Article Per Year (5 Year)
p-Index From 2021 - 2026
6.358
P-Index
This Author published in this journals
All Journal Jurnal sistem informasi, Teknologi informasi dan komputer Jurnal NERS Jurnal Keperawatan Padjadjaran Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Nurse and Health: Jurnal Keperawatan The Indonesian Journal of Infectious Diseases Holistik Jurnal Kesehatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Ilmiah Keperawatan Imelda Jurnal Kesehatan Jurnal Ners Journal of Telenursing (JOTING) Science Midwifery Pediomaternal Nursing Journal Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal Lentera Perawat International Journal of Public Health Excellence (IJPHE) Jurnal Keperawatan Riset Informasi Kesehatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan
Yunitri, Ninik
Faculty Of Nursing, Universitas Muhammadiyah Jakarta
Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

Published : 54 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 54 Documents
Search

 2   3   4   5   6 
The Effect of Bridging Exercise on Muscle Strength and Body Balance in Stroke Patients at National Brain Center Hospital Prof. DR. Mahar Mardjono East Jakarta Desvita, Eva; Sofiani, Yani; Yunitri, Ninik
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.654

Abstract

Aims:  The study aimed to determine the effect of bridging exercise on muscle strength and body balance in stroke patients at national brain center hospital Prof. DR. Mahar Mardjono East Jakarta. Methods: This study used experimental design aimed to test the application of bridging exercise to body balance and muscle strength in stroke patients. This study was conducted in one group with pre and post-test design. This study was conducted at National Brain Center hospital Prof. DR. Mahar Mardjono East Jakarta. The bridging exercise was conducted at 2-weeks, with light tp moderate intensity, three times a week, with 30 to 45 minutes every session. Results: The result of the statistical test with the Paired Samples t-Test P value resulted in 0.001. These result mean that bridging exercise has a significant effect on muscle strength in stroke patients with a mean difference of -0.63 (CI: -0.91-0.34) and a significantly improved the balance of patients with a mean difference of 17 (CI 12.1-21.9) and a high magnitude of effect (1.69). Conclusion: These result mean that bridging exercise has a significant effect on muscle strength in stroke patients.
Intonation Melody Therapy to Improve Language Production in Patients with Non Fluent Aphasia Disorder Post Stroke Khamid, Abdul; Nugraha, Rizki Agung; Yunitri, Ninik; Agustina, Elis Nurhayati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.660

Abstract

Aims:  This Evidance Based Nursing Practice (EBNP) is to increase language production in patients with non-fluent aphasia post stroke. Methods: This EBNP method uses pre and post to see an increase in language production by assessing token test scores. By calculating the number of samples G-Power version 3.1.9.7 as many as 7 respondents. Data processing using Jamovi. Results: The analysis obtained using the t-test showed that the token test score experienced a significant change before and after the administration of intonation melody therapy (pValue <0.001), while the outcome of an increase in language production showed a significant change after administration of intonation melody therapy (pValue 0.896) with an average mean change mean 11.4 (95% CI: 6.28 -16.6) and moderate effect size (Cohen's d: 0.205). Conclusion: provision of melodic intonation therapy is proven effective in increasing language production in patients with post stroke non fluent aphasia.
Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.
Penerapan Evidence Base Nursing Practice Skrining Diabetic Sensorimotori Polineuropathy (DSPN) di UPT RSUD Labuang Baji Makassar Sakinah, Sri; Sofiani, Yani; Yunitri, Ninik
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18795

