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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Bina Sehat Journal Of Nursing Practice Jurnal Ilmu Kesehatan Jurnal Kreativitas PKM Jurnal Ilmiah Keperawatan The Indonesian Journal of Health Science Open Access Health Scientific Journal Journal of Language and Health Media Publikasi Promosi Kesehatan Indonesia (MPPKI) LEBAH Jurnal Lentera Journal of Scientific Research, Education, and Technology Indonesian Health Literacy Journal (IHLJ) Holistik Jurnal Kesehatan Journal Of Health Science Community Journal of Hospital Management and Services Strada Jurnal Ilmiah Kesehatan (SJIK) Journal for Research in Public Health Journal for Quality in Women's Health International Journal of Health Concord KREATIF: Jurnal Pengabdian Masyarakat Nusantara
Atik Setiawan Wahyuningsih
Universitas STRADA Indonesia
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Analisa Tingkat Kecemasan Dengan Percepatan Pengeluaran ASI Pada Ibu Nifas Prima Dewi Kusumawati; Fitra Okta Damayanti; Candra Wahyuni; Atik Setiawan Wahyuningsih
Journal for Quality in Women's Health Vol. 3 No. 1 (2020): Journal for Quality in Women Health
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqwh.v3i1.69

Abstract

Tujuan penelitian ini untuk mengetahui hubungan tingkat kecemasan dengan percepatan pengeluaran ASI Pada Ibu Nifas di PMB Kis Rita A.Md. Keb Amadanom Dampit Kabupaten Malang. Desain penelitian Survey Analitik dengan pendekatan Cross Sectional. Populasinya adalah semua ibu nifas primipara dengan sampel 25 ibu nifas primipara hari ke 4-7 secara accidental sampling. Pengumpulan data menggunakan kuisioner tingkat kecemasan dan percepatan pengeluaran ASI kemudian dianalisis dengan Uji Spearmen Rho (Rank). Hasil penelitian menunjukkan sebagian besar mengalami kecemasan ringan sebanyak 13 responden (52%) dan sebagian besar reponden mengalami percepatan pengeluaran ASI dengan kategori lambat sebanyak 16 responden (64%) dan ada hubungan tingkat kecemasan dengan percepatan pengeluaran ASI pada ibu nifas di PMB Kis Rita A.Md.Keb Amadanom Dampit Kabupaten Malang (Spearmen Rho p = 0,003 < 0,05 maka H0 ditolak). Semakin baik kondisi psikologis ibu pascamelahirkan semakin cepat pengeluaran ASInya.
Improving Patients' Positive Perception of Dental Implant Use at Bhayangkara Brimop Hospital Wahyuningsih, Atik Setiawan; Sugiharto, Mochamad Toto
Lebah Vol. 18 No. 3 (2025): May: Pengabdian
Publisher : IHSA Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/lebah.v18i3.307

Abstract

Penggunaan implan gigi di Indonesia masih sangat rendah, seperti hasil kajian di RS Bhayangkara Brimob Depok, hal ini disebabkan oleh kurangnya pemahaman masyarakat dan persepsi negatif terhadap prosedur ini. Tujuan kegiatan ini adalah meningkatkan persepsi positif pasien di Poli Gigi mengenai manfaat, prosedur, dan keamanan implan gigi melalui edukasi berbasis bukti. Metode yang digunakan adalah Participatory Action Research (PAR), yang melibatkan penyuluhan langsung, konsultasi dokter spesialis, serta distribusi media edukatif. Hasil evaluasi kegiatan menunjukkan adanya peningkatan signifikan dalam persepsi positif pasien setelah intervensi, dari 26,7% sebelum edukasi menjadi 71,2% setelahnya. Rata-rata skor pemahaman pasien juga meningkat dari 61,57 menjadi 82,60. Edukasi yang efektif melalui pendekatan interaktif terbukti mampu mengubah pandangan pasien terhadap implan gigi. Meskipun program ini berhasil, tantangan seperti keterbatasan cakupan edukasi dan faktor biaya masih menjadi kendala utama. Rekomendasi ke depan adalah edukasi berkelanjutan melalui media digital serta kerja sama dengan pihak-pihak terkait untuk meningkatkan aksesibilitas penggunaan implan gigi
Penguatan Kapasitas Kader Melalui Peer Group Sebagai Strategi mengurangi Stigma Pada Pasien TBC Paru Di Puskesmas Janti Kota Malang Wahyuningsih, Atik Setiawan; Nurmayunita, Heny; Zakaria, Amin; Asri, Yuni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 10 (2025): Volume 8 No 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i10.22612

