Purwati, Sita Miyasa (2017) Studi Kualitatif: Peran Ahli Gizi Terhadap Kepatuhan Diet Penderita Diabetes Mellitus Tipe Dua Di Puskesmas Kendalkerep Dan Puskesmas Janti Kota Malang. Sarjana thesis, Universitas Brawijaya.
Abstract
Pedoman 4 pilar pengendalian Diabetes Mellitus (DM) tipe dua adalah edukasi, pengaturan makan, olahraga, dan kepatuhan pengobatan. Pengaturan makan memiliki hubungan yang sangat kuat dengan kadar gula, sedangkan kepatuhan diet penderita DM di Indonesia masih rendah. Salah satu faktor yang mempengaruhi dan berperan terhadap kepatuhan diet pasien DM adalah dukungan ahli gizi. Penelitian ini bertujuan untuk mendiskripsikan bagaimana peran ahli gizi terhadap kepatuhan diet penderita DM tipe dua di Puskesmas Kendalkerep dan Janti Kota Malang. Pendekatan kualitatif yang digunakan adalah studi kasus. Pengambilan data dilakukan dengan observasi proses konseling dan wawancara mendalam pada ahli gizi, dokter, pasien DM tipe dua yang sesuai dengan kriteria inklusi dari masing-masing puskesmas, serta kepala puskesmas. Berdasarkan gambaran peran ahli gizi yang terlakasana, pengaruhnya, dan harapan untuk ahli gizi disimpulkan bahwa peran ahli gizi terhadap kepatuhan diet penderita DM yaitu sebagai penyuluh dan konselor. Saat melaksanakan peran tersebut ahli gizi juga melakukan proses asuhan gizi terstandar, berkolaborasi dengan tenaga kesehatan, dan membangun hubungan dengan pasien. Ahli gizi juga harus memperhatikan sikap dan bersikap baik selama proses tersebut. Faktor-faktor yang mempengaruhi pelaksanaan peran ahli gizi adalah tenaga kesehatan, waktu, fasilitas, keuangan, sistem, administrasi, dan karakter pasien. Peran dan sikap ahli gizi yang kurang baik bisa menghambat kepatuhan diet pasien. Pelaksanaan peran dengan maksimal dan sikap yang baik bisa meningkatkan kepatuhan diet pasien. Oleh karena itu, diharapkan ahli gizi menjalankan perannya dengan maksimal, membangun hubungan dan bersikap baik kepada pasien maupun tenaga kesehatan lain agar kepatuhan diet pasien DM di Indonesia bisa meningkat.
English Abstract
The four pillars of type two Diabetes Mellitus (DM) control are education, dietary regulation, exercise, and medication adherence. Meal arrangements have a very strong relationship with sugar level, while dietary adherence DM patients in Indonesia are still low. One of the factors that affect and contribute to the compliance of diet in DM patient is the support of nutritionists. This study aims to describe the role of nutritionist to the dietary compliance of patients with type two DM in Kendalkerep and Janti Health Centers in Malang. The qualitative approach used is a case study. The data were collected by observation of the counseling process and in-depth interview with nutritionist, doctor, type two DM patients, according to the inclusion criteria from each health center, and head of the health centers. Based on the description of the role accomplished by nutritionists, their influence, and the expectation for the nutritionists, it was concluded that the role of nutritionist to the dietary compliance is as an educator and a counselor. When performing the role, nutritionists also perform standardized nutritional care processes, collaborate with health personnel, and build relationships with patients. Nutritionists should also pay attention to the attitude and be nice during the process. Factors that influence the implementation of the role of nutritionists are health personnel, time, facilities, finances, systems, administration, and patient characteristics. The poor role and attitudes of nutritionists can hamper the patient's dietary compliance. A good implementation of the role and good attitude of nutritionist can improve the dietary compliance of the patients. Therefore, it is expected the nutritionist to run its role with the best effort, build relationships, and be nice to patients and other health personnel so dietary compliance of DM patients in Indonesia can be increased.
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | SKR/FK/2017/362/051710112 |
| Uncontrolled Keywords: | kepatuhan diet, diabetes mellitus, peran ahli gizi, sikap ahli gizi, studi kasus |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.4 Diseases of endocrine, hematopoietic, lymphatic, glandular system; diseases of male breast > 616.46 Diseases of islands of Langerhans > 616.462 Diabetes mellitus > 616.462 4 Diabetes mellitus, type 2 (Non-insulin-dependent diabetes) > 616.462 401 9 Non-insulin-dependent diabetes--Psychological aspects |
| Divisions: | Fakultas Kedokteran > Ilmu Gizi |
| Depositing User: | Nur Cholis |
| Date Deposited: | 23 Oct 2017 02:54 |
| Last Modified: | 30 Sep 2020 07:33 |
| URI: | http://repository.ub.ac.id/id/eprint/4158 |
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