http://localhost:8080/xmlui/handle/123456789/10989 2026-04-18T14:48:54Z http://localhost:8080/xmlui/handle/123456789/11042 Title: Determinan biopsikososial kebugaran kardiorespirasi pada penderita diabetes melitus (jemaah haji) Authors: Ekawati, Puspaningdyah; Setiani, Onny; Sutiningsih, Dwi; Suroto, Suroto; Fauzi, Muh Abstract: Abstract Background: Diabetes Mellitus (DM) is closely related to decreased cardiorespiratory fitness and impaired exercise. DM is the second highest disease after hypertension in Hajj pilgrims in Blora Regency. The cardiorespiratory fitness status of Hajj pilgrims in Blora Regency in 2023 was mostly in the sufficient category (49.6%) and the poor category (30.4%). Given the importance of cardiorespiratory fitness in Hajj pilgrims with DM, an approach is needed that is able to examine various factors related to cardiorespiratory fitness through a biopsychosocial approach. Purpose: To analyze the biopsychosocial determinants of cardiorespiratory fitness in Hajj pilgrims with DM. Method: A cross-sectional design study was used to examine biopsychosocial factors on cardiorespiratory fitness. This study was conducted in Blora Regency in February-April 2024. The sampling technique used purposive sampling, the sample size was calculated using the Slovin formula and based on the researcher's justification, a sample of 119 respondents was taken. The inclusion criteria were being able to communicate well, being diagnosed with DM by a doctor, and laboratory results (GDS, GDP and HBA1c). Data analysis used univariate, bivariate (chisquare and logistic regression), and multivariate. Results: Most respondents (47.1%) had poor cardiorespiratory fitness (not fit). The results of the bivariate test showed that the variables of age (p=0.035, PR= 1.57), gender (p=0.044, PR= 1.56), BMI (p=0.016, PR= 1.65), physical activity (p=0.000, PR= 4.68), stress (p=0.000, PR= 2.30), and activity at the Integrated Development Post for non-communicable diseases (p=0.005, PR= 1.80) were related to cardiorespiratory fitness. The most dominant variables on cardiorespiratory fitness in DM hajj pilgrims were physical activity and stress variables controlled by age and gender. Conclusion: There is a relationship between age, gender, BMI, physical activity, stress and activity at the Integrated Development Post for Non-Communicable Diseases with cardiorespiratory fitness in DM hajj pilgrims. However, the most dominant is physical activity and stress which are controlled by age and gender. Keywords: Biopsychosocial; Cardiorespiratory; Diabetes Mellitus; Fitness; Hajj Pilgrim 2024-09-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11041 Title: Tingkat pengetahuan dan upaya pencegahan ulkus diabetikum pada pasien diabetes mellitus Authors: Cahaya Putri, Bunga; Sri Purwanti, Okti Abstract: Abstract Background: Diabetes mellitus (DM) is a metabolic disorder characterized by high blood glucose levels, caused by irregular insulin production, function, or response. However, there are shortcomings in the management of diabetes in underdeveloped countries, especially the complications that arise from this disease. Diabetic ulcers are the most common complication of diabetes. Increasing the understanding of individuals with diabetes can help prevent diabetic foot ulcers. Purpose: To determine the level of diabetes knowledge with efforts to prevent diabetic ulcers in patients with diabetes mellitus. Method: A descriptive quantitative correlational study with a cross-sectional design conducted at the Pajang Surakarta Health Center on 61 respondents diagnosed with diabetes mellitus. The instruments used were the Diabetes Knowledge Questionnaire (DKQ-24) to assess diabetes knowledge consisting of 24 questions and a questionnaire on diabetic ulcer prevention efforts consisting of 17 questions. Data analysis used univariate and bivariate through the Spearman Rank correlation coefficient test. Results: The majority of respondents were female, aged between 56-65 years, had a high school education, worked as housewives, and had been diagnosed with diabetes mellitus for 1-5 years. Statistical analysis using the Spearman Rho test showed a significant relationship (p = 0.012) <0.05 between knowledge of diabetes and ulcer prevention efforts. Conclusion: There is a relationship between the level of diabetes knowledge and the level of efforts made to avoid diabetic ulcers in people with diabetes mellitus. Suggestion: People with diabetes mellitus are advised to manage their blood sugar levels, perform good foot care, and do foot exercises to avoid diabetic ulcers. Health care organizations have the ability to provide education through health education. Keywords: Diabetes Mellitus; Diabetic Ulcers; Knowledge. 