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PROGRAM MINDFULNESS BREATHING DAN SUPPORTIVE EDUCATIVE SEBAGAI UPAYA MENINGKATKAN PENGETAHUAN MENGATASI DISTRES DIABETES Ika Yuni Widyawati; Ika Nur Pratiwi; Sylvia Dwi Wahyuni; Rr Dian Tristiana
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 6 (2025): Nopember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v5i6.11529

Abstract

Diabetes Melitus (DM) memerlukan pemahaman secara komprehensif dan konsisten karena sebagian besar mengalami kondisi distress diabetes, manajemen diri yang buruk dan kualitas hidup yang rendah. Tujuan dari kegiatan pengabdian kepada masyarakat (PKM) ini adalah untuk memberikan edukasi dan pelatihan mindfulness pernafasan dan suportif edukatif dapat menurunkan risiko distres diabetes Pasien Diabetes Mellitus dan meningkatkan pengetahuan kader, keluarga dan pasien DM. PKM ini menggunakan pendekatan Community Based Research (CBR) dilakukan edukasi dan pelatihan dengan menerapkan peer health coaching di RW 05, Kelurahan Mojo, Kecamatan Gubeng, Surabaya, Jawa Timur. Evaluasi PKM dengan membandingkan pengetahuan dan skrining risiko distress diabetes. Peserta yang mengikuti kegiatan ini sebanyak 45 orang dimana pengukuran tingkat pengetahuan diperoleh p<0.001 (p<0,05) sehingga terdapat perbedaan yang bermakna antara sebelum dan sesudah diberikan pendidikan dan pelatihan dalam hal peningkatan pengetahuan terkait penatalaksanaan DM. Pendidikan dan pelatihan mindfulness pernafasan dan suportif edukatif mampu meningkatkan pengetahuan terkait penyakit diabetes.
Heliotherapy and Walking Therapy to Reduce Glukosa Levels in Type 2 Diabetes Milletus (T2DM): A Comparative Study Mahmud, Mulyani Hertikawati; Widyawati, Ika Yuni; Wahyudi, Andri Setiya
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3313

Abstract

Diabetes Mellitus is a chronic disease that has bad complications for the sufferer's health, so it requires non-pharmacological treatment. The aim of this study is to explain the effectiveness of non-pharmacological therapies such as heliotherapy and walking therapy in reducing random glucose levels (RBS) in patients with type 2 diabetes mellitus (DM). This study used a Pre-Post Test With Two Group Design research design. The population for this study consisted of 32 respondents, divided into two groups: the heliotherapy intervention group and the walking intervention group, each with 16 respondents. The research subjects were selected based on the criteria for diabetes mellitus patients. The independent variables were heliotherapy and walking therapy, while the dependent variable was the reduction in RBS levels. Research instruments included heliotherapy standard operating procedures (SOP), walking therapy SOP, Glucometer, and observation sheets. Data analysis was performed using paired t-tests and independent t-tests. The statistical test results showed a p-value of 0.353 (α>0.05), indicating that there is no significant difference in effectiveness between heliotherapy and walking therapy in reducing RBS levels in patients with type 2 diabetes mellitus (DM). It can be concluded that the reduction in RBS levels is higher with walking therapy compared to heliotherapy in patients with type 2 DM.
Behavioral Models for Controlling Blood Pressure in Patients with Hypertension Fernandez, Gratsia Victoria; Sudiana, I Ketut; Widyawati, Ika Yuni
Genius Journal Vol. 5 No. 1 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i1.347

Abstract

Objective: This study aimed to develop a behavior model in controlling blood pressure of patients with hypertension by integrating the theory of Health Belief Model and adaption model theory by Roy. Method: This was a cross-sectional study conducted in January 2020. The population in this study was hypertension patients at the Community Health Center. The sampling technique used in this study was consecutive sampling. The instrument used in this study was a questionnaire. The data were analyzed by Partial Least Squares. Result: Modification factor, cues to action, individual beliefs and cognator significantly affected the behavior for blood pressure control with t-statistic value >1.96. Modification factors affected individual beliefs (t=10,648). Conclusion: This behavioral model can assist nursing in developing strategies to improve blood pressure control behavior in hypertensive patients. The behavior of the hypertensive patients was possibly improved by the involvement of the health worker by routinely educating the patients and their family related to hypertension and how to control blood pressure and also related to stress and how to manage it as well as with support from the family in self-care management and lifestyle modification.
End-of-Life Acceptance in Hemodialysis Patients: A Conceptual Analysis Wabula, La Rakhmat; Yetti, Krisna; Masfuri, Masfuri; Widyatuti, Widyatuti; Widyawati, Ika Yuni; Septiwi, Cahyu
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.561

