Introduction: Diabetes mellitus (DM) is a global disease endemic and cause of 4.6 million deaths in the world. The Indonesian government and health insurance [BPJS Kesehatan] formulate a Chronic Disease Care Program [Program Pengelolaan Penyakit Kronis (PROLANIS)] for type 2 diabetes that aims to control the glycemic status and the risk factors of macro and microvascular complications. The purpose of this study was to analyse the correlation between the implementation of PROLANIS and fasting blood sugar, HbA1c, and total cholesterol levels in patients diagnosed with type 2 diabetes at Antang and Pampang community health centres, Makassar, Indonesia. Methods: This study used a descriptive correlation design with a cross-sectional study approach. Subjects were 40 patients diagnosed with type 2 diabetes who joined PROLANIS at PUSKESMAS Antang and Pampang, Makassar, and the sampling technique used was total sampling. The data were analysed using a correlation test to assess the significance (p), the direction (+/-), and the strength of the correlation (r). The implementation of PROLANIS was measured by using the observation sheets developed based on BPJS Kesehatan criteria, while the laboratory checked the fasting blood sugar, HbA1c, and total cholesterol levels. Results: The mean of the implementation of PROLANIS was 15.05 (SD ± 5.62), while the mean levels of fasting blood sugar, HbA1c, and total cholesterol were as follow: 191.80 mg/dL (SD ± 85.15); 8.4% (SD ± 2.08); and 192.87 mg/dL (SD ± 45.07). Using the Spearman's rho test, the study result showed that there was a significant and negative correlation between the implementation of PROLANIS and the levels of fasting blood sugar (p= 0.001; r= -0.724), HbA1c (p= 0.001; r= -0.870), and total cholesterol (p= 0.029; r= -0.35) in patients diagnosed with type 2 diabetes at Puskemas Antang and Pampang, Makassar. Conclusions: The optimal implementation of PROLANIS is very effective for controlling the levels of fasting blood sugar, HbA1c, and total cholesterol in patients with type 2 diabetes.
Introduction: Progressive Muscle Relaxation is a muscle relaxation technique that does not require imagination, perseverance or suggestion. Muscle relaxation is a skill that can be learned and used to reduce or eliminate tension and stimulate a sense of comfort without being dependent on things / subjects outside of itself. Objectives: reduce pain, reduce blood pressure, reduce anxiety, and reduce stress. Method: this study explores evidence published in electronic data: Pubmed, google scholar. Five studies were included in the last analysis. Results: we were able to see a significant effect in reducing blood pressure in hypertensive disease receiving Progressive Muscle Relaxation compared to the group that did not receive Progressive Muscle Relaxation training. Conclusion: These results show that Progressive Muscle Relaxation can be a non-pharmacological therapy in reducing blood pressure in Hypertension and nurses can participate in providing this training.
In Indonesian hospitals, particularly in South Sulawesi Province, one of the activities that needs improvement by design is that of nursing records. This vital task is not completed due mainly to the fact that, incredibly, no model has been implemented to date mainly because of financial constraints and the overall lack of nurses’ computer literacy within the health services area in Indonesia. Although copious nursing recordkeeping is standard practice abroad, this vital task is not the norm in our area. Thus, the aim of this integrative literature review was to investigate the development of the electronic nursing record system (ENRS) in hospital settings across different countries and its effects on the care process and care outcomes. The results of this review showed that ENRS has been used widely in other developed countries and has benefited nurses and other healthcare providers. Hence, the findings of this review can be used by hospital policymakers in other developing countries, where the ENRS have not been implemented yet, as the evidence to consider the use of the ENRS.
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