Claim Missing Document
Check
Articles

Found 35 Documents
Search

Penerapan Telemedicine terhadap Penyembuhan Luka Kaki Diabetik Grade IV Paska Amputasi Nila Indrayati; Debie Dahlia; Riri Maria
Journal of Telenursing (JOTING) Vol 3 No 2 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i2.2938

Abstract

This study aims to describe the healing process of diabetic foot wounds monitored through telemedicine during the Coronavirus disease-19 pandemic. The method used in this study was a case report of a 64-year-old patient with a history of grade IV diabetic foot injuries after amputation of the thumb on the right foot. The time needed to do telemedicine as a medium for monitoring wound conditions and education is about 30 minutes. The results showed that wound healing was significantly successful, within one month, as many as ten dressing changes with a duration of once every three days. In conclusion, telemedicine contributes positively to efforts to heal diabetic foot wounds. Keywords: Case Report, COVID-19, Diabetic Foot Sores, Telemedicine
Kombinasi Aerobic dan Resistance Training terhadap Kontrol Glukosa Darah pada Pasien Diabetes Melitus (DM) I Putu Adi Suryawan; Debie Dahlia; Dhika Ayu Kurnia
Journal of Telenursing (JOTING) Vol 4 No 1 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i1.3427

Abstract

This study aims to analyze the effect of a combination of aerobic and resistance training on blood glucose control in DM patients. The method used is a systematic review of the Scopus, Embase, EBSCO, ScienceDirect and ProQuest databases. The results showed that aerobic training carried out 5-6 times per week (150 hours per week) by running or cycling and resistance training performed 2-3 times per week (8-10 exercises per session) using weights, resistance bands, or body weights provided a positive impact on blood glucose control. In conclusion, the combination of aerobic and resistance training performed with the recommended frequency, duration, intensity and repetition can improve glycemic control in DM patients with indicators of blood sugar stability and HbA1c. Keywords: Aerobic Training, DM, Blood Glucose, Resistance Training
Kepatuhan Diet dengan Kejadian Rawat Inap Ulang Pasien Pascalaparoskopi Kolesistektomi Rif'atul Fani; Debie Dahlia; Lestari Sukmarini
Jurnal Keperawatan Vol 7 No 2 (2022): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v7i2.1042

Abstract

Kepatuhan diet pasien pascalaparoskopi kolesistektomi penting dilakukan karena pasien tidak lagi memiliki kandung empedu yang berfungsi dalam pencernaan lemak. Kepatuhan diet rendah lemak merupakan indikator keberhasilan perawatan di rumah. Jika pasien tidak patuh, dapat menyebabkan kejadian gastritis,diare, mual, dan muntah yang menjadi alasan pasien menjalani rawat inap ulang. Tujuan penelitian untuk mengetahui hubungan kepatuhan diet dengan kejadian rawat inap ulang pada pasien pascalaparoskopi kolesistektomi. Penelitian ini menggunakan desain cross-sectional dengan pendekatan retrospektif. Jumlah sampel 80 responden yang didapatkan dengan tehnik consecutive sampling. Metode pengumpulan data dengan kuesioner dan lembar pengumpulan data. Analisis hasil penelitian menggunakan uji korelasi Spearman. Hasil penelitian didapatkan nilai p = 0,0001 (α < 0,05) yang menunjukkan ada hubungan signifikan antara kepatuhan diet dengan kejadian rawat inap ulang pasien pascalaparoskopi kolesistektomi. Hubungan kepatuhan diet dengan kejadian rawat inap ulang menunjukkan kekuatan hubungan sedang (r=0,465) dan berpola positif yang artinya semakin tidak baik kepatuhan diet maka kecenderungan untuk terjadi rawat inap ulang akan lebih tinggi dibandingkan pasien dengan kepatuhan diet yang baik. Edukasi tentang diet rendah lemak harus menjadi perhatian perawat untuk menurunkan kejadian rawat inap ulang.
Dampak Resistance Exercise terhadap Sirkulasi Perifer, Glycaemic Control dan Neuropati pada Pasien Diabetes Mellitus I Putu Adi Suryawan; Debie Dahlia; Sri Yona; Dikha Ayu Kurnia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 3 (2022): Juli 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13301

