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Jurnal Kesehatan Siliwangi
Published by Politeknik Kesehatan Kemenkes Bandung
ISSN : -     EISSN : 28071530     DOI : https://doi.org/10.34011/jks.v4i1.1671
Core Subject : Health, Science, Social,
Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology
Jurnal Kesehatan Siliwangi menerima publikasi dalam makalah penelitian artikel asli, makalah tinjauan, laporan kasus, pengabdian masyarakat, penelitian kualitatif/dan kuantitatif di Indonesia atau negara lain untuk memberikan pemahaman mengenai aspek kesehatan. Ruang lingkup Artikel yang diterbitkan dalam jurnal ini adalah bidang : - Analis Kesehatan/ Teknik Laboratorium Medik - Gizi - Farmasi - Keperawatan Gigi - Keperawatan - Kebidanan - Kesehatan Lingkungan - Promosi Kesehatan
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 546 Documents
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THE COMPREHENSIVE SYSTEMATIC REVIEW OF ASSOCIATION OF POOR GLYCEMIC CONTROL (HBA1C) TO THE DEVELOPMENT OF MICROVASCULAR COMPLICATIONS IN DIABETES Fabian G.S; M. Rizki F
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jks.v6i1.3615

Abstract

Introduction: Diabetes mellitus remains a major global health challenge, with microvascular complications—retinopathy, nephropathy, and neuropathy—contributing significantly to morbidity and reduced quality of life. Glycemic control, primarily measured by HbA1c, is a cornerstone of diabetes management, but the strength and consistency of its association with microvascular outcomes across diabetes types and patient subgroups require comprehensive synthesis. Methods: We conducted a systematic review of 80 studies investigating the association between HbA1c and microvascular complications in Type 1 and Type 2 diabetes. Studies were screened based on predefined criteria including study design, population, measurement of HbA1c, assessment of microvascular outcomes, and availability of quantitative data. Data were extracted on HbA1c definitions, complication types, study characteristics, effect measures, and confounding control. Results: Poor glycemic control (HbA1c >7%) was consistently associated with increased risk and progression of microvascular complications. In Type 1 diabetes, intensive control reduced retinopathy by 76%, nephropathy by 39–56%, and completely prevented clinical neuropathy over 24 years. In Type 2 diabetes, intensive control reduced retinopathy progression by 23–33% and nephropathy by 21–26%. However, benefits diminished in older patients, those with advanced complications, or long disease duration. Glycemic variability and metabolic memory effects were also significant. Intensive control increased severe hypoglycemia risk approximately twofold. Discussion: The association between HbA1c and microvascular complications is strong but modulated by diabetes type, disease stage, age, and glycemic variability. Early intensive control yields lasting benefits via metabolic memory, especially in Type 1 diabetes. In Type 2 diabetes, individualized targets are essential to balance microvascular benefits against hypoglycemia and mortality risks. Conclusion: Glycemic control is fundamentally important in preventing and delaying microvascular complications, but treatment must be personalized. Future research should focus on variability metrics, early intervention windows, and integrative management strategies.
PENGEMBANGAN MEDIA ANIMASI MENGENAI DIET 3J BAGI LANSIA DIABETES MELITUS Karmila, Santi; Setiawan, Ridwan
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

Background: The prevalence of DM in the elderly continues to increase, including in the West Java region and the Sagalaherang Health Center. Controlling DM through proper diet education is very important, one of which is the 3J diet (amount, type, and schedule). The development of animated media based on the ADDIE model is needed to be able to increase cadres' knowledge about the 3J diet for the elderly with DM and facilitate the dissemination of information independently and attractively. Objective: Developing animated media about the 3J diet for the elderly with DM for cadres at the Sri Rahayu Posbindu, Sagalaherang Health Center Working Area with ADDIE model development research. Method: The type of research is R&D (Research and Develop) using the ADDIE approach. The population is 30 Sri Rahayu Posbindu cadres using the total sampling technique. Data were analyzed using Shapiro Wilk and Wilcoxon test analysis. At the evaluation stage, a quantitative quasi-experimental research with a one-group pretest-posttest design was conducted. Results: Animated media about the 3J diet with mp4 format, 16:9 layout, 3.56 minutes duration. Obtained a score of 96.25 with a very good category from material experts, 85 with a very decent category from media experts and there was an increase in knowledge of 21.97%. Conclusion: Animated media about the 3J diet showed a difference in knowledge after being given animated media with a very suitable category for use by experts and uploaded to the Youtube social media page and received positive feedback.
MEDIA EDUKASI E-POCKETBOOK BERBASIS AUGMENTED REALITY MENGENAI PENCEGAHAN DIABETES MELITUS TIPE 2 PADA REMAJA Amimah Saputro, Diva; Karjatin, Atin
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

