Darmi Arda
Department of Nursing, Politeknik Sandi Karsa, South Sulawesi, Indonesia

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Effect of health education on self-care behavior in patients with type 2 diabetes mellitus Syaharuddin; Suprapto; Darmi Arda; Maria Kurni Menga; Rudolf Cymorr Kirby Palogan Martinez
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.281

Abstract

Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder requiring continuous self-care to prevent complications. Health education plays a crucial role in enhancing patients’ understanding, attitudes, and skills for effective self-management. This study aimed to investigate the impact of health education on self-care behaviors among patients with Type 2 Diabetes Mellitus. Methods: This quasi-experimental study employed a pretest–posttest design with a control group. The study involved 60 patients with type 2 diabetes mellitus (T2DM) selected using purposive sampling from a public health center. The intervention group received structured health education sessions covering diet management, physical activity, medication adherence, and blood glucose monitoring for a period of four weeks, while the control group received standard care. Data were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Statistical analysis was conducted using paired and independent t-tests with a significance level of p < 0.05. Results: The findings showed a significant increase in self-care behavior scores in the intervention group after receiving health education (p < 0.001), while no significant change was observed in the control group (p > 0.05). The mean difference between the two groups indicated that health education had a positive effect on self-care behavior among patients with T2DM. Conclusion: Health education has a significant impact on improving self-care behaviors among patients with Type 2 Diabetes Mellitus. Structured and continuous education increases patients’ awareness, adherence, and ability to manage diet, exercise, medication, and blood glucose monitoring effectively. Healthcare providers should integrate regular health education programs into diabetes management to enhance patients’ self-care skills and prevent complications. Further research with larger samples and longer follow-up is recommended to evaluate the long-term impact of such interventions.
Effectiveness of simulation learning methods on improving the clinical skills of nursing students in midwifery care Andi Suriyani; Darmi Arda; Ismarulyusda Ishak
Jurnal Edukasi Ilmiah Kesehatan Vol. 3 No. 3 (2025): Volume 3 Number 3 December 2025
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v3i3.149

Abstract

Introduction: Clinical competence is a crucial component of nursing education, particularly in midwifery care, where students must integrate knowledge, technical skills, and decision-making to ensure the safety of both mothers and newborns. Traditional classroom learning often fails to provide sufficient opportunities for hands-on experience. Simulation-based learning has emerged as an innovative pedagogical approach to enhance clinical competence in a safe and controlled environment. This study aimed to evaluate the effectiveness of simulation learning methods in improving the clinical skills of nursing students in midwifery care. Methods: A quasi-experimental pre–post design was conducted among 80 nursing students enrolled in a midwifery course. The intervention group participated in a structured simulation learning program involving high-fidelity obstetric manikins and scenario-based training on antenatal, intrapartum, and postpartum care. The control group received conventional lectures and demonstrations. Data were collected using an Objective Structured Clinical Examination (OSCE) checklist and a self-efficacy questionnaire before and after the intervention. Paired and independent t-tests were used to analyze changes in clinical skill scores and confidence levels. Results: The findings revealed a significant improvement in the clinical performance of students in the simulation group (mean score increase from 68.4 ± 7.2 to 86.7 ± 6.5; p < 0.001) compared to the control group (72.1 ± 8.0 to 75.8 ± 7.6; p = 0.054). Students also reported enhanced confidence and readiness for real clinical practice. Conclusion: Simulation-based learning effectively improves clinical skills and self-efficacy in midwifery education. Integration of simulation into nursing curricula can bridge the gap between theory and practice, ensuring better preparedness for clinical settings.
Clinical pharmacists’ education on nutritional supplements for community-based stunting prevention A. Wardah Muzfah; Trimaya Cahya Mulat; Darmi Arda; Maria Kurni Menga
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 1 (2026): Volume 3 Number 1 February 2026
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i1.171

Abstract

Stunting remains a significant public health issue in Indonesia, closely linked to chronic undernutrition and micronutrient deficiencies during the first 1,000 days of life. Limited community knowledge regarding the rational use of nutritional supplements and micronutrients contributes to inappropriate practices that reduce the effectiveness of stunting prevention programs. This community service program aimed to improve community knowledge and awareness of appropriate nutritional supplement use through pharmacist-led education. The program was conducted using a structured, participatory approach consisting of situational analysis, educational material development, community education implementation, monitoring and evaluation, and follow-up activities. Clinical pharmacists delivered educational sessions through interactive lectures and discussions involving mothers, caregivers, and community health volunteers. Program evaluation was conducted using pre- and post-education assessments to measure changes in knowledge related to the roles of micronutrients, correct dosage and administration, safety considerations, and the complementary role of supplements in balanced nutrition. The results showed a clear improvement in participants’ knowledge across all assessed indicators following the intervention. Participants demonstrated a better understanding of the importance of micronutrients for child growth, appropriate supplement use, and safety aspects, as well as increased awareness that supplements should support, rather than replace, balanced diets. These findings suggest that pharmacist-led community education is an effective strategy for strengthening stunting prevention efforts through the rational use of nutritional supplements.
Implementation of the Community Nursing Model in Improving Postoperative Care Compliance for Postoperative Patients at Home Anita Lontaan; Darmi Arda; Wahyudi Hardi
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 2 (2026): Volume 3 Number 2 June 2026
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i2.369