Abstract

ABSTRACT Diabetes Mellitus is a degenerative disease, if not treated properly it can have a negative impact on complications in various organ systems in the body (Syahid, 2021). One of the complications of diabetes that often occurs is neuropathy (nerve damage) in the feet which increases the incidence of foot ulcers, infections and even the need for foot amputation (Sianipar, 2023). The aim of this research is to prepare Standard Operating Procedures (SPO) for the implementation of EBNP regarding Diabetic Sensorimotor Polyneuropathy (DSPN) Screening in Type 2 Diabetes Mellitus patients. The number of respondents involved in implementing this EBNP was 14 people. In the implementation of EBNP, Diabetic Sensorimotor Polyneuropathy (DSPN) screening was carried out using the mTSN (Modified Toronto Clinic Score Neuropathy) instrument which aims to assess whether there are symptoms of neuropathy and no symptoms of neuropathy. DSPN screening is carried out based on Standard Operating Procedures (SOP). Based on the results of the two instrument tests between mTCSN and mNSI-E using the undercurve test, it can be concluded that the mTCSN instrument has a higher sensitivity value with a value of 0.909, while the sensitivity value for the mNSI-E instrument is smaller than the mTCSN instrument with a value of 0.571. So, to screen for neuropathy it is more effective to use the mTCSN instrument because the sensitivity score is higher. Keywords: Diabetes Mellitus, Screening, Polyneuropathy, DSPN  ABSTRAK Diabetes Melitus merupakan penyakit degeneratif bila tidak ditangani dengan baik dapat berdampak buruk menjadi komplikasi pada berbagai sistem organ dalam tubuh (Syahid, 2021). Salah satu komlikasi dari diabetes yang sering terjadi adalah Neuropati (kerusakan saraf) dikaki yang meningkatkan kejadian ulkus kaki, infeksi dan bahkan keharusan untuk amputasi kaki (Sianipar, 2023). Tujuan penelitian ini adalah tersusunnya Standar Prosedur Operasional (SPO) pelaksanaan EBNP tentang Skrining Diabetic Sensorimotori Polyneurophaty (DSPN) pada pasien Diabetes Melitus Tipe 2. Jumlah responden yang terlibat pada pelaksanaan EBNP ini adalah 14 orang. Pada pelaksanaan EBNP ini telah dilakukan skirining Diabetic Sensorimotori Polineuropathy (DSPN) dengan menggunakan instrumen mTSN (Modified Toronto Clinic Score Neuropathy) yang bertujuan untuk menilai ada gejala neuropati dan tidak ada gejala neuropati. Skrining DSPN dilakukan berdasarkan Standar Operasional Prosedur (SOP). Berdasarkan hasil kedua uji intrumen antara mTCSN dengan mNSI-E menggunakan uji undercurve, maka dapat disimpulkan, instrumen mTCSN memiliki nilai sensitivitas yang lebih tinggi dengan nilai 0.909, sedangkan nilai sensitivitas pada instrumen mNSI-E lebih kecil dari instrumen mTCSN dengan nilai 0.571. Maka, untuk melakukan skrining neuropathylebih efektif digunakan instrumen mTCSN karena skor sensitivitasnya lebih tinggi. Kata Kunci: Diabetes Mellitus, Skrining, Polyneurophaty, DSPN
Penerapan Evidence Based Practice Chin Tuck Againts Resistance (CTAR) dalam Penanganan Disfagia pada Pasien Stroke Rinawati, Rinawati; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizki Nugraha; Nurhayati, Elis
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14130

