Riska Rohmawati

Permasalahan kepatuhan diet dan kontrol gula darah masih menjadi tantangan utama pada masyarakat dengan risiko penyakit metabolik, khususnya diabetes melitus. Kurangnya kesadaran dalam pola makan menjadi salah satu penyebab utamanya. Pendekatan mindful eating sebagai bagian dari intervensi edukatif keperawatan dan gizi dapat menjadi strategi yang efektif untuk meningkatkan kesadaran tersebut. Kegiatan pengabdian ini bertujuan untuk meningkatkan kepatuhan diet dan keseimbangan gula darah melalui penerapan mindful eating pada masyarakat berisiko di wilayah Tandes Surabaya. Kegiatan dilakukan dalam bentuk edukasi interaktif dan pelatihan mindful eating selama 4 minggu kepada 30 peserta. Edukasi diberikan secara kolaboratif oleh tenaga keperawatan dan gizi. Evaluasi dilakukan melalui kuesioner kepatuhan diet serta pemeriksaan gula darah sebelum dan sesudah intervensi. Setelah pelaksanaan program, terjadi peningkatan tingkat kepatuhan diet dan penurunan kadar gula darah pada sebagian besar peserta. Responden juga melaporkan peningkatan kesadaran saat makan dan pengendalian asupan makanan. Edukasi mindful eating yang dilakukan secara kolaboratif oleh tim keperawatan dan gizi memberikan dampak positif terhadap perilaku makan dan kondisi kesehatan masyarakat. Kegiatan ini menunjukkan potensi untuk diterapkan secara luas sebagai bagian dari promosi kesehatan di komunitas.

Blood sugar levels are influenced by psychological well-being, which is affected by diabetics who go from being healthy to sick. This study examined the effect of spiritually situated mindfulness interventions on the psychological health and blood sugar levels of individuals with type 2 diabetes mellitus. Method: A quasi-explore different avenues regarding an untreated benchmark group and ward pre-and post-test samples was the research strategy utilized. All type 2 DM patients at the Surabaya Islamic Hospital Outpatient Clinic made up the study's populace. Using a basic random sampling strategy, 130 samples in totally were selected based on the inclusion and exclusion rules. Also, the sample was split fifty, with 60 respondents each in the control and treatment groups. The Glucometer and the Ryff Psychological Well-Being Scale were the instruments utilized in this investigation. Matched sample t-test and independent sample t-test data analysis. Result: The results showed that the psychological well-being of the intervention bunch was 147.68 before the intervention and 171.32 after it. The mean blood sugar level in the gathering before the intervention was executed was 302.64, however after it was carried out, it was 189.11. In addition, the mean blood sugar levels in the benchmark group were 289.21 and 283.87 when the intervention, and the mean psychological well-being levels were 146.84 and 146.02, respectively. Furthermore, the data analysis demonstrated a negative relationship between type 2 diabetes patients' blood sugar levels and psychological well-being and mindfullnes based on spiritual intervention (p = 0.00). Discuss: Individuals with type 2 diabetes can encounter improvements in their psychological well-being by lowering their blood sugar levels through the often used mindfullnes based on spiritual intervention.

HIV/AIDS sufferers are required to take antiretrovirals (ARVs), on time and with discipline, but many sufferers will forget to take their medication. In overcoming this problem by providing the my therapy application. The aim of this study was to analyze the effect of applying the my therapy application on adherence to taking ARV medication in HIV/ AIDS people at Kompeda Surabaya.The research design used the Pre-Experiment, with the one group pre-test and post-test design approaches. The study population consisted of 74 people with a sample size of 62 respondents using probability sampling technique. The variables of this study are the application of digital my therapy and adherence to taking ARV medication. Data analysis used the Wilocoxon Signed Rank Test.The results of this study were obtained after being given the application of the my therapy application to people with HIV/AIDS with the results of the statistical wilocoxon test obtained a p-value of 0.000, it can be concluded that H1 is accepted meaning that there is an effect of the application of my therapy on adherence to taking ARV medication in people with HIV/AIDS at Kompeda Surabaya.The conclusion in this study was that before the intervention was given, most patients did not adhere to taking medication. Therefore, it is hoped that HIV/AIDS patients can maintain adherence to taking ARV medication, so that it can inhibit the growth of the HIV/AIDS virus. It is hoped that Komeda Surabaya will be able to overcome the importance of special treatment with education for adherence to taking ARV medication for people with HIV/AIDS at Kompeda Surabaya.

