Sri Mulyati Rahayu’s scientific contributions

Introduction: Type 2 diabetes mellitus is a chronic disease that requires blood sugar control to prevent complications, including diabetic foot ulcers. Objective: This study aims to analyze the relationship between patient motivation and blood sugar control behavior in elderly patients with type 2 diabetes mellitus at Puskesmas Cilengkrang, Bandung City. Method: The research uses a descriptive correlational design with a cross-sectional approach. As many as 30 elderly respondents were selected through accidental sampling. Research results: The results show that patient motivation has a significant relationship with blood sugar control behavior (p-value 0.003). Respondents with strong motivation generally exhibit good blood sugar control behavior. Conclusion: This study underscores the importance of increasing patient motivation in supporting the healing process of diabetic foot ulcers.

Background: Increased blood sugar levels due to impaired glucose absorption due to insulin deficiency or reduced cell sensitivity to glucose absorption are the main symptoms in DM patients. The fluctuating increase and decrease in blood sugar depends on several factors, one of which is food consumption. Various efforts are made to reduce blood sugar levels, such as adjusting diet, exercising, doing physical activity, consuming anti-DM drugs, and controlling blood sugar regularly. Diet management is done by reducing the amount of sweet foods, carbohydrates, or foods high in glucose. Apart from that, consuming food or herbal medicines such as consuming green tea and consuming black onions (Garlic) can reduce the blood sugar levels of DM patients. Purpose: To determine the effectiveness of giving green tea and black garlic in reducing blood sugar levels in DM patients. Method: This research was a Quasi-experimental with a control group which was carried out on two groups, namely model A group which was given green tea and model B group which was given black onions regularly for 1 month. Participants in this study were DM patients in the working area of the Panyileukan Community Health Center who were actively prolanist. The intervention of giving green tea was carried out twice a day in the morning and evening, while the intervention was giving 2 cloves of black onion twice a day for 1 month. Data analysis using SPSS with Paired T-Test. Results: The average blood sugar level in model A group before giving green tea was 125.7 mg/dl and in model B group given black onion (Garlic) was 155.1 mg/dl. After being given the intervention, blood sugar levels decreased, in model A group the average blood sugar level was 118.3 mg/dl and in model B group it was 131.4 mg/dl. Based on the results of the analysis carried out on the two groups, it was found that blood sugar levels decreased. The average reduction in model A group was 7.4 mg/dl and in model B group was 23.7. Conclusion: Giving green tea and black garlic can reduce blood sugar levels in DM patients. However, of the two interventions, giving black garlic was more effective in reducing blood sugar levels in DM patients than giving green tea. Suggestion: DM sufferers are advised to consume black garlic as an additional alternative to lower blood sugar levels. Keywords: Black Garlic; Blood Sugar Levels; Green Tea. Pendahuluan: Peningkatan kadar Gula darah akibat terganggunya penyerapan glukosa akibat kekurangan insulin atau berkurangnya kepekaan sel terhadap penyerapan glukosa merupakan gejala utama pada pasien DM. Peningkatan dan penurunan gula darah secara fluktuatif tergantung dari beberapa faktor, salah satunya adalah konsumsi makanan. Berbagai Upaya dilakukan untuk menurunkan kadar gula darah tersebut seperti pengaturan diet, olahraga , melakukan aktivitas fisik, konsumsi obat-obatan anti DM, dan kontrol gula darah secara rutin. Pengaturan diet dilakukan dengan mengurangi jumlah makanan manis, karbohidrat, atau makanan tinggi glukosa. Selain itu, mengkonsumsi makanan atau obat-obatan herbal seperti mengkonsumsi teh hijau dan mengkonsumsi bawang hitam (Garlic) dalam mengurangi kadar gula darah pasien DM. Tujuan: Untuk mengetahui efektifitas pemberian teh hijau dan bawang hitam dalam penurunan kadar gula darah pasien DM. Metode: Penelitian ini adalah Quasi eksperiment dengan grup kontrol yang dilakukan pada dua kelompok yaitu kelompok model A dengan pemberian teh hijau dan kelompok model B pemberian bawang hitam secara teratur selama 1 bulan. Partisipan pada penelitian ini adalah pasien DM yang berada di wilayah kerja Puskesmas Panyileukan yang aktif prolanis. Intervensi pemberian teh hijau dilakukan 2x sehari pagi dan sore hari, sedangkan intervensi pemberian bawang hitam 2x sehari sebanyak 2 siung selama 1 bulan. Analisa data menggunakan SPSS dengan pengujian Paired T-Test. Hasil: Rata-rata kadar gula darah pada kelompok model A sebelum dilakukan pemberian teh hijau adalah 125.7 mg/dl dan pada kelompok model B yang diberikan bawang hitam (Garlic) adalah 155.1 mg/dl. Setelah diberikan intervensi terjadi penurunan kadar gula darah, kelompok model A rata-rata kadar gula darah sebesar 118.3 mg/dl dan pada Kelompok model B adalah 131.4 mg/dl. Berdasarkan hasil analisis yang dilakukan pada kedua kelompok didapatkan penurunan kadar gula darah. Rata-rata penurunan pada kelompok model A sebesar 7.4 mg/dl dan pada kelompok model B sebesar 23.7. Simpulan: Pemberian teh hijau dan bawang hitam dapat menurunkan kadar gula darah pasien DM. Namun dari kedua intervensi tersebut, pemberian bawang hitam lebih efektif menurunkan kadar gula darah pada pasien DM dari pada pemberian teh hijau. Saran: Penderita DM disarankan untuk mengkonsumsi bawang hitam sebagai alternatif tambahan untuk menurunkan kadar gula darah. Kata Kunci : Kadar Gula Darah; Teh Hijau; Bawang Hitam

