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Hamidah
Pengontrolan glikemik pada individu diabetes melitus tipe 2 dengan hemodialisis kronik melalui pendekatan orem s self care model = Glycemic control in type 2 diabetes mellitus and chronic hemodialysis patients with orem s self care model approach
"[ABSTRAK
Diabetic Kidney Disease DKD pada Diabetes Melitus Tipe 2 DMT2 merupakan komplikasi kronik yang dapat dicegah dan ditunda progresifitasnya dengan pengontrolan glikemik yang baik dan penatalaksanaan yang tepat dari komorbid lainnya Pengontrolan glikemik menjadi tanggung jawab bersama antara multidisiplin profesi kesehatan di ruang rawat dokter perawat dietisien farmasis dengan pasien serta keluarga Model Self care Orem sangat sesuai untuk diaplikasikan dan dikembangkan di ruangan pada asuhan keperawatan pasien dengan penyakit kronik Pasien dapat bersinergi secara aktif sesuai kemampuannya dalam mencapai tujuan dari setiap intervensi keperawatan Disamping itu pendekatan model self care Orem sesuai untuk mempersiapkan pasien dalam meningkatkan kemampuan self care untuk pasca rawat Pelaksanaan praktek berbasis pembuktian pengukuran suhu kaki dengan termometer infrared dapat menjadi perangkat tambahan untuk menilai adanya gejala inflamasi lokal sehingga upaya deteksi dini menjadi lebih komprehensif Pelaksanaan kegiatan inovasi pemantauan dan pemeriksaan kesehatan mandiri pada pasien DM dapat meningkatkan upaya promosi kesehatan pada pasien DM
ABSTRACT
Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients , Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ]"
2015
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Hamidah
Pengontrolan glikemik pada individu diabetes melitus tipe 2 dengan hemodialisis kronik melalui pendekatan Orem's Self Care model = Glycemic control in type 2 diabetes mellitus and chronic hemodialysis patients with Orem's Self Care model approach
"[ABSTRAK
Diabetic Kidney Disease (DKD) pada Diabetes Melitus Tipe 2 (DMT2) merupakan komplikasi kronik yang dapat dicegah dan ditunda progresifitasnya dengan pengontrolan glikemik yang baik dan penatalaksanaan yang tepat dari komorbid lainnya. Pengontrolan glikemik menjadi tanggung jawab bersama antara multidisiplin profesi kesehatan di ruang rawat (dokter, perawat, dietisien, farmasis) dengan pasien (serta keluarga). Model Self care Orem sangat sesuai untuk diaplikasikan dan dikembangkan di ruangan pada asuhan keperawatan pasien dengan penyakit kronik. Pasien dapat bersinergi secara aktif sesuai kemampuannya dalam mencapai tujuan dari setiap intervensi keperawatan. Disamping itu pendekatan model self care Orem sesuai untuk mempersiapkan pasien dalam meningkatkan kemampuan self care untuk pasca rawat. Pelaksanaan praktek berbasis pembuktian, pengukuran suhu kaki dengan termometer infrared dapat menjadi perangkat tambahan untuk menilai adanya gejala inflamasi lokal sehingga upaya deteksi dini menjadi lebih komprehensif. Pelaksanaan kegiatan inovasi pemantauan dan pemeriksaan kesehatan mandiri pada pasien DM dapat meningkatkan upaya promosi kesehatan pada pasien DM.ABSTRACT Diabetic Kidney Disease (DKD) in Type 2 Diabetes Mellitus (T2DM) is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments. Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward (doctors, nurses, dietisien, pharmacists) and patients (and families). Orem?s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases. Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention. Besides, Orem?s self care model approach appropriate to prepare the patient to improve the ability of self care for post-hospitalization. Implementation of evidence-based practice, the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive. Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients. ;Diabetic Kidney Disease (DKD) in Type 2 Diabetes Mellitus (T2DM) is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments. Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward (doctors, nurses, dietisien, pharmacists) and patients (and families). Orem?s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases. Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention. Besides, Orem?s self care model approach appropriate to prepare the patient to improve the ability of self care for post-hospitalization. Implementation of evidence-based practice, the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive. Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients. , Diabetic Kidney Disease (DKD) in Type 2 Diabetes Mellitus (T2DM) is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments. Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward (doctors, nurses, dietisien, pharmacists) and patients (and families). Orem’s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases. Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention. Besides, Orem’s self care model approach appropriate to prepare the patient to improve the ability of self care for post-hospitalization. Implementation of evidence-based practice, the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive. Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
