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Nur Rohmanni Yuliana; Bagas Biyanzah Drajad Pamukhti; Isti Wulandari

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

Critically ill patients are individuals with unstable health conditions who require close monitoring of hemodynamic parameters. The high mortality rate among critically ill patients treated in intensive care units reaches 36.5% of 33,148 patients. Hemodynamic instability in critically ill patients can be influenced by underlying diseases, medical interventions, as well as physical and psychological stress responses during treatment. Therefore, in addition to pharmacological therapy, non-pharmacological interventions such as Asmaul Husna dhikr therapy are needed, as they can provide a relaxation effect and help stabilize hemodynamic parameters in critically ill patients. To determine the outcomes of the implementation of Asmaul Husna dhikr therapy. This study used a descriptive case study method involving two critically ill patients with unstable non-invasive hemodynamic parameters. Changes in non-invasive hemodynamic parameters were observed in both respondents after the implementation of Asmaul Husna dhikr therapy. In respondent 1, the hemodynamic status was initially categorized as increased and became stable after the intervention. Similarly, in respondent 2, the hemodynamic status changed from increased before the intervention to stable after the intervention. The implementation of Asmaul Husna dhikr therapy can be used as a complementary therapy to help stabilize hemodynamic parameters in critically ill patients.

Malau, Gladis Novita; Harmen, Hilma; Simbolon, Yosi Natalin; Naibaho, Rouli Elisabet; Silalahi, Pebiola

Jurnal Manajemen Sosial Ekonomi 2026 LPPM Sekolah Tinggi Ilmu Ekonomi - Studi Ekonomi Modern

An abstranct is a brief summary of a research article, thesis, review, conference proceeding or any-depth analysis of a particular subject or disipline, and is often used to help the reader quickly ascertain the paper purposes. When used, an abstract always appears at the beginning of a manuscript or typescript, acting as the point-of-entry for any given academic paper or patent application. Absatrcting and indexing services for various academic discipline are aimed at compiling a body of literature for that particular subject. Abstract length varies by discipline and publisher requirements. Abstracts are typically sectioned logically as an overview of what appears in the paper.

Dwight Nusawakan; Abdul Malik Mufty; Nurul Chaerani Nur; Harianti Fajar; Yosef Marsianus Karno

Publikasi Hasil Pengabdian dan Kegiatan Masyarakat 2026 Asosiasi Periset Bahasa Sastra Indonesia

Malpractice in the health professions is one of the issues that can cause harm to patients, health professionals, and healthcare institutions. A lack of understanding among students as prospective health professionals regarding ethical aspects, legal principles, professional standards, and proper service procedures may increase the risk of malpractice. This Community Service activity aims to provide students of STIKES Pasapua Ambon with an understanding of the concept of malpractice, the factors causing malpractice, and preventive efforts through the implementation of professional ethics, compliance with standard operating procedures, effective communication, and the improvement of professional competence. The activity was carried out through counseling, educational sessions, interactive discussions, and guidance on health law for participants. The results of the activity indicate an increase in students’ knowledge and awareness of the importance of understanding the limits of professional authority, legal responsibility, and preventive measures to avoid malpractice in healthcare practice. This activity is expected to help develop future health professionals who are professional, ethical, and responsible in providing safe and high-quality healthcare services.

Nurul Azizah Ritonga; Mariatul Kiftia Shakila; Nidia Lestari

Jurnal Riset Rumpun Matematika dan Ilmu Pengetahuan Alam 2026 Pusat riset dan Inovasi Nasional

This study aims to analyze various research results related to the application of context-based mathematics learning in improving students' mathematical literacy. Mathematical literacy is an important skill that enables students to understand, use, and apply mathematical concepts and reasoning in solving various problems related to real life. This study uses a qualitative approach with a literature review method. Research data was obtained through a review of various scientific articles relevant to the research topic. The analysis process was carried out in several stages, namely identification of literature sources, selection of articles based on topic suitability, and synthesis of published research findings. The results of the study show that integrating everyday contexts into mathematics learning can improve students' conceptual understanding, mathematical reasoning abilities, and problem-solving skills. Learning that links mathematical material to real-life situations can also help students understand concepts more meaningfully and encourage active engagement in the learning process. The findings of this study provide an overview that the application of mathematics learning based on everyday life contexts can be an effective strategy in improving students' mathematical literacy. Therefore, teachers need to design learning that links mathematical concepts to real-life situations so that students' mathematical literacy skills can develop optimally.

