Background: Patients with type-2 Diabetes Mellitus (DM) need support from their families to perform self-care to prevent complications; however, not all families have effective support. Family empowerment is a family-based strategic intervention which can improve family support to those patients.Purpose: This study aimed to determine the effects of family empowerment on increasing family support in patients with type 2 DM.Methods: This study used a quasi-experiment with non-equivalent control group design. Forty-six respondents were recruited using a consecutive sampling technique and assigned to the control and intervention groups. Respondents in the intervention group were given family empowerment intervention by visiting their homes four times, for 120 minutes each. In contrast, the control group was given the intervention of standard booklets. The Hensarling Diabetes Family Support Scale (HDFSS) was used to observe the family support on both groups. Data were analyzed by independent t-test.Results: Results showed that there was a significant difference between the intervention and the control group with t=7.86 and p-value of 0.00. There were mean differences of 2.29 and 0.28 between the intervention and the control group, respectively.Conclusion: Family empowerment affected family support in patients with type-2 DM. Based on this study, it is recommended that the health workers advocate and encourage the family in the planning management of patients with diabetes mellitus.
<p><em>People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus.</em></p><p> </p><p><em>Penderita </em><em>Diabetes mellitus </em><em>beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bert</em><em>ujuan </em><em>untuk</em><em> menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. </em><em>Jenis p</em><em>enelitian ini </em><em>adalah</em><em> deskriptif korelasi</em><em> dengan desain cross sectional</em><em>. Teknik pengambilan sampel menggunakan non probability </em><em>sampling </em><em>dengan pendeka</em><em>t</em><em>an consecutive sampling</em><em>.</em><em> </em><em>J</em><em>umlah </em><em>sampel sebanyak</em><em> </em><em>118 responden.</em><em> </em><em>Instrumen </em><em>penelitian </em><em>untuk mengukur self management </em><em>menggunakan</em><em> </em><em>diabetes self management questionnaire</em><em> (DSMQ), </em><em>dan instrumen untuk mengukur kualitas hidup menggunakan </em><em>quality of life </em><em>WHOQOL-BREEF.</em><em> Analisis data menggunakan spearman rank dan didapatkan hasil nilai </em><em>p value 0,000</em><em> dan r 0,394.Terdapat </em><em>hubungan </em><em>antara </em><em>self management</em><em> dengan kualitas hidup pasien diabetes mellitus</em><em> dengan arah korelasi positif.</em></p>
AbstrakSustainable Development Goals (SDGs) tahun 2016 menempatkan kesehatan ibu dan anak sebagai indikator keberhasilan dalam pembangunan kesehatan. Posyandu merupakan Pelayanan kesehatan yang memungkinkan untuk memantau kesehatan ibu dan anak, karena mampu menjangkau seluruh masyarakat sampai ke pelosok wilayah. Data dan Informasi Kesehatan Indonesia 2018, di Jawa Tengah terdapat sebanyak 46.701 Posyandu, namun yang aktif melaksanakan kegiatan hanya 33.609 Posyandu (71,97%). Sehingga diperlukan revitalisasi posyandu yang bertujuan untuk meningkatkan fungsi dan kinerja Posyandu agar dapat memenuhi kebutuhan kesehatan masyarakat terutama anak dan balita. Program revitalisasi ini berbasis pemberdayaan, dan kader Posyandu sebagai mitranya. Kegiatan utama program revitalisasi posyandu meliputi, 1) Program pelatihan kompetensi kader, 2) Program pelayanan pokok Posyandu, dan 3) Program dukungan masyarakat. Hasil kegiatan menunjukkan kompetensi kader mengalami peningkatan meliputi pengetahuan tentang 5 program pokok posyandu, keterampilan melakukan pemeriksaan kesehatan balita, keterampilan membuat media penyuluhan kesehatan, keterampilan memberikan penyuluhan kesehatan, keterampilan melakukan kunjungan rumah, dan keterampilan melakukan pembukuan sistem informasi posyandu.�Kata kunci: kader; kesehatan anak dan balita; revitalisasi posyandu.��AbstractOne of the 2016 Sustainable Development Goals (SDGs) targets is maternal and child health as an indicator of success in health development. Posyandu is a health service that allows to monitor the health of mothers and children, being able to reach the whole community to remote areas. Indonesian Ministry of Health data for 2018, in Central Java there were 46,701 Posyandu, but only 33,609 Posyandu were active in carrying out activities (71.97%). So that the Posyandu Revitalization is needed which aims to improve the function and performance of Posyandu so that it can meet the health needs of the community, especially children and toddlers. This revitalization program is based on empowerment, and Posyandu cadres as partners. The main activities of the Posyandu revitalization program include, 1) Cadre competency training program, 2) Posyandu main service program, and 3) Community support program. The results of the activity showed that cadres' competencies had increased including knowledge of the five main posyandu programs, skills in conducting under-five health checks, skills in making health education media, skills in providing health education, skills in home visits, and skills in recording posyandu information systems.Keywords: cadres; child and toddler health; posyandu revitalization
