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Effects of Family Empowerment on Increasing Family Support in Patients with Type-2 Diabetes Mellitus Luthfa, Iskim; Ardian, Iwan
Nurse Media Journal of Nursing Vol 9, No 1 (2019): (JUNE 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (699.115 KB) | DOI: 10.14710/nmjn.v9i1.22501

Abstract

Background: Patients with type-2 Diabetes Mellitus (DM) need support from their families to perform self-care to prevent complications; however, not all families have effective support. Family empowerment is a family-based strategic intervention which can improve family support to those patients.Purpose: This study aimed to determine the effects of family empowerment on increasing family support in patients with type 2 DM.Methods: This study used a quasi-experiment with non-equivalent control group design. Forty-six respondents were recruited using a consecutive sampling technique and assigned to the control and intervention groups. Respondents in the intervention group were given family empowerment intervention by visiting their homes four times, for 120 minutes each. In contrast, the control group was given the intervention of standard booklets. The Hensarling Diabetes Family Support Scale (HDFSS) was used to observe the family support on both groups. Data were analyzed by independent t-test.Results: Results showed that there was a significant difference between the intervention and the control group with t=7.86 and p-value of 0.00. There were mean differences of 2.29 and 0.28 between the intervention and the control group, respectively.Conclusion: Family empowerment affected family support in patients with type-2 DM. Based on this study, it is recommended that the health workers advocate and encourage the family in the planning management of patients with diabetes mellitus.
PSYCHOLOGICAL CONDITION OF THE FAMILY AS DRUGS SUPERVISOR Iskim Luthfa; Dwi Aprianti
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 4, No 2 (2018): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.4.2.100-108

Abstract

DOTS is a government program in controlling tuberculosis. One of the components of DOTS is the Drugs Supervisor (DS). Families as DS will be at risk of experiencing psychological problems. The purpose of the study was to determine the psychological condition of the family as a DS in the Semarang City Health Center. This study uses mixed methods with sequential explanatory design. The research sample was taken in total as many as 110 families as DS. Instrument for measuring anxiety using the Zung Self-Rating Anxiety Scale (ZSRAS), instrument for measuring stress levels using the Kingston Caregiver Stress Scale (KCSS). Data analysis uses a spearman rank. All respondents (100%) experienced mild anxiety levels, and 83 respondents (75.5%) experienced mild stress levels. The test results obtained p value 0.004 <0.05, and r value 0.274. There is a relationship between anxiety and stress, the higher the level of anxiety, the higher the stress level of the family as a DS.
Implementasi Selfcare Activity Penderita Diabetes Mellitus di Wilayah Puskesmas Bangetayu Semarang Iskim Luthfa
Buletin Penelitian Kesehatan Vol 47 No 1 (2019)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.032 KB) | DOI: 10.22435/bpk.v47i1.779

Abstract

Self-care activity (SCA) is an important activity which is practised by people with diabetes mellitus toprevent complications of their diseases. SCA must be done every day including diet settings, physicalexercise, monitoring blood sugar, regular treatment, and prevention of complications. However, DMsufferers in rural areas have not performed the SCA optimally. The purpose of this study was to describethe implementation of self-care activity for DM patients in rural areas involving 112 DM sufferers using adescriptive methods. Self-care activity was measured using the Summary of Diabetes SelfCare Activities(SDSCA) instrument. Data analysis used frequency distribution. The result showed that most of therespondents had good self-care abilities (62.5%). More than half of the respondents were able to arrangethe right diet (64.3%), able to control blood glucose levels (77.7%), and able to prevent complications(71.4%). However, the ability to manage physical activity (sports) was only 43.8% and took medicationwas laso ony 20.5%.. The study suggested that health workers need to involve the family of DM sufferersto carry out sports assistance as well as regular treatment as to achive better SCA. Key words: selfcare activity, diabetes mellitus, rural Area Abstrak Selfcare activity (SCA) merupakan aktivitas perawatan diri yang penting dilakukan oleh penderita diabetesmellitus (DM) untuk mencegah komplikasi. Selfcare activity dilakukan setiap hari meliputi pengaturandiet, latihan jasmani, pemantauan gula darah, pengobatan, dan pencegahan komplikasi. Namun penderitaDM di wilayah perdesaan masih belum optimal melakukan SCA dan faktor penyebabnya antara laintidak paham terhadap perawatan DM karena kurangnya interaksi dengan tenaga kesehatan, rendahnyakeyakinan dan sikap karena kurangnya dukungan dari keluarga. Tujuan penelitian ini mengetahuibagaimana implementasi self care activity penderita DM di wilayah Puskesmas Bangetayu Semarang secaradeskriptif dengan total sampel sebanyak 112 orang penderita DM. Self care activity diukur menggunakaninstrumen Summary of Diabetes SelfCare Activities (SDSCA), analisis data menggunakan uji distribusifrekuensi. Hasil penelitian menunjukkan bahwa sebagian besar responden sudah memiliki kemampuanself care baik (62,5%), mampu melakukan pengaturan diit yang tepat (64,3%), mampu mengontrol kadarglukosa darah (77,7%) dan mampu melakukan pencegahan komplikasi (71,4%). Namun pada komponenpengaturan aktivitas fisik (olah raga) hanya 43,8% dan perilaku pengobatan hanya 20,5%. Penelitian inimenyarankan agar petugas kesehatan melibatkan peran keluarga untuk melakukan pendampingan olahraga dan pengobatan rutin. Kata kunci : Selfcare Activity, Diabetes Mellitus, perdesaan
Penerapan Teori Betty Neuman dalam Pengkajian Lansia dengan Diabetes Mellitus di Desa Margalaksana Kecamatan Cilawu Kabupaten Garut Windani, M.S., Citra; Luthfa, Iskim
Jurnal Keperawatan Komunitas Vol 3, No 1 (2015): Jurnal Keperawatan Komunitas
Publisher : Jurnal Keperawatan Komunitas

