Comprehensive Health Care

The Effect Of Solution-Focused Brief Counseling On Self-Management Of Diabetes Mellitus In Patients With Type 2 Diabetes Mellitus: A Literature Review

Fahrul Rohman, Azizah Khoiriyati — Wed, 15 Apr 2026 00:00:00 +0000

Background: Type 2 diabetes mellitus (T2DM) is one of the most pressing global health issues, characterized by insulin resistance and relative insulin deficiency that causes disturbances in blood sugar regulation. The purpose of this study was to explore the effect of SFBC on self-management in people with T2DM through a literature review. This study used a systematic and explicit method to identify, evaluate, and synthesize relevant articles from various databases such as ProQuest, PubMed, and Science Direct between 2020 and 2025. The keywords used in the search were “Solution-Focused Brief Counseling AND Type 2 Diabetes Mellitus Self-Management.” After going through the selection process, there were 10 international articles that met the predetermined inclusion and exclusion criteria. The results of this literature review show that SFBC has the potential to improve self-management in people with T2DM, both from psychosocial aspects such as stress management and physical aspects such as glycemic control. Further research is expected to expand the population and duration of follow-up to gain a deeper understanding of the long-term impact of SFBC in T2DM management

The Relationship Between Lifestyle And Recurrent Stroke Prevention In Elderly Elders In The Golden Road Ciputra Hospital Inpatient Ward, Citra Garden City, West Jakarta

Wed, 15 Apr 2026 00:00:00 +0000

Background: Stroke is one of the leading causes of disability and death in the elderly, and carries a high risk of recurrence if secondary prevention measures are not optimally implemented. Recurrent stroke can worsen the health condition of the elderly and increase the burden of long-term care. This study aims to determine the relationship between lifestyle and the prevention of recurrent stroke in the elderly at Ciputra Hospital. The research method used a quantitative analytical cross-sectional study design, in which measurements of independent and dependent variables were conducted simultaneously at the same time. The study population consisted of 30 elderly people with a history of stroke who were undergoing treatment at Ciputra Hospital, with a total sampling technique used. Data collection was conducted through a structured questionnaire to assess the respondents' lifestyle and a study of medical records to assess efforts to prevent recurrent stroke. Data analysis used the Chi-Square test with a significance level of 0.05. The results showed a significant relationship between lifestyle and the prevention of recurrent stroke in the elderly with a p-value of 0.032. In conclusion, the implementation of a healthy lifestyle needs to be continuously improved as part of a strategy to prevent recurrent stroke.

The Effect Of Buerger Allen Exercise On Improving Foot Sensitivity Values In Type 2 Diabetes Mellitus Patients In Semanan Village

Wed, 15 Apr 2026 00:00:00 +0000

Background: Type 2 diabetes mellitus (DM) can cause circulatory disorders and decreased foot sensitivity due to peripheral neuropathy, which increases the risk of foot complications. Buerger Allen Exercise is a non-pharmacological intervention that is thought to improve foot sensitivity in patients with type 2 diabetes. The purpose of this study was to determine the effect of Buerger Allen Exercise on increasing foot sensitivity in patients with type 2 diabetes mellitus in Semanan Village, West Jakarta. This research method used a quantitative approach with a pre-experimental design, one-group pretest-posttest design. The study sample of 40 respondents was selected purposively. Foot sensitivity measurements were carried out before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test to determine differences in foot sensitivity before and after the implementation of the Buerger Allen Exercise, with a significance level of α = 0.05. The results of the bivariate analysis showed that the foot sensitivity value before the intervention obtained a Z value = -6.646, p = 0.001 (p < 0.05), which indicated a significant difference in the initial condition of the respondents. After the intervention, a Z score of -6.551 was obtained, with p = 0.002 (p < 0.05), indicating a significant increase in foot sensitivity. The shift in the majority of categories from fair to good indicates the effectiveness of the Buerger Allen Exercise in improving foot sensory function. Conclusion: The Buerger Allen Exercise has been shown to have a significant effect on improving foot sensitivity in patients with type 2 diabetes mellitus in Semanan Village, West Jakarta.

