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AKTIVITAS FISIK DAN KORELASINYA DENGAN KUALITAS HIDUP PADA PASIEN HIPERTENSI: Physical Activity and Its Correlation with Quality of Life among Patients with Hypertension Ferdy Lainsamputty; Denny Maurits Ruku; Ni Made Dewi Susanti; Yuliyanti Amir
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 8 No. 4 (2022): JIKep | Oktober 2022
Publisher : LPPM STIKES Pemkab Jombang

Pendahuluan: Hipertensi merupakan penyakit yang berkontribusi terhadap mortalitas tinggi setiap tahun. Di Indonesia, hipertensi termasuk dalam penyakit yang dominan diderita. Kurangnya aktivitas fisik beresiko meningkatkan terjadinya hipertensi. Faktor ini juga sangat berpotensi mengganggu kualitas hidup penderitanya. Penelitan ini bertujuan untuk mengidentifikasi korelasi antara aktivitas fisik dan kualitas hidup, serta domain keduanya pada pasien hipertensi Metode: Penelitian ini berjenis deskriptif korelasi dengan pendekatan potong lintang menggunakan 146 sampel yang direkrut dengan teknik purposive sampling dari dua rumah sakit umum di Sulawesi Tengah. Kuesioner yang digunakan yaitu International Physical Activity Questionnaeire (IPAQ) dan World Health Organization Quality of Life-BREF (WHOQOL-BREF). Statistik deskriptif (frekuensi, presentasi, rata-rata, standar deviasi, range) dan analisa bivariat (Mann-Whitney, Kruskal-Wallis, Spearman Rank) digunakan mencari hubungan antarvariabel. Statistik deskriptif dan analisa bivariat difungsikan dalam mendeskripsikan dan mengidentifikasi hubungan antar variabel. Hasil: Aktivitas fisik berkorelasi signifikan dengan domain kualitas hidup fisik, psikologis, dan sosial (r = 0,26 - 0,34; p < 0,01). Kesimpulan: Pasien hipertensi yang beraktivitas fisik secara optimal, juga mempunyai persepsi yang baik terhadap status kesehatan fisik, psikologis, dan sosialnya. Introduction: Hypertension contributes to a high mortality anually. In Indonesia, hypertension is common among the population. Lack of physical activity may increase the risk of hypertension. This factor is also very influential on patient’s quality of life.. This study aimed to determine the correlation between physical activity and quality of life (QoL), as well as their domains among hypertensive patients. Methods: This was a descriptive correlational study with cross-sectional approach using 146 samples recruited by purposive sampling technique from two general hospitals in Central Sulawesi. The questionnaires were the International Physical Activity Questionnaire (IPAQ) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Descriptive statistics (frequency, presentation, mean, standard deviation, range) and bivariate analysis (Mann-Whitney, Kruskal-Wallis, Spearman Rank) were used to investigate the relationships between variables. Results: Physical activity had a significant correlation with QoL domains of physical, psychological, and social (r = 0,26 - 0,34; p < 0,01). Conclusions: Hypertensive patients who have optimal physical activity also have a good perception of their physical, psychological, and social status.

FAKTOR RISIKO KEJADIAN DIABETES MELITUS TIPE II PADA MASYARAKAT DESA LILANG MINAHASA UTARA Denny Maurits Ruku; Frendy Fernando Pitoy; Monica Valery Paral
Klabat Journal of Nursing Vol 4 No 2 (2022): Nurses: Ready to Lead
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v4i2.826