Abstract

ABSTRACT The Chin Tuck Against Resistance (CTAR) intervention is rarely utilized by nurses in treating dysphagia among stroke patients. Symptoms arising from a stroke can differ based on the affected brain area, encompassing speech disorders, chewing and swallowing difficulties (dysphagia), limb paralysis or weakness, personality alterations, emotional disturbances, diminished cognitive abilities, impaired urinary function, and others. The use of Evidence-Based Nursing Practice (EBNP) is conducted to comprehend the impact of implementing chin tuck against resistance (CTAR) on improving swallowing muscle strength in stroke patients with dysphagia. In this study, the data were analyzed using univariate data analysis to evaluate the demographic characteristics and swallowing ability profiles of each respondent. Furthermore, the statistical test of influence was conducted using a paired t-test to assess changes in swallowing ability after undergoing CTAR rehabilitation exercises. Sampling in this study utilized the total sample method, involving 8 respondents. The CTAR intervention has been shown to significantly improve swallowing ability in stroke patients. The results indicate a meaningful increase from an average of 84.3 to 91.7 post-intervention, with an effect size of 4.59 and a p-value of 0.022, demonstrating the statistical effectiveness of this therapy. Furthermore, CTAR exercises are convenient to implement, time-efficient, and can be performed by patients without disrupting their daily routines. To enhance its effectiveness, it is recommended to involve patients and their families in the education process, enabling them to continue the exercises independently. The simplicity of these exercises facilitates nurses in providing interventions during nursing care for stroke patients experiencing dysphagia. Keywords: Evidence Based Practice Chin Tuck Against Resistance (CTAR), Dysphagia, Stroke Patients  ABSTRAK Intervensi Chin Tuck Exercise (CTAR) jarang digunakan oleh perawat untuk mengatasi disfagia pada pasien stroke. Gejala yang muncul akibat stroke dapat bervariasi tergantung pada area otak yang terkena, termasuk gangguan berbicara, kesulitan mengunyah dan menelan (disfagia), kelumpuhan atau kelemahan anggota gerak, perubahan kepribadian, gangguan emosi, penurunan fungsi kognitif, gangguan fungsi berkemih, dan lainnya. Penggunaan Praktik Keperawatan Berbasis Bukti (EBNP) dilakukan untuk memahami dampak dari penerapan chin tuck against resistance (CTAR) terhadap peningkatan kekuatan otot menelan pada pasien stroke dengan disfagia. Pada penelitian ini, data dianalisis menggunakan analisis data univariat untuk mengevaluasi karakteristik demografi dan gambaran kemampuan menelan pada setiap responden. Selanjutnya, uji statistik pengaruh dilakukan dengan uji paired t-test untuk menilai perubahan kemampuan menelan setelah menjalani latihan rehabilitasi CTAR. Pengambilan sampel dalam penelitian ini menggunakan metode total sampel dengan melibatkan 8 responden. Intervensi CTAR terbukti secara signifikan meningkatkan kemampuan menelan pada pasien stroke. Hasil menunjukkan peningkatan yang berarti dari rata-rata 84.3 menjadi 91.7 setelah intervensi, dengan besaran efek sebesar 4.59 dan nilai p-value sebesar 0.022, menunjukkan keefektifan terapi ini secara statistik. Lebih lanjut, latihan CTAR memberikan kemudahan dalam pelaksanaan, tidak memakan waktu lama, dan dapat dilakukan oleh pasien tanpa mengganggu rutinitas harian. Untuk meningkatkan efektivitasnya, disarankan untuk melibatkan pasien dan keluarganya dalam proses edukasi, sehingga mereka dapat melanjutkan latihan secara mandiri. Kesederhanaan latihan ini memudahkan perawat dalam memberikan intervensi selama asuhan keperawatan pada pasien stroke yang mengalami disfagia. Kata Kunci: Praktek Berbasis Bukti Chin Tuck Melawan Resistensi (CTAR), Disfagia, Pasien Stroke 
Penerapan Evidence Based Nursing Practice Pemberian Head Up 30 Derajat Terhadap Peningkatan Saturasi Oksigen Pasien Stroke Iskemik Wahyudin, M. Didin; Agung, Rizki Nugraha; Yunitri, Ninik
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14084

