scholarly journals Pengaruh Diabetes Self Management Education (DSME) terhadap Self Management pada Pasien Diabetes Mellitus

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Trina Kurniawati ◽  
Titih Huriah ◽  
Yanuar Primanda
Keyword(s):  
Diabetes Mellitus ◽  
Management Education ◽  
Intervention Group ◽  
Simple Random Sampling ◽  
Wilcoxon Test ◽  
Self Management ◽  
Control Group ◽  
P Value ◽  
Whitney Test ◽  
Mann Whitney Test

AbstrakEdukasi kepada pasien Diabetes Mellitus (DM) yang dapat memperbaiki hasil klinis adalah Diabetes Self Management Education (DSME). DSME merupakan salah satu metode yang dapat memfasilitasi pengetahuan dan keterampilan. Penelitian ini bertujuan untuk mengetahui pengaruh Diabetes Self Management Education terhadap Self Management pada pasien DM. Penelitian ini menggunakan metode penelitian quasi experimental dengan control group pre test- post test design. Teknik pengambilan sampel menggunakan teknik Simple random sampling dengan jumlah sampel sebanyak 46 orang yang terbagi menjadi 23 orang pada kelompok intervensi mendapatkan DSME sebanyak 4 sesi dalam satu bulan dan 23 orang pada kelompok kontrol mendapatkan edukasi dari Program PERSADIA. Instrumen yang digunakan menggunakan kuesioner. Analisis statistik menggunakan Wilcoxon dan Mann Whitney test. Hasil penelitian menunjukkan bahwa P value uji Wilcoxon test sebesar 0,000 pada kelompok intervensi, P value uji Mann Whitney test adalah 0,000 pada variabel self management. Berdasarkan hasil uji statistik didapatkan p<0,05 yang menunjukkan bahwa terdapat perbedaan nilai self management antara kelompok intervensi dengan kelompok kontrol secara signifikan. Kesimpulan penelitian ini adalah DSME dapat meningkatkan self management pada pasien DM. Disarankan petugas kesehatan dapat memberikan DSME untuk meningkatkan self management pasien diabetes dan menggunakan DSME sebagai program promosi kesehatan.Kata kunci: Diabetes Mellitus; DSME;Self Management  The Influnce of Diabetes Self Management Education (DSME) to the Self Management on the Diabetes Patient AbstractEducation to patients Diabetes Mellitus (DM) who can improve clinical outcomes is Diabetes Self Management Education (DSME). DSME is one method that can facilitate knowledge and skills. The purpose of this research is to determine the effect of Diabetes Self Management Education (DSME) to Self Management on the diabetes patients. This study is used the quasi experimental research method with control group pre test post test design. The sampling technique used Simple random sampling with a samples of 46 people and it is devided 23 people in the intervention group get DSME as much as 4 sessions in one month and 23 people in the control group get education programe at PERSADIA. The instrument used was questionnaire. Statistical analysis used Wilcoxon and Mann Whitney test. The results showed that P value of Wilcoxon test  was 0.000 in the intervention group, P test value of Mann Whitney test was 0.000 in self management variable. Based on statistical test results obtained p <0.05 which indicates that there are differences in self-management value between the intervention group and the control group significantly. The conclusions of this research is DSME can improve self-management on the patients with diabetes. It is recommended that health workers can provide DSME to improve self-management  in diabetic patients and use DSME as a health promotion program.Keywords  : Diabetes Mellitus, DSME, Self Management

scholarly journals The Combination of Softball Handling Exercise and ROM Increases Upper Extremity Muscle Strength in Non-Haemoragic Stroke Patients

2020 ◽  
Vol 4 (1) ◽  
pp. 29-37
Author(s):  
Ade Lestiani Limaretha ◽  
Mugi Hartoyo ◽  
Syamsul Arif
Keyword(s):  
Muscle Strength ◽  
Upper Extremity ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
And Control

Background: Stroke is a brain tissues damage caused by blood supply disruption to the brain. Effects that often occurs in stroke patients is weakness in one side of the body, such as the upper extremity. Exercises to stimulate muscle hands strength can be a combination softball handling exercise and ROM. Purpose: This research aims to determine the effect of a combination softball handling exercise and ROM on muscle strength in non haemoragic stroke patients at Roemani Muhammadiyah Semarang Hospital.Methods: Type of research is Quasi Experiment with a non-rondomised control group pre-post test design. There were 32 respondents including in this research using purposive sampling to select the sample. The research data were analyzed using the Wilcoxon Test to determine the effect on the intervention group and control group, then tested using the Mann Whitney test to determine the effectiveness difference between a intervention group and control group.Results: the Wilcoxon Test showed that there was an effect of a combination softball handlingand ROM on muscle strength in non haemoragic stroke patients (p value 0.000), and there was an effect on the control group without intervention (p value 0.003). While the Mann Whitney test showed that the combination group was more effective in increasing the muscle strength p value = 0.001 (0.05).Conclusion: There is the effect of a combination of softball handling exercise and ROM on the strength of the extremity muscles over non haemoragic stroke pastients.

