ANALYSIS OF FACTORS AFFECTING SELF MANAGEMENT IN TYPE 2 DIABETES MELLITUS PATIENTS

Background: Diabetes mellitus type 2 is a common problem that occurs in people who have metabolic disorders characterized by increased blood sugar due to decreased secretion by pancreatic beta cells or impaired insulin function. Objectives: This study aims to determine what factors are associated with self-management in Type 2 DM patients at the Buduran Health Center.Design: This study was a quantitative research. The design in this study was a cross-sectional analytic with a sample of 80 people who were carried out at the endocrine polyclinic Puskesmas Buduran Sidoarjo. Research instrument used the Diabetes Self-Management Questionnaire (DSMQ) developed by Schmitt et al (2013) to determine the self-management of type 2 DM patients and to measure the level of knowledge using the Diabetes Knoeledge Test (DKT) instrument developed by Burrough et al (2008), measure to physical activity using the Summary of Diabetes Self Care Activities (SDSCA), measure to family support using Family Support Questionairre, and measure to self efficacy using Diabetes management Self Efficacy Scale (DMSES). The sample siza with simple random sampling method, and data analysis using spearman rank test. Results: The results showed that there was a significant relationship between the level of knowledge and self-management with a coefficient value (r=0.576), a significant relationship between activity ability and self-management with a coefficient value (r=0.612), a significant relationship between family support and self-management with a value of coefficient (r=0.592) and there is a significant relationship between self-efficacy and self-management with a coefficient value (r=0.660). Conclusion: Patients DM Type 2 can be overcome by providing education in every prolanis activity program which is expected to increase knowledge, activity abilities, family support and self-efficacy, so that patients are able to improve self-management well. This intervention is highly recommended for people with Type 2 DM by increasing the frequency of health education and involving the family of diabetes mellitus patients so that patients are able to carry out self-management well

Health promotion strategy for emergency choking at Elementary School Gisik Cemandi Sidoarjo

Choking is the entry of a foreign object into the throat or respiratory tract. This is a dangerous condition that can happen to anyone. In cases of choking in children, the initial treatment that can be done is back blows and chest thrusts. This activity was carried out to provide Health Education to students and teachers at SDN Gisik Cemandi Sidoarjo, as well as to gain skills in helping children and the community in their environment if a child experiences a choking incident. The implementation method is carried out in the form of a lecture using power points, posters with pictures of signs of choking, and how to handle it independently, and the Heimlich Maneuver. The results of the activity were that participants received information and increased their knowledge regarding the signs of choking, and how to handle it independently as well as the Heimlich Maneuver to students and teachers at SDN Gisik Cemandi Sidoarjo on November 11, 2023. The results of the socialization on handling emergency choking carried out at SDN Gisik Cemandi Sidoarjo were considered effective so that students and teachers are able to provide first aid in cases of choking

Stigma and Anxiety Levels With Adherence on the Treatment Schedule Patient With HIV/AIDS in Indonesia

The stigma related with HIV/AIDS poses a psychological challenge to people living with HIV/AIDS. Adherence to the treatment schedule is very lmporlanl to reduce the impact of HIV/AIDS. StiSmatization is a 50- cial problem that affects physical health. As a result, the patients are anxious and react negatively to medication adherence. This study analyzes the stitma, anxiety, and adherence to treatment schedules for HIV/AlD5 patienls in Surabaya, lndonesia. Methods:: The present study use.d correlational research, involving 97 respndents, chosen by simple random sampling. The instruments of stigma variable used Berger HIV Stigma scale, variable of anxiety used Zung Self-Rating Anxiety Scale (ZSAS), and variable of adherence to treatment schedules used modified Morisky Medication Adherence Scale-B (MMAS-B) in which all instruments used have been tested for validity with the Cronbach's alpha value > 0.90. Data analysis used the Spearman rho test with the pvalue < O.O5. Results: The results show that there is d relationship between stigma (pvalue = 0.012) and anxiety level (pvalue= 0.02) with adherence to keatment schedules for patients- There is a ne8ative relationship between the stigma and the level of anxiety with treatment schedules in patients. Conclusion: The implication of the research is that stigma and anxiety levels affect the HIV/AIDS patients' treatment schedules. This research suggests that health workers need to provide more coping strategies and educational udates at the beginning of ARV (Antiretroviral) treatment along with the initiation of t-amily gathering activities, and assess the anxiety symptoms of a patient during the therapy so that the patient will adhere to treatment schedules

Implementasi Senam Yoga Terhadap Peningkatan Kadar SPO2 Pada Lansia Dengan Hipertensi Derajat I Di Griya Wredha Jambangan Surabaya

Background : Hypertension is blood pressure where systolic pressure ≥ 140 mmHg and diastolic pressure ≥ 90 mmHg. The purpose of this study is to analyze the influence of yoga exercises on increasing SpO2 levels in elderly with first degree hypertension in Griya Werdha Jambangan Surabaya Method : The instrument uses an observation sheet and pulse oximetry. Â Result : The results showed that there was a significant influence between yoga exercises on the increase of SpO2 level in elderly with first degree hypertension Conclusion : The implication of this research is yoga gymnastics influence on the increase SpO2 level in elderly, so hopefully hypertension patients do yoga gymnastics to avoid complication from hypertension

