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Increasing Knowledge, Attitudes, Skills, and Glucose Control in Type-2 Diabetic Patients through EMAS Interventions Andriyanto, Arief; Rekawati, Etty; Rahmadiyah, Dwi Cahya
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Background:Â Diabetes Mellitus (DM) is a chronic and non-communicable disease that has serious impacts. Previous studies have focused on a single intervention in the management of DM. Therefore, EMAS (education, nutrition management, physical activities, and stress management) interventions are proposed to convey the pillars of diabetes mellitus as endorsed by the Indonesian Ministry of Health.Purpose:Â This study aimed to analyze the effects of EMAS interventions on the knowledge, attitudes, skills, and glucose control in patients with type-2 DM.Methods:Â This study used a pretest-posttest quasi-experimental design without control groups. The samples were 86 diabetic patients recruited using a purposive sampling technique. The EMAS interventions were conducted for six months and eight sessions (October 2018 to March 2019). The EuroQoLfive-dimensional (EQ-5D) questionnaire was used to collect the data, and the paired t-test was used for data analysis.Â Results:Â The results showed that there were significant differences in the knowledge, attitudes, skills (p=0.001), and glucose control (p=0.04) of type 2 diabetes mellitus after the implementation of EMAS interventions.Â Conclusion:Â EMAS interventions significantly increased the knowledge, attitudes, and skills in patients with type 2 diabetes to behave healthier to control their blood sugar. Community nurses can use EMAS intervention for the management of DM among diabetic patients.

PENGARUH TERAPI TERTAWA TERHADAP TINGKAT DEPRESI PADA LANSIA DI UPT PANTI WREDHA MOJOPAHIT MOJOKERTO Wicaksono, Arif; Andriyanto, Arief
JURNAL KEPERAWATAN BINA SEHAT Vol 12, No 2 (2015): Juli-Desember 2015
Publisher : JURNAL KEPERAWATAN BINA SEHAT

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The aging process is degenerative that will result in physical changes, cognitive, spiritual and psycho-social.The Changes that emerges is a psychological stressor in the elderly that will result in psychological problems such as depression.The purpose of this study was to determine the effect of laughter therapy on the level of depression in the elderly in nursing homes MojopahitMojokerto.The study design that used here is the pre-experiment with design One-Group Pre-Post Test Design.Overall elderly population who live in the orphanage until 44 become the samples of 24 elderly taken by purposive sampling.The independent variable of laughter therapy and dependent one levels on depression in the elderly.The data were taken using questionnaire that is used before and after laugh therapy.After all the data was collected and statistical test was processed followed by a Wilcoxon sign test SPSS17, the results showed Asymp.Sig value (2-tailed) of 0.014 and α of 0.05.Because Asymp.Sig value (2-tailed) <α 0.05 then H0 is rejected and H1 is accepted, which means there is the effect of laughter therapy on the level of depression in the elderly.In some old depression is a psychological problem that will affect quality of life. Senior citizens are often need to be handling intervention psychological depression. Laughter therapy is an effective therapy because with given therapy laugh citizens can develop ability to communicate and intimacy in relationships with each other to citizens.Keywords:Depression, elderly, laughter therapy

HUBUNGAN ANTARA DERAJAT HIPERTENSI DENGAN MEKANISME KOPING PENDERITA HIPERTENSI Andriyanto, Arief; Santoso, Windu
JURNAL KEPERAWATAN SEHAT Vol 12, No 02 (2015): JKS : JULI-DESEMBER 2015 Volume 12No. 02
Publisher : JURNAL KEPERAWATAN SEHAT

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Adrenal hormones can stimulate the heart beat stronger and faster until eventually lead to increased blood pressure. One of the ways by individuals to cope with the stress they face called coping mechanism. The destination objective was to determine the relationship between the degree of hypertension in coping mechanism patients hypertensi in Poly Medicine Hospital of Islam Sakinah Mojokerto. Corelational analytic study design with cross sectional approach. All the client population of patients hypertensi in Poly Disease Hospital Islam Sakinah Mojokerto in March 2013 to obtain a sample of 33 people who were taken with consecutive sampling. Independent variables degrees of hypertension and the dependent variable hypertensi coping mechanisms. Data collected by observation using stetoscope and tension and questionare. Having collected the data processing is done and followed by statistical test Chi Square with a significant level of 0.05 using SPSS 16 for windows. The results showed ρ = 0.016 <0.05 then H1is accepted or H0rejected means there is a relationship between the degree of hypertension in coping mechanism patients hypertensi in Islamic Hospital Sakinah Mojokerto. Patients with hypertension is expected to increase the knowledge and use of adaptive coping when it is having problems. Hospitals may be providing input on the coping mechanisms of hypertensi patients in the hospital so that the nurse can provide counseling and appropriate health education for patients with hypertension.Keywords: degree of hypertension, coping mechanisms

