JKG (JURNAL KEPERAWATAN GLOBAL)

Validity and User Satisfaction of Educational Applications for Preventive Care of Diabetic Foot Wounds: A Study in Elderly Diabetes Sufferers

Suyanto Suyanto — 2024-12-31

Background: Education on using smartphone applications among the elderly to prevent diabetic foot wounds is still limited. Especially if someone pays attention to the limitations of older people with diabetes, such as their lack of mastery in using smartphones, an educational application for preventing diabetic foot wounds, named Rawat Kaki, has been developed by considering various aspects that make it easier for older people to use. This application must be tested for validity and evaluated to obtain an overview of the satisfaction of its users.

Methods: The design of this study was exploratory quantitative to see the validity of the application and respondent satisfaction using the Rawat Kaki App. The sampling technique used purposive sampling with a total sample of 140 respondents from the population of Persadia (Indonesian Diabetes Association) members at the RSUD: Surakarta City, Sragen, Salatiga, Klaten Islamic Hospital, and PrambananSleman Yogyakarta Hospital. Five diabetes experts in the medical and nursing fields conduct content validity. Furthermore, respondents tested it three times to measure their satisfaction using the EUCS (End User Computing Satisfaction) questionnaire.

Results: The content validity test obtained a value of 1.02 and an alpha Cronbach reliability value of 0.765, so the Rawat Kaki application was declared feasible. Then, the data is collected through a regression test, obtaining an R-value of 0.689, which means 68.9% of application user satisfaction can be explained through the Rawat Kaki application.

Conclusion: The high validity and satisfaction of respondents might be a reason to consider using this educational application.

The Influence of Spiritual Care with Callista Roy's Adaptation Theory Approach on Serotonin Levels in Ischemic Stroke Patients

Aria Nurahman Hendra Kusuma — 2025-01-02

Background: Ischemic stroke causes physical disability, which can result in an inability to adapt, causing a 72% decrease in serotonin. Decreased serotonin can cause mood changes that adversely impact stroke outcomes. The aim of this research is to determine the effect of spiritual care using Callista Roy's adaptation theory approach on serotonin levels in Ischemic Stroke Patients.

Methods: The type of research is quasi-experimental with a pretest-posttest control group design. The population of the study was outpatients of ischemic stroke patients at Dr. Moewardi Hospital. The sample size was 60 respondents consisting of 30 respondents in the control group and 30 respondents in the intervention group. The intervention group was given a spiritual care intervention by the researcher consisting of 5 sessions each meeting with a duration of 30 minutes. The spiritual care intervention was given once a week 12 times for 3 months and the control group was given standard spiritual therapy by the outpatient nurse at RSUD Dr. Moewardi Surakarta. Serotonin examination using ELISA kit. Data analysis using independent sample t-test.

Results: There is an influence of spiritual care with the Callista Roy theory approach on the serotonin levels of ischemic stroke patients with a significance of 0.001 (p value <0.05).

Conclusion: Spiritual care interventions with Callista Roy's theoretical approach have a significant influence on improving serotonin levels in ischemic stroke patients, which can reduce anxiety. It is recommended that ischemic stroke patients be given spiritual care 12 times for 3 months.

Effectiveness of Non-Invasive Sensor-Based Tools for Blood Glucose Detection

Yudha Anggit Jiwantoro — 2025-01-08

Background: Monitoring blood glucose levels is one of the main pillars of diabetes management to prevent complications and reduce the risk of morbidity and mortality. Today's blood glucose monitoring is a non-invasive method that offers speed, accuracy, and painless convenience. Referring to this need, this study aims to demonstrate the effectiveness of non-invasive sensor-based detection devices in checking blood glucose levels in order to provide a more comfortable and efficient alternative for diabetes patients.

Methods: This study developed a non-invasive glucometer using the latest and smaller version of Arduino Uno and tested it on 20 samples, consisting of 10 diabetes mellitus patients and 10 with normal blood glucose. The test was carried out by comparing the measurement results from the non-invasive device and the standard GCU Easy Touch 3-in-1 device to determine the accuracy of the device. The tool-testing method uses sensitivity, specificity, and accuracy.

Results: This non-invasive measuring tool is more effective when used to measure patients with diabetes mellitus. This device shows an error rate of 9.21%, a sensitivity of 80%, and a specificity of 50%. Meanwhile, the overall measurement accuracy, calculated at 83.3%, reinforces the tool's effectiveness in providing reliable results.

Conclusion: This device has the potential to be a convenient and painless method of blood glucose monitoring for diabetic patients. However, further development is needed to improve the development of machine learning-based algorithms to process sensor data so that tools can identify unique patterns from each individual and provide more accurate results.

Exergame: Exercise With Matching Memory Game On Cognitive Function And Physical Fitness Of The Elderly

Gilang Dwi Pratiwi — 2025-01-08

Background: Cognitive decline and physical deterioration are common issues among the elderly, significantly impacting their quality of life. The unanticipated cognitive impairments will result in dementia. Effective approaches to simultaneously improving both aspects remain to be further developed and evaluated. Exercise with a matching memory game overcomes the issues. This study aimed to examine the effectiveness of an exergame, combining memory-stimulating games and physical exercise in improving cognitive function and physical fitness among the elderly.

