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The Effectiveness of Diabetic Self-Management Education (DSME) on Dietary Habit, Obesity, and Physical Activity Among Patients with DM Type II
No full textDiabetes mellitus and metabolic disorders are the priority programs in Indonesia. There is one program to reduce the fatality impact of diabetes which is diabetic self-management education (DSME). This study aimed to examine the effectiveness of Diabetes Self-Management Education (DSME) on dietary habits, physical activity, and obesity. This study is a quasi-experimental approach with one group pre-test post-test design. The sample in this study was 75 people with DM type II. The intervention for all samples was done for 4 sessions. Each session lasted 60 to 120 minutes/day with a maximum of 10 patients. The findings revealed that dietary habits were good from 56.0% to 69.3%, physical activity was good from 54.7% to 76.0%, and obesity decreased from 69.3% to 57.35, respectively for pre and post-test. The paired t-test result revealed that DSME correlates with dietary habits, physical activity, and obesity (obesity, physical activity, and dietary habit with p-values 0.024; 0.007; and 0.02, respectively). In conclusion, DSME has significantly influenced dietary habits, physical activity, and obesity. Education is crucial in promoting physical activity among individuals with diabetes. By enhancing self-efficacy, providing education on self-care behaviors, and emphasizing the importance of regular physical activity, these programs contribute to improving metabolic control, quality of life, and overall health outcomes in diabetic patients
Exploring Key Determinants of Trail Run Athlete’s Preparedness to Perform Pre-Hospital First Aid for Ankle Sprain
No full textTrail runs have a high risk of injury like ankle sprains. Proper ankle sprain first aid requires preparedness to prevent more serious danger and ensure its success in the pre-hospital setting. This study aimed to explore key determinants of trail run athletes’ preparedness to perform pre-hospital first aid for ankle sprain using the PRECEDE-PROCEED Model theory. The research method used a descriptive correlational which approached cross-sectionally. The research recruited 120 trail run athletes of two professional clubs who were selected by simple random sampling. Data was collected using questionnaires. The variables measured were knowledge, belief, value, attitude, and confidence. Bivariate analysis used chi-square and spearman-rho tests. Multivariate analysis used a logistic regression test. All of the statistical analyses used α = 0,05. The research results show that half of the respondents was 18 – 35 years old. The factors correlated to the trail run preparedness to perform pre-hospital first aid for ankle sprain was as follows. The majority had a medium level of knowledge (54,2%) and a significance level of p = 0.000. Similar trends were found between belief, value, and confidence in which there were no low levels of those variables with the same significance value of p = 0.000. Lastly, respondent’s percentages of attitudes were almost equally distributed between negative (45%) and positive (66%) with a significance level of p = 0,000. In multivariate analysis, all the variables had p-values < 0,05. The OR was as follows, knowledge 14,713; belief 77,919; value 27,554; attitude 7,213; and confidence 12,408. The conclusion is found that knowledge, belief, value, attitude, and confidence were significantly correlated with the athlete’s preparedness Together all variables were correlated significantly to the athlete’s preparedness to perform pre-hospital first aid for ankle sprain. In conclusion, to improve athlete safety during trail runs is by improving the preparedness for any adverse event including trail runs. All of the factors could increase preparedness, but some factors resulted in higher preparedness. The factors that have more effect on preparedness than the others are belief and value.
