Penguatan Intervensi Perilaku terhadap Pencegahan HIV pada Kelompok Berisiko: Sistematik Review

Intervensi perilaku sangat penting dilakukan dalam pencegahan HIV sebagai intervensi dalam upaya meningkatkan status kesehatan. Tujuan: Mengetahui bentuk intervensi perilaku untuk mengukur outcome dari pencegahan terjadinya HIV terutama pada kelompok berisiko. Metode:  Electronic database dari jurnal yang telah dipublikasikan melalui ProQuest, PubMed., dan ScienceDirect. Hasil: Review dari delapan jurnal yang telah dipilih menyatakan bahwa intervensi perilaku memberi pengaruh terhadap peningkatan pengetahuan tentang HIV/AIDS, konseling bagi kelompok dengan rIsiko tinggi seperti pada Lelaki Seks dengan Lelaki (LSL) dan juga pelaksanaan tes HIV atau yang dikenal dengan Voluntary Counseling and Testing (VST). Instrumen penelitian yang  digunakan untuk mengukur behavioral intervention pada penelitian kuantitaif yakni kuesioner, instrumen berbasis komputer dan internet seperti sosial media, sedangkan pada penelitian kualitatif menggali informasi dengann indepth interview dan Focus Group Discussion (FGD). Hasil penelitian menunjukkan bahwa penguatan intervensi perilaku dalam pencegahan HIV memberi manfaat dalam peningkatan pengetahuan, persepsi dan perilaku pencegahan HIV positif, serta penurunan stigma bagi ODHA. Simpulan: Penguatan intervensi perilaku dapat mencegah terjadinya HIV pada kelompok berisiko sehingga dapat meningkatkan derajat kesehatan.Kata kunci: intervensi perilaku, pencegahan HIV, LS

EVALUASI RAGAM METODE PERAWATAN LUKA PADA PASIEN DENGAN ULKUS DIABETES: LITERATURE REVIEW

Diabetic ulcers are open sores on the skin surface due to complications of macroangiopathy. The global prevalence of diabetic ulcer complications varies from 3% in the Oceania region to 13% in Northern America, with a global average of 6.4%. Currently, the science of nursing is increasing. Evidence of developments in nursing is the development of various methods of treating diabetes ulcers, namely modern dressings, ozone therapy, and negative pressure wound therapy (NPWT). The aim of this study was to evaluate the currently more effective wound care methods for healing diabetic ulcers. This study used a systematic literature review design. Articles were collected through the PubMed and Google Scholar databases using the keywords diabetic ulcer, modern dressing, ozone therapy, negative pressure wound therapy (NPWT), and wound healing. The criteria for the articles used were original research, which the research design used was prospective, double-blind randomized comparative clinical trial, one group pre-test post-test, cross-sectional, single-blind randomized clinical trial, observational, experimental, retrospective were those published from 2016 to 2020. Researchers found 80,408 journals that match these keywords, then obtained 9 journals that match the inclusion criteria for review. The results of the literature review showed that NPWT was more effective in treating diabetic ulcers than modern dressings and ozone therapy. The conclusion is that negative pressure wound therapy (NPWT) is more effective because it is wounded heal faster, can minimize pain, and the length of stay in the hospital decreases

The Influence of Diabetic Experience Against the Behavior of DM Controlling

The behavior control of diabetes mellitus can improve the life quality of patient through planning specific behaviors. The behavior can be reflected by the experience that diabetes itself or observed in surrounding. Therefore, this study was conducted to investigate the effect on behavior of diabetics experience against diabetes control. This type of study is explanatory research using cross sectional design. The collecting data was using diabetics experience related diabetes disease. The consecutive sampling technique was used to obtain 134 samples. Data were analyzed with chi square test. The results showed that the average 62.2% of diabetics to control diabetes well have a pleasant and unpleasant experience. Chi-square test results showed that diabetics experience have influence against the behavior diabetes control (p = 0.043). Findings influence on diabetics experience against the behavior control diabetes have implications for providing information and support positive consistently in order to become a source of knowledge and experience in improving the behavior good control of DM

Efek Intervensi Perilaku Terhadap Manajemen Diri Penderita Diabetes Melitus Tipe 2: Sistematik Review

