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Hubungan Efikasi Diri, Kepatuhan dan Dukungan Keluarga Dengan Manajemen Diri Penderita Diabetes Mellitus Tipe 2 di Surabaya Ach. Arfan Adinata; Minarti Minarti; Kastubi Kastubi
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17, No 1 (2022): March
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Introduction: Diabetes care is complex, requiring long-term care and support. Diabetics face challenges in managing themselves by making the right decisions every day, so people with diabetes mellitus often experience decreased motivation, hopelessness decreased capacity to manage diabetes and, difficulty reducing habits or routines that take. Objectives: The purpose of this study was to identify the relationship of self-efficacy, compliance and family support with self-management of people with DMT2. Methods: The design of this study is a cross-sectional approach. The relationship between one and several variables is expressed by the magnitude of the correlation coefficient and statistical significance. The research population was 165 people, the sample size based on Isaac & Michael's table with an error rate of 10% was 103 respondents. The sampling technique is done by non-probability sampling that is purposive sampling. Results: The results showed that there was a significant relationship between self-efficacy (P-Value 0.042), compliance (P-Value 0.001) and family support (P-Value 0.035), with self-management. Conclusions: Based on the results of the study, it can be concluded that in this study self-management of patients with type 2 diabetes mellitus was associated with self-efficacy, compliance and family support. DMT2 sufferers who have good self-efficacy will help them in managing self-management well, as well as compliant DMT2 patients will also have good self-management. Good family support for people with DMT2 will have a good impact on their self-management.

IMPROVING HEALTHY BEHAVIOR IN YOUTH TO PREVENT HYPERTENSION Minarti Minarti; Siti Nur Kholifah; Dwi Ananto Wibrata Wibrata; Ach. Arfan Adinata
Health Community Engagement Vol. 3 No. 2 (2022): Desember
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Surabaya

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The health cadre group at the junior high school level is a group of early adolescents who have psychological characteristics in the form of anxiety, conflict, imagining, group activities and the desire to try something new, so that this group of early adolescents can receive correct information so that they can increase efforts to behave in a healthy life. This teenager has high curiosity, then explores everything and tries everything he has never received, especially the prevention of hypertension. The purpose of this community service is to improve the healthy life behavior of school health cadres as an effort to prevent hypertension. The method used is training with a target of 50 students of school health cadres in East Surabaya Junior High School. Based on the results of the pre-test and post-test assessments, it is known that almost all health cadres (98%) have increased scores, and 2% have fixed scores. The difference between the post-test and pre-test results ranged from 0-34 points. The skills of school health cadres were assessed through assignments to identify the healthy behavior of those closest to them, the results showed that more than 76% of someone identified as having a habit of eating a balanced diet consisting of carbohydrates, vegetables, fruit and side dishes, getting enough rest as much as 70%, but also getting 60 % of their families smoke in the house, play a lot with gadgets by 54% and if there are problems, they are discussed with parents by 68%. Empowerment carried out through health cadres is one way to anticipate the increase in hypertension in adolescents.

IMPROVING HEALTHY BEHAVIOR IN YOUTH TO PREVENT HYPERTENSION Minarti Minarti; Siti Nur Kholifah; Dwi Ananto Wibrata Wibrata; Ach. Arfan Adinata
Health Community Engagement Vol. 5 No. 1 (2023): Januari-April
Publisher : Poltekkes Kemenkes Surabaya

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

The health cadre group at the junior high school level is a group of early adolescents who have psychological characteristics in the form of anxiety, conflict, imagining, group activities and the desire to try something new, so that this group of early adolescents can receive correct information so that they can increase efforts to behave in a healthy life. This teenager has high curiosity, then explores everything and tries everything he has never received, especially the prevention of hypertension. The purpose of this community service is to improve the healthy life behavior of school health cadres as an effort to prevent hypertension. The method used is training with a target of 50 students of school health cadres in East Surabaya Junior High School. Based on the results of the pre-test and post-test assessments, it is known that almost all health cadres (98%) have increased scores, and 2% have fixed scores. The difference between the post-test and pre-test results ranged from 0-34 points. The skills of school health cadres were assessed through assignments to identify the healthy behavior of those closest to them, the results showed that more than 76% of someone identified as having a habit of eating a balanced diet consisting of carbohydrates, vegetables, fruit and side dishes, getting enough rest as much as 70%, but also getting 60 % of their families smoke in the house, play a lot with gadgets by 54% and if there are problems, they are discussed with parents by 68%. Empowerment carried out through health cadres is one way to anticipate the increase in hypertension in adolescents.