Enny Fitriani; Nur Asyah; Melati Yulia Kusumastuti; Aar Riana; Aling Wong +1 more

Sevaka : Hasil Kegiatan Layanan Masyarakat 2026 STIKES Columbia Asia Medan

Healthy food plays an important role in maintening family healty an supporting the growth and  development of family members, especially children. This study aims to improve community knowledge about  the importance of consuming nutritious and balanced food in order to achieve a healthy family. The metod used is a quantitative descriptive study with a survey approach through interviews with the community in Bingkat Village, Pegajahan Districh, Serdang Bedagai Regency. The results show that most people already understand the importance of choosing nutritious and balanced food, although there are still limitatiuns in understanding food additives. The aducational program conducted was able to increase pblic awareness in selecting healthy food, thereby helping to prevent digestive disrders, support children’s growth, end maintain overall family health. In outreach, education about healthy food is essential to  improve the quality of family health. It s expected that the community can implement a balanced nutritional diet to achieve a healthy family.  

Badratun Nafis; Sri Nurhayati Selian

RISOMA : Jurnal Riset Sosial Humaniora dan Pendidikan 2026 Asosiasi Ilmuwan Pendidikan, Sosial, dan Humaniora Indonesia

This research is motivated by the phenomenon of high academic pressure among students who possess excessively high self-standards or perfectionistic personality traits. The primary issue examined is how these students manage their emotions amidst a constant fear of failure. This study aims to gain a profound understanding of the emotion regulation strategies employed by perfectionistic students. The research method used is qualitative with a phenomenological approach to explore the participants 3 subjective experiences. Data were collected through in-depth interviews with active students selected via purposive sampling. The results indicate that participants tend to use maladaptive strategies, such as expressive suppression and procrastination, when they feel unable to achieve maximum targets. Social support and emotional maturity were identified as key factors helping them transition toward adaptive strategies. The study concludes with an emphasis on the necessity of specialized psychological support for perfectionistic students to develop self-compassion.

Elvia Siska; Diva Anggraini; Saskia Maharani

Jurnal Pendidikan Kimia, Fisika dan Biologi 2026 Asosiasi Riset Ilmu Pendidikan Indonesia

The digestive system is one of the most abstract and complex topics in high school biology because it involves physiological processes that occur inside the body and cannot be observed directly. This situation calls for the use of instructional media that can help students understand concepts in a more concrete, systematic, and engaging way. This study aims to analyze the effect of interactive multimedia on student learning outcomes regarding the digestive system and to identify the most effective type of multimedia. This study employs a meta-analysis method using secondary data from 20 relevant scientific articles published between 2021 and 2026. Data were collected through a literature review and systematic review, then analyzed using effect size calculations with Cohen’s and Hedges’ g formulas to determine the effectiveness level of each medium. The results indicate that the use of interactive multimedia generally has a positive effect on student learning outcomes, with most media falling into the high to very high effect size category. Interactive multimedia based on Articulate Storyline was the most effective medium with the highest effect size value of 2.730, followed by Augmented Reality-based E-Magazine at 2.634. These findings indicate that interactive multimedia is effective in facilitating the visualization of concepts and increasing student engagement.  

Huliandro Di’Almon Pan

Berkat : Jurnal Pendidikan Agama dan Katolik 2026 Asosiasi Riset Ilmu Pendidikan Agama dan Filsafat Indonesia

This study aims to analyze the role of liturgical inculturation in shaping the faith experience of the congregation through the practice of Inculturated Mass at St. Klemens Mandonga Parish. The study employed a descriptive qualitative approach combined with literature review and a survey involving 96 parish respondents. The findings indicate that most parishioners perceive inculturation as an encounter between Catholic faith and local culture that helps them experience their faith in a more contextual and meaningful way in everyday life. The practice of the Inculturated Mass is considered not only to enrich liturgical celebrations through the use of local cultural elements, but also to encourage active participation among the faithful during worship. In addition, liturgical inculturation fosters awareness of the importance of preserving local culture in harmony with Christian values. Such contextual liturgical experiences help deepen the spiritual relationship between the faithful and God, strengthen brotherhood within the community, and build a more inclusive and harmonious communal identity. Therefore, liturgical inculturation plays an important role in shaping a more vibrant, profound, and contextual experience of faith within both the Church and society.

