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All Journal Jurnal Keperawatan Jurnal Keperawatan Padjadjaran Holistik Jurnal Kesehatan Care : Jurnal Ilmiah Ilmu Kesehatan Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Jurnal Ners jurnal abdimas saintika Jurnal Keperawatan Muhammadiyah Bengkulu Jurnal Kesehatan Tambusai El-Mujtama: Jurnal Pengabdian Masyarakat Jurnal Ilmiah Multidisiplin (JUKIM) Journal of Public Health Concerns JAMAS: Jurnal Abdi Masyarakat JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mother and Child Health Concerns Jurnal Berita Ilmu Keperawatan Jurnal Penelitian Perawat Profesional
Chairul Huda Al Husna
Universitas Muhammadiyah Malang
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Determinants of Diabetic Peripheral Neuropathy: A Multivariable Analysis Among Patients With Type 2 Diabetes Mellitus Zaqqi Ubaidillah; Sindi Amala Putri; Chairul Huda AL Husna; Muhammad Nur Cahyo Firdaus
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8628

Abstract

Diabetic peripheral neuropathy (DPN) is one of the most common chronic complications of diabetes mellitus and a major contributor to foot ulceration, lower-extremity amputation, and reduced quality of life. Early identification of modifiable risk factors is essential to improve preventive strategies and reduce disease burden. The study aims to identify factors associated with diabetic peripheral neuropathy among patients with diabetes mellitus. A cross-sectional study was conducted among 120 patients with diabetes mellitus. This study uses an accidental sampling technique. Diabetic peripheral neuropathy was assessed using the Michigan Neuropathy Screening Instrument (MNSI), which consists of an objective foot examination, a 128-Hz tuning fork test, and a 10-g monofilament test. Knowledge level was examined using modified questionnaire Diabetic Foot Knowledge Scale. Bivariate associations were analyzed using the chi-square test, and variables with significant associations were entered into a multivariable binary logistic regression model to identify independent predictors. Statistical significance was set at p 0.05. Among the participants, 48 (40.0%) had diabetic peripheral neuropathy. Bivariate analysis showed significant associations between neuropathy and blood glucose level (p = 0.002), diabetes knowledge (p = 0.021), and duration of diabetes (p = 0.017), whereas age, smoking status, and medication adherence were not significantly associated. In the multivariable analysis, blood glucose level remained the strongest independent predictor of neuropathy (adjusted odds ratio [AOR] = 0.220, 95% confidence interval (CI: 0.080–0.608; p = 0.003), followed by diabetes knowledge (AOR = 0.423, 95% CI: 0.190–0.945; p = 0.036) and duration of diabetes (AOR = 0.405, 95% CI: 0.182-0.901; p = 0.027). Blood glucose level, diabetes knowledge, and duration of diabetes were independently associated with diabetic peripheral neuropathy. These findings highlight the importance of optimizing glycemic control, strengthening diabetes education, and implementing routine neuropathy screening to facilitate the early identification of high-risk patients and support preventive diabetes care.
Efektifitas Implementasi Mengunyah Permen Karet Bebas Gula (Xylitol) dalam Mengurangi Rasa Haus pada Pasien Yang Menjalani Hemodialisis Ulfatul Khoiriyah; Chairul Huda Al Husna
Jurnal Penelitian Perawat Profesional Vol. 7 No. 5 (2025): Oktober 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i5.663

Abstract

Chronic Kidney Disease (CKD) merupakan salah satu penyebab utama kematian di dunia dan memerlukan terapi hemodialisis untuk menjaga keseimbangan cairan serta elektrolit tubuh. Salah satu keluhan yang sering dialami pasien hemodialisis adalah rasa haus yang berlebihan akibat pembatasan cairan, yang jika tidak dikendalikan dapat menyebabkan kelebihan volume cairan dan komplikasi lainnya. Penelitian ini bertujuan untuk mengetahui efektivitas mengunyah permen karet bebas gula berbahan xylitol dalam mengurangi rasa haus pada pasien Chronic Kidney Disease yang menjalani hemodialisis. Penelitian dilaksanakan pada bulan Juli 2025 di Rumah Sakit Saiful Anwar, Malang, terhadap seorang pasien laki-laki berusia 65 tahun dengan Chronic Kidney Disease. Data diperoleh melalui observasi, wawancara, dan dokumentasi, kemudian dianalisis secara deskriptif kualitatif. Intervensi dilakukan dengan memberikan permen karet bebas gula selama tiga hari berturut-turut, dan tingkat haus diukur menggunakan Skala Analog Visual. Hasil penelitian menunjukkan adanya penurunan skor rasa haus dari 8 menjadi 2 setelah intervensi. Mengunyah permen karet bebas gula terbukti dapat merangsang produksi air liur, melembapkan rongga mulut, dan menurunkan sensasi haus. Intervensi ini efektif, aman, dan mudah diterapkan sebagai terapi nonfarmakologis pendukung dalam pengendalian rasa haus pada pasien hemodialisis.
Co-Authors Adelia Handoko Afandi, Irvan Ahmad Try Theovany Anchaleeporn Amatayakul Anggraini Dwi Kurnia Anis Ika Nur Rohmah Anis Ika Nur Rohmah Apriyani Puji Hastuti Ardhia Ayu Pramesti Aribah, Nabilah Hananningtyas Ariny Ilma Sakina Deviansyah Vanda Alviana Edi Purwanto Edi Purwanto Elok Martha Salsabhila Faqih Ruhyanudin Frenischa Yincenia Wijaya Hanik Tri Rahayu Henik Tri Rahayu Husna, Layyinatul Ikoh Rofikoh Indri Wahyuningsih Jamilatus Syamsiah Anwar Maulana, Muhammad Hafiz Muhammad Nur Cahyo Firdaus Muhammad Rosyidul Ibad Mukminin, Sania Triadmara Sukma Ningrum, Winda Widya Nur Melizza Oktaviolietha, Dinda Putri Parmitha Dwi Putri, Maharani Rahayu, Dinda Dewi Setyaning Rengganis Marcella Aulia Rachman Rifatul Fani Risa Herlianita Salsabilla Puteri Ifayarta Sari, Putri Parmitha Dwi Kamala Shafa Puspita Maharani Sindi Amala Putri Sindi Amala Putri Sri Hariyati Sunardi Sunardi Syamsiyah, Alfiatus Titik Agustiyaningsih Titik Agustiyaningsing Tiwuk Herawati Tri Lestari Handayani Ubaidillah*, Zaqqi Ubaidillah, Zaqqi Ulfatul Khoiriyah Wahyuningsi, Indri Wahyusari, Shinta Yunika Era Pratiwi