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

Abstract

Diabetes mellitus is a chronic disease that will suffer a lifetime. The impact will be felt by the patient and family care, even the community around him. This study aims to apply the theory of Betty Neuman in the assessment of elderly with diabetes in Margalaksana Village, District Garut. The design of this research is descriptive analytic, with a sample of 94 elderly people aged> 45 years. The results of the application of the theory of Betty Neuman in the assessment of elderly with diabetes, includes five aspects: developmental, physiological, psychological, socio-cultural and spiritual
PERILAKU HIDUP MENENTUKAN KEJADIAN SKABIES Nikmah, Siti Anisatun; Luthfa, Iskim
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 1 (2019): Januari
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.307 KB) | DOI: 10.32583/pskm.9.1.2019.35-41

Abstract

Penyakit skabies merupakan penyakit kulit yang disebabkan oleh parasit tungau Sarcoptes scabei yang dapat menular lewat kontak langsung manusia. Perilaku hidup bersih dan sehat (PHBS) terutama dalam hal sanitasi yang buruk dan personal hygiene buruk menjadi faktor resiko tingginya angka penyebaran penyakit skabies. Penelitian ini bertujuan untuk mengetahui hubungan perilaku hidup bersih dan sehat dengan kejadian skabies di pondok pesantren Kecamatan Guntur Kabupaten Demak. Jenis penelitian ini adalah analitik observasional dengan desain case control. Pengambilan sampel menggunakan nonprobability sampling dengan teknik consecutive sampling. Jumlah sampel sebanyak 70 responden, yaitu 35 sampel kasus dan 35 sampel kontrol. Instrumen penelitian untuk mengukur PHBS &nbsp;menggunakan kuesioner, sedangkan untuk diagnosis scabies menggunakan pemeriksaan medis. Analisis data menggunakan uji eta dan didapatkan nilai p value 0,000 dan nilai korelasi (r) yaitu 0,728. Artinya Terdapat korelasi sangat kuat antara PHBS dengan kejadian skabies di pondok pesantren Kecamatan Guntur Kabupaten Demak. Penelitian selanjutnya direkomendasikan melakukan intervensi untuk meningkatkan perilaku hidup bersih dan sehat. &nbsp; Kata kunci : Perilaku hidup bersih dan sehat, pondok pesantren, skabies &nbsp; LIFE BEHAVIOR DETERMINES SCABIES DISEASE &nbsp; ABSTRACT Scabies or scabies is a skin disease caused by the Sarcoptes scabei mite parasite that can be transmitted through human direct contact. Clean and healthy life behavior especially in the case of poor sanitation and poor personal hygiene is a risk factor for the high rate of spreading of scabies disease. This study aims to determine the relationship between clean and healthy life behavior with the incidence of scabies in Pondok Pesantren Guntur District Demak District. This research is a kind of quantitative research with correlation study. In this research use case control design. Data collection was done by distributing questionnaires. The number of respondents in this research are 70 respondents that is 35 case samples and 35 control samples with sampling technique using consecutive sampling. The data obtained were processed statistically by used eta test formula and p value of 0,000 and the correlation value (r) is 0,728. This means there are a relationship of clean and healthy life behavior with the incidence of scabies in Pondok Pesantren Guntur District Demak District. Further research is recommended to conduct interventions to improve clean and healthy living behaviors. &nbsp; Keywords: clean and healthy life behavior, scabies
Terapi Musik Rebana Mampu Meningkatkan Kualitas Tidur Lansia Luthfa, Iskim; Aspihan, Moch.
Jurnal Kesehatan Vol 8, No 3 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.38 KB) | DOI: 10.26630/jk.v8i3.563