Diabetes Mellitus (DM) is a non-communicable disease that is suffered by many people. One of the prevention of DM incidence is early detection of the risk of Type 2 DM by using The Finnish Diabetes Risk Score (FINDRISC). This study aims to determine the components of DM risk factors and their relationship to risk of Type 2 DM incidence in Lilang Village community, North Minahasa. The research method used was a descriptive correlation with a consecutive sampling technique which was conducted on April 26, 2022 with a total of 61 participants. The results showed that most of the participants, which is 31 people (50.8%) were in the category of slightly increased risk level. Furthermore, the data showed that there was a relationship between gender (p=0.020), age (p=0.034), body mass index (p=0.000) and abdominal circumference (p=0.000) with the risk of Type 2 DM incidence in Lilang village community, North Minahasa. On the other hand, there is no significant relationship for education level factor (p=0.111). The conclusion: gender, age, body mass index, and abdominal circumference have a significant relationship with the risk of type 2 DM incidence in Lilang Village community, North Minahasa. It is recommended for the community in Lilang village to pay more attention for the health by changing a healthier lifestyle, in term of DM type 2 prevention. KEYWORDS: Community, Risk Factors, Type 2 Diabetes Mellitus Diabetes Melitus (DM) merupakan penyakit tidak menular yang banyak diderita oleh masyarakat. Salah satu upaya untuk melakukan pencegahan kejadian DM adalah dengan deteksi dini risiko terjadi DM Tipe 2 menggunakan The Finnish Diabetes Risk Score (FINDRISC). Tujuan penelitian ini untuk mengetahui komponen faktor risiko DM dan keterhubunganya dengan faktor resiko kejadian DM Tipe 2 pada masyarakat Desa Lilang, Minahasa Utara. Metode yang digunakan yaitu descriptive correlation analysis dengan menggunakan non-probability teknik sampling yaitu consecutive sampling. Pengumpulan data dilakukan pada tanggal 26 April 2022 dengan jumlah responden sebanyak 61 orang. Hasil penelitian menunjukan bahwa sebagian besar masyarakat berada pada tingkat risiko sedikit meningkat yaitu sebanyak 31 orang (50.8%). Lebih lanjut data menunjukan bahwa terdapat hubungan antara jenis kelamin (p=0.020), umur (p=0.034), indeks masa tubuh (p=0.000) dan lingkar perut (p=0.000) dengan risiko terjadinya DM Tipe 2 pada masyarakat desa Lilang, Minahasa Utara. Disisi lain tidak terdapat hubungan yang signifikan pada faktor resiko tingkat pendidikan (p=0.111). Kesimpulan jenis kelamin, umur, indeks masa tubuh, dan lingkar perut memiliki hubungan yang signifikan dengan resiko terjadinya DM Tipe 2 pada masyarakat Desa Lilang, Minahasa Utara. Rekomendasi bagi masyarakat di desa Lilang untuk lebih memperhatikan kesehatan dengan mengubah gaya hidup lebih sehat, sehingga dapat terhindar dari penyakit Tipe 2. KATA KUNCI: Diabetes Mellitus Tipe 2, Faktor risiko, Masyarakat

Tren dan Tantangan dalam Era Keperawatan Digital: Apa yang harus diantisipasi perawat Grace Fresania Kaparang; Denny Maurits Ruku
LITERATUS Vol 4 No 3 (2022): Pergeseran Sosial, Budaya, dan Hukum dalam Menghadapi Era Society 5.0
Publisher : Neolectura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37010/lit.v4i3.1008

Welcome to digital era. Nursing has significantly impacted by the advancing technology as it put a firm stronghold of most inhabitants of earth. The study is a literature review with narrative review method through thematic analysis on the digital trends and its challenges for nurses followed by recommendations to tackle the challenges. 15 articles were found from Google Scholar using the keywords of “trends in digital nursing era” and furthermore the trends, challenges and recommendations were drawn to provide nurses the ideas of how to tackle the challenges were discussed. It was found that there are three themes regarding the trends and challenges which were increasing educated or hoax-loaded client; increasing demand of technologically savvy nurses and rise of health informatics; and nursing online education increment. For the recommendations it was suggested that in order that nurses may react properly in this technology advancement era where more educated clients are increasingly found, nurses should keep on being updated with current practices and should know what the best and current implementation and proper care to the clients is. Nurses also should do fact checking and make sure that the interventions are evidence-based practice and not to believe all informations provided by online websites by continue to research and prove and reprove, then they may properly educate the clients, especially those who are hoax-loaded mind. Furthermore, nurses should be more prepared by polishing their technology skills, paying attention to health informatics field, and considering further education to be pursued. In terms of online nursing education, the risk-benefit ratio as well as the pros and cons should be carefully considered before pursuing the course to increase the competency and knowledge in this millenial era effectively and efficiently.

