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Factors associated with the incidence of young-onset colorectal cancer: A cross-sectional study Sianturi, Natallina; Dahlia, Debie; Edison, Chiyar
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2853

Abstract

The factors associated with the incidence of young-onset colorectal cancer (YO-CRC) remain uncertain and are continuously being studied. The aim of this study was to investigate the factors associated with the incidence of young-onset colorectal cancer. This cross-sectional study examined multiple factors (demographic status, medical comorbidities, smoking, alcohol intake, nighttime sleep duration, family history of cancer, sedentary behavior, daily consumption of fried foods, fast food, and processed meat) among 171 patients from two cancer referral hospitals in Jakarta, Indonesia. Logistic regression analysis revealed that the low-income group had a higher risk of YO-CRC compared to high-income group (p=0.004). Those with comorbid diseases such as inflammatory bowel disease, diabetes, or high cholesterol were more likely to develop YO-CRC compared to those without these conditions (p=0.002). Frequent consumption of processed meat (vs seldom) (p=0.003) and fried food (vs no consumption) (p=0.001) were associated with higher risk. Those with high sedentary behavior (vs low) (p=0.021) also had higher risk of YO-CRC. Notably, nighttime sleep emerged as the strongest predictor (odds ratio (OR): 10.462). These findings underscore the need for targeted public health interventions promoting adequate sleep, healthy diets, and active lifestyles, particularly among Indonesian youth and low-income groups. Further studies are recommended to investigate these associations in larger and more diverse populations across Indonesia.
Self-management intervention model for optimizing psychological well-being in patients with colorectal stoma Aryani, Ratna; Lalisang, Toar JM; Dahlia, Debie; Martha, Evi
Jurnal Konseling dan Pendidikan Vol. 11 No. 4 (2023): JKP
Publisher : Indonesian Institute for Counseling, Education and Therapy (IICET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/1105700

Abstract

A stoma can increase life expectancy and support health recovery but brings several physical and psychosocial issues. Psychosocial resilience is critical in dealing with these changes. This study aims to provide new insights into the interaction between self-management and psychosocial resilience in colorectal cancer stoma patients. This research employs a qualitative design with a case study approach. The study involves colorectal cancer patients with completed primary cancer-related therapies, totaling eight individuals. The informants also include family members of the patients (eight individuals) and volunteer nurses within the community (three individuals). The research instrument is an interview guide structured around five themes. Data analysis follows qualitative stages, encompassing reduction, presentation, and conclusion. Triangulation techniques are utilized to ensure the validity of the findings. The findings suggest that collaboration between family, community, and nurses can provide comprehensive support. However, a structured and focused self-management intervention model is needed to improve psychosocial consistency and resilience. Three models were proposed, namely Family Therapy, Online Community Support, and Nurse Integration in Self-Management, hoping to provide more specific guidance and support for patients. This study provides a basis for developing more varied intervention models and a comprehensive understanding of self-management of colorectal cancer stoma patients.
Potensi Pelaksanaan Self Monitoring Blood Glucose Pada Pasien Diabetes Dalam Meningkatkan Kualitas Hidup dan Kontrol Glikemik Pandan Enggarwati; Debie Dahlia; Sri Yona
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 10 No 02 (2020): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi Juni 2020
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.001 KB) | DOI: 10.33221/jiiki.v10i02.560

