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Associated Factors of Self-Management in Type 2 Diabetes Mellitus at Community Health Center Malini, Hema; Yeni, Fitra; Pratiwi, Cindy Ayu; Lenggogeni, Devia Putri
Jurnal Keperawatan Soedirman Vol 15, No 2 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2020.15.2.1229

Abstract

Patients with diabetes mellitus have difficulties in managing their disease. Most of patients with uncontrolled diabetes have HbA1c > 9%. This study aimed to determine the factors associated with self-management of type 2 diabetes mellitus patients with HbA1c> 9% in Public Health Center, Padang 2019. This study used a cross-sectional design. The sampling technique using a total sampling technique with a total sample of 79 respondents. This study used a questionnaire that consists of questionnaires; DKQ, DMSES, S4-MAD, and SDSCA-revised. Data were analyzed using the Pearson Product Moment Correlation test. This study showed, knowledge (mean= 10.89), self-efficacy (mean= 50.01), social support (mean= 52.27), and self-management (mean= 48.38 ). The factors associated with self-management of type 2 diabetes mellitus patients with HbA1c> 9%, are knowledge (p = 0.016), self-efficacy (p = 0.000), and social support (p = 0.001). The most dominant factor in self-management of diabetes patients is self-efficacy (p-value = 0.000), (r = 0.607), and (r2 = 0.3684). Based on the study, it is recommended for health workers to be able to increase their attention to type 2 patients diabetes mellitus patient who have HbA1c> 9% to improve their efficacy in self-management so that patients can control blood 
Health education on multidrug-resistant tuberculosis prevention among tuberculosis patients Hema Malini; Emil Huriani; Devia Putri Lenggogeni; Shinta Herlina
International Journal of Public Health Science (IJPHS) Vol 10, No 1: March 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i1.20423

Abstract

The high incidence of multidrug-resistant tuberculosis (MDR-TB) in the community due to the lack of socialization or the provision of health education about MDR-TB. During this time, health education is only focused on tuberculosis (TB) generally. The purpose of this study was to determine the effect of health education on the behavior of MDR-TB prevention in patients with pulmonary tuberculosis in two Community Health Centers in Padang. This study design is quasi-experimental with pre and post-test groups only. The program intervention of health education was conducted for a month with lecture method and group discussion using flipchart and video as media. The sampling technique used purposive sampling were 29 patients with TB who are still in the phase of treatment. Data collection used a set of questionnaires. The data analysis in this study using statistical tests t-test. The results showed, there is a significance influence of health education on knowledge with p-value=0.000 (p≤0.05) and attitude with p-value=0.000 (p≤0.05). The result also showed that 65.5% of patients taking medication regularly. It was also that there is the effect of health education on the behavior of MDR-TB prevention in TB patients. It is expected that the providing of health education on the prevention of behavior on MDR-TB is emphasized on the motivation and self-efficacy of the patients and involvement of supervision on taking medication.
Korelasi Illness Perception dan Self-Care Pasien Diabetes Mellitus Tipe 2 di Puskesmas Kota Padang Agus Sri Banowo; Hema Malini; Devia Putri Lenggogeni; Siti Lioni Rahmah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 4 (2021): Oktober 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v12i4.1481

