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p-Index From 2021 - 2026
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This Author published in this journals
All Journal Bali Medical and Wellness Journal Nurse Professional Education Journal
Ni Putu Dita Wulandari
STIKES Bina Usada Bali, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Effect of Slow Deep Breathing Combined with Classical Music on Anxiety in Elderly Patients with Diabetes Mellitus: A Gerontological Nursing Case Study Ni Putu Dita Wulandari; Ni Kadek Nita Lestari
Bali Medical and Wellness Journal Vol. 3 No. 1 (2026): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71341/bmwj.v3i1.54

Abstract

Background: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia. Global prevalence is rising, with an estimated 589 million cases in 2024 and a projected 853 million by 2050. Beyond physical health, DM often leads to psychological complications. Anxiety is 20% more prevalent in diabetic patients than in the general population, often resulting in poor glycemic control and a cycle of metabolic decline. Objectives: This study aims to analyze the effectiveness of combining slow deep breathing therapy with classical music as a non-pharmacological nursing intervention to manage anxiety in elderly patients with DM at Puskesmas Tabanan I. Method: A descriptive case study design was used, following the five-stage nursing process: assessment, diagnosis, planning, implementation, and evaluation. Three patients (aged 65–79 years) with a nursing diagnosis of Anxiety (SDKI D.0080) participated from December 5–7, 2025. The intervention consisted of a 60-minute session held once daily for three days. Anxiety levels were measured using the Indonesian Nursing Outcome Standard (SLKI L.09093). Results: After three sessions, all patients showed significant reductions in anxiety. Subjective findings included decreased worry and improved relaxation. Objective indicators showed reduced restlessness, less muscle tension, and the normalization of respiratory and heart rates. Additionally, patients reported higher confidence in managing their symptoms. Conclusion: Combining slow deep breathing with classical music is an effective, safe, and feasible non-pharmacological intervention for reducing anxiety in elderly diabetic patients. This approach is recommended as a complementary therapy in routine gerontological nursing care.
Self-efficacy and self-management among patients with type 2 diabetes mellitus Ni Putu Dita Wulandari; I G A A Sherlyna Prihandhani; I Wayan Artana; I Wayan Darsana
Nurse Professional Education Journal Vol. 1 No. 2 (2025): November 2025
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/nurseedu.v1i2.41

Abstract

The increase in the prevalence of type 2 diabetes mellitus poses a challenge in the management of long-term diseases. The ability of patients to consistently manage their own care is primarily determined by self-efficacy. This study aims to analyze the relationship between self-efficacy and self-management in patients with type 2 diabetes mellitus. The study uses a quantitative, correlational, cross-sectional design. A total of 59 patients with type 2 diabetes mellitus were selected through purposive sampling, based on inclusion and exclusion criteria. Data collection was conducted using a self-efficacy questionnaire and the Diabetes Self-Management Questionnaire to measure patients' self-care behaviors. Data analysis was performed using Spearman's correlation test. The findings showed a significant, moderate positive relationship between self-efficacy and self-management. The results indicate that patients with higher self-efficacy tend to have better self-management abilities. Strengthening self-efficacy in nursing interventions and diabetes education programs is an important part of supporting the sustainability of self-care behaviors and improving patient health outcomes.
Co-Authors I G A A Sherlyna Prihandhani I Wayan Artana I Wayan Darsana Ni Kadek Nita Lestari