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All Journal Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Keperawatan Raflesia Indonesian Journal of Global Health research An Idea Health Journal Nursing Information Journal Quality : Jurnal Kesehatan DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Indonesian Journal of Global Health Research

Yulia Yulia

Fakultas Ilmu Keperawatan Universitas Indonesia

Author-ID : 3309912

Humanities Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Pengaruh Rehabilitasi: Jalan Kaki Enam Menit terhadap Peningkatan Kadar Hemoglobin pada Pasien Sindroma Koroner Akut Mutarobin Mutarobin; Yulia Yulia; Masfuri Masfuri
Quality : Jurnal Kesehatan Vol. 13 No. 2 (2019): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Abstrak Sindroma Koroner Akut adalah gabungan gejala klinik yang menandakan iskemia miokard akut akibat ketidakseimbangan demand dan supply oksigen. Hemoglobin yang rendah dikaitkan dengan mortalitas penyakit arteri koroner dan biomarker yang berguna bagi penyakit arteri koroner. Kondisi ini mengakibatkan perubahan pada berbagai aspek, baik fisik, psikologis, maupun sosial. Ada beberapa rehabilitasi jantung yang digunakan pada fase 3 (maintenance phase), yaitu Six Minute Walk Test, shuttle-walk test stair climbing, cardiopulmonary exercise test, detection of exercise-induced asthma dan cardiac stress test. Saat ini di Amerika Rehabilitasi Jalan Enam Menit menjadi pilihan rehabilitasi yang paling sederhana serta praktis yang dapat digunakan dalam meningkatkan hemoglobin pada pasien kelainan jantung. Rehabilitasi Jalan Enam Menit bukan hanya mengevaluasi kapasitas fungsional jantung saja tetapi juga dapat menilai sistem pernafasan, kardiovaskuler, kadar hemoglobin, neuromuskuler, serta metabolisme. Tujuanya membuktikan pengaruh Rehabilitasi Jalan Kaki Enam Menit terhadap peningkatan haemoglobin pada pasien Sindroma Koroner Akut dengan quasi experiment, pre-post with control group. Teknik consecutive sampling digunakan untuk merekrut 57 responden yang terbagi menjadi 29 kelompok kontrol dan 28 kelompok intervensi. pengukuran dengan menggunakan Hb Sahli Hemometer. Hasil pengukuran terdapat perbedaan signifikan p value < 0.05. Berdasarkan hasil penelitian tersebut, Rehabilitasi Jalan Kaki Enam Menit dapat digunakan sebagai terapi modalitas keperawatan bagi pasien Sindroma Koroner Akut setelah keluar dari rumah sakit. Kata Kunci: sindroma koroner akut, Rehabilitasi Jalan Kaki Enam Menit, hemoglobin

Social Support in Patient Adherence on Hypertension Management Sapto Haryatmo; Ratna Sitorus; Yulia Yulia
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 4 (2020): Oktober 2020
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.163 KB)

Patient compliance with hypertension management is important because non-adherence can lead failure to control blood pressure. This study aims to identify demographic factors and social support in relation to hypertension management adherence. This research is a non-experimental cross sectional analytic study to a population of hypertensive patients in the Temanggung region. Sampling used concecutive sampling with 100 respondents. The Adherence variable was measured using a Medical Outcomes Study (MOS) Measures of Patient Adherence and social support was measured using the Multidimensional Scale of Perceived Social Support. Data were analyzed univariately, bivariately and multivariately to determine the significance and strength of variable correlation. Research result shows a significant relationship between education level (p value = 0.014) and social support (p value = 0.013) with adherence. There was no significant correlation between age (p value = 0.982), gender (p value = 0.435) and financing (p value = 0.521) with adherence. Multivariate test results showed that social support was significantly related to adherence with p value = 0.028 at α = 0.05. Social support has an odds ratio of 5.8, which means patients with good social support have a 5.8 times chance to be more obedient.