Abstract

End-of-life (EOL) acceptance is a crucial but underexplored concept among patients with end-stage renal disease (ESRD) undergoing hemodialysis. This study aimed to analyze and clarify the concept of EOL acceptance in hemodialysis patients using Walker and Avant’s eight-step method. These patients often face progressive physical deterioration and limited life expectancy, making psychological, emotional, and spiritual readiness to confront death a fundamental component of care. However, the term “EOL acceptance” lacks conceptual clarity and consistency in nursing practice. A comprehensive literature review was conducted using PubMed, CINAHL, and Scopus databases, targeting studies published between 2014 and 2024. The keywords used included ‘end-of-life,’ ‘terminal care,’ ‘death acceptance,’ ‘dying acceptance,’ ‘hemodialysis,’ ‘end-stage renal disease,’ and ‘terminal care nursing’. The analysis identified three attributes of EOL acceptance:  psychological readiness to face death, integration of existential and spiritual meaning, and proactive decision-making toward dignified dying. Supporting factors include awareness of terminal illness, therapeutic communication, and psychosocial-spiritual support. The identified consequences are emotional peace, enhanced family preparation, and improved quality of life. This analysis delineates a conceptual framework for EOL acceptance, enabling nurses to assess and support patients facing terminal illness effectively. It also provides a foundational framework for developing assessment tools and nursing interventions to improve person-centered EOL care for individuals with ERSD.
Entrepreneurship in Social Media Literacy and Intentions for Diabetes Prevention among Adolescent Students Pratiwi, Ika Nur; Prabawati, Dita Dwi Oktav; Wahyuni, Erna Dwi; Nursalam, Nursalam; Widyawati, Ika Yuni; Yahaya, Nor Aziyan
Aptisi Transactions On Technopreneurship (ATT) Vol 8 No 1 (2026): March
Publisher : Pandawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/att.v8i1.626

Abstract

Diabetes Mellitus (DM) prevention behavior is essential for reducing DM incidence among adolescents, a population increasingly exposed to lifestyle risks and heavily engaged with digital platforms. Social media provides a promising channel for health promotion, yet limited evidence explains how literacy in this medium supports preventive behaviors. This study aims to analyze the correlation between social media literacy and intention with DM prevention behavior among adolescent students. A cross-sectional design with purposive sampling was conducted involving 231 students aged 16 years in East Java, Indonesia. Data were collected using questionnaires measuring social media literacy, intention, and DM prevention behavior, while Spearman’s rho correlation <0.05 was applied for analysis. Descriptive findings showed that 58% of participants were female, 67.1% used more than three social media platforms, 39% accessed social media 3–4 hours daily, and 4.3% had a family history of DM. The analysis revealed significant positive correlations between social media literacy (p<0.001, r=0.325) and intention (p<0.001; r=0.305) with DM prevention behavior. Adolescents with higher literacy and stronger intentions were more likely to exhibit proactive DM prevention actions. These results demonstrate that emerging technologies, particularly social media, hold substantial potential as promotive and preventive tools for adolescent health. Enhancing social media literacy can improve adolescents’ ability to identify, interpret, and apply credible health information, supporting healthier behavioral choices. The study suggests that integrating digital health literacy into adolescent-focused programs may strengthen early preventive efforts and reduce future DM risk.
Penggunaan BEFAST Sebagai Instrumen Deteksi Awal Stroke di Fase Prehospital : Sebuah Literature Review Desi Susilawati; Ika Yuni Widyawati; Yulis Setiya Dewi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41565

