Agus Haryanto
Universitas Bina Sehat PPNI Mojokerto

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Representative of Self Care Management of DMT2 Sufferers in the Working Area of Primary Health Facilities in Mojokerto City Eka Nur Soemah; Della Puspita Anggraini; Agus Haryanto
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 1 (2026): VOLUME 10 ISSUE 1 APRIL 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss1/815

Abstract

Type 2 Diabetes Mellitus (DMT2) requires  effective self-care management to prevent complications. The health center in Mojokerto City plays a crucial role as the front line in education and support for DMT2 sufferers. This study aims to identify the level of self-care management in DMT2 patients in the work area of the First Level Health Facility (FKTP) of Mojokerto City. This descriptive study involved 372 respondents selected using the Slovin formula (5% error tolerance) from a population of 5,328 DMT2 sufferers. The instrument used is the Diabetes Self-Management Questionnaire (DSMQ). The distribution of  the level of self-care management shows an almost even distribution: the Low category is 33.87% (126 people), the High category is 33.33% (124 people), and the Medium category is 32.80% (122 people). The high proportion of the low category (33.87%) indicates that good access to information has not been fully able to improve patient compliance and independent practices. This shows that there are practical obstacles or motivations in the application of medical information. Self-efficacy is a key factor; the higher the patient's self-confidence, the better  the self-care management practices are performed. A more applicable educational strategy and strengthening psychological support are needed to increase the independence of DMT2 sufferers in Mojokerto City.
THE IMPACT OF SELF-CARE MANAGEMENT ON INTERDIALYTIC WEIGHT GAIN AMONG CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS Mufarika; Eka So'emah; Agus Haryanto; Mulia Mayang Sari
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/825

Abstract

Patients with Chronic Kidney Disease (CKD) undergoing hemodialysis therapy frequently experience complications. A prevalent issue among these patients is Interdialytic Weight Gain (IDWG). Preliminary studies indicate a high incidence of IDWG among CKD patients undergoing hemodialysis at RSUD Syamrabu Bangkalan. This study aims to analyze the relationship between self-care management and Interdialytic Weight Gain in CKD patients undergoing hemodialysis. This study employed an analytical correlation design with a cross-sectional approach. The independent variable was self-care management, while the dependent variable was IDWG. The study population consisted of 106 CKD patients undergoing hemodialysis at RSUD Syamrabu Bangkalan, with a sample size of 83 respondents selected through purposive sampling. Data were collected using a self-care management questionnaire and IDWG observation sheets. Statistical analysis was performed using the Spearman Rank correlation test with a significance level of α= 0.05. The Spearman Rank test results for self-care management and IDWG yielded a r-value of 0.001 (α< 0.05) and a correlation coefficient (r) of (-0.369). There is a significant relationship between self-care management and Interdialytic Weight Gain. The correlation value indicates a weak (low) relationship between the two variables. Higher proficiency in self-care management enhances an individual's knowledge level and facilitates better control over weight gain or IDWG. Future researchers are encouraged to investigate other variables not yet explored, such as quality of life, knowledge levels, and family support, to further enrich data regarding interdialytic weight gain