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All Journal Jurnal sistem informasi, Teknologi informasi dan komputer Jurnal NERS Jurnal Keperawatan Padjadjaran Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Nurse and Health: Jurnal Keperawatan The Indonesian Journal of Infectious Diseases Holistik Jurnal Kesehatan Manuju : Malahayati Nursing Journal 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 International Journal of Public Health Excellence (IJPHE) Jurnal Keperawatan Riset Informasi Kesehatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
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

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Standardized Swallowing Assessment (SSA) Diagnostic Test for Diysphagia Screening in Stroke Patients in the Stroke Center Treatment Room Nurun Salaman Alhidayat; Rizki Nugraha Agung; Ninik Yunitri
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6057

Abstract

Stroke is the second leading cause of death in the world with cases continuing to increase every year, and one of the complications that often occurs is dysphagia, which can cause nutritional and respiratory disorders. Early detection of dysphagia through appropriate screening, such as the Standardized Swallowing Assessment (SSA), is very important to prevent further complications and improve the recovery of stroke patients.. Objective: to conduct diagnostic tests of the SSA assessment instrument for dysphagia screening in the Stroke Center room of Labuang Baji Hospital, South Sulawesi Province, Makassar. Method: In this study, a diagnostic test was used by measuring the sensitivity and specificity of the SSA instrument. The diagnostic test is a descriptive observational study with a cross-sectional study design. Results: The results of this study indicate that the sensitivity level of the SSA instrument reached 96.55% and the specificity level of the SSA instrument reached 87.5%. Conclusions: Dysphagia screening Standardized Swallowing Assessment (SSA) can be used as a standard instrument to identify dysphagia manifestations.
Assessment of Diabetic Retinopaty Risk Factors in Type II Diabetes Mellitus Desy Anggraini; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6196

Abstract

Diabetic retinopathy (DR) is a leading microvascular complication of diabetes mellitus (DM), primarily caused by chronic hyperglycemia. It leads to vascular occlusion, increased vascular permeability, retinal abnormalities, and detachment, ultimately resulting in visual impairment and blindness. Implementing Evidence Based Nursing Practice using diagnostic tests to determine the sensitivity and specificity of the assessment instrument for Diabetic Retinopathy Risk Factors in Type II DM Diagnostic tests are descriptive observational studies with a cross-sectional study design. This application is classified as descriptive observational because only observations are made without any intervention (treatment). The test is carried out with ROC where to see the sensitivity and specificity of the application instrument. The results of the analysis showed that the sensitivity of the application of the assessment of diabetic retinopathy risk factors using the ROC Curve Test was 100%. Meanwhile, the specificity of the instrument for the application of the assessment of diabetic retinopathy risk factors was 81.3%. The application of diabetic retinopathy risk factor assessment can be used to assess the risk of diabetic retinopathy because it has good sensitivity (%) and specificity (%) values. However, when applying the diabetic retinopathy risk factor assessment, only the risk value of diabetic retinopathy was obtained where the application patient did not experience complaints and decreased visual acuity.
The Effect of Combined Music Therapy and Stress Ball on Pain During Vascular Access Cannulation in Hemodialysis Patients Hindri Royiah Fatma; Rohman Azzam; Ninik Yunitri; Yani Sofiani; Yuni shahroh
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6215

Abstract

Hemodialysis remains the main therapy for patients with kidney failure. During the cannulation process, which is the insertion of a needle into a vascular access, hemodialysis patients often experience pain. The combination of music therapy and the use of stress balls is an example of a non-pharmacological intervention that can be used to overcome pain during cannulation. Objective to identify the effectiveness of the combination of music therapy and stress balls on pain in hemodialysis patients during the vascular access cannulation process. This study used a phased cross-over design, where each respondent received both treatments alternately. A total of 42 respondents were divided into two groups: the experimental group (n = 21) received music therapy and stress balls , while the control group (n = 21) received standard hospital therapy, namely deep breathing relaxation. Furthermore, the two groups exchanged treatments. The level of pain was measured using a VAS (Visual Analog Scale). The results showed that the combination of music therapy and stress balls was effective in reducing pain during the cannulation process, with significant changes in pain levels after insertion (p < 0.001). Cohen's d effect size of -0.632 indicates that combination therapy has a stronger effect in reducing pain than deep breathing relaxation therapy.
The Effect of Multimedia-Based Education on Treatment Adherence, Self-Efficacy, and Readmission Rates in Post-Percutaneous Coronary Patients Anita Setyawati; Ninik Yunitri; Yani Sofiani; Yuni Shahro; Rohman Azzam
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.336

