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All Journal Jurnal Kreativitas PKM Journal of Telenursing (JOTING) Kolaborasi Jurnal Pengabdian Masyarakat Jurnal Kesehatan Kartika Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan
Siswandi, Iyar
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Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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HUBUNGAN PENGETAHUAN MASYARAKAT DENGAN SELF AWARENESS RISIKO DIABETES MELITUS TIPE 2 Ikshan, Ikshan; Siswandi, Iyar
JURNAL KESEHATAN KARTIKA Vol. 19 No. 3 (2024): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v19i3.316

Abstract

Background : Diabetes mellitus is a progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins. Diabetes can be prevented by doing primary prevention (education) which can be given to people who have not suffered but have risk factors for diabetes mellitus prevention can start from yourself or self-awareness. Objective : The purpose of this study was to determine the relationship between community knowledge and self awareness of the risk of type 2 diabetes mellitus in the working area of banjar agung village, serang city. Method : This research method uses a correlational description research design and uses a cross sectional research approach. By using a knowledge and self awareness questionnaire. The population in this study were people who had a risk of type 2 diabetes mellitus with purposive sampling technique so that the sample in this study amounted to 96 respondents. Data collection using questionnaire sheets distributed directly. Data analysis was performed using the Chi-Square statistical test. Results : The results obtained by the study showed that there was a significant relationship between community knowledge and self awareness of the risk of type 2 diabetes mellitus (p value 0.001) also obtained OR value = 14.1. Suggestions for health workers can provide more education to people who have a risk of type 2 diabetes mellitus about what type 2 diabetes mellitus is and how to prevent it.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN PENGGUNAAN INSULIN PADA PASIEN DIABETES MELITUS TIPE 2 DI PUSKESMAS KECAMATAN MATRAMAN JAKARTA TIMUR TAHUN 2023 Amalia Nur Hasanah, Nafa; Siswandi, Iyar
JURNAL KESEHATAN KARTIKA Vol. 19 No. 3 (2024): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v19i3.317

Abstract

Background: Diabetes mellitus is a metabolic disorder that occurs chronically or chronically because the body does not have enough insulin due to impaired insulin secretion, insulin hormones that do not work properly or both and if not compliant in treatment, acute complications can occur. Objective: to determine the relationship between family support and adherence to insulin use in patients with type 2 diabetes mellitus at the Matraman District Health Center, East Jakarta in 2023. Methods: The type of research used in this study is descriptive correlation using a cross sectional approach. The population in this study were type 2 Diabetes Mellitus patients who used insulin, namely 30 people and the sample used total sampling. Family support questionnaire using HDFSS and compliance using MMAS. Results Univariate analysis showed 73.3% of respondents had good family support and 26.7% of respondents had less family support. Bivariate analysis using the Chi-square test is that there is a relationship between family support and stress levels with a p-value (0.022). Conclusion there is a relationship between family support and compliance with insulin use in patients with type 2 diabetes mellitus at the Matraman District Health Center, East Jakarta in 2023.
Program Peningkatan Kemampuan Pasien GGK dengan Komorbid DM Terhadap Manajemen Penyakit di Ruang Hemodialisa Rumah Sakit Islam Cempaka Putih Jakarta Pusat Siswandi, Iyar; Natashia, Dhea; Agung, Rizki Nugraha; Ibrahim, Ikhsan
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.v8i8.20689

