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Moist Wound Healing Using Virgin Coconut Oil (VCO) Ointment to Improve Skin and Tissue Integrity in Type 2 Diabetes Mellitus Patients Fantri, Nurfantri; Muna, Nasir; Nurlinda, Nurlinda; Saranani, Muhaimin; Akhmad, Akhmad
Madago Nursing Journal Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i2.4275

Introduction: Type 2 Diabetes Mellitus (T2DM) is a major global health concern frequently complicated by diabetic foot ulcers, which require effective wound care to prevent infection and accelerate healing. Moist Wound Healing (MWH) and Virgin Coconut Oil (VCO) have been recognized as complementary therapies that may enhance skin and tissue integrity. This study aimed to assess the effectiveness of combining MWH and VCO ointment on wound healing and pain reduction in a patient with a diabetic ulcer. Methods: This case study involved a T2DM patient presenting with a grade IV diabetic ulcer on the right foot. The intervention consisted of MWH combined with VCO ointment, administered three times at three-day intervals. Wound healing was evaluated using the Bates-Jensen Wound Assessment Tool (BWAT) to measure skin and tissue integrity, while pain intensity was assessed using the Numerical Rating Scale (NRS). Results: After three intervention sessions, notable improvements were observed. The BWAT total score decreased from 60 to 29, reflecting substantial tissue regeneration. The presence of healthy granulation tissue increased from 90% to 96%, indicating enhanced wound bed recovery. Additionally, the patient’s pain score decreased from 5 (moderate) to 2 (mild) on the NRS scale. Conclusion: The application of Moist Wound Healing combined with VCO ointment demonstrated effectiveness in improving skin and tissue integrity, enhancing granulation tissue formation, and reducing pain in a T2DM patient with a diabetic ulcer. This intervention shows potential as part of comprehensive wound care management; however, further studies with larger samples and extended observation periods are needed to strengthen these findings.

Relationship Between Work Duration and Work Process with Low Back Pain Among Coffee Farmers Ulfa Husna Dhirah; Hasratina, Illa
Madago Nursing Journal Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i2.4261

Background: Low back pain (LBP) is a major occupational health concern among agricultural workers, yet evidence specific to smallholder coffee farmers regarding the combined impact of work duration and work processes remains limited, particularly in the context of developing economies like Indonesia. Methods: An analytical cross-sectional study was conducted from 1–13 October 2025 in Tunyang Induk Village, Indonesia. Using total population sampling, 135 coffee farmers participated. Data were collected through face-to-face interviews using a structured questionnaire that assessed sociodemographic variables, work duration (categorized as ≤8 hours or >8 hours/day), work processes (evaluated using an adapted Quick Exposure Check tool and categorized as "good" or "poor"), and low back pain (assessed via the Nordic Musculoskeletal Questionnaire). Data analysis involved descriptive statistics, chi-square tests, and logistic regression using SPSS version 26.0, with statistical significance set at p < 0.05. Results: The prevalence of low back pain among coffee farmers was 65.2% (n=88). Of those with LBP, 59.1% reported moderate-to-severe pain, and 72.7% indicated that pain interfered with daily farming activities. Bivariate analysis revealed strong associations between LBP and both extended work duration (>8 hours/day; OR = 33.1, 95% CI: 12.8–85.6, p < 0.001) and poor work processes (OR = 215.8, 95% CI: 56.2–828.9, p < 0.001). Significant associations were also found with age ≥40 years (OR = 2.2, p = 0.027) and farming experience ≥10 years (OR = 2.5, p = 0.011). Conclusion: Prolonged work hours and inadequate ergonomic practices are significant, independent risk factors for low back pain among Indonesian coffee farmers. These findings highlight an urgent need for ergonomic interventions, structured work-rest scheduling, and community-based health education programs to reduce musculoskeletal strain. Future efforts should integrate occupational health perspectives into agricultural policy and expand the role of community nursing in preventive ergonomic care.

The Effect of Education on Improving Adolescents’ Knowledge and Self Efficacy Regarding HIV/AIDS: A Pre-Experimental Study Raden Bagus Edy Santoso; Wirda Wirda; Badariati Badariati; Hasnidar Hasnidar; Dina Palayukan Singkali
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4277