Abstract

Abstract Introduction: Diseases that are considered particularly dominant in Indonesia are now starting to shift toward chronic diseases and one of which is diabetes mellitus (DM). Ever since a patient is diagnosed with DM, DM management must be carried out continuously and it will bring changes to the patients’ lifestyle. Health-Related Quality of Life (HRQoL) is a health indicator which covers interrelated subjective and multidimensional concepts, including assessment of physical, functional, psychological, and religious aspects. Self Monitoring Blood Glucose (SMBG) is a part of DM disease management which allows control of the glycemic index and quality of life. However, potential benefits of SMBG implementation needs to be discovered further. Objective: The purpose of this article is to determine the potential of SMBG in DM management and its relation to the glycemic index and quality of life. Methods: Literature review of this article based on EBSCOhost, PubMed, ProQuest, Willey Library Online dan ScienceDirect from 2013 - 2019. Results: The result shows that SMBG had a significant impact on HRQoL and glycemic index control. Conclusion: The role of nurses in the provision of comprehensive education is essential to increase the knowledge of the use of SMBG and drive patient’s motivation to ensure they are able to properly report the results of SMBG that they conducted.
Dampak Mobilisasi Dini Pada Pasien Post Operasi Total Knee Replacement: Sistematika Review Novrin Senselia Putri Ziliwu; Debie Dahlia; Dikha Ayu Kurnia
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60931

Abstract

Latar Belakang: Total Knee Replacement (TKR) merupakan prosedur yang efektif untuk mengatasi osteoarthritis lutut stadium lanjut. Meskipun demikian, pasien umumnya mengalami penurunan mobilitas dan gangguan fungsi fisik pada periode post operasi. Mobilisasi dini adalah salah satu intervensi untuk mempercepat pemulihan, tetapi efektivitasnya masih perlu dievaluasi secara komprehensif. Tujuan: Mengevaluasi dampak mobilisasi dini terhadap kemampuan mobilitas pada pasien post operasi TKR. Metode: Tinjauan sistematis. Pencarian literatur dilakukan pada enam basis data elektronik (PubMed, ProQuest, Sage Journals, SpringerLink, ScienceDirect, dan ClinicalKey) untuk artikel berbahasa yang diterbitkan tahun 2016-2026. Delapan studi yang terdiri atas Randomized Controlled Trial (RCT) dan Cohort Study memenuhi kriteria inklusi dan dianalisis secara deskriptif. Hasil: Mobilisasi dini terbukti meningkatkan kemampuan mobilitas, fungsi lutut, dan rentang gerak, menurunkan intensitas nyeri, mempersingkat lama rawat inap, serta mengurangi risiko komplikasi post operasi tanpa meningkatkan efek samping. Kesimpulan: Mobilisasi dini merupakan intervensi rehabilitasi yang aman dan efektif untuk mempercepat pemulihan serta meningkatkan kemampuan mobilitas pada pasien pasca operasi.
Psychosocial Experiences of Colorectal Cancer Patients with Stoma Riri Maria; Debie Dahlia; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5378

Abstract

The formation of a stoma impacts various aspects of a patient's life, including physical, psychosocial, and spiritual well-being. If these impacts are not properly managed, it could decline the patient's quality of life. This study aimed to explore the psychosocial experiences of colorectal cancer patients living with a stoma. Method: twenty participants were interviewed using semi-structured questions, and the data was analyzed using a phenomenological approach. the findings revealed three key themes: emotional reactions having a stoma, limited social interactions, and worries about performing religious practices. Based on these results, the study recommend the need for education for colorectal cancer patients with stomas, particularly psychosocial aspects, to improve adaptation and quality of life.
Effectiveness of Physical Exercise in Managing Components of Metabolic Syndrome in Obese Populations: A Systematic Review Ni Wayan Astiti Pertiwi; Debie Dahlia; Dikha Ayu Kurnia; Riri Maria
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6346