ABSTRAK Bencana alam merupakan hasil dari kejadian yang terjadi secara alamiah, sedangkan bencana non-alam disebabkan oleh aktivitas manusia yang merusak lingkungan. Perlunya penilaian yang matang dengan banyaknya alih fungsi perkebunan menjadi perumahan beresiko timbulnya bencana alam, seperti banjir dan longsor. Desa Cilengkrang memiliki tanah dengan kontur perkebunan, namun banyak mengalami alih fungsi menjadi perumahan dan berada di daerah sesar lembang sehingga berisiko terdampak gempa, banjir, dan tanah longsor. Kader merupakan tokoh masyarakat yang membantu dalam mensukseskan program pemerintah. Desa Cilengkrang memiliki 45 kader, yang jika disiapkan menjadi kader siaga bencana, sangat membantu meminimalkan resiko dari bencana alam yang mungkin terjadi. Menyiapkan kader siaga bencana. Metode penelitian meliputi pengajaran tentang mitigasi bencana dan simulasi penatalaksanaan pertolongan pertama jika terjadi bencana alam dengan jumlah sampel 35 orang. Hasilnya menunjukkan bahwa lebih dari setengah responden memiliki pengetahuan kurang tentang mitigasi bencana dalam mempersiapkan kader siaga bencana sebelum penyuluhan, dan setelah penyuluhan lebih dari setengah responden memiliki pemahaman yang cukup tentang mitigasi bencana untuk mengembangkan kader kesiapsiagaan bencana. Untuk mengurangi dampak bencana dan memberikan pertolongan pertama jika terjadi bencana, sehingga saran diperlukan kader-kader siaga bencana. Kata Kunci: Kader, Mitigasi Bencana, Siaga Bencana ABSTRACT Natural disasters are the result of naturally occurring events, while non-natural disasters are caused by human activities that damage the environment. The need for careful assessment of the conversion of plantations into housing is at risk of natural disasters, such as floods and landslides. Cilengkrang Village has land with plantation contours, but many plantations have been converted into housing and are located on the Lembang fault, putting it at risk of earthquakes, floods and landslides. Cadres are community leaders who assist in the success of government programmes. Cilengkrang village has 45 cadres, who, if prepared to become disaster preparedness cadres, can help minimise the risk of natural disasters that may occur. Purpose to prepare disaster preparedness cadres. The research method included teaching about disaster mitigation and simulation of first aid management in the event of a natural disaster with a total sample of 35 people. The results showed that more than half of the respondents had insufficient knowledge of disaster mitigation in preparing disaster preparedness cadres before counselling, and after counselling more than half of the respondents had sufficient understanding of disaster mitigation to develop disaster preparedness cadres. Conclusion To reduce the impact of disasters and provide first aid in the event of a disaster, so that advice is needed disaster preparedness cadres. Keywords: Cadres, Disaster mitigation, Disaster Preparedness

