Rani Fitriani Arifin
Sekolah Tinggi Ilmu Kesehatan Sukabumi

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Relationship between Coping Mechanisms and Stress Levels in Patients with Diabetes Mellitus Mira Aulia; Rosliana Dewi; Rani Fitriani Arifin
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1886

Abstract

The term "silent killer" is frequently used to describe diabetes mellitus (DM). Many sufferers of this illness are oblivious to the issue, which leads them to a point when major issues arise in the body's systems or different organs start to be impacted. This study sought to ascertain the connection between stress levels and coping strategies in individuals with diabetes mellitus. This was a cross-sectional, correlational, quantitative research. All diabetes mellitus patients in Cikondang Village, which is part of the Tipar Public Health Center's (UPTD Puskesmas) service area in Sukabumi City, made up the population. A total sample of sixty respondents was chosen. The instruments used were the Brief Coping Inventory for the coping mechanisms variable and the Perceived Stress Scale (PSS-10) for the stress level variable. The chi-square test was used in statistical analysis. The findings showed that most people had minor stress and used adaptive coping strategies. In patients with diabetes mellitus, coping strategies and stress levels are related, according to chi-square analysis, which produced a p-value of 0.016 (p<0.05). Conclusion: Patients with diabetes mellitus in Cikondang Village, within the service area of the Tipar Public Health Center (UPTD Puskesmas) in Sukabumi City, exhibit a correlation between coping strategies and stress levels.
Digital Smart-Parenting for Exclusive Breastfeeding and Stunting Prevention: A Pre-Experimental Study on Family Knowledge, Attitudes, and Practices Rani Fitriani Arifin; Asmarawanti Asmarawanti; Yuyun Sarinengsih; Muhamad Rifki Fauzan; Neli Andini
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2656

Abstract

Exclusive breastfeeding and appropriate family practices are essential components of stunting prevention. Digital health interventions may provide an accessible approach to strengthening families’ knowledge, attitudes, and practices related to child nutrition and care. This study aimed to determine the effect of the Digital Smart-Parenting intervention on families’ knowledge, attitudes, and practices regarding exclusive breastfeeding and stunting prevention. A pre-experimental one-group pretest–posttest design was conducted among 50 family members of infants or children under five years of age in nine subdistricts of Sukabumi Regency, Indonesia. Participants were selected using purposive sampling and used the Digital Smart-Parenting application for one month. Knowledge, attitude, and practice scores were assessed before and after the intervention and analyzed using paired-samples t-tests. After the intervention, knowledge scores increased with a mean difference of 0.58 (95% CI: 0.23–0.92; p = 0.001; Cohen’s d = 0.48). Attitude scores increased with a mean difference of 1.86 (95% CI: 0.81–2.90; p < 0.001; Cohen’s d = 0.50). Practice scores increased with a mean difference of 2.16 (95% CI: 1.06–3.25; t(49) = 3.9; p < 0.001; Cohen’s d = 0.55). Digital Smart-Parenting was associated with significant improvements in families’ knowledge, attitudes, and practices related to exclusive breastfeeding and stunting prevention, with moderate effect sizes.