Abstract

ABSTRAK Permasalah kesehatan yang dihadapi Indonesia salah satunya adalah penyakit TBC, khususnya di Kota Malang. Stigma sosial yang melekat pada pasien TBC menghambat upaya pengendalian TBC Paru. Kader kesehatan di tingkat layanan primer sangat vital dan kapasitasnya sering kali terbatas, khususnya dalam menghadapi stigma sosial yang dialami pasien TBC. Kader lebih sering dibekali pelatihan medis dasar menemukan kasus baru dibandingkan keterampilan komunikasi dan strategi advokasi untuk mengurangi stigma sehingga pasien menjadi enggan melaporkan dan menunda pengobatan. Kegiatan pengabdian ini adalah untuk meningkatkan kapasitas kader kesehatan melalui pelatihan dan penguatan peer group SI Peduli TBC sebagai strategi untuk mengurangi stigma pada pasien TBC paru di wilayah kerja Puskesmas Janti Kota Malang. Persiapan dilakukan koordinasi dengan stakeholder, identifikasi kader aktif dan komunitas pendukung TBC, pembentukan tim pelaksana dan fasilitator peer group yaitu melalui Tim Si Peduli TBC Komunitas sebanyak 19 orang. Dilanjutkan mengumpulkan data kasus dan tingkat stigma. Pelaksanaan kegiatan berupa memberikan materi pelatihan meliputi pengenalan TBC dan Stigma, peran kader dalam mengurangi stigma dengan komunikasi efektif serta praktik dan perencanaan aksi Peer Group Si Peduli TBC Komunitas. Tahap terakhir evaluasi pengetahuan melalui Post-test untuk mengukur peningkatan pengetahuan kader terkait TBC dan stigma, evaluasi kualitas interaksi dalam peer group, Refleksi bersama kader terkait efektivitas strategi pengurangan stigma. Kegiatan pengabdian melibatkan 3 kelurahan yang ada di wilayah kerja puskesmas Janti Kota Malang yaitu Kelurahan Bandungrejosari, Sukun, dan Tanjungrejo. Tahap persiapan dengan koordinasi pada 15 Agustus 2025 dan 22 Agustus 2025. Pelaksanaan pelatihan pada 23-24 Agustus 2025 sekaligus sosialisasi dan pembentukan peer group Si Peduli TBC Komunitas. Luaran kegiatan berupa video edukasi dan diketahui pengukuran tingkat pengetahuan konsep TBC Paru, stigma TBC dan cara komunikasi efektif terjadi peningkatan masing-masing 63,2%, 68,4% dan 63,3%. Program Si Peduli Komunitas terbukti mampu meningkatkan pengetahuan kader, relawan, dan penyintas serta memperkuat peer group Si Peduli TBC omunitas sebagai strategi untuk mengurangi stigma pada pasien TBC paru di wilayah kerja Puskesmas Janti Kota Malang. Kata Kunci: Tuberkulosis paru, Stigma, Kader Kesehatan, Peer Group, Si Peduli TBC Komunitas.ABSTRACT One of the health problems facing Indonesia is tuberculosis (TB), especially in Malang City. The social stigma attached to TB patients hampers efforts to control pulmonary TB. Health cadres at the primary care level are vital and often limited in their capacity, especially in dealing with the social stigma experienced by TB patients. Cadres are more often provided with basic medical training in identifying new cases rather than communication skills and advocacy strategies to reduce stigma, which makes patients reluctant to report and delay treatment. The purposeof this sudy is to increase the capacity of health cadres through training and strengthening the SI Peduli TBC peer group as a strategy to reduce stigma in pulmonary TB patients in the work area of the Janti Community Health Center in Malang City. Preparations were carried out in coordination with stakeholders, identification of active cadres and TB support communities, formation of an implementation team and peer group facilitator, namely the Si Peduli TBC Community Team of 19 people. This was followed by collecting data on cases and stigma levels. The implementation of the activity included providing training materials covering an introduction to TB and Stigma, the role of cadres in reducing stigma through effective communication, and practice and action planning for the Si Peduli TBC Community Peer Group. The final stage of knowledge evaluation was through a post-test to measure the increase in cadre knowledge regarding TB and stigma, evaluation of the quality of interaction in peer groups, and joint reflection with cadres regarding the effectiveness of stigma reduction strategies. The results of the community service activity involved three sub-districts within the Janti Community Health Center's work area, namely Bandungrejosari, Sukun, and Tanjungrejo. The preparation stage with coordination took place on August 15, 2025, and August 22, 2025. The training was implemented on August 23-24, 2025, along with the socialization and formation of the Si Peduli TB Community peer group. The activity outputs were educational videos and measurements of the level of knowledge of the concept of Pulmonary TB, TB stigma, and effective communication methods, which increased by 63.2%, 68.4%, and 63.3%, respectively. It can be concluded that the Si Peduli TB Community program has been proven to increase the knowledge of cadres, volunteers, and survivors and strengthen the Si Peduli TB Community peer group as a strategy to reduce stigma in pulmonary TB patients in the Janti Community Health Center's work area, Malang City.  Keywords: Pulmonary Tuberculosis, Stigma, Health Cadres, Peer Group, Community TB Care
Si Peduli TBC Komunitas sebagai Upaya Meningkatkan Deteksi Dini Tuberculosis Paru Wahyuningsih, Atik Setiawan; Zakaria, Amin; Nurmayunita, Heny; Asri, Yuni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 10 (2025): Volume 8 No 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i10.22533