Abstract

ABSTRAK Penderita gagal ginjal kronik dengan komorbid diabetes melitus yang menjalani hemodialisis memerlukan manajemen penyakit yang tepat, dikarenakan masih banyak pasien tidak mampu dalam mengelola penyakitnya dengan baik. Kegiatan pengabdian ini bertujuan untuk memberikan pemahaman terhadap tingkat kemampuan pasien GGK dengan komorbid DM pada manajemen penyakit di ruang hemodialisis Rumah Sakit Islam Jakarta Cempaka Putih. Kegiatan pengabdian kepada masyarakat ini dilakukan melalui beberapa tahapan yaitu dimulai dengan penyuluhan tahap 1 dan tahap 2. Pasca kegiatan ini diketahui telah terjadi peningkatan pengetahuan pasien gagal ginjal kronik dengan komerbid diabetes melitus terkait manajemen penyakit. Kegiatan pengabdian Masyarakat ini penting dijalankan untuk dapat meningkatkan kemampuan pasien terhadap manajemen penyakit seperti manajmen diet, olahraga, obat-obatan dan psikososial melalui edukasi bertahap. Kesimpulannya, edukasi manajemen penyakit pada pasien gagal ginjal kronik dengan komorbid diabetes melitus memiliki pengaruh yang baik, dengan manajemen pengobatan, diet, pemeriksaan rutin, olahraga, dan psikososial. sehingga dapat meningkatkan kualitas hidup pasien. Kata Kunci: Gagal Ginjal Kronik, Diabetes, Kemampuan, Manajemen Penyakit  ABSTRACT Chronic kidney disease patients with comorbid diabetes mellitus undergoing hemodialysis require proper disease management, as many patients are unable to manage their condition effectively. This community service activity aims to provide understanding of the patients' ability levels in managing chronic kidney disease with comorbid diabetes mellitus in the hemodialysis unit of Islamic Hospital Jakarta Cempaka Putih. The community service activity is conducted through several stages, starting with education phases 1 and 2. After this activity, it was found that there has been an increase in knowledge among chronic kidney disease patients with comorbid diabetes mellitus regarding disease management. This community service activity is important to enhance patients' abilities in disease management such as diet management, exercise, medication, and psychosocial support through gradual education. In conclusion, disease management education in chronic kidney failure patients with comorbid diabetes mellitus has a positive impact, including management of medication, diet, regular check-ups, exercise, and psychosocial support, thus improving the quality of life of patients. Keywords: Chronic kidney failure, Diabetes, Ability, Disease Management
Intervensi Psikoedukasi Pada Anak dengan HIV/AIDS: Sebuah Model Pendekatan Humanistik bagi Anak dan Lingkungan Komunitas Dalam Menghadapi Stigma di Yayasan Vina Smart Era (VSE) Latipah, Siti; Naryati, Naryati; Nuraenah, Nuraenah; Aisyah, Aisyah; Widakdo, Giri; Siswandi, Iyar
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 9 (2025): Volume 8 No 9 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i9.21899

