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All Journal Jurnal Riset Kesehatan Jendela Nursing Journal (JNJ) JURNAL KEPERAWATAN MERSI Proceedings of the International Conference on Applied Science and Health INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Journal of Applied Health Management and Technology Indonesian Journal of Global Health research Borobudur Nursing Review Journal Research of Social Science, Economics, and Management Jurnal Keperawatan Jurnal Ilmiah Kesehatan Mandira Cendikia Journal of Community Service for Health Jurnal Lintas Pengabdian Masyarakat
Rahayu, Umi Margi
Poltekkes Kemenkes Semarang
Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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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.
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.
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.
Grief Of Families Left Behind By Family Members Due To Covide-19 In Semarang Windiarti, Sri Endang; Riyadi, Ahmad; Rahayu, Umi Margi; Tangdilintin, Annisa Muliani
Journal Research of Social Science, Economics, and Management Vol. 3 No. 3 (2023): Journal Research of Social Science, Economics, and Management
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jrssem.v3i3.616

Abstract

Background: Grieving is a response that arises as a result of an individual experiencing one of which is loss. Not only the grieving phase which includes denial, anger, bargaining, depression, acceptance which describes the condition of grieving but there is also a grieving response which includes cognitive, emotional, behavioral and physiological responses where these responses can be different in each individual, because humans are unique creatures, researchers use observational interview techniques in conducting this study, to find out the grieving response to one person and another. Objective: This study aims to determine the picture of grieving family members left behind by their families due to COVID-19 in Semarang Regency. Method: Qualitative descriptive research design with data analysis using Collaizi method. Results: the description of the participants' grieving response showed the results of cognitive responses including denial and acceptance, emotional: depression, anger, gaining, acceptance. Behavioral: depression, then on physiological responses: depression, gaining, acceptance. Conclusion: the grieving phase was irregular, but all four participants had similar cognitive, emotional, behavioral, physiological responses.
Soursop Leaf Nanoparticles On Blood Glucose Levels And Ankle Brachial Pressure Index (ABPI) Values In Type-2 Diabetes Mellitus Patients Samsuri, Taadi; mardiyono, Mardiyono; Rahayu, Umi Margi; Saputri, iken Anggraini Sri
Jurnal Riset Kesehatan Vol 12 No 2 (2023): NOVEMBER 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v12i2.9826

Abstract

Chronic hyperglycemia will cause legs and blood circulation disorders. Treatment with insulin is still quite expensive and with some side effects of oral hypoglycemic drugs. This experience made the management of DM switch to herbal treatment, namely soursop leaves (Annona muricata). The study used a pre and post test control group design with random allocation. Quasy experimental study with a two group pre tpost-testest – post tepost-testst design at 36type-2 DM patients in the Pekalongan City area. Blood glucose levels in the treatment group were measured before and after administration of soursop leaf nanoparticles500 ml/20 gBB 3 times a day for 6 days and 500 mg metformin. Giving soursop leaf nanoparticles at a dose of 500 ml/20 grBW 3 times a day for 6 days is effective on fasting blood glucose levels clinically with a change in value of 65 mg/dL, and has a statistically significant effect on reducing fasting glucose levels (p=0.035).
BLOOD STORAGE ANALYSIS OF HEMOGLOBIN ERYTHROCYTE AND PLATELET LEVELS IN WHOLE BLOOD COMPONENTS 0 DAYS 7 DAYS UP TO 15 DAYS AND 30 DAYS AT THE INDONESIAN RED CROSS (PMI) BLOOD DONATION UNIT (UUD) SEMARANG REGENCY Riadi, Ahmad Riadi; Kahar, Fitriani; widodo, Widodo; Aprianti, Dina; Margi Rahayu, Umi
Journal of Applied Health Management and Technology Vol. 5 No. 4 (2023): October 2023
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i4.10626

Abstract

During the storage process, blood will experience changes in blood components such as hemoglobin levels. The longer blood is stored, the more red blood cells will be destroyed because blood that is stored for too long will experience a shift in the oxygen dissociation curve to the left. The aim of this study was to determine the effect of blood storage on the levels of platelets, erythrocytes and hemoglobin in the whole blood component of blood for 0 days, 7 days, 15 days and 30 days at the blood donor unit (UUD) of the Indonesian Red Cross (PMI) Semarang Regency. The type of research used is descriptive research, where this research aims to describe or provide an overview of the effect of storing blood in whole blood components on changes in platelet, erythrocyte and hemoglobin levels in PMI Semarang Regency. The population and research samples are donors in PMI Semarang Regency. Data analysis: Data processing is carried out by: Editing, namely selecting and correcting hemoglobin level data collected from the measurement results during each experiment. Tabulating is the presentation of research data in the form of tables of Hemoglobin reading results or descriptive or analytical analysis results. Processing is the activity of processing data so that it can be analyzed by entering data on hemoglobin levels. Cleaning or data checking is checking the hemoglobin level data that has been entered again to see if there are errors or not
NURSING CARE FOR GRADE II DIABETIC ULCUS Margi Rahayu, Umi; Khoirul Huda, Kholis
Journal of Applied Health Management and Technology Vol. 5 No. 4 (2023): October 2023
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i4.10651

