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All Journal Nurse Media Journal of Nursing JIPTEK : Jurnal Ilmiah Pendidikan Teknik dan Kejuruan Rekam : Jurnal, Fotografi, Televisi Animasi Jurnal Arsitektur ARCADE Ekspresi Seni : Jurnal Ilmu Pengetahuan dan Karya Seni Jurnal Arsitektur ZONASI Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) JURNAL PENELITIAN PERAWAT PROFESIONAL Nutrix Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Architectural Research and Education Jurnal Arsitektur TERRACOTTA Jurnal Kesehatan Tambusai Jurnal Ilmiah Wahana Pendidikan Jurnal Pengabdian Seni KESANS : International Journal of Health and Science JURNAL LENTERA KARYA EDUKASI: Jurnal Pengabdian Kepada Masyarakat Jurnal Teknik Elektro International Journal of Research in Vocational Studies (IJRVOCAS) Kolaborasi Jurnal Pengabdian Masyarakat INDOGENIUS NEAR: Jurnal Pengabdian kepada Masyarakat Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Matalensa Journal of Photography and Media Ezra Science Bulletin Java Nursing Journal Proceedings Series of Educational Studies Pengabdian Seni Jurnal Arsitektur ARCADE
Indah Susanti
Universitas Pendidikan Indonesia
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Journal : Java Nursing Journal

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The Prevalence of Amputation in Regional Asia due to Diabetic Foot Ulcers 2024: A Systematic Review and Meta-analysis Athena, Aegle; Susanti, Indah; Auron, Afrodita; Atfat Malic, Rohan; Burhan, Asmat; Kumar, Vijay
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.64

Abstract

Background: Over the past decade, the prevalence of diabetic foot ulcers (DFUs) has notably increased, posing a significant risk of foot amputation in individuals with diabetes. Purpose: This systematic review and meta-analysis aimed to determine the rates of amputation associated with DFUs in patients with diabetes mellitus. Methods: A comprehensive literature search was conducted across multiple databases, including Scopus, PubMed, Cochrane, Web of Science, DOAJ, and Google Scholar. Full-text articles related to diabetic foot ulcer amputation were reviewed and extracted for analysis. Publication Bias: Assessed using a funnel plot in Jamovi (2.0.0), indicating a likelihood of publication bias. Meta-analysis Summary: Conducted using the Joanna Briggs Institute methodology, yielding a pooled meta-analysis result of 0.027. Odds Ratio (OR): Calculated for amputation risk in DFU patients, with a 95% Confidence Interval (CI). Random Effects Model: Employed to synthesize relevant outcomes. Heterogeneity: Evaluated using the I² statistic. Forest Plots: Generated to visualize study results. Results: Eighteen studies were included in the meta-analysis, encompassing a total of 7115 DFU patients in the Asian region. Among these patients, 2730 underwent foot amputations. Amputation Rate: The incidence of foot amputation was significantly higher among DFU patients. Pooled Odds Ratio: The OR for foot amputation in DFU patients was 0.34 (95% CI: 0.23-0.46). Publication Bias: The asymmetrical funnel plot suggested a high likelihood of publication bias. Conclusion: The presence of DFUs significantly elevates the risk of foot amputation in diabetic patients. Continuous monitoring and preventive strategies are essential to mitigate this risk, particularly in the Asian population.
Relationship Between Sleep Quality and Quality of Life in Diabetic Ulcer Patients Fikar Lanjari, Zul; Prihatiningsih, Dwi; Susanti, Indah
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.2

Abstract

Background: Diabetes mellitus (DM) is a significant prevalence that occurs making Indonesia ranked sixth in the world. Diabetes mellitus can totally affect the quality of life of diabetic patients with complications, ulcers are complications that affect the quality of life of DM patients. One of the factors that can affect the quality of life of DM patients is sleep quality. Purpose: Knowing the relationship between sleep quality and quality of life in patients with diabetic ulcers. Methods: This type of research is analytic research with a correlational design with a cross-sectional approach. The sampling technique in this study was total sampling with a sample size of 36 respondents. Data analysis using the Chi-square test. Results: It was found that there were 32 respondents (88.9%) experiencing moderate sleep quality and there were 30 respondents (83.3%) who had a negative quality of life. Results: statistical test of the relationship between sleep quality and quality of life showed a statistical test p value = 0.662 or a significance value> a = 0.05, which means that there is no significant relationship between sleep quality and the quality of life of patients with diabetic ulcers. Conclusion: There is no relationship between sleep quality and the quality of life of patients with diabetic ulcers at the Griya puspa wound care clinic, Sleman Regency. Researchers suggest that respondents who have poor sleep quality are expected to improve their quality of life by improving physical health, leisure time, independence, managing emotions and performing good ulcer care.
Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial Mixrova Sebayang, Septian; Burhan, Asmat; Susanti, Indah
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.3

