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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Kesehatan: Jurnal Ilmu- Ilmu Keperawatan, Kebidanan, Farmasi dan Analis Kesehatan Jurnal Keperawatan Profesional Proceeding of The International Conference on Health Sciences and Nursing
Tobi Pitora
Politeknik Negeri Subang
Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Self-Management in Elderly People With Diabetes Mellitus and Multiple Comorbidities Tobi Pitora; Dzikra Fitria Amita; Dinda Nur Fajri HB; Helza Risdianti; Suprayogi Suprayogi; Irwan Agustian; Reza Indra Wiguna; Muhammad Chairul Aris; Riyda Ma’arifatul Khoirot; Annisa Pratiwi Gunawan
Proceeding of the International Conference on Health Sciences and Nursing Vol. 3 No. 1 (2026): Proceeding of the International Conference on Health Sciences and Nursing
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ichsn.v3i1.97

Abstract

Diabetes Mellitus is a chronic metabolic disorder with a rapidly increasing prevalence worldwide, particularly among the elderly population. Older adults with diabetes frequently experience multiple comorbidities that may complicate disease management, increase treatment burden, and reduce quality of life. Consequently, effective self-management is essential to maintain glycemic control and prevent complications. This study aimed to identify and analyze self-management among elderly individuals with diabetes mellitus and multiple comorbidities through a literature review. Methods: This study employed a literature review design using the PRISMA framework, including identification, screening, eligibility assessment, and synthesis of selected studies. A systematic search was conducted through PubMed, Scopus, and EBSCO. Articles published within the last five years were included. A total of 5,934 articles were identified from the three databases. Following the removal of duplicates, abstract screening, and evaluation based on inclusion and exclusion criteria, seven studies were selected for analysis. The review indicated that self-management among older adults with diabetes mellitus remains suboptimal. Major challenges included dietary regulation, physical activity, blood glucose monitoring, and medication adherence. Physical and psychological conditions were also found to significantly influence self-management abilities. Self-management among elderly individuals with diabetes and multiple comorbidities requires further improvement through continuous health education, enhancement of self-efficacy, and strong social and family support to reduce complications and improve quality of life.
Overview Quality of Life Diabetes Mellitus of Tipe II Patients Rahmawati Dian Nurani; Tobi Pitora; Dinda Nur Fajri Hidayati Bunga; Risyda Ma’rifatul Khoirot
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 2 (2025): Jurnal Kesehatan (Oktober 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i2.934

Abstract

Diabetes mellitus (DM) is a global health threat, both in Indonesia and globally. Nearly half a billion people live with diabetes. DM patients experience elevated blood sugar levels (hyperglycemia) caused by abnormalities in insulin secretion, insulin action, or both. The purpose of this study was to determine the quality of life in patients with Type II Diabetes Mellitus. A quantitative descriptive method was used with 70 respondents with diabetes mellitus selected by accidental sampling. The research instrument used was the DQOOL questionnaire. Data collection was conducted in August 2024. The results of the study from 70 respondents showed that the most dominant respondents were type II DM patients with a good quality of life of 38 people (54.3%), and a poor quality of life of 32 people (45.7%). The conclusion of this study is that the majority Diabetes Mellitus of Type 2 Patients at Abdul Moeloek Hospital are elderly people with hypertension. These findings are expected to motivate Type 2 Diabetes Mellitus patients to improve their quality of life.
CKD-Associated Pruritus and Dermatology-Related Quality of Life Among Hemodialysis Patients in Two Indonesian Hospitals: A Cross-Sectional Study Risyda Ma'rifatul Khoirot; Tobi Pitora; Rahmawati Dian Nurani; Eva Riantika Ratna Palupi; Retno Tri Astuti Ramadhana; Sartika Rajagukguk
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i3.1023

