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Novanza Rayhan Natasaputra
Hubungan Diabetes Self-Care Behaviour dengan Kontrol Glikemik Penyandang Diabetes Melitus Tipe 2 di Kota Bogor = The Relationship between Diabetes Self-Care Behaviour with Glycemic Control in Type 2 Diabetes Mellitus Patients in Bogor City
"Latar belakang: Diabetes melitus tipe 2 (DMT2) disandang oleh 10,7 juta orang di Indonesia dan menjadi tiga besar penyakit tidak menular penyebab kematian. Sebagian besar kematian terjadi akibat komplikasi yang diawali oleh kontrol glikemik kadar HbA1c yang tidak adekuat, dan diasosiasikan dengan aspek multifaktorial seperti karakteristik sosiodemografi maupun perilaku individu dalam merawat diri—Self-Care Behaviour. Penelitian ini bertujuan mengetahui hubungan antara tingkat kontrol glikemik pada penyandang DMT2 dengan karakteristik sosiodemografi dan perilaku self-care yang dimiliki. Metode: Studi ini menggunakan desain potong-lintang terhadap data sekunder yang dikumpulkan sebelumnya pada Kohor Penyakit Tidak Menular Bogor 2021. Data dikumpulkan menggunakan kuesioner Self-Care Behaviour yang divalidasi dalam bahasa Indonesia, pengukuran kadar HbA1c serta karakteristik penyandang. Populasi studi adalah penyandang DMT2 di lima fasilitas kesehatan primer di Kota Bogor. Sampel dianalisis menggunakan uji Chi-Square dan perhitungan odds ratio. Hasil: Analisis dilakukan pada 237 responden, terdiri atas 90 responden kelompok usia lansia (38%) dan 147 dewasa (62%). Jenis kelamin responden didominasi perempuan sebanyak 171 responden (72,2%) dan 66 responden laki-laki (27,8%). Sebanyak 149 responden (62,9%) memiliki skor Self-Care Behaviour yang baik. Sejumlah 134 responden (56,6%) memiliki kadar HbA1c yang terkontrol. Empat dari tujuh komponen Self-Care Behaviour—pengetahuan, motivasi, dukungan, dan efikasi—berhubungan dengan kontrol glikemik (p<0,001). Efikasi menjadi prediktor kadar HbA1c terkontrol paling kuat (Odds ratio [OR]: 9,7; 95% Confidence Interval [CI] 5,27–17,67). Skor keseluruhan Self-Care Behaviour yang baik meningkatkan probabilitas kadar HbA1c terkontrol 9,1 kali (95% CI 4,94–16,7) dibanding skor kurang baik. Komponen komunikasi, sikap, dan pembiayaan tidak memiliki hubungan signifikan. Tingkat pendidikan dan riwayat DMT2 di keluarga berhubungan dengan tingkat keseluruhan Self-Care Behaviour dan dengan kontrol kadar HbA1c. Kesimpulan: Aspek perilaku self-care pada penyandang DMT2 mempunyai dampak substansial dan signifikan terhadap kontrol glikemik yang dimiliki penyandang.
