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All Journal Jurnal Keperawatan Nurse Media Journal of Nursing Journal of Nutrition College Jurnal Keperawatan Komunitas Jurnal Keperawatan Anak Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS HIGEIA (Journal of Public Health Research and Development) Jurnal Luka Indonesia JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Belitung Nursing Journal Jurnal Pengabdian Pada Masyarakat Journal Of Holistic Nursing Science CARING (Center of Publication in Midwifery and Nursing) : Jurnal Publikasi Penelitian Kebidanan dan Keperawatan Nurse and Health: Jurnal Keperawatan Journal of Islamic Nursing JI-KES (Jurnal Ilmu Kesehatan) JURNAL KESEHATAN PERINTIS Jurnal Ilmu Keperawatan Jiwa Jurnal Keperawatan Respati Yogyakarta Jurnal Ilmu Keperawatan Medikal Bedah Jurnal Ilmiah Keperawatan Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal)

Niken Safitri Dyan Kusumaningrum

Department Of Nursing, Faculty Of Medicine, Universitas Diponegoro

Author-ID : 638320

Agriculture, Biological Sciences & Forestry Decision Sciences, Operations Research & Management Dentistry Education Engineering Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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The Description Of Diabetics’ Acceptance Stage Toward Diabetes Mellitus’ Diagnoses Ana Nistiandani; Achmad Zulfa Juniarto; Niken Safitri Dyan
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Abstract Diabetes Mellitus (DM) is a chronic condition which requires various kinds of lifetime treatment which cause grief. Grief has stages which can be passed though normally with the attainment of acceptance stage. Acceptance attainment renders a description maintaining that grief in its process is undergone normally through uncomplicated grief reaction and emotional responsiveness. A diabetics who manages to attain the acceptance stage will have a better glycemic control, while a diabetics with a low acceptance stage may experience an ineffective coping, improper self-treatment, and distress increase, all of which end up in a bad glycemic control which causes physical complications. This suggests that a description of s’ acceptance stage is important to identify. Accordingly, the aim of this research is to identify and analyze the description of diabetics’ acceptance of DM diagnoses. The method utilized is descriptive-observational, the data collected using the ‘Acceptance of Disease and Impairments Questionnaire’ (ADIQ). The analysis employed in this research is a descriptive analysis. The sampling technique used is consecutive sampling. The research result shows that, based on the diagram of ADIQ administered on 20 s, there are 30% found to be in the stage of acceptance, while there exist 70% to be in the stage of not yet attaining acceptance, which comprises denial (20%), resistance (10%), and sorrow (40%). Failure in attaining the acceptance stage is caused by the s’ still being in the states of denial, resistance, and sorrow. Based on the research result, it can be concluded that the s dominantly stay at the stage of not yet attaining acceptance. The diabetics who have attained acceptance may still be exposed to the risk of undergoing a maladaptive response which may trigger depression, anxiety, worsened physical health, self-treatment discontinuation, powerlessness, low self-esteem, social isolation, even suicidal drive. This is all caused by grief which constitutes a fluctuate condition where every diabetes can contribute to describing his or her condition at every stage. Keywords: stages of grief, acceptance, denial, resistance, sorrow

Healthcare professionals’ opinions regarding health coaching for patients with diabetes: A pilot exploration in Indonesia Niken Safitri Dyan Kusumaningrum; Fatikhu Yatuni Asmara; Devi Nurmalia
Belitung Nursing Journal Vol. 8 No. 1 (2022): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1970

Background: Diabetes management is applied for the entire patients’ lives, so it requires lifelong sustainable self-management actions to have a positive impact. Integrated care as coaching intervention is considered a program that facilitates and supports patients in managing diabetes more effectively and optimally. However, there are limited studies regarding this program in Indonesia. Objective: This study aimed to explore the opinions of healthcare professionals concerning the importance of health coaching for patients with diabetes in Indonesia. Methods: An invitation letter via email was distributed individually to participants from the three provinces of Java, Indonesia, between June and August 2020. The open-ended questions that consist of two sections were developed to explore the matter related to health coaching for patients with diabetes. A descriptive analysis of the participants’ answers was used to explain the data comprehensively and accurately reveal the complete information. Results: A total of seven healthcare professionals from four professions participated in the study. Based on healthcare professionals’ opinions, this study revealed that the most common reason health coaching needs to be implemented is related to self-management in dealing with diabetes. Health coaching as a tailored-intervention strategy in diabetes self-management requires a multidisciplinary approach and considers the local wisdom to achieve the expected goals in all aspects of patients’ lives. Thus, health coaching as an integral part of diabetes self-management is considered an appropriate program to cope with this problem. Conclusion: Health coaching for patients with diabetes is useful and reasonable to implement among patients with appropriate strategies, especially in Indonesia and beyond.

