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Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Kedokteran Brawijaya Vol 31, No 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Fatigue is the primary complaint most frequently reported by patients on hemodialysis. The importance of knowing the factors related to fatigue is a strategy that can be carried out by health workers in optimally applying interventions to reduce patient fatigue problems. This systematic review aimed to determine the factors associated with fatigue in patients undergoing hemodialysis. The systematic review method began by identifying research articles in the Pubmed, ProQuest, Ebsco, and ScienceDirect databases in 2011â€“2020. Articles were selected using PRISMA. Based on the results of the analysis, it was obtained 23 articles that discussed demographic factors, physiological factors, socioeconomic factors, situational factors, and psychological factors that could be associated with fatigue in hemodialysis patients. There is much to learn about fatigue in patients undergoing hemodialysis, including causative factors, assessment of severity, and effective management of fatigue so that it can be used as a benchmark for determining appropriate interventions

The Quality of Communication and Depression Levels among Elderly Residents in Nursing Homes Setyoadi, Setyoadi; Setyorini, Ika; Irmayanti , Ni Kadek Ayu Depy; Ismail, Dina Dewi Sartika Lestari
Journal of Nursing Science Update (JNSU) Vol. 12 No. 1 (2024): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2024.012.01.06

Nursing home residents are more likely to experience symptoms of depression compared to seniors living at home. Older individuals face various physical and psychological challenges, such as hearing loss, vision impairment, and memory decline, which can hinder effective communication and diminish their overall well-being. This study aims to investigate the link between the quality of communication among older people in nursing homes and their levels of depression. The study uses observational analytics with a cross-sectional approach. The sample comprises 50 older individuals living in nursing homes, selected through purposive sampling. The independent variable is communication quality, evaluated using the Quality of Communication (QOC) questionnaire, while the dependent variable is depression level, assessed using the Geriatric Depression Scale (GDS) questionnaire. Data analysis involves calculating the Spearman Rank Correlation Coefficient at a 95% confidence level. The research findings show that 60% of the older participants exhibited moderate communication quality, while 88% experienced mild depression. The Spearman Rho statistical test resulted in a p-value of 0.009 and a correlation coefficient of -0.366, indicating a significant inverse relationship between communication quality and depression among older people. Nurses are encouraged to promote communication among nursing home residents by organizing activity groups, facilitating interactions, and creating environments conducive to social engagement. In conclusion, effective communication plays a crucial role in lowering the depression levels of nursing home residents.

In vivo study of celery (Apium graveolens L) extract for regenerating pancreatic β-cell Ismail, Dina Dewi Sartika Lestari; Kristianto, Heri; Setyoadi, Setyoadi; Maydinah, Anissa
MEDISAINS Vol 22, No 1 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i1.20079

Background: The celery plant (Apium graveolens L.) is a widely distributed herbal plant globally known for being a significant source of natural active products, including phenolic compounds and antioxidants demonstrating antidiabetic activity. Previous research findings have indicated the impact of celery leaf extract on reducing blood glucose levels. However, up to now, there is a dearth of research investigating the potential effect of celery leaf extract on the regeneration of pancreatic beta cells in mice with diabetes models.Objective: This study aims to determine the effect of the ethanol extract of celery leaves on the number of pancreatic cells in Streptozotocin (STZ)-induced mice.Method: This research method uses a randomized controlled group posttest only design. Experimental animals were divided into five groups, including a group of experimental animals in a healthy condition, the group with hyperglycemia, hyperglycemia group with celery extract at 200 mg/kg BW, hyperglycemia group with celery extract at 400 mg/kg, and hyperglycemia group with extract celery is 800 mg/kg BW. Termination was performed on day 60 after therapy and pancreas hematoxylin and eosin staining. They are counting the number of cells with a photo slide with 400x magnification in 5 fields of view—statistical analysis using One-Way ANOVA.Results: The study revealed that celery extract could increase the number of pancreatic cells compared to the control group (P<0.002). Notably, the highest increase in pancreatic cell count was observed in the group administered with 400 mg/BW of celery extract.Conclusion: Celery leaf extract effectively increased the number of beta cells in vivo.

