Background: Some issues which might be frequently discovered in patients with diabetes mellitus with slow ulcer healing. These conditions are due to prolonged treatment, high treatment costs, decreased productiveness, and less family support, all of which have an essential effect on the patient's quality of life. The objective of the study is to identify the relationship of family support with quality of life in diabetes mellitus patients with ulcers. Methods: This observational study involved 47 randomly selected patients with type 2 Diabetes Mellitus aged 40-80 years, with foot ulcers and have no diabetic ketoacidosis and nonketotic hyperosmolar complications. Using Hensarling’s Diabetes Family Support Scale and Diabetes Quality of Life questionnaire, data were collected. Data were analyzed using the Spearman rank test with a significance level of p <0.05. Results: The results indicated that, on average, diabetes mellitus patients with ulcers had adequate family support, particularly in terms of informational assistance, as well as excellent lifestyles. This study found that family support is related to the quality of life (p = 0.048). Conclusion: Excellent family support will enhance self-care management compliance in order that the quality of life of diabetes mellitus patients will improve. Assistance and empowerment of the role of the family in being concerned for Diabetes mellitus patients can maximize family support for patients.
Introduction: The activities of health workers in carrying out their profession are very risky for nosocomial infections and very high infectious diseases . The Ministry of Health urges every medical personnel to carry out hand hygiene as an effort to minimize the occurrence of nosocomial infections. The purpose of this study was to determine the factors which affect the behaviour of medical personnel in carrying out hand hygiene protocols. Methods: This research was a correlational descriptive research. The population in this study were medical personnel of Kebonsari Public Health Center Surabaya, and the samples were taken using a simple random sampling technique with a total of 63 respondents. The variables in this study were knowledge, attitude, training, commitment, supervision and behaviour. Data collection was carried out using a questionnaire sheet, direct observation and statistical test using a path analysis. Results: The results of simultaneous statistical tests upon knowledge, attitude, training, commitment, and supervision showed that those 5 factors had an effect on hand hygiene behaviour with 45.6% coefficient of determination (R2), and the results of a partial statistical test (t test) on knowledge, training, commitment, and supervision showed a significant effect on hand hygiene behavior of < 0.05, while attitudes had no significant effect on hand hygiene behavior of > 0.05. Conclusion: Knowledge, training, commitment and supervision affected the behaviour of medical personnel in carrying out hand hygiene. These variables, theoretically, contribute to forming good behaviour.Keywords: behavioral factors, hand hygiene, medical personnel
Adaptation to New Habits is an act of implementing a new life order needed to maintain productivity during the COVID-19 pandemic by implementing transmission prevention behaviors or COVID-19 health protocols. This community service is an activity that aims to improve the knowledge and skills of health cadre in helping to improve family health by emphasizing the Adaptation of New Habits during the Covid-19 pandemic in the Kebonsari Surabaya. The COVID-19 pandemic has limited the activities of health cadre in the community so that it needs to be refreshed regarding health materials in the hope that through the health cadre, the adaptation of new habits during the covid-19 pandemic will be well socialized in the community. The method used in this community service activity is the provision of health education related to Adaptation to New Habits and a review of the skills of health cadre in providing health education to the community. The media used is a flipchart. The result of this community service activity is an increase in cadre knowledge by 30% regarding the material for adapting new habits during the covid_19 pandemic. Education through flipchart media is one way to increase knowledge.
Poor vascularization in individuals with diabetes will worsen blood circulation due to high glucose in the blood. One of the risk factors leading to diabetic foot ulcers (DFU) is peripheral vascular disease. This study aims to identify the peripheral vascular status in individuals with type 2 diabetes mellitus (T2DM) at Kebonsari Public Health Centre, Surabaya. The research design in this study used a quantitative descriptive approach. There were 40 respondents with an accidental sampling. The data collection was carried out for four weeks, from May to June 2020. The research instrument was an observation sheet to record the Dorsalis Pedis artery pulse and ankle-brachial index (ABI). In addition, a digital sphygmomanometer was used to measure the Dorsalis Pedis artery pulse. Most respondents had the normal Dorsalis Pedis artery pulse in the right legs (80%), 20% had bradycardia, and none had tachycardia (0%). In addition, they had the normal Dorsalis Pedis artery pulse in the left legs (70%), 20% had bradycardia, and none had tachycardia (0%). Furthermore, they had the normal ABI values in the right legs (55%), 45% had borderline ABI values, and none had ischemic and critical ischemic (0%). In addition, they had the normal ABI values in the right legs (52%), 47% had borderline ABI values, and none had ischemic and critical ischemic (0%). Most individuals with T2DM at the Kebonsari Public Health Center, Surabaya, had normal peripheral vascular status. However, few respondents had bradycardia in the Dorsalis Pedis artery pulses, and almost half had borderline ABI values.
