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Studi Kasus Perawatan Luka dengan Gel Aloe Vera pada Pasien Ulkus kaki Diabetik Yance Komela Sari; Hema Malini; Elvi Oktarina
Jurnal Kesehatan Andalas Vol 8, No 4 (2019): Online December 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i4.1124

Abstract

AbstrakDiabetes melitus dapat menyebabkan komplikasi ulkus kaki diabetik. Perawatan luka yang tepat dapat dilakukan untuk mencegah terjadinya amputasi yaitu perawatan luka moist dengan menggunakan gel aloe vera. Dilaporkan seorang wanita 55 tahun mengalami ulkus kaki diabetik setelah luka tidak sembuh-sembuh dalam waktu yang lama. Pengkajian luka menggunakan Bates-Jensen Wound Assessment Tool dan luka dinilai setiap minggu selama 3 minggu. Hasil dari penjumlahan Bates Jensen pada saat pre-test 45, post-test pertama 40, post-test kedua 34 dan post-test ketiga 26. Pasien diberikan perawatan luka setiap dua hari sekali dengan menggunakan gel aloe vera selama 3 minggu dan mengalami perbaikan secara signifikan. Perawatan luka dengan gel aloe vera efektif pada kasus ini.
Hubungan Cryotherapy terhadap Mukositis Oral pada Pasien Kanker Payudara dengan Kemoterapi di Ruangan Kemoterapi Rumah Sakit M. Djamil Padang Anggra Trisna Ajani; Hema Malini; Rika Fatmadona
Jurnal Kesehatan Andalas Vol 8, No 4 (2019): Online December 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i4.1093

Abstract

Mukositis oral merupakan salah satu efek samping yang paling sering muncul pada pasien kanker yang menjalani kemoterapi. Mukositis oral dapat mengakibatkan terjadi gangguan fungsi integritas rongga mulut sehingga menimbulkan rasa nyeri hebat yang dapat mengakibatkan penundaan pengobatan kemoterapi untuk siklus berikutnya. Mukositis oral juga dapat mengurangi dosis pada kemoterapi yang akan dijalani oleh pasien sehingga pengobatan kanker tidak bisa optimal di lakukan. Tujuan: Menentukan hubungan cryotherapy terhadap mukositis oral pada pasien kanker payudara dengan kemoterapi. Metode: Penelitian ini merupakan survei analitik dengan pendekatan cross sectional. Teknik pengambilan sampel pada penelitian ini adalah consecutive sampling. Ada 32 orang responden yang menjadi sampel, terdiri dari dua kelompok. Intervensi pada penelitian ini yaitu cryotherapy. Cryotherapy diberikan sewaktu kemoterapi dilaksanakan sampai dengan 14 hari setelah kemoterapi dengan durasi 20 menit sekali sehari. Penilaian mukositis oral dengan menggunakan lembaran observasi OAG (Oral Assesment Guide). Penilaian OAG di lakukan sebelum cryotherapy dan hari ke-14 setelah kemoterapi. Hasil: Ada hubungan cryotherapy dengan penurunan skala mukositis oral pada pasien kanker payudara (p value 0,013). Cryotherapy dapat menyebabkan terjadinya vasokonstriksi pada daerah rongga mulut, mengurangi aliran darah yang membawa obat kemoterapi mencapai area mukosa mulut lebih sedikit. Simpulan: Cryotherapy mampu menurunkan skala mukositis oral pada pasien kanker payudara dengan kemoterapi kombinasi 5-fluorouracil.
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.
SELF-AWARENESS PADA KELUARGA RESIKO TINGGI DIABETES MELLITUS DI TAMPAT DURIAN KURANJI : STUDI KASUS Leni Lelen Rozani; Hema Malini; Leni Merdawati
Jurnal Kesehatan Mesencephalon Vol 5, No 2 (2019): Jurnal Kesehatan Mesencephalon - Oktober 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.199 KB) | DOI: 10.36053/mesencephalon.v5i2.117

