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Effect of combined ankle exercise and self foot massage on ankle-brachial index and diabetic peripheral neuropathy symptoms Rias, Yohanes Andy; Sofiani, Yani; Yunitri, Ninik; Rayasari, Fitrian; Hernani, Eny
Riset Informasi Kesehatan Vol 13 No 2 (2024): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v13i2.908

Abstract

Background: Buerger Allen Exercise (BAE) and Self-Thai Foot Massage (STFM) are strongly recommended ameliorating Diabetes Peripheral Neuropathy (DPN) symptoms. Nevertheless, there is lack of evidence on the combination of both on alleviating DPN symptoms and Ankle-Brachial Index (ABI). Aims: This study aimed to examine the combination effect of BAE and STFM on symptoms of diabetic peripheral neuropathy and ABI among individuals with DPN. Methods: The research design used an experimental one-group with pre-test and post-test design. In total, 36 eligible individuals with DPN with a seven-day received combination of BAE and STFM implementing ankle exercise and foot massage. DPN scores were measured using the Michigan Screening Instrument (MNSI) questionnaire and foot perfusion was measured using the ABI. An analysis of the research data was conducted using the Paired t-test and effect size with Cohen’s d with a significance threshold of p >0.05. Results: There are a significant finding combination of BAE and STFM on MNSI subjective (mean diff=-2.78, p=>.001, d=0.71), MNSI objective (mean diff=-1.60, p=>.001, d=0.38), ABI left (mean diff= 0.01, p=>.001, d=0.51), and ABI right (mean diff=0.07, p=>.001, d=0.59). Conclusion: The finding of this study indicates that a combination of BAE and STFM is a feasible alternative therapy for ABI and MNSI in patients with DPN.
E-Learning Post Stroke Rehabilitation: Systematic Review Dwiyanto, Yusup; Luanda, Desi; Fredy, Muhammad Khalid; Firdaus, Nuzula; Lusiana, Lusiana; Desy, Kemala; sofiani, Yani
Journal of Global Research in Public Health Vol. 6 No. 1 (2021): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v6i1.298

Abstract

Background: Stroke is the biggest cause of death after heart attack and has an impact on disability that can reduce the quality of life. Disability due to stroke is the result of damage to motor, sensory and cognitive functions of the patient. For this reason, there is a need for rehabilitation that can repair the damage to this function. Rehabilitation in stroke patients can be combined with technological advances. This will have a good impact on the rehabilitation program for stroke patients. The purpose of this study was to provide knowledge about post-stroke rehabilitation programs using electronic learning programs. Methods: This research design uses a systematic review approach by collecting several articles from a data base published in 2011-2020. The article search was conducted by entering the keywords stroke rehabilitation audiovisual, stroke rehabilitation video, stroke rehabilitation system, and stroke rehabilitation telecommunications. Article searches have predefined inclusion and exclusion criteria. Inclusion criteria included patients diagnosed with stroke. The research design was a randomized control trial and experimental research. Exclusion criteria included stroke patients who were being hospitalized. Result: The results of a database search obtained 9,409 articles, from Pubmed 379 articles, Proquest 7,640 articles, and Google Scholar 1,390 articles. After sorting with predetermined criteria, 6 articles were found that matched. Conclusion: The conclusion in this study was that the post-stroke rehabilitation e-learning program gave significant results in improving motor, sensory and cognitive functions of patients in living their daily lives.
Cognitive Behavioural Therapy untuk Meningkatkan Quality of Life Pasien Diabetes Melitus Tipe 2 Nur Wahyuni Munir; Yani Sofiani; Abdu Rahim Kamil
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk312