Abstract

ABSTRAK Stigma terhadap HIV/AIDS masih tinggi, tidak mudah bagi masyarakat untuk menerima penderita HIV/AIDS hidup secara normal di tengah-tengah mereka. Ketakutan akan terjadinya penularan serta keyakinan bahwa penderita akan memberikan kesialan pada lingkungan mereka, merupakan tantangan dalam menangani dampak sosial HIV/AIDS. Anak-anak penderita HIV/AIDS tentu akan dirugikan manakala mereka ditolak di sekolah-sekolah karena ketakutan guru akan penularan virus, penolakan teman sebaya untuk bermain bersama. Namun apabila status HIV mereka tidak disampaikan, maka tidak menutup kemungkinan anak-anak lain di sekolah tersebut akan terancam tertular melalui transmisi darah walaupun hal tersebut tidak mudah. Sementara pada isu HIV/AIDS jelas, anak adalah korban karena mereka telah membawa virus ini sejak dilahirkan. Namun mereka tidak dapat menikmati perlakuan yang wajar dari lingkungannya karena menderita HIV positif. psikoedukasi adalah salah satu diantara beberapa bentuk intervensi yang dapat mereduksi stigma dalam jangka waktu menengah hingga jangka panjang. Sampel berjumlah 30 responden yang diambil dengan teknik total sampling, hasil rata -rata sebelum dilakukan intervensi skor stigma dengan skor 5,50, hasil rata rata sesudah intervensi pada skor 3,83. Hasil uji statistik menunjukkan adanya pengaruh psikoedukasi terhadap stigma sosial pada anak dengan hiv aids (ADHA) dengan uji Paired T-Test dengan nilai p value 0,000 < dari α 0,05, dan ditemukan adanya penurunan rata – rata skala tingkat stigma dari sebelum dilakukan psikoedukasi 5,50 menjadi skala tingkat 3,83 setelah dilakukan psikoedukasi. Stigma yang di terima akan memperburuk kondisi anak dengan hiv/aids. Stigma sosial yang diterim dari luar antra lain: penolakan dari lingkungan rumah. Stigma sosial yang di dapat ini tentunya akan merubah perilaku dan berdampak pada psikologis dan ini akan mempengarhi kualitas hidup bagi anak dengan hiv/aids. Penanganan hiv/aids tidak hanya mengandalkan intervensi ARV namun harus bersifat holsitik, untuk melengkapi pengobatan semua unsur dilibatkan, aspek gizi, complementary, spritualitas, psikososial. Salah satu unsur adalah menghilangkan stigma sosial sehingga akan meningkatkan kualitas hidup. Kata Kunci: Anak Dengan HIV AIDS, Kualitas Hidup. Psikoedukasi, Stigma Sosial  ABSTRACT The stigma against HIV/AIDS is still high, it is not easy for society to accept HIV/AIDS sufferers living normally in their midst. Fear of transmission and the belief that sufferers will bring bad luck to their environment, are challenges in dealing with the social impact of HIV/AIDS. Children with HIV/AIDS will certainly be disadvantaged when they are rejected at schools because of teachers' fear of transmitting the virus, and their peers' refusal to play together. However, if their HIV status is not disclosed, it is possible that other children at the school will be at risk of being infected through blood transmission, although this is not easy. Meanwhile, on the issue of HIV/AIDS, it is clear that children are victims because they have carried this virus since birth. However, they cannot enjoy fair treatment from their environment because they are HIV positive. Psychoeducation is one of several forms of intervention that can reduce stigma in the medium to long term. A sample of 30 respondents was taken using the total sampling technique, the average result before the intervention was a stigma score of 5.50, the average result after the intervention was a score of 3.83. The results of statistical tests show the influence of psychoeducation on social stigma in children with HIV/AIDS (ADHA) with a Paired T-Test with a p value of 0.000 <α 0.05, and it was found that there was a decrease in the average scale of the level of stigma from before psychoeducation 5.50 to a scale level of 3.83 after psychoeducation. The stigma received will worsen the condition of children with HIV/AIDS. Social stigma received from outside includes: rejection from the home environment. This social stigma will certainly change behavior and have an impact on psychology and this will affect the quality of life for children with HIV/AIDS. Handling HIV/AIDS does not only rely on ARV intervention but must be holistic, to complete the treatment all elements are involved, nutritional aspects, complementary, spirituality, psychosocial. One element is eliminating social stigma so that it will improve the quality of life. Keywords: Children with HIV AIDS, Psychoeducation, Social Stigma
HUBUNGAN PENGETAHUAN DENGAN PENCEGAHAN KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELITUS TIPE 2 siswandi, iyar; Ikshan, Ikshan
JURNAL KESEHATAN KARTIKA Vol. 20 No. 2 (2025)
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v20i2.450

Abstract

Background: Diabetes Mellitus is one of the endocrine system disorders that frequently occurs in society, with an annual increase of 56% in sufferers due to the instability of carbohydrates, fats, and proteins, leading to elevated blood glucose levels. This occurrence is influenced by the community's level of knowledge, which is lacking in understanding diabetes mellitus prevention methods. Objective : The purpose of this study is to determine the relationship between knowledge and the prevention of blood glucose levels in patients with type 2 diabetes mellitus. The sample used in this study consists of 55 respondents. This method utilizes a Cross-Sectional approach. Bivariate data analysis resulted in findings using the Chi-square test. Regarding the independent and dependent variables, a P-Value of 0.016 (<0.05) was obtained. Result of the OR = 0.241. Suggestions for future researchers can include prevention measures that may influence the increase in blood glucose levels. In conclusion, there is a significant relationship between knowledge and the prevention Hyperglycemia in type 2 diabetes mellitus patients
Penyuluhan Peran Kader dan Remaja dalam Pencegahan Penyakit Katastropik di Ragajaya Bogor Jumaiyah, Wati; Agung, Rizki Nugraha; Siswandi, Iyar; Hanifah, Siti; Purnawati, Dewi; Kamil, Abdu Rahim; Rinawati, Rinawati; Firdaus, Nuzula; al Hasbi, Sulthan Dzahir; Triantono, Bayu; Fawwaz, Achmad Daffa
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13189

