ABSTRAKGagal jantung merupakan salah satu penyakit kardiovaskuler yang paling sering terjadi di seluruh dunia yang mengakibatkan tingginya angka mortalitas, morbiditas dan juga berdampak secara finansial terutama bagi lanjut usia. Rehospitalisasi merupakan masalah umum yang sering terjadi pada pasien gagal jantung yang sebagain besar disebabkan oleh keterlambatan dalam pengenalan gejala, pengobatan dan ketidakpatuhan diet serta kurangnya pengetahuan dan keterampilan dalam melakukan perawatan diri. Panduan penanganan gagal jantung menekankan pentingnya perilaku perawatan diri untuk menurunkan kekambuhan dan rehospitalisasi pada pasien gagal jantung. Penelitian ini bertujuan untuk menggambarkan perilaku perawatan diri pada pasien gagal jantung yang mengunjungi poliklinik jantung di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif quantitatif dengan menggunakan pendekatan cross sectional. Sampel berjumlah 74 responden yang merupakan pasien rawat jalan di poliklinik jantung pada bulan Juni hingga Juli 2018. Alat ukur yang digunakan adalah Self-Care of Heart Failure Index (SCHFI), (skor ≥70 poin=adekuat). Uji statistik chi-square digunakan untuk mengetahui hubungan antara factor sosiodemografi dengan perilaku perawatan diri pada pasien gagal jantung. Hasil penelitian ini menunjukkan bahwa perilaku perawatan diri pada sebagian besar responden masih belum adekuat dengan frekuensi perilaku perawatan diri adekuat yang masih rendah (pemeliharaan: 45±13.1 (7.7%), pengelolaan: 46±20.4 (13.0%) dan kepercayaan: 69±16.5 (38.5%)). Hanya satu faktor yaitu penyakit penyerta yang berhubungan dengan perilaku perawatan diri pada pasien gagal jantung pada dimensi kepercayaan diri. Hasil penelitian ini menunjukkan bahwa sebagian besar responden memiliki perilaku perawatan diri yang tidak adekuat seperti juga pada negara-negara lainnya sehingga diperlukan upaya untuk meningkatkan perilaku perawatan diri pada pasien gagal jantung. ABSTRACTHeart failure (HF) is one of the most prevalent cardiovascular diseases in the world which associated with significant mortality, morbidity, and huge financial burden, particularly among aging population. Rehospitalization remain a concern in the care of the heart failure patient which largerly associated with delay in symptoms recognition, treatment, diet non-compliance and also lack of knowledge and skills in heart failure self-care. Guideline on HF emphasize the important of self care in preventing symptoms and hospital readmission. This study aims to describe self-care behavior in a sample of heart failure patients. This is a descriptive cross-sectional study with non-probabilistic sample of 74 in an out-patient heart clinic from June-July 2018. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI), (scores ≥70 points=adequate self-care). Chi-square test was conducted to test whether participant’s characteristics associated with self-care behavior among heart failure patients in three scales. The result shows that self-care was inadequate in most scales (self-care maintenance: 43.4±11.8, self-care management: 49.4±18.5 and self-care confidence: 68,6±14.5. Low frequencies of participants with adequate self-care also observed in the study (self-care maintenance: 5.4%, self-care management: 15.4%) and self-care confidence: 36.5%)). In self-care confidence subscale, higher scores of the SCHFI were associated with no comorbid conditions (p=0.01). None of the sociodemographic and clinical characteristics of the sample were associated with increased self-care in other 2 sub-scales. In conclusion, study shows that self-care in HF is inadequate, interventions aimed at improving self-care espescially in self-care maintenance sub-scale are greatly needed. Additional studies are needed to determine the best approach for this.

