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All Journal Jurnal Berita Ilmu Keperawatan Jurnal Penelitian Kesehatan Suara Forikes JURNAL WACANA KESEHATAN Jurnal Kesehatan Komunitas Jurnal Keperawatan Silampari Manuju : Malahayati Nursing Journal Jurnal Ners Journal of Telenursing (JOTING) Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal Journal of Nursing Education & Practice (JNEP) JHeS (Journal of Health Studies) Jurnal Keperawatan Indonesian Journal of Global Health Research
Jumaiyah, Wati
Faculty Of Nursing, Universitas Muhammadiyah Jakarta
Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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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.
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.
Intradialytic Flexybility Exercise Terhadap Fatigue Pada Pasien Penyakit Ginjal Kronis Anik Inayati; Wati Jumaiyah; Siti Latipah
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.23020

Abstract

ABSTRACT Chronic kidney disease (CKD) is a global health problem with increasing prevalence and mortality rates, leading most patients to require hemodialysis therapy. However, this procedure often causes complications, particularly fatigue, a condition of physical and mental exhaustion that does not improve with rest, which negatively impacts patients’ activity, psychosocial functioning, and quality of life. Non-pharmacological interventions such as intradialytic flexibility exercise are considered effective in reducing fatigue levels, improving physical function, and supporting the overall health of patients undergoing hemodialysis. To determine the effectiveness of intradialytic flexibility exercise in reducing fatigue among patients with chronic kidney disease. This experimental study employed a one-group pretest–posttest design. The population consisted of all CKD patients undergoing hemodialysis at Dr. H. Abdul Moeloek Regional General Hospital. A total of 15 patients were recruited using purposive sampling. The intervention consisted of intradialytic flexibility exercise administered in 8 sessions over 4 weeks, with each session lasting 10–15 minutes. The research instrument used was the FACIT-Fatigue scale. Intradialytic flexibility exercise was proven effective in reducing fatigue levels among CKD patients undergoing hemodialysis. This was indicated by an increase in the mean FACIT-Fatigue score from baseline to week 2 by 8.267 points, further increasing to 16.133 points at week 4, with an additional improvement of 7.867 points from week 2 to week 4 (p0.05). These findings indicate that intradialytic flexibility exercise provides a significant and sustained positive impact on reducing fatigue in patients with chronic kidney disease undergoing hemodialysis. Keywords: Intradialytic Flexibility Exercise, Fatigue, Chronic Kidney Disease  ABSTRAK  Penyakit gagal ginjal kronik (GGK) merupakan masalah kesehatan global dengan prevalensi dan angka mortalitas yang terus meningkat, sehingga sebagian besar pasien memerlukan terapi hemodialisis. Namun, prosedur ini kerap menimbulkan komplikasi, terutama berupa fatigue, yaitu kondisi kelelahan fisik dan mental yang tidak membaik dengan istirahat, serta berdampak pada aktivitas, fungsi psikososial, dan kualitas hidup pasien. Intervensi nonfarmakologis seperti intradialytic flexibility exercise diyakini efektif dalam mengurangi tingkat fatigue, meningkatkan fungsi fisik, serta mendukung kualitas kesehatan pasien yang menjalani hemodialisis. Mengetahui efektifitas pemberian intervensi intradialytic flexybility exercise terhadap penurunan fatique Pasien penyakit ginjal kronik. Studi eksperimen, desain one group pretest posttest. Populasi adalah seluruh pasien GGK yang menjalani hemodialisa di RSUD Dr. H. Abdul Moeloek. Besar sampel 15 pasien dengan teknik purposive sampling. intradialytic flexibility exercise pada pasien penyakit ginjal kronis yang menjalani hemodialisis, dilakukan sebanyak  8 sesi dalam waktu 4 minggu, dimana setiap sesi menjalani waktu 10-15 menit latihan. Instrumen penelitian menggunakan FACIT Fatigue. Intradialytic flexibility exercise terbukti efektif menurunkan tingkat fatigue pada pasien gagal ginjal kronik yang menjalani hemodialisis. Hal ini ditunjukkan dengan peningkatan rerata skor FACIT-fatigue dari pengukuran awal ke minggu ke-2 sebesar 8,267 poin, meningkat menjadi 16,133 poin pada minggu ke-4, serta tambahan peningkatan 7,867 poin dari minggu ke-2 ke minggu ke-4 (p0,05). Temuan ini mengindikasikan bahwa intervensi tersebut memberikan dampak positif yang signifikan dan berkelanjutan terhadap penurunan kelelahan pasien. Kata Kunci:  Intradialytic Flexybility Exercise, Fatigue, Gagal Ginjal Kronis
The Relationship between Social Support and Spirituality and Quality of Life among Stroke Patients Dena Mulya; Rohman Azzam; Wati Jumaiyah
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.v8i5.2477

