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Dietary Behaviors among Patients with Type 2 Diabetes Mellitus in Yogyakarta, Indonesia Primanda, Yanuar; Kritpracha, Charuwan; Thaniwattananon, Ploenpit
Nurse Media Journal of Nursing Vol 1, No 2 (2011): (DECEMBER 2011)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.352 KB) | DOI: 10.14710/nmjn.v1i2.975

Abstract

Purpose: To describe dietary behaviors and examine relationships between selected factors and dietary behaviors among type 2 diabetes mellitus (T2DM) patients in Yogyakarta, Indonesia.Method: Seventy T2DM patients from a hospital in Yogyakarta who met the inclusion criteria were recruited. Patient’s dietary behaviors were measured by the Dietary Behaviors Questionnaire developed for this study with adequate reliability. The questionnaire comprised of four dimensions: recognizing the amount of calorie needs, selecting healthy diet, arranging a meal plan, and managing dietary behaviors challenges. Higher scores indicate better dietary behaviors.Result: More than half of the patients were women (54.3%) with an average age of 56.8 years and diabetes duration of 9.7 years. The results revealed a moderate level of the total score of dietary behaviors. Considering each dimension, the results showed a moderate level of recognizing the amount of calorie needs, selecting healthy diet, and managing dietary behaviors challenges. The patients reported a high level of arranging meal plans. Pearson’s correlation was used to examine the relationships between selected factors and dietary behaviors. There was a positive significant relationship between the knowledge regarding diabetic diet and the total dietary behaviors scores (r = .36, p< .01). There were positive significant relationships between the knowledge regarding diabetic diet and the dimensions of recognizing the amount of calorie needs (r = .27, p< .05), selecting healthy diet (r = .35, p< .01), and managing dietary behaviors challenges (r = .28, p< .05). In contrast, the findings indicated no significant relationship between knowledge regarding diabetic diet and arranging a meal plan dimension. Furthermore, there was no significant relationship between the diabetes duration and dietary behaviors.Conclusion: Dietary behaviors among T2DM patients in Yogyakarta were at a moderate level. Knowledge regarding diabetic diet is essential. Further study regarding intervention in increasing patients’ knowledge is needed to achieve better dietary behaviors.Keywords: Dietary behaviors, type 2 diabetes mellitus, knowledge, Yogyakarta, Indonesia
“Manusia Yang Berusaha, Tuhan Yang Menyembuhkan” : Persepsi Tentang Peran Tuhan Pada Penderita Diabetes Melitus Tipe 2 Hikmah, Nurul; Permana, Iman; Primanda, Yanuar
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 6, No 2 (2018): EDITION JULY 2018
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.974 KB) | DOI: 10.33366/jc.v6i2.907

Abstract

Penderita diabetes melitus tipe 2 melakukan upaya pencegahan komplikasi dengan cara menerapkan upaya self care behavior. persepsi individu tentang upaya ini dianggap penting agar memberikan hasil yang optimal. Satu hal yang mempengaruhi proses self care adalah keyakinan dalam beragama atau keyakinan tentang peran Tuhan. Penelitian ini bertujuan untuk mengetahui persepsi penderita diabetes melitus tipe 2 tentang adanya peran Tuhan dalam kesembuhan disertai upaya self care behavior. Metode penelitian yang digunakan adalah metode kualitatif dengan pendekatan fenomenologi. Partisipan berjumlah enam orang dengan menggunakan teknik purposive sampling. Analisis data dengan Colaizzy menggunakan teknik tematik konten. Hasil penelitian menemukan satu tema besar yaitu “Manusia tetap berusaha, Tuhan yang menyembuhkan”. Tema ini didukung dari 2 sub tema yaitu “perilaku ke arah self care behavior” dan “yakin Tuhan penentu setiap kejadian”. Partisipan meyakini bahwa Tuhan memiliki peranan yang besar dalam proses kesembuhan, walaupun demikian mereka tetap menganggap upaya perawatan diri sama pentingnya. Persepsi ini diungkapkan dari partisipan dengan agama yang berbeda. Kesimpulan penelitian ini menunjukan bahwa partisipan memiliki persepsi yang sama tentang peran Tuhan yang diyakini menentukan hasil akhir dari upaya perawatan diri.
SENAM KAKI LANSIA DENGAN LANGGAM JAWA UNTUK MENINGKATKAN KESEHATAN KAKI DAN MENURUNKAN TINGKAT STRES LANSIA Primanda, Yanuar; Dismayanti, Nova; Rochman, Fauzi Noor; Maswaya, Elmi Safira; Afsadien, Reshananda Affan; Berliyanti, Ema Anindita; Budi, Arief Wahyu Setya
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 2 (2021): EDITION JULY 2021
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i2.1452