Impact of diabetes distress on diabetes self-care practices have been widely investigated but little known about the implication of the diabetes self-care on diabetic distress. This study is a correlational study that aims to discover the prevalence of distress and its correlation with self-care behavior in type II diabetes patients. This research was conducted in January-August 2018. Findings revealed that 70.5% of respondents had low self-care behavior and 50% of respondents experienced moderate to high level of distress. Chi-square test showed that there was no association between self-care and distress in type 2 diabetes patients as indicated by the value p = 0.4 > of 0.05. Health care for diabetes patient should focus on both physical and psychological health problems.

Objective: The purpose of this study was to analyze the relationship between biological factors with distress of diabetes type 2.Material and Methods: The research method is quantitative correlation. Samples were taken by accidental sampling method for 3 months (November 2017-January 2018) in 44 patients who were treated at PKU Muhammadiyah Yogyakarta Hospital and PKU Muhammadiyah Bantul Hospital in Yogyakarta, Indonesia. The instruments of the study were medical records, diabetes distress scale (DDS17) questionnaire, sphygmomanometer, scales, and microtoise. Data analysis used was ordinal logistic regression.Result and Discussion: The results of the study showed 70.5% respondents were hyperglycemic; 79.5% respondents had normal total cholesterol; 45.5% respondents had normal HDL cholesterol; 52.3% respondents had normal LDL cholesterol; 63.6% respondents had normal triglycerides; 68.2% respondents had a normal BMI; 63.6% respondents had comorbidities; 50.0% respondents had complications; 72.7% respondents suffer from hypertension; and 68.2% respondents suffer from DM> 5 years. The result also showed 50.0% respondents had mild distress; 43.2% respondents had moderate distress; and 6.8% had severe distress.Conclusion: It was concluded that biological factors related to distress were comorbidities, complications, BMI and total cholesterol.International Journal of Human and Health Sciences Vol. 03 No. 04 October’19 Page : 207-217

Introduction: Heart failure is a complex syndrome with characteristic symptoms of shortness of breath, fatigue, and signs of fluid retention. Self-care is the cornerstone of successful heart failure management. The cardiovascular health profile is a direct indicator of successful self-care. Objectives: The objective of the study was to examine the association between self-care and the cardiovascular health profile including smoking status, body mass index, total cholesterol, blood pressure and blood glucose level. Methods: This study is a cross-sectional study of heart failure patients at PKU Muhammadiyah hospital of Yogyakarta between August to October 2020 with sample of 100 participants. Chi square test was used to test the relationship between the two variables. Results: The finding shows that self-care management is the dimension with the highest level of self-care (96.2%) and self-care confidence is the lowest percentage of adequate self-care (13.0%). Among five cardiovascular health profile, smoking status is the highest metric with an ideal percentage (95.0%) and the lowest percentage was blood glucose metric (14.0%). The results of the correlation test between self-care and the total cardiovascular health profile showed no significant relationship between the two variables. However, there was one dimension of self-care, namely self-care maintenance which has a significant relationship with total cholesterol levels with a value of p = 0.008. Conclusions: It is important to provide individualized health education to help the patients to improve their self-care and cardiovascular health profile in heart failure patients.

Patients with COVID-19 disease who have comorbidities are strongly correlated with increased disease severity and significantly increased risk of death. Diabetes Mellitus is one of important risk factor and contributes to the severity and mortality of patients with COVID-19. Patients with chronic wounds have delayed treatment during the COVID-19 pandemic. Therefore, management of patients with chronic wounds should be improved during this pandemic. Home based wound care and education program for the family caregiver is proposed to solve the problem. Eight participants were completed this program. Evaluation of wound for each patient were conducted (at the first meeting and four- or five-months follow-up) using the diabetic foot ulcer assessment scale (DFUAS). In general, the wound depth, wound size, infection, granulation, necrotic being better compared in the first assessment. Home-based care, and education for patients and family caregiver program have benefit for diabetic wound care management during Covid-19 pandemic in this area (Yogyakarta, Indonesia). The comprehensive with multidiscipline approach are recommended for future work.