Abstract

Background: Self-care is an effort made by patients with type 2 diabetes mellitus to prevent complications. Self-care of patients with type 2 diabetes mellitus in Indonesia still not optimal, which is proven by the number of patients with diabetes mellitus suffering coronary heart disease and peripheral neuropathy. Illness perception is one of the essential factors that influence patients with type 2 diabetes mellitus. Aims: This study aimed to determine the relationship between illness perception and self-care of patients with type 2 diabetes mellitus. Methods: The method of study used analytical correlational with a cross-sectional approach. The sample of this study was 58 respondents. This study used the Brief Illness Perception Questionnaire questionnaire and Summary of Diabetes Self Care Activities. Data analysis using the Pearson Product Moment test. Results: This study showed that the average illness perception was 37.36 and self-care was 28.83. There was a correlation between illness perception with self-care of type 2 diabetes mellitus patients with a p-value = 0.000. Conclusion: This study suggested that patients with type 2 diabetes mellitus carry out all components of self-care to prevent complications and increase their perceptions related to type 2 diabetes mellitus.Keywords: type 2 diabetes mellitus; illness perception; self-careABSTRAKLatar Belakang: Self-care merupakan upaya yang dilakukan pasien diabetes mellitus tipe 2 untuk mencegah terjadinya komplikasi. Self-care pasien diabetes mellitus tipe 2 di Indonesia masih belum optimal, terbukti dengan masih banyaknya pasien diabetes mellitus yang menderita komplikasi seperti penyakit jantung koroner dan neuropati perifer. Illness perception menjadi salah satu faktor penting yang mempengaruhi self-care pasien diabetes mellitus tipe 2. Tujuan: Penelitian ini bertujuan untuk melihat hubungan illness perception terhadap self-care pasien diabetes mellitus tipe 2. Metode: Metode penelitian yang digunakan adalah analitik korelasional dengan pendekatan cross sectional. Sampel yang digunakan pada penelitian ini berjumlah 58 orang. Teknik pengambilan sampel dilakukan dengan teknik total sampling. Alat pengumpulan data illness perception dan self-care pasien diabetes mellitus menggunakan kuesioner BIPQ dan SDSCA. Analisa data menggunakan uji Pearson Product Moment. Hasil penelitian: Hasil penelitian menunjukkan bahwa rata-rata illness perception yakni 37,36 dan self-care yakni sebesar 28,83. Terdapat korelasi antara persepsi penyakit dengan self-care pasien diabetes mellitus dengan nilai p value = 0,000. Kesimpulan: Pasien diabetes mellitus diharapkan dapat melaksanakan seluruh komponen self-care untuk mencegah komplikasi dan lebih meningkatkan persepsi terkait diabetes mellitus tipe 2.Kata kunci: diabetes mellitus tipe 2; illness perception;self-care
Gambaran Efikasi Diri Pasien yang Menjalani Hemodialisis Devia Putri Lenggogeni; Hema Malini; Rika Fatmadona; Ega Silvia Roza
Jurnal Ilmiah Universitas Batanghari Jambi Vol 21, No 1 (2021): Februari
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v21i1.1344