The availability and usability of a smartphone application in Indonesia for preventing anemia, particularly for adolescents, are understudied due to the large number of health applications available for hematologic diseases. This research aims to provide a comprehensive overview of a mobile application development process to prevent anemia among adolescents and test its usability to the end user. The study analyzed the usability of a hybrid application called "AneMia-Prev" at a junior high school in Serang, Banten, Indonesia. The application was developed through conducting a content review, creating a prototype, and undergoing expert development. The usability was assessed by 15 adolescents using a Think Aloud and Smartphone Usability questionnaire. Meanwhile, data analysis was conducted using Jaspers' iterative 3-cycle model. The AneMia_Prev (TA) application was developed using server-client architecture, MySQL database, Apache Tomcat, and Spring Framework. A usability test was conducted on 15 female end users, with a mean age of 16.8 years and 60.0% of them in grade 8. The application received an overall usability average of 112.5 points, indicating good usability. The study demonstrates the high usability of the prototype, indicating its effectiveness, efficiency, and satisfaction, suggesting that future research could use TA methods with larger sample sizes

A significant number of teenage girls are at risk of developing anemia. When it comes to adolescent girls, there are still significant knowledge, attitudes, and practice gaps, as well as health education gaps, which can affect anemia. App-based health technology, such as mobile health (mHealth), is a promising tool that has the potential to overcome obstacles and give suitable health guidelines as part of efforts to promote, prevent, cure, and rehabilitate patient health. Objective: to assess the impact of MHealth interventions on the prevention of anemia in adolescent girls. Method: This research is a review of the existing literature. With the assistance of the publish or perish application, data sources were gathered in the form of publications published in national and international journals between the years 2019 and 2023. These articles were obtained from the PubMed database and Google Scholar. PICOS was used as the inclusion and exclusion criteria for the selection of articles, and the selection process was accordingly. This research was carried out in a manner that was compliant with the PRISMA recommendations. A total of 352 articles were collected from the search results. Next, an elimination process was performed based on predefined criteria based on PICOS requirements, resulting in a total of nine studies included in the review (n = 9). This was depicted in PRISMA. The study utilized various mHealth apps, including WANTER, TEENFIT, LADIES, She Smart, eHealth, Android-based apps, E-WoHealth, Aneminfo, and Android apps that use videos. The findings suggest that comprehensive implementation of health apps can effectively reduce the occurrence of anemia in adolescent girls. Conclusion: The utilization of mHealth applications in health technology has the potential to enhance knowledge, modify behavior and attitudes more effectively, and facilitate the implementation of anemia prevention measures to decrease and avert anemia.

