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Sebuah Storyline Mengenai Proses Bagaimana Penderita Diabetes di Indonesia Mempelajari Mengenai Penyakitnya Ligita, Titan; Nurjannah, Intansari; Wicking, Kristin; Harvey, Nichole; Francis, Karen
IJNP (Indonesian Journal of Nursing Practices) Vol 3, No 1 (2019): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (22.622 KB) | DOI: 10.18196/ijnp.3187

Abstract

AbstrakLatar Belakang: Edukasi diabetes bermanfaat pada perbaikan dalam pengelolaan diabetes secara mandiri serta peningkatan pengendalian kadar gula darahnya. Tetapi, sampai dengan saat ini belum terdapat penelitian dan publikasi mengenai proses bagaimana penderita diabetes di Indonesia mempelajari tentang penyakitnya.Tujuan: Adapun tujuan dari penulisan artikel ini adalah untuk menyampaikan hasil penelitian melalui sebuah storyline/alur cerita yang dikembangkan dari sebuah penelitian grounded theory.Metode: Studi penelitian yang dimaksud ini bertujuan untuk memahami lebih baik proses bagaimana penderita diabetes mempelajari mengenai penyakitnya melalui metodologi grounded theory. Dua puluh enam partisipan diperoleh melalui metode purposive dan theoretical sampling. Wawancara dilakukan kepada partisipan.Hasil: hasil penelitian menunjukan pengembangan sebuah teori “Learning, choosing, and acting: self-management of diabetes in Indonesia” (Mempelajari, memilih dan bertindak: manajemen diri diabetes di Indonesia) yang merupakan proses penderita diabetes mempelajari tentang penyakitnya, yang bersifat siklus dan linier.Kesimpulan: Sebuah storyline atau alur cerita digunakan untuk menjelaskan teori mengenai proses mempelajari, memilih dan bertindak dalam manajemen diri diabetes ini. Rekomendasi ditekankan pada perbaikan dalam memberikan edukasi pada penderita diabetes. AbstractBackground: Diabetes education is beneficial to enhance both knowledge and attitudes towards self-care management and glycemic control improvement. However, little is known about the process of how people with diabetes in Indonesia receive and engage in education that promotes their health. Objective: The purpose of this article is to share the findings in the form of a storyline developed from a grounded theory study. Method: The aim of the study was to better understand this process using grounded theory methodology. Twenty-six participants were recruited through purposive and theoretical sampling methods. The participants were interviewed.Result: The results showed a cyclic and dynamic process that lead to the development of a theory entitled Learning, choosing, and acting: self-management of diabetes in Indonesia. Conclusion: This theory will be explicated using a storyline, along with recommendations to help improve the provision of diabetes education.
Kemandirian Aktivitas Hidup Sehari-hari Bagi Pasien Pasca Stroke : Studi Literatur Sriadi, Sriadi; Sukarni, Sukarni; Ligita, Titan
ProNers Vol 5, No 2 (2020): December
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.199 KB) | DOI: 10.26418/jpn.v5i2.44105

Abstract

Stroke menimbulkan ketidakmampuan dan kelemahan yang berakibat pada penurunan kemampuan fungsional yang membuat pasien bergantung pada orang. Kemandirian aktivitas hidup sehari-hari pasien pasca stroke sangat penting karena dapat membuat pasien merasa berguna dan bersemangat yang berdampak pada peningkatan kualitas hidup pada penderita stroke. Penelitian ini bertujuan mengidentifikasi kemandirian aktivitas hidup sehari-hari bagi pasien pasca stroke. Jenis penelitian ini narrative review, artikel diperoleh dari mesin pencari Google Scholar dan pangkalan data (database) Pubmed, Proquest, PORTAL GARUDA, dan DOAJ. Teknik analisis data menggunakan content analyis. Dari hasil literature review ditemukan 12 artikel yang sesuai dengan kriteria. Analisis menunjukkan bahwa rata-rata pasien pasca stroke mandiri dalam aktivitas hidup sehari-hari seperti makan, mandi, perawatan diri, berpakaian, mengontrol buang air besar/toileting, transfer, mobilitas serta naik dan turun tangga. Pasien pasca stroke membutuhkan dukungan keluarga, motivasi, rehabilitasi, sikap positif, dan informasi/pengetahuan terkait aktivitas sehari-hari. Faktor yang mempengaruhi kemandirian aktivitas sehari-hari pasien pasca stroke yaitu usia, lama menderita stroke, depresi pasca stroke, gangguan kognitif dan defisit propriosepsi. Kesimpulannya aktivitas mandiri yang dapat dilakukan pasca stroke yaitu makan, mobilitas, dan perawatan diri. Pasien pasca stroke membutuhkan dukungan keluarga, motivasi, rehabilitasi, dan pengetahuan terkait aktivitas hidup sehari-hari. Faktor yang signifikan yaitu usia, lama stroke, depresi, dan gangguan kognitif. Kata Kunci: Aktivitas Hidup Sehari-Hari, Kemandirian, Pasca StrokeSoft File Naspub 
How do Families Assess and Manage the Pain of Cancer Patients? Titan Ligita; Ariyani Pradana Dewi; Tri Rina Febriyanti
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (975.692 KB) | DOI: 10.20473/jn.v9i2.2677