Abstract

One of the four pillars of the management of Diabetes Mellitus (DM) is exercise. One form of exercise that can be done at home and can prevent complications in the blood vessels is Resistance Exercise. This article is a systematic review which aims to identify the effect of Resistance Exercise on increasing peripheral circulation, decreasing neuropathy symptoms and glycemic control in DM and pre-diabetic patients. The search sources used were Scopus, Embase, EBSCO, PubMed and ProQuest published from 2016 to 2021. Furthermore, 11 articles that met the criteria were obtained. The results of the study show that there are four main components of resistance exercise in controlling blood sugar, preventing neuropathy and increasing circulation, namely exercise consistency, exercise frequency and duration, exercise intensity, and repetition. Resistance exercise can be used as an alternative solution to foot circulation problems in DM patients, so that the risk of diabetic foot injuries can be prevented or reduced.Keywords: resistance exercise; diabetes mellitus; peripheral circulation  ABSTRAK Salah satu dari empat pilar penatalaksanaan Diabetes Mellitus (DM) adalah exercise. Salah satu bentuk exercise yang dapat dilakukan di rumah dan mampu mencegah komplikasi pada pembuluh darah adalah Resistance Exercise. Artikel ini berjenis systematic review yang bertujuan untuk mengidentifikasi pengaruh dari Resistance Exercise terhadap peningkatan sirkulasi perifer, penurunan gejala neuropati dan glycaemic control pada pasien DM maupun pra diabetes. Sumber pencarian yang digunakan adalah Scopus, Embase, EBSCO, PubMed dan ProQuest yang diterbitkan pada tahun 2016 sampai 2021. Selanjutnya diperoleh 11 artikel yang memenuhi kriteria. Hasil studi menunjukkan bahwa terdapat empat komponen utama dari resistance exercise dalam mengontrol gula darah, mencegah neuropati dan meningkatkan sirkulasi yaitu konsistensi exercise, frekuensi dan durasi exercise, intensitas exercise, dan repetisi. Resistance Exercise dapat dijadikan alternatif solusi masalah sirkulasi kaki pada pasien DM, sehingga resiko terjadinya luka kaki diabetes dapat dicegah maupun dikurangi.Kata kunci: resistance exercise; diabetes mellitus; sirkulasi perifer
The Effectiveness of Psychoreligious Therapy: Murottal Al Qur'an on Chest Pain Level of the Patient in Intensive Care Unit Priyanto Priyanto; Achmad Fauzi Kamal; Debie Dahlia; Idia Indar Anggraeni
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): July-December 2020
Publisher : Global Health Science Group

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

Abstract

Chest pain is the main complaint felt by patients with coronary heart disease. Chest pain occurs during a heart attack when oxygen supply to the myocardium is decreased. Psychoreligious therapy: murottal Al-Qur'an is a psychoreligious therapy given to patients by listening to verses of the Qur'an for a few minutes to have a positive impact on the patient's psychological condition, thereby providing a relaxing effect to reduce pain. This study aims to determine the effectiveness of psychoreligious therapy: murottal Al-Qur'an on the level of chest pain. This research design used pre-experimental method with one group pre and post-test design. The population of this study were patients with coronary syndrome acute who were treated in the Intensive Care Unit of the Tidar General Hospital Magelang. The sampling technique used accidental sampling, with a total of 34 respondents. The research instrument used the Numeric Rating Scale to measure the scale of chest pain before and after therapy. Psychoreligious therapy: murottal Al-Qur'an given according to standard operating procedures for 20 minutes. The statistical test used paired t test. The results showed that there was a significant difference from chest pain level before and after psychoreligious therapy: murottal Al-Qur'an with p-value 0.000 (p<α (0.05)). Psychoreligious therapy: murottal Al-Qur'an can effectively reduce the scale of the patient's chest pain. There is a need for socialization and application of psychoreligious therapy: murottal Al-Qur'an as a therapeutic modality and further research is needed on various psychoreligious therapies that are useful in nursing care services in hospitals.
Efektifitas Intervensi Manajemen Diabetes Berbasis Pemberdayaan terhadap Kontrol Glikemik: Studi Literatur Muhammad Mulyadi Pranata; Debie Dahlia; Liya Arista
Jurnal Keperawatan Vol 15 No 2 (2023): Jurnal Keperawatan: Juni 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.615 KB) | DOI: 10.32583/keperawatan.v15i2.963

