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                <text>Perubahan sistem pembelajaran dari offline menjadi online akibat covid 19 dapat membawa dampak stres pada siswa selama kegiatan belajar di rumah. Tujuan penelitian ini adalah menerapkan terapi kognitif sebagai manajemen stres secara individu selama pembelajaran dirumah untuk menurunkan tingkat stres. Metode penelitian yang digunakan adalah eksperimen semu dengan desain pre-posttest tanpa kelompok kontrol. Teknik pengambilan sampel menggunakan metode random sampling dengan jumlah sampel sebanyak 30 siswa SMA sebagai responden. Mereka dibekali dengan pedoman terapi kognitif untuk mengelola stres mereka selama belajar di rumah. Selanjutnya pengumpulan data menggunakan Google form Perceived Stress Questionnaire (PSQ) sebelum dan sesudah terapi kognitif. Selain itu, uji-t digunakan untuk&#13;
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1. Agus Sudaryanto</text>
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Gambaran Karakeristik Responden dengan Restless Legs Syndrome pada Pasien yang Menjalani Hemodialisa di Rumah Sakit UNS Surakarta</text>
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                <text>Latar Belakang: Gagal ginjal kronik adalah penyakit serius dan&#13;
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                <text>Latar Belakang: Direktur Organisasi Kesehatan Dunia pada tanggal 11&#13;
Februari telah muncul virus baru yaitu Coronavirus disease 2019 (COVID-19). Data dari Dinkes Kabupaten Cilacap terdapat lonjakan tanggal 27 Agustus 2020 terdapat 127 orang dengan rincian status konfirmasi positif 3 orang, status PDP 36 orang, status ODP 88 orang. Menurut pedoman Revisi 4, selama wabah COVID19 yang mengalami demam (≥38°C) atau riwayat demam, terdapat masalah pada pernafasan, riwayat berpergian ke atau dari luar negeri atau kontak dengan pasien terinfeksi virus dan orang tersebut wajib karantina di rumah. Masalah yang dihadapi kepada orang yang memiliki pengalaman karantina menjadi pengalaman yang tidak menyenangkan dan dapat menciptakan kecemasan ataupun depresi. Tujuan: Untuk Mengetahui Gambaran Kecemasan Pasca Karantina pada Masyarakat Di Cilacap Selatan.&#13;
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                <text>Diabetes mellitus merupakan gangguan metabolisme karbohidrat, lemak&#13;
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tahun terjadi peningkatan. Jumlah penderita diabetes mellitus di Wilayah Solo Raya mengalami peningkatan yaitu sebanyak 75.185 orang di tahun 2018 dan sebanyak 139.201 orang di tahun 2019. Banyaknya jumlah kasus diabetes mellitus yang terjadi jika tidak dikelola dengan baik maka dapat menyebabkan terjadinya berbagai komplikasi, salah satunya adalah ulkus kaki diabetik. Deteksi dini ulkus kaki merupakan salah satu upaya penting yang bertujuan untuk mengetahui risiko ulkus kaki dan menilai kelainan kaki penderita diabetes mellitus lebih awal, sehingga dapat dilakukan tindakan awal untuk menyelamatkan ekstremitas bawah. Penelitian ini bertujuan untuk mengetahui gambaran risiko ulkus kaki pada penderita diabetes mellitus di Wilayah Solo Raya. Jenis penelitian ini adalah kuantitatif dengan rancangan penelitian yaitu deskriptif survei. Populasi penelitian ini adalah seluruh penderita diabetes mellitus di Wilayah Solo Raya berjumlah 139.201. Sampel penelitian sebanyak 100 sampel dengan teknik purposive sampling. Pengumpulan data menggunakan kuesioner online dan analisa data dengan distribusi frekuensi. Penelitian ini menyimpulkan bahwa karakteristik penderita diabetes mellitus di Wilayah Solo Raya sebagian besar berumur 41-60 tahun, berjenis kelamin perempuan, berpendidikan SMA/Sederajat, pekerjaan sebagai ibu rumah tangga, mayoritas diabetes mellitus tipe 2, lama menderita diabetes mellitus&#13;
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                <text>Latar Belakang: Penyakit kronis seperti hipertensi menyebabkan gangguan fisik, psikis, dan sosial. Masalah psikologis telah terjadi seperti stress dan kecemasan.&#13;
Tujuan: Tujuan dari penelitian ini adalah untuk mendeskripsikan&#13;
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Sukoharjo, Provinsi Jawa Tengah.&#13;
Metode: Penelitian ini merupakan penelitian deskriptif dengan jumlah&#13;
sampel 96. Teknik pengambilan sampel yang digunakan dengan&#13;
consecutive-sampling. Instrumen yang digunakan adalah Depression&#13;
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Hasil: Hasil penelitian menunjukan sekitar 72,9% responden tidak&#13;
mengalami stress dan 27,1% mengalami stress ringan. Terkait kecemasan bahwa 88,5% responden mengalami kecemasan ringan dan hanya 11,5% mengalami kecemasan sedang. Interaksi pengalaman dengan tenaga kesehatan, lamanya timbul penyakit merupakan sistem pendukung untuk kondisi mereka saat ini.</text>
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Kabupaten/Kota di Indonesia telah memiliki kebijakan PHBS di daerahnya masing-masing. Pelaksanaan PHBS terutama di tatanan rumah tangga tidak lepas dari pengaruh serta peran anggota keluarga di rumah terutama kepala keluarga yang bertugas sebagai pemimpin dalam rumah tangga. Sikap seorang kepala keluarga dapat mempengaruhi anggota keluarga lainnya dalam melaksanakan PHBS di rumah, karena anggota keluarga yang lain akan mengikuti aturan atau kebijakan yang telah dibuat oleh kepala keluarga. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara pengetahuan dengan sikap kepala keluarga terhadap pelaksanaan PHBS di rumah. Jenis penelitian ini yaitu kuantitatif. Metode yang digunakan yaitu deskriptif korelasi. Subyek penelitian ini adalah kepala keluarga sebanyak 69 responden dengan menggunakan teknik pengambilan sampel yaitu total sampling. Analisis data yaitu menggunakan uji Spearman rank dengan taraf signifikasi (α = 0,05) kemudian didapatkan hasil P value 0,001 (p &lt; 0,05) sehingga Ho ditolak dan Ha diterima. Kesimpulan dari penelitian ini yaitu ada hubungan antara pengetahuan dengan sikap kepala keluarga terhadap&#13;
pelaksanaan PHBS di rumah. Saran untuk masyarakat terutama kepala&#13;
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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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Laporan Kasus: Kejadian Hipoglikemia Pada Pasien Covid-19 Dengan Komorbid Diabetes Melitus Selama Menjalani 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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