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Terapi Komplementer dalam Mengatasi Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 Ahmad Syaripudin; Dewi Erna Marisa
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53834

Diabetes Melitus Tipe 2 merupakan penyakit metabolik kronis yang ditandai oleh peningkatan kadar glukosa darah akibat resistensi insulin atau gangguan sekresi insulin. Penggunaan obat antidiabetes secara konvensional sering menimbulkan efek samping dan memerlukan dukungan terapi tambahan. Penelitian ini bertujuan untuk menganalisis efektivitas terapi komplementer dalam menurunkan kadar gula darah pada pasien Diabetes Melitus Tipe 2 di Rumah Sakit X. Penelitian ini menggunakan pendekatan kuantitatif deskriptif analitik dengan desain cross-sectional. Sebanyak 85 responden yang memenuhi kriteria inklusi diikutsertakan dari total 93 pasien menggunakan teknik total sampling. Data dikumpulkan melalui observasi, kuesioner, dan rekam medis, kemudian dianalisis menggunakan uji Shapiro-Wilk, Levene, dan ANOVA. Hasil menunjukkan bahwa seluruh terapi komplementer, yaitu herbal, hipnoterapi, dan yoga, menurunkan kadar gula darah secara signifikan (p < 0,05). Penurunan tertinggi terjadi pada terapi herbal dengan rata-rata penurunan sebesar 35 mg/dL. Hasil uji normalitas dan homogenitas menunjukkan data berdistribusi normal dan homogen, sehingga analisis statistik valid. Secara keseluruhan, terapi komplementer terbukti berperan positif dalam membantu pengendalian kadar gula darah, serta berpotensi menjadi bagian dari strategi manajemen holistik pasien Diabetes Melitus Tipe 2.

Self-Efficacy dan Stres Psikologis Pada Penderita Kanker Payudara: Studi Analitik di RSUD Waled Kabupaten Cirebon Endah Sari P; Muadi Muadi; Ani Nurhaeni; Dewi Erna Marisa; Thia Oktiany; Rosalia Rahayu; Lili Wahyuni
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20479

ABSTRACT Self efficacy is a person’s belief in his ability to regulate himself, and take action to achieve certain skills. Stress is the body’s response caused by demands from outside the individual that exceed the ability to solve problems. This study aims to determine the relationship between self efficacy and stress levels in breast cancer patients at Waled Hospital, Cirebon Regency. This type of research is quantitative with cross-sectional approach. Sampling using purposive sampling technique amounted to 31 respondents. The instrument used were standard self efficacay questionnaires and DASS 42 (Depression, Anxiety and Stres). Data analysis using chi-square. The research location was at Waled Hospital, Cirebon Regency. The results of the study found that most of the respondents experienced less self efficacy with moderate stress levels dominating. 31 respondents experienced less self efficacy (35,5%) and some respondents with moderate stress levels (41,9%). The results of the chi-square test obtained a p-value of 0.000 a=0.05, so H0=rejected, which means that there is a relationship between self efficacy and the stress levels of breast cancer patients at Waled General Hospital. For breast cancer patients who have low self efficacy, it is recommended to add more insight and knowledge so that their self efficacy increases so that stress levels are also reduced in patients at Waled Hospital, Cirebon Regency. Keywords: Breast Cancer, Self Efficacy, Stress Levels ABSTRAK Self Efficacy merupakan keyakinan sesorang terhadap kemampuannya untuk mengatur diri sendiri,dan mengambil tindakan untuk mencapai keterampilan tertentu. Stress adalah respon tubuh yang diakibatkan karena adanya tuntutan dari luar diri individu yang melebihi kemampuan dalam menyelesaikan masalah. Penelitian ini bertujuan untuk mengetahui hubungan self efficacy dengan tingkat stress pada pasien kanker payudara di RSUD Waled Kabupaten Cirebon. Jenis penelitian ini adalah kuantitatif dengan pendekatan cros sectional. Pengambilan sampel menggunakan Teknik purposive sampling berjumlah 31 responden. Instrumen yang digunakan berupa kuesioner baku Self-Efficcay dan DASS 42 (Depression, Anxiety and Stres). Analisa data menggunakan Chi-Square. Tempat penelitian di RSUD Waled Kabupaten Cirebon. Hasil penelitian didapatkan Sebagian besar responden mengalami Self Efficcay kurang dengan di dominasi tingkat stress sedang. 31 responden mengalami self efficacy kurang sebanyak (35,5%) dan Sebagian responden dengan tingkat stress sedang sebanyak (41,9%). Hasil uji chi-square didapatkan p-value 0,000 a=0,05 maka H0=ditolak yang artinya ada hubungan antara self efficacy dengan tingkat stress pasien kanker payudara di RSUD Waled Kabupaten Cirebon. Bagi pasien kanker payudara yang memiliki Self Efficcay rendah disarankan agar menambah wawasan dan ilmu yang lebih banyak agar self efficacy nya meningkat sehingga tingkat stress juga berkurang pada pasien di RSUD Waled Kabupaten Cirebon. Kata Kunci: Efikasi Diri, Tingkat Stres, Kanker Payudara.