Kepuasan Self Monitoring Blood Glucose dengan Kualitas Hidup pada Pasien Diabetes Tipe 2 Shanty Chloranyta; Yulia Yulia; Masfuri Sodikin
JURNAL KEPERAWATAN RAFLESIA Vol 1 No 2 (2019): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu
Publisher : Poltekkes Kemenkes Bengkulu

Self monitoring blood glucose (SMBG) is an integral part of diabetes self management. SMBG is effective in improving the quality of life there is a 40.6% increase in physical and emotional functioning of patients, and 39.13% confidence. SMBG is not effective in improving the quality of life of patients experiencing frustration, depression and suffering. The purpose of this study was to analyze SMBG satisfaction with quality of life. Cross sectional research design. The population of this study were 51 type 2 diabetes patients with purposive sampling technique. The instruments used were Glucose Monitoring Satisfaction Survey (GMSS), Diabetes Quality of Life Brief (DQoL Brief), Diabetes Self Management Questionnaire (DSMQ). Data analysis used Pearson test. The results showed respondents (78.4%) were female, (58.8%) had hypertension complications, (84.3%) financial support using BPJS, (62.7%) using insulin binding 32. The average age of 50.73 years, SMBG satisfaction 49.43, quality of life 49.84 , diabetes self management 28. There was a significant relationship between SMBG satisfaction and quality of life (p = 0.000). Satisfaction of SMBG improves quality of life in patients with type 2 diabetes.

Perbedaan Frekuensi Pemberian Enteral Feeding terhadap Toleransi Feeding dan Kadar Glukosa Darah Dewi Siti Oktavianti; Yulia Yulia; Riri Maria
JURNAL KEPERAWATAN RAFLESIA Vol 3 No 1 (2021): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu
Publisher : Poltekkes Kemenkes Bengkulu

Medical nutrition therapy is one of the interventions to provide sufficiently nutrition and to optimize glycemic controls in meeting the body metabolic needs. An Enteral Feeding is an alternative feeding method when there are obstacles to fulfill patients nutrition orally. This study aims to determine feeding tolerances and blood glucose controls in Type2 Diabetes Mellitus patients with different Enteral Feeding frequencies-three and six times preserving. This research is a quasi-experimental design study involving 26 patients admitted in a hospital. The results of the study on respondents with enteral feeding of a frequency 3x/24 hours found that 2respondents (15.4%) were tolerant with enteral feeding given and as many as 3respondents (23.1%) had normal blood glucose, while the results of the study for respondents with enteral feeding of a frequency 6x / 24 hours, 12 respondents (92.3%) were tolerant with enteral feeding given and as many as 12 respondents (92.3%) had normal blood glucose. The results showed that there was a statistically difference between the three times and six times Enteral Feeding with feeding tolerance (p = 0.005). There was a difference between the frequency of enteral feeding six times and three times in the blood glucose level (p = 0.005). Results of this study will assist in controlling blood glucose by regulating the timing of feeding in patients with type 2 diabetes mellitus.

Psyhological Response and Ntritional Status of Type 2 Diabetes Mellitus Patients Rizki Andriani; Yulia Yulia; Riri Maria
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 1 (2022): Dunia keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

The application of nutrient guidelines into daily menu challenges the majority of type 2 diabetes mellitus (T2DM) patients as it needs time to change their dietary habit that has been previously formed. It is common for patients to experience boredom and stress due to their diet program that has to be implemented for the rest of their lives. Psychological response has a great influence in T2DM patients in their effort to control their diet. This research aims to analyze psychological response and nutritional status, also to observe their relationship in T2DM patients. This research uses cross sectional design. It is applied on three type A hospitals in Jakarta by consecutive sampling, with 260 type 2 diabetes mellitus patients as respondents. Questionnaire is used to collect the data. There is a significantly related between psychological response and nutritional status (p = 0.000, OR =4.944) that is not influenced by confounding variable such as anti-diabetic medication, food intake, and age. Respondents with diabetes distress psychological response have 4,944 times higher risk of experiencing abnormal nutritional status compared to respondents without diabetes distress. Regular meeting is needed at least once every four weeks to fulfill psychological needs concerning diabetes.