Background: The prevalence of diabetes mellitus in adolescents aged 15-24 years reached 159,014 cases in 2018. Bandung Regency ranked second with 59,205 patients, in the Banjaran City Health Center area experienced an increasing trend, in 2022 there were 356 patients with diabetes mellitus aged 15 years and over who received health services according to standards. This number to 1,761 patients in 2023, with an increase of 394.66%. Therefore, preventive efforts are needed to reduce the rate of increase in diabetes mellitus cases through education using media tools that can help increase knowledge. Objective: Developing Augmented Reality-based E-PocketBook Educational Media regarding the prevention of Type 2 diabetes mellitus in adolescents with a 4D approach. Method: Research method used is R&D (Research and Development) with a 4D approach, namely Define, Design, Development which consists of material tests, media tests, small-scale tests, then quantitative tests using Quasi Experimental Design and one-group pretest-posttest design design to 51 adolescents and Dissemination. Results: Results of the needs analysis stage (define) the target needs digital media that contains brief information, has pictures, is interesting, interactive and easy to understand. The media design determined is an augmented reality-based e-pocketbook, Development (development) obtained media is very feasible to use and there is an influence on adolescent knowledge about preventing type 2 diabetes mellitus. Dissemination through links and QR codes that are directly integrated with the heyzine e-pocketbook platform. Conclusion: Augmented reality-based e-pocketbook educational media can be used for the prevention of Type 2 Diabetes Mellitus in adolescents.
PENGEMBANGAN VIDEO ANIMASI PEMERIKSAAN GULA DARAH PUASA (VAP-GDP) SEBAGAI PENCEGAHAN DIABETES MELITUS REMAJA POSBINDU LILY Sulistiawati, Risti; Setiawan, Ridwan
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

Background: Diabetes Mellitus (DM) is a chronic disease caused by impaired insulin production or function. In West Java, the number of DM cases among individuals aged ≥15 years has reached 570,611. This situation is concerning, as reports from the Cimahi City Health Office indicate a 20% increase in adolescent DM cases over the past two years. This highlights the importance of early prevention and education, one of which is through animated video-based education. Objective: This study aims to develop an animated video on fasting blood glucose testing (VAP-GDP) as an effort to prevent Diabetes Mellitus among adolescents at Posbindu Lily using the ADDIE model. Methods: This research employs a Research and Development (R&D) approach with the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The sample consisted of 40 adolescents selected through total sampling technique. The research was conducted at Posbindu Lily. Data collection used questionnaires that had been tested for validity and reliability. Data analysis was performed using univariate and bivariate methods with the Wilcoxon test. Results: The 6-minute 24-second animated video was validated by material experts (94.4%) with a "Very Good" rating and media experts (91.7%) with a "Highly Suitable" rating. The Wilcoxon test results showed a significant increase in knowledge (p < 0.05) after the intervention. Conclusion: The VAP-GDP animated video was deemed highly suitable and effective in increasing adolescents' knowledge about the importance of fasting blood glucose testing as a preventive measure against DM
PENGEMBANGAN E-MODUL AKTIVITAS FISIK UNTUK PENCEGAHAN DIABETES MELITUS REMAJA BAGI GURU DI SMPN 18 BANDUNG Eka Putri, Larasati; Setiawan, Ridwan
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

