Publication Search

Low fiber consumption among university students increases the risk of chronic diseases such as coronary heart disease, and diabetes. Many students prioritize convenient eating habits and are influenced by peer groups, often overlooking the importance of fiber intake in their daily diet. This educational program aims to enhance students' knowledge about the benefits of fiber consumption through interactive audio and visual media. The program applies the Health Belief Model (HBM) theory to design educational content in the form of videos and posters distributed via the social media platform Instagram. Involving 26 student respondents from various faculties at Halu Oleo University, the results showed a significant improvement in students' understanding of the health benefits of fiber, types of fiber-rich foods, and the role of fiber in preventing chronic diseases. Education through engaging media successfully increased students' motivation to improve their dietary habits by incorporating more fiber into their diets.

Diabetes Mellitus Type 2 is a metabolic disorder characterized by increased blood sugar levels (hyperglycemia). Diabetes can affect the quality of life with several aspects, namely diabetes care, symptoms of diabetes, and chronic complications that cause high morbidity and mortality.. Objectives: This is to find outDeterminant Factors of Quality of Life of Type 2 Diabetes Mellitus Patients at Bhakti Asih Hospital Tangerang in 2024. The research method is quantitative research with a Cross Sectional approach. Methods: sample was 55 patients using a purposive sampling technique. The knowledge level instrument usedDKQ-24 questionnaire (Diabetes Knowledge Questionnaire), Diet pattern questionnaire using FFQ, Activity pattern questionnaire using GPAQ (global physical activity questionnaire), Medication adherence questionnaire using Medication Adherence Report Scale (MARS),measurement of quality of life using the Diabetes Quality Of Life (DQOL) questionnaire. Data were analyzed using the Statistical Test used was the bivariate test, namely Chi-Square and the multivariate test, namely the Backward logistic regression method.  Results: shows that the Physical Activity variable has the largest coefficient B value and OR value, which means that among the four variables, the Physical Activity variable is the most dominant factor related to the Quality of Life of Type 2 Diabetes Mellitus Patients. Based on the results of the model analysis, the Negelkelke R Square value is 49.9%, meaning that the variables of Knowledge Level, Diet, Physical Activity, and Blood Sugar Level Examination on the Quality of Life of Type 2 Diabetes Mellitus Patients are 49.9% and the rest can be explained by other variables outside this study.Conclusion,In this study, the level of knowledge, diet, physical activity, and blood sugar level examinations were related to the quality of life of type 2 diabetes mellitus patients.    

Background: Diabetic ulcers are complications that occur in clients with Diabetes Mellitus (DM) due to poor glycemic control. The slow healing process of wounds can increase the risk of wound complications, which will affect the duration of healing. Objective: To determine the relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers at Bhakti Asih General Hospital in Tangerang City. Method: This is a quantitative study with a Cross-Sectional approach. The sample consists of 62 DM patients using purposive sampling technique. The instruments used in this study are questionnaires on knowledge, family support, and the Depression Anxiety Stress Scale 42 (DASS 42). Data were analyzed using Spearman's rho test and presented in the form of frequency distribution tables. Results: The findings show that the majority of the knowledge variable indicates good family support (94.9%), and the stress level variable falls into the moderate stress category (66.7%). The correlation coefficient in this study shows a significant positive correlation between knowledge and family support with the level of stress in DM patients with diabetic ulcers (r = 0.490; p = 0.001), concluding that as family support increases, the level of stress in DM patients with diabetic ulcers improves. Conclusion: There is a relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers in the Nusa Indah room at Bhakti Asih General Hospital in Tangerang City.  