Asisha Muharromah Melanisa; Dyah Rivani; Nita Sritunjung

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Gastritis is an inflammation of the gastric mucosa that often causes pain in the epigastric area, which can reduce patient comfort and quality of life. This condition requires treatment that is not only pharmacological, but can also be supported by non-pharmacological interventions such as warm compresses that function to provide a relaxing effect and improve blood circulation. This study aims to determine the effect of warm compresses on reducing pain intensity in gastritis patients. The research method used was descriptive with a case study approach on one patient treated in the inpatient ward. Data collection was carried out through interviews, observation, and documentation using the PQRST method to assess pain. The intervention in the form of warm compresses was given for three days with a frequency of once a day for ± 15–20 minutes in the epigastric area. The results showed a gradual decrease in pain intensity from a scale of 6 to a scale of 2 after the intervention, as well as an increase in patient comfort. The implications of this study indicate that warm compresses can be used as an effective, safe, and easy-to-implement independent nursing intervention to help reduce pain in gastritis patients and improve the quality of nursing care.

Dilfa Simbala; Silvia Dewi Mayasari Riu; Norman Alfiat Talibo

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Burnout syndrome is a condition characterized by emotional exhaustion, depersonalization, and a diminished sense of self-efficacy that nurses often experience due to high workloads. One approach that can be taken to reduce the level of burnout syndrome is through mindfulness-based breathing exercises. The objective of this study is to determine the effect of mindfulness-based breathing exercises on the level of burnout syndrome among nurses in the inpatient ward at R. W. Mongisidi Teling Hospital, a Type II General Hospital in Manado. This study employed a quasi-experimental design using a one-group pretest-posttest approach. The study population consisted of 87 nurses, with a sample of 20 respondents selected using purposive sampling. Data collection was conducted using the Mindfulness-Based Breathing Exercise SOP and a burnout questionnaire. The data were then analyzed using a T-test with a significance level (α) of 0.05. The study results showed that the mean score for the burnout syndrome among nurses in the inpatient ward of R. W. Mongisidi Type II General Hospital before the mindfulness-based breathing exercise intervention was 43.65, and the mean score after the intervention decreased to 40.40. The T-test results yielded a p-value of 0.000 < 0.05, indicating a significant effect of mindfulness-based breathing exercises on the burnout syndrome levels among nurses in the inpatient ward of RS TK II. R. W. Mongisidi in Teling, Manado. Mindfulness-based breathing exercises have a significant effect on burnout syndrome levels among nurses because this intervention helps improve self-awareness, control emotions, and reduce work-related stress. Recommendation: This intervention can be routinely implemented in hospitals as an effort to improve nurses’ psychological well-being and the quality of healthcare services.

Dilfa Simbala; Silvia Dewi Mayasari Riu; Norman Alfiat Talibo

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Burnout syndrome is a condition characterized by emotional exhaustion, depersonalization, and a diminished sense of self-efficacy that nurses often experience due to high workloads. One approach that can be taken to reduce the level of burnout syndrome is through mindfulness-based breathing exercises. The objective of this study is to determine the effect of mindfulness-based breathing exercises on the level of burnout syndrome among nurses in the inpatient ward at R. W. Mongisidi Teling Hospital, a Type II General Hospital in Manado. This study employed a quasi-experimental design using a one-group pretest-posttest approach. The study population consisted of 87 nurses, with a sample of 20 respondents selected using purposive sampling. Data collection was conducted using the Mindfulness-Based Breathing Exercise SOP and a burnout questionnaire. The data were then analyzed using a T-test with a significance level (α) of 0.05. The study results showed that the mean score for the burnout syndrome among nurses in the inpatient ward of R. W. Mongisidi Type II General Hospital before the mindfulness-based breathing exercise intervention was 43.65, and the mean score after the intervention decreased to 40.40. The T-test results yielded a p-value of 0.000 < 0.05, indicating a significant effect of mindfulness-based breathing exercises on the burnout syndrome levels among nurses in the inpatient ward of RS TK II. R. W. Mongisidi in Teling, Manado. Mindfulness-based breathing exercises have a significant effect on burnout syndrome levels among nurses because this intervention helps improve self-awareness, control emotions, and reduce work-related stress. Recommendation: This intervention can be routinely implemented in hospitals as an effort to improve nurses’ psychological well-being and the quality of healthcare services.