cover
Fazar Az Zahara Wany
Studi fenonemologi: pengalaman disfungsi seksualitas pada pasien wanita diabetes melitus tipe 2 = Sexual dysfunction experience among with women type 2 diabetes mellitus a phenomenology study
"Diabetes melitus merupakan faktor risiko berkembangnya disfungsi seksualitas pada wanita yang dapat mempengaruhi hasrat seksual, lubrikasi, dispareunia, dan menurunnya kemampuan mencapai orgasme. Masalah disfungsi seksualitas pada pasien diabetes melitus masih merupakan hal yang tabu untuk dibahas secara terbuka karena sulitnya pasien untuk mengungkapkan masalah seksualitasnya kepada petugas kesehatan. Tujuan penelitian adalah untuk mengeksplorasi pengalaman disfungsi seksualitas pasien wanita dengan diabetes melitus. Metode penelitian ini menggunakan desain kualitatif dengan pendekatan studi fenomenologi. Partisipan wanita sejumlah 6 orang dengan kriteria inklusi berusia 18-45 tahun, wanita diabetes melitus tipe 2 dengan disfungsi seksual, memiliki pasangan pernikahan yang masih hidup, yang diambil dengan menggunakan teknik purposive sampling. Pengumpulan data dilakukan dengan metode wawancara mendalam dan menggunakan catatan lapangan field note. Setiap partisipan diberikan kuesioner FSFI female sexual function index untuk menentukan status disfungsi seksualnya. Data dianalisa dengan metode konten analisis kualitatif. Tujuh tema yang ditemukan: 1 ketidaknyamanan fisik saat melakukan aktifitas seksual; 2 adanya penurunan hasrat seksual pada isteri usia lebih dari 30 tahun; 3 ketidakpuasan aktifitas seksual yang dilakukan; 4 keterpaksaan dalam mendiskusikan masalah seksual pada petugas kesehatan; 5 kurangnya informasi tentang aktifitas seksual; 6 ketidakberdayaan menjalani pengobatan masalah seksual; dan 7 penurunan peran seksual sebagai istri. Dapat disimpulkan bahwa disfungsi seksual pada wanita diabetes melitus tipe 2 ada dan mengganggu baik secara fisik maupun psikologis. Namun, masih terdapat keengganan bagi wanita untuk dapat mendiskusikan masalahnya secara terbuka. Oleh sebab itu, disarankan bagi perawat untuk memulai komunikasi secara terbuka mengani masalah seksualitas wanita dengan diabetes melitus tipe 2.
Diabetes mellitus is a risk factor for developing female sexual dysfunction which affected sexual desire, lubrication, dispareunia sexual pain, and orgasm decreased. Sexual dysfunction problem in type 2 diabetic patients is still a taboo subject to be discussed because that was hard to be revealed to their healthcare personnel. The aim of the study was to explore sexual dysfunction experience of type 2 diabetes mellitus woman. A qualitative with a phenomenology design was used. This study was involved six women with type 2 diabetes mellitus who met the inclusion criterion ages 18 45 years, married, gathered using a purposive sampling method. Data were collected using an in depth interview and field notes. Each participant was screened using a FSFI quessionaire to determine sexual dysfunction status. Data were analyzed using qualitative content analysis. Seven themes emerged 1 physical discomfort while having sexual activities 2 presence of sexual desire decreased in spouse with ages more than 30 years old 3 dissatisfaction with sexual activity 4 hesitance feeling while discussing sexual problem with healthcare providers 5 lack of information about sexual activity 6 feeling powerlessness while undergone sexual problem treatment 7 decreased in sexual roles as a wife. In conclude that the sexual dysfunction among women with type 2 diabetes mellitus is existing and disturbing physically and psychology. But there has been hesitated of women to openly disccussed the problem. It is suggested for nurses to initiate open communication about sexual problem among women with type 2 diabetes mellitus."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
T47659
UI - Tesis Membership  Universitas Indonesia Library
cover
Naldo Sofian
Korelasi Antara Kendali Glikemik dengan Komponen PhysioCognitive Decline Syndrome pada Penyandang Diabetes Melitus Tipe 2 Dewasa Usia Pertengahan = Correlation between Glycemic Control with Component of PhysioCognitive Decline Syndrome among Patients with Type 2 Diabetes Melitus in Middle-Aged Adult
"Peningkatan kasus diabetes melitus tipe 2 (DMT2) dengan berbagai komplikasinya memberikan dampak gangguan fungsional seseorang dalam bentuk gangguan kognitif dan kapasitas fisik. Keduanya masih reversibel dan baru diketahui berhubungan sehingga disebut sebagai PhysioCognitive Decline Syndrome (PCDS). Kondisi PCDS baru dipelajari pada lansia dan belum spesifik pada penyandang DMT2.