Abstract

ABSTRACT Stroke is a neurological disorder that appears suddenly, lasts for more than 24 hours, and is caused by cerebrovascular disease. Providing a 30◦ head position for stroke patients has significant benefits, namely that it can improve hemodynamic conditions by facilitating increased blood flow to the brain and optimizing oxygenation of brain tissue. The application of Evidence-Based Nursing Practice (EBNP) to overcome nursing problems in stroke patients who experience hypoxia is carried out by providing 30 degrees head up or head elevation interventions. The aim of this study was to evaluate the impact of 30 degrees of head elevation on oxygenation levels in patients experiencing stroke. This research is cross-sectional. The sample consisted of 12 patients who were undergoing treatment in the stroke unit. Sample collection was carried out using the proportional stratified random sampling method, and data analysis was carried out using the Jamovi application via the Paired T-Test test. Implementation of Evidence Based Nursing Practice (EBNP) by providing a 30° head up position showed an increase in SPO2 values after intervention. At an onset of less than 24 hours, the average SPO2 increased from 88% to 93%, while at an onset of less than 48 hours, the average SPO2 increased from 91% to 95%. In addition, at onset of more than 7 days, the average SPO2 increased from 95% to 99% with P-Value = 0.01. From these results, it can be concluded that the application of evidence-based nursing practices, especially providing a 30° head up position, has proven effective in increasing oxygen saturation levels in stroke patients at Hospital in DKI Jakarta. Keywords: Ischemic Stroke, Head Up 300, Oxygen Saturation  ABSTRAK Stroke adalah gangguan neurologis yang muncul secara tiba-tiba, berlangsung selama lebih dari 24 jam, dan disebabkan oleh penyakit serebrovaskular. Memberikan posisi kepala naik 300 pada pasien stroke memiliki manfaat signifikan, yaitu dapat meningkatkan kondisi hemodinamik dengan memfasilitasi peningkatan aliran darah ke otak serta mengoptimalkan oksigenasi jaringan otak. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) untuk mengatasi masalah keperawatan pada pasien stroke yang mengalami hipoksia dilakukan dengan memberikan intervensi head up atau elevasi kepala sebanyak 300. Tujuan dari penelitian ini adalah untuk mengevaluasi dampak dari peninggian kepala sebanyak 300 terhadap tingkat oksigenasi pada pasien yang mengalami stroke.  Penelitian ini bersifat potong lintang (cross-sectional). Sampel terdiri dari 12 pasien yang sedang menjalani perawatan di unit stroke. Pengumpulan sampel dilakukan menggunakan metode proportional stratified random sampling, dan analisis data dilakukan dengan menggunakan aplikasi jamovi melalui uji Paired T-Test. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) dengan memberikan posisi head up 30° menunjukkan peningkatan nilai SPO2 setelah intervensi. Pada onset kurang dari 24 jam, rata-rata SPO2 meningkat dari 88% menjadi 93%, sedangkan pada onset kurang dari 48 jam, rata-rata SPO2 meningkat dari 91% menjadi 95%. Selain itu, pada onset lebih dari 7 hari, rata-rata SPO2 meningkat dari 95% menjadi 99% dengan P-Value = 0.01. Dari hasil ini, dapat disimpulkan bahwa penerapan praktik keperawatan berbasis bukti, khususnya pemberian posisi head up 30°, terbukti efektif dalam meningkatkan kadar saturasi oksigen pada pasien stroke di Rumah Sakit di DKI Jakarta. Kata Kunci: Stroke Iskemik,  Head Up 300, Saturasi Oksigen
Pengaruh Intervensi Terapi Musik terhadap Tingkat Kecemasan pada Pasien Stroke Murtini, Sri; Agung, Rizki Nugraha; Yunitri, Ninik; Sofiani, Yani; Silistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14372