Abstract

Management of Type 2 Diabetes Mellitus (DMT2) aims to improve the quality of life of DMT2 sufferers and reduce the risk of complications. This study aims to determine the effect of cognitive behavioral therapy on the quality of life of patients with type 2 diabetes mellitus. The study is a systematic review, involving randomized controlled trials (RCTs) published in English during 2016 to 2021, which were searched through various electronic databases including PubMed, ScienceDirect, SAGE, Wiley Online Library, EBSCOhost, ClinicalKey for Nursing and Google Scholar. The main outcome variable is quality of life. Secondary outcomes were glycated hemoglobin (HbA1c), depressive symptoms, sleep quality, physical activity, self-efficacy and self-esteem. A total of 455 articles were identified, and 5 comprised the final 800 samples. All studies reported that cognitive behavioral therapy had a positive impact on quality of life (p < 0.001); two found reductions in HbA1c and depressive symptoms, one improved sleep quality, one demonstrated beneficial changes in physical activity and anthropometrics (body mass index, waist circumference), one improved self-efficacy and self-esteem. The findings show that CBT-based interventions are effective in improving quality of life, glycemic control, depressive symptoms, quality of sleep, physical activity, self-efficacy and self-esteem in adult patients with type 2 DM.Keywords: cognitive behavioral therapy; quality of life; type 2 diabetes mellitus ABSTRAK Penatalaksanaan Diabetes Mellitus Tipe 2 (DMT2) bertujuan untuk meningkatkan kualitas hidup penderita DMT2 dan mengurangi risiko komplikasi. Studi ini bertujuan untuk mengetahui pengaruh terapi perilaku kognitif terhadap kualitas hidup pasien diabetes melitus tipe 2. Studi merupakan tinjauan sistematik, yang melibatkan metode uji coba terkontrol acak (RCT) yang diterbitkan dalam bahasa Inggris selama 2016 hingga 2021, yang dicari melalui berbagai basis data elektronik termasuk PubMed, ScienceDirect, SAGE, Perpustakaan Online Wiley, EBSCOhost, ClinicalKey for Nursing dan Google Scholar. Variabel hasil utama adalah kualitas hidup. Hasil sekunder adalah hemoglobin terglikasi (HbA1c), gejala depresi, kualitas tidur, aktivitas fisik, efikasi diri dan harga diri. Total 455 artikel diidentifikasi, dan 5 terdiri dari final dengan 800 sampel. Semua penelitian melaporkan bahwa terapi perilaku kognitif memiliki dampak positif pada kualitas hidup (p <0,001); dua menemukan pengurangan HbA1c dan gejala depresi, satu meningkatkan kualitas tidur, satu menunjukkan perubahan yang bermanfaat dalam aktivitas fisik dan antropometrik (indeks massa tubuh, lingkar pinggang), satu meningkatkan efikasi diri dan harga diri. Temuan menunjukkan bahwa intervensi berbasis CBT efektif untuk meningkatkan kualitas hidup, kontrol glikemik, gejala depresi, kualitas tidur, aktivitas fisik, efikasi diri dan harga diri pada pasien dewasa dengan DM tipe 2.Kata kunci: terapi perilaku kognitif; kualitas hidup; diabetes melitus tipe 2
Pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU Astuty, Yeni; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.840

