10 research outputs found
Different Types of Intermittent Fasting for Glucosa Index Control in Diabetics: A Systematic Review
No full textBackground: The glucose index is an important parameter in diabetes management and general health. Intermittent fasting has become an interesting research topic in an attempt to control glucose index. This study Glucose index is an important parameter in diabetes management and general health. Intermittent fasting has become an interesting research topic in an attempt to control glucose index.
Purpose: This study aims to conduct a systematic review of the different types of intermittent fasting and their impact on glucose index control.
Method: The research method used was a thorough literature search in scientific databases such as PubMed, Google Scholar, and ScienceDirect for articles investigating different types of intermittent fasting in the context of glucose index control. We evaluated these articles based on their methodological quality and identified key findings.
Results: The results of this systematic review showed that different types of intermittent fasting, including 16/8 fasting, 5:2 fasting, daily fasting, and full-day fasting, have varying impacts on glucose index control. Some studies showed significant reductions in fasting blood glucose levels, improved insulin sensitivity, and decreased insulin resistance. However, the results may vary depending on the duration of fasting, the type of food consumed during the feeding period, and individual characteristics.
Conclusion: suggests that intermittent fasting could be a potentially effective strategy in glucose index control. However, more studies need to be conducted to better understand which type of intermittent fasting is most effective and safe for individuals with various health conditions
FAKTOR RISIKO KEJADIAN PENYAKIT TUBERKULOSIS BTA POSITIF DI WILAYAH KERJA PUSKESMAS PUUWATU KOTA KENDARI
No full textTuberkulosis merupakan penyakit menular disebabkan infeksi kuman Mycobacterium Tuberculosis. Tuberkulosis menjadi masalah kesehatan di Indonesia, khususnya di Wilayah Kerja Puskesmas Puuwatu Kota Kendari.Tuberkulosis masih menjadi masalah kesehatan dimana tiga tahun terakhir ditemukan yaitu 2016 sebanyak 80 kasus (60%), tahun 2017 sebanyak 75 kasus (53%) dan tahun 2018 sebanyak 47 kasus (33%). Upaya dilakukan untuk mencegah terjadinya kejadian TB dengan melakukan penelitian tentang pengetahuan, kepadatan hunian dan ventilasi. Penelitian bertujuan mengetahui faktor risiko kejadian TB BTA + di Wilayah Kerja Puskesmas Puuwatu Kota Kendari.
Jenis penelitian adalah Case Control Study dilaksanakan dari bulan Juni sampai Juli 2019 sampel yang digunakan sebanyak 32 kasus yang diambil secara Random Sampling dan 32 kontrol. Metode analisis menggunakan perhitungan Odds Ratio (OR).Hasilpenelitian Nilai OR pengetahuan, kepadatan hunian, dan ventilasi diperoleh OR=4,911> 1, OR=2,455> 1, OR=0,661< 1. Disimpulkan bahwa pengetahuan dan kepadatanhunian merupakan faktor risikokejadian TB BTA + sedangkan ventilasi bukan faktor risiko kejadian TB BTA +
HUBUNGAN PERSONAL HYGIENE DENGAN KEJADIAN DERMATITIS KONTAK IRITAN PADA PETANI DI WILAYAH KERJA PUSKESMAS LAMEURU KECAMATAN RANOMEETO BARAT KABUPATEN KONAWE SELATAN
No full textBerdasarkan data yang diperoleh dari Puskesmas Lameuru bahwa prevalensi kejadian penyakit dermatitis pada tahun pada 2015 terdapat 27,78% penderita per 1000 penduduk, pada tahun 2016 menurun dengan prevalensi 18,8%, dan pada tahun 2017 meningkat menjadi 55,18%. Penelitian ini bertujuan untuk mempelajari hubungan personal hygiene dengan kejadian dermatitis kontak iritan di wilayah kerja Puskesmas Lameuru Kecamatan Ranomeeto Barat Kabupaten Konawe Selatan.Jenis penelitian yang digunakan adalah penelitian analitik observasional dengan rancangan “Cross Sectional Study”.Penelitian ini dilaksanakan di wilayah kerja Puskesmas Lameuru Kecamatan Ranomeeto Barat Kabupaten Konawe Selatan. Populasi penelitian ini adalah seluruh petani di wilayah kerja Puskesmas Lameuru kecamatan Ranomeeto Barat yang berjumlah 738 petani tahun 2017 dengan jumlah sampel 100 orang dan teknik pengambilan sampel secara simple random sampling. Hasil analisis bivariat menunjukan variabel kebersihan diri memiliki nilai (X2 hitung = 13,070), kebersihan pakaianmemiliki nilai (X2 hitung = 21,330) dan kebersihan tempat tidur memiliki nilai (X2 hitung = 19,351). Dari penelitian ini dapat disimpulkan bahwa variabel kebersihan diri, kebersihan pakaian dan kebersihan tempat tidur berhubungan dengan kejadian dermatitis kontak iritan pada petani
OUTCOME PRESENT TEST METHOD (OPT) IMPROVE THE SATISFACTION OF CLINICAL REASONING STUDENT PROFESSION IN MEDICAL NURSING SURGERY STAGE
No full textNursing clinical education is an instrument in improving the clinical reasoning skills of students. One of learning models of clinical reasoning that is used to improve clinical reasoning skills in nursing education is the Outcome-Present Test Model (OPT). OPT is a nursing process model that is designed to develop the skills of learners’ clinical reasoning and the focus of the model are the results (outcomes) and thinking behind (backward) to change the client from his health status at this time (the present state) to the desired state (outcome ). In other words, a very simple model that consists of only 1 (one) page makes the learning improving clinical reasoning skills more easily and reduce the element of copy and paste in the documentation. While peer learning is an effective strategy to address the problem in which the students will be divided into several groups of 2-3 students.To obtain the result, this learning model uses research development method with the respondents 10 clinics and institutions preceptor and 30 students who practice in medical surgical nursing stase.The research results shows the level of student satisfaction after using Outcome-Present Test (OPT)-peer learning for 4 weeks, it affected with the value of α: 0,001. By using this model, not just a clinical reasoning that they get but they also will understand about how to use the diagnosis of NANDA, NIC and NOC. The next suggestion, this model can be a format in clinical learning in other departments