Introduction: Diet is one component of diabetes mellitus (DM) self-management for controlling blood sugar levels. Several obstacles in the implementation of the diet program have the potential for non-compliance, so that blood sugar levels tend to increase. Mindfulness eating based on spiritual intervention is one of the interventions that is expected to form adaptive eating behavior control to achieve dietary compliance and controlled blood sugar levels. The purpose of this study was to analyze the effect of mindfulness eating based on spiritual intervention on dietary compliance and blood sugar levels in patients with type 2 diabetes. Methods: The study's quasi-experimental, untreated control group design included dependent pre- and post-test samples. The population used was all patients with type 2 diabetes. The sample was taken using a simple random sampling technique with determination according to inclusion and exclusion criteria. The independent variables in this study were mindfulness eating based on spiritual intervention, while the dependent variables were dietary compliance and blood sugar levels. A glucometer and the Personal Diabetes Questionnaire (PDQ) were the tools employed in this investigation. The t-test was used as the statistical test. Results: There were a total of 50 samples that were divided between the control group and the intervention group. The results of the statistical test showed that mindfulness eating based on spiritual intervention had a statistically significant effect on dietary compliance (p < 0.001) and blood glucose levels (p < 0.001) compared to the control group. Conclusion: The value of diet adherence is greatly increased by mindfulness eating practices based on spiritual intervention, and mean blood glucose levels are significantly reduced at the conclusion of the study. Exercises in mindfulness eating that are based on spiritual intervention can be popularized as a way to deal with dietary issues and blood sugar regulation.

Kebijakan pelaksanaan pemberlakuan pembatasan kegiatan masyarakat (PPKM) selama pandemi Covid-19 guna meminimalisir angka kejadian Covid-19 menyebabkan semua kegiatan mayarakat sangat dibatasi. Hal ini membuat rendahnya aktivitas dan berolahraga sehingga mempengaruhi kesehatan terutama bagi orang penderita diabetes mellitus yang termasuk faktor komorbid jika terinfeksi virus Covid-19. Menjaga kesehatan penderita diabetes mellitus sangat dianjurkan selama pandemic Covid-19 dengan berolahraga ringan yang membantu meningkatkan imunitas didalam tubuh, memperlancara sirkulasi darah dan mencegah terjadinya neuropati diabetikum. Kegiatan pengabdian ini memiliki tujuan untuk meningkatkan pemahaman dan melatih tentang pentingnya olahraga dirumah guna menjaga statsus kesehatannya selama pandemic Covid-19 dengan resistance exercise. Kegiatan pengabdian masyarakat dilaksanakan di lingkup wilayah posyandu Sapta Lestari RW 07 Kelurahan Sidotopo Wetan Kota Surabaya. Metode pelaksanaan kegiatan mengggunakan pendekatan partisipatif dengan cara ceramah, diskusi, curah pendapat serta demonstrasi langsung untuk meningkatkan pengetahuan penderita diabetes mellitus tentang latihan resistance exercise. Analisis yang digunakan untuk mengamati serta mengevaluasi tingkat pengetahuan menggunakan kuesioner pretest dan posttest. Hasil evaluasi didapatkan peningkatan pengetahuan masyarakat penderita diabetes mellitus sebesar 46,84% dari hasil pretest dan posttest yaitu 56,77% menjadi 100%. Kesimpulan dari hasil kegiatan pengetahuan masyarakat penderita diabetes mellitus meningkat tentang resistance exercise yang dapat dilaksanakan secara mandiri diruma yang berguna untuk menjaga kesehatan selama pandemic covid-19.