Achievement of the Mother\u27s Role According to Mercer\u27s Theory is related to the Readiness of Pregnant Women to Undergo Sectio Caesarea Operation
No full textThe prevalence of caesarean section (C-section) deliveries has risen to encompass over 1 in 5 births (21%) globally and is projected to increase to nearly one-third (29%) by 2030. With this growing trend, optimal patient preparation becomes essential for ensuring safe and successful outcomes. Patient preparation involves multiple aspects, including physical readiness, nutritional status, gastrointestinal and abdominal hygiene, surgical site shaving, personal hygiene, bladder emptying, preoperative exercises, mental preparation, and informed consent. Mental preparedness, in particular, is closely associated with achieving maternal role attainment, as described in Mercer’s theory. This study aimed to explore the significant relationship between maternal role attainment, based on Mercer\u27s theory, and the readiness of pregnant women to undergo C-section surgery. A quantitative correlational research design was employed, involving a sample of 52 pregnant women scheduled for C-section surgery, selected using the Total Sampling technique. Maternal role attainment (independent variable) was assessed using a validated questionnaire, while surgical readiness (dependent variable) was measured using a readiness questionnaire that had undergone validity testing. Data were analyzed using the Spearman Rank Correlation test. The results revealed that 26 participants (50.0%) had achieved their maternal role, and 47 participants (90.4%) demonstrated readiness for C-section surgery. Statistical analysis indicated a significant positive relationship between maternal role attainment and surgical readiness, with a p-value of 0.03 (<0.05) and a correlation coefficient of 0.401, suggesting a moderate and positive correlation. The conclusion is there are relationship between maternal role attainment, based on Mercer\u27s theory, and the readiness of pregnant women to undergo C-section surgery. These findings imply that the greater the maternal role attainment, the higher the readiness of pregnant women to undergo C-section surgery
Factors Contributing to Hypertension Self-Care Management Behavior in Elderly Rural Residents
No full textThe behavior of hypertension self-care management in the elderly is very important to be applied to reduce the prevalence of hypertension in rural areas. This study aims to analyze the factors associated with hypertension self-care management behavior in the elderly in rural areas based on the Protection Motivation Theory (PMT). The research design uses analytic observational with a cross-sectional approach. The sample in this study was 150 elderly people with hypertension who lived in rural areas. The independent variables are perceived vulnerability, perceived severity, perceived reward, response efficacy, self-efficacy, and intention. The dependent variable is hypertension self-care management behavior. Data collection uses the PMT and HSMBQ questionnaires. Bivariate analysis used the Spearman correlation test and multivariate analysis used linear regression with a significance level = 0.05. Bivariate test results found that perceived vulnerability (r=0.615 and p<0.05), perceived severity (r=0.497 and p<0.05), perceived reward (r=0.598 and p<0.05), efficacy response (r=0.510 and p<0.05), self-efficacy (r=0.477 and p<0.05), and intention (r=0.513 and p<0.05) related to hypertension self-care management behavior. Multivariate test results found that the PMT model associated with hypertension self-care management behavior includes perceived vulnerability (p<0.05), perceived severity (p<0.05), perceived reward (p<0.05), and self-efficacy (p<0.05). The value of R square = 0.519 indicates that the PMT model can predict 51.9% of self-care behavior. The dominant factor that can increase hypertension self-care management behavior is the perception of vulnerability. Nurses should be able to provide health education to improve hypertension self-care management behavior
The potential of Cilembu sweet potato (Ipomoea batatas L.) as a growth medium for Staphylococcus aureus and Escherichia coli
