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Dampak Resistance Exercise terhadap Sirkulasi Perifer, Glycaemic Control dan Neuropati pada Pasien Diabetes Mellitus I Putu Adi Suryawan; Debie Dahlia; Sri Yona; Dikha Ayu Kurnia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 3 (2022): Juli 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13301

Abstract

One of the four pillars of the management of Diabetes Mellitus (DM) is exercise. One form of exercise that can be done at home and can prevent complications in the blood vessels is Resistance Exercise. This article is a systematic review which aims to identify the effect of Resistance Exercise on increasing peripheral circulation, decreasing neuropathy symptoms and glycemic control in DM and pre-diabetic patients. The search sources used were Scopus, Embase, EBSCO, PubMed and ProQuest published from 2016 to 2021. Furthermore, 11 articles that met the criteria were obtained. The results of the study show that there are four main components of resistance exercise in controlling blood sugar, preventing neuropathy and increasing circulation, namely exercise consistency, exercise frequency and duration, exercise intensity, and repetition. Resistance exercise can be used as an alternative solution to foot circulation problems in DM patients, so that the risk of diabetic foot injuries can be prevented or reduced.Keywords: resistance exercise; diabetes mellitus; peripheral circulation  ABSTRAK Salah satu dari empat pilar penatalaksanaan Diabetes Mellitus (DM) adalah exercise. Salah satu bentuk exercise yang dapat dilakukan di rumah dan mampu mencegah komplikasi pada pembuluh darah adalah Resistance Exercise. Artikel ini berjenis systematic review yang bertujuan untuk mengidentifikasi pengaruh dari Resistance Exercise terhadap peningkatan sirkulasi perifer, penurunan gejala neuropati dan glycaemic control pada pasien DM maupun pra diabetes. Sumber pencarian yang digunakan adalah Scopus, Embase, EBSCO, PubMed dan ProQuest yang diterbitkan pada tahun 2016 sampai 2021. Selanjutnya diperoleh 11 artikel yang memenuhi kriteria. Hasil studi menunjukkan bahwa terdapat empat komponen utama dari resistance exercise dalam mengontrol gula darah, mencegah neuropati dan meningkatkan sirkulasi yaitu konsistensi exercise, frekuensi dan durasi exercise, intensitas exercise, dan repetisi. Resistance Exercise dapat dijadikan alternatif solusi masalah sirkulasi kaki pada pasien DM, sehingga resiko terjadinya luka kaki diabetes dapat dicegah maupun dikurangi.Kata kunci: resistance exercise; diabetes mellitus; sirkulasi perifer
Efektifitas Intervensi Manajemen Diabetes Berbasis Pemberdayaan terhadap Kontrol Glikemik: Studi Literatur Muhammad Mulyadi Pranata; Debie Dahlia; Liya Arista
Jurnal Keperawatan Vol 15 No 2 (2023): Jurnal Keperawatan: Juni 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.615 KB) | DOI: 10.32583/keperawatan.v15i2.963

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Penelitian terus berkembang terkait efek positif dari intervensi manajemen diabetes berbasis pemberdayaan yang berdampak pada perubahan perilaku dan kontrol glikemik. Namun, pemahaman tentang bagaimana intervensi ini secara efektif dalam praktik klinis berpengaruh terhadap luaran klinis pasien diabetes melitus masih terbatas. Penulisan studi literatur ini bertujuan untuk mengetahui efektifitas pemberdayaan pasien terhadap kontrol glikemik diabetes melitus tipe 2. Pencarian literatur menggunakan database ProQuest, Science Direct, PubMed, Embase, dan Scopus dengan kriteria antara lain: diterbitkan dari tahun 2012-2022, teks lengkap, jenis penelitian eksperimen, berbahasa inggris, dan tidak berbayar. Pencarian literatur menggunakan kata kunci empowerment, diabetes mellitus, dan glycemic control. Total artikel yang ditemukan adalah 3.178 artikel dari 5 database dan memilih 7 artikel yang sesuai dengan kriteria inklusi untuk ditelaah. Hasil studi menunjukkan bahwa intervensi berbasis pemberdayaan secara signifikan meningkatkan kontrol glikemik melalui peningkatan self-efficacy dan perilaku perawatan diri pada penderita diabetes melitus. Intervensi manajemen diabetes berbasis pemberdayaan efektif bagi penderita diabetes melitus sebagai upaya pencegahan komplikasi. Sehingga penderita diabetes melitus dapat mematuhi manajemen obat, manajemen monitoring, manajemen aktifitas, dan manajemen diet dengan baik.
The Effectiveness of Psychoreligious Intervention: Murottal Al-Quran on Pain and Stress Level of Bone Cancer Patient Priyanto Priyanto; Achmad Fauzi Kamal; Debie Dahlia
Indonesian Journal of Global Health Research Vol 2 No 4 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.466 KB) | DOI: 10.37287/ijghr.v2i4.260

