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All Journal Nursing Current : Jurnal Keperawatan Jurnal Kesmas Asclepius MAHESA : Malahayati Health Student Journal Journal of Public Health Concerns Jurnal Manajemen Kesehatan dan Keperawatan Jurnal Bakti Dirgantara Jurnal AFIAT Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Harwina Widya Astuti
Universitas Dirgantara Marsekal Suryadarma
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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Penerapan Passive Stretching Exercise Pada Pasien Diabetes Melitus Tipe 2 Terhadap Penurunan Kadar Glukosa Darah Harwina Widya Astuti; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari; Uswatun Hasanah
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23507

Abstract

ABSTRACT Type 2 Diabetes Mellitus is a chronic disease caused by unstable blood sugar levels that exceed normal limits, or hyperglycemia, and disorders of carbohydrate, protein, and fat metabolism. Hyperglycemia can cause complications in form of macrovascular and microvascular blood vessel disorders. Efforts to controls blood sugar include physical activity, such as passive stretching exercise, which are beneficial for increasing cellular glucose uptake, thereby reduce blood glucose levels. This study aims to provide an overview of the impact of implementing passive stretching exercise in type 2 diabetes mellitus patients for reduce blood glucose levels through Evidence-Based Nursing Practice (EBNP). This study used a systematic approach by reviewing various articles and literature, namely PubMed and Google Scholar. The selected articles focused on passive stretching exercise interventions in patients type 2 diabetes mellitus to reduce blood glucose levels. The review identified one article in the form of systematic review with meta-analysis, which examined 13 studies. The results of the analysis showed that passive stretching exercises were effective in reduce blood glucose levels. The implementation of passive stretching exercise has been shown to reduce blood glucose level in patients with type 2 DM. Keywords: Blood Glucose Levels, Diabetes Mellitus Type 2, Hyperglycemia, Passive Stretching Exercise.  ABSTRAK Diabetes Melitus tipe 2 merupakan penyakit menahun yang disebabkan oleh ketidakstabilan kadar gula darah yang melebihi batas normal atau hiperglikemia dan gangguan metabolisme karbohidrat, protein, dan lemak. Hiperglikemia dapat menimbulkan komplikasi berupa gangguan pembuluh daik makrovaskuler atau mikrovaskuler. Upaya kontrol gula darah yaitu dengan melakukan aktivitas fisik, salah satunya adalah latihan passive stretching exercise. Latihan ini bermanfaat untuk meningkatkan serapan glukosa seluler sehingga menurunkan kadar glukosa darah. Penelitian ini bertujuan untuk memberikan gambaran tentang dampak pada penerapan latihan passive stretching exercise pada pasien DM tipe 2 dalam menurunkan kadar gula darah melalui praktik keperawatan berbasis bukti. Studi ini menggunakan pendekatan sistematis dengan meninjau berbagai artikel dan literatur, yaitu PubMed dan google scholar. Artikel-artikel yang dipilih berfokus pada intervensi latihan passive stretching exercise pada pasien DM tipe 2 untuk menurunkan kadar glukosa darah berbasis bukti dalam keperawatan. Tinjauan ini mengindetifikasi satu artikel dalam bentuk tinjauan sistematis dengan meta-analisis, yang meneliti 13 penelitian. Hasil analisis menunjukkan bahwa latihan passive stretching exercise efektif menurunkan kadar glukosa darah.  Penerapan passive stretching exercisemenunjukkan hasil dapat menurunkan kadar glukosa darah pada pasien DM tipe 2.  Kata Kunci: Diabetes Melitus Tipe 2, Hiperglikemia, Kadar Glukosa Darah, Latihan Peregangan Pasif.
Effect of spiritual emotional freedom technique on blood glucose in type 2 diabetes patients: A Quasi-experimental study Harwina Widya Astuti; Sri Hunun Widiastuti; Nawang Pujiastuti; Imas Mulyani
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.334