Abstract

ABSTRACT Stroke often leads to psychological impacts, including high levels of anxiety in patients. Uncontrolled anxiety can worsen health and hinder recovery. Music therapy, a non-pharmacological intervention, has been proven effective in reducing anxiety in stroke patients. Untreated post-stroke anxiety can affect long-term treatment processes. Music therapy uses music to achieve psychological effects on individuals. Implementing evidence-based nursing practice (EBNP) involves developing standard operating procedures (SOPs) to reduce anxiety in stroke patients through music therapy. The data analysis method used was RM ANOVA. Pre-tests and post-tests were conducted on all respondents, and then the results were compared. The number of respondents involved in the music therapy implementation was 20 respondents plus 10% for dropout risk, making a total of 22 stroke patients at the National Brain Center Prof. Dr. Mahar Mardjono East Jakarta. The EBNP implementation was carried out for 20 days, with instrumental music therapy being listened to once a day for two weeks, with a duration of 30 minutes. The health workers involved were seventh-floor nurses who were responsible for patient data collection in the E-Record Medical Records of RS PON, for patients who met the inclusion and exclusion criteria that had been determined beforehand. Music therapy significantly reduces anxiety levels (p-Value <0.001) in stroke patients with a large effect (Cohen’s d = 0.86). Posthoc analysis using the Tukey method showed a significant difference in anxiety levels in stroke patients between baseline measurements, mid-intervention, and immediate post-treatment (p-Value <0.001). The highest average change occurred between baseline measurements and immediate post-treatment (MD 7.35; p-Value <0.001). Keywords: Stroke, Music Therapy, Anxiety  ABSTRAK Stroke seringkali menyebabkan dampak psikologis, termasuk kecemasan yang tinggi pada pasien. Kecemasan yang tidak terkontrol dapat memperburuk kesehatan dan menghambat pemulihan. Terapi musik, intervensi non-farmakologis, telah terbukti efektif mengurangi kecemasan pada pasien stroke. Kecemasan pasca stroke yang tidak diatasi dapat mempengaruhi proses pengobatan jangka panjang. Terapi musik digunakan untuk mencapai pengobatan  efek-efek psikologis pada individu. Melakukan perawatan berbasis bukti (EBNP) melibatkan pembuatan standar prosedur operasional (SPO) untuk mengurangi kecemasan pada pasien stroke melalui terapi musik. Metode analisis data yang digunakan adalah RM ANOVA. Pre test dan post test dilakukan pada seluruh responden, kemudian hasilnya dibandingkan. Jumlah responden yang terlibat dalam penerapan terapi musik adalah 20 responden ditambah 10% untuk risiko dropout, sehingga total 22 pasien Stroke di RS Pusat Otak Nasional Prof. Dr. Mahar Mardjono Jakarta Timur. Penerapan EBNP dilakukan selama 20 hari, dengan mendengarkan musik instrumental yang diberikan sekali sehari selama dua minggu, dengan durasi 30 menit. Tenaga kesehatan yang terlibat adalah perawat lantai tujuh yang berperan dalam pendataan pasien di E-Rekam Medik RS PON, untuk pasien yang sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Terapi musik secara signifikan mengurangi tingkat kecemasan (p-Value <0,001) pada pasien stroke dengan efek yang besar (Cohen’s d = 0,86). Analisis posthoc menggunakan metode Tukey menunjukkan perbedaan yang signifikan dalam tingkat kecemasan pada pasien stroke antara pengukuran baseline, mid intervention, dan immediate post-treatment (p-Value <0,001). Perubahan rata-rata tertinggi terjadi antara pengukuran baseline dan immediate post-treatment (MD 7,35; p-Value <0,001). Kata Kunci: Stroke, Terapi Musik, Kecemasan 
Application of Evidence-Based Nursing Practice: Shaker Exercise for Swallowing Ability in Stroke Patients with Dysphagia Saputra, M. Khalid Fredy; Agung, Rizki Nugraha; Yunitri, Ninik; Jumaiyah, Wati; Mulyatsih, MG Enny
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 04 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i04.3664

