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Hubungan Kadar Gula Darah Puasa, Kapasitas Fungsional Kesehatan Fisik, Kesehatan Umum Dengan Fatigue Penderita Diabetes Melitus Tipe 2 Di Puskesmas Gribig Nadya Asyh Selvya; Diana Tri Lestari; Dewi Hartinah
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.3221

Abstract

Penelitian ini bertujuan untuk mengetahui hubungan antara kadar gula darah puasa, kapasitas fungsional kesehatan fisik, dan kesehatan umum dengan tingkat fatigue pada pasien diabetes melitus tipe 2 di Puskesmas Gribig Kudus. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross sectional. Jumlah sampel dalam penelitian ini sebanyak 82 orang, yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan meliputi pengukuran kadar gula darah puasa dengan alat glucometer, pengukuran kapasitas fungsional menggunakan metode 6 Minute Walk Test (6MWT), penilaian kesehatan umum menggunakan kuesioner SF-36, serta pengukuran tingkat fatigue menggunakan Fatigue Assessment Scale (FAS). Data yang diperoleh kemudian dianalisis menggunakan uji korelasi Spearman.Hasil penelitian menunjukkan bahwa mayoritas responden mengalami hiperglikemia (90,2%), memiliki kapasitas fungsional dalam kategori buruk hingga sangat buruk, serta kondisi kesehatan umum yang tergolong rendah. Tingkat fatigue yang dialami juga didominasi oleh kategori fatigue berat. Hasil uji statistik menunjukkan bahwa terdapat hubungan yang signifikan antara kadar gula darah puasa dengan fatigue (p = 0,000; r = 0,396), antara kapasitas fungsional kesehatan fisik dengan fatigue (p = 0,002; r = -0,340), serta antara kesehatan umum dengan fatigue (p = 0,000; r = 0,413). Artinya, semakin tinggi kadar gula darah dan semakin rendah kapasitas fungsional serta kesehatan umum, maka tingkat kelelahan yang dirasakan pasien akan semakin tinggi. Berdasarkan hasil tersebut, dapat disimpulkan bahwa terdapat hubungan yang signifikan antara kadar gula darah puasa, kapasitas fungsional kesehatan fisik, dan kesehatan umum dengan fatigue pada pasien diabetes melitus tipe 2. Temuan ini menunjukkan pentingnya pengelolaan kadar gula darah, peningkatan aktivitas fisik, dan perhatian terhadap kondisi kesehatan umum secara menyeluruh guna menurunkan tingkat kelelahan dan meningkatkan kualitas hidup pasien.
Pengaruh Black Garlic Terhadap Kekambuhan pada Penderita Gastritis di Desa Tubanan Kecamatan Kembang Kabupaten Jepara Ninda Titian Asta Gini; Sukesih Sukesih; Diana Tri Lestari
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46537

Abstract

Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian Black Garlic terhadap kekambuhan pada penderita gastritis di desa Tubanan Kecamatan Kembang Kabupaten Jepara. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian quasi experiment dengan pendekatan control group pretest-posttest. Penelitian ini menggunakan teknik purpasive sampling, sampel yang digunakan dalam penelitian ini berjumlah 30 orang penderita gastritis, dikelompokkan menjadi 15 orang kelompok intervensi dan 15 orang kelompok kontrol. Data dikumpulkan melalui lembar observasi dan adapun teknik analisis data yang digunakan adalah uji Normalitas, uji Wilcoxon, dan uji Mann-Whitney. Hasil penelitian menunjukkan bahwa terdapat penurunan signifikan dalam frekuensi kekambuhan gastritis pada kelompok intervensi setelah diberikan black garlic, pada hasil uji Mann Whitney dapat diketahui bahwa nilai Asymp.Sig.(2-tailed) sebesar 0,002 sehingga dapat disimpulkan 0,002 < 0,05 dan hipotesis diterima. Jika hipotesis diterima maka artinya terdapat pengaruh. Penelitian ini menyimpulkan bahwa pemberian black garlic memiliki pengaruh terhadap penurunan frekuensi kekambuhan gastritis pada penderita di Desa Tubanan. Oleh karena itu, black garlic dapat dipertimbangkan sebagai terapi tambahan dalam pengelolaan gastritis.
Effect of a Dementia Care Class on Knowledge of Community-Based Dementia Care among Informal Caregivers: A Pre-Experimental Study Tiara, Novi; Jauhar, Muhamad; Lestari, Diana Tri; Rahmawati, Ashri Maulida
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.16868

