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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

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

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.

Interdialytic weight gain and fatigue in chronic kidney disease patients undergoing hemodialysis: A Correlational study Nur Widayati; Nindy Dwi Maharani; Ana Nistiandani
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.482

Chronic Kidney Disease (CKD) has become a significant global health problem, characterized by the gradual and progressive damage to nephrons and decreased glomerular filtration rate which causes toxins in the body to accumulate and cause fatigue. One of the main problems experienced by hemodialysis patients is how to manage interdialytic weight gain (IDWG). Continuous excess extracellular fluid can cause adverse effects on the heart and respiratory function, which serves as the physiological basis for fatigue. This study aimed to analyze the relationship between IDWG and fatigue in CKD patients undergoing hemodialysis. This study used an analytical observational design with a cross-sectional approach. The sample used was 139 respondents using total sampling technique. Data collection of IDWG was conducted by a One Health digital weighing scale and Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale version 4 questionnaire. Data mean value IDWG 3.48% with a standard deviation of 1.72 and a median fatigue score of 26.0 with a low score of 12 and a high score of 46. Data were analyzed by using Spearman's rho correlation test with a significance level of 0.05. The results showed a weak negative relationship between IDWG and fatigue (p value <0.001 ; r = -0.385). It means that the higher the IDWG value, the lower the fatigue score, indicating that the fatigue level is more severe. This study highlights the importance of controlling IDWG to reduce fatigue levels in chronic kidney disease patients undergoing hemodialysis

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

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.

Nurse-Led Cold Compress Therapy to Mitigate Hemodialysis Cannulation Pain: A Descriptive Case Study Sinta Wijayanti; Lutfiasih Rahmawati; Nur Aminatu Rohima; Fitri Nuriya Santy; Ana Nistiandani
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.728

Repeated arteriovenous fistula cannulation induces significant procedural pain in patients undergoing maintenance hemodialysis, necessitating effective, non-pharmacological pain management strategies. This study aimed to evaluate the efficacy of a simple, nurse-led cold compress therapy in reducing cannulation-related pain among patients with chronic kidney disease (CKD). A descriptive case study was conducted in a hospital hemodialysis unit between June and July 2025. Two adult male patients (aged 45 and 53 years) reporting procedural pain were enrolled. Pain intensity was assessed using the Numeric Rating Scale (NRS) at baseline and following two subsequent hemodialysis sessions. The intervention consisted of applying ice cubes enclosed in a rubber glove to the cannulation site for approximately 10 minutes prior to needle insertion. At baseline, patients reported moderate (NRS 6) and severe (NRS 7) pain, respectively. Following the second intervention session, pain scores decreased to 4 and 5. By the third session, pain further diminished to mild levels (NRS 2 and 3). Notably, no adverse cutaneous or systemic events were observed during the application. Pre-cannulation cold compress therapy represents a feasible, low-cost, and safe nurse-led intervention that progressively mitigates hemodialysis cannulation pain. Larger, randomized controlled trials are warranted to validate these preliminary findings, isolate the analgesic effect, and standardize optimal clinical application protocols.

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