Efikasi diri diperlukan bagi pasien Diabetes Mellitus (DM) tipe 2 untuk meningkatkan kemandirian pasien dalam mengelolapenyakitnya. Penelitian ini bertujuan mengidentifikasi hubungan antara motivasi dan efikasi diri pasien DM tipe 2 di RSUPX, Medan. Desain dalam penelitian ini adalah deskriptif analitik cross sectional dengan jumlah sampel 110 pasien DM tipe 2.Analisis data menggunakan Chi square, uji t independen, dan regresi logistik berganda. Hasil penelitian menunjukkanbahwa karakteristik responden tidak ada yang berhubungan dengan efikasi diri, kecuali status sosial ekonomi (p= 0,046;α= 0,05). Ada hubungan antara dukungan keluarga, depresi, dan motivasi dengan efikasi diri (p= 0,01, 0,026, 0,031; α= 0,05).Individu yang memiliki motivasi yang baik berpeluang 3.736 kali menunjukkan efikasi diri yang baik dibandingkandengan individu yang memiliki motivasi kurang baik setelah dikontrol depresi (CI 95% OR= 1.35; 10,32). Hasil ini merekomendasikanperawat untuk dapat meningkatkan motivasi dan efikasi diri pasien DM tipe 2 dengan memberikan pendidikankesehatan terstruktur, memfasilitasi pemberian dukungan sosial, dan memberikan intervensi untuk mencegah munculnyadepresi.

Background: Understanding barriers to hypertension managements remains important to reduce the hypertension rate in community. Minangkabau is one of the ethnic groups in West Sumatra Indonesia that has a high proportion of people with hypertension although its management has been implemented.Objective: This study aims to explore the experiences of barriers to hypertension management in Minangkabau ethnic group in Payakumbuh, Indonesia.Methods: This was a phenomenological study with twelve respondents selected using purposive sampling. Data were collected using in-depth interview. Colaizzi’s content analysis method was used for data analysis.Results: Five themes were emerged from the data, namely: (i) lack of self-motivation in the management of hypertension, (ii) disobedience in the management of hypertension, (iii) culture pattern of food intake, (iv) lack of social support, and (v) excessive stress and anxiety.Conclusions: The barriers to hypertension management in Minangkabau ethnic group are closely related to its culture both in lifestyle and in food intake of the family members and the community. Nurses are expected toalways give health education about hypertension and finding the way to control it.

Patients with type 2 diabetes relative insulin deficiency so that blood glucose regulation becomes screwed, eventually causing hyperglycemia. When it is left untreated can lead to complications. Complications in diabetic patients undergoing indicate hospitalization for management of blood glucose levels. Such conditions often make the patient stress and anxiety experiencing great that ultimately may increase blood glucose levels. Autogenic relaxation is the relaxation that comes from yourself form of words or short sentences or thoughts that can make the mind peaceful. Autogenic relaxation response can divert our bodies consciously by the command of yourself, it can help fight the harmful effects of stress. Autogenic relaxation could be expected to control blood glucose levels. The purpose of this study was to determine the effect of autogenic relaxation on blood glucose levels in patients with Type 2 Diabetes. Research design was quasi-experimental with pre and post with control group, for each sample group consisted of 31 people with consecutive sampling technique. Data were analyzed using univariate and bivariate. The statistical test used the Wilcoxon Sign-Range Test and Mann Whitney U . Analysis showed there is effect of autogenic relaxation to decrease blood glucose levels (p = 0.001). The conclusion of study, there are significant autogenic relaxation to decrease blood glucose levels in patients with diabetes mellitus type 2. Results of this study can be input for nursing services to make the autogenic relaxation womanly one independent nursing interventions in providing nursing care to patients with DM Type 2 Keywords: Autogenic relaxation, blood glucose levels, type 2 diabetes   Abstrak Pasien diabetes melitus tipe 2 relatif mengalami kekurangan insulin sehingga pengaturan kadar glukosa darah menjadi tidak terkontrol, pada akhirnya menyebabkan hiperglikemia. Bilamana hal ini tidak ditangani dapat menyebabkan komplikasi. Komplikasi pada diabetes mengindikasikan pasien menjalani perawatan di rumah sakit untuk pengelolaan kadar glukosa darah. Kondisi seperti ini sering membuat pasien stres dan mengalami kecemasan yang hebat sehingga dapat meningkatkan kadar glukosa darah. Relaksasi autogenik merupakan relaksasi yang bersumber dari diri sendiri berupa kata-kata atau kalimat pendek atau pikiran yang dapat membuat pikiran tentram. Relaksasi autogenik dapat mengalihkan respon tubuh kita secara sadar berdasarkan perintah dari diri sendiri, maka dapat membantu melawan efek stres yang berbahaya. Relaksasi autogenik diduga dapat mengontrol kadar glukosa darah. Tujuan penelitian ini untuk mengetahui pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah pada pasien DM Tipe 2. Desain penelitian ini kuasi eksperimen dengan pre and post with control group, untuk masing-masing kelompok terdiri 31 orang sampel dengan tehnik  consecutive sampling. Data dianalisis secara univariat dan bivariat. Uji statistik yang digunakan Wilcoxon Sign Range Test dan Mann Whitney U. Hasil analisis menunjukkan ada pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah (p=0,001). Kesimpulan penelitian ini, ada pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah pada pasien diabetes melitus tipe 2. Hasil penelitian ini dapat menjadi masukan bagi pelayanan keperawatan untuk menjadikan relaksasi autogenik menjasi salah satu intervensi keperawatan mandiri dalam memberikan asuhan keperawatan pada pasien DM Tipe 2. Kata kunci : Relaksasi autogenik, Kadar glukosa darah, diabetes melitus tipe 2 Full printable version: PDF

BACKGROUND: Diabetes mellitus (DM) is caused by more complications. One complication that often occurs is peripheral vascular disease. An early diagnostic to assess peripheral vascular disease is very important; measurement of the ankle-brachial index (ABI) is one of the non-invasive measures to assess the peripheral vascular disease risk in primary care and to identify the effect of lower extremity joint movement exercises on ABI values in Type 2 DM (T2DM) patients.AIM: The aimed to determine the effect of lower extremity on Ankle-Brachial Index Value among Type 2 Diabetes Mellitus Patients.METHODS: The method used was a quasi-experimental pre- and post-test group design without a control group. The sample was 35 T2DM patients using a consecutive sampling technique. The interventions given were lower extremity joint movement exercises which were performed actively once a day, with each movement ten repetitions and for 4 weeks of observation.RESULTS: There was a significant difference between pre and post the lower extremity joint movement intervention toward the value of the left limb ABI with mean pre 0.93 and post 1.02 (p = 0.00) and the value of the ABI in the right limb ABI with mean pre 0.92 and post 1.01 (p = 0.00) in patients suffering from DM under 10 years. There was a significant difference between pre and post the lower extremity joint movement intervention toward the value of the left limb ABI with mean pre 0.89 and post 1.98 (p = 0.00) and the value of the ABI in the right limb ABI with mean pre 0.88 and post 0.96 (p = 0.00) in patients suffering from DM over 10 years.CONCLUSION: Joint exercise can improve blood flow throughout the body, so it is important for T2DM patients to do regular joint exercise so that it is beneficial in improving health and preventing disability.