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HUBUNGAN ANTARA UMUR DAN NILAI ANKLE BRAKHIAL INDEKS PADA PENDERITA DIABETES MELITUS suyanto suyanto
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 2 (2020): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v11i2.506

Abstract

Pendahuluan: Penurunan vaskuler perifer dapat dideteksi dengan menilai ankle brakhial indext (ABI). ABI dapat terjadi pada seseorang sejalan dengan meningkatnya umur, terlebih lagi pada pasien diabetes mellitus yang mengalami peningkatan resiko aterosklerosis. Tujuan penelitian ini untuk mengetahui hubungan antara umur dengan nilai ABI pada pasien diabetes mellitus. Metode: Cross sectional design digunakan dalam penelitian ini. Adapun jumlah sampelnya sebanyak 39 responden. Tehnik concecutive sampling digunakan pada penelitian ini dengan kriteria inklusinya adalah semua pasien yang mengalami diabetes mellitus tanpa adanya ulkus diabetikum. Analisis data dilakukan dengan uji product moment dengan tingkat kemaknaan (α ≤ 0,05).Hasil: Rata-rata umur responden adalah 54±7,90 rata-rata nilai ABI adalah 1,08±0,13,. Hasil uji analisis didapatkan tidak ada hubungan antara umur dengan nilai ABI (p value 0,05).Kesimpulan: Banyak faktor yang dapat mempengaruhi nilai ABI pada pasien diabetes mellitus. Faktor utama yang mempengaruhi nilai ABI adalah adanya aterosklerosis yang dikaitkan dengan adanya kolesterol, hiperglikemia kronis. Sehingga perlu adanya penelitian lainnya mengenai hal-hal tersebut yang dihubungkan dengan nilai ABI.
Overview of Daily Living Activities in Patients with Osteoarthritis Afra Qhotrunnada Syifa; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6842

Abstract

Osteoarthritis is a degenerative joint disease that causes cartilage damage, pain, stiffness, and decreased joint function, which can impair patients’ ability to perform Activities of Daily Living (ADL). Limitations in ADL reduce independence and quality of life, particularly among elderly patients. This study aimed to describe the level of ADL independence in patients with osteoarthritis at Sultan Agung Islamic Hospital, Semarang. A categorical descriptive study with a cross-sectional approach was conducted involving 98 respondents selected through stratified random sampling. Data were collected using a modified Barthel Index and analyzed descriptively to determine the distribution of dependency levels. The findings showed that most patients experienced mild dependency, followed by moderate dependency, while only a small proportion were fully independent. The activities most frequently affected were mobility, walking, and stair climbing. These results indicate that osteoarthritis significantly affects functional ability in daily activities. The findings are expected to provide evidence-based information for nursing practice, particularly in planning rehabilitative and supportive interventions aimed at improving functional independence and quality of life in patients with osteoarthritis.
Antiretroviral Therapy Adherence among Patients with HIV/AIDS Tassya Afifah Kustanti; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6843

Abstract

The success of Antiretroviral (ARV) therapy is highly dependent on patients’ discipline in taking medication consistently. Various factors, including self-efficacy, are believed to influence the patient’s ability to maintain treatment routines. Poor adherence can reduce therapeutic effectiveness and increase the risk of treatment failure. This study aims to identify the relationship between self-efficacy with ARV therapy adherence among HIV/AIDS patients. This study employed a cross-sectional design involving 64 respondents at RSMD Soepardjo Roestam Semarang. Data were collected using questionnaires and analyzed with the Chi-Square test. Most respondents had low self-efficacy (51,6%), and low ARV therapy adherence (54,7%). Moderate adherence was found in 25% of respondents, while high adherence was found in 20,3%. Statistical analysis showed no significant relationship between ARV adherence (p = 0,291), nor between self-efficacy and adherence (p = 0,566). Other external factors are presumed to influence patients’ adherence levels. and self-efficacy were not significantly associated with ARV therapy adherence among HIV/AIDS patients.
The Relationship between Glycemic Control and Peripheral Neuropathy in Patients with Type 2 Diabetes Mellitus Nasya Amelia Putri; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6844