Home-Based Wound Care dan Layanan Online Diponegoro Wound Care: Solusi Penyembuhan Luka untuk Pasien di Masa Pandemi Covid-19 Niken Safitri Dyan Kusumaningrum; Akhmad Ismail; Andrian Budi Prasetyo
Jurnal Pengabdian Pada Masyarakat Vol 6 No 1 (2021)
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/002.202161.699

HOME-BASED WOUND CARE AND ONLINE SERVICE OF DIPONEGORO WOUND CARE: SOLUTION OF WOUND HEALING FOR PATIENTS DURING PANDEMIC COVID-19. The period of the Covid-19 pandemic caused various impacts both individually and systematically. Those are also including the health system services, where in accessing that services, people tend to dace limitations. Therefore, Diponegoro Wound Care as a wound care service center provides an alternative to patients using home-based wound care method. The home-based wound care and online service provide wound care as well as consultation and education about wounds. Home-based wound care service is carried out at the patient’s home according to the inform consent. Meanwhile, online service is provided through Whatsapp chat application to reach all level of patients. The results of the implementation of home-based wound care and online service concluded that wound care using a home-based care setting was recommended for patients who had wounds with various complications. This is necessary to provide services that improve the quality of life of patients, but tend to be safer for patients because they do not need to come to healthcare service which are still at high risk of experienceing exposure to Covid-19 virus during this pandemic.

FOOT SELF-CARE PADA PENYANDANG DIABETES MELLITUS (DM): PILOT STUDY DI SEMARANG Niken Safitri Dyan Kusumaningrum; Ainur Muhti Ashari
Journal of Islamic Nursing Vol 5 No 1 (2020): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v5i1.11987

Diabetes Mellitus is chronic metabolic disease that has the characteristics hyperglikemia due to insulin deficiency and lead to diabetic foot ulcers. That complications can be prevented by performing foot self-care. The purpose of this study was to identify foot self-care in persons with diabetes mellitus in Puskesmas Rowosari Semarang. This study was a quantitative research with cross sectional approach. The sampling technique used was consecutive sampling. Diabetic Foot Self-care Questionnaire University of Malaga was used to gather the data from diabetic. Analysis of the data used were univariate which produces tables. A total of 112 diabetic participated in the study. The majority patient participated in this study were they who age range 41-60 (69,6%), female (78,6%), did not have the experience to get education (50%), and suffering from diabetes <10 years(80,4%). The result of this study showed that 52.7% of diabetic have a good category on foot self care. In conclusion, more diabetic have good foot self-care. Therefore, it is needed to give more information for patients with diabetes in order to apply the foot self-care especially the examination of the feet, using lotion, socks, and the way to get the feet warm.

EFEK SELF EFFICACY TRAINING TERHADAP SELF EFFICACY DAN KEPATUHAN DIET DIABETESI Ainul Yaqin; Safitri Niken; Edi Dharmana
JI-KES (Jurnal Ilmu Kesehatan) Vol 1, No 1 (2017): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : STIKes Hafshawaty Pesantren Zainul Hasan Probolinggo