Abstract

Introduction: Pain assessment and pain management for patients living with cancer performed by nurses have been improved gradually. This strategy needs the roles of both nurses and families of patients living with cancer. Prior to the application of effective pain management, it is vital to perform pain assessment. The involvement of families in patients care may assist nurses to optimize caring and thus the patients are monitored continuously. But, there is still limited study about the involvement of families in pain assessment and pain management. This study was aimed to explore how the family performed pain assessment and pain management for patients living with cancer.Method: This was a phenomenology study and also used purposive sampling methods. Participants were family members of patients living with cancer around Pontianak - Indonesia. The datas were collected through in-depth interview in order to revealed some themes/context and was analyzed through Thematic Analysis.Result: The highlighted contexts in this study were the meaning of pain, the impact of pain, the process of pain assessment and pain management carried out by the families, as well as the facilitating factors and the barriers in assessing and managing the pain.Discussion: Experiences of the families in assessing and managing the pain may provide information for nurses about how to fulfil the needs of the family on skills needed. Therefore, the consistency and continuity of pain assessment and pain management are important. Consequently, the nurses must ensure that the family are ready to take care the patients, so that the pain control can be optimal dn side effects can be avoided. The accurity of information about the patients provided by the family may determine the nurse to make decisions in providing best practice for the patients in controlling their pain.
Reinforcement of the Cadres’ Role of Toddler Integrated Healthcare Center to Prevent Stunting During the Covid-19 Pandemic Nita Arisanti Yulanda; Titan Ligita; Cindiarty Kurnia Saputri; Sukmawati Sukmawati; Kharisma Aji Martadi
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2022): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.707 KB) | DOI: 10.35568/abdimas.v5i1.1708

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Integrated Healthcare Center, commonly known as Posyandu, is a form of a community resource health service system that is managed and organized from, by, for, and with the community. The idea is to develop and grow Posyandu as one of the indicators of community health empowerment. Through the attempt of human resource quality development, in this context was Posyandu cadres, Posyandu activities during the COVID-19 Pandemic had become a challenge for the cadres in carrying out their role. Therefore, health protocol was prioritized to upkeep Health and safety in general. Community service activities carried out by organizing group socialization for Toddler Posyandu cadres had become a strategy to improve cadres’ knowledge and skills in managing Posyandu activities. Test results of pretest and post-test analysis (?= 0,017) show a difference between before and after the mentoring. The Posyandu cadres are expected to be able to implement the knowledge they get during socialization.
HOME CARE NURSES’ ROLES IN ENHANCING QUALITY OF NURSING CARE FOR PATIENTS AT HOME: A PHENOMENOLOGICAL STUDY Titan Ligita
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.695 KB) | DOI: 10.33546/bnj.90

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Background: Provision of health care service at home is one of the advanced forms of care for patients being discharged from hospitalization. Little is known about the experience of nurses providing home care services through a nursing home-care model especially in Indonesian context. Objective: This study aims to explore the experience in order to increase understanding on the form of home care provision, and consequently the nurses may understand the form of home care globally. Methods: This study employed a phenomenological design and performed interview in the process of data collection. Data were analysed by using content analysis. Results: The main contexts of home care nurse experiences were generated. There were definition and role of home care nurses, the involvement of family members in the provision of care, the facilitating and hindering factors contributed to home care provision as well as manual on providing home care nursing. Conclusion: The implication from this study is that nursing care should be given to the patients continuously and consequently the need for family involvement is important. Additionally, in providing the home care, a proper manual is needed by home care nurses as the guidance to give best quality of care to patients.
Providing Education for People with Diabetes in The Era of Covid-19 Fitri Fujiana; Sukarni Sukarni; Triyana Harlia Putri; Titan Ligita
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2022): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (478.486 KB) | DOI: 10.35568/abdimas.v5i2.2173

