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THE EFFECT OF AEROBIC EXERCISE ON BLOOD SUGAR LEVELS IN ADOLESCENTS AT RISK OF DIABETES MELLITUS Purnama; Susy Puspasari
Journal of Nursing Culture and Technology Vol. 3 No. 1 (2026): Volume 3 No. 1 2026
Publisher : rifascholarpublisher.com

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70049/jnctech.v3i1.56

Abstract

Background: Indonesia ranks fifth in the number of people with diabetes. Diabetes cases in Indonesia reach hundreds of thousands, with the majority of sufferers aged over fifteen years. Cases of diabetes mellitus have risk factors that will increase the incidence of diabetes mellitus in 3-4 years later, especially in adolescence related to bad habits towards lifestyle, one of which is lack of physical activity. Some physical activities that are suitable for adolescents such as aerobic exercise that can reduce blood sugar levels. Purpose: This study aims to analyze the effect of aerobic exercise on blood sugar levels in adolescents at risk of diabetes mellitus. Methods: This study was Quasi experiment design with a pre-test and post-test two group design. The sample was 60 adolescents who were divided into intervention and control groups. Inclusion criteria were class VIII students, mild and moderate DM risk, and exclusion criteria were severe DM risk. Measurement of blood sugar levels was carried out before and after the intervention using a glucometer. For data analysis using Paired Sample T-Tests and ANCOVA. Results: The results showed a significant decrease in blood sugar levels in the intervention group p-value 0.00, while the control group p-value 0.77. Aerobic exercise has an effect on blood sugar levels with a p-value of 0.00. Conclusion: Aerobic exercise can reduce blood sugar levels while in adolescents at risk of diabetes mellitus. Health promotion programs in schools should integrate regular aerobic exercise sessions into the physical education curriculum, particularly targeting adolescents at risk of diabetes mellitus
Effectiveness of Active Cycle of Breathing Technique on Peak Expiratory Flow Following Cardiac Surgery Susy Puspasari; Nyayu Nina Putri Calisanie; Nunung Nurhayati; Septa Permana; Indriyani Lestari
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.v12i3.1031

Abstract

Introduction: Pulmonary dysfunction is a common complication following cardiac surgery, resulting from reduced lung expansion, postoperative pain, secretion retention, and impaired ventilation. These complications may delay recovery and increase the risk of pulmonary morbidity. The Active Cycle of Breathing Technique (ACBT) has been recommended as a pulmonary rehabilitation strategy to improve airway clearance and restore lung function; however, evidence regarding its effectiveness in Indonesian postoperative cardiac patients remains limited. Objective: To evaluate the effectiveness of the Active Cycle of Breathing Technique (ACBT) in improving peak expiratory flow (PEF) among patients after cardiac surgery. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted among 114 adult patients who underwent cardiac surgery at the General Intensive Care Unit of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. Participants were recruited using accidental sampling. ACBT was administered for four consecutive postoperative days. Peak expiratory flow was measured using a peak flow meter before the intervention on postoperative day 1 and after completion of the intervention on postoperative day 4. Data were analyzed using descriptive statistics and paired t-test. Results: The mean peak expiratory flow increased significantly from 228.30 ± 32.6 L/min before the intervention to 442.32 ± 43.7 L/min after four days of ACBT. Paired t-test analysis demonstrated a statistically significant improvement in PEF following the intervention (p < 0.001). A strong positive correlation was observed between pretest and posttest measurements (r = 0.786, p = 0.001). Conclusion: ACBT significantly improved peak expiratory flow in patients after cardiac surgery. Incorporating ACBT into routine postoperative pulmonary rehabilitation may facilitate recovery of lung function and support early postoperative respiratory management.