Abstract

Background: Stroke is one of the leading causes of disability and mortality worldwide, with more than 13 million new cases recorded annually. Stroke can lead to various complications, including dysphagia, which disrupts the patient's swallowing ability. One therapy that can assist stroke patients with dysphagia is the Shaker Exercise. Objectives: This study aims to provide an overview of the impact of implementing Shaker Exercise on swallowing ability in stroke patients experiencing dysphagia through Evidence-Based Nursing Practice (EBNP). Methods: The study used a systematic approach by reviewing various articles and literature from seven prominent health databases, including ProQuest, PubMed, and ScienceDirect. Selected articles focused on Shaker Exercise interventions for stroke patients with dysphagia. Results: The review identified one article in the form of a Systematic Review Meta-Analysis, which examined 37 studies involving a total of 2,656 participants. The analysis results demonstrated that the Shaker Exercise is effective in strengthening suprahyoid muscles, reducing aspiration frequency, and improving swallowing ability in stroke patients with dysphagia. Conclusion: The implementation of Shaker Exercise therapy for stroke patients with dysphagia shows significant results in enhancing swallowing ability and reducing aspiration complications. This therapy aligns with evidence-based nursing principles, supporting the improvement of patients' quality of life through scientifically proven interventions.
Efektivitas latihan ankle pump terhadap pencegahan neuropati perifer pada pasien diabetes mellitus tipe 2 Sari, Rita; Sofiani, Yani; Yunitri, Ninik; Kurniasari, Septi
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1565

Abstract

Background: Introduction: Peripheral neuropathy is one of the most common chronic complications in patients with type 2 diabetes mellitus (DM) and carries a risk of diabetic ulcers and amputation. One non-pharmacological intervention that can be used is ankle pump exercises to improve peripheral circulation. Purpose: To evaluate the effectiveness of ankle pump exercises in preventing peripheral neuropathy in patients with type 2 diabetes mellitus. Method: This study used an Evidence-Based Nursing Practice (EBNP) approach with a pre-post quasi-experimental design. A total of 15 participants were selected using purposive sampling based on inclusion criteria. The ankle pump intervention was carried out for 4 weeks, twice daily, for 10 minutes each time. Data were analyzed using univariate tests and paired t-tests. Results: The prevalence of neuropathy decreased from 67% to 40% after the intervention. The paired t-test showed a p-value of 0.024 (p<0.05), indicating a significant difference before and after the intervention. Conclusion: Ankle pumps are effective in improving peripheral circulation and reducing neuropathy symptoms. Suggestion: This intervention is expected to be integrated into preventive nursing practice and patient education.   Keywords: Ankle Pump; Peripheral Neuropathy; Type 2 Diabetes Mellitus.   Pendahuluan: Neuropati perifer merupakan salah satu komplikasi kronis yang paling sering terjadi pada pasien diabetes mellitus (DM) tipe 2 dan berisiko menyebabkan ulkus diabetikum hingga amputasi. Salah satu intervensi nonfarmakologis yang dapat digunakan adalah latihan ankle pump untuk meningkatkan sirkulasi perifer. Tujuan: Untuk mengevaluasi efektivitas latihan ankle pump terhadap pencegahan neuropati perifer pada pasien diabetes mellitus tipe 2. Metode: Penelitian ini menggunakan pendekatan Evidence-Based Nursing Practice (EBNP) dengan desain quasi-experiment pre-post. Sebanyak 15 partisipan dipilih dengan purposive sampling sesuai kriteria inklusi. Intervensi ankle pump dilakukan selama 4 minggu, dua kali sehari, masing-masing 10 menit. Data dianalisis menggunakan uji univariat dan paired t-test. Hasil: Prevalensi neuropati menurun dari 67% menjadi 40% setelah intervensi. Uji paired t-test menunjukkan nilai p=0.024 (p<0.05), menandakan adanya perbedaan signifikan sebelum dan sesudah intervensi. Simpulan: Ankle pump efektif dalam meningkatkan sirkulasi perifer dan mengurangi gejala neuropati. Saran: Diharapkan intervensi ini diintegrasikan dalam praktik keperawatan preventif dan edukasi pasien.   Kata Kunci: Ankle Pump; Diabetes Mellitus Tipe 2; Neuropati Perifer.
Penerapan evidence-based practice aktivitas jalan kaki terhadap penurunan kadar gula darah pada diabetisi Nurhayani, Yani; Sofiani, Yani; Yunitri, Ninik
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1708