Impact of Perceived Vulnerability and Benefits on Adolescent Smoking Cessation Motivation Setyoadi; Aisyana, Lala; Sari, Efris Kartika; Ismail, Dina Dewi Sartika Lestari
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.404

Background: Most smoking among adolescents aged 15-19 years is associated with a psychosocial crisis, as they are still searching for their identity. Factors such as perceived vulnerability and perceived benefits can lead adolescents to start smoking. Purpose: The purpose of this study was to determine the relationship between perceived vulnerability and perceived benefits and motivation for smoking cessation among adolescents. Methods: The research design uses an analytical observational design with a cross-sectional approach. The research sample consisted of adolescent smokers selected using a cluster random sampling technique, resulting in 136 participants. Data for variables were collected using the Perceived Vulnerability to Disease (PVD), Perceived Risks and Benefits Questionnaire (PRBQ), and Smoking Cessation Motivation Questionnaire (Q-MAT), which were modified by the researchers and tested for validity and reliability. The research data were analyzed using the Spearman Rank Test. Results: The results showed that 97.8% of participants had a positive perceived vulnerability, 97.1% had a positive perceived benefit, and 71.3% had a high motivation for smoking cessation. There was a significant relationship between perceived vulnerability and perceived benefits with motivation for smoking cessation, with a significant p-value of 0.000 and correlation values of +0.478 and +0.643. Conclusions: Adolescents' motivation to quit smoking is shaped by their awareness of health risks and the benefits of quitting, such as improved well-being and financial savings. Nursing-based interventions, including counseling, support groups, and school health campaigns, play a crucial role in reinforcing this motivation and ensuring long-term cessation.

Impact of Perceived Vulnerability and Benefits on Adolescent Smoking Cessation Motivation Setyoadi; Aisyana, Lala; Sari, Efris Kartika; Ismail, Dina Dewi Sartika Lestari
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.404

Background: Most smoking among adolescents aged 15-19 years is associated with a psychosocial crisis, as they are still searching for their identity. Factors such as perceived vulnerability and perceived benefits can lead adolescents to start smoking. Purpose: The purpose of this study was to determine the relationship between perceived vulnerability and perceived benefits and motivation for smoking cessation among adolescents. Methods: The research design uses an analytical observational design with a cross-sectional approach. The research sample consisted of adolescent smokers selected using a cluster random sampling technique, resulting in 136 participants. Data for variables were collected using the Perceived Vulnerability to Disease (PVD), Perceived Risks and Benefits Questionnaire (PRBQ), and Smoking Cessation Motivation Questionnaire (Q-MAT), which were modified by the researchers and tested for validity and reliability. The research data were analyzed using the Spearman Rank Test. Results: The results showed that 97.8% of participants had a positive perceived vulnerability, 97.1% had a positive perceived benefit, and 71.3% had a high motivation for smoking cessation. There was a significant relationship between perceived vulnerability and perceived benefits with motivation for smoking cessation, with a significant p-value of 0.000 and correlation values of +0.478 and +0.643. Conclusions: Adolescents' motivation to quit smoking is shaped by their awareness of health risks and the benefits of quitting, such as improved well-being and financial savings. Nursing-based interventions, including counseling, support groups, and school health campaigns, play a crucial role in reinforcing this motivation and ensuring long-term cessation.

Family Support in the Care of Patients with Type 2 Diabetes Mellitus: A Scoping Review Setyoadi, Setyoadi; Mudianti, Jihan Faadhilah; Nifangelya, Prisilya; Ramadhania, Lailatul; Ismail, Dina Dewi Sartika Lestari
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.01.05