Methods: The study was a quick experiment with two groups in a pre-post test design. A number of 119 participants were recruited using purposive sampling and randomly divided into the experimental group (n=60) or the control group (n=59). Cognitive function was assessed using the Mini-Mental State Examination (MMSE), while physical fitness was measured with the 2-minute step test score.

Results: The data was analyzed using a paired t-test, which revealed a significant improvement in MMSE and 2-minute scores in the experimental group before and after the intervention (p < 0.05). Additionally, the independent t-test analysis demonstrated a significant difference between the experimental and control groups in both cognitive and physical fitness measures after the intervention (p < 0.05).

Conclusion: Implementing exercise has a significant positive influence on cognitive function and physical fitness among the elderly. Incorporating an exergame into community health programs for the elderly could provide substantial benefits to their overall well-being.

Child-Rearing Methods and Their Impact on Toddler Nutritional Status

Firdawsyi Nuzula — 2025-01-09

Background: Child-rearing methods can influence the prevalence of stunting and wasting in toddlers because parental care plays a crucial role in the availability of food sources consumed by toddlers daily. Additionally, parents are the individuals closest to the growth and development of their children. The aim is to analyze the influence of the child-rearing methods reinforcement on nutritional status.

Methods: Analytical observational research type with a cross-sectional design using a total sampling technique with 50 respondents. Data collection using a questionnaire. ANOVA Multiple Linear Regression Test.

Results: The results of the analysis show that implementing feeding practices influences nutritional status, with a p-value of 0.007. There is no influence of psychosocial stimulation on children's nutritional status, with a p-value of 0.086. Healthcare practices influence nutritional status, with a p-value of 0.003. The ANOVA test results with an R square value of 0.080 conclude that the independent variable affects the dependent variable by 8%, while other factors influence the remaining 92%. The regression analysis results for the implementation of feeding practices show a p-value of 0.297, psychosocial stimulation shows a p-value of 0.789, and healthcare practices show a p-value of 0.444, indicating that none of these three variables influences children's nutritional status.

Conclusion: The role of the family contributes significantly and fundamentally to a child's overall growth and development. The involvement and activity of mothers in nutritional status is an effort to prevent diseases, such as regularly taking their children for complete basic immunizations and providing healthcare.

Infant Care In The Agricultural Community Of Ethnic Blambangan Banyuwangi

Hanny Rasni Sihaloho — 2025-01-10

Background: Data on infant mortality in Banyuwangi shows an increase in the last five years; data on infant breastfeeding has not been achieved either; while Indonesia's history of the Blambangan people, Banyuwangi, is recorded as healthy, strong, and thick with culture, known to be skilled in care, including baby care. Research is needed to find out the culture of infant care in the Blambanga ethnic community so that a good infant care culture can be strengthened to improve health.

Methods: The research used an ethnographic research design, with a sample size of 39 people; data were collected through FGDs, in-depth interviews, participatory observation, and documentation and analysed thematically using ethnographic and Colaizzi analysis. Several online applications were used in data processing and diagramming the results, and ethical principles were applied.

Results: The themes identified in the culture of infant care in the Blambangan community are cutting the umbilical cord, infant massage, the role of baby shamans, the use of plants as therapy, celebrations for babies, swaddling babies, feeding babies under six months, beliefs related to infant care, and environmental modifications when having children. Some cultures need to be reinforced.

Conclusion: The culture of good breastfeeding in the Osing Banyuwangi community, recorded in Indonesian history, must be reconstructed. The culture of good infant care needs to be reinforced to achieve better health, and this research needs to be developed to reconstruct the culture of infant care in the Osing Banyuwangi community.

Family-Centred Nursing Theory and the Functional Consequences Model Improve Diabetes Self-Management in Elderly Diabetics

Trisna Vitaliati — 2025-01-30

Background: The self-care management of older diabetics is inconsistent and exhibits low adherence. This incident may be influenced by the elderly's disease management capabilities and familial involvement, which may not be conducive to their health and care. This study aimed to develop a management plan for elderly diabetes mellitus that emphasizes self-efficacy and family involvement.

Methods: This research employed an explanatory survey design with a cross-sectional methodology. The probability sampling method, particularly simple random sampling, was employed to choose respondents for this study from a cohort of 100 individuals with diabetes mellitus and their families. We created a thorough assessment questionnaire for diabetes mellitus management in the elderly, utilizing the functional consequence model and family-centred nursing theory as the research framework. The statistical method employed was SEM-PLS.

Results: The outer model analysis revealed that all indicators of each construct were valid, with a factor loading value of > 0.7. The inner model analysis revealed that the variables family structure, family function, family stressors, elderly risk factors, age-related changes, and elderly consequence functions had a significant effect with a t-value of >1.96 and p-value <0.05.

Conclusion: The diabetic mellitus management model, which is based on self-efficacy and familial support, improves self-care management among the elderly. Nurses should adopt the diabetic mellitus management model to increase patient autonomy and educate families on how to support their loved ones, thereby improving the self-care practices of elderly adults with diabetes.