Abstract

ABSTRAK Penyakit tidak menular (PTM) merupakan penyakit katastropik yang dapat menimbulkan terjadinya peningkatan beban sosial ekonomi bagi penderita, keluarga maupun pemerintah, karena penanganannya membutuhkan waktu yang tidak sebentar, beberapa penyakit yang pada tingkat rumah tangga tergolong katastropik adalah Hipertensi, Diabetes Melitus (DM) dan Stroke. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberi pemahaman hingga pencegahan terhadap penyakit Katastropik pada Kader dan Remaja Ragajaya Bojong Gede, Bogor. Kegiatan pengabdian kepada masyarakat ini dilakukan melalui beberapa tahapan yaitu dimulai dengan penyuluhan, pemeriksaan deteksi dini faktor risiko PTM, konseling serta pelatihan Tekanan Darah dan Pengukuran Tinggi Badan. Pasca kegiatan ini diketahui telah terjadi peningkatan pengetahuan peserta terkait Penyakit Katastropik pada kader dan remaja RW 007 Ragajaya Bogor. Kegiatan Pelatihan penting dijalankan untuk dapat meningkatkan kesadaran masyarakat terhadap penyakit tidak menular melalui deteksi dini, early treatment serta mengendalikan faktor risiko sehingga dapat menurunkan tingkat kesakitan dan kematian. Kata Kunci: Pencegahan, Katastropik, Hipertensi, Diabetes, Stroke  ABSTRACT Non-communicable diseases (NCDs) are catastrophic diseases that can cause an increase in the socio-economic burden for sufferers, families and the government, because treatment requires a long time, some diseases that are classified as catastrophic at the household level are hypertension, diabetes mellitus (DM ) and Strokes. This community service activity aims to provide understanding and prevention of catastrophic diseases in Ragajaya Bojong Gede Cadres and Youth, Bogor. This community service activity is carried out through several stages, starting with counseling, early detection of NCD risk factors, counseling and training on Blood Pressure and Height Measurement. After this activity, it was discovered that there had been an increase in participants' knowledge regarding Catastrophic Diseases among cadres and teenagers of RW 007 Ragajaya Bogor. Training activities are important to carry out to increase public awareness of non-communicable diseases through early detection, early treatment and controlling risk factors so as to reduce morbidity and mortality rates. Keywords: Prevention, Catastrophe, Hypertension, Diabetes, Stroke
Penerapan evidence-based practice nursing program intradialytic flexsibility exercise range of mation terhadap fatigue pada pasien chronic kidney disease yang menjalani hemodialisa Ukur, Sada; Nugraha, Rizki; Setiawantari , Rani; Siswandi, Iyar; Sofiani, Yani; Jumaiyah , Wati
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1671

Abstract

Background: Chronic Kidney Disease (CKD) is one of the leading causes of global morbidity and mortality. Patients undergoing hemodialysis often experience fatigue, which significantly affects their quality of life, productivity, and psychological well-being. One of the non-pharmacological interventions that can be applied is intradialytic flexibility exercise in the form of range of motion (ROM). Purpose: To determine the effect of intradialytic flexibility exercise range of motion on fatigue levels among CKD patients undergoing hemodialysis. Method: A quasi-experimental study using a one-group pre-post test design was conducted from May to July 2025 at Al Ihsan Regional General Hospital, West Bandung. Purposive sampling was used to select 18 participants. The independent variable in this study was the Intradialytic Flexibility Exercise Range of Motion Program, while the dependent variable was the level of fatigue. Data analysis was performed using univariate analysis in the form of frequency distribution and bivariate analysis using the Cochran test. Translated with DeepL.com (free version) Results: Before the intervention, 77.8% of participants experienced severe fatigue. After 8 weeks of intervention, all participants (100%) showed a decrease in fatigue to a mild category. Statistical analysis indicated a significant difference in fatigue levels before and after the intervention (p < 0.05). Conclusion: Intradialytic flexibility exercise range of motion is effective in reducing fatigue levels among CKD patients undergoing hemodialysis. This intervention can be considered a non-pharmacological nursing strategy to improve patients’ quality of life.   Keywords: Chronic Kidney Disease; Fatigue; Hemodialysis; Intradialytic Exercise; Range of Motion.   Pendahuluan: Penyakit ginjal kronis (CKD) merupakan salah satu penyebab utama morbiditas dan mortalitas global. Pasien CKD yang menjalani hemodialisis sering mengalami kelelahan (fatigue) yang berdampak pada kualitas hidup, produktivitas, dan kesehatan mental. Salah satu intervensi non-farmakologis yang dapat diterapkan adalah intradialytic flexibility exercise berupa range of motion (ROM). Tujuan: Untuk mengetahui pengaruh penerapan intradialytic flexibility exercise range of motion terhadap tingkat kelelahan pada pasien CKD yang menjalani hemodialisa. Metode: Penelitian quasi experimental dengan metode one group pre-posttest design, dilaksanakan pada Mei-Juli 2025 di RSUD Al Ihsan, Bandung Barat. Teknik pengambilan sampel menggunakan purposivel sampling dengan jumlah sampel yang digunakan sebanyak 18 partisipan. Variabel independen dalam penelitian ini adalah Program Intradialytic Flexibility Exercise Range of Motion, sedangkan variabel dependen ialah tingkat kelelahan. Analisis data yang digunakan univariate dalam bentuk distribusi frekuensi dan bivariate menggunakan uji Cochran. Hasil: Sebelum intervensi, 77.8% partisipan mengalami fatigue berat. Setelah 8 minggu intervensi, seluruh partisipan (100%) mengalami penurunan tingkat fatigue menjadi kategori ringan. Hasil uji statistik menunjukkan adanya perbedaan signifikan tingkat fatigue sebelum dan sesudah intervensi (p < 0.05). Simpulan: Penerapan intradialytic flexibility exercise range of motion efektif menurunkan tingkat kelelahan pada pasien CKD yang menjalani hemodialisa.   Kata Kunci: Chronic Kidney Disease; Fatigue; Hemodialisa; Intradialytic Exercise; Range of Motion.
Pemberdayaan Komunitas Lansia melalui Edukasi Kesehatan dan Pemeriksaan Dini Faktor Risiko Penyakit Kronis Latipah, Siti; Sofiani, Yani; Rayasari, Fitrian; Siswandi, Iyar; Nugraha, Rizky; Jumaiyah, Wati; Aisyah, Aisyah; Nathasia, Dhea
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 6 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i6.700

