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PENDIDIKAN KESEHATAN METODE SIMULATION GAME MENINGKATKAN PERILAKU PENDERITA DIABETES MELLITUS DALAM MELAKUKAN PERAWATAN KAKI DI POSYANDU LANSIA SIMOANGIN-ANGIN SIDOARJO Purwaningtyas, Siska Dwi; Kusnanto, Kusnanto; Indarwati, Retno
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 3, No 1 (2014): OKTOBER 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (603.278 KB) | DOI: 10.20473/cmsnj.v3i1.12236

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Introduction: The Diabetes patient’s have risk of gangrene 5 times greater than that effect of amputation and death. Prevalence of diabetic foot most happens in under 60 years old about 80% than > 60 years old. Health education on a diabetes foot care can prevent diabetic foot, beside blood glucose regulation. The objective of this study was to analyze the influence of simulation game of diabetic foot care toward behavior the patient with Diabetes mellitus.Method: The research used pre experimental pre-post test design with purposive sampling. The population was patients Diabetes mellitus in Posyandu Lansia Simoangin-angin. Total sample was 13 respondents, taken according to inclusion criteria. The independent variable was health education using simulation game method about diabetic foot care and the dependent variable’s were knowledge, attitude and action. Data were collected by using questioners then analyzed using wilcoxon signed ranks test, with level of significance p≤0.05.Result: The results showed significant changes in knowledge, attitude and action of diabetic foot care (p=0.002 for knowledge, p=0.034 for attitude, and p=0.004 for action) which means that there were influences of health education by simulation game of diabetic foot care on knowledge, attitude and action the patients with Diabetes mellitus in middle age at Posyandu Lansia Simoangin-angin.Discussion: It can be concluded that health education given by simulation game has influenced on knowledge, attitude and action of patients with Diabetes mellitus. The next research are expected to apply health education by simulation game in another cases.
Edukasi Kesehatan: Perawatan Kaki terhadap Pengetahuan, Sikap dan Tindakan Pencegahan Ulkus Kaki Diabetik Munali, Munali; Kusnanto, Kusnanto; Nihayati, Hanik Endang; Arifin, Hidayat; Pradipta, Rifky Octavia
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 8, No 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.634 KB) | DOI: 10.20473/cmsnj.v8i1.13241

Abstract

Introduction: People with diabetes mellitus were at 15% risk of developing diabetic foot ulcers. Diabetic foot ulcers can be prevented if people with DM have the knowledge, positive attitude and thus able to perform the diabetic foot care. The aim was to determine the effect of health education on knowledge, attitudes and preventionof diabetic foot ulcers of people with diabetes mellitus. Method: quasi-experiment research design pretest-posttest control group design. Sample was DM patients who visited the Bangkalan City Health Center, recruited by purposive sampling technique with sample size of 35 people in the treatment group and 35 people in the control group. Independent variable was the health education and the dependent variables were knowledge, attitudes and of diabetic foot ulcers. Data were collected with questionnaires andthen analyzed by Wilcoxon Sign Rank Test and Mann-Whitney Test.Result: The results showed that there was an effect of health education on knowledge (p=0.000), attitudes (p=0.000) and preventive actions (p=0.000) of diabetic foot ulcers.Conclussion: Health education was important as an effort to persuade DM patients to take charge on their knowledge and attitude foot care by firstly enhancing.
Pengaruh Progressive Muscle Relaxation terhadap Stres dan Penurunan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2 Herlambang, Ungkas; Kusnanto, Kusnanto; Hidayati, Laily; Arifin, Hidayat; Pradipta, Rifky Octavia
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 8, No 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.551 KB) | DOI: 10.20473/cmsnj.v8i1.13400