Abstract

ABSTRAK Tuberkulosis (TBC) masih menjadi salah satu masalah kesehatan masyarakat utama di Indonesia. Upaya pengendalian TBC masih menjadi perhatian nasional yang serius melalui strategi TOSS TBC (Temukan, Obati Sampai Sembuh) yang menekankan deteksi dini, kepatuhan pengobatan, serta keterlibatan Masyarakat. Berbagai kendala masih dihadapi antara lain rendahnya literasi kesehatan masyarakat, stigma terhadap penderita, serta keterbatasan tenaga kesehatan dalam menemukan kasus secara aktif. Puskesmas Janti sebagai fasilitas kesehatan tingkat pertama berperan penting dalam menemukan kasus TBC secara aktif. Namun, capaian deteksi dini masih terkendala karena adanya ketakutan, stigma, maupun kurangnya pemahaman masyarakat terkait gejala TBC. Tujuan pengabdian masyarakat ini untuk menganalisa adakah pengaruh pemberian pelatihan Si Peduli TBC Komunitas terhadap kemampuan deteksi dini TBC Paru. Metode pelaksanaan dengan Pendekatan Peer Education, Blended Education dan Kolaborasi Lintas Sektor, Pendampingan penelusuran dan pembuatan konten edukasi & kampanye ajakan skrining melalui media sosial. Kegiatan ini dilaksanakan pada tanggal 15-31 Agustus 2025 yang melibatkan tokoh masyarakat, keluarga, dan organisasi lokal. Jumlah peserta ada 19 orang dari 3 keluharan di wilayah kerja Puskesmas Janti, yaitu Bandungrejosari, Sukun, dan Tanjungrejo. Melalui uji Wilcoxon diketahui hasil kegiatan terdapat 19 orang yang mengalami peningkatan kemampuan deteksi dini TBC setelah diberikan intervensi Pelatihan Si Peduli TBC Komunitas. Nilai asymp.sig. (2-tailed) yaitu sebesar 0,000, dimana nilai ini lebih kecil dari nilai alpha yaitu 5% (0,05), sehingga dapat diartikan bahwa terdapat perbedaan antara sebelum dan sesudah pemberian intervensi Pelatihan "Si Peduli TBC Komunitas terhadap Kemampuan Deteksi Dini. Peningkatan kemampuan peserta dalam membuat dan menyebarkan media edukasi melalui berbagai platform digital memperkuat peran komunitas dalam menurunkan stigma sekaligus mendorong deteksi dini TBC paru di wilayah kerja Puskesmas Janti Kota Malang. Kata Kunci: Tuberkulosis Paru, Deteksi Dini, Pelatihan Si Peduli TBC Komunitas, Stigma TBC Paru, Literasi Digital     ABSTRACT Tuberculosis (TB) remains a major public health problem in Indonesia. TB control efforts remain a serious national concern through the TOSS TB (Temukan, Obati Sampai Sembuh) strategy, which emphasizes early detection, treatment adherence, and community involvement. Various obstacles are still faced, including low public health literacy, stigma against sufferers, and limited health workers in actively finding cases. Janti Community Health Center, as a first-level health facility, plays an important role in actively finding TB cases. However, the achievement of early detection is still hampered by fear, stigma, and a lack of public understanding regarding TB symptoms. The purpose of this community service is to analyze the effect of providing "Si Peduli TB Komunitas" training on the ability to detect pulmonary TB early. The implementation method uses a Peer Education Approach, Blended Education and Cross-Sector Collaboration, tracing assistance and creating educational content & screening campaigns through social media. This activity was carried out on August 15-31, 2025, involving community leaders, families, and local organizations. The number of participants was 19 people from 3 sub-districts in the Janti Health Center working area, namely Bandungrejosari, Sukun, and Tanjungrejo. Through the Wilcoxon test, it was found that the results of the activity were 19 people who experienced an increase in the ability to detect TB early after being given the Community TB Care Training intervention. The asymp.sig. (2-tailed) value is 0.000, where this value is smaller than the alpha value of 5% (0.05), so it can be interpreted that there is a difference between before and after the provision of the Community TB Care Training intervention on Early Detection Ability. Increasing the ability of participants in creating and disseminating educational media through various digital platforms strengthens the role of the community in reducing stigma while encouraging early detection of pulmonary TB in the working area of the Janti Health Center in Malang City. Keywords: Pulmonary Tuberculosis, Early Detection, Community TB Care Training, Pulmonary TB Stigma, Digital Literacy
The Role of the Community in Preventing Bullying in Adolescent Children (12-18 Years) Atik Setiawan Wahyuningsih; Neny Triana; Sutik; Vitaria Wahyu Astuti; Anik Nuridayanti; Erni Rahmawati; Erva Elli Kristanti
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.672

