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All Journal Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Indonesian Journal of Global Health research Caring : Indonesian Journal of Nursing Science MAHESA : Malahayati Health Student Journal Holistik Jurnal Kesehatan
Evi Karota Bukit
Faculty Of Nursing, Universitas Sumatera Utara
Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Family Experience in Supporting Diabetes Self-Management Practice: A Qualitative Study Mula Tarigan; Sairomaito Harahap; Siti Zahara Nasution; Evi Karota Bukit; Dharma Lindarto; Dewi Frintiana Silaban
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.23251

Abstract

Family participation plays a vital role in the success of diabetes self-management (DSM). In Indonesia, family-centered care is culturally embedded, yet limited research has explored how families experience and interpret their roles in supporting self-management among patients with type 2 diabetes mellitus (T2DM). This study aimed to explore family experiences in supporting diabetes self-management practices among patients with T2DM in Medan, Indonesia. A descriptive phenomenological approach was employed. Twelve family members who cared for T2DM patients at Chairuddin Panusunan Lubis Hospital were recruited using purposive sampling. Data were collected through in-depth interviews and field notes from February to May 2025. Colaizzi’s seven-step analysis method guided data analysis to extract significant statements and formulate themes. Credibility was ensured through member checking, dependability via team discussion, and confirmability through audit trails. Five interrelated themes emerged: (1) controlling diet, (2) arranging physical training (3) administering medications, (4) emotional support, and (5) utilization of health care facilities. These themes reflected how families act as emotional motivators, behavioral supervisors, and coordinators of care to strengthen patients’ adherence and self-efficacy. Family involvement was not limited to instrumental assistance but extended to emotional reinforcement and facilitation of healthcare access. Family engagement forms the backbone of effective DSM, integrating physical, emotional, and social support. Strengthening family-based interventions is essential to enhance adherence, glycemic control, and quality of life among patients with T2DM. Keyword: Family Experience, Diabetes Self-Management, Family Support, Qualitative Study, Indonesia
Efektivitas Ekstrak Bunga Telang (Clitoria Ternatea L.) untuk Menurunkan Kadar Gula Darah: Literature Review Deskrisman Stefan Mendrofa; Angenia Itoniat Zega; Evi Karota
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 9, No 1 (2024)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v9i1.586

Abstract

Hiperglikemia merupakan kondisi peningkatan glukosa darah melebihi batas normal dan menjadi masalah penyakit diabetes yang memerlukan penatalaksanaan yang cepat dan tepat. Bunga telang menjadi salah satu terapi alternatif untuk menurunkan glukosa darah penderita diabetes. Tujuan penelitian: Penelitian ini bertujuan untuk mencari data tentang efektivitas ekstrak bunga telang (Clitoria ternatea L.) yang merupakan antidiabetes untuk menurunkan KGD penderita diabetes sebagai terapi pendamping berbahan herbal Metode: Penelusuran literatur review dengan pencarian artikel ilmiah menggunakan tiga database elektronik, yaitu Google Scholar, Science Direct, dan Proquest. Artikel yang terseleksi sebagai sumber literatur berdasarkan beberapa kriteria inklusi, publikasi artikel lima tahun terakhir (Januari 2019–Maret 2024), dan membahas efektivitas bunga telang sebagai antidiabetes yang dipublikasikan pada jurnal terakreditasi nasional dan jurnal bereputasi internasional. Analisis data dilakukan dengan ekstraksi research evidence efikasi klinis efektivitas bunga telang terhadap penurunan kadar glukosa darah. Hasil: Delapan artikel menunjukkan hasil uji ekstrak bunga telang berpengaruh terhadap penurunan kadar glukosa darah melalui peningkatkan produksi dan sekresi insulin sehingga dapat menurunkan glukosa darah. Hasil uji juga meningkatkan serum CAT, SOD, dan bermanfaat sebagai antioksidan, antiinflamasi, serta menurunkan sel nekrotik. Diskusi: Bunga telang dapat digunakan sebagai terapi alternatif antidiabetes yang memiliki potensi produksi dan sekresi insulin untuk menurunkan KGD penderita diabetes serta mencegah meluasnya kerusakan fungsi pankreas. Namun demikian, studi ini masih terbatas pada percobaan hewan. Kesimpulan: Ekstrak bunga telang efektif sebagai antidiabetes untuk menurunkan kadar glukosa darah penderita diabetes. Diperlukan penelitian lanjutan untuk mengevaluasi efek terapi ekstrak bunga telang terhadap penderita diabetes di masyarakat.Kata Kunci: antidiabetes, ekstrak bunga telang, kadar glukosa darah EFFECTIVENESS OF BUTTERFLY PEA FLOWER EXTRACT (CLITORIA TERNATEA L.) IN LOWERING BLOOD GLUCOSE LEVELS: A LITERATURE REVIEW ABSTRACT Hyperglycemia, characterized by elevated blood glucose levels beyond normal limits, is a condition requiring rapid and appropriate management, especially for diabetes patients. Butterfly pea flower has emerged as an alternative therapy to help lower blood glucose in diabetes patients. Objective: To review data on the effectiveness of butterfly pea flower extract (Clitoria Ternatea L.), an herbal antidiabetic agent, in lowering blood glucose levels (BGL) among diabetes patients as a complementary therapy. Methods: A literature review was conducted by searching scientific articles across three electronic databases: Google Scholar, Science Direct, and Proquest. Articles selected as literature sources met the inclusion criteria, which included publication within the past five years (January 2019–March 2024) and discussions on the effectiveness of butterfly pea flower as an antidiabetic, published in nationally accredited and internationally reputable journals. Data analysis involved extracting research evidence on the clinical efficacy of butterfly pea flower in reducing blood glucose levels. Results: Eight studies indicated that butterfly pea flower extract significantly reduced blood glucose levels by enhancing insulin production and secretion, leading to decreased blood glucose levels. The trials also showed an increase in serum CAT and SOD levels, with antioxidant, anti-inflammatory benefits, and reduced necrotic cells. Discussion: Butterfly pea flower can serve as an alternative antidiabetic therapy, with potential to stimulate insulin production and secretion to lower BGL in diabetes patients and to prevent extensive pancreatic damage; however, current studies are limited to animal trials. Conclusion: Butterfly pea flower extract is effective as an antidiabetic agent in lowering blood glucose levels in diabetes patients. Further research is needed to evaluate the therapeutic effects of butterfly pea flower extract in the diabetic population.Keywords: antidiabetic, butterfly pea flower extract, blood glucose levels
Nurses' Role in the Discharge Planning Implementation on Family Readiness Caring for Patients at Home Jesy Natalia Ginting; Siti Saidah Nasution; Evi Karota Bukit
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4048

