AbstrakPerubahan fisiologis pada kehamilan trimester pertama banyak menimbulkan keluhan, salah satunya adalah mual muntah. Ibu hamil yang mengalami mual muntah kebanyakan tidak mengetahui cara mengatasinya, hanya membiarkan saja ketika keluhan itu datang. Ibu baru pergi ke tempat pelayanan kesehatan ketika keluhan tersebut sudah mengganggu aktifitas. Mual muntah pada kehamilan seharusnya dapat diatasi dengan perubahan perilaku. Self management module dapat merubah perilaku dengan informasi untuk mengatasi mual muntah tanpa penggunaan terapi farmakologi. Penelitian ini bertujuan untuk mengetahui pengaruh self management module dalam mengatasi morning sicknes pada ibu hamil. Penelitian ini merupakan penelitian pre experiment dengan rancangan pre and posttest one group. Data dikumpulkan melalui pengukuran frekuensi mual muntah menggunakan (PUQE)-24. Responden yang terlibat sebanyak 30 orang. Data dianalisis menggunakan uji Wilcoxon. Hasil uji normalitas menunjukkan data terdistribusi tidak normal. Rerata nilai pretest=6,52 (SD=1,947) dan posttest=4,52 (SD=1,895). Terdapat 27 responden yang mengalami penurunan skor, dua orang mengalami peningkatan skor, dan satu orang memiliki skor yang sama saat pretest maupun posttest. Perbedaan nilai pretest dan posttest dianalisis menggunakan uji Wilcoxon, sehingga diperoleh nilai signifikansi 0,000 (p<0,05). Terdapat perbedaan skor PUQE sebelum dan sesudah pemberian self management module morning sickness. Self management module morning sickness efektif dalam mengatasi morning sickness pada ibu hamil.Kata kunci: Morning sickness, PUQE, self management module, terapi nonfarmakologi. Effectiveness Self Management Module in Overcoming Morning Sickness AbstractPhysiological changes during the first-trimester prenatal period may cause many problems, one of which is morning sickness. Many pregnant women having morning sickness did not know the solution. Mostly, they ignored it. They went to the health services when the problem got worse and interfered their activities. After all, morning sickness should be solved by behavior change. Self-management module can vary the behavior by giving information to overcome morning sickness without pharmacological therapy. A quantitative research with pre-experiment, pre and post-test one group design, this study, therefore, aims at determining the effect of self-management module in overcoming morning sickness on pregnant women. Data were collected by Pregnancy-Unique Quantification of Emesis (PUQE)-24 scoring system. The study participants were 30 pregnant women. Data were analyzed by Wilcoxon. Based on the normality test results, data distribution was abnormal. The mean value of pretest = 6.52 (SD = 1.947) and post-test = 4.52 (SD = 1.895). There were 27 respondents who experienced a decline in scores, two of whom increased scores and one had similar pretest and posttest scores. Differences in the pretest and posttest values using Wilcoxon test significance value of 0.000 (p <0.05). There was a difference PUQE scores before and after administra...

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AbstrakPerubahan fisiologis pada kehamilan trimester pertama banyak menimbulkan keluhan, salah satunya adalah mual muntah. Ibu hamil yang mengalami mual muntah kebanyakan tidak mengetahui cara mengatasinya, hanya membiarkan saja ketika keluhan itu datang. Ibu baru pergi ke tempat pelayanan kesehatan ketika keluhan tersebut sudah mengganggu aktifitas. Mual muntah pada kehamilan seharusnya dapat diatasi dengan perubahan perilaku. Self management module dapat merubah perilaku dengan informasi untuk mengatasi mual muntah tanpa penggunaan terapi farmakologi. Penelitian ini bertujuan untuk mengetahui pengaruh self management module dalam mengatasi morning sicknes pada ibu hamil. Penelitian ini merupakan penelitian pre experiment dengan rancangan pre and posttest one group. Data dikumpulkan melalui pengukuran frekuensi mual muntah menggunakan (PUQE)-24. Responden yang terlibat sebanyak 30 orang. Data dianalisis menggunakan uji Wilcoxon. Hasil uji normalitas menunjukkan data terdistribusi tidak normal. Rerata nilai pretest=6,52 (SD=1,947) dan posttest=4,52 (SD=1,895). Terdapat 27 responden yang mengalami penurunan skor, dua orang mengalami peningkatan skor, dan satu orang memiliki skor yang sama saat pretest maupun posttest. Perbedaan nilai pretest dan posttest dianalisis menggunakan uji Wilcoxon, sehingga diperoleh nilai signifikansi 0,000 (p<0,05). Terdapat perbedaan skor PUQE sebelum dan sesudah pemberian self management module morning sickness. Self management module morning sickness efektif dalam mengatasi morning sickness pada ibu hamil.Kata kunci: Morning sickness, PUQE, self management module, terapi nonfarmakologi. Effectiveness Self Management Module in Overcoming Morning Sickness AbstractPhysiological changes during the first-trimester prenatal period may cause many problems, one of which is morning sickness. Many pregnant women having morning sickness did not know the solution. Mostly, they ignored it. They went to the health services when the problem got worse and interfered their activities. After all, morning sickness should be solved by behavior change. Self-management module can vary the behavior by giving information to overcome morning sickness without pharmacological therapy. A quantitative research with pre-experiment, pre and post-test one group design, this study, therefore, aims at determining the effect of self-management module in overcoming morning sickness on pregnant women. Data were collected by Pregnancy-Unique Quantification of Emesis (PUQE)-24 scoring system. The study participants were 30 pregnant women. Data were analyzed by Wilcoxon. Based on the normality test results, data distribution was abnormal. The mean value of pretest = 6.52 (SD = 1.947) and post-test = 4.52 (SD = 1.895). There were 27 respondents who experienced a decline in scores, two of whom increased scores and one had similar pretest and posttest scores. Differences in the pretest and posttest values using Wilcoxon test significance value of 0.000 (p <0.05). There was a difference PUQE scores before and after administra...