Hubungan Pengasuhan Anak Di Tempat Penitipan Dengan Perkembangan Perilaku Sosial, Bahasa, Motorik Kasar Dan Motorik Halus Pada Anak Usia Prasekolah

Caring is needed by children when his parent was working. Day care can be given socialization, protect and care children. In TP A RSU Dr. Soetomo has many program purpose make the best of development child. Based on this problem, the research has purpose to find correlation between caring child in day care with development personal social, language, fine motor adaptive and gross motor in TP A RSU Dr. Soetomo Surabaya. This research is used cross sectional design. Sample consist of nursemaid 3 respondents and child preschool 11 respondents. That are taken by purposive sample method. Observation be instrument to collect data and data were processed with SPSS 13 program of spearman rho with significant value~ 0.05. Result of this research showed that there were significant relationship caring child in day care with development personal social, language and gross motor (p personal social= 0,023, p language= 0,023 and p gross motor= 0,023). There weren't relationship caring child in day care with development fme motor adaptive (p fine motor adaptive= 0,219). The research can be concluded that there have correlation between the caring child in day care with development personal social, language and gross motor. And there isn't correlation between the caring child in day care with development fine motor adaptive. It is apparent that child development isn't only intluenced by caring in day care but also by genetic factors, hereditary factors and environmental factors

THE RELATIONSHIP BETWEEN SELF-MANAGEMENT AND QUALITY OF LIFE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS

Background: Diabetes Mellitus (DM) is a metabolic disease characterized by high blood glucose levels as a result of insufficient insulin secretion, impaired insulin activity or both. Patients with diabetes mellitus are at risk for complications that can affect their quality of life. These complications can be minimized through self-management. Objectives: The aim of this study was to determine the relationship between self-management and quality of life in type 2 DM patients. Design: This study was a quantitative research. The design in this study was a cross-sectional analytic with a sample of 75 people who were carried out at the endocrine polyclinic RS Pusat TNI Angkatan Laut (RSPAL) DR. Ramelan Surabaya. Research instrument used the Diabetes Self-Management Questionnaire (DSMQ) developed by Schmitt et al (2013) to determine the self-management of type 2 DM patients and to measure the quality of life using the Diabetes Quality of Life Brief (DQoL Brief) instrument developed by Burrough et al (2008). The sample siza with simple random sampling method, and data analysis using spearman rank test. Results: The results showed that there was a significant relationship between self-management and quality of life in type 2 DM patients (p-value = .000, r = .394). Conclusion: There is a significant positive relationship between the level of self-management and quality of life in type 2 DM patients. From the results of the Spearman test correlation coefficient, there is a positive sign. This means that the higher the patient's self-management, it will also improve the quality of their life. The implication of this study are nurses can increase patient knowledge by providing education that focuses on improving self-management and facilitating the provision of family support as well as supervision and monitoring related to self-management by type 2 DM patients

The Knowledge Level with Community Compliance in Implementing Covid-19 Prevention Health Protocols: Knowledge Level with Community Compliance in Implementing

Covid 19 is a type of virus that spreads very quickly or infects other people. Most Indonesians do not comply with the government's recommendation to comply with health protocols. The purpose of this study was to analyze the level of knowledge with compliance in the Covid-19 health protocol. This study used a cross sectional approach. Samples were taken by accidental sampling technique as many as 154 people in RW 03 Manukan Kulon Village, Surabaya City. The variable level of knowledge and compliance instrument used a questionnaire. Data were analyzed using Spearman Rho's test with a significance degree of 0.05. The results showed that there was a relationship between the knowledge level variable (0.040) and compliance with the Covid-19 health protocol in RW 03, Manukan Kulon Village, Surabaya. The level of knowledge is very influential on compliance in carrying out health protocols. The implication of this study is that the level of knowledge affects the community's compliance with health protocols

The KNOWLEDGE AND PREPAREDNESS IN DEALING WITH EARTHQUAKE DISASTER IN NURSING STUDENTS IN SURABAYA AND BANGKALAN

Introduction : Knowledge in dealing with disasters is one part of disaster mitigation in the application of disaster preparedness in the campus environment. The death toll from an earthquake will increase along with the knowledge of the community and the level of preparedness they have. This study aims to see the significance of the relationship between knowledge and student preparedness in dealing with earthquake disasters in the campus environment. Method : Research design with descriptive correlational cross sectional approach. Sampling using non-probability sampling technique random sampling The research sample was 237 students at STIKES Hang Tuah Surabaya &amp; STIKES NHM with questionnaires in the period of June- July 2022. Test data analysis using ChiSquare. Results The results showed that the majority of STIKES Hang Tuah Surabaya students had good knowledge of 205 (86.9%) and moderate preparedness of 226 (95.4%). Statistical test results show the value of ρ=0.011 (ρ&lt;α=0.05) which means that knowledge has a close relationship with preparedness in the face of earthquakes. Conclusion The implications of this research can be concluded that increasing knowledge is an important part of mitigation in increasing preparedness in the campus environment in dealing with disaster threats, especially earthquakes in particular