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All Journal Nursing News : Jurnal Ilmiah Keperawatan JURNAL KEPERAWATAN MERSI Journal Of Bionursing Proceedings Series on Health & Medical Sciences
Atyanti Isworo
Universitas Jenderal Soedirman
Religion Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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Development of Diabetes Education on Online-based Application: Telemondia Atyanti Isworo; Yogi Ramadhani; Akhyarul Anam; Wahyu Ekowati; Ariesta Salwa Azalia
Proceedings Series on Health & Medical Sciences Vol. 2 (2021): Proceedings of the 2nd International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (906.093 KB) | DOI: 10.30595/pshms.v2i.225

Abstract

During the Covid 19 pandemic, a safe, efficient and effective educational method for diabetes patients is needed. Currently, an online-based education has developed, but this education is one-way, so the monitoring process is not getting enough attention. For this reason, it is necessary to develop online-based education in two directions so that there is interaction between patients, families and health workers. The purpose of this study is to develop a two-way online application-based education. The research method is research and development design. In the first phase, an online-based education development will be carried out with stages of design activities, validation and application acceptance testing. The results showed that an online application-based educational prototype named Telemondia had been composed and was validated by two diabetes education experts and two IT (Information Technology) experts. The following results from expert validation show the average aspect of ease of use of application is 90%; content clarity is 96.87%; aesthetic is 84.75%; instructional quality is 87.5; and feedback quality is 85.42% , with an average overall aspects of 87.87%. This shows that Telemondia is very feasible to use. Furthermore, in the acceptance test for 25 diabetic patients, the results of this acceptance test show ease of use of application is 92%; content clarity is 93%; aesthetic is 84%; instructional quality is 87; and feedback quality is 86%. The average overall aspect is 88.11%, which means that Telemondia can be accepted by patients. Further development will be made to add features that allow recording audio and video.
Potensi Sinar Matahari Pagi Untuk Menurunkan Kadar Gula Darah Penderita Diabetes Atyanti Isworo
Journal of Bionursing Vol 2 No 2 (2020): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.211 KB) | DOI: 10.20884/1.bion.2020.2.2.50

Abstract

Background: Sunlight contains ultraviolet A (UV A) and ultraviolet B (UV B). UV B is able to produce vitamin D. Vitamin D is believed to increase insulin sensitivity and secretion. Therefore the purpose of this study is to discover the efficacy of morning sunlight on the blood sugar of diabetic patients.Method: This study is a quasi-experiment with control group design, which was conducted in the working area of North Purwokerto Puskesmas I and II. A total of 40 respondents were divided into 2 groups, each group of 20 respondents were involved in this study, using consecutive sampling technique. The inclusion criteria in this study are (1) diabetics patients using oral hypoglycemic drugs, (2) have fasting blood glucose level ? 126 mg/dL, (3) aged ? 40 years, (4) have no chronic complication of diabetes (kidney disease, retinopathy, nephropathy, and neuropathy), (5) willing to be a respondent, (6) had not eaten for at least 8 hours when the study was conducted, (7) participated in all sessions of the research; while the exclusion criteria: (1) have an obesity BMI, (2) under a severe stress. Procedure: The intervention group was asked to sunbathe in the morning sunlight for 20 minutes, between 06:00-09.00. During this sunbathing session respondents sat and wore one layer of clothing (without wearing a jacket) and with materials that easily absorb sweat. This activity was carried out 5 times in a row. On the fifth day, respondents measured their fasting blood glucose level again. The statistical analysis used was the Wilcoxon and Mann-Whitney Test.Result: The result showed that there were significant differences in the mean fasting blood glucose level before and after treatment in the intervention group (p = 0.000), but no differences were found in the control group (p = 0.881). Furthermore, using the Mann Whitney test, there were significant differences in fasting blood glucose after the treatment between the two groups (p=0,000)Conclusion: Morning sunlight has the potential to reduce fasting glucose level in diabetic patients. Further research is needed on morning sunlight for diabetics by considering several confounding variables.
Perbedaan Mekanisme Koping Penderita Diabetes Mellitus dengan Ulkus dan Tanpa Ulkus Diabetikum Desta Opchera Dina Rahmawati; Atyanti Isworo; Yunita Sari
JURNAL KEPERAWATAN MERSI Vol 14 No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12858