Abstract

Abstract : Type 2 Diabetes Mellitus disease is a disease with the greatest number of sufferers of all kinds of Diabetes Mellitus. Diabetes Mellitus disease can be prevented by modifying lifestyle. This study explores self-awareness of a group of high risk of Diabetes Mellitus. This case study uses descriptive qualitative research methods. Data were obtained by interviewing three participants who were at high risk and had family histories suffer from Diabetes Mellitus. The results of the interviews were analyzed using the Corbin and Strauss method where there were three stages of analysis, open coding, axial coding and selective coding. The results showed, a pattern that similar to all participants which is knowledge, attitudes and behaviors of Diabetes Mellitus that were not good in the community. The result reviewed using Johari Window theory. The lack of self-awareness of high risk Diabetes Mellitus community is because they are individuals who are in the  hidden area. This individuals are difficult to care, share, open or accept the opinions of others. They solve problems based on their own thoughts and desires, therefore only themselves know about their health problems.Keywords : Diabetes Mellitus type 2, High risk of Diabetes Mellitus,Self-Awareness,Risk Factors,Case Study Abstrak : Penyakit Diabetes Mellitus tipe 2 merupakan penyakit dengan jumlah penderita terbayak dari semua Diabetes Mellitus. Penyakit Diabetes Mellitus tipe 2 ini dapat dicegah dengan melakukan modifikasi gaya dan pola hidup. Penelitian ini bertujuan mengeksplorasi self-awareness kelompok resiko tinggi Diabetes Mellitus. Penelitian ini menggunakan metode penelitian kualitatif deskriptif dengan pendekatan studi kasus. Data didapatkan dengan mewawancarai tiga orang partisipan yang beresiko tinggi dan mempunyai riwayat keluarga dengan penyakit Diabetes Mellitus. Hasil wawancara dianalisis dengan menggunakan metode Corbin dan Strauss dimana analisis ini ada tiga tahap yaitu open coding, axial coding dan selective coding. Hasil penelitian menunjukkan, terdapat sebuah pola yang sama dari semua partisipan resiko tinggi yaitu kurangnya pengetahuan, sikap dan perilaku pencegahan Diabetes Mellitus yang belum baik dimasyarakat. Kurangnya self-awareness masyarakat resiko tinggi Diabetes Mellitus disebabkan oleh partisipan resiko tinggi merupakan individu-individu dengan hidden area. Individu-individu ini sulit untuk peduli, berbagi, terbuka atau menerima masukan orang lain. Mereka menyelesaikan masalah berdasarkan pemikiran dan sesuai kehendaknya sendiri, oleh karenanya hanya diri mereka sendiri yang mengetahui masalah kesehatannya.Kata kunci :  Diabetes Mellitus tipe-2, Resiko tinggi Diabetes Mellitus,Self-Awareness
The Effect of InGDEP on Type 2 Diabetes Patients’ Knowledge and Self-Care Hema Malini; Fitra Yeni; Dilya Eka Saputri
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1585.325 KB) | DOI: 10.24198/jkp.v6i3.696

Abstract

In the recent years, there is an increasing number of the diabetes incidence worldwide. Self-care is believed as one of key in chronic disease management. In order to increase the capability to self-care, diabetics patients need to be empowered with the knowledge and skills through an educational program. There were some existed diabetes educational programs, however for developing country such as Indonesia, there was a need to develop a culturally relevant diabetes education program. This study was aimed to identify feasibility and the effect of the Indonesian Group-based Diabetes Education Program (InGDEP) on knowledge and self-care behaviors among type 2 diabetic patients. This quasi experimental with one group pre-and post-test only design involved 62 diabetic patients and 16 health professionals who actively delivered the program in four community health centers (Puskesmas). Data were collected using Diabetes Knowledge Questionnaire (DKQ) and Summary of Self Care Activities (SDSCA). Paired t-test used to analyze the effect of the InGDEP on the knowledge, self-care, and biometric measurement (HbA1c). The knowledge score for pre-test was 13.2+3.9 and post-test was 16.1±3.5, self-care activities score for pre-test was 3.31±1.10 and post-test was 3.99±1.27 and the HbA1C level was 10.56±2.32 The results showed there was the significant effect of InGDEP on diabetes patients’ knowledge, some changes in self-care and biometric measurements even though it was not significant. The program also can be accepted by the health professionals where there was a good team work in delivering the educational program. It can be recommended that the InGDEP has an effect in improving knowledge and self-care among diabetics’ patients, however since the effect on self-care and biometric changes was not significant, further research related to the factors that influence the self-care and biometric changes is needed.
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

