENS equipment is available everywhere, easy to use, economical, does not cause addiction, and can be given at any time with fewer side effects to the patients. The results of the study cannot be generalised yet. Further research is needed. Keywords: Transcutaneous Electrical Nerve Stimulation, wound healing, literature review
Different Pain Level Of Diabetes Mellitus Patients With Peripheral Neuropathy Who Have Been Given Tens And Deep Breathing Interventions In Diabetic Foot Ulcer Treatment In Yogyakarta General Hospital
No full textIntroduction : Regular intervention of diabetic foot ulcers is wound care. Patients often complain of pain when nurse performs wound care. If the pain is not resolved it will result in anxiety feeling. A routine intervention conducted so far is intra-breath in intervention to reduce pain, as it is expected by reducing the pain it will be followed by a decrease of patients’ anxiety. Intra-breath intervention has not been able to reduce pain quickly on a moderate scale, especially high-scale so it is necessary to find out other alternative interventions. The available comparative intervention is TENS. The purpose of this study is to know the difference between intra-breath and TENS intervention in the level of anxiety in diabetic patients with peripheral neuropathy in diabetic foot ulcer treatment. Method : This study used RCT method on 28 respondents divided into 14 intervention groups and 14 control groups. The anxiety of respondents was assessed using Hamilton Scale of Anxiety tools before and after conductin TENS intervention and intra-breath. TENS intervention was given for 15 minutes at a frequency of 100 Hz and intra-breath was given until the wound care intervention was completed. Result : The results showed that there was significant average difference of anxiety level between the use of TENS intervention and the use of intra-breath intervention in intervention group and the control group with value of P <0.05. TENS can reduce the level of anxiety with the value of P 0.000, while intra -breath is able to lower the level of anxiety with the value of P 0.006. Discussion : The respondents admitted the difficulty of experience maximum relaxation when wound care is done, this condition is related to the comfortable position of respondents. When wound care is done, the respondents can not relax maximaly because many of the foot that has ulcers should be padded with a pillow to maximize the treatment. Provision of TENS with a frecuency of 100 Hz is corresponding to the body’s bioelectricity, the patients that receive TENS intervention may become more rrelaxed with endorphine hormone release and decreasing of pain because the electricity blocks pain implans in the neural tube
[[alternative]]The Evaluation of the Effects of Implementing Tailored Care Program on Patients with Diabetes in Indonesia
No full text[[abstract]]BackgroundIn Indonesia, the prevalence, health care cost and complication of diabetes has dramatically increased. People with diabetes have low participation in performing self-management because of treatment aligned not match with their preferences and individual needs or known as tailored care approached. Moreover, there was no study in Indonesia have conducted a randomized controlled trial (RCT) of tailored care program used related to diabetes management and risk of cardiovascular diseases (CVD) complication. Therefore, there is particular need for research on tailored care intervention program for people with diabetes in Indonesia. Objectives The aims of this study were to establish and address the effectiveness of tailored care intervention program for patients with diabetes troughed phase I: to discover tailored care elements and develop strategies for treating patients with diabetes by literature review of scientific methods, phase II: to test the validation of a tailored care program on five potential participants by pilot study and phase III: to test the effectiveness of tailored care intervention program on patients with diabetes compared with the standard education in primary health care facilities in Indonesia.MethodsPhase I developed an innovative of tailored care intervention program by systematic review of scientific methods in two stages. The first stage comprised a literature search through a primary search strategy, secondary search through a study quality review, and study extraction. Furthermore, the second stage entails discovered tailored care elements, deriving definitions, and developing clinical strategies for patients with diabetes. In phase II, five potential participants contacted by researcher in the primary health care to be participated in the pilot study. Participants grouped for brainstorming the difficulties on glycaemic target and specific target behaviour. Difficulties which experiencing by participant discussed together then select strategies to overcome. Research assistants made a list of participant needs, then rank participants priorities further setting a goal and writing action as detailed for achieving their glycaemic target and control based on their