Sholihatul Maghfirah
Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Ponorogo

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Health Care Workers Communication on Diabetes Mellitus Management in Hospital and Community Health Center Maghfirah, Sholihatul; Rohmadi, Rohmadi
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i1.11755

Abstract

Diabetes Mellitus (DM) patients require DM management for life. Research proved that good quality self-care behavior of DM patients in dr. Harjono Regional Public Hospital Ponorogo and in North Ponorogo Community Health Center were still low (28,6% in dr. Harjono Regional Public Hospital Ponorogo and 50% in North Ponorogo Community Health Center). Health care worker communication is related to self-care behavior of DM patients. Differences in hospital and community health center self-care behavior in the previous study results triggered a question on the differences in hospital and community health center workers communication. This study was conducted in 2017 and aimed to explain the difference of health care workers communication regarding DM management in hospital and community health center. This study used comparative research design with 32 respondents from dr. Harjono Regional Public Hospital Ponorogo and 31 respondents from North Ponorogo Community Health Center. The results showed that 78.1% of respondents in hospitals and 93.5% of respondents in community health center stated good health care workers communication. The Fisher’s Exact test found p value of 0.148 which meant that there was no difference in communication of healthcare workers in hospital and community health center. Most patients in both places suffered from DM for 1-5 years and required the same health care workers communication, therefore there was no difference in the communication of health workers in both places.
RELAKSASI OTOT PROGRESIF TERHADAP STRES PSIKOLOGIS DAN PERILAKU PERAWATAN DIRI PASIEN DIABETES MELLITUS TIPE 2 Maghfirah, Sholihatul; Sudiana, I Ketut; Widyawati, Ika Yuni
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3374

Abstract

Penderita DM tipe 2 sering mengalami stres berkaitan dengan terapi yang harus dijalani. Pengalaman stres sebelum dan selama terapi berpengaruh terhadap perilaku perawatan diri. Relaksasi otot progresif merupakan salah satu manajemen stres. Tujuan penelitian ini adalah untuk menjelaskan pengaruh relaksasi otot progresif terhadap stres psikologis dan perilaku perawatan diri pada pasien DM Tipe 2 ang dilakukan pada tahun 2014. Desain penelitian ini kuasi eksperimen dengan pre-test dan post-test. Jumlah sampel 30 responden yang terdiri dari kelompok 14 orang kelompok perlakuan dan 16 orang kelompok kontrol. Teknik pengambilan sampel menggunakan purpossive sampling. Analisa data khusus menggunakan  Wilcoxon Signed Rank Test dan Mann-Whitney U Test. Berdasarkan Wilcoxon Signed Rank Test  untuk menguji pre-test dan post-test pada kelompok perlakuan didapatkan hasil stres psikologis p=0,014 (p<0,05) dan perilaku perawatan diri p=0,003 (p<0,05). Mann-Whitney U Test pada post-test kelompok perlakuan dan kontrol didapatkan hasil stres psikologis p=0,035 (p<0,05) dan perilaku perawatan diri p=0,058 (p>0,05) Kesimpulan dari penelitian ini: ada pengaruh relaksasi otot progresif terhadap penurunan stres psikologis pada pasien DM tipe 2 dan tidak ada pengaruh relaksasi otot progresif terhadap perilaku perawatan diri pada pasien DM tipe 2. Penelitian lebih lanjut post-test perilaku perawatan diri perlu dilakukan dengan selang waktu yang lebih lama dibandingkan dengan stres psikologis. Patients with Type 2 Diabetes mellitus often have stress experience related to diabetes therapy. Stress experience before and during therapy affects self-care behaviors. Progressive muscle relaxation is one of stress management. The purpose of this study is to clarify the effect of progressive muscle relaxation on the psychological stress and self-care behavior in patients with Type 2 Diabetes mellitus in 2014. The research design was quasy-experiment with pre-test and post-test design. Total sample was 30 respondents consisting of 14 people in treatment group and 16 people in control group recruited by purpossive sampling. Data were analyzed using the Wilcoxon Signed Rank Test test and Mann-Whitney U Test. The result showed in the experimental group of psychological stress p=0.014 (p<0,05) and self-care behavior of p=0,003 (p<0,05). Mann-Whitney U test to post-test treatment and control groups showed psychological stress p=0,035 (p<0,05) and self-care behavior of p=0,058 (p>0,05).  It is concluded that there was an effect of progressive muscle relaxation on reducing psychological stress in patients with type 2 diabetes and no effect of progressive muscle relaxation on self-care behavior in patients with type 2 diabetes mellitus. Further research about self-care behaviors post-test needs to be done at longer intervals than the psychological stress.
REGULASI DIRI OTONOM DAN TERKONTROL PADA PASIEN DIABETES MELLITUS TIPE 2 Maghfirah, Sholihatul; Rohmadi, Rohmadi
The Indonesian Journal of Health Science Vol 7, No 1 (2016): THE INDONESIAN JOURNAL OF HEALTH SCIENCE
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.439 KB) | DOI: 10.32528/the.v7i1.387

Abstract

Diabetes Mellitus (DM) is a chronic disease with a high incidence in Indonesia and a serious health problem in Indonesia. DM management must to do a lifetime, and it make patients not adherent and become desperate. Uncontrolled diabetes can cause complications such as blindness, kidney failure, heart failure, and stroke. Disobedience and desperation patients in treatment may be due to low selfregulation. The level of self-regulation affects the behaviors, which in this case is the management of DM. The purpose of this study is to explain about autonomous selfregulation and controlled self regulation in patients with type 2 diabetes mellitus.The study design was descriptive. Total sample of 40 people. The research location was in Prolanis dr. Yunita and Prolanis dr. Ani Ruliana. The research instrument used a modification of Treatment Self-Regulation Questionnaire (TSRQ) for Diabetes. The results showed that 34 (85%) had a high autonomous self-regulation and 24 people (60%) had a low controlled self-regulation. Advice for health workers to give support and motivation to clients with diabetes to improve controlled self-regulation.