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All Journal KESANS : International Journal of Health and Science
Asniar Asniar
Department of Community Health Nursing, Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia
Chemistry Health Professions Medicine & Pharmacology Physics Public Health

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Analysis of Knowledge Level, Self-Efficacy, and Self-Management among Type 2 Diabetes Mellitus Patients in Rural Areas of Aceh Province Rihhadatul Aisy; Asniar Asniar; Teuku Tahlil
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 8 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i8.636

Abstract

Introduction: Diabetes mellitus (DM) is a chronic disease and a major global health challenge. Uncontrolled hyperglycemia can cause microvascular and macrovascular complications. Patients' knowledge, self-efficacy, and self-management abilities, which vary in rural communities, influence effective management. Objective: This study aimed to analyze knowledge, self-efficacy, and self-management among patients with type 2 DM in rural areas of Aceh Province. Method: A cross-sectional design was used involving 72 respondents. Data were collected using structured questionnaires: DKQ-24 for knowledge, DES-SF for self-efficacy, and the Diabetes Mellitus Self-Management Behavior questionnaire for self-management. Result and Discussion: Descriptive and crosstab analyses were conducted. The mean score of knowledge was 13.60 (SD=2.516), self-efficacy 25.63 (SD=3.510), and self-management 73.54 (SD=10.911). The findings indicate that knowledge, self-efficacy, and self-management levels among patients with type 2 DM in rural Aceh remain varied and suboptimal. Conclusion: These findings highlight the importance of strengthening education and patient empowerment strategies tailored to rural settings. Improving access to continuous support from healthcare providers and communities may enhance treatment adherence, promote healthier behaviors, and reduce long-term disease burden locally
Experiences of Older Adults Experiencing Neglect in Darussalam, Aceh Besar District: A Qualitative Descriptive Case Study Khairuni Azrah; Dara Febriana; Asniar Asniar
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i11.709

Abstract

Introduction: Elder neglect is a form of passive violence that affects the fulfillment of older adults' physical, psychological, social, and spiritual needs, thereby reducing their adaptive capacity and quality of life. Despite its serious consequences, the lived experiences of neglected older adults remain underexplored, particularly in Indonesia. Objective: This study aimed to explore the experiences of older adults experiencing neglect in the working area of the Darussalam Community Health Center, Aceh Besar district. Methods: This qualitative study employed a descriptive case study design involving three older adults aged 60–69 years who experienced neglect and met the inclusion criteria. Participants were recruited through snowball sampling after screening using the Self-Neglect-37 (SN-37) and cognitive assessment with the Mini-Mental State Examination (MMSE). Data were collected through in-depth interviews and field notes and analyzed using thematic analysis following the six-step approach of Kiger and Varpio (2020). Trustworthiness was established through credibility, dependability, confirmability, and transferability. Results and Discussion: Five themes emerged: needs that are difficult to fulfill, needs that can still be fulfilled, barriers to need fulfillment, motivation to seek help through social interaction, and support for meeting needs. The findings indicate that elder neglect affects older adults' adaptation and limits their ability to meet daily needs despite support from family, the community, and healthcare provider. Conclusion: Older adults experiencing neglect face multidimensional challenges in meeting their daily needs. Nursing interventions based on Roy's Adaptation Model are needed to strengthen adaptive responses, optimize need fulfillment, and improve their quality of life
Co-Authors Dara Febriana Khairuni Azrah Rihhadatul Aisy Teuku Tahlil