Ita Sulistiani
Dosen Program Studi Ilmu Keperawatan UNG

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The Effect of Intradialytic Exercise on Reducing Fatigue Levels in Chronic Kidney Failure Patients Undergoing Hemodialysis at Prof. Dr. H. Aloei Saboe Hospital Dedi A. Husain; Ita Sulistiani; Indra
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 1: Januari 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i1.9990

Abstract

Chronic Kidney Failure is a health problem that requires patients to undergo long-term therapy, namely hemodialysis. Fatigue is the main complaint of hemodialysis patients that is subjective, affects the quality of life, and often has not been handled optimally in the Hemodialysis Unit of Prof. Dr. H. Aloei Saboe Hospital. Therefore, intradialytic exercise in the form of light physical exercise as a non-pharmacological intervention is believed to be able to overcome the fatigue problem . This study aims to analyze the effect of intradialytic exercise on reducing fatigue levels in chronic kidney failure patients undergoing hemodialysis at Prof. Dr. H. Aloei Saboe Hospital. The design of this study uses a quasi experiment with a pre-test and post-test control group design approach. The study population is all chronic kidney failure patients undergoing routine hemodialysis at Prof. Dr. H. Aloei Saboe Hospital, totaling 60 patients. The sample was taken using the purposive sampling technique with 40 respondents who met the inclusion criteria, which were then divided into 20 intervention group respondents and 20 control group respondents. The fatigue level was measured using the Indonesian version of the FACIT-Fatigue scale instrument. Data analysis was conducted using an independent sample t-test. The results of the study found that the p-value = 0.000 (<0.05), so it can be concluded that there is a very significant difference in the effect on reducing fatigue levels between the intervention group that received intradialytic exercise and the control group that only received routine care. This is because intradialytic exercise can increase blood flow to the muscles which optimizes the cleansing of uremic toxin and increases energy metabolism, thereby effectively reducing the patient's fatigue level during hemodialysis.
Long Relationship of Suffering with Knowledge of Handling Hyperglycemia in Sufferers Type 2 Diabetes Mellitus in the Work Area Suwawa Health Center Fira Destiany Karama; Ita Sulistiani; Ibrahim Suleman
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 1: Januari 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i1.10045

Abstract

Type 2 diabetes mellitus is a chronic disease that requires long-term management and is at risk of causing acute complications such as hyperglycemia. The treatment of hyperglycemia depends not only on medications, but also on the patient's knowledge in managing the disease. This study aims to determine the relationship between the length of suffering and the knowledge of handling hyperglycemia in patients with type 2 diabetes mellitus in the working area of the Suwawa Health Center. This study uses a descriptive design correlative with a cross sectional approach. The total sample was 75 respondents who were selected using the Proportional Simple Random Sampling technique. The results showed that 44 people (58.7%) of respondents who had suffered for a long <time for 5 years (58.7%), the majority had less knowledge (49.3%), while 7 people (9.3%) were knowledgeable. Respondents with a 5-year ? of suffering were 31 people (41.3%), most of them had good knowledge (40.0%), and only 1 person (1.3%) was poorly knowledged. Based on the spearman rank test, a value of p = 0.000 (p < 0.05) was obtained, so that there was a significant relationship between the length of suffering and the knowledge of hyperglycemia management in patients with type 2 diabetes mellitus in the work area of the Suwawa Health Center. It is hoped that health facilities can improve education from the beginning of diagnosis and maintain continuous education programs so that patient knowledge continues to develop.
Effect of Active Leg Stretching on Foot Sensitivity in Type 2 Diabetes Mellitus Patients at Tilongkabila Health Center Rahma Aulia Mansur; Ita Sulistiani; Gusti Pandi Liputo
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 1: Januari 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i1.10066

Abstract

Type 2 diabetes mellitus is a chronic disease that often causes complications of peripheral neuropathy in the form of decreased sensitivity of the legs. This condition increases the risk of diabetic leg injuries to amputation if prevention is not carried out early. One of the nonpharmacological interventions that can be carried out is Active Leg Stretching. This study aims to determine the effect of Active Leg Stretching on foot sensitivity in type 2 diabetes mellitus patients at the Tilongkabila Health Center. This study uses a pre-experimental design with a one group pretest–posttest approach. The study sample was a type 2 diabetes mellitus patient who experienced decreased sensitivity of the legs and was selected using the Purposive Sampling technique. Active Leg Stretching interventions were administered according to standard operating procedures during the study period. Leg sensitivity was measured using monofilament tests before and after the intervention. Data analysis was carried out using the Wilcoxon Signed Rank Test. The results showed an increase in foot sensitivity after being given an Active Stretching Leg intervention with a statistically significant difference (p-value < 0.05). This increase occurs because leg stretching can improve blood flow, reduce muscle stiffness, and improve nerve function, so the sensitivity of the legs increases. It can be concluded that Active Leg Stretching has a significant effect on increasing foot sensitivity in patients with type 2 diabetes mellitus. This intervention is recommended as a simple, safe, and easily applied nonpharmacological therapy in primary health care.