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The Relationship of Knowledge and Family Support with the Compliance of the Diet of Patients with Diabetes Mellitus M Ramadhani Firmansyah; Lisa Rizky Amalia; Rahayu Tri Nuritasari; Ana Fitria Nusantara; Yoanita Hijriyati
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 2 No. 3 (2025): September, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v2i3.178

Abstract

Diabetes mellitus (DM) is a chronic disease requiring long-term management, particularly through adherence to dietary recommendations to maintain blood glucose stability and prevent complications. Nevertheless, many patients show poor compliance with dietary guidelines. This study aimed to determine the relationship between patients’ knowledge, family support, and dietary adherence in DM management. A quantitative cross-sectional design was employed with 75 outpatients at Ambacang Health Center, selected through purposive sampling. Data collection used standardized and validated questionnaires, and analysis was performed using the chi-square test. The results demonstrated significant associations between knowledge and dietary compliance (p = 0.012) as well as between family support and dietary compliance (p = 0.001). Patients with higher knowledge and stronger family support were more likely to adhere to dietary recommendations. These findings emphasize the importance of educational interventions involving both patients and families. Family support in emotional, motivational, and practical aspects enhances commitment to following dietary plans. In conclusion, adequate knowledge and strong family support play crucial roles in improving dietary adherence among DM patients. Healthcare providers are encouraged to provide ongoing education for both patients and families to strengthen adherence to dietary management and optimize diabetes care outcomes.
RELAKSASI OTOT PROGRESIF TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI Firmansyah, M Ramadhani; Kurdaningsih, Septi Viantri
Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Vol 17, No 2 (2025): Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan
Publisher : Universitas 'Aisyiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/bi.v17i2.1520

Abstract

Latar belakang: Hipertensi muncul ketika level tekanan darah sistolik dan diastolik berada di atas batas normal. Salah satu metode pengobatan tanpa obat adalah dengan menggunakan teknik Relaksasi Otot Progresif. Teknik relaksasi ini mampu menurunkan tekanan darah, mengurangi denyut jantung, serta mengurangi stres dan ketegangan dengan cara mengencangkan dan kemudian melepaskan otot secara bergantian, sehingga tubuh menjadi lebih tenang. Tujuan: Diketahuinya pengaruh relaksasi otot progresif terhadap tekanan darah pada penderita hipertensi di Puskesmas Merdeka Kota Palembang. Metode: Penelitian ini menggunakan metode penelitian kuantitatif dengan jenis penelitian Pre Experimen dengan rancangan penelitian One-Group Pre-Post Test design. Populasi dalam penelitian ini adalah seluruh penderita hipertensi di Puskesmas Merdeka Kota Palembang. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik Purposive Sampling sebanyak 36 responden. Penelitian dilaksanakan pada bulan Juli 2025. Hasil: Hasil penelitian didapatkan p-value 0,01 (p<0,05) menunjukkan bahwa terdapat pengaruh relaksasi otot progresif terhadap tekanan darah penderita hipertensi di Puskesmas Merdeka Palembang. Saran: Diharapkan kepada pihak puskesmas dapat memberikan rekomendasi terapi relaksasi otot progresif pada penderita hipertensi sebagai penatalaksanaan nonfarmakologis. Kata Kunci: Relaksasi otot progresif, tekanan darah, hipertensi
The Impact of Industrial Noise Exposure on Work Stress and Mental Health of Workers: A Study in the Manufacturing Industry M Ramadhani Firmansyah; Nina Irmayanti Harahap; Diana Chandra Dewi; Susanti Delina
Sustainable Applied Modification Evidence Community (SAMEC) Vol 2 No 2 (2025): December, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/samec.v2i2.284