LESSON LEARNED DALAM ASUHAN KEPERAWATAN KETOASIDOSIS DIABETIKUM TN. Y DI RUANG INTENSIF Denny Maurits Ruku; Grace Fresania Kaparang; Fransisca A. M. Bahasa
Klabat Journal of Nursing Vol 5 No 1 (2023): Nursing Rebound
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v5i1.893

Ketoasidosis diabetikum (KAD) merupakan keadaan yang gawat sehingga memerlukan perawatan intensif. Tujuan studi ini adalah untuk menganalisa penentuan diagnosa keperawatan terhadap pasien dengan KAD berdasarkan praktik klinis dan perbandingan teori terkait serta mengangkat pembelajaran peran khas perawat dari pengalaman merawat pasien KAD di ruang intensif. Metode yang digunakan ialah metode deskriptif analitik dengan pendekatan studi kasus. Teknik sampling yang digunakan adalah convenience sampling. Penentuan prioritas masalah keperawatan menggunakan initial assessment dan diagnosa keperawatan North American Nursing Diagnosis Association, terdapat kesenjangan antara teori dan keadaan aktual dimana prioritas di teori tidak selalu yang dimanifestasikan ketika kasus nyata terjadi. Lalu, pembelajaran yang didapat dari pengalaman merawat adalah bahwa aktivitas monitoring dan technological competence merupakan khas perawat ICU (Intensive Care Unit) yang berbeda dari perawat di ruang rawat lain. Rekomendasi bagi perawat untuk melakukan pengkajian dan pemantauan status hemodinamik pasien secara menyeluruh dan berkala sehingga kebutuhan pasien terpenuhi sesuai prioritas aktual dan tidak hanya berdasarkan teori saja. Berpikir kritis juga harus selalu dikembangkan baik oleh perawat melalui self-study, ataupun oleh manajemen institusi kesehatan dengan memfasilitasi perawat dalam mengikuti pelatihan atau workshop sehingga lebih terlatih dalam memberikan asuhan keperawatan yang tepat bagi pasien dan juga meningkat dalam technological competence. Kata kunci: asuhan keperawatan, ketoasidosis diabetik, monitoring, technological competence ABSTRACT Diabetic ketoacidosis (DKA) is a serious condition that requires intensive care. The purpose of this study is to analyze the determination of nursing diagnoses of patients with DKA based on clinical practice and compared to related theories and also to highlight the lessons learned regarding the typical role of nurses from the experience of treating DKA patients in intensive care unit. The method is descriptive analytics with a case study approach. The sampling technique used is convenience sampling. Prioritizing nursing issues using initial assessment and the North American Nursing Diagnosis Association's nursing diagnosis, there is a gap between theory and actual circumstances in which the priorities given in the theory will not always be the case in the real cases. Then, the lessons learned gained from the experience of caring is that monitoring activities and technological competence are typical of ICU (Intensive Care Unit) nurses who are distincted from nurses in other treatment rooms. Recommendations for nurses to conduct a thorough and periodic assessment and monitoring of patients’ hemodynamic status that that patient needs are met according to actual priorities and not only based on theory. Critical thinking must also always be developed either by nurses through self-study, or by the management of health institutions by facilitating nurses in participating in training or workshops so that they are better trained in providing appropriate nursing care for patients and also increase in technological competence. Keywords: diabetic ketoacidosis, monitoring, nursing care, technological competence

Pelatihan Bantuan Hidup Dasar (BHD) pada Kader Kesehatan di Kelurahan Makawidey Frendy Fernando Pitoy; Elisa Anderson; Grace Kaparang; Denny Maurits Ruku; Reagen Jimmy Mandias; Ellen Padaunan; Lea Andy Shintya; Nova Gerungan; James Richard Maramis
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 9 (2023): Volume 6 No 9 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i9.11174