Abstract

Patients with coronary heart disease (CHD) who undergo Percutaneous Coronary Intervention (PCI) experience faster recovery and a short hospital stay of up to three days. A short hospitalization process requires nursing interventions that are easily understood by patients and families, namely multimedia education, which aims to provide motivation so that patients become stronger when continuing their normal lives and returning to productivity. If patients do not carry out this behavior, the risk of myocardial infarction, stroke, and even death increases. to evaluate the effectiveness of multimedia-based education on medication adherence, self-efficacy and readmission rates of post PCI patients. Using quantitative research parallel Randomized controlled trial with a sample size of 100 people, by comparing the intervention group who received multimedia-based educational treatment and the control group who received standard therapy / leaflet at Gatot Soebroto Army Hospital. This study employed block randomization with a four-combination design in a 1:1 ratio. When all combinations were exhausted, the sequence returned to the initial combination. The randomization, therapists, data collectors, and data analysts were blinded to the study hypothesis. Data allocation was performed using random numbers, with odd and even numbers serving as the basis for assignment. Independent sample t-test in the intervention group on treatment compliance obtained a p-value of 0.441 with an effect size of 0.0168 (1.68%). While the measurement of self-efficacy is p-value 0.060 with an effect size of 0.1608 (16.08%). The Fisher Exact test showed that there was a significant difference between the two groups and the measurement of readmission rates decreased by 87.6% after being given multimedia education and a post-test of treatment adherence and self-efficacy. This study shows that the intervention of the effect of multimedia education on treatment compliance, self-efficacy and readmission rates in post PCI patients has a significant effect p-value> 0.05, there is an increase in treatment compliance, self-efficacy and a decrease in readmission rates in patients who have undergone PCI at RSPAD Gatot Soebroto.
The Relationship between Chronic Diseases and Cognitive Function in Patient with Chronic Diseases: An Analysis Based on the 2014 Indonesian Family Life Survey Data Fira Awanis Hazrina; Rohman Azzam; Yani Sofiani; Yuni Shahroh; Bayu Satria Wiratama; Ninik Yunitri
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.920

Abstract

Cognitive decline known as one of long-term effect of chronic disease. Individuals with cognitive dysfunction tend to show low quality of life. Yet limited studies has been conducted to determine the prevalence of this issue among people with chronic disease in Indonesia. Therefore, this study was aimed to identify the prevalence and relationship between chronic disease and cognitive function. This study also evaluated the factors influencing this relationship. This research was a cross-sectional analysis that utilized data from 2,396 participants with chronic conditions, drawn from the 2014 Indonesian Family Life Survey (IFLS) through purposive sampling. This study focus on people with hipertention, stroke, and diabetes mellitus. Cognitive impairment was measured using Telephone Interview for Cognitive Status (TICS). The data was analysed using analysed using bivariate logistic regression and multivariate Hierarchical Logistic Regression. The relationship between variables indicated based on Odds Ratio (OR), exponential value values ꞵ (eꞵ), and significancy level 5%. The overall prevalence of impaired cognitive function was 2171(61.7%) with the highest frequency found in people with diabetes mellitus (64.5%). Logistic regression test found a significant relationship between chronic disease and impaired function (p<0.001). Hierarchical Logistic Regression test on all models found-that age, gender, disease duration, and education had a greater influence, with R2 0.467 (46.7%). This study showed people with chronic diseases with older age, female, low education, longer disease duration, smoker, and obese have higher risk of developing impaired cognitive function.  
The Influence of Diabetes Self-Management Education on Increasing Knowledge, Self-Management, and Current Blood Sugar Level Control in Type 2 Diabetes Mellitus Patients Hana Zumaedza Ulfa; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.2188