Abstract

Background –Uncontrolled diabetes mellitus will cause various complications, one of which is diabetic ulcers. The incidence of diabetic ulcers in DM patients is still high, namely in 2020 it has reached 25% throughout their lives. Patients will be susceptible to severe infections if they do not understand how to properly care for wounds, so that patients with diabetic ulcers can experience problems in the form of impaired tissue integrity. The development of wound care with modern dressing methods has become a trend now, because this wound treatment uses the moist concept so that it speeds up the wound drying process.Objectives –The case study aims to provide nursing care to patients with grade III diabetic ulcers with the main problem being impaired tissue integrity.Method –This type of case study uses a qualitative research design with a case study approach. The sample in this study consisted of 2 diabetic ulcer patients with conventional wound care for 6 days.Results –The results of case management for 6x8 hours showed that the wound condition had decreased in the BJWAT assessment score, but the wound healing process had not been resolved, namely patient 1 on the first day the BJWAT score was 38 then the sixth day it became 28 , while patient 2 on the first day was 39 then days sixth to 27. The wound healing process does take quite a long time, which can reach 12-20 weeks.Conclusion– The conclusion of this scientific paper is that after treating the wound using 0.9% NaCl solution compressed with metronidazole and gentamicin ointment for 6x8 hours, the wound healing process has not been resolved, but the BJWAT wound assessment score has decreased
THE INFLUENCE OF SMOKING HABITS ON THE DIABETIC ULCER HEALING PROCESS Margi Rahayu, Umi; Khoirul Huda, Kholis
Journal of Applied Health Management and Technology Vol. 6 No. 1 (2024): April 2024
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v6i1.11399

Abstract

Diabetic ulcers are a complication of impaired bodily function resulting from high blood glucose that occurs for a long time and is not well controlled. There is a close relationship between diabetes and an increased risk of arteriosclerosis and peripheral arterial disease. The risk increases in active smokers. Macrovascular disorders occur mainly in the infragenicular vessels (tibial and peroneal arteries). Quantitative research using cross sectional and observation on 14 grade II diabetic ulcer patients at the Kitamura Clinic Pontianak to see how smoking habits influence the wound healing process. The smoking habit is one of the main risk factors that can slow down or even inhibit the healing process of diabetic ulcers
MODERN COMBINATIONS DRESSING AND OZONE BAGGING TREATMENT REDUCES THE AMOUNT OF BACTERIA IN GRADE II DIABETICUM Mardiyono, Mardiyono; Ramlan, Djamaluddin; Anwar, M. Choiroel; Pujiastuti, Rr. Sri Endang; Rahayu, Umi Margi
Journal of Applied Health Management and Technology Vol. 1 No. 1 (2019): Oktober 2019
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v1i1.5308

Abstract

Diabetic ulcers are open sores on the skin layer to the dermis caused by hyperglycemia and neuropathy. Infection is a barrier to the wound healing process, the incidence of infection in wounds with modern treatments of hydrocolloid and hydrogel type dressings is still high. Ozone has high antibactericidal and antimicrobial properties, is able to penetrate bacterial capsid walls and is expected to kill bacteria on the wound surface.To find the right way to cure diabetic ulcers using a combination of modern methods of dressing and ozonetherapy bagging.Experimental, non-equivalent control group design pre test, post test, population and infinite sample of 25 respondents. Modern dressing used has antibacterial properties and ozone concentration of 60-100ug / ml for 15 minutes using a limb bag was carried out until the 13th day with five times the measurement of the number of bacterial colonies using themethod swab and colonicounter. Data processing using a computer system with the General Linear Model. There was an average difference in the number of bacterial colonies between groups (505.73 ± 172.069 vs 322.21 ± 132.778, p = 0.0061).A combination of modern dressing and ozonetherapy bagging can reduce the number of bacterial colonies and speed up the healing process of the inflammatory phase II diabetic ulcer so that it can be applied in nursing care for diabetic ulcer patients.
Co-Authors Ahmad Riyadi Ahmad Riyadi Alvina Listiyani Ana Permata Anis Laela Megasari Annisa Muliani Tangdilintin Anonim, Tri Aprianti, Dina Assakhya, Ahmad Fuda Bagus Prayitno Budiyati Budiyati Budiyati, Budiyati Djamaluddin Ramlan, Djamaluddin Eko S Purnomo Fachry Abda El Rahman Fatikhah Amara Sari iken Anggraini Sri Saputri Isdiana, Dini Fitria Kahar, Fitriani Khoirul Huda, Kholis Kholis Khoirul Huda M. Choiroel Anwar Mardiyono Mardiyono, Mardiyono Maria Suryani Megasari, Anis Laela Mugi Hartoyo Mugi Hartoyo Pujiastuti, Rr. Sri Endang Riadi, Ahmad Riadi Rizal Ginanjar Rodhi Hartono Rr. Sri Endang Pujiastuti S. Eko Ch Purnomo S. Eko Ch. Purnomo Samsuri, Taadi Saputri, iken Anggraini Sri Setiawan, Iwan Sulis Shobirun Sri Endang Windiarti Sri Endang Windiarti Sri Utami Dwiningsih Sudiarto Sudiarto Sudirman Sudirman Supriyadi Supriyadi Supriyadi Supriyadi Supriyadi Taadi Taadi Tangdilintin, Annisa Muliani Widodo Widodo Wulandari, Novita Kurnia