Abstract

Obesity is one of the main contributing factors to metabolic syndrome, which results in an increased risk of chronic diseases such as diabetes mellitus, cardiovascular disease, and other metabolic dysfunctions. Physical exercise has long been recognized as a potential nonpharmacological strategy in reducing metabolic risk factors, but the effectiveness of various types of exercise in managing metabolic syndrome still needs to be further reviewed. This study aims to evaluate the effectiveness of physical activity in managing components of metabolic syndrome in an obese population. Using the PRISMA method of literature searches through Pubmed, Ebsco, Scopus and Wiley databases by using specific word combinations to obtain suitable articles. Inclusion criteria included English language articles published in the last five years (2019-2024), randomized controlled trial type, and discussing physical exercise interventions in obese populations. Of the 893 articles retrieved, 7 were reviewed. Studies show that physical exercise significantly reduced risk components of metabolic syndrome such as blood sugar, insulin, HOMA-IR, visceral fat and improved VO 2 max and quality of life. However, long term success was strongly influenced by the level of adherence to the exercise program. Physical exercise in an effective and safe intervention in reducing the risk of metabolic syndrome in obese individuals.
Effectiveness of Oral Stimuly Cold Therapy (Popsicle) on Thirst Perception in Postoperative Patients: A Systematic Review Wati Melawati; Debie Dahlia; Sri Yona; Liya Arista
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6400

Abstract

Thirst after surgery is commonly experienced by patients, with prevalence reaching 70-80% within the first 24 hours postoperatively. This condition, often overlooked in clinical practice, can impact the quality of patient recovery. Popsicle, as a form of oral stimuli cold therapy, offers an effective solution to alleviate this complaint. Objective: This study aims to evaluate the effectiveness of popsicle therapy in reducing thirst and improving comfort and the quality of recovery in postoperative patients.Methodology: A systematic review approach was used by analyzing five scholarly articles based on randomized controlled trials (RCT) and quasi-experimental designs from 2018–2024. The keyword search used was popsicle OR "oral stimuli cold therapy" OR ice therapy AND postoperative period OR postoperative AND thirst. A total of 486 articles were found, and 5 were analyzed. Articles were selected based on Joanna Briggs Institute (JBI) criteria to assess methodological quality. Discussion: The use of popsicle has been proven to reduce the intensity of thirst, with higher effectiveness compared to other non-pharmacological methods such as room-temperature water or cold sprays. The addition of menthol to popsicles enhances patient comfort and satisfaction, as well as reduces symptoms of dry mouth and halitosis.Results: All studies indicated that popsicles, especially those containing menthol, were significantly more effective in reducing postoperative thirst. Popsicles also improved the patient's recovery experience through positive psychological effects.
The Effect of Physical Exercise on Cognitive Impairment in Patients with Diabetes Mellitus Yeane Anastania; Debie Dahlia; Sri Yona; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6868

Abstract

Diabetes mellitus has been proven to be associated with cognitive decline and an increased risk of dementia. Exercise, both physical activity and brain training, as a non-pharmacological intervention, has the potential to improve cognitive function. Objective to investigate the effect of physical activity on cognitive impairment in patients with diabetes mellitus. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) method was used to select articles. The JBI critical appraisal checklist was used for quality assessment. Articles were searched through PubMed, Medline, and ScienceDirect databases from 2014 to 2024, using full-text articles. Out of 507 articles identified, 13 articles were included in the review, selected through a screening process based on predefined inclusion and exclusion criteria, and all demonstrated that physical activity, cognitive training, combined training, and training with lifestyle modifications can improve cognitive function in patients with type 2 diabetes mellitus. Exercise programs such as aerobic exercise, combined training, or other more specific exercises have been proven to improve cognitive function and metabolic indicators in patients with diabetes mellitus, such as HbA1c levels and insulin resistance. However, the majority of study participants were older adults.
Factors associated with the incidence of young-onset colorectal cancer: A cross-sectional study Natallina Sianturi; Debie Dahlia; Chiyar Edison
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2853

