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All Journal International Journal of Nursing and Health Services (IJNHS) Jambura Nursing Journal Journal of Health and Nutrition Research Indonesian Journal Nursing and Health Care Innovative Approaches in Health Science Journal Journal of Evidence-Based Community Health Jurnal Ilmu Keperawatan dan Kebidanan
Sulfikar, Andi
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Dentistry Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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The Effect of Health Education as a Preventive Effort Against Diabetes Mellitus in Adolescents at SMA Negeri 4 Kota Parepare Rosyida, Ishma; Sulfikar, Andi; Nurhikmah; Sri Resky Mustafa
Innovative Approaches in Health Science Journal Vol. 2 No. 1 (2025): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/qk1nyc32

Abstract

Background: Diabetes Mellitus (DM) is a major global health issue with increasing prevalence among adolescents. Health education plays a critical role in raising awareness and knowledge about the risk factors of DM and prevention strategies. This study aimed to evaluate the impact of health education on enhancing knowledge and awareness of diabetes mellitus prevention among adolescents at SMA Negeri 4 Kota Parepare. Method: A quasi-experimental study with a one-group pretest-posttest design was conducted with 29 high school students. The intervention consisted of health education sessions using audiovisual media and leaflets. Pretest and posttest assessments were performed using a structured questionnaire to measure changes in knowledge levels. Data were analyzed using paired sample t-tests. Result: Results showed a significant increase in knowledge, with the pretest mean score being 77.93 and the posttest mean score rising to 91.38 (p < 0.001). The analysis confirmed a significant difference between pretest and posttest scores, demonstrating the effectiveness of health education in improving students' knowledge of DM prevention. Conclusion: Health education using audiovisual and leaflet media significantly improves students' knowledge about DM prevention, and integrating structured health education into the school curriculum is recommended to enhance adolescent health literacy.
Long-Suffering of Diabetes Mellitus and Hospital Readmission among Adult with Type 2 Diabetes Mellitus : A Multicenter Study Restika, Indah; Sulfikar, Andi; Wijayaningsih, Kartika Sari; Tawil, Selviana
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 5 (2023): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i5.753

Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disease with abnormal glucose metabolism, constituting a complex health problem. As a chronic disease, people with diabetes mellitus have a high hospital hospitalization risk. Objective: This study aims to examine the correlation between diabetes mellitus duration and the incidence of hospital readmission in individuals with type 2 diabetes mellitus. Method: This study was a multicenter-based cross-sectional survey. This study was conducted in 5 hospitals in Makassar City, South Sulawesi. The research sample was 291 patients with diabetes mellitus, who were selected using a purposive sampling technique. Result: 207 respondents (71.1%) have had diabetes mellitus for 1-5 years and have been readmitted, while ten respondents (3.4%) have had diabetes mellitus for 6-10 years and have been readmitted. Meanwhile, two respondents (0.7%) who have had diabetes for more than ten years have not been readmitted. The Chi-square test resulted in a score of 0.026 (<0.05). Conclusion: Diabetes mellitus significantly impacts the risk of hospital readmission in Makassar City. Patients who have had diabetes for longer tend to comprehend the disease process and have better self-management. Recommendation: diabetes control should be improved in patients who have had diabetes for a long time to reduce readmissions. Future research should focus on developing approaches to effectively preventing hospital readmission incidents
Determination of Breast Cancer Risk at Dr. Wahidin Sudirohusodo Hospital Sulfikar, Andi; Restika, Indah
Innovative Approaches in Health Science Journal Vol. 1 No. 2 (2024): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/0td3tt85

Abstract

Breast cancer is one of the most common types of cancer among women and represents a significant cause of mortality. This study aims to identify the determinants of breast cancer risk among patients treated at RSUP Dr. Wahidin Sudirohusodo Makassar. The study employed a cross-sectional design with a sample of 81 respondents selected through purposive sampling. Data were collected through interviews and questionnaires and analyzed using chi-square tests and logistic regression to identify the relationships between risk determinants and the occurrence of breast cancer. The findings of this study are expected to provide insights into the risk factors contributing to breast cancer and support the development of more effective prevention strategies.  
Strengthening Diabetes Self-Management Skills in People With Diabetes Mellitus in Kapasa Raya Village Sulfikar, Andi; Rajab, Alfian; Thalib, Abdul; Musyawir, ahmad
Journal of Evidence-Based Community Health Vol. 1 No. 1 (2024): Journal of Evidence-Based Community Health
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/kwnypf33

