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All Journal Jurnal Kesehatan Tambusai Berita Kedokteran Masyarakat
Sari, Putri Parmitha Dwi Kamala
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Community empowerment for diabetes mellitus awareness through the SAM MARIADI program in Malang City Firdaus, Moh. Nur Cahyo; Ni'mah, Azizah Khoirotun; Sari, Putri Parmitha Dwi Kamala; Arum P, Nurul Iffah; Siswoyo, Berlyan Surya Pratama Putra; Ardiansyah, Fino; Aprilia, Risa; Prastiyo, M. Dodik; Meliza, Nur
BKM Public Health and Community Medicine Vol 41 No 02 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i02.13706

Abstract

Purpose: This study aimed to evaluate the impact of the SAM MARIADI (Sadar Diabetes Mellitus Mari Berdaya) program on improving knowledge and attitudes among the elderly in Bakalan Krajan Village, Malang City. Method: This quasi-experimental study involved 20 elderly participants with type 2 diabetes mellitus. The intervention consisted of educational and practical activities designed to promote awareness of and self-management for diabetes. Pre- and post-intervention assessments were conducted to measure changes in knowledge and attitudes. Results: There was a significant improvement in participants' knowledge and attitudes after participating in the SAM MARIADI program (p = 0.000). Before the intervention, only 20% of participants had good knowledge, which increased to 65% after the intervention. Those with poor knowledge decreased from 65% to 10%. Similarly, good attitudes have risen from 20% to 55%, and poor attitudes decreased from 60% to 10%. These results indicate that the program successfully enhanced awareness and behavioral readiness for diabetes self-management among the elderly. Conclusion: The SAM MARIADI program effectively improved knowledge and attitudes about diabetes management among the elderly, supporting its potential as a community-based health empowerment initiative aligned with the Sustainable Development Goals (SDGs).
KOMBINASI TERAPI ANKLE PUMP EXERCISE DAN ELEVASI KAKI 30 ̊ TERHADAP EDEMA KAKI PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) Sari, Putri Parmitha Dwi Kamala; Al Husna, Chairul Huda
Jurnal Kesehatan Tambusai Vol. 6 No. 4 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i4.52623

Abstract

Penyakit Ginjal Kronis (Chronic Kidney Disease/CKD) merupakan gangguan progresif pada fungsi ginjal yang mengakibatkan gangguan metabolisme, ketidakseimbangan cairan, dan elektrolit. Salah satu manifestasi yang sering muncul adalah edema kaki akibat retensi cairan dan natrium. Edema menyebabkan ketidaknyamanan, gangguan mobilitas, hingga peningkatan risiko luka tekan. Terapi non-farmakologis seperti ankle pump exercise dan elevasi kaki 30° terbukti dapat membantu meningkatkan sirkulasi darah vena dan mengurangi penumpukan cairan pada ekstremitas bawah. Penelitian ini bertujuan untuk menganalisis efektivitas kombinasi kedua terapi tersebut dalam menurunkan edema pada pasien CKD. Penelitian menggunakan pendekatan case study pada pasien CKD yang mengalami edema kaki di ruang perawatan RSUD Kanjuruhan Kabupaten Malang. Intervensi dilakukan selama lima hari dengan pemberian ankle pump exercise sebanyak 10–15 repetisi per sesi, dua kali sehari, dikombinasikan dengan elevasi kaki 30° selama 15–20 menit. Pengkajian dilakukan melalui observasi dan dokumentasi menggunakan penilaian derajat edema (pitting edema scale). Terdapat penurunan derajat edema yang signifikan dan progresif pada kedua klien. Klien 1 (Ny. S) mengalami penurunan dari edema berat (Derajat III) menjadi resolusi penuh (Derajat I) dalam 5 hari. Klien 2 (Tn. R) juga mengalami penurunan dari Derajat III menjadi Derajat I/II dalam periode yang sama. Kombinasi terapi Ankle Pump Exercise dan Elevasi Kaki 30º terbukti efektif dalam mengurangi edema kaki pada pasien CKD. Kedua terapi ini dapat dijadikan intervensi keperawatan non-farmakologis yang mudah, murah, dan aman untuk meningkatkan sirkulasi vena serta mencegah komplikasi akibat retensi cairan.
Co-Authors Aprilia, Risa ardiansyah, fino Arum P, Nurul Iffah Chairul Huda Al Husna Firdaus, Moh. Nur Cahyo Meliza, Nur Muhammad Dodik Prastiyo Ni'mah, Azizah Khoirotun Siswoyo, Berlyan Surya Pratama Putra