Abstract

Type 2 diabetes mellitus (DM type 2) is a serious problem worldwide due to the impact of the disease which can cause complications and reduce the quality of life of sufferers. Factors that cause this are due to lack of knowledge, self-management and chronic hyperglycemia. Therefore, it is necessary to carry out continuous educational interventions such as Diabetes Self-Management Education (DSME). The purpose of this implementation is to improve knowledge, self-management and control of random blood sugar levels in patients with type 2 DM. This type of quantitative research uses a one-group pre-test-post-test approach, a sample of 15 respondents and the sampling technique used was purposive sampling. The implementation time is April 21 to May 24, 2025 at Dr. H. Abdul Moeloek Regional General Hospital, Lampung Province. The measurement instruments used are Diabetes Knowledge Questionnaire (DKQ-24), Diabetes Self-Management Instrument (DSMI) and GDS measurement sheets. The analysis used is the paired t-test and the Wilcoxon test. The results of the implementation after being given 4 sessions of DSME showed an increase in knowledge as shown by a p-value of 0.003 (<0.05), an increase in self-management with a p-value of 0.001 (<0.05) and control of random blood glucose values with a p-value of 0.001 (<0.05).0.000 (<0.05). The 4-session ideo-based DSME had a positive impact on knowledge, self-management, and random blood sugar values because DSME is a continuous educational intervention that helps respondents understand their disease better.
Evidance Base Nursing Latihan Penguatan Otot untuk Keseimbangan Tubuh Pada Pasien Diabetisi 2 Dimas Dewa Darma; Yani Sofiani; Ninik Yunitri; Wati Jumaiyah
Malahayati Nursing Journal Vol 8, No 7 (2026): Volume 8 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i7.25423