Abstract

Diabetes Militus (DM) or known as diabetes, is currently a disease that is commonly found This study highlights. The  effectiveness of the counseling intervention "Strengthening Diabetes Self Management in Diabetes Mellitus Patients" in increasing the knowledge of abdimas participants about diabetes management. Before the intervention, the majority of participants had less knowledge about their condition, but after the program was completed, there was a significant improvement where only 40% of participants still had less knowledge, while 60% had acquired good knowledge. The transformation that occurred after the intervention, from expressions of confusion to understanding and confidence, demonstrated the importance of a targeted outreach approach in improving abdimas participants' skills in managing their own diabetes
Hemoglobin Levels in the First and Third Trimesters of Pregnancy: A Comparison between Indigenous Papuan and Non-Indigenous Papuan Women Junaiddin, Junaiddin; Etnis, Baktianita Ratna; Arianto, Muhamad Faizal; Lerebulan, Exaudian Flourens; Andirwana, Andirwana; Sulfikar, Andi; Agung, Angelich Windy R; Mulyati, Mulyati; R, Astuti
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.402

Abstract

Hemoglobin (Hb) is a component of red blood cells that functions to transport oxygen throughout the body. Decreased hemoglobin levels cause anemia. The World Health Organization (WHO) recommends that ideal Hb levels are ≥11 gr/dL. Various factors such as ethnicity, environmental conditions, age, culture, parity, nutritional value, and socioeconomic status can affect the occurrence of anemia during pregnancy. The purpose of this study was to determine the comparison of Hb levels in pregnant women in the first and third trimesters, both in indigenous Papuans (OAP) and non-OAP. This type of research is quantitative analytic with a comparative research design. The population in this study were 290 pregnant women who came and underwent examinations at the Malawili Health Center. The number of pregnant women in this study was 36 people. The sampling technique used was purposive sampling. The results showed no significant difference (p > 0.05) in hemoglobin levels in pregnant women in the first and third trimesters in the OAP and Non-OAP categories. The average hemoglobin level of pregnant women in the first trimester who were anemic and not anemic was 11,076 and in the third trimester it was 10,850. The results of the study showed that the incidence of anemia was more common in pregnant women in the third trimester who did not receive iron and folic acid supplementation (non-OAP) due to lack of knowledge about the preparations needed during pregnancy. It is recommended to increase the role of health workers in providing information to pregnant women in order to reduce the incidence of anemia in pregnant women.
The Impact of Body Composition on Wound Healing in Type 2 Diabetes Patients: A Systematic Review Sulfikar, Andi; Mulyati, Mulyati; Hasni, Hasni; Taher, Rusli; Lukman, Sartika; Muhammadong, Muhammadong; Tobang, Rindani Claurita; Restika BN, Indah
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.434

Abstract

Wound healing in patients with type 2 diabetes mellitus (T2DM) presents a major clinical challenge, particularly due to alterations in body composition such as reduced muscle mass and increased fat mass. This systematic review aimed to synthesize current evidence regarding the impact of body composition on wound healing effectiveness in T2DM patients. Literature was retrieved from PubMed, ProQuest, Wiley Online Library, and Google Scholar, targeting observational and experimental studies published between 2015 and 2025. Keywords included "type 2 diabetes mellitus", "wound healing", "body composition", "sarcopenia", and "obesity". Articles were selected based on predefined inclusion and exclusion criteria. Methodological quality was assessed using the Critical Appraisal Skills Programme (CASP) checklist. A total of seven eligible studies were included and analyzed narratively. The findings from the 4 articles analyzed showed that low muscle mass (sarcopenia) and high fat mass (obesity) were associated with delayed wound healing in T2DM patients. Some studies indicate that patients with better body composition balance, such as higher muscle mass index, experience faster wound healing. Heterogeneity in measurement methods and study populations limits the strength of these conclusions. This review supports the hypothesis that body composition significantly influences wound healing outcomes in T2DM. Muscle mass reduction may impair tissue repair by limiting perfusion and immune responses, while increased fat mass may contribute to chronic inflammation that hinders tissue regeneration. Further longitudinal research with standardized assessments is needed. Interventions that promote muscle mass gain and fat mass control may be essential components in wound management strategies for diabetic patients.
Medical Check-ups and Counseling for Early Disease Detection and Health Knowledge Improvement Sulfikar, Andi; Rajab, M. Alfian; Toba, Rindani Claurita; Taher, Rusli
Journal of Evidence-Based Community Health Vol. 2 No. 2 (2025): Journal of Evidence-Based Community Health
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/0ze98f62