Background: HIV/AIDS remains a growing global health concern, including among adolescents. Low knowledge and inadequate self-efficacy related to HIV/AIDS prevention are major risk factors for risky behaviors in adolescents. School-based education is considered an effective strategy to enhance adolescents’ awareness and capacity to prevent HIV/AIDS. Objective: This study aimed to analyze the effect of HIV/AIDS educational intervention on the knowledge and self-efficacy of adolescents at SMAN Negeri 3 Palu. Methods: This study employed a one-group pretest–posttest design. The sample consisted of 61 eleventh-grade students selected purposively. Research instruments included an HIV/AIDS knowledge questionnaire (20 items) and a self-efficacy scale (15 statements, Likert scale 1–5). Data were anayzed using the Mann–Whitney test to assess differences between pretest and posttest scores. Results: The findings indicated a significant increase in knowledge (pretest mean = 32.01, posttest mean = 90.99, p < 0.05) and self-efficacy (pretest mean = 42.6, posttest mean = 57.3, p < 0.05) following the educational intervention. These results suggest that school-based education effectively enhances adolescents’ understanding of HIV/AIDS and their confidence in implementing preventive measures. Conclusion: School-based HIV/AIDS education can improve adolescents’ knowledge and self-efficacy, which are critical prerequisites for safer HIV preventive behaviors. This study recommends the development of ongoing educational programs in schools, the involvement of peer educators, and further research employing controlled designs with long-term behavioral evaluations.

The Effectiveness of Intradialytic Exercise in Reducing Fatigue among Hemodialysis Patients Based on Roy Adaptation Model Syarief Hidayatullah Bahri; Priyanto Priyanto
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4301

Background: Fatigue is one of the most common and distressing problems among hemodialysis patients, significantly affecting their quality of life and adherence to treatment. This condition arises from physiological and psychological imbalances experienced during the hemodialysis process. Within the framework of the Roy Adaptation Model, fatigue is understood as a maladaptive response to prolonged stressors, while intradialytic exercise can function as an adaptive mechanism to enhance positive adjustment. Methods: This conceptual study employed a literature-based review approach by synthesizing evidence from recent national and international publications from 2022 to 2025. Thematic analysis was conducted based on the four adaptive modes of the Roy Adaptation Model: physiological, self-concept, role function, and interdependence. Results: The synthesis revealed that intradialytic exercise, which refers to physical activity performed during hemodialysis, effectively reduces fatigue levels by improving muscle perfusion, enhancing cardiovascular function, and stabilizing hormonal balance. This adaptive intervention supports physiological stability and promotes better psychosocial adjustment in hemodialysis patients. Conclusion: Intradialytic exercise serves as an effective adaptive nursing intervention to minimize fatigue and improve the overall quality of life in hemodialysis patients. These findings provide both theoretical and practical implications for developing comprehensive and sustainable nursing strategies grounded in the Roy Adaptation Model. KEYWORDS: Fatigue; Hemodialysis; Intradialytic Exercise; Roy Adaptation Model

The Relationship Between Family Characteristics and Feeding Patterns with Stunting Incidence in Toddlers Ritanti ritanti; Desty Wijayanti
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4307

Background: Stunting is a chronic growth disorder in children caused by long-term malnutrition. This condition remains a public health problem in Indonesia. Family characteristics and feeding practices play an important role in determining children's nutritional status. However, community-based empirical evidence is still limited. Therefore, this study aims to analyze the relationship between family characteristics, feeding practices, and stunting among children aged 12–59 months. Methods: This study used a cross-sectional design conducted in Limo Village, Depok City. The sample consisted of 328 mother-child pairs selected using probability sampling with cluster sampling technique, where all integrated health service posts (posyandu) were used as strata. Data were collected through a structured questionnaire to assess family characteristics and feeding patterns, as well as anthropometric measurements to determine stunting status. Data analysis was performed using the Chi-Square test with a significance level of 0.05. This study obtained ethical approval from the relevant ethics committee, and all respondents gave their consent after receiving an explanation. Results: The results indicate a significant association between family characteristics including maternal age, maternal education, family income, number of children, and family type and stunting (p < 0.05). Similarly, feeding practices were also significantly associated with stunting (p = 0.026). Furthermore, stunting was more prevalent among children of mothers with low educational attainment, families with incomes below the minimum wage, and those with suboptimal feeding practices. Conclusion: The incidence of stunting in toddlers is significantly influenced by family characteristics and feeding practices. These findings emphasize the importance of family-based interventions that focus on strengthening responsive parenting and proper feeding practices. Further research using a longitudinal design or intervention is recommended to support stunting prevention efforts at the community level.