The growing global incidence of Type 2 Diabetes Mellitus (T2DM) underscores the pressing need to investigate practical and sustainable management strategies. Type 2 diabetes mellitus (T2DM) is a chronic health condition that necessitates continuous monitoring and long-term care to maintain blood glucose levels within optimal limits. One critical factor influencing diabetes self-management is family support, which encompasses emotional, instrumental, informational, and appreciative dimensions. Family members play a crucial role in supporting individuals with T2DM by assisting with daily care routines, promoting adherence to treatment regimens, and offering motivation. This scoping review aims to critically evaluate the significance of family support as a key component in enhancing self-management among individuals diagnosed with type 2 diabetes mellitus (T2DM). It will outline the key elements of family support and investigate their relationship with diabetes-related outcomes, including glycemic control, medication adherence, and dietary adherence. The review encompasses an analysis of 15 pertinent articles retrieved from three key databases: ScienceDirect, Google Scholar, and ProQuest. The keywords employed comprised "family or caregiver support" and "diabetes mellitus type 2," integrated through the use of Boolean operators. The findings of this review indicate that family involvement considerably contributes to improved health outcomes for patients with T2DM. Individuals possessing robust family support demonstrate enhanced medication adherence, improved blood glucose levels, and greater compliance with dietary recommendations. In concludion, the integration of family support within diabetes management interventions has the potential to facilitate more effective and holistic approaches to treating type 2 diabetes mellitus (T2DM).

Utilization of virgin coconut oil as an effort for promotion and prevention of diabetic foot in PROLANIS participants Ismail, Dina Dewi Sartika Lestari; Adi, Setyo; Kristianingrun, Niko Dima; Dwi, Arisma Septia; Nurdiana, Sevia; Astuti, Fitri Dwi; Davelin, Valencia Nadya Carissa
Caring: Jurnal Pengabdian Masyarakat Vol 5, No 1 (2025): CARING Jurnal Pengabdian Masyarakat (April 2025)
Publisher : Caring: Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2025.005.01.2

This community service activity aims to improve participants' knowledge and skills in diabetic foot care through foot exercise and massage training using Virgin Coconut Oil (VCO). A total of 80 participants took part in the intervention, which included counseling, demonstrations, and questionnaire completion. The evaluation results showed a significant increase in participants' knowledge, with a decrease in the number of participants in the low category from 50% to 12.5% and an increase in the high category from 12.5% to 37.5%. An improvement in skills was also observed, where foot exercise skills increased from 18.8% to 43.8%, while foot massage skills rose from 12.5% to 56.2% after the intervention. Interactive education improves knowledge and skills; regular programs with healthcare professionals and social media use are recommended to promote diabetic foot care.

Optimalisasi Program Pencegahan Stunting: Hubungan Pengetahuan Ibu dengan Persepsi Keluarga Dewi, Elvira Sari; Choiriyah, Muladefi; Suryanto, Suryanto; Kumboyono, Kumboyono; Ismail, Dina Dewi Sartika Lestari; Wihastuti, Titin Andri; Habibie, Intan Yusuf; Istifiani, Lola Ayu; Kusumastuty, Inggita; Astari, Asti Melani; Ariska, Hanisa Iis; Rosuli, Ahmad; Pamungkas, Akhmad Yanuar Fahmi; Satrianto, Anang; Hermanto, Andrik; Ariyani, Anita Dwi; Munif, Badrul; Kusumawati, Diana; Rahmawan, Fajri Andi; Damayanti, Fransiska Erna; Prasetyawan, Riyan Dwi; Balqis, Rani Diana; Rudiyanto, Rudiyanto; Supriyanto, Supriyanto; Kawitantri, Orchidara Herning; Agustina, Mulya; Caressa, Dea Amanda; Toga, Erik; Roshanti, Dian; Amanda, Efina; Murdani, Agus Putra
Nursing Information Journal Vol. 4 No. 2 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v4i2.1023

Pendahuluan: Jumlah anak stunting di Desa Paspan, Banyuwangi, masih mengalami peningkatan, sehingga diperlukan optimalisasi upaya pencegahan untuk menghindari dampak negatif terhadap kehidupan anak. Pengetahuan dan persepsi ibu mengenai stunting merupakan faktor penting dalam upaya pencegahan kondisi ini. Tujuan penelitian mengkaji hubungan antara pengetahuan ibu tentang stunting dengan persepsi keluarga terhadap stunting pada ibu yang memiliki anak dengan stunting di Desa Paspan, Banyuwangi. Metode: Penelitian kuantitatif cross-sectional dilakukan di Desa Paspan, Banyuwangi, pada bulan Desember 2022. Kriteria inklusi dan eksklusi digunakan dan didapatkan 26 responden dari 32 populasi ibu anak dengan stunting. Data dikumpulkan melalui kuesioner yang terdiri atas sepuluh pertanyaan tentang pengetahuan mengenai stunting dan sebelas pertanyaan tentang persepsi keluarga mengenai stunting. Uji korelasi gamma, dengan tingkat signifikansi 0,05, digunakan untuk mengkaji hubungan antara dua variabel. Hasil: Mayoritas responden memiliki tingkat pengetahuan yang baik mengenai stunting (96%), sementara 84,6% memiliki persepsi yang cukup terhadap stunting. Hasil analisis uji korelasi gamma menunjukkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan ibu tentang stunting dengan persepsi keluarga terhadap stunting (p = 0,340; r = 1,000). Kesimpulan: Pengetahuan ibu mengenai stunting tidak selalu berkorelasi dengan persepsi keluarga terhadap stunting. Oleh karena itu, upaya pencegahan stunting memerlukan pendekatan holistik yang mempertimbangkan faktor sosial, budaya, dan lingkungan guna meningkatkan pemahaman serta mendorong perubahan perilaku masyarakat.