<p align="center"><strong>DETERMINANTS OF DIABETES SELF-CARE ON PATIENTS WITH TYPE 2 DIABETES MELLITUS IN BANYUMAS REGENCY</strong></p><p align="center"><strong>Eva Rahayu, </strong><strong>Ridlwan Kamaluddin</strong><strong>, Eti Dwi Hapsari</strong></p><p align="center">Lecturer of Nursing Department, Jenderal Soedirman University</p><p align="center">“ummufawwaz.rahayu@gmail.com”</p><p align="center"> </p><p align="center"><strong>ABSTRAK</strong></p><p>Penderita diabetes tipe 2 perlu menerapkan perawatan mandiri diabetes dalam rangka meminimalisir berbagai komplikasi dan penurunan kualitas hidup. Beberapa faktor diduga memiliki pengaruh terhadap penerapan  perawatan mandiri<em> </em>diabetes oleh penderita diabetestipe 2 di Kabupaten Banyumas. Tujuan penelitian ini adalah untuk  mengetahui faktor determinan yang berhubungan dengan penerapan perawatan mandiri<em>  </em>diabetes tipe 2 di Wilayah Kabupaten Banyumas. Penelitian ini menggunakan desain <em>cross sectional</em>. Populasi adalah seluruh penderita diabetes melitus tipe 2 se-Kabupaten Banyumas. Metode penarikan sample dengan teknik <em>cluster sampling</em>  dengan besar sampel 532 orang yang tersebar di 22 puskesmas se-Kabupaten Banyumas. Analisis data menggunakan uji korelasi Spearman dan Regresi Linier Ganda. Hasil penelitian menunjukkan nilai p pada masing–masing variabel yang dihubungkan dengan <em>perawatan mandiri</em> diabetes antara lain adalah jenis kelamin (p=0,043),usia (p=0,18), lama menderita diabetes (p= 0,11)  pengetahuan (p=0,000), motivasi (=0,01), serta dukungan keluarga (p=  0,000). Sebesar 10,4 % variasi perawatan mandiri diabetes  dapat dijelaskan oleh variabel pengetahuan dengan koefisien β = 0,32.  Kesimpulan penelitian adalah ada hubungan antara jenis kelamin, pengetahuan, motivasi dan dukungan keluarga dengan perawatan mandiri diabetes. Variabel pengetahuan menjadi faktor yang paling dominan berhubungan dengan perawatan mandiri diabetes<em>.</em></p><p><strong>Kata kunci : </strong>determinan, diabetes melitus<em>, </em>perawatan mandiri<em> </em>diabetes</p><p align="center"><strong> </strong></p><p align="center"><strong> </strong></p><p align="center"><strong> </strong></p><p align="center"><strong>ABSTRACT</strong></p><p align="center"><strong> </strong></p><p>Patients with type 2 diabetes need to apply self-care in order to minimize various complications and decreasing quality of life. Several factors are assumed to have an effect on the application of diabetes self-care by patients with type 2 diabetes in Banyumas Regency.  The purpose of this research was to determine the determinants related to the application of diabetes self care by patients withtype 2 diabetesin Banyumas Regency. This research used cross sectional design. Population was all patients with type 2 diabetes mellitus in Banyumas Regency. Sampling method was performed by cluster sampling technique with sample size of 532 patients spreading in 22 community health centers (Puskesmas) in Banyumas Regency. Data analysis used Spearman correlation test and Multiple Linear Regression. The result indicated that p value in each variable affecting diabetes self-care was gender  (p=0,043), age (p=0.18), duration of diabetes (p= 0.11) , knowledge (p=0.000), motivation (=0.01), and family support (p=  0.000). 10.4 % variation in diabetes self-care can be explained by knowledge variable with the coefficient β = 0.32.  It can be concluded that there was a relationship among gender, knowledge, motivation and family support on diabetes self-care. Knowledge variable was the most dominant factor related to diabetes self-care.</p><p><strong> </strong></p><br clear="ALL" /><p><strong>Keywords</strong><strong> : </strong>determinants, diabetes mellitus, diabetes self-care</p>