AbstrakPasien diabetes melllitus (DM) seringkali tidak patuh terhadap pola diet yang dianjurkan. Banyak pasien DM yang mengalami berat badan berlebih atau kurus. Ketidakpatuhan diet menyebabkan rendahnya kontrol glikemik, dan meningkatkan komplikasi, disability and mortality. Kepatuhan dipengaruhi oleh keyakinan diri/self efficacy (SE), di sisi lain program peningkatan SE terkait dietDM belum banyak diteliti. Self efficacy training (SET)mampu meningkatkan SEsehingga kepatuhan diet meningkat. Tujuan penelitian untuk menganalisis efek SET terhadap SE dan kepatuhan diet diabetesi. Metode menggunakan quasy experiment dengan rancangan post test nonequivalent control group. Sampel kelompok intervensi dan kontrol masing-masing 48 dan 51 orang. Intervensi dilakukan sebanyak 6 sesi selama 12 hari. Hasil menunjukkan mayoritas responden adalah perempuan dengan usia 58-67 tahun. SE diukur dengan kuisioner DIET-SE dan kepatuhan dengan PDAQ Selisih nilai mean SE kelompok intervensi dan kontrol setelah perlakuan adalah 4,27 dengan p=0,000 dan selisih mean kepatuhan diet kelompok intervensi dan kontrol adalah 5,94 dengan p=0,000. Hasil uji multivariat dengan MANOVA didapatkan ada efek SETpada kedua variabel dependen yang sangat bermakna (p=0,000), namun jika dilihat dari hasil selisih mean dengan kelompok kontrol, variabel kepatuhan memiliki peningkatan nilai mean yang lebih besar dibandingkan variabel SE. Kesimpulan penelitian SET dapat meningkatkan kepatuhan diet pasien DM melalui peningkatan SE. Kata kunci: sef efficacy training; self efficacy; kepatuhan AbstractDiabetic Mellitus (DM) patients are often not adherent to the recommended dietary patterns. Many DM patients are overweight or underweight. Dietary adherence leads to lower glycemic control, and increases complications, disability and mortality. Adherence is influenced by self-efficacy (SE), on the other hand SE improvement programs related to DM diet has not been much studied. Self efficacy training (SET) is able to improve SE so that diet compliance increases. The objective of the study was to analyze the effects of SET on SE and adherence to the diabetic diet. The method used quasy experiment with post tes nonequivalent control group design. The sample of the intervention and control groups were each 48 1 person. Intervention conducted as much as 6 sessions for 12 days. Results showed the majority of respondents were women aged 58-67 years. SE is measured by a DIET-SE questionnaire and compliance with PDAQ. The mean difference of SE values of the intervention and control groups after treatment was 4.27 with p = 0,000 and the mean difference of dietary intervention group and intervention was 5.94 p = 0,000. The result of multivariate test with MANOVA showed that there was a SET effect on both highly significant dependent variables (p = 0.000_, but if seen from the result of mean difference with the control group, the compliance variable had higher mean value than the SE variable. Improving DM patient's compliance through SE enhancement. Keywords: self efficacy training; self efficacy; obedience

Akar Mimosa Pudica L yang Diozonasi Terhadap Penyembuhan Luka Ulkus Diabetikum Eli Ermawati; Anita Aprilia Yunita Sari; Musdhalifah Hesti Anggraini; Vida Dwi Pringgani; Niken Safitri Dyah Kusumaningrum
JURNAL KESEHATAN PERINTIS Vol 8 No 1 (2021): JUNI 2021 : Jurnal Kesehatan Perintis (Perintis's Health Journal)
Publisher : LPPM UNIVERSITAS PERINTIS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33653/jkp.v8i1.536

Diabetes mellitus adalahpenyakit tidak menular termasuk salah satu penyebab kejadian mortalitas di dunia, termasuk di Indonesia. Prevalensi diabetes di Indonesia berdasarkan data semakin meningkat dalam setiap tahunnya. Salah satu komplikasi yang paling mengancam adalah ulkus diabetikum. Selama beberapa dekade terakhir, perkembangan teknologi plasma medis menggunakan ozon sebagai agen yang membantu penyembuhan luka. Aplikasi dan riset Mimosa pudica L.sebagai wound healing. Tujuan dari review narrative ini untuk mengetahui potensi ekstrak Mimosa pudica L dengan ozonasi sebagai terapi topikal untuk meningkat penyembuhan ulkus diabetikum. Pencarian literatur menggunakan database Science direct, PubMed, Ebsco, Scopus dan ProQuest dengan kriteria inklusi yang ditentukan. Hasil dari studi literatur bahwa kandungan senyawa kimia pada ekstrak akar Mimosa pudica L. telah terbukti memiliki aktivitas penyembuhan luka dan aktivitas antidiabetik. Pemanfaatan ozonasi sebagai agen antibakteri dengan menggunakan alat degenerator ozon untuk mengubah gas ozon menjadi cair ke dalam suatu ekstrak menggunakan parameter tertentu dapat mendukung wound healing. Sehingga perpaduan ekstrak akar Mimosa pudica L. dengan proses ozonasi memiliki potensi untuk dikembangkan dalam menunjang penyembuhan ulkus diabetikum agar lebih efektif dan efisien.