Optimization of Fraud Potential Prevention in Implementation of National Health Insurance at Puskesmas Abeli
No full textFraud actions at institutions can catapult health costs. Globally, the potential loss due to fraud is estimated at 7,29% every year. Increasing the number of referrals in advanced health facilities FKTL is an indication of fraud behavior. In Southeast Sulawesi, the referral rate is high, reaching 17% with the maximum ideal standard for the average referral rate of first level health facilities(FKTP) to advanced health facilities(FKTL), not more than 5%. While in Kendari City in 2015, the referral rate from Puskesmas to Abunawas General Hospital was also still high at around 9.5% in 2015 and an increase of 15.3% in 2016. One of the puskesmas that provided referrals was Abeli ​​Community Health Center. This study aims to analyze the potential for fraud prevention in the implementation of National health insurance(JKN) at Abeli ​​Health Center. This study using observational analytic using one group pre test and post test design. Research was conducted at Abeli ​​Health Center and technique used was cluster random sampling with 28 respondents. From the statatistic test results obtained, there were differences in knowledge before and after the intervention with a mean gap value of 0, 21429 with a lower limit of 0.05226 and an upper limit of 37631 and a p value<α (0.011 <0.05). The suggestion in this study is to the health centers and hospitals to increase more understanding of fraud in the implementation of the JKN program by having socialization
The Validation of Diabetes Mellitus Discharge Planning Module Incorporated into the Summary of Diabetes Self-Care Activity
No full textBackground:
In Indonesia, several hospitals have designed various forms of discharge planning in line with the guidelines provided by the Indonesian Endocrinology Association. These initiatives were implemented to enhance the quality of healthcare service. Despite the efforts made by the government, the rate of non-compliance (9%) and readmission (20%) has continued to increase. This indicates that there is a need to reevaluate the existing discharge planning module. Therefore, this study aims to validate the contents of the diabetes mellitus discharge planning module, which was incorporated into the summary of diabetes self-care activity. The effectiveness of the intervention in improving the compliance of patients with self-care activity was also evaluated.
Materials and Methods:
This study used a mixed methodological approach, which combined an evaluation method and an experimental quantitative design. The content validity of the module used was carried out using professional judgment, involving competent experts in the bahteramas hospital in southeast Sulawesi, Indonesia. The sample population consisted of sixty-five randomly selected respondents, who participated in the validation of the summary of Diabetes Self-Care Activities (SDSCA) questionnaire, which had three phases, namely pre-test, during, fieldwork, and post-test.
Results:
The content validity of the module was tested using Aiken’s v, and the results ranged from 0.82 to 0.88 for each session, indicating that it was valid. Furthermore, the internal consistency (Cronbach’s alpha) obtained in this study was acceptable, with values ranging from 0.60 to 0.92.
Conclusions:
The results showed that the diabetes mellitus discharge planning module could be used to improve self-care among patients
Health Referral System for Non-Specialized Cases in Southeast Sulawesi Province, Indonesia
No full textThe government prioritizes health as one of the areas in which it seeks to boost the country's growth, but the referral system in place has failed to deliver high-quality health care. The purpose of this study was to assess and empirically demonstrate the extent to which the health referral system has been implemented in Kendari Health Center and Bau-Bau City. The study was held in the Kendari City Health Center and the Bau-Bau City Health Center, and it lasted from February 2020 to February 2021. This research method is a qualitative approach based on postpositivism's theory, in which the researcher is the primary instrument, triangulation is used to collect data, inductive data analysis is used to analyze data, and qualitative research results emphasize meaning rather than generalization. Informants in this study amounted to 15 informants. Qualitative data were analyzed using the NVIVO 12 QSR application. The research findings indicate that there is a conceptual link between the health system and the concept of implementing a referral system. This research emphasizes to the health service center the importance of increasing the knowledge of health workers through training for both doctors and advocacy for policymakers regarding the improvement of health facilities.