Ketergantungan Smartphone dan Konsekuensinya Terhadap Kualitas Tidur Remaja Endah Sari P; Muadi Muadi; Ani Nurhaeni; Dewi Erna Marisa; Thia Oktiany; Rosalia Rahayu; Lili Wahyuni
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20480

ABSTRACT Indonesian adolescents are increasingly dependent on smartphones, often using them during bedtime, which may affect sleep quality. To examine the relationship between smartphone usage intensity and sleep quality among adolescents at SMP Negeri 1 Susukan Lebak, Cirebon Regency. A cross-sectional correlational study involving 220 students selected through stratified random sampling. Data were collected using the Smartphone Usage Intensity Questionnaire and the Adolescent Sleep-Wake Scale, and analyzed using Spearman’s rank correlation. The majority of respondents had moderate smartphone usage (53.2%) and poor sleep quality (50.9%). There was a strong negative correlation between smartphone usage intensity and sleep quality (p = 0.000; r = -0.645). Higher smartphone usage intensity is associated with poorer sleep quality. Health promotion efforts targeting adolescents and parents are needed to address this issue. Keywords: Adolescent, Sleep Quality, Smartphone Usage Intensity. ABSTRAK Remaja di Indonesia semakin bergantung pada smartphone, sering menggunakannya saat waktu tidur, yang dapat mempengaruhi kualitas tidur mereka. Meneliti hubungan antara intensitas penggunaan smartphone dengan kualitas tidur pada remaja di SMP Negeri 1 Susukan Lebak, Kabupaten Cirebon. Penelitian korelasional dengan desain potong lintang yang melibatkan 220 siswa yang dipilih melalui stratified random sampling. Data dikumpulkan menggunakan Smartphone Usage Intensity Questionnaire dan Adolescent Sleep-Wake Scale, lalu dianalisis menggunakan uji korelasi Spearman’s rank. Mayoritas responden memiliki intensitas penggunaan smartphone dalam kategori sedang (53,2%) dan kualitas tidur yang buruk (50,9%). Terdapat korelasi negatif yang kuat antara intensitas penggunaan smartphone dengan kualitas tidur (p = 0,000; r = -0,645).Semakin tinggi intensitas penggunaan smartphone, semakin buruk kualitas tidur remaja. Upaya promosi kesehatan yang menargetkan remaja dan orang tua diperlukan untuk mengatasi masalah ini. Kata Kunci: Remaja, Kualitas Tidur, Intensitas Penggunaan Smartphone.

Impact and Causes of Early Marriage in Adolescents: Systematic Review Ani Nurhaeni; Dewi Erna Marisa; Thia Oktiany; Rosalia Rahayu; Lili Wahyuni
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20350