No full textThe media aims to store, reproduce, and identify bacteria but has disadvantages such as being expensive, containing chemicals, and being easily damaged due to contamination. Therefore we need an alternative media that can overcome these limitations. Cilembu sweet potato (Ipomoea batatas, L.) is a natural ingredient that is easy to obtain and contains sufficient nutrients so it has the potential to be used as a basic ingredient for growth media. The purpose of this study was to determine the potential of Cilembu sweet potato flour as an alternative medium for the growth of Staphylococcus aureus and Escherichia coli bacteria with a quasi-experimental design. Cilembu sweet potato flour is obtained by cleaning, chopping, drying in the oven, crushing with a blender, and sifting the tubers to obtain fairly fine flour. The flour was dissolved in agar and then inoculated with S. aureus and E. coli, each with 16 replications. The results showed that the average number of S. aureus colonies was 119.12 CFU (169.2 CFU in control) while E. coli was 160.56 CFU (221.2 CFU in control). The Mann-Whitney test showed that there was a difference in the number of S. aureus colonies on alternative media and NA (p = 0.006 ≤ 0.05), but there was no difference between the number of E. coli colonies on alternative media and NA (p = 0.057 > 0.05). Finally, there was a difference in the number of S. aureus and E. coli colonies on alternative media (p = 0.04 ≤ 0.05). The nutritional composition shows that Cilembu sweet potato flour has more potential to replace NA as a growth medium for E. coli than for S. aureus
Comparison of Severity in Diabetic Ulcer Patients with and Without Sepsis
No full textDiabetes mellitus patients in Central Java grow yearly. According to data provided by the Central Java Health Department in 2019, Diabetes mellitus ranks second as the largest non-communicable disease (NCD), covering 13,4% of the total NCD patients. The prevalence of diabetic ulcers is 15-25% of all diabetes mellitus patients in Indonesia, which concerns the author regarding the possible increase of the diabetic ulcer population in Central Java. The severity of diabetic ulcers depends on various factors, including infection and complications. The most common complication is sepsis, a systemic infection often arising from local infections that are not appropriately treated, causing progressive damage and increasing mortality rates. This study aims to examine the comparison of ulcer severity in diabetic ulcer patients with sepsis and non-sepsis complications using Meggitt Wagner\u27s criteria. This study utilizes an analytic observational study using a cross-sectional approach. The author sampled 126 patients diagnosed with Diabetic Ulcers in 2022 at Dr. Moewardi General Hospital for this study, using a purposive sampling method. The research was conducted by looking at the patient\u27s medical record data, and data analysis using SPSS software. The test used in this research includes a Parametric T-independent test and a Pearson bivariate relationship test. This study shows that the comparison of ulcer severity in diabetic ulcer patients with sepsis and without sepsis was statistically significant (p-value = 0.000002). The mean of the group with sepsis (3.4127) was greater than the group without sepsis (2.5238). In conclusion, the comparison of ulcer severity in diabetic ulcer patients with sepsis and without sepsis is significant. We recommend future researchers include patients’ comorbidities, total hospitalization time, and detailed information on drug use and patient adherence to treatment in their research for more nuanced findings.
The Relationship of Latrine Quality with The Incidence of Worms in The Mekarsari Health Center Area, Lebak District
No full textFamily latrines, crucial for sanitation, impact community health. In 2019, Banten had 70.5% latrine use, below the national 72.3%. Poor sanitation causes diseases like helminthiasis, affecting many, especially children. This study aims to determine the relationship between the quality of family latrines and the incidence of helminthiasis in the Mekarsari Health Center area of Lebak Regency. The study used a cross-sectional design. The population included all families with goose-neck latrines in the Mekarsari Health Center area, with a sample size of 88 families. Data analysis was conducted in stages using the chi-square test at an alpha level of 0.05. The results showed that nearly all respondents (93.2%) were male, 96.6% were of productive age, most had low education levels (67%), and nearly all were non-civil servants (97.7%). The majority (73.9%) had a monthly income below the Lebak Regency minimum wage (< Rp 2,944,665). There were still 17% of families with low-quality latrines, and 9.1% of family members suffered from or were infected with helminthiasis (Ancylostoma duodenale). The relationship test results showed a significant relationship between latrine quality and helminthiasis incidence, with a p-value of 0.000 (p<α). The OR value was 63,000, meaning that families with low-quality latrines were 63 times more likely to suffer from or be infected with helminthiasis compared to families with high-quality latrines. The conclusion is that there is a relationship between the quality of latrines and the incidence of helminthiasis in the Mekarsari Health Centre Area, Lebak Regency. Serious efforts are needed to empower families through health education and assistance to encourage them to improve, construct, and maintain quality latrines to prevent helminthiasis infections.  
