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Abstrak :
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. ...... 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.;

Abstrak :
Written in an accessible, user-friendly, and practical style, this text provides a focused and highly engaging introduction to community health nursing. It focuses on health care for people in their homes and where they live with an overriding emphasis on care of the client in the community, and the business and politics of community health nursing. This book is accompanied by a robust Companion Website full of online activities to enhance the student learning experiences.

Abstrak :
Perawat memiliki potensi dalam pencegahan primer dan melakukan pendidikan di masyarakat, ietapi dalam implementasi beberapa program utama rencana aksi percepatan penurunan angka kematian ibu di Indonesia peran perawat hanyalah sebagai pendukung bahkan pelibatannya sangat minimal. Penelitian ini bertujuan mengoptimalkan kompetensi perawat dalam program perawat kesehatan masyarakat (Perkesrnas) terintegrasi pelayanan maternitas pada ibu hamil berisiko di Kabupaten Cianjur melalui pengembangan program pelatihan p~rkesmas maternitas. Penelitian tahap satu merupakan penelitian kualitatif fenomenologi. Penelitian tahap dua yaitu pengembangan program pelatihan dan modul perkesmas yang dilanjutkan dengan pelatihan pada 10 perawat puskesmasPenelitian tahap tiga, penelitian kuasi eksperimen menggunakan metode consecutive sampling dengan jumlah sampel 66 orang (33 orang kelompok intervePsi dan 33 orang kelompok kontrol). Hasil penelitian kualitatif teridentifikasi tiga tema dan lima subtema yang dinyatakan partisipan. Hasil penelitian kuantitatif membuktikan bahwa pelatihan modul perkesmas mampu meningkatkan pengetahuan, sikap, keterampilan dan kegiatan perawat dalam implementasi perkesmas dengan nilai kemaknaan 0,00. Implementasi modul mampu meningkatkan pengetahuan, sikap dan perilaku ibu hamil berisiko paska intervensi dengan nilai kemaknaan 0,00. Melalui analisis regresi logistik dibuktikan ada pengaruh variabel pengetahuan , sikap dan perilaku ibu hamil berisiko kelompok interverisi terhadap pemanfaatan fasilitas kesehatan. Kesimpulan bahwa melalui pelatihan perkesmas maternitas, perawat puskesmas mampu berkontribusi dalam pelayanan :maternitas pada ibu hamil berisiko. ......Nurses have a potential role in primary prevention and health education in community. However their role in the main programs in planning to reduce mother's death number in Indonesia is only as a supporter, and even gives a minimum involvement. This research was aimed to optimize nurse's competencies in community health nurses program (perkesrnas) which is integrated with maternity nursing care for high risk pregnant women in Cianjur Region through maternity perkesmas training program development. First stage of this research was a phenomenological qualitative. The second one was perkesmas training and module development which was followed by training for 10 primary health service nurses. The last stage was a quasi experiment research using consecutive sampling method with 66 respondents (33 each for intervention and controlled groups). From the qualitative research, it was identified three themes and five subthemes. Meanwhile, the quantitative research proved that perkesmas module training was able to enhance nurse's knowledge, attitude and skills in perkesmas program with 0.00 significance. Module's implementation enhanced knowledge, attitude and skills among high risk pregnant women with 0.00 significance. Logistic regression analysis proved the influence of knowledge, attitude and skills variables among high risk pregnant women in intervention group on health facility usage. In conclusion, through perkesmas maternity training, primary health service nurses were able to contribute in maternity nursing care for high risk pregnant women.