ABSTRAK Diabetes merupakan penyakit kronik yang membutuhkan penatalaksanaan jangka panjang baik farmakologi maupun nonfarmakologi. Salah satu penatalaksanaan nonfarmakologi adalah dukungan keluarga yang sangat bermanfaat untuk membantu penderita menstabilkan kadar gula darah. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk meningkatkan pengetahuan kader tentang pentingnya dukungan keluarga penderita DM. Metode yang digunakan dalam kegiatan pengabdian kepada masyarakat ini adalah pemberian pendidikan kesehatan terkait dukungan keluarga untuk penderita DM dan review ketrampilan kader kesehatan dalam memberikan pendidikan kesehatan kepada masyarakat. Media yang digunakan adalah lembar balik. Hasil kegiatan pengabdian kepada masyarakat ini adalah adanya peningkatan pengetahuan dan keterampilan kader sebesar 50%. Edukasi melalui media lembar balik merupakan salah satu cara untuk meningkatkan pengetahuan dan keterampilan kader dalam memberikan promosi kesehatan. Kata Kunci: Dukungan Keluarga, Kader, Lembar Balik ABSTRACT Diabetes is a chronic disease that requires long-term management, both pharmacological and non-pharmacological. One of the non-pharmacological management is family support which is very useful to help patients stabilize blood sugar levels. The purpose of this community service activity is to increase the knowledge of cadres about the importance of family support for people with DM. The method used in this community service activity is the provision of health education related to family support for DM sufferers and reviewing the skills of health cadres in providing health education to the community. The media used is a flipchart. The result of this community service activity is an increase in the knowledge and skills of cadres by 50%. Education through flipchart media is one way to increase the knowledge and skills of cadres in providing health promotion. Keywords: Family Support, Cadres, Flipchart
PHBS (Perilaku Hidup Bersih dan Sehat) merupakan hal yang sangat penting dalam rumah tangga. Masa pandemi covid-19 membuat kita lebih lama tinggal di dalam rumah sehingga PHBS rumah tangga perlu ditingkatkan, sebagai salah satu hal yang dapat meningkatkan kesehatn keluarga. Tujuan dalam penelitian ini adalah untuk menegetahui pengaruh edukasi PHBS rumah tangga terhadap tingkat pengetahuan kader kesehatan sebelum dan setelah diberikan edukasi. Jenis penelitian ini adalah analitik dengan teknik quasy eksperimen dengan pendekatan pre post test two groups. Populasi target adalah seluruh kader kesehatan yang aktif di wilayah Kebonsari Surabaya dengan kriteria yang ditetapkan oleh peneliti adalah usia dewasa di atas 21–59 tahun, bisa membaca dan menulis dengan baik, tinggal di wilayah Kebonsari surabaya. Sampel sebesar 66 responden yang dibagi menjadi dua kelompok yaitu kelompok intervensi 33 responden dan kelompok kontrol 33 responden. Instrumen yang digunakan adalah kuesioner tingkat pengetahuan yang diberikan sebelum dan setelah intervensi edukasi PHBS rumah tangga. Data dianalisis menggunakan uji Wilcoxon Signed Rank dan Mann Whitney dengan tingkat kemaknaan α = 0,05. Hasil uji beda post-test kelompok ekperimen dan kontrol menggunakan uji Mann Whitney didapatkan nilai ρ = 0,000 dengan tingkat kemaknaan α = 0,05 yang berarti ada pengaruh edukasi PHBS rumah tangga melalui media cetak lembar balik terhadap pengetahuan kader kesehatan. Simpulan dari penelitian ini bahwa terdapat pengaruh edukasi PHBS rumah tangga melalui media lembar balik terhadap pengetahuan kader kesehatan..
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