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Relationship of Self-Care Based on Orem Theory to the Risk of Peripheral Neuropathy in Diabetic Patients Type 2 Mellitus at the Tilongkabila Health Center Nanda Ariesta Aprilia Abas; Ita Sulistiani; Erwin Purwanto
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) January 2
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i1.10394

Abstract

This study aims to find out how the relationship between self-care and the risk of peripheral neuropathy in patients with type 2 diabetes mellitus at the Tilongkabila Health Center. This type of research is quantitative using a correlational design, which aims to find out whether there is a relationship between two or more variables with the approach used, namely cross-sectional. Based on the results of the study, obtained from 74 respondents, it shows that most of the respondents have good self-care, namely 50 respondents (67.6%), followed by respondents with sufficient self-care as many as 11 respondents (14.9%), and less self-care as many as 13 respondents (17.6%). The results of neuropathy screening examination using monofilament found that as many as 41 respondents (55.4%) were not at risk of developing peripheral neuropathy, while 33 respondents (44.6%) were at risk of peripheral neuropathy. There was a statistically significant relationship between self-care based on Orem's theory and the risk of peripheral neuropathy in patients with type 2 diabetes mellitus at the Tilongkabila Health Center, with a p-value of 0.043 (p < 0.05).
The Relationship Between Health Locus of Control and Diet Compliance in Diabetes Patients Type 2 Mellitus at Tilongkabila Community Health Center Salwa Aulia Madiha; Ita Sulistiani; Gusti Pandi Liputo
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) January 2
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i1.10398

Abstract

This study aims to determine the relationship between Health Locus of Control and compliance with diet in Diabetes Mellitus (DM) patients at Tilongkabila Community Health Center. This research is a quantitative study. The research design I used in this study is correlational with a cross-sectional approach, which is carried out to see the relationship between the variables found. The level of dietary compliance in type 2 diabetes patients at the Tilongkabila Community Health Center shows that of the 74 respondents, there is 1 respondent (1.4%) who is not compliant, 57 respondents (77.0%) are quite compliant, and 16 respondents (21.6%) are compliant. The level of Health Locus of Control (HLOC) in the respondents consists of 13 respondents (17.6%) in the low category, 47 respondents (63.5%) in the moderate category, and 14 respondents (18.9%) in the high category. There is a relationship between Health Locus of Control and dietary compliance, where patients with a better HLOC show a tendency for higher dietary compliance.
The Quality of Life Assessment of Chronic Kidney Failure Patients Undergoing Hemodialysis Therapy in Gorontalo Nurdiana Djamaluddin; Ita Sulistiani; Adelia Dwi Lestari Mointi
Jurnal Berita Kesehatan Vol 17 No 1 (2024): Supplemen Juni 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Gunung Sari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58294/jbk.v17i1.167

Abstract

Gagal ginjal kronik adalah penurunan fungsi ginjal secara progresif. Umumnya gagal ginjal kronik ditangani dengan beberapa cara, salah satunya melalui tindakan hemodialisis. Beberapa masyarakat menganggap prosedur hemodialisis hanya akan membawa dampak fisik dan emosional yang signifikan yang membuat kualitas hidup pasien semakin memburuk. Tujuan penelitian untuk mengetahui gambaran kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa di Gorontalo. Penelitian ini merupakan jenis penelitian kuantitatif menggunakan metode penelitian deskriptif. Populasi terdiri dari pasien gagal ginjal kronik yang menjalani terapi hemodialisa di RSUD Prof. Dr. H. Aloei Saboe, di RSUD Toto Kabila, dan di RSUD Dr. M.M Dunda Limboto. Adapun pengambilan sampel dengan metode propability sampling dengan cara cluster sampling berjumlah 70 responden sebagai sampel. Instrumen penelitian menggunakan kuesioner Kidney Diseases Quality of Life (KDQOL). Hasil penelitian menunjukan bahwa gambaran kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa di Gorontalo dalam kualitas hidup baik sebanyak 56 orang (80,0%) dan kualitas hidup buruk sebanyak 14 orang (20,0%). Dengan demikian, kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa di Gorontalo menunjukan sebagian besar dalam kualitas hidup baik sebanyak 56 orang (80,0%). Gambaran kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa di Gorontalo menunjukan sebagian besar dalam kualitas hidup baik.
THE EFFECT OF PEER EDUCATION ON IMPROVING STUDENT KNOWLEDGE IN PREPARATION FOR THE INDONESIAN NURSE COMPETENCY EXAMINATION Nirwanto K Rahim; Ita Sulistiani
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.568

