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All Journal Jurnal Keperawatan Muhammadiyah Jurnal Kesehatan Manarang Jurnal Medika: Medika
Diah Ciptaningtyas, Maria
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh Latihan Kaki Diabetik Menggunakan Bola Plastik terhadap Neuropati Diabetik dan Waktu Pengisian Kapiler pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Mojolangu Malang Wiyono, Joko; Pramata Putri, Diva Calista; Hidayah, Nurul; Diah Ciptaningtyas, Maria
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1506

Abstract

Complications of Type 2 DM can cause peripheral nerve disorders or diabetic neuropathy and decreased blood circulation in the legs. Managing chronic complications in people with Type 2 DM involves performing diabetic foot exercises using a plastic ball. However, using a plastic ball is rarely taught to people with diabetes. This study aims to analyze the effect of diabetic foot exercises using a plastic ball on diabetic neuropathy and capillary refill time in people with Type 2 diabetes mellitus at the Mojolangu Public Health Center in Malang. This research is a quasi-experiment with a pretest-posttest control group design and used purposive sampling with 36 respondents. Data collection was done using the DNS-score questionnaire and physical examination of CRT. Analysis was conducted using the Wilcoxon signed ranks test. The result of the Wilcoxon signed ranks test for pretest-posttest neuropathy was a p-value of 0.012 (p < 0.05) and for pretest-posttest CRT, a p-value of 0.046 (p < 0.05). The conclusion of this study is that there is an effect of diabetic foot exercises using a plastic ball on diabetic neuropathy and capillary refill time in people with Type 2 DM at the Mojolangu Public Health Center in Malang. It is hoped that health workers will provide education and support to people with DM to perform diabetic foot exercises using a plastic ball correctly and regularly to help prevent the severity of neuropathy complications.
PENGARUH KOMBINASI AROMATERAPI LAVENDER DAN GUIDED IMAGERY MUSIC (GIM) TERHADAP TINGKAT KECEMASAN PASIEN PRE OPERASI FRAKTUR DI RSUD NGUDI WALUYO WLINGI Bachtiar, Achmad; Marsaid, Marsaid; Hidayah, Nurul; Diah Ciptaningtyas, Maria
Jurnal Keperawatan Muhammadiyah Vol 10 No 3 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i3.26613

Abstract

Objective: Preoperative anxiety can occur in patients with fractures who are about to undergo surgery. If this anxiety is not addressed, it can affect surgical outcomes, including prolonged healing time and suboptimal results. Anxiety can be reduced through non-pharmacological techniques, one of which is the combination of lavender aromatherapy and guided imagery music (GIM). However, this technique is still not widely implemented in hospital wards. The aim of this study is to determine the effect of the combination of lavender aromatherapy and guided imagery music on the anxiety levels of preoperative fracture patients. Methods: The study design used is a quasi-experiment with a pre-test post-test control group design. The sampling technique used was purposive sampling, with a total of 64 respondents. Data were analyzed using the Wilcoxon test and Man-Whitney test. Results: The results of the study showed a change in anxiety levels before and after the administration of the combination therapy. In the treatment group, the average anxiety score before therapy was 16.19, and after therapy, the anxiety level decreased to a mild level with an average of 10.47, resulting in a difference of 5.72. Meanwhile, in the control group, the average anxiety score before therapy was 16.53, and after therapy, it was 16.28, with a difference of only 0.25. The statistical test results showed a significant effect on anxiety levels before and after the administration of the combination of lavender aromatherapy and guided imagery music, with a p-value of 0.000 < 0.005. Conclusion: The role of nurses is expected to include administering this combination therapy as a complementary therapy to help manage preoperative anxiety in fracture patients.
Edukasi Lama Puasa dengan Kejadian Nausea dan Vomiting pada Pasien Post Operasi dengan General Anastesi Devina Shufiyati, Sheila; Pudjiastusti, Nurul; Martiningsih, Wiwin; Diah Ciptaningtyas, Maria
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/c49db235

Abstract

Post Operative Nausea and Vomiting (PONV) merupakan salah satu komplikasi yang sering terjadi setelah tindakan pembedahan dengan anestesi umum. Salah satu faktor yang diduga berpengaruh terhadap kejadian PONV adalah lama puasa sebelum operasi. Puasa yang terlalu lama berpotensi meningkatkan risiko terjadinya mual dan muntah pasca operasi, sehingga berdampak pada ketidaknyamanan pasien dan memperlambat proses pemulihan. Kegiatan ini bertujuan untuk mengetahui hubungan antara lama puasa dengan kejadian nausea dan vomiting pada pasien post operasi dengan general anestesi di RSUD dr. Iskak Tulungagung. Desain kegiatan ini menggunakan pendekatan cross sectional dengan jumlah sampel sebanyak 74 responden yang dipilih menggunakan teknik purposive sampling. Instrumen kegiatan berupa lembar observasi lama puasa dan kuesioner Rhodes Index of Nausea, Vomiting, and Retching (RINVR). Analisis data menggunakan uji Spearman dengan nilai koefisien korelasi sebesar 0,649 yang termasuk dalam kategori kuat yang artinya terdapat hubungan signifikan antara durasi puasa praoperatif dan kejadian mual serta muntah pascaoperasi. Durasi puasa yang terlalu lama meningkatkan risiko PONV akibat peningkatan sekresi asam lambung. Disarankan agar rumah sakit mengoptimalkan penjadwalan operasi dan memberikan edukasi terkait puasa yang tepat untuk meminimalkan kejadian PONV.
Co-Authors Achmad Bachtiar Devina Shufiyati, Sheila Marsaid marsaid NURUL HIDAYAH Pramata Putri, Diva Calista Pudjiastusti, Nurul Wiwin Martiningsih Wiyono, Joko