Family Empowerment Model for Type 2 DM Management: Integration of Self care Model by Orem and Family Centered Nursing by Friedman in Sikumana Health Center-Kupang

Background. The management of Diabetes which is very complex needs full support from the family. The family has a vital role in management type 2 diabetes at home involving diabetes diet, diabetes medication management, exercise, and also visit health care services for checking blood glucose and diabetes discussion session. Unfortunately, the family is rarely Involved in the health education session. The research aimed to identify the effect of family empowerment models: Integrated self-care model by Orem and Family-Centered Nursing by Friedman in type 2 DM management in Sikumana Health Center of Kupang. Methods. The research design was pra-experimental design with "One Group Pretest - Posttest approach.  The population of this study was 30 family members with type 2 DM. The data was collected by using questionnaires to measure the family members' ability to know type 2 DM, to make a proper decision, to take care of family members in term of diabetes diet management and to use health care services. Wilcoxon signed-Rank Test is used to figure out the effect of family empowerment model to conduct five family health function. Results. The study showed that the model improved the five health function performance by family members. While Wilcoxon signed-rank test also showed there was a significant effect of family empowerment model in terms of the family's ability to recognize type 2 DM (p =0.0001), to make a right decision to take care the patient (p = 0.0005). Moreover, the models have also improved the family ability to diabetes diet management (p=0,046), to motivate the patient to do regular exercise and to uses the health care facilities (p=0,014 and 0,025 respectively). Conclusions. The study recommended to actively involve the family members to take care of type 2 diabetes patient due to it affects the entire family. The family members should be well informed so that they can improve the quality of family health

Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Di Puskesmas Se Kota Kupang

Diabetes Mellitus is well known as a chronic disease which can lead to a decrease in quality of life in all domains. The study aims to explore the diabetic type 2 patient’s quality of life and find out the factors affecting in type 2 diabetic mellitus patients. The cross-sectional study design is used that included 65 patient with type 2 diabetes mellitus, in 11 public health centers of Kupang City. Data were collected by using Short Form Survey (SF-36) that assessed 8-scale health profile. Independent sample t-test is used to analyze the correlation between the factors affecting and the quality of life. the study showed that the QoL of DM patients decreased in all 8- health profile including physical functioning, social functioning, mental health, general health, pain, change in the role due to physical problems and emotional problems. The Study also showed there was a relationship between gender, duration of suffering from Diabetes mellitus, and complications to the quality of life. Male perceived a better quality of life than female.Diabetes melitus merupakan penyakit menahun yang disandang penderitanya seumur hidup.  Berbagai komplikasi kronik menyebabkan tingginya angka kesakitan dan kematian DM dan sangat mengurangi kualitas hidup dari pasien DM. Penelitian ini bertujuan untuk mengetahui kualitas hidup pasien DM tipe 2 di kota Kupang dan menganlisis faktor-faktor yang mempengaruhi kualitas hidup pasien DM tipe 2. Faktor-faktor yang dinilai adalah umur, jenis kelamin, komplikasi, lamanya menderita DM, HbA1c dan keteraturan minum obat dan kontrol gula darah. Metode penelitian bersifat analitik observasional dengan menggunakan desain potong lintang (cross sectional). Data dikumpulkan dengan menggunakan kuesiner SF-36. Sampel penelitian ini adalh 65 orang pasien DM tipe 2. Data disajikan dalam bentuk tabel dan dianalisa dengan menggunakan independent sampel t-test. Hasil penelitian menunjukkan terjadi penurunan kualitas hidup pasien DM tipe 2 pada semua aspek kesehatan antara lain fungsi fisik, fungsi sosial, kesehatan mental, kesehatan umum, nyeri, perubahan peran akibat masalah fisik, perubahan peran akibat masalah emosional dengan nilaI <80. Hasil penelitian menunjukkan tidak ada hubungan antara umur, keteraturan minum obat, keteraturan mengecek gula darah dengan kualitas hidup pasien DM. Ada hubungan yang bermakna antara jenis kelamin, komplikasi dan lamanya menderita DM dengan kaulitas hidup pasien Dm tipe 2 dengan pvalue=0,000. Dari hasil penelitian ini diharapkan adanya upaya melalui pendidikan kesehatan maupun kegiatan lainnya untuk meningkatkan kualitas hidup pasien DM