Abstract

ABSTRACT Diabetes melitus tipe 2 merupakan penyakit kronis dengan prevalensi yang terus meningkat di seluruh dunia dan sering menimbulkan berbagai komplikasi, salah satunya neuropati perifer yang dapat menyebabkan gangguan keseimbangan tubuh. Gangguan keseimbangan pada pasien diabetisi dapat meningkatkan risiko jatuh dan menurunkan kemampuan aktivitas sehari-hari. Salah satu intervensi non-farmakologis yang dapat dilakukan untuk memperbaiki keseimbangan adalah latihan penguatan otot (muscle strengthening exercise) yang berperan dalam meningkatkan kekuatan otot, memperbaiki sirkulasi perifer, serta meningkatkan propriosepsi pada pasien diabetes. Penerapan Evidence Based Nursing Practice (EBNP) ini bertujuan untuk mengidentifikasi dan menerapkan latihan penguatan otot dalam meningkatkan keseimbangan tubuh pada pasien diabetes melitus tipe 2 serta menyusun Standar Prosedur Operasional (SPO) terkait intervensi tersebut.  Metode yang digunakan adalah penerapan Evidence Based Nursing Practice melalui penelusuran literatur menggunakan pendekatan PICO dengan kata kunci diabetes mellitus, exercise, dan balance capacity. Pencarian dilakukan melalui database PubMed pada rentang tahun 2020–2025. Dari hasil penelusuran diperoleh 85 artikel, kemudian diseleksi berdasarkan kriteria inklusi dan eksklusi hingga diperoleh 4 artikel systematic review dan meta-analysis yang relevan. Artikel yang terpilih kemudian dilakukan telaah kritis menggunakan instrumen AMSTAR 2 untuk menilai kualitas evidence.  Hasil penerapan menunjukkan bahwa latihan penguatan otot yang dilakukan secara rutin dapat meningkatkan kekuatan otot, memperbaiki sirkulasi perifer, serta meningkatkan keseimbangan tubuh pada pasien diabetes melitus tipe 2 yang mengalami neuropati perifer. Implementasi intervensi ini juga mendukung pengembangan SOP latihan fisik sebagai intervensi mandiri perawat dalam meningkatkan kualitas asuhan keperawatan pada pasien diabetes. Latihan penguatan otot merupakan intervensi non-farmakologis berbasis bukti yang efektif dalam meningkatkan keseimbangan tubuh pada pasien diabetes melitus tipe 2. Penerapan latihan ini dapat dijadikan bagian dari intervensi keperawatan untuk mencegah komplikasi lebih lanjut dan meningkatkan kualitas hidup pasien diabetisi.  Kata Kunci: Diabetes Melitus Tipe 2, Latihan Penguatan Otot, Keseimbangan Tubuh, Neuropati Perifer, Evidence Based Nursing Practice.   ABSTRACT Type 2 Diabetes Mellitus (T2DM) is a chronic disease with an increasing global prevalence and is often associated with various complications, one of which is peripheral neuropathy that can lead to impaired body balance. Balance disorders in patients with diabetes increase the risk of falls and reduce functional ability in daily activities. One of the non-pharmacological interventions that can improve balance is muscle strengthening exercise, which plays an important role in increasing muscle strength, improving peripheral circulation, and enhancing proprioception in patients with diabetes.  This Evidence-Based Nursing Practice (EBNP) implementation aimed to identify and apply muscle strengthening exercises to improve body balance in patients with Type 2 Diabetes Mellitus and to develop a Standard Operating Procedure (SOP) for the intervention. The method used was the implementation of Evidence-Based Nursing Practice through literature searching using the PICO approach with the keywords diabetes mellitus, exercise, and balance capacity. The literature search was conducted in the PubMed database for articles published between 2020 and 2025. A total of 85 articles were initially identified and then screened based on inclusion and exclusion criteria, resulting in 4 systematic review and meta-analysis articles. Critical appraisal of the selected articles was conducted using the AMSTAR 2 instrument to assess the quality of the evidence.  The results of the implementation indicated that regular muscle strengthening exercises improved muscle strength, enhanced peripheral circulation, and increased body balance in patients with Type 2 Diabetes Mellitus with peripheral neuropathy. The implementation also supported the development of an exercise SOP as an independent nursing intervention to improve the quality of nursing care for patients with diabetes.  Muscle strengthening exercise is an effective evidence-based non-pharmacological intervention for improving body balance in patients with Type 2 Diabetes Mellitus. This intervention can be integrated into nursing care to prevent further complications and improve the quality of life of diabetic patients.  Keywords: Type 2 Diabetes Mellitus, Muscle Strengthening Exercise, Body Balance, Peripheral Neuropathy, Evidence-Based Nursing Practice.
Differences in the Incidence of Fatigue and Analysis of Contributing Factors among Patients with Chronic Diseases Yayah Nurhani; Ninik Yunitri; Fitrian Rayasari; Yani Sofiani
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2389