Abstract

Background: Bullying is an aggressive act that is intentionally shown to teenagers, to disturb other teenagers who are considered weak or strange. Bullying behavior is considered by society as trivial behavior or normal behavior in every human life, in reality bullying behavior is abnormal, unhealthy and socially unacceptable behavior. Community participation is needed to prevent bullying. Purpose: The purpose of the study was to determine the role of society in preventing bullying in teenagers (aged 12-18 years). The research design was quasi-experimental, one group pretest-post test, the research population was 700 respondents with a sample of 42 respondents. The sampling technique was purposive sampling using the Slovin formula, with the inclusion criteria of people who were willing to be respondents, aged 19-60 years, able to read and write, cooperative, at the research location, and married. Exclusion criteria People who did not want to be respondents, were not at the location during the study, were sick. The study was conducted on March 21 - March 28, 2024, with the variable of community participation in preventing bullying, the research instrument used a questionnaire with a reliability coefficient value of Alpha Cronbach α > 0.5. Data were analyzed using the T-test. Data are presented in table form. Results: The results of the T-Test analysis obtained a p value <0.003, which means that there was a change in role after being given health education on bullying prevention. Conclusion: The role of the community is influenced by several factors in preventing bullying, namely gender, age, education, occupation, having received information about bullying prevention and sources of information.
Analisis Olah Raga Terhadap Kadar Gula Darah Penderita Diabetes Melitus Wahyuningsih, Atik Setiawan; Utami, Maria Putri Sari
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 13 No 1 (2018): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v13i1.20