Hypertension, Smoking, and Genetic Predisposition as Key Predictors of Stroke: A Cross-Sectional Study

A.Nurlaela Amin, Nur Awalia Ansuardi, Andi Tenriola, Nadia Alfira — Fri, 17 Apr 2026 00:00:00 +0000

Stroke remains a leading global cause of death and long-term disability, with a disproportionately rising burden in developing countries. Both personal traits and medical history are key factors influencing stroke risk. This study aimed to explore the relationship between age, gender, hypertension, diabetes mellitus, smoking habits, and genetic background with stroke occurrence.

A quantitative cross-sectional study was carried out among hospital patients chosen through purposive sampling. Data were collected from medical records and structured interviews, then analyzed using the Chi-square test with a significance level of p < 0.05.

Hypertension (p = 0.044), smoking (p = 0.032), and genetic history (p = 0.012) were significantly associated with stroke incidence. In contrast, age (p = 0.066), gender (p = 0.062), and diabetes mellitus (p = 0.130) showed no significant association.

These findings emphasize hypertension, smoking, and genetic predisposition as primary factors for stroke. Improving control of risk factors, especially managing blood pressure and quitting smoking, should be a top priority to effectively lower stroke occurrence and recurrence.

Self-Compassion in Nurses with Burnout Among Nurses at Hospital X

Esther Lenny Dorlan Marisi, Tati Hidayati — Fri, 17 Apr 2026 00:00:00 +0000

Background: Burnout among nurses is a common occupational health problem resulting from high job demands, emotional workload, and professional responsibilities in healthcare services. Burnout can negatively affect nurses’ well-being, quality of care, and patient safety. One psychological factor believed to reduce the risk of burnout is self-compassion, defined as an individual’s ability to be kind to oneself, recognize personal limitations, and regulate emotions adaptively when facing work-related stress. Objective: This study aimed to determine the relationship between self-compassion and burnout among nurses at Hospital X. Methods: This study employed a quantitative research design using a correlation study with a cross-sectional approach. The cross-sectional design was applied because data collection was conducted simultaneously at a single point in time to examine the relationship between the independent variable (self-compassion) and the dependent variable (burnout). The sample consisted of 30 nurses selected based on inclusion criteria. Data were collected using validated and reliable self-compassion and burnout questionnaires. Data analysis included univariate and bivariate analyses using the Chi-Square test and calculation of the Odds Ratio (OR). Results: The results showed a significant relationship between self-compassion and burnout among nurses at Hospital X (p-value = 0.012). Nurses with high self-compassion were 5.3 times more likely to experience low burnout compared to nurses with low to moderate self-compassion (OR = 5.3). Conclusion: Self-compassion is significantly associated with burnout among nurses. Enhancing self-compassion may serve as an important strategy to prevent burnout and improve nurses’ psychological well-being in hospital settings.

Mothers' Motivation In Exclusive Breastfeeding At Ciputra Hospital Citra Garden City, West Jakarta