need and priorities. Based on comments and validation of five samples, the tailored care for diabetes modified before to implemented to the next phase. In phase III, a randomized controlled trial (RCT) (n=163; the intervention group (80); the control group (83)) design was conducted in the main study with pre and post-testing (undertaken at three months following baseline collection). The control group received the standard education in the primary health care facilities (Moyo Hilir and Moyo Hulu Primary Health Care) and intervention group received tailored care intervention program: (1) brief deducting teaching (2) assessment for self-management level and CVD risk (3) brainstorming and support group (4) follow up. Main outcome measures and data analysisInstruments used in data collection included (1) diabetes self-management questionnaire (DSMQ); (2) ISH CVD risk chart; (3) summary of diabetes self-care activity (SDSCA); (4) diabetes quality of life (DQoL); (5) diabetes distress scale (DDS); (6) Physiological outcomes (as measured by the laboratory tested). Data were double entered for verification using SPSS statistical software. Phase II: descriptive and respondent feedbacks were performed to evaluate tailored care intervention program before tested in the main study. Phase III: descriptive analysis was used to examine demographic variables and outcome variables. Paired t-tests were used to analyse differences on continues data between mean scores for pre and post tested data the intervention and control group. Categorical data were analysed using Chi-square statistics to test the significance of different proportions. Results Phase I: Seven elements of tailored care for diabetes were self-management, patient preferences, patient value, interprofessional collaboration, tailored support, glycaemic control, and patient centre. Moreover, broadly the strategies of tailored care for diabetes were (1) brief deducting teaching (2) assessment for self-management level and characteristic among patients (3) making list of patient needs, difficulties in glycaemic control, setting goal, rank the priorities, and writing action through brainstorming and support group (4) follow up.Phase II: Five participants in the pilot study asked researcher to provide a guide and monitoring book while at home. The book should provide safe choices information on diet, exercise, drugs, both chemical drugs and herbal medicines based on their values and preferences while doing self-management at home. Respondents claimed to be able to fill out all measurement tools, followed brainstorming and support group process with accompanied by a research assistant.Phase III: the three months benefits of the tailored care intervention program were increases in diabetes self-management, diabetes self-care activity, diabetes quality of life and decreases in HbA1c, percentage of CVD risk as well as diabetes distress. However, the results of several physiological tests in blood pressure, body weight, body mass index (BMI), triglyceride, blood glucose, cholesterol, triglyceride glucose index indicated that the change over time was not different in two groups (intervention and control groups). Conclusion Results of phase I and II support the implementation of tailored care intervention program for diabetes population in Indonesia. The main study or phase III revealed that tailored care intervention program was culturally acceptable to Indonesian people with diabetes and effective increased in diabetes self-management, diabetes self-care activity, diabetes quality of life and decreased in HbA1c, percentage of CVD risk as well as diabetes distress
PILOT STUDI: MANAJEMEN DIRI PASIEN DIABETES MELITUS DI RUMAH SAKIT HL. MANAMBAI ABDULKADIR: Pilot study: Self-Management Among Diabetes Mellitus Patients at HL. Manambai Abdulkadir Hospital
No full textBackground: The population of people with diabetes mellitus is increasing every year, furthermore included into number three of deadliest disease in Indonesia. The total number of patients with diabetes mellitus currently are 10.3 million, predicted in 2045, the population will increase to 16.7 million. The main cause population of people with diabetes mellitus are increasing due to public awareness regarding self-management is still less. No researcher has been conducted research about diabetes self-management in HL. Manambai Abdulkadir hospitals. Objectives of the Pilot Study: the main objective in this pilot study was to understand the self-management of people with diabetes mellitus in HL Manambai Abdulkadir hospitals. Methodology: The participants in this pilot study were people diabetes mellitus type 2 in HL Manambai Abdulkadir hospitals using cross sectional design by diabetes self-management, self-efficacy, diabetes self-management knowledge and diabetes distress scale questionnaire. Results: 60% of patients in HL Manambai Abdulkadir hospitals had lack of self-management. The result from measuring of distress scale, knowledge and self-efficacy of patients are related to self-management of patients with diabetes mellitus with P Value <0.05. Conclusion: further research is needed with additional interventions to overcome the lack of self-management to people who suffer diabetes mellitus in HL Manambai Abdulkadir Hospital
