Ana Nistiandani
Faculty of Nursing, Universitas Jember, Indonesia

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A Self-Efficacy Theory-Based Program to Reduce Diabetic Foot Ulcer Risk in Agricultural Areas Ana Nistiandani; Rondhianto Rondhianto
Jurnal Kesehatan dr. Soebandi Vol 13 No 1 (2025): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v13i1.694

Abstract

Several studies indicate a significant increase in diabetes and its complications in agricultural regions. Jember is an agricultural area with a high prevalence of diabetes and a heightened risk of Diabetic Foot Ulcer (DFU). Reducing aggressive risk factors involves a self-efficacy theory based program. This intervention aimed to evaluate the program's effectiveness on foot care behaviors, self-efficacy in self-care foot management, and the risk of DFU occurrence. The study spanned over six months, consisting of three stages: program introduction, health education delivery, and program evaluation. It employed a Pre-Experimental Design with a Group Pretest-Posttest approach. Sample selection was done using simple random sampling, resulting in a sample of 28 research participants. The statistical test used was the Wilcoxon Test. The study's results showed significance values for all three variables < 0.001, signifying the influence of the intervention. The risk of diabetic foot ulcers had a negative rank, indicating a decrease in the risk of DFU after the intervention, with an average reduction value of 13.00. Foot Self-Care Behavior showed a positive rank of 14.50, signifying an improvement in Foot Self-Care Behavior following the intervention. Foot Care Confidence displayed a positive rank, indicating an increase in Foot Care Confidence after the intervention, with an average improvement of 14.50. Consequently, nurses can implement a self-efficacy-based foot care education program to reduce the risk of diabetic ulcers by enhancing self-care behaviors and self-efficacy in independent foot care.
Effect of AIUEO Vocal Therapy in Non-Hemorrhagic Stroke Patients with Verbal Communication Disorders: A Case Report Intan Nur Annisa; Rondhianto; Ana Nistiandani; Mohammad Shodikin
Health and Technology Journal (HTechJ) Vol. 2 No. 5 (2024): October 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i5.230

Abstract

Stroke is a disease that is a health problem throughout the world. Stroke can cause long-term damage to nerve function or brain damage, long-term disability, and even death. Stroke can cause sufferers to experience weakness due to damage to nerve function. If a stroke attacks the left brain and hits the speech center, it is likely that the patient will experience speech disorders or verbal communication disorders. One form of rehabilitation therapy to correct verbal communication disorders in someone who suffers from verbal communication disorders is "AIUEO" vocal therapy. The aim of this research is to obtain an overview of AIUEO vocal therapy for verbal communication disorders in non-hemorrhagic stroke patients. The method used is to collect the results of the analysis of the patient's verbal communication disorders on the first, second and third days after being given AIUEO vocal therapy using SOP and the Frenchay Aphasia Screening Test (FAST) instrument. The results obtained during the three days of implementation were that patients experienced an increase in verbal communication skills from an initial FAST score of 12 (severe category) to 19 (moderate category). The conclusion of this research is that giving AIUEO vocal therapy can reduce the score of verbal communication disorders in patients, can overcome the weakness of speech muscles in stroke patients, and can stimulate improvement in language skills in stroke patients.