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The Effect of Progressive Muscle Relaxation (PMR) on Pain in Breast Cancer Patients in the Outpatient Clinic Sharla Rahma Danty, Annisa; Maryuni, Sri; Antoro, Budi
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.131

Abstract

Background: Breast cancer is a common disease that often causes chronic pain, which negatively impacts patients' quality of life. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention that has the potential to reduce pain levels through progressive muscle relaxation. Purpose: This study aims to determine the effect of PMR administration on the pain quality of breast cancer patients in the outpatient clinic of Dr. H. Abdul Moeloek Regional General Hospital, Bandar Lampung Methods: The method used was quantitative with a pre-experimental design, specifically a pre-test-post-test design. The population consisted of 490 patients, with a sample of 18 respondents selected using purposive sampling. The research was conducted from February 9 to March 10, 2025, at the Dr. H. Abdul Moeloek Bandar Lampung Regional General Hospital Polyclinic Results: The results showed a decrease in the average pain scale from 5.17 before the intervention to 2.39 after PMR administration. The Wilcoxon test produced a p-value of 0.000, indicating a significant effect of PMR on pain reduction in breast cancer patients Conclusion: This study supports the use of Progressive Muscle Relaxation as an effective non-pharmacological therapy to reduce pain in breast cancer patients, thereby improving their quality of life and comfort during treatment Relevance to clinical practice: Nurse-led progressive muscle relaxation can be integrated into outpatient breast cancer care as a brief, low-cost adjunct that may lower pain intensity, enhance comfort, and support individualized nonpharmacologic symptom management.
Edukasi perawatan kaki sebagai upaya pencegahan luka pada penderita diabetes melitus Maryuni, Sri; Andora, Novika; Yudha, Fajar; Kurniasari, Septi; Oktavia, Santi
JOURNAL of Public Health Concerns Vol. 5 No. 12 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i12.2498

