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"Agregat dewasa di daerah perkotaan merupakan salah satu kelompok yang berisiko terhadap masalah kesehatan. Salah satu masalah kesehatan pada agregat dewasa adalah diabetes melitus. Tingginya angka diabetes dapat disebabkan oleh banyak faktor salah satunya yaitu diet yang tidak sehat. Diabetes pada agregat dewasa dapat berdampak pada aspek fisiologis dan aspek ekonomi. Dampak fisiologis diabetes yaitu diperlukan pengobatan dan perawatan dalam waktu yang lama. Sedangkan dampak ekonominya yaitu diperlukan biaya yang banyak untuk perawatan dan pengobatan. Oleh karena itu, penanganan diabetes pada agregat dewasa sangat perlu untuk dilakukan. Karya ilmiah ini bertujuan untuk menggambarkan pelaksanaan asuhan keperawatan keluarga dengan intervensi buku saku makanan sebagai bentuk media edukasi diet untuk pengaturan makan dan menurunkan kadar gula darah pada keluarga Bapak M. Hasil intervensi keperawatan keluarga menggunakan buku saku makanan menunjukkan adanya penurunan kadar gula darah pada Ibu L, yaitu dari 495 mg/dl menjadi 431 mg/dl. Hasil penelitian ini mengimplikasikan bahwa buku saku makanan dapat diaplikasikan sebagai salah satu intervensi untuk menangani masalah diabetes di komunitas.

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Adults in urban areas are one of the most at risk group to health problem. One of health problem in adults is diabetes mellitus. High prevalence of diabetes can caused by many factors such us unhealthy diet. Diabetes mellitus in adults can affect to physiologic and economic aspects. Affect to physiologic aspect is take long time for the treatment. Whereas affect to economic aspect is need high cost for the treatment. Therefore, management of diabetes in adults is very important to be done. The purpose of this scientific project is to know about the description of family nursing care using food pocket book as an intervention in adults with diabetes mellitus. The result showed that there was a reduction in blood glucose level from 495 mg/dl to 431 mg/dl. It implied that food pocket book can be applied as one of the interventions to treat diabetes mellitus in the community."

"Prevalensi Diabetes melitus meningkat pesat dalam tiga dekade terakhir, kelompok dewasa menjadi agregat dengan kasus diabetes cukup tinggi dan berdampak pada penurunan produktifitas. Tujuan penulisan adalah mengetahui hasil penerapan intervensi OPAD “Optimal Pantau dan Atasi Diabetes” pada kelompok dewasa dengan diabetes di Keluarahan Jatijajar. Intervensi dilakukan dengan pendekatan asuhan keperawatan dengan jumlah peserta sebanyak 89 orang. Hasil intervensi menunjukkan peingkatan pada pengetahuan (20.7%; p=0.000), sikap (43.86%; p=0.000), keterampilan (25.4%; p=0.000), pengobatan (15.3%; p=0.000), diet (25.3%; p=0.000), aktifitas fisik (35%; p=0.000) , pemeriksaan rutin (26.5%; p=0.000) dan dukungan sosial (16.4%; p=0.000). Terdapat penurunan tingkat stres (20.95%; p=0.000) dan kadar gula darah (94; p=0.000) . Inovasi OPAD dapat memberikan perubahan kadar gula darah, pengetahuan, sikap, keterampilan, pengobatan, diet, aktifitas fisik, pemeriksaan kesehatan, tingkat stres dan dukungan keluarga pada dewasa dengan diabetes melitus. Integrasi pelaksaan OPAD dengan program PTM, Prolanis dan Perkesmas di Puskesmas.

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The prevalence of Diabetes Mellitus (DM) has risen sharply in the last three decades, disproportionately affecting adults and leading to decreased productivity. This study aimed to evaluate the effectiveness of the "Optimal Monitoring and Diabetes Management" (OPAD) intervention on knowledge, attitudes, skills, and DM management among 89 adults with DM in Jatijajar Village. The nursing care-based intervention significantly improved knowledge (20.7%; p=0.000), attitudes (43.86%; p=0.000), skills (25.4%; p=0.000), medication adherence (15.3%; p=0.000), dietary adherence (25.3%; p=0.000), physical activity (35%; p=0.000), regular check-ups (26.5%; p=0.000), and social support (16.4%; p=0.000). Additionally, there was a decrease in stress levels (20.95%; p=0.000) and blood glucose levels (94; p=0.000). The OPAD innovation proved effective in improving various aspects of DM management in adults. Integration of OPAD with Non-Communicable Disease (NCD) programs, Prolanis, and Perkesmas at Community Health Centers is recommended."