Janice, Tiffany; Ni Luh Sekar Astuti

jurnal Riset Rumpun Agama dan Filsafat 2026 Pusat Riset dan Inovasi Nasional

Young people often respond to stress through maladaptive patterns such as self-blame, avoidance, emotional withdrawal, and catastrophic thinking. These responses may provide temporary psychological protection, but they can also weaken emotional regulation, resilience, and interpersonal functioning over time. This study examines how Plato’s concept of eudaimonia and Jung’s analytical psychology can be integrated to interpret and address maladaptive responses in youth. Using a qualitative conceptual design supported by exploratory survey data, the study develops an interpretive framework that connects Jungian self-awareness with Platonic virtue-based self-regulation. The survey findings indicate that self-critical and avoidant tendencies were common among respondents, suggesting that many participants struggled to manage stress in reflective and constructive ways. In response, the article argues that Jung’s emphasis on recognizing hidden emotions and inner conflict can deepen psychological insight, while Plato’s emphasis on reason, virtue, and moral formation can guide individuals toward more balanced coping. The study contributes a humanistic framework for youth stress management that links emotional awareness, ethical self-governance, and personal flourishing. It also offers practical implications for educators, counselors, and families seeking more integrative approaches to youth well-being.

Elisa Putriani

Jurnal Ilmu Pendidikan, Bahasa, Sastra dan Budaya 2026 Asosiasi Periset Bahasa Sastra Indonesia

Puja Semadi and Shalat Istikharah are common religious practices. Puja Semadi is performed by Buddhists, while Shalat Istikharah is performed by Muslims. Both are done to ask for guidance from God. However, a few people do not understand correctly how to do it and as a result some people experience confusion and still doubt in obtaining the desired guidance. This research aims to find out how Puja Semadi in the lokapala fiber, and how the meaning of shalat istikharah as a request for guidance. This research uses qualitative methods and in-depth interviews with religious experts who understand shalat istikharah. Data were collected through text analysis and interviews, and analyzed using qualitative analysis with its procedures. The data on Puja Semadi was taken from the transliteration of ancient manuscripts. Initially, the Javanese script was transliterated into Latin and then translated into Indonesian. Based on the results of the research, Puja Semadi in the lokapala fiber is done through meditation in a place called pemujaan. While shakat istikharah is done anytime and anywhere as long as the place is clean and pure. The results of this study can help readers to understand how the explanation of Puja Semadi and Shalat Istikharah.

Fahira Intan Ukhrowi; Ikrimatul Uyun; Ilman Derajat; Mu’allimin Mu’allimin

Jurnal Manajemen dan Pendidikan Agama Islam 2026 Asosiasi Riset Pendidikan Agama dan Filsafat Indonesia

This research is based on the reality that classroom management often tests teachers' emotional stability, especially when dealing with highly active students. This study focuses on how teachers use emotional intelligence to control themselves when facing challenging learning situations. The purpose of this study is to describe the forms of emotional regulation carried out by teachers and their influence on the effectiveness of classroom management. The research was conducted using a qualitative descriptive approach through observations and interviews with teachers. The results show that effective emotional management is carried out through several methods, such as increasing self-awareness to recognize stress triggers, pausing before responding to student behavior, and trying to understand the background of student activity through empathy. Teachers with good emotional intelligence tend to be able to direct student activity into more positive learning participation, rather than responding to it with reactive or authoritarian responses. This study emphasizes the importance of strengthening psychological aspects and emotional management skills in teacher professional development programs. Emotional maturity not only helps create a more harmonious classroom atmosphere but also forms the basis for inclusive learning interactions and supports the continuous development of student character.