TB is an infectious disease caused by infection with the bacteria Mycobacterium Tuberculosis which can attack the lungs. However, it is not automatically transmitted because transmission depends on several factors such as: body resistance, air circulation conditions, ventilation and contact with people with TB. Based on hospital data in 2024 in the last 3 months, there were 317 cases of pulmonary TB, with 176 cases of patients diagnosed with TB. Treatment can be effective if patients comply with the rules for using drugs prescribed by doctors and from the results of the analysis there is a significant relationship between compliance with taking medication and the rate of recovery of tuberculosis patients. This figure is the third largest case of the disease after type 2 Diabetes Mellitus and Hypertension that occurred at Bhakti Asih Hospital. The purpose of the study was to determine the relationship between stigma and the level of patient compliance in TB treatment at Bhakti Asih Hospital, Ciledug. The research method used was Random Sampling with a sample size of 44 respondents and a measurement method using a questionnaire. The results of the analysis using the chi-square test showed that there was a significant relationship between stigma and compliance with taking pulmonary tuberculosis medication in lung patients at Bhakti Asih Hospital.    

Diabetic wounds have quite serious impacts on sufferers, so a comprehensive wound assessment must be carried out. However, currently there are still many nurses who carry out wound assessments only relying on the nurse's experience in assessing wound characteristics. The use of a digital application (Dicafoler) is a solution to be used as a tool to comprehensively assess diabetes wounds so that it can minimize the impact of the risk of infection and amputation. The aim of this research is to describe the use of the dicafoler application as a tool to assess diabetes wounds among nurses at RSUD Dr. Dradjat Prawiranegara Serang. The research design used in this research is Quantitative Description. Sampling technique with a total sampling of 24 respondents. The results of this research were that the age of the executive nurses was young adults (25-35 years), the dominant sex was that the executive nurses were female, the educational level of the executive nurses was at most D3 nursing, the length of service of the executive nurses was >5 years. Bivariate results show that the use of Dicafoler is effective in assessing wounds more accurately.  The conclusion of this research is that the Dicafoler application can be easily used to assist in the process of assessing diabetic wounds, but it requires further development through further research to add incomplete features so that a comprehensive assessment can be carried out.

Type 2 Diabetes Mellitus (DM) is characterized by hyperglycemia, which can lead to microangiopathic and macroangiopathic complications. One of the chronic complications is diabetic foot ulcer (DFU), which carries a high risk of infection and amputation. Preventing amputation can be achieved by accelerating wound healing. Dalethyne, a herbal product extracted through ozonization, contains essential oils, fatty acids, iodine, and peroxides. In wound care, Dalethyne acts as an antimicrobial agent that eliminates bacteria and promotes the formation of new tissue. This study aimed to examine the effect of modern Dalethyne dressings on wound healing among patients with diabetic foot ulcers. A quasi-experimental study with a non-equivalent control group pretest–posttest design was conducted at a wound care clinic in Semarang. Thirty participants with grade 2–3 diabetic foot ulcers were divided into an intervention group (Dalethyne dressing) and a control group (standard care). Wound healing was assessed using the DMIST scale before and after one week of treatment. Both groups showed improvement in DMIST scores post-treatment. However, the intervention group demonstrated significantly greater improvement (mean DMIST reduction of 48.50) compared to the control group (mean reduction of 16.50) (p = 0.001). Photographic evidence indicated more advanced granulation and epithelialization in the Dalethyne group. Modern wound care using Dalethyne effectively enhances wound healing in diabetic foot ulcers.

This study was motivated by the high prevalence of high blood pressure (hypertension) and uncontrolled blood sugar levels among the elderly, particularly in Kalitengah Village, Blitar Regency. The elderly are a vulnerable group to health problems due to a decline in physiological function, which can lead to serious complications such as stroke, heart failure, and diabetes mellitus. This study aims to determine the relationship between elderly exercise activities and blood pressure and blood sugar levels. The method used is quantitative with a correlational design. The study subjects consisted of 30 elderly individuals who actively participated in regular exercise activities at the Kalitengah Village Health Post. Measurements were taken of systolic and diastolic blood pressure and blood sugar levels before and after the exercise intervention. Based on the findings supported by previous literature reviews, it is known that physical activities such as elderly exercise significantly reduce blood pressure and help control blood sugar levels. The findings of this study indicate that regular exercise can improve blood pressure and blood glucose parameters. The results of this study are expected to serve as a basis for promotive and preventive efforts to improve the quality of life of the elderly through community-based interventions that are easy, affordable, and effective, namely elderly exercise.

