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Integrated Management for Patients with Diabetes Mellitus: A Literature Review Haris, Fahni; Fadhilah, Ais Izza; Relawati, Ambar; Irawati, Kellyana; Rahman, Ferry Fadzlul; Rusyani, Yeni; Pentrakan, Amarawan
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20213

Abstract

Background: Many factors contribute to DM, such as age, heredity, high-calorie meals, an unhealthy lifestyle, obesity, and stress.  Inadequate glycemic control contributes to elevated blood glucose levels and potential complications. However, many people of DM had unmet proper DM management regularly due to many factors.Objective: This study reviewed published articles about integrated management for people with DM through three databases.Methods: We identified 1902 articles, and 13 articles were selected for full-text analysis.Results: We found that in integrated DM management for patients with DM, they highly recommend to monitoring their blood glucose, doing exercise, dietary plan, coping strategy, and continuous health education were the most effective DM management strategies to lowering HbA1c levels.Conclusion: Nurses as healthcare providers should engage with people with DM to ensure they have good knowledge and understanding of how to maintain their disease.
Organizational Support for Green Hospital Initiatives: A Case Study Rahman, Ferry Fadzlul; Haris, Fahni; Febriyanto, Kresna
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.501

Abstract

Organizational support plays a critical role in sustaining green hospital policies, particularly in managing medical waste, improving energy efficiency, and enhancing air quality. Implementing these practices is believed to enhance the quality of healthcare services, employee well-being, and the overall operational sustainability of hospitals. This study aimed to analyze factors influencing organizational support for green hospital initiatives, including employee engagement and motivation, participation and initiative, environmental training, green rewards, and employee satisfaction. Using an observational analytic design and a cross-sectional approach, we collected a research sample of 117 civil servants who met the inclusion and exclusion criteria from May to August 2024. Data were analyzed using Spearman's rank correlation and linear regression for multivariate analysis. The study demonstrated that involvement and motivation contributed 0.177, participation and initiative 0.116, and employee satisfaction 0.599 to organizational support for green hospital initiatives. The findings emphasize the importance of employee engagement, participation, satisfaction, and training in fostering sustainable healthcare practices. Strengthening organizational support enhances environmental practices, employee well-being, and operational efficiency. The study provides recommendations to improve the implementation of organizational support in hospitals.
Penguatan Kapasitas Anggota Keluarga dalam Pendampingan dan Perawatan Orang Sakit di Rumah Chayati, Nur; Haris, Fahni; Alfiani, Mahsuna; Kusumawaty, Jajuk
Jurnal SOLMA Vol. 13 No. 3 (2024)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v13i3.16010

Abstract

Background: Tata cara merawat anggota keluarga yang sakit lebih banyak didasarkan dari saran orang lain, akses media sosial serta coba-coba. Hal ini menyebabkan beban perawatan anggota kelurga sangat tinggi. Pemberian materi dan pelatihan khusus kepada kader kesehatan dan anggota keluarga yang merawat selama ini belum pernah diberikan baik dari pihak Puskesmas maupun pihak lain yang kompeten. Menyikapi masalah ini, maka diselenggarakan kegiatan pemberdayaan masyarakat dengan tujuan memberikan edukasi tentang perawatan lansia di rumah. Metode: Mitra kegiatan ini adalah kelompok Pemberdayaan dan Kesejahteraan Keluarga Pedukuhan Ngrame. dengan 23 peserta sebagai caregiver keluarga dan kader. Kegiatan dilaksanakan dengan metode ceramah interaktif, diskusi tanya jawab, praktik, serta home visit yang dilakukan selama 4 hari. Evaluasi dilakukan dengan membandingkan nilai pretest dan posttest serta uji beda satu kelompok. Hasil: Nilai pretest peserta rata-rata 64,29 dan nilai posttest rata-rata 73,95 (meningkat 15%). Hasil uji beda menunjukkan perbedaan yang signifikan antara kondisi sebelum pelatihan dibanding setelah pelatihan (p=0,001). Pelatihan perawatan di rumah memberikan pengaruh yang positif terhadap pengetahuan dan peningkatan keterampilan kader. Kesimpulan: Kegiatan pengabdian ini menunjukkan peningkatan pemahaman anggota keluarga dan kader tentang kebutuhan dan tata cara merawat pasien di rumah khususnya dengan kondisi tirah baring. Isi materi dan metode yang diterapkan telah sesuai dengan persoalan yang dihadapi masyarakat, serta menunjukkan dampak yang positif terhadap pengetahuan anggota keluarga dan kader.
Integrated Management for Patients with Diabetes Mellitus: A Literature Review Haris, Fahni; Fadhilah, Ais Izza; Relawati, Ambar; Irawati, Kellyana; Rahman, Ferry Fadzlul; Rusyani, Yeni; Pentrakan, Amarawan
IJNP (Indonesian Journal of Nursing Practices) Vol. 7 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20213

