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Effectiveness of Health Education Using Booklets Towards Ability Self-Care for Heart Failure Patients Imam Mashudy Fazry; Beti Kristinawati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.971

Abstract

Heart failure remains a major global health problem, contributing to high morbidity and mortality, particularly among older adults. Effective self-care is essential to maintain clinical stability and improve the quality of life in patients with chronic heart failure. This study aims to increase the effectiveness of family-based health education by using a booklet containing self-care skills for heart failure patients. A quasi-experimental one-group pretest-posttest design was conducted at a regional hospital in Surakarta, involving 148 patients selected through purposive sampling. Data were collected using the Self Care of Heart Failure Index (SCHFI) version 6.2 and analyzed with the Wilcoxon Signed Rank Test. Results showed a significant improvement in self-care scores from pretest (mean = 53.60) to posttest (mean = 63.18), with an average increase of 9.58 points (17.87%; p < 0.001). The findings indicate that family-centered education through a booklet significantly enhances patients' self-care, maintenance, and management, and increases their confidence. This intervention strengthens family involvement, increases health knowledge and self-efficacy, and supports sustainable home-based care. The study contributes to nursing science by providing empirical evidence that simple, low-cost educational media can effectively empower families and improve self-care outcomes in chronic heart failure management, underscoring the importance of family engagement in patient-centered care.
The Effectiveness of Combining Walking Exercise and Autogenic Relaxation on Blood Glucose Levels in Patients with Type II Diabetes Mellitus Mia Yuliana; Beti Kristinawati
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.1011

Abstract

Type II Diabetes Mellitus (DM) is a chronic metabolic condition that requires long-term treatment.  Sedentary lifestyles and stress are the primary causes of its growing global prevalence.  Non-pharmacological therapies, such as physical activity and relaxation techniques, can aid in blood glucose regulation. The purpose of this study is to evaluate the efficacy of combining walking exercise and autogenic relaxation in lowering blood glucose levels in Type II diabetic patients. A case study was conducted on a 50-year-old woman with type II diabetes mellitus for five years. The intervention combined walking exercise (30 minutes/session, three times a week) and autogenic relaxation (15–20 minutes/session, three times a week) for four weeks. Data were collected through interviews, observations, and glucometer measurements before and after the intervention. Data were analyzed by conducting a case study of nursing care. Fasting blood glucose levels fell from 500 mg/dL to 148 mg/dL, tiredness scores improved from 6 to 3, stress scores from 7 to 3, and exercise tolerance increased from 10 to 25 minutes of continuous walking.  These findings suggest improved glycemic management, endurance, and psychological well-being. Combining walking exercise and autogenic relaxation is an effective, simple, and low-cost nursing intervention to support blood glucose control in Type II DM patients.
Ankle Pump Exercise as Evidence-Based Nursing for Managing Hypervolemia in Chronic Kidney Disease Patients Zulfiana Nurlaili; Nur Asa Rhahmadani Susanti; Beti Kristinawati; Afif Riada Pratama
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1605

Abstract

Hypervolemia in patients with Chronic Kidney Disease (CKD) can cause lower extremity oedema. Non-pharmacological methods like ankle pump exercises and 30° leg elevation effectively reduce oedema and improve circulation by utilising muscle pump action and gravity to enhance venous return to the heart. The purpose of this case report evaluates the patient's response to the therapy provided. The method used is a descriptive design informed by evidence-based nursing (EBN). Data collection was conducted through interviews, observations, and the review of secondary data from medical records. The degree of oedema was measured using the Brodovicz pitting oedema scale. The study subject was Mrs S, a 60-year-old woman with stage V chronic kidney disease (CKD). She experienced fluid overload, shown by swelling, high neck vein pressure, weight gain, and low urine output. The intervention was carried out during four sessions, each lasting 40 minutes. The evaluation included the degree of oedema (Brodovicz pitting oedema), weight change, and foot circumference measurement. The results showed a decrease in the degree of oedema from 3 to 2, a decrease in weight from 48 kg to 46 kg, and an increase in urine output. Patients reported a reduction in heaviness and swelling in the lower extremities after the Ankle Pump Exercise and 30° leg elevation interventions, and no side effects were found during the implementation of these two interventions. Ankle pump exercise and 30° leg elevation proved to be effective, safe, and easy to apply as part of self-care. The results indicate that ankle pump exercise and 30° leg elevation can be used as non-pharmacological nursing interventions in the management of oedema in CKD patients with hypervolemia. Nurses play a crucial role in educating and guiding patients and their families to help them perform self-care interventions independently and continuously.
PENINGKATAN PENGETAHUAN MASYARAKAT TENTANG MANAJEMEN HIPERTENSI MELALUI LATIHAN SLOW DEEP BREATHING Dzakiya Diena Karimah; Salsabila Saufia Aura Sadin; Afinda Krisdeana; Luthfi Maulana Ibrahim; Hanifah Eka Ningtyas; Ghina Attila Setya Maharani; Siti Mulyati; Hanifa Nurmajid; Bagas Haidir Sakti; Halimah Muhtar; Indah dewi nurjanah; Khayla Febriannisa'; Wahyuni Wahyuni; Beti Kristinawati
Jurnal Berkawan: Jurnal Pengabdian kepada Masyarakat Vol. 3, No. 2, Mei 2026
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/berkawan.v3i2.11402