Efektivitas penggunaan terapi topical herbal pada perawatan ulkus kaki diabetik: A systematic literature review Elviera Djuma; Yulia Yulia; Dikha Ayu Kurnia
Holistik Jurnal Kesehatan Vol. 18 No. 2 (2024): Volume 18 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i2.281

Background: Diabetic foot ulcers are a complication that affects the health and quality of life of diabetes mellitus patients. Topical herbs are botanical treatments used to treat diabetic foot ulcers, with the aim of speeding up the healing process and reducing inflammation by applying them directly to the affected area. Purpose: To identify the effectiveness of topical herbal use in the intervention group compared to those receiving standard care in the control group in type 1/type 2 DM patients. Method: Using a systematic review by selecting articles according to a randomized controlled trial (RCT) research design and arranged based on Preferred Reporting Items For Systematic Reviews and Meta Analyzes (PRISMA). Article searches were carried out through a number of databases, Science Direct, Clinical Key, Pubmed, Proquest, and Sage published in the last 5 years (2018-2023). Results: Wound healing in diabetics is often complicated and involves many things besides local infection. In addition, vascular problems resulting in systemic infections and a decrease in the immune system make it more difficult for diabetic wounds to heal. The use of topical herbal medicine can improve the healing of diabetic foot ulcers and does not have significant side effects. To manage superficial diabetic foot ulcers, topical use of herbs may be an effective, safe, accessible, and inexpensive adjunct option to conventional therapy. Conclusion: The use of topical herbal therapy improves the healing of diabetic foot ulcers and does not have significant side effects. Keywords: Diabetic Foot Ulcers (UKD); Diabetes Mellitus; Tropical Herbs. Pendahuluan: Ulkus kaki diabetik merupakan komplikasi yang mempengaruhi kesehatan dan kualitas hidup pasien diabetes melitus. Herbal topikal adalah perawatan botani yang digunakan untuk mengatasi ulkus kaki diabetik, dengan tujuan mempercepat proses penyembuhan dan mengurangi peradangan dengan menerapkannya langsung ke daerah yang terkena. Tujuan: Untuk mengidentifikasi efektifitas penggunaan topical herbal pada kelompok intervensi dibandingkan dengan yang menerima perawatan standar pada kelompok kontrol pada pasien DM tipe 1/tipe 2. Metode: Menggunakan systematic review dengan memilih artikel sesuai desain penelitian randomized controlled trial (RCT) dan disusun berdasarkan Preferred Reporting Items For Systematic Reviews and Meta Analyzes (PRISMA). Pencarian artikel dilakukan melalui sejumlah database, Science Direct, Clinical Key, Pubmed, Proquest, dan Sage terbitan 5 tahun terakhir (2018-2023). Hasil: Penyembuhan luka pada penderita diabetes seringkali rumit dan melibatkan banyak hal selain infeksi lokal. Selain itu, masalah vaskular sehingga mengalami infeksi sistemik dan penurunan sistem kekebalan tubuh menyebabkan luka diabetes lebih sulit sembuh. Penggunaan obat topikal herbal dapat meningkatkan penyembuhan ulkus kaki diabetik dan tidak memiliki efek samping yang signifikan. Untuk mengelola ulkus kaki diabetik superfisial, penggunaan topikal herbal dapat menjadi pilihan tambahan yang efektif, aman, mudah diakses, dan murah untuk terapi konvensional. Simpulan: Penggunaan terapi topical herbal meningkatkan penyembuhan ulkus kaki diabetik dan tidak memiliki efek samping yang signifikan. Kata Kunci: Diabetes Melitus; Herbal Tropis; Ulkus Kaki Diabetik (UKD).

Intervensi Psikoedukasi untuk Mengurangi Isu Kesehatan Emosional pada Pasien Diabetes Rohmah, Assyfa Siti; Yulia, Yulia; Yona, Sri; Kurnia, Dikha Ayu
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 1 (2025): Januari-Maret 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16165

