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Gambaran Kepatuhan Diet dan Gula Darah Puasa pada Pasien Diabetes Tipe II Wulandari, Novita Kurnia; Mardiyono, Mardiyono; Rahayu, Umi Margi
JURNAL KEPERAWATAN MERSI Vol 13, No 2 (2024): Oktober
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i2.12277

Abstract

Background: Type 2 diabetes mellitus is a metabolic disorder in which the body does not produce enough insulin or the glucose level in the blood exceeds the normal limit, which is 130 mg/dL for fasting blood sugar levels. There are 4 pillars of management of type 2 diabetes mellitus, including nutrient therapy and pharmacology. Diabetic patients can apply nutrient therapy by adjusting the diet with the 3J principles (amount, schedule, and type). Pharmacological therapy can be carried out by routinely taking antidiabetic drugs according to the recommended dosage. Objective: The aim of the study was to describe dietary compliance and fasting blood sugar levels in people with Type 2 Diabetes Mellitus. Method: This type of research is a quantitative pre-experimental study with one group pre-test-post-test design, with 34 using a purposive sampling method. The instrument in this study used MMAS-8. Result: The results of the univariate analysis showed that most of the research respondents were women (55.9%) with an age range of 61-70 years (64.7%), last education level was high school (47.1%), privately owned employees (55.9%), and duration of suffering from DM 5 years (100%). Conclusion: A significant relationship exists between diet adherence and fasting blood sugar levels in patients with type 2 diabetes mellitus. Conclusion: Based on this research, it is expected that people with type 2 diabetes mellitus can apply a good diet pattern and regularly consume anti-diabetic drugs according to the recommendations of health workers.
Validity Test of Acupressure Digital Massage Tools (ADMT) on the Level of Comfort Supriyadi Supriyadi; Sudirman Sudirman; Umi Margi Rahayu
Indonesian Journal of Global Health Research Vol 6 No 6 (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.v6i6.3628

Abstract

Comfort is the experience a person receives from an intervention. This is a direct and comprehensive experience when physical, psychospiritual, social, and environmental needs are met. Acupressure Digital Massage Tools (ADMT) is a modified tool that can be used on acupoints. This research is to determine the effectiveness of ADMT on comfort. This research is divided into 3 stages, namely stage 1 ADMT development, and validation, second stage ADMT tool application, and third stage production development. The research design for stage 1 is R&D and the second stage now uses a quantitative pre-post test design with a control group design. Samples were taken using a purposive sampling technique. The research subjects were 40 healthy respondents grouped into two, the first group was a sample of the healthy group with ADMT totaling 20 people and the second group was a sample of the healthy group with hand acupressure totaling 20 people, data analysis used demographic characteristics and research variables, namely ADMT and pain level. Bivariate analysis uses Wilcoxon and Mean Withney. The results of the information collection concluded that the ADMT action provided a feeling of comfort with validation that the respondents stated that they were comfortable by showing a feasibility score of 70%. Using Acupressure Digital Massage Tools (ADMT) is suitable as a tool for comfort levels.
Effectiveness of Isometric Handgrip Exercise in Reducing Blood Pressure in Hypertension Patients Umi Margi Rahayu; Bagus Prayitno; S. Eko Ch. Purnomo; Sudiarto Sudiarto
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.v7i4.6352

Abstract

Hypertension is one of the major health problems that can trigger complications of cardiovascular disease. One of the non-pharmacological therapies that has been proven effective in lowering blood pressure is Isometric Handgrip Exercise (IHE). This study aims to analyze the effect of IHE on reducing blood pressure in hypertensive patients in Dusun Bungkel, Grobogan Regency. The design of this study used a quasi-experiment with a time-series approach. A total of 31 respondents were selected using a purposive sampling technique. The IHE intervention was carried out for five consecutive days with a training duration of six minutes per day. Blood pressure was measured before and after each training session. Data were analyzed using paired t-test and Wilcoxon. The results showed that IHE for five days could reduce systolic blood pressure by 21.6 mmHg and diastolic by 13.5 mmHg, with an average decrease per session of 6.5 mmHg for systolic and 4.1 mmHg for diastolic. The results of the statistical test showed a p value <0.05, which means that the decrease in blood pressure was significant.
A Community-Based Approach to Blood Glucose Control in Type 2 Diabetes: Diabetes Exercise and Health Education Rahayu, Umi Margi; Huda, Kholis Khoirul; Mardiyono
Journal of Community Service for Health Vol. 6 No. 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v6i1.1205

