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"Inisiasi insulin merupakan langkah awal yang diperlukan pasien diabetes mellitus (DM) tipe 2 dalam menerlma insulin untuk mengendalikan glukosa darah. Penelitian bertujuan untuk mengidentifikasi faktor -faktor yang mempengaruhi iniasiai insulin dengan menggunakan metode descriptive correlational dan desain cross sectional, melibatkan sampel 110 pasien. Analisis menggunakan chi-square dan regresi logistik ganda.Hasil penelitian didapatkan bahwa karakteristik responden (usia, jenis kelamin, pendidikan, pendapatan, lama mengalami DM), keyakinan terhadap insulin tidak: berhubungan dengan inisiasi insulin. Pengetahuan merupakan faktor yang paling berpengaruh dalam inisiasi insulin (p : 0.00, a : 0.05, OR : 9.63). Variabel lain yang memiliki hubungan signifikan dengan inisiasi insulin adalah sikap (p : 0.015,a : 0.05), efikasi diri (p : 0.00, a : 0.05), interaksi dengan petugas kesehatan (p : 0.00, a : 0.05). Perawat seharusnya meningkatkan pengetahuan dan efikasi diri melalui interaksi yang baik dengan pasien guna mengubah sikap pasien dalam inisiasi insulin.

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Insulin initiation is a first stage of insulin acceptance for patients with Type 2 diabetes mellitus to maintain blood glucose. The purpose of this study is to identifIed factors that influence insulin initiation. Using cross sectional design and descriptive correlational method, a total of 110 respondents participated in this study. Statistical analysis used chi-square and multiple logistic regression.

The result shows that characteristic of respondents such as age, sex, education, income, duration of DM and insulin's belief were not associated with insulin initiation. Knowledge was the most predominant factor related to insulin initiation (p : O.OO,OR: 9.63). Other variables that has significantly relationship to insulin initiation were attitude (p : 0.015), self efficacy (p : 0.00), interaction between health care providers (p : 0.00). Nurses should increase patient's knowledge, self efficacy by improving interaction in order to change patient's attitude toward insulin initiation."

"Koping individu yang efektif diperlukan bagi penyandang DM untuk meningkatkan kepatuhan penyandang DM dalam mengelola penyakitnya. Penelitian ini bertujuan mengidentifikasi hubungan karakteristik, tingkat kepatuhan dengan koping individu penyandang DM sebagai anggota Persadia RSMM Bogor. Desain penelitian ini adalah kwantitatif dengan rancangan cross sectional dengan jumlah responden 88 penyandang DM, dengan uji statsistik Chi square dan uji t independen.Hasil penelitian didapatkan bahwa karakteristik responden tidak ada hubungan dengan tingkat kepatuhan kecuali usia (p value 0.043; α 0.05) dan jenis kelamin (p value 0.044; α 0.05), ada hubungan koping individu dengan tingkat kepatuhan (p value 0.037; α 0.05). Karakteristik responden tidak ada hubungan dengan koping individu. Diharapkan perawat dapat meningkatkan kepatuhan dan koping individu penyandang DM menjadi efektif dengan memberikan pendidikan kesehatan terstruktur, memfasilitasi pemberian dukungan sosial dan memberikan intervensi seperti coping enhancement, teaching. self-awareness, dan self-efficacy enhancement. untuk mencegah terjadinya koping individu yang tidak efektif dan ketidakpatuhan.

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Effective individual coping is required for people with diabetes to improve the adherence to manage the disease. The purpose this study was to identify the relationship between characteristics and individual coping with levels of adherence diabetes mellitus as member of Persadia RSMM Bogor. The design of this research was correlational with cross sectional approach. The sample of this study consisted 88 number with DM. Data was analysed using χ 2 and independence t test.The result revealed that there was no relationship between characteristics and adherence rate, except age (p value 0043; α 0.05) and gender (p value 0044; α 0.05). There was a relationship between individual coping and adherence rate (p value 0037; α 0.05). There was no relationship between characteristics with individual coping. Nurses are recommended to improve adherence and coping individuals with diabetes, to be effective, by providing a structured health training, social support, and facilitate the provision of interventions to prevent individual ineffective coping and unadherence."

"ABSTRAKKlien dengan diabetes sangat beresiko mengalami kecelakaan lalu lintas, diantaranya dapat disebabkan oleh komplikasi akut yakni, hipoglikemia dan hiperlikemia, komplikasi kronis yakni, penyakit mikrovaskular, penyakit makrovaskular dan neuropati. Penelitian ini bertujuan untuk memperoleh pemahaman yang mendalam pengalaman klien diabetes saat berkendara di Kota Depok. Metode penelitian menggunakan fenomenologi. Enam orang dewasa dengan diabetes dipilih dengan purposive sampling. Tujuh tema diperoleh dengan metode content analysis Colaizzi yang merupakan perwakilan makna yang terkandung dari pengalaman berkendaraan pada klien DM. Ketujuh tema tersebut saling terkait. Penelitian ini memberikan gambaran dan data dasar bahwa terdapat beberapa kondisi yang meningkatkan resiko terjadinya kecelakaan pada klien diabetes yang aktif berkendara. Oleh sebab itu, diharapkan adanya regulasi dan edukasi klien diabetes yang aktif berkendara.