Abstract

Background: Diabetes mellitus is a long-term disease that causes alterations in lifestyle, influences physical, psychological health, and causes many complications, including diabetic ulcers. The alteration of life in diabetic patients that was caused by diabetes mellitus, or diabetic ulcer, could be a stressor for patients. The coping mechanism was formed as an adaptation to that stressor. Coping mechanisms in patients could be problem-focused coping and emotion-focused coping. Objective: This research aimed to determine the differences in coping mechanisms between diabetic patients with and without diabetic ulcers at RSUD Margono Soekarjo Purwokerto. Methods: This research was a comparative research design. The sampling technique was purposive sampling. There were 49 respondents, 18 patients with diabetic ulcers and 31 patients without diabetic ulcers. Data was collected using the COAP questionnaire and analyzed using the Chi-square test. Results: There was no difference in coping mechanisms between diabetic patients with and without diabetic ulcers (p=0.443). Emotion-focused coping was the most used coping mechanism among subjects with and without diabetic ulcers, and the coping mechanism of diabetic patients with and without ulcers was not different. The most important aspects of emotion-focused coping in respondents with and without diabetic ulcers were oriented to religion, which caused positive emotion and mental endurance to face the problem. Conclusion: Coping mechanisms between diabetic patients with and without diabetic ulcers were commonly performed emotion-focused coping.
Fan Therapy in Reducing Dyspnea in Patients with Lung Disease: A Systematic Review Atyanti Isworo; Nur Hidayati Fitriana
Nursing News : Jurnal Ilmiah Keperawatan Vol 9, No 3 (2025): EDISI DESEMBER 2025
Publisher : Tribhuwana Tunggadewi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/nn.v9i3.3535

Abstract

Dispnea merupakan gejala umum dan mengganggu pada pasien penyakit paru seperti PPOK, kanker paru, dan penyakit paru interstisial. Fan therapy direkomendasikan sebagai intervensi nonfarmakologi yang potensial untuk mengurangi persepsi sesak napas, meski bukti efektivitasnya masih bervariasi. Tujuan penelitian adalah menilai efektivitas fan therapy dalam menurunkan keparahan dispnea pada pasien penyakit paru.Tinjauan sistematis dilakukan terhadap enam studi eksperimental dengan populasi pasien penyakit paru. Data yang diekstraksi mencakup desain, karakteristik partisipan, prosedur fan therapy, instrumen pengukuran dispnea, dan hasil utama. Analisis tematik digunakan untuk mengidentifikasi pola temuan. Sebagian besar studi menunjukkan fan therapy efektif menurunkan persepsi dispnea, baik saat istirahat maupun aktivitas fisik. Intervensi bervariasi dari 3–12 menit per sesi, dengan frekuensi mulai dari sekali hingga harian selama delapan minggu. Instrumen evaluasi meliputi Modified Borg Scale, Numeric Rating Scale, dan Visual Analog Scale. Satu studi melaporkan hasil tidak signifikan, namun intervensi tetap diterima baik oleh pasien. Fan therapy merupakan intervensi nonfarmakologi yang efektif, aman, dan mudah diterapkan dalam mengatasi dispnea pada pasien penyakit paru. Studi lanjutan dengan desain lebih kuat dan sampel lebih besar dibutuhkan untuk memperkuat bukti dan standarisasi implementasi
Co-Authors Akhyarul Anam Ariesta Salwa Azalia Desta Opchera Dina Rahmawati Nur Hidayati Fitriana Wahyu Ekowati Yogi Ramadhani Yunita Sari