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"Peningkatan jumlah lansia diabetisi berdampak pada status kesehatan individu, keluarga dan negara. Diabetes melitus merupakan penyakit kronis yang memerlukan penatalaksanaan jangka panjang melalui manajemen diri. GELAS MANDIRI merupakan sebuah intervensi keperawatan dengan mengaplikasikan manajemen diri diabetes melitus yang berlandaskan pendidikan manajemen diri diabetes dan dukungan manajemen diri diabetes melalui integrasi manajemen layanan kesehatan, community as partner, family centered nursing, konsekuensi fungsional, perawatan diri pada lansia diabetisi. Penulisan ini bertujuan untuk memberikan gambaran pelaksanaan GELAS MANDIRI pada manajemen layanan kesehatan, komunitas, dan keluarga lansia diabetisi. Hasil kegiatan ini terbentuk posbindu dan kelompok B3 (belajar, berbagi, bertindak) lansia, dan terjadi peningkatan perilaku kader yaitu pengetahuan (36,2%), sikap (14,3%), dan ketrampilan (25%). Hasil menunjukkan peningkatan perilaku kelompok lansia diabetisi yang meliputi pengetahuan (32,6%), sikap (18,7%), ketrampilan (60%), dan penurunan kadar gula darah lansia (32,5%). Hasil juga menunjukkan terjadi peningkatan tingkat kemandirian keluarga (100%), pengetahuan (35%), sikap (20,2%), dan ketrampilan (24%). Kesimpulan dari penulisan ini yaitu intervensi GELAS MANDIRI meningkatkan kemampuan kader, lansia, dan keluarga dalam merawat lansia diabetesi secara mandiri serta penurunan gula darah lansia diabetisi. Penelitian ini merekomendasikan perlunya dukungan kebijakan, peran perawat komunitas, dan dukungan keluarga bagi lansia diabetisi untuk mampu melakukan manajemen diri.

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The increase of older adults population with diabetes mellitus have impacted the health status of individual, family, and the nation. Diabetes is a chronic disease that requires long term management through self management. GELAS MANDIRI is a nursing intervention by applying diabetes self management based on diabetes self management education and diabetes self management support through the integration model of health service management, Community as Partner, Family Centered Nursing, functional consequence, and self care in older adults with diabetes mellitus. This report aimed to provide an overview of the implementation GELAS MANDIRI on health services management, community, and family of older adults with diabetes mellitus.

The results of these activities were the establishment of Posbindu and B3 older adult group, also the increasing of health volunteer behavior, including knowledge (36,2%), attitudes (14,3%), and skills (25%). The result showed increasing of older adults behavior include knowledge (32,6%), attitudes (18,7%), and skills (60%), also the decrease in blood glucose level (32,5%). There was an increase of family independence (100%), knowledge (35%), attitude (20,2%), and skill (24%).

This report concludes that GELAS MANDIRI improves the ability of health volunteer, older adults, and families in the care of older adults with diabetes mellitus independently as well as a decrease in blood glucose level. The study recommends the need of policy support, community health nurses and family supports for older adults with diabetes mellitus to be able to do self management.;"

"Penurunan fungsi tubuh dan kemampuan tubuh lansia membuat pemenuhan kebutuhan dasar menjadi tidak adekuat. Masalah yang paling sering disebabkan oleh hal tersebut adalah penurunan kualitas hidup lansia. Tujuan penelitian ini adalah mengidentifikasi hubungan pemenuhan kebutuhan dasar dengan kualitas hidup lansia di Kelurahan Srengseng Sawah Kecamatan Jagakarsa Jakarta Selatan.Desain penelitian ini adalah studi korelasi dengan jenis penelitian analitic correlation melalui pendekatan cross sectional study dengan jumlah sampel 111. Pengambilan sampel dilakukan dengn cara purposive sampling. Uji bivariat dengan spearman rank, Multivariat dengan uji regresi linear ganda terhadap konfounding yaitu karaktersitik.Didapatkan hasil karakteristik umur (median=67,00), jenis kelamin perempuan (75,7%) dan pendapatan rendah (71,2%) merupakan konfounding dengan masing-masing nilai untuk umur p=0,00, jenis kelamin p=0,057, dan pendapatan p=0,130. Pemenuhan kebutuhan dasar dengan kualitas hidup mempunyai hubungan yang signifikan.Disarankan agar perawat dalam meningkatkan kualitas hidup lansia yang mengalami kelamahan atau kemunduran secara fisik sehingga tidak mampu dalam pemenuhan kebutuhan dasar adalah dengan cara menurunkan dan mengatasi gejala yang dialami lansia serta meningkatkan persepsi positif terhadap lansia.