Abstract

Background. Dementia is developing rapidly, marked by the increasing prevalence of dementia in the world every year, in line with the growing number of the elderly population. Dementia causes dependence, reduced quality of life, and even disability. It is necessary to prevent and treat dementia by empowering informal caregivers. Objectives.This study aimed to determine the effect of a dementia care class on knowledge of community-based dementia care. Methods. A pre-experimental pretest–posttest design with a control group was employed. This research was conducted in the Work Area of the Kaliwungu and Dawe Health Centers, Kudus Regency. A sample of 24 informal caregivers for each intervention and control group was taken using purposive sampling. The research instrument used the Alzheimer's Disease Knowledge Scale (ADKS). The intervention dementia care class was conducted in 4 sessions on two days with a duration of 45-60 minutes per session. Wilcoxon and Man Whitney were used for data analysis. Results. The results showed a statistically significant increase in knowledge scores among informal caregivers in the intervention group compared to the control group with p-value = 0.001 (p <0.05). Conclusion. Dementia Care Class improves knowledge of informal caregiver. These learning models and media can be integrated into elderly posyandu and elderly health programs in healthcare facilities in community-based dementia management.
HUBUNGAN ANTARA OBESITAS, POLA MAKAN, DAN AKTIVITAS FISIK DENGAN TINGKAT HIPERTENSI PADA LANSIA DI POSYANDU SIDOMULYO Rika Barotut Taqiyah; Rusnoto, Rusnoto; Diana Tri Lestari
Nusantara Hasana Journal Vol. 5 No. 8 (2026): Nusantara Hasana Journal, January 2026
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i8.1823

Abstract

Hypertension, or high blood pressure, is a chronic medical condition characterized by elevated arterial blood pressure. Understanding the factors influencing the development of hypertension in the elderly is crucial for identifying and developing better prevention and management strategies. Factors requiring further research include obesity, diet, and physical activity. The purpose of this study was to determine the relationship between obesity, diet, and physical activity with hypertension levels in the elderly at the Sidomulyo Integrated Health Post (Posyandu). The research method used correlational analysis with a cross-sectional design approach. The population in this study was 40 elderly residents of the Sidomulyo Integrated Health Post (Posyandu Sidomulyo), and the research sample was 36 respondents. The sampling technique used by researchers in this study is a Purposive Sampling technique. The inclusion criteria in this study are: active elderly at the Sidomulyo Integrated Health Post and willing to fill out the questionnaire completely. The exclusion criteria in this study are: elderly who are no longer active at the Sidomulyo Integrated Health Post and are not willing to be respondents. The instruments used are digital scales to measure body weight in determining obesity status, measurement of Eating Patterns using the Food Frequency Questionnaire (FFQ) questionnaire, measurement of physical activity using the International Physical Activity Questionnaire (IPAQ) questionnaire and measurement of Hypertension using a digital tensiometer / tensiometer and stethoscope. Based on the results of the analysis using the sperm rank test, there are analysis results on the obesity variable showing a Sig. (2-tailed) value = 0.013 which is smaller than the sig value = 0.05 and there is a positive correlation value r = 0.410. So it can be interpreted that there is a fairly strong relationship. On the diet variable shows a Sig. (2-tailed) value = 0.026 smaller than the sig value = 0.05 which means there is a significant relationship between the diet variable and the level of hypertension with a positive correlation value of r = 0.370 which means there is a very low relationship between the diet variable and the level of hypertension. While on the physical activity variable there is a sig value = 0.002 with a positive correlation value of r = 0.509 which means there is a strong significant relationship between the physical activity variable and the level of hypertension. The conclusion of this study is that there is a significant relationship in the three variables as evidenced by the three sig values. (2-tailed) ≤ 0.05.
Social Stigma as A Determinant of Tuberculosis Treatment Adherence in Public Health Centers Retno Dewi Wulandari; Diana Tri Lestari; Muhamad Jauhar
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2211