Abstract

Background: The prevalence of diabetes mellitus (DM) increases annually. Uncontrolled blood sugar levels can lead to various complications. DM management is known to be based on five pillars: diet, pharmacological treatment, physical activity, education, and blood sugar monitoring. One of the pillars of effective type 2 DM management is physical activity. Recommended physical activities include gymnastics, leisurely cycling, jogging, swimming, and walking. Physical activities such as walking are beneficial for improving insulin sensitivity, maintaining physical fitness, and can help lower blood sugar. Purpose: To determine the effect of evidence-based walking training (EBNP) on reducing blood sugar levels in people with diabetes. Method: The implementation of evidence-based walking training (EBNP) was experimental with a pre-posttest design, involving 12 participants. The physical activity, which consisted of walking, was performed by people with diabetes for 3 minutes every 30 minutes for 7 hours. Blood sugar levels were measured before and after the physical activity. Results: The mean difference between fasting and post-EBP blood glucose levels was 6.08 with a standard deviation of 57.429 g% and a p-value of 0.721, indicating no significant difference between fasting and post-EBP blood glucose levels. Meanwhile, the mean difference between fasting and post-EBP blood glucose levels was 24.75 mg/dl with a standard deviation of 38.558 g%. The statistical test yielded a p-value of 0.048, indicating a significant difference between 2-hour postprandial blood glucose levels and those after EBP implementation. Conclusion: There was no significant difference between fasting blood glucose levels before and after EBNP implementation (p = 0.721). However, there was a significant difference in 2-hour postprandial blood glucose levels (p = 0.048), indicating that walking can reduce postprandial blood glucose levels.   Keywords: Blood Sugar Levels; Evidence-Based Practice; People with Diabetes; Walking Activity.   Pendahuluan: Prevalensi penyakit diabetes melitus (DM) semakin meningkat setiap tahunnya. DM yang tidak terkontrol kadar gula darahnya dapat menyebabkan berbagai komplikasi. Pengelolaan penyakit DM disebut dengan lima pilar meliputi diet, pengobatan farmakologi, aktivitas fisik, edukasi, dan monitor kadar gula darah. Salah satu pilar dalam pengelolaan DM tipe 2 yang efektif yaitu aktivitas fisik. Aktivitas fisik yang telah direkomendasikan meliputi senam, bersepeda santai, jogging, berenang, dan jalan kaki. Aktivitas fisik seperti jalan kaki bermanfaat untuk memperbaiki sensitivitas insulin, menjaga kebugaran tubuh, dan dapat membantu dalam menurunkan gula darah. Tujuan: Untuk mengetahui pengaruh evidence-based practice aktivitas jalan kaki terhadap penurunan kadar gula darah pada diabetisi. Metode: Penerapan evidence-based practice (EBNP) ini bersifat eksperimen menggunakan design pre-post test dengan jumlah sampel sebanyak 12 partisipan. Aktivitas fisik berupa jalan kaki dilakukan oleh diabetisi selama 3 menit setiap 30 menit dalam waktu 7 jam. Diabetisi dilakukan pengukuran kadar gula darah sebelum dan sesudah aktivitas fisik. Hasil: Nilai mean perbedaan antara pemeriksaan kadar glukosa darah