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MENINGKATKAN SKILL PERAWAT DALAM MELAKSANAKAN PERAWATAN LUKA PADA PASIEN DIABETES MELITUS KOTA KEDIRI Karingga, Devangga Darma; Alimansur, Moh
Jurnal Pengabdian Kesehatan Vol. 3 No. 2 (2024): Jurnal Pengabdian Kesehatan (JUPKes) Edisi Juni 2024
Publisher : STIKes Santa Elisabeth Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52317/JUPKes.v3i2.627

Abstract

Diabetes mellitus is a chronic metabolic disease that can cause various serious complications, including diabetic foot ulcers (DFU), which often require intensive treatment and can result in amputation. The global prevalence of DFU reaches 6.3%, with a significant impact on sufferers' quality of life. This community service program aims to improve nurses' skills in caring for diabetic wounds in Kediri City through special training.The methods used in this program include qualitative and quantitative approaches to collect comprehensive data regarding nurses' knowledge and skills before and after training. This program is implemented in several stages: initial survey to identify training needs, development of comprehensive training materials, implementation of theory and practical sessions, as well as program evaluation through pre- and post-training assessments and participant satisfaction surveys.The results show that this training was successful in increasing nurses' knowledge and skills significantly. This increase is manifested in knowledge of how to prevent complications and amputations in DFU patients, as well as high participant satisfaction with the training program. However, obstacles such as limited medical equipment and materials as well as management support in health services still need to be overcome to ensure the continuity and effectiveness of the program in the future.In conclusion, ongoing training is very important to improve the quality of diabetic wound care by nurses, which will ultimately have a positive impact on the outcomes of diabetes patient care.
Perbedaan Efektivitas antara Terapi ROM Aktif dan Pasif terhadap Nilai ABI (Ankle Brachial Index) pada Penderita Neuropati Diabetik Ramayanti, Eva Dwi; Yunalia, Endang Mei; Susmiati, Susmiati; Karingga, Devangga Darma
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

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Abstract

Diabetes Melitus (DM) merupakan penyakit yang dapat menimbulkan Peripheral Artery Disease (PAD). Untuk mendeteksi PAD pada penderita DM tipe 2 dilakukan pemeriksaan Ankle Brachial Index (ABI). Tujuan penelitian ini yaitu mengetahui perbedaan efektivitas antara ROM aktf dan pasif terhadap nilai ABI pada penderita neuropati diabetik dikelurahan Bujel Kota Kediri tahun 2025. Desain penelitiab pre eksperimen Two group desaign dengan metode pre-post dan post-post test design. Populasi penelitian ini yaitu semua penderita neuropati diabetik di kelurahan Bujel kota kediri sebanyak 46 orang dan jumlah sampel di tiap kelompok sebanyak 23 orang menggunakan total sampling. Intervensi yang diberikan yaitu ROM aktif dan pasif pada ekstremitas sebanyak 1 kali setiap hari, selama 2 minggu. Data dikumpulkan dengan mengukur nilai ABI diawal terapi sebagai pre test dan menilai nilai ABI setelah terapi selama 2 minggu sebagai post test. Uji statistik yang digunakan Wilcoxon dan Manwhietney. Hasil penelitian menunjukan sebelum diberikan ROM aktif dan sebelum ROM pasief sebagian besar repsonden mempunyai nilai Abi pada rentang onstruktif ringan sedangkan setelah diberikan terapi ROM kedua kelompok mempunyai ABI normal. Kesimpulan dalam penelitian ini ada pengaruh pemberian terapi ROM baik aktif maupun pasif terhadap nilai ABI pada penderita neuropati diabetik di kelurahan Bujel Kota kediri tahun 2025. Ada perbedaaan efektiviats antara nilai ABI setelah diberikan Rom aktif dan ROM pasif. Responden dengan terapi ROM aktif lebih signifikan mengalami perbaikan nilai ABI daripada responden dengan terapi ROM Pasif. Pada ROM aktif penderita DM bsia lebih leluasa melakukan ROM secara efektif dan efesien sehingga perfusi pada ektrmitas bisa meningkat dimana nilai ABI akan cendering lebih baik.
The Effect of Intervention on Pregnancy with Diabetes Mellitus on Health-Related Quality of Life (HRQoL) Devangga Darma Karingga; Achmad Wahdi; Dewi Retno Puspitosari; Kun Ika Nur Rahayu; Rahma Kusuma Dewi
Journal for Quality in Public Health Vol. 8 No. 2 (2025): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v8i1.534