scholarly journals Effects of Five-Finger Relaxation Technique on Depression in Type 2 Diabetes Mellitus Patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rosliana Dewi ◽  
Fanny Dwi Agustina ◽  
Johan Budhiana ◽  
Syiva Dwi Fatmala
Keyword(s):  
Diabetes Mellitus ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Psychological Changes ◽  
Type 2 Dm

Diabetes mellitus (DM) can cause physical and psychological changes for sufferers. Psychological changes include changes in self-concept and depression. Psychological changes can be treated with nonpharmacological therapies, one of which is five-finger relaxation technique. The research aimed to reveal the effect of five-finger relaxation technique on depression experienced by type 2 DM patients. The five-finger relaxation technique is one of the generalist relaxation techniques by recalling pleasant experiences. This research is a quasi-experiment. Samples of this research were 34 respondents whom were selected using purposive sampling.  The intervention was carried out once a day for 3 consecutive days.  In order to measure depression, a valid and reliable questionnaire of Indonesian version of the Beck Depression Inventory (BDI) was employed.  Data were analyzed using the Wilcoxon Test and the Mann-Whitney Test. The results showed the was a decrease in depression in the control group (p-value of 0.008) and the intervention group (p-value of 0.000) and there were differences in depression in the control group and the intervention group (p-value of 0.000). It can be concluded that there is an effect of five-finger relaxation technique on depression in type 2 DM patients<em>.</em>

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

scholarly journals Pengaruh Range Of Motion Untuk Menurunkan Nyeri Sendi Pada lansia Dengan Osteoartritis di Wilayah Puskesmas Godean I Sleman Yogyakarta

2018 ◽  
Vol 6 (1) ◽  
pp. 36
Author(s):  
Maruli Taufandas ◽  
Elsye Maria Rosa ◽  
Moh Afandi
Keyword(s):  
Range Of Motion ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Whitney Test ◽  
Group Design ◽  
Mann Whitney Test

Salah satu penyakit degeneratif pada lansia yang sering dialami yaitu osteoartritis, yang ditandai dengan adanya nyeri pada ekstremitas bawah dan prevalensinya semakin meningkat dengan bertambahnya usia. Penatalaksanaan non farmakologi merupakan komponen yang sangat penting dalam mengatasi nyeri, salah satu bentuknya adalah latihan Range of Motion. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh Range of Motion untuk menurunkan nyeri sendi pada lansia dengan osteoartritis di wilayah kerja Puskesmas Godean I Sleman Yogyakarta. Metode :Penelitian ini adalah study intervensi berupa penelitian kuantitatifdengan rancangan Quasi Eksperiment Design: Pretest-Posttest Control Group Design. Penelitian dilakukan di dua dusun di Kabupaten Sleman yaitu di dusun Mertosutan dan dusun Ngabangan.Sampel pada penelitian ini sebanyak 36 orang lansia dengan masing-masing 18 lansia sebagai kelompok intervensi dan 18 lansia sebagai kelompok kontrol.Pengambilan sampel menggunakan teknik purposive sampling.Analisis data yang digunakan adalah Wilcoxon Test dan Mann Whitney Test. Hasil : Setelah melakukan latihan Range of Motionselama 4 minggu, didapatkan hasil bahwa terdapat pengaruh Range of Motion terhadap skala nyeri sendi pada lansia dengan osteoartritis dengan p value 0,000 (α < 0,05). Kesimpulan :Range of Motion berpengaruh secara signifikan terhadap penurunan tingkat skala nyeri sendi pada lansia dengan osteoartritis

scholarly journals Pengaruh Pemberian Akupresur oleh Anggota Keluarga terhadap Tingkat Nyeri Pasien Nyeri Kepala (Chephalgia) di Kota Padang Panjang

2019 ◽  
Vol 19 (3) ◽  
pp. 714
Author(s):  
Rika Roza ◽  
Budhi Mulyadi ◽  
Yonrizal Nurdin ◽  
Mahathir Mahathir
Keyword(s):  
Intervention Group ◽  
Simple Random Sampling ◽  
Complementary Therapy ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Different Levels ◽  
Test Result