Abstract

Self-efficacy is an individual's perception of their ability in carrying out of action. Self- efficacy is required by end-stage renal disease patients undergoing hemodialysis to be able to carry out good self-management. This research was using a descriptive design. The number of samples used in this study amounted to 63 people. Sampling was done by consecutive sampling technique. Data was collected by using Chronic Kidney Disease Self Efficacy (CKD-SE) questionnaire. Based on this study was known that the largest age range is 41-60 years (66,7%), the most respondent is male (60.3%), the most respondent is still working (61.9%), the most etiology of end stage renal disease is hypertensive renal disease (52.4%),  the highest education of respondents is senior high school (47.6%), duration hemodialysis is < 12 months (71.4%). The mean score of self-efficacy was 72.25. The highest sub-variable of self-efficacy is autonomy which a mean score 23.51. Self-efficacy assessment using CKD-SE can be used in patients undergoing hemodialysis. Knowing self-efficacy can help a nurse to educate patients, so that will improve self-management patients undergoing hemodialysis.
Pemberdayaan Masyarakat Muda Sekolah Melalui Upaya Penerapan Mitigasi dan Tanggap Darurat Bencana Esi Afriyanti; Nofrizon Nofrizon; Rika Fatmadona; Emil Huriani; Fitri Mailani; Boby Febri Krisdianto; Rahmi Muthia; Devia Putri Lenggogeni; Leni Merdawati
Warta Pengabdian Andalas Vol 26 No 4.b (2019)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The city of Padang has a topography prone to flooding or inundation and other natural disasters such as earthquakes accompanied by tsunamis. The city of Padang, in the collision of the Indian Ocean Plate and the Australian Plate which infiltrated under the Eurasian Plate, formed the Benioff Zone, an earthquake zone with seismicity magnitude greater than 5 on the Richter scale. With the condition of the city of Padang which is prone to disasters, it is very necessary for community participation, especially in the prevention of the stages of the pre-disaster (disaster mitigation), during the emergency response, and post-disaster because the people who deal directly with the disaster. Schools play an important role and have several functions in disaster risk reduction including facilitating and cooperating with the surrounding environment, improving community skills, refugee centers when disaster strikes. Therefore it is necessary to conduct activities that can improve the understanding and skills of young school communities, especially students in disaster mitigation and disaster response. This activity was carried out on November 2, 2019 at SMAN 9 Padang with 42 participants. The method used in this activity is counseling about disasters, the concept of triage. Demonstrations are carried out to improve students' skills in learning. The results of the activity found that there was an increase in student knowledge after being given health education and increasing students' abilities in triage and education. Furthermore, teachers and students are provided with booklets and leaflets which are a means to increase knowledge about disaster mitigation and response. In the future, training is needed continuously about disaster mitigation and emergency response so that students are trained when disasters occur.
Manajemen Komplikasi dan Keluhan pada Pasien yang Menjalani Hemodialisis Devia Putri Lenggogeni; Hema Malini; Boby Febri Krisdianto
Warta Pengabdian Andalas Vol 27 No 4 (2020)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.27.4.245-253.2020

Abstract

Hemodialysis is one of the renal replacement therapies used by many patients with terminal renal failure. Hemodialysis is an effective renal replacement therapy and is the most commonly used in managing terminal renal failure. However, hemodialysis is a complicated and uncomfortable therapy with several complications. Hemodialysis complications need to be prevented and controlled so that the patient's life remains optimal, and the worse condition does not occur. This program provides knowledge and information to patients undergoing hemodialysis. It used to handle complications and problems caused by terminal renal failure and hemodialysis. This program is an education program to 32 patients undergoing hemodialysis at the hemodialysis unit RSUP. Dr. M. Djamil Padang. The program was carried out by using videos and giving booklet to patients. It showed an increase in patient's knowledge to manage complications and problems caused by hemodialysis. It provides information related to the management of complications and problems in patients undergoing hemodialysis, which can be done by the patient. It is aimed at patients to improve skills in managing complications and problems caused by hemodialysis.
Pelatihan Peningkatan Kemampuan Perawat Unit Hemodialisis RSUP Dr. M. Djamil Padang sebagai Edukator untuk Meningkatkan Self-Management Pasien yang Menjalani Hemodialisis Devia Putri Lenggogeni; Hema Malini; Esthika Ariany Maisa
Warta Pengabdian Andalas Vol 28 No 4 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.28.4.399-405.2021

Abstract

Nurses are health workers carrying out actions to provide comprehensive care to patients undergoing hemodialysis. The nurses have an essential role as educators to provide education to patients undergoing hemodialysis that they must carry out. This aims to support patients to be able to carry out good self-management. Education about self-management is part of the management of patients undergoing hemodialysis. The role of nurses is necessary for improving the patient's ability to undertake their treatment and management of the disease. However, based on the observations, the role was conducted by nurses who have not been able to improve patient self-management. This community service activity tried to improve nurses' ability in conducting education to improve patient self-management. The activity was carried out by delivering material related to the role of nurses as educators to improve the self-management of patients undergoing hemodialysis. This activity increased the ability and capacity of nurses to carry out their role as educators to improve the self-management of patients undergoing hemodialysis.
PELATIHAN PEMANFAATAN TEKNOLOGI DALAM EDUKASI DIABETES AWARENESS BAGI PENANGGUNG JAWAB USAHA KESEHATAN SEKOLAH (UKS) DI PUSKESMAS KOTA PADANG Hema Malini; Devia Putri Lenggogeni; Fauziah Qifti
Warta Pengabdian Andalas Vol 28 No 4 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.28.4.502-508.2021