ABSTRAK Generasi unggul dan berdaya saing merupakan visi Indonesia, sehingga pemberantasan stunting merupakan target utama dalam upaya pencapaian visi ini. Stunting berdampak merugikan pada anak karena dapat menyebabkan lambatnya perkembangan otak (kognitif), fisik dan risiko serangan penyakit, hal ini akan berefek pada masyarakat secara umum sehingga penting untuk ditangani. Tujuan Program pengabdian masyarakat ini adalah meningkatkan pengetahuan pada kader dalam menyiapkan generasi unggul dan berdaya saing dengan pencegahan stunting sejak dini dari masa kandungan. Metode Pelaksanaan pengabdian masyarakat program edukatif dengan menggunakan penyuluhan (Pendidikan Kesehatan) guna meningkatkan pengetahuan kader. Adanya program ini dapat meningkatkan pengetahuan kader bagaimana mencegah stunting sejak dalam masa kandungan. Kader dapat menerapkan Langkah pencegahan stunting dan selanjutnya mensosialisasikan pada masyarakat umum tentang (A) Aktif minum Tablet Tambah Darah (TTD), (B) Bumil teratur periksa kehamilan minimal 6 kali, (C) Cukupi konsumsi protein hewani, (D) Datang ke Posyandu setiap bulan, (E) Eksklusif ASI 6 bulan. Dengan pemahaman tentang ABCDE diharapkan dapat menciptakan Generasi unggul berdaya saing yang Sehat dan Bebas dari Stunting. Program ini berhasil dalam meningkatkan pengetahuan kader tentang cegah stunting dengan ABCDE, sehingga disarankan agar kader dapat ikut serta dalam mempromosikannya kepada masyarakat dan dapat mengurangi kejadian stunting. Kata Kunci: Stunting, Kader, Generasi Unggul, ABCDE ABSTRACT A superior and competitive generation is Indonesia's vision, so eradicating stunting is the main target in efforts to achieve this vision. Stunting has a detrimental impact on children because it can cause slow brain (cognitive) and physical development and the risk of disease attacks, this will have an impact on society in general so it is important to address it. This community service program is to increase knowledge among cadres in creating a superior and competitive generation by preventing stunting from an early age from the womb. Method of implementing community service: educational program using counseling (Health Education) to increase cadres' knowledge. This program can increase cadres' knowledge of how to prevent stunting from the womb. Cadres can implement steps to prevent stunting and further socialize to the general public about (A) Actively drinking Blood Supplement Tablets (TTD), (B) Pregnant women regularly having pregnancy checks at least 6 times, (C) Sufficient consumption of animal protein, (D) Coming to the Posyandu every month, (E) Exclusive breast milk for 6 months. By understanding ABCDE, it is hoped that we can create a superior, competitive generation that is healthy and free from stunting. This program was successful in increasing cadres' knowledge about stunting prevention with ABCDE, so it is recommended that cadres can participate in promoting it to the community and can reduce the incidence of stunting. Keywords: Stunting, Cadre, Superior Generation, ABCDE

Sleep paralysis (SP) is a sleep disorder characterized by the inability to move when awakened from sleep and the appearance of hallucinations, such as seeing shadows or hearing voices. Sleep paralysis occurs due to stress, physical fatigue, anxiety, and poor sleep quality. This condition has an impact on reduced concentration, motivation, health conditions, and decreased completion of tasks. The aim of the research is to determine students' knowledge about sleep paralysis. The research method was descriptive, with a population of D III nursing students with a sample size of 83 students. The results are that almost half of the respondents have insufficient knowledge. Conclusion: Sleep paralysis is not the result of the presence of supernatural beings, but rather a condition of paralysis, especially sensory movement muscles, which occurs during sleep and is a normal thing, so recommendations need to be provided with education about efforts to prevent sleep paralysis