Abstract

Non-communicable diseases (NCDs) such as hypertension, diabetes mellitus, and hyperuricemia are among the major public health challenges in Indonesia. Health promotion and disease prevention efforts through medical check-ups and education are important strategies to increase public awareness and enable early detection of NCD risk factors. This community service program was conducted in Adatongeng Village, Turikale District, Maros Regency, involving 12 residents. The intervention consisted of three stages: anamnesis, vital signs examination including blood pressure, and blood sugar and uric acid level tests. Counseling was then provided on healthy lifestyle practices, including a balanced diet, regular physical activity, and the importance of routine medical check-ups. The results showed active community participation in both the examinations and educational sessions, as well as increased awareness of the importance of early detection and prevention of NCDs. This activity suggests that integrating medical check-ups and education is an effective strategy in health promotion and disease prevention efforts to improve community quality of life.
Challenges and Opportunities for Physical Activity Interventions in Type 2 Diabetes Mellitus sufferers in Indigenous Areas throughout the world: A Scoping Review Sulfikar, Andi
Jambura Nursing Journal Vol 6, No 1: January 2024
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v6i1.23406

Abstract

Introduction: Physical activity interventions play a crucial role in managing Type 2 Diabetes Mellitus (T2DM) in Indigenous populations. However, there are significant challenges in implementing these interventions in Indigenous areas, including limited access to facilities, cultural barriers, and environmental factors. Objective: This scoping review aimed to identify and summarize the challenges and opportunities for physical activity interventions in Indigenous areas for individuals with T2DM. Method: This scoping review utilized a comprehensive search strategy to identify relevant literature from various electronic databases. The literature search was focused on studies that explored physical activity interventions in Indigenous populations with Type 2 Diabetes Mellitus. Result: The search strategy resulted in the identification of several studies that highlighted the challenges and opportunities for physical activity interventions in Indigenous areas for individuals with Type 2 Diabetes Mellitus. Numerous challenges were identified, including limited access to recreational facilities, cultural barriers, and environmental factors. Limited access to recreational facilities was one of the key challenges identified in the literature. Conclusion: The challenges faced in implementing physical activity interventions in Indigenous areas for individuals with T2DM are significant, particularly limited access to recreational facilities, cultural barriers, and environmental factors. However, there are also opportunities for addressing these challenges and improving physical activity interventions in Indigenous areas for individuals with T2DM. One opportunity is the incorporation of cultural aspects into physical activity interventions, such as traditional Indigenous physical activities. Keywords: challenges, Indigenous areas, opportunities, physical activity interventions, Type 2 Diabetes Mellitus.
Determinants Of Adequate Antenatal Care (Anc K6) In Indonesia Hestiani K, Dewi; Tenriola, Andi; Sulfikar, Andi; Fardi, Fardi
Indonesian Journal of Nursing and Health Care Vol. 3 No. 1: February (2026)
Publisher : Ammar Dharma Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64914/9jz40k21