Abstract

Penelitian terus berkembang terkait efek positif dari intervensi manajemen diabetes berbasis pemberdayaan yang berdampak pada perubahan perilaku dan kontrol glikemik. Namun, pemahaman tentang bagaimana intervensi ini secara efektif dalam praktik klinis berpengaruh terhadap luaran klinis pasien diabetes melitus masih terbatas. Penulisan studi literatur ini bertujuan untuk mengetahui efektifitas pemberdayaan pasien terhadap kontrol glikemik diabetes melitus tipe 2. Pencarian literatur menggunakan database ProQuest, Science Direct, PubMed, Embase, dan Scopus dengan kriteria antara lain: diterbitkan dari tahun 2012-2022, teks lengkap, jenis penelitian eksperimen, berbahasa inggris, dan tidak berbayar. Pencarian literatur menggunakan kata kunci empowerment, diabetes mellitus, dan glycemic control. Total artikel yang ditemukan adalah 3.178 artikel dari 5 database dan memilih 7 artikel yang sesuai dengan kriteria inklusi untuk ditelaah. Hasil studi menunjukkan bahwa intervensi berbasis pemberdayaan secara signifikan meningkatkan kontrol glikemik melalui peningkatan self-efficacy dan perilaku perawatan diri pada penderita diabetes melitus. Intervensi manajemen diabetes berbasis pemberdayaan efektif bagi penderita diabetes melitus sebagai upaya pencegahan komplikasi. Sehingga penderita diabetes melitus dapat mematuhi manajemen obat, manajemen monitoring, manajemen aktifitas, dan manajemen diet dengan baik.
The Effectiveness of Psychoreligious Intervention: Murottal Al-Quran on Pain and Stress Level of Bone Cancer Patient Priyanto Priyanto; Achmad Fauzi Kamal; Debie Dahlia
Indonesian Journal of Global Health Research Vol 2 No 4 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.466 KB) | DOI: 10.37287/ijghr.v2i4.260

Abstract

Psychoreligious intervention of murottal Al-Qur'an is a therapy given to patients by listening to verses of the Qur'an for a few minutes to have a positive impact on the patient's physiological and psychological condition, thereby providing a relaxing effect to reduce pain and stress level. The purpose of this study was to determine the effectiveness of psychoreligious intervention of murrotal Al-Quran on pain and stress level of bone cancer patients in Semarang Regency. This was a quasi-experimental study with pre and post-test through a control group design. The population of this study were patients with bone cancer who were undergoing outpatient care in Semarang Regency Hospital, living in the regency of Semarang. The sampling technique used was purposive sampling with the number of respondents obtained 36 patients. The data were collected through Numeric Rating Scale aiming to measure the pain scale and DASS 42 questionnaire consisting of 14 statements to measure the level of stress. The therapeutic action procedure of psychoreligious intervention of murrotal Al-Quran used Ar-Rahman letter for 20 minutes which was in accordance with standard operating procedures. The data were analyzed using t-test. The results showed that there was a significant difference of pain and stress level before and after the intervention. Psychoreligious intervention of murottal Al-Qur'an was effective in reducing pain level in bone cancer patients (p-value=0.001<α=0.05). Psychoreligious intervention of murottal Al-Qur'an can effectively reduce stress level of bone cancer patients (p-value=0.001<α=0.05). Psychoreligious intervention of murrotal Al-Quran can be used as a therapeutic modality to reduce the pain and stress level of bone cancer patients during home treatment period which brings positive impact to improve the patient's physiological and psychological well-being. This intervention will help the process of recovery of the patients from their cancer.
Integrated Nursing Intervention Theory in Providing Comfortableness to Increase Patient Well Being: Simple Theory Construction Priyanto Priyanto; Achmad Fauzi Kamal; Debie Dahlia; Saptawati Bardosono
Indonesian Journal of Global Health Research Vol 3 No 4 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (601.488 KB) | DOI: 10.37287/ijghr.v3i4.720