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Introduction: Diabetes Mellitus is a disease that occurs because the body is unable to produce insulin or the body cannot use insulin effectively. The purpose of this study was to find out the effect of Progressive Muscle Relaxation (PMR) on stress and blood glucose decrease in patients who have diabetes mellitus type 2 disease.Method: The design of this study is quasi-experimental study. The population of this study were the patients who have type 2 of diabetes mellitus disease at Puskesmas Kedungdoro and Puskesmas Medokan Ayu. There would be 70 respondents chosen based on inclusion and exclusion criteria. The researcher chose the purpose sampling technique in choosing the participants in this research. The independent variable in this study was Progressive Muscle Relaxation (PMR). The dependent variable in this study were stress and blood glucose decrease. The data in this study were collected using questionnaires and measurement of pre-prandial blood glucose level. Data were analyzed using analysis of Wilcoxon and paired t-test for pre-post measurements, then for the inter groups the researcher used Mann-Whitney analysis.Results: The results showed that there was an effect of PMR on stress (p = 0.001) and in decreasing blood glucose (p = 0.021).Discussion: PMR is a relaxation focused on the patient’s attention in distinguishing the group of muscle when they relaxed than while in contraction condition. Thus, the patients are expected to be able to manage the body condition in managing stress and blood sugar decrease. For health officers, they are expected to use the PMR as the combination in reducing stress and blood glucose to improve the quality of life of the patients who have diabetes type 2 disease.
Deep Breathing Exercise in Improving Physical Changes in PulmonaryTuberculosis Patients Amal, Muhamad Ihlasul; Kusnanto, Kusnanto; Kusumaningrum, Tiyas
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 4, No 2 (2016): APRIL 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (519.87 KB) | DOI: 10.20473/cmsnj.v4i2.12397

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Introduction: Pulmonary Tuberculosis is caused by Mycrobacterium Tuberculosis lead to lung parenchymal inflammation and reduce the total functional lung. Deep breathing exercises (DBE) is a pulmonary rehabilitation that can be used as an alternative method to maintain the lung function of patients with pulmonary tuberculosis.Methods: This study used a quasy experiments design. The population was all patients with pulmonary tuberculosis in Puskesmas Perak Timur Surabaya. The sample was selected using purposive sampling technique. DBE is the independent variable. The dependent variable were the physical changes include peak expiratoty flow rate (PEFR), oxygen saturation, respiratory rate (RR), breath sounds, and dyspnea. Data was collected by observation tools (pulse oximetry, peak flow meters). Data was analyzed using Independent T-test, Paired T-test, Chi Square, and McNemar.Results: The results showed a significant change in breath sounds (p=0,031) and dyspnea (p=0.031) after given DBE, but no significant difference in PEFR (p=0.155), oxygen saturation (p=0,730) and respiratory rate (p=0.125) after given DBE.Conclusions: Nurses can use the DBE as respiratory management intervention in patients with pulmonary tuberculosis and as a basis for making SOP DBE in patients with pulmonary tuberculosis.
KEPATUHAN MEDIKASI PENDERITA DIABETES MELLITUS TIPE 2 BERDASARKAN TEORI HEALTH BELIEF MODEL (HBM) DI WILAYAH KERJA PUSKESMAS MULYOREJO SURABAYA Ulum, Zahrotun; Kusnanto, Kusnanto; Widyawati, Ika Yuni
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 4, No 1 (2015): OKTOBER 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (685.607 KB) | DOI: 10.20473/cmsnj.v4i1.12294