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Psychoreligious intervention of murottal Al-Qur'an is a therapy given to patients by listening to verses of the Qur'an for a few minutes to have a positive impact on the patient's physiological and psychological condition, thereby providing a relaxing effect to reduce pain and stress level. The purpose of this study was to determine the effectiveness of psychoreligious intervention of murrotal Al-Quran on pain and stress level of bone cancer patients in Semarang Regency. This was a quasi-experimental study with pre and post-test through a control group design. The population of this study were patients with bone cancer who were undergoing outpatient care in Semarang Regency Hospital, living in the regency of Semarang. The sampling technique used was purposive sampling with the number of respondents obtained 36 patients. The data were collected through Numeric Rating Scale aiming to measure the pain scale and DASS 42 questionnaire consisting of 14 statements to measure the level of stress. The therapeutic action procedure of psychoreligious intervention of murrotal Al-Quran used Ar-Rahman letter for 20 minutes which was in accordance with standard operating procedures. The data were analyzed using t-test. The results showed that there was a significant difference of pain and stress level before and after the intervention. Psychoreligious intervention of murottal Al-Qur'an was effective in reducing pain level in bone cancer patients (p-value=0.001<α=0.05). Psychoreligious intervention of murottal Al-Qur'an can effectively reduce stress level of bone cancer patients (p-value=0.001<α=0.05). Psychoreligious intervention of murrotal Al-Quran can be used as a therapeutic modality to reduce the pain and stress level of bone cancer patients during home treatment period which brings positive impact to improve the patient's physiological and psychological well-being. This intervention will help the process of recovery of the patients from their cancer.
Biofeedback Pressure dalam Aktivasi Otot Pasien Muskuloskeletal: Tinjauan Literatur Nori Widiowati Widiowati; Debie Dahlia; Riri Maria; Liya Arista
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1187

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Gangguan muskuloskeletal menjadi penyebab utama kecacatan di dunia. Beberapa masalah muskuloskeletal yang sering terjadi adalah nyeri punggung bawah, osteoartritis, dan fraktur, dimana mayoritas pasien yang mengalami gangguan muskuloskeletal mengakibatkan diantara 20-50 juta lebih mengalami kecacatan yang melibatkan kelemahan maupun kekakuan otot. Salah satu perangkat yang dapat mendukung program rehabilitasi pasien dengan masalah muskuloskeletal yaitu dengan penggunaan perangkat biofeedback pressure. Oleh karena itu, penelitian ini bertujuan untuk menganalisis dan mengeksplorasi efek biofeedback pressure pada kekuatan otot pasien dengan masalah muskuloskeletal. Penelitian ini merupakan penelitian studi literatur. Pencarian literatur menggunakan database ClinicalKey Nursing, EMBASE, Proquest, Sage Journals, ScienceDirect, Scopus, dan Taylor&Francis dengan kriteria antara lain: diterbitkan dari tahun 2018-2022, teks lengkap, jenis penelitian RCT dan eksperimen, dan berbahasa inggris. Ditemukan 2868 artikel dari 7 database dan memilih 5 artikel yang sesuai dengan kriteria inklusi dan eksklusi untuk dianalisis. Secara umum keseluruhan studi dengan berbagai masalah muskuloskeletal menunjukkan bahwa intervensi biofeedback pressure secara signifikan meningkatkan kekuatan maupun aktivasi otot, sehingga mencegah dan meminimalkan berbagai komplikasi yang ditimbulkan. Selain aktivitas otot, tinjauan ini juga memperoleh manfaat lain dari biofeedback pressure berupa penurunan skor, kecacatan, peningkatan daya tahan, dan gaya lawan otot. Biofeedback pressure terbukti dapat diaplikasikan pada pasien dengan masalah muskuloskeletal untuk meningkatkan kemampuan fungsional.
Penggunaan Negative Pressure Wound Therapy (NPWT) terhadap Diabetic Foot Ulcer Rinda Apriani; Debie Dahlia; Dikha Ayu Kurnia
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.6184

