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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 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 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.
Co-Authors Abdu Rahim Kamil Ady Tyawarman Agung Waluyo Ahmad Redho ani syafriati Aprianto Guntur Irawan Arifah Rakhmawati Asep Novi Taufiq Firdaus Bayu Aji Sismanto Briefman Tampubolon Busjra Busjra Dedeh Ernawati 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 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 Wasis Widodo Wawan Suwandi Winda Yuniarsih Winda Yuniarsih Winda Yuniarsih Yani Sofiani Yanto Suryanto Yeni Hartati Yunitri, Ninik