Tujuan
Mengetahui korelasi antara kendali glikemik dengan komponen physiocognitive decline syndrome pada penyandang DMT2 dewasa usia pertengahan.
Metode Studi potong lintang menggunakan consecutive sampling dari pasien di poliklinik metabolik endokrin dan poli jantung terpadu sejak Januari 2021 – November 2022. Subjek DMT2 berusia 40 – 59 tahun diinklusi. Pemeriksaan kekuatan genggam tangan, dan kecepatan berjalan 6-meter diperiksakan di ruangan standar. MoCA-Ina dilakukan oleh dokter yang telah dilatih. Data HbA1c subjek yang diperiksa adalah HbA1c 3 bulan terakhir. Analisis korelasi Pearson’s atau Spearman’s pada SPSS 20.0 dilakukan sesuai sebaran data.
Hasil Sebanyak 133 subjek telah dianalisis. Usia median mencapai 53 tahun dengan proporsi laki-laki dan perempuan serta komplikasi pada masing-masing kateori kendali glikemik (batas HbA1c 7,0%) serupa. Subjek didominasi dengan pendidikan SMA dan Sarjana/Diploma. Median durasi terdiagnosisnya diabetes melitus mencapai 7 tahun dengan HbA1c median 7.6%. Nilai MoCA-Ina pada subjek mencapai nilai median 24 dengan kecepatan berjalan rerata 1.02 + 0.23 m/detik dan median kekuatan genggam tangan 24 kg. Terdapat korelasi bermakna hanya pada HbA1c dengan kekutan genggam tangan (r = -0.24, R2 = 0.06, p value <0.01), terutama pada perempuan
Kesimpulan
Terdapat korelasi bermakna antara kendali glikemik dan kekuatan genggam tangan.
Increasing cases of type 2 diabetes melitus (T2DM) including its complication have caused functional dysfunction consisted of cognitive decline and physical incapacity. Both cognitive decline and physical incapacity had been just known to be reversible and related to each other, so it is termed as PhysioCognitive Decline Syndrome (PCDS). However, it had been just evaluated in geriatric and not specific to T2DM patient.
To investigate the correlation between glycaemic correlation and component of physiocognitive decline syndrome in middle-aged adult with T2DM.
A cross sectional study with consecutive sampling in our metabolic and endocrine clinic and integrated heart centre in January 2021 – November 2022 had been conducted. Inclusion criteria was 40 – 59 years old subjects with T2DM. Measurement of HbA1c in the last 3 month were analysed, while hand grip strength and gait speed were done in standard room. MoCA-Ina had been conducted by trained doctor. Correlation analysis using Pearson’s or Spearman’s in SPSS 20.0 was done according to data distribution.
133 subjects were analysed. Median age was 53 years old with both sex and complication within each glycaemic control category (HbA1c 7,0% cut off) were similar. Subjects were dominated by high school and undergraduate/diploma education level. Most subjects were diagnosed in up to 7 years of T2DM. Median of HbA1c levels in our study was 7.6%. MoCA-Ina score was 24 in median with mean of gait speed was 1.02 + 0.23 m/s. Our median for hand grip was 24 kg. Significant correlation was only found in relationship of HbA1c and hand grip strength (r = -0.24, R2 = 0.06, p value <0.01).