Introduction: Type 2 diabetes mellitus (T2DM) affects 10.7 million individuals in Indonesia and ranks among the top three non-communicable diseases leading to death. Most of mortality result from complications initiated by inadequate glycemic control, associated with multifactorial aspects such as sociodemographic characteristics and individual self-care behaviour. This study aims to explore the relationship between glycemic control levels in individuals with T2DM and their sociodemographic characteristics and self-care behavior. Method: This study is a cross-sectional study utilizing previously collected secondary data from the Non-Communicable Disease Cohort in Bogor 2021 Data were collected using a validated Self-Care Behaviour questionnaire in Bahasa Indonesia, along with primary data of HbA1c levels and respondent socio-characteristics. The study population consisted of individuals with T2DM from five primary healthcare facilities in Bogor city. The samples were analyzed using Chi-Square test and risk calculation. Result: The research analysis included 237 respondents, consisting of 90 elderly (38%) and 147 adults respondents (62%). The respondents were predominantly female, with 171 respondents (72.2%) compared to 66 male respondants (27.8%). A total of 149 respondents (62.9%) exhibited good Self-Care Behaviour scores. Approximately 134 respondents (56.6%) maintained controlled HbA1c levels. Four out of seven Self-Care Behaviour components—knowledge, motivation, support, and efficacy—were associated with glycemic control (p<0.001). Efficacy identified as the most influential predictor for controlled HbA1c levels (odds ratio [OR]: 9.7, 95% Confidence Interval [CI] 5.27–17.67). An overall good Self-Care Behaviour score is associated with a 9.1-fold increased probability of achieving controlled HbA1c levels (95% CI 4.94–16.7) compared to group with poor score. Self-Care Behaviour components of communication, attitude, and financing were not signicifantly associated. Education level and a family history of T2DM were associated with overall Self-Care Behaviour and with HbA1c control."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Skripsi Membership  Universitas Indonesia Library
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Naldo Sofian
Korelasi Antara Kendali Glikemik dengan Komponen PhysioCognitive Decline Syndrome pada Penyandang Diabetes Melitus Tipe 2 Dewasa Usia Pertengahan = Correlation between Glycemic Control with Component of PhysioCognitive Decline Syndrome among Patients with Type 2 Diabetes Melitusin Middle-Aged Adult
"Latar Belakang
Peningkatan kasus diabetes melitus tipe 2 (DMT2) dengan berbagai komplikasinya memberikan dampak gangguan fungsional seseorang dalam bentuk gangguan kognitif dan kapasitas fisik. Keduanya masih reversibel dan baru diketahui berhubungan sehingga disebut sebagai PhysioCognitive Decline Syndrome (PCDS). Kondisi PCDS baru dipelajari pada lansia dan belum spesifik pada penyandang DMT2.
Tujuan
Mengetahui korelasi antara kendali glikemik dengan komponen physiocognitive decline syndrome pada penyandang DMT2 dewasa usia pertengahan.
Metode
Studi potong lintang menggunakan consecutive sampling dari pasien di poliklinik metabolik endokrin dan poli jantung terpadu sejak Januari 202-November 2022. Subjek DMT2 berusia 40-59 tahun diinklusi. Pemeriksaan kekuatan genggam tangan, dan kecepatan berjalan 6-meter diperiksakan di ruangan standar. MoCA-Ina dilakukan oleh dokter yang telah dilatih. Data HbA1c subjek yang diperiksa adalah HbA1c 3 bulan terakhir. Analisis korelasi Pearson’s atau Spearman’s pada SPSS 20.0 dilakukan sesuai sebaran data.
Hasil
Sebanyak 133 subjek telah dianalisis. Usia median mencapai 53 tahun dengan proporsi laki-laki dan perempuan serta komplikasi pada masing-masing kateori kendali glikemik (batas HbA1c 7,0%) serupa. Subjek didominasi dengan pendidikan SMA dan Sarjana/Diploma. Median durasi terdiagnosisnya diabetes melitus mencapai 7 tahun dengan HbA1c median 7.6%. Nilai MoCA-Ina pada subjek mencapai nilai median 24 dengan kecepatan berjalan rerata 1.02 + 0.23 m/detik dan median kekuatan genggam tangan 24 kg. Terdapat korelasi bermakna hanya pada HbA1c dengan kekutan genggam tangan (r = -0.24, R2 = 0.06, p value <0.01), terutama pada perempuan
Kesimpulan
Terdapat korelasi bermakna antara kendali glikemik dan kekuatan genggam tangan.
Background
Increasing cases of type 2 diabetes melitus (T2DM) including its complication have caused functional dysfunction consisted of cognitive decline and physical incapacity. Both cognitive decline and physical incapacity had been just known to be reversible and related to each other, so it is termed as PhysioCognitive Decline Syndrome (PCDS). However, it had been just evaluated in geriatric and not specific to T2DM patient.
Aim
To investigate the correlation between glycaemic correlation and component of physiocognitive decline syndrome in middle-aged adult with T2DM.