Abstract

Stroke merupakan penyebab kematian nomor.dua serta penyebab kecacatan utama diseluruh dunia. Pengenalan dan pengambilan keputusan terhadap Stroke dapat ditingkatkan dengan menggunakan BEFAST (Balance, Eyes, Face, Arm, Speech, Time) sebagai instrumen penilaian awal pada tahap prehospital. Tujuan penelitian ini adalah untuk mengetahui efektivitas penggunaan BEFAST sebagai deteksi dini stroke di prehospital. Desain penelitian ini menggunakan Systematic Review, yang diambil dari PubMed, Proquest, Science Direct, dan Google Scholar dari tahun 2019 sampai dengan 2024. Pencarian artikel inimenggunakan kata kunci Stroke OR cerebra arterial disease AND prehospital detection AND BEFAST. Desain penelitian menggunakan Preferred Reporting Items for Systemic Review and Meta-Analysis (PRISMA) Guidelines. Dari 217 artikel yang ditemukan, 5 artikel yang di review dalam penilitian ini. 5 artikel tersebut (100%) mendukung penggunaan BEFAST sebagai pengenalan awal stroke prehospital dengan sensitivitas dan spesifisitas yang tinggi. Penggunaan BEFAST merupakan aspek objektif untuk deteksi dini stroke prehospital, persiapan aktivasi kode stroke di unit gawat darurat, sehingga dapat mengurangi risiko kematian dan kecacatan.
Effectiveness of Nurse-Led mHealth on Self-Efficacy and Adherence Hemodialysis Patients: A Systematic Review I Made Dwi Budhiasa Ari Serengga; Ika Yuni Widyawati; Iqlima Dwi Kurnia
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51717

Abstract

ABSTRACT Introduction:. Hemodialysis patients with end-stage renal disease (ESRD) often experience low self-efficacy and poor adherence to treatment regimens, which negatively affect their health outcomes and quality of life. Conventional education methods have shown limited effectiveness in sustaining behavioral change. Nurse-led mobile health (mHealth) interventions provide an innovative approach that combines nursing expertise, behavioral theory, and digital technology to enhance self-efficacy and long-term adherence. Methods: This systematic review followed the PRISMA 2020 guidelines and included studies published between 2019 and 2025 from four databases: Scopus, PubMed, ProQuest, and Web of Science. Eligible studies examined nurse-led mHealth interventions aimed at improving self-efficacy and adherence among adult hemodialysis patients. The methodological quality of the included studies was evaluated using the JBI critical appraisal tools. Results: Fourteen studies met the inclusion criteria, comprising randomized controlled trials and quasi-experimental designs. Nurse-led mHealth interventions were delivered through mobile applications, telehealth platforms, and instant messaging systems, demonstrating consistent improvements in self-efficacy, adherence, and clinical indicators. Interventions guided by the FITT (Frequency, Intensity, Time, Type) framework and behavioral theories such as the Health Belief Model, Self-Efficacy Theory, and Transtheoretical Model achieved the most sustainable outcomes. Conclusions: Nurse-led mHealth interventions effectively improve self-efficacy and adherence among hemodialysis patients. Integrating behavioral theory, optimized digital dosage, and nursing leadership represents a scalable strategy to strengthen chronic disease management and patient empowerment in contemporary nursing practice. Keywords: Adherence, HBM , Health Education, Self-management, Self-efficacy
Effectiveness of American Society of Perianesthesia Nurses (ASPAN) on Maternal and Neonates Outcome during Perioperative Enhanced Recovery after Caesarean Surgery (ERACS) mustakim; Ika Yuni Widyawati; Sigit Sugiharto
Jurnal Kesehatan dr. Soebandi Vol 10 No 2 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i2.410

