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Diabetic Foot Ulcer Prevention: An Evidence Based Practice Pratama, Kharisma; Phuttikhamin, Nichapatr
Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2017): Jurnal Keperawatan dan Kesehatan (JK2)
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Abstract

Background: Diabetic foot ulcer (DFU) is one of diabetes mellitus complication that increases from year by year. There was 15% diabetes mellitus patients suffered DFU and around 50% DFU patients die within five years. This study aimed to develop the guidelines for preventing diabetic foot ulcer. Data collection was carried out from March to April 2017. There were 40 nurses included in this study which are working at IPD of city hospital in Pontianak, West Borneo, Indonesia. Methods: Tools for data collection included guideline for DFU prevention and guideline manual for nurses, while tools for outcome evaluation included Nursing competency for DFU prevention form, Nurse Opinion Questionnaire and Nurse Agreement on Guideline. The content validity of the Nurse Opinion Questionnaire was 1.0 and Nursing Competency for DFU prevention was 1.0. The internal consistency of Nurse Agreement on Guideline using Cronbach?s alpha was 0.89. Data analysis was performed using descriptive statistics. Results: The guidelines of DFU prevention in DM patients who admitted into the hospital has been developed, and most nurses provided the expected response. Some nurses agreed and highly agreed with the guidelines. Conclusions: The guidelines of DFU prevention are useful and important for nursing practice. Nurses can use the guidelines to protect and prevent their DM patient from diabetic foot ulcer or infection. In addition, some recommendations for nursing practice and further study were proposed.
EFEKTIVITAS SENAM YOGA TERHADAP TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS BANJAR SERASAN PONTIANAK TIMUR Maulidia, Ananda; Bhakti, Wida Kuswida; Pratama, Kharisma
Jurnal Keperawatan dan Kesehatan Vol 10 No 1 (2019): Vol 10 1 2019
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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ABSTRACT Background: Hypertension is an increase in blood pressure with systolic and diastolic values showing more than 130/80 mmHg. There are two principles of hypertension management, the administration of antihypertensive drugs and lifestyle modification. Lifestyle modification that can be done is physical activity that is yoga exercises. Objective: To determine the effectiveness of yoga exercises on the blood pressure of elderly patients with hypertension at the working area of Banjar Serasan Health Centre Methods: This research was a quantitative study with a true experiment research design. The population in this study was the elderly with hypertension in the working area of the Banjar Serasan Community Health Center, including 32 participants selected according to inclusion criteria. Analysis of the data used were paired sample t test and independent sample t test. Results: Based on the paired sample t test, the results showed that there were differences in average of blood pressure values before and after yoga exercises given to the intervention group with a p value (0.000) on systolic and diastolic blood pressure, and there were no difference in the average of blood pressure values before and after yoga exercises given to the control group with p value (0.233) on systolic blood pressure and p value (0.144) on diastolic blood pressure. Based on the Independent sample t test, the results showed that there were no difference in the average of the intervention group with the control group with a p value (0.121) on systolic blood pressure and p value (0.995) on diastolic blood pressure. Conclusion: Yoga exercises effectively reduce blood pressure in the elderly with hypertension Keywords: Hypertension, elderly, yoga exercises, blood pressure   ABSTRAK Latar Belakang: Hipertensi adalah kenaikan tekanan darah dengan nilai sistolik dan diastolik menunjukkan angka lebih dari 130/80 mmHg. Terdapat dua prinsip penatalaksanaan hipertensi yaitu dengan pemberian obat-obatan antihipertensi dan modifikasi gaya hidup. Salah satu modifikasi gaya hidup yang dapat dilakukan adalah melakukan aktivitas fisik yaitu senam yoga. Tujuan: Untuk