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Titis Kurniawan
Universitas Padjadjaran
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Journal : MAHESA : Malahayati Health Student Journal

 1 
Gambaran Pengetahuan Keluarga dengan Pasien Diabetes Melitus Tipe 2 dalam Menjalankan Self-Management Nur Puspita Sari; Titis Kurniawan; Hasniatisari Harun
MAHESA : Malahayati Health Student Journal Vol 3, No 6 (2023): Volume 3 Nomor 6 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.705 KB) | DOI: 10.33024/mahesa.v3i6.10465

Abstract

ABSTRACT The family has an important role in the health care of patients with type 2 diabetes mellitus (T2DM), including diabetes mellitus self-management (DMSM). To carry out the role properly, the family must have adequate knowledge. Previous research has found that the implementation of DMSM in T2DM sufferers and family support is low. This study aims to identify family knowledge related to DMSM. This quantitative descriptive study with a cross-sectional approach involved 188 families of T2DM patients who were taken through a purposive sampling technique. Data were collected through a respondent characteristic questionnaire, and a family knowledge questionnaire related to DMSM which had been translated through the back-forward translation method into Indonesian and modified with an inter-item correlation between 0.205-0.527, and Chronbach alpha 0.660. The collected data were analyzed descriptively. Half of the respondents had good knowledge (50%) with the lowest mean in the domain of pharmacological therapy (1.07±0.60), foot care (1.40±0.73), and physical exercise (1.69±0. 54). The low pharmacological therapy domain, physical exercise, and foot care need special attention. It is important for health workers to seek to increase family knowledge so that they can help patients carry out DMSM, especially aspects of pharmacological therapy, physical exercise, and foot care. Keywords: Family Support, Knowledge, Self Management, Type 2 Diabetes Mellitus  ABSTRAK Keluarga memiliki peran penting dalam perawatan kesehatan pasien diabetes melitus tipe 2 (DMT2) termasuk dalam melakukan self-management diabetes melitus (SMDM). Untuk menjalankan perannya dengan baik, keluarga harus memiliki pengetahuan yang adekuat. Penelitian terdahulu menemukan pelaksanaan SMDM pada penderita DMT2 dan dukungan keluarga yang rendah. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan keluarga terkait SMDM. Penelitian deskriptif kuantitatif dengan pendekatan cross-sectional ini melibatkan 188 keluarga pasien DMT2 yang diambil melalui teknik purposive sampling. Data dikumpulkan melalui kuesioner karakteristik responden, dan kuesioner pengetahuan keluarga terkait SMDM yang telah dialihbahasakan melalui back-forward translation method ke Bahasa Indonesia dan dimodifikasi dengan inter intem correlation antara 0,205-0,527, dan chronbach alpha 0,660. Data yang terkumpul dianalisis secara deskriptif. Setengah responden memiliki pengetahuan baik (50%) dengan mean terendah pada domain terapi farmakologi (1,07±0,60), perawatan kaki (1,40±0,73), dan latihan fisik (1,69±0,54). Rendahnya domain terapi farmakologi, latihan fisik, serta perawatan kaki perlu mendapatkan perhatian khusus. Penting bagi petugas kesehatan untuk mengupayakan peningkatan pengetahuan keluarga sehingga dapat membantu pasien menjalankan SMDM terutama aspek terapi farmakologi, latihan fisik, dan perawatan kaki. Kata Kunci: Diabetes Melitus Tipe 2, Dukungan Keluarga, Pengetahuan, Self-Management
Penyiapan Pengelolaan Pasca Rawat pada Pasien Stroke Hemoragik dengan Riwayat Peb: Case Report Anjani Mutiarasani; Titis Kurniawan; Sri Hartati Pratiwi
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14077

