0,05), terhadap peningkatan rerata nilai sikap dan penurunan rerata nilai kadar glukosa darah, pasien diabetes mellitus tipe-2 rawat jean di RSUD Swadana Pekalongan. Fourty-five percents of 2.4 millions patients diabetes mellitus in Indonesia could not be treated well because of noncompliance to the treatment. One of the reasons of this noncompliance was the lack of understanding about diabetes mellitus disease. The problem of this research was : "Is there any difference between discussion and problem solving method of health education for changing the attitude of patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan". The aim of this research was to compare between discussion and problem solving method of health education for changirg the attitude of patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan. It was Quasi Experimental Research with Non Equivalent Control Group Design with Pre-test and Post test. The subject of this research was out-patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan, who were matched with the inclusion criteria as many as 124 persons. The research sample was fixed with proposional random sampling technique. The sample of discussion group was consisted of 23 persons and problem solving group consisted of 24 persons. The measurement tool in pre and post test for knowledge was criterian referenced test, in questionnaire form, with validity of 0,3367 — 0,9002 and reliability of 0,8655. The measurement tool for attitude was attitude scale questionnaire of Likert with validity of 0,3027 — 0,7426 and reliability of 0,8678. Enzimatic method (glucose oxidation and hexokinase) was measurement tool for glucose blood's level. Statistic test used Chi-Square and student t-test with significance level p = 0.05. The result of this research showed that problem solving method could more improve the rate of knowledge's mark (p< 0.05) than discussion method statistically, although this improvement has no meaning clinically because raised only 1,42. Discussion and problem solving method of health education have no meaning statistically (p > 0.05) for improving the rate of attitude mark and the rate of unload blood glucose level in out-patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan. "> 0,05), terhadap peningkatan rerata nilai sikap dan penurunan rerata nilai kadar glukosa darah, pasien diabetes mellitus tipe-2 rawat jean di RSUD Swadana Pekalongan. Fourty-five percents of 2.4 millions patients diabetes mellitus in Indonesia could not be treated well because of noncompliance to the treatment. One of the reasons of this noncompliance was the lack of understanding about diabetes mellitus disease. The problem of this research was : "Is there any difference between discussion and problem solving method of health education for changing the attitude of patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan". The aim of this research was to compare between discussion and problem solving method of health education for changirg the attitude of patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan. It was Quasi Experimental Research with Non Equivalent Control Group Design with Pre-test and Post test. The subject of this research was out-patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan, who were matched with the inclusion criteria as many as 124 persons. The research sample was fixed with proposional random sampling technique. The sample of discussion group was consisted of 23 persons and problem solving group consisted of 24 persons. The measurement tool in pre and post test for knowledge was criterian referenced test, in questionnaire form, with validity of 0,3367 — 0,9002 and reliability of 0,8655. The measurement tool for attitude was attitude scale questionnaire of Likert with validity of 0,3027 — 0,7426 and reliability of 0,8678. Enzimatic method (glucose oxidation and hexokinase) was measurement tool for glucose blood's level. Statistic test used Chi-Square and student t-test with significance level p = 0.05. The result of this research showed that problem solving method could more improve the rate of knowledge's mark (p< 0.05) than discussion method statistically, although this improvement has no meaning clinically because raised only 1,42. Discussion and problem solving method of health education have no meaning statistically (p > 0.05) for improving the rate of attitude mark and the rate of unload blood glucose level in out-patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan. ">
Laporkan Masalah

Perbandingan pendidikan kesehatan antara metode diskusi dan pemecahan masalah dalam perubahan perilaku pasien diabetes mellitus tipe-2 di RSUD Swadana Pekalongan