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The decrease function and ability of the older persons body make the fulfillment of basic needs in adequate. One of the most factors is caused by quality of life decrease. When the older persons feels perceived physical weakness as limitation, so the perception of health will decrease too. This study aims to identify the correlation of fulfillment of basic needs with older persons quality of life in Srengseng Sawah South Jakarta.

Analytic correlation was used as design of this research with cross sectional study approach. This study used 111 samples, where as purposive sampling is applied in sample collection. In multivariate, paired linear regression is used to know characteristics confounding.

The result wereage, sex and income as confounding with p value 0.00 for age, sex with p value 0.057 and p value for income 0.130. There is correlation with fulfillment the basic needs and quality of life in older persons.

This study suggest to increase quality of life in weakness or physical decrease in elderly by overwhelming the symptoms and positive improvement of older persons perception."

"Penyakit hipertensi merupakan sillent killer sebagian yang meningkat pada usia 60 tahun ke atas. Peningkatan prevalensi hipertensi memerlukan perawatan jangka panjang berupa manajemen diri yang mengacu pada kemampuan lansia untuk mempertahankan perilaku positif secara efektif dan mandiri. Intervensi keperawatan Gerakan Lansia Sadari Hipertensi dengan Manajemen Diri (GESIT MANDIRI) diberikan pada 57 lansia dengan hipertensi. Intervensi meliputi pendidikan kesehatan, aktifitas fisik, diet, interaksi dengan tenaga kesehatan, monitoring tekanan darah dan kepatuhan terhadap regimen pengobatan. Hasil pre dan post menunjukkan terjadinya peningkatan rata-rata nilai pengetahuan 3.84, sikap 7.78, keterampilan 9.86 (terjadinya peningkatan 2SD), manajemen diri terjadinya peningkatan 5.54 dan terjadinya penurunan tekanan darah sistolik 13 mmHg dan diastolik 8,6 mmHg. Manajemen diri disarankan untuk dilakukan karena memberikan dampak pada peningkatan kesadaran status kesehatan dalam menjalani gaya hidup sehat.

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Hypertension as a silent killer has increased on insidence at 60 years old. Hypertension requiries a long term treatment by having self management. It refers to the older ability to maintain daily positive behavior effectively and independently. GESIT MANDIRI a provided to 57 olders with hypertension. As a nursing intervention includes health education, physical activity, diet, interactions with health professionals, blood pressure monitoring and adherence to treatment regimen. The results showed that there was an increased of knowledge, attitude and skill. Scores before and after intervention 3,84; 7,78 and 9,86. Self managements score also increased 5,54. Sistolics and diastolics pressures mean decreased 13 mmHg;8,6 mmHg. Therefore, self management is suggested to be done becase ts impact to awareness of applying healthy life style."

"Karya Ilmiah Akhir Spesialis ini bertujuan untuk memberikan gambaran penerapan progam Manajemen tanda dan gejala DM (Mandala DM) sebagai bentuk intervensi keperawatan komunitas pada aggregate dewasa dengan DM. Program Mandala DM yang diterapkan merupakan strategi intervensi keperawatan yang dikhususkan untuk meningkatkan keaktifan dan kemandirian aggregate dewasa dengan DM, keluarga dan masyarakat melalui Self Help Group (SHG). Perumusan program Mandala DM menggunakan integrasi teori manajemen, community as pastner, family centered nursing, dan preceed proceed model. Hasil memperlihatkan bahwa terjadi peningkatan pengetahuan, keterampilan, sikap dan persepsi serta penurunan kadar gula darah 10-20 mg/ dl. Peningkatan kesehatan dan kemandirian juga ditunjukkan oleh 10 keluarga binaan. Selanjutnya Dinas Kesehatan, puskesmas, perawat komunitas dan masyarakat terutama aggregate dewasa dapat menggunakan program ini dalam mengendalikan masalah DM.

