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All Journal Jendela Nursing Journal (JNJ) Media Keperawatan Indonesia Jurnal Ners
Budi Widiyanto
POLTEKKES KEMENKES SEMARANG
Health Professions Medicine & Pharmacology Nursing Public Health

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Effectiveness of Different Physical Activities toward Glycemic Control in Prediabetes Mellitus Clients Arwani Arwani; Budi Widiyanto; Sri Widiyati
JENDELA NURSING JOURNAL Vol 7, No 1 (2023): JUNE 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v7i1.9876

Abstract

Background: the proportion of people with prediabetes is 2-4 times higher than the proportion of people with diabetes. One of the prevention efforts is through physical activity. Several studies have shown that physical activity has a significant effect on glycemic control.Purpose: this study aims to determine the effectiveness of different physical activities to glycemic control in prediabetic clients in Semarang municipality.Methods: a randomized control trial (RCT) with a pretest-posttest design was conducted on 60 prediabetic clients using different treatments (healthy / slow walking, brisk walking, combination of both slowly and brisk walking). An initial measurement (pretest) of glycemic control was carried out using an indicator of HbA1c levels and was remeasured (posttest) after 3 months.Results: the average level of glycemic control (HbA1c levels) before intervention in the healthy walking group was 5.57% and decreased to 5.46% after intervention; the combination group decreased from 5.93% to 5.78%, and in the slowly walking group decreased from 5.74% to 5.71%. However, there was no significant effect of slowly walking on glycemic control (HbA1c levels). Meanwhile, brisk walking and combination of slowly walking and brisk walking had a significant effect on glycemic control (HbA1c levels) (p0.05).Conclusion: the combination of physical activity group (brisk walking and slowly walking) has a better effect on glycemic control (HbA1c levels). 
Preliminary Evaluation of a Needle-Free Sensor-Based Device for Blood Glucose Measurement in Patients with Type 2 Diabetes Mellitus Arwani Arwani; Budi Widiyanto; Sugih Wijayati; Sunarto Sunarto; Afifah Salsabila
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.159-169

Abstract

Type 2 diabetes mellitus is a major public health problem with a continuously increasing prevalence, requiring accurate and continuous blood glucose monitoring. Venous blood glucose measurement using enzymatic methods remains the clinical gold standard; however, it is invasive and less practical for routine monitoring. Recent advances in sensor technology provide opportunities to develop more practical and user-friendly glucose monitoring devices. This preliminary pilot study aimed to develop and validate a needle-free sensor-based device for blood glucose monitoring and to evaluate the agreement of its measurement results with venous blood glucose examination using enzymatic methods as the reference standard. This study employed a research and development approach. The initial stage involved designing and developing a prototype sensor that monitors blood glucose without a needle. Device validation was conducted by experts to assess technical performance, safety, and usability. Subsequently, a pilot measurement of random blood glucose levels was performed among 25 patients with type 2 diabetes mellitus in a primary healthcare setting, and the measurement results were compared with venous blood glucose values obtained using enzymatic methods. The validation results indicated that the device was technically feasible, safe to use, and easy to operate. Pilot testing demonstrated that the sensor-based device produced blood glucose measurements comparable to those from the reference method (Wilcoxon Signed Ranks Test: Z = 0.000, p = 1.000), providing preliminary evidence of statistical similarity. However, further refinement is required, particularly in the interpretation and display of measurement results. These findings represent initial proof-of-concept for the device as an alternative tool for blood glucose monitoring, especially in primary healthcare settings and for patient self-monitoring. Comprehensive studies with larger, more diverse samples and advanced clinical agreement analyses (Bland-Altman plots, and MARD) are needed to confirm clinical accuracy and reliability.
Inhalasi Whipping Pink (Nitrous Oxide) Terhadap Kegawatan Neurologis–Respiratorik: Analisis Misinformasi Media Sosial Dalam Perspektif Keperawatan Kritis Rivani Nur Oktavia; Regyta Marshanda; Budi Widiyanto
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.56708

Abstract

Whipping pink inhalation (recreational Nitrous oxide/N₂O) is increasingly popular on social media and is often perceived as safe. However, repeated exposure can trigger neurological emergencies such as peripheral neuropathy, myelopathy due to vitamin B12 deficiency, and respiratory disorders in the form of acute hypoxia and respiratory depression. Digital misinformation has the potential to delay detection and management in critical care. This study aims to analyze the clinical impact of N₂O inhalation on neurological and respiratory emergencies and analyze social media misinformation from a critical care nursing perspective. The method used is an Evidence Based Practice-based literature analysis through a review of the latest scientific journals related to the effects of N₂O toxicity, clinical manifestations, and implications for critical care nursing. The results show that chronic exposure to N₂O inactivates vitamin B12, causing spinal cord demyelination, sensorimotor disorders, and the risk of hypoxia due to oxygen displacement. Early intervention, screening of use history, and evidence-based education are crucial. It was concluded that recreational N₂O inhalation carries a high risk of neurological and respiratory emergencies. Critical care nurses play a strategic role in early detection, stabilization, and education to counter misinformation.
Analysis Of Lifestyle Risk Factors On The Occurrence Of Type 2 Diabetes Mellitus: A Systematic Literature Review Devi Titik Aprila; Asriadi Prihandika Widianto; Budi Widiyanto
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59419

Abstract

Type 2 Diabetes Mellitus (T2DM) is becoming increasingly prevalent over the world, posing a serious challenge to public health systems. This rise in prevalence not only affects morbidity and death, but it also imposes a significant economic burden due to treatment expenses, long-term consequences, and reduced productivity. The goal of this study is to discover and assess the most important lifestyle factors in the development of T2DM. Methods: A Systematic Literature Review (SLR) was conducted to consolidate and critically analyze recent epidemiological evidence from 2022 to 2026 regarding lifestyle-related risk factors for Type 2 Diabetes Mellitus. Results: The synthesis reveals that Type 2 Diabetes Mellitus is influenced by a variety of factors, including metabolic and anthropometric factors such as obesity, dietary features such as sugar intake, physical activity, smoking and alcohol consumption, and sleep quality. Conclusion: Obesity, particularly abdominal adiposity, is the most common lifestyle factor contributing to the development of Type 2 Diabetes Mellitus, followed by an unhealthy diet, a lack of physical activity, smoking and alcohol intake, and inadequate sleep quality.
Co-Authors Afifah Salsabila Arwani Arwani Arwani Arwani Asriadi Prihandika Widianto Devi Titik Aprila Regyta Marshanda Rivani Nur Oktavia Sri Widiyati Sugih Wijayati Sunarto Sunarto