UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Ners

ISSN 1858-3598

Vol. 7 / No. 2 / Published : 2012-10

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Original Article :

Pengembangan model self care management-holistic psychospiritual care terhadap kemandirian dan perubahan nilai kadar glukosa darah serta hba1c penderita diabetes melitus tipe 2 (the development of self care management-holistic psychospiritual care on independence and the changes of glucose level and hba1c of type 2 diabetes mellitus patient)

Author :

  1. Kusnanto*1
  1. Dosen Fakultas Keperawatan UA

Abstract :

Introduction: Diabetes mellitus was a kind of incurable chronic disease that actually manageable. The global prevalence tends to increase due to less self management of the disease and the impact of it was health condition declines physically, psychologically, socially, and spiritually. There were so many interventions implemented but failed to give positive improvement in patient’s holistic condition which is lead to complications. The purpose of this research was to improve patient independency in managing the disease and to explain changes in blodd glucose and HbA1C levels through Self Care Management-Holistic Psychospiritual Care Model. Method: Patient newly diagnose with Type 2 Diabetes Mellitus at Puskesmas Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given Self Care Management Model Development with Self Diabetes Management Module. The intervention was given five times in three months. Before and after intervention patient was observed for Blood Glucose Level of 2 hours before and after meal, and also HbA1C level. Questionnaire was given to patient. The data then analyzed using Wilcoxon, MannWhitney, and Student-T test. Result: The result of this research showed patient with Type 2 Diabetes have independency improvement and lower Blood Glucose Level of 2 hours before and after meal and also decreased HbA1C afer intervention.  Discussion: Self Care Management-Holistic Psychospiritual Care Model Development improves patient independency in managing their disease, lowering blood glucose and HbA1C levels.

Keyword :

Self Care Management, independency, Blood glucose level, HbA1C, type 2 DM,


References :

Basuki E.,(1995) Tehnik Penyuluhan Diabetes Mellitus dalam Penatalaksanaan Diabetes mellitus Terpadu. Jakarta Jakarta : FK-UI

Parker, M., E,(2001) Nursing Theorists and Nursing Practice Philadelphia : FA. Davis Company





Archive Article

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Volume : 7 / No. : 2 / Pub. : 2012-10
  1. Pengembangan model self care management-holistic psychospiritual care terhadap kemandirian dan perubahan nilai kadar glukosa darah serta hba1c penderita diabetes melitus tipe 2 (the development of self care management-holistic psychospiritual care on independence and the changes of glucose level and hba1c of type 2 diabetes mellitus patient)
  2. Home care holistic terhadap perubahan kecemasan dan depresi pada pasien stroke iskemik (home care holistic on the change of anxiety and depression for the patietnt with stroke ischemic)
  3. Voluntary counseling and testing (vct) hiv – aids pada tahanan di rumah tahanan negara kelas i surabaya (voluntary counseling and testing (vct) to prisoner in class i prison of surabaya)
  4. Model pengembangan pemenuhan kebutuhan gizi anak prasekolah berbasis health promotion model (the development of nutrition demand enquiry model for preschool-aged children based on health promotion model)
  5. Profil pasien di gawat darurat medik anak di rsud dr. soetomo surabaya 2011 (profile of patients at pediatric emergency services soetomo hospital surabaya)
  6. Gambaran klinis penderita difteri anak di rsud dr. soetomo (clinical features of children with diphtheria on soetomo hospital)
  7. Hubungan antara kategori imunodefisensi dengan diare pada anak dengan hiv/aids (the relation between pediatric immun deficiency category and diarrhea in aids/hiv infected child)
  8. Penilaian kualitas hidup anak penderita kanker (assessment of quality of life in cancer children )
  9. Peran prosedur endoskopik dalam mendiagnosis gangguan pencernaan pada anak (the role of endoscopic procedure in diagnosing gastrointestinal disorder in children)
  10. Parameter rujukan ibu bersalin (paramater on maternal delivery referral process)
  11. Respon fisik, psikologis dan sosial pria akseptor kb vasectomy di kartasura sukoharjo jawa tengah (men`s physical, psychological and social response to vasectomy acceptor of family planning program in sukoharjo central java)
  12. Kemandirian perawatan ibu post sectio caesarea dengan menggunakan pendekatan discharge planning berdasarkan teori self care orem (independence of post sectio caesarea patient with discharge planning approach based on orem’s self care theory)
  13. Tindakan error prosedur keperawatan: jenis dan faktor penyebabnya pada mahasiswa profesi ners program studi ilmu keperawatan fakultas kedokteran dan ilmu kesehatan uin syarif hidayatullah jakarta (an action error of nursing procedures: types and cause factor ners profession student science nursing faculty of madicine and health sciences)
  14. Peningkatan coping keluarga dalam merawat pasien gangguan jiwa melalui terapi spiritual direction, obedience, dan acceptance (doa) (the improvement of family coping in taking care of patient mental disorder with spiritual therapy; direction, obedience and acceptance (doa))

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