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This study aims to conduct a literature review related to research results that discusses the effectiveness of NPWT on diabetic foot ulcers (DFU). The method used is a systematic review method from online databases such as Scopus, ClinicalKey, ClinicalKey Nursing, EBSCOhost, Proquest, ScienceDirect, Springer Link, Pubmed, and SAGE Journals using the keywords diabetes mellitus, negative pressure wound therapy, NPWT, and diabetic foot ulcer. The search uses the boolean logic "AND" and "OR". The results of a systematic review study obtained six articles describing showing that NPWT can help speed up the healing process of DFU wounds. In conclusion, the use of Negative Pressure Wound Therapy (NPWT) in wound care is a relatively effective treatment method for diabetic foot wounds. Keywords: Diabetes Mellitus, Diabetic Foot Wounds, NPWT, Negative Pressure Wound Therapy
CONCEPT ANALYSIS OF SELF-MANAGEMENT IN PATIENT WITH DIABETES NEPHROPATHY Dayan Hisni; Pradana Soewondo; Debie Dahlia; Dian Ayubi
Jurnal Endurance Vol. 8 No. 2 (2023): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22216/jen.v8i2.2247

Abstract

ABSTRACT Diabetes mellitus (DM) is a metabolic disease with characterized by hyperglycemia and it has some complications both macrovascular and microvascular. There have been reported that 40% of DM patient has developed diabetic nephropathy (DN) in the early of diagnosed. Therefore, some nursing intervention should be done to prevent DM including DN. One of them is self-management. This article aims to explain the concept of self-management to prevent DN in patient with DM. The method used is the Walker and Avant concept approach. The Walker and Avant framework clarifies current self-management understanding and use in practice and research across multiple disciplines. This concept’s critical attributes include personal skills, self-management, lifetime task, problem solving in health area, and decision making properly. The conclusion of this analysis concept is to increase nurses’ knowledge regarding self-management in patient with DN.
KOMBINASI TEKNIK RELAKSASI BENSON DAN EDUKASI HIGIENE TIDUR DALAM MEMPENGARUHI KUALITAS TIDUR PASIEN PASCA STROKE Anis Ika Nur Rohmah; Dewi Irawaty; Debie Dahlia
Journals of Ners Community Vol 10 No 2 (2019): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (523.405 KB) | DOI: 10.55129/jnerscommunity.v10i2.916

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Stroke terjadi karena adanya gangguan aliran darah ke bagian otak yang banyak menyebabkan kecacatan fisik. Perawatan rehabilitasi jangka panjang seringkali menjadi stresor tersendiri bagi pasien. Kecemasan dan depresi bisa menyebabkan gangguan tidur pada pasien pasca stroke. Dalam mengatasi gangguan tidur dibutuhkan intervensi psikologis dan perilaku. Penelitian ini bertujuan mengetahui pengaruh teknik relaksasi benson dikombinasikan dengan edukasi higiene tidur terhadap kualitas tidur pasien pasca stroke.Metode yang digunakan quasi experiment pre-post test design with control group. Kuesioner Pittburgh Sleep Quality Index (PSQI) digunakan untuk mengukur kualitas tidur dalam penelitian ini. Teknik pengambilan sampel menggunakan concecutive sampling. Dari 58 responden, 30 responden pada kelompok intervensi menerapkan Teknik Relaksasi Benson dikombinasikan dengan Edukasi Higiene Tidur dan 28 responden menerapkan Teknik Relaksasi Benson sebagai kelompok kontrol. Perbedaan jumlah responden disebabkan sejumlah 2 orang responden diantaranya drop out. Variabel dependen dalam penelitian ini adalah kualitas tidur, sedangkan variabel independennya adalah kombinasi Teknik Relaksasi Benson dan Edukasi Higiene Tidur. Uji statistik menggunakan paired t-test dan independen t-test.Hasil penelitian menunjukkan ada peningkatan kualitas tidur pada kedua kelompok (p=0,0001) setelah perlakuan dan terdapat perbedaan yang bermakna antara dua kelompok tersebut (p=0,0001).Relaksasi Benson dikombinasikan dengan Edukasi Higiene Tidur direkomendasikan sebagai salah satu terapi non farmakologi untuk mengoptimalkan kualitas tidur pada pasien pasca stroke.Kata Kunci:  Kualitas Tidur, Pasca Stroke, Relaksasi Benson, Edukasi Higiene TidurDOI: 10.5281/zenodo.3573048
Bentuk Kaki Berhubungan dengan Keseimbangan Fungsional pada Pasien Neuropati Diabetik Ria Desnita; Debie Dahlia; Lestari Sukmarini
Jurnal Keperawatan Muhammadiyah Vol 5 No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.928 KB) | DOI: 10.30651/jkm.v5i1.3967