Methods
A cross sectional study with consecutive sampling in our metabolic and endocrine clinic and integrated heart centre in January 2021-November 2022 had been conducted. Inclusion criteria was 40-59 years old subjects with T2DM. Measurement of HbA1c in the last 3 month were analysed, while hand grip strength and gait speed were done in standard room. MoCA-Ina had been conducted by trained doctor. Correlation analysis using Pearson’s or Spearman’s in SPSS 20.0 was done according to data distribution.
Result
133 subjects were analysed. Median age was 53 years old with both sex and complication within each glycaemic control category (HbA1c 7,0% cut off) were similar. Subjects were dominated by high school and undergraduate/diploma education level. Most subjects were diagnosed in up to 7 years of T2DM. Median of HbA1c levels in our study was 7.6%. MoCA-Ina score was 24 in median with mean of gait speed was 1.02 + 0.23 m/s. Our median for hand grip was 24 kg. Significant correlation was only found in relationship of HbA1c and hand grip strength (r = -0.24, R2 = 0.06, p value <0.01).
Conclusion
There was significant correlation between glycaemic control and hand grip strength."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Rahma Maulidina Sari
Kontrol glikemik pada pasien diabetes melitus tipe 2 dan faktor-faktor yang berhubungan di Rumah Sakit Husada Jakarta tahun 2015 = Glycemic control in patients with type 2 diabetes mellitus and associated factors in Husada Hospital Jakarta year 2015
"Prevalensi Diabetes Mellitus tipe 2 cenderung meningkat setiap tahunnya serta menyebabkan angka morbiditas dan mortalitas yang tinggi di Indonesia. Kontrol glikemik harus dilaksanakan oleh penderita DM untuk menghindari timbulnya komplikasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan keberhasilan kontrol glikemik pada pasien DM. Studi cross ndash; sectional dilakukan pada 57 pasien DM yang berobat di Rumah Sakit Husada Jakarta pada tahun 2015. Penelitian ini menunjukkan bahwa pasien DM dengan kontrol glikemik yang buruk banyak ditemukan pada kelompok pasien usia 50-64 tahun, perempuan, durasi penyakit.
Prevalence of Diabetes Mellitus Type 2 tends to increase every year and causing high morbidity and mortality in Indonesia. Glycemic control should be carried out by people with diabetes to avoid the onset of complications. This study aims to determine the factors that related to the success of glycemic control in T2DM patients. A cross sectional study conducted on 57 patients with T2DM who seek treatment at Husada Hospital Jakarta in 2015. This study showed that T2DM patients with poor glycemic control are found in the group of patients aged 50 64 years, women, disease duration."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
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UI - Skripsi Membership  Universitas Indonesia Library
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Ni Made Candra Citra Sari
Penerapan intervensi gepari untuk meningkatkan perilaku perawatan diri pada aggregat dewasa dengan masalah diabetes melitus tipe 2 di Kelurahan Curug Kota Depok = Application of grapari intervention to improve self-care behavior in aggregate adults with type 2 diabetes mellitus problems in Curug Depok
"Penderita DM (diabetesi) tidak hanya kalangan lansia tetapi juga sudah banyak diderita oleh kalangan pada usia produktif. Permasalahan terkait dengan perawatan diri sering ditemukan pada diabetesi yang baru saja didiagnosa atau sudah lama didiagnosa DM. Beberapa hambatan yang terjadi pada diabetesi dalam melaksanakan perilaku peraatan diri yaitu keterbatasan dalam pengetahuan dan keterampilan dalam penyusunan menu, kekurangan informasi kurangnya aktivitas fisik, kepatuhan terhadap pengobatan yang rendan dan juga dukungan dari keluarga dan lingkungan sekitar yang minim.Pengendalian DM pada diabetesi sangata diperlukan untuk mengurangi komplikasi DM. Berdasarkan kondisi tersebut dikembangkan program GEPARI. Tujuan dari program ini adalah meningkatkan perilaku perawatan diri para diabetesi. Metode yang digunakan yaitu studi kasus keluarga dan aggregate dewasa DM menggunakan pendekatan proses keluarga dan komunitas yang melibatkan 10 keluarga dan 34 diabetesi dewasa. Program ini didasarkan pada lima pilar pengendalian DM yaitu edukasi, manajemen nutrisi, aktivitas fisik, pengobatan dan juga pemeriksaan gula darah yang dilaksanakan selama 12 sesi. Evaluasi terhadap pengetahuan, sikap dan keterampilan dan tingkat kemandirian keluarga menggunakan kuesioner sedangkan gula darah sewaktu diukur menggunakan glucometer yang dilaksanakan sebelum dan sesudah pelaksanaan program GEPARI. Hasil implementasi didapatkan hasil bahwa terjadi peningkatan pengetahuan, sikap dan keterampilan (p>0,05), penurunan glukosa darah sewaktu dan peningkatan kemandirian keluarga. Program GEPARI disarankan dapat dilaksanakan dalam pelayanan kesehatan komunitas. 