Abstract

Physiologically, eldery have decreased body functions because of aging process which influence the physical and psyschological health, including foot problem and stress. Several foot problems experienced by elderly including pain in their joints, poor foot care, and stress among elderly. Foot exercise with traditional Javanese music “langgam Jawa” has potency to manage foot problems and stress among elderly. The objective of this social service program was to increase foot health and decrease stress level among elderly by practicing foot exercise with traditional Javanese mucis “langgam Jawa”, education and practice on foot care, and cadre of elderly (health community volunteer for elderly) training of trainer as foot exercise traniner for elderly. After the implementation of the program, the results showed that the percentage of elderly who experienced tingling sensation has decreased from 71% to 25%, pain at foot joint has decreased from 54% to 38%, and pain at knee joint when walking has decreased from 54% to 29%. Foot care behaviours have improved including checking the feet from 13% to 33%, wearing footwear inside and outside the house from 22% to 47%, and using moisturizer on feet from 14% to 39%. The average score of the Self-Report Questionnaire was decreased from 4.67 to 1.75. Foot exercise with traditional Javanese music together with foot care education are beneficial to reduce the occurrence of foot problems, improve foot care behaviours, and reduce stress among elderly.
STUDI KASUS: PEGARUH INTERVENSI LATIHAN RENTANG GERAK (RANGE OF MOTION) DAN GENGGAM BOLA KARET PADA PASIEN STROKE NON HEMORAGIK Riska Dwi Anggraeni; Yanuar Primanda; Badriyah
Jurnal Online Keperawatan Indonesia Vol 8 No 1 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar belakang: Stroke non hemoragik sering menyebabkan gangguan mobilitas fisik akibat kelemahan otot. Latihan ROM dan genggam bola karet merupakan intervensi sederhana yang diharapkan dapat membantu meningkatkan kekuatan otot dan rentang gerak. Tujuan: Untuk    mengetahui pengaruh latihan ROM dan genggam bola karet terhadap kekuatan otot pada pasien stroke non hemoragik. Metode: Studi kasus pada dua pasien lansia dengan stroke non hemoragik yang mendapatkan intervensi terapi standar rumah sakit, latihan ROM dan genggam bola karet selama 4 hari berturut-turut.  Kekuatan otot dievaluasi dengan skala kekuatan otot (0-5) Hasil: Tidak terdapat peningkatan kekuatan otot pada kedua pasien setelah mendapatkan intervensi terapi standar rumah sakit dikombinasi dengan latihan ROM dan terapi genggam bola karet. Kesimpulan: Studi kasus dalam penelitian ini belum mampu menunjukkan pengaruh latihan ROM dan genggam bola karet terhadap kekuatan otot pasien lansia yang mengalami stroke non hemoragik. Faktor yang mungkin memperngaruhi adalah pemberian intervensi yang singkat  ini intervensi yang masih terlalu singkat. Penelitian lanjutan sebaiknya melibatkan jumlah responden yang lebih besar, dengan waktu yang lebih lama dan menggunakan desain penelitian eksperimen.
Efektivitas Relaksasi Otot Progresif dan Dzikir terhadap Penurunan Intensitas Mual dan Muntah pada Pasien yang Menjalani Kemoterapi Kanker Kolorektal: Studi Kasus Aurizya Luviva Desya Putri Lieni Sulistiyono; Yanuar Primanda
Jurnal Penelitian Perawat Profesional Vol. 8 No. 2 (2026): April 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i2.1891

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Kanker kolorektal merupakan tantangan kesehatan global dengan angka kejadian yang terus meningkat. Prevalensi Chemotherapy-Induced Nausea and Vomiting (CINV) atau mual dan muntah akibat kemoterapi pada pasien kanker kolon yang menjalani kemoterapi mencapai 30-40% meskipun telah mendapatkan terapi farmakologis. Tujuan studi kasus ini adalah menganalisis efektivitas kombinasi relaksasi otot progresif dan dzikir dalam menurunkan intensitas CINV. Metode yang digunakan dalam studi ini adalah studi kasus pada tiga pasien kanker kolorektal yang menjalani kemoterapi di rumah sakit. Instrumen pengukuran menggunakan kuesioner RINVR yang telah diuji validitas dan reabilitasnya. Intervensi dilakukan selama tiga hari berturut-turut dengan durasi 20-25 menit per sesi sebagai tambahan terapi standar yang diterima pasien. Analisis data dilakukan secara sistematis menggunakan pendekatan deskriptif komparatif guna mengevaluasi signifikansi klinis intervensi melalui tahapan tabulasi data dan analisis tren secara longitudinal. Hasil penelitian menunjukkan adanya penurunan skor total RINVR secara konsisten pada seluruh pasien, di mana kondisi mual muntah yang awalnya berada pada kategori sedang hingga berat menurun secara bertahap menjadi kategori ringan pada hari ketiga. Sinergi antara stimulasi sensorik dari otot ke otak dari relaksasi otot progresif dan koping religius melalui dzikir berpotensi dalam merangsang sistem saraf parasimpatis dan memberikan ketenangan jiwa sehingga dapat digunakan sebagai terapi komplementer pada pasien kanker kolorektal.
Early Mobilization for Cardiovascular Function Recovery In Post-CABG Patients with Cardiopulmonary Bypass: A Systematic Literature Review Siti Suryani Asmara; Yanuar Primanda
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.1356