Abstract

People with diabetes mellitus are prone to various complications, uncontrolled blood sugar increases the risk of peripheral neuropathy. The purpose of this study is to determine the relationship between blood sugar control and peripheral neuropathy in patients with type 2 diabetes mellitus. This study employed a quantitative, non-experimental design with a correlational approach. Data were collected using monofilament examinations and a review of medical records. The study involved 104 participants recruited via purposive sampling. Subsequently, data analysis was performed using the Chi-Square test to determine statistical significance. The results of the univariate analysis mostly had characteristics of late elderly at 32,7%, housewife occcupation at 35,6%, BMI indicating overweight at 47,1%, stage 1 hypertension with systolic blood pressure at 35,6%, and stage 2 hypertension with diastholic blood pressure at 31,7%. Uncontrolled blood glucose was 73%, and peripheral neuropathy was 81%. Bivariate analysis yielded a p-value of 0.001 (p < 0.05), indicating a statistically significant relationship between blood sugar control and peripheral neuropathy in patients with Type 2 Diabetes Mellitus.
The Relationship Between Family Support and Treatment Adherence Among Patients With Tuberculosis Urnila Afriliani; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6845

Abstract

Tuberculosis is an infectious disease that requires long-term treatment and high compliance to ensure recovery. Family support is a crucial external factor that can influence patient behavior in completing the treatment regimen. This study aims to determine the relationship between family support and the level of medication adherence in tuberculosis patients at Soepardjo Roestam Regional General Hospital and Welahan 1 Community Health Center. The study used a descriptive analytical design with a cross-sectional approach . Data were collected through a family support questionnaire and the MMAS-8 ( Morisky Medication Adherence Scale ) questionnaire and analyzed using the chi-square test . The results showed that most respondents received good family support and had a high level of medication adherence. The results of the bivariate analysis showed a significant relationship between family support and medication adherence. The conclusion of this study is that optimal family support significantly increases medication adherence in tuberculosis patients, which is very important to prevent therapy failure and drug resistance.
Fatigue Characteristics in Patients with Type 2 Diabetes Mellitus and Diabetic Ulcer Complications Liya Maya Listianah; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6847

Abstract

Introduction: Fatigue is a common complaint in individuals with type 2 DM accompanied by diabetic ulcers due to metabolic disorders, chronic pain, and limited activity. This condition can last for a long time and have an impact on the patient's physical and psychological function. This study aims to describe the characteristics of Fatigue in patients with type 2 diabetes mellitus who experience complications of diabetic ulcers. Methodology: This study used an analytical descriptive design with a cross-sectional approach, involving 133 respondents as a sample obtained through purposive sampling techniques. The research instrument used Multidimensional Fatigue Inventory-20 (MFI-20). Data analysis was carried out descriptively using frequency distribution and descriptive statistics. Results: The mean age of the respondents was 57.64 years (95% CI 56.63–58.65). Most of the respondents were female (55.6%), had diabetes for more than 5.56 years, had a junior high school education level (31.6 %), and the majority of the job types did not work (27.8%). As many as 72.9% of respondents experienced Fatigue . Discussion: The characteristics of type 2 diabetes mellitus patients with diabetic ulcers who experience Fatigue show variations based on age, sex, education level, type of occupation, and length of illness. The condition of diabetic ulcers contributes to increased Fatigue through limited mobility, pain, and psychological stress.
The Relationship between Physical Activity and Quality of Life in Patients with Congestive Heart Failure (CHF) Aliya Marsiana; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6848

Abstract

Background: Maintaining long-term regular physical activity is crucial for several weeks. Unfortunately, only 10% of patients benefit from cardiac rehabilitation programs after hospitalization for acute heart failure, and the majority of patients do not pursue long-term physical activity. The purpose of this study was to determine the relationship between physical activity and quality of life in CHF patients at Sultan Agung Islamic Hospital, Semarang. Method: This study was a quantitative study using a cross-sectional design. Data collection was conducted using a questionnaire. A total of 108 respondents were selected using a purposive sampling technique. The data obtained were analyzed statistically using the chi-square test. Result: Based on the analysis, it was found that of the 108 respondents, the average age was 55 years, the average diagnosed with CHF for 3 years, with the characteristics of the majority of male gender, namely 66.7%, the last education was high school level as much as 56.6%, and the majority worked as private employees as much as 47.2%. The results also showed that 65.7% of respondents had moderate activity, 27.8% had light activity and 6.5% had heavy activity. A total of 61.1% of respondents had a good quality of life, 31.5% had a moderate quality of life, and 7.4% had a poor quality of life. Conclusion: There is a significant relationship between physical activity and quality of life (p-value <0.05).
The Effect of Combined Cutaneous Stimulation (Massage) and Lavender Aromatherapy on Sleep Quality in Patients with Diabetes Mellitus Sugiyarti Sugiyarti; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6850