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Background: Anxiety is a common problem among patients in the Intensive Care Unit (ICU) and can result in hemodynamic instability. One innovative solution to reduce anxiety is to use video calls as a substitute for limited in-person family visits. Purpose: To determine the effect of virtual interaction as therapy in reducing anxiety and improving hemodynamics in ICU patients. Method: Quasi-experimental research with pre-test and post-test on one intervention group, conducted in the ICU of An-nisa Hospital Tangerang in October-December 2024. The sampling technique used purposive sampling with a sample size of 60 participants. The independent variable in this study is virtual interaction via video call, while the dependent variable is the level of anxiety of ICU patients. Data analysis used univariate in the form of frequency distribution and bivariate using the Wilcoxon Signed Rank test. Results: Video call therapy was effective in significantly reducing the anxiety level of ICU patients (pretest score 17.07±0.583 to 12.43±0.898; p=0.000). Video calls had a significant impact on hemodynamic parameters, namely a decrease in systolic pressure (166.00±7.376 to 1125.70±7.728), diastolic (111.80±9.876 to 89.33±8.821), heart rate (113. 00±9.927 to 78.533±6.981), and respiration rate (22.766±1.165 to 16.766±1.381) with p=0.000. This intervention is effective to reduce anxiety and improve hemodynamic stability. Conclusion: The video call intervention was effective in reducing anxiety levels and improving hemodynamic parameters.   Keywords: Anxiety; Hemodynamics; Intensive Care Unit (ICU); Therapy; Virtual Interaction.   Pendahuluan: Kecemasan merupakan masalah umum yang dihadapi oleh pasien di Intensive Care Unit (ICU) dan dapat berdampak pada ketidakstabilan hemodinamik. Salah satu solusi inovatif untuk mengurangi kecemasan adalah dengan menggunakan video call sebagai pengganti kunjungan langsung keluarga yang terbatas. Tujuan: Untuk mengetahui pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU. Metode: Penelitian kuasi-eksperimental dengan desain pre-test dan post-test pada satu kelompok intervensi, dilaksanakan di ICU Rumah Sakit An-nisa Tangerang, pada bulan Oktober-Desember 2024. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 60 partisipan. Variabel independen dalam penelitian ini adalah interaksi virtual melalui video call, sedangkan variabel dependen adalah tingkat kecemasan pasien ICU. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Wilcoxon Signed Rank. Hasil: Terapi video call efektif menurunkan tingkat kecemasan pasien ICU secara signifikan (skor pretest 17.07±0.583 menjadi 12.43±0.898 ketika posttest; p=0.000). Video call memberikan dampak signifikan terhadap parameter hemodinamik, yaitu penurunan tekanan sistolik (166.00±7.376 menjadi 1125.70±7.728), diastolik (111.80±9.876 menjadi 89.33±8.821), denyut jantung (113.00±9.927 menjadi 78.533±6.981), dan laju respirasi (22.766±1.165 menjadi 16.766±1.381) dengan nilai p=0.000. Intervensi ini efektif untuk menurunkan kecemasan dan memperbaiki stabilitas hemodinamik pasien. Simpulan: Intervensi video call terbukti efektif dalam menurunkan tingkat kecemasan dan memperbaiki parameter hemodinamik pasien.   Kata Kunci: Hemodinamik; Intensive Care Unit (ICU); Interaksi Virtual; Kecemasan; Terapi.
Application abdominal massage in reducing constipation in patients with traction Rahmasari, Ikrima; Sofiani, Yani; Yunitri, Ninik; Budiati, Dhiani
Riset Informasi Kesehatan Vol 13 No 1 (2024): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v13i1.831

Abstract

Backgrounds: Fractures represent a potential or actual threat to a person's integrity. Fracture management includes conservative measures and surgery. One of the conservative measures is the installation of protective traction. The purpose of traction training is to reduce spasm, reposition and immobilization. Immobilization is a limitation of independence, physical movement of the body or one or more extremities which is often caused by movement restrictions in the form of bed rest, physical restrictions due to external equipment (for example casts or skeletal traction), restrictions on voluntary movements, or physical disorders. There are various physical problems that can occur in a state of immobility, one of which is the problem of changes in fecal elimination, namely constipation. Abdominal massage is a complementary therapy that can be used as an effective intervention to treat constipation without causing side effects. Method: application of Evidence Based Practice (EBNP) with evidence sourcesobtained from the Pubmed journal. The article was published in 2020. Searches were carried out in several databases, namely the Cochrane Library, Biomed Central, MEDLINE (EBSCOhost), MEDLINE (PubMed), and Scopus. The author carried out screening using the PICO formulation. Results: Data analysis results were processed using Jamovi with the one sample T-Test statistical test. The average reduction in constipation was found before and after abdominal massage with a P-Value of 0.001. Conclusion: There is a significant difference in reducing constipation before and after giving abdominal massage with P-Value <0.005.).
Optimalisasi Disease Awareness Diabetes Melitus di SMA Muhammadiyah 1 Jakarta Pusat Sofiani, Yani; Agung, Rizki Nugraha; Astuti, Medya Aprilia; Septian, Alnendi; Lestari, Rini; Azzahra, Sabrina
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21421