ABSTRAK Kecelakaan ataupun bencana merupakan fenomena yang dapat terjadi tanpa dikehendaki oleh setiap orang. Tanpa penanganan awal yang tepat, suatu kecelakaan dapat membuat seseorang kehilangan nyawanya. Pertolongan pertama penting untuk dilakukan pada korban kecelakaan agar terhindar dari kematian atau kecacatan. Oleh karena itu, pengetahuan mengenai Bantuan Hidup Dasar (BHD) sangat diperlukan untuk menangani kasus-kasus tersebut. Kegiatan ini bertujuan untuk meningkatkan pengetahuan dan ketrampilan melakukan Bantuan Hidup Dasar (BHD) bagi Kader Kesehatan di kelurahan Makawidey. Metode yang digunakan adalah sosialisasi dan workshop kepada kader kesehatan kelurahan Makawidey. Evaluasi pengetahuan dan praktik dilakukan pada awal dan akhir kegiatan dengan menjalankan angket evaluasi. Terdapat peningkatan pengetahuan peserta tentang BHD setelah dilakukan kegiatan pelatihan, dimana terjadi peningkatan dari segi nilai pengetahuan sebesar 20.43%. Selain itu dari segi nilai ujian praktik, rata-rata nilai ujian para peserta cukup baik yaitu 69.90%. Dapat disimpulkan bahwa Kegiatan pelatihan BHD dapat meningkatkan pengetahuan para kader kesehatan kelurahan Makawidey. Lebih lanjut, pengetahuan para para kader kesehatan sudah cukup baik untuk mempraktikkan pemberian Bantuan Hidup Dasar dalam kehidupan bermasyarakatnya. Kata Kunci: Bantuan Hidup Dasar, Kader Kesehatan, Edukasi. ABSTRACT Accidents or disasters are phenomena that can happen unexpectedly by everyone. Without proper initial treatment, an accident can occur in people’s life. First aid is important for the accident victims to avoid death or disability. Therefore, the knowledge of Basic Life Support (BHD) is needed to handle the cases. This activity aimed to increase knowledge and skills in implementing Basic Life Assistance (BHD) for Health Cadres in Makawidey. The method used was socialization and workshops for health cadres in Makawidey. Evaluation of knowledge and practice was at the beginning and the end of the activity questionnaire. There was an increase in the participants' knowledge about BHD after the training activities, where there was an increase in terms of the knowledge by 20.43%. Apart from that, in terms of practical, the average scores of the participants were quite good, namely 69.90%. It can be concluded that BHD training activities can increase the knowledge of Makawidey’s health cadres. Furthermore, the knowledge of the health cadres is good enough to be practice in the provision of Basic Life support in their community. Keywords: Basic Life Support, Health Cadres, Education.

Hubungan Antara Transportasi Domain dengan Kualitas Hidup Pasien dengan Gagal Jantung Denny Maurits Ruku
NUTRIX Vol 7 No 2 (2023): Volume 7, Issue 2, 2023
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v7i2.937

Quality of life is an important indicator that must receive special attention for patients and health workers and the transportation domain is part of physical activity which is very beneficial for heart failure patients. The aim of this study was to determine the relationship between transportation domains and quality of life in patients with heart failure. Cross-sectional study design was used in this research. Convenience sampling was used in the sampling technique and 180 respondents were included in this research. Pearson correlation, Independent t-test, one-way ANOVAs, and Hierarchical multiple regressions were used to process the data. Transportation domain has a significant relationship with HRQOL of heart failure patients (r= -.20, p< .01), disease-related factors have a significant relationship with HRQOL of heart failure patients such as heart failure medications (r= .17, p< .05), health status (r= .29, p< .01), and NYHA Classification (F= 8.36, p< .001). 3 significant predictor variables for HRQOL; health status (β= 2.43), and NYHA Class III (β= 15.28), and transportation domain (β= -.34). Patients with heart failure have problems in the transport domain, especially in the higher NYHA Class, but improving the transport domain can promise to improve the health status and HRQOL of patients with heart failure. Keywords: Heart failure, Quality of Life, Transport domains. Abstrak Kualitas hidup merupakan salah satu indikator penting yang harus mendapat perhatian khusus bagi pasien serta tenaga kesehatan dan transportasi domain merupakan bagian dari aktifitas fisik yang sangat bermanfaat bagi pasien gagal jantung. Tujuan dari penelitian ini untuk mengetahui hubungan transportasi domain dengan kualitas hidup pada pasien dengan gagal jantung. Cross-sectional study design digunakan dalam penelitian ini. Convenience sampling digunakan dalam Teknik pengambilan sample dan 180 responden diikut sertakan dalam penelitian ini. Pearson correlation, Independent t-test, one-way ANOVAs, dan Hierarchical multiple regressions digunakan untuk mengolah data. Transportasi domain mempunyai hubungan yang signifikan dengan HRQOL dari pasien gagal jantung (r= -.20, p< .01), faktor yang berhubungan dengan penyakit mempunyai hubungan yang signifikan dengan HRQOL pasien gagal jantung seperti, obat gagal jantung (r= .17, p< .05), status kesehatan (r= .29, p< .01), dan NYHA Classification (F= 8.36, p< .001). 3 variable predictor yang signifikan terhadap HRQOL; status kesehatan (β= 2.43), dan NYHA Class III (β= 15.28), dan transportasi domain (β= -.34). Pasien dengan gagal jantung mempunyai masalah dalam transportasi domain terutama pada NYHA Class yang lebih tinggi, namun dengan meningkatkan transportasi domain dapat menjanjikan peningkatan status Kesehatan dan HRQOL dari pasien dengan gagal jantung. Kata Kunci: Gagal jantung, Kualitas Hidup, Transportasi domain.