Abstract

This article shows that an integrated and compatible independent nursing intervention model approach is important to be able to hope of providing a strong theoretical basis for nurses on improving the wellbeing of acute coronary syndrome patients through a conceptual model of integrated nursing interventions during treatment in the hospital. The purpose of this article is to present a simple theoretical construction using a 7-step approach which includes: origin, meaning, logical adequacy, usefulness, generaliability and parsimony as well as testability, about integrative nursing intervention theory in providing comfort to improve patient well being. This type of research is a development research model with a simple theory construction model approach. The problems faced by patients with acute coronary syndrome most often are chest pain, anxiety and hemodynamics which can interfere the patient's well-being. Chest pain that is occurred due to coronary blockage has an impact on the fear of death and can affect hemodynamic stability. Anxiety is the most prominent stress and greatly disturbs the patient's psychological condition. The integrative nursing intervention model becomes a model approach that can be applied by nurses in nursing care services for patients with acute coronary syndrome. Therefore, the role of nurses as service providers should be able to make the best contribution through the application of an integrative nursing intervention model. This intervention model approach is expected to be able to improve patient well being during hospitalization.
Biofeedback Pressure dalam Aktivasi Otot Pasien Muskuloskeletal: Tinjauan Literatur Nori Widiowati Widiowati; Debie Dahlia; Riri Maria; Liya Arista
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1187

Abstract

Gangguan muskuloskeletal menjadi penyebab utama kecacatan di dunia. Beberapa masalah muskuloskeletal yang sering terjadi adalah nyeri punggung bawah, osteoartritis, dan fraktur, dimana mayoritas pasien yang mengalami gangguan muskuloskeletal mengakibatkan diantara 20-50 juta lebih mengalami kecacatan yang melibatkan kelemahan maupun kekakuan otot. Salah satu perangkat yang dapat mendukung program rehabilitasi pasien dengan masalah muskuloskeletal yaitu dengan penggunaan perangkat biofeedback pressure. Oleh karena itu, penelitian ini bertujuan untuk menganalisis dan mengeksplorasi efek biofeedback pressure pada kekuatan otot pasien dengan masalah muskuloskeletal. Penelitian ini merupakan penelitian studi literatur. Pencarian literatur menggunakan database ClinicalKey Nursing, EMBASE, Proquest, Sage Journals, ScienceDirect, Scopus, dan Taylor&Francis dengan kriteria antara lain: diterbitkan dari tahun 2018-2022, teks lengkap, jenis penelitian RCT dan eksperimen, dan berbahasa inggris. Ditemukan 2868 artikel dari 7 database dan memilih 5 artikel yang sesuai dengan kriteria inklusi dan eksklusi untuk dianalisis. Secara umum keseluruhan studi dengan berbagai masalah muskuloskeletal menunjukkan bahwa intervensi biofeedback pressure secara signifikan meningkatkan kekuatan maupun aktivasi otot, sehingga mencegah dan meminimalkan berbagai komplikasi yang ditimbulkan. Selain aktivitas otot, tinjauan ini juga memperoleh manfaat lain dari biofeedback pressure berupa penurunan skor, kecacatan, peningkatan daya tahan, dan gaya lawan otot. Biofeedback pressure terbukti dapat diaplikasikan pada pasien dengan masalah muskuloskeletal untuk meningkatkan kemampuan fungsional.
Intervensi Non Farmakologis pada Pasien Diabetes Mellitus dengan Gangguan Tidur Irmariani Irbar; Debie Dahlia; Denissa Faradita Aryani; Riri Maria
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v6i2.6039

Abstract

This study aims to investigate the effects of non-pharmacological interventions in diabetes mellitus patients with sleep disturbances. The research method used was a systematic review with a randomized controlled trial (RCT) and quasi-experimental design. Article searches used five databases, Scopus, Proquest, ScienceDirect, Pubmed, and EbscoHost, published from January 2018 to December 2022. The results showed that eight articles met the criteria. Non-pharmacological interventions given to diabetes mellitus patients with sleep disorders include Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), aromatherapy, personalized intervention, and nutritional therapy. Most studies report that non-pharmacological interventions can improve sleep quality in diabetes mellitus patients with sleep disorders. CBT therapy is the recommended therapy that is more effective. In conclusion, non-pharmacological interventions can be used as a companion or substitute therapy to improve sleep quality in patients with diabetes mellitus who experience sleep disturbances. Keywords: Diabetes Mellitus, Non-Pharmacological Intervention, Sleep Quality