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All Journal International Journal of Health, Economics, and Social Sciences (IJHESS) Jurnal Kolaboratif Sains
Sitti Fatimah M. Arsad
Dosen Program Studi Ilmu Keperawatan UNG
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The Relationship between Knowledge and Chronic Kidney Failure Prevention Behavior in Hypertensive Patients at Limboto Health Center Dwi Ayu Novelita; Nurdiana Djamaluddin; Sitti Fatimah M. Arsad
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) April 202
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10504

Abstract

Uncontrolled hypertension can cause various serious complications, one of which is chronic kidney failure (CKD). Hypertensive patients' knowledge of their disease plays an important role in the prevention behavior of complications such as chronic kidney failure. Good knowledge is characterized by an understanding of risk factors, the importance of blood pressure control, adherence to taking medications, as well as a healthy lifestyle such as a low-salt diet and regular exercise that can prevent complications, one of which is chronic kidney failure. This study aims to analyze the relationship between knowledge and chronic kidney failure prevention behavior in hypertensive patients at the Limboto Health Center. The method used is a quantitative research with a cross-sectional design. The research sample amounted to 95 patients who were selected using the purposive sampling technique. Data collection was conducted using a structured questionnaire that measured the level of knowledge about hypertension and chronic kidney failure prevention behaviors. The data were analyzed univariate and bivariate using the spearman rank test with a significance level of 5%. The results showed that most of the respondents were at a good level of knowledge and the majority had good kidney failure prevention behaviors. Bivariate analysis showed that there was a weak level of relationship strength (0.333) between knowledge and GGK prevention behavior in hypertensive patients at the Limboto Health Center (p < 0.05) with the direction of positive relationship. In conclusion, the higher the knowledge, the better the behavior to prevent chronic kidney failure, even though the strength of the relationship is relatively weak. This suggests that knowledge plays a role in the formation of preventive behaviors, but is not the only factor that influences them.
The Effect of Health Education on Low-Salt Diet Knowledge in Hypertensive Patients at Limboto Health Center Dhea Putri Puluhulawa; Nasrun Pakaya; Sitti Fatimah M. Arsad
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) April 202
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10505

Abstract

Hypertension is one of the non-communicable diseases with an increasing prevalence and is a public health problem because it is often asymptomatic but at risk of causing serious complications. One of the non-pharmacological efforts that plays an important role in controlling hypertension is the implementation of a low-salt diet. However, low patient knowledge about low-salt diets is still a major obstacle in the management of hypertension. This study aims to determine the effect of health education on the knowledge of low-salt diets in hypertensive patients at the Limboto Health Center. This study uses a quantitative design with a pre-experimental approach through one group pretest-posttest design. The study population is hypertension patients recorded in November 2025 with a sample of 44 respondents taken using purposive sampling techniques. Data collection was carried out using a low-salt diet knowledge questionnaire that has been tested for validity and reliability. Health education is provided through counseling methods using leaflet and Power Point media. Data analysis was carried out using the Paired Sample T-Test to see differences in knowledge levels before and after health education. The results of the study showed that after being given health education, most hypertensive patients had a good level of low-salt diet knowledge but still found patients with sufficient and insufficient knowledge levels. These findings show that there is a knowledge gap in some patients regarding the implementation of a low-salt diet. This study emphasizes the importance of continuous health education by health workers to improve patient understanding in hypertension control.
The Effect of Foot Care Demonstration Education on the Knowledge of Type 2 Diabetes Mellitus Patients at the Tilongkabila Health Center Nurzia Delasfebrila Marukai; Ita Sulistiani; Sitti Fatimah M. Arsad
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) April 202
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10651

Abstract

Type 2 Diabetes Mellitus is a chronic disease that has the potential to cause various complications, one of which is diabetic foot ulcers which can be prevented through proper foot care. However, the low level of knowledge of people with type 2 diabetes mellitus about foot care is still a problem in primary health services. Education using the foot care demonstration method is one of the effective promotive and preventive efforts to increase the knowledge of people with diabetes mellitus related to foot care. This study aims to determine the effect of foot care demonstration education on the knowledge of patients with type 2 Diabetes Mellitus at the Tilongkabila Health Center. This research uses a design Quasi Experiment with the One group pre-post test design. A sample of 33 respondents was selected using the purposive sampling. The research instrument used a foot care knowledge questionnaire adapted from Munali (2019). Data analysis using tests Wilcoxon Signed Rank Test. The results showed that there was an increase in respondents' knowledge after the intervention with a p-value = 0.000 (p < 0.05), which means that there is a significant difference in knowledge between before and after education. Demonstration education is effective in increasing respondents' knowledge because it involves direct observation of foot care practices, using simple aids that are easy to find, and delivered in language that suits the respondent's condition, thus facilitating understanding and strengthening the respondents' memory of the material provided.
Hubungan Diabetes Distress dengan Self Care pada Pasien Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Kabila: The Relationship Between Diabetes Distress and Self-Care in Type 2 Diabetes Mellitus Patients in the Kabila Community Health Center Work Area Risma Asmarani Azis; Ita Sulistiani Basir; Sitti Fatimah M. Arsad
Jurnal Kolaboratif Sains (Special Issue) - Jurnal Kolaboratif Sains (JKS) - Juli 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i7.8304