The prevalence of juvenile diabetes mellitus (DM) in Bandung increased sharply from 9 cases in 2021 to 53 cases in 2022. Contributing factors include low health education awareness and the inactivity of 65% of adolescents. To address this, an e-module was developed for teachers at SMPN 18 Bandung, a school with students at high risk of DM due to hereditary factors and obesity. This study aimed to develop a physical activity e-module for teachers at SMP Negeri 18 Bandung to prevent adolescent DM, utilizing the ADDIE model. This research employed a Research and Development (R&D) methodology utilizing the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation). The study involved a sample of 31 homeroom teachers from SMPN 18 Bandung City, with collected data being analyzed using both qualitative and quantitative methods. The ADDIE-based e-module was rated "highly feasible" by material (93.3%) and media (89.5%) experts. A Wilcoxon test (p=0.000) indicated a significant improvement in teachers' knowledge, with mean scores rising from 47 (pre-test) to 89 (post-test). Additionally, 96.8% of participants achieved the "good" knowledge category. Positive engagement on Instagram (1,041 views, 69 likes) further demonstrated the media's effectiveness. The physical activity e-module for DM prevention, developed using the ADDIE model, proved both valid (rated "highly feasible" by experts) and effective in enhancing teachers' knowledge. As an interactive educational tool, it successfully raises awareness about DM and its prevention, receiving positive user feedback. Implementing this e-module in schools is recommended as an effective health education medium.
PENGEMBANGAN VIDEO EDUKASI BERBAHASA SUNDA MENGENAI DIET JUMLAH, JENIS, DAN JADWAL (3J) PADA PASIEN DIABETES MELITUS Hera, Siti Nurul; Ruhmawati, Tati
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

Background: Diabetes mellitus is a non-communicable disease with increasing prevalence, with 1,316 cases recorded at the Cicalengka DTP Health Center out of 59,205 in Bandung Regency. Initial studies revealed patients’ limited understanding of the 3J diet (Quantity, Type, Schedule), indicating the need for engaging and culturally appropriate educational media, such as using the Sundanese language. This study aimed to develop and evaluate the feasibility and effectiveness of Sundanese-language educational videos on the 3J diet. Method: This study applied the ADDIE development model (Analysis, Design, Development, Implementation, Evaluation) and was conducted at the Cicalengka DTP Health Center from March to June 2025. The population comprised 1,316 diabetes patients, with 42 selected through incidental sampling. Effectiveness was tested using a one-group pretest–posttest design without control. Instruments included interview guides and questionnaires with qualitative and quantitative approaches. Results: The analysis confirmed the need for Sundanese-language video education. The design phase produced materials and storyboards aligned with patient needs. Development yielded highly feasible media with validation scores of 98.8% (content), 80% (language), 100% (media), and 100% (small group). Implementation involved a pretest, media exposure, and posttest with 42 participants. Evaluation showed feedback was actionable. The Wilcoxon test revealed a significant improvement in knowledge of the 3J diet (p = 0.001 < 0.05). Conclusion: The Sundanese-language 3J diet educational video was feasible, culturally relevant, and effective in enhancing diabetes patients’ knowledge at the Cicalengka DTP Health Center.
PENGEMBANGAN POSTER INTERAKTIF SEBAGAI MEDIA PROMOSI KESEHATAN MENGENAI 5 PILAR DIABETES MELITUS PADA PESERTA PROLANIS Nur Tsania, Qonita; Ruhmawati, Tati
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

Background: Diabetes mellitus is one of the diseases with a high prevalence in the community and has the potential to cause serious complications if not properly managed. In 2023, West Java recorded 645,390 cases, with Bandung Regency as the second-highest contributor (59,205 cases). In Margahayu Selatan Public Health Center’s area, there were 1,312 cases. A preliminary study showed most Prolanis participants had never received education on the 5 Pillars of Diabetes Mellitus. Therefore, appropriate educational media such as interactive posters are needed for health promotion. Objective: To develop interactive poster media on the 5 Pillars of Diabetes Mellitus for Prolanis participants as an educational tool for diabetes management. Methods: This study used the 4D development model (Define, Design, Development, Disseminate) and was conducted at Margahayu Selatan Public Health Center in April–May 2025. The population included all Prolanis participants, with a total sample of 53 people selected using total sampling. Media effectiveness was tested using a one-group pretest-posttest design without a control group. Results: The Define stage revealed the need for printed and interactive educational media. The Design stage produced an interactive poster containing 5 Pillars material. At the Development stage, the media was rated highly feasible: 92.5% by material experts, 100% by media experts, and 96.9% by participants. Knowledge scores increased from 77.42 to 96.96, with a p-value of 0.000 (Wilcoxon test). Conclusion: Interactive poster media is effective in increasing knowledge of Prolanis participants regarding diabetes management.
PENGEMBANGAN MEDIA POSKER BAHAYA MINUMAAN BERPEMENIS DALAM KEMASAN SEBAGAI UPAYA PENGENDALIAN DIABETES MELITUS Adila, Djihan; Ruhmawati, Tati
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