Abstract

Gestational diabetes mellitus (GDM) is a form of hyperglycemia that develops during pregnancy and is associated with maternal and neonatal complications. Women with GDM face increased risks of cesarean delivery, preeclampsia, and mental health issues, while their infants are more prone to macrosomia, neonatal jaundice, and long-term metabolic disorders. This systematic review evaluates the impact of interventions on the health-related quality of life (HRQoL) of pregnant women with diabetes mellitus. A systematic search in Scopus, SAGE, ScienceDirect, and ProQuest was conducted for studies published between 2021 and 2025, following PRISMA 2023 guidelines. From 611,094 initial records, 36 studies met the inclusion criteria, with five selected for in-depth analysis. The JBI critical appraisal tool was used to assess the validity and reliability of findings. Results indicate that digital health interventions, such as mobile fitness applications, improve adherence to pelvic floor exercises, enhancing physical health. Psychological interventions, including self-transcendence nursing models and cognitive-behavioral therapy, effectively reduce stress and enhance emotional well-being. Cardiovascular monitoring is essential, as GDM increases the risk of cardiac complications. Counseling, both face-to-face and app-based, supports self-care and lowers fasting blood glucose levels. In conclusion, a multidisciplinary approach integrating digital technology, psychosocial support, and cardiovascular monitoring is crucial for optimizing maternal and fetal health. Comprehensive care strategies, supported by policy frameworks, can enhance intervention effectiveness and improve the overall quality of life for women with GDM.
PERAN IBU RUMAH TANGGA DALAM PENANGANAN HIPERTENSI Devangga Darma Karingga; Agnes, Yeni Lufiana Novita; Rahayu, Kun Ika Nur; Wahdi, Achmad; Suharto, Idola Perdana Sulistyoning; Alimansur, Moh
Jurnal LENTERA Vol. 5 No. 2 (2025): Jurnal LENTERA
Publisher : Stikes Yarsi Mataram

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Abstract

Hypertension is one of the most common non-communicable diseases and often goes undetected until it leads to serious complications. In Indonesia, the prevalence of hypertension reaches 34.1%, with most sufferers unaware of their condition. Low awareness and limited family skills-especially among housewives-in managing hypertension is a major contributing factor. This community service activity aimed to improve the knowledge and skills of housewives in managing hypertension within the family setting. The program was implemented in Banyakan Village, Kediri Regency, involving 15 housewives as participants. The methods included socialization, education on hypertension, training on preparing low-sodium menus based on the DASH diet, and the introduction of simple relaxation techniques. Pre-test and post-test evaluations showed an increase in average scores from 46.7 to 80.7. Furthermore, all participants stated that the program was beneficial and enriched their understanding. These results indicate that family-based education is effective in supporting hypertension control. This initiative is expected to contribute to the adoption of healthy lifestyles within families and support national programs such as GERMAS.
Nurse Integrity Through Professional Organization Development in Tulungagung Regency: Integritas Perawat Melalui Pengembangan Organisasi Profesi di Kabupaten Tulungagung Karingga, Devangga Darma; Prasetyawan, Fendy; Purnomo; Fitriani, Evi Tunjung
Journal of Social and Community Service Vol. 3 No. 3 (2024): November 2024
Publisher : Faculty of Engineering University of Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jestmc.v3i3.195