Abstract

Introduction: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by impaired insulin function leading to hyperglycemia. Psychological stress and anxiety may exacerbate glycemic dysregulation. Complementary therapies such as the Spiritual Emotional Freedom Technique (SEFT) have been proposed to address both psychological and physiological aspects of DM. This study aimed to determine the effect of SEFT on blood glucose levels among patients with type 2 diabetes mellitus. Research Methodology: This study employed a quasi-experimental design with a pretest–posttest control-group design. A total of 30 participants were recruited using purposive sampling and allocated into an intervention group (n=15) and a control group (n=15). The intervention group received SEFT therapy, while the control group received standard care. Blood glucose levels were measured before and after the intervention. Data were analyzed using a paired t-test for within-group comparisons and an independent t-test for between-group differences, with a 95% confidence interval (CI). Results: In the intervention group, there was a significant reduction in blood glucose levels after SEFT therapy (mean difference = 8.01; 95% CI: 2.22–13.22; p=0.016). In contrast, the control group showed no significant change (mean difference = −2.55; 95% CI: −5.69–0.51; p = 0.071). Between-group analysis revealed a statistically significant difference in post-intervention blood glucose levels (mean difference = 17.61 vs 10.62; p = 0.03), indicating the effectiveness of SEFT. Conclusion: SEFT therapy significantly reduces blood glucose levels in patients with type 2 diabetes mellitus. This intervention may serve as a complementary non-pharmacological strategy to improve glycemic control by addressing psychological stress. Integration of SEFT into diabetes management programs is recommended
Implementasi Kompres Hangat dengan Warm Water Zack (WWZ) terhadap Penurunan Skala Nyeri pada Pasien Dyspepsia di Ruang Merpati RSAU Dr. Esnawan Antariksa Depi Apriyani; Sinta Fresia; Harwina Widya Astuti
Jurnal Manajemen Kesehatan dan Keperawatan Vol. 3 No. 1 (2026): Jurnal Manajemen Kesehatan dan Keperawatan
Publisher : Universitas Dirgantara Marsekal Suryadarma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35968/wvx6hx13

Abstract

Dispepsia merupakan gangguan pencernaan yang ditandai dengan nyeri atau ketidaknyamanan pada perut bagian atas, kembung, mual, muntah, dan rasa cepat kenyang. Salah satu intervensi nonfarmakologis yang dapat digunakan untuk membantu menurunkan nyeri pada pasien dispepsia adalah kompres hangat menggunakan Warm Water Zack (WWZ). Penelitian ini bertujuan untuk mendeskripsikan perubahan skala nyeri sebelum dan sesudah pemberian kompres hangat dengan WWZ pada pasien dispepsia di Ruang Merpati RSAU dr. Esnawan Antariksa. Penelitian ini menggunakan desain studi kasus deskriptif pada dua subjek dengan keluhan nyeri akibat dispepsia. Instrumen yang digunakan adalah lembar observasi skala nyeri. Intervensi kompres hangat dengan WWZ diberikan selama 3 hari berturut-turut, kemudian dilakukan pengamatan skala nyeri sebelum dan sesudah tindakan. Hasil menunjukkan bahwa pada subjek A skala nyeri menurun dari 6 menjadi 0, sedangkan pada subjek B menurun dari 5 menjadi 0 setelah tiga hari intervensi. Temuan ini menunjukkan bahwa pemberian kompres hangat dengan WWZ pada kedua subjek disertai penurunan skala nyeri dan dapat dipertimbangkan sebagai intervensi nonfarmakologis untuk membantu meningkatkan kenyamanan pasien dispepsia.   Dyspepsia is a digestive disorder characterized by pain or discomfort in the upper abdomen, bloating, nausea, vomiting, and early satiety. One of the non-pharmacological interventions that can be used to help reduce pain in patients with dyspepsia is a warm compress using Warm Water Zack (WWZ). This study aimed to describe changes in pain scale before and after the application of warm compress therapy using WWZ in dyspepsia patients in the Merpati Ward of RSAU dr. Esnawan Antariksa. This study employed a descriptive case study design involving two subjects experiencing pain associated with dyspepsia. The instrument used was a pain scale observation sheet. The warm compress intervention using WWZ was administered for three consecutive days, and pain scale observations were conducted before and after each intervention. The results showed that the pain scale in Subject A decreased from 6 to 0, while in Subject B it decreased from 5 to 0 after three days of intervention. These findings indicate that the application of warm compresses using WWZ in both subjects was accompanied by a reduction in pain scale and may be considered a non-pharmacological intervention to help improve comfort in patients with dyspepsia.
The Effectiveness of Support Group Therapy on Depression and Anxiety Levels Among the Elderly in The Halim Subdistrict of East Jakarta Sri Hunun Widiastuti; Harwina Widya Astuti; Khaerul Amri; Santa Maria Pangaribuan; Luluk Eka Meylawati; Nawang Pujiastuti; Fitri Anggraeni
Nursing Current: Jurnal Keperawatan Vol. 13 No. 2 (2025): December
Publisher : Faculty of Nursing, Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i2.10456