Abstract

Introduction: The Indonesian Nurse Competency Examination (INCE) remains a critical requirement for nursing graduates; however, fluctuating pass rates indicate persistent gaps in student preparedness. Innovative, scalable strategies are needed to enhance learning outcomes. Peer education, grounded in social learning theory, offers a potentially effective approach to improving knowledge and exam readiness. This study aimed to evaluate the effect of peer education on student knowledge in preparation for the INCE.Methods: A pre-experimental one-group pretest–posttest design was conducted over 10 days involving 53 nursing professional students selected through total sampling. Knowledge was measured using a structured try-out instrument aligned with INCE competency domains. Paired t-tests were used to assess differences in pre- and post-intervention scores.Results: At baseline, only 41.1% (n = 23) of students achieved the passing threshold, while 58.9% (n = 33) did not meet the standard. Following the intervention, the proportion of students who passed increased substantially to 91.9% (n = 51), with only 8.9% (n = 5) remaining below the threshold, representing an absolute increase of 50.8 percentage points. Mean knowledge scores improved significantly from 46.16 ± 6.41 at baseline to 52.41 ± 5.48 post-intervention, with a mean difference of 6.25 points (p < 0.001). This finding indicates not only statistical significance but also a meaningful educational impact.Conclusion: Peer education is an effective, low-cost, and scalable strategy for enhancing student knowledge in INCE preparation. Its integration into structured mentoring programs may strengthen competency-based education and contribute to improving national examination outcomes.
Effect of Intim-DM Model on Sexual Dysfunction in Type 2 Diabetes Patients Ita Sulistiani; Nirwanto K. Rahim
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2683

Abstract

Sexual dysfunction is among the most frequently overlooked complications of type 2 diabetes mellitus. Chronic hyperglycaemia produces vascular damage, peripheral neuropathy, hormonal disturbance and psychosocial distress, yet stigma and limited provider competence keep the issue outside routine diabetes care in primary health services. To analyse the effect of the INTIM-DM (Integrated Intimacy Education for Diabetes Mellitus) model, an integrated sexual education model operationalised through the PLISSIT stages, on sexual dysfunction among productive-age patients with type 2 diabetes mellitus. A quasi-experimental study with a one group pretest-posttest design was conducted at Limboto Community Health Centre, Gorontalo Regency, Indonesia, from October to December 2025. Forty-four productive-age patients were recruited through purposive sampling. Sexual function was measured with the International Index of Erectile Function (IIEF) in 8 male respondents and the Female Sexual Function Index-6 (FSFI-6) in 36 female respondents, before and after three small-group education sessions delivered over three weeks. Both are validated Indonesian versions (IIEF-5: item validity r = 0.70-1.00, Cronbach's α = 0.828, Cohen's κ = 0.879; FSFI-6: item-total correlation > 0.3, Cronbach's α = 0.831). Data were analysed using the Wilcoxon Signed Ranks Test and the paired t-test in SPSS version 26. At baseline, 37 of 44 respondents (84.1%) showed sexual dysfunction. Among women, the Wilcoxon test produced Z = -5.061 with p = 0.000; 33 respondents (91.67%) recorded higher FSFI-6 scores, none recorded lower scores and 3 were unchanged. Among men, mean IIEF scores rose from 16.50 ± 6.02 to 19.63 ± 4.63, a mean difference of 3.125 (95% CI 1.681-4.569), t = -5.118, df = 7, p = 0.001, while the normal category rose from 25.0% to 50.0%.  The INTIM-DM model significantly improved sexual function in both male and female patients with type 2 diabetes mellitus. Structured sexual education is feasible for nurses in primary care and merits integration into chronic disease management programmes.