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                <text>Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Profesi Ners XXIII  Gel. 1 2021&#13;
Hubungan Usia, Jenis kelamin dan Kadar Gula Darah Sewaktu Dengan Kadar Kreatinin Serum Pada Pasien Diabetes Mellitus Di RSUD Prambanan Sleman Yogyakarta</text>
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                <text>Kadar Gula Darah Sewaktu, Kreatinin Serum, Diabetes Mellitus</text>
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                <text>Nefropati diabetik merupakan kerusakan ginjal yang sering terjadi pada&#13;
pasien diabetes mellitus. Salah satu pemeriksaan yang digunakan untuk&#13;
mengetahui fungsi ginjal adalah pemeriksaan kadar kreatinin serum.&#13;
Penelitian ini bertujuan untuk mengetahui hubungan usia, jenis kelamin dan kadar gula darah sewaktu dengan kadar kreatinin serum pada pasien&#13;
diabetes mellitus. Jenis penelitian kuantitatif, desain penelitian&#13;
observasional analitik dengan pendekatan cross sectional. Tehnik sampling secara total sampling pasien DM rawat inap Januari -Maret 2020 sebanyak 81 responden, tehnik pengumpulan data menggunakan data sekunder dari Rekam Medis saat pasien masuk RS Analisa data dengan Kruskal Wallis, Mann whitney dan Spearman rank. Hasil penelitian antara usia dengan kadar kreatinin serum P value 0,35 (&gt;0.05),Jenis kelamin dengan kadar kreatinin serum p value 0,01(&lt;0,05)kadar gula darah sewaktu dengan kadar kreatinin serum mendapatkan hasil p value 0.982 (p &gt;0,05). Tidak terdapat hubungan antara usia dan kadar gula darah sewaktu dengan kadar kreatinin serum. Terdapat hubungan jenis kelamin dengan kadar kreatinin serum pada pasien Diabetes Melitus. </text>
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                <text>Santi Damayanti, Cornelia D.Y Nekada, Wahyu Wijihastuti</text>
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                <text>Sri Wahyuni</text>
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        <name>Kadar Gula Darah Sewaktu, Kreatinin Serum, Diabetes Mellitus</name>
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                <text>Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Profesi Ners XXIII  Gel. 1 2021&#13;
Laporan Kasus: Kejadian Hipoglikemia Pada Pasien Covid-19 Dengan Komorbid Diabetes Melitus Selama Menjalani Isolasi Mandiri</text>
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                <text>Laporan kasus; Hipoglikemia; Komorbid Diabetes Melitus; Post Rawat Inap Covid-19; Isolasi Mandiri</text>
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                <text>Latar belakang: Pasien covid dengan komorbid diabetes mellitus menempati proporsi sepertiga dari keseluruhan pasien covid, memiliki derajat sakit yang lebih berat, mortalitas yang lebih tinggi, serta rentan terjadi kegawatan hipoglikemia ataupun hiperglikemia. Masa isolasi tambahan 10-14 hari setelah pasien pulang dan penggunaan insulin/sulfonylurea sebagai obat pulang berisiko terhadap kejadian&#13;
hipoglikemia.Tujuan: Menyajikan laporan kasus hipoglikemia pasca rawat inap dan mengetahui profil pasien-pasien covid dengan DM yang dapat menjadi faktor risiko hipoglikemia guna meningkatkan kewaspadaan/awareness.Metode: Data sekunder pasien covid dengan DM yang dirawat inap di bangsal isolasi covid RSIY PDHI diambil melalui rekam medis dalam kurun waktu Desember 2020-Maret 2021.Hasil:&#13;
Pasien covid dengan DM merupakan 28.9% dari total seluruh pasien covid. Pasien tersebut dominan jatuh ke derajat sakit berat (64.6%), dengan angka kematian 16.1%. Pasca perawatan, 41,9% pasien mendapatkan obat pulang didominasi insulin kerja panjang/detemir dikombinasi dengan insulin kerja cepat/aspart dengan dosis rata-rata&#13;
15u setiap kali suntik, selain itu, sebanyak 59% pasien tidak kontrol kembali ke poli penyakit dalam sesuai anjuran setelah selesai menjalani isolasi mandiri tambahan. Risiko hipoglikemia tinggi pada pasien-pasien tersebut seperti dibuktikan dengan satu kasus kejadian hipoglikemia berat. Seorang pasien dengan pneumonia covid berat dan DM yang dilakukan monitoring ketat gula darah sewaktu di rumah sakit pulang dengan edukasi berfokus ke covid-19. Pasien mendapatkan terapi pulang insulin dosis tinggi dan dianjurkan melanjutkan isolasi mandiri di rumah, tetapi terdapat kejadian hipoglikemia berat saat pasien melanjutkan isolasi mandiri dengan GDS mencapai 25mg/dl. Kesimpulan dan saran: Adanya masa isolasi tambahan, penggunaan insulin/sulfonylurea, dan tidak kontrolnya pasien rentan mengakibatkan hipoglikemia pada pasien covid dengan DM saat pulang. Edukasi kepada pasien/keluarga terkait penggunaan insulin, tanda kegawatan, monitoring kadar gula darah, dan modifikasi dosis pulang yang diwujudkan melalui discharge planning yang baik serta layanan&#13;
telemedicine harapannya dapat berkontribusi untuk peningkatan mutu pelayanan di tengah pandemi covid-19.</text>
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                <text>Andanni Shobri,  Rahma Herviastuti</text>
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                <text>URL : https://publikasiilmiah.ums.ac.id/handle/11617/12415</text>
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                <text>Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Profesi Ners XXIII  Gel. 1 2021</text>
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                <text>Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Profesi Ners XXIII  Gel. 1 2021&#13;
Optimizing The Roles Of Homecare Nurses In Continuous Ambulatory Peritoneal Dialysis Nursing: A Document Review </text>
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                <text>CAPD; Homecare Nursing; Dialysis; Training.</text>
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                <text>Background: The number of patients with Continuous Ambulatory&#13;
Peritoneal Dialysis (CAPD) and the number of active CAPD patients in&#13;
South Sulawesi is very far from the proportions. This problem is&#13;
compounded by the lack of registered CAPD nurses.&#13;
Purposes: To assess efforts to enrich the competency of Homecare Nurses related to CAPD patients at home using the Community Nursing approach.&#13;
Method: This study used Document review, quantitative design by&#13;
conducting a search, identifying key words, reviewing articles and&#13;
documenting the results.The review was carried out within the frame of&#13;
Content Analysis, by emphasizing the role of basic CAPD training on&#13;
methods, benefits and strategies. The documents were collected from various sources, including from the Ministry of Health, BPPSDMK, IRR, IPDI and journals from 2016 to February 2021. It was supported by an analytical survey of 81 respondents of nurses, taken online in social media.&#13;
Result: Out of 25 documents reviewed, 20 (80%) were related to the study,14 journals (56%) were in English. The results demonstrate the&#13;
recommendation of Homecare nurses to be involved in CAPD nursing. This is also supported by the survey finding where 79 respondents (98.5%) agreed with CAPD basic training to improve HC nurse’s competency. While Homecare services have weaknesses, policy makers are significantly needed in the implementation of the program.</text>
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                <text>Ridha Afzal, Syaifoel Hardy</text>
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                <text>Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Profesi Ners XXIII  Gel. 1 2021</text>
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