Background: Elderly people with chronic illnesses are prone to experiencing anxiety, one of which is diabetes mellitus sufferers. Efforts made to overcome anxiety in the elderly can come from family factors, environmental factors, and group activity therapy (GAT). Purpose: To determine the effectiveness of group activity therapy (GAT on anxiety levels in elderly people with diabetes mellitus at PKM Cibiru, Bandung City. Method: With a quasi-experiment research design with a pre-posttest one-group design approach. The population of all elderly people suffering from diabetes mellitus is 40, with a sample of all elderly people suffering from diabetes mellitus of 40 taken using the total sampling method. The independent variable is group activity therapy (GAT), and the dependent variable is anxiety. The instruments used were questionnaire sheets and observation sheets. Statistical tests used the Wilcoxon test with a significance value of α = 0.05. The research results before the group activity therapy (GAT) activity from 40 respondents showed a moderate anxiety level of 65.5%. After the group activity therapy (GAT) activity, there was a ligth anxiety level of 72.5%. The Wilcoxon Sign Rank test in the treatment group showed ρ = 0.001, ρ < α. Conclusion: Meaning that group activity therapy (GAT) was effective in reducing anxiety levels in elderly people with diabetes mellitus Keywords: Anxiety; Elderly; Group Activity Therapy (GAT). Pendahuluan: Lansia dengan penyakit kronis, rentan mengalami kecemasan salah satunya adalah penderita diabetesmelitus. Upaya yang dilakukan dalam mengatasi kecemasan pada lansia bisa dari faktor keluarga, kemudian faktor lingkungan dan terapi aktivitas kelompok (TAK). Tujuan: Untuk mengetahui efektifitas terapi aktivitas kelompok (TAK) terhadap tingkat kecemasan pada lansia penderita diabetes melitus di PKM Cibiru Kota Bandung. Metode: Desain penelitianQuasy-Experiment dengan pendekatanpre posttest one group design. Populasi seluruh lansia penderita diabetes melitus sebanyak 40 orang dengan sampel seluruh lansia penderita diabetes melitussebesar 40 diambil menggunakan metode total sampling. Variabel independen terapi aktivitas kelompok (TAK), variabel dependen adalah kecemasan. Instrument yang digunakan adalah lembar kuesioner dan lembar observasi. Uji statistik menggunakan Uji Wilcoxon Sign Rankdengan nilai kemaknaan α = 0,05. Hasil: Sebelum kegiatan terapi aktivitas kelompok (TAK) dari 40 responden terdapat tingkat kecemasan sedang 65,5 %, dan setelah kegiatan terapi aktivitas kelompok (TAK)terdapat tingkat kecemasan ringan72,5 %. Uji Wilcoxon Sign Rank pada lansia penderita diabetes melitus menunjukkan ρ = 0,001, ρ<α. Simpulan: Terapi aktivitas kelompok (TAK) efektif dilakukan untuk menurunkan tingkat kecemasan pada lansia penderita diabetes melitus.

Introduction: Anemia is when the blood's hemoglobin (Hb) level is less than usual. Anemia is a nutritional problem that is prevalent throughout the world. Anemia occurs not only in developing countries but also in developed countries. Anemia can occur anywhere and can happen to anyone. The impact of anemia on adolescent girls in the short term is to disrupt growth and development, reduce physical ability and work activity, reduce learning concentration, and hurt the digestive tract, central nervous system, cardiovascular system, and immunity. Material and Methods: This research is a literature review. Articles according to the theme were selected from 2018-2023 from electronic databases such as Science Direct, PubMed, and Google Scholar. We used the PRISMA method for the analysis of the literature review. Results: From 217 selected articles, 16 eligible studies were thoroughly reviewed, and only 10 could be analyzed. The results of the ten articles examined that many factors affect adherence to taking Fe tablets, namely knowledge that dominates in the matter. Conclusion: With the help of their parents, families, and teachers, the students exhibited a promising level of compliance with taking iron tablets, which is anticipated to lower the prevalence of anemia among teenage girls.

Diabetes Mellitus (DM) is a chronic metabolic disorder caused by the pancreas not using insulin effectively, if the management is not good, one of the risks of complications in DM patients is Diabetic Foot Ulcer. Behaviors at risk for causing Diabetic Foot Ulcer are smoking activities, physical activity, use of poor footwear, body mask index and glycemic control. The behavior of DM patients greatly influences the incidence of Diabetic Foot Ulcer, therefore it is very important to analyze the behavioral factors of DM patients who are at risk for Diabetic Foot Ulcer. The aim of this research is to analyze the behavioral factors that are at risk for the occurrence of Diabetic Foot Ulcer and to look for the most dominant factors that are at risk of causing Diabetic Foot Ulcer. The research was conducted using a descriptive method on 30 respondents using a total sampling technique. The data collection process used questionnaires about smoking activities, physical activity, use of poor footwear, body mask index and glycemic control. The results obtained for risk behaviors for Diabetic foot ulcers were 70% normal BMI, 93.7% had non-smoking habits, 50% did physical activity, 66.67% used footwear, 66.67% went on a diet and 100% did glycemic control . The behavior of DM patients who are at risk of developing Diabetic Foot Ulcer are all indicators only if sorted from the most dominant, namely Physical Activity, Diet and Use of Footwear, BMI, Smoking Habits and Glycemic Control. Suggestions for the pronalis program to provide education that emphasizes behavior that is at risk of developing diabetic foot ulcers. Key Word : Behavioral, Diabetes Mellitus, Diabetic Foot Ulcer