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ABSTRACTClients with diabetes are particularly at high risk of traffic accidents that might be caused by the acute complications such as, hypoglycemia and hyperglycemia as well as chronic complications such as, micro-vascular diseases, macro-vascular diseases and neuropathy. This study aimed to get an in-depth understanding about the experience of diabetic clients during driving car or riding motorcycle at Depok city. Six participants were recruited using a purposive sampling method. A Colaizzi content analysis was employed. Seven Themes emerged depicted the meaning of experiences of driving among DM clients. The seven themes were interdependence. This study concluded that diabetes clients who actively drive had high risk of having road accident. This study suggested the necessity of regulation and education for clients with diabetes who actively drive"

"[Gaya hidup yang tidak sehat meningkatkan prevalensi DM di masyarakat perkotaan.Lansia termasuk angregat yang rentan mengalami DM, dikarenakan terjadinyapenurunan fungsi tubuh. Salah satugejala DM yang timbul akibat peningkatan kadargula darah adalah penurunan sensitivitas kaki yang ditandai dengan rasa kebas dankesemutan.Penulisan Karya Ilmiah ini bertujuan untuk memberikan gambaran latihansenam kaki sebagai intervensi keperawatan pada risiko cedera lansia dengan DM.Hasil asuhan keperawatan keluarga yang dilakukan selama 6 minggu menunjukkanperbaikan sensitivitas kaki yang dibuktikan dengan pengukuran Ankle Brachial Index(ABI) meningkat dari 0,7 menjadi 1,2. Dukungan keluarga dibutuhkan untukmempertahankan kepatuhan melakukan senam kaki secara rutin.;Unhealthy life style increase DM prevalence in urban society. Elderly at risk todevelop DM caused by decreasing body function. One of DM symptom caused byhigh blood glucose level was decreased foot sensitivity.This paper purposes to givean illustration of foot exercise as nursing intervention for the risk of injury in elderlywith DM. The result after six weeks intervention show the improvement of footsensitivity which is analyzed based on Ancle Brachial Index measurement increasefrom 0,7 to 1,2.The family?s support is needed in order to increase adherence towardfoot exercise implementation, Unhealthy life style increase DM prevalence in urban society. Elderly at risk todevelop DM caused by decreasing body function. One of DM symptom caused byhigh blood glucose level was decreased foot sensitivity.This paper purposes to givean illustration of foot exercise as nursing intervention for the risk of injury in elderlywith DM. The result after six weeks intervention show the improvement of footsensitivity which is analyzed based on Ancle Brachial Index measurement increasefrom 0,7 to 1,2.The family’s support is needed in order to increase adherence towardfoot exercise implementation]"

"[ABSTRAKHipoglikemia merupakan komplikasi akut pada diabetes melitus. Hipoglikemiaberdampak serius pada kualitas hidup, morbiditas dan mortalitas manusia. KaryaIlmiah ini bertujuan untuk menganalisis penerapan praktik asuhan keperawatanpenatalaksanaan hipoglikemia pada diabetes melitus tipe 2 yang disertai denganpenyakit kanker payudara di Ruang Rawat IPD Lantai 5 Selatan RSUP Fatmawati.Teknik pengambilan data dilakukan dengan studi kasus melalui observasi,wawancara dan partisipatif. Implementasi yang sudah dilakukan terutama dalammengatasi keadaan hipoglikemia agar tidak berulang dan menimbulkan komplikasi,antara lain; mengobservasi keadaan umum dan mengukur tanda-tanda vital klien,mengkaji keluhan yang dirasakan klien, memberikan glukosa peroral danmengontrol kadar gula darah serta memberikan terapi sesuai instruksipenatalaksanaan hipoglikemia. Hasil dari penerapan intervensi ini diharapkan, kliendengan Diabetes Melitus Tipe 2 juga mampu melakukan kontrol gula darah secarateratur untuk mencegah terjadi hipoglikemia berulang.

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ABSTRACTHypoglycemia is the acute complications in diabetes mellitus. Hypoglycemia is aserious impact on quality of life, morbidity and mortality of human being. ScientificPaper aims to analyze the implementation of nursing care practice management ofhypoglycaemia in type 2 diabetes mellitus accompanied with breast cancer in theRoom, in Internal Medicine Ward, 5th South Floor Fatmawati Hospital. The datacollection techniques with case studies through observation, interviews andparticipatory. Implementation has been done especially in addressing the situationin order not to repeat hypoglycemia and cause complications, among others;observe the general condition and measure the vital signs of clients, reviewingcomplaints from clients, provide oral glucose and controlling blood sugar levels andprovide appropriate therapy instruction management of hypoglycemia. Results of theimplementation of this intervention is expected, clients with Type 2 Diabetes Mellitusis also able to control blood sugar regularly to prevent recurrent hypoglycemicevents., Hypoglycemia is the acute complications in diabetes mellitus. Hypoglycemia is aserious impact on quality of life, morbidity and mortality of human being. ScientificPaper aims to analyze the implementation of nursing care practice management ofhypoglycaemia in type 2 diabetes mellitus accompanied with breast cancer in theRoom, in Internal Medicine Ward, 5th South Floor Fatmawati Hospital. The datacollection techniques with case studies through observation, interviews andparticipatory. Implementation has been done especially in addressing the situationin order not to repeat hypoglycemia and cause complications, among others;observe the general condition and measure the vital signs of clients, reviewingcomplaints from clients, provide oral glucose and controlling blood sugar levels andprovide appropriate therapy instruction management of hypoglycemia. Results of theimplementation of this intervention is expected, clients with Type 2 Diabetes Mellitusis also able to control blood sugar regularly to prevent recurrent hypoglycemicevents.]"