Literature Review: Pemanfaatan Media Promosi Kesehatan (Smartphone) dalam Mencegah dan Mengendalikan Kadar Gula Diabetes Tipe 2 Andriyanto, Arief; Hidayati, Rina Nur
Journal of Ners and Midwifery Vol 5, No 2 (2018)
Publisher : STIKes Patria Husada Blitar

Pemanfaatan teknologi smartphone sebagai media promosi kesehatan terus dikembangkan dalam beberapa dekade terakhir. Teknologi ini dimanfaatkan untuk mengelola berbagai penyakit akut dan kronis, salah satunya adalah penyakit diabetes melitus. Tujuan dari literature review ini adalah untuk mendeskripsikan sebuah intervensi yang memanfaatkan teknologi sebagai alat media berupa smartphone dalam melakukan promosi kesehatan pencegahan dan kontrol glukosa diabetes tipe 2. Pencarian database yang digunakan termasuk ProQuest, SciVerse ScienceDirect, Scopus, Pubmed, Perpustakaan Cohcrane, EBSCOhost, ClinicalKey, Sage Publications. Kata kunci yang digunakan dalam pencarian artikel adalah diabetes tipe 2, promosi kesehatan, telemedicine, aplikasi smartphone, berbasis web, obesitas, latihan diabetes, berjalan, kontrol glukosa dengan mendapatkan 29 artikel dan yang digunakan hanya 14 artikel yang sesuai melalui analisis tujuan, kesesuaian topik, metode penelitian yang digunakan, ukuran sampel, etik penelitian, hasil dari setiap artikel, serta keterbatasan yang terjadi.Terdapat hasil yang efektif dalam pelaksanaan promosi kesehatan pencegahan dan kontrol glukosa diabetes tipe 2 dengan memanfaatkan teknologi sebagai alat media seperti smartphone dan website.

Pengaruh Terapi Tertawa Terhadap Tingkat Depresi Pada Lansia Di Upt Panti Wredha Mojopahit Mojokerto Wicaksono, Arif; Andriyanto, Arief
JURNAL KEPERAWATAN BINA SEHAT Vol 12, No 2 (2015): Juli-Desember 2015
Publisher : JURNAL KEPERAWATAN BINA SEHAT

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

The aging process is degenerative that will result in physical changes, cognitive, spiritual and psycho-social.The Changes that emerges is a psychological stressor in the elderly that will result in psychological problems such as depression.The purpose of this study was to determine the effect of laughter therapy on the level of depression in the elderly in nursing homes MojopahitMojokerto.The study design that used here is the pre-experiment with design One-Group Pre-Post Test Design.Overall elderly population who live in the orphanage until 44 become the samples of 24 elderly taken by purposive sampling.The independent variable of laughter therapy and dependent one levels on depression in the elderly.The data were taken using questionnaire that is used before and after laugh therapy.After all the data was collected and statistical test was processed followed by a Wilcoxon sign test SPSS17, the results showed Asymp.Sig value (2-tailed) of 0.014 and α of 0.05.Because Asymp.Sig value (2-tailed) <α 0.05 then H0 is rejected and H1 is accepted, which means there is the effect of laughter therapy on the level of depression in the elderly.In some old depression is a psychological problem that will affect quality of life. Senior citizens are often need to be handling intervention psychological depression. Laughter therapy is an effective therapy because with given therapy laugh citizens can develop ability to communicate and intimacy in relationships with each other to citizens.Keywords:Depression, elderly, laughter therapyThe aging process is degenerative that will result in physical changes, cognitive, spiritual and psycho-social.The Changes that emerges is a psychological stressor in the elderly that will result in psychological problems such as depression.The purpose of this study was to determine the effect of laughter therapy on the level of depression in the elderly in nursing homes MojopahitMojokerto.The study design that used here is the pre-experiment with design One-Group Pre-Post Test Design.Overall elderly population who live in the orphanage until 44 become the samples of 24 elderly taken by purposive sampling.The independent variable of laughter therapy and dependent one levels on depression in the elderly.The data were taken using questionnaire that is used before and after laugh therapy.After all the data was collected and statistical test was processed followed by a Wilcoxon sign test SPSS17, the results showed Asymp.Sig value (2-tailed) of 0.014 and α of 0.05.Because Asymp.Sig value (2-tailed) <α 0.05 then H0 is rejected and H1 is accepted, which means there is the effect of laughter therapy on the level of depression in the elderly.In some old depression is a psychological problem that will affect quality of life. Senior citizens are often need to be handling intervention psychological depression. Laughter therapy is an effective therapy because with given therapy laugh citizens can develop ability to communicate and intimacy in relationships with each other to citizens.