Wed, 15 Apr 2026 00:00:00 +0000

Background: Exclusive breastfeeding during the first six months of an infant’s life is one of the most important efforts to improve children’s health status and growth and development. Maternal motivation is a key factor influencing the success of exclusive breastfeeding, which can reach up to 90%. However, some mothers still do not have optimal motivation in breastfeeding practices.This study aimed to describe maternal motivation in providing exclusive breastfeeding at the Maternal and Child Health Clinic (Poli KIA) of Ciputra Hospital Citra Garden City, West Jakarta. This study employed a descriptive research design with a quantitative approach. The population consisted of all mothers with infants aged 0–6 months who visited the Maternal and Child Health Clinic, with a total sample of 40 respondents selected using inclusion criteria. The results showed that the majority of respondents were aged 20–35 years (70%), had a higher education level, were housewives, had a parity of 2–3 children, and most had received counseling on exclusive breastfeeding. Based on univariate analysis of maternal motivation, most respondents had a high level of motivation to provide exclusive breastfeeding, totaling 18 respondents (45%), with a mean score of 161 and a standard deviation (SD) of 0.876. The conclusion of this study indicates that the level of maternal motivation in providing exclusive breastfeeding at the Maternal and Child Health Clinic of Ciputra Hospital Citra Garden City, West Jakarta, is categorized as good. It is expected that the findings of this study can serve as a basis for healthcare professionals to enhance breastfeeding education and support in order to maintain and improve the success of exclusive breastfeeding.

The Relationship Between Workload Level And Stress Level Among Nurses At H. Andi Makkarodda General Hospital

Safruddin Yahya, Rajma Ahmad — Wed, 15 Apr 2026 00:00:00 +0000

Background : Workload is one of the major factors influencing nurses’ psychological condition. Heavy workload can lead to tension and fatigue, which negatively affect nurses’ mental health. If not properly managed, excessive workload may develop into work-related stress. Work stress arises when an individual perceives the work situation as a threat or burden that exceeds their coping capacity.

Objective: To analyze the relationship between workload level and work stress level among nurses.

Method: This study employed a quantitative approach with a cross-sectional observational design. The sample consisted of 39 nurses working at H. Andi Makkarodda General Hospital. Sampling was conducted using probability sampling with a simple random sampling technique. The instruments used were the NASA-TLX questionnaire and the DASS-21 (Depression Anxiety Stress Scales) questionnaire.

Results: Pearson correlation analysis showed a p-value of 0,002 (p < 0,05), indicating a significant relationship between workload level and nurses’ stress level at H. Andi Makkarodda General l Hospital, with a correlation strength of 0,485 (moderate) in a positive direction.

Conclusion: Workload has been proven to have a significant relationship with work stress level among nurses at H. Andi Makkarodda General Hospital

The Effect of The Extended Health Belief Model on Random Blood Glucose Levels and Quality of Life Of Diabetes Mellitus Patients at Bontobangun Public Health Center, Bulukumba Regency

Andi Suswani, Sri Ulva Fitriah, Asri Asri — Thu, 16 Apr 2026 00:00:00 +0000

Diabetes mellitus (DM) is a condition that requires long-term management and can lead to complications such as kidney failure, retinopathy, stroke, gangrenous wounds, and diabetic neuropathy. According to data from the Bulukumba Regency Health Office from January to September 2024, there were 6,557 cases of DM. The highest number of cases was at the Bontobangun Public Health Center, with 863 cases. One effective approach is the Extended Health Belief Model (EHBM), which emphasizes perceptions of susceptibility, severity, benefits, barriers, and self-efficacy. This study aimed to determine the effect of the EHBM on the random blood glucose levels and quality of life of DM patients at the Bontobangun Public Health Center in Bulukumba Regency. This research used a quantitative approach with a quasi-experimental method and a control time series design. In this design, respondents were divided into two groups: an intervention group and a control group. The study population consisted of 240 middle-aged individuals, and a sample of 32 people was selected. Based on statistical analysis using the Independent Samples T-test, the results showed a p-value of 0.003 (p < 0.05) for blood glucose levels and 0.000 (p < 0.05) for quality of life. These results indicate a significant effect of the EHBM on the random blood glucose levels and quality of life of DM patients at the Bontobangun Public Health Center. The EHBM is an effective educational approach for DM patients as it led to a decrease in blood glucose levels and an increase in quality of life. For future research, it is suggested to use an EHBM-based educational approach in DM patient management programs, as it has been proven to lower blood glucose and improve quality of life.

Keywords: Diabetes Mellitus, Extended Health Belief Model, Random Blood Glucose Levels, Quality of Life.