Health Expo: Upaya Penanggulangan 4 Hypers di Kelurahan Makawidey, Bitung Reagen Jimmy Mandias; Grace Kaparang; Frendy Fernando Pitoy; Elisa Anderson; Denny Maurits Ruku; Lea Andy Shintya; Ellen Padaunan; Christina Angel Umboh; Kathleen Sharon Boling; Injilia Desgia Kawalod; Cesilia Kolesy; Thesalonika Margaretha Laluraga; Chintiya Zhou Chen Mariam Somba; Bella Elisabeth Sabathama Hadibrata; Jennifer Telly Rumuat
Servitium Smart Journal Vol 2 No 1 (2023): Servitium Smart Journal
Publisher : Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31154/servitium.v2i2.21

Meskipun selama beberapa dekade terakhir terjadi peningkatan teknologi dan penelitian ekstensif yang signifikan dalam dunia medis dan kesehatan secara keseluruhan, Penyakit Tidak Menular (PTM) atau penyakit degeneratif atau dalam istilah lain yaitu Man-made Disease menjadi seperti enigma yang tidak kunjung dapat diatasi. Program Pengabdian kepada Masyarakat pada artikel ini adalah mengacu pada skrining dan penanganan 4 Hypers dengan cara pemberian edukasi melalui konsultasi pola hidup dan pemberian obat pada warga Masyarakat Kelurahan Makawidey, Aertembaga, Bitung. Penanganan 4 Hypers terus perlu digalakkan untuk mencegah peningkatan kasusnya pada waktu ke depan. Para dokter, perawat, tenaga kesehatan serta pemerintah harus terus berkolaborasi untuk mengadakan skrining, edukasi, pencegahan serta pengobatan penyakit tidak menular. Kegiatan seperti ini perlu diadakan oleh sivitas akademika fakultas keperawatan, fakultas ilmu kesehatan atau sekolah tinggi ilmu kesehatan yang lain secara regular dan menyeluruh di seluruh Indonesia sesuai cakupan jangkauan wilayah institusi tersebut.

The performance of physical activity and health-related quality of life in patients with heart failure: a cross-sectional study Ruku, Denny Maurits; Chen, Hsing Mei
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.58156

Introduction: This study aimed to describe self-reported PA performance and determine predictors regarding health-related quality of life (HRQOL) among heart failure (HF) patients. Methods: A cross-sectional design was adopted, and data were collected using a questionnaire comprising demographic characteristics, illness-related factors, self-report health status (SRHS) questionnaire, international PA questionnaire, and Minnesota Living with Heart Failure questionnaire. Subsequently, data were analyzed using Pearson correlation coefficient, t-test, one-way ANOVA, and hierarchical multiple regression. Results: The mean age for the total participants of 180 HF patients was 59.92 ± 11.90 years, with 60% being male, and the mean HRQOL score was 42.96 ± 20.47. HRQOL had significant correlations with HF medication (r= 0.20, p< 0.01), health status (HS) (r= 0.35, p< 0.01), PA (r= -0.52, p< 0.01), and HRQOL was associated with the New York Heart Association (NYHA) classification (F= 94.57, p< 0.001). Meanwhile, age, gender, job, marital status, religion, level of education, hemoglobin, body mass index, length of diagnostic HF, and comorbidities did not have a significant relationship with HRQOL. Three variables were significant predictors of HRQOL, namely HS (β= 0.21, p< 0.01), NYHA Class III (β= 0.15, p< 0.05), and PA (β= -0.31, p< 0.001). Conclusions: Regular PA is crucial in improving HRQOL of HF patients. In addition, HS, HF medication, and NYHA Class should be considered in providing care for HF patients aimed at improving HRQOL.