mengetahui efektivitas senam yoga terhadap tekanan darah lansia penderita hipertensi di Wilayah Kerja Puskesmas Banjar Serasan Metode Penelitian: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian true experiment. Populasi dalam penelitian ini adalah lansia penderita hipertensi di wilayah kerja Puskesmas Banjar Serasan, diantaranya 32 partisipan dipilih sesuai kriteria inklusi. Analisis data yang digunakan adalah analisis bivariat yaitu uji paired sample t test dan uji independent sample t test. Hasil: Berdasarkan uji Paired sample t test menunjukkan hasil terdapat perbedaan rata-rata nilai tekanan darah sebelum dan sesudah diberikan senam yoga pada kelompok intervensi dengan p value (0,000) pada tekanan darah sistolik maupun diastolik serta tidak terdapat perbedaan rata-rata nilai tekanan darah sebelum dan sesudah diberikan senam yoga pada kelompok kontrol dengan p value (0,233) pada tekanan darah sistolik dan p value (0,144) pada tekanan darah diastolik. Berdasarkaan uji Independent sample t test menunjukkan hasil bahwa tidak terdapat perbedaan rata-rata pada kelompok intervensi dengan kelompok kontrol dengan nilai p value (0,121) pada tekanan darah sistolik dan p value (0,995) pada tekanan darah diastolik Kesimpulan: Senam yoga efektif menurunkan tekanan darah pada lansia penderita hipertensi Kata kunci: Hipertensi, lansia, senam yoga, tekanan darah
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU IBU DALAM KETEPATAN WAKTU PEMBERIAN MAKANAN PENDAMPING ASI PADA SUKU MADURA DI WILAYAH KERJA PUSKESMAS ANTIBAR Zakiah, Zakiah; Ramadhaniyati, Ramadhaniyati; Pratama, Kharisma
Jurnal Keperawatan dan Kesehatan Vol 10 No 2 (2019): Vol 10 2 2019
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Abstract Background: In Mempawah District the coverage of exclusive breastfeeding programs reached 60.7%. It can be an indicator of maternal compliance giving exclusive breastfeeding to infants and an illustration that there are still many babies aged <6 months who have received weaning food.Objective: To determine the factors related to maternal behavior to the appropriate time of weaning food in Madura tribe at the working area of Antibar health centre. Method: This type of research was quantitative with cross-sectional research design and retrospective approach. The sample selection technique used non probability sampling with consecutive sampling method for 76 respondents. The research instrument used was a questionnaire method that had been validated. Data analysis used were univariate and bivariate analysis with Chi Square statistical tests.Results: There were no relationship between knowledge (p = 0,234, OR = 4,350, 95%CI = 0,497-38,110), education (p = 1,000, OR = 1,170, 95%CI = 0,210-6,510), and employment (p = 1,000 , OR = 1,527, 95%CI = 0,170-13,740) with maternal behavior to the appropriate time of weaning food. Family support had an important role in maternal behavior to the appropriate time of weaning food. Conclusion: Most respondents gave weaning food that inappropriate as many as 69 respondents (90.8%). This may be related to the existence of other factors of knowledge, education, employment and family support that influence the mother's decision to give weaning food to the baby. Keywords: Knowledge, Education, Employment, Family Support, Mother's Behavior to the appropriate time of weaning food. Abstrak Latar Belakang: Di Kabupaten Mempawah cakupan program ASI eksklusif mencapai 60,7%. Hal ini dapat menjadi indikator kepatuhan ibu memberikan ASI eksklusif pada bayi dan merupakan gambaran bahwa masih banyak bayi usia < 6 bulan yang sudah mendapatkan MP-ASI. Tujuan: Mengetahui faktor-faktor yang berhubungan dengan perilaku ibu dalam ketepatan waktu pemberian MP-ASI pada suku Madura di Wilayah Kerja Puskesmas Antibar. Metode: Jenis penelitian ini adalah kuantitatif dengan desain penelitian cross-sectional dan pendekatan retrospektif. Tehnik pemilihan sampel menggunakan non probability sampling dengan metode consecutive sampling pada 76 responden. Instrumen penelitian menggunakan metode kuesioner yang telah tervalidasi. Analisa data menggunakan analisis univariat dan bivariat dengan uji statistik Chi Square. Hasil : Tidak ada hubungan antara pengetahuan (p=0,234, OR=4,350, 95%CI=0,497-38,110), pendidikan (p=1,000, OR=1,170, 95%CI=0,210-6,510), dan pekerjaan (p=1,000, OR=1,527, 95%CI=0,170-13,740) dengan perilaku ibu dalam ketepatan waktu pemberian MP-ASI. Dukungan keluarga berperan penting terhadap perilaku ibu dalam ketepatan waktu pemberian MP-ASI. Kesimpulan : Sebagian besar responden memberikan MP-ASI tidak tepat sebesar 69 orang responden (90,8%). Hal ini kemungkinan berhubungan dengan adanya faktor lain di luar pengetahuan, pendidikan, pekerjaan dan dukungan keluarga yang mempengaruhi keputusan ibu dalam memberikan MP-ASI pada bayi. Kata kunci : Pengetahuan, Pendidikan, Pekerjaan, Dukungan Keluarga, Perilaku Ibu Dalam Ketepatan Waktu Pemberian MP-ASI.