20 research outputs found
Effect of dietary self-management ssupport program on dietary behaviors in patients with type 2 diabets mellitus in Yogyakarta, Indonesia
No full textThesis (M.N.S., Nursing Science)--Prince of Songkla University, 201
Implementasi Program Pengendalian Diabetes Mellitus dan Hipertensi Melalui Media Watshapp Selama Pendemi Covid-19
No full textPengabdian masyarakat ini bertujuan untuk mengidentifikasi model pemantauan pasien DM dan HT melalui aplikasi WhatsApp (WA) selama pandemi Covid-19. Kabupaten Bantul merupakan salah satu Kabupaten dengan jumlah PTM tertinggi di DIY, termasuk DM dan HT.Tim dan mitra menyepakati tiga masalah prioritas dalam melakukan pematauan DM dan HT, yaitu rendahnya pengetahuan dan perilaku pasien dalam melakukan pemantauan DM dan HT, dan 2) sulitnya melakukan pemantauan DM dan HT di layanan kesehatan selama pandemi Covid-19. Ada 3 (tiga) tahapan dalam melaksanakan solusi yang ditawarkan untuk mengidentifikasi dan mengatasi permasalahan semakin meningkatnya DM dan HT, yaitu: 1) observasi lingkungan, 2) wawancara dokter, pasien, tokoh masyarakat dan Kader, dan 3) diskusi kelompok pasien HT dan DM di Puskesmas Pundong. Ada tiga tema penting yang dapat digunakan untuk merancang model pemantauan pasien DM dan HT, yaitu: 1) aplikasi WA sebagai media pendukung pemantauan DM dan HT, 2) kemudahan dalam mengendalikan DM dan HT selama pandemi Covid-19, dan 3) kendala penggunaan aplikasi WA. Pemantauan DM dan HT berbasis aplikasi WA merupakan salah satu inovasi yang dapat mempermudah pencegahan komplikasi. Keterbatasan penggunaan aplikasi WA menjadi penghambat dalam penggunaan model ini. Penggunaan aplikasi WA Â menggunakan pesan singkat dan video call merupakan model pemantauan DM dan HT yang disukai selama pandemi Covid-19
Review: Self-management Support Program on Dietary Behaviors in Patients with Type 2 Diabetes Mellitus
No full textBackground: Dietary behaviors are the cornerstone in diabetes management. Diabetes self-management support program in which patients play an active role to determine their health care is an important strategy to improve dietary behaviors in type 2 diabetes mellitus (T2DM) patients. Its elements which contribute to the successfulness of the program need to be identified.Purpose: To review and identify the elements of self-management support program to improve dietary behaviors in T2DM patients.Method: An integrative review was conducted. Relevant studies published in English language during last 10-year, measured dietary behaviors in T2DM patients, and retrieved from CINAHL and PubMed were included.Results: 13 experimental studies and 3 meta-analysis studies were reviewed. Goal setting and action planning combined with other strategies (brief counseling and problem solving) seemed more effective to improve dietary behaviors. Either trained lay people or clinicians could lead the program although clinician-led programs were common. Contents and materials of the education vary across the studies. The effects on dietary behaviors could be detected in short term duration of program (<6 months). Continuing follow-up was essential element which face-to-face follow-up as the most common strategy. The utilization of technology such as telephone-call and internet based follow-up might provide more benefits for patients.Conclusion: Diabetes self-management support program is effective to improve dietary behaviors in T2DM patients. Further research is needed to test the effectiveness of goal setting strategy and technology utilization for follow-up strategy such telephone call in Indonesian T2DM population.Keywords: self-management, dietary behaviors, type 2 diabetes mellitus</p
Effects of Fasting on Every Monday and Thursday to Cholesterol Levels of Patients with Type 2 Diabetes Mellitus
No full textDietary Behaviors among Patients with Type 2 Diabetes Mellitus in Yogyakarta, Indonesia
No full textPurpose: To describe dietary behaviors and examine relationships between selected factors and dietary behaviors among type 2 diabetes mellitus (T2DM) patients in Yogyakarta, Indonesia.Method: Seventy T2DM patients from a hospital in Yogyakarta who met the inclusion criteria were recruited. Patient’s dietary behaviors were measured by the Dietary Behaviors Questionnaire developed for this study with adequate reliability. The questionnaire comprised of four dimensions: recognizing the amount of calorie needs, selecting healthy diet, arranging a meal plan, and managing dietary behaviors challenges. Higher scores indicate better dietary behaviors.Result: More than half of the patients were women (54.3%) with an average