Abstract

Background: Many factors contribute to DM, such as age, heredity, high-calorie meals, an unhealthy lifestyle, obesity, and stress.  Inadequate glycemic control contributes to elevated blood glucose levels and potential complications. However, many people of DM had unmet proper DM management regularly due to many factors.Objective: This study reviewed published articles about integrated management for people with DM through three databases.Methods: We identified 1902 articles, and 13 articles were selected for full-text analysis.Results: We found that in integrated DM management for patients with DM, they highly recommend to monitoring their blood glucose, doing exercise, dietary plan, coping strategy, and continuous health education were the most effective DM management strategies to lowering HbA1c levels.Conclusion: Nurses as healthcare providers should engage with people with DM to ensure they have good knowledge and understanding of how to maintain their disease.
Efektivitas Penggunaan Blanket Warmer untuk Pencegahan Hipotermi pada Pasien Post-Operative dengan Pengaruh Anastesi Spinal Annisa Ranti Nur Azizah; Fahni Haris; Rahmawanto
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 1 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i1.1601

Abstract

Background: Postoperative hypothermia is a common complication frequently occurring in patients undergoing spinal anesthesia. This condition can delay recovery, increase the risk of wound infection, and prolong the length of hospital stay. One method used to maintain the patient's body temperature is the use of a blanket warmer. Objective: To determine the effectiveness of blanket warmer usage in preventing hypothermia in postoperative patients undergoing spinal anesthesia. Methods: This study employed a case study design with a one-group pretest-posttest approach without a control group. The sample consisted of 12 postoperative patients in the Recovery Room of RSUD dr. Tjitrowardojo Purworejo. The patients underwent surgical procedures with spinal anesthesia. The intervention group received blanket warmer therapy for 10 minutes during the postoperative recovery phase. Body temperature was measured before and after the intervention using an axillary thermometer for one minute. Results: The use of a blanket warmer demonstrated a significant increase in patients' body temperature before and after the intervention (p= 0.001, p<0.05). The majority of patients in the intervention group successfully maintained a mean body temperature of 36.32°C. Conclusion: Blanket warmers are effective in preventing hypothermia in postoperative patients undergoing spinal anesthesia. The use of this device is recommended as part of the standard postoperative care to enhance patient comfort and safety.
Pengetahuan Mahasiswa tentang Aktivitas Fisik terhadap Resiko Penyakit Tidak Menular Fahni Haris; Kellyana Irawati; Laili Nur Hidayati; Agnes Erida Wijayanti; Ignatius Djuniarto; Andri Purwandari; Sendhi Tristanti Puspitasari
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 1 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i1.1612

Abstract

Background: The incidence of non-communicable diseases (NCDs) is increasing globally. Physical exercise, as a preventive and management strategy for NCDs, should be introduced to students at an early stage. Assessing students' level of knowledge regarding physical activity in relation to NCDs is essential as an academic foundation for conducting health promotion in hospital or community settings. Objective: To assess students' knowledge of physical activity in mitigating the risk of NCDs. Methods: This study employs a quasi-experimental with one group pretest-posttest design. The sample consists of 20 active nursing students who will undergo a clinical practice phase. Results: The paired t-test indicate a significant difference in the mean scores before and after the material presentation (p = 0.001; p < 0.05). Statistically, students' knowledge scores regarding physical activity for individuals with NCDs increased by an average of 2.4 points compared to pre-test score. Conclusion: Providing educational material on physical activity for NCDs is highly recommended for nursing students preparing for clinical practice to enhance their knowledge
The Risk Level of Type 2 Diabetes Mellitus in University Students: A Descriptive Study Sinta Wati, Diana; Sugiyo, Dianita; Haris, Fahni
Jurnal Ilmiah Kesehatan Vol 18 No 02 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i02.7224

Abstract

University students are vulnerable to sedentary lifestyles, characterised by poor diet and minimal physical activity, which increase the risk of type 2 diabetes mellitus (T2DM). Early detection is essential to reduce the prevalence of T2DM among young individuals. This study aimed to assess the risk levels of T2DM among university students using the FINDRISC-BI screening tool and analysed the distribution of risk levels—low, slightly increased, moderate, and high—along with contributing factors. A descriptive quantitative method with a cross-sectional design was utilised, conducted in March 2025. A total of 251 respondents participated using a convenience-cluster sampling technique. The study found 64.1% of participants at low risk, 25.1% at slightly increased risk, 6.8% at moderate risk, and 4.0% at high risk of T2DM. Many students showed inadequate physical activity and lacked daily consumption of vegetables and fruits. In conclusion, while most students were at low risk, a significant portion exhibited elevated risk levels, highlighting the need for further medical assessment and preventive strategies.
PENERAPAN KOMBINASI DEEP BREATHING RELAXATION DAN DZIKIR UNTUK MENURUNKAN KECEMASAN PASIEN HEMODIALISA Fajrin, Nurul; Haris , Fahni; Widiyanto, Purnomo
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45787