Abstract

Stroke is a neurovascular disease with multidimensional impacts on patients’ physical, psychological, social, and spiritual conditions. The complications of stroke not only reduce physical function but also affect patients’ overall quality of life. This study aims to analyze the relationship between social support and spirituality and the quality of life of stroke patients, as well as to examine the interaction of these factors in improving quality of life. This study employed a quantitative cross-sectional design involving 125 respondents selected through purposive sampling. Data were collected using validated and reliable instruments, including the Multidimensional Scale of Perceived Social Support (MSPSS; Cronbach’s α = 0.89), the Spiritual Well-Being Scale (SWBS; Cronbach’s α = 0.95), the Stroke-Specific Quality of Life Scale (SS-QOL; Cronbach’s α = 0.92), the Barthel Index (Cronbach’s α = 0.87–0.92), and the Patient Health Questionnaire-9 (PHQ-9; validity coefficient r = 0.73, Cronbach’s α = 0.87). Data were analyzed using Spearman’s rank correlation and multiple linear regression. The results showed significant correlations between gender, educational level, comorbidity, functional status, and depression with patients’ quality of life (p < 0.05). Multivariate analysis indicated that gender (p = 0.000), functional status (p = 0.000), and spirituality (p = 0.012) had significant effects on patients’ quality of life. Meanwhile, age and duration of stroke did not show significant relationships (p > 0.05). It can be concluded that spirituality and functional status significantly contribute to determining the quality of life among stroke patients.
The Effect of Video-Based Educational Intervention on Patients' Knowledge of Diabetes Mellitus Management Almudabbir Almudabbir; Rohman Azzam; Wati Jumaiyah
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.v8i5.2522

Abstract

Diabetes mellitus (DM) requires adequate patient knowledge to support effective self-management and prevent complications. Video-based education provides an audiovisual learning method that may improve patients' understanding of diabetes management. To examine the effect of video-based education on diabetes mellitus management knowledge among patients attending the Cempaka Putih Community Health Center, Central Jakarta. A quantitative quasi-experimental study with a pretest–posttest control group design was conducted from September to October 2025. A total of 68 patients with DM were recruited using purposive sampling and allocated into intervention (n=34) and control (n=34) groups. The intervention group received standardized video-based education on diabetes management, whereas the control group received routine health education. Knowledge was measured using a 20-item questionnaire before and after the intervention. Data were analyzed using paired-samples t-tests, independent-samples t-tests, and multiple linear regression. Baseline knowledge scores were comparable between the intervention (9.68 ± 2.47) and control groups (9.71 ± 3.79). Following the intervention, the mean knowledge score increased significantly to 14.09 ± 1.54 in the intervention group (p < 0.001), whereas no significant change was observed in the control group (9.76 ± 3.39; p = 0.737). The mean knowledge improvement differed significantly between groups (4.41 ± 2.84 vs. 0.06 ± 1.01; p < 0.001). Age significantly influenced knowledge improvement (p = 0.001), while sex, education, and duration of DM were not significant predictors. Video-based education effectively improved diabetes management knowledge and may be integrated into primary healthcare education programs for patients with DM.  
The Relationship Between Peripheral Oxygen Saturation (SpO₂), Ankle-Brachial Index (ABI), and HbA1c Levels with Diabetic Neuropathy Yeni Karlina; Yani Sofiani; Rizki Nugraha Agung; Wati Jumaiyah
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.v8i5.2553