DIABETES SELF MANAGEMENT EDUCATION (DSME) TO IMPROVE DIABETES EDUCATION IN PATIENTS WITH DIABETES MELITUS: LITERATURE REVIEW Wahyono Wahyono; Fitri Handayani; Niken safitri
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 14, No 2 (2019): October
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

ABSTRACTBackground: Diabetes mellitus is a chronic disease that requires a change in the healthy behavior of the patient for his recovery. Diabetes Self Management Education (DSME) integrates the four pillars of Diabetes Mellitus Management independently emphasize the behavioral interventions which help people with diabetes to change their lifestyles in terms of diabetic self care.Objective: Identify diabetes self-management education (DSME) features to improve diabetes education for people with diabetes mellitus. Method: We conducted a literature from 3 online databases like PUBMED, Science Direct and Google Schoolar and used 5 literature for this review.Result and Discussion: The educational process of DSME are assessment, goal setting, education and evaluation based on health promotion model theory. DSME focus on management of DM, nutrition, phisical activity, blood glucose monitoring, avoid/prevent/treat chronic or acute complications, resolve the psichologycal impact and focus on behavioural changes. From 5 studies include in our analysis, we identified that DSME have a good relationship with the positive outcome of DM.Conclusion: DSME is an effective educational method for increasing the good behavioral changes in DM.Keywords: Behaviour, Diabetes Mellitus, Diabetes Self Management Education

The Associated Factors of Quality of Life among Stroke Survivors: A Study in Indonesia Fitria Handayani; Reni Sulung Utami; Chandra Bagus Ropyanto; Niken Safitri Dyan Kusumaningrum; Yuni Dwi Hastuti
Nurse Media Journal of Nursing Vol 12, No 3 (2022): (December 2022)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v12i3.45763

Background: The prevalence and burden of stroke are still high, especially in low and middle-income countries. Stroke affects the economy and physics related to the Quality of Life (QoL). Various QoL-associated factors, including sociodemographic, functional outcome, emotional, and cognitive function, were studied. However, there was very limited information about the QoL-associated factors among stroke survivors in Semarang, Indonesia.Purpose: This study aimed to identify the QoL-associated factors among stroke survivors in Semarang, Indonesia.Methods: This cross-sectional study was conducted in outpatient services and involved 57 ischemic stroke survivors using convenience sampling. Demographic and clinical information were obtained using medical records and questionnaires. The questionnaires were the Short Version of Specific Stroke Quality of Life (SS-QoL) to measure QoL, GRID-HAMD 17 to measure Post Stroke Depression (PSD), Mini-Mental Status Examination (MMSE) to measure cognitive impairment, Barthel–Index (BI) to measure functional outcome, Hamilton Anxiety Rating Scale (HAM-A) to measure anxiety, and Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support. Linear regression was conducted in the model performance of QoL-associated factors.Results: The stroke duration was 155(18) days, and 50.9% of participants were males. The linear regression showed that age (-.164 95% CI -.412 - .084), marital status (3.937 95% CI 1.010 - 6.864), functional outcome (.127 95% CI .013 - .241), PSD (-1.090 95% CI -2.144 - -.036), cognitive function (.308 95% CI -.482 - 1.098) and anxiety (-.408 95% CI -1.125 - .268) were QoL-predictors (p<.001, adjusted R2=52.1). It is assumed that age, marital status, functional outcome, PSD, cognition, and anxiety significantly predict the QoL among ischemic stroke survivors.Conclusion: The QoL-associated factors were age, marital status, functional outcome, PSD, cognition, and anxiety. These associated factors of QoL should be considered as elements in formulating nursing interventions that aim to improve the good QoL among stroke survivors.

A pilot translation and adaptation of the Diabetes Obstacle Questionnaire (DOQ) to measure obstacles and challenges in diabetes management for people with diabetes in Indonesia Kusumaningrum, Niken Safitri Dyan; Handayani, Fitria
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.v19i4.57107