Abstract

The increasing prevalence of diabetes mellitus (DM) is a global health problem. Currently, the incidence of diabetes mellitus in adolescents is rising. Nowadays, diabetes mellitus awareness in adolescents lacks attention. Awareness is the most important thing to prevent diabetes mellitus. Health education is one of the techniques to increase awareness among adolescents. The previous study showed that using social media such as WhatsApp can increase adolescents' awareness about the causes and prevention of diabetes. This community service activity was developing a technology-based health education model that public health centres can carry out to increase diabetes awareness of adolescents. The use of technology is a part of today's life, so the development of technology-based diabetes awareness education models is expected to be a model of education and can be helpful to increase adolescent awareness about diabetes mellitus. This activity was carried out by delivering technology in health education programs and applying WhatsApp groups. This activity was expected to provide information for health workers in carrying out educational programs by utilizing technology.
ARE INDONESIAN NURSES READY FOR HEALTHCARE ROBOTS DURING THE COVID-19 PANDEMIC? Feni Betriana; Tetsuya Tanioka; Rozzano Locsin; Hema Malini; Devia Putri Lenggogeni
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1114

Abstract

Healthcare robots are used in Indonesia and other countries to combat COVID-19 pandemic. This article was aimed to describe a perspective about healthcare robots, and to recommend ways for Indonesian nurses to engage with healthcare robots during the COVID-19 pandemic. One view hindering healthcare robot appreciation as partners of nurses is its threat to their practice. However, with the current environment of COVID-19 ‘frontline’ situations, increasing infections of patients with SARS COV2, limited personal protective equipment, and the fastidious nature of maintaining social distancing and mask-wearing, it may be best to view healthcare robots as significant partners to facilitate safety, and ease the demands of nursing care activities in order to safeguard human lives while enhancing human well-being. Educating healthcare practitioners about healthcare robot programming and assurance of its safe and secure use can advance robot appreciation as partners in healthcare. These goals, challenges, and recommendations can provide Indonesian nurses some pathways-to-readiness towards a partnership involving healthcare robots, particularly during this COVID-19 pandemic, and in the future.
Gambaran Karakteristik Pasien Dengan Neuropati Diabetik Pada Diabetes Melitus Tipe 2 Mawaddah Mawaddah; Susmiati Susmiati; Devia Putri Lenggogeni
REAL in Nursing Journal Vol 5, No 3 (2022): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v5i3.2085

Abstract

Background: Diabetic neuropathy is the most common microvascular complication of DM type 2 in diabetes mellitus patients, it is known that 50% of type 2 DM patients experience diabetic neuropathy. Symptoms that occur in diabetic neuropathy are paresthesia, hyperalgesia, burning, sharp pain, deduction of pain and temperature perception. If these symptoms are not prevented, the impact will increase the risk of complications such as injuries to the feet, ulcerations which can result in gangrenous wounds so that the after effects are at risk of amputation of the lower extremities. The aim of the study was to describe the incidence of diabetic neuropathy in patients with type 2 DM. Methods: This research was a descriptive research using purposive sampling technique with a total sample of 52 respondents. Results: The results showed that the most age of diabetic neuropathy patients was 46-55 years, there were 36 respondents (69.2%), the sex was mostly female, there were 46 respondents (88.5%), the duration of suffering from diabetes was 6-10 years, there were 38 respondents (73.1%), while the results of blood glucose levels at most <200 gr/dl there were 42 respondents (80.8%). Conclusion: In this study it was stated that diabetic neuropathy has characteristics, namely age> 46 years, often occurs in women, suffers from DM for ≥5 years and with glucose levels ≤200 mg/dl. It is expected that diabetic neuropathy patients can control blood glucose levels. Keywords: Diabetes mellitus, Diabetic neuropathy