Abstract

Background: Management of diabetes mellitus requires not only pharmacological treatment but also family support. Foot care is one way to prevent neuropathy. Diabetic foot ulcers are a complication of uncontrolled diabetes mellitus. These ulcers can occur due to poor glycemic control, neuropathy, and peripheral vascular disease, as well as inadequate foot wound care. To prevent ulcers and improve the quality of life for people with diabetes mellitus, the family plays a crucial role in diabetic foot care. Purpose: To provide education about foot care as an effort to prevent diabetic ulcers. Method: The activity was conducted at the Lampung branch of the Wound Care Clinic (LWC) with the goal of increasing knowledge about caring for family members with diabetic ulcers. Consecutive sampling was used to select 20 respondents with family members with diabetes mellitus. The education program was delivered through lectures (presentations), massage demonstrations, question-and-answer discussions, and hands-on practice, assisted by family caregivers of people with diabetes mellitus. Foot care behavior was measured using the Nottingham Assessment of Functional Footcare (NAFF) questionnaire. A questionnaire on diabetic wound care was administered before the educational activity as pre-test data and after the educational activity as post-test data. For evaluation, the data were analyzed using a Wilcoxon test with a quasi-experimental one-group pre-test and post-test design to determine differences in respondents' foot care behavior before and after the educational activity. Results: The data showed that the average age of respondents was 57.75 years, with a standard deviation of ±4.41 within the 50-70 age range. The majority of respondents were aged 50-60 years (10) (50.0%). The majority of respondents were female (12) (60.0%), the majority of respondents had a high school education (9) (45.0%), the majority of respondents were private employees (11) (55.0%), and the duration of diabetes mellitus (1-3 years) (17) (85.0%). There was an increase in respondents' knowledge scores from 20 points before the educational activity to 50 points after the educational activity, with a p-value of 0.000. Conclusion: Educational and mentoring activities were very effective in increasing knowledge about diabetic wound care and also improving diabetic wound prevention behaviors in families with diabetes mellitus. Keywords: Diabetes mellitus; Diabetic wounds; Foot care; Health education; Prevention behavior Pendahuluan: Penanganan diabetes melitus tidak hanya memerlukan pengobatan farmakologi, tetapi juga bantuan keluarga. Perawatan kaki merupakan salah satu cara mencegah neuropati. Luka kaki diabetik adalah komplikasi yang terjadi pada diabetes mellitus tidak dapat dikontrol. Luka ini dapat terjadi karena kurangnya kontrol glikemik, neuropatik, dan penyakit pembuluh darah tepi, serta kurangnya perawatan luka pada kaki Untuk mencegah luka dan meningkatkan kualitas hidup penderita diabetes melitus, peran keluarga sangat penting dalam perawatan kaki diabetik. Tujuan: Memberikan edukasi tentang perawatan kaki sebagai upaya mencegah luka diabetik. Metode: Kegiatan dilaksanakan di Klinik Wound Care (LWC) cabang lampung dengan sasaran meningkatkan pengetahuan tentang perawatan keluarga yang mengalami luka diabetik. Dengan consecutive sampling mendapatkan sampel sebanyak 20 responden yang memiliki anggota keluarga menderita diabetes melitus. Pelaksanaan kegiatan penyuluhan disampaikan melalui ceramah (presentasi), demo pemijatan, diskusi tanya-jawab dan praktik langsung dengan pendampingan oleh keluarga yang merawat penderita diabetes melitus. Pengukuran perilaku perawatan kaki memakai kuesioner nottingham assessment of fungtional footcare (NAFF). Kuesioner tentang perawatan luka diabetik diberikan sebelum kegiatan edukasi sebagai data pre-test dan setelah kegiatan edukasi sebagai data post-test. Sebagai evaluasi, data di analisa wilcoxon test dengan rancangan quasi experimental one group pre-test dan post-test untuk melihat perbedaan perilaku perawatan kaki responden sebelum dan setelah diberikan edukasi. Hasil: Mendapatkan data bahwa rata-rata usia responden adalah 57.75 tahun dan standar deviasi ±4.41 dalam rentang usia 50-70 tahun. Sebagian besar responden berusia 50-60 tahun sebanyak 10 (50.0%). Mayoritas responden berjenis kelamin perempuan sebanyak 12 (60.0%), sebagian besar pendidikan responden adalah SMA sebanyak 9 (45.0%), status pekerjaan responden adalah pegawai swasta sebanyak 11 (55.0%), dan lama menderita Diabetes Melitus 1-3 tahun sebanyak 17 (85.0%). Terjadi peningkatan skor tingkat pengetahuan responden dari sebelum kegiatan edukasi sebesar 20 poin menjadi 50 poin setelah kegiatan edukasi dengan mendapatkan nilai pValue=0.000. Simpulan: Kegiatan edukasi dan pendampingan sangat efektif dalam meningkatkan pengetahuan tentang perawatan luka diabetik dan juga meningkatkan perilaku pencegahan luka diabetik pada keluarga yang menderita diabetes melitus.
Korelasi antara lama diabetes mellitus dan kadar hba1c dengan skor diabetic neuropathy symptom (DNS) dan diabetic neuropathy examination (DNE) pada penderita diabetes mellitus tipe 2 Andora, Novika; Maryuni, Sri; Yudha, Fajar
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.2092