SUNARYO, dr. Paulus Wijono, SpPD.,PhD

2001 | Tesis | S2 Ilmu Kesehatan Masyarakat

Empat puluh lima persen dan 2,4 juta pasien diabetes mellitus di Indonesia tidak dapat diobati dengan baik, karena ketidakpatuhan terhadap pengobatan. Ketidakpatuhan ini salah satu alasannya adalah, kurangnya pemahaman pasien terhadap penyakit diabetes mellitus. Masalah datam penelitian ini yaitu : "Apakah ada perbedaan antara metode diskusi dengan pemecahan masalah datam pendidikan kesehatan untuk merubah perilaku pasien DM- tipe-2 di RSUD Swadana Pekalongan ?". Penelitian ini bertujuan untuk membandingkan antara metode diskusi dengan pemecahan masalah datam pendidikan kesehatan untuk metubah perilaku pasien diabetes mellitus tipe-2 rawat jalan di RSUD Swadana Pekalongan. Denis penelitiannya adalah Quasy Experimental Research dengan rancangan Non eqivalent Control Group Design With Pre Test and Post Test. Subjek penelitian adalah pasien diabetes mellitus tipe-2 rawat jalan di RSUD Swadana Pekalongan, yang memenuhi kriteria inklusi sejumlah 124 orang. Sampel penelitian ditetapkan dengan tehnikproposional random sampling, dengan cara undian. Sampel kelompok diskusi sejumlah 23 orang dan kelompok pemecahan masalah sejumlah 24 orang. Alat ukur pengetahuan pada saat pre dan pstes, menggtma)can instrumen pengukuran penguasaan materi (Criterion referenced test), dengan bentuk kuesioner, dengan vatiditas 0,3367 — 0,9002 dan reliabilitas 0,8655. Alat ukur sikap menggunakan kuesioner skala sikap dari Liken, dengan validitas 0,3027 — 0,7426 dan reliabilitas 0,8678. Alat ukur kadar glukosa darah, mempergunakan metode enzematik (oksidasi glukosa dan hexokinase). Uji statistik dengan tehnik chi-square dan student t-test, dengan taraf kemaknaan 0,05. Hasil penelitian menunjukkan bahwa metode pemecahan masalah secara statistik dapat lebih meningkatkan rerata nilai pengetahuan (p50,05) dibanding metode diskusi, walaupun secara klinik peningkatannya tidak bennakna, karena hanya meningkat 1,42. Sedangkan pendidikan kesehatan dengan metode diskusi dan pemecahan masalah secara statistik tidak bermakna (p>0,05), terhadap peningkatan rerata nilai sikap dan penurunan rerata nilai kadar glukosa darah, pasien diabetes mellitus tipe-2 rawat jean di RSUD Swadana Pekalongan.

Fourty-five percents of 2.4 millions patients diabetes mellitus in Indonesia could not be treated well because of noncompliance to the treatment. One of the reasons of this noncompliance was the lack of understanding about diabetes mellitus disease. The problem of this research was : "Is there any difference between discussion and problem solving method of health education for changing the attitude of patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan". The aim of this research was to compare between discussion and problem solving method of health education for changirg the attitude of patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan. It was Quasi Experimental Research with Non Equivalent Control Group Design with Pre-test and Post test. The subject of this research was out-patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan, who were matched with the inclusion criteria as many as 124 persons. The research sample was fixed with proposional random sampling technique. The sample of discussion group was consisted of 23 persons and problem solving group consisted of 24 persons. The measurement tool in pre and post test for knowledge was criterian referenced test, in questionnaire form, with validity of 0,3367 — 0,9002 and reliability of 0,8655. The measurement tool for attitude was attitude scale questionnaire of Likert with validity of 0,3027 — 0,7426 and reliability of 0,8678. Enzimatic method (glucose oxidation and hexokinase) was measurement tool for glucose blood's level. Statistic test used Chi-Square and student t-test with significance level p = 0.05. The result of this research showed that problem solving method could more improve the rate of knowledge's mark (p< 0.05) than discussion method statistically, although this improvement has no meaning clinically because raised only 1,42. Discussion and problem solving method of health education have no meaning statistically (p > 0.05) for improving the rate of attitude mark and the rate of unload blood glucose level in out-patients with diabetes mellitus type-2 in RSUD Swadana Pekalongan.

Kata Kunci : health education, discussion method, problem solving method, diabetes mellitus, pendidikan kesehatan, metode diskusi, metode pemecahan masalah, diabetes mellitus


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