Physical Activity and Smoking Habits Associated with Coronary Heart Disease Among Outpatients: A Cross-Sectional Study Dina Alfitra Rahmah; Yarwin Yari; Ika Mustafida
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4343

Background: Coronary Heart Disease (CHD) remains one of the leading causes of morbidity and mortality worldwide, including in Indonesia. Modifiable lifestyle factors, particularly physical inactivity and smoking habits, play a substantial role in the development of CHD. Although previous studies have investigated these risk factors separately, evidence examining both physical activity and smoking habits simultaneously among CHD patients in Indonesian healthcare settings remains limited. This study aimed to determine the association between physical activity and smoking habits and the occurrence of Coronary Heart Disease among outpatients at Hospital X. Methods: This quantitative study employed a cross-sectional design. A total of 302 outpatients were recruited using purposive sampling. Physical activity was assessed using the Global Physical Activity Questionnaire (GPAQ), while smoking habits were measured using the Glover-Nilsson Smoking Behavioral Questionnaire (GN-SBQ). Coronary Heart Disease status was determined based on physicians’ diagnoses documented in medical records. Data were analyzed using the Chi-square test with a significance level of p < 0.05. Results: The majority of respondents demonstrated high levels of physical activity (46.7%), primarily related to occupational activities rather than structured exercise, and mild nicotine dependence (41.4%). However, the highest proportion of CHD cases was observed among respondents with heavy nicotine dependence (33.1%). Chi-square analysis revealed a significant association between physical activity and CHD occurrence (χ² = 20.30; p = 0.0001) and between smoking habits and CHD occurrence (χ² = 12.15; p = 0.007). Conclusion: Physical activity patterns and smoking habits were significantly associated with Coronary Heart Disease among outpatients at Hospital X. These findings emphasize the importance of promoting regular structured physical activity and smoking cessation programs as key strategies for preventing cardiovascular disease. Future studies using longitudinal designs and multivariable analyses are recommended to further explore causal relationships and control for potential confounding factors

The Knowledge, Self-Management, and Blood Glucose Control Among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study Nurmala Sari; Yarwin Yari; Ika Mustafida
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4344

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by elevated blood glucose levels and associated with a high risk of complications. Effective glycemic control is influenced by patients’ level of knowledge and their ability to perform self-management behaviors. This study aimed to examine the relationship between knowledge and self-management and blood glucose control among patients with Type 2 Diabetes Mellitus. Methods: This analytical quantitative study employed a cross-sectional design with a total sampling technique. A total of 83 patients with T2DM receiving treatment at Hospital were recruited. Inclusion criteria included adult patients diagnosed with T2DM, able to communicate effectively, and willing to participate in the study. Data were collected using the Diabetes Knowledge Questionnaire (DKQ-24), the Diabetes Self-Management Questionnaire (DSMQ), and medical record data. Blood glucose control was assessed based on random blood glucose (RBG) measurements documented in patients’ medical records. Data were analyzed using Spearman’s rank correlation test. Results: The majority of respondents had low levels of knowledge (50.6%) and moderate levels of self-management (72.4%). Spearman’s rank correlation analysis revealed a very strong negative correlation between knowledge and blood glucose control (r = −0.844, p < 0.001) and a strong negative correlation between self-management and blood glucose control (r = −0.675, p < 0.001). Conclusion: Better knowledge and optimal self-management were significantly associated with improved blood glucose control among patients with Type 2 Diabetes Mellitus. These findings highlight the importance of continuous diabetes education and self-management support programs to enhance glycemic control and reduce the risk of diabetes-related complications.

Relationship Between Parental Communication Patterns and Language Delay in Preschool Children (4–6 Years) Andi Akifa Sudirman; Dewi Modjo; Sitti Mutmainah Gobel
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4347

Background: The family is the primary environment that supports children's language development, especially during the preschool years (4–6 years). However, many parents assume that language development occurs naturally without adequate verbal interaction. This study aimed to examine the relationship between parental communication patterns and the risk of language developmental delay among preschool children. Methods: A quantitative correlational study with a cross-sectional design was conducted at TK Handayani Telaga Biru. A total of 45 mother-child pairs were selected from 70 preschool children using purposive sampling. Parental communication patterns were assessed using a modified 25-item questionnaire covering five interpersonal communication dimensions (Cronbach’s alpha = 0.854). The risk of language developmental delay was evaluated using the language sector of the Denver Developmental Screening Test II (Denver II). Data were analyzed using the Continuity Correction Chi-Square test. Results: Most mothers demonstrated ineffective communication patterns (57.8%, n = 26), while more than half of the children were categorized as having suspected language developmental delay (53.3%, n = 24). Statistical analysis showed a significant relationship between parental communication patterns and the risk of language developmental delay among preschool children (p = 0.005). Conclusion: Ineffective parental communication patterns are significantly associated with a higher risk of language developmental delay in preschool children. Parents should be encouraged to use open, responsive, and supportive communication to promote optimal language development during early childhood

Post-Cesarean Wound Healing Outcomes Among Women With Diabetes Mellitus: A Scoping Review Diva Peni Agustin Widihastuti; Faizah Betty Rahayuningsih
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4348

