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PENGARUH POSISI PRONASI TERHADAP PENURUNAN KADAR BILIRUBIN PADA BAYI NEONATUS Wardeni, Resa; Rosuliana, Novi Enis; Herliana, Lia; Riyana, Asep
Jurnal Kesehatan Komunitas Indonesia Vol 21, No 2 (2025)
Publisher : Fakultas Ilmu Kesehatan Universitas Siliwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37058/jkki.v21i2.16873

Abstract

Background: Hyperbilirubinemia in neonates is a yellowing of the skin, conjunctiva, and sclera of the baby caused by an increase in bilirubin levels in the plasma during the early life of the baby, which appears after a few days following birth. Efforts to manage the increase in bilirubin levels in infants include performing phototherapy and positioning the baby in a prone position every 2 hours, which can help reduce bilirubin levels in the baby. Purpose: Understanding the application of phototherapy and the prone position on the reduction of bilirubin levels in neonates. Method: The method used is through research in the form of a case study conducted in the Level 1 NICU (Perinatology) / Salman Al-Farizi on newborns (Neonates) who meet the inclusion and exclusion criteria, totaling two individuals, with data collection techniques consisting of interviews and observations. The pronation positioning intervention was carried out once a day for three days with a duration of 30 minutes every two hours. Results: To determine the effect of the prone position on the decrease in bilirubin levels after the administration of the action with patient 1 bilirubin levels to 10 mg / dL and patient 2 bilirubin levels to 11 mg / dL. Conclution: The prone position has been proven effective in reducing bilirubin levels in neonates, hospitals are expected to be able to implement the prone position to help reduce high bilirubin levels. Suggestion: For parents at home who have babies experiencing an increase in bilirubin levels or changes in skin color to yellowish, they can expose the baby to sunlight under direct sunlight from 07:00 to 08:00 AM WIB using available tools and materials as long as the light is able to reach the entire area of the baby's body.
Effect of Diabetic Gymnastics on Blood Glucose Levels in Type 2 Diabetes Mellitus Patients: A Quasi-experimental Study Prasetia, Arif Budi; Cahyati, Yanti; Riyana, Asep
Journal of Pubnursing Sciences Vol 3 No 04 (2025): Journal of Pubnursing Sciences
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v3i04.333

Abstract

Background: Diabetes mellitus is a non-communicable disease characterized by persistently elevated blood glucose levels exceeding the normal range of 70–150 mg/dL. Effective diabetes management consists of five key components: education, nutritional therapy, physical activity (including diabetic exercises), pharmacological treatment, and regular blood glucose monitoring. Diabetic exercise, when tailored to an individual’s age and physical condition, can help lower blood glucose levels, enhance stamina, and maintain healthy body weight in individuals with type 2 diabetes mellitus. The recommended duration of diabetic exercise is at least 30 minutes per session, three to four times per week for adults, and 60 minutes with similar frequency for children and adolescents. Aim:  To analyze the effect of diabetic exercise (diabetes mellitus gymnastics) on blood glucose levels in patients with type 2 diabetes mellitus. Method: This study employed a quasi-experimental design using a one-group pretest–posttest approach. The sample consisted of 20 individuals diagnosed with type 2 diabetes mellitus, selected through purposive sampling based on predefined inclusion and exclusion criteria. Blood glucose levels were measured before and after the diabetic exercise intervention. Data were analyzed using the paired sample t-test to determine the statistical significance of the differences observed. Results: The findings revealed a significant reduction in blood glucose levels following the diabetic exercise intervention. The mean random blood glucose (RBG) level before the intervention was 202.85 mg/dL, and after the intervention, it decreased to 164.50 mg/dL, with a mean difference of 38.35 mg/dL. Statistical analysis using the paired t-test produced a significance value (2-tailed) of 0.000 (p < 0.05), indicating that diabetic exercise had a statistically significant effect in lowering average RBG levels among participants. Conclusion: This study demonstrates that diabetic exercise effectively reduces blood glucose levels in patients with type 2 diabetes mellitus. These findings support the integration of structured physical activity as a safe, feasible, and non-pharmacological intervention within diabetes management programs, particularly at the primary healthcare level.