Haswita Haswita
Diploma III of Nursing, School of Health Science (STIKES) Rustida, Banyuwangi, Indonesia

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Identifying Predictors and Its Relationship with Developing of Diabetic Foot Ulcer (DFU) among People with 2 Diabetes Mellitus: A Scoping Review Yusron Amin; Haswita Haswita
International Journal of Advanced Health Science and Technology Vol. 4 No. 5 (2024): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i5.410

Abstract

Diabetic foot Ulcer is one of the severe complication of diabetes mellitus that leading to increasing serious problem. Early detection was an appropriate effort to prevent deteriorate condition. The aims of this study was to Identifying predictors of diabetic foot ulcer among type 2 diabetic patients through a scoping review. This study design is a scoping review using journal database with entering keyword predictors, diabetic foot ulcer, diabetic patient. Articles selected were met its inclusion criteria. The result showed that 17 articles included from 170 articles, from which 8 articles are cross-sectional studies, 7 articles are retro-spective studies, as well as 2 articles are systematic review. The incidence of diabetic foot ulcer reached more than 11,6%, from which dominated by grade 1 and grade 2 DFU, The significant predictors of diabetic foot ulcer classified into three categories including diabetes complications, demografic characteristic, and self-care behavior. Peripheral arterial disease (PAD) as the dominant predictor of diabetes complication, duration of diabetes >10 years as the dominant predictor of demografic characteristic, and low diabetic foot-care practice as the dominant predictor of self-care behavior. Reducing impact of DFU could be achieved by optimizing self-care behavior through appropriate diabetic-care and foot-care management based on patients characteristic and diabetes complications.
Identifying Purine Intake Among People with Gout and Its Relationship with Uric Acid Level: A Cross-Sectional Study Yusron Amin; Haswita Haswita; Sephya Nola Tiarasari
International Journal of Advanced Health Science and Technology Vol. 5 No. 3 (2025): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i3.475

Abstract

Gout was still one of the chronic disease trends suffered by the community which was characterised by elevated uric acid levels. This condition is closely related to lifestyle, namely the consumption of purine-rich foods. However, there were not studies that discovered the relationship between purine-rich food intake with elevated uric acid levels. This study aims to analyse the relationship between purine-rich food intake with elevated uric acid levels. This study used a correlational design with a cross-sectional approach. The population was the community in village "x" who suffered from gout with a total of 70 people. From them, 66 people were selected as participants who met the inclusion criteria through a purposive sampling method. The instrument used was a questionnaire for the variable of purine-rich food intake and uric acid test with a GCU meter. The results showed that there was a strong positive correlation between purine-rich food intake with elevated uric acid levels (p = 0,000; r = 0,567), this is evidenced by the fact that the majority of participants with high uric acid levels had a history of consuming purine-rich foods exceeding the daily tolerance limit, whereas low or normal uric acid levels were found in participants with a history of consuming high purine foods below the threshold or even not consuming purine-rich foods. These results indicated that consuming purine-rich foods could have a significant impact on elevated uric acid levels, so it was necessary to reduce or limit daily purine food intake.
The Effectiveness of Self-Care Enhancement Based Intervention Among Type 2 Diabetes Mellitus: A Systematic Review Yusron Amin; Haswita Haswita
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.583

Abstract

Poor glycemic control and the high prevalence of complications among individuals with type 2 diabetes mellitus (T2DM) remain major public health challenges and are strongly associated with inadequate self-care behaviors. Despite the growing implementation of self-care–based interventions, evidence regarding their effectiveness on glycemic outcomes and self-care activities remains inconsistent. This systematic review aimed to evaluate the effectiveness of self-care enhancement–based interventions in improving glycemic control and self-care behaviors among adults with T2DM. A systematic search was conducted across four electronic databases PubMed, ScienceDirect, ProQuest, and Google Scholar using relevant keywords related to self-care, intervention, and T2DM. Studies published between 2019 and 2024, written in English, available in full text, and employing randomized controlled trial or quasi-experimental designs were included. Article selection followed the PRISMA framework, and methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Eight eligible studies were included in the final synthesis. The findings demonstrated heterogeneous outcomes across interventions. Most studies (n = 5) reported significant reductions in HbA1c levels accompanied by improvements in self-care activities, including diet management, blood glucose monitoring, and self-efficacy. One study showed a significant reduction in HbA1c without corresponding improvements in self-care behavior, while two studies reported improvements in self-care activities without significant changes in HbA1c. Interventions that incorporated structured, personalized education and ongoing monitoring, supported by family or community involvement, consistently yielded more favorable outcomes. In conclusion, self-care enhancement–based interventions are generally effective in improving glycemic control and self-care behaviors among individuals with T2DM, particularly when delivered through a structured, person-centered approach integrated with social support systems. These findings highlight the importance of comprehensive and context-sensitive intervention designs in diabetes self-management programs.