Pratama Suhendro; Roza Fitriawati

Riset Ilmu Manajemen Bisnis dan Akuntansi 2026 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

This study aims to analyze the effect of Return on Asset (ROA), Current Ratio (CR), Net Profit Margin (NPM), and Total Asset Turnover (TATO) on company value as measured by Price Book Value (PBV) in property and real estate sector companies listed on the Indonesia Stock Exchange for the 2019–2023 period. This research adopts a quantitative method with a causal associative approach. The data was obtained from the financial reports of eight companies that met the purposive sampling criteria. Data analysis was conducted using multiple linear regression with the help of SPSS software. The results show that, partially, ROA and CR have a significant negative effect on PBV, while NPM does not have a significant effect on PBV, and TATO has a significant negative effect on PBV. Simultaneously, all four independent variables significantly affect PBV, with an R² value of 12.3%, indicating that most of the PBV variations are explained by other factors outside the research model. These findings provide insights for investors and company management regarding the importance of asset management and operational efficiency in enhancing firm market value.

Riza Nur Laila; Melinda Cahyani; Habibah Nurul Azizah

Jurnal Ilmu Pendidikan, Bahasa, Sastra dan Budaya 2026 Asosiasi Periset Bahasa Sastra Indonesia

Learning media is a tool used to convey messages so that it can stimulate students' thoughts, feelings, attention, and willingness in the learning process. This study aims to determine the effectiveness of using KoKaMi media, a three-dimensional media combined with language games, in improving Arabic vocabulary mastery of eighth-grade female students of SMPIT An Nur Sragen. This study uses a quantitative approach with an experimental method and a pre-experimental design of one group pretest–posttest type. The study population consisted of 22 female students and all were sampled through a total sampling technique. Data collection was carried out through tests, interviews, observations, and documentation, while data analysis used descriptive statistics, prerequisite tests, and hypothesis testing with the help of SPSS. The results of the analysis showed that the data were not normally distributed so the Wilcoxon Signed Rank Test was used. The test results showed a significance value of 0.000 smaller than 0.05, which means H0 is rejected and Ha is accepted. These findings prove that KoKaMi media is effective in improving Arabic vocabulary mastery. Therefore, KoKaMi media can be used as an alternative innovative learning media that helps students understand vocabulary more actively, enjoyably, and meaningfully. The implications of this research indicate that the use of game-based media can increase learning motivation, class participation, and learning interactions, so teachers are advised to utilize similar creative media as an effective and student-centered language learning strategy in learning practices at school consistently and sustainably.

Riza Nur Laila; Melinda Cahyani; Habibah Nurul Azizah

Jurnal Ilmu Pendidikan, Bahasa, Sastra dan Budaya 2026 Asosiasi Periset Bahasa Sastra Indonesia

Learning media is a tool used to convey messages so that it can stimulate students' thoughts, feelings, attention, and willingness in the learning process. This study aims to determine the effectiveness of using KoKaMi media, a three-dimensional media combined with language games, in improving Arabic vocabulary mastery of eighth-grade female students of SMPIT An Nur Sragen. This study uses a quantitative approach with an experimental method and a pre-experimental design of one group pretest–posttest type. The study population consisted of 22 female students and all were sampled through a total sampling technique. Data collection was carried out through tests, interviews, observations, and documentation, while data analysis used descriptive statistics, prerequisite tests, and hypothesis testing with the help of SPSS. The results of the analysis showed that the data were not normally distributed so the Wilcoxon Signed Rank Test was used. The test results showed a significance value of 0.000 smaller than 0.05, which means H0 is rejected and Ha is accepted. These findings prove that KoKaMi media is effective in improving Arabic vocabulary mastery. Therefore, KoKaMi media can be used as an alternative innovative learning media that helps students understand vocabulary more actively, enjoyably, and meaningfully. The implications of this research indicate that the use of game-based media can increase learning motivation, class participation, and learning interactions, so teachers are advised to utilize similar creative media as an effective and student-centered language learning strategy in learning practices at school consistently and sustainably.