Abstract

Aging is often accompanied by physiological, psychological, and social changes that increase the risk of mental health problems, particularly depression and anxiety. Effective psychosocial interventions are needed to help older adults manage these challenges and improve their well-being. This study aimed to determine the effect of Support Group Therapy on reducing depression and anxiety levels among older adults in Halim Village, East Jakarta. This study employed a quantitative quasi-experimental design with a pre-test–post-test approach. The sample consisted of 34 older adults selected using purposive sampling based on predetermined inclusion criteria. The intervention was delivered through 10 structured sessions, each focusing on specific topics related to emotional well-being and peer support. Data normality was tested using the Kolmogorov–Smirnov test, while statistical analysis was conducted using paired t-tests and independent sample t-tests. The results showed a significant difference (p < 0.001) in depression and anxiety levels before and after the intervention, indicating that Support Group Therapy is effective in reducing depression and anxiety among the elderly. These findings contribute to nursing practice, particularly in mental health nursing, by supporting Support Group Therapy as an effective psychosocial intervention to improve the mental health of older adults. This intervention may be implemented sustainably in community settings and health care facilities that provide services for the elderly.
Studi Kasus Penerapan aromaterapi daun mint terhadap penurunan sesak nafas pada pasien asma bronkial di RSAU Dr. Esnawan Antariksa Natasya safitri; Sinta fresia; Harwina Widya Astuti
Jurnal Manajemen Kesehatan dan Keperawatan Vol. 3 No. 2 (2026): Jurnal Manajemen Kesehatan dan Keperawatan (Impress)
Publisher : Universitas Dirgantara Marsekal Suryadarma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35968/km6pq903

Abstract

Bronchial asthma is a chronic inflammatory disease of the airways that often causes dyspnea. Mint leaf aromatherapy, which contains menthol, is known to help relieve respiratory discomfort. This case study aimed to describe the implementation of mint leaf aromatherapy in reducing dyspnea among patients with bronchial asthma at RSAU dr. Esnawan Antariksa. The method used was a descriptive case study involving two patients with bronchial asthma who experienced dyspnea. The intervention consisted of inhalation of mint leaf aromatherapy using 5 drops of essential oil mixed with 200 ml of warm water through a diffuser for 15 minutes, three times a day for three days. Measurements were conducted using the Borg Dyspnea Scale, observation sheets, and a pulse oximeter. The results showed a reduction in dyspnea levels in both patients, with Borg Dyspnea Scale scores decreasing from 5 to 0 in Subject 1 and from 4 to 0 in Subject 2. Mint leaf aromatherapy has the potential to be used as a complementary therapy to help reduce dyspnea in patients with bronchial asthma.
Implementasi Terapi Relaksasi Autogenik Terhadap Penurunan  Skala Nyeri Kepala Pada Pasien Hipertensi di RSAU dr. Esnawan Antriksa Annisa Xenoglosi Widyadhana Jayari; Sinta fresia; Harwina Widya Astuti
Jurnal Manajemen Kesehatan dan Keperawatan Vol. 3 No. 2 (2026): Jurnal Manajemen Kesehatan dan Keperawatan (Impress)
Publisher : Universitas Dirgantara Marsekal Suryadarma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35968/q1jmrf63

Abstract

Hypertension is an elevation in blood pressure that may lead to complications, including headache, which can impair comfort and daily activities. Autogenic relaxation is a non-pharmacological intervention that may help control pain by promoting the body’s relaxation response. This case study aimed to describe changes in headache intensity following autogenic relaxation therapy in patients with hypertension at dr. Esnawan Antariksa Air Force Hospital, Jakarta. A descriptive case study design with a nursing care approach was applied to two hypertensive patients experiencing moderate headache. The intervention was administered for 10–15 minutes once daily for three consecutive days. Pain intensity was assessed before and after the intervention using the Numeric Rating Scale (NRS), while data were collected through assessment, observation, pain measurement, and documentation. The results showed that the pain score of Subject A decreased from 6 to 3, whereas Subject B decreased from 5 to 1. Pain reduction was accompanied by greater relaxation, reduced muscle tension, and improvement in headache complaints. Autogenic relaxation therapy demonstrated potential as a complementary nursing intervention for hypertensive patients with headache. However, these findings were limited to two subjects and cannot be generalized as evidence of effectiveness in a broader population.
Co-Authors *, Gita Cahya Ramadhani Annisa Xenoglosi Widyadhana Jayari Deannova, Farrel Chandra Depi Apriyani Dwi Ambarwati Fitri Anggraeni Imas Mulyani Kasih Maharani, Valencia Khaerul Amri Lukman Al Hakim Luluk Eka Meylawati Mayang Dwi Riksa Natasya safitri Nawang Pujiastuti Novita, Sherliana Nur Afni Wulandari Arifin Pangaribuan, Santa Maria Raka, Raka pradana Rayasari, Fitrian Sinta Fresia Sri Hunun Widiastuti Suroso Suroso Uswatun Hasanah Yani Sofiani Yunitri, Ninik