Kegiatan Posyandu Penyakit Tidak Menular (PTM) – DM terhadap Kepatuhan Pengelolaan DM di Rumah pada Penyandang DM Tipe II

WHO estimates that global prevalence of type II diabetes will increase from 171 million in 2000 to 366 million in 2030, and Indonesia was ranked fourth (Soegondo , 2007) . According to records at the health center Gamping II that the number of people with diabetes in the working area in 2014 there were about 400 people , average visit of 106 people for blood sugar control with most of the blood sugar levels while above normal ( > 200 mg / dl ) . Government efforts that have been made to combat the disease is to provide services at the hospital level and community health centers. Services close to the people is needed to sensitize them to conduct disease management at home as well so that complications can be delayed or prevented . The aim of this study was to determine the effect of Posyandu PTM - DM compliance diabetes management at home with the type II diabetes patient.This study was a quasi experimental design with pre test - posttest design with control group The number of samples in this study were 64 respondents were divided into two group 32 respondents as a treatment group and 32 respondents as a comparison group . Consecutive sampling is used as technic sampling. Analysis of data using Mc Nemar and Chi square test . In the treatment group, compliance management of diabetes at home before the activity at Posyandu PTM - DM obedient and after activity obedient were 18 respondents , before the activities at Posyandu PTM - DM obedient and activity at Posyandu PTM - DM not obedient were 2 respondents , before and after the activity at Posyandu PTM - DM is not obedient were 10 respondents , before activity at Posyandu PTM – DM not obedient and after activities obedient were 2 respondents. Mc Nemar test results α 0.039 ( p < 0.05) . Respondents with compliance management of diabetes at home after PTM - DM Posyandu activities adhere to the treatment group there were 28 respondents and a comparison group of 20 respondents . Respondents with compliance after Posyandu activities PTM - DM does not adhere to the treatment group there were 4 respondents , 12 respondents comparison group . Chi square test results α 0.021 ( p < 0.05 ). Posyandu PTM - DM affect the compliance of diabetes management at home in the type II diabetes patient

JUS SELEDRI (APIUM GRAVEOLENS) MENURUNKAN TEKANAN DARAH TIKUS RATTUS STRAIN WISTAR DENGAN HIPERTENSI

Hypertension is a common public health problem. Uncontrolled hypertension can lead to degenerative diseases, such as congestive heart failure, kidney failure, and vascular disease. Althoug not curable, prevention and appropriate treatment can reduce the incidence of hypertension and accompanying diseases. The study aims to determine the effect of celery juice (Apium graveolens) on systolic blood pressure of Wistar rat ( Rattus Strain) with NaCl-induced hypertention. The study was a true experimental study with pre – post tes with control design.The study enrolled 18 Rattus Wistar strain devided into tree groups were experiment 1 (6 rats), experiment group 2 (6 rats) and control group (6 rats). Sampling technisque used random sampling. Celery juice in experimental animals given twice daily at 10:00 and 15:00 for two weeks. In treatmet group 1 celery juice given 0.009 gram/grams of weight, in treatment group 2 given 0.0225 grams/ grams of weight, while control group given distilled water ad libium. Data were analyzed by one – way ANOVA test. This study found a decrease in mean of systolic blood pressure in treatment group 1 and 2 in the first and second week (post- test) after administration of celery juice, whereas in the control group tended to increase. Conclusion: there is a decrease effect of systolic blood pressure to Rattus strain Wistar with hypertension NaCl – induced given celery juice. Keyword: celery juice, hypertension, Wistar strain rattus

JUS SELEDRI (APIUM GRAVEOLENS) MENURUNKAN TEKANAN DARAH PADA PASIEN DENGAN HIPERTENSI ESSENSIAL

Hypertension is a common public health problem. Uncontrolled hypertension can lead to degenerative diseases, such as congestive heart failure, kidney failure, and vascular disease. Hypertension is called “silent killer”. Event tough it’s an incurable disease prevention and management effort can reduce the incidence of hypertension and it’s complication. The objective is to identify the corelation between celery juice (Apium graveolens) consumption and the blood pressure of essential hypertension patient. The study uses quasi experimental with pre-post test with control design. We perfomed random sampling technique as a sampling method, ad we use Mann-Whitney test for the statiscal analysis. The was a mean reduction of blood pressure in essential hypertensive patients after the administration of celery juice with 3.88 g / kg for 7 days following the systolic pressure of 38.87 mmHg in the treatment group and 22.13 mmHg in the control group with p value of 0.000 (p < 0,05) and the mean reduction in diastolic pressure of 39.23 in the treatment group and 21.77 mmHg in the control group with p value of 0.000 ( p <0.05). Conclusion: there is a significant effect of celery juice consumption in lowering the blood pressure in patients with essential hypertensive

Gambaran Kondisi Kaki Penyandang Diabetus Melitus di Wilayah Kerja Puskesmas Godean II tahun 2015