Abstract

Hypertension is a non-communicable disease that is commonly found in the community and has the risk of causing serious complications if not treated properly. One of the effective non-pharmacological methods to lower blood pressure is (slow deep breathing). However, education and practice of this technique is still limited at the community level. This community service activity aims to increase community knowledge about slow deep breathing techniques as an effort to control hypertension. The method used is education and training directly to the community in Manang Village, Grogol District, Sukoharjo Regency. Evaluation was carried out by comparing the results of the pre-test and post-test of the participants. The results of the activity showed a significant increase in participants' understanding, with an increase in the percentage of correct answers in the post-test compared to the pre-test. Participants also showed high enthusiasm during discussion and practice sessions. This activity succeeded in improving public health literacy related to hypertension management and encouraging sustainable independent habits in slow deep breathing practice. The conclusion of this activity shows that community-based participatory education is effective for improving knowledge and skills in hypertension management. It is recommended that similar activities be carried out periodically and involve local health cadres to maintain program sustainability.
Co-Authors Adindha Puteri Ayu Zahwani Afif Riada Pratama Afinda Krisdeana Ahmad Fadhlur Rahman Ajeng Dyah Kusumaningrum Alfirda Retno Luluk Fauziah Alsa Cicin Sejatika Amalia Sania Qonita Amilatusholiha, Dina Ammar, Naufal Ana Dwi Iriani Ana Dwi Irianti Ana Oktarisa Anam, Muhtarul Ananta, Dyaz Surya Andi Kurniawan Andini Rahma Nidaul Izza Anggitya Widyastuti Anggraheni, Astantika Afri Annisa Dini Aryani Annisa Muryadewi Annisa, Safira Bela Antika, Febrianti Nur Ardhia Putri Pramesti Ardhu Rizkiawan Ardhu Rizkiawan Ardhu Rizkiawan Ardhu Rizkiawan Ardito Dicky Pilang Gusbriananda Arditya Kurniawan Arif Widodo Arifudin, Navian Fauzi Arina Maliya Army Reza Mutias Aura Rahmatika Galuh Putrianti Aurani Faradila Dwi Maulida Avrielya, Dinda Ayu Anisah Azizah, Adelia Nurul Azizah, Ika Nur Azizah, Lina Wati Nur Baety, Nimas Citra Nur Bagas Haidir Sakti Bela Segar Juniarti Belete, Alemayehu Berhanu Bella Carissa Bintang Viga Handika Damayanti, Shafira Eka Danur Kusuma Arini Putri Daviq Bagus S Diah Ayu Kurnia Dian Hudiawati Dian Hudiyawati Diana Febriani Dimas Ria Angga Pribadi Dinasti, Thia Wulan Dyah Retno Palupi Dyaz Surya Anata Dzakiya Diena Karimah Eka Devi Permatasari Ekan Faozi Enita Dewi Eslyano Herdan Pratama Estu Werdani, Kusuma Fadhila, Aisyah Nur Fadhila, Rizky Amin Nur Fahrun Nur Rosyid Faizah Betty Rahayuningsih Fara Nabila Fatma Dhian Fauzan, Ade Fauzi Ahmad