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Coronary artery bypass grafting (CABG) surgery is often performed with cardiopulmonary bypass (CPB) to maintain systemic perfusion during the procedure. While improving procedural safety, CPB can trigger a systemic inflammatory response and hemodynamic fluctuations that can potentially delay early recovery. Early mobilization is a crucial component of the postoperative recovery approach because it can prevent deconditioning, improve activity tolerance, and support cardiorespiratory stability. However, evidence regarding the form of early mobilization protocols and their impact on cardiovascular function recovery in post-CABG patients with CPB is scattered and heterogeneous. To synthesize scientific evidence regarding early mobilization in post-CABG patients with CPB. A systematic literature review was conducted following the PRISMA 2020 guidelines. A literature search was conducted in PubMed/MEDLINE, Scopus, and CINAHL databases for articles in English or Indonesian published between 2010 and 2025. A total of 518 articles were identified. After removal of duplicates, title and abstract screening, followed by full-text review, were performed. Eight studies with randomized controlled trial or quasi-experimental designs met the inclusion criteria and were analyzed using a narrative synthesis approach. The synthesis of these findings suggests that progressive early mobilization, including position changes, range-of-motion exercises, sitting, standing, and early ambulation, tends to provide better outcomes than conventional care or less structured mobilization. The most consistent positive impact is seen in increased functional capacity, particularly walking parameters such as the six-minute walk test prior to discharge. Several studies also report improved oxygenation and reduced pulmonary complications, decreased pain intensity, and some protocols, starting very early after extubation, are associated with shorter ICU and hospital stays. In addition to protocol factors, patient characteristics such as smoking status and self-efficacy-based educational support also influence recovery outcomes. Evidence from eight studies suggests that early mobilization after CABG with CPB is generally associated with better recovery outcomes, particularly in functional capacity, oxygenation, pulmonary complications, pain, and length of stay in some studies. These findings underscore the importance of implementing structured, progressive, and safety-based early mobilization, tailored to the patient's clinical condition, to optimize postoperative recovery.  
Chronic Infection Contributes to the Risk of Limb Amputation in Patients with Diabetic Ulcers: A Literature Review Wenny Anugraini; Fitri Arofiati; Yanuar Primanda
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.1421

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Diabetic foot ulcers are a chronic complication of diabetes mellitus that often leads to lower extremity amputation and significantly contributes to disability and mortality. Infections, particularly chronic and severe ones, play a significant role in accelerating ulcer progression to amputation, Nevertheless, the synthesis of scientific evidence regarding the contribution of chronic infections as a determinant of amputation is still limited. This literature review aimed to examine the role of chronic infection in the risk of amputation in patients with diabetic foot ulcers. A literature search was conducted on the Scopus, PubMed, and ScienceDirect databases for publications from 2015 to 2025 using keywords related to diabetes mellitus, diabetic foot ulcers, infection, and amputation. Articles were selected based on inclusion and exclusion criteria, 644 articles were identified. After title and abstract screening, followed by full-text review, and critical appraisal using the JBI tools, 10 selected journals were included in the literature synthesis.. The results indicated that moderate to severe infection, osteomyelitis, and pathogen characteristics, particularly Gram-negative and ESBL-producing bacteria, are the main determinants of major amputation. Peripheral artery disease, the severity of ulcers, increased inflammatory parameters, hypoalbuminemia, and certain patient factors also worsen clinical outcomes. It is concluded that chronic infection is a key determinant of amputation in diabetic foot ulcers, making early and aggressive infection prevention and control an essential strategy to reduce amputation rates.
Effectiveness of Video-Based Preoperative Education on Reducing Anxiety Levels in Patients Undergoing Surgery: A Literature Review Siti Suryani Asmara; Yanuar Primanda; Fitri Arofiati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.1434