Abstract

Integrity in the nursing profession includes honesty, fairness, responsibility, and commitment to professional ethics. This research aims to improve the integrity of nurses through a community service program that involves collaboration with the Indonesian National Nurses Association (PPNI). This program consists of ethics training and education, drafting and updating a code of ethics, and developing policies that support integrity in nursing practice. The methods used include initial surveys, focus group discussions (FGD), Training of Trainers (ToT) programs, as well as mentoring and counseling. Results showed significant improvements in nurses' understanding and skills regarding integrity, as well as increased institutional support. Post- training evaluations and follow-up surveys showed that most participants reported improvements in implementing integrity principles in daily practice. However, challenges such as high workloads remain and require further attention. This program proves that with the right approach and commitment from all parties involved, improving nurse integrity can be achieved, which will ultimately provide great benefits for patients and the health system.
Imogene King's Theory-Based Telenursing to Improve Medication Compliance in Tuberculosis Patients: Telenursing Tuberculosis Achmad Wahdi; Devangga Darma Karingga; Dewi Retno Puspitosari
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.931

Abstract

Background: Tuberculosis (TB) is an infectious disease with a high health burden that requires patient compliance in taking anti-tuberculosis (ATD) medications. Non-compliance remains a barrier to successful therapy. Telenursing, an information technology-based service innovation, can be utilized to improve patient satisfaction, especially when developed based on Imogene King's nursing theory. Objective: Can telenursing based on Imogene King's theory improve medication adherence in TB patients? Methods: The study used a quasi-experimental design, with an intervention group receiving telenursing services based on Imogene King's theory and a control group receiving health promotion. Data on medication adherence were collected through observation and a medication adherence questionnaire. Data were analyzed using the Wilcoxon Signed Rank test. Results: The study showed that in the intervention group, the majority of respondents (66.6%) or 10 patients had high medication adherence. Conversely, in the control group, the majority of respondents (66.6%) or 10 patients had only moderate medication adherence. This indicates that telenursing based on Imogene King's theory is more effective than conventional health promotion in improving ATD adherence. Conclusion: Telenursing based on Imogene King's theory can improve medication adherence in TB patients through reciprocal interaction, therapeutic communication, and the achievement of shared goals between nurses and patients using the SETIA-TB application. The implementation of telenursing based on abortion theory is recommended to support the success of TB therapy and can serve as an innovative service model in the community.
Implementation of Home Telemedicine in Elderly with Dementia During the Covid-19 Pandemic: A Systematic Review Tazia, M. Ali; Sriyono, Sriyono; Wahyudi, Andri Setya; Karingga, Devangga Darma
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3647

Abstract

Dementia is defined as a decrease in intellectual abilities which can cause changes in behavior, disruption in social life, and disruption in daily activities. Palliative care is a useful solution in the future to improve the quality of life for dementia sufferers during the COVID-19 pandemic. This systematic review aims to find out how the implementation of home telemedicine can become the main choice for elderly people with dementia during the COVID-19 pandemic. A database search was carried out by the PRISMA protocol focusing on Scopus, Proquest, Sage, ScienceDirect, and CINAHL identified based on MeSH-adjusted keywords, and A total of 2440 article journals were identified. Then deletion so that it remains 1086 article journals were reviewed. Then excluded (238) articles from journals based on 5 years, experimental test method with Randomized Controlled Trial design (RCT) and Experiments in language English, full text to be reviewed for feasibility so that 10 articles were obtained for review. From all articles, media innovation is very useful in implementing palliative care because of the various impacts of the global pandemic through the experiences of people with dementia and their care partners. The role of home-based palliative care using home telemedicine can potentially reduce the long-term impact of palliative care. The important role of palliative care integrated with long-distance services in informing health service priorities is to restore the quality of life and health of elderly people with dementia so that they are better prepared to face the future.
EFEKTIVITAS PEMBERIAN TERAPI ROM AKTIF TERHADAP NILAI ABI (ANKLE BRACHIAL INDEX) PADA PENDERITA NEUROPOTI DIABETIK DI KELURAHAN BUJEL KOTA KEDIRI Ramayanti, Eva Dwi; Susmiati, Susmiati; Karingga, Devangga Darma; Wahdi, Achmad
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.28291

