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Diabetic Foot Exercises Can Reduce Neuropathy Degree in Type II Diabetes Mellitus (DM) Patients Agustina, Wiwik; Khoirun Nisa, Shofia Maharani; Chasanah, Faidatul
Lontara Journal of Health Science and Technology Vol. 6 No. 2 (2025): Juli-Desember 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v6i2.589

Abstract

Neuropathy is nerve damage that occurs mainly in the feet and hands on diabetes mellitus (DM) patients. High blood sugar degree over a long period of time will cause complications, one of which is damage to small blood vessels (microvasculature) such as diabetic neuropathy with an incidence of 45.6%. Diabetic foot exercise (DFE) is a non-pharmacological therapy to overcome this. This study aims to determine the difference in the degree of neuropathy in type II DM patients between before and after receiving DFE therapy. The inquire about plan utilized a Pre-Experiment Group Pretest-Posttest Plan with a population of 105 individuals and a sample of 26 individuals decided through Quota Sampling. The investigate instrument utilizing the Neuropathy System Score (NSS) questionnaire. Information were analyzed utilizing the Wilcoxon Sign Rank Test. The results of this reserach stated that the average degree of neuropathy for the group before DFE therapy = 6.5000 (moderate) and after = 4.4615 (mild). DFE therapy had a significant effect on reducing the degree of neuropathy in respondents (P-value = 0.000). Thus, DFE therapy can be recommended to be applied to type II DM patients as a complementary therapy that can help reduce the degree of neuropathy.
The Relationship Between Anxiety and Sleep Quality in Chemotherapy Patients Ahsan, Zainol; Agustina, Wiwik; Maria, Lilla
Devotion : Journal of Research and Community Service Vol. 3 No. 5 (2022): Devotion: Journal of Research and Community Service
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/dev.v3i5.133

Abstract

Cancer is the number one cause of death in the world at the end of this century. The impact of the treatment of breast cancer patients on the psychological aspects of experiencing anxiety, and disturbed sleep patterns. The lower the anxiety experienced, the better the quality of sleep, and vice versa. The aim of the study was to analyze the relationship between anxiety levels and patient sleep quality. This research method is cross section with sampling using Accidental Sampling technique. Respondents were 40 breast cancer patients who underwent chemotherapy. The results showed that 82.5% of patients experienced severe anxiety 82.5% and 82.5% had poor sleep quality. The Spearman Rank test results show a correlation value (r) of 0.342 (34.2%) and a p-value of 0.031. P value < (0.05). There is a relationship between anxiety and sleep quality in patients undergoing chemotherapy. It is hoped that it can provide information for health care institutions, which can then be developed for the provision of nursing care in meeting the need for quality sleep for chemotherapy patients.
The Differences of Adaptive and Maladaptive Coping Mechanisms on the Intensity of Maternal Pain in the First Stage of Labor Khoirun Nisa, Shofia Maharani; Agustina, Wiwik
The Avicenna Medical Journal Vol. 5 No. 2 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i2.42603

Abstract

Background: Coping mechanisms play a crucial role in managing maternal pain during labor. Understanding the differences between adaptive and maladaptive coping strategies can help improve maternal care and pain management. The aim of this study was to determine the differences in the level of coping mechanisms and the intensity of pain in mothers during the first stage of labor. Methods: A cross-sectional study was conducted on 66 laboring mothers at PKU Muhammadiyah Delanggu Hospital. The intensity of pain was measured using the Visual Analog Scale (VAS), while coping mechanisms were assessed using the Brief COPE Questionnaire. Data analysis was performed using the Wilcoxon test with a significance level of p < 0.005. The results of the Wilcoxon test indicate a significant difference between adaptive and maladaptive coping mechanisms in relation to labor pain intensity (p < 0.005) (CI=95%). Among mothers with mild pain, 76.2% used adaptive coping mechanisms, whereas only 23.8% relied on maladaptive strategies. Similarly, in the moderate pain group, 78.8% used adaptive coping, while 21.2% used maladaptive coping. However, in the severe pain category, the majority (66.7%) used maladaptive coping mechanisms, whereas only 33.3% applied adaptive coping strategies. Results: The study confirms that adaptive coping mechanisms are associated with lower pain intensity during labor, while maladaptive strategies correlate with higher pain levels. Conclusion: These findings highlight the need for healthcare providers to educate and encourage expectant mothers to adopt effective coping strategies to improve maternal comfort and childbirth outcomes. Future research should explore interventions that enhance adaptive coping mechanisms in labor management.
Dust, Cigarette Smoke, and Cold Air are the Main Risk Factors for Asthma Attacks Agustina, Wiwik
Jurnal Respirologi Indonesia Vol 44 No 4 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i4.647

Abstract

Background: The prevalence of asthma has increased worldwide over the past few decades, with an estimated incidence reaching 400 million people by 2025. By the end of 2020, the prevalence of asthma in Indonesia was 4.5% of the total population, exceeding 12 million individuals.Methods: This study aimed to analyze the most frequent risk factors for asthma attacks. A correlative descriptive design was employed, with a population consisting of all asthma patients. The sample was selected using purposive sampling, resulting in 30 respondents. This research was conducted in Malang and included respondents with a history of asthma who were not hospitalized.Results: Logistic regression analysis revealed that 72% of asthma recurrences were attributed to dust, cigarette smoke, cold air, family/hereditary history of disease, obesity, pollen, animal dander, seafood, eggs/nuts, fungi, and cow's milk. The remaining 28% were linked to other risk factors, including pregnancy, stress, excessive emotions, physical fatigue, weather changes, and more. The three primary risk factors for asthma attacks were dust (87%), cigarette smoke (83%), and cold air (73%).Conclusion: Asthma recurrence is primarily caused by hypersensitivity, with allergens triggering elevated IgE levels, leading to bronchoconstriction and subsequent asthma attacks. The findings of this study identified dust, cigarette smoke, and cold air as the main risk factors for asthma recurrence. Asthma patients need to recognize their allergens to facilitate preventive measures and reduce the likelihood of asthma attacks.