Abstract

Background: Chronic kidney disease (CKD) is a progressive condition that often requires maintenance hemodialysis. CKD-associated pruritus (CKD-aP), also known as uremic pruritus, is a distressing itching condition that remains under-recognized and may contribute to physical discomfort, sleep disturbance, psychological burden, and poorer dermatology-related quality of life. Objective: To examine the association between CKD-aP severity and dermatology-related quality of life among chronic kidney disease patients undergoing hemodialysis. Methods: This descriptive correlational cross-sectional study used purposive sampling. Data were collected from 72 hemodialysis patients at RSU Haji Surabaya and RSUD Sidoarjo during April-May 2019. Eligible participants were aged 18-65 years, received hemodialysis twice weekly, and reported pruritus within the previous month. Patients with primary dermatological conditions such as atopic dermatitis were excluded. CKD-aP severity was measured using the 5-D Itch Scale, and dermatology-related quality of life was measured using the Dermatology Life Quality Index (DLQI). Spearman's rank correlation was used for bivariate analysis. Results: The mean 5-D Itch Scale score was 14.83 +/- 4.224, and the mean DLQI score was 10.69 +/- 4.141. Because higher DLQI scores indicate poorer dermatology-related quality of life, the positive association between 5-D Itch Scale score and DLQI score indicated poorer outcomes with more severe pruritus. CKD-aP severity was significantly associated with dermatology-related quality of life (Spearman's rho = 0.588, p = 0.001, n = 72). Exploratory domain-level analysis suggested that pruritus degree (3.34 +/- 1.02) and duration (3.12 +/- 0.94) were the highest 5-D Itch Scale domains, while DLQI symptoms/feelings (3.11 +/- 1.38) and daily activities (2.41 +/- 1.21) were the most affected quality-of-life domains. Conclusion: This cross-sectional study found a significant moderate, approaching strong, positive association between CKD-aP severity and poorer dermatology-related quality of life among hemodialysis patients. Causality cannot be inferred. The findings support routine pruritus assessment and careful symptom management in hemodialysis nursing care
Determinants of Self-Care in Chronic Heart Failure: A Correlation Study of Social Support Dimensions Tobi Pitora
Jurnal Keperawatan Profesional Vol 14, No 2 (2026): Nursing in a Multicultural Environment
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i2.14255

Abstract

Chronic heart failure (CHF)  is rising at an alarming rate worldwide, along with other cardiovascular disorders. The long-term self-care of patients with CHF is necessary because the condition covers a variety of issues. Patients with CHF often benefit from social support as an external resource for symptom management. In multicultural countries such as Indonesia, decision-making is not solely individual but also involves the family. The purpose of this research is to find out how social support affects self-care practices among heart failure patients in Indonesia. This study employed a descriptive correlational approach and surveyed seventy-four participants. Sampling in this study employed a purposive sampling method, with respondents selected based on inclusion criteria. The sample size was determined using a rule of thumb. A self-care heart failure index (SCHFI) and the Medical Outcomes Study Social Support Survey (MOS-SS) were utilised in this research. To analyse the data, Pearson's statistical test was utilised. The results demonstrated that the average patient, who was 52 years old, experienced congestive heart failure (CHF). The study also found a significant relationship between social support and self-care in patients with congestive heart failure (0.239, p=0.040). This study also  shows that there is a weak correlation between social support and self-care. In summary: Another way social support might help people with CHF adhere to their treatment plan is by acting as a monitor. Confidence, maintenance, and management are all areas where social support can aid CHF patients. 
Co-Authors Annisa Pratiwi Gunawan Dinda Nur Fajri HB Dinda Nur Fajri Hidayati Bunga Dzikra Fitria Amita Eva Riantika Ratna Palupi Helza Risdianti Irwan Agustian Muhammad Chairul Aris Rahmawati Dian Nurani Retno Tri Astuti Ramadhana Reza Indra Wiguna Risyda Ma'rifatul Khoirot Risyda Ma’rifatul Khoirot Riyda Ma’arifatul Khoirot Sartika Rajagukguk Suprayogi Suprayogi