age of 56.8 years and diabetes duration of 9.7 years. The results revealed a moderate level of the total score of dietary behaviors. Considering each dimension, the results showed a moderate level of recognizing the amount of calorie needs, selecting healthy diet, and managing dietary behaviors challenges. The patients reported a high level of arranging meal plans. Pearson’s correlation was used to examine the relationships between selected factors and dietary behaviors. There was a positive significant relationship between the knowledge regarding diabetic diet and the total dietary behaviors scores (r = .36, p< .01). There were positive significant relationships between the knowledge regarding diabetic diet and the dimensions of recognizing the amount of calorie needs (r = .27, p< .05), selecting healthy diet (r = .35, p< .01), and managing dietary behaviors challenges (r = .28, p< .05). In contrast, the findings indicated no significant relationship between knowledge regarding diabetic diet and arranging a meal plan dimension. Furthermore, there was no significant relationship between the diabetes duration and dietary behaviors.Conclusion: Dietary behaviors among T2DM patients in Yogyakarta were at a moderate level. Knowledge regarding diabetic diet is essential. Further study regarding intervention in increasing patients’ knowledge is needed to achieve better dietary behaviors.Keywords: Dietary behaviors, type 2 diabetes mellitus, knowledge, Yogyakarta, Indonesia<br /
Student's Satisfaction on Online Nursing OSCE (ON-OSCE) Assessment Application
No full textBackground: Objective Structured Clinical Examination (OSCE) is one of the final assessment components for nursing students. OSCE assessment uses the ON-OSCE (Online Nursing OSCE) application to fulfill the need and overcome the manual OSCE assessment challenges using papers. The manual OSCE assessment with multiple checklists is very detailed and takes a long time in scoring. Besides, the evaluation using papers tends to cause a miscalculation in scoring a total of ratings that can harm the student.Method: This research is a non-experimental study with a descriptive design and cross-sectional approach. The samples were 480 respondents of nursing students. The instrument of assessment of satisfaction was analyzed based on the score accuracy, time to retrieve score, and examiner's attention. Data analysis used descriptive frequency and percentage distributions. Results: Students' satisfaction based on the time to retrieve score revealed that 365 students (76%) were satisfied. Two hundred eighty-five students (59,4 %) were also satisfied with ON-OSCE related to the score accuracy. Regarding the examiners' attention, 273 students (56,9 %) felt the examiners ignored the students' actions. They focused on the laptop to provide an assessment. It could be due to the new ON-OSCE application for the examiners and their unfamiliarity with operating the application.Conclusion: Most students were satisfied with the assessment using the ON-OSCE application to retrieve scores and the score accuracy. However, they were less satisfied with the examiners' attention. The examiners should be more familiar with the ON-OSCE
Prevalence of Erectile Dysfunction Among Men with Type 2 Diabetes Mellitus in Indonesia: An Observational Study
No full textBackground: Diabetes mellitus (DM) is a chronic metabolic disorder that can lead to multiple long-term complications in the human body including erectile dysfunction (ED). ED is a condition that commonly affects men and may reduce their quality of life. However, ED amongst men with type 2 DM (T2DM) has rarely been assessed and addressed by nurses who have an essential role in providing holistic patient care.Objective: This study aimed to describe ED among men with T2DM based on their demographic characteristics and health profiles.Methods: This was a descriptive study with a cross-sectional approach of 32 male respondents who were selected through convenience sampling in the outpatient department of PKU Muhammadiyah Hospital Yogyakarta, Indonesia. The data was collected by using the erectile function’s domain of Indonesian version of International Index of Erectile Function (IIEF). Descriptive statistics were used to present this study’s findings.Results: The results showed that 62.5% of the participants had uncontrolled blood glucose levels with an average random blood glucose of 207.75 ± 77.21 mg/dl. Only four respondents (12.5%) had received sexual counselling. Twenty-nine respondents (90,6%) had ED which were categorized into mild (17.2%), mild to moderate (6.9%), moderate (24.1%) and severe (51.7%).Conclusion: ED levels varied across age, duration of T2DM, random blood glucose levels, previous history of smoking, current smoking status, sexual counselling experience, complications, and occupation levels. Severe ED was common amongst men with T2DM in this study. Nurses should assess patient’s sexual function regularly and identify the effects of ED in men with T2DM. Early detection of ED could allow nurses to plan adequate intervention and health education to provide better outcomes for men with T2DM