Abstract

ABSTRAK Pergeseran pola penyakit dari penyakit menular masih tinggi  terhadap penyakit tidak menular pada negara berkembang seperti Indonesia, salah satunya adalah diabetes melitus (DM). Penelitian terbaru dari Kementrian Kesehatan RI (2023) menunjukan prevalensi diabetisi meningkat hingga 10,9% dalam dekade terkahir. Tingginya angka kejadian dan besarnya dampak yang ditimbulkan oleh penyakit diabetes maka diperlukannya pencegahan yang optimal melalui proses peningkatan pengetahuan dan kesadaran diri terhadap pengendalian DM. Pengabdian kepada masyarakat (PkM) ini bertujuan untuk meningkatkan pengetahuan dan kesadaran diri terhadap pengendalian DM. Pengabdian masyarakat dilakukan kepada guru dan staf di SMA Muhammadiyah 1 Jakarta dengan memberikan penyuluhan kesehatan melalui media video edukasi yang diputarkan sebanyak satu kali dan selanjutnya diberikan sesi diskusi dan diakhiri dengan penyerahan poster edukasi. Dalam program PkM kali ini, mayoritas peserta laki-laki. Sebanyak 23 peserta yang mengikuti post-test, 21 peserta (sekitar 91,3%) berhasil menjawab dengan benar semua dari 8 soal yang diberikan, hal tersebut menunjukkan pemahaman terhadap materi edukasi dengan baik. Hasil ini secara keseluruhan merefleksikan efektivitas program edukasi dalam meningkatkan pengetahuan peserta mengenai diabetes melitus. Kegiatan pengabdian masyarakat ini ini berhasil meningkatkan kesadaran peserta tentang pentingnya pencegahan dan deteksi dini Diabetes Melitus. Disarankan Perlu adanya program lanjutan berupa pelatihan guru sebagai duta kesehatan untuk mendukung penyuluhan dan deteksi dini Diabetes Melitus di lingkungan sekolah khususnya di SMA Muhammadiyah I Jakarta.  Kata Kunci: Berbasis Video, Diabetes Melitus, Edukasi Kesehatan, Kesadaran Penyakit  ABSTRACT The shift in disease patterns from infectious diseases to non-infectious diseases were still high in developing countries such as Indonesia, one of which is diabetes mellitus (DM). Research results from the Indonesian Ministry of Health (2023) showed that the prevalence of diabetes has increased to 10.9% in the last decade. The high incidence rate and large impact caused by diabetes requires optimal prevention through the process of increasing knowledge and self-awareness regarding DM control. This community service (PkM) aims to increase knowledge and self-awareness regarding DM control. Community service was carried out for teachers and staff at SMA Muhammadiyah 1 Jakarta by providing health education through educational video media which was played once and then a discussion session was given and ended with the handover of educational posters. In this PkM program, the majority of participants were male. A total of 23 participants took the post-test, 21 participants (around 91.3%) managed to answer all 8 questions correctly, this shows a good understanding of the educational material. These results overall reflect the effectiveness of the education program in increasing participants' knowledge about diabetes mellitus. This community service activity succeeded in increasing participants' awareness of the importance of prevention and early detection of Diabetes Mellitus. It is recommended that there is a need for a follow-up program in the form of teacher training as health ambassadors to support counseling and early detection of Diabetes Mellitus in the school environment, especially at SMA Muhammadiyah I Jakarta. Keywords: Diabetes Mellitus, Disease Awareness, Health Education, Video-Based
Poor Sleep Quality Related to Impaired Cognitive Function Following Stroke: A Comparative Cross-Sectional Study Sofiani, Yani; Rahim Kamil, Abdu; Puspitasari, Nia Ayu; Hadi, Muhammad; Agung, Rizki Nugraha; Kurwiyah, Neneng
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (632.781 KB) | DOI: 10.30604/jika.v7i1.672

