scholarly journals The Effectiveness of Self-Care Model on Diabetes Self-Management Behaviour

2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Dewi Prabawati ◽  
Lia Natalia
Keyword(s):  
Glycemic Control ◽  
Self Care ◽  
T Test ◽  
Self Management ◽  
Control Group ◽  
Diabetic Patients ◽  
Care Model ◽  
Management Behaviour ◽  
Significant Difference ◽  
And Control

Introduction: The needs of diabetic patients are not only limited to adequate glycemic control but also correspond with preventing complications and increasing their awareness to participate in self-management. This study aimed to analyze the effectiveness self-care model to Diabetes self-management behaviour (DSM Behaviour) and Fasting Blood Glucose (FBG) levels. Methods: The study was conducted from June to August 2019 at Community Health Centers. This study employed a Quasi-Experimental pre-posttest with a control group design. There were 104 respondents obtained by purposive sampling technique, and assigned into experimental (52 respondents) and control group (52 respondents). FBG levels and DSM Behaviour were evaluated in the first and the seventh week using The Summary of Diabetes Self Care Activities (SDSCA) questionnaire. Results: Paired sample T-test statistical revealed a significant difference in decreasing levels on FBG and increasing level of DSM Behaviour (p<0.05) at before and after the intervention; Independent T-test discovered a significant difference on FBG and DSM Behaviour (p<0.05) between the intervention and control group. The strongest effect as resulting from the parameter estimation model of SDSCA was a dimension of a healthy diet (2.96) followed by foot exercise (2.41) and activity (4.54). SDSCA showed marginal fit for FBG with t-value <2 and contribution determinant of 8.4% (R2 = 0.084). Conclusions: Self-care model is an effective program that can improve DSM Behaviour and increase adequate glycemic control. In addition, this model needs to implement continuously to prevent complications and improve self-care to diabetic patients.

scholarly journals The Effect of Using the Care Model of "Sensitization" on Medication Adherence in Asthmatic Patients

2016 ◽  
Vol 8 (11) ◽  
pp. 11 ◽  
Author(s):  
Mahbobeh Sajadi ◽  
Mozhgan Bagheri ◽  
Davood Hekmatpou ◽  
Hamid Borsi
Keyword(s):  
Medication Adherence ◽  
T Test ◽  
Control Group ◽  
Care Model ◽  
Chi Square ◽  
Asthmatic Patients ◽  
Significant Difference ◽  
Prevalent Disease ◽  
And Control ◽  
Positive Effect

<p><strong>INTRODUCTION:</strong> Asthma is a prevalent disease with a multitude of complication. The present research was aimed at investigating the effects of implementing sensitization care model on medication adherence in asthmatic patients.</p><p><strong>METHODS &amp; MATERIALS:</strong> In this interventional study, 74 subjects were selected using accessibility sampling method and were randomly classified into 2 separate groups, intervention (37 subjects) and control group (37 subjects). Data were collected with questionnaire. A month later, the subjects in both groups (control and intervention) completed questionnaire again. The collected data were analyzed using SPSS software, Independent t-test, Paired t-test and Chi-Square.</p><p><strong>RESULTS:</strong> Data analysis showed that the average age of participants was 41 years (range 21-83). The most and lowest frequencies of marital status in both sexes were 66.2% married and 33.8% single, respectively. There was no significant difference before intervention between two groups. However, after the intervention, there was a significant difference between the two groups (P=0.0001).</p><p><strong>DISCUSSION:</strong> The results of the present study showed that implementing sensitization care model had a positive effect on medication adherence among asthmatic patients. Therefore, application of this model is recommended to care and treatment asthmatic patients.</p>

scholarly journals Pengaruh Diabetes Self Management Education and Support (DSME/S) terhadap Diabetes Distress pada Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember (The Effect of Diabetes Self Management Education and Support [DSME/S] on Diabetes Distress in Patie

2018 ◽  
Vol 6 (1) ◽  
pp. 133
Author(s):  
Novita Nurkamilah ◽  
Rondhianto Rondhianto ◽  
Nur Widayati
Keyword(s):  
Diabetes Mellitus ◽  
Management Education ◽  
Intervention Group ◽  
Self Care ◽  
T Test ◽  
Self Management ◽  
Diabetes Distress ◽  
Control Group ◽  
Significant Difference