Abstract

Introduction: Diabetes mellitus (DM) is one of the major non-communicable diseases with a steadily increasing prevalence in Indonesia, including in island regions with limited access to healthcare services. This community service program was conducted on Lancang Island, Kepulauan Seribu. Objective: The purpose of this service was of improving elderly participants’ knowledge of diabetes management, conducting early detection through health screening, and providing education on healthy lifestyle practices. Method: The methods included interactive health education sessions and physical examinations covering random blood glucose, blood pressure, and cholesterol levels. Result: The results showed that the majority of the 101 elderly respondents exhibited significant chronic health risk factors. The average blood pressure was 152/88 mmHg, indicating a tendency toward hypertension. The mean random blood glucose level of 140 mg/dL suggested a predisposition to prediabetes and diabetes mellitus, while the mean cholesterol level reached 253 mg/dL, categorized as high. Conclusion These findings indicate that most elderly participants have not yet implemented optimal dietary management and physical activity, further exacerbated by limited health facilities and access in island areas. The educational intervention effectively increased participants awareness of disease risks and complications, as well as the importance of early detection. Overall, the promotive and preventive activities had a positive impact on improving knowledge, awareness, and motivation among elderly participants to adopt healthy lifestyles. This program is expected to serve as a foundation for sustainable community health development efforts in island regions.
Co-Authors Agung, Rizki Nugraha Aisyah Aisyah al Hasbi, Sulthan Dzahir Amalia Nur Hasanah, Nafa Bahri, Syarif Hidayatullah Chaerani, Reni Chairunnisa, Dea Choirunnisa, Siti Fadhila, Asa Nur Fawwaz, Achmad Daffa Firdaus, Nuzula Giri Widakdo Ibrahim, Mufti Ikhsan Ibrahim Ikshan, Ikshan Irawati, Diana Jumaiyah , Wati Jumaiyah, Wati Jum’atina, Jum’atina Kamil, Abdu Rahim Karmiyati, Novia Latipah, Siti Naryati, Naryati Natashia, Dhea Nathasia, Dhea Nugraha, Rizki Nugraha, Rizky Nuraenah, Nuraenah Nuriawalia, Rizqa Octoba, Fatwa Achmad Pratiwi, Jayanti Rahmadina Purnawati, Dewi Rayasari, Fitrian Rayasari, Fitriyan Rinawati Rinawati Septian, Alnendi Setiawantari , Rani Setiyono, Erwan Sinaga, Parmo Siti Hanifah Syamsul Anwar, Syamsul Syamsul Hidayah Triantono, Bayu Ukur, Sada Yani Sofiani