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Translation and Validity Content Testing of The Quality Clincial Placement Evaluation Instrument Ilfanty, Ananda Rafa; Yusanti, Irma; Anna, Anastasia
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64563

Abstract

Clinical learning environments are fundamental to nursing education, and their quality must be systematically evaluated. The Quality Clinical Placement Evaluation (QCPE) instrument is widely used to assess clinical placements; however, an Indonesian version has not been previously available. This study aimed to translate, culturally adapt, and assess the content validity of the QCPE instrument in the Indonesian context. A methodological study was conducted using a structured translation process comprising forward translation, synthesis, backward translation, and developer review to ensure conceptual equivalence. Content validity was evaluated by three Nursing Professional Practice experts who assessed each item for relevance, clarity, and essentiality. Quantitative analysis was performed using the Item Content Validity Index (I-CVI), Scale Content Validity Index (S-CVI/UA and S-CVI/Ave), and Content Validity Ratio (CVR). The Indonesian QCPE demonstrated good content validity. Most items achieved an I-CVI of 1.00, indicating high relevance. S-CVI/ UA values ranged from 0.82 to 0.95, and S-CVI/Ave values ranged from 0.94 to 0.98, reflecting strong overall agreement among experts. CVR values ranged from 0.33 to 1.00. One item from each questionnaire was removed due to limited relevance to the Indonesian nursing education context, resulting in a final version with 20 items for the Professional Student Questionnaire and 16 items for the Supervisory Nurse Questionnaire. The Indonesian version of the QCPE instrument demonstrates strong content validity and is suitable for evaluating clinical learning environments. Further studies are recommended to establish construct validity and reliability prior to widespread use.Keywords: Content Validity, Clinical Learning Environment, Cross-Cultural Adaptation, Nursing Education
TELEHEALTH-BASED PSYCHOSOCIAL SUPPORT FOR WOMEN WITH BREAST CANCER: A NARRATIVE REVIEW Nuraeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12366

Abstract

Breast cancer is one of the most common malignancies among women worldwide and is associated with multidimensional burdens throughout the disease trajectory, including diagnosis, treatment, and survivorship. Beyond physical symptoms, women with breast cancer frequently experience psychosocial problems such as anxiety, depression, emotional distress, and impaired quality of life, which may persist even after active treatment and influence treatment adherence and long-term outcomes. Conventional psychosocial support is typically delivered through face-to-face interactions; however, access to such services is often limited by geographical, temporal, and resource-related constraints. Telehealth has emerged as a promising approach to support psychosocial care by utilizing information and communication technologies to deliver health services remotely. In the context of breast cancer, telehealth encompasses various modalities, including mobile health applications, web-based platforms, teleconsultations, text messaging, and remote monitoring systems. Recent developments also indicate a growing integration of artificial intelligence, such as chatbots and conversational agents, to enhance information delivery and emotional support. This narrative review aims to critically discuss the role of telehealth in providing psychosocial support for women with breast cancer. Relevant literature was identified through searches of major scientific databases and analyzed descriptively to explore psychosocial challenges, telehealth concepts, and potential benefits for mental health and patient engagement. The findings suggest that telehealth may contribute to improved access to psychosocial support, enhanced coping, and increased patient involvement in care, although evidence remains heterogeneous across intervention types and outcomes. Telehealth should be considered a complementary approach within holistic breast cancer care, with careful attention to individual needs, digital literacy, and implementation context.  
The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community Trisyani , Yanny; Emaliyawati, Etika; Nuraeni, Aan; Anna , Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu; Sugiharto, Firman
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.740

Abstract

Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.
Faktor-Faktor yang Berhubungan dengan Keterlambatan Kedatangan Pasien Penyakit Jantung Koroner: Sebuah Scoping Review Ali, Samin M.; Anna, Anastasia; Emaliyawati, Etika
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21140