Abstract

The factors associated with the incidence of young-onset colorectal cancer (YO-CRC) remain uncertain and are continuously being studied. The aim of this study was to investigate the factors associated with the incidence of young-onset colorectal cancer. This cross-sectional study examined multiple factors (demographic status, medical comorbidities, smoking, alcohol intake, nighttime sleep duration, family history of cancer, sedentary behavior, daily consumption of fried foods, fast food, and processed meat) among 171 patients from two cancer referral hospitals in Jakarta, Indonesia. Logistic regression analysis revealed that the low-income group had a higher risk of YO-CRC compared to high-income group (p=0.004). Those with comorbid diseases such as inflammatory bowel disease, diabetes, or high cholesterol were more likely to develop YO-CRC compared to those without these conditions (p=0.002). Frequent consumption of processed meat (vs seldom) (p=0.003) and fried food (vs no consumption) (p=0.001) were associated with higher risk. Those with high sedentary behavior (vs low) (p=0.021) also had higher risk of YO-CRC. Notably, nighttime sleep emerged as the strongest predictor (odds ratio (OR): 10.462). These findings underscore the need for targeted public health interventions promoting adequate sleep, healthy diets, and active lifestyles, particularly among Indonesian youth and low-income groups. Further studies are recommended to investigate these associations in larger and more diverse populations across Indonesia.
Pendidikan Manajemen Perawatan Diri Diabetes dalam Meningkatkan Aktivitas Perawatan Diri Pasien Diabetes: Studi Kuasi-Eksperimental Noor Diani; Elly Nurachmah; Debie Dahlia; Evi Martha; M. Fakhruddin Noor; Rizka Hayyu Nafi’ah
An Idea Health Journal Vol 6 No 03 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i03.738

Abstract

Background: Diabetes mellitus is a chronic condition requiring continuous self-management. Appropriate self-care practices are essential for glycemic control and prevention of complications; however, local evidence on educational interventions remains limited. This study aimed to determine the effect of diabetes self-care management education on self-care activities among patients with type 2 diabetes mellitus. Methods: A quasi-experimental, one-group pretest–posttest design was used. Forty patients with type 2 diabetes mellitus who met the inclusion criteria were recruited. Self-care activities were assessed using the Summary of Diabetes Self-Care Activities (SDSCA) before and after the educational intervention. Result: The mean SDSCA score increased from 4.89 to 6.12 after the intervention, showing a statistically significant improvement (p < 0.001). Conclusion: Diabetes self-care management education improved self-care activities among patients with type 2 diabetes mellitus. Clinically, this intervention may support routine diabetes care by strengthening patient engagement in daily disease management. Nevertheless, the one-group design limits causal interpretation because no control group was used. Future studies with controlled design and larger samples are recommended.
Co-Authors Aat Djanatunisah Aat Djanatunisah Achir Yani S. Hamid Achmad Fauzi Kamal Agung Waluyo Anis Ika Nur Rohmah Apriyanti, Efa Ardiyati, Adelina Vidya Arisanty, irma Puspita Aryani, Denissa Faradita Besral . Chiyar Edison Dandi Oka Subantara Dayan Hisni Denissa Faradita Aryani Denissa Faradita Aryani Dewi Gayatri Dewi Irawaty Dewi Irawaty Dhika Ayu Kurnia Dian Ayubi Dikha Ayu Kurnia Dikha Ayu Kurnia Dita Aditianingsih Elly Nurachmah Elly Nurrachmah 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 M. Fakhruddin Noor Maria, Riri Muchtaruddin Mansyur Muhammad Mulyadi Pranata Nafi'ah, Rizka Hayyu Natallina Sianturi Nekka Juliani Ni Wayan Astiti Pertiwi Nila Indrayati Noor Diani Noor Diani Noor, M. Fakhruddin Nori Widiowati Widiowati Novrin Senselia Putri Ziliwu Pandan Enggarwati Pradana Soewondo Prima Agustia Nova Priyanto Priyanto Priyanto Priyanto Priyanto Ratna Aryani Ratna Aryani Ratna Aryani Retnoningrum, Dwi Ria Desnita Ridho Kunto Prabowo Rifatul Fani Rima Novia Putri Rinda Apriani Riri Maria Rizka Hayyu Nafi’ah 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 Wati Melawati Wicaturatmashudi, Sukma Yeane Anastania Yeni Rustina Yunisar Gultom Yunizar Gultom