Stress that occurs in type 2 DM patients can occur due to high levels of blood glucose, prolonged treatment and complications are experienced. Meditation Healing exercises accompanied by Mozart include a type of meditation practice that can help improve the cognitive performance, emotion, and behaviour of a person when facing stressful situations. The purpose of this research is to prove the influence of Meditation healing exercise accompanied by Mozart music in the management of stress levels of diabetes mellitus type 2. This research is Quasy research experiment using pretests method Posttest with control group design. Sampling techniques use a total sampling by picking up respondents who meet the criteria for both inclusion and exclusion with a sample number of 52 people. Instruments used to measure stress levels using the DASS (Depression Anxiety Stress Scales) Questionnaire 42. Data analysis results use T-Test with the significance of P < 0.05. Stress-level test results show significant differences between intervention groups and control groups with P-value = 0.000. MHE accompanied by Mozart has a positive impact in stress management and as one of the interventions that can be done routinely even daily, especially for people with type 2 diabetes.

Gouty arthritis is a metabolic disease caused by a buildup of monosodium urate monohydrate crystals in the joints. The accumulation of uric acid in the joints can form crystals such as needles that cause pain and inflammation, causing interference with the motion system and changes in daily activities. Pain management caused by the accumulation of gout is one of them with physical activities in the form of ergonomic exercise based on spiritual care. This study aims to identify the effect of ergonomic exercise based spiritual care on reducing pain levels in the elderly with gouty arthritis. The design of this study used quasy experimental with control group pre test and post test. The population in this study were all patients with arthritis gout as many as 56 elderly. Samples were taken using total sampling and divided into two groups: 28 intervention groups and 28 control groups. The intervention group was given treatment in the form of ergonomic exercise for 4 weeks with the media being given a module. Pain levels are measured by visual analog scale (VAS). Analysis of the data used was paired T test with a significance of p <0.05. The results of data analysis showed that the intervention group showed an average level of pain before intervention 6.5 and after the intervention showed an average level of pain 3.2 with a p-value of 0,000. Whereas the control group showed an average pain level of 6.2 and after 4 weeks the average pain level increased by 7.0 with a p-value of 0.008. The application of ergonomic exercise based on spiritual care can be given to people with arthritis gout in reducing pain. It is hoped that nurses can implement ergonomic exercise based spiritual care for reducing pain levels in elderly patients with gouty arthritis.

Patients with diabetes mellitus have a high-stress level, this is because the treatment isundertaken such as diet, blood sugar control, drug consumption, and exercise. In addition, the risk of diseasecomplications that can be experienced by patients will also increase stress. Spiritual mindfulness based on bensonrelaxation affects the formation of positive cognitive (perception) responses in the brain. A good stress perceptionwill stimulate the hypothalamus to release a series of hormones that cause modulation of the physiological barrierof the immune response by decreasing the activation of the HPA axis and increasing activation of theparasympathetic nerve through the vagal stimulation. The purpose of this study was to prove the influence of spiritualmindfulness based on Benson relaxation in reducing stress levels of type 2 diabetes mellitus. This study was aquasi-experimental study using the pretest-posttest with control group design method. Respondents in this studywere 60 type 2 DM sufferers and were taken by simple random sampling technique and divided into two groupsnamely the intervention group and the control group. Stress level data is obtained using a questionnairemeasurement tool. The intervention group was given spiritual mindfulness based on Benson relaxation for fourweeks. The results of data analysis using t-Test with a significance of p <0.05. The stress level test results showeda significant difference between the intervention group and the control group with p-value = 0,000. Mindfulnessspiritual intervention based on Benson relaxation is effective against stress levels of people with type 2 diabetes.