Diabetes Mellitus (DM) is a chronic disease that requires a continous self-care. A low level ofknowledge about self-care can worsen health condition and cause diabetes distress. The continuingstress can cause hyperglycemia that lead to complications of DM. DSME/S is a structured healtheducation that facilitates DM patients in implementing and maintaining their behavior for sustainableself-care. This research aimed to analyze the effect of DSME/S on diabetes distress in patients withtype 2 DM. This research was quasi experimental with non randomized control group pretestposttest design. Thirty respondents in this study were divided into 15 respondents as theintervention group and 15 respondents as the control group by consequtive sampling technique.DSME/S was conducted in 6 sessions: 4 sessions in the hospital and 2 sessions at respondent'shouse. The data were analyzed by using dependent t test and independent t test with significancelevel of 0.05. The result of dependent t test revealed a significant difference of diabetes distressbetween pretest and posttest both in the intervention group (p=0.001) and in the control group(p=0.046). Furthermore, independent t test showed a significant difference between interventiongroup and control group (p=0.001). The decrease of diabetes distress was higher in the interventiongroup than control group. This result indicates that there was a significant effect of DSME/S ondiabetes distress in patients with type 2 DM. Nurses are expected to apply DSME/S as a dischargeplanning to reduce diabetes distress in patients with type 2 DM.Keywords: diabetes distress, DSME/S, Diabetes Mellitus

THE EFFECT OF THE ATTITUDE TOWARD BREASTFEEDING CONCEPT BASED COMIC ON THE ADOLESCENCE'S ATTITUDE TOWARD EXCLUSIVE BREASTFEEDING

2017 ◽  
Vol 1 (2) ◽  
pp. 138
Author(s):  
Mekar Dwi Anggraeni ◽  
Lutfatul Latifah ◽  
Aprilia Kartikasari ◽  
Ima Rismawati
Keyword(s):  
Exclusive Breastfeeding ◽  
Nuclear Family ◽  
T Test ◽  
Breastfeeding Duration ◽  
Control Group ◽  
Marriage Age ◽  
First Marriage ◽  
Significant Difference ◽  
Post Test ◽  
And Control

Background and purpose: The earlier development of the attitude toward exclusive breastfeeding produces the longer exclusive breastfeeding duration. Considering the first marriage age among Indonesian, the attitude toward exclusive breastfeeding should be developed at the adolescence age. The purpose of this study was to examine the effect of the attitude toward breastfeeding concept based comic on the adolescent's attitude toward exclusive breastfeeding. Method: This was a quasy experimental posttest only with control group study. The respondents were provided an comic. The respondent's attitude toward exclusive breastfeeding was measured using The Breastfeeding Attitude Questionnaire. Data were analyzed using independent and dependent t test. Results: The majority of respondents were aged 17 years old in both intervention (70%) and control grup (63%), first child in both intervention (23,3%) and control grup (26,7%), and had a nuclear family in both intervention (80%) and control grup (90%). The independent t test showed that there was a significant difference between post-test scores among the intervention and control groups (t = 5,602, p < 0,01). Conclusion and recommendation: Nurses may use the Attitude Toward Breastfeeding based comic to increase the Adolescence's attitude toward breastfeeding.Keywords: Comic, Attitudes Toward Exclusive Breastfeeding, Adolescence

scholarly journals PENGARUH TERAPI FAMILY PSYCHOEDUCATION (FPE) TERHADAP KECEMASAN DAN BEBAN KELUARGA DALAM MERAWAT ANGGOTA KELUARGA DENGAN SKIZOFRENIA DI KECAMATAN BOLA KABUPATEN SIKKA, NUSA TENGGARA TIMUR

2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Adelheid Riswanti Herminsih ◽  
Wisnu Barlianto ◽  
Rinik Eko Kapti
Keyword(s):  
Disease Process ◽  
T Test ◽  
Load Test ◽  
Family Burden ◽  
Control Group ◽  
Family Psychoeducation ◽  
Significant Difference ◽  
Post Test ◽  
And Control ◽  
Quasi Experiment