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This aim of this final assignment is provide an overview of the application of signs and symptoms management program of diabetes mellitus (Mandala DM) as a form of community nursing intervention in adults aggregate with DM. The Mandala DM program applied as nursing intervention strategy to enhance the activity and independence of adult with diabetes, their families and communities through the Self Help Group (SHG). Mandala DM program applied the integration of management theory, community as partner, family centered nursing, and preceed proceed models.

The results showed that an increased in knowledge, skills, attitude and perception about DM, and decreased in blood sugar levels of 10-20 mg / dl. The improved health of adult diabetes is also indicated by the 10 families assisted. This study recommends that the Department of Health, community health centers, community nurses and community, especially the adults aggregate to use this program to control the DM."

"ABSTRAK Pemberian asuhan keperawatan keluarga dan komunitas untuk mencegah komplikasi kaki pada diabetisi dapat dilakukan dengan menggunakan pendekatan teori family centered nursing, community as partner dan health belief model. Intervensi yang diberikan early self management interventions Es-Mager . Es-Mager adalah kombinasi intervensi edukasi tentang Diabetes Melitus DM , pencegahan komplikasi kaki dengan deteksi dini, perawatan kaki, pengontrolan diet dan latihan. Metode yang dilakukan pada asuhan keperawatan keluarga adalah studi kasus dengan teknik pengambilan sampel menggunakan purposive sampling. Metode yang dilakukan pada asuhan keperawatan komunitas adalah quasi eksperimen dengan teknik pengambilan sampel menggunakan consecutive sampling. Asuhan keperawatan keluarga diberikan kepada 10 keluarga dengan agregat dewasa yang mengalami DM di RW 05 Kelurahan Curug Kota Depok. Asuhan keperawatan komunitas diberikan kepada 42 diabetisi di Kelurahan Curug Kota Depok. Hasil pelaksanaan asuhan keperawatan keluarga dan komunitas dengan intervensi Es-Mager dapat meningkatkan pengetahuan, sikap dan keterampilan diabetisi, meningkatkan kontrol glukosa darah, sensitivitas kaki serta menurunkan resiko komplikasi kaki. Perawat diharapkan dapat memberikan asuhan keperawatan keluarga dan komunitas dengan intervensi Es-Mager untuk mencegah komplikasi kaki pada diabetisi.

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ABSTRACTProvision of family and community nursing care to prevent foot complications in people with diabetes can be done by using the theory of family centered nursing, community as partner and health belief model. Intervention that have been given early self management interventions Es Mager . Es Mager is a combination of educational interventions about Diabetes Mellitus DM , prevention of foot complications with early detection, foot care, diet control and exercise. The Methods on family nursing care was a case study with sampling techniques using purposive sampling. The method on community nursing care was quasi experiment with sampling technique using consecutive sampling. Family nursing care is given to 10 families with adults aggregate who have DM in RW 05 Kelurahan Curug Kota Depok. Community nursing care was given to 42 people with diabetes in Kelurahan Curug Kota Depok. The results of the implementation of family and community nursing care with Es Mager interventions can increase the knowledge, attitude and skills of people with diabetes, improve blood glucose control, foot sensitivity and reduce the risk of foot complications. Nurses are expected to provide family and community nursing care with Es Mager interventions to prevent foot complications in people with diabetes."

"Pre-hipertensi adalah suatu keadaan dimana tekanan darah sistolik 120-139 mmHg dan tekanan darah diastolik 80-89 mmHg, diperkenalkan tidak sebagai katagorisasi penyakit tetapi untuk mengidentifikasi individu yang sangat berisiko hipertensi dan penyakit kardiovaskular. Praktik kesehatan keluarga adalah upaya yang dilakukan keluarga untuk memelihara dan meningkatkan status kesehatankeluarga, khususnya dalam pencegahan prehipertensi. Tujuan penelitian untuk mengetahui hubungan karakteristik individu, koping individu dan praktik kesehatan keluarga dengan kejadian prehipertensi pada usia dewasa. Desainpenelitian ini adalah deskriptif observasional dengan pendekatan cross-sectional. Jumlah sampel penelitian sebanyak 107 orang yang diambil melalui teknik clustersampling. Hasil penelitian menunjukkan bahwa ada hubungan antara karakteristik individu, koping individu dan praktik kesehatan keluarga dengan kejadian prehipertensi. Faktor yang paling dominan mempengaruhi prehipertensi adalahIndeks massa tubuh (OR= 29,4). Hasil ini merekomendasikan perawat untuk memberikan pendidikan kesehatan kepada seluruh penderita prehipertensi untuk melakukan perubahan gaya hidup agar tidak menderita hipertensi dan penyakitkardiovaskuler dimasa akan datang.

