Abstract-Introduction: There is compelling evidence that type 2 diabetes mellitus (T2DM) is more likely to develop in individuals who are insufficiently active. Resistance exercise (RE) has received high recognition as a cornerstone in the management of T2DM. There are several advanced research about RE. However, those do not use rubber band during exercise. Therefore, the purpose of this study was to examine the effect of rubber band resistance exercise on blood glucose level of the patient with T2DM. Methods: The research design was one group pretestposttest design (rubber band resistance exercise) as the treatment given to the patient with T2DM. Fifteen participants were randomly selected from PHC 2 South Denpasar, Bali, in March 2017. Each participant was given exercise using the rubber band in groups carried out every day with a duration of 30 minutes for a week. Blood glucose level was measured by using blood glucose test before and after the intervention. Results: The result showed rubber band resistance exercise was statistically significant decrease the level of blood sugar by 25.43 mg/dl, (p < 0.05). Discussion/Conclusion: Resistance exercise using the rubber band is an alternative form of exercise for the T2DM patient. There is good evidence that rubber band resistance exercises improving glycemic control patients with T2DM.
Gagal ginjal adalah suatu keadaan klinis yang ditandai dengan penurunan fungsi ginjal yang irreversible dan membutuhkan terapi pengganti ginjal untuk mempertahankan hidup yaitu melaksanakan hemodialisis (HD). HD adalah dialisis yang dilakukan di luar tubuh. Perhimpunan Nefrologi Indonesia (Pernefri) menyebutkan jumlah pasien HD baru dan pasien HD aktif di Indonesia tahun 2007-2012 terjadi peningkatan sekitar 14.644 pasien HD baru dan 7.276 pasien HD aktif di Indonesia. Penelitian ini merupakan penelitian deskriptif analitik dengan desain cross-sectional untuk menentukan penyulit dominan yang terjadi pada pasien HD. Penentuan lokasi penelitian dilakukan dengan teknik purposive sampling di BRSU Tabanan. Pengambilan sampel dilakukan dengan teknik non-probability sampling yaitu total populasi dengan jumlah sampel 180 orang. Alat pengumpulan data menggunakan kuesioner yang terdiri dari kuesioner tentang karakterisktik responden dan lembar observasi penyulit yang terjadi selama intradialisis. Berdasarkan hasil analisis penyulit yang sering dialami pasien HD yaitu hipertensi sebanyak 98 responden (54,4%). Rata- rata tekanan darah mengalami penurunan di jam pertama, dan mengalami peningkatan di jam ke empat. Faktor-faktor yang mempengaruhi terjadinya hipertensi intradialisis masih perlu dilakukan penelitian lebih lanjut.
Background: Stigma towards people living with HIV/AIDS is a problem in control, prevention and treatment of HIV/AIDS. Stigma by health care worker in hospital is one of the main challenges in preventing and manage HIV/AIDS especially in developing country. Methods : this is a cross-sectional study, respondents were bachelor of nursing students program regular, program transfer and recognition of prior learning program. We used KQ-18 questionnaire to assess HIV/AIDS related knowledge, belief and values questionnaire to asses religiosity, modified Nurse AIDS Attitude Scale to assess stigma and stigma perception in workplace. Data were analyzed using SPSS 20. Descriptive statistics were conducted to summarize the sample characteristics. Results: A total 132 nursing students participated, recognition of prior learning nursing students have higher knowledge about HIV/AIDS (mean=13,84), bachelor of nursing students regular program have higher stigma (mean=96,30), person correlation analysis showed that there is a significant correlations between knowledge and stigma towards people living with HIV ( p= 0,001), regression analysis showed that p value = 0,000 which mean that educational background, work experiences and knowledge simultaneously affect stigma towards people living with HIV/AIDS. Conclusions : the finding of this research showed high magnitude of stigma towards people living with HIV/AIDS among nursing students, training and continuing education are needed to improve knowledge and reduce stigma towards people living with HIV/AIDS.
Background : Renal failure is a clinical condition which irreversible reduction in renal function and need hemodialysis as replacement for kidney function. Hemodialysis is a dialysis that perform outsite the body. Indonesian Association Of Nephrology (Pernerfi) stated that new hemodialysis and active hemodialysis patients in Indonesia since 2007-2018 increased, 14.644 new hemodialysis patients and 7.276 active hemodialysis patients.Method : This is a descriptive analysis study with cross-sectional design and multiple logistic regression to identify dominant factor related to quality of life hemodialysis patients. Location of this research was Tabanan General Hospital. The sampling technique was nonprability sampling with total population were 166 patients. Data collected using insomnia questionnaire, family support questionnaire, quality if life questionnaire and complication observation form. Result : The result showed that, higher OR found in intra hemodialysis variabel (OR:180,917), which mean that intra hemodialysis complication is a dominan factor related to quality of life hemodialysis patients. Patients who had complication were more likely to have low quality of life. Further study are needed to identify factors related to intra hemodialysis complications. Keywords : Dominan factors, intra hemodialysis complications, quality if life, end stage renal failure, hemodialysis.
Introduction: Chronic Kidney Disease (CKD) in children will have an impact on the quality of life in chidren, to be able to continue the growth and development of children with ESRD, renal replacement therapy, dialysis, end renal transplant, is needed. Purpose: To identify in the literature studie that evaluate the quality of life in children with CKD undergoing renal replacement therapy end validated instruments in Pediatrics. Method: review of the literature with searches conducted in the following database: Medline, Pubmed, Proques, CINAHL and Cochrane Library databases were searched from 2010 to 2020 in quality of life in children with CKD undergoing renal replacement therapy. Studies were included following criteria (1) quality of life in children with CKD (2) Instruments QOL in children (3) study were included renal replacement therapy: peritoneal dyalisis, hemodialisis, and renal tranplantik. (4) the full-text article was available in English. Results: eight studies were included in this review. Included that evaluated the quality of life of children with CKD undergoing renal replacement therapi by means of evaluation instruments of quality of life. Conclusion: Quality of Life in Children with various QOL instruments from eight articles concluded that QOL is better in children who have undergone kidney transplantation, compared to children with PD and HD. QOL of children with PD was better than children with HD in all domains
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