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The Influence of Music Therapy and Mindfulness Meditation in Reducing Anxiety in Elderly Individuals Undergoing Hemodialysis: A Systemic Review Aminah Soemadi Al Djuwardi; Etty Rekawati; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5729

Abstract

Approximately 40-50% of hemodialysis patients are elderly who experience chronic health conditions such as end-stage renal disease. Routine medications, lifestyle changes, and side effects of treatment often cause anxiety. Anxiety is described as a disturbing feeling as a situation of fear or threat. The sensation of anxiety can consist of palpitations, tremors, nervousness, and shortness of breath, interfering with the procedure. hemodialysis. Long duration of treatment and physical discomfort caused by it cause anxiety. Therefore, appropriate and safe non-pharmacological therapy is needed in the elderly. Objective to reduce anxiety in the elderly undergoing hemodialysis. The search was conducted through journal sources from ScienceDirect, ProQuest, EBSCO, and Pubmed (2019-2024) with keywords using medical subject headings (MeSH) "older adults" OR "elderly" OR "geriatrics" AND "music therapy" AND "acoustic therapy" OR "mindfullness" OR "Meditation" from 2899 article, 3 articles reviewed consisting of 1 quasi-experimental article 2 RCT articles it was proven that music therapy has a positive effect and increases satisfaction during hemodialysis as well as mindful meditation has been shown to reduce anxiety. Music therapy as an intervention that is cheap, easy and safe for the elderly can reduce anxiety levels, as well as mindful meditation although more research is still needed to see the evidence base.
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.
Hubungan Dukungan Sosial Dengan Manajemen Diri Penderita DM Tipe 2 Selama Pandemi Covid-19 Rahmadiya, Siska; Herawati, Tuti; Kurnia, Dikha Ayu
REAL in Nursing Journal Vol 7, No 2 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i2.3021

Abstract

Background: Diabetes Mellitus (DM) is a chronic degenerative disease that cannot be cured but can be controlled with routine care. The COVID-19 pandemic imposes a policy of limiting physical activity so that people with Type 2 Diabetes Mellitus experience difficulties in physical activity, fulfilling food and medicine needs access to health services and lack of self-awareness of checking blood sugar, so that people with diabetes mellitus experience a decrease in their ability to carry out self-care. Self-management is a drive or motivation that comes from within and outside the individual to achieve certain goals in managing and organizing themselves as well as possible. Social support has a major effect on the well-being of people with type 2 DM. Getting social support helps people with type 2 diabetes better control their disease.Methods: This quantitative study used a cross-sectional approach. The target population is Type 2 DM clients who seek treatment at the IV Koto Health Center. The sample in this study were all Type 2 DM patients selected in this study as many as 88 people. Data collection through questionnaires. The research instruments were the Summary Of Diabetes Self Care Activities Revised (SDSCA) Questionnaire and the S4-MAD Questionnaire for social support. Researchers conducted bivariate analysis, namely with self-management with a categorical data scale and the dependent variable was self-management so that the test used was the chi-Square test. As for age and length of suffering using the t test and Mann Whitney test. Results: The statistical test results of social support on good self-management obtained p value 0.010 which means there is a relationship between social support and self-management there are 53 people (93.0%) of 88 respondents who get less social support to do good self-management
Peer-Based Interventions to Improve Self-Efficacy in Patients with Chronic Diseases Bengu Ndona, Maria Fulgensia; Nurachmah, Elly; Kurnia, Dikha Ayu
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.v7i5.6755

Abstract

Chronic diseases such as heart failure, diabetes, and hypertension require active patient involvement in self-management. Self-efficacy is a key factor that influences the success of self-management among individuals with chronic conditions. This article aims to synthesize current empirical evidence on the effectiveness of peer-based interventions in improving self-efficacy among patients with chronic diseases. This study employed a systematic review approach based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Literature was retrieved from PubMed, ScienceDirect, ProQuest, EBSCOhost, Wiley, and Google Scholar databases. The inclusion criteria were full-text articles in English, with designs such as randomized controlled trials, quasi-experiments, and pilot studies published between 2015 and 2025. Of the 635,062 8 articles identifie the inclusion criteria and were analyzed. The included articles were critically appraised using appropriate tools and independently reviewed for quality and relevance, with data systematically extracted and narratively synthesized due to methodological heterogeneity. All reviewed studies reported a significant increase in self-efficacy following peer-based interventions. These interventions were implemented in various formats, including group training, theory-based peer coaching (eg, Health Belief Model, Health Promotion Model), digital peer support, and nurse-facilitated peer programs. Some studies also demonstrate long-term effects and additional benefits such as improved quality of life, better stress management, and reduced stigma. Peer-based interventions are proven effective in enhancing self-efficacy among patients with chronic diseases and may serve as a complementary strategy in clinical practice and primary health care services.
The Effect of Physical Exercise on Cognitive Impairment in Patients with Diabetes Mellitus Anastania, Yeane; Dahlia, Debie; Yona, Sri; Kurnia, Dikha Ayu
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.
EFFECTIVENESS OF COUNSELING THERAPY ON SEXUAL DYSFUNCTION IN WOMEN WITH DIABETES MELLITUS: A SYSTEMATIC REVIEW Nekka Juliani; Debie Dahlia; Dikha Ayu Kurnia; Riri Maria
Nursing Sciences Journal Vol 9 No 1 (2025): April 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i1.6545

Abstract

Diabetes mellitus (DM) is a serious long-term or chronic condition that occurs when there is an increase in blood glucose levels due to the body's inability to produce enough insulin or effectively use the insulin it produces. In patients with Diabetes Mellitus, sexual dysfunction is a frequently overlooked complication, despite significantly impacting quality of life. Female sexual dysfunction is defined as a persistent or recurrent decrease in sexual desire, persistent or recurrent decrease in sexual arousal, dyspareunia, and difficulty or inability to achieve orgasm. Several variables influence sexual dysfunction, including depression, anxiety, physical problems, marital issues, and medication side effects. Additionally, social and cultural norms related to diabetes and sexuality can lead to feelings of guilt, stigma, and low self-esteem. The aim of this systematic review is to analyze the effectiveness of counseling therapy on sexual dysfunction in women with diabetes mellitus. This article conducted a search of electronic database sources including Science Direct, Springer Link, Proquest, and Scopus, published from 2014 to 2024, using several keywords: (Female Sexual Dysfunction And Diabetes Mellitus And FSFI And Counseling). Results : Based on the analysis of four articles, there is a positive relationship between counseling therapy and sexual dysfunction in women with diabetes mellitus. Conclusion and Recommendations : Holistic counseling therapy that addresses various physical, psychological, cultural aspects, and individual temperament can improve sexual function, thereby enhancing patients' quality of life. Therefore, it is important for healthcare providers to consider counseling therapy as part of the care plan for women experiencing sexual dysfunction due to diabetes.