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Prehypertension is a state where blood pressure sistolic 120-139 mmHg and diastolic 80-89 mmHG. It is not a catagorical of disease but for indicating individual that has higher risk of hypertension and cardiovasculer diseases. Family health practices are effort that was done by family to maintain and promote family health. Especially in the prevention of prehypertension. The

research aims to determinan assosiation of individual characteristics, individual copyng and family health practices with prehypertension at aged adults. The research design used observational descriptive design with cross sectional approach. Total sample of 107 people were taken by using a cluster sampling technique. The results showed that body mass index (OR =29,4) was the highest

factor that impact prehypertension case. The result recommended nurses to give health education to all of prehypertension adults to change life style to prevent

hypertension and cardiovasculer diseases in the future."

"Analisis Implementasi Asuhan Keperawatan dengan Pendekatan Keperawatan Kesehatan Masyarakat Perkotaan dan Intervensi Hipnosis pada Pasien Diabetes Mellitus Tipe 2 dengan Gangguan Pola Tidur di Ruang Rawat Inap Lantai 6 Utara Gedung Teratai RSUP Fatmawati rdquo;Angka kejadian diabetes melitus meningkat setiap tahunnya. Neuropatik merupakan komplikasi tersering diabetes melitus yang ditandai dengan adanya nyeri yang memburuk pada malam hari sehingga menyebabkan masalah gangguan tidur. Intervensi yang dapat digunakan untuk mengatasi gangguan tidur adalah terapi hipnosis. Hipnosis adalah proses membimbing klien untuk relaks. Karya ilmiah ini bertujuan memberikan gambaran asuhan keperawatan pada pasien DM dengan gangguan pola tidur akibat nyeri neuropati dengan intervensi Hipnosis. Intervensi ini diterapkan selama 3 hari dengan durasi 20 menit. Hasil evaluasi didapatkan adanya peningkatan kualitas tidur. Oleh karena itu intervensi hipnosis ini sangat direkomendasikan untuk diterapkan di pelayanan keperawatan. Kata Kunci : Diabetes mellitus, neuropati, tidur, hipnosis

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Analysis of Urban Health Clinical Nursing Practice on Type 2 Diabetes Mellitus Patient Who Experience sleep patterns Disruption through Hipnosis Intervention in 6th North Floor Fatmawati Central General Hospital rdquo The incidence of diabetes mellitus is always increasing every year. Neuropathic is a common complication of diabetes mellitus that characterized by pain which worsened at night and causing sleep problems. One of the interventions that can be used to treat sleep disorders is hypnosis therapy. Hypnosis is the guiding processthat help client to relax. This paper aims to provide an overview of nursing care in diabetic patients with sleep disorders due to neuropathy pain with hypnosis intervention. This intervention is applied for 3 days and the duration of interventionis 20 minutes. The result shows a good improvements in the sleep quality of the patient. Therefore hypnosis therapy intervention is highly recommended to be applied in nursing services. "

"Balita merupakan kelompok resiko yang mudah terkena masalah kesehatan diantaranya masalah pertumbuhan yaitu gizi kurang. Pemberian nutrisi pada balita usia 6-24 bulan yang sesuai dapat meningkatkan pertumbuhan. Pemberian MPASI pada balita usia 6-24 bulan dapat dilakukan dengan cara pemberian makan aktif/responsif yang dikombinasikan dengan metode bermain sesuai dengan tahap usia balita. Karya Ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan intervensi Resfeed-Play sebagai bentuk intervensi keperawatan komunitas pada balita usia 6-24 bulan dengan gizi kurang Di Kelurahan Srengseng Sawah. Pelaksanaan intervensi Resfeed-Play dilakukan di keluarga dan di masyarakat dalam kegiatan pos gizi. Hasil evaluasi kegiatan Resfeed-Play adalah terjadi peningkatan pengetahuan sebesar 24,2%, sikap 30.3% dan keterampilan sebesar 42.4% Ibu balita. Setelah dilakukan intervensi selama 6 bulan, rerata kenaikan berat badan balita sebesar 0.95Kg. Setelah dilakukan analisis lebih lanjut kenaikan berat badan tersebut signifikan dengan nilai P 0.000 (P< 0.05). Intervensi Resfeed-Play dapat meningkatkan berat badan balita dan menangani masalah gizi kurang pada balita. Berdasarkan hasil kegiatan ini maka direkomendasikan untuk meningkatkan pemberdayaan masyarakat melalui kegiatan-kegiatan yang positif seperti pos gizi agar dapat mencegah dan mangatasi masalah gizi kurang pada balita.