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Changes in foot posture in diabetic neuropathy patients affects the function of the legs as the base support in maintaining body balance. The study aimed to determine the correlation foot posture with functional balance in patients with diabetic neuropathy. This study design was analytic cross sectional, recruited 132 diabetic neuropathy patients. Statistical analysis used Chi Square, Pooled T-test, and multiple logistic regression. The results showed a significant correlation between foot posture and functional balance in diabetic neuropathy patients, the power of correlation is moderate and positive direction (p= 0.001; α= 0.05; r= 0,352). This study suggests the nurse to perform early detection and prevention of the risk of falls in diabetic neuropathy patients related to changes in foot posture and functional balance.
Penggunaan Spinal Cord Independence Measure III sebagai Alat Ukur Kemampuan Fungsional Pasien Spinal Cord Injury di Indonesia Sri Hartati Pratiwi; Debie Dahlia; Liya Arista
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6377

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This study aims to determine the use of the Spinal Cord Independence Measure (SCIM) III as a functional measurement tool for spinal cord injury patients in Indonesia. The method used was cross-sectional as a pilot project. The population of this study were trauma and non-traumatic spinal cord injury patients. The results of this study indicate that SCIM III can assess the patient's functional status in self-care, bladder management, bowel management, and mobilization. In conclusion, SCIM III is an objective and reliable questionnaire that can be used as a tool to measure the functional ability of SCI patients. In addition, SCIM can be used to determine interventions that are appropriate to the patient's condition so that the outcome of the rehabilitation phase of care to make the patient independent can be achieved optimally. Keywords: Tool, Functional, Spinal Cord Independence Measure
Terapi Spiritual Doa Tafakur terhadap Peningkatan Kesejahteraan Pasien Kanker: A Systematic Review : Spiritual Therapy of Tafakur Prayer to Increase the Well-Being of Cancer Patients: A Systematic Review Priyanto; Achmad Fauzi Kamal; Debie Dahlia; Besral Besral
Journal of Holistics and Health Sciences (JHHS) Vol. 5 No. 2 (2023): Journal of Holistics and Health Sciences (JHHS), September
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jhhs.v5i2.341

