Latar Belakang : Neuropati periferal merupakan salah satu komplikasi pada penderita DM tipe 2 yang ditandai dengan sensivitas kaki menurun sehingga dapat mengakibatkan perlukaan pada kaki, deteksi dini sensitivitas kaki sangat penting untuk mencegah perlukaan pada kaki dan amputasi, hasil uji sensitivitas kaki yang buruk akan mengakibatkan penderita tidak bisa merasakan sentuhan pada kakinya sehingga diperlukan intervensi berupa perawatan kaki yang dapat membuat hasil uji sensitivitas kaki menjadi lebih baik.Tujuan: Penelitian ini bertujuan melihat pengaruh perawatan kaki terhadap perubahan uji sensitivitas kaki pada penderita DM Tipe 2 di wilayah UPTD Puskesmas Pontianak SelatanMetode: Penelitian kuantitatif yang menggunakan desain penelitian quasy experiment dengan jenis penelitian pre and post test dengan simple random sampling yang mana menggunakan satu kelompok intervensi dan satu kelompok kontrol pada responden sebanyak 36 orang dengan menggunakan instrumen uji sensitivitas kaki berupa monofilamen 10g dan Garputala 128 Hz.Hasil : uji Mann Whitney menunjukkan bahwa ada perbedaan yang signifikan perawatan kaki terhadap perubahan uji sensitivitas kaki (?= 0,000) pada penderita DM Tipe 2 yang mengalami neuropati periferal..Kesimpulan : Ada pengaruh perawatan kaki terhadap perubahan uji sensitivitas kaki neuropati periferal pada pasien DM tipe 2 di wilayah UPTD Puskesmas Pontianak Selatan.Kata Kunci : Perawatan Kaki, Neropati Periferal, Uji Sensitivitas KakiReferensi : 24 (2008-2018)
Nursing is a profession for health workers to maintain the quality of health services. The nursing profession makes efforts to develop professional service quality, one of which is regarding nursing care standards, namely documentation. Quality documentation is handy for hospitals in increasing accreditation, communication between professions, indicators of quality services, and a research facility. Nursing documentation, one of them is that diagnosis is an essential aspect of nursing practice. Standard Diagnosis Keperawatan Indonesia, Standart Luaran Keperawatan Indonesia, and Standard Intervensi Keperawatan Indonesia have been compiled by the PPNI professional organization and are expected to improve the quality of Indonesian nursing care documentation. Therefore, there is a need for comprehensive socialization for nurses; the activities carried out were attended by 210 nurses and conducted virtually through zoom meetings. During the activity, pretest and posttest were carried out to determine participants' level of knowledge about SDKI. From the results of the tabulation of participants, it was found that most of the participants were educated professional nurses (70%) and primary nurses (51.90%). The results of the analysis of the results of the pretest-posttest obtained a p-value = 0.000, which indicates a significant difference in nurses' knowledge. The results of this pretest-posttest show that nurses' knowledge can be increased by providing socialization of nursing diagnosis standards. It is expected that hospitals can routinely provide knowledge stimulation, especially about nursing care documentation.
Hypertension is a non-communicable disease with an increasing incidence, especially in the elderly. One of the reasons is that many sufferers do not routinely even take medication after experiencing hypertension. In addition to medication, dietary factors can also increase the risk of an increase in blood pressure. Community service is expected to be able to help health problems independently. Community empowerment is carried out by introducing regional conditions, introspective surveys, deliberation, participatory planning, implementation of activities, and sustainability development. The implementation is carried out by providing health education about hypertension diet and medication adherence by using poster media entitled “CAT HITAM” during a pandemic, before and after the activity, pretest-posttest is carried out to determine dietary knowledge and medication adherence for hypertension sufferers, Health Education regarding activities that can be done, recommended food consumption, and medication adherence that hypertension sufferers must adhere to during a pandemic. The pretest-posttest results showed differences in knowledge of diet and medication before and after health education with a p-value <0.05. Dietary problems from the results of community assessments are mostly about the limits of salt consumption for hypertension and treatment. Most of the respondents said they stopped treatment because they felt they had no complaints. It needs cooperation from various parties to continuously motivate the elderly to follow the rules of diet and treatment of hypertension.
Pendahuluan: Supportive educative system merupakan praktik keperawatan dengan tujuan memberikan pendidikan dan dukungan agar pasien PPOK mampu melakukan perawatan diri secara mandiri Tujuan penelitian ini menganalisis pengaruh supportive educative terhadap pengetahuan perawatan diri (self care) dan self efficacy. Metodologi : Penelitian ini menggunakan desain quasy eksperimental pre-post test control group desaign. Besar sampel sejumlah 32 pasien yang terdiri dari 16 pasien PPOK di Rumah Sakit Umum Daerah Soedarso – Pontianak dan 16 pasien PPOK Rumah Sakit Umum Daerah Abdul Aziz - Singkawang. Variabel penelitian ini meliputi : supportive educative, pengetahuan self care, self efficacy. Pengumpulan data menggunakan kuesioner dianalisis menggunakan paired t-test dan regresi linier sederhana. Hasil : Hasil uji paired t test terdapat perbedaan secara signifikan pada kelompok intervensi yaitu pengetahuan self car dan self efficacy, sedangkan pada kelompok kontrol tidak signifikan. Hasil uji regresi supportive educative berpengaruh terhadap variabel pengetahuan self care (nilai R square 0,409), dan tidak signifikan pada self efficacy (nilai R square 0,000). Diskusi : Metode teaching dan guiding pada program supportive educative mampu berdampak pada aspek pola nutrisi terutama memperbaiki kebiasaan makan, sebaliknya pada self efficacy lansia tidak karena lebih cenderung berfokus pada penerimaan dan penolakan terhadap kemampuannya seiring dengan kemunduran fisik dan intelektual.
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