Deteksi Dini Peripheral Artery Disease melalui Pemeriksaan Ankle Brachial Index pada Kelompok Prolanis di Puskesmas Poasia
No full textPeripheral Artery Disease (PAD) is a complication of Diabetes Mellitus (DM). Changes in the walls of blood vessels cause a decrease in blood flow (perfusion) to the lower extremities which are marked by a decrease in the ankle-brachial index (ABI). The purpose of this study was to obtain an overview of ABI values in diabetes patients in the prolanis group at Puskesmas Poasia, Kendari City, Southeast Sulawesi. This study is a descriptive study, to get an overview of the ABI value in patients with DM who were registered as prolanis patients at Poasia Kendari health center as many as 14 people. The results of the research were obtained, namely: the average gender was 11 respondents, the average age of the respondents was 46-55 years old as many as 6 respondents, and the average length of suffering from the respondents was 0-2 years as many as 9 respondents. The results of the study obtained ABI values in 14 patients with Type II Diabetes Mellitus (DM type II), there are still many who fall into the normal category, namely 9 respondents (64.3%) and there are (35.7%) respondents who have abnormal ABI, namely in minor and moderate occlusion categories. Normal ABI in respondents is influenced by the average duration of diabetes mellitus is only a period of 5 years, this causes the ABI value in the normal range and not many have experienced disturbances.
Peripheral Artery Disease (PAD) merupakan komplikasi Diabetes Melitus (DM) Perubahan pada dinding pembuluh darah menyebabkan penurunan aliran darah (perfusi) ke ekstremitas bawah yang ditandai dengan penurunan ankle brachial index (ABI). Adapun tujuan penelitian ini adalah Mendapatkan gambaran Nilai ABI pada pasien diabetes di kelompok prolanis Di Puskesmmas Poasia Kota Kendari Sulawesi Tenggara. Penelitian ini merupakan penelitian deskriptif, mendapatkan gambaran nilai ABI pada pasien dengan DM yang terdaftar sebagai pasien prolanis di puskemas poasia kendari sebanyak 14 orang. Hasil penelitian diperoleh yaitu: rata-rata berjenis kelamin adalah perempuan sebanyak 11 responden, rata-rata usia responden 46-55 tahun sebanyak 6 responden responden, dan rata-rata lama menderita responden adalah 0-2 tahun sebanyak 9 responden. Hasil penelitian yang diperoleh nilai ABI pada 14 pasien Diabetes Melitus tipe II (DM tipe II) masih banyak yang masuk dalam kategori normal yaitu sebanyak 9 responden (64,3%) dan terdapat (35,7%) responden memiliki ABI abnormal yaitu berada di kategori oklusi singan dan sedang. ABI normal pada responden dipengaruhi oleh rata-rata lama sakit DM hanya kurun waktu 5 tahun, hal tersebut yang menyebabkan nilai ABI dalam rentang normal dan belum banyak yang mengalami gangguan.
Diabetes Distress: Assessment And Screening Of Stress Levels Among People With Diabetes Mellitus
No full textAims: Type 2 diabetes mellitus patients are more likely to suffer from depression, with a prevalence of between 24% and 29%. In 2017, there were 184 people with diabetes in the Poasia Health Center\u27s working area, but only 26 of them were actively participating in the prolanis program on a regular basis. The low number of patients who are actively seeking treatment is likely due in part to the fact that they have diabetes.
Methods: Patients with diabetes mellitus (DM) who are registered as prolanis patients at the Poasia Kendari health center are the focus of this descriptive study. Depression levels were assessed using the Diabetes Distress Scale (DDS 17).
Results: There were 26 patients with type II diabetes mellitus (also known as "type II diabetes mellitus") who participated in the researcher\u27s study based on demographic data obtained from the Poasia Health Center that were diagnosed with mild depression, with as many as 20 of them falling into this category. (76.22%), while 23% to 24% of respondents (23.08%) were suffering from moderate to severe depression
Mix Method Impact of Exposure of Inhalants Exposure “Glueing” on Street Children Community in Kendari City
No full textAims: The results of the preliminary survey conducted by researchers before the research began and supported by statements provided by the informants, supported the researchers\u27 allegations and found that there was a phenomenon of inhalent abuse in street children in Kendari City, namely using fox and disgrace type glue to create a comfortable effect (fly) against themselves.
Objectives: This study aims to determine the impact of chronic exposure to gluing inhalants on the community of children in Kendari city.
Methods: This study uses the Mix Method, which is a combination of a quantitative approach and a qualitative approach with snowball sampling technique, the number of respondents is 10 people.
Results: The research results from the physiological aspects, namely; Respiratory rate of street children who “glueing” on average is high, there are 2 abnormal people, Heart Rate of street children who are “glueing” on average is weak, there are 9 people who are abnormal, Weight and height of street children who are “glueing” in the categories are insufficient while the body temperature and blood pressure of street children who are “glueing” are all still within normal limits.
Conclusion: There is a psychological impact from inhaling glue which makes informants feel hallucinating and make them feel calm. It is recommended to the Kendari city government that street children need special attention, because they are a group that is very vulnerable to the negative impacts of the environment and they need special guidance regarding impacts the physiology and psychology of gluing.