Effect of Transcutaneous Eelectrical Nerve Sstimulation (TENS) On the Wound Healing Process in Patients with Diabetes Mellitus Carried Diabetic Foot Ulcer Treatment at Roemani Muhammadiyah Hospital, Semarang
No full textDevelopment Hypothetical Learning Trajectory on Statistics Material in Grade VIII Using Realistic Mathematics Education at the Preliminary Stage with Pranata Mangsa Context
No full textStatistics is a staple in the curriculum because it is considered necessary in everyday life. However, students often find statistics challenging. Students' difficulties in learning statistics are caused by several factors, including a lack of understanding of mathematical concepts and principles in solving problems. This study aimed to design and develop a Hypothetical Learning Trajectory (HLT) for grade VIII statistics using the Realistic Mathematics Education (RME) approach, with Pranata Mangsa as the learning context. The method used in this research was validation-type design research. This research produced an HLT of statistics material using pranata mangsa context consisting of 3 activities to help students understand and master the material. The activities of the HLT are 1) collecting, presenting, and analyzing data, 2) measuring centralized data, and 3) measuring data distribution. The results showed an HLT for teaching statistics using RME that can effectively support students of all ability levels. This HLT allows students to rediscover statistics concepts through horizontal and vertical mathematical processes. Finally, the HLT facilitates students to create their models from informal to formal and increases the interaction between students and teachers. Statistika menjadi materi pokok dalam kurikulum karena dianggap penting dalam kehidupan sehari-hari. Namun, pada kenyataannya statistika merupakan salah satu pelajaran yang dianggap sulit bagi siswa. Kesulitan siswa dalam belajar statistika disebabkan oleh beberapa faktor, diantaranya kurangnya pemahaman konsep dan prinsip-prinsip matematika dalam menyelesaikan soal. Tujuan penelitian untuk mendesain dan mengembangkan Hypothetical Learning Trajectory (HLT) menggunakan pendekatan Realistic Mathematics Education (RME) pada materi statistika kelas VIII menggunakan konteks Pranata Mangsa yang menjadi starting point dalam pembelajaran. Metode yang digunakan dalam penelitian ini adalah design research tipe validasi. Penelitian ini menghasilkan HLT materi statistika menggunakan konteks pranata mangsa yang terdiri dari 3 iceberg untuk membantu siswa dalam memahami dan menguasai materi. Adapun iceberg dari HLT tersebut adalah 1) mengumpulkan, menyajikan, dan menganalisi data; 2) ukuran pemusatan data; dan 3) ukuran penyebaran data. Hasil penelitian ini menunjukkan bahwa HLT mampu membantu siswa menemukan kembali konsep statistika melalui proses matematika horizontal dan vertikal. HLT memfasilitasi siswa untuk membuat model mereka sendiri dari informal ke formal dan meningkatkan interaksi antara siswa dan guru
IDENTIFIKASI KESALAHAN DATA SPARE PART REQUEST SEBAGAI KELENGKAPAN SPARE PART UNTUK PERAWATAN DAN PERBAIKAN MESIN INDUK MT. LINTAS XVII
No full textABSTRAKSI
Tri Tirta Satriya, 2019, NIT: 51145486.T, “Identifikasi Kesalahan Data Spare Part
Request Sebagai Kelengkapan Spare Part Untuk Perawatan Dan Perbaikan Mesin
Induk MT. LINTAS XVII”, skripsi Program Studi Teknika, Program Diploma
IV, Politeknik Ilmu Pelayaran Semarang, Pembimbing I: Nasri M.T,
M.Mar.E., Pembimbing II: Purwantono, S.Pi, M.Pd.
Suku cadang adalah aset yang cukup penting pada permesinan kapal yang
dipersiapkan khususnya dalam penyelesaian program perawatan dan perbaikan
mesin induk. Penulis mengamati permasalahan terkait kurangnya kelengkapan
suku cadang mesin induk untuk perawatan dan perbaikan yang menghambat
oprasional kapal. Tujuan penelitian ini umtuk mengetahui faktor yang dapat
menggangu dan upaya yang harus dilakukan agar kegiatan perawatan dan
perbaikan berjalan dengan lancar dan tepat waktu sehingga tidak menggangu
oprasional kapal.
Metode penelitian yang penulis gunakan dalam penyusunan skripsi ini
adalah metode USG dan SHEL. Dalam hal ini penulis menggunakan metode USG
sebagai menentukan prioritas masalah yang ada. Metode SHEL sebagai
penjabaran dari faktor kurangnya kelengkapan suku cadang untuk melaksanakan
perawatan dan perbaikan mesin induk, upaya yang harus dilakukan untuk
kelengkapan suku cadang untuk melaksanakan perawatan dan perbaikan mesin
induk
Berdasarkan hasil penelitian yang telah dilakukan penulis di kapal dapat
disimpulkan bahwa kurangnya suku cadang sebagai perawatan dan perbaikan
mesin induk disebabkan oleh permintan suku cadang yang diminta tidak sesuai
pada manual part book. Upaya yang harus dilakukan adalah meminta kembali
suku cadang dengan data spesifikasi pada manual part book dan lebih teliti dalam
pembuatan permintaan suku cadang agar suku cadang yang telah dipesan disetujui
oleh pihak perusahaan.