Abstract

Fatigue is one of the most common clinical symptoms experienced by patients with chronic diseases and significantly affects their quality of life. The high prevalence of fatigue across various chronic conditions indicates that it is a common, widespread, and complex symptom. However, comparative studies across different chronic diseases remain limited. In addition, the main risk factors and their variations among chronic conditions have not been comprehensively explored. This study aimed to identify differences in the incidence and contributing factors of fatigue among patients with various types of chronic diseases. Methods: This study employed a quantitative cross-sectional design. A total of 128 respondents were recruited using stratified random sampling. The instruments used included the Modified Fatigue Impact Scale (MFIS), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Self-Care Symptom Management Scale. The MFIS has demonstrated excellent internal consistency (Cronbach's α = 0.93), while the CES-D has shown good validity and reliability with Cronbach's α ranging from 0.85 to 0.90 across various populations. The Self-Care Symptom Management Scale also demonstrated satisfactory psychometric properties, with a Cronbach's α of 0.84. Statistical analyses consisted of univariate descriptive analysis and bivariate analysis, including Chi-square tests for categorical variables and logistic regression for categorical dependent variables.Statistical analyses consisted of univariate descriptive analysis and bivariate analysis, including Chi-square tests for categorical variables and logistic regression for categorical dependent variables. Of the 128 respondents, the majority experienced severe fatigue, particularly those with Type 2 Diabetes Mellitus. There was no significant difference in fatigue levels among the five types of chronic diseases (p = 0.976). Severe fatigue was significantly associated with education (p < 0.001), employment status (p < 0.001), income (p < 0.001), self-care practice (p < 0.001), and depression (p = 0.011), but was not associated with age, sex, duration of illness, or comorbidity.Fatigue should be routinely assessed and managed in patients with chronic diseases regardless of disease type, with a focus on improving self-care practices, early detection of depression, and consideration of educational level, employment status, and income to enhance patients’ quality of life.
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 Anita Setyawati Anitha, Anitha Anwar, Syamsul Arifin, Hidayat Arsianti, Lyana Azzam, Rohman Baridwan, Syamikar Bayu Satria Wiratama Briefman Tampubolon Budiati, Dhiani Chairunnisa, Dea Christina Yeni Kustanti Dadang Saadulloh Dedi Supriadi Desvita, Eva Desy Anggraini Dewi Anggraini Dian Novianti Dian Noviati Kuriasih Diana Tati Haryati Dimas Dewa Darma Dluha Maf’ula Dwisusanti, Oktina Eka Kristina Asi Erna Rochmawati, Erna Fatih Hibatullah Fauzi Ashra Fira Awanis Hazrina Firdaus, Nuzula Hana Zumaedza Ulfa Harwina Widya Astuti Haryanti, Noviana Hazrina, Fira Awanis Hendra Hendra Henny Dwi Susanti Herlina, Lily Hernani, Eny Hidayat Arifin Hindri Royiah Fatma Ikaningtyas, Nurlia Ima Sukmawati, Ima Janitra, Fitria Endah Jumaiyah, Wati 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 Lina Sukmawati 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 Noviati, Elis Nugraha, Rizki Agung NUR AINI Nur Aini Nuraenah Nuraenah Nuraenah Nuraenah Nuraenah, Nuraenah Nurhayani, Yani Nurhayati Nurhayati Nurhayati, Elis Nurrahman, Aris Nursana, Vina Septia Prasetya, Ganjar Kundi Putri, Alifiani Rahmi Rahayu, Esti Kusuma Rahayu, Yuyun Rahmasari, Ikrima Rayasari, Fitrian Rayasari, Fitriyan Rikawati, Rintan Rina Yuliaty, Rina Rinawati Rinawati Rita Sari Rizki Nugraha Agung Rohani Rohani Rohman Rohman Azzam Rohman Azzam Rohman Rohman Rosmiati Rosmiati Rudi Kurniawan Saadulloh, Dadang Salsabila, Sephia Septiawantari, Rani Septiawardani, Rani Shahroh, Yuni Silistyorini, Cahyo Ismawati Siti Maemun Siti Nurjanah Slametiningsih Slametiningsih, S Slametiningsih, Slametiningsih SRI ATUN sri murtini . Sri Yulianti Srinayanti, Yanti Sulistyorini, Cahyo Ismawati Suryati Suryati Syamsul Anwar, Syamsul Tallulembang, Abdi Tiara Octary Ulina, Barita Uswatun Hasanah Wahyudin, M. Didin Waluyo, Endrian Mulyadi Justitia Widia Astuti Widia Astuti A W widya astuti Wildan Yani Sofiani Yayah Nurhani Yohanes Andy Rias Yuni Shahro Yuni shahroh Yuni Shahroh