Behavioral intervention sangat penting dilakukan dalam manajemen diri penderita Diabetes Melitus tipe 2 sebagai intervensi dalam upaya meningkatkan status kesehatan. Manajemen diri merupakan hal penting untuk mempertahankan kontrol gula darah sehingga komplikasi pada penderita DM tipe 2 dapat dicegah. Tujuan: Mengetahui bentuk intervensi perilaku untuk mengukur outcome dari manejemen diri penderita DM tipe 2. Metode:  Electronic database dari jurnal yang telah dipublikasi melalui Google Schoolar, ProQuest, PubMed., dan ScienceDirect. Hasil review dari 8 jurnal yang telah dipilih menyatakan bahwa behavioral intervention memberi pengaruh terhadap manajemen diri penderita DM tipe 2 dalam kontrol glikemik. Instrumen penelitian yang  digunakan untuk mengukur behavioral intervention pada penelitian kuantitaif yakni kuesioner, melakukan observasi perubahan perilaku, sedangkan pada penelitian kualitatif menggali informasi dengan indepth interview. Hasil: Efek behavioral intervention yang meliputi pemberian edukasi dan self efficacy dapat memfasilitasi peningkatan pengetahuan, pencegahan komplikasi dan meningkatkan kualitas hidup pasien DM tipe 2. Simpulan: efek behavioral intervention sangat efektif dalam meningkatkan manajemen diri penderita DM tipe 2, namun pelaksanaan intervensi perlu dimodifikasi agar didapatkan hasil yang lebih maksimal, salah satunya dengan pemanfaatan terknologi berbasis komunitas.Kata kunci: behavioural intervention, diabetes melitus tipe 2, manajemen dir

Glycemic Control in Patients with Type 2 Diabetes Mellitus: Descriptive Survey in Makassar City Hospitals

Aims: This study aims to determine the frequency distribution based on the respondent's glycemic control in the hospitals in Makassar City Methdos: This research is a non-experimental quantitative research using descriptive method. This research was conducted in hospitals in Makassar City, South Sulawesi (RSUD Kota Makassar, Bhayangkara Hospital Makassar, Pelamonia Hospital Makassar, Labuang Baji Hospital, RSUD Haji Makassar, and Ibnu Sina Hospital Makassar). The total of samples in this study amounted to 291 patients with diabetes mellitus using purposive sampling. Results: Based on the results of the our study, it was found that there were 161 (55.3%) people with diabetes mellitus with less glycemic control and 130 (44.7%) people with diabetes mellitus with good glycemic control. Conclusions: In the management of diabetes management with monitoring blood sugar levels is very important. Thus, good glycemic control will be declined diabetes complications. Consequently, it is highly recommended for people with diabetes mellitus to reduce the complications of Type 2 DM by complying with glycemic control

LOCUS OF CONTROL: PENGENDALIAN DIABETES MELITUS PADA PENDERITA DM TIPE 2

Tingginya prevalensi penderita diabetes melitus di Indonesia mengharuskan adanya upaya pengendalian diabetes melitus yang dilakukan agar dapat meningkatkan derajat kesehatan. Tujuan penelitian ini adalah mengidentifikasi upaya pelaksanaan pengendalian diabetes melitus yang dilakukan penderita diabetes melitus tipe 2 berdasarkan background factor (personality traits, pendidikan, pengalaman, pengetahuan dan status ekonomi) terkait locus of control yang dimiliki. Jenis penelitian explanatory research dengan desain cross-sectional. Jumlah sampel sebesar 143 responden. Pengujian dilakukan menggunakan uji regresi linear berganda dengan metode backward. Hasil uji statistik menunjukkan bahwa personality traits berpengaruh signifikan terhadap locus of control penderita diabetes melitus (α = 0.06, ρ = 0.004), pendidikan berpengaruh tidak signifikan terhadap locus of control penderita diabetes melitus (α = 0.06, ρ = 0.919), pengalaman berpengaruh signifikan terhadap locus of control penderita diabetes melitus (α = 0.06, ρ = 0.043), pengetahuan berpengaruh tidak signifikan terhadap locus of control penderita diabetes melitus (α = 0.06, ρ = 0.640) dan status ekonomi berpengaruh tidak signifikan terhadap locus of control penderita diabetes melitus (α = 0.06, ρ = 0.119). Berdasarkan background factor yang dilihat, determinan yang berpengaruh signifikan terhadap locus of control penderita diabetes melitus dalam upaya mengendalikan diabetes melitus adalah personality traits dan pengalaman. Locus of control yang lebih dominan adalah internal locus of control