Chephalgia is grievance that is often felt like discomfort in head, Chephalgia can bother activity and productivity. One of complementary therapy that can reduce Chephalgia is acupressure. This study aims to determine the effect of acupressure by family member on pain level of Chephalgia patient in Padang Panjang conducted february-September 2019. The study is an experimental design and a pretest-posttest with control group design with 116 of samples and it uses simple random sampling. Different levels of pain before and after the administration of acupressure by family members used the Wilcoxon test. Whereas to see the comparison of the intervention group and the control group used to test two different groups used the mann withney test.. Satistic test result get p value = 0.0000 that means there is significant effect between before and after acupressure on intervention group, but there is no significant effect on control group get p value = 0,771. This therapy acupressure is recomended for solving Chephalgia, it means that we can give nursing complementary therapy for minimizingC.

scholarly journals The Effect of Diabetes Self-Management Education on Body Weight, Glycemic Control, and Other Metabolic Markers in Patients with Type 2 Diabetes Mellitus

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Chuang Yuan ◽  
Christopher W. K. Lai ◽  
Lawrence W. C. Chan ◽  
Meyrick Chow ◽  
Helen K. W. Law ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Body Weight ◽  
Management Education ◽  
Intervention Group ◽  
Intima Media Thickness ◽  
Self Management ◽  
Control Group ◽  
Metabolic Markers

Aims.To comprehensively evaluate the effect of a short-term diabetes self-management education (DSME) on metabolic markers and atherosclerotic parameters in patients with type 2 diabetes.Methods.76 patients with type 2 diabetes were recruited in this study. They were divided into the intervention group(n=36)and control group(n=40). The patients in the intervention group received a 3-month intervention, including an 8-week education on self-management of diabetes mellitus and subsequent 4 weeks of practice of the self-management guidelines. The patients in the control group received standard advice on medical nutrition therapy. Metabolic markers, carotid intima-media thickness (CIMT), and carotid arterial stiffness (CAS) of the patients in both groups were assessed before and after the 3-month intervention.Results.There was a significant reduction in hemoglobin A1c (HbA1c,-0.2±0.56% versus0.08±0.741%;P<0.05) and body weight (-1.19±1.39 kg versus-0.61±2.04 kg;P<0.05) in the intervention group as compared to the control group. However, no significant improvements were found in other metabolic markers, CIMT and CAS(P>0.05).Conclusions.DSME can improve HbA1c and body weight in patients with type 2 diabetes.

scholarly journals Comparison of Muscle Strength in Stroke Patients between The Given and Not Given Range of Motion Exercise

2015 ◽  
Vol 5 (2) ◽  
pp. 88
Author(s):  
Eka Rhestifujiayani ◽  
Emil Huriani ◽  
Muharriza Muharriza
Keyword(s):  
Muscle Strength ◽  
Lower Extremities ◽  
Nursing Intervention ◽  
Upper Extremities ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Whitney Test ◽  
Mann Whitney Test

Background: Hemiparesis is a common problem that can caused disability. ROM Exercise is an exercise that to performed evaluate and to improv the function of the musculoskeletal system and is one of therapies in stroke patients that aim to increase cerebral blood flow, minimize disability caused by stroke, so can refine sensory motoric function.Purpose: The objective of this study was to examine the effect ROM exercises of the extremity muscle strength in patients with stroke Methods: This study was a quasi experimental with non equivalent control group design. The sampling technique was purposive sampling. The number of sample was 20 respondents. The statistical test used are Wilcoxon test and Mann-Whitney test. Result: Wilcoxon test in control group showed p-value in upper extremities was p=0,157 and in lower extremities was p=0,083, it mean that there was no increase in muscle strength in the control group and in experiment group showed p-value in upper extremities was p=0,004 and in lower extremities was p=0,005, it mean that there is increase in muscle strength in the experiment group. The result of Mann-Whitney test showed p-value in upper extremities was p=0,002 and in lower extremities was p=0,006, it means that there were differences in the increase in muscle strength between control group and experiment group. Conclusion: ROM exercises affect the increase in muscle strength in stroke patients with hemiparesis. The ROM exercises can be used as a nursing intervention in the provision of nursing care.

scholarly journals EFEKTIFITAS EDUKASI KESEHATAN DENGAN METODE AUDIOVISUAL TERHADAP MOTIVASI ORANG TUA DALAM MEMBERIKAN OBAT CACING PADA ANAK SEKOLAH DASAR

