DIABETES SELF MANAGEMENT EDUCATION (DSME) INCREASE KNOWLEDGE LEVEL PATIENT DIABETES MELLITUS TYPE 2 (Study in Puskesmas Bangkalan)

Introduction: Treatment of Diabetes Mellitus Tipe 2 is not only affected by medical treatment, but also need hight knowledge that useful for succes in self care of DM Tipe 2 patient. From data of field collected that lots of DM’s patient who have minimum knowledge need to be given education program called DSME. Diabetes self management education (DSME) is an ongoing process that has been conducted to facilitate of knowledge, skills and abilities of patients with DM to perform self care. The purpose of this research was to identify the effect of DSME on level of knowledge of DM type 2. Method: The types of research used Quasi-Experiment Design. The number samples was 39 people for treatment group and 39 people for control group by simple random sampling method. The instruments of research that have been were used questionnaire and booklet. Result: The result level of significance of knowledge in Mann-Whitney Test was 0,000 (p < α; α = 0,05), so that Ho rejected. Discussion: It means there was effect diabetes self management education on level of knowledge in diabetes mellitus type 2. In this research, it is suggested that nurses can use DSME as sources of information and a health promotion program to improve knowledge and self efficacy in patients with DM type 2. Key words : DSME, level of knowledg

Effect of Breathing Exercise With Buteyko Methods Improveing Forced Expiratory Volume In One Second (Fev1) Score With Moderate Persistent Asthma

Objective: to know effect of breathing exercise with buteyko methods improveing forced expiratory volume in one second (FEV1) score with moderate persistet asthma.Methods: The research design used in this study is quasy-experiment. With the independent variable is breathing exercise with buteyko method and the dependent variable is forced expiratory volume in one second (fev1) score. This study used a simple random sampling technique which consisted of 9 treatment groups and 9 control groups with pair t test statistical test and man whitney test.Result: The results of the analysis using the man whitney test in the treatment and control groups obtained pvalue = 0.001 thes it can be concluded that there are differences between treatment and control groups.Conclusion: It is expected that this study provides benefits and knowledge as an alternative therapy in increasing FEV1 valuesin patients with moderate persistent asthma, and can be useful for patients with moderate persistent asthma to be able to practice breathing exercises with buteyko method independently, and it is expected that future researchers can do research on the effect of exercise breathing with buteyko method in individuals with moderate persistent asthma with longer interventions and other variables