Abstract

Introduction. Patient comfort is one of the important components that must be considered in providing nursing care, including perioperative nursing services, one of which is temperature comfort. The purpose of this research is to explain or to study the effect of the ASPAN guideline intervention for normothermia (active and passive warming) on ​​maternal and neonates outcomes during perioperative Enhanced Recovery After Caesarean Surgery (ERACS). Method. This research used a quasi-experimental quantitative research design or a quasi-experiment involving a control group and an intervention group. Measurement of the intervention group for prevention of hypothermia in cesarean section patients was performed perioperatively (pre-intra-post-surgery). Results. The mother's body temperature variable in the intraoperative and postoperative phases was higher in the intervention group than the control group. The shivering condition variable in the control group experienced an increase in shivering during the intraoperative and postoperative phases (1.15 ± 0.41 and 2.17 ± 0.80), while in the intervention group there was a decrease in shivering condition (0.22 ± 0, 42 and 0.20 ± 0.41). In the temperature comfort variable after measuring using Thermal Comfort ERACS, the Mean ± SD value in the intervention group when the intra-operative and post-operative phases was in the neutral category (0.44 ± 0.6 and 0.44 ± 0.65). Discussion & Conclusion. Application of ASPAN Guideline for normothermia during perioperative obtained significant results on the variable of the mother's temperature, the baby's temperature.
Development and Validation of Indonesian Nursing Care Instruments for Patients with End-Stage Kidney Disease Nauvila Fitrotul Aini; Nursalam Nursalam; Ika Yuni Widyawati
Media Keperawatan Indonesia Vol 9, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.1.2026.9-19

Abstract

End-stage kidney disease is a global health problem with a steadily increasing prevalence. Nurses need standardized nursing care instruments to improve care quality and contribute to overall health care improvement. This study aimed to develop an Indonesian nursing care instrument for patients with end-stage kidney disease. The study used a research and development design conducted in two stages. In the first stage, 101 medical records and 11 respondents were involved, while the second stage included 9 respondents. Samples were selected using purposive sampling. Validity and reliability were tested using the Item Content Validity Index (I-CVI) and Kuder–Richardson 20 (KR-20), and data were analyzed descriptively. The instrument was developed for 10 nursing diagnoses: hypervolemia, ineffective breathing pattern, impaired gas exchange, activity intolerance, anxiety, risk of electrolyte imbalance, risk of imbalanced nutrition, risk of falling, risk of ineffective renal perfusion, and readiness for enhanced nutrition. The instrument was aligned with Indonesian nursing standards, including SDKI, SLKI, and SIKI. By providing structured guidance for diagnoses, outcomes, and interventions, this instrument supports nurses in daily practice, improves documentation accuracy, and enhances consistency and quality of nursing care. Nurses’ evaluations indicated that the instrument is feasible for clinical implementation.
Effectiveness of Intradialytic Stretching Exercises In Preventing Muscle Cramps in Individuals Undergoing Hemodialysis : A Systematic Review Tadi Tadi; Ika Yuni Widyawati; Ira Suarilah
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54719