Abstract

Diabetes Melitus (DM) Tipe 2 merupakan penyakit kronis yang ditandai dengan peningkatan kadar gula darah akibat resistensi insulin dan dapat memicu berbagai komplikasi jika tidak dikelola dengan baik. Pengelolaan DM Tipe 2 memerlukan pengobatan jangka panjang dan berkelanjutan. Hal ini dapat menyebabkan pasien rentan terhadap stres, terutama jika mereka merasa kesulitan dalam menyesuaikan diri dengan kondisi penyakit. Stres yang berkaitan dengan diabetes ini dikenal dengan istilah diabetes distress, yaitu kondisi emosional yang muncul karena merasa terbebani oleh pengelolaan diabetes, risiko adanya komplikasi, dan perubahan gaya hidup. Kondisi ini dapat mempengaruhi ketidakmampuan pasien dalam menjalankan self care secara optimal. Penelitian ini bertujuan untuk mengetahui hubungan diabetes distress dengan self care pada pasien diabetes melitus tipe 2 di wilayah kerja puskesmas kabila. Desain penelitian ini menggunakan penelitian kuantitatif korelasional dengan pendekatan cross-sectional. Sampel pada penelitian ini yaitu 74 responden dengan menggunakan teknik Proportional Simple Random Sampling. Hasil penelitian ini dianalisis menggunakan uji korelasi Rank Spearman, yang menunjukkan nilai p value = 0,000, di mana nilai tersebut lebih kecil dari 0,05 (0,000 < 0,05). Berdasarkan hasil tersebut, dapat disimpulkan bahwa terdapat hubungan yang signifikan antara diabetes distress dengan self care pada pasien Diabetes Melitus Tipe 2 di wilayah kerja Puskesmas Kabila. Dengan adanya penelitian ini, diharapkan pasien DM Tipe 2 dapat memaksimalkan manajemen diabetes distress yang mereka alami, sehingga perilaku self care dapat lebih terkontrol dan terjaga dengan baik.
Hubungan kepatuhan minum obat dengan kejadian hospital readmission pada pasien diabetes melitus tipe 2 di RS Toto Kabila: The relationship between medication adherence and hospital readmission in type 2 diabetes mellitus patients at Toto Kabila Hospital Iga Wiranti Razak; Ita Sulistiani; Sitti Fatimah M. Arsad
Jurnal Kolaboratif Sains (Special Issue) - Jurnal Kolaboratif Sains (JKS) - Juli 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i7.8306

Abstract

Diabetes Melitus tipe 2 merupakan penyakit kronis yang dapat menimbulkan berbagai komplikasi serius, baik bersifat mikrovaskular maupun makrovaskular Komplikasi-komplikasi ini tidak hanya menurunkan kualitas hidup pasien, bahkan dapat menyebabkan kematian. Untuk mencegah hal tersebut terjadi diperlukan penatalaksanaan yang efektif, khususnya melalui terapi farmakologis atau konsumsi obat. Perawatan kembali (hospital readmission) kemungkinan besar terjadi jika pasien tidak patuh terhadap terapi farmakologis yang dijalaninya. Penelitian ini bertujuan untuk menganalisis hubungan kepatuhan minum obat dengan kejadian hospital readmission pada pasien diabetes melitus tipe 2 di RS Toto Kabila. Metode penelitian menggunakan desain penelitian analitik dengan pendekatan cross sectional. Populasi penelitian terdiri dari pasien Diabetes Melitus tipe 2 di Rumah Sakit Toto Kabila. Sampel berjumlah 46 yang dipilih melalui teknik accidental sampling. Instrumen penelitian menggunakan kuisioner MMAS-8 dan lembar observasi hospital readmission. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara kepatuhan minum obat dengan kejadian hospital readmission pada pasien Diabetes Melitus tipe 2 di RSUD Toto Kabila (nilai p = 0,000). Diharapkan bagi pasien untuk dapat meningkatkan kepatuhan minum obat sehingga dapat menurunkan resiko rawat inap ulang (hospital readmission).
Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Pasien Diabetes Melitus Disertai Hipertensi Di Wilayah Kerja Puskesmas Kabila: The Relationship Between Family Support and Medication Compliance in Diabetes Mellitus Patients with Hypertension in the Kabila Community Health Center Work Area Riska Daud; Siti Rahma; Sitti Fatimah M. Arsad
Jurnal Kolaboratif Sains (Special Issue) - Jurnal Kolaboratif Sains (JKS) - Juli 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i7.8322