Abstract

Sleep deprivation is a common concern among stroke patients. There was a connection between sleep deprivation and poor cognitive function. Few studies, however, have compared sleep and cognitive variations in older adults with and without stroke, as well as explored the relationship between sleep quality and cognitive function. The objective of this study was to explore the quality and feature of sleep between patients with and without a stroke. To assess the association between sleep quality and cognitive dysfunction in older adults. A cross-sectional analysis was carried out. 156 participants completed this research. The study was carried out in 90 stroke patients and 66 of non-stroke patients. The patient was given a sleep quality questionnaire and took a cognitive test. In addition, a multivariate linear regression statistical analysis was used to determine the relationship between two variables. The global mean PSQI in patients with stroke was 7.12±3.96 versus 4.98±2.86, respectively, higher than the non-stroke group. Around 56.7 percent of stroke patients complained of poor sleep quality. Stroke patients scored lower than those who did not get a stroke on the memory and executive function test. Sleep quality affects memory by 28.6 percent. Poor sleep quality was strongly associated with memory dysfunction in stroke patients. To prevent patients with stroke from experiencing cognitive loss, health care providers should develop effective interventions to improve sleep quality.  Kurang tidur adalah masalah umum di antara pasien stroke. Ada hubungan antara kurang tidur dan fungsi kognitif yang buruk. Beberapa penelitian, bagaimanapun, telah membandingkan variasi tidur dan kognitif pada orang dewasa yang lebih tua dengan dan tanpa stroke, serta mengeksplorasi hubungan antara kualitas tidur dan fungsi kognitif. Tujuan dari penelitian ini adalah untuk mengeksplorasi kualitas dan fitur tidur antara pasien dengan dan tanpa stroke. Untuk menilai hubungan antara kualitas tidur dan disfungsi kognitif pada orang dewasa yang lebih tua. Sebuah analisis cross-sectional dilakukan. 156 peserta menyelesaikan penelitian ini. Penelitian dilakukan pada 90 pasien stroke dan 66 pasien non stroke. Pasien diberi kuesioner kualitas tidur dan menjalani tes kognitif. Selain itu, analisis statistik regresi linier multivariat digunakan untuk mengetahui hubungan antara dua variabel. Rata-rata PSQI global pada pasien stroke masing-masing adalah 7,12±3,96 versus 4,98±2,86, lebih tinggi daripada kelompok non-stroke. Sekitar 56,7 persen pasien stroke mengeluhkan kualitas tidur yang buruk. Pasien stroke mendapat skor lebih rendah daripada mereka yang tidak terkena stroke pada tes memori dan fungsi eksekutif. Kualitas tidur mempengaruhi memori sebesar 28,6 persen. Kualitas tidur yang buruk sangat terkait dengan disfungsi memori pada pasien stroke. Untuk mencegah pasien stroke mengalami kehilangan kognitif, penyedia layanan kesehatan harus mengembangkan intervensi yang efektif untuk meningkatkan kualitas tidur.
Benefits of Implementing Mobile Phone-Based Self-Management Interventions in Coronary Heart Disease Patients on Medication Adherence and Reducing Blood Pressure Oktavina, Risa; Jumaiyah, Wati; Natashia, Dhea; Sofiani, Yani; Sumedi, Sumedi
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4350