Latihan Pernapasan Diafragma Meningkatkan Arus Puncak Ekspirasi (APE) dan Menurunkan Frekuensi Kekambuhan Pasien Asma
No full textSalah satu penatalaksanaan asma yaitu latihan pernapasan diafragma yang dapat meningkatkan fungsi paru pasien asma. Tujuan penelitian untuk menguji pengaruh latihan pernapasan diafragma terhadap peningkatan Arus Puncak Ekspirasi (APE) dan penurunan frekuensi kekambuhan pasien asma. Penelitian true experiment pretest-posttest with control group melibatkan 28 subjek penelitian secara random. Subjek dibagi menjadi kelompok intervensi dan kelompok kontrol melalui randomisasi sejumlah 14 orang untuk masing-masing kelompok. Pengukuran APE menggunakan peak flow meter dan frekuensi kekambuhan dicatat dengan lembar catatan observasi. Hasil penelitian terdapat perbedaan yang signifikan rerata selisih APE kelompok intervensi (mean 126,43±22,05 L/menit) dan kelompok kontrol (mean 52,14±56,45 L/menit) dengan p 0,001, serta terdapat perbedaan yang signifikan rerata selisih frekuensi kekambuhan kelompok intervensi (mean 1,29±0,61) dan kelompok kontrol (mean 0,79±0,57) dengan nilai p 0,038. Latihan pernapasan diafragma menjadi pertimbangan dalam penatalaksanaan pasien asma.
Abstract
Effect of Diaphragmatic Breathing Exercises on Peak Expiratory Flow Rate (PEFR) Enhancement and The Mild-Moderate Asthma Patients’ Relapse Frequency Reduction. One of the management of asthma is diaphragmatic breathing exercises that could improve lung function of asthma patients. The objective of the study was to examine the effect of diaphragmatic breathing exercises on Peak Expiratory Flow Rate (PEFR) and decreased frequency of mild-moderate asthma relapse on the patients. True experiment method pretest-posttest with control group was applied in this study with involved 28 random research subject. Subjects were divided into intervention groups and control groups through randomization of 14 people for each group. PEFR measurements using peak flow meter and relapse frequency were recorded with an observation note sheet. There was a significant difference of difference PEFR mean between intervention groups (mean 126.43±22.05) and control group (mean 52.14±56.45) with p 0.001. There was a significant difference of difference mean frequency between intervention group (mean 1.29±0.61) and control group (mean 0.79±0.57) with p 0.038. Diaphragmatic breathing exercise is a consideration in the management of asthma patients.
Keywords: asthma, diaphragmatic breathing exercises, frequency of recurrence, peak expiratory flow rat
Pengaruh Siklus Belajar 5E Kombinasi Problem Based Learning (PBL) Terhadap Peningkatan Kognitif, Afektif, Psikomotor Pada Mahasiswa Diploma Keperawatan
No full textMutu pendidikan yang rendah merupakan masalah utama dalam dunia pendidikan. Hasil uji kompetensi nasional untuk tingkat diploma keperawatan masih sangat rendah bila dibandingkan tenaga kesehatan lain. Nilai batas lulus untuk D3 Keperawatan masih dibawah 50 yaitu 42,16 dengan prosentase kelulusan hanya 47,81%. Proses belajar mengajar merupakan salahsatu faktor yang berkontribusi terhadap kualitas pendidikan. Tujuan pada penelitian ini adalah untuk mengetahui pengaruh model siklus belajar 5E kombinasi PBL dalam meningkatkan kemampuan kognitif, afektif, dan psikomotor mahasiswa diploma keperawatan. Desain penelitian menggunakan kuasi eksperimen dengan rancangan pretest-posttest control group design. Lokasi penelitian dilakukan di Akper Samawa Sumbawa. 58 mahasiswa didapatkan melalui Total Sampling. Data analisis menggunakan analisis deskriptif, chi square dan t-test. Hasil penelitian menunjukkan nilai rerata kognitif sebelum intervensi adalah 39,28 dan setelah intervensi meningkat menjadi 47,85, nilai rerata afektif sebelum intervensi adalah 45,17 dan setelah intervensi meningkat menjadi 52,89, nilai rerata psikomotor sebelum intervensi adalah 44,39 dan setelah intervensi meningkat menjadi 53,03. Setelah diterapkan intervensi model siklus belajar 5E dengan kombinasi PBL, terdapat peningkatan kognitif, afektif, dan psikomotor yang signifikan dengan nilai p-value 0,041, 0,012 dan 0.000