There was significant correlation between glycaemic control and hand grip strength.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
SP-pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Kartini
Analisis Praktek Keperawatan Medika Bedah Pada Pasien Diabetes Melitus Dengan Ulkus Menggunakan Pendekatan Teori Self Care Orem di RS. Cipto Mangunkusumo Jakarta = Analysis of Application of Medical Surgical Nursing Practice in Patients Diabetes Mellitus With Ulcer Using Orem's Self Care Theory in Cipto Mangunkusumo Jakarta
"Diabetes mellitus merupakan penyakit kronik pada system endokrin yang paling banyak dijumpai dipelayanan kesehatan. Perawat dalam memberikan asuhan keperawatan dapat menggunakan berbagai metode pendekatan, salah satunya dengan model pendekatan Self Care Orem yang menggunakan pendekatan untuk memandirikan pasien diabetes melalui manajemen diabetes secara mandiri.Residensi keperawatan medikal bedah peminatan keperawatan endokrin bertujuan melakukan analisis terhadap penerapan model pendekatan Self Care Orem dalam melakukan kegiatan pemberian asuhan keperawatan. Selain itu juga dilakukan penerapan praktek berbasis bukti dengan pengkajian 3 menit kaki diabetesdi poliklinik penyakit dalam diharapkan dapat menjadi skrining terhadap pencegahan terjadinya ulkus diabetik. Selain penerapan Evidence Based Nursing Practice juga dilakukan penerapan inovasi promosi kesehatan dengan tujuan untuk memandirikan pasien dalam melakukan perawatan diri sehari-hari dalam mencegah terjadinya komplikasi diabeti yang dilakukan dipoliklinik penyakit dalam RS. Ciptomangunkusumo, Jakarta. Diharapkan dengan penerapan asuhan keperawatan dengan menggunakan pendekatan Self Care Orem, serta penerapan pengkajian 3 menit kaki diabetik dan promosi kesehatan dapat menjadi acuan dalam penerapan asuhan keperawatan yang komprehensif dan terintegrasi, sehingga pada akhirnya diharapkan dapat meningkatkan kulaitas asuhan keperawatan.
Diabetes mellitus is a chronic disease in the endocrine system of the most prevalent in health care system. Nurses in providing nursing care can use various methods for approach , one of them with models of Orem Self Care approach.
That uses approach for diabetic patients through independent diabetes management. Nursing specialist of Medical-Surgical practice for endocrine conduct an analysis of the application models of Orem Self Care approach in the provision of nursing care activities. It also made the application of evidencebased practice with an assessment of the diabetic foot in 3 minutes in outpatient
with diabetic, with the aims to be screened foot problems for prevention of diabetic ulcers.
In addition to the application of evidence -based nursing practice is also carried
out the implementation of inovation prgramme health promotion. The purpose of
this programme is promote patient ability to be independent for perform daily
self-care and prevention from diabetic complication in Cipto Mangunkusumo
Hospital at Jakarta. The cxpectation of implementation of nursing care by using Orem Self Care Approach, 3 minutes diabetic foot assessment and health promotion can be a reference in the implementation of nursing care is comprehensive and integrated , which in turn is expected to improve the quality of nursing care ."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Katuuk, Mario Esau
Hubungan efikasi diri dengan perilaku perawatan kaki pada individu dengan diabetes melitus tipe 2 = The association between self efficacy and foot care behavior in people with type 2 diabetes mellitus
"Komplikasi kronis pada diabetes melitus berupa ulkus kaki diabetik dapat dicegah dengan melakukan perawatan kaki mandiri. Salah satu faktor yang berperan dalam perilaku perawatan kaki adalah efikasi diri.
Tujuan penelitian ini adalah untuk mengetahui hubungan efikasi diri dengan perilaku perawatan kaki pada individu dengan diabetes melitus tipe 2 (DMT2).
Penelitian ini menggunakan metode kuantitatif observasional analitik dengan pendekatan crossectional, melibatkan 74 individu dengan DMT2. Alat ukur yang digunakan berupa kuesioner karakteristik demografi, Foot Care Confidence Scale, Nottingham Assessment of Functional Footcare, dan pengetahuan perawatan kaki.
Hasil penelitian menunjukkan terdapat hubungan positif yang bermakna antara efikasi diri dengan perilaku perawatan kaki (r = 0.303; p = 0.009). Hasil analisis multivariat didapatkan efikasi diri menjadi prediktor terhadap perilaku perawatan kaki setelah dikontrol oleh pengetahuan dan tingkat pendidikan.
Kesimpulan dari penelitian ini adalah perlunya upaya untuk memperbaiki perilaku perawatan kaki pada individu dengan DMT2 dengan meningkatkan efikasi diri menggunakan sumber-sumber efikasi diri yang ada.