Abstract

Diabetes mellitus is a degenerative disease that is expected to increase. Lifestyle management is one method to control blood sugar. Exercise regularly can increase insulin sensitivity so that it can help and control blood sugar levels.The purpose was to analyze exercise on blood glucose level of people with diabetes mellitus. Research design was posttest only with control. Population research was diabetes mellitus patient at Puskesmas Ngawi Ngawi District in 2017, used simple random sampling were 82 respondents (41 respondents of control group and 41 respondent of intervention group).Used Mann-Whitney nonparametric statistical test.The results of this study obtained data with average blood sugar levels control group after exercise uncontrolled and average. Data analysis used Mann-Whitney result of p-value 0,000 and value of Z equal to -7,102 which mean there was difference of group blood sugar level.Exercise with high intensity can damage blood sugar levels. Food, consumption of soft drinks and alcohol needs to be considered because it can interfered with the metabolism in the body that can affect blood sugar levels by considering the four pillars of diabetes mellitus management. Keywords: Exercise, Blood Sugar Level, Diabetes Mellitus
Integrating Family Support and Personal Counseling in a Behavioral Model for Tuberculosis Prevention Sumiati, Sumiati; Suwarto, Suwarto; Wardani, Ratna; Wahyuningsih, Atik Setiawan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8665

Abstract

ntroduction: Tuberculosis (TB) remains a major global public health problem in Indonesia, where household contact serves as the primary transmission pathway. Families, as the closest social units, play a crucial role in preventing TB spread; however, preventive behaviors often remain suboptimal due to fragmented and unsustained community interventions. Objective: This study aimed to develop and evaluate an integrative, family-based prevention model by positioning personal counseling as a mediator linking threat perception, coping appraisal, and family support with preventive behaviors. Methods: A two-phase quantitative study was conducted in Madiun City. Phase I involved 387 families of TB patients to analyze the relationships among variables using structural equation modeling–partial least squares (SEM-PLS). Phase II adopted a quasi-experimental design with intervention and control groups (n = 30 each) to assess the effectiveness of the integrative module. Statistical analyses included 95% confidence intervals (CIs) for all effect estimates. Ethical approval was granted by the Health Research Ethics Committee of Universitas Strada Indonesia (No. 2781/KEPK/IX/2023). Results: SEM-PLS analysis revealed that threat perception, coping appraisal, and family support significantly influenced TB preventive behaviors directly and indirectly through personal counseling (? = 0.01–0.35; 95% CI = 0.02–0.40; p < 0.05). The intervention significantly improved preventive behavior in the intervention group compared with the control group (mean increase = +7.5; 95% CI = +5.9–+9.1; p < 0.001). Conclusion: The integrative family-based model incorporating personal counseling effectively strengthened TB preventive behaviors among families. Theoretically, this study contributes to the integration of Social Cognitive Theory and Protection Motivation Theory in TB prevention, highlighting personal counseling as a behavioral mediator. Practically, this model can be adopted by primary healthcare providers and community health cadres to enhance family engagement and support Indonesia’s TB elimination targets by 2030. Study limitations include reliance on self-reported measures and a localized setting, which may constrain generalizability.
Empowerment of Health Cadres in the Early Detection of High-Risk Pregnancies: The Role of Motivation, Competence, and Social Support Sumarmiati, Sumarmiati; Fanani, Muhammad; Peristiowati, Yuli; Wahyuningsih, Atik Setiawan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8644

Abstract

Introduction: Community health cadres serve as vital front-line actors in improving maternal health outcomes, particularly in the early identification of high-risk pregnancies. Operating as motivators, facilitators, and educators, their performance is influenced by internal attributes such as knowledge, skills, competence, and motivation, alongside external elements including social support. However, limited evidence exists on how these factors interact to influence their effectiveness. This study aimed to develop a structural model to analyze the relationships between these internal and external factors and their impact on cadre performance in early risk detection. Methods: A cross-sectional study with a correlational approach was conducted from January to May 2025. A total of 330 active health cadres from 37 community health centers in Kediri Regency, Indonesia, were selected using proportional random sampling. Data were collected through a structured questionnaire and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to explore both direct and mediated effects among variables. Results: Knowledge (? = 0.044, p = 0.004), skills (? = 0.329, p < 0.001), and social support (? = 0.639, p < 0.001) significantly enhanced competence. Competence, in turn, strengthened motivation (? = 0.546, p < 0.001), which had the strongest direct effect on performance (? = 0.319, p = 0.043). Social support and skills indirectly improved performance through competence and motivation. The final model demonstrated good fit (SRMR = 0.046; NFI = 0.91; RMS_theta = 0.08) and explained 68% of the variance in cadre performance (R² = 0.68). Conclusion: Competence and motivation act as key mediators linking individual capacities and social support to performance. Strengthening these aspects through structured training and continuous social reinforcement is essential to enhance early detection of high-risk pregnancies and improve maternal health outcomes.
Pelatihan Pemanfaatan Data E-Puskesmas dalam Optimalisasi Perencanaan Layanan Kesehatan di Puskesmas Kendalkerep Reni Yuli Astutik; Atik Setiawan Wahyuningsih; Fita Fitarusdian
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 6 No. 1 (2026): Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v6i1.9332