ABSTRACT Early marriage remains a persistent global issue, particularly affecting adolescent girls in low-resource settings. It has far-reaching implications, including health risks, disrupted education, and socio-economic challenges. This systematic literature review aims to analyze the impacts and causes of early marriage among adolescent girls, focusing on health, education, and socio-economic consequences, while identifying evidence-based interventions to address the issue. The study uses a systematic literature review (SLR) approach, following the PRISMA framework for article selection and inclusion. Articles published between 2019–2024 were analyzed using thematic synthesis. Results: Early marriage significantly impacts adolescent girls' health, including pregnancy complications, perinatal mortality, and mental health issues like anxiety and depression. Educationally, it causes school dropouts, limiting skills and future employment opportunities. Socio-economic factors, such as poverty and cultural norms, were found to be primary drivers. Rural and marginalized communities face higher prevalence due to limited access to education and healthcare services. Addressing early marriage requires holistic, multi-sectoral interventions, including improving education access, empowering girls economically, challenging cultural norms, and promoting gender equality. Keyword: Early Marriage, Adolescent Girls, Health and Education Impact, Gender Inequality ABSTRAK Pernikahan dini tetap menjadi permasalahan global yang terus berlangsung, terutama berdampak pada remaja perempuan di daerah dengan sumber daya terbatas. Masalah ini memiliki implikasi yang luas, termasuk risiko kesehatan, terganggunya pendidikan, serta tantangan sosial dan ekonomi. Tinjauan literatur sistematis ini bertujuan untuk menganalisis dampak dan penyebab pernikahan dini pada remaja perempuan, dengan fokus pada aspek kesehatan, pendidikan, dan konsekuensi sosial-ekonomi, serta mengidentifikasi intervensi berbasis bukti untuk mengatasi permasalahan tersebut. Studi ini menggunakan pendekatan systematic literature review (SLR), dengan mengikuti kerangka kerja PRISMA dalam proses seleksi dan inklusi artikel. Artikel yang diterbitkan antara tahun 2019–2024 dianalisis menggunakan sintesis tematik. Pernikahan dini secara signifikan berdampak pada kesehatan remaja perempuan, termasuk komplikasi kehamilan, kematian perinatal, serta masalah kesehatan mental seperti kecemasan dan depresi. Dalam bidang pendidikan, pernikahan dini menyebabkan putus sekolah yang membatasi keterampilan dan peluang kerja di masa depan. Faktor sosial-ekonomi seperti kemiskinan dan norma budaya ditemukan sebagai penyebab utama. Komunitas pedesaan dan kelompok marjinal memiliki prevalensi lebih tinggi akibat keterbatasan akses terhadap pendidikan dan layanan kesehatan. Penanganan pernikahan dini memerlukan intervensi holistik dan lintas sektor, termasuk peningkatan akses pendidikan, pemberdayaan ekonomi bagi perempuan, perubahan norma budaya, dan promosi kesetaraan gender. Kata Kunci: Pernikahan Dini, Remaja Perempuan, Dampak Kesehatan dan Pendidikan, Ketimpangan Gender.

Exploring the Relationship between Body Shaming and Self-Concept among Adolescents Ani Nurhaeni; Dewi Erna Marisa; Thia Oktiany; Rosalia Rahayu; Endah Sari Purbaningsih; Lili Wahyuni
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6264

Body shaming is a pervasive issue with significant psychological consequences, particularly among adolescents. As adolescents undergo various physical and emotional changes, the pressures of social comparison and body image often lead to negative impacts on their self-concept. This study explores the relationship between body shaming and self-concept among adolescents in Cirebon, Indonesia.Methods:A cross-sectional design was used in this study, This study used total sampling, involving 180 students aged 12–16 years. Data were collected using a structured questionnaire that assessed participants' experiences with body shaming and their self concept, including self-esteem, self-identity, and physical appearance satisfaction. The questionnaire had previously undergone validity and reliability testing in a different school setting to ensure its accuracy and consistency.The analysis was conducted using Pearson’s correlation and regression analysis to examine the relationship between body shaming and self-concept.Results: The findings indicate a significant negative correlation between body shaming experiences and self-concept. As body shaming experiences increased, adolescents reported lower levels of self-esteem, self-identity, and satisfaction with their physical appearance. These results highlight the psychological toll of body shaming and its negative influence on adolescent self-concept.Conclusion:This study provides strong evidence that body shaming negatively impacts adolescents’ self-concept. These findings underscore the importance of addressing body shaming through interventions aimed at fostering self-acceptance, body positivity, and resilience among adolescents, particularly within school settings.