Abstract

ABSTRAK Keterlambatan kedatangan pasien dengan penyakit jantung koroner (PJK) ke rumah sakit menjadi masalah utama dalam penanganan medis yang tepat waktu. Keterlambatan ini dapat mengakibatkan kerusakan jantung permanen, tingginya angka kematian, dan morbiditas jangka panjang. Namun, faktor-faktor yang menyebabkan keterlambatan ini sering kali kompleks dan berkaitan dengan berbagai aspek seperti sosial demografis, akses ke layanan kesehatan, dan perilaku kesehatan pasien. Untuk mengeksplorasi faktor-faktor yang berhubungan dengan keterlambatan kedatangan pasien penyakit jantung koroner.  Penelitian ini menggunakan scoping review berdasarkan kerangka Arksey dan O’Malley serta panduan PRISMA-ScR. pencarian artikel yang dilakukan di tiga database yaitu CINAHL, PubMed, Scopusdan search engine google scholar. Kata kunci yang digunakan meliputi "factors", "delay", "coronary heart disease", "myocardial infarction", dan "pre-hospital delay". Kriteria inklusi mencakup artikel yang diterbitkan dalam bahasa Inggris atau bahasa indonesia antara tahun 2015-2025 dan membahas faktor-faktor yang mempengaruhi keterlambatan kedatangan pasien dengan penyakit jantung koroner. Pertanyaan penelitian utama adalah; Apa saja faktor-faktor yang berhubungan dengan keterlambatan kedatangan pasien dengan penyakit jantung koroner?. Terdapat 12 artikel yang memenuhi kriteria inklusi dan membahas faktor-faktor yang berhubungan dengan keterlambatan kedatangan pasien dengan penyakit jantung koroner. Temanya meliputi sosial demografis, gejala klinis, akses ke layanan kesehatan, perilaku kesehatan, dan faktor budaya. Faktor-faktor utama yang ditemukan meliputi jenis kelamin, usia, tingkat pendidikan, status sosial ekonomi, akses transportasi, serta kesadaran gejala penyakit jantung. Faktor-faktor ini berhubungan dengan kurangnya pemahaman tentang gejala atau peran gender dalam pengambilan keputusan medis, serta keterbatasan akses ke layanan medis yang memadai, terutama di daerah pedesaan. Keterlambatan kedatangan pasien dengan penyakit jantung koroner dipengaruhi oleh berbagai faktor yang saling terkait. Untuk mengurangi keterlambatan, diperlukan pendidikan masyarakat tentang gejala penyakit jantung, serta peningkatan akses ke layanan kesehatan dan perbaikan sistem transportasi medis. Kata Kunci: Faktor, Keterlambatan Kedatangan, Penyakit Jantung Coroner. ABSTRACT Delayed hospitalization of patients with coronary heart disease (CHD) is a major obstacle to timely medical care. This delay can result in permanent heart damage, high mortality, and long-term morbidity. However, the factors causing this delay are often complex and related to various aspects such as sociodemographics, access to healthcare, and patient health behaviors. To explore factors associated with delayed hospitalization for patients with coronary heart disease, this study used a scoping review based on the Arksey and O'Malley framework and the PRISMA-ScR guidelines. Articles were searched in three databases: CINAHL, PubMed, Scopus, and the Google Scholar search engine. Keywords used included "factors," "delay," "coronary heart disease," "myocardial infarction," and "prehospital delay." Inclusion criteria included articles published in English or Indonesian between 2015 and 2025 that discussed factors influencing delayed hospitalization for patients with coronary heart disease. The primary research question was: What are the factors associated with late arrival of patients with coronary heart disease?. Twelve articles met the inclusion criteria and discussed factors associated with delayed arrivals for patients with coronary heart disease. The topics covered sociodemographics, clinical symptoms, access to healthcare, health behaviors, and cultural factors. Key factors identified included gender, age, education level, socioeconomic status, access to transportation, and awareness of heart disease symptoms. These factors are associated with a lack of understanding of symptoms or the role of gender in medical decision-making, as well as limited access to adequate medical services, particularly in rural areas. Delayed arrivals for patients with coronary heart disease are influenced by various interrelated factors. To reduce delays, public education about heart disease symptoms, increased access to healthcare, and improvements to medical transportation systems are needed. Keywords: Factors, Delayed Arrivals, Coronary Heart Disease.
Depresi Pada Pasien dengan Penyakit Jantung Koroner yang mengalami Left Ventricular Ejection Fraction Rendah : A Scoping Review Abdullah, Dirman; Anna, Anastasia; Nuraeni, Aan
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21468