ABSTRACT Tri Tirta Satriya, 2019, NIT: 51145486.T, "Identification Of Spare Part Requestion Data Error As Spare Part Completeness For Main Engine Maintenance And Repair MT. LINTAS XVII". Program Diploma IV, Technical , Merchant Marine Polytechinc of Semarang, Preceptor I: Nasri M.T., M.Mar.E. Preceptor II: Purwantono, S.Pi, M.Pd. Spare parts are quite important assets in ship machinery that are prepared specifically in the completion of the main engine maintenance and repair program. The author observes the problem related to the lack of completeness of main engine parts for maintenance and repairs that hinder the operation of the ship. The purpose of this study is to find out the factors that can interfere and efforts that must be made so that maintenance and repair activities run smoothly and on time so as not to interfere with ship operations. The research method that the author uses in preparing this paper is the USG and SHEL method. In this case the author uses the ultrasound method as determining the priority of existing problems. SHEL method as a description of the factors lack of complete spare parts to carry out maintenance and repair of the main engine, efforts must be made to complete spare parts to carry out maintenance and repair of the main engine Based on the results of research conducted by the authors on the ship it can be concluded that the lack of spare parts as maintenance and repair of the main engine is caused by the request of the requested parts not according to the manual part book. Efforts must be made is to re-request spare parts with specification data in the manual part book and more thoroughly in making requests for spare parts so that the parts ordered have been approved by the company
Penerapan Senam Kaki Diabetik Untuk Menurunkan Nyeri Neuropati: Case Study
No full textPasien diabetes melitus tipe 2 memiliki permasalahan nyeri kaki yang berhubungan dengan kondisi neuropati diabetikum. Usaha yang dilakukan untuk mengurangi nyeri yang dirasakan dilakukan senam kaki diabetik. Neuropati di kaji menggunakan alat ukur nyeri neuropati yaitu kuesioner douleur neuropathique en 4 questions (DN4). Salah satu solusi untuk mengurangi nyeri neuropati yang bisa di terapkan dengan melakukan senam kaki diabetik yang berfungsi untuk mengurangi nyeri, meningkatkan rasa nyaman, menjaga kestabilan gula darah dan memperbaiki sirkulasi darah serta menghambat kerusakan saraf pada kaki. Studi kasus ini bertujuan untuk mengetahui apakah senam kaki diabetik efektif untuk menurunkan nyeri neuropati. Studi kasus ini menggunakan study dekriptif dengan pendekatan asuhan keperawatan menggunakan teknik senam kaki diabetes pada pasien diabetes melitus tipe 2. Subyek studi kasus penelitian ini menggunakan 2 responden. Teknik pengambilan sampel dilakukan dengan teknik purposive sampling berdasarkan kriteria inklusi dan ekslusi. Hasil studi kasus menunjukkan bahwa pada kasus pertama didapatkan sebelum diberikan senam diabetik tingkat nyeri neuropati pasien dengan skor 7 setelah diberikan senam diabetik tingkat nyeri neuropati pasien mengalami penurunan dengan skor 5 sedangkan pada kasus kedua didapatkan sebelum senam diabetik tingkat nyeri neuropati pasien dengan skor 6 setelah diberikan senam diabetik tingkat nyeri neuropati pasien menurunan dengan skor 4. Penerapan senam kaki diabetik mampu menurunkan nyeri neuropati bagi pasien yang menderita Diabetes Mellitus Tipe 2
Mencegah diabetes mellitus dan komplikasinya
No full textJumlah penderita diabetes yang terus bertambah setiap tahunnya menjadi perhatian seluruh negara di dunia saat ini, tidak terkecuali Indonesia. Data menyebutkan bahwa Indonesia masuk dalam enam negara terbesar penderita diabetes pada rentang usia 20-76 tahun. Tentunya dibutuhkan penanganan serius untuk menekan jumlah penderita diabetes dimasa mendatang.Secara umum, buku ini berisi informasi tentang upaya pencegahan dan cara melakukan skrining bagi kelompok yang beresiko menderita diabetes. Skrining dan pencegahan penyakit diabetes sejak awal diharapkan menjadi upaya yang efektif untuk menurunkan jumlah populasi penderitanya serta mampu mengontrol terjadinya komplikasi serius.Buku ini dapat digunakan oleh masyarakat awam, mahasiswa keperawatan atau mahasiswa kesehatan lainnya sebagai panduan sederhana serta memberi pengetahuan tambahan tentang upaya pencegahan diabetes berikut komplikasinya. Selamat membaca
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