Abstract

Diabetes Melitus (DM) merupakan penyakit yang dapat menimbulkan berbagai komplikasi salah satunya yaitu Peripheral Artery Disease (PAD). Untuk mendeteksi adanya PAD pada penderita DM tipe 2 dilakukan pemeriksaan non-invasif yaitu Ankle Brachial Index (ABI). Pada penelitian ini ditemukan banyaknya jumlah penderita DM Tipe 2 yang memiliki nilai ABI di bawah normal dalam kategori obstruksi ringan. Intervensi yang dapat dilakukan untuk meningkatkan nilai ABI yaitu ROM aktif ekstremitas bawah. Tujuan penelitian ini yaitu mengidentifikasi pengaruh ROM aktif terhadap nilai ABI pada penderita DM tipe 2. Penelitian ini menggunakan desain pre eksperimen jenis one group pre eksperimen desaign dengan metode pre-post test design. Populasi penelitian ini yaitu semua pasien lama DM tipe 2 Puskesmas Sukorame yang tidak memiliki ulkus diabetik dan edema kaki sebanyak 24 orang dan jumlah sampelnya 23 orang. Pengambilan sampel menggunakan teknik simple random sampling. Intervensi yang diberikan yaitu ROM aktif ekstremitas bawah sebanyak 1 kali setiap hari, selama 2 minggu. Uji statistik yang digunakan wilcoxon. Hasil penelitian sebelum ROM aktif ekstremitas bawah terdapat 14 responden dalam kategori obstruksi ringan dengan rata-rata nilai ABI 0,80 dan sesudah ROM aktif ekstremitas bawah terdapat 14 responden dalam kategori normal dengan rata-rata nilai nilai ABI 0,91. Hasil uji statistic menunjukkan ada pengaruh latihan ROM aktif ekstremitas bawah terhadap nilai ABI pada penderita DM tipe 2 (pvalue=0,00). HasilĀ  ini diharapkan dapat digunakan sebagai intervensi untuk meningkatkan nilai ABI, sehingga mencegah terjadinya PAD pada penderita DM tipe 2.
PEMBERIAN EDUKASI TENTANG PENTINGNYA IMUNISASI LENGKAP DAN VAKSINASI POLIO Darma Karingga, Devangga; Nikmatul Nikmah, Anis
Jurnal LENTERA Vol. 4 No. 2 (2024): Jurnal LENTERA
Publisher : Stikes Yarsi Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/lentera.v4i2.377

Abstract

Immunization is a public health intervention that is very effective in preventing serious infectious diseases. In this context, polio vaccination plays an important role because polio can cause permanent paralysis and even death. The aim of this activity is to increase knowledge, awareness and community participation about the importance of immunization, especially polio vaccination, through providing accurate information and eliminating misinformation, as well as facilitating access to health services. Method: This service begins with preparation and includes monitoring and evaluation. Where the interventions carried out are counseling, distribution of educational materials, door-to-door visits, and mobile posyandu to the community. Results: there has been a significant increase in knowledge, awareness and positive attitudes of the community towards immunization and polio vaccination. The evaluation showed a 45% increase in knowledge and a supportive change in attitudes. Conclusion: Service activities in Bandar Kidul Village succeeded in increasing the community's knowledge and positive attitudes towards polio immunization. This activity could be a model for other regions and is recommended to be held regularly with structured material and developed for maternal and child health (KIA).
Pengaruh Dukungan Keluarga dan Sosial Pada Peningkatan Status Kesehatan dan Self-Care Managemen Diabetes Melitus: Tinjauan Sistematis Karingga, Devangga Darma; Indah Jayani; Idola Perdana Sulistyoning Suharto; Moh Alimansur; Eva Dwi Ramayanti
Jurnal Keperawatan Florence Nightingale Vol 7 No 1 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i1.189