Abstract

ABSTRACT Depression is one of the most common psychological comorbidities in patients with coronary heart disease, but research on patients with low left ventricular ejection fraction remains limited. This condition can worsen clinical prognosis and reduce patients' quality of life. This review aims to identify depression in coronary heart disease patients with low left ventricular ejection fraction. This study used a scoping review design. Literature searches were conducted in three main databases, namely EBSCOhost, PubMed, and ScienceDirect, as well as one additional search engine, Google Scholar. The keywords used included: “coronary heart disease OR myocardial infarction OR acute coronary syndromes OR unstable angina AND Low Left Ventricular Ejection Fraction OR Low LVEF AND Depression”. Inclusion criteria included: (1) studies involving patients with coronary heart disease, (2) studies evaluating the relationship between left ventricular ejection fraction and symptoms of depression, and (3) publications in English or Indonesian. Data analysis was performed using descriptive qualitative methods. A total of 707 studies were found in the literature search, which were then selected based on their titles and abstracts. A total of 7 out of 707 articles were analyzed in this review. Four of the seven studies reported that low left ventricular ejection fraction was associated with increased symptoms of depression in patients with coronary heart disease, especially after myocardial infarction. Meanwhile, the other two studies stated that there was no direct relationship but rather the influence of other factors such as social support and psychological history. Depression is a common condition in patients with coronary heart disease. Patients with coronary heart disease with low left ventricular ejection fraction are closely related to an increased risk of depression in CHD patients, and both worsen the clinical prognosis. Early detection and integrated management of depression are crucial for improving patients' quality of life and cardiovascular outcomes. A comprehensive approach encompassing pharmacological and psychosocial interventions has proven to be the most effective strategy for addressing depression in CHD patients. Keywords: Depression, Low Left Ventricular Ejection Fraction, Coronary Heart Disease.  ABSTRAK Depresi merupakan salah satu komorbid psikologis yang umum terjadi pada pasien dengan penyakit jantung koroner, namun penelitian pada pasien dengan left ventricular ejection fraction rendah masih sangat terbatas. Kondisi ini dapat memperburuk prognosis klinis dan menurunkan kualitas hidup pasien. Review ini bertujuan untuk mengidentifikasi depresi pada pasien penyakit jantung koroner yang mengalami left ventricular ejection fraction rendah. Studi ini menggunakan desain scoping review. Pencarian literatur dilakukan pada tiga database utama, yaitu EBSCOhost, PubMed, dan ScienceDirect, serta satu mesin pencari tambahan, Google Scholar. Kata kunci yang digunakan mencakup: “coronary heart disease OR myocardial infarction OR acute coronary syndromes OR unstable angina AND Low Left Ventricular Ejection Fraction OR Low LVEF AND Depression”. Kriteria inklusi meliputi: (1) studi yang melibatkan pasien dengan penyakit jantung koroner, (2) studi yang mengevaluasi hubungan antara left ventricular ejection fraction dan gejala depresi, serta (3) publikasi dalam bahasa Inggris atau Indonesia. Analisis data dilakukan secara deskriptif kualitatif. Pencarian literature didapatkan total sebanyak 707 studi yang kemudian diseleksi judul dan abstrak. Sebanyak 7 dari 707 artikel  dianalisis pada review ini. 4 dari 7 studi melaporkan bahwa left ventricular ejection fraction rendah berhubungan dengan meningkatnya gejala depresi pada pasien penyakit jantung koroner, terutama pasca-infark miokard. Sedangkan, dua studi lainnya menyatakan tidak adanya hubungan langsung melainkan pengaruh faktor lain seperti dukungan sosial dan riwayat psikologis. Depresi merupakan kondisi yang umum terjadi pada pasien penyakit jantung koroner. Pasien penyakit jantung koroner dengan tingkat left ventricular ejection fraction rendah berkaitan erat dengan peningkatan risiko depresi pada pasien PJK, dan keduanya saling memperburuk prognosis klinis. Deteksi dini dan manajemen depresi secara terintegrasi sangat penting untuk meningkatkan kualitas hidup dan hasil kardiovaskular pasien. Pendekatan komprehensif yang mencakup intervensi farmakologis dan psikososial terbukti menjadi strategi yang paling efektif dalam mengatasi depresi pada pasien PJK. Kata Kunci: Depresi, Left Ventricular Ejection Fraction Rendah, Penyakit Jantung Koroner.
Penerapan Bundle Keperawatan untuk Pencegahan Komplikasi pada Pasien Stroke Hemoragik dengan Prolonged Ventilator: A Case Study Sesilia, Fitri; Kosasih, Cecep Eli; Anna, Anastasia
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.22965