Abstract

ABSTRACT Post-hospitalization stroke patients include assessing and preparing patients and families to meet post-treatment needs is important. Aims to explain the needs of post-stroke patients with a history of preeclampsia along with efforts to prepare patients and their families to meet these needs. Case report used Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) and Barthel indeks instruments to identify the post- treatment needs od stroke patients with a history of preeclampsia who were undergoing treatment in the inpantient room of a Regional Hospital in West Java. Educational topics include: ROM (range of motion), personal hygiene, pressure ulcer prevention, and fall risk prevention and danger signs. One month after being discharged from the hospital, the patient has implemented ROM (range of motion), personal hygiene is fulfilled, there is no risk of pressure sores/falls. The Barthel index score one month after discharge from the hospital improved to 6 (severe dependence). Preparations for the postpartum period with a history of PEB are fulfilled by taking regular medication and caring for the baby. Post-treatment education and follow-up are activities that have the potential to be effective in improving the patient's ability to meet post-treatment needs. It is important for hospitals to maintain continuity of care through regular follow-up and coordination with families to ensure that post-treatment needs are met and anticipate complications due to stroke.  Keywords: Case Report, Continue of Care, Post Treatment, , Preeclampsia, Stroke Hemoragic  ABSTRAK Pasca rawat pada pasien stroke meliputi pengkajian dan penyiapan pasien dan keluarga untuk memenuhi kebutuhan pasca rawat merupakan hal yang penting. Bertujuan untuk memaparkan kebutuhan pasien pasca stroke dengan riwayat preeklampsia beserta upaya penyiapan pasien beserta keluarganya untuk memenuhi kebutuhan tersebut. Case study ini dengan instrument Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) dan Barthel indeks digunakan untuk mengidentifikasi kebutuhan pasca rawat pasien stroke dengan riwayat preeklampsia yang menjalani perawatan di Ruang Rawat Inap salah satu RS Daerah di Jawa Barat. Topik edukasi mencakup : ROM (range of motion), personal hygiene, pencegahan dekubitus, dan pencegahan risiko jatuh serta tanda bahaya. Satu bulan setelah keluar dari rumah sakit, pasien telah menerapkan ROM (range of motion), personal hygiene terpenuhi, tidak terdapat risiko dekubitus/jatuh. Skor Barthel indeks satu bulan setelah keluar dari rumah sakit membaik menjadi 6 (ketergantungan berat). Penyiapan pada postpartum dengan Riwayat PEB terpenuhi dengan minum obat rutin dan perawatan bayi. Edukasi dan follow up pasca rawat merupakan kegiatan yang berpotensi efektif memperbaiki kemampuan pasien memenuhi kebutuhan pasca rawat. Menjadi penting bagi rumah sakit untuk menjaga continue of care melalui follow up secara reguler serta koordinasi dengan keluarga untuk menjamin keterpenuhan kebutuhan pasca rawat dan antisipasi komplikasi akibat stroke. Kata Kunci: Case Report, Continue Of Care, Pasca Rawat, Preeklampsia, Stroke Hemoragik
Pencegahan Kekambuhan Asma dan Pengelolaan Cushing Syndrome: Studi Kasus Salsabila Fiqrotu Tsauroh; Titis Kurniawan; Eka Afrima Sari
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14076