The Impact of Oxytocin Massage and Banana Flower Consumption (Musa balbisiana colla) on the Prolactin Level in Breastfeeding Mothers
No full textFor a long time, banana flowers have been believed to increase breast milk production. Thus, many people consume them as vegetables for breastfeeding mothers. This research examines the impact of oxytocin massage and banana flower consumption on prolactin levels in breastfeeding mothers. The method used a true experiment control group design in which samples were divided into three groups: Group 1 was treated with oxytocin massage, group 2 was treated with banana flower consumption, and Group 3 was given intervention with oxytocin massage and banana flower consumption. The massage was conducted every day for 5-10 minutes. The banana flower vegetable was served as much as 150 grams daily. The first blood sampling was done pre-intervention on the third day of postpartum. The second blood sampling was done after intervention on the tenth postpartum day following the intervention. The checkup of prolactin level was through Chemiluminescent Microparticle Immunoassay (CMIA). This research utilized a T-test exam to analyze the data. The average difference in prolactin levels in pre-and-post intervention in group 1 was -61,75 ng/mL. Although decreasing prolactin levels occurred, there was no significant interval between pretest and post-test. The difference in prolactin levels in pre-and-post intervention in group 2 was 103,61 ng/mL. The prolactin level increased but not significantly. In group 3, the difference levels were about 110,22 ng/mL. In this group, a significant prolactin level increase had occurred. The conclusion is that the combination of banana flower and oxytocin massage evolved the prolactin level in nursing mothers. Research related to enforcing the recommendation of breastfeeding mothers to consume traditional galactagogues
The Impact of Hormonal Changes in Elderly Women: A Literature Review
No full textAs women age, hormonal changes become increasingly common and can significantly impact their overall health and well-being. In elderly women, these changes can lead to a range of physical and emotional symptoms that can greatly affect their quality of life. To further understand the health problems that arise from these hormonal changes, this study focused on menopause and andropause. The research methodology used in this study was a literature review. A total of 14 articles from PubMed, ScienceDirect, and PLOS One were reviewed, while established inclusion and exclusion criteria were taken into consideration. The findings suggest that a majority of postmenopausal women experience side effects from hormonal changes, including both physical and mental ailments. Menopause can also lead to sexual dysfunction, as well as an increased risk of osteoporosis, cardiovascular diseases, cancer, mental disorders, and chronic kidney disease. These changes can significantly impact an elderly individual\u27s quality of life.
Empowering Women and Families in Early Detection of Hypertension Complications in Pregnancy
No full textHypertension is the main cause of death for pregnant women, which is 31,90% in 2022. Early detection of hypertension complications tends to be actively carried out by health workers rather than empowering mothers, husbands, and families. This study aims to identify the differences in knowledge and attitudes of pregnant women regarding the early detection of hypertensive complications and the role of family support in hypertension prevention, before and after receiving intervention through the use of booklets. This quasi-experimental study used a one-group pretest-posttest design with 60 hypertensive pregnant women. Participants completed questionnaires measuring knowledge and attitudes about hypertension. After receiving a hypertension booklet to read for three days, follow-up evaluations were conducted on family support (day 10), early detection of complications, and blood pressure (day 14). Data were analyzed using paired sample tests. The research results show that the knowledge significantly improved after the intervention (mean increase of 2.47, p=0.000), while no significant change was found in attitudes (p=0.214). Family support roles increased significantly (mean increase of 2.02, p=0.000). Additionally, 88.3% of respondents could detect early hypertension complications, and 81.7% had normal blood pressure after the intervention. The conclusion is there are differences in the knowledge of pregnant women and the role of family in the prevention of pregnancy hypertension before and after receiving the booklet intervention. There is no difference in the attitude of pregnant women before and after receiving the booklet intervention. Suggestions for researchers further need to formulate strategies related to early detection of pregnancy hypertension starting from the family level by involving a network of cooperation between the government and community organizations to prioritize health education at the family level