2021 ◽  
Vol 8 (1) ◽  
pp. 28-35
Author(s):  
Ignasia Yunita Sari
Keyword(s):  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Post Test ◽  
Quasi Experiment

Kecacingan menginfeksi 24% penduduk dunia terutama pada anak-anak dan meningkatkan angka morbiditas. Salah satu intervensi mengatasi kecacingan adalah pemberian obat cacing. Motivasi orang tua diperlukan untuk keteraturan dalam pemberian obat cacing pada anak. Edukasi yang tepat diperlukan untuk meningkatkan motivasi orang tua. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas edukasi kesehatan dengan metode audiovisual terhadap motivasi orang tua dalam memberikan obat cacing di SD Sanjaya Tritis Pakem. Metode penelitian dengan menggunakan quasi experiment dengan desain pre test and post test nonequivalent control group. Sampel sejumlah 64 dibagi menjadi 30 kelompok kontrol dan 34 kelompok intervensi. Kelompok kontrol diberikan edukasi dengan metode audiovisual dan kelompok kontrok dengan ceramah. Analisis data menggunakan wilcoxon test dan mann whitney test. Hasil penelitian menunjukkan edukasi kesehatan dengan metode audiovisual efektif dalam meningkatkan motivasi orang tua (p value 0,000). Tidak ada perbedaan keefektifan edukasi menggunakan metode audiovisual dan ceramah dalam meningkatkan motivasi orang tua (p value 0,225)

scholarly journals Peningkatan Kemampuan Interpretasi Electrocardiogram (ECG) Perawat Dengan Pembelajaran Pelatihan Dan Multimedia Di RSUD Dr. Soeratno Sragen

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Akhmad Rifai ◽  
Dwi Sulistyowati
Keyword(s):  
Statistical Tests ◽  
Test Group ◽  
Heart Association ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Significant Difference ◽  
And Training

Abstract: Level Of Ability Of Nurses, ECG Interpretation. American Heart Association (AHA) in 2011, recorded more than 1.000.000 people have heart attacks every year, half died from the heart attack and in Europe figures reach 20,000-40,000 CHD patients than 1,000,000 population. In Indonesia in 2002 with acute myocardial infarction disease is the first cause of death with a mortality rate of 220,000 (14%). The purpose of this study to determine the level of ability to interpret ECG nurse in RSUD dr. Soeratno Gemolong Sragen. This research is an experimental approach to Pre-TestPost Test Group design. through research hypothesis testing. The study population was a nurse amounted to 50 respondents divided into two groups. 30 respondents as the treatment group and 20 respondents as the control group. Statistical tests on the group in pairs using the nonparametric Wilcoxon test and unpaired pad groups using the Mann-Whitney test. Based on the results of the Wilcoxon test can be concluded that the 30 respondents who do the training interpretation of ECG by means of training and training using the modules can be drawn the conclusion that the majority of nurses had good knowledge in terms of ability to interpret ECG with p-value 0.001, which means there are significant differences between before and after doing the training. While the results of the Mann-Whitney test the difference between training and training in how to use the module p-value 0.001, which means there is a significant difference training by way of training and training in how to use the module.

scholarly journals Analisis Olah Raga Terhadap Kadar Gula Darah Penderita Diabetes Melitus

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Atik Setiawan Wahyuningsih ◽  
Maria Putri Sari Utami
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Intervention Group ◽  
Simple Random Sampling ◽  
Diabetes Mellitus Patient ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Sugar Levels ◽  
And Control

Diabetes mellitus is a degenerative disease that is expected to increase. Lifestyle management is one method to control blood sugar. Exercise regularly can increase insulin sensitivity so that it can help and control blood sugar levels.The purpose was to analyze exercise on blood glucose level of people with diabetes mellitus. Research design was posttest only with control. Population research was diabetes mellitus patient at Puskesmas Ngawi Ngawi District in 2017, used simple random sampling were 82 respondents (41 respondents of control group and 41 respondent of intervention group).Used Mann-Whitney nonparametric statistical test.The results of this study obtained data with average blood sugar levels control group after exercise uncontrolled and average. Data analysis used Mann-Whitney result of p-value 0,000 and value of Z equal to -7,102 which mean there was difference of group blood sugar level.Exercise with high intensity can damage blood sugar levels. Food, consumption of soft drinks and alcohol needs to be considered because it can interfered with the metabolism in the body that can affect blood sugar levels by considering the four pillars of diabetes mellitus management. Keywords: Exercise, Blood Sugar Level, Diabetes Mellitus

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