Diabetes mellitus atau biasa disebut dengan DM merupakan penyakit tidak menular yang kejadiannya cukup tinggi. Penyakit DM akan menimbulkan komplikasi apabila penderita DM memiliki self-care management yang buruk. Komplikasi dapat dicegah dengan perawatan diri yang baik seumur hidup. Peningkatan perawatan diri DM ini dapat dibantu dengan metode peer group support. Penelitian ini bertujuan untuk mengetahui pengaruh peer group support terhadap self-care management pada penderita DM di Kecamatan Kembaran. Penelitian ini menggunakan desain eksperimen semu (quasi experiment) dengan rancangan non randomized pretest-posttest with control group design. Teknik pengambilan sampel menggunakan purposive sampling. Responden penelitian ini adalah penderita DM di Puskesmas I Kembaran dan Puskesmas II Kembaran sebesar 27 responden (13 responden pada kelompok intervensi, 14 responden pada kelompok kontrol). Instrumen penelitian menggunakan Diabetes Self-Management Questionnaire. Terdapat perbedaan yang bermakna skor self-care management DM pre dan post peer group support dengan p 0,001 pada kelompok intervensi. Tidak terdapat perbedaan yang bermakna skor self-care management DM pre dan post pada kelompok kontrol. Terdapat perbedaan yang bermakna skor self-care management DM sesudah peer group support antara kelompok intervensi dan kontrol dengan p 0,001. Peer group support efektif meningkatkan self-care management pada penderita DM. Kata Kunci: Diabetes Mellitus, Self-Care Management, Peer Group Support

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Introduction: Surgery is an experience that can cause anxiety, which, if not treated well, will cause some side effects. One of the forms of non-pharmacological therapy is hypnotherapy and yoga combination therapy. This study aimed to determine the effect of hypnotherapy and yoga combination therapy on anxiety scores in elective preoperative patients.Methods:This study used a quasi-experimental pretest and posttest with control group design. This study involved 17 respondents in the intervention group and 17 respondents in the control group. The sampling technique used consecutive sampling. Data collection used the instruments of The Amsterdam Preoperative Anxiety and Information Scale (APAIS). The statistical test used was the Mann-Whitney test.Results: The average age of respondents was 36.65 years old. In a majority, they were junior high school graduates who worked as employee. The major type of operation was tumor excision. The average anxiety scores before treatment in the intervention group were 14.71 (moderate anxiety) and decreased after being given hypnotherapy and yoga combination therapy to 9.47 (mild anxiety). The average anxiety scores before treatment in the control group were 15.71 (moderate anxiety) and decreased after deep breathing therapy to 13.76 (moderate anxiety). The difference test in anxiety scores of the intervention and control groups obtained p-value 0.015.Conclusion:Hypnotherapy and yoga combination therapy can reduce anxiety scores in elective preoperative patients. 

<p>Aging process leads to decline in body functions, including in musculoskeletal system. Bone mass loss (osteoporosis) is one of the problems in musculoskeletal system which often experienced by elderly. Osteoporosis could have a great impact on elderlys life, such as increased risk of fractures and decreased quality of life. The objective was to construct models of the formation of osteoporosis care group (OCG) and empowerment of the elderly to increase calcium intake to reduce the osteoporosis incidence. This study uses Participatory Rural Appraisal (PRA) approach. Participants are Posyandu Lansia cadresand members of Posyandu Lansia in the Dawuhan village, Padamara District, Central Java, Indonesia. The following steps were implemented in this study 1) problem identification 2) formation of OCG, 3) OCG training, and 4) OCG mentoring process. Data was analyzed using qualitative method. Results showed that knowledge and skills of OCG members in regards to osteoporosis management were improved following training andmentoring process. Further, OCG members can apply their knowledge and skills toempower elderly for increasing calcium intake. OCG which is involving cadres and community leaders and elderly as its members are very important to cultivate awareness in health maintaining in order to prevent osteoporosis.</p>

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