Abstract

ABSTRACT Hemorrhagic stroke is a neurological emergency with higher mortality and morbidity rates compared to ischemic stroke. Patients with extensive bleeding often require prolonged mechanical ventilation, which increases the risk of complications such as ventilator-associated pneumonia (VAP), pressure ulcers, and respiratory muscle weakness. Although international guidelines recommend bundle-based prevention strategies, their implementation still varies across healthcare facilities. A 67-year-old female patient with a diagnosis of post-craniectomy decompression due to spontaneous intracerebral hemorrhage in the right basal ganglia was admitted to the ICU. The patient underwent treatment with a prolonged ventilator for 38 days. Nursing interventions included a VAP prevention bundle (head-of-bed elevation, aseptic suctioning with pre-oxygenation, chest physiotherapy, nebulization, and oral hygiene), repositioning every two hours using a pressure-relieving mattress, passive mobilization, cuff pressure monitoring every eight hours, and provision of enteral nutrition according to daily calorie and protein targets. During 38 days of ICU care, the patient showed no clinical or radiological signs of pneumonia. Chest X-ray and sputum culture confirmed the absence of pulmonary infection. The patient also did not develop pressure ulcers, maintained oxygen saturation within the range of 95–99%, had reduced sputum production, and remained hemodynamically stable. The patient was deemed fit to be transferred to the neurology ward to continue therapy. This report demonstrates that consistent implementation of a nursing bundle is effective in preventing complications in patients with hemorrhagic stroke requiring prolonged ventilation, and highlights the importance of nurse compliance in maintaining the quality of critical care. Keywords: Complication Prevention, Hemorrhagic Stroke, Nursing Bundle, Nursing Strategy, Prolonged Ventilator.  ABSTRAK Stroke hemoragik merupakan kegawatdaruratan neurologis dengan angka mortalitas dan morbiditas lebih tinggi dibandingkan stroke iskemik. Pasien dengan perdarahan luas sering membutuhkan ventilasi mekanik jangka panjang yang meningkatkan risiko komplikasi, seperti ventilator-associated pneumonia (VAP), luka tekan, dan kelemahan otot pernapasan. Meskipun pedoman internasional merekomendasikan strategi pencegahan berbasis bundle, implementasinya masih bervariasi antar fasilitas kesehatan. Seorang pasien perempuan berusia 67 tahun dengan diagnosis post-craniectomy decompression akibat perdarahan intraserebral spontan pada basal ganglia kanan dirawat di ICU. Pasien menjalani perawatan dengan prolonged ventilator selama 38 hari. Intervensi keperawatan difokuskan pada pencegahan komplikasi, meliputi: (1) bundle pencegahan VAP (elevasi kepala, suction aseptik dengan pre-oksigenasi, fisioterapi dada, nebulisasi, dan oral hygiene); (2) reposisi tiap dua jam dengan pressure-relieving mattress; (3) mobilisasi pasif dan latihan pernapasan sederhana untuk mempertahankan fungsi otot pernapasan; (4) pemantauan cuff pressure setiap delapan jam (20–30 cmH₂O) untuk mencegah aspirasi; serta (5) pemberian nutrisi enteral sesuai target kalori dan protein dengan posisi kepala elevasi. Selama 38 hari perawatan di ICU, pasien tidak menunjukkan tanda klinis maupun radiologis VAP. Foto toraks dan kultur sputum mendukung tidak adanya infeksi paru. Pasien juga tidak mengalami luka tekan, saturasi oksigen stabil pada kisaran 95–99%, produksi sputum berkurang, serta kondisi hemodinamik tetap stabil. Pasien dinilai layak dipindahkan ke ruang perawatan neurologi untuk melanjutkan terapi. Laporan kasus ini menggambarkan bahwa penerapan bundle keperawatan secara konsisten dapat membantu mencegah komplikasi pada pasien stroke hemoragik dengan prolonged ventilator. Laporan kasus ini juga menekankan pentingnya kepatuhan perawat dalam melaksanakan intervensi berbasis bukti untuk mendukung stabilitas klinis pasien kritis. Kata Kunci: Bundle Keperawatan, Pencegahan Komplikasi, Prolonged Ventilator, Strategi Keperawatan, Stroke Hemoragik.
Translasi dan Uji Validitas Isi Questionnaire on Satisfaction with Clinical Practice for Students Yusanti, Irma; Anna, Anastasia; Priambodo, Ayu Prawesti
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.22771