"[Peningkatan jumlah lansia berkontribusi pada peningkatan penyakit degeneratifkronis seperti diabetes melitus yang memerlukan penatalaksanaan manajemendiri. Penelitian bertujuan untuk mengetahui arti dan makna pengalamanmanajemen diri lansia dengan diabetes melitus di Kota Depok. Penelitianmenggunakan metode kualitatif fenomenologi deskriptif dengan wawancaramendalam pada sembilan partisipan, Hasil wawancara dianalisis menggunakanmetode Colaizzi. Penelitian mengidentifikasi 11 tema yaitu mengenali gejalaawal, pengetahuan tentang diabetes melitus, upaya terhadap respon padaperubahan kadar gula darah, perawatan diri, faktor pendukung perawatan diri,faktor penghambat perawatan diri, dampak diabetes melitus, upaya mengeloladampak diabetes melitus, perubahan aktivitas, dukungan keluarga yang dirasakan,dan kualitas hidup lebih baik.

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ABSTRACTIncreasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life., Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi’s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.]"

"Diabetes melitus merupakan penyakit degeneratif yang ditandai dengan gejala hiperglikemia akibat defisiensi insulin maupun resitensi insulin. Kejadinnya terus meningkat terutama di perkotaan yang disebabkan karena adanya perubahan gaya hidup seperti pola makan tidak sehat, kurang aktivitas, merokok, konsumsi alkohol, dan stress. Penulisan ini bertujuan untuk menganalisis asuhan keperawatan pada pasien diabetes melitus. Salah satu intervensi yang diberikan yaitu senam kaki diabetes. Intervensi senam kaki diabetes dilakukan selama lima hari, pasien menunjukkan merasa lebih nyaman dan sensitivitas kaki meningkat. Dengan demikian, senam kaki diabetes perlu dilakukan pada pasien diabetes melitus baik di rumah sakit maupun di rumah untuk mengurangi risiko komplikasi ulkus kaki diabetik.

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Diabetes mellitus is a degenerative disease characterized by hyperglycemia due to insulin deficiency or insulin resistant. The incidence of diabetes mellitus rapidly increase through years, especially in urban areas due to the change in lifestyle such as unhealthy diet, less activity, smoking, alcohol consumption, and stress. This paper aimed to analyze the result of foot exercise intervention in diabetes mellitus patient. Foot exercise was given for five days. The result showed an increase foot sensitivity and patient felt more comfortable. Therefore, diabetic foot exercise must be done by diabetic patients either in the hospital or at home to reduce the risk of ulcus diabetic foot."

"Diabetes melitus merupakan salah satu penyakit kronis yang menjadi penyebab kematian. Kualitas pelayanan prolanis sangat penting dalam menangani penderita diabetes melitus. Kualitas pelayanan kesehatan yang rendah dan masih banyak penderita diabetes melitus belum mendapatkan pelayanan kesehatan sesuai standar dapat menjadi indikator bahwa kualitas pelayanan prolanis masih belum optimal. Penelitian ini bertujuan untuk mengetahui gambaran praktik kolaborasi interprofesi dalam penanganan klien diabetes melitus pada pelayanan prolanis di wilayah Jakarta Utara. Penelitian ini menggunakan pendekatan cross sectional dan teknik purposive sampling dengan jumlah 144 tenaga kesehatan yang terlibat dalam pelayanan prolanis di enam Puskesmas Kecamatan Jakarta Utara. Instrumen yang digunakan adalah Assesment of Interprofessional Team Collaboration Scale (AITCS) II. Hasil penelitian dikategorikan menjadi dua yaitu kolaborasi baik (52,1%) dan kurang baik (47,9%). Sosialisasi yang lebih luas serta seminar kepada tenaga kesehatan mengenai pentingnya kolaborasi interprofesi perlu ditingkatkan sehingga pemberi pelayanan kesehatan mampu mengoptimalkan pelayanan kesehatan dengan pendekatan kolaborasi interprofesi.