Abstract

Sleep is a basic human need that must be met. The need for sleep in the elderly ranges from 5-6 hours per day. However, changes in body condition, physical and psychological health problems cause elderly at risk of sleep disorders. Non-pharmacological interventions to overcome sleep disorders in the elderly one of them by using music rebana. The use of rebana music as a therapy is similar to occupational and physical therapy, able to stimulate the body to release epinephrine and norepinephrine that make the body relax. This relaxed condition will improve the quality of elderly sleep. The purpose of this study was to prove the use of music rebana as a therapy that can improve the quality of sleep in the elderly. This research method was quasi-experiment with the design of nonequivalent control group. The sample of this study was 56 elderly living in the Pucang Gading Seni Social Service Unit of Semarang. The sample was divided into 28 elderly intervention groups and 28 elderly control groups. Data were analyzed using Wilcoxon Signed Rank test. The result of the research showed that in the intervention group the p-value value is 0.001 (less than ᾳ 0.05) with the percentage of 65%, whereas in the control group the p-value value is 0.157 (greater than ᾳ 0.05) with the percentage of 9.99 %. In conclusion, music therapy rebana can improve the quality of sleep in the elderly with high success.
Komunikasi Keluarga Berhubungan Dengan Perilaku Merokok Pada Remaja di Kota Semarang Luthfa, Iskim; Muflihah, Kurnia Ni’matul
Jurnal Keperawatan BSI Vol 7, No 1 (2019): JURNAL KEPERAWATAN
Publisher : LPPM Universitas BSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (488.687 KB) | DOI: 10.31311/jk.v7i1.5220

Abstract

WHO menyatakan bahwa 30% pengguna rokok di dunia adalah remaja. Perilaku merokok pada remaja dipengaruhi oleh lingkungan, terutama lingkungan keluarga. keluarga merupakan orang yang terdekat dengan remaja dan komunikasi keluarga menjadi faktor penting dalam mendidik perilaku remaja. Tujuan penelitian ini adalah untuk mengetahui hubungan pola komunikasi keluarga dengan perilaku merokok pada remaja di Kota Semarang. Penelitian ini merupakan jenis penelitian analitik observasional dengan studi case control. Sampel sebanyak 92 remaja yang terdiri dari 43 kasus dan 49 kontrol. Analisis data menggunakan chi square. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara pola komunikasi keluarga dengan perilaku merokok pada remaja (p value 0,000 dan OR 978).
Self Management Menentukan Kualitas Hidup Pasien Diabetes Mellitus Luthfa, Iskim; Fadhilah, Nurul
Jurnal Endurance Vol 4, No 2 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (235.996 KB) | DOI: 10.22216/jen.v4i2.4026

Abstract

People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus. Penderita Diabetes mellitus beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bertujuan untuk menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. Jenis penelitian ini adalah deskriptif korelasi dengan desain cross sectional. Teknik pengambilan sampel menggunakan non probability sampling dengan pendekatan consecutive sampling. Jumlah sampel sebanyak 118 responden. Instrumen penelitian untuk mengukur self management menggunakan diabetes self management questionnaire (DSMQ), dan instrumen untuk mengukur kualitas hidup menggunakan quality of life WHOQOL-BREEF. Analisis data menggunakan spearman rank dan didapatkan hasil nilai p value 0,000 dan r 0,394.Terdapat hubungan antara self management dengan kualitas hidup pasien diabetes mellitus dengan arah korelasi positif.
Persepsi Remaja Tentang Kehamiian Dan Melahirkan Pada Usia Remaja Di Sekolah Menengah Atas (SMA) Pembangunan Mranggen Iskim Luthfa; Sri Rejeki
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2011: PROSEDING SEMINAR NASIONAL KEPERAWATAN PPNI JATENG
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.515 KB)