Abstract

Background: Type 2 Diabetes Mellitus (DM) often leads to diabetic neuropathy, which can be assessed using the Diabetic Neuropathy Symptom (DNS) and Diabetic Neuropathy Examination (DNE) scores. Purpose: To analyze the correlation between the duration of DM and HbA1c levels with DNS and DNE scores in patients with type 2 DM Method: This quantitative study with a cross-sectional approach was conducted from January to February 2025 at Bintang Amin Hospital in Bandar Lampung. The sampling technique used simple random sampling with a sample size of 35 respondents. The independent variables in this study were the duration of DM and HbA1c levels, while the dependent variables were DNS and DNE scores. Data analysis was performed using univariate analysis in the form of frequency distribution and bivariate analysis using Pearson's correlation test. Results: The results showed a significant correlation between the duration of DM and both DNS and DNE scores (p < 0.05). However, there was no significant correlation between HbA1c levels and DNS or DNE scores (p > 0.05). Conclusion: The duration of DM was significantly associated with the degree of diabetic neuropathy, while HbA1c levels showed no significant association.   Keywords: Diabetic Neuropathy Symptom (DNS); Diabetic Neuropathy Examination (DNE); HbA1c Levels; Type 2 Diabetes Mellitus.   Pendahuluan: Diabetes Mellitus (DM) tipe 2 sering menyebabkan komplikasi berupa neuropati diabetik, yang dapat dinilai menggunakan skor Diabetic Neuropathy Symptom (DNS) dan Diabetic Neuropathy Examination (DNE). Tujuan: Untuk menganalisis korelasi antara lama menderita DM dan kadar HbA1c dengan skor DNS dan DNE pada pasien DM tipe 2. Metode: Penelitian kuantitatif dengan pendekatan cross sectional, dilaksanakan bulan Januari-Febuari 2025 di RS Bintang Amin Bandar Lampung. Teknik pengambilan sampel menggunakan simple random sampling dengan jumlah sampel yang digunakan sebanyak 35 responden. Variabel independent dalam penelitian ini adalah lama menderita DM dan kadar HbA1c, sedangkan variabel dependen adalah skor DNS dan DNE. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Korelasi Pearson. Hasil: Terdapat korelasi yang signifikan antara lama menderita DM dengan skor DNS dan DNE (p < 0.05). Namun, tidak ditemukan korelasi yang signifikan antara kadar HbA1c dengan skor DNS maupun DNE (p > 0.05). Simpulan: Lama menderita DM berhubungan secara signifikan dengan derajat neuropati diabetik, sedangkan kadar HbA1c tidak menunjukkan hubungan yang signifikan.   Kata Kunci: Diabetes Mellitus Tipe 2; Diabetic Neuropathy Symptom (DNS); Diabetic Neuropathy Examination (DNE); Kadar Hba1c.
Pendampingan Berbasis Participatory Action Research dalam Penguatan Implementasi Program Adiwiyata di Sekolah Dasar dan Menengah Kabupaten Kubu Raya, Kalimantan Barat Maryuni, Sri; Pardi, Pardi; Jumadi, Jumadi; Apriyani, Eka; Denisa Putri, Naila; Resti, Febrya
Jurnal Abdi Masyarakat Indonesia Vol 6 No 1 (2026): JAMSI - Januari 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.2505

Abstract

Kegiatan Pengabdian kepada Masyarakat (PPM) ini dilatarbelakangi oleh rendahnya pemahaman dan kapasitas sekolah dasar dan menengah di Kabupaten Kubu Raya, Kalimantan Barat, dalam mengimplementasikan Program Adiwiyata dan Gerakan Peduli dan Berbudaya Lingkungan Hidup di Sekolah (PBLHS), khususnya terkait penyusunan dokumen dan pemanfaatan sistem pendukung. Kegiatan ini bertujuan meningkatkan kapasitas guru dan pengelola sekolah melalui pendampingan pendidikan Adiwiyata yang terstruktur dan partisipatif. Metode yang digunakan adalah Participatory Action Research (PAR) melalui bimbingan teknis, diskusi kelompok, dan praktik langsung pemanfaatan aplikasi Sistem Informasi Dokumen Adiwiyata (SIDIA). Hasil kegiatan menunjukkan peningkatan pemahaman peserta terhadap kebijakan Adiwiyata, yang ditunjukkan oleh kemampuan peserta mengidentifikasi indikator PBLHS, menyusun kerangka dokumen Adiwiyata, serta melakukan pengunggahan dokumen pendukung ke dalam aplikasi SIDIA secara mandiri. Selain itu, terjadi perubahan sikap berupa meningkatnya komitmen sekolah dalam membentuk Pokja lingkungan dan merencanakan aksi nyata berbasis sekolah. Dampak kegiatan ini dirasakan langsung oleh mitra melalui meningkatnya kesiapan sekolah dalam mengikuti tahapan seleksi Adiwiyata serta penguatan praktik pengelolaan lingkungan sekolah yang lebih sistematis dan berkelanjutan.