Yudianto Fauzi, Ekan Firyal Tsamarah Salsabila Fitriana Fatika Khaerani Ghina Attila Setya Maharani Guntur Nurcahyanto Halimah Muhtar Handika, Bintang Viga Hanifa Nurmajid Hanifah Eka Ningtyas Hardiyana, Mayang Tri Haris Joko Prasetyo Hartono, Susilo Herliani, Vevi Hery Widijanto Hudiawati, Dian Imam Mashudy Fazry Indah Dewi Nurjanah Iqbal Maulana Ikhsan Iriani, Ana Dwi Isna Aprilia Itsnaani Rahmadita Nur Latiifah Itsnaani Rahmadita Nur Latiifah Itsnaani Rahmadita Nur Latiifah Jannah, Zulfa Fairuz Karnianti, Retti Kartinah Kartinah, Kartinah Khasanah, Riska Nurul Khayla Febriannisa' Khoirun Nisak KHOIRUN NISAK Khujun, Nuzula Syifaul Kristini, Puji Kurnia Lutfi Farizqi Kurniasari Kurniasari Kurniasari Kurniawan, Arditya Laila Shofiya Latiifah, Itsnaani Rahmadita Nur Layla Bonita Salsabila Lilik Subagiyo Utomo Lilik Subagiyo Utomo Listyani Hidayati Lusi Runtuwene Luthfi Maulana Ibrahim Mahrunnisa Syahratudar Maharani Mardana, Nyofan Wahyu Maya Sukmawati Mia Yuliana Milan Dwi Winanti Muhammad Abdan Syuhada Muhammad Farid Muhtarul Anam Mustofa, Sidqon Mus’ab Ridho Syafii Muthohharoh, Nurhidayah Nadia Ilhaq Aulia Faristiyana Nanda Tia Adila Nasichah, Siti Nur Alfiyatin Navian Fauzi Arifudin Nefalensy Putri Mithakul Janah Nove Wiand Dwi Wijayanti Nove Wiand Dwi Wijayanti Novira Indah Safitri Nur Asa Rhahmadani Susanti Nur Widayati Nur Widayati Nur Widayati Nur Widayati Nurlaila Fitriani Nyimas Arsilla Restinavia Nyofan Mardana Nyofan Wahyu Mardana Nyofan Wahyu Mardana Nyofan Wahyu Mardana Nyofan Wahyu Mardana Oktaviani, Rurun Nisa Patria Asda, Patria Permatasari, Eka Devi Prahasti Anggun Kusuma Wardani Pramesti, Ardhia Putri Pramesti, Diah Endah Pratama , Rafi Abrar Pratama, Rafi Abrar Pratiwi, Jiheny Siska Prayuni, Elita Trinanti Putri Intan Miladiana Putri Nurfitriani Putri, Danur Kusuma Arini Rafi Abrar Pratama Rafi Abrar Pratama Rafi Abrar Pratama Rahmadani, Hanifa Eka Rahmawati, Zulia Siti Rezania Asyfiradayati Riska Nurul Khasanah Riska Nurul Khasanah Riska Nurul Khasanah Rizkiawan, Ardhu Rohmah, Dini Nur Runtuwene, Lusi S, Daviq Bagus S. Sugiharto Safira Bela Annisa Salma Chintana Putri Salsabila Saufia Aura Sadin Sari, Adjeng Pradita Sari, Mia Yuliana Permata Sejati, Ilham Kukuh Setiowati, Tutut Shafira Eka Damayanti Sheli Duwita Sari Sidqon Mustofa Sinta Pitasari Siti Arifah Siti Mulyati Siti Rahmawati Siti Rahmawati Siti Rahmawati Sri Rahayu SRI RAHAYU Sugiharto Sugiyarti Sukma, Nori Sulastri Sulastri Supratman Syafriati, Ani Talitha Eka Maulinda Tamelia, Yolan Titik Setiyowati Tofik Hidayat Tofik Hidayat Tutik Lamini Vevi Herliani Violeta Yuman Tanaya Wahyu Rahmawati Wahyuni Wahyuni Widodo Widodo Wijayanti, Nove Wiand Dwi Wita Oktaviana Wiyoga, Aryasatya Cahya Wulan Sari Yohanes Agoes Passo Marey Yuli Wahyu Utami Yuli Wahyu Utami Yumnariffa Ulayya Ridwan Zahra Ratnawati Desiana Zulfiana Nurlaili