Chronic complications of type 2 diabetes mellitus such as diabetes foot ulcer could be prevented by performing foot self care. Self efficacy is the most important role in foot care.
This study aims to investigate the relationship between self efficacy and foot care behavior.
This study was observational analytic with cross-sectional approach, recruited 74 people with type 2 diabetes mellitus using consecutive sampling method. Data collection was done using demographic questionnaire, Foot Care Confidence Scale, Nottingham Assessment of Functional Foot-care and diabetic foot self care knowledge.
The result showed that there was a positive relationship between self efficacy and foot care behavior (r = 0.303; p = 0.009). Multivariate analysis showed that self efficacy became a strong predictor of foot self care behavior along with knowledge and educational level.
In conclusion, it is needed to improve foot self care in people with type 2 diabetes mellitus through increasing self efficacy."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
T42416
UI - Tesis Membership  Universitas Indonesia Library
cover
Dian Anggraini
Analisis praktik residensi keperawatan medikal bedah pada pasien diabetes melitus dengan komplikasi gagal ginjal kronik dan ulkus diabetikum menggunakan pendekatan teori self care orem = Analysis of the practice residency of diabetes mellitus patients with complications of diabetic ulcers and chronic kidney failure using orem self care approach
"ABSTRAK
Analisis praktik residensi keperawatan medikal bedah terdiri dari pengelolaan kasus gangguan sistem endokrin terutama diabetes melitus dengan pendekatan teori Self Care Orem, penerapan evidence based nursing dan melakukan proyek inovasi. Asuhan keperawatan menggunakan pendekatan teori self care berfokus untuk meningkatan kemampuan pasien dalam melakukan perawatan diri secara mandiri sehingga komplikasi lanjut dapat dicegah. Laporan ini bertujuan untuk menganalis penggunaan teori self care Orem dalam melakukan asuhan keperawatan pada pasien dengan diabetes melitus dengan menggunakan metode studi kasus dan literatur review. Hasil analisis didapatkan bahwa sebagian besar pasien diabetes melitus mempunyai masalah keperawatan ketidakstabilan glukosa darah, manajemen terapeutik tidak efektif, perluasan infeksi, dan gangguan keseimbangan nutrisi kurang dari kebutuhan tubuh. Intervensi keperawatan keperawatan yang dilakukan berfokus pada self care pasien diantaranya pengontrolan glukosa darah, manajemen diet, dan pengendalian infeksi. Teori self care Orem dapat diterapkan pada pasien diabetes melitus dalam memandirikan pasien dalam mengendalikan diabetesnya.
ABSTRACT
Analysis of medical surgical nursing residency practice consists of case management of endocrine system disorder especially diabetes mellitus with Orem Self Care theory approach, the application of evidence based nursing and innovation project. Nursing care using the self care theory approach focuses on improving the ability of patients in self-care self-care so that further complications can be prevented. This report aims to analyze the use of Orem self care theory in performing nursing care in patients with diabetes mellitus using case study and review literature methods. The analysis results obtained that most patients with diabetes mellitus have nursing problems of blood glucose instability, ineffective therapeutic management, extent of infection, and disturbance of nutrient balance less than body needs. Nursing care nursing interventions focused on the patient 39;s self-care such as blood glucose control, diet management, and infection control. Orem 39;s self care theory can be applied to diabetes mellitus patients in establishing patients in controlling their diabetes. "
2018
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Tantry Fatimah Syam
Ketahanan hidup pasien Ginjal Kronik yang menjalani Hemodialisis berdasarkan komorbiditas Diabetes Mellitus di RSUD Arifin Achmad Pekanbaru tahun 2011-2012 = Survival of the Chronic Kidney disease patients on maintenance Hemodialysis based on comorbidity of Diabetes Mellitus in Arifin Achmad Pekanbaru District Hospital 2011-2012
