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Terapi Komplementer dalam Mengatasi Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 Ahmad Syaripudin; Dewi Erna Marisa
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53834

Abstract

Diabetes Melitus Tipe 2 merupakan penyakit metabolik kronis yang ditandai oleh peningkatan kadar glukosa darah akibat resistensi insulin atau gangguan sekresi insulin. Penggunaan obat antidiabetes secara konvensional sering menimbulkan efek samping dan memerlukan dukungan terapi tambahan. Penelitian ini bertujuan untuk menganalisis efektivitas terapi komplementer dalam menurunkan kadar gula darah pada pasien Diabetes Melitus Tipe 2 di Rumah Sakit X. Penelitian ini menggunakan pendekatan kuantitatif deskriptif analitik dengan desain cross-sectional. Sebanyak 85 responden yang memenuhi kriteria inklusi diikutsertakan dari total 93 pasien menggunakan teknik total sampling. Data dikumpulkan melalui observasi, kuesioner, dan rekam medis, kemudian dianalisis menggunakan uji Shapiro-Wilk, Levene, dan ANOVA. Hasil menunjukkan bahwa seluruh terapi komplementer, yaitu herbal, hipnoterapi, dan yoga, menurunkan kadar gula darah secara signifikan (p < 0,05). Penurunan tertinggi terjadi pada terapi herbal dengan rata-rata penurunan sebesar 35 mg/dL. Hasil uji normalitas dan homogenitas menunjukkan data berdistribusi normal dan homogen, sehingga analisis statistik valid. Secara keseluruhan, terapi komplementer terbukti berperan positif dalam membantu pengendalian kadar gula darah, serta berpotensi menjadi bagian dari strategi manajemen holistik pasien Diabetes Melitus Tipe 2.
The effectiveness of adaptive learning media based on realistic mathematics education on cube and block materials in Madrasah Ibtidaiyah Syaripudin, Ahmad; Sulistyowati, Endang; Narfi, Muhammad Afif; Bintang, Rahma Sahanum
Indonesian Journal of Science and Mathematics Education Vol. 9 No. 1 (2026): Indonesian Journal of Science and Mathematics Education
Publisher : Universitas Islam Negeri Raden Intan Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24042/ijsme.v9i1.30332

Abstract

The low conceptual understanding of elementary school students towards geometry, especially cube and block materials, remains a challenge for learning basic mathematics. This condition is exacerbated by predominantly conventional learning practices, a lack of context, and a lack of responsiveness to the diversity of student characteristics, including in inclusive classes. This study aims to develop and evaluate the effectiveness of adaptive learning media grounded in  (RME) in improving students’ mathematics learning outcomes. The research used a Research and Development (R and D) approach, employing the ADDIE model, combined with a quasi-experimental design with a non-peer control group. The study involved grade V students of Madrasah Ibtidaiyah (MI) in rural and urban areas, including students with disabilities. Data were collected through learning outcome tests and analyzed using descriptive and inferential statistics (t-tests). The results of the study show that RME-based adaptive learning media are declared valid and practical, and significantly more effective than conventional learning. These findings suggest that integrating adaptive media can strengthen the implementation of RME and support contextual, inclusive, and evidence-based geometry learning.
Nursing Care for the Discomfort Disorder in 'S' Diagnosed with Dyspepsia in the Sanur Room, Sumber Kasih Hospital, Cirebon City Herlina Herlina; Pujiyana Pujiyana; Ira Rahayu Okta; Lalu Rahmatullah Hidayat; Ahmad Syaripudin
Al Makki Health Informatics Journal Vol. 2 No. 4 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i4.30

Abstract

Dyspepsia is a non-communicable disease that is common around the world, including Indonesia. This disease is often accompanied by discomfort or pain in the upper abdomen which can interfere with the patient's quality of life. This study aims to evaluate the effectiveness of nursing care in patients with dyspepsia diagnosis, especially in meeting the need for a sense of security and comfort through relaxation techniques. This study uses a qualitative method with a prospective case study approach. Data collection techniques include observation, interviews, and documentation studies, which are then comprehensively analyzed. The results showed that after 2x24 hours of nursing treatment with relaxation therapy in patient "S" diagnosed with dyspepsia, a decrease in the pain scale was found from 4 to 2. This shows that relaxation techniques are effective in reducing pain and improving patient comfort. The study implies that the application of relaxation techniques can be one of the effective non-pharmacological interventions in pain management in dyspepsia patients. These findings can be used as a reference in nursing practice to improve the quality of care for patients with similar conditions.
Penggunaan Alat Pelindung Diri (Handscoon) Sebagai Upaya Dalam Pencegahan Infeksi Nosokomial Di Rumah Sakit Sumber Kasih Kota Cirebon Herlina; Ahmad Syaripudin; Pujiyana; Ira Rahayu Okta; Lalu Rahmatullah Hidayat
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.153