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Diabetes mellitus is a chronic disease that is the cause of death. The quality of prolanis treatment is very important in dealing with people with diabetes mellitus. The low quality of health treatment and there are still many people with diabetes mellitus who have not received health treatment according to standards can be an indicator that the quality of prolanis treatment is still not optimal. This study aims to describe the practice of interprofessional collaboration in handling diabetes mellitus clients at prolanis treatment in the North Jakarta area. This study used a cross sectional approach and purposive sampling technique with a total of 144 health workers involved in prolanis treatment in six North Jakarta Area Health Centers. The instrument used is the Assessment of Interprofessional Team Collaboration Scale (AITCS) II. The results of the study were categorized into two, namely good collaboration (52.1%) and poor collaboration (47.9%). Wider socialization and seminars to health workers regarding the importance of interprofessional collaboration need to be improved so that health service providers are able to optimize health services with an interprofessional collaboration approach. "

"Diabetes Mellitus merupakan penyakit degeneratif yang jumlahnya terus meningkat setaip tahunnya. Individu yang menderita DM dengan gula darah yang tidak terkontrol sangat, berisiko mengalami luka ulkus diabetikum. Selain penanganan hiperglikemia dengan pemberian obat-obatan, perawatan luka ulkus diabetikum penting dilakukan untuk mencegah terjadi infeksi. Studi kasus ini bertujuan mengetahui efektifitas penggunaan antibiotik topikal pada perawatan luka ulkus diabetikum grade 1. Analisis dilakukan pada asuhan keperawatan yang diberikan di ruang rawat RSUPN Dr. Cipto Mangunkusumo. Evaluasi dilakukan dengan memonitoring proses penyembuhan luka ulkus selama perawatan. Hasil evaluasi menunjukkan bahwa proses penyembuhan luka ulkus dapat cepat mengering. Karya ilmiah ini menyarankan bahwa penggunaan antibiotik topikal sebagai alternatif jenis perawatan luka ulkus.

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Diabetes Mellitus is a degenerative disease whose numbers continue to increase every year. Individuals suffering from diabetes mellitus with uncontrolled blood sugar are at risk of developing diabetic ulcer. In addition to handling hyperglycemia by administering drugs, care for diabetic ulcer wounds is important to prevent infection. This case study aims to determine the effectiveness of using topical antibiotics in grade 1 diabetic ulcer wound care. The analysis was carried out on nursing care given in the hospital room Dr. RSUPN Cipto Mangunkusumo. Evaluation is done by monitoring the ulcer wound healing process during treatment. Evaluation results indicate that the ulcer wound healing process can dry out quickly. This scientific work suggests that the use of topical antibiotics as an alternative treatment of diabetic ulcer."

"Diabetes di Indonesia memiliki prevalensi sebesar 10.9% dan merupakan penyebab kematian peringkat ke 5 di dunia. Diabetes merupakan ancaman serius terhadap masalah kesehatan yang sebagian besar disebabkan oleh gaya hidup seperti pola makan tidak sehat dan kurang aktivitas fisik. Aktivitas fisik dilakukan dengan teratur dapat memberikan manfaat kesehatan bagi tubuh. Aktivitas fisik merupakan salah satu intervensi pilihan untuk mencegah dan mengontrol diabetes. Penulisan Karya Tulis Ilmiah ini bertujuan memberikan gambaran mengenai asuhan keperawatan keluarga dengan diabetes melalui intervensi keperawatan edukasi pengetahuan diabetes, aktivitas fisik jalan kaki dan diet 3J (jumlah, jenis, jadwal) pada keluarga di Kota Depok. Metode penelitian yang digunakan adalah case study. Intervensi keperawatan unggulan yang dilakukan selama 5 minggu adalah aktivitas fisik jalan kaki. Aktivitas fisik jalan kaki dilakukan setiap hari dengan waktu 30 menit dilakukan pada pagi hari yang dilakukan di luar ruangan. Hasil menunjukkan terjadi penurunan dari pertama kali pertemuan dibandingkan dengan akhir setelah diberikan intervensi jalan kaki selama 2 minggu dengan diet 3J dari kadar gula darah 175 mg/dL menjadi 140 mg/dL. Dapat disimpulkan bahwa aktivitas jalan kaki dapat menjadi alternatif intervensi untuk menurunkan kadar gula darah pada penderita diabetes.

Kata kunci: Intervensi aktivitas fisik jalan kaki, perawat, kadar glukosa darah.

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Diabetes in Indonesia has a prevalence of 10.9% and is the 5th leading cause of death in the world. Diabetes is a serious threat to health problems which are mostly caused by lifestyle such as unhealthy eating patterns and lack of physical activity. Regular physical activity can provide health benefits for the body. Physical activity is one of the interventions of choice to prevent and control diabetes. This scientific paper aims to provide an overview of nursing care for families with diabetes through nursing interventions, education on diabetes knowledge, physical activity, walking and the 3J diet (amount, type, schedule) for families in Depok City. The research method used is a case study. The leading nursing intervention carried out for 5 weeks was the physical activity of walking. The physical activity of walking is carried out every day for 30 minutes in the morning outdoors. The results showed that there was a decrease from the first meeting compared to the end after being given a walking intervention for 2 weeks with the 3J diet from blood sugar levels from 175 mg/dL to 140 mg/dL. It can be concluded that walking activity can be an alternative intervention to reduce blood sugar levels in diabetes sufferers."