"Penyakit Ginjal Kronik merupakan salah satu penyakit tidak menular yang prevalensinya terus meningkat dari tahun ke tahun. Penurunan fungsi ginjal menjadi penyakit ginjal kronik tahap akhir mengakibatkan pasien harus menjalani terapi penganti ginjal semur hidup. Terapi yang paling banyak digunakan saat ini adalah hemodialisis. Meskipun alat hemodialisis telah banyak dan canggih, namun ketahanan hidup pasien PGK masih rendah. Salah satu penyebab rendahnya ketahanan hidup pasien PGK yang menjalani hemodialisis adalah komorbiditas atau penyakit penyerta. Komorbiditas yang saat ini paling umum pada pasien PGK yang menjalani hemodialisis adalah diabetes mellitus. Desain penelitian ini menggunakan desain kohort restrospektif. Probabilitas ketahanan hidup 3 bulan, 6 bulan, 9 bulan dan 1 tahun pasien PGK yang menjalani hemodialisis dengan komorbiditas diabetes mellitus lebih rendah dibandingkan pasien dengan komorbiditas bukan diabetes mellitus. Probabilitas ketahanan hidup 3 bulan, 6 bulan, 9 bulan, 1 tahun dan pasien PGK yang menjalani hemodialisis dengan komorbiditas diabetes mellitus adalah dalah 69%, 55% 34%, dan 34% sedangkan komorbiditas bukan diabetes mellitus adalah 76%, 61%, 53% dan 51%. Secara bivariat, pasien PGK yang menjalani hemodialisis dengan komorbiditas diabetes mellitus memiliki risiko untuk meninggal 1.75 kali lebih cepat dibandingkan dengan pasien komorbiditas bukan diabetes mellitus. Sementara itu dari analisis multivariat didapatkan variabel konfonder yang mempengaruhi rendahnya ketahanan hidup pasien PGK yang menjalani hemodialisis pada pasien dengan komorbiditas diabetes mellitus adalah akses vaskular.
Chronic kidney disease (CKD) is one of the no-communicable diseases which increase every years. The decline of kidney function will progress to End Stage Renal Disease (ESRD). The ESRD patients has to undurgo dialysis therapy during their lives. the most dialysis therapy is hemodialysis. Although the machine of hemodialysis are quiet a a lot and sophisticate, the survival of CKD patients is still low. One of the causes of low survival PGK patient on maintenance hemodialysis is the comorbid or present disease. Nowadays the most common comorbid for CKD patient with hemodialysis is diabetes mellitus. Research design is using Kohort Retrospective. The probability of survival of 3 months,6 months, 9 months and 1 year CKD patients on maintenance hemodialysis with comorbid diabetes mellitus is lower than patients without comorbidities of diabetes mellitus. The probability ofsurvival of 3 months, 6 months, 9 months, 1 year and CKD patients on maintenance with comorbid diabetes mellitus are 69%, 55% 34%, and 34% while one not comorbid diabetes mellitus are 76%, 61%, 53 % and 51%. In bivariate analysis,CKD patients on maintenance hemodialis with comorbid diabetes mellitus have a risk of dying 1.75 times faster than patients without comorbiddiabetes mellitus. Meanwhile obtained from multivariate analysis confonder variables that affect the low survival of CKD patients on maintenance in patients with comorbid diabetes mellitus is a vascular access."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2013
T35546
UI - Tesis Membership  Universitas Indonesia Library
cover
Novanza Rayhan Natasaputra
Hubungan Diabetes Self-Care Behaviour dengan Kontrol Glikemik Penyandang Diabetes Melitus Tipe 2 di Kota Bogor = The Relationship between Diabetes Self-Care Behaviour with Glycemic Control in Type 2 Diabetes Mellitus Patients in Bogor City
"Latar belakang: Diabetes melitus tipe 2 (DMT2) disandang oleh 10,7 juta orang di Indonesia dan menjadi tiga besar penyakit tidak menular penyebab kematian. Sebagian besar kematian terjadi akibat komplikasi yang diawali oleh kontrol glikemik kadar HbA1c yang tidak adekuat, dan diasosiasikan dengan aspek multifaktorial seperti karakteristik sosiodemografi maupun perilaku individu dalam merawat diri—Self-Care Behaviour. Penelitian ini bertujuan mengetahui hubungan antara tingkat kontrol glikemik pada penyandang DMT2 dengan karakteristik sosiodemografi dan perilaku self-care yang dimiliki. Metode: Studi ini menggunakan desain potong-lintang terhadap data sekunder yang dikumpulkan sebelumnya pada Kohor Penyakit Tidak Menular Bogor 2021. Data dikumpulkan menggunakan kuesioner Self-Care Behaviour yang divalidasi dalam bahasa Indonesia, pengukuran kadar HbA1c serta karakteristik penyandang. Populasi studi adalah penyandang DMT2 di lima fasilitas kesehatan primer di Kota Bogor. Sampel dianalisis menggunakan uji Chi-Square dan perhitungan odds ratio. Hasil: Analisis dilakukan pada 237 responden, terdiri atas 90 responden kelompok usia lansia (38%) dan 147 dewasa (62%). Jenis kelamin responden didominasi perempuan sebanyak 171 responden (72,2%) dan 66 responden laki-laki (27,8%). Sebanyak 149 responden (62,9%) memiliki skor