The Degree of Diabetic Wounds Affects Kidney Function Damage Windartik, Emyk; Rahmawati, Ima; Jariyah, Ita Ainun; Merbawani, Raras; Lestari, Indah; Roâ€™ifah, Ifa; Andriyanto, Arief
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Background: The peripheral neuropathy is the cause of hospitalization for patients with diabetes mellitus (DM) and damages kidney function due to the circulatory system with high sugar levels. High sugar levels in DM patients with diabetic wounds can trigger glomerular damage resulting in the decrease of kidney function.Purpose: This study aims to analyze the relationship between the degree of diabetic wounds and kidney functions in patients with DM.Methods: A cross-sectional study was conducted on 723 DM patients who experienced diabetic wounds in a hospital in Mojokerto, East Java, Indonesia. A purposive sampling technique was used to recruit the samples. The data of this study were medical records of diabetic patients. A simple linear regression test was employed to analyze the data.Results: The result showed that the degree of diabetic wound was significantly related to kidney function damage (p=0.000). The relationship between the degree of diabetic wounds and the decline in kidney function was shown by an R-squared value of 0.768, meaning that the degree of diabetic wound affected the decline of kidney function by 76.8%, while the 23.2% was affected by other factors.Conclusion:The degree of diabetic injury affects the decline of kidney function in DM patients by 76.8%. Nurses should do health promotion about controlling blood sugar levels in DM patients with the prevention of four pillars of diabetes, including education, nutrition, physical activity, and stress.Â

HUBUNGAN ANTARA DERAJAT HIPERTENSI DENGAN MEKANISME KOPING PENDERITA HIPERTENSI Andriyanto, Arief; Santoso, Windu
JURNAL KEPERAWATAN SEHAT Vol 12, No 02 (2015): JKS : JULI-DESEMBER 2015 Volume 12No. 02
Publisher : JURNAL KEPERAWATAN SEHAT

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

Adrenal hormones can stimulate the heart beat stronger and faster until eventually lead to increased blood pressure. One of the ways by individuals to cope with the stress they face called coping mechanism. The destination objective was to determine the relationship between the degree of hypertension in coping mechanism patients hypertensi in Poly Medicine Hospital of Islam Sakinah Mojokerto. Corelational analytic study design with cross sectional approach. All the client population of patients hypertensi in Poly Disease Hospital Islam Sakinah Mojokerto in March 2013 to obtain a sample of 33 people who were taken with consecutive sampling. Independent variables degrees of hypertension and the dependent variable hypertensi coping mechanisms. Data collected by observation using stetoscope and tension and questionare. Having collected the data processing is done and followed by statistical test Chi Square with a significant level of 0.05 using SPSS 16 for windows. The results showed ρ = 0.016 <0.05 then H1is accepted or H0rejected means there is a relationship between the degree of hypertension in coping mechanism patients hypertensi in Islamic Hospital Sakinah Mojokerto. Patients with hypertension is expected to increase the knowledge and use of adaptive coping when it is having problems. Hospitals may be providing input on the coping mechanisms of hypertensi patients in the hospital so that the nurse can provide counseling and appropriate health education for patients with hypertension.Keywords: degree of hypertension, coping mechanisms

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