Screening Diabetic Foot Ulcer using Artificial Intelligence Modelling based on Digital Image Analysis: A Systematic Review Purnama, Avief Destian; Yueniwati, Yuyun; Ismail, Dina Dewi Sartika Lestari; Kristianto, Heri; Irawan, Paulus Lucky Tirma; Rosandi, Rulli; Kapti, Rinik Eko; Anggreni, Ni Kadek Indah Sunar
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43631

Aims: This study conducted a systematic review with the aim of identifying the predictive models used in the development of AI-based digital image analysis in Diabetic Foot Ulcer cases and determining the features and segmentation used in the construction of Diabetic Foot Ulcer screening algorithm models. Methods: A systematic review was conducted by searching articles from ScienceDirect, PubMed, ProQuest, and CINAHL databases using a combination of relevant keywords. The selection process followed the PRISMA guidelines and article quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: A search of the electronic databases produced 374 research articles within the time range of 2019–2024, with an average article quality of 93% (strong). The results of this systematic review show that out of the eight articles, all were involved in developing an AI model, with seven journals developing convolutional neural network models and one journal developing an artificial neural network model. Digital image analysis involved colour segmentation of tissues and areas of Diabetic Foot Ulcer, which can be used for screening. Conclusion: The convolutional neural network AI model was used in two-dimensional digital imaging modalities for patients with diabetic foot ulcers. The development of an accurate prediction model can provide an automated system for assessing and monitoring Diabetic Foot Ulcer.

The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Kartika, Annisa Wuri; Sari, Dewi Purnama; Septian, Angel Dwi; Lallo, Adelina Stefanie; Kurniasari, Rara
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.576

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder marked by hyperglycemia due to insulin resistance or impaired insulin secretion. Dyslipidemia, especially low High-Density Lipoprotein (HDL), contributes significantly to cardiovascular disease risk in T2DM. Glycated hemoglobin (HbA1c) serves as the standard biomarker for long-term glycemic control. Previous studies suggested an inverse relationship between HDL and HbA1c, but results remain inconsistent, and limited evidence exists from Indonesian primary care settings. Purpose: This study aimed to examine the association between HDL cholesterol and HbA1c levels in T2DM patients at a primary healthcare center in Batu City, Indonesia. Methods: An observational analytic study with a cross-sectional retrospective design was conducted. Secondary data were obtained from medical records of T2DM patients at Puskesmas Sisir, Batu City, in July 2025. A total of 79 patients fulfilling inclusion criteria were included through total sampling. Laboratory results of HDL (mg/dL) and HbA1c (%) were analyzed. Spearman’s rank correlation test was used, with significance set at p ≤ 0.05. Results: Among the 79 respondents, most were aged 45–65 years (50.6%) and female (77.2%). The mean HDL level was 45.3 ± 8.2 mg/dL, while the mean HbA1c level was 8.2 ± 1.5%. Correlation analysis indicated a weak negative association between HDL and HbA1c (r = –0.132, p = 0.246). Although higher HDL levels tended to correspond with lower HbA1c values, the relationship was not statistically significant. Conclusions: These findings underscore the critical role of community nurses in integrating routine HbA1c and lipid profile monitoring into T2DM follow-up visits, promoting holistic cardiovascular risk assessment even when individual biomarkers show weak associations.

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