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All Journal Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Proceeding of The International Conference on Health Sciences and Nursing
Eva Riantika Ratna Palupi
Politeknik Negeri Subang
Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Psychological Distress in Older Population with Diabetes Mellitus and Multicomorbidity: A Systematic Review Aurellia Firstania; Eva Riantika Ratna Palupi; Fitri Handayani; Indra Gilang Pamungkas; Kristianto Dwi Nugroho; M Iqbal Angga Kusuma; Rahmawati Dian Nurani; Sartika Rajagukguk; Tsania Ayu Zaharany; Yusuf Hanafiah
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.v3i1.99

Abstract

Psychological distress in the elderly with diabetes mellitus and multiple comorbidities includes emotional responses such as stress, depression, and anxiety that arise due to the complex and prolonged demands of disease management. This study aims to analyze psychological distress in the elderly with diabetes mellitus and multiple comorbidities through a systematic review design according to PRISMA guidelines. Articles were obtained from four databases, namely Scopus, PubMed, EBSCO, and ScienceDirect, for the period 2020–2026. The selection was made based on consensus and assessed using the criteria of the Joanna Briggs Institute (JBI). Out of a total of 1,486 articles, 7 articles were obtained. The results of the study showed that psychological distress in diabetic patients was related to clinical factors, number of comorbidities, length of illness, and self-management ability. Multiple comorbidities have been shown to be the main determinants that exacerbate psychological distress in the elderly with diabetes. In addition, psychological distress has significant implications for self-management behaviors, which are an important component in diabetes control. The conclusion of the study confirms that psychological distress can no longer be viewed as a secondary condition, but rather as a primary component in the course of chronic disease that requires clinical attention in parallel with the physiological aspects in diabetic patients with multiple comorbidities.
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
Hypertension Education and Complementary Therapy Using Pineapple Peel Extract Balm to Support Blood Pressure Control in the Elderly Eva Riantika Ratna Palupi; Indra Gilang Pamungkas; M. Iqbal Angga Kusuma; Fitri Handayani; Dinda Nur Fajri Hidayati Bunga; Suprayogi Suprayogi; Risyda Ma'rifatul Khoirot; Febinda Azra Sabiha
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 4 (2026): Volume 9 Nomor 4 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i4.25201

Abstract

ABSTRACT Hypertension remains one of the most prevalent non-communicable diseases globally and in Indonesia. Interventions such as education combined with complementary therapies utilizing local wisdom (pineapple peel extract) have not been widely implemented, making them necessary to address the problem of hypertension in patients. This community service project aims to implement health education and the use of complementary therapies to support hypertension management in the community. Community service was conducted using health education methods combined with complementary therapy training based on local wisdom (pineapple peel extract balm) in Kalijati District, Subang. The education was provided for one day, while the pineapple peel extract balm was applied for seven days. Knowledge scores were measured before and after the health education, while blood pressure measurements were taken before and after the pineapple peel extract balm application. The results showed that there were positive changes in the knowledge of hypertension patients from 4.775 to 6.825 (Mean Difference: 2.05), systolic blood pressure from 145.15 to 143.25 (Mean Difference: 1.9), and diastolic pressure from 87.5 to 85.9 (Mean Difference: 1.6). This community service activity increases patient knowledge regarding hypertension and reduces both systolic and diastolic blood pressure. Keywords: Blood Pressure Management, Complementary and Alternative Medicine, Health Education, Hypertension, Pineapple Peel Extract Balm.
Co-Authors Aurellia Firstania Dinda Nur Fajri Hidayati Bunga Febinda Azra Sabiha Fitri Handayani Indra Gilang Pamungkas Kristianto Dwi Nugroho M Iqbal Angga Kusuma M. Iqbal Angga Kusuma Rahmawati Dian Nurani Retno Tri Astuti Ramadhana Risyda Ma'rifatul Khoirot Sartika Rajagukguk Suprayogi Suprayogi Tobi Pitora Tsania Ayu Zaharany Yusuf Hanafiah