Background; The number of people with diabetes mellitus in the Sukoharjo Regency area is 17,184, while the number of people with diabetes mellitus in Kartasura District is 2142. Blood sugar levels are affected by diet, activity patterns, and medication adherence. Diabetic foot exercises are one of the efforts to lower blood sugar levels. When exercising, the muscles contract and relax. Sugar will be burned and converted into energy, so blood sugar will drop. The objectives of research; To find out the results of the implementation of diabetic foot exercises on the reduction of blood sugar levels in patients with diabetes mellitus. Method; This type of research is a case study that uses a descriptive research method. Foot exercises are done for 3 consecutive days, done once a day for 20 minutes. Result: The results of blood sugar levels before diabetic foot exercises were carried out in Mrs. F were 221 mg/dl and in Mrs. R were 158 mg/dl. The results of blood sugar levels after diabetic foot exercises were 175 mg/dl for Mrs. F and 138 mg/dl for Mrs. R. Summary: Foot exercises done for three days in a row can lower blood sugar levels.

Diabetes mellitus is a chronic disease of insulin metabolism which is characterized by glucose levels exceeding normal values.  Diabetic ulcers are one of the causes of the risk of infection if not treated properly and correctly.  Factors that cause diabetic ulcers are poor blood circulation, age, gender, lack of physical activity, and an increase in diabetes mellitus. This application aims to determine the effect of foot exercises on the risk level of diabetic ulcers in people with diabetes mellitus. Descriptive by conducting an application to 2 respondents 3 times in 1 week with an interval of 2 days.  Respondents measured the highest systolic blood pressure between the right and left brachials and the right and left ankles which was then divided to obtain the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises. After implementing it 3 times, the result was that the ABI value for both respondents increased, namely by the difference between Mrs.  Sa 0.25 mmHg and Mrs.  Si 0.30 mmHg. It was found that there was an increase in the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises in both respondents.

Diabetes Mellitus is a metabolic disease that has hyperglycemia caused by abnormalities in insulin secretion, insulin performance, or both. DM will cause several complications, one of which is sensory neuropathy or damage to sensory nerve fibers which causes DM patients to experience decreased foot sensitivity. The number of DM sufferers at the Sangkrah Health Center in 2022 was 2,404 cases. To describe the results of the implementation before and after the application of diabetic foot exercises on foot sensitivity in patients with diabetes mellitus. This study used a descriptive design by observing foot sensitivity in 2 respondents, carried out in the morning for 1 week with 2 meetings each meeting 15 minutes. The instruments used were observation sheets, monofilament test tools, and newspapers. There was an increase in foot sensitivity scores after diabetic foot exercises were carried out for 2 days in 1 week each meeting 15 minutes to both respondents. The application of diabetic foot exercises can be useful for increasing foot sensitivity in both respondents with diabetes mellitus.

Word Health Organization defines a cause of death as an illness, disease or injury that causes or contributes to death. Diabetes mellitus is a major comorbidity and cardiac arrest is the highest cause of death. Cardiovascular disease is more common in men with an average age of 57 years. There are many types of cardiovascular disease, but the most common and well-known are coronary heart disease and stroke. Basic Health (Riskesdas) in 2018 reported that the incidence of heart and blood vessel disease is increasing from year to year. The main factor in heart disease is uncontrolled blood sugar, while the most common macrovascular complication of diabetes mellitus is coronary heart disease. Causative factors The prevalence of type 2 diabetes mellitus is caused by the interaction between gene susceptibility factors and environmental exposure as follows Genetics and Environment The occurrence of coronary heart disease is closely related to the presence of disorders affecting the blood vessels called atherosclerosis. This research uses a systematic review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). with inclusion and exclusioncriteria, the risk of cardiovascular death and myocardial infarction was higher with increasing values ​​of lysis time and maximum turbidity.