Pedoman Asuhan Keperawatan Komunitas: individu, Keluarga, Komunitas di Puskesmas

Buku pedoman ini berisikan standard asuhan keperawatan untuk penyakit-penyakit yang seringkali muncul di puskesmas baik individu, keluarga, kelompok dan komunitas. Semoga kehadiran buku ini membantu perawat komunitas untuk melaksanakan tugas dengan sebaik-baiknya teruatam dalam mendukung program indonesia sehat dengan pendekatan keluarga. Semoga bermanfaat

Tuberculosis Drugs Supervisior Roles Improved the TB Recovery at The Community Health Center in Kupang City

Tuberculosis is a chronic and infectious disease that is still a major public health problem. The spread of this disease is caused by contact with infected droplets. The strategy of the tuberculosis control program in Indonesia uses the directly observed treatment short-course (DOTS) strategy in which patients will be sought and treated until they are cured. Every patient also needs Drug Drink Supervisor (called PMO) who can be nurses, midwives, family members, and health cadres. The role of the TB Drugs Drink Supervisor that has been described in many studies can increase the cure rate by up to 80%. The purpose of this study was to identify the relationship between the role of PMO in the recovery of tuberculosis patients. This research was a cross-sectional research design. Purposive sampling was used to determine the 96 tuberculosis patients who had completed the treatment program. The chi-square was used to identify the relationship between the variables. The study found that there is a relationship between the role of TB drug supervisors (conducting home visits, accompaniment during anti-tuberculosis drug swallowing, providing health education, encouragement of sputum re-checking, and accompaniment during taking anti-tuberculosis drugs in public health centers) with patient recovery (p=0.000). When the TB Drug Drink Supervisor performed well in all roles, it will motivate the TB patients to follow the treatment recommendation and facilitate TB recovery

Similarity Cek: Trends of Malaria Cases From 2018 to 2019 in East-Sumba, East Nusa Tenggara, Indonesia

Introduction: The Province of East Nusa Tenggara is one of the provinces with a high malaria prevalence reaching 1.99% from the national prevalence of 0.37%. East Sumba Regency is one of the regencies in East Nusa Tenggara Province, with the highest prevalence of 7.01%. This study aimed to determine trends in malaria cases in East Sumba Regencyof East Nusa Tenggara Province from 2018 to 2019. Methods: This research is a descriptive study with all population data recorded in East Sumba Regency between 2018 and 2019. The sample size is 3,506 cases collected by purposive sampling that is taken from the total positive cases. Results: 1,811 cases per 246,295 inhabitants were recorded in 2018 (0.73%) and 1,695 cases per 260,950 inhabitants in 2019 (0.64%). In 2018, males were 54.50 percent, while the females were 45.59 percent, and in 2019, the male is 53.27 percent, and the female is 46.72 percent. Age is >15 years 40.36 percent in 2018, >15 years 41.65 percent in 2019, Plasmodium falciparum 74.82%, Plasmodium vivax 15.07%, Plasmodium malaria 1.21%, Plasmodium ovale 0%, Mix 8.89% in 2018, Plasmodium falciparum 71.91%, Plasmodium vivax 13.27%, Plasmodium malaria 1.65%, Plasmodium ovale 0%, Mix 13.15% in 2019. In 2018 the ACT malaria treatment was opted by 97.57% of patients, 97.52% in 2019. Conclusion: Most positive cases are found at age <15 years. The gender is generally male. Mostly Plasmodium falciparum is abundant. Almost all patients are following favourable treatment according to government programs