Abstract

Type II diabetes mellitus is a chronic disease that often leads to serious complications, especially when blood glucose levels are not well controlled. Blood glucose reduction can be achieved through various interventions, one of which is diabetes exercise combined with health education. This study aimed to evaluate the effect of diabetes exercise and health education on blood glucose levels and knowledge of patients with type II diabetes mellitus. The method used was a community service activity involving 60 respondents at Srondol Public Health Center, Semarang City. The program consisted of diabetes exercise sessions and health education on diabetes management. The results showed a significant decrease in blood glucose levels before and after the exercise intervention. In addition, there was an increase in respondents' knowledge regarding diabetes management after receiving health education. The Focus Group Discussion (FGD) revealed that respondents felt more motivated and experienced strong social support in managing their diabetes. In conclusion, diabetes exercise and health education were proven to be effective in reducing blood glucose levels and improving patients' knowledge of diabetes management. This program can be widely implemented in the community to support sustainable diabetes control.
FACTORS ASSOCIATED WITH DEPRESSION AMONG CHRONIC KIDNEY DISEASE PATIENTS RECEIVING HEMODIALYSIS Isdiana, Dini Fitria; Mugi Hartoyo; Umi Margi Rahayu; Rodhi Hartono; Budiyati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/696

Abstract

Chronic  kidney  disease  (CKD)  is  one  of  the  therapies  for  CKD  is hemodialysis. Hemodialysis can have psychological effects, one of which is depression. The purpose of this study was to identify factors associated with depression in patients with chronic kidney failure undergoing hemodialysis. This  is  a  quantitative  study  with  a  descriptive  correlational  design  using  a cross-sectional design on 52 samples with purposive sampling. The study was conducted  using  the  Beck  Depression  Inventory  II  questionnaire,  Fatigue Severity  Scale,  Pittsburgh  Sleep  Quality  Index,  and  data  were  tested  using Kendall's Tau b and c tests and Ordinal Logistic Regression. The study found that 46.2% of CKD patients experienced severe depression. Depression was more  prevalent  among  CKD  patients  aged  41–55  years  (40.0%),  females (61.5%),  married  individuals  (65.4%),  those  with  a  high  school  education (40.4%), those who had undergone hemodialysis for 13–36 months (44.2%), respondents  with  poor  sleep  patterns  (55.8%),  and  those  with  comorbid conditions  (hypertension)  (34.6%).  The  results  of  Kendall's  tau  analysis showed that factors associated with depression include age, gender (p=0.001), marital  status  (p=0.001),  duration  of  hemodialysis  (p=0.016),  education (p=0.001),  sleep  patterns  (p=0.001),  fatigue  (p=0.001),  and  comorbidities (p=0.001), while age did not show a significant association (p=0.057). Among the  factors  analyzed  using  the  partial  test,  no  single  factor  was  dominant  in influencing  depression  levels  in  CKD  HD  patients.  The  odds  ratio  for education was the highest, with a value of 603,801.0287. Clinically, the odds ratio  results  indicate  that  education  is  the  dominant  factor,  with  a  60-fold influence on depression in CKD HD patients. 
Kombinasi Terapi Relaksasi Otot Progresif Dan Aromaterapi Lemon Terhadap Tekanan Darah Pada Penderita Hipertensi Derajat I Kholis Khoirul Huda; Umi Margi Rahayu
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 3 No. 6 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

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

Abstract

Hipertensi disebut sebagai silent killer menjadi masalah kesehatan secara global. Hipertensi merupakan masalah kesehatan dengan prevalensi cukup tinggi di dunia, sekitar 1,5 miliar orang yang terkena hipertensi dan diperkirakan setiap tahunnya 9,4 juta orang meninggal akibat hipertensi dan komplikasinya. Salah satu usaha yang dilakukan untuk mencegah hipertensi yaitu dengan dilakukan terapi pendamping nonfarmakologi seperti pemberian terapi relaksasi otot progresif dan aromaterapi lemon. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi terapi relaksasi otot progresif dan aromaterapi lemon terhadap tekanan darah pada penderita hipertensi derajat I. Penelitan kuantitatif yang menggunakan desain quasi eksperimen dengan bentuk ancangan desain pre test and post test with control group. Sampel berjumlah 36 responden yang diambil dengan teknik purposive sampling. Instrumen yang digunakan adalah SOP relaksasi otot progresif dan aromaterapi lemon, stetoskop dan spygnomanometer, dan lilin aromaterapi lemon. Analisis statistik dengan menggunakan uji Paired T-Test dan Independent T-Test. Hasil dari uji analisis dapat disimpulkan bahwa pada perbedaan bermakna tekanan darah sebelum dan sesudah pada kelompok intervensi dan kelompok kontrol dan menunjukkan perbedaan pengaruh kombinasi terapi relaksasi otot progresif dan aromaterapi lemon pada penderita hipertensi derajat I antara kelompok intervensi dan kelompok kontrol terlihat dari p-value sebesar (p<0.05). Kombinasi terapi relaksasi otot progresif dan aromaterapi lemon berpengaruh pada tekanan darah penderita hipertensi derajat I.