Abstract : Schizophrenia is a disease process that affects perceptions, emotions, social behavior and the ability to accept reality correctly. Families with schizophrenics often feel anxiety and burdens associated with client care. The problem can be solved by giving FPE therapy. This study aims to explain the effect of Family Psychoeducation (FPE) therapy on anxiety and family burden in caring for family members with schizophrenia. This research uses quasi experiment research pre-post test with control group. The number of respondents in this study were 18 respondents for the control group and 18 respondents for the treatment group. The study was conducted in District Bola from 24 May to 28 June 2017. Giving therapy done by the researchers themselves who have obtained a license from nurse specializing in mental health nursing. Data analysis used in this research is dependent t test and independent t test. The result of dependent t test of anxiety and load test was obtained significance value <0,05, this result showed significant decrease of anxiety and load after FPE therapy. While the results of independent t test showed that the significance of anxiety and family burden <0.05 which means that there is a significant difference in reducing anxiety and family burden between the treatment and control group after being given FPE therapy, that is, with an average decrease in anxiety and burden For the treatment and control groups of 10.11 and 3.5, respectively. This means that FPE is more effective in reducing family anxiety. Thus it is expected that FPE can be applied as an alternative therapy in reducing the anxiety of families who care for people with schizophrenia.Keywords : family psychoeducation,  anxiety, family burden Abstrak : Skizofrenia merupakan proses penyakit yang mempengaruhi persepsi, emosi, perilaku sosial dan kemampuan menerima realita dengan benar. Keluarga dengan penderita skizofrenia seringkali merasakan kecemasan dan beban yang berkaitan dengan perawatan klien. Masalah tersebut dapat diatasi dengan pemberian terapi FPE. Penlitian ini bertujuan menjelaskan pengaruh terapi Family Psychoeducation (FPE) terhadap kecemasan dan beban keluarga dalam merawat anggota keluarga dengan skizofrenia. Penelitian ini menggunakan desain penelitian quasi experiment pre-post test with control group. Jumlah responden dalam penelitian ini 18 responden untuk kelompok kontrol dan 18 responden untuk kelompok perlakuan. Penelitian dilakukan di Kecamatan Bola mulai tanggal 24 Mei-28 Juni 2017. Pemberian terapi dilakukan oleh peneliti sendiri yang telah mendapatkan lisensi dari perawat spesialis jiwa. Analisis data yang digunakan dalam penelitian ini adalah dependent t test dan independen t test. Hasil analisis dependent t test kecemasan dan beban didapatkan nilai signifikansi< 0,05, hasil ini menunjukkan penurunan kecemasan dan beban secara bermakna setelah diberikan terapi FPE. Sedangkan hasil analisis independent t test menunjukkan bahwa nilai signifikansi kecemasan dan beban keluarga < 0,05 yang berarti bahwa ada perbedaan yang bermakna dalam menurunkan kecemasan dan beban kelurga antara kelompok perlakuan dan kontrol setelah diberikan terapi FPE, yaitu dengan rata-rata penurunan kecemasan dan beban untuk kelompok perlakuan dan kontrol masing-masing yakni 10,11 dan 3,5. Hal ini berarti bahwa FPE lebih efektif dalam menurunkan kecemasan keluarga. Dengan demikian diharapkan bahwa FPE bisa diaplikasikan sebagai alternative terapi dalam menurunkan kecemasan keluarga yang merawat penderita skizofrenia.Kata Kunci : family psychoeducation, kecemasan, beban keluarga

scholarly journals Text-based Character in Teaching Reading: Do Students Can Achieve Significant Result in Reading Test?

2021 ◽  
Vol 3 (1) ◽  
pp. 21-28
Author(s):  
Hasan Hasan ◽  
Andi Sadapotto ◽  
Muhammad Hanafi ◽  
Usman Usman
Keyword(s):  
Alternative Hypothesis ◽  
T Test ◽  
Reading Test ◽  
Control Group ◽  
Significant Difference ◽  
Good Classification ◽  
Post Test ◽  
The Mean ◽  
And Control ◽  
Experimental Group

This quasi-experimental study involves the experimental and control group which consist of 60 students in first year of SMA Muhammadiyah Sidenreng Rappang   2019/2020 academic year.  The reading test is used to collect data to find out do the students can achieve significant result in reading test using Text-based Character. Based on the result the mean score of the experimental group pre-test was 72.67 and classified into good classification, while the control group was 69.63 classified into good. The mean score of the post-test after treatment for the experimental group was 82.43 (very good) while the control group was 76.53, (good) classification still.  The researcher found that the T-table is higher than the t-test (α) (1.659<2.021). It means that there is a significant difference in the pre-test of the control and experimental group, while in post-test of an experimental and control group, the researcher finds that the T-test is higher than the alpha and previous score in the the pre-test (α) (3.089>2.021). The degree of freedom is 58. This study reveals that the alternative hypothesis (H1) was accepted, and the null hypothesis (H0) was rejected. This is means that the use of Text-based Characters can improves students' reading skills in significant way.

scholarly journals EFFECT OF FAMILY PSYCHOEDUCATION ON CAREGIVER SUPPORT IN THE TREATMENT OF PATIENTS WITH TYPE II DIABETES MELLITUS