Abstract

Introduction: Individuals with Chronic Kidney Disease (CKD) may experience symptoms of uremic syndrome. Intradialytic stretching exercises have been proposed as a method to increase activity levels while reducing uremic symptoms. Muscle cramps are a common complication of hemodialysis treatment and often lead to early termination of sessions, therefore, timely intervention to address muscle cramps in hemodialysis patients is a critical priority. Objective: To systematically analyse the effectiveness of intradialytic stretching exercises on muscle cramps among individuals undergoing hemodialysis Methods: A systematic review was conducted through five major databases: Scopus, PubMed, Science Direct, ProQuest, and Wiley, for the last five years publication (2020 to 2025). Eligible studies included those that implemented intradialytic stretching exercises interventions focused on muscle cramps for individuals undergoing hemodialysis. Data extracted included study characteristics, sample demographics, design, and measured outcomes. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool, and findings were synthesized through narrative analysis. Result: Eleven studies (n=11) that obtained JBI quality assessment scores ranging from 77% to 92% were included in the final analysis, involving 809 participants from 7 countries, with intervention durations ranging from 4 to 24 weeks. The reviewed intradialytic stretching exercise interventions addressed aspects of muscle cramps, urea levels, and fatigue. Conclusion: Intradialytic stretching exercises demonstrate significant potential in preventing muscle cramps of individuals undergoing hemodialysis. Further research is needed to evaluate long-term outcomes and optimise intervention designs.
Co-Authors Abigael Grace Prasetiani Abu Bakar Adiva Talidah Ah Yusuf Ah. Yusuf ah. Yusuf Ahmad Abdul Ghofar Abdulloh Aini, Nauvila Fitrotul Ainul Mufidah Ainunnajib, Ilham Akbar, Dian Rahmadin Aldri Frinaldi Alfi Syahri Anak Agung Istri Sri Wiadnyani Andi Safutra Suraya Andri Setiya Wahyudi Anggia Fajar Hardianti Anggun Perwita Sari Arifin, Hidayat Balmar Morangelita Nuach Budi Artini Cahyu Septiwi Candra Panji Asmoro, Candra Panji Desak Putu Kurniawati Desi Susilawati Desi Susilawati, Desi Devi Rahma Sofia Dewi Irawaty Dhimas Wahyu Wicaksono Dian Retno Pratiwi Dianis Wulan Sari Diansya, Mohammad Rizal Dina Istiana Dunggio, Abdul Rivai Saleh Dwi Susi Pristiwatin Dyah Unggul Putri Habsari Eka Mishbahatul Mar'ah Has Elida Ulfiana Elief Aliyah Elyana Asnar Endah Panca Lydia Fatma Evi Kartika Maharani Fauzi Tsanifiandi Fayza Asyahla Rihastara Fayza Asyahlaa Rihastara Fernandez, Gratsia Victoria Firda Yusniar Firnanda Erindia Fitria Habibah Nita Yuliana Eka Putri Fitriatul Jannah Fitriatul Jannah Fiza Paluphi Andita Fiza Paluphi Andita Nugroho Gratsia Victoria Fernandez Habsari, Dyah Unggul Putri Hadiyanti, Sonia Hakim Zulkarnain Hana Zumaedza Ulfa Harigustian, Yayang Harmayetty, Harmayetty Hasymi, Yusran Herdina Mariyanti Hidayathillah, Ariska Putri Hilda Dea Revani Huda, Nuh I Made Dwi Budhiasa Ari Serengga Ika Nur Pratiwi Ilma Rosida Rahmawati Imamatul Faizah Imanuella Imanuella Indah Sri Cahyanti Intan Widiastuti Iqlima Dwi Kurnia Joni Haryanto Jujuk Proboningsih, Jujuk Koesoemo, Rizki Fitryasari Patra Krisna Yetti Kurniawan, Ardhiles Wahyu Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Laily Hidayati Laily Hidayati Laily Hidayati Lee, Bih-O Liem, Khatijah Lingga Curnia Dewi Lingga Curnia Dwi Lisa Setyowati Luh Putu Ratna Sundari Luknis Sabri Mahmud, Mulyani Hertikawati Makhfudli Makhfudli Masfuri Masfuri Mohammad Nur Firdaus Muhammad Muttaqien Murdiyanti, Dewi mustakim Nauvila Fitrotul Aini Nayluzzuharo' N, Fanny Ni Kadek Arie Octarini Ni Made Sekar Sari Nimah, Lailatun Nur Ainiyah Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Nurur Rachman Machmudy Nurviana, Destya Eka Octaviani, Dinda Sesylia Paramita, Fajrinandetya Pawanis, Zulfayandi Pei-Lun Hsieh Prabawati, Dita Dwi Oktav Purwaningsih - Putu Thrisna Dewi, Ni Luh Qonaah, Arina Rachmat Hargono Restuwati Restuwati Rezkisa Dwi Prambudia Rheyma Sinar Al Fitri Richal Grace Zefanya Uly Rista Fauziningtyas, Rista RR Dian Tristiana Rustiana Tasya Ariningpraja Rusulustin Mustikaria S.Pd. M Kes I Ketut Sudiana . Sari Tauhidiyah Sari, Ni Made Sekar Sari, Purwanti Sari, Ratna Yunita Sekar Sari Septianingrum, Yurike Sholihatul Maghfirah Sholihatul Maghfirah Shrimarti Rukmini Devy Sifira Kristiningrum Sigit Sugiharto Siti Muniroh Sonia Hardiyanti Sriyono Sriyono Suarilah, Ira Suhaedi Kuling Sukma Randani Ismono Sulistiawati Sulistiawati Syafaatun Mirzanah Sylvia Dwi Wahyuni Tadi Tadi Tiara Kudri Tintin Sukartini Sukartini, Tintin Sukartini Trihaningsih Puji Astuti Vivi Armany Dessy Wabula, La Rakhmat Wahyuni, Erna Dwi Wardani, Erika Martining Wati, Ni Made Nopita Widyatuti Wiwit Dwi Nurbadriyah Yahaya, Nor Aziyan Yani Indah Sari Yeni Siswanti Yulis Setiya Dewi Zahrotun Ulum