People with DM (diabetes) are not only among the elderly but also have suffered by many people of productive age. Problems related to self-care are often found in people with diabetes who have just been diagnosed or have been diagnosed with diabetes for a long time. Some of the obstacles that occur in diabetes in carrying out self-care behavior are limitations in knowledge and skills in preparing menus, lack of information, lack of physical activity, low adherence to medication and also minimal support from family and the surrounding environment. reduce DM complications. Based on these conditions, the GEPARI program was developed. The aim of this program is to improve self-care behavior of diabetics. The method used is a family case study and aggregated adult DM using a family and community process approach involving 10 families and 34 adult diabetes. This program is based on the five pillars of DM control, namely education, nutrition management, physical activity, medication and also blood sugar checks which were carried out for 12 sessions. Evaluation of knowledge, attitudes and skills and level of family independence using a questionnaire, while blood sugar is measured using a glucometer which is carried out before and after the implementation of the GEPARI program. The results of the implementation showed that there was an increase in knowledge, attitudes and skills (p>0.05), a decrease in blood glucose and an increase in family independence. The GEPARI program is recommended to be implemented in community health services."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Sri Dewi Megayanti
Hubungan antara diabetes self care dengan score pedis dan kontrol glikemik pada pasien diabetes melitus = The relationship between diabetes self care with score pedis and glycemic control in diabetes mellitus patients
"Diabetes self care DSC merupakan bagian dari pengelolaan diabetes. Tujuan penelitian ini adalah menganalisa hubungan DSC dengan score PEDIS dan kontrol glikemik pasien DM. Penelitian ini merupakan cross sectional studi yang melibatkan 106 pasien. Statistik menunjukkan ada hubungan bermakna antara DSC dengan score PEDIS p 0,0005 dengan korelasi kuat r -0,74 dan kontrol glikemik p 0,0005 dengan korelasi sedang 0,45 . Hasil Regresi menunjukkan DSC berhubungan dengan score PEDIS setelah dikontrol variabel jenis pekerjaan dan lama terdiagnosis DM. DSC berhubungan dengan kontrol glikemik setelah dikontrol jenis pekerjaan dan jenis OAD. Perawat dapat menggunakan DSC sebagai indikator score PEDIS dan kontrol glikemik pasien.