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Coronary Heart Disease (CHD) is a non-communicable disease that is a public health problem and the number is increasing both in the world and in Indonesia. So good self-management skills are needed in effort to improve the patient's ability to manage CHD risk factors, compliance with taking medication and achieving reduced blood pressure. The development of technology makes the use of mobile phones a necessity. Therefore, mobile phone-based self-management interventions are expected to be effective in improving patients' ability to self-manage to achieve medication compliance and reduce blood pressure. Increased compliance with taking medication and a decrease in blood pressure. The design used is a case study with an innovative design in the form of applying research results regarding mobile phone-based self-management interventions for coronary heart disease patients. The self-management intervention took the form of personal education using e-booklets and short WhatsApp text messages for 8 weeks. And the standard questionnaire consists of MMAS8 and SCC HDI. It is known that there is a decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP), as well as a decrease in total cholesterol levels. Apart from that, there was an increase in patient medication adherence scores and an increase in the self-management ability of CHD patients. There was a significant effect of mobile phone-based self-management intervention on medication adherence, SBP and DBP values, total cholesterol, and self-management abilities.
The Effect of Pre-Operative Education on Anxiety in Patients Undergoing Percutaneous Coronary Intervention Pramono, Cahyo; Jumaiyah, Wati; Natashia, Dhea; Sofiani, Yani
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): 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.v6iS5.4694

Abstract

Myocardial infarction (MI) describes the process of myocardial cell death caused by ischemia or an imbalance between myocardial oxygen supply through the coronary arteries and demand. Coronary heart disease remains the leading cause of death worldwide, and in Indonesia it still shows that coronary heart disease is the highest cause of death at all ages after stroke. Providing preoperative education by providing relevant health care information and preparing physically and psychologically can reduce patient anxiety. The purpose of this research is to determine the effect of preoperative education on the anxiety of patients undergoing PCI. The method uses a quasi-experimental design. The research method used a quasi-experiment with an intervention group and a control group. The sampling technique used Purposive sampling. The number of samples in this study was 46 respondents, 23 intervention groups and 23 control groups. The study was conducted in May - June 2024 in the ICCU room of PKU Muhamadiyah Gamping Hospital, with a data collection time allocation of 15 minutes to measure anxiety and provide pre-operative education. Pre-test anxiety measurements were carried out during the ACS medical diagnosis and scheduled for PCI, then pre-operative education was given with booklet media, post-test measurements were carried out one hour before the PCI was carried out. The instrument used was the STAI (State-Trait Anxiety Inventory) questionnaire with 20 question. Data analysis using the Independent Samples Test. The result is a P value of 0.00, which means there is a difference in anxiety between the intervention group and the control group. The average anxiety of the intervention group pre-test was 34.39 decreasing to 30.57, and the control group pre-test anxiety average was 34.17 decreasing to 33.22. The conclusion is that pre-operative education is effective in reducing anxiety in patients undergoing PCI.
Assessment of Diabetic Retinopaty Risk Factors in Type II Diabetes Mellitus Anggraini, Desy; Sofiani, Yani; Yunitri, Ninik; Rayasari, Fitrian
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6196

