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The Effectiveness of Integrating Complementary Therapy with Modern Wound Dressings on the Healing of Diabetic Wounds Wiwiek Hidayati Jaya; Ambo Anto; Rijalul Fikri; Rismanudin Rismanudin; Sahari Bulan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60577

Abstract

Abstract Delayed healing, severe infections, and amputations are real threats resulting from chronic complications of diabetic wounds in people with diabetes mellitus. To address this, the integration of complementary care and modern wound dressing technology is now being considered as a promising strategy. This study aims to examine the impact of this integration on accelerating wound healing. Using a quantitative quasi-experimental design, participants were grouped into intervention and control groups through purposive sampling. Patients in the intervention group were treated using a combination of complementary therapy and modern wound dressings, while the control group received only standard modern wound care. Healing rates were measured using standardized assessment tools before and after the intervention. The data showed a significant improvement in wound condition in the intervention group compared to the control group (p < 0.05). This success was demonstrated by a reduction in wound area, better granulation tissue formation, minimal exudate, and faster epithelialization. This study proves that combining complementary therapy with modern wound dressings yields far more effective results in healing diabetic wounds than modern wound dressing methods alone.
Distribution of Factors Affecting Nursing Students’ Challenges in Student-Centered Learning Ambo Anto; Faisal Faisal; Muhammad Fathur Rahman MT Hardjo; Rismanudin Rismanudin; Bertelomeus Hibu
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60747

Abstract

Student-Centered Learning (SCL) has become an important instructional approach in nursing education because it encourages students to actively construct knowledge, strengthen critical thinking, and improve problem-solving abilities. Despite its educational benefits, nursing students frequently encounter various challenges that may limit the effectiveness of SCL implementation. These challenges are influenced by multiple factors, including individual characteristics, learning environments, institutional support, teaching strategies, and the availability of educational resources. This study aims to identify and describe the distribution of factors affecting nursing students’ challenges in Student-Centered Learning. A quantitative descriptive design was employed to examine the prevalence and distribution of these influencing factors among nursing students. Data were collected using a structured questionnaire and analyzed through descriptive statistical methods, including frequency and percentage distributions. The findings indicate that challenges experienced by nursing students are multidimensional, with the most prominent factors relating to learning readiness, time management, academic workload, lecturer facilitation, learning resources, and peer collaboration. The results suggest that successful implementation of Student-Centered Learning requires not only students’ active engagement but also adequate institutional support, effective instructional design, and a conducive learning environment. Understanding the distribution of these influencing factors provides valuable evidence for educators and higher education institutions to develop targeted strategies that enhance students’ learning experiences and improve the effectiveness of Student-Centered Learning in nursing education.
The Effectiveness of Foot Exercises on Foot Sensitivity and the Risk of Foot Ulcers in Patients with Diabetes Mellitus Ambo Anto; Rijalul Fikri; Faisal Faisal; A. Warda Muzfah; Jenita Laurensia Saranga; Rismanudin Rismanudin
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.63889

Abstract

Diabetes mellitus is a chronic metabolic disorder that may cause peripheral neuropathy and impaired blood circulation in the lower extremities. Reduced foot sensitivity increases the possibility of unnoticed injuries and subsequent ulcer formation. Foot exercises are a simple, non-invasive intervention that may support neuromuscular function, improve peripheral circulation, and maintain foot sensitivity. This study aimed to determine the effectiveness of foot exercises in improving foot sensitivity and reducing the risk of foot ulcers among patients with diabetes mellitus. A quantitative quasi-experimental study was conducted using a pretest–posttest design. The study involved 72 patients with diabetes mellitus who met the predetermined inclusion criteria. Participants received a structured foot exercise program performed regularly according to the intervention protocol. Foot sensitivity was assessed before and after the intervention using a standardized clinical assessment procedure, while the risk of foot ulcers was evaluated based on relevant clinical indicators. Data were analyzed using appropriate statistical tests to compare changes in foot sensitivity and ulcer risk before and after the intervention. Following the foot exercise intervention, participants demonstrated an improvement in foot sensitivity accompanied by a reduction in indicators associated with foot ulcer risk. The observed changes indicated a beneficial response to regular foot exercises, particularly among participants who consistently followed the intervention. Statistical analysis demonstrated a significant difference between pre-intervention and post-intervention measurements (p < 0.05). Regular foot exercises were associated with improved foot sensitivity and a lower risk profile for foot ulcers among patients with diabetes mellitus. Incorporating structured foot exercises into routine diabetes self-management may provide a practical approach to maintaining foot health and preventing diabetes-related complications. Further studies with larger samples and longer follow-up periods are recommended to evaluate the sustainability of these effects.