PERCEIVED BEHAVIORAL CONTROL DIABETES MELITUS TERKAIT LOCUS OF CONTROL PENDERITA DM

Mengendalikan dan mengontrol penyakit Diabetes Melitus memerlukan keyakinan dan kepatuhan yang kuat agar penderita Diabetes Melitus dapat menciptakan perilaku tersebut. Terciptanya sebuah perilaku tersebut tidak lepas dari peran pusat kendali individu itu sendiri atau dalam hal ini disebut Locus of Control. Tujuan dari penelitian ini adalah menganalisis kaitan Locus of Control penderita Diabetes Melitus untuk melakukan pengendalian terhadap Perceived Behavioral Control yang dimiliki. Jenis penelitian explanatory research dengan menggunakan desain cross-sectional. Teknik pengambilan sampel consecutive sampling dengan besar sampel ditentukan menggunakan analitik multivariat numerik, sehingga besar sampel yang diperoleh sebanyak 143 responden. Pengujian hipotesis dilakukan dengan menggunakan uji MANOVA, kemudian pengujian lanjutan dilakukan menggunakan analisis jalur (path analysis) dengan model trimming. Hasil statistik menunjukkan bahwa sebagian besar responden lebih cenderung memiliki internal locus of control yakni 88,1%. Hasil menunjukkan bahwa locus of control berpengaruh signifikan terhadap perceived behavioral control penderita DM (ρ = 0,051) (α = 0,06; b = 0,027; b2 = 0,001). Berdasarkan hasil penelitian dapat disimpulkan bahwa locus of control berpengaruh signifikan terhadap perceived behavioral control penderita DM dalam perilaku pengendalian diabetes melitus

CLINICAL NURSES’ MORAL COURAGE IN TENURE OF NURSES: AN ANALITYC SURVEY

Background: The complexity of services that nurses must provide nowadays encourages nurses to develop their moral courage. A review of the literature reveals that no studies have been conducted to evaluate the association between clinical nurse tenure and their level of moral courage. Objectives: this study is to assess correlation between the tenure of nurses and the level of moral courage. Methods: analytic survey research at 5 hospitals in Makassar, including private and government hospitals with a total sample of 405 nurses. The sampling technique used multistage random sampling. The variables measured were tenure of nurses and the level of moral courage of nurses.  The Professional Moral Courage Questionnaire is used for the variable moral courage (Cronbach 'alpha: 0.756). Data analysis using Mann Whitney test. Results:  The majority of nurses with long and new tenure had moderate moral courage (new tenure 79 nurses; length tenure 238 nurses), and there was no significant difference in the moral courage level of nurses with long and new tenure (p=0.294). Conclusion: Considering the findings that nurse tenure has no effect on moral courage, nursing managers can consistently boost nurses' moral courage through external stimuli. A nurse who cannot face various ethical dilemmas in providing daily nursing care can result in moral distress

The Effect of

The behavioral control of diabetes mellitus can improve the quality of life through specific behaviorplanning. In the theory of planned behavior, the intentions are needed to bring up a person's behavior. A person can act on his intentions if he has control over his behavior. To control the behavior, the role of locus of control is required. Therefore, the research was conducted to investigate the effect of locus of control on the intention of diabetes mellitus patients in performing the diabetes mellitus control. This type of research was explanatory research using cross sectional design. The instrument of diabetic locus of control scale was used to collect the data. Consecutive sampling technique was used to obtain 134 samples. The data were analyzed by simple linear regression. The findings showed that 88,1% of respondents tend to have an internal locus of control and 98,6% of respondents have a strong intention to control the DM. Simple linear regression test results indicate that the locus of control significantly affect the diabetic patient