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Effect of Diabetes Self-Management Education on Self-Care Management Among Patients with Type 2 Diabetes Mellitus in Gedangan Endah Palupi; Kartiningrum, Eka Diah; fardiansyah, Arief; Pratiwi, Revi Ekasetya
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025 (On Progress)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.9085

Abstract

Introduction: Patients with diabetes mellitus continue to face difficulties in performing self-care management based on the information they receive. Diabetes Self-Management Education (DSME) can serve as a reference for health education programs to improve patients’ knowledge and self-care management skills. This study aimed to analyze the effect of DSME on self-care management among patients with type 2 diabetes mellitus. Methods: This study employed a quasi-experimental two-group pre–posttest control design. The sample was 102 patients with type 2 diabetes mellitus selected using simple random sampling. The instrument utilized was the Diabetes Management Self-Efficacy Scale (DMSES). Data were analyzed using Wilcoxon test and multivariate ANOVA. Results: The results of the multivariate analysis showed a p-value < 0.001, indicating that Diabetes Self-Management Education (DSME) had a significant effect on self-care management, including dietary patterns (R² = 0.313), physical activity (R² = 0.737), blood glucose monitoring (R² = 0.430), foot care (R² = 0.427), and medication adherence (R² = 0.349) among patients with type 2 diabetes mellitus. Physical activity demonstrated the most significant effect attributable to DSME. Conclusion: Diabetes Self-Management Education (DSME) effectively improves self-care management in patients with type 2 diabetes mellitus, with the greatest impact on physical activity. These findings support DSME as an evidence-based strategy to promote independent self-care and as a standard operating protocol in Gedangan Community Health Center.
Analysis Of Factors Related To Delay Time of Ischaemic Stroke Patients at dr. R.Koesma Hospital, Tuban Regency Sudiyanto, Henry; Prasetyo, Sudigdo Dwi; Fardiansyah, Arief; Kartiningrum, Eka Diah
Journal of Nursing Management Innovations Vol. 1 No. 1 (2025): Journal of Nursing Management Innovations
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/jnmi.v1i1.4

Abstract

Background of study: Delay time in arrival of ischemic stroke patients to the hospital is a special concern because the "golden period" for receiving thrombolysis therapy is missed.Aims and scope of paper: The purpose of this study was to analyze the relationship between knowledge, residence status, distance of residence and use of ambulances with delays time in arrival of ischemic stroke patients.Methods: The design of this study was correlational analytic with a cross-sectional design. The total population was 79 ischemic stroke patients in May 2025. The number of samples was 66 patients taken using the simple random sampling technique. Data collection using questionnaires, data analysis using the Spearman test.Result: The results of the study based on the Spearman statistical test with a significance level = 0.05, obtained the results that there was a relationship between the knowledge factor and delays time in arrival (0.001 <0.05), there was a relationship between the residence status factor and delays time  in arrival (0.001 <0.05), there was a relationship between the ambulance use factor and delays time in arrival (0.002 <0.05) and there was no relationship between distance of residence factor and delays time in arrival (0.160>0.05).Conclusion: There are many factors that cause delays time in the arrival of ischemic stroke patients. The researcher hopes that further researchers can continue research on factors that influence the delay time in arrival of ischemic stroke patients so that they can find the right solution to overcome the problem of late arrival of ischemic stroke patients.
Pengetahuan Tes BTA Sebagai Prediktor Kepatuhan Pasien TB Menjalani Tes BTA Wahyuni Wijayati; Eka Diah Kartiningrum
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 18 No. 1 (2026): FEBRUARI
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v18i1.1177

Abstract

Acid-fast bacilli (AFB) smear testing in TB patients plays an important role in diagnosis and is crucial to the success of TB control. Many factors influence compliance with AFB smear testing. The aim of this study was to analyze knowledge of AFB testing as a predictor of TB patient compliance with AFB testing at Bhayangkara HS Samsoeri Mertojoso Hospital in Surabaya. This study used a cross-sectional design from March to May 2025 with a sample of 85 TB patients selected by simple random sampling according to inclusion criteria. Data were collected using a questionnaire and then analyzed using logistic regression. The results of the study explain that the majority of respondents were of productive age, worked as private employees, lived <10 km from health facilities, had a high school education, and had good knowledge about BTA. Knowledge had a significant effect on compliance (P value = 0.000; R2 = 0.389 and PR = 9.249). Patients with good knowledge were 9.249 times more likely to comply with BTA examinations. Respondent compliance was high but not optimal in terms of the timeliness of examinations and retests after treatment. Patients' technical understanding of the function of sputum smear microscopy is still lacking, affecting their perception of compliance. These findings are consistent with the Health Belief Model and Social Support Theory, emphasizing that education, access, and family support integrated into patient support strategies can improve compliance. TB control efforts require contextual education, family involvement, and continuous monitoring to ensure that sputum smear microscopy is performed on time and completely.
Pendidikan Kesehatan Pencegahan Penyakit Akibat Kerja Sebagai Upaya Peningkatan Produktivitas Kerja Dhonna Anggreni; Henry Sudiyanto; Eka Diah Kartiningrum; Sulis Diana; Muhammad Yusuf Alamudi; Arief Fardiansyah
JURNAL PENGABDIAN MASYARAKAT KESEHATAN (ABDIMAKES) Vol. 6 No. 1 (2026): FEBRUARI
Publisher : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/amk.v6i1.1197