Abstract

Diabetic neuropathy is one of the most common chronic complications in patients with type 2 diabetes mellitus and may lead to foot ulcers and amputation. Peripheral circulation disorders, tissue oxygenation impairment, and poor glycemic control are considered contributing factors. To determine the relationship between oxygen saturation (SpO₂), Ankle–Brachial Index (ABI), and HbA1c levels with diabetic neuropathy among patients with type 2 diabetes mellitus. A quantitative descriptive-analytic cross-sectional study was conducted among 60 patients with type 2 diabetes mellitus at Lantana Medika Clinic, South Jakarta. Participants were recruited using consecutive sampling based on predefined inclusion and exclusion criteria. Data were collected through face-to-face interviews, structured questionnaires, direct clinical assessments, and medical record review. SpO₂ was measured using a pulse oximeter, ABI was determined using a sphygmomanometer and handheld Doppler device, and HbA1c values were obtained from the participants' most recent laboratory results. Diabetic neuropathy was assessed using the Comprehensive Diabetic Neuropathy Screening Algorithm (CDNSA). Data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression. There was a significant relationship between duration of diabetes and HbA1c levels with diabetic neuropathy (p < 0.05). Multivariate analysis identified HbA1c as the most dominant factor associated with diabetic neuropathy. HbA1c and duration of diabetes are significantly associated with diabetic neuropathy. A comprehensive screening approach incorporating tissue oxygenation, peripheral circulation, and glycemic control assessment may enhance the early detection of diabetic neuropathy in primary healthcare settings.
Co-Authors Abdu Rahim Kamil Ady Tyawarman Agung Waluyo Ahmad Redho Almudabbir Almudabbir ani syafriati Anik Inayati Aprianto Guntur Irawan Arifah Rakhmawati Asep Novi Taufiq Firdaus Bayu Aji Sismanto Briefman Tampubolon Busjra Busjra Dedeh Ernawati Dena Mulya Denny Alfiansyah Desy Setiawati dewi adnan Dewi Anggraini Dewi Gayatri Dewi Gayatri Dewi Gayatri Dewi Purnamawati Dhea Nastashia Dhea Natashia Dian Hudiyawati Dian Novianti K Dian Novianti Kurniasih Dimas Dewa Darma Dimas Utomo Hanggoro Putro Dina Rahmawati Erni Kurniasih Erwin Erwin Faradilla Miftah Suranata Fatriani Fatriani Fazarudin Fazarudin Feriadianto Feriadianto Fernalia Fernalia Firza Pinamiranti Giri Susanto Hana Zumaedza Ulfa Ii Ismail Ii ismail Ii Ismail Ika Mustafida Ilham Suryana Irawati, Diana Irna Nursanti Irna Nusanti Jaemi Jaemi Juli Andri Jumari Jumari Junaidin Junaidin Kustiyuwati Kustiyuwati Marni Marni Martuti Dwi Handayani Masmun Zuryati Mayasari Mayasari Melati Fajarini Mustikasari Mustikasari Noviana Noviana Nunu Harison Nunung Nursasih Nurmayanti Nurmayanti Prima Trisna Aji Purnamawati, Dewi Rayasari, Fitrian Risa Oktavina Rizki Nugraha Agung Rohman Azzam Safruddin Safruddin Sapriyanti Sapriyanti Sarida Surya Manurung Siti Aminah Siti Latipah Sugiyono Sugiyono Sumedi Sumedi Suryati Suryati Toha Muhaimin Tria Astika Endah Tria Astika Endah Permatasari Uswatul Khasanah Uswatun Hasanah Uswatun Hasanah Wawan Suwandi Widodo, Wasis Winda Yuniarsih Winda Yuniarsih Winda Yuniarsih Yani Sofiani Yanto Suryanto Yeni Hartati Yeni Karlina Yunitri, Ninik