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Indonesia has been grieving since the emergence of COVID-19 which is the biggest outbreak of all time. Confirmed cases of COVID-19 in Indonesia reached 1.2 million people, cases died 32,936 people, and around 510 districts and cities were affected, including in West Kalimantan. Patients with diabetes mellitus as one of the comorbid groups who feel the impact of the implementation of activity restrictions. The high incidence of COVID 19 and the enactment of activity restrictions make it difficult for diabetics and worry to access health facilities. This causes diabetics to have limited access to accurate health information related to health care and diabetes wounds suffered. This is experienced by diabetics who usually check their health at one of diabetes and diabetes wound care clinics in Pontianak City. The community service team, majoring in nursing, Faculty of Medicine, Tanjungpura University, provided a solution regarding this phenomenon, by facilitating the provision of health education for diabetics. Health education is provided through three stages, namely, preparation, implementation and evaluation. Preparation begins with screening potential participants. The education was provided virtually in four sessions of material and question and answer. For evaluation, pre and posttest were carried out. The result of this virtual health education was an increase in participants' knowledge regarding diabetes care and diabetic foot wounds after being given the material. In addition to the materials, participants also received pocketbooks and educational videos that could be read and used as care guides while at home.
GAMBARAN POLA ASUH IBU YANG BEKERJA PADA ANAK USIA SEKOLAH DI DESA PARIT BARU DI MASA PANDEMI COVID-19 Nada Putri Utami; Titan Ligita; Murtilita Murtilita
ProNers Vol 7, No 1 (2022): JULI
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v7i1.56596

Abstract

Pola asuh ibu dengan mengasuh anak yang dilakukan keluarga, ibu atau orang tua membentuk perilaku yang baik, mendisplinkan anak, dan membentuk karakter anak. Kemampuan ibu yang memberikan kasih sayang, dukungan kepada anak, mendidik. Metode: Desain penelitian yang adalah kuantitatif deskriptif dan metode yang digunakan adalah metode survei. Data kemudian dikumpulkan memakai kuesioner dan dibagikan secara daring. Statistik deskriptif frekuensi digunakan sebagai analisis data penelitian. Hasil: Pola asuh demokrasi yang dapat di temukan nilai persentase yaitu 28%, pola asuh otoriter memiliki nilai persentase yaitu 72%, dan untuk pola asuh permisif dan penelantaran memiliki nilai persentase yaitu 0. Dan dapat dilihat hasil nilai persentase tertinggi dengan pola asuh secara otoriter. Kesimpulan: Pada penelitian ini dapat menggambarkan bahwa pola asuh otoriter yang pola asuh ibu kepada anak didesa parit baru dengan menerapkan pola asuh secara otoriter ibu atau orang tua yang memberikan aturan pada yang dipatuhi anak. Apalagi dengan keadaan dimasa pandemi Covid-19 pola asuh ibu yang dilakukan ibu dalam mengasuh, pengawasan kepada anak, mengajarkan hidup bersih dan sehat, mendamping pendidikan dirumah kepada anak.
Screening for High Risk People with Diabetes Ulcer in the City of Pontianak Titan Ligita; Sukarni Sukarni; Nada Westy Nurahayu; Safitri Solehah; Dialika Putri Miptaza; Riszki Safitri
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2023): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v6i1.2861