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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 
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
Progressive Muscle Relaxation in Reducing Blood Glucose Level among Patients with Type 2 Diabetes Agung Akbar, Muhammad; Malini, Hema; Afriyanti, Esi
Jurnal Keperawatan Soedirman Vol 13, No 2 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.2.808

Abstract

Most of the treatments of patients with type 2 Diabetes Mellitus  (T2DM) who are admitted to the hospital in controlling the blood glucose still concentrated on medication and diet. On the other hand, exercise or activity management, however, gets insufficient consideration. Health professionals, especially nurses, need to be aware that some exercises or activities should be accomplished even for hospitalized patients. The effort to organize physical activity can be achieved by using Progressive Muscle Relaxation (PMR). The purpose of this study was to determine the effect of PMR on reducing the blood glucose levels in patients with T2DM. This research used the quasi-experimental design with one group pretest-posttest approach with control group design. The sampling technique was simple random sampling with 30 samples, 15 in both intervention and control groups. Data collection techniques were performed by measuring the blood glucose levels at that time. The duration of PMR as an intervention was performed for three days on a regular basis. Afterward, we remeasured the blood glucose levels. Data analysis was done by using t-test. The results of data analysis showed that there was a decrease in mean score of blood glucose levels for 63,80 mg/dl in the control group and 80,46 mg/dl in the intervention group.The results showed that PMR was effective in reducing the blood glucose levels of patients with T2DM in the public hospital (p-value = 0.015). The results of this study can be applied by nurses as an alternative intervention in the management of patients with T2DM. 
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.
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
Jurnal Pengabdian Warta Andalas Vol 28 No 4 (2021): Published in December 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.
Co-Authors Abdullah, Khatijah Lim Agus Sri Banowo Akbar, M. Agung Amalia Amalia Anggra Trisna Ajani Basmanelly Basmanelly Buanasari, Andi Budi, Hendri Chong Mei Chan Dally Rahman Delvi Sri Hayati Desti Kurnia Utami Devia Putri Dewi Eka Putri Dewi Kurnia Putri Dilya Eka Saputri Dwi Nurul Salmi Ega Silvia Roza Elsa Sylvia Elvi Oktarina Emil Huriani Erni Forwaty Esthika Ariany Maisa Esthika Ariany Maisa Fatmadona, Rika Fauziah Qifti Fauziah Qifti Feni Betriana Fernandes, Feri Fitrayeni Fitrayeni Fitria Dila Sari Freska, Windy Ginna Morgan Van FC Gusri Rahayu Hacidira Vichalova Hadeci Lovenda Putri Hastoro Dwinantoaji Henny Sjafitri Heppi Sasmita Hidayatul Rahmi Hidayatul Rahmi Hilda Yetti Ilfa Khairina Indah Purnama Sari Januar Ramadhan Krisdianto, Boby Febri Lenggogeni Hidayatul Rahmi Lenggogeni, Devia Putri Leni Lelen Rozani Mahathir Mahathir Mailani, Fitri Merdawati, Leni Miftah Khairunnisa Mira Susanti Muliantino, Mulyanti Roberto Netrida, Netrida Netrida, Netrida Niriyah, Sekani Nopan Saputra Novi Yulianti Novita Simbolon Okky Adelirandy Oktarina, Elvi Pardomuan Robinson Sihombing Pratiwi, Cindy Ayu Rahmat Hidayatullah Raveinal Raveinal Ricca Andriani Rika Fatmadona Rika Sarfika Rini Apriyani Rozzano Locsin Shinta Herlina Siti Lioni Rahmah Sovia Susianty Sri Muharni Sri Yulia Taufik Febriyanto Tetsuya Tanioka Veralia Veralia Yafi Sabila Rosyad Yance Komela Sari Yanti, Rina Herni Yanti, Rina Herni Yesi Afriyanti, Joni Herman, Yoga Taufik Ramadha Yulia Yasman ZULAIKA HARISSYA