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All Journal Jurnal SOLMA Jurnal Keperawatan Muhammadiyah Nurse and Health: Jurnal Keperawatan Journals of Ners Community JAIM (Jurnal Abdi Masyarakat) Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang Adi Husada Nursing Journal Jurnal Keperawatan Jurnal Peduli Masyarakat Community Development Journal: Jurnal Pengabdian Masyarakat Nursing Sciences Journal Nursing and Health Sciences Journal (NHSJ) Journal of Applied Nursing and Health Jurnal Pengabdian Masyarakat DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Binakes
Christianingsih, Siska
Universitas Negeri Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Association Between Blood Glucose Levels and Leukocyte Counts in Patients with Diabetic Gangrene: A Cross-Sectional Study Nurseskasatmata, Satria Eureka; Sulistyawati, Wiwin; Christianingsih, Siska; Sulistyana, Caturia Sasti; Fauzi, Abdul; Jayani, Indah; Etika, Arif Nurma
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.389

Abstract

Background: Diabetic gangrene is a severe complication of diabetes mellitus (DM) that often leads to amputation. DM increases susceptibility to infection by impairing leukocyte function. Although hyperglycemia is known to weaken innate immunity, its association with leukocyte count remains unclear, particularly in low- and middle-income country (LMIC) settings. This study aimed to assess the association between admission blood glucose levels and leukocyte counts in patients with diabetic gangrene. Methods: This study utilized a retrospective cross-sectional design and was prepared in accordance with the STROBE guidelines. Secondary data were extracted from the medical records and laboratory reports of patients hospitalized at Kertosono Regional General Hospital in East Java, Indonesia, from January to December 2022. A purposive total sampling approach was applied. Inclusion criteria required an inpatient diagnosis of diabetes mellitus with diabetic gangrene, alongside the availability of both random blood glucose and total leukocyte count results for the same admission. Exclusion criteria eliminated records with missing or illegible key laboratory values, duplicate records, and records lacking diagnostic confirmation in the discharge summary. The independent variable assessed was admission random blood glucose (mg/dL), and the dependent variable was the total leukocyte count (cells/µL). Results: From an initial pool of 50 records, a final sample of 38 medical records was selected for analysis. Spearman’s rank correlation indicated that there was no significant association between random blood glucose levels and total leukocyte counts (r = -0.031; p = 0.853). Conclusion: Admission blood glucose does not meaningfully track or correlate with total leukocyte count in patients presenting with diabetic gangrene. Clinically, this suggests that leukocyte count should not be used as a proxy or surrogate for acute glycemic status. Therefore, comprehensive infection severity assessments in these patients require integrating clinical evaluation with additional, more specific inflammatory indices.
Evaluation of Self-Control and Resilience as Psychological Predictors of Regular Physical Exercise in the Elderly Caturia Sasti Sulistyana; Wiwin Sulistyawati; Satria Eureka Nurseskasatmata; Siska Christianingsih; Abdul Fauzi
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.656

Abstract

Regular physical exercise is crucial for healthy aging, yet many elderly face psychological barriers that prevent consistent participation. This study analyzed self-control and resilience as psychological predictors of regular physical exercise in the elderly, used a quantitative correlational design. Sixty respondents aged 60-70 years with simple random sampling. Data were collected used Brief Self-Control Scale and CD-RISC-10 for resilience instruments, while the level of participation in regular physical exercise was measured based on attendance to the physical exercise four times a week. The data were then analyzed using Pearson correlation and multiple linear regression. The results showed a significant correlation between self-control (r=0.721, p-value 0.002), resilience (r=0.618, p-value 0.003). Regression analysis revelead that self-control (β = 0.55, p-value 0.000) and resilience (β = 0.51, p-value 0.002) significantly predicted exercise behavior, explaining 28% of the variance (R² = 0.28). These findings suggest that elderly with higher self-control and resilience are more likely to maintain a regular exercise. The results support the development of health promotion programs that incorporate psychological training to strengthen self-regulation and adaptability in the elderly. Future research should explore the other predictors of physical exercise in elderly. Strengthening psychological resources is a key strategy to well-being in elderly.
DIGITAL INNOVATION IN INCLUSIVE DISASTER PREPAREDNESS EDUCATION: DISASTER RISK REDUCTION FOR DEAF STUDENTS THROUGH INTERACTIVE MULTIMEDIA LEARNING Siska Christianingsih; Abdul Fauzi; Anja Hesnia Kholis; Nurullia Hanum Hilfida; Muhamad Ridlo; La Saudi; Ramdya Akbar Tukan
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7840

Abstract

Children with hearing impairment are part of a vulnerable group that is often overlooked in disaster mitigation programs, largely because of limited access to emergency information and preparedness education. This study aims to evaluate the effectiveness of the Inclusive Disaster Risk Reduction learning intervention (IDRR), delivered through interactive learning media using Articulate Storyline, in improving disaster preparedness knowledge among students who are deaf. A quasi-experimental two-group pre-test and post-test design was conducted, involving 40 students with hearing impairments from special-education senior high schools in Surabaya, Indonesia. The study measured disaster preparedness using a modified preparedness questionnaire adapted from LIPI–UNESCO/ISDR. Paired-sample and independent-sample t-tests were used to analyze the data. The results showed a significant increase in disaster preparedness knowledge in both groups; however, the intervention group exhibited a greater increase (p = 0,02) than the control group (p = 0,04). A significant between-group difference was also observed (mean difference = 5,94; p = 0,008). These findings indicate that IDRR education based on Articulate Storyline is more effective than conventional instruction in improving disaster preparedness knowledge among students with hearing impairments. Interactive multimedia learning is an accessible strategy for strengthening inclusive disaster preparedness education for persons with disabilities in schools.
Co-Authors Abdul Fauzi Abdul Fauzi Arif Nurma Etika Caturia Sasti Sulistyana Caturia Sasti Sulistyana Fauzi, Abdul Harista, Dessy Rindiyanti Hendro Djoko Tjahjono Indah Jayani Karunia Wijayanti Khalifatus Zuhriyah Alfianti Kholis, Anja Hesnia Khuddus, Lutfhi Abdil La Saudi Lailiah, Novianti Lilik Eka Puspitasari Mukhamad Fathoni Nurma Etika, Arif Nurullia Hanum Hilfida Nurvitriana, Nidya Comdeca Padillah, Beni Puspitasari, Lilik Eka Rahmat Pannyiwi Ramdya Akbar Tukan Retty Nirmala Santiasari . Ridlo, Muhamad Rosdiana Rosdiana Rysidah Zakiyah Hanim Saputra, Yudi Dwi Satria Eureka Nurseskasatmata Saudi, La Septanto, Aby Nugrah Sulistyana, Caturia Sasti Sulistyawati, Wiwin Sulistyoning Suharto, Idola Perdana Taufan Citra Darmawan Titin Andri Wihastuti Wijar Prasetyo Wiwik Handayani Yermi Yermi