Diabetes mellitus if dont managed properly can cause acute metabolic complications as well as microangiopathy and macroangiopathy. Diabetic foot abnormalities if not detected immediately and not treated will result in a more serious condition which leads to amputation and can even lead to death This study aims to describe the condition of the feet of people with diabetes mellitus in the working area of Godean II Public Health Center in 2015. The research method used is descriptive survey. The subjects of the study were 70 people with diabetes mellitus at the Godean II Health Center. The study was conducted in February-April 2015 in the work area of ​​Sleman Godean II Public Health Center with a check list. Data analysis uses frequency distribution. In this study results were obtained; that most respondents were 67.1% women, 71.4% aged 45-64 years, 51.4% with diabetes mellitus for ≤ 5 years, 72.9% controlling once a month, 65.7% sugar content the last three months of blood ≥ 180 mg / dL, 75.7% had never smoked, 5.7% had neuropathy, 1.4% had nephropathy, 8.6% had retinopathy, 37.1% had hypertension, 2.9% had a stroke, 68.6% experienced yellowing nails, 38.6% had hammer toe, 97.1% had callus, 95.7% felt pulse in the right and left legs, 74.3% sensation of the feet could be felt on the legs Right and left. Most of the foot patients with diabetes mellitus are yellowing nails, there is a hammer toe, there is a callus, palpable right and left legs and the sensation of the foot is felt in the right and left legs

AKTIVITAS FISIK SEHARI-HARI PADA PENYANDANG DIABETES MELLITUS DI WILAYAH KERJA PUSKESMAS GODEAN II TAHUN 2015

Background: Diabetes Mellitus (DM) is an one Non-Communicable Disease most happening in the world. The problem which always be happened by the DM patient is how to keep their glukosa stable and controlled, with doing some Diabetes Mellitus healing management (education, medical nutrition therapy, physical activity, and pharmacological management). The most management DM is obeyed by DM patient is not doing some physically activity. Objective: This research is to know daily physichaly activity on Diabetes Mellitus patient in working district of Puskesmas Godean II in 2015. Method: Research metode is done with descriptive survey. This research done in 2015. The research is located in working district of Puskesmas Godean II. The research subject is Diabetes Mellitus patient who check up in January – December 2014 in Puskesmas Godean II, approximatily 70 DM patient. We use proporsional random sampling. Result: In this research, result that 92,8%, the most daily physic activity done at home is brooming, activity in working place is teaching (2,8%), late night sleep (12,18%), diging soil (5,7%), sit (8,6%), eating (1,4%), writing (2,8%), walking around (17,1%), lifting some heavy stuff ( 5,7%), 75,7% physically activity (exercise) is working around, 38,6% duration of physically activity (excercise) is 10-20 minutes, and 54,4% frequency of physically activity (excercise) is 5-7 times. Conclusion: Description of daily activity (excercise) is done by the DM patient in working district of Puskesmas Godean II in year 20155 is brooming, walking around, kind of excercise is 10-20 menit and frequency of excercise is 5-7 times a week. Keywords: Diabetes Mellitus, daily physically activity, kins, durations, frequency of physically (excercise

PENGARUH MUSIK KLASIK DALAM MENURUNKAN TINGKAT KECEMASAN PADA PASIEN SECTIO CAESAREA DENGAN TINDAKAN SUBARACHNOID BLOK (SAB) DI RSU MITRA DELIMA BULULAWANG, MALANG, JAWA TIMUR

Latar Belakang: Respon paling umum pada pasien pra-operasi salah satunya adalah respon psikologi (kecemasan), secara mental penderita yang akan menghadapi pembedahan harus dipersiapkan karena selalu ada rasa cemas dan takut terhadap anesthesia dan prosedur pembedahan. Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui pengaruh musik klasik dalam menurunkan tingkat kecemasan pasien Sectio Caesarea dengan tindakan subarachnoid blok (SAB) di RSU Mitra Delima Malang, Jawa Timur. Metode Penelitian : Penelitian ini merupakan penelitian quasi eksperimen dengan desain penelitian group pre test and post test with control group. Populasi dalam penelitian adalah semua pasien yang akan menjalani sectio caesarea elektif dengan tindakan SAB di RSU Mitra Delima, sampel dalam penelitian ini diambil dengan cara consecutive sampling 52 orang yang terbagi dalam 26 sampel kelompok intervensi dan 26 orang kelompok kontrol. Analisa data menggunakan uji Mann Whitney dan Wilcoxon. Hasil Penelitian : Musik klasik berpengaruh menurunkan tingkat kecemasan pada pasien yang akan menjalani operasi Sectio Caesarea (p=0,000). Musik klasik terbukti menurunkan kecemasan pada kelompok intervensi sebanyak 26 responden (100%). Kesimpulan: Pendekatan dengan intervensi musik klasik terbukti berpengaruh untuk menurunkan tingkat kecemasan pada pasien yang akan menjalani operasi Sectio Caesarea (p=0,000). Kata kunci : Musik Klasik, Kecemasan, Sectio Caesare