Abstract

Background: Adequate antenatal care (ANC) is essential for reducing maternal and neonatal morbidity and mortality. Despite high initial ANC contact coverage in Indonesia, fulfillment of the six-visit standard (ANC K6) remains limited and socially patterned.Objective: This study aimed to describe sociodemographic and socioeconomic determinants associated with adequate antenatal care (ANC K6) in Indonesia using national survey data.Methods: A cross-sectional descriptive analysis was conducted using aggregated data from the 2023 Indonesian Health Survey, including 70,916 women aged 10–54 years who had given birth. The outcome variable was fulfillment of ANC K6. Independent variables included maternal age, education, marital status, parity, place of residence, and household wealth quintile. The analysis examined distributional patterns of ANC K6 across determinant categories without inferential modeling.Results: Nationally, only 17.6% of mothers fulfilled the ANC K6 standard. Among mothers who achieved ANC K6, the majority were aged 20–34 years (76.5%), had secondary or higher education (79.3%), resided in urban areas (57.6%), and belonged to higher wealth quintiles (49.7%). These findings indicate a pronounced social gradient in continuity of antenatal care utilization.Conclusion: Adequate antenatal care in Indonesia remains low and unequally distributed. Structural factors including education, residence, and household wealth - appear to shape continuity of care. Policies should prioritize reducing barriers to repeated visits among socioeconomically disadvantaged populations.
EFEKTIFITAS DIGITAL STORYTELLING DALAM MENINGKATKAN SELF EFFICACY PASIEN DENGAN PENYAKIT KRONIS : SISTEMATIK REVIEW Sulfikar, Andi; Restika, Indah; Rajab, M. Alfian
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 2 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i2.2449

Abstract

Bercerita secara digital telah diakui sebagai metode inovatif untuk meningkatkan efikasi diri dan keterampilan manajemen diri pada pasien dengan penyakit kronis. Metode ini menggunakan narasi digital untuk membantu pasien lebih memahami dan mengelola kondisi kesehatannya. Tinjauan sistematis ini bertujuan untuk mengevaluasi efektivitas penceritaan digital dalam meningkatkan efikasi diri pada pasien dengan kondisi kronis, dengan fokus pada desain penelitian, jenis intervensi, durasi intervensi, ukuran sampel, dan temuan utama dari penelitian yang relevan. Tinjauan ini mengumpulkan dan menganalisis hasil dari berbagai penelitian yang menggunakan digital storytelling sebagai intervensi untuk meningkatkan efikasi diri. Studi diidentifikasi melalui penelusuran database literatur ilmiah, dan hanya studi yang memenuhi kriteria inklusi yang dimasukkan. Data yang dikumpulkan meliputi negara penelitian, desain penelitian, jenis intervensi, durasi intervensi, ukuran sampel, dan temuan utama. Tujuh penelitian yang relevan diidentifikasi dan dianalisis. Jenis intervensi yang digunakan antara lain video storytelling, slideshow dengan narasi foto, diskusi kelompok yang difasilitasi, serta intervensi berbasis internet dan seluler (IMI). Durasi intervensi berkisar dari satu sesi 10-15 menit hingga 8 sesi, masing-masing berlangsung selama 1 jam. Ukuran sampel bervariasi dari 10 hingga 1000 pasien. Temuan utama menunjukkan bahwa semua bentuk cerita digital secara signifikan meningkatkan efikasi diri pada pasien dengan kondisi kronis. Hasil sintesis menunjukkan bahwa video storytelling dan intervensi berbasis internet memiliki tingkat bukti yang kuat (2b) dengan rekomendasi kelas B, sedangkan digital storytelling menggunakan iPad memiliki tingkat bukti yang lebih rendah (4) dengan rekomendasi kelas C. Digital storytelling efektif meningkatkan efikasi diri pada pasien penyakit kronis. Meskipun terdapat variasi dalam desain penelitian, jenis intervensi, durasi, dan ukuran sampel, temuan utama secara konsisten menunjukkan efek positif dari intervensi ini. Keterbatasan seperti ukuran sampel yang kecil dan durasi penelitian yang singkat harus dipertimbangkan dalam penelitian masa depan untuk mengkonfirmasi temuan ini dan mengoptimalkan penerapan cerita digital dalam konteks klinis.
Co-Authors Agung, Angelich Windy R Andirwana Astuti R Etnis, Baktianita Ratna Fardi, Fardi Hasni Hasni Hestiani K, Dewi Junaiddin, Junaiddin Kartika Sari Wijayaningsih Lerebulan, Exaudian Flourens Lukman, Sartika Muhammadong Mulyati Mulyati Musyawir, ahmad Nurhikmah Rajab, Alfian Rajab, M. Alfian Restika, Indah Rosyida, Ishma Sri Resky Mustafa Taher, Rusli Tawil, Selviana Tenriola Andi Thalib, Abdul Toba, Rindani Claurita Tobang, Rindani Claurita