"[ABSTRAKUrbanisasi membawa dampak terhadap berbagai sektor di lingkungan perkotaan, yang berdampak pada perubahan gaya hidup. Gaya hidup seperti kurang aktivitas dan makan makanan tidak sehat berdampak pada munculnya berbagai macam penyakit sepertidiabetes. Diabetes mellitus merupakan penyakit kronis yang dapat menimbulkan berbagai komplikasi, baik fisik maupun psikososial. Ansietas merupakan salah satu komplikasi psikososial yang dapat timbul akibat adanya masalah kesehatan. Intervensi keperawatan membantu bapak G mengenal ansietasnya, mengidentifikasi cara yang digunakan untuk mengatasi ansietasnya, mengajarkan bapak G untuk mengatasi ansietasnya, seperti teknik distraksi, tehnik relaksasi tarik nafas dalam dan hypnosis 5 jari, dan melibatkan keluarga dalam mengatasi ansietas bapak G, yang dapat mengatasi ansietas akibat diabetes mellitus.

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ABSTRACTUrbanization had an impact on various sector in urban environments, which have an impact on lifestyle changes. The lifestyle like inactivity and ate unhealthy foods have an impact on the emergence of various diseases such as diabetes. Diabetes mellitus is a chronic disease that can lead to various complications, both physical and psychosocial. Anxiety is one of the psychosocial complications that may arise due to healthy problems. Nursing interventions help Mr. G to identify his anxiety, teached Mr. G to decrease his anxiety with a varios technique, such as distraction technique, relaxation technique and hypnosis breathing in 5 fingers, and also involves families in overcoming anxiety Mr. G, which can overcome the anxiety caused by diabetes mellitus., Urbanization had an impact on various sector in urban environments, which havean impact on lifestyle changes. The lifestyle like inactivity and ate unhealthy foodshave an impact on the emergence of various diseases such as diabetes. Diabetesmellitus is a chronic disease that can lead to various complications, both physicaland psychosocial. Anxiety is one of the psychosocial complications that may arisedue to healthy problems. Nursing interventions help Mr. G to identify his anxiety,teached Mr. G to decrease his anxiety with a varios technique, such as distractiontechnique, relaxation technique and hypnosis breathing in 5 fingers, and alsoinvolves families in overcoming anxiety Mr. G, which can overcome the anxietycaused by diabetes mellitus.]"

"Masalah fisik sering sekali disertai dengan masalah psikososial dan tidak jarang menjadi penyebab ketidakefektifan terapi medis terhadap masalah fisik. Hal ini menunjukkan bahwa kesehatan psikososial sangat penting terhadap kesehatan klien dan jika diabaikan akan menimbulkan keterlambatan penyembuhan dan peningkatan risiko komplikasi. Salah satu masalah psikososial yang sering muncul adalah ansietas yaitu perasaan tidak nyaman dan kekhawatiran, sering sekali penyebabnya tidak diketahui. Karya ilmiah ini bertujuan mendeskripsikan asuhan keperawatan ansietas pada bapak P yang mengalami diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik. Asuhan keperawatan diberikan selama enam hari perawatan berupa hipnotis lima jari dan distraksi mendengarkan musik. Hasil intervensi menunjukkan masalah ansietas teratasi ditandai penurunan tanda dan gejala ansietas yang dimiliki bapak P. Disimpulkan bahwa hipnotis lima jari dan mendengarkan musik dapat menurunkan cemas pada pasien diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik.

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Physical problems often accompanied by psychosocial problems and causing ineffectiveness of medical therapy to physical problem. It suggests that psychosocial health is very important to the health of client. If it is ignored, it will cause delay healing and increase the risk of complication. One of the psychosocial problems is anxiety often showed by discomfort and worried feeling. The caused of them often unknown. This scientific paper aims to describe anxiety nursing care to patient with diabetes mellitus type two and chronic renal failure complication. Intervention was given during six days. The interventions were five fingers hypnotic and music therapy. The results showed that problem could be solved by five fingers hypnotic and music therapy marked by decrease of signs and symptoms of anxiety on patient. It was concluded that five fingers hypnotic and music therapy could reduce anxiety to patient with diabetes mellitus type two and chronic renal failure complication"

"[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. ]"