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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.
The Predictors of Diabetic Nephropathy in Adult Patient with Diabetes: Systematic Literature Review Azizatunnisa, Nurul; Kurniati, Amelia; Kurnia, Dikha Ayu
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.5065

Abstract

Diabetes is a type of chronic disease that progresses over time and can lead to various complications, one of which is diabetic nephropathy. The prevalence of kidney disorders in individuals with diabetes at a productive age in Indonesia is 4%, but only 0.6% have been diagnosed. This systematic review provide information about many factors affecting diabetic nephropathy, both physical and psychological factors in adult patient with diabetes. This systematic literature review utilizes several databases, i.e EBSCO, Oxford Journal, ProQuest, PubMed, Sage Journal, Science Direct, and Springer Link which published in the past five years (2019-2024). We used PICO in literature searching process, i.e. diabetic nephropathy (population), self-care OR family support OR risk factor OR primary assessment OR early warning signs (intervention), standard care (comparison), diabetic nephropathy OR diabetic kidney disease OR glomerulosclerosis, diabetic (outcome). Articles were selected based on inclusion and exclusion criteria and are presented using the PRISMA diagram. There were 10 relevant articles were identified. The sample size in this study was 7.892 from many health care areas from primary health care, outpatient clinic, and emergency department. Diabetic patients in this study include prediabetes, type 1 diabetes, and type 2 diabetes, DM ESRD and asymptomatic severe hypertension that potential to suffer kidney disfunction. The physical factors of diabetic nephropathy were body mass index (BMI), duration of diabetes diagnosis, vital signs, laboratory examination and comorbidity. Psychological factors include family support, self-care, diabetes control and education, Quality of Life (QoL) or Well-Being Index. There were six physical factors and four psychological factors that could be predictors of diabetic nephropathy.
Psychosocial Experiences of Colorectal Cancer Patients with Stoma Maria, Riri; Dahlia, Debie; Kurnia, Dikha Ayu
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.
The Influence of Music Therapy and Mindfulness Meditation in Reducing Anxiety in Elderly Individuals Undergoing Hemodialysis: A Systemic Review Al Djuwardi, Aminah Soemadi; Rekawati, Etty; Kurnia, Dikha Ayu
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 Pertiwi, Ni Wayan Astiti; Dahlia, Debie; Kurnia, Dikha Ayu; Maria, Riri
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.
Tingkat Pengetahuan Generasi Millennial terhadap Faktor Resiko Diabetes Melitus Tipe 2: Millennials' Knowledge of Diabetes Risk Factors Mellitus Type 2 Dikha Ayu Kurnia; Dewi Ayu Pratiwi
NERS Jurnal Keperawatan Vol. 17 No. 1 (2021): NJK Volume 17, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v17i1.128

Abstract

Today trend of fast food that contain lots of sweeteners and fats causes a change in food patterns and an unbalanced diet in the millennial generation. Consumption of excessive amounts of sweeteners and fatty food can cause obesity and insulin resistance which have implications on the occurrence of type 2 diabetes mellitus. Adequate knowledge related to this should be owned by the millennial generation so that they can minimize the risk and impact of the disease. However, there has been no research on millennial knowledge about the consumption sweeteners and fatty food. This study aims to describe the level of sweetener and fatty food knowledge in the millennial generation. This research method is analytical descriptive with cross sectional approach in millennial generation as many as 109 respondents. Research shows that 70.6% (n = 109) have sufficient knowledge. This research shows that the majority of respondents have sufficient knowledge of sweeteners and fatty foods so further education is needed.
Utilization of virtual and digital technologies in reducing psychological problems in the elderly with chronic illness: A systematic review Pulungan, Indira Mastura; Rekawati, Etty; Kurnia, Dikha Ayu; Rachmawati, Utami
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1268

Abstract

Background: Globally the prevalence of chronic diseases continues to increase every year. In 2021, it is estimated that around 43 million people will die from chronic diseases, with 73% of them being prevalent in low-income or developing countries. Purpose: To conduct an analysis related to the use of virtual and digital technology in reducing psychological problems in the elderly with chronic diseases. Method: This paper is a review of the literature related to the topic of the use of virtual and digital technology in the elderly with chronic diseases on its effect on psychological problems. The analysis begins with a literature search across several databases, including PubMed, Google Scholar, Sage Journals, ProQuest, ScienceDirect, and SpringerLink. The article search was conducted using the PICO form (P = Elderly with chronic diseases; (2) Intervention = Utilization of virtual technology, utilization of digital technology; (3) Outcomes = Reducing psychological problems, elderly rehabilitation). The author identified 33 articles for analysis and filtered them, resulting in 5 articles that employed the Randomized Controlled Trial (RCT) research method. Furthermore, the author conducted an analysis using a critical appraisal form, namely the CASP (Critical Appraisal Skill Program) form. Results: The virtual technologies can minimise depression, anxiety, and increase self-efficacy in elderly people with chronic disease. The digital application technologies give a psychological impact based on the features and the basic purpose of making that application. Conclusion: Virtual and digital technologies have an impact on the psychological well-being of the elderly, based on the features that these technologies provide for them.