puasa dan kadar glukosa darah setelah penerapan EBP adalah 6.08 dengan standar deviasi 57.429 gr% dan p value sebesar 0.721, menunjukkan tidak ada perbedaan yang signifikan antara pemeriksaan kadar glukosa darah puasa dan kadar glukosa darah setelah penerapan EBP. Sementara itu, nilai mean perbedaan antara pemeriksaan kadar glukosa darah puasa dan kadar glukosa darah setelah penerapan EBP adalah 24.75 mg/dl dengan standar deviasi 38.558 gr%. Hasil uji statistik didapatkan p value 0.048, menunjukkan bahwa ada perbedaan yang signifikan antara pemeriksaan kadar glukosa darah 2 jam post prandial dan kadar glukosa darah setelah penerapan EBP. Simpulan: Tidak terdapat perbedaan signifikan antara kadar glukosa darah puasa sebelum dan sesudah penerapan EBNP (p = 0.721). Namun, terdapat perbedaan signifikan pada kadar glukosa darah 2 jam post prandial (p = 0.048), sehingga aktivitas fisik jalan kaki terbukti berpengaruh terhadap penurunan kadar glukosa darah setelah makan.   Kata Kunci: Aktivitas Jalan Kaki; Diabetisi; Evidence-Based Practice; Kadar Gula Darah.
Co-Authors Abdu Rahim Kamil Abdul Khamid, Abdul Ade Fitriani, Ade Adria Rusli, Adria Agung Widiastuti Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Ahmad Zubairi Anitha, Anitha Arsianti, Lyana Azzam, Rohman Baridwan, Syamikar Budiati, Dhiani Chairunnisa, Dea Christina Yeni Kustanti Dadang Saadulloh Dedi Supriadi Desvita, Eva Desy Anggraini Dewi Anggraini Dian Noviati Kuriasih Diana Tati Haryati Dluha Maf’ula Dwisusanti, Oktina Eka Kristina Asi Erna Rochmawati, Erna Fatma, Hindri Royiah Fauzi Ashra Firdaus, Nuzula Haryanti, Noviana Hazrina, Fira Awanis Hendra Hendra Henny Dwi Susanti Herlina, Lily Hernani, Eny Hidayat Arifin Hidayat Arifin Ikaningtyas, Nurlia Ima Sukmawati, Ima Janitra, Fitria Endah Jumaiyah, Wati Kamil, Abdu Rahim Kurnati, Nana kurniasari, septi Kurniasih, Dian Noviati Kustanti, Christina Yeni Kusumawaty, Jajuk Latipah, Siti Lestari, Sabrina Ayu Lilis Lismayanti Lily Herlina Herlina Lily Herlinah Lofa, Priyo Hadi Prasetiyo Maemun, S.KM, M.Epid, Siti Maemun, Siti Mamang, Aisah Mei Rianita Elfrida Sinaga Melati Fajarini Melati, Nimsi Mulyadi, Egi Mulyatsih, MG Enny Novianti, Dian Noviati, Elis Nugraha, Rizki Agung NUR AINI Nur Aini Nuraenah Nuraenah Nuraenah Nuraenah Nuraenah, Nuraenah Nurhayani, Yani Nurhayati, Elis Nurrahman, Aris Nursana, Vina Septia Prasetya, Ganjar Kundi Putri, Alifiani Rahmi Rahayu, Esti Kusuma Rahayu, Yuyun Rahmasari, Ikrima Rani Septiawantari Rayasari, Fitrian Rayasari, Fitriyan Rikawati, Rintan Rina Yuliaty, Rina Rinawati Rinawati Rita Sari Rohani Rohani Rohman Rohman Azzam Rohman Rohman Rosmiati Rosmiati Rudi Kurniawan Saadulloh, Dadang Saharuddin Sakinah, Sri Salsabila, Sephia Saputra, M. Khalid Fredy Septiawantari, Rani Septiawardani, Rani Shahroh, Yuni Silistyorini, Cahyo Ismawati Siti Nurjanah Slametiningsih Slametiningsih, S Slametiningsih, Slametiningsih SRI ATUN sri murtini . Sri Yulianti Srinayanti, Yanti Sukmawati, Lina Sulistyorini, Cahyo Ismawati Suryati Suryati Syamsul Anwar, Syamsul Tallulembang, Abdi Tampubolon, Briefman Tiara Octary Ulina, Barita Wahyudin, M. Didin Waluyo, Endrian Mulyadi Justitia Widia Astuti Widia Astuti A W widya astuti Wildan Yani Sofiani Yohanes Andy Rias Zainab Zainab