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Yunitri, Ninik
Faculty Of Nursing, Universitas Muhammadiyah Jakarta
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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 Dian Noviati Kuriasih Dluha Maf’ula Dwisusanti, Oktina Eka Kristina Asi Erna Rochmawati, Erna Fatma, Hindri Royiah Fauzi Ashra Firdaus, Nuzula Fitrian Rayasari Haryanti, Noviana Haryati, Diana Tati Hazrina, Fira Awanis Hendra Hendra Henny Dwi Susanti Herlina, Lily Herlina, Lily Herlina 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 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 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 murtini . Sri Yulianti Srinayanti, Yanti Sukmawati, Lina Sulistyorini, Cahyo Ismawati Suryati Suryati Syamsul Anwar, Syamsul Tallulembang, Abdi 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