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Introduction: Adherence play important role at therapeutic management of patients with type 2 Diabetes mellitus. The purpose this study was to identify and to analyse the factors associated with medication adherence.Methods: Design of the the study was descriptive analytic with cross-sectionalapproach. The population was patients with type 2 Diabetes mellitus in Puskesmas Mulyorejo Surabaya. Twenty eight as sample respondents were chosen by purposive sampling technique. The X variables in this study were age, sex, ethnicity, salary, knowledge, duration of illness, perceived susceptibility, perceived seriousness, perceived benefit, perceived barriers, self-efficacy, and family support. The Y variable was medication adherence of patients with type 2 Diabetes mellitus. Data were collected by using questionnaire and analyzed using chi square and spearman’s rho test with a degree of significance α<0.05.Result: Factors associated with medication adherence were sex, salary, knowledge, perceived seriousness, perceived benefit, self-efficacy, and family support. Factors not associated with mediacation adherence were age, ethnicity, duration of illness, perceived susceptibility, and perceived barriers. Perceived seriousness showed the strongest association with medication adherence (r=0.565).Discussion: Seven of twelve X variables were associated with perceived seriousness being the strongest association and five variables were not associated. It is expected that health care service develop the management of health service based on family and community to improve adherence at patients with type 2 Diabetes mellitus. Further research is suggested to enhance and develop the program to increase medication adherence.
Pengaruh Hiperbarik Oksigen terhadap Psikologis Penderita Ulkus Kaki Diabetik Dismalyansa, Dismalyansa; Kusnanto, Kusnanto; Pradanie, Retnayu; Arifin, Hidayat
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 8, No 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.979 KB) | DOI: 10.20473/cmsnj.v8i1.13277

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Pendahuluan: Diabetes Mellitus (DM) dengan Ulkus Kaki Diabetes (UKD) dapat berakibat pada gangguan psikologis. Terapi Hiperbarik Oksigen (HBO) dapat mempercepat penyembuhan luka sehingga psikologis pasien dapat membaik. Penelitian ini bertujuan menjelaskan pengaruh hiperbarik oksigen terhadap psikologis penderita UKD. Metode: Penelitian ini menggunakan desain quasi experimental dengan pendekatan non-equivalent control group design. Sampel sebanyak 70 pasien pasien DM dengan UKD. Variabel indepeden adalah terapi HBO dan dependen adalah psikologis penderita UKD. Data dikumpulkan melalui kuesioner WHOQOL-BREF. Data dianalisis dengan Wilcoxon signed rank test dan Mann Whitney U test. Hasil: Intervensi HBO meningkatkan psikologis pasien UKD (p=0,012) dan terdapat perbedaan yang signifikan antara kelompok kontrol dan perlakuan yang signifikan (0,040). Diskusi: Pasien DM dengan UKD yang diberi HBO menunjukkan perbaikkan psikologis yang terlihat dari pasien lebih sehat, semangat, dan terdapat perbaikan UKD. HBO dapat dijadikan sebagai pilihan pengobatan dalam meningkatkan respon psikologis penderita UKD.
Kepatuhan Pengelolaan Penyakit Diabetes mellitus Tipe II melalui Peer Group Support di Wilayah Kerja Puskesmas Kebonsari Surabaya Diatiningsih, Yuyun; Kusnanto, Kusnanto; Bakar, Abu
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 1, No 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.183 KB) | DOI: 10.20473/cmsnj.v1i1.11973

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Introduction: Diabetes Mellitus is a chronic disease that cannot be cured so that compliance is required to manage the disease. Patient compliance is in accordance with the provisions of the behavior of health workers. The aimed of this study was to analyze the effect of peer group support on the compliance of type 2 Diabetes mellitus disease management.Methods: This research was used a quasy experiment pre post test designed. The selection of sample using a purposive sampling and was obtained 16 respondents from 77 population. The independent variable was a peer group support that carried out for two weeks while dependent variable was dietary compliance, exercise and drugs consumption which data was collected by observation sheet. The data were analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test with significantvalue of ≤α 0.05.Result: The results showed that there was increase of dietary compliance (p=0.012) but there was no effect of peer group support for dietary compliance (p=0.14), the increase of exercise compliance (p=0.012) and there was effect of peer group support for exercisecompliance (p=0.004), and the increase of drugs consumption compliance (p=0.027) and there was effect of peer group support for drugs consumption compliance (p=0.048).Discussion: It can be concluded that peer group support had good effect to improve dietary compliance, exercise, and drugs consumption so that blood sugar could be controlled. Larger respondents, more proper instruments and longer duration of study will be needed to get a better result of the further research.
Kecerdasan Spritual dalam Self-Management pada Pasien Diabetes Melitus Tipe 2 Ardhiyanto, Mohammad Dheni; Kusnanto, Kusnanto; Nastiti, Aria Aulia; Arifin, Hidayat
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol 8, No 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (16.729 KB) | DOI: 10.20473/cmsnj.v8i1.13278