Abstract

Improving the quality of human resources is an effort to increase intelligence and work productivity. One effort made to improve the quality of human resources is by improving the health of the public in general and specifically workers. This community service activity aims to increase the knowledge of factory workers regarding steps to prevent occupational diseases so that they do not contract or transmit diseases to their colleagues. This activity was carried out at PT. X in Mojokerto City with the target of the activity being 40 factory workers. This activity consisted of several stages, namely the preparation stage, implementation, and evaluation. In the implementation stage, the activity was carried out through providing health education and health checks. From the evaluation results, it was found that the knowledge of PT. X workers increased after being provided with health education and the results of the health checks were also quite good. The results of the health checks are expected to be a reference for the factory to determine steps to control the risk of health problems among workers.
Pengaruh Mobilisasi Dini Terhadap Intensitas Nyeri Dan Waktu Pemulihan Fungsional (Studi Pada Pasien Post Sectio Caesarea) Dwiharini Puspitaningsih; Anndy Prastya; Eka Diah Kartiningrum; Novitasari
MEDICA MAJAPAHIT Vol. 18 No. 1 (2026): Maret
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v18i1.1232

Abstract

Cesarean section was a surgical procedure that was commonly associated with postoperative pain, which could limit physical movement and delay functional recovery in mothers. Pain experienced after surgery often led to fear of mobilization, resulting in prolonged bed rest and delayed return to daily activities. One non-pharmacological intervention that could be applied to manage postoperative pain and enhance recovery was early mobilization. Early mobilization was believed to reduce pain intensity and accelerate functional recovery by improving blood circulation, reducing inflammation, and stimulating physical activity. This study aimed to analyze the effect of early mobilization on pain intensity and functional recovery time in post-cesarean section patients. A quasi-experimental design with a time-series approach was used. The sample consisted of 34 respondents selected using simple random sampling, divided into an intervention group (n=17) and a control group (n=17). Data were collected using the Numeric Rating Scale (NRS) to assess pain intensity and an observation sheet to measure functional recovery time. Data were analyzed using the Friedman test and Mann-Whitney test. The results showed that before the intervention, all respondents in both groups experienced severe pain. After early mobilization, all respondents in the intervention group reported mild pain, while most respondents in the control group (82.4%) still experienced moderate pain. In terms of functional recovery, all respondents in the intervention group recovered within 24 hours, whereas the majority of the control group (52.9%) required 48 hours. Statistical analysis showed significant results (p=0.000 for pain intensity and p=0.001 for functional recovery time). In conclusion, early mobilization had a significant effect on reducing pain intensity and accelerating functional recovery in post-cesarean section patients.
Co-Authors Abdurrahman, Adam Achmad Choiruddin Ajeng Fitria Alamudi, Mohammad Yusuf Anggraeni, Dhonna Anis Sukowati Anjar Istianto Anjar Istianto, Anjar Anndy Prastya Arief Fardiansyah Arief Fardiansyah ARIF HIDAYAT Asih Media Yuniarti Atikah Rahadiani Basar Auli Ningtyas Baehaqi Baitun Nur Rochma Andhini Bakti Tunjung Pranoto Bambang Widjanarko Otok beastbeast, Thabita Bella Febriyanti Fitriana Budi Cahyono Devita Anggraini Dewi, Fany Rosita Dhonna Anggreni Dwi Helynarti Syurandhari Elyana Mafticha Endah Palupi Fardiansyah, Arief Fardiansyah, Arief Fefi Aryani Kuswandi Fernandes, Angelina da Costa Ginka, Mochammad Ivan Abdillah Putra Hari Basuki Notobroto Henry Sudiyanto I Putu Aprilia Pratama Ika Suhartanti Ika Suhartanti, Ika Ike Prafita Sari Ikrimah, Umi Habibatul Inike Kusuma Dewi Jerry Dwi Trijoyo Purnomo Jorge Mateu Karina Fahmi Amilia Kusuma, Yudha Laga Hadi Lestari, Irma Dhian Linda Wahyudi M. Aris Munandar Mohammad Yusuf Alamudi Monika Julian Nurwidia Arum Muhammad Yusuf Alamudi Ni Ketut Dian Erlyawati Nike Wardani NOVITASARI Nurhayati, Risa Nursaidah Nursaidah Nursaidah Nursaidah, Nursaidah Nurul Mawaddah Nurul Mawaddah Nurwidia Arum, Monika Julian Nurwidji Nurwidji, Nurwidji Patty, Siti Hajar Prasetyo, Sudigdo Dwi Pratiwi, Revi Ekasetya Purhadi Putri Lestari, Putri Raudhatul Jannah Revi Ekasetya Pratiwi Ridha Rahayu Rifaatul laila Mahmudah Rifaatul laila Mahmudah Santi Wulan Purnami Santoso, Mohamad Arif Budi Santy Wahyu Nuraini Sari Priyanti, Sari Shofi Andari Silfiyah Siti Rachmah Siti Rachmah Sri Wardini Puji Lestari Sri Wardini, Sri Sudianto, Henry Sulis Diana SUTIKNO Umar Faruk USWATUNIKMA Venny Riska Wulan Cahyani Vettaria Sulita Utama Wahyuni Wijayati Widy Setyowati Widya Puspitasari Yudha Laga Hadi Kusuma Yudha Laga Hadi Kusuma, M.Kep Yudha Laga Hadikusuma