Articles
<![CDATA[The Effect of Intradialytic Exercise on Reducing Fatigue Levels in Chronic Kidney Failure Patients Undergoing Hemodialysis at Prof. Dr. H. Aloei Saboe Hospital ]]>
<![CDATA[Dedi A. Husain]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Indra]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 1: Januari 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i1.9990
<![CDATA[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.]]>
<![CDATA[Long Relationship of Suffering with Knowledge of Handling Hyperglycemia in Sufferers Type 2 Diabetes Mellitus in the Work Area Suwawa Health Center ]]>
<![CDATA[Fira Destiany Karama]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Ibrahim Suleman]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 1: Januari 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i1.10045
<![CDATA[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.]]>
<![CDATA[Effect of Active Leg Stretching on Foot Sensitivity in Type 2 Diabetes Mellitus Patients at Tilongkabila Health Center ]]>
<![CDATA[Rahma Aulia Mansur]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Gusti Pandi Liputo]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 1: Januari 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i1.10066
<![CDATA[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.]]>
<![CDATA[The Relationship between the Quality of Post Christmas Care Services and the Satisfaction of Postpartum Mothers at the Limboto Health Center ]]>
<![CDATA[Febrianti Sau]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Rachmawaty D. Hunawa]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 3: 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i3.9247
<![CDATA[The postpartum period is a period of 42 days after childbirth which is marked by physical, psychological, and social changes in the mother. In this phase, mothers need optimal health services to prevent complications, support recovery and successful breastfeeding. This study aims to determine the relationship between the quality of Post Natal Care (PNC) services and the satisfaction of postpartum mothers at the Limboto Health Center. Quantitative research method with cross sectional design. The population of 213 postpartum mothers with a sample of 68 respondents was determined using the Slovin formula. Data collection was carried out through a questionnaire on the quality of PNC services and the satisfaction of postpartum mothers. Data analysis used Fisher's Exact Test and Spearman Correlation tests. The results showed that most of the respondents had the quality of PNC service in the category of 43 people (63.2%), 15 people (22.1%), and 10 people (14.7%) lacked. The satisfaction level of postpartum mothers was mostly satisfied with 37 people (54.4%), satisfied with 16 people (23.5%), and dissatisfied with 15 people (22.1%). The results of the Fisher's Exact Test obtained a value of p = 0.000 (p < 0.05) and a Spearman coefficient r = 0.672 (p = 0.000) which showed that there was a meaningful relationship with strong correlation strength and positive direction. It was concluded that most postpartum mothers assessed the quality of PNC services as adequate and felt quite satisfied. There is a strong and positive meaningful relationship between the quality of PNC services and the satisfaction of postpartum mothers at the Limboto Health Center. It is recommended that the Puskesmas improve the quality of PNC services so that the satisfaction of postpartum mothers increases.]]>
<![CDATA[The Long Relationship of Undergoing Hemodialysis Therapy with the Quality of Life of Chronic Kidney Failure Patients at Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City ]]>
<![CDATA[Fadilla Sulistayani Duhe]]>;
<![CDATA[Nurdiana Djamaluddin]]>;
<![CDATA[Ita Sulistiani]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 3: 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i3.9266
<![CDATA[Chronic kidney failure is a progressive disease that causes a permanent decline in kidney function so that patients need long-term hemodialysis therapy. Hemodialysis that is carried out continuously can have physical, psychological, social, and emotional impacts that affect the patient's quality of life. This study aims to determine the relationship between long-term hemodialysis therapy and the quality of life of chronic kidney failure patients at Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. This study uses a quantitative method with a cross sectional design. The population in this study is all patients with chronic kidney failure who undergo hemodialysis therapy at Prof. Dr. H. Aloei Saboe Hospital as many as 83 patients. The research sample amounted to 46 respondents who were taken using purposive sampling techniques. The instrument used was the KDQOL-SF 36 questionnaire to measure the patient's quality of life. Data analysis used the Fisher's Exact Test. The results showed that most of the respondents underwent hemodialysis >12 months, 35 respondents (76.1%), while 11 respondents (23.9%) <underwent hemodialysis 12 months). Most of the respondents had a poor quality of life, namely 38 respondents (82.6%), while 8 respondents had good quality of life (17.4%). The results of bivariate analysis using Fisher's Exact Test showed a p value = 0.013 (p < 0.05), so that there was a significant relationship between the length of time they underwent hemodialysis therapy and the quality of life of patients with chronic kidney failure at Prof. Dr. Aloei Saboe Hospital.Keywords: Nurse Support, Compliance Level, Chronic Kidney Failure Patients, Hemodialysis Therapy]]>