Abstract

One of the important components in the management of patient care in hospitals is the role of nurses in implementing discharge planning, which is a structured process of preparing patients to return to their environment after they get treatment in the hospital. Nurses have a significant role in helping families prepare to care for patients after discharge from psychiatric hospitals. Through evaluation of the patient's condition, coordination with multidisciplinary care teams, patient and family education, and preparation of a detailed discharge plan, nurses can positively influence Family Readiness. Objective: to evaluate the relationship between the role of nurses in implementing discharge planning and family readiness to care for patients at home. Method: The sample used was a purposive sample of 78 implementing nurses working in the inpatient room and the design of this study was cross-sectional. Data was collected through questionnaires as well as statistical correlation Chi-Square was used to analyze it. The validity test for the nurse role questionnaire was 0.629 to 0.777, while the family readiness questionnaire was 0.456 to 0.765. The Cronbach's alpha value for the nurse's role variable was 0.962 and family readiness was 0.967 so the questionnaire was declared reliable. Results: The results showed a relationship between the role of nurses in implementing discharge planning and family readiness to care for patients at home (0.020 < 0.05). Conclusions: Thus, the role of nurses in the discharge planning process plays an important role in improving family readiness in caring for patients at home.
Efektifitas Enpowerment Education terhadap pengetahuan Melakukan Vaksinasi HPV pada Remaja Putri Fatwa Imelda; Evi Karota; Mula Tarigan
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15780