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP TNGKAT PENGETAHUAN SISWA KELAS 5 (LIMA) SD NEGERI 21 SUNGAI RAYA TENTANG JAJANAN SEHAT Usmayanti, Hadian Pat; Haryanto, Haryanto; Pratama, Kharisma
Jurnal Keperawatan dan Kesehatan Vol 11 No 1 (2020): Vol 11 No 1 2020
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Background : The snacking food is one kind of the food that is very famous among the children in the school age. It?s still really lack of attention in selection the snacking food especially for the children in school age, both in terms of safety and hygiene of that snacking food. The dangerous of snacking food has a very bad risk for the healthiness. It can be happen because of the lack of education for the children in choosing which one is the good snacking food that is safe to consume and which one has the bad risk for the healthiness. In other way, it?s required the education of healthiness to build the tradition of healthy life style toward the students. One of them is by counseling. Purpose : To identify the effect of health education towards the levels of student knowledge about the healthy snacking food in grade 5 at 21 Sungai Raya elementary school. Research Method : This research is a research using the quasi experiment by the design of pre and post without control. In this research, the sample is taken by using the purposive sampling. In this research, there are 60 (sixty) respondents and the analysis  that is used by the researcher is Wilcoxon. Result : Based on the statistic test, there are the differences of knowledge before and after given the health education. Conclusion : based on the result of the study, it can be taken the conclusion that there is the influence of health education towards the levels of student knowledge about  the healthy snacking food in grades 5 at 21 Sungai Raya, elementary school.           ABSTRAK Latar belakang: Makanan jajanan merupakan salah satu jenis makanan yang sangat dikenal oleh anak usia sekolah. Dalam hal pemilihan makanan jajanan untuk anak usia sekolah masih kurang memperhatikan segi keamanan dan kebersihan makanan jajanan tersebut. Makanan jajanan yang berbahaya mempunyai resiko terhadap kesehatan. Hal ini dapat terjadi karena kurangnya pengetahuan anak mengenai makanan jajanan yang aman untuk dikonsumsi. Diperlukan pendidikan kesehatan untuk menanamkan kebiasaan hidup sehat pada siswa yaitu salah satunya dengan penyuluhan. Tujuan: Untuk mengidentifikasi pengaruh pendidikan kesehatan terhadap tingkat pengetahuan siswa kelas 5 (lima) SD Negeri 21 sungai raya tentang jajanan sehat. Metode Penelitian: Penelitian ini merupakan penelitian menggunakan metode quasi eksperiment dengan rancangan pre and post test without ocntrol. Dalam penelitian ini, sampel yang diambil dengan metode purposive sampling, teknik yang digunakan dalam pengambilan sampel ini adalah nonprobability sampling. Sampel dalam penelitian ini sebanyak 60 responden dan analisis yang digunakan uji adalah wilcoxon. Hasil: Berdasarkan dari uji statistik terdapat perubahan pengetahuan sebelum dan sesudah diberikan pendidikan kesehatan ( P<0,05). Kesimpulan: Berdasarkan hasil penelitian diperoleh kesimpulan bahwa ada pengaruh pendidikan kesehatan terhadap tingkat pengetahuan siswa kelas 5 (lima) SD Negeri 21 tentang jajanan sehat.  
Efikasi Diri Dengan Kualitas Hidup Pada Pasien Dengan Luka Kaki Diabetik : Studi Korelasi Usman; Cau Kim Jiu; Wuriani; Kharisma Pratama; Tisa Gusmiah; Yenni Lukita; Jaka Pradika; Gusti Jhoni Putra; Sukarni
Jurnal Ilmu Kesehatan MAKIA Vol 11 No 2 (2021): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM STIKes ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v11i2.176

