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"Diabetes mellitus (DM) tipe 2 merupakan penyakit kronis yang memerlukan perawatan mandiri berkelanjutan dan didukung oleh keluarga untuk mencegah komplikasi. Penelitian ini bertujuan menganalisis hubungan antara dukungan dari keluarga dengan tingkat perawatan mandiri klien DM di Kota Bandung. Penelitian ini menggunakan desain cross-sectional dengan teknik purposive sampling pada 111 responden dan dianalisis menggunakan uji chi-square. Hasil penelitian menunjukkan sebanyak 60.4% responden merasakan dukungan keluarga yang baik dan 56,8% memiliki tingkat perawatan mandiri yang baik. Analisis bivariat menunjukkan hubungan signifikan antara dukungan keluarga dan perawatan mandiri (r =0.001; a=0,05). Temuan ini menegaskan perlunya untuk meningkatkan perawatan mandiri klien DM tipe 2, perawat direkomendasikan untuk menyiapkan intervensi yang berfokus pada peningkatan dukungan keluarga.

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Type 2 diabetes mellitus (DM) is a chronic disease that requires ongoing self-care and family support to prevent complications. This study aims to analyze the relationship between family support and the level of self-care among DM clients in Bandung City. This study employed a cross-sectional design, with purposive sampling and involved 111 respondents and was analyzed using chi-square test. The results showed that 60.4% of respondents felt received good family support and 56.8% had good level of self-care. Bivariate analysis revealed a significant association family support and self-care (r =0.001; a=0,05). These findings emphasize the need to improve self-care among type 2 DM client, and nurses are recommended to prepare interventions focused on enhancing family support."

"For everyone with health concerns, this is teh ultimate 'book of lists' with eight sections covering self-help topics, medical tests and procedures, best places to get health care, crucial facts about the human body, health statistics, alternative choices, sources of information and health products, and '29 youth-preserving tips from America's top health authorities.'"

"ABSTRAKKepatuhan pasien menjadi hal utama dalam keberhasilan perawatan mandiri pada pasien hipertensi. Penelitian menggunakan metode penelitian kualitatif dan pendekatan fenomenologi dengan hasil 6 tema, yaitu pengalaman kepatuhan kontrol, pengalaman menangani gejala dan komplikasi, pengalaman kepatuhan minum obat, pengalaman kepatuhan mengelola, kurang patuh berolahraga, dan kendala untuk patuh. Pengetahuan pasien dan peran keluarga dapat meningkatkan kepatuhan kontrol dan minum obat. Kurangnya dukungan keluarga dan aktivitas sosial partisipan merupakan kendala dalam kepatuhan terutama diet dan olahraga. Hasil penelitian berimplikasi untuk konseling hipertensi ketika pasien kontrol serta melibatkan peran anggota keluarga sebagai upaya meningkatkan kesadaran dan kepatuhan pasien hipertensi terhadap perawatan mandirinya.

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ABSTRACTPatient adherence to be the main thing in the success of self-care in patients with hypertension. Research using qualitative research methods and approaches to the phenomenology and had six themes: experience of adherence to visit, experience of dealing with the symptoms and complications, experience of adherence for taking drug, experience of adherence to manage diet, non adherence to exercise, and difficulties in implementing adherence. Knowledge of the patient and family roles could improve adherence for taking drug and visiting routine. Lack of family support and social activities of the participants were difficulties in patients adherence, especially for diet and exercise. The results had implications for counseling patients with hypertension when patients visit the hospital and involve the role of family members as an effort to improve the awareness and adherence of self-care of hypertension"

"Masalah fisik dan emosional masih dialami pasien Sindrom Koroner Akut pascatindakan reperfusi. Ketidakpatuhan dan rasa frustasi dalam menjalankan program prevensi sekunder, berdampak pada tingginya tingkat restenosis dan readmission yang tidak diinginkan. Penelitian ini bertujuan mengidentifikasi efektivitas model asuhan keperawatan mandiri berkelanjutan pada pasien SKA dan pelaku rawat keluarganya terhadap kemampuan perawatan mandiri dan kualitas hidup pasien SKA. Penelitian didesain dalam riset operasional yang terdiri dari 3 tahapan, yaitu tahap studi eksplorasi dengan pendekatan kualitatif, tahap pengembangan model dan tahap uji efektivitas model dengan pendekatan kuantitatif quasy experiment pre-post test with control group pada pasien SKA. Hasil penelitian tahap eksploratif didapatkan tema respons terhadap SKA, faktor risiko dan pendukung perawatan mandiri pasien SKA, dukungan perawatan mandiri pasien SKA, perilaku perawatan mandiri pasien SKA, masalah dukungan upaya perawatan mandiri pasien SKA, kondisi kesehatan pasien SKA pascarawat. Intervensi model efektif meningkatkan kemampuan pelaku rawat keluarga dan kemampuan perawatan mandiri  pasien SKA. Rekomendasi bagi pelayanan keperawatan agar model asuhan keperawatan mandiri berkelanjutan pada pasien SKA dan pelaku rawat keluarganya dapat diimplementasikan sebagai pendekatan asuhan keperawatan pada pasien SKA.