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Introduction. Kesadaran pasien DM tipe 2 yang kurang dan lamanya menderita merupakan faktor yang menghambat penderita DM tipe 2 sehingga tidak menjalankan self-management dengan baik. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kecerdasan spiritual dan lama menderita dengan self-management pada penderita Diabetes mellitus (DM) tipe 2. Methods. Rancangan penelitian menggunakan cross sectional. Populasinya adalah pasien diabetes melitus tipe 2. Total sampel adalah 167 responden, diambil sesuai kriteria inklusi dan ekslusi. Teknik sampling yang digunakan adalah purposive sampling. Variabel independen adalah kecerdasan spiritual dan lama menderita. Variabel dependen adalah self-management. Data dikumpulkan dengan menggunakan kuisioner Kecerdasan Spiritual dan The Summary of Diabetes Self Care Activities (SDSCA), dan dianalisis menggunakan analisis spearman rho. Results.Hasil menunjukan bahwa ada hubungan kecerdasan spiritual dengan self-management (p=0,000) dan tidak ada hubungan lama menderita dengan self-management diet (p=0,879). Discussion. kecerdasan spiritual yang tinggi dapat membuat penderita DM tipe 2 memiliki self-management yang baik. lama menderita DM belum tentu membuat penderita DM memiliki self-management baik. selama penderita DM tipe 2 memiliki kesadaran untuk mejalankan self-management dengan baik, komplikasi dapat dicegah
PEMANFAATAN LIMBAH ABU TERBANG SEBAGAI PENGUAT ALUMINIUM METAL MATRIX COMPOSITE DIBUAT DENGAN CARA METALURGI SERBUK Subarmono, Subarmono; Jamasri, Jamasri; Wildan, M.W.; Kusnanto, Kusnanto
Jurnal Manusia dan Lingkungan (Journal of People and Environment) Vol 18, No 2 (2011)
Publisher : Pusat Studi Lingkungan Hidup Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1.84 KB)

Abstract

Pada penelitian ini telah dilakukan pembuatan aluminium matrix composite (AMC) dari serbuk aluminium sebagai matrik dan limbah abu terbang sebagai penguat. Sejumlah abu terbang yaitu 2,5; 5; 7,5 dan 10% berat ditambahkan pada bubuk aluminium. Campuran abu terbang dan serbuk aluminium dikompaksi secara aksial dengan tekanan 100 MPa dan dilanjutkan dengan proses sintering tanpa tekanan dengan lingkungan gas argon pada berbagai temperatur yaitu 500˚, 525˚, 500˚, 575˚ dan 600˚C. Pengujian kekuatan bending menggunakan metode four point bending, kekerasan menggunakan metode Vickers, laju keausan menggunakan metode pin on disk dan porositas menggunakan metode Archimedes serta struktur mikro diamati menggunakan SEM. Hasil penelitian menunjukkan bahwa kekuatan bending dan kekerasan meningkat, laju keausan dan porositas menurun seiring dengan bertambahnya abu terbang pada AMC sampai 7,5% berat, namun bila kandungan abu terbang lebih dari 7,5% berat sifat AMC menunjukkan kebalikannya. Porositas, kekuatan bending, laju keausan dan kekerasan terbaik yaitu pada AMC dengan 7,5% berat abu terbang berturut-turut sebesar 5,4%, 68,5 MPa, 0,0571 mg/(MPa.m) and 62,6 VHN. Hal ini menunjukkan bahwa kekuatan bending, kekerasan dan ketahanan aus AMC lebih baik dibanding aluminium murni.
Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto, Kusnanto; Kurnia, Iqlima Dwi; Prasetia, Dwi Indah
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.711 KB) | DOI: 10.20473/%oj.Ners102%y272-278

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Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u  test with significance level α ≤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence  (p=0.025), blood sugar levels (p=0.009) in  experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)