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All Journal Jurnal Pengabdian Masyarakat Edukasi Indonesia Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Rusli Rusli
Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Makassar, South Sulawesi
Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Correlation of blood glucose variability with peripheral neuropathy risk in type 2 diabetes patients: a cross-sectional analytical study Rusli Rusli; Maria Kurni Menga; Rita Erlina; Nurlina Nurlina; Sara Palander
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.329

Abstract

Introduction: Blood glucose variability (GV) has emerged as a potential determinant of microvascular complications beyond traditional glycemic markers such as HbA1c. However, evidence regarding its association with diabetic peripheral neuropathy (DPN), particularly in resource-limited settings, remains limited. This study aimed to analyze the correlation between GV and the risk of peripheral neuropathy among patients with type 2 diabetes mellitus (T2DM). Research Methodology: An analytical cross-sectional study was conducted among 85 patients with T2DM attending primary healthcare facilities in Makassar, Indonesia. Blood glucose variability was assessed using the coefficient of variation (CV), while peripheral neuropathy was evaluated using the Michigan Neuropathy Screening Instrument (MNSI). Bivariate analysis was performed using chi-square and correlation tests, followed by multivariable logistic regression to determine independent associations. Statistical significance was set at α = 0.05. Results: High GV (CV ≥36%) was significantly associated with peripheral neuropathy in bivariate analysis (OR = 3.46; 95% CI: 1.39–8.59; p = 0.007). In multivariate analysis, GV remained an independent predictor (adjusted OR = 2.98; 95% CI: 1.12–7.91; p = 0.028), whereas HbA1c ≥7% was not statistically significant (AOR = 2.67; 95% CI: 0.92–7.73; p = 0.071). Duration of diabetes showed a positive but non-significant association (AOR = 2.41; 95% CI: 0.89–6.54; p = 0.082). Conclusion: Blood glucose variability is an independent and clinically relevant predictor of peripheral neuropathy in T2DM patients. These findings support integrating GV assessment into routine diabetes management and highlight the need for strategies to improve glycemic stability and reduce the risk of complications.
Interactive storytelling intervention to improve adolescent mental health awareness and prevent cyberbullying Dian Meiliani Yulis; Dewi Nurliasari Yulis; Rusli Rusli; Nurafriani; Sitti Nurbaya
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 3 (2026): Volume 3 Number 3 Oktober 2026
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i3.573

Abstract

Background: Cyberbullying has emerged as an important challenge among adolescents and may negatively affect their psychological well-being. Conventional health education approaches may be less engaging for adolescents, particularly in rural settings with limited access to mental health promotion programs. Interactive storytelling offers a participatory approach that combines narratives, role-play, discussion, and reflection to strengthen adolescents’ understanding and responses to cyberbullying. This community service program aimed to improve adolescents’ knowledge, attitudes, empathy, and practical skills related to cyberbullying prevention and mental health promotion through interactive storytelling. Methods: The program was conducted among 15 high school students in Bissolorro Village, Gowa Regency, South Sulawesi. The intervention included mental health and cyberbullying education, interactive storytelling, role-play, group discussions, simulations, and reflection. Knowledge was assessed using pre- and post-tests, while attitudes, empathy, and practical skills were evaluated through reflection sheets and facilitator observations. Results: The mean knowledge score increased from 52.0 before the intervention to 84.1 after the intervention, representing a 32.1-point improvement. Positive attitudes were also observed: 93.3% of participants rejected cyberbullying, while 96.7% expressed willingness to support victims. All groups successfully identified cyberbullying scenarios, and 80% demonstrated appropriate response strategies and assertive communication skills. Conclusion: Interactive storytelling was an engaging and participatory approach for improving adolescents’ knowledge, attitudes, empathy, and practical skills related to mental health promotion and cyberbullying prevention. The approach has potential for continued implementation in school-based health promotion programs.
Co-Authors Dewi Nurliasari Yulis Dian Meiliani Yulis Maria Kurni Menga Nurafriani Nurlina Nurlina Rita Erlina Sara Palander Sitti Nurbaya