HUBUNGAN ANTARA KECEMASAN PADA PASIEN POST OPERASI TERHADAP KESIAPAN PASIEN MENGHADAPI PERAWATAN LANJUTAN Tarigan, Nusanta; Pasongli, Gladies; Laura, Lanny; Hasibuan, Gabriella; Ruku, Denny Maurits
Klabat Journal of Nursing Vol. 7 No. 1 (2025): Building Resilient Communities
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i1.1248

Latar belakang: Kecemasan adalah salah satu respons emosional yang umum dialami pasien post operatif, serta berdampak pada proses pemulihan secara keseluruhan. Tujuan: Tujuan dari penelitian ini untuk mengetahui hubungan antara kecemasan dan perawatan lanjutan post operative di rumah. Metode: Cross-sectional study design digunakan dalam penelitian ini. Teknik pengambilan sample menggunakan Convenience sampling pada 30 responden. Readiness for Hospital Discharge Scale (RHDS) dan The State-Trait Anxiety Inventory (STAI) digunakan sebagai alat ukur. Pearson correlation, Independent t-test, dan Hierarchical multiple regressions digunakan untuk mengolah data. Hasil: Usia mempunyai hubungan yang signifikan dengan perawatan lanjutan post operative di rumah (r= -.79, p< .01), dan kecemasan mempunyai hubungan yang significant dengan perawatan lanjutan post operative di rumah (r= .53, p< .01); Sedangkan, jenis kelamin tidak mempunyai pengaruh yang significant terhadap perawatan lanjutan post operative di rumah. Kesimpulan: Kesiapan pasien dalam menghadapai perawatan lanjutan dirumah memiliki peran dalam menangani masalah kecemasan, serta usia dari responden dapat membantu pasien dalam menghadapi perawatan lanjutan dirumah. Background: Anxiety is a common emotional response experienced by post-operative patients and significantly impacts the overall recovery process. Purpose: This study aims to examine the relationship between anxiety and post-operative home-based care. Methods: A cross-sectional study design was employed. A total of 30 respondents were selected using the convenience sampling technique. The Readiness for Hospital Discharge Scale (RHDS) and The State-Trait Anxiety Inventory (STAI) were used as measurement tools. Data were analyzed using Pearson correlation, independent t-test, and hierarchical multiple regression. Results: Age was found to have a significant relationship with post-operative home-based care (r = -0.79, p < .01), while anxiety also showed a significant correlation with post-operative home-based care (r = 0.53, p < .01). However, gender did not have a significant effect on post-operative home-based care. Conclusion: Patient readiness for post-operative home-based care plays a crucial role in managing anxiety, and patient age may influence their ability to cope with post-operative care at home.

Effectiveness of resistance training to improve muscle strength and physical performance of patients with diabetes mellitus: a meta-analysis Babae, Priscilla Mary Ntim; Dadzie, Awurabena Quayeba; Ruku, Denny Maurits
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.72925

Introduction: Metabolic disorders in diabetes mellitus (DM) sufferers, caused by insulin resistance, chronic muscle inflammation, and mitochondrial dysfunction, can affect muscle structure and function and reduce physical performance (PP). Thus, rehabilitation in the form of resistance training (RT) is needed to overcome these problems. This study aims to determine the effect of RT on muscle strength (MS; lower and upper limbs) and PP (primary outcome), as well as body mass index (BMI), VO2 peak, lean muscle mass, HbA1c, blood pressure (BP), and adverse events (secondary outcome) in patients with DM. Methods: Six databases were used in a comprehensive search conducted from March to April 2025 to locate relevant articles. We used Standard Mean Difference (SMD), Mean Difference (MD), and Risk Difference with a 95% Confidence Interval (CI), to determine the effect of RT. We assess the quality of studies using the Joanna Briggs Institution checklist. Results: 26 articles randomized controlled trial articles were included, showing that RT has a significant effect on improving MS (lower and upper limbs), PP (primary outcome), and VO2 peak, LMM (secondary outcome); Additionally, RT has a significant effect in lowering HbA1c and systolic blood pressure (SBP), but not significantly in reducing diastolic blood pressure (DBP) (secondary outcome) between the intervention group and control group of patients with DM. There were no RT-related adverse events. Conclusions: RT is a rehabilitation recommendation to improve MS and PP and is also a rehabilitative effort for those living with DM.

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