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Physical and emotional problems are experienced by patients with Acute Coronary Syndrome after reperfusion. Non-compliance and frustration in carrying out secondary prevention programs, have an impact on high rates of restenosis and unwanted readmission. This study aims to identify the effectiveness of the continuous independent nursing care model for ACS patients and their family caregivers on the ability of self-care and the quality of life of ACS patients. The research was designed in operational research which consisted of 3 stages, namely the exploratory study phase with a qualitative approach, the model development phase and the model effectiveness test phase with a quasi-experimental quantitative approach pre-post test with control group in ACS patients. The results of the exploratory stage of the study found that the theme of response to ACS, risk factors and support for self-care for ACS patients, support for self-care for ACS patients, self-care behavior of ACS patients, problems with supporting efforts to self-care ACS patients, health conditions of post-treatment ACS patients. The intervention model affects the ability of family caregivers, depression scores, self-care abilities and quality of life of ACS patients. Recommendations for nursing services so that the sustainable independent nursing care model for ACS patients and their family caregivers can be implemented as an approach to nursing care for ACS patients."

"More women today want natural homeopathic remedies that address their special health issues. This concise and compassionate guide offers details on 25 of the most popular homeopathic therapies and treatments for more than 100 common women's ailments. Topics include eating disorders and addictions, anxiety and panic attacks, reproductive issues, depression, and correcting hormone imbalances and strengthening the immune system. Women will learn to prepare natural tonics, blend their own herbal infusions, and find out how these remedies can work alongside conventional medical treatment. Courses of action encompass breathing and relaxation techniques, aromatherapy, Eastern and Western herbal treatments, creative, manipulative and active therapies, nutrition and exercise, and more, all designed to give women more options for taking care of their health."

"Accurate and reliable descriptions of over 2500 conditions and possible treatments"

"Accurate and reliable descriptions of over 2500 conditions and possible treatments"

"Perawatan mandiri merupakan bagian integral dalam keberhasilan manajemen pasien gagal jantung. Peneliti menggunakan 3 pendekatan model terintegrasi yaitu transtheoretical, orem dan motivational interviewing model yang disebut model "PrOMiSe". Tujuan penelitian adalah untuk meningkatkan perilaku perawatan mandiri pasien gagal jantung. Kuasi-eksperimental disain digunakan dalam penelitian ini. Sejumlah 100 pasien gagal jantung didaftar selama rawat inap. Kelompok intervensi diberikan intervensi model "PrOMiSe" selama tiga bulan dari perawat kardiovaskular terlatih. Uji statistik menggunakan independent t-test, chi square, uji Mann Whitney, regresi logistik, Kaplan Meier dan Cox regresi. Hasil: terdapat perbedaan bermakna perawatan mandiri, indek pengetahuan dan tahap perubahan, readmission dan atau kematian pasien gagal jantung setelah intervensi model antar kelompok kontrol dan kelompok intervensi. Kesimpulan: Model "PrOMiSe": integrasi edukasi dan konseling efektif dalam meningkatkan perawatan mandiri, pengetahuan, tahap perubahan dan menurunkan peluang readmission dan atau kematian pasien gagal jantung. Rekomendasi: diperlukan kebijakan penerapan model dan penelitian lanjutan tentang konseling perawatan.

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Self-care is an integral part in the successful management of heart failure patients. The aims of research was to increase self-care behavior of patients with heart failure. We used a three model integrated approach, the transtheoretical, orem and motivational interviewing model, or simply termed "PrOMiSe". Quasiexperimental design was used in this study. One hundred patients with heart failure enrolled during hospitalization. Intervention group received intervention "PrOMiSe" model over a three month period from nurse trained. Statistical tests used independent t-test, chi square, Mann Whitney test, multiple logistic regression, Kaplan Meier and Cox regression.

Results: there were significant differences􀀁in heart failure self-care, knowledge heart failure index and stages of change and readmission and/ or death after the intervention "PrOMiSe" model between the control and intervention group.

Conclusion: the "PrOMiSe" model was effective in increasing heart failure self-care, knowledge heart failure index, stages of change and reducing survival readmission and/ or death in heart failure patients.

Recommendation: necessary policy and further research related with counseling heart failure self care is needed."