Emotional health problems such as depression, distress, anxiety and fear are important points that need to be considered in the management of diabetes patients. Emotional health problems that are not handled properly can interfere with the success of diabetes management and increase the risk of complications. One thing that can be done to reduce emotional health problems is to conduct psychoeducational interventions. Psychoeducational interventions focus on cognitive, behavioral and emotional changes. The purpose of this literature study was to describe psychoeducational interventions that can reduce the severity of emotional health problems in diabetes patients. This literature study was conducted using the PRISMA approach and the quality of the articles was assessed based on the RoB V2 from Cochrane. There were 13 articles in this literature study with RCT and pilot RCT designs. Four articles discussed the effectiveness of psychoeducational interventions using cognitive-behavior therapy, 7 articles used telehealth-based education and 2 articles on mindfulness. Of all the literature reviewed, all showed the success of interventions in order to improve the level of mental health of patients including depression, distress and anxiety, both in the long and short term. Furthermore, it was concluded that psychoeducational interventions are effective in improving mental health in diabetes.Keywords: diabetes; emotional health; depression; distress; anxiety; fear of hypoglycemia ABSTRAK Masalah kesehatan emosional seperti depresi, distres, ansietas dan ketakutan merupakan poin penting yang perlu diperhatikan dalam manajemen pasien diabetes. Masalah kesehatan emosional yang tidak ditangani dengan baik dapat mengganggu keberhasilan manajemen diabetes dan meningkatkan resiko komplikasi. Salah satu hal yang dapat dilakukan dalam mengurangi masalah kesehatan emosional yaitu melakukan intervensi psikoedukasi. Intervensi psikoedukasi berfokus terhadap perubahan kognitif, perilaku dan emosional. Tujuan studi literatur ini yaitu menggambaran intervensi psikoedukasi yang dapat menurunkan keparahan dari masalah kesehatan emosional pada pasien diabetes. Studi literatur ini dilakukan menggunakan pendekatan PRISMA dan kualitas artikel dinilai berdasarkan RoB V2 dari Cochrane. Terdapat 13 artikel pada studi literatur ini dengan desain RCT dan pilot RCT. Empat artikel membahas efektivitas intervensi psikoedukasi menggunakan cognitive-behavior therapy, 7 artikel menggunakan edukasi berbasis telehealth dan 2 artikel mengenai mindfulness. Dari seluruh literatur yang ditinjau, semuanya menunjukkan keberhasilan intervensi dalam rangka meningkatkan level kesehatan mental pasien yang mencakup depresi, distress dan ansietas, baik dalam jangka panjang maupun jangka pendek. Selanjutnya disimpulkan bahwa intervensi psikoedukasi efektif untuk meningkatkan kesehatan mental diabetes. Kata kunci: diabetes; kesehatan emosional; depresi; distress; ansietas; ketakutan akan hipoglikemi

Use of medium cut-off membrane dialyzer compared to high flux membrane dialyzer in improving the clearance of middle to large molecule uremic toxins: A Systematic Review Wasal Desrial Siregar; Krisna Yetti; Agung Waluyo; yulia yulia
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.934

Background: The loss of kidney function in patients with kidney disease leads to the accumulation of dissolved substances known as uremic toxins, which can negatively impact patient health. Membranes with a high number of pores, such as those in high-flux dialyzers, allow some medium-sized molecules like beta-2 microglobulin to pass through. However, these membranes are less effective at filtering out larger dissolved substances. Larger medium-sized molecules (>25 kD) need to be removed either by convection or through the use of highly permeable membranes such as Medium Cut-Off (MCO) membranes. Therefore, it is important to understand the improvement in uremic toxin clearance when using MCO dialyzers compared to high-flux dialyzers. Purpose: To evaluate and compare the effectiveness of using medium cut-off (MCO) membrane dialyzer with high flux membrane dialyzer. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Patients with chronic kidney disease undergoing hemodialysis, I: Use of dialyzers with medium cut-off (MCO) membrane, C: Use of dialyzer with high flux membrane, O: Increased clearance of uremic toxins of middle to large molecules, such as β2-microglobulin, kappa and lambda free light chains, S: Randomized controlled trials. The article search was conducted systematically using the keywords: "Medium cut-off dialyzer" AND "High flux dialyzer" AND "Uremic toxins" AND "Middle molecules" AND "Large molecules" AND "Clearance Hemodialysis". Results: The use of MCO membranes was more effective in eliminating medium-to-large uremic toxins while maintaining safety and regulation comparable to conventional hemodialysis with high-flux dialyzers. MCO membranes were also more effective even with low blood flow, without significantly increasing albumin loss. Additionally, MCO membranes contributed to reducing inflammation and allowed for shorter recovery times post-hemodialysis treatment. Conclusion: Given its comparable safety to high-flux dialyzers, the use of MCO membranes can be expanded in clinical practice at hemodialysis centers, including those in resource-limited settings.