Abstract

Introduction: Tuberculosis (pulmonary TB) is the leading infectious disease cause morbidity and mortality in Indonesia, ranking first. This is due to poor treatment adherence related to social stigma. Pulmonary TB has physical, economic, and social impacts, while self-efficacy and social stigma contribute to treatment adherence. Objective: This study aims to analyze the relationship between social stigma and adherence to tuberculosis treatment in the productive age group. Method: The study used a descriptive correlational design with a cross-sectional approach. The independent variable was social stigma, while the dependent variable was medication adherence. The study was conducted in the Japan Community Health Center Working Area from June to August 2025 with a sample of 59 respondents using a purposive sampling technique. The research instrument was a questionnaire on social stigma and medication adherence. Data analysis used the Spearman rank test. Result: The results of the study showed that there was a statistically significant relationship between social stigma and adherence to treatment of pulmonary TB clients with a p-value of 0.000 (p < 0.05). The research results indicate a negative relationship between social stigma and adherence to pulmonary tuberculosis treatment, meaning that the higher the level of social stigma perceived by pulmonary TB patients, the lower their adherence to treatment. Conclusion: Treatment adherence is influenced by social stigma. TB patients are expected to adhere to treatment, avoid social stigma, and utilize family and community support to promote healing.
Hubungan Jenis, Durasi, Frekuensi dan Intensitas Olahraga dengan Tekanan Darah Penderita Hipertensi di Puskesmas Juwana Sari, Sri Wulan; Lestari, Diana Tri; Hartinah, Dewi
Jurnal Pendidikan Tambusai Vol. 10 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v10i1.37230

Abstract

Hipertensi menjadi penyebab utama kematian dini di dunia dan terus mengalami peningkatan prevalensi, termasuk di Indonesia. Data nasional dan daerah menunjukkan bahwa Puskesmas Juwana merupakan wilayah dengan jumlah penderita hipertensi tertinggi di Kabupaten Pati. Rendahnya aktivitas olahraga yang teratur dan terukur diduga berperan dalam buruknya pengendalian tekanan darah. Penelitian ini bertujuan untuk mengetahui hubungan jenis, durasi, frekuensi, dan intensitas olahraga dengan tekanan darah pada penderita hipertensi di wilayah kerja Puskesmas Juwana.Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Populasi penelitian adalah seluruh penderita hipertensi yang berkunjung ke Puskesmas Juwana dengan rata-rata 180 penderita per bulan. Sampel sebanyak 124 responden diambil menggunakan teknik accidental sampling. Variabel independen meliputi jenis, durasi, frekuensi, dan intensitas olahraga, sedangkan variabel dependen adalah tekanan darah. Pengumpulan data dilakukan menggunakan kuesioner IPAQ Short Form, kuesioner aktivitas olahraga, pengukuran intensitas dengan oximeter, serta pengukuran tekanan darah menggunakan sphygmomanometer. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa berdasarkan jenis olahraga, responden paling banyak melakukan jalan kaki sebanyak 61 responden (49,2%), diikuti senam 17 responden (13,7%), bersepeda 10 responden (8,1%), jogging 7 responden (5,6%), renang 3 responden (2,4%), dan tidak berolahraga 26 responden (21,0%). Berdasarkan durasi, sebagian besar responden berolahraga >30 menit yaitu 79 responden (63,7%). Berdasarkan frekuensi, mayoritas responden berolahraga ≤3 kali per minggu sebanyak 80 responden (64,5%). Berdasarkan intensitas, sebagian besar responden melakukan olahraga dengan intensitas ringan sebanyak 71 responden (57,3%). Hasil uji Chi-Square menunjukkan terdapat hubungan yang bermakna antara jenis, durasi, frekuensi, dan intensitas olahraga dengan tekanan darah penderita hipertensi (p < 0,05).Simpulan penelitian ini adalah bahwa olahraga yang dilakukan secara teratur, dengan jenis, durasi, frekuensi, dan intensitas yang sesuai, berhubungan signifikan dengan pengendalian tekanan darah pada penderita hipertensi. Penelitian ini diharapkan dapat meningkatan aktivitas olahraga terukur dan perlu menjadi bagian penting dalam upaya pengendalian hipertensi di tingkat pelayanan kesehatan primer.
Lumbricus Rubellus Earthworm Extract Hydrogel for Treatment of Diabetic Ulcer Wounds Lestari, Diana Tri; Jauhar, Muhamad; Retnowati, Eko
Journal of Pharmascience Vol 13, No 1 (2026): Jurnal Pharmascience
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v13i1.22880