Abstract

Diabetes mellitus is a health problem that can cause disorders or abnormalities in the feet, namely disorders of the nerves (neuropathy) and blood vessels (PAD). Peripheral arterial disease is a circulation problem where there is a narrowing of the arteries which results in reduced blood flow to the legs. Severe PAD is a major factor in lower extremity amputation, especially in patients with DM, then PAD in patients with DM can be seen with ischemic or gangrene injuries. Patients with DM have decreased blood circulation, especially in the lower extremities due to changes in the function of the endothelial layer due to a long hyperglycemic status. The change is a decrease in nitric oxide (NO) production. Another problem is the decrease in sensation in the feet because DM patients have a risk for neuropathy. This neuropathy causes DM patients to get injured easily because the area on the feet is not felt when traumatized, making it easier for infection to occur. Preventive action taken from the start is one of the best actions. Preventive measures in DM patients who experience circulation disorders and neuropathic problems can be done in several ways, including using tools and gymnastics. The tool used is Veinoplus arterial or electrical muscle stimulation, then the exercise in question is foot exercise. The working principle of this tool can increase blood circulation in the lower extremities by increasing the production of nitric oxide (NO), NO is an important component in preventing atherosclerosis which is one of the causes of blockage in blood vessels and can lead to injury and amputation. Therefore, improvement of circulation through certain interventions is needed to prevent these complications. Electrical muscle stimulation has been researched and proven to be able to increase circulation and improve sensation in people with DM. Therefore, this activity is expected to be able to contribute in preventing complications that can occur in people with DM. The objectives of this activity include identifying risk factors for circulation disorders and neuropathy in patients with DM, increasing public understanding of complications that can occur in DM patients, increasing the community's ability to prevent complications that can occur. While the output that can be generated from this activity is an increase in the knowledge of DM patients on the prevention of wound complications.
Educating People to Prevent Children Living with Stunting in Punggur Kecil Village Yoga Pramana; Titan Ligita; Herman Herman; Ervina Lili Neri; Faisal Kholid Fahdi; Triyana Harlia Putri; Sukarni Sukarni; Nadia Rahmawati; Firza Arfandy; Fanny Venezuela; Pavita Arista Widya; Marwa Qatrunnada; Harianti Harianti; Muthia Hana; Muhammad Ikhsan Ghifari; Siti Alfiya
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2023): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v6i1.2928

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The growth and development of children are influenced by whether proper nutrition is provided. Stunting is one type of nutritional disorder or malnutrition which is still a problem that occurs in our society. Educational activities are one way to help prevent stunting by providing adequate information to mothers about stunting and its prevention. A community service activity was carried out in Punggur Kecil Village by involving women and cadres through health education activities. This educational activity included the provision of materials on stunting, its prevention, and the treatment of stunting. The participants who are mothers attended to receive health education preceded by the spelling of the pre-test questions. After education, participants were also asked to answer post-test questions. There is a real difference between the results of the pre-test and post-test. This shows the importance of education given to mothers to increase understanding of stunting and its prevention. The role of health workers through the Puskesmas is urgently needed by involving cadres to assist health workers in identifying people who are at risk of having children with stunting so that stunting prevention and treatment can be taken from an early age.
PENINGKATAN PENGETAHUAN STUNTING MELALUI PELATIHAN KADER POSYANDU Triyana Harlia Putri; Nadia Rahmawati; Ervina Lili Neri; Faisal Khalid Fahdi; Firza Arvandy; Yoga Pramana; Titan Ligita; Herman; Sukarni
Jurnal Abdimas Ilmiah Citra Bakti Vol 4 No 1 (2023)
Publisher : STKIP Citra Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38048/jailcb.v4i1.1473

Abstract

Stunting terus menjadi perhatian dalam skala global maupun nasional terutama dalam masa pandemic COVID-19. Salah satu program yang dapat mencegah dan meminimalisir kejadian stunting yaitu pelatihan kader posyandu mengenai stunting. Adapun tujuan kegiatan ini mengoptimalisaikan pengetahuan termasuk keterampilan kader mengenai pencegahan stunting. Kegiatan ini dilaksanakan pada bulan September 2022. Kader yang mengikuti pelatihan ini sebanyak 14 orang kader posyandu di desa Punggur Kabupatern Kubu Raya. Adapun teknik yang digunakan dalam kegiatan ini dengan metode ceramah, video, diskusi hingga mentoring dalam penggunaan kit stunting. Adapun materi dalam kegiatan pengabdian masyarakat ini meliputi pencegahan stunting melalui intervensi gizi pada ibu hamil, pemberian makanan bayi dan anak, konsep antropometri, pemberian kit antropometri untuk setiap kelompok kader posyandu diikuti dengan video edukasi mengenai petunjuk penggunaan alat-alat tersebut. Instrumen evaluasi yang digunakan berupa kuesioner pengetahuan pre-post-test. Hasil pre-post-test didapatkan peningkatan pengetahuan kader terhadap pencegahan stunting. Hasil analisis didapatkan terdapat dampak yang signifikan pelatihan kader dengan pengetahuan p-value = 0,035 (<0,05). Kegiatan ini memberikan dampak dalam mengoptimalisaikan pengetahuan kader hingga keterampilan kader dalam memberikan pencegahan stunting