Abstract

Background: systematic literature review investigating the impact of different anesthetics on intraoperative blood glucose levels of diabetic patients. Method: Databases including ProQuest, PubMed, ScienceDirect, and Wiley were searched for RCTs (randomized controlled trials) that examined the effects of various anesthetics on intraoperative blood glucose levels in diabetic patients. In one study, two researchers independently used eligibility criteria to examine the literature, extracted the data, and used RevMan 5.3 software to perform the meta-analysis. Results: We used trials for meta-analysis with seven randomized controlled trial overall with a total sample of 519 intraoperative diabetic patients. Compared with general anesthesia, it was found that the general anesthesia-epidural combination had superior glycemic control in intraoperative blood glucose levels, based on the meta-analysis results (SMD -1.78, 95% confidence interval [CI] -4.57 to -3.41), however epidural anesthesia did not show comparable superiority. Conclusions: Combined general-epidural anesthesia offers better glycemic control for postoperative blood sugar levels compared to general anesthesia, based on existing data.
Effectiveness of Modern Dressing on Healing Diabetic Foot Ulcer: A Literature Review Susanti, Indah; Effan Fahri Mahendra, Rahmad; Burhan, Asmat
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.4

Abstract

Background: Diabetes mellitus is a group of heterogeneous disorders that have indications in the form of increased content of high blood sugar levels. WHO also confirmed DM to be the 7th trigger of death. IDF (International Diabet Federation) data estimates from survey results after North America in 2017 the 3rd place was occupied by Southeast Asia and people with diabetes mellitus with a percentage of 8.5% at the age of 20-29 years in North Africa. One of the treatments for patients with diabetes mellitus can be wound care using Modern Dressing with the Moist Wound Healing method. Methods: The method used in this wound treatment is the Modern Dressing technique with the Moist Wound Healing method. This procedure can clinically grow tissue 30-50%, increase collagen synthesis by 50%, and the rate of re-epithelialization with moist conditions is 2-5 times faster and can reduce the amount of fluid from above the wound surface. Results: evaluation shows that Modern Dressing wound care with the Moist Wound Healing method is in fact able to maintain moist conditions in the wound, reduce inflammation in the wound so that it can improve and accelerate the healing process of diabetic ulcers. Conclusion: The results showed that the Modern Dressing technique with the Moist Wound Healing method was able to improve the healing process of diabetic ulcers. The results also showed that there were significant changes between modern and conventional dressings. The modern dressing group had a much better development than the conventional dressing. The application of the Moist Wound Healing method in patients with diabetic ulcers can provide a much faster wound recovery reaction.
Effectiveness of Cell Management Education for Patients with Diabetes Mellitus: A Systematic Review Arian Febrila Dewanti, Neni; Susanti, Indah; Fikar Lanjari, Zul; Feibirini, Fitri
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.5

Abstract

Background: Diabetes mellitus is a chronic disease that ranks as the fourth leading cause of death in developing countries. The main pillars in the management of type 2 Diabetes Melitus (T2DM) are education, nutritional therapy, physical training, and pharmacological interventions. The provision of education that has had a positive impact on DM patients is the Diabetes Self-Management Education (DSME). Method: The purpose of this study was to evaluate the effectiveness of the application and web-based Diabetes Self-Management Education (DSME) method in patients with type 2 DM. This study used a systematic literature review design. Articles were collected through PubMed and Google Scholar databases using the keywords DSME Web Application, DSME Smartphone. The criteria for articles used were those published from 2014-2020. Results: the literature review show that the application-based DSME method is more effective in improving self-management of type 2 DM sufferers. Search for articles related to 9 sources that fall within the criteria. Conclusion: is that the application-based DSME method is more effective because it does not require a lot of money and a long time compared to doing direct control to health facilities, the application can also always be accessed whenever we want so that it can help improve self-management in people with Diabetes Mellitus
Impact of Ondancentron In Intra-Anesthesia During Caesarean Section: A Meta-Analysis of Randomized Trials Susanti, Indah; Mixrova Sebayang, Septian; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.28

