Nur Uyuun I. Biahimo
Program Studi Ilmu Keperawatan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Gorontalo

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The Relationship of Sleep Hygiene with Anxiety in Patients with Diabetes Mellitus in the Working Area of the Dungingi Health Center Natasya Pratiwi Abidin; Andi Nuraina Sudirman; Nur Uyuun I. Biahimo; Sabirin B. Syukur
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10730

Abstract

Sleep hygiene is a habit that supports healthy sleep, such as maintaining a sleep routine and creating a comfortable sleeping environment. Sleep hygiene plays a role in sleep quality and psychological conditions, including anxiety, especially in patients with diabetes mellitus (DM). DM patients often experience sleep disorders that can increase anxiety., This study aims to determine the relationship between sleep hygiene and anxiety in DM patients at the Dungingi Health Center. The study used a quantitative method of cross-sectional design, with a population of 56 and involving 35 patients selected by purposive sampling. Sleep hygiene is measured by the Sleep Hygiene Index (SHI) and anxiety levels by the State-Trait Anxiety Inventory (STAI). The results showed that 57.1% of respondents had poor sleep hygiene, and 62.9% were in the category of moderate to high anxiety. There was a significant association between sleep hygiene and anxiety (p = 0.000), which suggests that sleep hygiene is not good in relation to increased anxiety in DM patients. and The conclusion of this study is that there is a significant relationship between poor sleep hygiene and increased anxiety levels in patients with diabetes mellitus
The Influence of Acceptance and Commitment Therapy (Act) anxiety disorders in Patients at Limboto Health Center Nanda Nurhalizah; Sabirin B. Syukur; Nur Uyuun I. Biahimo; Andi Safutra Suraya
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10735

Abstract

Anxiety disorders not only impact an individual's psychological state, but also affect social functioning, productivity, and quality of life. One of the psychotherapy approaches that is developing to overcome anxiety is Acceptance and Commitment Therapy (ACT). This study aims to determine the effect of Acceptance and Commitment Therapy (ACT) on the level of anxiety of patients at Limboto Health Center. This study uses a quasi-experimental method with a one group pre-test and post-test design approach. The population in this study is all adult patients who experience anxiety at the Limboto Health Center, with a sampling technique using purposive sampling, so that a sample of 18 respondents was obtained. Data analysis was carried out using the Wilcoxon test because the data was abnormally distributed. The results showed that before the intervention, there were 6 respondents with mild anxiety and 12 respondents with moderate anxiety. After being given ACT therapy, the number of respondents with mild anxiety increased to 17 people, while moderate anxiety decreased to 1 person. The Wilcoxon test showed a significance value of p = 0.000 (p < 0.05), which indicates a significant effect of ACT therapy on reducing anxiety levels. This study concluded that Acceptance and Commitment Therapy (ACT) was effective in lowering anxiety levels.
The Relationship of Depression Levels to Quality of Life in Patients Non-Hemorrhagic Stroke at M.M Dunda Limboto Hospital Cindy Claudia Hasan; Firmawati; Nur Uyuun I. Biahimo
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10765

Abstract

Stroke survivors generally experience profound emotional changes, such as depression affecting well-being in terms of the patient's quality of life. The purpose of the study was to analyze the relationship between depression rate and quality of life in non-hemorrhagic stroke patients at M.M DUNDA Limboto Hospital. The design of correlational quantitative research with the cross sectional method. The population is all non-hemorrhagic stroke patients at the M.M Dunda Limboto Hospital and samples are taken using purposive sampling techniques and the number of respondents is 32 people. Data analysis was conducted using the Chi square test with a significance level (< 0.05). The results of the study showed that there was a relationship between the level of depression with. Quality of Life in Non-Hemorrhagic Stroke Patients at M.M Dunda Limboto Hospital with p value = (0.000 < 0.05). It can be concluded that the higher the level of depression in non-hemorrhagic stroke patients, the higher the risk of patients experiencing a decrease in quality of life.
The Relationship Between Coping Mechanisms and Anxiety Levels in Hemodialysis Patients at Dr. M.M. Dunda Limboto Regional General Hospital Firmawati; Nur Uyuun I. Biahimo; Nurfadilah Tantu
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10770

Abstract

Hemodialysis is a crucial procedure for patients with chronic kidney failure, but it can cause anxiety due to uncertainties related to the therapy, duration, and costs. Coping mechanisms play a role in managing this anxiety. This study aims to analyze the relationship between coping mechanisms and anxiety levels in hemodialysis patients at RSUD Dr. M.M. Dunda Limboto. Using a quantitative design with a cross-sectional approach, a sample of 30 respondents was selected through purposive sampling. Data were collected through questionnaires and analyzed using Chi-square tests. The results show that 50% of patients use adaptive coping mechanisms, while 50% use maladaptive ones. A total of 55.26% of respondents experienced moderate anxiety, while 44.74% experienced severe anxiety. The Chi-square test indicates a significant relationship between coping mechanisms and anxiety levels (p-value = 0.003, p < 0.05). This study suggests the need for psychological interventions to help patients develop adaptive coping mechanisms to reduce anxiety and improve their quality of life
The Effect of Puzzle Therapy on Improving Cognitive Function of the Elderly in Mongolato Village, Telaga District Silvanda Lamaji; Rosmin Ilham; Nur Uyuun I. Biahimo
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10925

Abstract

One of the most significant declines in old age is the decline in cognitive abilities which include memory, attention, language and problem-solving. One of the non-pharmacological approaches used to improve the cognitive function of the elderly is puzzle therapy. This study aims to determine the effect of puzzle therapy on the improvement of cognitive function of the elderly. The research design used quantitative methods with the Quasi-Experimental method (Two-group Pretest-Posttest Control group design), the number of population, namely all elderly people who experienced dementia as many as 52 respondents while the number of samples was 34 elderly divided into 17 elderly people in the intervention group and 17 elderly in the control group, this study used the Wilcoxon test. The results of the study were the cognitive function of the elderly in the intervention group before being given the intervention, namely the weight category as many as 13 respondents, after the intervention was moderate, as many as 13 respondents while the cognitive function of the elderly in the control group before was the weight category as many as 14 respondents, after the weight category as many as 14 respondents, the results of the Wilcoxon test obtained a significant value of 0.000. In conclusion, there was an effect of puzzle therapy on improving the cognitive function of the elderly in Mongolato Village, Telaga District. Suggestions for officers in the village and their families to cooperate with the Puskesmas in providing therapy to the elderly to improve the cognitive function of the elderly.