2018 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Andika Siswoaribowo ◽  
Mateus Sakundarno ◽  
Muhammad Mu’in
Keyword(s):  
Diabetes Mellitus ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Family Psychoeducation ◽  
Control Group Design ◽  
Caregiver Support ◽  
Significant Difference ◽  
Patients With Diabetes ◽  
And Control

Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with diabetes mellitus type II.Methods: This research used a quasi experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited puposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.

scholarly journals APOPTOSIS INDEX BETWEEN FEMALES AND MALES IN REGULAR HEMODIALYSIS

2016 ◽  
Vol 19 (3) ◽  
pp. 150
Author(s):  
Djoko Santoso
Keyword(s):  
Age Groups ◽  
Microtiter Plate ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Diabetic Patients ◽  
Immunochemical Determination ◽  
Apoptosis Index ◽  
Significant Difference ◽  
And Control ◽  
Esrd Patients

Many reports have documented apoptosis index in hemodialysis patients, but to date, no single study has directly compared the apoptosis index of males to females. Data on mortality rate among hemodialytic patients in the hemodialysis center at the Department of Internal Medicine Dr Soetomo General Hospital, Surabaya, Indonesia show a high number predominated by female patients. Therefore, to answer the question of whether there is a gender difference in apoptosis index, the researcher studied leukocyte responses in male and female hemodialysis patients. The apoptosis index of the sample was measured by indirect immunoassay method. Cell lyses, followed by immunochemical determination of histone-complexed DNA fragments in a microtiter plate wells. The apoptosis quantization was obtained by determining the amount of colored product spectrophotometrically. One hundred and four non-diabetic subjects who received hemodialysis (HD), and 24 normal controls (NC), were evaluated. The apoptosis index in ESRD patients group and control group showed no significant difference (0.6172 vs 0.4008, p=0.114), neither did it vary in both sexes and age groups. When the sex factor was analyzed (after exclusion from the diabetic ESRD patients), females apoptosis index was significantly higher than that of the males (0.7325 vs 0.55175, p<0.05). In conclusion, apoptosis index in females among non-diabetic patients undergoing hemodialysis is higher than that occur in males and controls.

scholarly journals PENGARUH PELATIHAN 30 SECOND BOX DRILL DAN 60 SECOND BOX DRILL TERHADAP DAYA LEDAK OTOT TUNGKAI

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Luh Mastia Andriani ◽  
I Gst Lanang Agung Parwata ◽  
Ni Luh Kadek Alit Arsani
Keyword(s):  
Vertical Jump ◽  
Training Group ◽  
T Test ◽  
Control Group ◽  
Control Groups ◽  
Explosive Power ◽  
Jump Test ◽  
Significant Difference ◽  
Leg Muscle ◽  
And Control

Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan 30 second box drill dan 60 second box drill terhadap peningkatan daya ledak otot tungkai. Jenis penelitian ini adalah penelitian eksperimen semu (quasi) dengan rancangan the non-randomized pretest posttest control groups design. Subjek penelitian sebanyak 30 orang. Daya ledak otot tungkai diukur dengan vertical jump test dan data dianalisis dengan uji-t independent, uji anava satu jalur dan uji least significant difference (LSD) pada taraf signifikansi (α) 0,05 dengan bantuan SPSS 16,0. Berdasarkan hasil uji hipotesis antara gaint-score kelompok pelatihan 30 second box drill, 60 second box drill dan kelompok kontrol pada variable daya ledak otot tungkai, hasil analisis data menggunakan uji-t independent menunjukkan bahwa pelatihan 30 second box drill dan 30 second box drill berpengaruh terhadap peningkatan daya ledak otot tungkai dengan nilai signifikansi sebesar 0,000 dan 0,000 (SigKata Kunci : pelatihan 30 second box drill, pelatihan 60 seond box drill, daya ledak otot tungkai This study aimed to know the effect of 30 second box drill training and 60 second box drill training toward the increase of explosive power of leg muscle. This study is quasi experiment research with thenon-randomized pretest posttest control groups design. Subjects of this study were 30 people. The explosive power of leg muscle was measured by vertical jump test and analyzed by independent t-test, one lane anava test and test of least significant difference (LSD) in the significant standard (α) 0,05 by using SPSS 16,0. Based on the result of hypothesis between gaint-score on training group of 30 second box drill, 60 second box drill and control group on the variable of explosive power of leg muscle, result of analysis by using independent t-test showed that 30 second box drill training and 30 second box drill training influenced the explosion power of leg muscle in the significant value of 0,000 and 0,000 (Sigkeyword : 30 second box drill, 60 second box drill,explosive power