Elisa Putriani

Jurnal Ilmu Pendidikan, Bahasa, Sastra dan Budaya 2026 Asosiasi Periset Bahasa Sastra Indonesia

Puja Semadi and Shalat Istikharah are common religious practices. Puja Semadi is performed by Buddhists, while Shalat Istikharah is performed by Muslims. Both are done to ask for guidance from God. However, a few people do not understand correctly how to do it and as a result some people experience confusion and still doubt in obtaining the desired guidance. This research aims to find out how Puja Semadi in the lokapala fiber, and how the meaning of shalat istikharah as a request for guidance. This research uses qualitative methods and in-depth interviews with religious experts who understand shalat istikharah. Data were collected through text analysis and interviews, and analyzed using qualitative analysis with its procedures. The data on Puja Semadi was taken from the transliteration of ancient manuscripts. Initially, the Javanese script was transliterated into Latin and then translated into Indonesian. Based on the results of the research, Puja Semadi in the lokapala fiber is done through meditation in a place called pemujaan. While shakat istikharah is done anytime and anywhere as long as the place is clean and pure. The results of this study can help readers to understand how the explanation of Puja Semadi and Shalat Istikharah.

Azhar Amir Zein; Jihan Fakhirah Yahya

Jurnal Ilmu Pendidikan 2026 Lembaga Pengembangan Kinerja Dosen

Nahwu (Arabic grammar) is a fundamental discipline in learning the Arabic language, helping to prevent errors in speech and serving as a primary key to clearly understanding Islamic legal texts. However, in practice, the teaching of Nahwu often faces complex challenges, particularly the lack of active participation among female students and their uneven mastery of the subject. Therefore, this study aims to explore the problems in teaching Nahwu at Al-Madani Islamic Boarding School in Cikalong and to identify the factors causing these issues. This study aims to: (1) reveal the problems faced by second-grade female students of KMI in learning Nahwu at Al-Madani Islamic Boarding School in Cikalong, and (2) identify the contributing factors influencing the emergence of these problems. This research employs a descriptive qualitative approach. The researcher used three data collection techniques: classroom observation, in-depth interviews with the Nahwu teacher, and questionnaires distributed to the students. For data analysis, the researcher applied the Miles and Huberman model, which consists of data reduction, data display, and conclusion drawing. To ensure data validity, data triangulation techniques were used. The results of the study indicate that the problems are divided into two main aspects: (1) learning-related problems, including the gap between memorization of grammatical rules and their application (i‘rab), high levels of academic anxiety, and decreased classroom concentration; and (2) contributing factors, including methodological factors, linguistic-psychological factors, and classroom management factors. The researcher suggests that teachers adopt more interactive teaching methods and media, as well as innovative visual tools to reduce the abstract nature of Nahwu materials and enhance students’ functional understanding. Additionally, activating “Halaqah Nahwiyyah” (grammar study circles) in dormitories is recommended to overcome psychological barriers and improve students’ linguistic confidence.

Putri Eliza; Urip Pratama; Nurul Sakdah

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Type 2 diabetes mellitus has now become a widespread health issue with serious implications for public health. In an effort to support non-pharmacological management, the use of aloe vera (Aloe vera) decoction is one option being considered, given that this plant contains bioactive components such as aloin, emodin, and polysaccharides that have the potential to help lower blood glucose levels. This study aims to examine the effect of consuming aloe vera (Aloe vera) decoction on lowering blood sugar levels in patients with type 2 diabetes mellitus in Lampaseh Lhok Village, Montasik Subdistrict, Aceh Besar. The research was conducted from June 19 to 28, 2025, in that area. The study design employed a quantitative research approach using a quasi-experimental design with a one-group pretest-posttest model. The study population consisted of 38 patients with type 2 diabetes mellitus, while the sample comprised 15 respondents. Sampling was conducted using purposive sampling. The measurement tools included a glucometer and an observation sheet. Based on the data analysis results, a decrease in blood glucose levels was observed after the respondents consumed the aloe vera decoction. The Wilcoxon signed-rank test yielded a p-value of 0.001 (< 0.05), leading to the conclusion that the administration of the aloe vera (Aloe vera) decoction has a significant effect on reducing blood glucose levels in the respondents. Therefore, respondents are advised to drink aloe vera tea at least once a day as an alternative measure to help control blood glucose levels.