Diabetes self care DSC is an integrated part in diabetes management. The aim of this study was to analyze the correlation between DSC with PEDIS score and glycemic control in diabetes patients. This study applied a cross sectional design, involving 106 patients. Statistics showed a significant association between DSC and PEDIS score p 0.0005 with a strong correlation r 0.74 and glycemic control p 0.0005 with a moderate correlation 0.451 . The regression test showed that the DSC was associated with the PEDIS score after controlled with the variable of occupations and duration of having diabetes. DSC associated with the glycemic control after controlled with occupation and type of anti diabetics agent. Nurses may consider patient rsquo s diabetes self care score as an indicator of the PEDIS score and the glycemic control. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
T48516
UI - Tesis Membership  Universitas Indonesia Library
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Muhammad Mulyadi Pranata
Pengaruh Penggunaan Aplikasi Peduli Diabetes terhadap Kepatuhan Perawatan Diri Pasien Diabetes Melitus Tipe 2 = The Effect of Using the Diabetes Care Application on Self-Care Adherence in Type 2 Diabetes Mellitus Patients
"Kepatuhan perawatan diri diabetes berdampak positif terhadap peningkatan outcome klinis. Hasil penelitian terdahulu pada penyandang diabetes melitus tipe 2 menunjukkan kepatuhan perawatan diri yang buruk. Inovasi teknologi dapat menjadi alternatif solusi dalam mengatasi masalah ini. Penelitian bertujuan mengetahui pengaruh aplikasi berbasis web terhadap perilaku kepatuhan perawatan diri pada pasien diabetes melitus tipe 2. Penelitian ini berdesain quasi eksperimental pre-posttest dengan kelompok kontrol. Partisipan direkrut di program prolanis di klinik dan persadia. Analisis data menggunakan komputerisasi pada 56 responden. Pada analisis bivariat, terdapat peningkatan skor kepatuhan pada kelompok intervensi di akhir penelitian yang tidak bermakna (p=0,649) dan terjadi penurunan skor kepatuhan yang tidak bermakna pada kelompok kontrol (p=0,490). Tidak ada pengaruh penggunaan aplikasi terhadap perilaku diabetes (p=0,433). Pada analisis multivariat, didapatkan hubungan yang signifikan antara tingkat pendidikan (p=0,007) terhadap skor kepatuhan posttest. Aplikasi peduli diabetes berpotensi meningkatkan skor kepatuhan perawatan diri. Perbaikan desain aplikasi diharapkan dapat meningkatkan efektivitas penggunaan aplikasi.
Diabetes self-care adherence has a positive impact on improving clinical outcomes. Observations in people with type 2 diabetes mellitus show poor self-care adherence. Technological innovation can be an alternative solution to overcome this problem. The research aims to determine the effect of web-based applications on self-care adherence behavior in type 2 diabetes mellitus patients. This research has a quasi-experimental pre-posttest design with a control group. Participants were recruited in the prolanis program at the clinic and persadia. Data analysis used computerization on 56 respondents. In bivariate analysis, there was an increase in adherence scores in the intervention group at the end of the study which was not significant (p=0.649) and a decrease in adherence scores which was not significant in the control group (p=0.490). There was no effect of application use on diabetes behavior (p=0.433). In multivariate analysis, a significant relationship was found between education level (p=0.007) and posttest adherence scores. The Peduli Diabetes application has the potential to improve self-care adherence scores. Improvements in application design are expected to increase the effectiveness of application use."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tesis Membership  Universitas Indonesia Library
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Mustika Dian Permana
Perubahan Kendali Glikemik Pada Pasien Diabetes Melitus Tipe 2 Satu Tahun Setelah Health Coaching = Glycemic Control Changes in Type 2 Diabetes Mellitus Patients One Year after Health Coaching
"Latar Belakang. Hanya sepertiga pasien DM tipe 2 yang mencapai target HbA1c yang diharapkan. Beberapa studi menunjukkan bahwa health coaching terbukti mampu menurunkan kadar HbA1c secara bermakna, namun belum banyak diketahui pengaruh health coaching dalam jangka panjang setelah coaching dihentikan.
Tujuan. Tujuan penelitian ini adalah untuk mengetahui pengaruh edukasi dan health coaching dalam perbaikan kendali glikemik jangka panjang pada pasien DM tipe 2 rawat jalan di pusat kesehatan nasional tersier.