Hubungan Efikasi Diri, Kepatuhan dan Dukungan Keluarga Dengan Manajemen Diri Penderita Diabetes Mellitus Tipe 2 di Surabaya Ach. Arfan Adinata; Minarti Minarti; Kastubi Kastubi
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 1 (2022): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v17i1.160

Introduction: Diabetes care is complex, requiring long-term care and support. Diabetics face challenges in managing themselves by making the right decisions every day, so people with diabetes mellitus often experience decreased motivation, hopelessness decreased capacity to manage diabetes and, difficulty reducing habits or routines that take. Objectives: The purpose of this study was to identify the relationship of self-efficacy, compliance and family support with self-management of people with DMT2. Methods: The design of this study is a cross-sectional approach. The relationship between one and several variables is expressed by the magnitude of the correlation coefficient and statistical significance. The research population was 165 people, the sample size based on Isaac & Michael's table with an error rate of 10% was 103 respondents. The sampling technique is done by non-probability sampling that is purposive sampling. Results: The results showed that there was a significant relationship between self-efficacy (P-Value 0.042), compliance (P-Value 0.001) and family support (P-Value 0.035), with self-management. Conclusions: Based on the results of the study, it can be concluded that in this study self-management of patients with type 2 diabetes mellitus was associated with self-efficacy, compliance and family support. DMT2 sufferers who have good self-efficacy will help them in managing self-management well, as well as compliant DMT2 patients will also have good self-management. Good family support for people with DMT2 will have a good impact on their self-management.

PSYCHOEDUCATION AND THE DIABETES T-PLATE MODEL AS A STRATEGY TO IMPROVE SELF-CARE BEHAVIOR IN PEOPLE WITH DIABETES MELLITUS Minarti Minarti; Rini Ambarwati; Ach. Arfan Adinata
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 10 No. 1 (2026): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

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Diabetes Mellitus (DM) is a chronic disease requiring long-term management, particularly through appropriate dietary management. However, the low knowledge of DM sufferers regarding healthy dietary principles results in suboptimal self-care behavior and increases the risk of complications. This condition was also found in the Prolanis Diabetes Mellitus group at the Tambakrejo Community Health Center, Surabaya. This community service activity aims to improve the knowledge, skills, and self-care behavior of DM sufferers through psychoeducation-based education and training using the Diabetes T Plate Model. The activity was carried out in two meetings (approximately 120 minutes per meeting) on June 28 and July 10, 2025, involving 25 DM sufferers. Evaluation was carried out through a pre-test and post-test using a questionnaire that assesses knowledge and an observation sheet to assess the implementation of the T Piringku diet. The results showed a significant increase in participant knowledge, with the lowest score increasing from 40 to 73 and the average post-test being higher than the pre-test. All participants were included in the very successful category in practicing the diet, showing interest in implementing the Diabetes T Plate guidelines, although some still habitually consume high-fat foods. Thus, psychoeducation-based education using the Diabetes T-Plate Model effectively improves knowledge and self-care skills in people with diabetes. This intervention has the potential to support glycemic control and complication prevention and can be replicated in community programs with family support and ongoing follow-up.

THE EFFECT OF EXPRESSIVE WRITING ON STRESS LEVELS IN FINAL-LEVEL BACHELOR OF APPLIED NURSING STUDENTS AT THE POLTEKKES KEMENKES SURABAYA Umam Fian Ramadhani; Ach. Arfan Adinata; Adin Mu’afiroh
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2355

Final-year university students often experience high academic stress due to the pressure of completing final projects, meeting deadlines, and fulfilling academic expectations, making them vulnerable to psychological distress. Preliminary observations showed that 54% of students experienced moderate stress and 46% severe stress, indicating a significant impact on mental well-being. Expressive writing, a technique that encourages individuals to express thoughts and emotions through structured writing, is known to reduce psychological tension. This study used a pre-experimental one-group pre-test post-test design with 109 final-year students selected through purposive sampling. Expressive writing was the independent variable, while stress levels were measured using the Student-Life Stress Inventory (SLSI). The intervention consisted of four sessions conducted over two weeks. Before the intervention, most students had moderate to severe stress levels. After completing the sessions, a noticeable reduction in stress was observed. Statistical analysis using the Wilcoxon signed-rank test showed a significant difference between pre- and post-intervention scores (p = 0.000; p < 0.05), confirming the effectiveness of expressive writing in reducing academic stress. These findings indicate that expressive writing helps students process emotions, improve psychological regulation, and develop healthier coping strategies. Therefore, it can be recommended as a practical, low-cost method for final-year students to manage academic stress.

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