Abstract

The hospital is a place for providing health services that have quality in accordance with predetermined standards, one of which is by carrying out infection prevention and control (PPI) efforts. The purpose of this study was to determine the prevention of nosocomial infections from the use of personal protective equipment (PPE). The method in this study uses a qualitative approach with case studies as the main method. Data collected through interviews, documentation, analysis. The results of the SWOT analysis of the availability of personal protective equipment in hospitals, nurse motivation are very influential in infection prevention, discipline and awareness of officers are influenced by the length of work. It can be concluded in this study, that the prevention of nosocomial infections is closely related to nurses' compliance in the use of personal protective equipment (PPE) as a form of compliance, discipline, and protection from infections in the hospital
Pemberian Oksigen Dan Posisi Semi Flower Dalam Mengatasi Gangguan Pola Napas Pada Pasien Nstemi Rsud Waled Kabupaten Cirebon Lalu Rahmatullah Hidayat; Ahmad Syaripudin; Pujiyana; Ira Rahayu Okta; Herlina
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.154

Abstract

NSTEMI is a clinical syndrome resulting from blockage of coronary arteries, either intermittent or permanent due to rupture of atherosclerotic plaque. NSTEMI is usually caused by severe narrowing of the coronary arteries and blockage of the coronary arteries is characterized by chest pain and shortness of breath, thereby reducing oxygen saturation and increasing the respiratory rate. Data (World Health Organization, 2018) shows that the incidence of ST elevation Mycardial Infaction (STEMI) is decreasing, while the incidence of Non-ST Elevation Mycardial Infaction is increasing. Data shows that 5 million people experience STEMI, and 4 million people experience NSTEMI. Objective: This study is to determine the application of giving the semi-Fowler position and oxygen to NSTEMI patients at Waled Hospital, Cirebon. Method: The method used in this writing is a case study using a nursing process approach to 1 Non ST Elevation Myocardial Infarction (N-STEMI) patient. Results: The results of the application showed that before being given the semi-Fowler position and oxygen, the oxygen saturation was 94% and the respiratory rate was 25x/minute in the abnormal category. Meanwhile, after applying the semi-fowler's position and oxygen, the patient's respiratory rate decreased by 16-20x/minute and oxygen saturation was 97%-99% in the normal category. Conclusion: The results of the application after being given the semi-fowler's position and oxygen to the patient showed an increase in oxygen saturation and decreased respiratory rate
Mindfulness-Based Nursing Intervention for Anxiety and Quality of Life in Palliative Cancer Care: A Quasi-Experimental Study Ahmad Syaripudin
Journal of Health and Nutrition Research Vol. 5 No. 2 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i2.1530

Abstract

Advanced cancer patients in palliative care frequently face severe existential anxiety and diminished quality of life (QoL). While managing this psychological distress is critical, pharmacological interventions often present adverse side effects. This quasi-experimental study aimed to evaluate the effectiveness of a structured Mindfulness-Based Nursing Intervention (MBNI) on anxiety levels and QoL among patients receiving palliative cancer care. The study evaluated anxiety using the Hospital Anxiety and Depression Scale (HADS-A) and QoL via the EORTC QLQ-C30 Global Health Status scale. The participant cohort predominantly consisted of females (60.0%) and individuals diagnosed with stage IV malignancies (63.3%), with lung cancer being the most frequent primary site (30.0%). Data were analyzed utilizing the non-parametric Wilcoxon signed-rank test. To prevent inflation and account for paired data, clinical effect sizes were calculated using the standardized mean difference adjusted for paired variances (dav). Following MBNI implementation, participants demonstrated statistically significant improvements across both primary endpoints (p < 0.001). The mean anxiety score notably decreased from a baseline of 20.0 ± 5.0 to 14.0 (Z = -4.512). Concurrently, the mean QoL score increased substantially from 50.0 ± 12.5 to 65.0 (Z = -4.287). The intervention produced a large, identical adjusted effect size of dav = 1.20 for both anxiety reduction and QoL enhancement. The MBNI represents a highly promising, non-pharmacological modality for mitigating severe psychological distress and optimizing global well-being. Integrating this structured protocol into holistic palliative nursing pathways is strongly recommended to ground fragile oncology patients amidst prognostic uncertainty.
Efektivitas Terapi Relaksasi Benson dalam Mengurangi Gangguan Rasa Nyaman Nyeri pada Pasien dengan Post Operasi Laparoscopic Cholecystectomy Neneng Indriyati; Ahmad Syaripudin; Lily Wahyuni
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.860