Self-Care Behaviour yang baik. Sejumlah 134 responden (56,6%) memiliki kadar HbA1c yang terkontrol. Empat dari tujuh komponen Self-Care Behaviour—pengetahuan, motivasi, dukungan, dan efikasi—berhubungan dengan kontrol glikemik (p<0,001). Efikasi menjadi prediktor kadar HbA1c terkontrol paling kuat (Odds ratio [OR]: 9,7; 95% Confidence Interval [CI] 5,27–17,67). Skor keseluruhan Self-Care Behaviour yang baik meningkatkan probabilitas kadar HbA1c terkontrol 9,1 kali (95% CI 4,94–16,7) dibanding skor kurang baik. Komponen komunikasi, sikap, dan pembiayaan tidak memiliki hubungan signifikan. Tingkat pendidikan dan riwayat DMT2 di keluarga berhubungan dengan tingkat keseluruhan Self-Care Behaviour dan dengan kontrol kadar HbA1c. Kesimpulan: Aspek perilaku self-care pada penyandang DMT2 mempunyai dampak substansial dan signifikan terhadap kontrol glikemik yang dimiliki penyandang.
Introduction: Type 2 diabetes mellitus (T2DM) affects 10.7 million individuals in Indonesia and ranks among the top three non-communicable diseases leading to death. Most of mortality result from complications initiated by inadequate glycemic control, associated with multifactorial aspects such as sociodemographic characteristics and individual self-care behaviour. This study aims to explore the relationship between glycemic control levels in individuals with T2DM and their sociodemographic characteristics and self-care behavior. Method: This study is a cross-sectional study utilizing previously collected secondary data from the Non-Communicable Disease Cohort in Bogor 2021 Data were collected using a validated Self-Care Behaviour questionnaire in Bahasa Indonesia, along with primary data of HbA1c levels and respondent socio-characteristics. The study population consisted of individuals with T2DM from five primary healthcare facilities in Bogor city. The samples were analyzed using Chi-Square test and risk calculation. Result: The research analysis included 237 respondents, consisting of 90 elderly (38%) and 147 adults respondents (62%). The respondents were predominantly female, with 171 respondents (72.2%) compared to 66 male respondants (27.8%). A total of 149 respondents (62.9%) exhibited good Self-Care Behaviour scores. Approximately 134 respondents (56.6%) maintained controlled HbA1c levels. Four out of seven Self-Care Behaviour components—knowledge, motivation, support, and efficacy—were associated with glycemic control (p<0.001). Efficacy identified as the most influential predictor for controlled HbA1c levels (odds ratio [OR]: 9.7, 95% Confidence Interval [CI] 5.27–17.67). An overall good Self-Care Behaviour score is associated with a 9.1-fold increased probability of achieving controlled HbA1c levels (95% CI 4.94–16.7) compared to group with poor score. Self-Care Behaviour components of communication, attitude, and financing were not signicifantly associated. Education level and a family history of T2DM were associated with overall Self-Care Behaviour and with HbA1c control."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Skripsi Membership  Universitas Indonesia Library
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Brian Muttaqien
Hubungan antara Kadar Short-Chain Fatty Acid dengan Nilai Lower Limb Arterial Calcification pada Pasien Chronic Limb Threatening Ischemia dengan Diabetes Melitus Tipe 2 = The Correlation between Short-Chain Fatty Acid Levels and Lower Limb Arterial Calcification Score in Patients with Chronic Limb Threatening Ischemia and Type 2 Diabetes Mellitus
"Latar Belakang: Chronic limb threatening ischemia (CLTI) merupakan tahap akhir dari penyakit arteri perifer (PAP) yang menyebabkan morbiditas dan mortalitas yang tinggi. Penyakit arteri perifer dapat menjadi penanda aterotrombosis pada sistem vaskular lainnya. Peran mikrobiota usus dalam penyakit vaskular telah menjadi perhatian dalam penelitian terbaru. Perubahan komposisi mikrobiota usus dapat terjadi pada berbagai penyakit termasuk DM dan penyakit kardiovaskular. Short chain fatty acid (SCFA) adalah produk fermentasi mikrobiota usus dan dapat mempengaruhi kesehatan usus dan peradangan. SCFA dapat menghambat pembentukan foam cells dan mengurangi produksi sitokin pro-inflamasi oleh endotel. Deposit kalsium pada arteri adalah karakteristik dari proses aterosklerosis dan dapat dinilai menggunakan CT angiography. Tujuan dari penelitian ini adalah untuk mengevaluasi hubungan antara kadar SCFA dalam feses dengan tingkat kalsifikasi arteri pada pasien CLTI dengan DM.