Abstract

Digital transformation in the health sector requires improved data utilization, particularly at the level of primary care services. Community health centers, as the frontline of health service delivery, face challenges such as uneven digital literacy among health workers, inadequate infrastructure, and a weak culture of data-driven decision-making. A training program on the use of e-Puskesmas data was conducted at Puskesmas Kendalkerep to strengthen the capacity of health workers in integrating data into service planning processes. This study employed a quasi-experimental one-group pretest–posttest design involving 52 participants selected through total sampling. Data were collected through pretest–posttest assessments, observations, and a questionnaire based on six dimensions of planning optimization: data utilization, program effectiveness, decision-making quality, coordination and collaboration, monitoring and evaluation, and human resource and infrastructure capacity. The analysis revealed significant improvements across all dimensions after the training. The average pretest scores, which ranged from 45.50 to 57.50, increased to 82.50–92.50 in the posttest. The paired sample t-test produced t-values of 6.04–9.44, exceeding the critical value of 2.01 (p < 0.05), indicating a statistically significant difference before and after the training. Cohen’s d values ranged from 0.81 to 1.58, indicating large effect sizes, with the strongest impact observed in the dimension of coordination and collaboration. Observational findings also showed enhanced technical data-entry skills, greater participation in discussions, and increased awareness of the importance of data-driven planning.
Efektivitas latihan buerger allen exercise dan senam kaki diabetes terhadap sirkulasi perifer dan gejala neuropati pada pasien diabetes melitus Santika, I Made; Peristiowati, Yuli; Wahyuningsih, Atik Setiawan; Prasetyo, Joko; Nurdina, Nurdina; Yulianti, Desak Made
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9 (edisi khusus konference)
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1935