Introduction: Identifying the issues faced by Indonesians living with diabetes is crucial to address them appropriately. However, a standardized tool cannot measure the obstacles encountered in managing illness. Therefore, there is a need for widely accepted assessment tools to investigate these problems. This article explains the findings of the pilot translation and adaptation of the Diabetes Obstacle Questionnaire (DOQ) for people with diabetes in Indonesia. Methods: The English version of the DOQ was cross-culturally adapted and translated into Bahasa, Indonesia. The completion of the questionnaire required approximately 30 min for each of the 61 respondents, all of whom were Indonesians diagnosed with diabetes. Factor analysis, product moment, and Cronbach’s alpha were used in STATA SE 13.1 for data analysis. Results: The original 78 items underwent a systematic process of translation and adaptation to align with the Indonesian context. Twenty-one items were eliminated, leaving 57 valid question items following a judgement of expert and statistical analysis. The reliability coefficient of the Indonesian version of the DOQ was acceptable, with a value of 0.96 for all items. The coefficient varied between 0.82 and 0.99 for different scales, indicating high internal consistency reliability. Conclusions: The Indonesian version of the 57-item DOQ is an acceptable instrument that can be used to identify obstacles faced by people with diabetes in Indonesia. This can facilitate researchers in investigating the problems faced by those living with diabetes in managing their condition.

GAMBARAN STATUS GLIKEMI PENDUDUK USIA 25-65 TAHUN (STUDI DI KOTA TEGAL) Dwi Uswatun Khasanah; Andrew Johan; Niken Safitri Dyan Kusumaningrum
Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Vol 8 No 1 (2017)
Publisher : UNIVERSITAS BHAMADA SLAWI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Prediabetes merupakan istilah yang digunakan untuk menggambarkan kondisi kadar glukosa darah lebih tinggi dari normal tetapi di bawah ambang diabetes, meliputi Glukosa Darah Puasa Terganggu (GDPT) dan/atau Toleransi Glukosa Terganggu (TGT). Seseorang dengan prediabetes memiliki peningkatan risiko terjadinya diabetes type 2. Prediabetes tidak menimbulkan tanda dan gejala yang nyata, sehingga penderita prediabetes tidak menyadari bahwa dirinya mengalami prediabetes. Deteksi dini dan modifikasi gaya hidup dapat mencegah maupun menunda terjadinya diabetes tipe 2 pada penderita prediabetes. Tujuan penelitian ini untuk mengetahui status glikemi berdasarkan kadar glukosa darah puasa dan kadar glukosa 2 jam pasca pembebanan glukosa. Penelitian ini merupakan penelitian deskriptif. Quota sampling dilakukan pada individu yang tidak menderita diabetes dan berusia 25-65 tahun di 8 wilayah puskesmas di Kota Tegal dan mendapatkan sampel sebanyak 170. Pengambilan data dilakukan melalui pemeriksaan Tes Toleransi Glukosa Oral (TTGO). Data kemudian dianalisa menggunakan analisis univariat. Hasil penelitian menunjukkan 78,8% responden dengan Toleransi glukosa normal, 11,2 % dengan TGT, 2,9% dengan GDPT dan 2,4% dengan kombinasi GDPT dan TGT, 4,1% dengan undiagnosed diabetes dan 0,6% dengan hipoglikemi post prandial. Proporsi prediabetes di Kota Tegal cukup tinggi (16,5%) sehingga perlu dilakukan intervensi keperawatan untuk mencegah prediabetes maupun mencegah perkembangan prediabetes menjadi diabetes tipe 2.

Co-Authors AA Sudharmawan, AA Achmad Zulfa Juniarto Ainul Yaqin Salam Ainur Muhti Ashari Akhmad Ismail Andrew Johan Andrew Johan Andrian Budi Prasetyo Anita Aprilia Yunita Sari Avin Maria Cahyani, Imamah Indah Cahyani, Imamah Indah Chairani, Farmita Chandra Bagus Ropyanto Costrie G. W Devi Nurmalia Dwi Puji Susanti Dwi Uswatun Khasanah Edi Dharmana EDI DHARMANA Eli Ermawati Farmita Chairani Fatikhu Yatuni Asmara Febyastuti, Isna Widya Fitri Handayani Fitria Handayani Fitria Handayani FITRIA HANDAYANI Giajati, Sukma Anggraeni Handayani, Fitria Henni Kusuma Khana Rosyida, Khana Lestari, Melani Puji Meira Erawati Muchlisin Muchlisin Muchlisin, Muchlisin Muin, Muhammad Musdhalifah Hesti Anggraini Nistiandani, Ana Reni Sulung Utami Rennata, Rezza Agus Rezza Agus Rennata Ria Afnenda Naibaho Rizky Asriningati, Rizky Saputri, Afriana Dwi Suciari Tri Utami Sultana MH Faradz Susanti, Brigitta Ayu Dwi Untung Sujianto Utami, Suciari Tri Vida Dwi Pringgani W, Costrie G. Wahyono Wahyono Wahyu Hidayati Yuni Dwi Hastuti

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