Metode. Penelitian ini merupakan penelitian observasional lanjutan dari 6 bulan RCT yang dilaksanakan di dua pusat kesehatan nasional tersier untuk membandingkan kombinasi edukasi dan health coaching dengan edukasi saja
pada pasien DM tipe 2 dengan diabetes yang tidak terkontrol. Subjek penelitian diikuti pada bulan ke-6 dan ke-18 dari RCT awal. Keluaran primer adalah beda rerata HbA1c antar kedua kelompok, dan keluaran sekunder adalah beda proporsi subjek yang mengalami penurunan HbA1c ≥1% dari baseline dan beda proporsi subjek yang mencapai target HbA1c <7%. Analisis data menggunakan uji-T independen dan uji Chi-square.
Hasil. Penelitian ini berhasil mengumpulkan 42 dari 60 subjek (70%) yang mengikuti penelitian hingga bulan ke-18. Tidak ada perbedaan yang bermakna rerata HbA1c antara kelompok intervensi dibandingkan kelompok kontrol (8,70
[±2,00] vs 9,02 [±1,71], p=0,334); dengan rerata HbA1c yang meningkat secara bermakna jika dibandingkan dengan rerata HbA1c bulan ke-6 (8,70 [±2,00] vs 7,83 [±1,80], p=0,016). Keluaran sekunder didapatkan perbedaan yang bermakna
proporsi subjek yang mengalami penurunan kadar HbA1c ≥1% antara kelompok intervensi dibandingkan kelompok kontrol (41,4% [n=12] vs 10,3% [n=3], p=0,015); serta tidak ada perbedaan yang bermakna proporsi subjek yang mencapai target HbA1c <7% (13,8% [n=4] vs 6,9% [n=2], p=0,670).
Kesimpulan. Health coaching tidak mampu mempertahankan perbaikan kendali glikemik pada pasien DM tipe 2 untuk jangka panjang jika coaching dihentikan, diperlukan pemberian coaching ulang agar perbaikan kendali glikemik dapat menetap.
Background. Only one-third of type 2 DM patients achieved the expected HbA1c
target. Several studies have shown that health coaching has been shown to be able
to significantly reduce HbA1c levels, but it is not widely known the effects of
long-term health coaching after coaching is stopped.
Aim. This study was to determine the effect of education and health coaching in
improving long-term glycemic control in outpatients with type 2 diabetes at a
tertiary national health center.
Method. This study is a follow-up observational study of 6 months RCT
conducted in two tertiary national health centers to compare the combination of
education and health coaching with education alone in type 2 diabetes mellitus
patients with uncontrolled diabetes. Study subjects were followed at 6 and 18
months of baseline RCT. The primary outcome was the difference in the mean
HbA1c between the two groups, and the secondary outcome was the difference in
the proportion of subjects who experienced a decrease in HbA1c ≥1% from
baseline and the difference in the proportion of subjects who achieved the HbA1c
target <7%. Data analysis used independent T-test and Chi-square test.
Result. This study managed to collect 42 out of 60 subjects (70%) who attended
the study until the 18th month. There was no significant difference in the mean
HbA1c between the intervention group and the control group (8.70 [± 2.00] vs
9.02 [± 1.71], p = 0.334); with the mean HbA1c which increased significantly
when compared with the mean HbA1c at 6 months (8.70 [± 2.00] vs 7.83 [± 1.80],
p = 0.016). Secondary outcomes showed a significant difference in the proportion
of subjects who experienced a decrease in HbA1c levels ≥1% between the
intervention group and the control group (41.4% [n = 12] vs 10.3% [n = 3], p =
0.015); and there was no significant difference in the proportion of subjects who achieved the HbA1c target <7% (13.8% [n = 4] vs 6.9% [n = 2], p = 0.670).