Development of A Prototype of the M-Health_Desila Application (Digital Elderly Self-Health Screening Application) for Early Screening of Degenerative Diseases in the Elderly Dewi Erna Marisa; Endah Sari Purbaningsih; Hendri Rosmawan; Fitri Nurhadits
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.990

Degenerative diseases in the elderly, such as hypertension, diabetes, and osteoarthritis, are major health issues in Indonesia. Early screening is often suboptimal due to limited healthcare access, low health literacy, and the absence of elderly-friendly digital media. This study aimed to develop M-Health_Desila prototype application to support early screening of degenerative diseases in the elderly. This study employed a research and development design comprising a literature review, needs analysis, system design, prototype development, expert validation, and limited trials. Expert validation was conducted by health and technology specialists, while the limited trials involved 10 health cadres and 10 elderly participants in Cirebon. The prototype was successfully developed with features including digital questionnaires, health history, automated screening results, and follow-up recommendations. Validation confirmed content suitability with suggestions to improve icons and add audio features. Limited trials showed cadres rated the app as very feasible (60%) and feasible (40%), while elderly participants rated it feasible (50%), very feasible (30%), and moderately feasible (20%). Technology readiness level increased from 2 to 3. The m-health application is considered feasible for early screening of degenerative diseases in the elderly, though further interface improvements are needed to enhance usability.

Asuhan Keperawatan Pada An’ A Dengan Gastroenteritis Akut Berhubungan Dengan Hipovolemia Dikha Sazilli; Dewi Erna Marisa; Rizki Dian Cahyawati; Mahendra; Sumarni
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

One of the viral infections that often occurs in children is gastroenteritis or commonly known as Vomiting and Vomiting. Gastroenteritis is medically defined as diarrhea, in other words increased frequency of bowel movements with or without vomiting, fever and abdominal pain. Increased frequency of defecation is defined as ≥ 3 times with watery consistency in 24 hours or at least 200 g of stool/day. This research aims to determine the description of nursing care for pediatric patients with gastroenteritis at Waled Hospital, Cirebon Regency. After applying nursing care to patient A using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation. The results showed that the diarrhea was resolved with the patient no longer complaining of pain, the pain scale was reduced from 5 – 1, and no issues were found with the patient

Asuhan Keperawatan Pada Klien Dengan Stroke Non Hemoragik Di Ruang Stroke Unit Rsd Gunung Jati Kota Cirebon Putri shintia Devi; Dewi Erna Marisa; Abdul Rouf; Nosa Amelinda Windiani
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Non-hemorrhagic strokes usually occur due to blockage of brain blood vessels caused by thrombosis, embolism and global hypoperfusion which results in decreased blood supply to brain tissue and leads to ischemia. Therefore, it is necessary to handle it using procedures correctly, namely implementing nursing care including: assessment, nursing diagnosis, planning, implementation and evaluation. The aim of this research is to provide appropriate application of nursing care to clients with non-hemorrhagic stroke in the Stroke Unit. This type of research uses a descriptive method with a case study approach in the form of assessment, data analysis, formulating nursing diagnoses, planning, implementation and evaluation in handling found nursing problems. After providing nursing care to the client Mr. B, the results showed that the nursing problem was partially resolved. The client said his blood pressure had started to decrease, he could move his left leg a little.

Penerapan Breastcare Untuk Mengatasi Ketidakefektifan ASI Pada Ibu Post Partum Spontan Nosa Amelinda Windyani; Dewi Erna Marisa; Abdul Rouf; Putri Shintia Devi
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

One of the nursing problems commonly experienced by mothers after post partum is ineffective breastfeeding. Ineffective breastfeeding is a condition where the mother and baby experience dissatisfaction or difficulty in the breastfeeding process. One way to solution this issue is breastcare. This research aims to provide nursing care with a more comprehensive approach covering the entire body system to improve the client's health status. This type of research uses a descriptive method with a case study approach in the form of assessment, data analysis, formulating nursing diagnoses, planning, implementation and evaluation. After 3 days of management of post partum mothers using data collection techniques using interviews, physical examination, observation, and documentation studies, it was found that nursing problems in spontaneous post partum clients, namely acute pain and ineffective breastfeeding, had been resolved. After providing nursing care to the client, complaints of pain decreased and breast milk production increased.

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