Fenomena stunting di Indonesia mencapai angka 30,8%. Masalah stunting ini memiliki konsekuensi jangka panjang untuk kesehatan dan tumbuh kembang anak nantinya. Intervensi nyata dibutuhkan untuk menurunkan angka kejadian stunting. Salah satunya dengan pengaktifan program keluarga sadar gizi (KADARZI) kembali meskipun saat ini masih dalam masa pandemi yang merupakan situasi cukup sulit bagi sebagian besar orang. Pengabdian masyarakat ini bertujuan untuk meningkatkan kemampuan keluarga dengan anak usia 6-12 bulan dalam menyiapkan menu Makanan Pendamping Air Susu Ibu (MP ASI) yang bervariasi dan kaya gizi dengan menggunakan bahan makanan yang mudah didapat di sekitarnya. Kegiatan ini terdiri dari empat tahap, yaitu analisis situasi, perencanaan, pelaksanaan, serta monitoring dan evaluasi. Kegiatan dilakukan bersama kader setempat pada tahap analisis situasi dan perencanaan. Tahap pelaksanaan melalui sosialisasi program yang didukung oleh ketua Pemberdayaan Kesehatan Keluarga (PKK), edukasi pada keluarga yang memiliki anak usia 6-12 bulan, serta praktik pembuatan menu MP ASI. Hasil evaluasi terdapat peningkatan sebesar 80% pada pengetahuan dan keterampilan ibu sebelum dan setelah pelaksanaan program. Program penguatan KADARZI dirasakan cukup efektif bagi Ibu. Kader dan petugas kesehatan dapat melibatkan tokoh yang ada di sekitar masyarakat untuk mengoptimalkan derajat kesehatan anak terutama saat berada pada masa 1000 hari pertama kehidupan meskipun di masa pandemi covid-19.
Self-care activity (SCA) is an important activity which is practised by people with diabetes mellitus toprevent complications of their diseases. SCA must be done every day including diet settings, physicalexercise, monitoring blood sugar, regular treatment, and prevention of complications. However, DMsufferers in rural areas have not performed the SCA optimally. The purpose of this study was to describethe implementation of self-care activity for DM patients in rural areas involving 112 DM sufferers using adescriptive methods. Self-care activity was measured using the Summary of Diabetes SelfCare Activities(SDSCA) instrument. Data analysis used frequency distribution. The result showed that most of therespondents had good self-care abilities (62.5%). More than half of the respondents were able to arrangethe right diet (64.3%), able to control blood glucose levels (77.7%), and able to prevent complications(71.4%). However, the ability to manage physical activity (sports) was only 43.8% and took medicationwas laso ony 20.5%.. The study suggested that health workers need to involve the family of DM sufferersto carry out sports assistance as well as regular treatment as to achive better SCA. Key words: selfcare activity, diabetes mellitus, rural Area Abstrak Selfcare activity (SCA) merupakan aktivitas perawatan diri yang penting dilakukan oleh penderita diabetesmellitus (DM) untuk mencegah komplikasi. Selfcare activity dilakukan setiap hari meliputi pengaturandiet, latihan jasmani, pemantauan gula darah, pengobatan, dan pencegahan komplikasi. Namun penderitaDM di wilayah perdesaan masih belum optimal melakukan SCA dan faktor penyebabnya antara laintidak paham terhadap perawatan DM karena kurangnya interaksi dengan tenaga kesehatan, rendahnyakeyakinan dan sikap karena kurangnya dukungan dari keluarga. Tujuan penelitian ini mengetahuibagaimana implementasi self care activity penderita DM di wilayah Puskesmas Bangetayu Semarang secaradeskriptif dengan total sampel sebanyak 112 orang penderita DM. Self care activity diukur menggunakaninstrumen Summary of Diabetes SelfCare Activities (SDSCA), analisis data menggunakan uji distribusifrekuensi. Hasil penelitian menunjukkan bahwa sebagian besar responden sudah memiliki kemampuanself care baik (62,5%), mampu melakukan pengaturan diit yang tepat (64,3%), mampu mengontrol kadarglukosa darah (77,7%) dan mampu melakukan pencegahan komplikasi (71,4%). Namun pada komponenpengaturan aktivitas fisik (olah raga) hanya 43,8% dan perilaku pengobatan hanya 20,5%. Penelitian inimenyarankan agar petugas kesehatan melibatkan peran keluarga untuk melakukan pendampingan olahraga dan pengobatan rutin. Kata kunci : Selfcare Activity, Diabetes Mellitus, perdesaan
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