Abstract

ABSTRACT Student satisfaction is one of the main indicators in evaluating the effectiveness of clinical learning. Assessing nursing students' satisfaction with clinical learning is a crucial aspect in evaluating the quality of nursing education. However, to date, there is still limited availability of standardized, valid, and reliable instruments or questionnaires in Indonesian that specifically measure nursing students' satisfaction with clinical learning, particularly regarding clinical practice. To translate and validate the content of the Questionnaire on Satisfaction with Clinical Practice for Students (QSCP-S) into an Indonesian version to ensure that the questionnaire items retain their original conceptual meaning and are relevant to the Indonesian context. This process included forward translation, backward translation, expert review, and content validity testing. The translation process was carried out by six translators, and the content validity test was conducted by seven nursing experts. Data were analyzed using I-CVI, S-CVI/UA, S-CVI/Ave, and CVR to determine the relevance, clarity, and essentiality of the instrument. The recommended I-CVI and CVR values are 0.78. The scores for the 23 items in the Indonesian version of the QSCP-S questionnaire were: relevance (I-CVI) 0.86-1.00; S-CVI/Ave 0.98; S-CVI/UA 0.91; clarity (S-CVI/Ave 0.87); and essentiality (CVR 1.00). The Indonesian version of the QSCP-S questionnaire demonstrated good validity. The items were revised based on the expert's suggestions and recommendations, with the original questionnaire remaining at 23 items. Keywords: Clinical Practice, Content Validity Test, Student Satisfaction, Translation.  ABSTRAK Kepuasan mahasiswa merupakan salah satu indikator utama dalam mengevaluasi efektivitas pembelajaran klinik. Penilaian terhadap kepuasan mahasiswa keperawatan dalam pembelajaran klinik merupakan aspek krusial dalam evaluasi mutu pendidikan keperawatan. Namun, hingga saat ini, masih terdapat keterbatasan dalam ketersediaan instrumen atau kuisioner yang terstandarisasi, valid dan reliabel dalam bahasa Indonesia yang secara spesifik mengukur kepuasan mahasiswa keperawatan terhadap pembelajaran klinik khususnya tentang praktik klinik. Translasi dan validitas isi Questionnaire on Satisfaction with Clinical Practice for Students (QSCP-S) ke dalam versi bahasa Indonesia untuk menjamin butir-butir kuisioner mempertahankan makna konseptual aslinya dan relevan dengan konteks Indonesa. Proses ini mencakup tahapan forward translation, backward translation, expert review, dan uji validitas isi (content validity). Proses translasi dilakukan oleh 6 penerjemah dan uji validitas isi oleh 7 orang expert di bidang keperawatan. Data dianalisis dengan I-CVI, S-CVI/UA, S-CVI/Ave dan CVR untuk mengetahui relevansi, kejelasan dan essensialitas instrumen. Nilai I-CVI dan CVR yang direkomendasikan 0,78. Nilai dari 23 item pernyataan dalam kuisioner QSCP-S versi Bahasa Indonesia adalah relevansi I-CVI 0.86-1.00;S-CVI/Ave 0.98; S-CVI/UA 0.91, kejelasan S-CVI/Ave 0.87, esensialitas CVR 1.00. Kuisioner QSCP-S versi Bahasa Indonesia menunjukkan uji validitas kategori baik, item-item dalam kuisioner direvisi sesuai saran dan rekomendasi penilai (expert) dan dipertahankan berjumlah 23 item sama seperti kuisioner versi aslinya. Kata Kunci: Kepuasan Mahasiswa, Praktik Klinik, Translasi, Uji Validitas Isi.
Mengatasi Hiperglikemia Kronis Menggunakan Herbal untuk Menangani Diabetes Mellitus Tipe 2: Laporan kasus uluwiyya, rahma; Anna, Anastasia; Nuraeni, Aan
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.69154