Abstract

Chronic Kidney Disease (CKD) merupakan suatu gejala klinis yang menandakan ginjal mengalami gangguan fungsi atau abnormalitas struktur dimana terjadi lebih dari 3 bulan, dimana memerlukan terapi dialisis (HD). Salah satu dampak psikologis yang ditimbulkan akibat HD  adalah kecemasan. Salah satu intervensi nonfarmakologis untuk mengatasi kecemasan yaitu dengan terapi deep breathing relaxation dan dzikir. Penelitian ini bertujuan untuk meninjau penurunan tingkat kecemasan pasien yang menjalani HD setelah diberikan intervensi berupa kombinasi terapi deep breathing relaxation dan dzikir. Desain studi menggunakan studi kasus (case study) dengan metode desktriptif. Subyek yang digunakan sebanyak 2 responden yang mengalami kecemasan dan sedang menjalani HD di dr. RSUD Tjitrowardojo Purworejo kurang dari 12 bulan. Analisa kecemasan diukur sebelum dan sesusah intervensi mengunakan Hamilton Anxiety Rating Scale (HARS). Pada responden I menunjukkan skor HARS sebesar 22 (pre-test) dan skor HARS menjadi 9 (post-test) yang menunjukkan pasien tidak lagi mengalami kecemasan. Sementara itu, responden II didapatkan skor HARS  19 (pre-test), lalu kemudian menurun menjadi 11 (post-test) setelah intervensi artinya tidak lagi mengalami kecemasan. Penerapan kombinasi terapi deep breathing relaxation dan dzikir mampu menurunkan tingkat kecemasan pasien yang menjalani HD di RSUD dr. Tjitrowardojo Purworejo.
PERBANDINGAN KOMPRES HANGAT DAN KOMPRES DINGIN TERHADAP NYERI INSERSI AVF PADA PASIEN YANG MENJALANI HEMODIALISIS Atunnisah, Mira; Haris, Fahni; Widiyanto, Purnomo
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2609

Abstract

Chronic Kidney Disease (CKD) requires long-term hemodialysis therapy which often causes pain due to needle insertion in Arteriovenous Fistula (AVF). This pain can interfere with patient comfort and compliance with therapy. This study aims to compare the effectiveness of warm and cold compresses in reducing AVF insertion pain in hemodialysis patients. The study used a quasi-experimental pretest and posttest design without a control group with a case study approach. The study was conducted in the hemodialysis room of dr. Tjitrowardojo Hospital on April 28–May 10, 2025. Three respondents were selected purposively according to the inclusion criteria. The variables observed were the level of pain before and after the intervention using the Numeric Rating Scale (NRS). Warm (43°C) and cold (11°C) compresses were given for 10 minutes before the procedure. Analysis using paired sample t-test. Both interventions reduced pain, but cold compress was significantly more effective (p = 0.020) than warm compress (p = 0.130). Cold compress is more effective as a non-pharmacological method in reducing AVF insertion pain. This intervention can be considered by health workers because it is simple, inexpensive, and effective.
Efektivitas Minyak Zaitun dalam Mengatasi Pruritus pada Pasien Hemodialisis Puspari, Titik; Haris, Fahni; Widiyanto, Purnomo
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2610

Abstract

Chronic kidney disease (CKD) causes a progressive decline in renal function, necessitating lifelong hemodialysis (HD) as a replacement therapy. However, HD often leads to complications, including uremic pruritus, which negatively impacts patients' comfort, sleep quality, and overall well-being. Effective management strategies are essential to alleviate these symptoms. This study evaluates the efficacy of olive oil as a non-pharmacological intervention for managing uremic pruritus in HD patients. A case study approach was employed, involving four participants who applied olive oil (2–3 mL) three times daily for three consecutive days. Pre- and post-intervention assessments were conducted using the 5-D itch scale. Findings showed an average reduction in pruritus severity (n=4) by 3.5 (p < 0.001). Responses to the 5-D itch scale indicated improvements in skin hydration, wound healing, and sleep quality. Olive oil effectively reduced pruritus severity from severe to moderate, and from moderate to mild. Participants reported increased skin moisture, faster healing of scratch-induced lesions, reduced itching sensations, and enhanced sleep quality. Based on these findings, olive oil can be recommended as a safe and effective therapeutic option for CKD patients. Integrating olive oil application into nursing practice may help manage uremic pruritus and improve patient comfort by mitigating skin-related complications.