Abstract

Introduction: Postoperative care at home remains a critical challenge, particularly in community settings where patients often lack adequate knowledge and support, leading to low compliance and increased risk of complications. Community-based nursing approaches offer a strategic solution to improve patient outcomes through education and continuous monitoring. This community service program aimed to improve postoperative care compliance among patients at home by implementing the Community Nursing Model. Methods: A quasi-experimental one-group pretest–posttest design was employed involving 35 postoperative patients. The intervention included health education, wound-care demonstrations, medication management counselling, and home visits with family involvement. Data were collected using questionnaires and observation checklists, and analyzed using comparative statistical methods. Results: The findings showed a significant improvement in all measured indicators. Mean knowledge scores increased from 58.2 to 84.3, compliance scores improved from 62.4 to 81.6, and proper wound care practices rose from 54% to 88%. These results indicate enhanced patient understanding, skills, and adherence following the intervention. Conclusion: The Community Nursing Model is effective in improving postoperative care compliance in community settings. Integrating education, family support, and continuous monitoring can strengthen home-based care and reduce the risk of complications.
Evidence-Based Collaboration Across Health Professions: Implications for Patient Care Darmi Arda
Journal Interdisciplinary Health Vol. 1 No. 1 (2025): Volume 1 Number 1 February 2025
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v1i1.189

Abstract

Increasing complexity of patient needs requires healthcare professionals to collaborate effectively across disciplines while applying evidence-based practice. However, professional silos and inconsistent use of evidence often limit the quality, safety, and coordination of patient care. Evidence-based collaboration across health professions has therefore emerged as a key strategy to improve patient care outcomes. This study aimed to examine the relationship between evidence-based collaboration across health professions and patient care outcomes. A quantitative cross-sectional study was conducted involving 50 health professionals from multiple disciplines, including physicians, nurses, pharmacists, and allied health professionals. Data were collected using a structured questionnaire measuring evidence-based collaboration (shared decision-making, use of clinical guidelines, and interprofessional communication) and patient care outcomes (care coordination, patient safety, and perceived quality of care). Descriptive statistics and linear regression analysis were applied to assess the association between collaboration and patient care outcomes. The findings indicated that respondents reported moderate to high levels of evidence-based collaboration and patient care quality. Regression analysis demonstrated a significant positive association between evidence-based collaboration and patient care outcomes (? = 0.45; p < 0.001). Higher levels of collaborative, evidence-informed practice were particularly associated with improved care coordination, enhanced patient safety, and higher perceived quality of care. Evidence-based collaboration across health professions is significantly associated with better patient care outcomes. Strengthening interprofessional collaboration supported by consistent use of clinical evidence may enhance patient-centered care, safety, and overall quality of healthcare services. These findings underscore the importance of promoting evidence-based collaborative practices within healthcare organizations
Policy translation and implementation research of community-based stunting prevention programs at the village level Indrawati Aris Tyarini; Darmi Arda
Journal of Health Policy Analysis Vol. 1 No. 3 (2026): Volume 1 Number 3 July 2026
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i3.406

Abstract

Introduction: Community-based stunting prevention remains a major challenge in decentralized health governance systems due to variations in policy translation and implementation at the village level. This study aimed to analyze factors influencing the implementation effectiveness of community-based stunting prevention programs. Methods: A quantitative cross-sectional analytical study was conducted in selected rural villages in Eastern Indonesia between January and April 2026. A total of 130 respondents were selected using proportional stratified random sampling. Data were collected through structured questionnaires and analyzed using descriptive statistics, chi-square tests, and multivariate logistic regression with a significance level of α = 0.05. Results: Strong institutional coordination was the most dominant factor associated with effective implementation of stunting prevention programs (AOR = 3.76; 95% CI: 1.72–8.19; p < 0.001). Good policy communication (AOR = 2.84; 95% CI: 1.31–6.15; p = 0.008), high community participation (AOR = 2.57; 95% CI: 1.18–5.60; p = 0.017), adequate implementer capacity (AOR = 2.21; 95% CI: 1.03–4.76; p = 0.041), and sufficient resource availability (AOR = 2.69; 95% CI: 1.22–5.95; p = 0.014) also significantly improved implementation effectiveness. Conclusion: Effective stunting prevention requires adaptive governance systems emphasizing multisectoral coordination, community participation, and context-sensitive policy implementation at the village level.