<![CDATA[Effect of Semi Fowler and Right Lateral Position on Increased Oxygen Saturation in Adhf Patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital ]]>
<![CDATA[Nursila Rauf]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Ibrahim Suleman]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i2.10511
<![CDATA[Acute Heart Failure (ADHF) is often found, namely Acute Decompensated Heart Failure (ADHF) is one of the health problems with a high morbidity and mortality rate, the symptoms that occur are difficulty breathing when resting during the treatment period. Non-pharmacological interventions such as body position regulation are alternatives used by nurses, The most commonly used positions are the semi-fowler and right lateral positions. The purpose of the study was to analyze the effect of the semi-fowler and right lateral position on the Increase in Oxygen Saturation in ADHF patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital. This study is a quantitative research using a Quasi-Experimental, Pretest and Posttest Control group research design.The population in this study was patients treated in a CVCU room with ADHF. Sampling using accidental sampling was a sample size of 30. The research instrument used an oxygen saturation observation sheet. Analysis of univariate and bivariate data of frequency distribution tests and paired t-tests. The results showed a p value of 0.000 which means that there was an influence of the semi fowler and right lateral positions on the increase in oxygen saturation in ADHF patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital. Patients with the right semi-fowler and lateral positions are advised to continue to monitor their oxygen saturation.]]>
<![CDATA[The Effect of the Combination of Semi Fowler Position and Pursed Lip Breathing Technique on Increasing Oxygen Saturation in COPD Patients in the ER Room at Dr. M.M. Dunda Limboto Hospital ]]>
<![CDATA[Lutfi Alfadel Razak]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Ibrahim Suleman]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i2.10512
<![CDATA[Chronic Obstructive Pulmonary Disease (COPD) is one of the lung diseases characterized by chronic and progressive limited airflow due to obstructions in the airways. This condition causes gas exchange disorders that cause shortness of breath, coughing up phlegm, wheezing, and fatigue due to damage to lung tissue or blockage by phlegm. This study aims to find out whether there is an effect of the combination of semi fowler position and purse lip breathing technique on increasing oxygen saturation in COPD patients. The type of Quasi Experiment research is through a pretest-posttest design control group approach. The population in this study was patients diagnosed with chronic obstructive pulmonary disease (COPD) in the emergency room of Dr. M.M. Dunda Limboto Hospital as many as 70 patients., with sampling techniques using Accidental Sampling amounting to 42 then divided into 21 Intervention groups and 21 Control groups. The level of combination of semi fowler position and Purse Lip Breathing technique, Data analysis was carried out using the Paired Samples T-test. The results showed that in the intervention group, there was a significant increase in oxygen saturation after the intervention, with a value of sig (2-tailed) = 0.000 (<0.05), so that H0 was rejected and Ha was accepted. Similarly, in the control group, the increase in oxygen saturation was also significant with the value of sig (2-tailed) = 0.000 (<0.05). These findings show that the combination of the Semi Fowler position and the Pursed-Lip Breathing technique effectively increases oxygen saturation in COPD patients in the ER. The conclusion of this study is that there is an effect of the combination of the Semi Fowler position and the Pursed-Lip Breathing technique and is proven to be effective in increasing oxygen saturation in COPD patients in the ER, so that this intervention can be used as a recommended non-pharmacological strategy in the treatment of COPD patients.]]>
<![CDATA[The Effect of Sexual Education with the Plissit Method on Sexual Function Disorders in Type 2 DM Patients at the Limboto Health Center ]]>
<![CDATA[Yunisa Bakari]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Nirwanto K. Rahim]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i2.10526