Conclusion. Health coaching is unable to maintain improved glycemic control in type 2 DM patients for the long term when coaching is stopped, re-coaching is needed so that improved glycemic control can persist."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Nuikita Wachid
Hubungan kualitas tidur dengan manajemen perawatan diri diabetes pada pasien diabetes mellitus tipe 2 = Correlation between sleep quality with diabetes self care management on diabetes mellitus type 2 patients
"Gangguan pada fungsi insulin membuat pasien diabetes mellitus tipe 2 mengalami kondisi hiperglikemia. Kondisi tersebut membuat pasien diabetes mudah terbangun di malam hari karena nokturia dan mempunyai durasi tidur yang pendek. Penurunan kualitas tidur pada pasien diabetes mellitus tipe 2 dapat mengganggu aktivitas sehari-hari, perubahan emosional dan dapat menurunkan kualitas hidup pasien. Tujuan dari penelitian ini adalah untuk melihat hubungan antara kualitas tidur dengan manajemen perawatan diri. Penelitian ini juga meneliti variabel yang dapat mempengaruhi manajemen perawatan diri seperti usia, jenis kelamin, tingkat pendidikan, lama penyakit diabetes, tingkat stress, dukungan keluarga dan ulkus diabetikum. Metode penelitian yang digunakan dalam penelitian ini adalah cross-sectional dengan menggunakan kuesioner karakteristik responden, pittsburgh sleep quality index, perceived stress scale, diabetes self-management questionnaire dan dukungan keluarga. Penelitian ini dilakukan pada 152 pasien diabetes mellitus tipe 2 yang terbagi menjadi 79 responden tanpa ulkus diabetikum dan 73 responden dengan ulkus diabetikum. Hasil penelitian ini menunjukkan bahwa sebanyak 63.2 responden memiliki kualitas tidur yang buruk, 59.2 responden memiliki stress ringan, 57.2 responden memiliki dukungan keluarga buruk dan 56.6 memiliki perilaku manajemen perawatan diri diabetes baik. Penelitian ini juga menemukan bahwa terdapat hubungan yang bermakna antara kualitas tidur dengan manajemen perawatan diri diabetes p < 0.05. Hubungan yang bermakna juga ditemukan pada variabel lama penyakit DM dan tingkat stress p < 0.05. Tidak ada hubungan yang bermakna antara usia, jenis kelamin, tingkat pendidikan, dukungan keluarga dan ulkus diabetikum dengan manajemen perawatan diri diabetes. Kesimpulan yang diambil dari penelitian ini adalah terdapat hubungan yang bermakna antara kualitas tidur dengan manajemen perawatan diri diabetes pada pasien diabetes mellitus tipe 2.
Insulin disturbance on diabetes mellitus patients has lead them to have hyperglycemia. This condition makes diabetics had to wake up at night due to nocturia and they also had a short duration of sleep. Decreased sleep quality in patients with type 2 diabetes can interfere their daytime functions, alterations in emotions and decrease their quality of life. Purpose of this study was to examine relationship between sleep quality and self care management among diabetes type 2 patients. This study also added some variables that may affect management of self care such as age, gender, education level, duration of diabetes, stress levels, family support and diabetic foot ulcers. This research using cross sectional methods with questionnaire consist of patient characteristic, Pittsburgh sleep quality index, perceived stress scale, diabetes self management questionnaire and family support. This research has been conducted in 152 diabetes type 2 patients who were divided into 79 respondents without diabetic foot ulcers and 73 respondents with diabetic foot ulcers. Result of this study showed that 63.2 of respondents have poor sleep quality, 59.2 of respondents have mild stress, 57.2 of respondents have poor family support and 56.6 have good diabetes self management behavior. This study also found that there is a significant relationship between sleep quality with diabetes self care management p 0.05. This study also found that there is significant relationship between duration of diabetes and stress level p 0.05. There is no significant relationship between age, sex, education level, family support and diabetic ulcers with diabetes self management care. Conclusion of this study is significant relationship between sleep quality and diabetes self care management on diabetes type 2 patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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UI - Skripsi Membership  Universitas Indonesia Library
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Hamidah
Pengontrolan glikemik pada individu diabetes melitus tipe 2 dengan hemodialisis kronik melalui pendekatan Orem's Self Care model = Glycemic control in type 2 diabetes mellitus and chronic hemodialysis patients with Orem's Self Care model approach
"[ABSTRAK
