Diabetes adalah penyakit kronis yang terjadi ketika pankreas tidak menghasilkan cukup insulin atau ketika tubuh tidak dapat secara efektif menggunakan insulin yang dihasilkannya. Profil Kesehatan Indonesia Tahun 2019 menunjukkan bahwa jumlah penderita diabetes di wilayah Indonesia yaitu 3.9 juta orang dan untuk wilayah Sulawesi Utara penderita diabetes berjumlah 59.229 orang. Pasien diabetes mellitus di wilayah kerja puskesmas semakin meningkat pada tiga tahun terakhir yakni sejak 2018 hingga tahun 2020. Pada tahun 2020, jumlah pasien diabetes mellitus dua kali lebih banyak dibandingkan dengan tahun sebelumnya dengan jumlah 85 orang. Tujuan penelitian untuk mengetahui faktor –faktor yang berhubungan dengan kejadian ulkus kaki diabetik pada penderita diabetes melitus (DM) di Wilayah Kerja Puskesmas Manganitu. Jenis penelitian ini adalah penelitian survei yang bersifat analitik dengan menggunakan pendekatan cross sectional. Pengambilan sampel pada penelitian ini dilakukan secara purposive sampling dengan besar sampe 41 responden. Hasil penelitian menunjukkan bahwa sebanyak 48.8% responden mengalami ulkus kaki diabetik. Berdasarkan hasil uji statistik menggunakan chi square menunjukkan bahwa probabilitas ulkus kaki dengan umur p=0,139 (p>0,05), jenis kelamin p= 0,552 (p>0,05), lama menderita DM p= 0.595 (p>0,05), aktivitas fisik p=0,585 (p>0,05), obesitas p=0.001 (p<0,05), hipertensi p= 0.001 (p<0,05), riwayat ulkus kaki p= 0.000 (p<0,05). Kesimpulan penelitian ini bahwa tidak terdapat hubungan antara umur, jenis kelamin, lama menderita DM, aktivitas fisik dengan kejadian ulkus kaki diabetic serta terdapat hubungan antara obesitas, hipertensi dan riwayat ulkus kaki diabetic dengan kejadian ulkus kaki diabetik. Diabetes is a chronic disease that occurs when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Indonesian Health Profile in 2019 shows that the number of people with diabetes in are 3.9 million people and for the North Sulawesi region there are 59,229 people with diabetes. Diabetes mellitus patients in Manganitu health centers have increased from 2018 to 2020. In 2020, the number of diabetes mellitus patients was twice as high as the previous year with 85 people. The purpose of the study was to determine the factors associated with the incidence of diabetic foot ulcers in diabetes Mellitus (DM) patients in Manganitu Health Center. This research is an analytic survey research using a cross-sectional approach. Sampling method using purposive sampling with 41 respondents. The results showed that 48.8% of respondents had diabetic foot ulcers. Chi-square statistic result shows that the probability of foot ulcers with age age p = 0.139 (p> 0.05), gender p = 0.552 (p> 0.05), length of suffering from DM p = 0.595 (p> 0.05), physical activity p=0.585 (p>0.05), obesity p=0.001 (p<0.05), hypertension p= 0.001 (p<0.05), history of foot ulcers p= 0.000 (p<0.05). There is no correlation between age, gender, duration of diabetes mellitus, physical activity with the incidence of diabetic foot ulcers, and there is a correlation between obesity, hypertension, and a history of diabetic foot ulcers with the incidence of diabetic foot ulcers in the Managnitu health center.
Introduction: Nursing services bring affect to the image of a hospital in the eyes of the public, which then demands the professionalism of nurses in providing and regulating nursing care activities. Facts indicate a serious problem in the quality of nursing services in Indonesia. data obtained in the field stated that 43% of the public expressed dissatisfaction with the nursing services organized by the health service. Objective: The purpose of the study to identify the quality picture of nursing services is reviewed from the dimensions of reliability, empathy, responsiveness, assurance, and physical appearance (tangibility) of nurses at Liun Kendage Tahuna Regional Hospital in Sangihe Islands Regency. Method: This research is a descriptive research using analytical survey method. The population of this research is all outpatients and inpatients at Liun kendage Tahuna Hospital. The sampling method used in this research is purposive sampling method with a total of 97 respondents. Results: In this study, most respondents belonged to the productive age category of 25-54 years (55.7%) and the highest education achieved only to high school (35.1%). The results showed excellent reability dimension (99%), excellent empathy dimension (90.7%), excellent responsiveness dimension (93.8%), excellent assurance dimension (93.8%) as well as tangability dimensions that fall into the excellent category (80.4%). Conclusion: The quality of nursing services at Liun Kendage Tahuna Hospital belongs to the excellent category. It is necessary to do some activities such as the following; routine evaluation activities, motivational activities to nurses to always look neat and clean and activities to maintain the cleanliness of existing health facilities..
Saat ini ada 7 (tujuh) jenis wadah plastik yang beredar di masyarakat. Masing-masing diberi simbol pada setiap kemasannya. Beberapa bahaya yang dapat di timbulkan karena penggunaan plastik bagi kesehatan tubuh antara lain dapat menyebabkan kanker, gangguan sistem saraf, depresi, pembekakan hati, gangguan reproduksi, dan radang paru – paru. Selain menganggu kesehatan tubuh, plastik juga dapat menggangu ekosistem lingkungan, yaitu mengakibatkan banjir, menurunkan kesuburan tanah, menjerat hewan, meracuni makhluk hidup, pencemaraan air, dan polusi udara. Tujuan dilaksanakannya PKMS adalah untuk meningkatkan pemahaman masyarakat tentang pemanfaatan wadah plastik yang benar. Jumlah partisipan yang bersedia menjadi responden dalam pengambilan data saat pengabdian berjumlah 27 orang. Materi penyuluhan yang diberikan berupa pengetahuan tentang jenis-jenis plastik yang aman dan tidak aman untuk dipakai berulang, bagaimana mengurangi penggunaan plastik dalam kehidupan setiap hari, serta bagaimana mendaur ulang sampah plastik sekali pakai. Hasil evaluasi menunjukkan peningkatan pemahaman responden sebelum penyuluhan 96% berada pada kategori cukup. Setelah penyuluhan hasil evaluasi menunjukkan 100% responden berada pada tingkat pemahaman kategori baik. There are 7 (seven) types of plastic containers circulating in society today which their symbols are on each packaging. The dangers posed by plastic to the health of the body are causing cancer, disrupting the nervous system, depression, liver tearing, reproductive disorders, and pneumonia. In addition to disrupting the health of the body, plastic also disrupts environmental ecosystems, resulting in flooding, lowering soil fertility, ensnaring animals, poisoning living things, water pollution, and air pollution.The purpose of the implementation of the program was to improve the public's understanding about the right utilization of plastic containers. The number of respondents who were in the data collection at the time was 27 people. Materials provided by the team were about the types of plastics those were safe and unsafe to use repeatedly and how to reduce the use of plastic and recycle plastic waste. The evaluation results showed that 96% increase in respondents' level of understanding prior to counseling. The evaluation results showed 100% of respondents were at a good category level of understanding.
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