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All Journal Malahayati International Journal of Nursing and Health Science Jurnal Anoa Keperawatan Mandala Waluya
Sri Lestari Dwi Astuti
Poltekkes Kemenkes Surakarta
Dentistry Health Professions Nursing Public Health Social Sciences

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Developing integrated care: Treating foot wounds in people with diabetes mellitus exposed by Covid-19 Suyanto Suyanto; Sri Lestari Dwi Astuti
Malahayati International Journal of Nursing and Health Science Vol 6, No 1 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i1.9044

Abstract

Background: Diabetes mellitus is a chronic disease that affects many people around the world. WHO predicts the prevalence in 2030 will increase to 61 percent and it is estimated that 70 percent will become a pandemic in developing countries including Indonesia. Various complications require long-term care and require regular monitoring. One of the complications that is often experienced is diabetic foot ulcers which have increased in cases during the Covid-19 pandemic so that they require optimal service.Purpose: Developing a nursing service model for type 2 diabetes mellitus (DM) patients, especially the treatment of diabetic foot wounds associated with the covid-19 pandemic.Method: Research design using quasi-experiment with a plan pre and post-test without control group design, namely comparing the condition of the wound, the effectiveness of the length of time for healing based on the frequency of wound care between 26 respondents who were exposed to covid-19 and 34 respondents who were not exposed. Data analysis used the chi-square test.Results: There is a difference in healing based on the frequency of treating diabetic foot wounds between those exposed to covid-19 and not exposed to obtain a p-value of 0.013 <0.05. There is a difference in healing based on the frequency of treating diabetic foot wounds in patients exposed to covid-19 between those who have arterial injuries and those who do not have arterial injuries, obtaining a p-value of 0.049 <0.05. Then there are differences in the condition of leg injuries before and after being treated in patients who are not exposed to covid-19, obtaining a p-value of 0.00 <0.05. Whereas in patients exposed to covid-19, there was no difference with a p-value of 0.160 > 0.05.Conclusion: All hypotheses proposed except for the hypothesis that there is a difference in the condition of the wound between those exposed to covid-19 and those who were not exposed before and after being given treatment.Suggestion: In providing wound care to diabetic patients, it should be started by reviewing their history of having been exposed to covid-19. Furthermore, an assessment is made of whether the patient has an arterial wound so that the wound care that will be given is more appropriate and effective.
Keterkaitan Dismenore Dengan Tingkat Stres Dan Mood Swing Pada Mahasiswa Eden Nia Amelia; Yuyun Setyorini, S.Kp.,Ns., M.Kep; Sri Lestari Dwi Astuti
Jurnal Anoa Keperawatan Mandala Waluya Vol. 5 No. 1 (2026): Jurnal Anoa Keperawatan Mandala Waluya (JAKMW)
Publisher : Program Studi Ilmu Keperawatan dan Profesi Ners. Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jakmw.v5i1.1395

Abstract

Remaja akhir merupakan masa transisi yang ditandai dengan perubahan, salah satunya menstruasi. Berdasarkan studi pendahuluan, sebagian besar mahasiswa mengalami dismenore dengan intensitas sedang hingga berat dan disertai keluhan seperti mudah marah, cemas, dan perubahan suasana hati. Secara global, prevalensi dismenore pada remaja mencapai 74,5%, di Indonesia sebesar 64,25%, di Jawa Tengah 56%, dan di Kota Surakarta mencapai 89,8%. Kondisi tersebut menunjukkan bahwa dismenore tidak hanya berdampak pada aspek fisik saja namun juga mempengaruhi kondisi psikologis seperti stres dan mood swing. Penelitian ini bertujuan untuk menganalisis keterkaitan dismenore dengan tingkat stres dan mood swing pada mahasiswa. Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional dan teknik purposive sampling sebanyak 106 responden. Instrumen yang digunakan meliputi VAS untuk tingkat nyeri, DASS-42 untuk tingkat stres, dan MFQ untuk mood swing, dengan analisis data menggunakan uji korelasi Spearman Rho. Hasil penelitian menunjukkan adanya keterkaitan yang signifikan antara dismenore dengan tingkat stres (p=0,001; r=0,359) serta keterkaitan dismenore dengan mood swing (p=0,016; r=0,233). Dapat disimpulkan bahwa, dismenore berpotensi meningkatkan stres dan perubahan suasana hati akibat peningkatan hormon prostaglandin yang memicu kontraksi uterus serta ketidakseimbangan hormon estrogen dan progesterone, yang berdampak pada respon fisiologis dan psikologis individu.
Co-Authors Eden Nia Amelia Suyanto Suyanto Yuyun Setyorini, S.Kp.,Ns., M.Kep