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Preoperative anxiety is a psychological response frequently experienced by patients prior to surgical procedures and can have negative impacts on physiological conditions, anesthetic requirements, and the postoperative recovery process. Video-based preoperative education is considered an innovative approach that is potentially more effective than conventional educational methods. This literature review aims to analyze the effectiveness of video-based preoperative education on reducing anxiety levels in patients undergoing surgical procedures. This study utilized a literature review design with a systematic article search conducted on PubMed, Scopus, and ScienceDirect databases. The included articles were quantitative studies with randomized controlled trial and quasi-experimental designs published between 2020–2025. Out of 1,487 articles, 11 articles that met the inclusion criteria were analyzed narratively. The review results indicated that all studies reported a significant reduction in preoperative anxiety levels in groups receiving video-based education compared to conventional education or no intervention. Video education was proven to improve understanding, a sense of security, and the psychological readiness of patients before surgery. Video-based preoperative education is effective in reducing patient anxiety levels and has the potential to be integrated into standard preoperative care.
The Effects of Benson Relaxation Therapy in Exploratory Laparotomy Appendicitis: A Case Study Yumna Lis Nur Fadhila; Yanuar Primanda; Suprianto Suprianto
Jurnal Kesehatan Saintika Meditory Vol 8, No 2 (2025): November 2025
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v8i2.3266

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Appendicitis is inflammation of the vermiform appendix and is considered a common cause of abdominal diseases in low and middle-income countries, including Indonesia. In Indonesia, the incidence of appendicitis is highest compared to other cases of abdominal emergencies. Accurate diagnosis and appropriate surgical treatment significantly reduce the mortality and morbidity rate of this disease. Surgery will trigger stress reactions, both physiological and psychological, that can cause anxiety. Appendicitis also cause pain, which is felt both before surgery and as a post-surgery. Benson Relaxation Therapy can be effective in reducing both anxiety and pain. This study used a case study and the nursing process approach for people with appendicitis. The nursing process consisted of assessing the patient, analyzing nursing problems, determining priority problems, creating a nursing care plan, implementing the nursing care plan, evaluating the results of implementation, and documenting the nursing process during pre-, intra-, and post-surgery. The sample of this study was an adult male patient with appendicitis who underwent appendectomy and was hospitalized at PKU Muhammadiyah Gamping Hospital, Yogyakarta, from November 4 to 7, 2024. The patient received Benson Relaxation Therapy pre- and post-surgery. The instruments used in this study were an assessment form, the Amsterdam preoperative Anxiety and Information Scale (APAIS) to measure anxiety, and the Visual Analog Scale (VAS) to assess the pain score. The results showed a significant decrease in anxiety and pain levels after regular Benson Relaxation Therapy pre- and post-surgery. This research concluded that Benson Relaxation Therapy is effective in reducing anxiety and for pain management, especially for patients with appendectomy.
PENGARUH PEMBERIAN KOMPRES DINGIN TERHADAP PENURUNAN SKALA NYERI PADA PASIEN POST ORIF Mulat Trihayati; Yanuar Primanda; Wawan Aji Setiawan
Jurnal Kesehatan Saintika Meditory Vol 8, No 2 (2025): November 2025
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v8i2.3236

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Fraktur adalah salah satu masalah kesehatan umum di Indonesia yang sering memerlukan prosedur bedah. Prosedur pembedahan seperti Open Reduction and Internal Fixation (ORIF) ini dilakukan untuk memperbaiki tulang yang mengalami patah dengan mengembalikannya ke posisi awal dan memastikan tulang tetap stabil. Tindakan pembedahan menyebabkan pasien merasakan nyeri akibat luka sayatan yang dibuat selama operasi, karena jaringan tubuh mengalami cedera saat prosedur tersebut dilakukan. Penerapan kompres dingin merupakan metode non farmakologis yang efektif dalam mengurangi nyeri pada pasien setelah menjalani pembedahan. Kompres dingin dapat membantu meredakan nyeri dengan cara mengurangi aliran darah ke area yang mengalami cedera, sehingga mengurangi pembengkakan dan pendarahan. Penelitian ini menggunakan desain studi kasus dengan melibatkan 3 pasien fraktur post ORIF yang mengalami nyeri sedang (skala 4-6). Intervensi berupa pemberian kompres dingin dilakukan satu kali sehari selama dua hari. Keefektifan intervensi diukur menggunakan alat ukur Numeric Rating Scale (NRS). Hasil penelitian menunjukkan bahwa terapi kompres dingin pada pasien fraktur post ORIF efektif dalam menurunkan tingkat nyeri. Oleh karena itu, kompres dingin dianjurkan dapat digunakan sebagai terapi non farmakologis untuk mengurangi nyeri pada pasien fraktur setelah ORIF.