Publication Search

Background : Self-management of hyperglycemia refers to a series of efforts carried out independently by individuals suffering from diabetes or hyperglycemia to manage and control their health condition. These efforts include regulating diet, physical activity, medication adherence, blood glucose monitoring, and preventive measures to avoid complications. Such complications may include vascular issues like heart disease and stroke, as well as neuropathic problems such as nerve damage. Proper implementation of self-management practices can help stabilize blood glucose levels and significantly improve the overall quality of life for patients. General Objective : This study aims to examine the effect of self-management on the risk of complications in patients with hyperglycemia in the working area of the Kandangan Health Center, Kediri Regency.Research Method : This research utilized a quasi-experimental design with a one-group pretest-posttest approach accompanied by a control group. The sampling technique applied was probability sampling using simple random sampling, involving a total of 45 respondents. The research instruments included the Diabetes Self-Management Questionnaire (DSMQ) and observation sheets to assess the risk of complications. The study population consisted of all hyperglycemic patients residing in Putuk Hamlet, Banaran Village, Kandangan District, Kediri Regency. Data processing was carried out through editing, coding, and tabulation, followed by data analysis using the Wilcoxon statistical test. Results : The Wilcoxon test results showed a significance value of p = 0.000 (p < 0.05), indicating a significant effect of self-management on reducing the risk of complications in hyperglycemic patients. Therefore, the alternative hypothesis (H1) was accepted. Recommendation : The implementation of self-management in hyperglycemic patients is essential to prevent long-term complications. Thus, healthcare professionals, especially nurses, are encouraged to provide continuous education regarding diabetes self-management. This will enable patients to manage their health conditions independently and reduce the risk of further complications.

Post-stroke condition is a neurological dysfunction condition that has an impact on changes and decline in body condition for a fairly long period of time. The need for support during recovery and rehabilitation by the family is very much needed by post-stroke patients in managing themselves to optimize their well-being and quality of life. The purpose of this study was to determine the relationship between family support and self-care management in post-stroke patients. The design of this study was correlational using a cross-sectional approach. A population of 23 respondents with purposive sampling obtained 21 samples. The measuring instrument used was a questionnaire and data analysis using the Spearman rank test. The results of the study showed that almost half of the respondents (47.8%) had good family support, and almost half of the respondents (47.8%) had good self-care management. The results of the statistical test from the Spearman's rho test showed a P value of 0.0001 <α 0.05, so it can be concluded that there is a positive (unidirectional) and very strong relationship (r = 0.870) meaning that the better the family support provided by the family, the stronger the self-care management in post-stroke patients. Family support is a health component that influences a person to improve their health status and quality of life.

Background: Stroke is a disease of the brain consisting of disruption of local or global nerve function, inhibiting sudden, progressive, and fast, which develops (in seconds or minutes) which lasts more than 24 hours to attack modern society and cause physical, mental and also good disability when productive also old age. The main problems faced by stroke patients are family problems, the environment and medical staff to meet the needs of care and assistance because they require continuous care in order to improve the quality of life that can have an increasing effect on the physical good medically and help cure the disease repeatedly. Purpose: The purpose of this study was to determine the relationship between self-management of post-stroke patients. Methods: This type of research is a descriptive analytic with cross sectional. Results: The results of the study obtained from the Chisquare statistical test obtained the value of ? = 0.002 (? <? = 0.05), which means there is a significant relationship with self-management statistics with post-stroke patients. Conclusion:  that research on self-management related to patients can be improved post stroke.