Abstract

ABSTRAK Latar Belakang: Angka kejadian diabetes mellitus selalu mengalami peningkatan secara dramatis setiap tahunnya. Salah satu komplikasi yang dapat dialami oleh pasien DM adalah Luka Kaki Diabetik. Angka harapan hidup pasien Luka Kaki Diabetik yang diamputasi adalah 16%. Berbagai resiko lain yang dapat dialami adalah penurunan kualitas hidup bahkan kematian. Salah satu faktor yang dapat meningkatkan kualitas hidup pasien luka kaki diabetik adalah efikasi diri. Tujuan: Untuk mengetahui hubungan efikasi diri dengan kualitas hidup pasien dengan Luka Kaki Diabetik. Metode: Kuantitatif Korelasional dengan pendekatan cross sectional dengan jumlah sampel sebanyak 62 responden. Teknik pengambilan sampel menggunakan consecutive sampling. Intstrumen yang digunakan adalah kuesioner efikasi diri dan kualitas hidup. Analisis yang digunakan adalah uji chi-square. Hasil: Hasil peneltian menunjukkan bahwa jumlah penderita pasien Luka Kaki Diabetik lebih banyak dialami oleh perempuan dan berusia sekitar 45-59 tahun. 51% pasien Luka Kaki Diabetik memiliki efikasi diri yang baik dan 54% memiliki kualitas hidup yang baik. Ada hubungan secara statistic antara efikasi diri dengan kualitas hidup pasien dengan luka kaki diabetik dengan p value 0.002. Kesimpulan : semakin baik efikasi diri maka semakin baik juga kualitas hidup pasien dengan luka kaki diabetik
Intervention Supportive Educative System Based on Self Care and Family Centered Nursing Model to Family Support in Teaching Cough Ethics and Correct Sputum Disposal of TBC Patients at Sanggau Ledo Health Center, Bengkayang District Tri Wahyuni; Parliani; Cau Kim Jiu; Kharisma Pratama; Tutur Kardiatun; Sukartina
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 3 (2020): Britain International of Exact Sciences Journal, September
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i3.301

Abstract

Tuberculosis is an infectious disease that attacks the lungs characterized by granuloma formation and causes tissue necrosis, a direct infectious disease caused by the TBC germ (mycobacterium tuberculosis). Problems that often arise in tuberculosis sufferers are about knowledge, activities and psychosocial family support. Purpose: this study was to determine a supportive educative system intervention based on self-care and family centered nursing models for family support in teaching cough and sputum disposal properly. Methods: The research design used was quantitative with a Quasi Experimental design pre-test post-test without control group. The sample in this study was 20 samples taken before and after the intervention. Results: based on the bivariate analysis of knowledge, activity, and family support with the Wilcoxon test, it shows that in the intervention group after education, this self-care based system affects people with tuberculosis, the variable knowledge with p value 0,000, activity (behavior) with p value 0,000 and family support p. value 0.050, which means p value <α 0.050, this study shows that there is a difference in scores of supportive educative system interventions based on self-care and family centered nursing models on family support in teaching cough and sputum disposal properly. Suggestion: This study recommends that poly pulmonary health services provide a supportive educative system intervention based on self-care and family centered nursing models for family support in teaching cough and sputum disposal in TBC patients.
Development of Psychosocial Telenursing Education Stigma of Suspected Covid-19 (Rapid Reactive) Patients Tri Wahyuni; Parliani; Kharisma Pratama; Tutur Kardiatun; Nita Zulfia; Paudilah; Gmeliana Adha Sari
Britain International of Exact Sciences (BIoEx) Journal Vol 3 No 2 (2021): Britain International of Exact Sciences Journal, May
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v3i2.457