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Toddlers are an at risk group prone to health problems including growth problems, one of which is malnutrition. Adequate nutrition in infants aged 6-24 months can promote the growth. Giving solid foods in infants aged 6-24 months can be done by feeding the active / responsive combined with the method according to the stage of playing toddlers. This paper aimed to provide an overview of the intervention of Resfeed-Play as a form of community nursing intervention on children aged 6-24 months with malnutrition In Srengseng Sawah village. Implementation of the intervention Resfeed-Play performed in families and in society in nutrition post activities.

The results of evaluation of Resfeed-Play is shown an increase in knowledge 24.2%, attitude and skills by 30.3% and 42.4% respectively. After intervention of 6 months, the mean of weight gain toddler was 0.95Kg. After further analysis the weight gain is significant with a P value of 0.000 (P <0.05). Resfeed intervention-Play can increase body weight toddlers and can address the problems of malnutrition in children under five. Based on the results of this activity it is recommended to increase community empowerment through positive activities such as nutrition post in order to prevent and mitigate the problem of malnutrition in children under five."

"Dukungan keluarga dan motivasi dalam perawatan diabetes dapat meningkatkan pemanfaatan pelayanan kesehatan bagi diabetisi tipe 2 dalam upaya mencegah komplikasi diabetes dan meningkatkan kualitas hidup diabetisi. Penelitian ini betujuan untuk mengetahui hubungan karakteristik, dukungan keluarga, dan motivasi diabetisi tipe 2 dengan pemanfaatan pelayanan kesehatan. Penelitian ini menggunakan deskriptif analitik dengan pendekatan Cross-Sectional. Sampel penelitian berjumlah 110 responden yang diambil secara proporsional random sampling. Analisa data dilakukan dengan menggunakan Chi-Square dan regresi logistik berganda. Hasil penelitian menunjukkan ada hubungan dukungan penghargaan keluarga dan motivasi intrinsik dengan pemanfaatan pelayanan kesehatan p value.

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Family Support and motivation treatment in diabetes patients will improve health services utilization. It aims to prevent diabetes complications and improve the diabetes patients quality of life. This study aimed to investigate the Relationship between patients characteristics, family support and motivation in patients with diabetes type 2 with health services utilization. This study used cross sectional with descriptive analytical approach with 110 respondents Which choosen by proportional random sampling. Analysis result using chi square and multiple logistic regression showed relationship between family reinforcement support and Intrinsic motivation with health services utilization p value."

"[Peningkatan jumlah lansia berkontribusi pada peningkatan penyakit degeneratifkronis seperti diabetes melitus yang memerlukan penatalaksanaan manajemendiri. Penelitian bertujuan untuk mengetahui arti dan makna pengalamanmanajemen diri lansia dengan diabetes melitus di Kota Depok. Penelitianmenggunakan metode kualitatif fenomenologi deskriptif dengan wawancaramendalam pada sembilan partisipan, Hasil wawancara dianalisis menggunakanmetode Colaizzi. Penelitian mengidentifikasi 11 tema yaitu mengenali gejalaawal, pengetahuan tentang diabetes melitus, upaya terhadap respon padaperubahan kadar gula darah, perawatan diri, faktor pendukung perawatan diri,faktor penghambat perawatan diri, dampak diabetes melitus, upaya mengeloladampak diabetes melitus, perubahan aktivitas, dukungan keluarga yang dirasakan,dan kualitas hidup lebih baik.

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ABSTRACTIncreasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life., Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi’s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.]"