Diabetes adalah penyakit metabolik kronis yang ditandai dengan hiperglikemia, yang dapat menyebabkan komplikasi pada jantung, pembuluh darah, mata, ginjal, dan saraf. Kadar gula darah normal yaitu antara 70-110 mg/dl. Faktor yang mempengaruhi kadar gula darah diantaranya yaitu tingkat pengetahuan dan kepatuhan pengobatan. Oleh karena itu, perlu dilakukan penelitian untuk mengetahui hubungan tingkat pengetahuan dan kepatuhan pengobatan terhadap kejadian peningkatan kadar gula darah pada pasien diabetes melitus. Desain penelitian adalah korelasi dengan pendekatan cross sectional. Teknik pengambilan sampel dilakukan dengan purposive sampling dengan jumlah sampel yaitu 101 responden. Pengumpulan data menggunakan instrumen kuesioner dan pengolahan data menggunakan uji spearman dan regresi logistik. Hasil penelitian didapatkan hasil 69 responden (68,3%) memiliki tingkat pengetahuan kurang, 72 responden (71,3%) memiliki kepatuhan pengobatan yang rendah, dan 64 responden (63,4%) memiliki kadar gula darah buruk. Hasil menunjukkan adanya hubungan signifikan antara tingkat pengetahuan (p value 0,001), kepatuhan pengobatan (p value 0,000) terhadap peningkatan kadar gula darah pada pasien diabetes melitus di wilayah Kecamatan Ngawi. Peneliti selanjutnya dapat meneliti faktor yang belum diteliti seperti tingkat kecemasan, penyakit penyerta, lama sakit, dan lain sebagainya.
Hypertension is a common disease in primary care. Hypertension is a cardiovascular disorder marked by elevated blood pressure caused by coffee consumption. Coffee is favorite common drink in Indonesia, is one of the causes of hypertension. This study aims to analyze the relationship between consumtion coffee habits and the incidence of hypertension in the Tanjungsepreh village. The study use cross sectional approch and collected data research were obtained by partitipan filling out a questionnaire. univariate analysis used descriptive statistics and bivariate analysis using the Spearman-rank test. In this study, there were 36 respondents with significant results, P-value = 0.039 and α = 0.05, which means that there is a relationship between consumption coffee habits and the hypertension for humans.
ABSTRAK PTM (Penyakit Tidak Menular) masih menjadi penyebab kematian tinggi di dunia. Penyakit ini meningkat seiring dengan perubahan gaya hidup masyarakat. PTM, seperti hipertensi, Diabetes Mellitus, Penyakit Paru Obstruktif Kronis, dan Kanker menjadi penyakit yang mengancam nyawa manusia saat ini. Peningkatan PTM dapat dikendalikan dengan memberdayakan masyarakat melalui Posbindu-PTM. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk meningkatkan kesadaran dan mengendalikan PTM dengan melakukan pembentukan Posbindu-PTM. Kegiatan pengabdian kepada masyarakat ini dilakukan di Dusun Watukaras Desa Jenggrik Kecamatan Kedunggalar Kabupaten Ngawi pada tanggal 13 Juni sampai dengan 8 Juli 2022. Kegiatan ini dibagi menjadi tiga tahap, yaitu tahap persiapan, pelaksanaan dan evaluasi. Pelaksanaan kegiatan ini dilakukan dengan pendidikan kesehatan, pembentukan Posbindu-PTM dan pemeriksaan kesehatan sederhana. Hasil kegiatan berupa pemahaman masyarakan tentang Posbindu-PTM, terbentuknya Posbindu-PTM dan deteksi dini terhadap 102 warga dengan hasil normotensi 14 orang, pra hipertensi 60 orang, hipertensi tingkat 1 sebanyak 11 orang, hipertensi tingkat 2 sebanyak 1 orang, hipertensi sistolik 16 orang, GDA diatas normal sebanyak 9, dan peningkatan kolesterol 7 orang. Kegiatan Posbindu-PTM merupakan kegiatan efektif untuk mengendalikan kejadian PTM, sehingga perlu adanya dukungan dari berbagai pihak baik puskesmas, pemerintah desa, kader kesehatan maupun wargasyarakat itu sendiri. Kata Kunci: Pemberdayaan Masyarakat, Penyakit Tidak Menular (PTM), Posbindu-PTM ABSTRACT PTM (Non-Communicable Diseases) is still a high cause of death in the world. This disease is increasing along with changes in people's lifestyles. PTM, such as hypertension, Diabetes Mellitus, Chronic Obstructive Pulmonary Disease, and Cancer are diseases that threaten human life today. The increase in PTM can be controlled by empowering the community through Posbindu-PTM. The purpose of this community service activity is to increase awareness and control PTM by establishing Posbindu-PTM. This community service activity was carried out in Watukaras Hamlet, Jenggrik Village, Kedunggalar District, Ngawi Regency on June 13 to July 8, 2022. This activity was divided into three stages, namely the preparation, implementation and evaluation stages. The implementation of this activity is carried out with health education, the establishment of Posbindu-PTM and simple health checks. The results of the activity in the form of community understanding about Posbindu-PTM, formation of Posbindu-PTM and early detection of 102 people with normotension results 14, pre-hypertension 60, hypertension level 1 as many as 11, hypertension level 2 as many as 1 person, systolic hypertension 16, GDA above normal as many as 9, and increased cholesterol 7 people. The Posbindu-PTM activity is an effective activity to control the incidence of PTM, so there needs to be support from various parties, including the puskesmas, village government, health cadres and the community itself. Keywords: Community Empowerment, Non-Communicable Diseases, Posbindu-PTM
Background: Treatment adherence is essential for DOTS TB completion and cure. In Ngawi, East Java, DOTS TB treatment coverage has not reached the targeted level of 100%. Some patients did not adhere treatment or even did not complete it. This study aimed to investigate the association between the presence of drug-taking supervisors and patient adherence to DOTS TB treatment at Ngawi Health Center, East Java. Subjects and Method: This was a analytic cross-sectional study conducted at Ngawi community health center, East Java. A sample of 41 patients undertaking TB DOTS treatment were selected for this study. The dependent variable was treatment adherence. The independent variabe was presence of drug-taking supervisor. The data were collected using a set of questionnaire and observation. The data was analyzed using Odds Ratio and Chi Square. Results: There were 25 (94.7%) patients who adhered DOTS treatment and 6 (40%) patients who did not adhere DOTS treatment. Patient adherence to DOTS treatment was associated with the presence of drug-taking supervisor (OR= 16.67; 95% CI= 1.76 to 158.12; p=0.003). Conclusion: Patient adherence to DOTS treatment is associated with the presence of drug-taking supervisor.
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