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Journal : TRIAGE

Pengaruh Senam Kaki terhadap ABI Penderita DM di Wilayah Kerja Puskesmas Karanganyar Melati, Putri Sovia; Marni, Marni; Yudhianto, Kresna Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1909

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease that has the potential to cause serious complications, one of which is peripheral circulation disorders that can lead to diabetic ulcers and even amputation. Early detection of circulatory disorders can be done through the Ankle Brachial Index (ABI) examination. One of the non-pharmacological interventions that is useful in improving blood circulation in the lower extremities is diabetic foot exercises. Objective: to determine the effect of diabetic foot exercises on changes in ABI values in DM patients. Method: The study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 76 respondents with DM in the working area of the Karanganyar Community Health Center. The intervention in the form of foot exercises was given three times in two weeks, while the ABI examination was carried out using a manual sphygmomanometer according to standard procedures. Results: The results of univariate data analysis used frequency distribution, while bivariate analysis was carried out using the Paired t-test and Wilcoxon test. The results of the Wilcoxon test showed a p-value of 0.000 (p <0.05), so Ha was accepted and Ho was rejected. This indicates a significant effect of diabetic foot exercises on improving ABI values in DM patients. Conclusion: Diabetic foot exercises have been shown to be effective in improving peripheral blood circulation and increasing ABI values in DM patients. This intervention can be recommended as a simple, inexpensive, and easy-to-implement non-pharmacological method to prevent foot complications, including diabetic ulcers and amputations.
Efektivitas Posisi Semi Fowler 45° pada Kualitas Tidur Pasien Congestive Heart Failure Nourma Nurlita Sari, Nourma; Rahmasari, Ikrima; Widiastuti, Agung; Utomo, Endrat Kartiko; Yudhianto, Kresna Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1943

Abstract

Sleep disturbance is a common problem in patients with Congestive Heart Failure (CHF), often caused by disease symptoms such as dyspnea, which negatively impacts their quality of life. The 45° Semi-Fowler's position is a simple non-pharmacological nursing intervention that can improve lung expansion, reduce cardiac workload, and enhance patient comfort, thereby potentially improving sleep quality.This study aimed to determine the effect of the 45° Semi-Fowler's position on the sleep quality of CHF patients at RSUD dr. Moewardi Surakarta. This research employed a quasi-experimental design with a one-group pretest-posttest approach. A total of 32 CHF patients were selected using a purposive sampling technique.The intervention, applying the 45° Semi-Fowler's position, was administered for 30 minutes daily over three consecutive days. Prior to the intervention, patients were generally positioned supine or with minimal elevation. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and data were analyzed with the Wilcoxon Signed-Rank Test.The results showed a statistically significant difference in PSQI scores before and after the intervention (p < 0.05), with the median score decreasing from 7.00 (Poor Quality) to 4.00 (Good Quality)10. This clinically significant reduction suggests a positive impact of the positioning.This study concludes that the 45° Semi-Fowler's position is effective in improving the sleep quality of CHF patients and can be recommended as a standard nursing intervention, though future studies should utilize a Randomized Controlled Trial design to control for confounding factors, such as the placebo effect