Abstract

Diabetic retinopathy (DR) is a leading microvascular complication of diabetes mellitus (DM), primarily caused by chronic hyperglycemia. It leads to vascular occlusion, increased vascular permeability, retinal abnormalities, and detachment, ultimately resulting in visual impairment and blindness. Implementing Evidence Based Nursing Practice using diagnostic tests to determine the sensitivity and specificity of the assessment instrument for Diabetic Retinopathy Risk Factors in Type II DM Diagnostic tests are descriptive observational studies with a cross-sectional study design. This application is classified as descriptive observational because only observations are made without any intervention (treatment). The test is carried out with ROC where to see the sensitivity and specificity of the application instrument. The results of the analysis showed that the sensitivity of the application of the assessment of diabetic retinopathy risk factors using the ROC Curve Test was 100%. Meanwhile, the specificity of the instrument for the application of the assessment of diabetic retinopathy risk factors was 81.3%. The application of diabetic retinopathy risk factor assessment can be used to assess the risk of diabetic retinopathy because it has good sensitivity (%) and specificity (%) values. However, when applying the diabetic retinopathy risk factor assessment, only the risk value of diabetic retinopathy was obtained where the application patient did not experience complaints and decreased visual acuity.
Co-Authors Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Agung Widiastuti Agung, Rizki Nugraha Agus Purnama Aisy, Rifa Rohadatul Aisyah Aisyah Amrullah, Syahid Andini, Sandra Andry Sartika Anwar Wardi Anwar Wardi Anwar Wardy W Apri Budianto, Apri Ardiani, Kristi Ashar Prima Astuti, Medya Aprilia Astuty, Yeni Atlantic, Mia Azzahra, Sabrina Azzam, Rohman Barus, Sada Ukur Bayu Saputra Berniati Berniati Berniati, Berniati Besral . Beti Haerani Budiati, Dhiani Burmanajaya, Bram Desi Luanda Desvita, Eva Desy Anggraini Desy, Kemala Dewi Anggraini Dewi Purnamawati Dian Noviati Dian Noviati Kurniasih Dian Novita Diana Irawati Diana Irawati Dluha Maf’ula Dwiyanto, Yusup Egi Mulyadi Elang Wibisana Erni Kurniasih Erwan Setiyono Erwin Erwin Erwin Erwin Eva Herawati fari, aniska indah Fatma, Hindri Royiah Fauziah, Hani Firdaus, Nuzula Fischa Awalin Fredy, Muhammad Khalid Hamdah, Hamdah Hani Fauziah Hernani, Eny Hidayat Arifin Hidayat, Agus Samsul Ida Yatun Khomsah Ikhsan Ibrahim Imansyah Abd Latif Ode Irawati, Diana Irawati, Diana Irma Puspita Arisanty Iyar Siswandi Iyar Siswandi Jaemi Janitra, Fitria Endah Jumaiyah, Wati Jumaiyah, Wati Kamil, Abdu Rahim Kemala Desy Kiki Rizki Amelia, Kiki Rizki kurniasari, septi Kurniasih, Dian Noviati Kustanti, Christina Yeni Latipah, Siti Leni Rosita Lofa, Priyo Hadi Prasetyo Luanda, Desi Lusiana Lusiana Lusiana Lusiana Maryani, Fenny Masykur Khair Melati Fajarini Moh. Heri Kurniawan Muhammad Hadi Muhammad Khalid Fredy Mulyatsih, MG Enny Natalia Suraningsih Natashia, Dhea Nathasia, Dhea Neneng Kurwiyah Ninik Yuniatri Ninik Yunitri Nugraha, Rizky NUR AINI Nur Wahyuni Munir Nuraeni Nuraeni Nurhayani, Yani Nurma Dewi Nuzula Firdaus Ohorella, Usman Barus Oktavina, Risa Pramono, Cahyo Purnamawati, Dewi Puspitasari, Nia Ayu Putri, Alifiani Rahmi Rahayu, Essih Rahim Kamil, Abdu Rahmasari, Ikrima Rayasari, Fitrian Rini Lestari Rita Sari Rizki Nugraha Agung Rostini, Heny Rukmana, Aip Sahriana Sahriana Sakinah, Sri Santosa, Puji Raharja Saputri, Dwirima Satriani Satriani Septian, Alnendi Septiawantari, Rani Serli Wulan Safitri Shahroh, Yuni Silistyorini, Cahyo Ismawati Siswahyudianto Siswandi, Iyar Siti Aminah SRI ATUN sri murtini . Sri Suryati Sri Utami Damayanti Sulistiyowati, Heppy Sulistyorini, Cahyo Ismawati Sumah, Dene Fries Sumedi Sumedi Suriadi Jais Suryani Suryani Suryati Suhaemia Syahid Amrullah Tiara Octary Uswatul Khasanah Wariani, Wiwik Warongan, Wardy widya astuti Yanti Silaban, Nataria Yohanes Andy Rias Yuliarti Yuliarti Yunitri, Ninik Yuntiri, Ninik Yunus, Muhammad Iqbal Yusup Dwiyanto Zaki, Muhamad