Background: Indonesia ranked fifth globally with 19.5 million people living with diabetes in 2021. In Cimahi City, West Java, diabetes cases increased by 10,016 in 2023. A preliminary study in RW 12, Utama Subdistrict, South Cimahi, indicated low awareness among patients regarding the health risks associated with sugar-sweetened beverages (SSBs). Objective: This study aimed to develop a calendar-based poster (posker) as an educational tool to raise awareness about the dangers of SSBs and support diabetes mellitus control. Methods: A research and development design using the 4D model (Define, Design, Develop, Disseminate) was employed during March to April 2025. The population included all diabetes patients in RW 12, with a total of 30 participants selected through total sampling. A one-group pretest-posttest design without a control group was used to assess media effectiveness. Result: The Define phase revealed the need for printed educational materials with calendar elements. A posker was developed and validated by experts: material (95%), media (100%), and target users (91%). Post-intervention knowledge scores significantly increased from 54.37 to 88.30 (p = 0.000, Wilcoxon test). In the Dissemination phase, the posker was shared via social media and received positive feedback. Conclusions: The posker is an effective medium for increasing knowledge about the health risks of SSBs and may serve as a practical educational intervention in diabetes management.
PENGEMBANGAN VIDEO ANIMASI PEMERIKSAAN GULA DARAH UNTUK MENINGKATKAN PENGETAHUAN USIA PRODUKTIF DI PUSKESMAS NAGRAK Ridwan Al Mufid, Muhammad; Sudiyat, Rahmat
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

Diabetes mellitus (DM) is a chronic metabolic disease with an increasing prevalence, including among the productive-age population. Limited knowledge regarding blood glucose testing is one of the barriers to DM prevention. This study aimed to develop an animated video on blood glucose testing that is engaging, relevant, and effective in improving knowledge. The research used a Research and Development (R&D) design with the Analyze, Design, Development, Implementation, Evaluation (ADDIE) model, involving 44 visitors aged 15–59 years at Nagrak Public Health Center (Puskesmas) selected through accidental sampling. Instruments included a media feasibility questionnaire and a validated, reliable knowledge test (Cronbach’s Alpha = 0.986). Expert validation scored 100% for content and 82.6% for media (highly feasible). Wilcoxon test showed a significant increase in knowledge scores from 42.3 to 52.8 (p = 0.000). Dissemination via YouTube gained 273 views and positive feedback. In conclusion, the animated video effectively improved knowledge and has the potential for broader implementation in health promotion for DM prevention.
MEDIA VIDEO PODCAST AKTIVITAS FISIK SEBAGAI UPAYA PENCEGAHAN DIABETES MELITUS BAGI REMAJA ANGGOTA UKS Jessica Marbun, Ester; Setiawan, Ridwan
Jurnal Kesehatan Siliwangi Vol. 6 No. 1 (2025): JURNAL KESEHATAN SILIWANGI
Publisher : Politeknik Kesehatan Kemenkes Bandung

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Abstract

The prevalence of diabetes mellitus (DM) among adolescents is concerning, with 89,128 cases in West Java in 2023, and Bandung Regency ranking second with 59,205 cases. A lack of physical activity is a major contributing factor, increasing the risk of obesity and Type 2 DM. Therefore, preventive efforts through education on the importance of physical activity are essential. Therefore, preventive efforts through education on the importance of physical activity are needed. Objective: This study aimed to develop a Spotify-based podcast promoting physical activity to prevent DM among School Health Unit (UKS) members at SMPN 1 Margahayu, using the ADDIE model. Method: The study employs the R&D (Research and Development) model ADDIE (Analysis, Design, Development, Implementation, Evaluation). The study was conducted at SMPN 1 Margahayu with a sample population of 44 students. Results: Analysis phase identified identified the need for interactive media with a young female presenter, simple language, animations, clear text, and aerobic demonstrations. Design phase included script development, question frameworks, and storyboarding. Development phase produced a 30-minute podcast video. The resulting 30-minute podcast received high ratings from content (93.75%) and media experts (92.3%). Implementation over three sessions, it increased students knowledge by 31.34%. Conclusion: Evaluation phase of the podcast video distribution shows effectiveness in enhancing engagement, improving information retention, and fostering adolescents' interest in physical activity for the prevention of diabetes mellitus.

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