Abstract

Background: The medulla distinguishes nausea and vomiting. Intra-operative nausea and vomiting (IONV) can occur up to 80% of the time following spinal anesthesia for caesarean delivery. Patients are uncomfortable and surgery is halted. Aims: This meta-analysis examines the effects of ondancentron on IONV, hypertension, and pruritus. Methods: The databases examined were CINAHL, PubMed, ScienceDirect, Wiley, and Scopus, with coverage from September 2014 to July 2024. Article text must be complete with Uji Coba Terkendali Acak design and published in English. They used R-Studio 4.3.1 m, Comperhesivif Meta-Analysis 3.3.070, and Review Manager Cochrane 5.4.1 for lunak and risk analysis. Results: The heterogeneity analysis of on- and centron residuals on IONV indicated I-squared (I2) of 99%, hypotension I2=98%, and pruritus I2=97% for 1103 people in thirteen studies. The Random Effect Model revealed a significant positive effect on Standard Mean Difference (SMD) analysis (IONV = 5.77, 95% CI: 0.58, 10.95; p=<0.01), decreased hypotension (SMD = -2.14, 95% CI: -4.80, 0.52= p=<0.01), and pruritus incidence (SMD = 0.67, 95%). CI = -1.48 to 2.83; p < 0.01. The meta regression subgroup revealed a significant decrease in IONV in the first 5 minutes with an Odds Ratio of 0.38 (95%-CI 0.04 to 3.62; p=<0.01) for the 4mg dose. Conclusions: While useful in controlling perioperative and hypotension, ondansentron may exacerbate pruritus. Ondansentron dose and pruritus effects need additional study.
Case Report on Carcinoma Mammae Patient with Readiness to Improve Religiosity Problem Susanti, Indah; Andini, Amelia
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.54

Abstract

Background: Palliative care is the care of a patient and their family who have an incurable disease by improving the patient's quality of life and reducing disturbing symptoms spirituality and religiosity are important components in the palliative care of cancer patients which are important aspects of cancer patient care. can improve the quality of life and reduce the suffering of cancer patients. Purpose: To determine the benefits of palliative nursing from spiritual/religious aspects in the case of Carsinoma Mammae patients in the Cendana 2 room of Dr. Sardjito Hospital Yogyakarta. Methods: Case study research on patients with Carcinoma Mammae totaling 2 people. Data collection techniques are observation and interviews. Results: In case 1 and case 2, the priority nursing diagnosis of readiness to improve religiosity was taken and nursing care was carried out for 3x24 hours. The implementation given is using therapeutic communication in building a trusting relationship, asking the patient's feelings, conducting spiritual assessments, encouraging participation related to family and other people's involvement, providing privacy / quiet time for spiritual activities, encouraging the use of spiritual resources. Conclusion: The results of evaluating nursing care readiness to improve religiosity on the third day of case 1 (ability to worship) and case 2 (ability to worship and pray) have not been resolved. Conclusion: Patients are expected to be able to implement routine worship activities in daily life and can increase religiosity in the face of palliative disease.
National Trends in the Prevalence of Diabetic Peripheral Neuropathy Among Diabetes Mellitus Patients in Indonesia (2010–2024): A Pooled Meta-Analysis of 46 Studies with 2,808 Participants Susanti, Indah; Maria Seraph, Nero; Natasya Edward, Marry; Burhan, Asmat
Java Nursing Journal Vol. 3 No. 2 (2025): March - June 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i2.103

Abstract

Background: Diabetic peripheral neuropathy (DPN) is a prevalent and debilitating complication of diabetes mellitus that significantly impacts quality of life and increases morbidity. Indonesia faces a rapidly growing diabetes burden; however, national-level estimates of DPN prevalence remain limited. Understanding the epidemiological patterns of DPN is critical to guide screening strategies, clinical management, and region-specific health interventions. Purpose: This study estimated, on a national basis, the prevalence of DPN among diabetic patients in Indonesia during the period 2010 to 2024. Methods: A meta-analysis was conducted using data sources and a comprehensive search of PubMed, Embase, Scopus, Web of Science, CINAHL Plus, and Google Scholar for relevant articles up to January 2025. A generalized mixed model was employed to analyze the pooled prevalence under the assumption of random effects. The risk of bias was assessed using the Newcastle-Ottawa Scale (NOS), and Heterogeneity was assessed through I² statistics and Cochran's Q tests. Results: The sample comprised 46 studies with 2808 participants. The prevalence of DPN was 76.65% (95% CI 64.82-85.40) based on the Random Effects Model. High prevalence was found in patients aged 40-60 with type 2 diabetes in institutional settings and moderate diabetes duration. Conclusion: The preponderance of DPN in Indonesia is tremendously high and differs across regions and demographics. Early detection and resources in situ are important for proper management. PROSPERO registration number: CRD42025643949
Hidden Wounds: Prevalence of Chronic Wounds in Asia, A Systematic Review and Meta‑Analysis Burhan, Asmat; Syafiqah, Nurul; Ruangdet, Kritsada; Oanh, Lê Thị Kim; R. MacLeod, Emily; Dutta Roy, Ananya; M. Norrström, Elin; Susanti, Indah
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.117

