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All Journal Jurnal sistem informasi, Teknologi informasi dan komputer Indonesian Journal of Human Nutrition 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 Kreativitas PKM 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 Lentera Perawat International Journal of Public Health Excellence (IJPHE) Proceeding Muhammadiyah International Public Health and Medicine Conference Jurnal Keperawatan Riset Informasi Kesehatan Indonesian Nursing Journal Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
Ninik Yunitri
Universitas Muhammadiyah Jakarta
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Education Environmental Science 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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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.
Penerapan Evidence Base Nursing Practice Skrining Diabetic Sensorimotori Polineuropathy (DSPN) di UPT RSUD Labuang Baji Makassar Sri Sakinah; Yani Sofiani; Ninik Yunitri
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
Effect of rubber ball gripping range-of-motion exercise on hand muscle strength in patients with non-hemorrhagic stroke Zainab Zainab; Ninik Yunitri; Rizki Nugraha Agung; Saharuddin Saharuddin
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.694

Abstract

Background: Stroke remains a major cause of disability worldwide, often resulting in impaired upper limb function and decreased hand muscle strength that limit independence in daily activities. Simple, structured rehabilitation strategies such as range-of-motion (ROM) exercises using a rubber ball may provide practical and cost-effective support for motor recovery, yet evidence regarding their specific impact on hand muscle strength in non-hemorrhagic stroke patients remains limited. Objective: This study aimed to examine the effect of rubber ball gripping range-of-motion exercise on hand muscle strength in patients with non-hemorrhagic stroke. Methods: This study employed a pre-experimental one-group pretest–posttest design conducted in the Stroke Center inpatient ward of RSUD Labuang Baji Makassar. A total of 21 patients with non-hemorrhagic stroke who experienced upper extremity weakness were recruited using consecutive sampling based on predefined inclusion criteria. Hand muscle strength was measured using the manual muscle testing scale before intervention and daily after implementation. The intervention consisted of rubber ball gripping ROM exercise performed twice daily for six consecutive days as part of evidence-based nursing practice. Data were analyzed using descriptive statistics and paired statistical testing with a significance level of α = 0.05. Results: The mean hand muscle strength score increased from 3.10 ± 0.301 before intervention to 4.10 ± 0.301 after six days of exercise. Progressive improvement was observed beginning on the third day of intervention, with statistically significant differences between pre- and post-intervention measurements (p < 0.05). These findings indicate that repetitive ROM rubber ball gripping exercise contributed to clinically meaningful improvement in upper limb muscle strength among non-hemorrhagic stroke patients. Conclusion: Rubber ball gripping range-of-motion exercise demonstrated significant effectiveness in improving hand muscle strength in patients with non-hemorrhagic stroke.
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 Erwan Setiyono Evita Nurmayla 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 Istiqomah Istiqomah Janitra, Fitria Endah Jumaiyah, Wati Jumaiyah, Wati 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 M. Khalid Fredy Saputra Maemun, S.KM, M.Epid, Siti Maemun, Siti Mamang, Aisah Mei Rianita Elfrida Sinaga Melati Fajarini Melati, Nimsi MG Enny Mulyatsih Mohammad Fathi Robbani Mohammad Rizqi Fatahillah Mulyadi, Egi Mulyatsih, MG Enny Noviati, Elis Nugraha, Rizki Agung NUR AINI Nur Aini Nuraenah Nuraenah Nuraenah, Nuraenah Nurhayani, Yani Nurhayati Nurhayati Nurhayati, Elis Nurma Dewi Nurrahman, Aris Nursana, Vina Septia Prasetya, Ganjar Kundi Putri, Alifiani Rahmi Rahayu, Esti Kusuma Rahayu, Yuyun Rahmasari, Ikrima Rani Septiawantary 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 Saharuddin Saharuddin Salsabila, Sephia Septiawantari, Rani Septiawardani, Rani Shahroh, Yuni Silistyorini, Cahyo Ismawati Siti Maemun Siti Nurjanah Slametiningsih Slametiningsih Slametiningsih Slametiningsih, S Slametiningsih, Slametiningsih SRI ATUN sri murtini . Sri Sakinah Sri Yulianti Srinayanti, Yanti Sulistyorini, Cahyo Ismawati Suryati Suryati Syamsul Anwar Syamsul Anwar Syamsul Anwar, Syamsul Tallulembang, Abdi Tiara Octary Ulina, Barita Uswatun Hasanah Venti Agustina Wahyudin, M. Didin Waluyo, Endrian Mulyadi Justitia Wati Jumaiyah Widia Astuti Widia Astuti A W widya astuti Wildan Yani Sofiani Yayah Nurhani Yohanes Andy Rias Yuni Shahro Yuni shahroh Yuni Shahroh Zainab Zainab