Abstract

Background: Diabetes mellitus (DM) is a chronic metabolic disease frequently accompanied by complications such as peripheral circulatory disorders and neuropathy, which contribute to decreased lower-extremity function. This condition is still often found in DM patients at Toto Kabila Regional Hospital, highlighting the need for effective non-pharmacological interventions. Purpose: To analyze the effectiveness of buerger allen exercise and diabetic foot exercise in improving peripheral circulation and neuropathic symptoms among patients with diabetes mellitus. Method: A quasi-experimental two-group pretest–posttest design involving 60 patients who were randomly assigned into two intervention groups. Both exercises were administered for four weeks. Data were collected using standardized operational procedures for each exercise along with instruments assessing peripheral circulation and neuropathic symptoms. The Wilcoxon test was used to analyze within-group effects, while the Mann–Whitney test was applied to compare differences between groups. Results: Both interventions significantly improved peripheral circulation and reduced neuropathic symptoms (p = 0.000). Between-group analysis showed that the Buerger Allen Exercise produced greater improvement in peripheral circulation, particularly in the left extremity (p = 0.019), and demonstrated a more substantial reduction in neuropathic symptoms compared to diabetic foot exercise (p = 0.000). Conclusion: Both Buerger Allen Exercise and diabetic foot exercise are effective in enhancing peripheral circulation and reducing neuropathic symptoms in patients with diabetes mellitus. However, Buerger Allen Exercise shows superior effectiveness and may be recommended as a primary non-pharmacological intervention to improve vascular and sensory function in diabetic patients.   Keywords: Buerger Allen Exercise; Diabetes Mellitus; Diabetic Foot Exercise; Diabetic Neuropathy; Peripheral Circulation.   Pendahuluan: Diabetes melitus (DM) merupakan penyakit kronis yang sering disertai komplikasi berupa gangguan sirkulasi perifer dan neuropati, yang berdampak pada penurunan fungsi ekstremitas bawah. Kondisi ini masih banyak dijumpai pada pasien DM di RSUD Toto Kabila, sehingga diperlukan intervensi non-farmakologis yang efektif. Tujuan: Untuk menganalisis efektivitas Buerger Allen Exercise dan senam kaki diabetes terhadap sirkulasi perifer dan gejala neuropati pada pasien DM. Metode: Desain quasi-experimental two group pretest–posttest dengan total sampel 60 pasien yang dibagi menjadi dua kelompok intervensi. Latihan diberikan selama empat minggu, dan pengukuran dilakukan menggunakan SOP latihan serta instrumen penilaian sirkulasi perifer dan gejala neuropati. Analisis data menggunakan uji Wilcoxon untuk mengetahui pengaruh intervensi dan uji Mann-Whitney untuk melihat perbedaan antar kelompok. Hasil: Peningkatan signifikan pada sirkulasi perifer dan perbaikan gejala neuropati pada kedua kelompok (p = 0.000). Perbandingan antar kelompok menunjukkan bahwa Buerger Allen Exercise memberikan peningkatan sirkulasi perifer yang lebih tinggi, khususnya pada ekstremitas kiri (p = 0.019), serta perbaikan gejala neuropati yang lebih besar dibandingkan senam kaki diabetes (p = 0.000). Simpulan: Buerger allen exercise dan senam kaki diabetes sama-sama efektif meningkatkan sirkulasi perifer dan memperbaiki gejala neuropati, namun buerger allen exercise menunjukkan efektivitas yang lebih unggul. Latihan ini dapat direkomendasikan sebagai intervensi non-farmakologis dalam upaya meningkatkan fungsi vaskular dan sensorik pada pasien diabetes melitus.   Kata Kunci: Buerger Allen Exercise; Diabetes Melitus; Neuropati Diabetik; Senam Kaki Diabetes; Sirkulasi Perifer.
Co-Authors Agusta Dian Ellina Agustin Widyowati Agustinus Bali Matkusa Alfian Fawzi Alfian Fawzi Amin Zakaria Anik Nuridayanti Astri Yunita Astutik, Ina Byba Melda Suhita Candra Wahyuni Cindy Linggar Fitrianingrum Dedi Saifulah Detri Yulianty Tobe Dwi rahayu Erni Rahmawati Erva Elli Kristanti Esmenia Maria Rodrigues Soares Eva Agustina Fita Fitarusdian Fitra Okta Damayanti Fitria Nusantara, Ana Heri Saputro Ina Astutik Indasah Indasah Joel Rey Ugsang ACOB Joko Prasetyo Kase, Siti Meltiana Kristoforus Tnomel Lastareta, Rinay Linda Sukoco Mafalda Guterres De Carvalho Mafalda Guterres De Carvalho Mardova, Adelia Maria Putri Sari Utami Matkusa, Agustinus Bali Muhammad Fanani NENY TRIANA Novita Kurnia Sari Nurdina Nurdina Nuridayanti, Anik Nurmayunita, Heny Nuryeny H Oktaviana, Santi Prayoga Kurniawan Prima Dewi Kusumawati Rahmawati, Septi Dwi Rahmawati, Septi Dwi Ratna Wardani Renaldy Anggi Agastya Reni Nurhidayah Reni Yuli Astutik Restiya Agustin, Erda Rinay Lastareta Salmia Sandu Siyoto Sandu Siyoto, Sandu Santi Oktaviana Santi Oktaviana Santika, I Made Sari, Novita Kurnia Siti Meltiana Kase Siti Rofiatun Sugiharto, Mochamad Toto Sukoco, Linda Sumarmiati, Sumarmiati Sumiati Sumiati Sutik Sutrisno, Sutrisno Suwarto Suwarto Tamimi, Toriq Titih Huriah Titih Huriah Tobe, Detri Yulianty Utami, Maria Putri Sari Vitaria Wahyu Astuti Yalestyarini, Eva Agustina Yuan Mandira Wicaksana Yuli Peristiowati, Yuli Yulianti, Desak Made YUNI ASRI, YUNI Yuwono, Trisno