Pre-Dialysis Glycemic Control is An Independent Predictor of Mortality Intype Ii Diabetic Patients on Continuous Ambulatory Peritoneal Dialysis

1999 ◽  
Vol 19 (2_suppl) ◽  
pp. 179-183 ◽  
Author(s):  
Mai-Szu Wu ◽  
Chun-Chen Yu ◽  
Ching-Herng Wu ◽  
Jeng Yi Haung ◽  
Mei-Lin Leu ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Glycemic Control ◽  
Serum Albumin ◽  
Poor Glycemic Control ◽  
Control Group ◽  
Diabetic Patients ◽  
Type Ii ◽  
Good Glycemic Control ◽  
Cholesterol Levels ◽  
Significant Difference

Objective To evaluate the impact of pre-dialysis glycemic control on clinical outcomes for type II diabetic patients on continuous ambulatory peritoneal dialysis (CAPO). Materials and Methods One hundred and one type II diabetic patients receiving CAPO for at least 3 months were enrolled in a single institute. The patients were classified into two groups according to status of glycemic control. In the good glycemic control group, more than 50% of blood glucose determinations were within 3.3 11.0 mmol/L and glycosylated hemoglobin (HbA 1 C) levels were within 5% -10% at all times. In the poor glycemic control group, less than 50% of blood glucose determinations were within 3.3 -11.0 mmol/L, or HbA1C levels were above 10% at least 6 months before peritoneal dialysis was started. In addition to glycemic control status, pre-dialysis serum albumin, cholesterol levels, residual renal function, peritoneal membrane function, and modes of glycemic control were also recorded. Results The patients with good glycemic control had significantly better survival than those with poor glycemic control (p < 0.01). There was no significant difference in pre-dialysis morbidity between two groups. No significant differences were observed in patient survival between patients with serum albumin above 30 g/L and those with serum albumin under 30 g/L; between those with cholesterol levels above or below 5.2 mmol/L; and between those with different peritoneal membrane solute transport characteristics as evaluated by a peritoneal equilibration test (PET). Furthermore, there was no significant difference in survival between patients who controlled blood sugar by diet and those who controlled it by insulin. Cardiovascular disease and infection are the major causes of death in both groups. Although good glycemic control predicts better survival, it does not change the pattern of mortality in diabetic patients maintained on CAPO. Conclusions Glycemic control before starting dialysis is a predictor of survival for type II diabetic patients on CAPO. Patients with poor glycemic control predialysis are associated with increased morbidity and shortened survival.

scholarly journals Evaluating the Effectiveness of Online Educational Modules and Interactive Workshops in Alleviating Symptoms of Mild to Moderate Depression: A Pilot Trial

2020 ◽  
Vol 11 ◽  
pp. 215013272097115
Author(s):  
Luis A. Murillo ◽  
Emily Follo ◽  
April Smith ◽  
Julienne Balestrier ◽  
Deborah L. Bevvino
Keyword(s):  
Pilot Trial ◽  
Cost Effective ◽  
T Test ◽  
Health Concern ◽  
Control Group ◽  
Test Analysis ◽  
Significant Difference ◽  
Patient Health ◽  
And Control ◽  
Paired T Test

Introduction Depression is a common health concern in primary care with barriers to treatment well documented in the literature. Innovative online psychoeducational approaches to address barriers to care have been well received and can be cost effective. This pilot trial evaluated the effectiveness of an online psychoeducation curriculum intended to alleviate symptoms of depression while utilizing minimal staff resources. Methods A small (n = 29) randomized control pilot study was conducted. Online psychoeducational content was delivered in 5 to 10-minute videos over 8 weeks. Participants engaged in moderated discussions on workshop topics. The Patient Health Care Questionnaire (PHQ-9) was used to measure pre/post scores. Two Likert scale questions were used to determine subjective changes in understanding of depression and coping skills. Results Paired T-test analysis showed an average PHQ-9 improvement of 4.37 ( P = .01) in the intervention arm and 1.81 ( P = .172) in the control group. No significant difference in delta PHQ-9 score was found between groups via difference in difference analysis ( P = .185). Effect size was 0.59. No improvement in Likert scores for question 1 or 2 were detected by paired T test in either group. Conclusion This pilot trial of interactive online psychoeducational content shows initial promise as there was a significant improvement in PHQ-9 scores within the intervention arm. The comparison of delta scores between intervention and control arms was not statistically significant although this is likely due to the underpowered nature of the pilot trial. This data trend justifies the need for a larger validation trial of this intervention.

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