Abstract

ABSTRACT Cervical cancer is one of the leading causes of death in developing countries such as Indonesia. One of the government prevention programs is HPV vaccination. HPV vaccination in adolescents has not been widely practiced by adolescents in Indonesia. Many factors influence the acceptance of HPV vaccination in adolescents. Efforts to increase HPV vaccination behavior in schools through Empowerment Education, can be an alternative intervention that can be done. Objective of the study: To analyze the effectiveness of Enpowerment Education on knowledge of HPV vaccination among adolescent girls. Research method: The research design was Quasi Experimental Design using Pre Post Design With A Comparison Group conducted from December 2023 to June 2024. Quantitative instruments using the knowledge questionnaire to do HPV vaccination have gone through validity and reliability tests with an Alpha Cronbach value 0.6 Quantitative data analysis with the Wilcoxon Signed Test (paired) and the Mann Whitney Test (unpaired). Results: There is a difference in knowledge (P=0.000) to vaccinate Pre test and Post test in the Intervention group. There is a difference in knowledge (p=0.000) to do HPV vaccination (p=0.675) in the Post Test Group of Control and Intervention Groups Conclusion: Enpowerment Education has an effect on increasing knowledge of HPV vaccination. Enpowerment education can be used to improve the knowledge female students that can be used in schools. Keywords: Enpowerment Education, Knowledge, HPV  ABSTRAK Latar belakang: Kanker serviks menjadi salah satu penyebab kematian terbanyak di negara berkembang seperti Indonesia. Salah satu pencegahan program pemerintah adalah vaksinasi HPV. Vaksinasi HPV pada remaja belum banyak dilakukan oleh remaja di Indonesia. Banyak faktor yang mempengaruhi penerimaan untuk vaksinasi HPV pada remaja. Upaya peningkatan perilaku vaksinasi HPV di Sekolah melalui Empowerment Education, dapat menjadi suatu alternatif intervensi yang dapat dilakukan. Tujuan penelitian: Menganalisis Efektifitas Enpowerment Education terhadap pengetahuan melakukan vaksinasi HPV pada remaja putri. Metode penelitian: Desain penelitian adalah Quasi Experimental Design menggunakan Pre Post Design With A Comparison Group yang dilakukan dari Desember 2023 hingga Juni 2024 Instrumen kuantitatif menggunakan kuesioner pengetahuan melakukan vaksinasi HPV telah melalui uji validitas dan reliabilitas dengan nilai Alpha Cronbach 0.6 Analisis data dengan kuantitatif dengan uji Wilcoxon Signed Test  (berpasangan) dan uji Mann Whitney Test (tidak berpasangan). Hasil : Terdapat perbedaan pengetahuan ( P=0.000) melakukan vaksinasi  Pre test dan Post test pada kelompok Intervensi. Terdapat perbedaan pengetahuan (p=0.000 melakukan vaksinasi HPV pada kelompok Post Test Kelompok Kontrol dan Intervensi Kesimpulan : Enpowerment Education berpengaruh terhadap  pengetahuan melakukan vaksinasi HPV. Enpowerment education dapat digunakan untuk meningkatkan pengetahuan remaja putri di lingkungan sekolah. Kata Kunci: Enpowerment, Education, Pengetahuan, Vaksinasi, HPV
Pengaruh intervensi psikoedukasi terhadap perilaku pencegahan stunting pada ibu baduta Diana Br Sitepu; Evi Karota; Riswani Tanjung; Evawany Yunita Aritonang; Siti Zahara Nasution
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3196

Abstract

Background:  Stunting remains a major public health problem, particularly in developing countries, including Indonesia. This condition affects not only physical growth but also cognitive development and future productivity. Maternal behavior plays a crucial role in stunting prevention efforts, particularly during the first 1,000 days of life. Psychoeducation is one approach that can be used to improve stunting prevention behaviors through an interactive and participatory learning process. Purpose: To analyze the effect of psychoeducational interventions on stunting prevention behaviors in mothers of young children. Method: This study used a quasi-experimental design with a pretest-posttest control group approach. The study was conducted in the PB Selayang II Community Health Center in Medan. A total of 76 respondents were divided into two groups: 38 participants in the intervention group and 38 participants in the control group. Behavioral data were collected using a structured questionnaire and analyzed as a composite score. Because the data were not normally distributed, non-parametric tests, namely the Wilcoxon and Mann-Whitney tests, were used. Results: The median score for stunting prevention behavior in the intervention group increased from 86.39 in the pretest to 98.33 in the posttest. In contrast, the control group showed no significant change, from 85.97 to 85.28. The Wilcoxon test showed a significant difference in the intervention group (p < 0.001), while there was no significant difference in the control group (p = 0.421). Furthermore, the Mann–Whitney test showed a significant difference between the two groups (p < 0.001). Conclusion: The psychoeducational intervention significantly improved stunting prevention behavior in mothers of young children. This intervention has the potential to be a promotive and preventive strategy in primary health care.   Keywords: Children Under Two Years Old; Maternal Behavior; Primary Health Care; Psychoeducation; Stunting Prevention.
Co-Authors Angenia Itoniat Zega Deskrisman Stefan Mendrofa Dewi Frintiana Silaban Dharma Lindarto Diana Br Sitepu Evawany Yunita Aritonang Fatwa Imelda Jesy Natalia Ginting Mula Tarigan Nasution, Siti Saidah Riswani Tanjung Sairomaito Harahap ⁠Siti Zahara Nasution