Abstract

Patients who have undergone cholecystectomy generally experience acute pain due to the surgical incision, which, if not properly managed, can reduce comfort, hinder mobility, slow healing, and lower quality of life. One nonpharmacological therapy that can be administered is Benson relaxation therapy. This study investigates medical-surgical nursing care for patients undergoing post-operative laparoscopic cholecystectomy with the nursing issue of discomfort and pain. It employs a case study research design in the form of family-centered nursing care, involving 1 research subject with a medical diagnosis of cholelithiasis. Data collection instruments included an observation sheet and the Numerical Rating Scale (NRS). Results: Administration of Benson relaxation therapy once daily for 3 days, each session lasting 10 minutes, led to a reduction in pain scores when evaluated on the third day. Specifically, the first patient’s pain score was 6 before the intervention and decreased to 2 after the intervention. Conclusion: Benson relaxation therapy can reduce acute pain in patients following cholecystectomy. The results of this study can serve as a routine therapy for patients to perform when experiencing pain.
Penerapan Terapi Cairan Nacl 0,9% pada Ulkus Diabetikum dengan Masalah Keperawatan Risiko Infeksi di Ruang Lavender Atas RSUD Kardinah Kota Tegal Muhamad Pujianto; Ahmad Syaripudin; Lily Wahyuni R.
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 4 No. 1 (2026): February: Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v4i1.1096

Abstract

Diabetes Mellitus is a chronic metabolic disorder characterized by hyperglycemia due to defects in insulin secretion, insulin action, or both. WHO reported in 2024 that in Indonesia, approximately 75-80% of diabetes hospitalizations are caused by foot complications, with 30-40% involving diabetic ulcer cases that carry a high risk of infection. To analyze the application of wound care using 0.9% NaCl solution in diabetic ulcer patients with a nursing problem of infection risk in the Upper Lavender Room of Kardinah Regional Hospital, Tegal City. Descriptive quantitative research utilizing a nursing care case study approach. The instruments included assessment forms, medical records, and the Standard Operating Procedure (SOP) for wound care using 0.9% NaCl solution. There was a significant decrease in the risk of infection after the patient received wound care interventions using 0.9% NaCl solution 3 times over 4 days, characterized by a reduction in clinical signs of infection such as redness, odor, and wound exudate. The application of wound care using 0.9% NaCl solution is proven effective in reducing the risk of infection and stimulating new tissue growth in diabetic ulcer patients, making it highly viable as a routine nursing procedure.
حجّية الاستحسان عند الحنفيّة والشّافعيّة وآثاره في الحكم الشّرعيّ (دراسة مقارنة): Authenticity of Approval According to the Hanafis and Shafi’is and Its Effect on the Sharia Rules Rahmat Rahmat; Sirajuddin Sirajuddin; Ahmad Syaripudin; Danang Danang
البصيرة: مجلة الدراسات الإسلامية Vol. 3 No. 2 (2022): البصيرة: مجلة الدراسات الإسلامية
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (P3M), Sekolah Tinggi Ilmu Islam dan Bahasa Arab (STIBA) Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36701/bashirah.v3i2.614