Abstract

Diabetes Mellitus (DM) is a chronic disease often accompanied by sleep disturbances, which can worsen the patient's physiological and psychological conditions. Non-pharmacological interventions such as cutaneous stimulation and lavender aromatherapy are known to increase relaxation and improve sleep quality. This study aims to determine the effect of a combination of cutaneous stimulation and lavender aromatherapy on the sleep quality of DM patients. This study used a pre-experimental design with a one-group pretest–posttest approach in 38 outpatient DM patients selected using a purposive sampling technique. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The intervention was administered for seven consecutive days. Data analysis was performed using the Wilcoxon Signed Ranks Test. The results showed that before the intervention, most respondents had poor sleep quality (97.4%), whereas after the intervention, the majority of respondents experienced an improvement in sleep quality to good (81.6%). The Wilcoxon test results showed a p value = 0.001 (p < 0.05), indicating a significant difference between PSQI scores before and after the intervention. Thus, the combination of cutaneous stimulation and lavender aromatherapy has been proven effective in improving the sleep quality of Diabetes Mellitus patients.
The Relationship between Fatigue and Sleep Quality in Patients with Congestive Heart Failure (CHF) Amrina Rosada; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6851

Abstract

Congestive Heart Failure (CHF) is a chronic cardiovascular condition characterized by the heart’s inability to pump sufficient blood to meet the body’s metabolic demands, leading to various physical and functional disturbances. Among the most frequently reported symptoms in patients with CHF are fatigue and impaired sleep quality, both of which may negatively affect daily functioning and quality of life. This study aimed to examine the relationship between fatigue and sleep quality in patients with Congestive Heart Failure. A quantitative study with a cross-sectional design was conducted at Sultan Agung Islamic Hospital, Semarang, from September to November 2025. A total of 163 patients with CHF were recruited using a sampling technique based on the Isaac and Michael formula. Data were collected using the Fatigue Severity Scale (FSS) to measure fatigue levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, supported by medical record data. Statistical analysis was performed using the Chi-Square test. The results showed that most respondents were male (52.8%), aged 56–65 years (25.1%), and had been diagnosed with CHF for approximately two years (33.1%). More than half of the patients experienced high levels of fatigue (54.6%), while the majority reported poor sleep quality (71.2%). The Chi-Square test revealed a statistically significant relationship between fatigue and sleep quality in patients with CHF (p = 0.001; p < 0.05). This study concluded that low and high fatigue affect sleep quality in CHF patients.  The study highlights the importance of comprehensive nursing care that includes early assessment and management of fatigue and sleep disturbances to improve patient well-being and support optimal clinical outcomes.
Edukasi Berbasis Digital tentang Pengetahuan Pasien Penyakit Ginjal Kronis (PGK) Dengan Terapi Hemodialisis: Tinjauan Literatur Ekawati Ekawati; Erna Melastuti; Suyanto Suyanto
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41889

Abstract

In the era of technology, providing digital-based education through the concept of applications by displaying theories or videos is one of the many results of technological advances that can be used as an interesting means of health education. This literature review aims to see the effectiveness of digital-based education in increasing the knowledge of chronic kidney disease (CKD) patients with hemodialysis therapy. The design used is a literature review. The search for articles in this study was through online databases that can be accessed via Google Scholar, Science Direct, Scopus, Elseiver and PubMed using keywords and Boolean Operators. Based on the results of the review of 10 selected journals, it was concluded that interventions by providing digital-based education and applications can effectively increase the knowledge of chronic kidney disease (CKD) patients with hemodialysis therapy. It is hoped that the provision of digital-based education and this application can be developed and used by health institutions and patients.