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All Journal Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH) Journal of Health Policy Analysis
Maria Kurni Menga
Department of Nursing, Politeknik Sandi Karsa, South Sulawesi, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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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 Progressive Muscle Relaxation as an Effort to Reduce Anxiety in Asthma Patients in Emergency Departments: Implications for Health Policy and Nursing Practice Maria Kurni Menga; Lenny Gannika
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): April
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.388

Abstract

Introduction: Anxiety is a common and clinically significant comorbidity among asthma patients in emergency departments (EDs), potentially worsening respiratory symptoms and complicating management. Non-pharmacological interventions such as Progressive Muscle Relaxation (PMR) remain underutilized in acute care. This study aimed to evaluate the effectiveness of PMR in reducing anxiety among asthma patients in ED settings. Methods: A quasi-experimental pretest–posttest control group design was employed. The study included 70 adult asthma patients (35 intervention, 35 control) recruited using purposive sampling in an ED setting over three months. The intervention group received a structured 15-minute PMR session in addition to standard care, while the control group received standard care only. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). Data were analyzed using paired and independent t-tests, followed by multivariate linear regression to control for potential confounders. Results: The intervention group demonstrated a significantly greater reduction in anxiety scores compared to the control group (mean difference: -14.2 vs -4.4; p < 0.001). Multivariate analysis confirmed that PMR was an independent predictor of anxiety reduction (β = -9.85; 95% CI: -12.40 to -7.30; p < 0.001), after adjusting for age, sex, and asthma severity. Asthma severity was also significantly associated with anxiety levels (β = 1.75; 95% CI: 0.30 to 3.20; p = 0.018). Conclusion: PMR is an effective, low-cost, and feasible intervention for reducing anxiety among asthma patients in ED settings. Integrating PMR into emergency nursing protocols may enhance patient-centered care and improve clinical outcomes. Policymakers should consider incorporating non-pharmacological interventions into acute care guidelines to support holistic and sustainable health service delivery.
Co-Authors Darmi Arda Lenny Gannika Rudolf Cymorr Kirby Palogan Martinez Suprapto Suprapto Syaharuddin