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Medical surgical nursing care is the main source of service in an effort to achieve quality improvement in the well-being of  cancer patients in hospitals. The well-being of  cancer patients can be improved through various nursing interventions, including spiritual therapy of tafakur prayer. This research is to synthesize the study of spiritual therapy of tafakur prayer on improving the well-being of  cancer patients. This study uses a systematic review approach with quantitative methods using the PRISMA model. The dependent variable is the patient's well-being, and spiritual therapy of tafakur prayer is the independent variable. Of the 323 selected articles, 6 articles met the selected inclusion and exclusion criteria. The articles were collected from 4 database sources namely: EBSCO host, proQuest, Science Direct and Google Scholar. The results of the research show that spiritual therapy of tafakur prayer can improve the quality of life and increase physical well-being, including reducing pain and blood pressure and improving respiratory rate. In addition, spiritual therapy of tafakur prayer can improve psychological and emotional well-being including stress and anxiety as well as spiritual well-being so that it can improve the social well-being of  cancer patients. Spiritual therapy of tafakur prayer can be applied by nurses in medical surgical nursing services for cancer patients in hospitals.   ABSTRAK Asuhan keperawatan medikal bedah menjadi sumber utama pelayanan dalam upaya mencapai kualitas peningkatan kesejahteraan pasien kanker  di rumah sakit. Kesejahteraan pasien kanker  dapat ditingkatkan melalui berbagai intervensi keperawatan, termasuk terapi spiritual doa tafakur. Penelitian ini  untuk mensintesis kajian terapi spiritual doa tafakur terhadap peningkatan kesejahteraan pasien kanker. Penelitian ini menggunakan pendekatan systematic review dengan metode kuantitatif menggunakan model PRISMA. Variabel dependen adalah kesejahteraan pasien, dan terapi spiritual doa tafakur sebagai variabel independen. Dari 323 artikel terseleksi ada 6 artikel yang memenuhi kriteria inklusi dan eksklusi yang dipilih. Artikel-artikel tersebut dikumpulkan dari 4 sumber basis data yaitu: EBSCO host, ProQuest, Science Direct dan Google Scholar. Hasil penelitian menunjukkan bahwa terapi spiritual doa tafakur dapat memperbaiki kualitas hidup dan meningkatkan kesejahteraan fisik, termasuk menurunkan nyeri dan tekanan darah serta memperbaiki laju pernapasan. Selain itu terapi spiritual doa tafakur dapat meningkatkan kesejahteraan psikologis dan emosional termasuk stres dan kecemasan serta kesejahteraan spiritual hingga dapat meningkatkan kesejahteraan sosial pasien kanker. Terapi spiritual doa tafakur dapat diterapkan oleh perawat dalam pelayanan keperawatan medikal bedah pada pasien kanker di rumah sakit.
Co-Authors Aat Djanatunisah Aat Djanatunisah Achir Yani S. Hamid Achmad Fauzi Kamal Agung Waluyo Anastania, Yeane Anis Ika Nur Rohmah Apriyanti, Efa Ardiyati, Adelina Vidya Arisanty, irma Puspita Aryani, Denissa Faradita Besral . Dandi Oka Subantara Dayan Hisni Denissa Faradita Aryani Dewi Gayatri Dewi Irawaty Dewi Irawaty Dhika Ayu Kurnia Dian Ayubi Dikha Ayu Kurnia Dikha Ayu Kurnia Elly Nurachmah Enggarwati, Pandan Eti - Sumartiyah Etty Rekawati Evi Martha Fauzi Kamal, Achmad Fina Mahardini Gatra Satria Gultom, Yunisar Gupta, Prateek Helen, Helen I Made Kariasa I Putu Adi Suryawan I Putu Adi Suryawan I Putu Adi Suryawan Idia Indar Anggraeni Irmariani Irbar Kurnia, Dhika Ayu Lestari Sukmarini Lestari Sukmarini Liya Arista Maria, Riri Maria, Riri Melawati, Wati Muchtaruddin Mansyur Muhammad Mulyadi Pranata Nafi'ah, Rizka Hayyu Nekka Juliani Nila Indrayati Noor Diani Noor, M. Fakhruddin Nori Widiowati Widiowati Pertiwi, Ni Wayan Astiti Pradana Soewondo Priyanto Priyanto Priyanto Priyanto Priyanto Ratna Aryani Ratna Aryani Ratna Aryani Retnoningrum, Dwi Ria Desnita Ridho Kunto Prabowo Rif'atul Fani Rima Novia Putri Rinda Apriani Riri Maria Rosina Tarigan Rr. Tutik Sri Hariyati S., Chiyar Edison Sali Rahadi Asih Salim Harris Sandra Sandra Sany, Puti Rahmitha Saptawati Bardosono Sari, Lia Novita Setyowaty Sianturi, Natallina Sihombing, Yulia Siska Rahmadiya Sri Hartati Pratiwi Sri Yona Sucipto Dwitanta Sukma Wicaturatmashudi Syafa'atun Mirzanah Toar J.M. Lalisang Tommy Indra Tri Antika Rizki Kusuma Putri Wicaturatmashudi, Sukma Yeni Rustina Yunisar Gultom Yunizar Gultom