ABSTRACT Background: Diabetes mellitus contributes to impaired postoperative wound healing following cesarean section and increases the risk of surgical site infection, wound dehiscence, and delayed recovery. However, evidence regarding wound healing outcomes among diabetic women following cesarean section remains limited, particularly concerning implications for maternal nursing care. Therefore, this scoping review aimed to map the available evidence regarding postoperative wound healing outcomes following cesarean section among women with diabetes mellitus. Methods: This study employed a scoping review design following the Joanna Briggs Institute (JBI) framework and PRISMA-ScR guidelines. Literature searches were conducted in PubMed, SpringerLink, and ScienceDirect databases for studies published between 2021 and 2025. Screening and eligibility assessment were independently conducted by two reviewers using predefined inclusion and exclusion criteria. Five studies met the eligibility criteria and were included in the final synthesis. Results: The reviewed studies consistently demonstrated that diabetes mellitus was associated with unfavorable postoperative recovery outcomes and increased wound-related complications after cesarean section. The most frequently reported complications included surgical site infection, delayed wound healing, wound dehiscence, and impaired scar healing. Poor perioperative glycemic control emerged as an important contributing factor associated with adverse postoperative recovery outcomes. Conclusion: Diabetes mellitus significantly affects postoperative wound healing following cesarean section and increases the risk of wound-related complications. Comprehensive perioperative management and continuous maternal nursing care may contribute to improved postoperative recovery and reduced wound-related complications among women with diabetes mellitus. KEYWORDS: Cesarean section; Diabetes mellitus; Postoperative wound healing; Surgical site infection; Wound healing

Effect of Red Ginger and Lemongrass Decoction on Blood Pressure in Hypertensive Elderly Muhammad Rizman Akmal; Dewi Siti Oktavianti; Yenni Malkis; Gaung Eka Ramadhan
Madago Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v7i1.4355

Background: Hypertension is a common chronic disease in the elderly and can lead to serious complications such as stroke, heart failure, and visual impairment. Globally, hypertension affects approximately 1.28 billion adults, with only a small proportion achieving adequate control. Therefore, alternative non-pharmacological therapies are needed. This study aimed to determine the effect of a combination of boiled red ginger and lemongrass water on blood pressure in elderly patients with hypertension. Methods: This study used a quasi-experimental design with a pretest–posttest approach without a control group. The study was conducted in RT 02 RW 07 Pondok Kacang Timur, South Tangerang City. A total population of 50 hypertensive patients was identified, with 32 elderly respondents selected using consecutive sampling. Data were collected using a sphygmomanometer, observation sheets for blood pressure measurement, and intervention checklists. Ethical approval was obtained, and all participants provided informed consent. Data were analyzed using the paired t-test. Results: The primary outcome showed a decrease in blood pressure after the intervention. The mean systolic blood pressure decreased from 170.53 mmHg to 155.50 mmHg, and diastolic pressure decreased from 85.72 mmHg to 80.86 mmHg. Statistical analysis using the paired t-test revealed a significant effect, with a p-value of 0.001 (p < 0.05). These findings indicate that the combination of boiled red ginger and lemongrass water significantly reduces blood pressure in elderly hypertensive patients. Conclusion: This study contributes to the understanding of non-pharmacological management of hypertension by demonstrating the effectiveness of a combination of boiled red ginger and lemongrass water in reducing blood pressure. The findings provide practical insights for community-based nursing interventions. Future research is recommended to include control groups and larger sample sizes to strengthen the evidence.

Home Page

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Reviewer

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Contact Name
Dewi Nurviana Suharto

Contact Email
dewinurviana.suharto@gmail.com

Phone
+62811459788

Journal Mail Official
jurnalmadago@gmail.com

Editorial Address
Jl. Trans Sulawesi No. 91 Desa Lanto Jaya Kecamatan Poso Pesisir Kabupaten Poso Sulawesi Tengah

Location
Kota palu,

Sulawesi tengah

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Dewi Nurviana Suharto

Contact Email dewinurviana.suharto@gmail.com

Phone +62811459788

Journal Mail Official jurnalmadago@gmail.com

Editorial Address Jl. Trans Sulawesi No. 91 Desa Lanto Jaya Kecamatan Poso Pesisir Kabupaten Poso Sulawesi Tengah

Location Kota palu, Sulawesi tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Dewi Nurviana Suharto

Contact Email
dewinurviana.suharto@gmail.com

Phone
+62811459788

Journal Mail Official
jurnalmadago@gmail.com

Editorial Address
Jl. Trans Sulawesi No. 91 Desa Lanto Jaya Kecamatan Poso Pesisir Kabupaten Poso Sulawesi Tengah

Location
Kota palu,

Sulawesi tengah

INDONESIA