Abstract

Background: Chronic wounds are a persistent and costly health issue globally, with particularly high burdens in low- and middle-income countries. Despite increasing awareness, comprehensive regional estimates of chronic wound prevalence across Asia remain limited and inconsistent. Purpose: This study aimed to estimate the pooled prevalence of chronic wounds in Asian populations and identify key moderators associated with their distribution and burden, including comorbidities, wound types, and geographic or healthcare-related factors. Methods: A systematic review and meta-analysis were conducted according to PRISMA guidelines. Searches of PubMed, Embase, Scopus, and Web of Science identified 46 eligible observational studies published through 2024. Random-effects models were used to estimate pooled prevalence. Subgroup and meta-regression analyses explored the influence of demographic, clinical, and geographic moderators. Risk of bias was assessed using the Newcastle-Ottawa Scale (NOS). Results: A total of 46 studies comprising 6,425 chronic wound cases were included in the analysis. The pooled prevalence of chronic wounds was 32.1% (95% CI: 25.9–39.1), with substantial heterogeneity (I² = 98.8%). Diabetic foot ulcers were the most common wound type. Prevalence was significantly higher in developing countries (34.8%), in Southeast Asia (50.8%), and in hospital-based settings (32.6%). Smoking (β = 0.049; p = 0.019) and malnutrition (β = 0.047; p < 0.001)  were significantly associated with increased prevalence, while serum albumin was inversely associated (β = –4.308; p < 0.001). Conclusions: Chronic wounds are highly prevalent across Asian populations, particularly in resource-limited settings. Socioeconomic context, nutritional deficiencies, and modifiable lifestyle factors contribute substantially to this burden. These findings support the need for standardized wound surveillance, targeted prevention strategies, and improved nutritional and behavioral interventions, especially in developing health systems. Future studies should adopt prospective designs and harmonized definitions to strengthen regional and global wound epidemiology.
Co-Authors AA Sudharmawan, AA Adhi Susanto Adiratna Sekar Siwi Aditia Nur Rahman Aliefyansyah, Almayda Erris Ana Ramdani Sari Andini, Amelia Anggraeni, Rosi Apdola, Zikrina Arahman, Zikra Arian Febrila Dewanti, Neni Arofiati, Fitri Aryati Aryati Asep Yudi Permana Atfat Malic, Rohan Athena, Aegle Atwood, Margaret Auron, Afrodita Bambang Budi Wiyono Burhan, Asmat Dutta Roy, Ananya Effan Fahri Mahendra, Rahmad Eka Sariningsih Fauzi Rahmanullah Feibirini, Fitri Fikar Lanjari, Zul Ghassani, Azka Inatsan Ginting, Bersiap Gitriadi, Heru Hafiz Nurrahman Hamka Hamka, Hamka Herlina, Octa Hidayat, Riski Indrawasih, Indrawasih Indri Heri Susanti, Indri Heri Karto Wijaya Karto Wijaya, Karto Kim Chi, Do Thi Kusnadi Kusnadi, Ilman Kusuma, Yudhistira Lia Puspita, Indah Lilis Widaningsih Lucy Yosita Lumban Toruan, Anggia Augustasia M. Norrström, Elin Maharani, Dhevia Mardiyah, Nikmatul Maria Seraph, Nero Maulana, Aji Mixrova Sebayang, Septian Mora, Haslinda Mustiningsih Mutiar, Mutiar Muzakki, M Hafiz Natasya Edward, Marry Naufala, Kharisma Nitih Indra Komala Dewi Nurhaida Nurhaida Nurhaida, . Nursyahid Siregar Oanh, Lê Thị Kim Paulus Subiyanto Permanasari, Diah Cahyani Prihatiningsih, Dwi Puspitasari, Dela Urbach R. MacLeod, Emily Ritali Evi Mudrikah Royland Marpaung, Ferdy Ruangdet, Kritsada Sahara, Ain Salsabila Sakanti, Aulia Sebayang, Septian Mixrova Sekar Siwi, Adiratna Silva, Vanessa A Breu Da Solikhin, Krisviadi Ahmat Sri Widada, Thomas Susanto, Amin Syafiqah, Nurul Tin Utami Tri Sumarni Trias Megayanti Triyudono, Danang Umi Kalsum Vijay Kumar Widayanti, Nelvira Yonki Alexander Volta Zamron, Muhammad