Diabetic ulcers are the most feared problem by diabetes mellitus patients because they have a negative impact on patients such as tissue death, wounds that are difficult to heal, foul smelling, reddish and black. The more severe the leg injury, the patient must undergo amputation. This problem causes disturbances in the individual's self-concept, especially self-esteem. In this case, the family has a significant role in determining the health status of individuals who experience illness or illness. Research objectives This literature review aims to find variables to be studied from various theories with problems to be studied as reference material in the discussion of research results. The method in this research is this study was obtained by searching for written sources in the National Library, Google Scholar, national journals and international journals that are relevant to the problems studied. Keywords used are family support, self-esteem and diabetic ulcers. The results showed that from the 5 journals obtained, the results obtained were that the five journals had a relationship between family support and self-esteem in diabetic ulcer patients.

Biofilms are surface-adhering communities of microorganisms that produce extracellular polymeric substances (EPS) and can grow on any surface, including metal, plastic, glass, soil particles, stainless steel, wood, and biotic surface. biofilm infections lead to different disorders, for instance, diabetes mellitus, dental caries, medical implants and wound infections that significantly affect the quality of life, cancer development, and subsequently, increase the global morbidity rate.This study aims to summarize the recent evidence supporting the potentional of probiotic and natural ingridient as antibiofilm and antibacterial using a PRISMA-oriented (Preferred Reporting Items for Systematic reviews and Meta-analyses) statement. This review found significant aspects exemplified by the properties of probiotics and natural ingridients related to as antibiofilm and antibacterial for further indepth studies to make it into pilot scales.

Based on the International Diabetic Federation (IDF), in 2017, the number of people suffering from DM in Indonesia was 10.3 million people, Indonesia was ranked 6th with the highest number of DM patients. Foot ulcers are often the main cause of hospitalization in DM patients, and DM is the main cause of lower extremity amputation in non-traumatic cases. Currently, Indonesia does not yet have a consensus for the management of diabetic foot infections. Management of diabetic foot infections currently uses guidelines from the Infectious Disease Society of America (IDSA) and the International Working Group of Diabetic Foot (IWGDF) for empirical selection of antibiotics. The basic principles of healing diabetic ulcers are adequate arterial perfusion, proper control of infection, and offloading the ulcer area. Empirical selection of antibiotics often coincides with inadequate information regarding microbiological patterns. Choosing an antibiotic with a spectrum that is too narrow will cause pathogens to be overlooked in infections which are often caused by polymicrobial, and cause clinical deterioration in the patient. Unnecessary selection of broad-spectrum antibiotics can contribute to the increasing problem of antibiotic resistance. Mild and moderate infections can be given antibiotics with a narrower spectrum. Severe infections require parenteral administration to reach therapeutic levels immediately.

Health is a valuable asset that we need to take good care of. However, in our daily lives, we often get caught up in hectic routines, poor diets, and unhealthy lifestyles. This is why counseling on improving quality of life is so important. Counseling attempts to raise awareness, provide information, and encourage individuals and communities to adopt healthy behaviors. The counseling materials provided are Preventing Disease and Improving Quality of Life. By increasing awareness of a healthy diet, adequate physical activity, stress management, and other life habits, it can help prevent various chronic diseases such as heart disease, diabetes, and cancer. By adopting healthy behaviors, one can improve their quality of life, reduce the risk of health complications, and enjoy a longer and better life. Increased physical activity or exercise. Physical activity is any movement of the body that causes energy expenditure. The recommendation from the Ministry of Health of the Republic of Indonesia is that physical activity should be done at least 30 minutes per day for 5 times a week or equal to 150 minutes per week. various types of physical activity that can be done such as climbing down stairs, jogging, brisk walking or cycling.