Abstract

Latar belakang - Kehamilan pada remaja adalah masalah serius dan sedang berkembang di seluruh dunia termasuk Indonesia. Kehamilan pada remaja disebabkan karena kebiasaan masyarakat yang menikahkan anak perempuan yang masih di bawah umur dan pergaulanremaja yang semakin bebas. Survey yang dilakukan BKKBN terhadap 2.880 responden menunjukkan bahwa 39,65 persen responden pernah melakukan hubungan seksual sebelum menikah, dan 26,9 persen responden menikah dengan usia di bawah 16 tahun, dengan angka kelahiran bayi 100 orang per 1,000 perempuan. Kehamilan dan melahirkan pada usia remaja mengandung resiko tinggi karena remaja belurn siap baik secara fisiologis maupun psikologis. Resiko tidak hanya bagi remaja namun juga bagi bayi yang dikandung. Remaja putri yang berusia antara 15 hingga 19 tahun, mempunyai kemungkinan 2 kali lebih besar meninggal dunia saat mereka hamil atau melahirkan, biladibandingkan dengan perempuan berusia 20 tahunan. Sementara itu remaja yang berusia di bawah 14 tahun, mempunyai kernungkinan meninggal 5 kali lebih besar.Tujuan-Tujuan penelitian ini adalah untuk memperoleh gambaran mengenai persepsi remaja tentang kehamilan dan melahirkan pada usia remaja.Metode - Penelitian menggunakan metode kualitatif dengan pendekatan fenomenologis, dan jumlah sampel yang diambil sebanyak 6 orang.Hasil- Partisipan memiliki pengetahuan yang berbeda tentang konsep kehamilan, ada yang mengatakan hamil atau mengandung itu suatu peristiwa yang menyeramkan, ada yang mengatakan hamil itu ingin mempunyai sebuah keturunan sehingga dibutuhkan kesiapanyang matang. Pengaruh kehamilan bagi remaja secara fisik, emosional, sosial, dan ekonomi mengalami perubahan, dimana perubahan fisik terjadi seiring dengan peningkatan usia kehamilan, secara emosional remaja mudah marah, secara sosial remaja merasa malu dan menarik diri dari lingkungan pergaulan, dan secara ekonomi remaja cenderung masih minta bantuan sama orang tua. Resiko kehamilan di usia remaja, menurut partisipan kandungannya masih lemah, belum memiliki kesiapan batin dan beresiko bagi ibu dan janin.Diskusi - Informasi mengenai kehamilan dan melahirkan, pengaruh serta resikonya bagi remaja hendaknya perlu disampaikan, agar remaja lebih siap untuk menerima. kehamilan dan mencegah terjadinya kehamilan yang tidak diinginkan. Penyampaian informasi sebaiknya diberikan oleh pendidik yang sudah mendapat bekal pelatihan yang cukup agarmateri yang disampaikan dapat diterima oleh usia remaja.Kata Kunci - Remaja, Kehamilan, Masalah
Descriptive Study of Optimizing Family Health Functions in Preventing COVID 19 Transmission Iskim Luthfa; Nopi Nur Khasanah
Journal of Nursing Care Vol 4, No 2 (2021): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v4i2.30944

Abstract

COVID 19 has become a world health problem, and Indonesia has declared an emergency status for an outbreak. To prevent transmission of COVID 19, the government has set three policies that are increasing the availability and reliability of infrastructure, involving the industrial world and social education. However, COVID 19 transmission still occurs. Preparedness for COVID 19 transmission starts with the family as a minor system in the community. The Healthy Indonesian Program with a Family Approach is considered an excellent effort to carry out health functions to prevent COVID 19 transmission. This study aimed to optimize family functions in preventing COVID 19 transmission. This study used a descriptive-analytic design. Two hundred and fifty-eight samples were recruited using a consecutive sampling technique. To measure family function using a questionnaire. Data were analyzed by descriptive statistics (i.e., frequency statistics). The frequency statistics showed that most of the respondents have optimally performed family functions in the health sector. Most of the respondents understand COVID 19 (88,4%), they are capable of making decisions (96,9%), they can care for the family (88,8%), they can modify the environment (75,2%), and they can take advantage of health services (81%). This study only captures the extent to which the family optimally performs health functions; it does not provide any form of intervention. The results of this study prove that the family has an important role to play in breaking the transmission of COVID 19.