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The Impact of Self-Management on the Quality of Life of Patient with Diabetes Mellitus: A Systematic Review Sukma Wicaturatmashudi; Pradana Soewondo; Debie Dahlia; Sali Rahadi Asih; Dewi Gayatri; Ratna Aryani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. 1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.I1.2024.120-128

Abstract

Background: Diabetes mellitus is a hereditary and degenerative disease that requires management throughout the patient's life to maintain blood sugar stability and psychosocial factors. Aims: This systematic review aims to determine the effect of self-management on the quality of life of patients with Type 2 DM. Methods: The selection of the studies refers to Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines and JBI's checklist was used to assess the quality of the study. The study selection came from 7 databases Scopus, ScienceDirect, Sage Journals, ProQuest, Emerald Insight, Pubmed dan Taylor & Francis. The number of studies included in the review was 7 articles, 5 articles used an RCT design, and 2 articles were quasi-experimental. Results: The finding showed 2 articles that provide interventions in the form of DSME, 1 article emphasizes self-management interventions based on self-efficacy theory that is oriented towards active family involvement, 1 article specifies interprofessional-based DSM through telemonitoring media, 1 article focuses on community-based self-management interventions, and 1 article specializes in the use of weblogs in conducting self-management. Special 2 articles emphasize nurse leadership in managing interventions during the study. Five articles showed a significant effect of self-management on quality of life and 2 articles had no effect. Conclusion: The findings can be used to optimize self-management intervention in DM patients to improve their quality of life.
Integrative Emotional Resilience Model to Improve Blood Pressure Control of Hypertensive Patients: A Phenomenological Study Sukarmin; Soesanto, Edy; Elly Nurachmah; Sri Yona; Dewi Gayatri; Ratna Aryani
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64481

Abstract

Introduction: Emotional states significantly influence blood pressure among hypertensive patients. This study explores the impact of Islamic spiritual practices and emotional resilience in managing hypertension. Methods: We conducted in-depth interviews with 20 Muslim participants using a qualitative transcendental phenomenological approach. Result: Analysis revealed five primary themes: 1) Suppression of anger through Islamic teachings; 2) Enhanced resilience through religious practices; 3) Improvement in mental relaxation via prayer and dhikr; 4) Physical management to alleviate stress-related symptoms; 5) Socio-cultural activities fostering mental stability. Discussion: The findings suggest that Islamic spiritual practices contribute to emotional resilience by providing coping mechanisms that reduce psychological stress, a known factor in elevated blood pressure. Integrating spiritual, physical, and socio-cultural dimensions creates a holistic approach that supports better hypertension control. This model highlights the importance of culturally and spiritually tailored interventions in chronic disease management. Conclusion: Integrating Islamic spiritual, physical, and socio-cultural approaches enhances hypertension management and patient well-being.
Cardiopulmonary Responses to Ramadan Fasting in Hypertensive Patients: A Multigroup Comparative Study Sukarmin; Edy Soesanto; Yulisetyaningrum; Ratna Aryani
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001331

Abstract

Hypertension remains a major global health challenge, prompting exploration of culturally relevant interventions such as Ramadan fasting. This study evaluated the effects of varying Ramadan fasting intensities on cardiovascular parameters among hypertensive patients. An observational design was applied to 159 participants in a community-based management program in Pati Regency, Indonesia, categorized into non-fasting, partial fasting, and full fasting groups. Systolic blood pressure (SBP) slightly increased in the non-fasting group (164.38 ± 19.12 to 166.04 ± 20.29 mmHg; p = .019), whereas both partial and full fasting groups showed significant SBP reductions (partial: 169.76 ± 16.96 to 163.86 ± 14.30 mmHg; p < .001; full: 171.79 ± 12.78 to 161.07 ± 13.15 mmHg; p < .001). A similar pattern was observed in diastolic blood pressure (DBP), with no significant change in the non-fasting group (p = .182), but significant decreases in the partial (99.28 ± 5.36 to 93.25 ± 6.27 mmHg; p < .001) and full fasting groups (102.86 ± 5.99 to 95.00 ± 6.38 mmHg; p < .001). Only the full fasting group showed a significant reduction in heart rate (97.54 ± 5.81 to 84.25 ± 4.54 bpm; p < .001), while oxygen saturation remained stable across all groups. These findings suggest that full Ramadan fasting provides substantial cardiovascular benefits, supporting its potential as a culturally grounded, non-pharmacological approach hypertension management.