Abstract

This study examined the relationship between industrial noise exposure, occupational stress, and mental health among manufacturing workers using a quantitative cross-sectional design. From a population of 450 workers, 212 respondents were selected through stratified random sampling. Noise exposure was assessed using a sound level meter with the time-weighted average (TWA) method, while occupational stress and mental health were measured using the Job Stress Scale (JSS) and the General Health Questionnaire (GHQ-12). Data were analyzed descriptively, bivariately with the Chi-Square test, and multivariately with logistic regression. Results showed that most workers were exposed to moderate noise levels (85–90 dB), with 29.2% experiencing high exposure (>90 dB). Moderate stress was reported by 44.3% of respondents, and 25.5% experienced high stress levels. Mental health assessment indicated that 51.9% of workers exhibited mild to moderate–severe psychological distress. Chi-Square analysis demonstrated significant associations between noise exposure and both occupational stress (p = 0.003) and mental health status (p = 0.021). Multivariate findings identified high noise exposure (>90 dB) and prolonged working hours (>8 hours/day) as dominant predictors of increased risk for occupational stress (OR = 2.85) and mental health disorders (OR = 2.34). These results highlight that industrial noise functions not only as an audiological hazard but also as a meaningful psychosocial stressor. The study emphasizes the necessity of integrating noise control strategies, regulation of working hours, and structured stress management interventions into Occupational Safety and Health (OSH) programs to reduce psychological burdens and enhance worker well-being in manufacturing environments.
Factors Affecting the Mental Health of Chronic Disease Patients in Hospitals M Ramadhani Firmansyah; Agus Dwi Pranata; Nora Harminarti; Sahariah
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 2 (2026): April, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i2.489

Abstract

Chronic disease is a long-term condition that affects not only the physical health, but also the mental health of the patient. Chronic disease patients often experience stress, anxiety, and depression due to prolonged treatment, limited activity, and varied social support. Mental health problems that are not treated properly can reduce the quality of life and patient adherence to treatment. This study aims to analyze the factors that affect the mental health of patients with chronic diseases in RSUD dr. Rasidin Padang. The research method used is quantitative research with cross-sectional design. A sample of 50 chronic disease patients undergoing treatment at RSUD dr. Rasidin Padang, selected using purposive sampling technique. Data analysis was conducted univariate and bivariate using Chi-Square test, and multivariate analysis using logistic regression. The results showed that as many as 56% of respondents experienced moderate to severe mental health disorders. The Chi-Square test showed a significant association between social support with mental health (p = 0.002), long of illness with mental health (p = 0.015), and treatment adherence with mental health (p = 0.008). The results of logistic regression showed that social support was the most dominant factor affecting the mental health of chronic disease patients (OR = 4.25; CI 95%: 1.62–11.18). The conclusion of the study was that social support, length of illness, and treatment adherence had a significant effect on the mental health of chronic disease patients. The implications of this study are expected to be the basis for health workers to improve holistic approaches through mental health screening as well as strengthening psychosocial support in the service of chronic disease patients in hospitals.
Measurement of Cardiovascular Disease Risk from Air Pollution in Jakarta: A Longitudinal Study of the Population Aged 40–60 Years Ayu Novitrie; Esa Zahirah; M. Ramadhani Firmansyah; M. Nazhim Alhani; Lisa Rizky Amalia
Knowledge and Environmental Science for Living and Global Health Vol. 1 No. 2 (2025): October, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/kesling.v1i2.374

Abstract

Fine particulate matter (PM₂.₅) air pollution has long been identified as a crucial contributor to cardiovascular diseases in big cities with high air emissions like Jakarta. Long-term exposure to PM₂.₅ can trigger systemic inflammation, endothelial dysfunction, and accelerated atherosclerosis, thereby potentially increasing the incidence of major adverse cardiovascular events (MACE). This research aims to identify the risk of cardiovascular disease (CVD) from long-term exposure to PM₂.₅ among those aged 40–60 years and verify the hypothesis that higher concentrations of PM₂.₅ are related to higher incidences of MACE and values of CVD biomarkers. This longitudinal study involved 2,000 respondents aged 40–60 with more than three years of residence in Jakarta, selected via multistage sampling. PM₂.₅ exposure was estimated annually according to residence location. Analysis used Cox proportional hazards models to assess MACE risk and linear mixed-effects models for biomarker changes. Results showed exposure variation between tertiles (12–42 µg/m³) with a strong dose–response pattern; the highest exposure group had four times higher incidence of MACE than the lowest tertile. Exposure was also linked to increased blood pressure, LDL, hs-CRP, HbA1c, and accelerated CIMT thickening. These findings have significant implications for air quality management policies to minimize cardiovascular risk in sensitive age groups. Overall, this study highlights the urgent need to reduce PM₂.₅ concentrations as a preventive measure against CVD in densely populated metropolitan areas.