Metode: Penelitian desain potong lintang pada 30 subjek CLTI dengan DM tipe 2 yang dirawat di RSUPN Cipto Mangunkusumo. Pengukuran kadar SCFA dengan sampel feses. Analisis statistik menggunakan SPSS versi 25, nilai p<0.05 menunjukkan kemaknaan secara statistik.
Hasil: Sebanyak 30 subjek penelitian CLTI dengan DM, didapatkan 17 subjek dengan diagnosis CLTI ekstremitas inferior sinistra dan 13 subjek dengan diagnosis CLTI ekstremitas inferior dekstra memiliki nilai kalsifikasi terberat pada regio right femoropopliteal dengan skor 449,46 ± 289,92 diikuti regio left femoropopliteal dengan skor 425 (0-6759). Didapatkan korelasi positif sedang antara persentase propionat dan skor LLAC regio left below knee (r=0,521; p= 0,032). Didapatkan korelasi positif lemah antara kadar HDL dengan aortoiliac score (r=0,371; p=0,043). Terdapat korelasi positif sedang pada kadar LDL dengan LLAC regio left below knee (r=0,535; p=0,027) serta korelasi positif kuat antara nilai kolestrol total dengan LLAC regio left below knee (r=0,671; p=0,003).
Kesimpulan: Ekskresi SCFA pada feses yang tinggi dapat mencerminkan nilai LLAC yang tinggi terutama regio femoropopliteal pada subjek CLTI dengan diabetes melitus.
Background: Chronic limb threatening ischemia (CLTI) is the end stage of peripheral artery disease (PAD) and is associated with high morbidity and mortality. Peripheral artery disease can serve as a marker of atherothrombosis in other vascular systems. The role of gut microbiota in vascular diseases has gained attention in recent research. Changes in gut microbiota composition have been observed in various diseases, including type 2 diabetes mellitus (DM) and cardiovascular diseases. Short chain fatty acids (SCFA), which are products of gut microbiota fermentation, can influence gut health and inflammation. SCFA can inhibit foam cell formation and reduce the production of pro-inflammatory cytokines by endothelial cells. Arterial calcification, assessed using CT angiography, is a characteristic feature of atherosclerosis. The aim of this study was to evaluate the relationship between fecal SCFA levels and arterial calcification in CLTI patients with DM.
Methods: A cross-sectional study was conducted on 30 CLTI subjects with type 2 DM who were treated at RSUPN Cipto Mangunkusumo. SCFA levels were measured using fecal samples. Statistical analysis was performed using SPSS version 25, with a significance level of p<0.05.
Results: the 30 CLTI subjects with DM, 17 had CLTI in the left lower extremity and 13 had CLTI in the right lower extremity. The highest calcification score was found in the right femoropopliteal region with a score of 449.46 ± 289.92, followed by the left femoropopliteal region with a score of 425 (0-6759). A moderate positive correlation was found between the percentage of propionate and the LLAC score in the left below knee region (r=0.521; p=0.032). A weak positive correlation was observed between HDL levels and the aortoiliac score (r=0.371; p=0.043). There was a moderate positive correlation between LDL levels and the LLAC score in the left below knee region (r=0.535; p=0.027), as well as a strong positive correlation between total cholesterol levels and the LLAC score in the left below knee region (r=0.671; p=0.003).
Conclusion: High fecal SCFA excretion may reflect high LLAC scores, particularly in the femoropopliteal region, in CLTI subjects with diabetes mellitus.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Tesis Membership  Universitas Indonesia Library
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