Abstract

Diabetes Melitus disertai hipertensi merupakan kombinasi penyakit kronis yang membutuhkan pengobatan jangka panjang dan kepatuhan tinggi untuk mencegah komplikasi serius. Dukungan keluarga berperan penting dalam meningkatkan motivasi dan kepatuhan pasien dalam menjalani terapi. Tujuan penelitian ini adalah untuk mengetahui hubungan antara dukungan keluarga dengan kepatuhan minum obat pada pasien diabetes melitus disertai hipertensi di wilayah kerja puskesmas kabila. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross-sectional. Sampel pada penelitian ini sebanyak 72 orang dengan teknik pengambilan sampel yang digunakan adalah purposive sampling. Instrumen penelitian yang digunakan berupa kuesioner dukungan keluarga dan kepatuhan minum obat (MMAS-8). Hasil penelitian menunjukkan sebagian besar responden yang memiliki dukungan keluarga baik menunjukan kepatuhan tinggi dalam minum obat. Hasil statistik uji menggunakan uji Fisher’ exact test diperoleh nilai sig sebesar 0,000 < ? (? = 0,05). Kesimpulan dari penelitian ini adalah adanya hubungan yang signifikan antara dukungan keluarga dengan kepatuhan minum obat pada pasien diabetes melitus disertai hipertensi. Dengan adanya penelitian ini diharapkan keluarga lebih aktif dalam memberikan dukungan emosional dan instrumental guna meningkatkan kepatuhan pasien terhadap terapi.
Gambaran Proses Penyembuhan Luka Ulkus Diabetik Pada Pasien Diabetes Melitus Di Rumah Sehat Damata Kabupaten Bone Bolango: Overview of the Healing Process of Diabetic Ulcer Wounds in Diabetes Mellitus Patients at the Damata Health Home, Bone Bolango Regency Dea Natalia Arvina Luwiti; Zulkifli B. Pomalango; Sitti Fatimah M. Arsad
Jurnal Kolaboratif Sains (Special Issue) - Jurnal Kolaboratif Sains (JKS) - Agustus 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i8.8454

Abstract

Diabetes melitus (DM) merupakan kondisi metabolik yang ditandai dengan peningkatan kadar glukosa darah, yang jika tidak dikelola dengan baik maka dapat menyebabkan komplikasi berupa luka ulkus diabetik. Penelitian ini bertujuan untuk menggambarkan proses penyembuhan luka ulkus diabetik pada pasien diabetes melitus di rumah sehat damata. Jenis penelitian adalah kuantitatif dengan desain deskriptif, yang melibatkan 30 responden yang diambil dengan teknik total sampling. Instrumen yang digunakan mencakup kuesioner data demografi dan pengkajian luka menggunakan skor BWAT yang bertujuan untuk menilai keparahan luka. Hasil penelitian menunjukkan bahwa terdapat karakteristik usia, jenis kelamin, tingkat pendidikan, pekerjaan, GDS, kontrol glikemik, frekuensi kunjungan, jenis dressing yang digunakan dan tingkat keparahan luka. Skor BWAT tertinggi adalah 64 yang menunjukkan keparahan yang lebih tinggi dan terendah 16 menunjukkan kondisi luka lebih baik, dengan luka penyembuhan ringan, sedang, berat, dan sangat berat.
Co-Authors Dea Natalia Arvina Luwiti Dhea Putri Puluhulawa Dwi Ayu Novelita Iga Wiranti Razak Ita Sulistiani Ita Sulistiani Basir Nasrun Pakaya Nurdiana Djamaluddin Nurzia Delasfebrila Marukai Riska Daud Risma Asmarani Azis Siti Rahma Zulkifli B. Pomalango