Abstract

The prevalence of type 2 diabetes mellitus (T2DM) is increasing in low- and middle-income countries, caused by obesity, unhealthy eating patterns, sedentary behavior, and aging. Social support, both from family and friends, is recognized as an important factor in improving health habits and disease management, especially in the case of diabetes. Family education of patients with T2DM can improve self-care behavior and motivation, playing a key role in the concept of family-centered empowerment. This research used a systematic review, where articles were searched in four leading databases, namely Scopus, ProQuest, ScienceDirect, and SAGE, starting from early May 2024. The search was carried out using a combination of keywords and MESH terminology related to family and social support in diabetes mellitus patients. Articles selected for review were then evaluated in depth by researchers using JBI critical appraisal tools to address bias. Based on the selection of articles, a total of 10 articles were deemed appropriate for researchers and stated that they had significant results and statements regarding the influence of family and social support in the self-care management of diabetes mellitus sufferers. Family and social support have an impact on diabetes patients through both face-to-face interventions and telenursing, highlighting the ongoing need for continuous support.
Co-Authors Achmad Wahdi Achmad Wahdi Achmad Wahdi Agnes, Yeni Lufiana Novita Ali Mansur Alimansur, Moh Angeline Bushy Ani Sutriningsih Anis Akhwan Dhafin Bushy, Angeline Dewi Retno Puspitosari Dewi Retno Puspitosari Dwi Dina Romantika Dwi Ramayanti, Eva Eko Winarti Eko Winarti Endang Mei Yunalia Endang Mei Yunalia Endang Mei Yunalia Erik Irham Lutfi Eva Dwi Ramayanti eva ramayanti Evi Tunjung Fitriani Evi Tunjung Fitriani Evi Tunjung Fitriani Fachry Abda El Rahman Farida Farida Fendy Prasetyawan Ferry Efendi Fira Deviyanti Kartikasari Fitriani, Evi Tunjung Hessy Lindia Idola Perdana Sulistyoning Suharto Idola Perdana Sulistyoning Suharto Idola Perdana Sulistyoning Suharto Idola Perdana Sulistyoning Suharto Idola Perdana Sulistyoning Suharto Idola Perdana Sulistyoning Suharto Indah Jayani Indah Jayani Indah Jayani Indah Jayani Indah Jayani Indah Jayani Indah Jayani Indarwati , Retno Ines Septiya Prayogi Intan Munawaroh Kristin Daryanto Kun Ika Nur Rahayu Kun Ika Nur Rahayu Kun Ika Nur Rahayu Kun Ika Nur Rahayu Kurniawati, Ninuk Dian Mei Yunalia, Endang Moh Alimansur Moh. Alimansur Mujtahid Bin Abd. Kadir Nikmatul Nikmah, Anis Nursalam Nursalam Perdana Sulistyoning Suharto, Idola Punomo Punomo Purnomo Purnomo Purnomo Purwaningsih - Puspitosari, Dewi Retno Rahayu, Kun Ika Nur Rahma Kusuma Dewi Rahmad Wahyudi Ratna Mildawati Romantika, Dwi Dina RR. Ella Evrita Hestiandari Sri Haryuni Sri Haryuni Sri Haryuni Sriyono Sriyono Sucipto Sucipto Sulistyoning Suharto, Idola Perdana Susmiati Susmiati Susmiati Susmiati Susmiati Tazia, M. Ali Wahyudi, Andri Setya Widhi Astutik Yeni Lufiana Novita Agnes Yunalia, Endang Mei Yuneka Saristiana