Rahmawati Dian Nurani
Politeknik Negeri Subang

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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.
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