Abstract

The study aimed to know the sayings of the Hanafi and Shafi’i scholars regarding the authority of istihsan in inference and its effects on the legal ruling. The scientific method that the researcher followed to reach the most important results of the research is the descriptive method, the inductive method, and then the deductive method. The most important results from this research: The approval that the Hanafis adhere to is the following of the best of the two evidence, either a hidden analogy in contrast to a clear analogy, or the exception of a partial issue from a general origin or a universal rule that requires that. As for the Shafi’is, they considered istihsan to be a statement of desire and desire. And when the term istihsan settled on a specific idiomatic meaning, Imam Al-Shafi’i took a positive position on it, rather he mentioned issues whose legal ruling was deduced through him and declared that he said, whether it is recommended or desirable. Here it became clear that the disagreement is a verbal dispute. And that the work with the correct approval agreed upon shows the flexibility of the tolerant Sharia and to achieve the interests of the nation and to preserve the hardship from the methods of analogy.
Penerapan Teknik Slow Deep Breathing pada Post Operasi Kolealitiasis dengan Masalah Keperawatan Nyeri Akut di Ruang ICU RSD Gunung Jati Kota Cirebon Muhammad Fazril; Ahmad Syaripudin; Lily Wahyuni
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Maret : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i1.863

Abstract

Background: Acute pain is a common problem experienced by patients after cholelithiasis surgery due to tissue injury and the inflammatory process resulting from surgical procedures. Uncontrolled pain can interfere with mobilization, rest, and the recovery process. Slow deep breathing is a non-pharmacological intervention that can help reduce pain by promoting relaxation and decreasing sympathetic nervous system activity. Objective: To determine the application of Evidence-Based Nursing through slow deep breathing techniques for acute pain management in post-cholelithiasis surgery patients. Methods: A case study was conducted on post-cholelithiasis surgery patients experiencing acute pain. Pain intensity was assessed using the Visual Analog Scale (VAS) before and after the implementation of slow deep breathing therapy for approximately 5–10 minutes. Data were collected through interviews, observations, physical examinations, and nursing documentation. Results: The implementation of slow deep breathing resulted in a reduction in pain intensity. Patients reported decreased pain levels, appeared more relaxed, showed reduced facial grimacing, and experienced improved comfort after the intervention. Implications: Slow deep breathing is effective in reducing acute pain in post-cholelithiasis surgery patients and can be applied as a complementary non-pharmacological nursing intervention in pain management.
Co-Authors A. Hawariah Abdul Supardi Adawiyah, Zulfa Robi’atul Ade Ana Fitriyana Ahmad Priyadi Akhmad Hanafi Dain Yunta Alawiyah, Aay Aldi Fadilah Alfiatunajihah, Fika Ali Maulida Amellia Surya Purnama Anisa Anjani, Meti Aprilia, Viona Eki Bintang, Rahma Sahanum Danang Danang Darussalam Dewi Atma Junira Dewi Erna Marisa Dewi Erna Marisa Dewi Erna Marisa Dewi Gayatri Dhea Natashia Diah Pahmasari Harahap Dwi Wulandari Dwiyanti Purbasari Endang Sulistyowati ERLINA Erlina Fadila, Erida Hamzah Sekkeng Hasna, Raudhatul Hediyana Yusuf Herlina Herlina Herlina Herlina Herlina Herlina Herlina Herlina Hidayat, Lalu Rahmatullah Huda, Noor Auliya Indah Permata Sari Indra Surya Permana Ira Rahayu Okta Ira Rahayu Okta Ira Rahayu Okta Iskandar Iskandar Jeesyca Vivi Lianti Nova Hermanto Karlina, Nonok Karningsih Lalu Rahmatullah Hidayat Lalu Rahmatullah Hidayat Lalu Rahmatullah Hidayat Lily Wahyuni Lily Wahyuni R. Lutfia, Afifa Mitha Erlisya Puspandhani Muhamad Pujianto Muhammad Fazril Muhammad Ikhsan Muhammad Taufan Djafri Mujahid Al-Islam Nadila, Nadila Narfi, Muhammad Afif Neneng Indriyati Nura Ali Dahbul Okta, Ira Rahayu Oktaviani, Fenty Pujiyana Pujiyana Pujiyana Pujiyana Pujiyana Pujiyana Pujiyana Pujiyana Putri Yuliana, Nely Rahayu Okta, Ira Rahmadhani, Andra Rahmat Rahmat Rahmatullah Hidayat, Lalu Ramli Effendi Retina Sri Sedjat RITA RITA Rolly H. S. Rondonuwu Romadhon, Lili Wahyuni Romadhon, Lily Wahyuni Saleh Saleh, Saleh Salsabilla, Nulqia Samsuddin Samsuddin Sirajuddin Sirajuddin Siti Uswatun Khasanah Sri Nurcahyati Sri Susilawat1i Subiyantoro Sukiman Susan, Yanti