Abstract

ABSTRACT Iatrogenic cushing syndrome is a complication for asthma patients due to long-term use of steroid drugs. This risk is increasingly higher as the recurrence rate in increases asthma patients (poor asthma control). Asthma management has been shown to be effective in reducing asthma recurrence, there’s limited literature how to manage asthma in patients with cushing’s syndrome. This study aims to explain how to implement management and prevention of asthma recurrence in cushing syndrome patients undergoing treatment at one of regional general hospitals in the West Java. This case study uses a descriptive design described narratively. A woman (56) was admitted to the adult internal medicine room with weakness, breathlessness and itching. The face looks round (moonface), there’s fat on the shoulder (buffalo hump), lines (striae) appear on abdomen. Patients has history of asthma since kid. Family said patient had been taking corticosteroid medication for± 10 years. Patient claimed unaware about managing asthma. Asthma Control Test score before intervention was given 11 (not controlled). During treatment, patient and their families receive nursing intervention, pharmacology therapy, education and discussion about asthma management and how to prevent asthma recurrence that can reduce of using corticosteroid. At the end of intervention, patient and their family expressed better knowledge about asthma management. Symptoms of weakness, breathlessness, and itching had subsided by the end of treatment period. Patient had started asthma management after being discharged from hospital, but the smoke-free home had not been implemented optimally so patient relapsed once on the fourth day of discharged from hospital. Asthma management education is an effective strategy in prevention and management of cushing syndrome in asthma patients, however management will not be optimal without family support and those closest to them. Education provided during treatment needs to be followed up during the post-treatment period through regular follow up to ensure that programmed treatment can run as it should  Keywords: Asthma, Asthma Management, Case Study, Cushing Syndrome  ABSTRAK Iatrogenic cushing syndrome adalah salah satu komplikasi bagi pasien asma akibat penggunaan obat steroid jangka panjang. Resiko ini semakin tinggi seiring tingginya angka kekambuhan pasien asma (asma kontrol buruk). Manajemen asma telah terbukti efektif dalam mengurangi kekambuhan asma, sedikit literatur mendiskusikan bagaimana manajemen asma pada pasien dengan cushing syndrome. Case study ini bertujuan untuk memaparkan bagaimana implementasi pengelolaan dan pencegahan kekambuhan asma pada pasien cushing syndrome yang menjalani perawatan di salah satu rumah sakit umum daerah di wilayah Jawa Barat. Studi kasus ini menggunakan desain deskriptif dan diuraikan secara naratif. Seorang perempuan (56 thn) dirawat di ruang penyakit dalam dewasa dengan keluhan lemas, sesak, dan gatal. Wajah tampak bulat (moonface), pada daerah bahu terdapat penumpukan lemak (buffalo hump), tampak guratan garis (striae) pada abdomen. Pasien memiliki riwayat asma sejak kecil. Keluarga mengatakan bahwa pasien mengkonsumsi obat kortikosteroid ketika asma kambuh selama ± 10 tahun. Pasien mengatakan belum mengetahui terkait mengelola asma yang baik agar tidak kambuh. Skor Asthma Control Test sebelum diberikan intervensi adalah 11 (tidak terkontrol). Selama dirawat pasien dan keluarga diberikan intevernsi keperawatan, terapi farmakologi dan menerima edukasi dan diskusi mengenai manajemen asma yang baik dan cara pencegahan kekambuhan asma sehingga dapat mengurangi penggunaan obat kortikosteroid. Diakhir masa perawatan, pasien dan keluarga menyatakan paham mengenai manajemen asma. Keluhan lemas sudah tidak ada, sesak dan gatal berkurang. Setelah pulang dari rumah sakit, keluarga mengatakan telah mengurangi faktor pencetus kekambuhan asma pada pasien, namun rumah bebas asap rokok belum dilakukan secara maksimal oleh keluarga sehingga pasien kambuh satu kali di hari keempat pulang rawat. Edukasi manajemen asma merupakan strategi yang efektif dalam pencegahan dan pengelolaan cushing syndrome pada pasien asma, namun meski dimikian pengelolaan tidak akan maksimal tanpa dukungan keluarga dan orang terdekat. Edukasi yang diberikan selama dirawat perlu untuk ditindak lanjuti selama masa pasca rawat melalui follow up secara berkala untuk menjamin perawatan yang diprogramkan dapat berjalan sebagaimana mestinya. Kata Kunci: Asma, Cushing Syndrome, Manajemen Asma, Studi Kasus
Co-Authors Anjani Mutiarasani Asma Safdar Bambang Aditya Nugraha Devita Listuhayu Eka Afrima Sari Eka Turjanah Alviani Enzel Gabriela Putri Fransisca Sri Susilaningsih Harun, Hasniatisari Hesti Platini Irma Wati Nur Puspita Sari Nursiswati Nursiswati Salsabila Fiqrotu Tsauroh Sandra Pebrianti Sepdian Puspaningrum Sri Hartati Pratiwi Vina Vitniawati Yanti Hermayanti