Abstract

A diabetic ulcer is a complication that requires serious treatment because it is the highest cause of amputation. This condition has an impact on the morbidity, mortality, and socioeconomics of people with diabetes. Therefore, accuracy is needed in managing diabetic ulcers, one of which is natural ingredients that have potential as topical ulcer medicines, namely the Lumbricus rubellus earthworm. This study aims to find out the most effective formula for the treatment of diabetic ulcer wounds. The formula for this drug candidate is made using the hydrogel preparation formulation using an HPMC 940 base with variations in the active ingredient of lumbricus worm extract of 20%, 50%, and 80% to obtain the desired hydrogel preparation. The candidate drug will be tested, namely physical tests including organoleptic tests, homogeneity tests, pH tests, viscosity tests, spreadability tests, and adhesive tests. After that in vivo trial using Wistar rat experiments. The results of the organoleptic test showed that the three formulas were in gel form with a distinctive extract odor, but the three preparations showed different colors, namely brownish yellow, dark brown, and blackish brown. The three formulations appear homogeneous, having a pH between 4.36 and 4.44 and a viscosity between 5,376 cp and 5,894 cp. The spreading power in formulas 2 and 3 is good, and formula 2 has good adhesion. The results of this study demonstrate that the group treated with 50% Lumbricus rubellus topical extract experienced the most significant and rapid wound healing among all intervention groups. Lumbricus extract can be used as a topical gel preparation for wound care, with the best formulation at a concentration of 50%.
Co-Authors Achmad Ridwan Ajeng, Putri Allena Ade Aman, Syahrial Anggara Dwi Sulistiyanto Anis Lailatul Qudriyah Anjrah Harmoko Arya Dwi Cahyono Ashri Maulida Biyanti Dwi Winarsih Dewi Hartinah Diah Fatmawati, Diah Diah Putri Nugraheni Edi Wibowo Edi Wibowo Suwandi Edi Wibowo Suwandi Efendi Efendi Eko Retnowati, Eko Endang Setyowati Erni Suprapti Faridha Alfiatur Rohmaniah Faridha Alfiatur Rohmaniah Fery Nanik Handayani Fitriana Kartikasari Fitriana, Ida Hasriyani Hasriyani, Hasriyani Hindriyastuti, Sri Ika Puji Eviyanti Indanah Istyanti, Gabriella Sekar Iswatun Qasanah Iswatun Qasanah Jeki Pornomo Jeki Purnomo Lintang Ayu Diana Linsqy Lismawati, Dini Marniati Kadir Mohamad Khafidh Rio Irwansyah Muhamad Jauhar Muhammad Jauhar, Muhammad Mukaromah, Isna Aulia Muslimah, Aulya Choirul Nadya Asyh Selvya Nana Umi Farida Nila Friscandani Ninda Titian Asta Gini Nisdayanti, Dela Amanda Noor Cholifah Noor Faidah Noor Hidayah Pusparatri, Edita Putri, Sheryl Nisrina Aulia Rabiatul Adawiyah Rahmasari, Lutfir Fitri Rahmawati, Ashri Maulida Rahmawati, Ashri Mualida Retno Dewi Wulandari Rika Barotut Taqiyah Risnawati, Heni Rusnoto Rusnoto rusnoto rusnoto Sari, Sri Wulan Sholahudin, Mohammad Sinta Novia Dewi Sri Hartini Sri Karyati Sukamto Sukamto Sukamto SUKARMIN Sukarmin, S Sukesih Sukesih Sukma Wijayanti Sunarya, Dian Fitriani Surastuti, Putri Syahrial Aman Tiara, Novi Tukiyo Tuti Anggarawati Vera Fahreza Wahyu Yusianto Widiastari, Yunita Widya Cholid Wahyudin Widyastuti, Anik Wulandari, Fifi Faryanti Yanti, Vivin Amei Yayuk Mundriyastutik Yulisetyaningrum Yunita Rusidah Yusuf Ilham Romadhoni