Diabetic Kidney Disease (DKD) pada Diabetes Melitus Tipe 2 (DMT2) merupakan komplikasi kronik yang dapat dicegah dan ditunda progresifitasnya dengan pengontrolan glikemik yang baik dan penatalaksanaan yang tepat dari komorbid lainnya. Pengontrolan glikemik menjadi tanggung jawab bersama antara multidisiplin profesi kesehatan di ruang rawat (dokter, perawat, dietisien, farmasis) dengan pasien (serta keluarga). Model Self care Orem sangat sesuai untuk diaplikasikan dan dikembangkan di ruangan pada asuhan keperawatan pasien dengan penyakit kronik. Pasien dapat bersinergi secara aktif sesuai kemampuannya dalam mencapai tujuan dari setiap intervensi keperawatan. Disamping itu pendekatan model self care Orem sesuai untuk mempersiapkan pasien dalam meningkatkan kemampuan self care untuk pasca rawat. Pelaksanaan praktek berbasis pembuktian, pengukuran suhu kaki dengan termometer infrared dapat menjadi perangkat tambahan untuk menilai adanya gejala inflamasi lokal sehingga upaya deteksi dini menjadi lebih komprehensif. Pelaksanaan kegiatan inovasi pemantauan dan pemeriksaan kesehatan mandiri pada pasien DM dapat meningkatkan upaya promosi kesehatan pada pasien DM.ABSTRACT Diabetic Kidney Disease (DKD) in Type 2 Diabetes Mellitus (T2DM) is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments. Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward (doctors, nurses, dietisien, pharmacists) and patients (and families). Orem?s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases. Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention. Besides, Orem?s self care model approach appropriate to prepare the patient to improve the ability of self care for post-hospitalization. Implementation of evidence-based practice, the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive. Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients. ;Diabetic Kidney Disease (DKD) in Type 2 Diabetes Mellitus (T2DM) is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments. Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward (doctors, nurses, dietisien, pharmacists) and patients (and families). Orem?s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases. Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention. Besides, Orem?s self care model approach appropriate to prepare the patient to improve the ability of self care for post-hospitalization. Implementation of evidence-based practice, the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive. Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients. , Diabetic Kidney Disease (DKD) in Type 2 Diabetes Mellitus (T2DM) is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments. Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward (doctors, nurses, dietisien, pharmacists) and patients (and families). Orem’s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases. Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention. Besides, Orem’s self care model approach appropriate to prepare the patient to improve the ability of self care for post-hospitalization. Implementation of evidence-based practice, the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive. Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Hamidah
Pengontrolan glikemik pada individu diabetes melitus tipe 2 dengan hemodialisis kronik melalui pendekatan orem s self care model = Glycemic control in type 2 diabetes mellitus and chronic hemodialysis patients with orem s self care model approach
"[ABSTRAK
Diabetic Kidney Disease DKD pada Diabetes Melitus Tipe 2 DMT2 merupakan komplikasi kronik yang dapat dicegah dan ditunda progresifitasnya dengan pengontrolan glikemik yang baik dan penatalaksanaan yang tepat dari komorbid lainnya Pengontrolan glikemik menjadi tanggung jawab bersama antara multidisiplin profesi kesehatan di ruang rawat dokter perawat dietisien farmasis dengan pasien serta keluarga Model Self care Orem sangat sesuai untuk diaplikasikan dan dikembangkan di ruangan pada asuhan keperawatan pasien dengan penyakit kronik Pasien dapat bersinergi secara aktif sesuai kemampuannya dalam mencapai tujuan dari setiap intervensi keperawatan Disamping itu pendekatan model self care Orem sesuai untuk mempersiapkan pasien dalam meningkatkan kemampuan self care untuk pasca rawat Pelaksanaan praktek berbasis pembuktian pengukuran suhu kaki dengan termometer infrared dapat menjadi perangkat tambahan untuk menilai adanya gejala inflamasi lokal sehingga upaya deteksi dini menjadi lebih komprehensif Pelaksanaan kegiatan inovasi pemantauan dan pemeriksaan kesehatan mandiri pada pasien DM dapat meningkatkan upaya promosi kesehatan pada pasien DM
ABSTRACT
Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients , Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ]"
2015
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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