Abstract

In the midst of the Covid-19 pandemic, there is one social phenomenon that has the potential to aggravate the situation, namely stigma in patients suspected of Covid-19 or rapid reactive results. The lab results have not actually confirmed that the patient is positive for Covid-19 but the social environment or negative associations of a person or group of people who experience symptoms or bear certain diseases result in stigma against a person. This study aims to find out how the experience and stigma in patients suspected of Covid - 19. This study uses qualitative approach method of phenomenological studies and in-depth interviews with telenursing. The number of participants in this study was 10 participants. This study obtained 5 themes, namely physiological experience, psychological experience, biological experience, sociological experience and spiritual experience. The high positive number of Covid-19 in Indonesia makes the emergence of negative stigma of society to patients exposed to Covid-19, not even just Patients who are positive of Covid-19 who get negative stigma, therefore for diagnostic enforcement it takes examination by Molecular Test: Real Time PCR (Polymerase Chain Reaction) method. The sample types used are bronchoalveolar lavage, nasopharyngeal or oropharyngeal swabs, sputum, tracheal aspirate, nasopharyngeal aspirate or nasal wash, and biopsy tissue including from the lungs. Real Time PCR check method is the golden standard for the enforcement of diagnostic Covid - 19.
Care Giver Competency in Prevention Risk of Diabetic Foot Ulcer in Diabetes Mellitus Patients Kharisma Pratama; Jaka Pradika; Cau Kim Jiu; Gusti Jhoni Putra; Wuriani Wuriani; Usman Usman; Tisa Gusmiah; Yenni Lukita
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2021): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (504.489 KB) | DOI: 10.35568/abdimas.v4i2.1209

Abstract

Increasing in the incidence of diabetic foot ulcer (DFU) among diabetes mellitus patients (DM), which then access to health services is so far, as well as the lack of knowledge of the local community in preventing and caring for DFU made researchers try to initiate training related to prevention and basic wound care for village health cadres, community leaders, and families family members with DM and at risk for UKD. The activity, which carried out in March 2021, involved the puskesmas in Sui District. Raya, Kab. Kubu Raya. After obtained a permit to carry out activities, the Team briefly contacted the community with the assistance of the Head of RT and RW. Participants who toke part in this activity were those who lived or have a family with diabetes mellitus. Participants were given training related to prevention and treatment of basic wounds, which in the end evaluation followed by publication.
Health Education Related Nutrition Pattern to Increase Quality of Life of Type 2 DM Patients Jaka Pradika; Kharisma Pratama; Cau Kim Jiu; Wuriani Wuriani; Usman Usman; Yenni Lukita; Syahid Amrullah
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2022): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (639.881 KB) | DOI: 10.35568/abdimas.v5i1.1225

Abstract

Diabetes Mellitus (DM) is a non-communicable disease whose prevalence is increasing every year in the world, including in Indonesia. DM patients are very susceptible to ulcers caused by uncontrolled blood sugar due to the wrong diet. The low level of knowledge related to eating patterns is a problem that must be addressed so that the incidence can be suppressed. In this case, education is needed to increase the understanding of patients and families in terms of eating patterns. The right diet or eating pattern will certainly be one aspect in improving the quality of life of type 2 DM patients. The purpose of this activity is to increase knowledge, especially in the right diet in type 2 DM patients, it is hoped that it can improve the quality of life of type 2 DM patients by controlling blood sugar due to a good diet. The method used is to provide counseling with lecture, discussion and question and answer methods. The targets of this community service program are patients suffering from type 2 DM and their families in Sungai Ambangah village, Kubu Raya district. The results of this activity indicate that the effectiveness of counseling has an effect on increasing knowledge of type 2 DM patients and their families. This can be seen from the evaluation results that people with type 2 DM and their families understand the right diet for people with DM.
Utilization of Herbs as Therapy in the Treatment of Diabetic Foot Ulcers Kharisma Pratama; Syahid Amrullah; Jaka Pradika; Cau Kim Jiu; Wuriani Wuriani; Usman Usman; Yenni Lukita; Gusti Jhoni Putra
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2022): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (515.004 KB) | DOI: 10.35568/abdimas.v5i1.2110

Abstract

The number of diabetic foot ulcer (DFU) sufferers increases from year to year. Many studies have been conducted to examine the appropriate therapy to overcome DFU. One type of therapy that has been widely studied is related to the use of herbal products in treating DFU. So that currently there are many scientific articles that inform about the efficacy of herbal products in accelerating wound healing both acute and chronic. The activity aimed to socialize the use of herbal products in the treatment of foot ulceration. This activity was carried out in February 2022 in collaboration with the Public Health Center of Sungai Raya District as a health service that oversees the location of the activity. The target population in this activity are those who have a history of diabetes mellitus or diabetic foot ulcers or have a family with diabetic foot ulcers. Participants who participated were given health education about the management of diabetic foot wounds and the use of herbal products in the treatment of diabetic foot wounds.