<![CDATA[Diabetes Mellitus is a chronic disease that is progressive and has a serious impact on the body's metabolic system. The PLISSIT model stands for four levels of intervention, namely Permission, Limited Information, Specific Suggestions, and Intensive Therapy. This study aims to determine the effect of sexual education with the PLISSIT method in reducing sexual function disorders in type 2 DM patients at the Limboto Health Center. The research method is using a quasi-experimental approach. The design used is a one group pretest-posttest design. The sample was taken using a non-probability sampling technique with a purposive sampling technique from a total population of 398 respondents to 44 respondents. The research instrument using Sexual Education with the PLISSIT Method was carried out according to SOP procedures and used IIEF and FSFI Questionnaires to measure the level of sexual disorders in men and women. The results showed that there was a statistically significant difference between the Pre FSFI and Post FSFI scores with a Z value of -5.061 and a significance value (p-value) of 0.000. Because the p value < 0.05, the Pre IIEF and Post IIEF p values are .000, where p < ? (0.05) is obtained, so it is concluded that H1 is accepted, meaning that there is an Effect of Sexual Education with the PLISSIT Method on Sexual Function Disorders in Type 2 Diabetes Mellitus Patients at Limboto Health Center. This research is expected to integrate sexual education of the PLISSIT method in the routine services of type 2 DM patients, especially in health education sessions and chronic disease clinics.]]>
<![CDATA[The Effect of Basic Life Assistance (BHD) Education on the Knowledge Level of Long-Distance Runners in the RIOT Gorontalo Community ]]>
<![CDATA[Ilham L. Ahmad]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Ibrahim Suleman]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i2.10546
<![CDATA[Sudden cardiac arrest is a serious health threat in long-distance running that requires rapid treatment through Basic Life Assistance or BHD to increase the chances of safety of the victim. However, runners' knowledge of the procedure is often not optimal, so structured education is needed. This study aims to analyze the influence of BHD education on the level of knowledge of long-distance runners in the RIOT Gorontalo community. This research method uses a pre-experimental one-group pretest-posttest design. The population of this study is Long Distance Runners in the RIOT Gorontalo Community, totaling 120 respondents. The sample was mixed with the purposive sampling technique totaling 55 respondents who were given interventions in the form of education using lecture methods and simulations measured through questionnaires. The data analysis of this study used the Wilcoxon Signed Ranks Test. The results showed that before the intervention, the majority of respondents had sufficient category knowledge as much as 56.4%, but after being given education, there was a significant increase where 52.7% of respondents reached the good category. Statistical results showed a p-value of less than 0.001 (<0.05) which proved the very significant influence of BHD education on improving runners' knowledge. These findings are expected to be the foundation for the running sports community in developing routine safety training programs to improve the preparedness of community members in dealing with cardiac emergencies on the running track.]]>
<![CDATA[The Effect of Foot Care Demonstration Education on the Knowledge of Type 2 Diabetes Mellitus Patients at the Tilongkabila Health Center ]]>
<![CDATA[Nurzia Delasfebrila Marukai]]>;
<![CDATA[Ita Sulistiani]]>;
<![CDATA[Sitti Fatimah M. Arsad]]>
<![CDATA[ International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Palu ]]>
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DOI: 10.56338/ijhess.v8i2.10651
<![CDATA[Type 2 Diabetes Mellitus is a chronic disease that has the potential to cause various complications, one of which is diabetic foot ulcers which can be prevented through proper foot care. However, the low level of knowledge of people with type 2 diabetes mellitus about foot care is still a problem in primary health services. Education using the foot care demonstration method is one of the effective promotive and preventive efforts to increase the knowledge of people with diabetes mellitus related to foot care. This study aims to determine the effect of foot care demonstration education on the knowledge of patients with type 2 Diabetes Mellitus at the Tilongkabila Health Center. This research uses a design Quasi Experiment with the One group pre-post test design. A sample of 33 respondents was selected using the purposive sampling. The research instrument used a foot care knowledge questionnaire adapted from Munali (2019). Data analysis using tests Wilcoxon Signed Rank Test. The results showed that there was an increase in respondents' knowledge after the intervention with a p-value = 0.000 (p < 0.05), which means that there is a significant difference in knowledge between before and after education. Demonstration education is effective in increasing respondents' knowledge because it involves direct observation of foot care practices, using simple aids that are easy to find, and delivered in language that suits the respondent's condition, thus facilitating understanding and strengthening the respondents' memory of the material provided.]]>
