Claim Missing Document
Check
Articles

Found 32 Documents
Search

Self-care education based on local wisdom to improve glycemic control and self-efficacy in type 2 diabetes Yasa, I Dewa Putu Gede Putra; Surasta, I Wayan; Rasdini, Iga Ari; Iblasi, Abdulkareem S.; Polsook, Rapin; Juanamasta, I Gede
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2741

Abstract

Introduction: Effective management of type 2 diabetes mellitus (T2DM) requires structured self-care education supported by family and cultural context. In Bali, health-related decisions are often influenced by patrilineal households where male family members act as primary decision-makers. This study evaluated a self-care education program based on Balinese local wisdom to improve glycemic control and self-efficacy among T2DM patients. Methods: A quasi-experimental design with pre- and post-tests and a control group was conducted at Community Health Center in Bali, Indonesia from June to September 2024. .Seventy patients with T2DM living in patrilineal households were purposively recruited and randomly allocated into intervention (n=35) and control (n=35) groups.. The intervention consisted of twelve weekly sessions of culturally tailored self-care education covering diet, physical activity, monitoring, medication, and foot care, with active involvement of male household decision-makers. Outcome measures included self-efficacy (Diabetes Management Self-Efficacy Scale), HbA1C, and systolic/diastolic blood pressure, analyzed using t-tests. Results: After 12 weeks, the intervention group demonstrated significant improvements compared to controls: self-efficacy (mean difference: 8.37, p<0.001), systolic blood pressure (-4.51 mmHg, p<0.001), diastolic blood pressure (-2.74 mmHg, p<0.001), and HbA1C (-0.61%, p<0.001). Although the HbA1C reduction was modest, it indicates a meaningful step toward better glycemic control. Conclusion: A 12-week culturally tailored self-care education program involving patrilineal family members improved self-efficacy and glycemic control in T2DM patients. These findings highlight the importance of integrating local wisdom and family involvement into diabetes education to enhance patient empowerment and adherence.
Pengaruh Edukasi Melalui Audiovisual Terhadap Pengetahuan Personal Hygiene Saat Mentruasi pada Remaja Putri Darmayanti, Ni Putu; Saraswati, Ni Luh Gede Intan; Juanamasta, I Gede
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i2.1658

Abstract

Lack of knowledge among adolescent girls regarding Personal hygiene during menstruation remains a significant reproductive health problem that contributes to an increased risk of urinary tract infections, skin irritation, and reproductive tract disorders. Limited use of engaging educational methods and suboptimal utilization of modern learning media make health information difficult to understand and remember. This study aimed to analyze the effect of audiovisual-based education on increasing knowledge of Personal hygiene during menstruation among adolescent girls. This study used a quasi-experimental design with a pre-test and post-test with control group approach. The research sample consisted of 62 female students divided into an intervention group of 31 students and a control group of 31 students. The intervention group received health education using an audiovisual video for 30 minutes, while the control group did not receive any intervention. Data were collected using a structured questionnaire to measure knowledge levels before and after the intervention. Data analysis was performed using the Wilcoxon Sign Rank Test to examine within-group differences and the Mann–Whitney U Test to compare differences between groups, with a significance level of ? = 0.05. The results showed a significant increase in knowledge in the intervention group after receiving audiovisual education, as indicated by a shift in knowledge categories from fair and poor to predominantly good, accompanied by a p-value < 0.05. In contrast, the control group did not show significant changes. These findings indicate that audiovisual-based education is effective in improving adolescent girls’ knowledge of Personal hygiene during menstruation. Therefore, the use of audiovisual media is recommended as a reproductive health education strategy in school settings to strengthen sustainable clean and healthy behavior.