"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.

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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."

"Latar belakang: Prevalensi komplikasi DM semakin meningkat termasuk di Indonesia. Untuk mencegah komplikasi DM diperlukan perubahan perilaku. Setiap pasien DM memiliki kebutuhan dan tujuan kesehatan yang bervariasi, maka person-centered approach perlu diberikan sebagai strategi yang menjanjikan untuk mengubah perilaku dalam mencegah komplikasi DM. Salah satu strateginya adalah dengan coaching. Melalui coaching, diharapkan dapat meningkatkan efikasi diri dan penerimaan diri sebagai mediator dalam mengubah perilaku dalam mencegah komplikasi DM. Tujuan: dikembangkannya model coaching keperawatan berdasarkan analisis eksploratori tentang pengalaman perilaku pencegahan komplikasi dan efektivitasnya terhadap efikasi diri, penerimaan diri, perilaku pencegahan komplikasi dan metabolik markers pada pasien DM tipe 2. Metodologi: Penelitian ini menggunakan mixed-method dengan desain eksploratori sekuensial melalui tiga tahap. Purposive sampling digunakan untuk pengambilan sampel. Tahap pertama melibatkan lima belas pasien DM tipe 2 sebagai partisipan, tahap kedua melibatkan tiga orang sebagai pakar, dan tahap ketiga melibatkan 70 pasien DM tipe 2 sebagai responden. Hasil: Teridentifikasi empat tema yang menjadi dasar pengembangan model. Tersusun empat modul sebagai penjelasan model dan pedoman implementasi model coaching keperawatan. Hasil menunjukkan adanya efektivitas intervensi model coaching keperawatan terhadap efikasi diri, penerimaan diri, perilaku pencegahan komplikasi DM, dan tekanan darah sistol (p < 0,001), serta GDP (p = 0,014), namun tidak efektif terhadap HbA1c, kolesterol total, dan tekanan darah diastol (p > 0,05). Analisis lebih lanjut menunjukkan bahwa tidak ada efek variabel perancu terhadap efikasi diri, penerimaan diri, perilaku pencegahan komplikasi DM, GDP dan tekanan darah sistol (p > 0,05), namun ada efek usia terhadap perilaku pencegahan komplikasi DM (p = 0,011), dan ada efek jenis kelamin terhadap tekanan darah sistol (p = 0,018). Simpulan: Setelah mengontrol variabel perancu, intervensi model coaching keperawatan mampu meningkatkan skor rerata efikasi diri, memperbaiki penerimaan diri, meningkatkan perilaku pencegahan komplikasi DM, menurunkan skor rerata GDP, dan tekanan darah sistol. Saran: Intervensi model coaching keperawatan dapat diadopsi sebagai salah satu intervensi keperawatan dalam mencegah komplikasi DM tipe 2.

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Background: The prevalence of DM complications is increasing, including in Indonesia. To prevent DM complications, behavior change is needed. Each DM patient has varied health needs and goals, so a person-centered approach needs to be provided as a promising strategy to change behavior in preventing DM complications. One of the strategies is coaching. By implementing coaching, it is expected to increase self-efficacy and self-acceptance as mediators in changing behavior in preventing DM complications. Aim: to identify the effectiveness of nursing coaching model intervention on self-efficacy, self-acceptance, prevention DM complications behaviors and the impact on metabolic markers in patients with type 2 DM. Methods: A mixed-method approach with exploratory sequential steps was conducted. Purposive sampling was used to approach the participants. The first step involved fifeteen participants with type 2 DM; the second step involved three experts, and the third step involved 70 participants with type 2 DM. Results: The results showed there were four themes as a basis for developing a model. There were four modules as part of the nurse coaching model. There was an effect of nursing coaching model intervention on self-efficacy, self-acceptance, prevention DM complications behaviors, and systolic blood pressure (p < 0,001), as well as fasting blood glucose (p = 0,014); however, there was no effect of nursing coaching model intervention on HbA1c, total cholesterol, and diastolic blood pressure (p > 0,05). Furthermore, there was no effect of confounding variables on self-efficacy, self-acceptance, prevention DM complications behaviors, fasting blood glucose, and systolic blood pressure (p > 0,05). Conclusion: After controlling confounding variables, a nursing coaching model intervention improves the mean score of self-efficacy self-acceptance, prevention DM complications behaviors, and decreasing the mean score of FBG and systolic. Suggestion: A nursing coaching model intervention can be adopted as one of the nursing interventions to prevent DM complications, especially at the Public Health Center."