2024-09-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11040 Title: Hubungan tekanan darah dengan tingkat kecemasan pada pasien hipertensi Authors: Sunarti, Sunarti; Kristiani Hulu, , Indah; Natalia Sitorus, Desi; Harefa, Arnudin; Taufiq Syuhada, Muhammad Abstract: Abstract Background: Hypertension is defined as a condition of persistent blood pressure with systolic pressure ≥140/90 mmHg. One of the factors that can cause hypertension is the level of anxiety experienced by patients. Therapy is necessary for hypertensive patients to manage their anxiety, one of which is through back and foot massage therapy, as many patients feel fear when experiencing hypertension for the first time. Purpose: To determine the relationship between blood pressure and anxiety levels in hypertensive patients. Method: This research is a quantitative study with a cross-sectional design, using both primary and secondary data. Data collection was carried out using observation sheets and questionnaires. The total population of this study consisted of 113 patients, with 30 respondents selected as the research sample. The sampling technique used was accidental sampling. The tool used to measure the patients' anxiety levels was a questionnaire with an ordinal scale. Data analysis was conducted univariately and bivariately, with the presentation of data from two variables analyzed using the chi-square test. Results: The findings revealed that 15 respondents (78.9%) who experienced mild anxiety had normal blood pressure, while 4 respondents (21.1%) had high blood pressure. None of the respondents with normal blood pressure experienced severe anxiety, while 11 respondents (100%) with high blood pressure also experienced severe anxiety. Statistical testing using the chi-square method showed a p-value of 0.001 (<0.05). Conclusion: There is a significant relationship between blood pressure and anxiety levels in hypertensive patients. Keywords: Anxiety Level; Blood Pressure; Hypertension. 2024-09-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11039 Title: Gambaran efikasi diri dan perawatan diri pada pasien gagal jantung Authors: Juliana Manurung, Romatua; Tarigan, Mula; Asnah Sithotang, , Nur Abstract: Abstract Background: Heart failure is one of the cardiovascular diseases which is a major health problem in western countries which is increasing in line with population growth and increasing life expectancy. Self-efficacy is an individual's belief in his ability to react to certain situations. Self-care is a decision taken by the patient himself or with his family, so that he is able to overcome his illness and maintain his functional abilities and achieve wellbeing. Purpose: To determine the description of self-efficacy and self-care behavior in heart failure patients. Method: Quantitative descriptive study, conducted at the Heart Polyclinic of the Regional General Hospital. Dr. Pirngadi Medan. The sampling technique used purposive sampling and the Slovin formula, the number of samples used was 84 respondents. The independent variables are self-efficacy and self-care, while the dependent variable is heart failure patients. Data collection techniques using questionnaires. Self-efficacy using the Cardiac Self-Efficacy Scale questionnaire or (CSE scale). Self-care was obtained through the self care of heart failure index (SCHF) questionnaire which has been modified into Indonesian. The New York Heart Association (NYHA) functional classification was categorized as class I to IV. Univariate data analysis was used in the form of frequency distribution. Results: This study shows that the majority of respondents have less self-efficacy 54 (64.4%). Most respondents had poor self-care 48 (57.2%). New York Heart Association (NYHA) classification is mostly in the NYHA level II category 55 (65.4%). Conclusion: High self-efficacy in heart failure patients can increase motivation to do physical activity, resulting in reduced barriers to physical activity and encouraging patients to do more physical activity. Self-care needs to be practiced to cope with the disease, maintain functional ability, and achieve well-being. Suggestion: Hoped that heart failure patients' self-awareness will increase self-efficacy to improve self-care, and family support is expected to help patients carry out self-care. Increasing the self-efficacy of heart failure patients, it will help patients carry out self-care. Keywords: Heart Failure; Self Care; Self Efficacy 2024-09-01T00:00:00Z