Abstract

Pengelolaan diabetes melitus mencakup 5 pilar yaitu edukasi, terapi nutrisi medis, aktivitas fisik, terapi farmakologi, serta pemantauan kadar glukosa darah mandiri. Dalam praktiknya masih banyak pasien yang belum menjalankan tata laksana diabetes secara menyeluruh sehingga menyebabkan hiperglikemia kronis yang akan memicu komplikasi makrovaskular yaitu Acute Limb Ischemia. Penelitian ini menggunakan metode laporan kasus yang bertujuan untuk melaporkan kasus pasien dengan diabetes mellitus tipe 2 selama 32 tahun yang mengalami komplikasi Acute Limb Ischemia karena pengelolaan diabetes mellitus yang tidak tepat sebelum masuk rumah sakit. Pasien perempuan berusia 58 tahun didiagnosa mengalami Acute Limb Ischemia. Pasien memiliki riwayat penyakit diabetes melitus tipe 2 selama 32 tahun. Pasien hanya berpuasa serta mengonsumsi obat herbal berbentuk kapsul yang mengandung jahe, kunyit, kayu manis serta ekstrak daun insulin untuk mengontrol kadar gula darahnya. Manajemen lima pilar diabetes yang tidak tepat pada pasien diabetes seperti kurangnya edukasi kesehatan, pemantauan gula darah, penggunaan farmakoterapi, pola makan sehat, dan aktivitas fisik, mengakibatkan hiperglikemia kronis yang tidak terkontrol, sehingga dapat terjadi komplikasi akut berupa acute limb ischemia. Obat herbal yang digunakan pasien secara teori dapat membantu menurunkan gula darah, namun tanpa disertai dengan lima pilar manajemen diabetes secara bersamaan, hasilnya tidak cukup ampuh untuk mengontrol kadar glukosa darah. Pengobatan herbal tanpa disertai dengan pengelolaan diabetes mellitus lima pilar secara optimal tidak dapat mencegah terjadinya komplikasi akut berupa Acute Limb Ischemia.
Co-Authors Aan Nur&#039;aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Abdullah, Dirman Aldri Frinaldi Ali, Samin M. Andrianthi, Salsyah Anita Setyawati Asmara, A Danang Atlastieka Praptiwi Audly, Tazkia Badliana Barkah Waladani Cecep Eli Kosasih Deris Riandi Setiawan Donny Mahendra Donny Nurhamsyah Dos Reis , Silvestre Endah Setianingsih Eryani, Theresia Etika Emaliyawati Evangelista, Gabriela Fauziah, Oktaviani Febianti, Ranti Findhya Rachma Pravidanti Freitas, Lurdes A Heni Dwi Windarwati Henik Tri Rahayu Henny Suzana Mediani Heriyansyah, Heriyansyah Ikeu Nurhidayah Ilfanty, Ananda Rafa Irfandi Rahman Jessica Jessica Larashati, Defa Lesmana, Hendy Lin, Mei-Feng Linlin Lindayani Linlin Lindayani Marlynda Triana Megawati, Sri Wulan Mudiyanselage, Sriyani Padmalatha Konara Nai-Ying Ko Nehemia Simanjuntak Neli Hartini Nintyas, Felantina Restyar Noya, Fricilia Nur Aini Nuraeni, Aan Nursiswati Nur’aeni, Aan Oktafianti, Mutiara Annisa Oktavia Nu razizah Jain Pebianti, Ranti Plita Muliahati Pravidanti, Findhya Rachma Priambodo, Ayu Prawesti Puji Rahayu Rahmah Tresnala Rahmi Harlasgunawan , Alia Reza Ariyanur Rian Nugraha Risnandar, Mochammad Wisnu Ristina Mirwanti Ristina Mirwanti Rizki Mardhotulloh Syarief Rizkiani Tri Ramdani Rosi Handayani Sari, Wulan Puspita Septi Rizki Amaliyah Sesilia , Fitri Sesilia, Fitri Setianingsih - Setianingsih, Endah Shasqia Novelia Dingri Sheren Yolavia Soleha, Nisa Cahya Sri Susilaningsih Sugiharto, Firman Susilaningsih, Sri Sutisnu, Ajeng Andini Syifanaurah, Salma Taty Hernawaty Tri Wahyu M Tri Wahyu Murni Trisyani , Yanny Tutu April Ariani Ulfah Nasti Wiliastuti Uluwiyya, Rahma Valentina B.M Lumbantobing, Valentina B.M Waladani, Barkah Wiliastuti, Ulfah Nasti Yanny Trisyani Ying-Chin Liao Yuli Wahyuni Yusanti, Irma