Efektivitas Intradialytic Cycling terhadap Status Fungsional Fisik dan Psikologis pada Pasien Hemodialisis : Telaah Literatur Sistematis Katarina Windhi Anggita Sari; Yulia Yulia; Chiyar Edison Sunarya; Agung Waluyo
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49862

Intradialytic cycling is a form of aerobic exercise performed during hemodialysis sessions. Several studies have investigated its impact on both physical and psychological functional status, utilizing various parameters such as frequency, duration, exercise intensity, and with differing outcomes. The aim of this systematic review is to examine the effects of intradialytic cycling on physical and psychological functional status in patients undergoing hemodialysis.This systematic review was conducted in accordance with the PRISMA guidelines. Literature was sourced from databases including Scopus, ProQuest, SAGE Journals, SpringerLink, Taylor & Francis, and Cochrane, using keywords based on the PICO framework and combined with Boolean operators “AND” and “OR.” Inclusion criteria for the articles were: publication between 2010 and 2025, studies involving hemodialysis patients aged ≥18 years, research designs including randomized controlled trials (RCTs), quasi-experimental studies, and cohort studies, and publications in English. A total of 10 articles were included in the analysis. Intradialytic cycling demonstrated enhancing physical function and reducing depressive symptoms in hemodialysis patients. This non-pharmacological intervention proved to be effective both as a standalone therapy and in combination with other modalities, such as resistance training, music therapy, and cognitive approaches. However, further research is warranted to develop and adapt intradialytic cycling protocols that align with clinical practice settings in Indonesia

INTERPRETING CONTINUOUS GLUCOSE MONITORING DATA IN NON-DIABETIC INDONESIANS: A PHENOMENOLOGICAL STUDY OF MEANING-MAKING AND LIFESTYLE DECISIONS Yulia Yulia; Wendy Abigail; Thurayya Abdulwahid Eid; Masfuri Masfuri
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 1 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i1.892

The rising prevalence of type 2 diabetes highlights the need for early metabolic awareness strategies. Continuous glucose monitoring (CGM), originally developed for diabetes management, is increasingly used by non-diabetic individuals seeking personalized health insights. However, evidence remains limited regarding how users interpret CGM data and apply it to lifestyle decisions, particularly in low- and middle-income countries Objective: This study explored the experiences of non-diabetic adults in Indonesia using CGM. Method: This phenomenological study involved six adults with CGM experience. Data were collected through HBM-informed interviews and analyzed using directed qualitative content analysis combining deductive and inductive approaches. Results: Four themes emerged: (1) emotional and cognitive sense-making of glucose visibility; (2) CGM as a reflective learning and validation tool; (3) personal and social context shaping meaning; and (4) navigating structural and contextual constraints. Discussion: The CGM use among non-diabetic Indonesian individuals generated complex emotional, cognitive, social, and cultural responses that shaped how glucose data were interpreted and translated into lifestyle behaviors. CGM enhanced metabolic awareness and motivated preventive actions; however, anxiety related to glucose fluctuations, limited healthcare guidance, device reliability issues, and sociocultural barriers influenced the sustainability and meaning of its use. Conclusion: CGM shapes how individuals perceive and respond to metabolic signals. Findings highlight the need for education, culturally responsive guidance, and CGM integration into preventive care. Nurses play an important role in supporting accurate interpretation and reducing anxiety. Policy efforts should support regulatory guidance, standardized education, and safe CGM integration into preventive and digital health systems.Keywords: continuous glucose monitoring, health promotion, lifestyle behavior, non-diabetic population prevention

Co-Authors Agung Waluyo Allenidekania Allenidekania Chloranyta, Shanty Dikha Ayu Kurnia Dikha Ayu Kurnia Elviera Djuma Hafan Sutawardana, Jon Katarina Windhi Anggita Sari Krisna Yetti Kurnia, Dikha Ayu Maria, Riri Masfuri - Masfuri Masfuri Mutarobin Mutarobin Nur Agustini Oktavianti, Dewi Siti Puteri Hirika Reptes Rabiatul Addawiah Ratna Sitorus Riri Maria Rizki Andriani Rohmah, Assyfa Siti S., Chiyar Edison Sapto Haryatmo Sri Hariyanti Sri Yona Thurayya Abdulwahid Eid Wasal Desrial Siregar Wendy Abigail Yona, Sri

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