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THE RELATIONSHIP BETWEEN HEALTH LOCUS OF CONTROL AND DIET COMPLIANCE IN TYPE 2 DIABETES MELLITUS PATIENTS IN THE WORK AREA OF KABILA COMMUNITY HEALTH CENTER BONE BOLANGO REGENCY

Citra Magfira Nihe
Abstract: Diabetes mellitus is a disease characterized by increased glucose levels that over time cause serious damage to the heart, blood vessels, eyes and kidneys ( World Health Organization) in 2024. Compliance is the degree to&#8230; which a person carries out health-related behavior, either taking medication, following diet therapy and changing lifestyle according to recommendations given by health workers. Diet or nutritional therapy is used to regulate the patient's food intake so that it remains fulfilled and does not result in an increase in blood sugar so that it is necessary to regulate the schedule, type and amount of food as nutrition. This study aims to determine whether there is a relationship between health locus of control and compliance with diet in patients with diabetes mellitus in the Kabila Health Center work area. The design in this study is quantitative correlational. The sampling technique in this study used the non-probability sampling method with a total sample of 52 diabetes mellitus participants at the Kabila Health Center. The instrument used in the study used a questionnaire instrument with open questions about the variable health locus of control and compliance with the diet of patients with diabetes mellitus. Based on the results of the study, there is a relationship between health locus of control and compliance with diet in diabetes mellitus patients in the Kabila Health Center work area, with a significance value or p-value showing 0.000 (p <0.05). This is based on the alternative Fisher exact test because there are 3 cells with an expect count value <5.  

WAITING TIME RELATED TO OUTPATIENT SATISFACTION AT GUNUNG MARIA HOSPITAL TOMOHON

Palendeng, Frankly Oktavian, Suparlan, Sri Rejeki Monica, Langingi, Ake Royke Calvin
Abstract: One measure of service success is patient satisfaction; in the world of health, patient satisfaction indicates that the services provided have been delivered properly by health workers. The purpose of this study was to analyze&#8230; nalyze the relationship between waiting time and outpatient satisfaction at Gunung Maria Tomohon Hospital. The method used in this research is quantitative research which is descriptive analytic using a cross-sectional study approach with a sample of 266 respondents (total sampling) with univariate and bivariate analysis. The results showed that based on the results of the chi-square test, a value of p = 0.001 (<α = 0.05) was obtained, indicating that there is a relationship between waiting time and outpatient satisfaction at Gunung Maria Tomohon Hospital. Based on the results of the analysis, it can be concluded that there is a relationship between waiting time and outpatient satisfaction at the Outpatient Polyclinic of Mount Maria Tomohon Hospital. As a suggestion for hospital leaders, especially for outpatient directors at Gunung Maria Tomohon Hospital, it is recommended to set health service standards, particularly for outpatients, to enhance their satisfaction.

INTEGRATING ISLAMIC ETHICS AND CLINICAL SAFETY IN SUNNAH CUPPING THERAPY SERVICES

Isdianto, Andik, Fitrianti, Novariza, Arif, Abdul Hamid, Widada, Wahyudi
Abstract: Sunnah cupping therapy (al-hijamah) is a popular Islamic healing method practiced globally. Despite its spiritual roots, it poses clinical risks, including infections, vasovagal shock, and procedural inconsistencies, often&#8230; en due to non-sterile tools and untrained practitioners. This study aims to explore how Islamic ethical values—sincerity (ikhlas), trust (amanah), and halal compliance—can be integrated with clinical responsibilities such as sterilization protocols, informed consent, and therapist competency. A thematic qualitative literature review was conducted using Islamic jurisprudence, fatwas (DSN-MUI), WHO and Ministry of Health (Indonesia) guidelines from 2015–2025. Findings reveal that neglecting the maqashid sharia principle of hifzh an-nafs (protection of life) contradicts both Islamic ethics and medical safety. Sunnah cupping services rooted in both spiritual values and professional protocols are more trusted by Muslim patients and improve therapeutic legitimacy. This study highlights the urgent need for national SOPs, certified training, and the development of Islamic cupping clinics with integrated protocols. These clinics can serve as models of sharia-compliant, clinically responsible health services. The research offers practical recommendations for Islamic medical institutions and policy-makers in strengthening Islamic-based complementary therapies in modern healthcare systems.

MITIGATING EMERGENCY RISKS IN SUNNAH CUPPING THROUGH MEDICAL AND SHARIA INTEGRATION

Isdianto, Andik, Fitrianti, Novariza, Arif , Abdul Hamid, Widada , Wahyudi
Abstract: Sunnah cupping therapy is a traditional Islamic health practice increasingly embraced for its spiritual and therapeutic benefits. However, its widespread use, especially by uncertified practitioners, raises serious concerns&#8230; rns about patient safety and emergency risks. This study aims to identify key systemic risk factors of medical emergencies related to sunnah cupping and propose an integrative framework combining Islamic jurisprudence (fiqh) with modern clinical standards. A qualitative descriptive approach was employed using a systematic literature review of peer-reviewed journals, clinical reports, Islamic texts, and contemporary fatwas. Thematic analysis revealed five major risk categories: lack of medical screening, unlicensed practitioners, hidden comorbidities, absence of emergency protocols, and poor understanding of medical safety. Reported complications included hypovolemic shock, infections, and prolonged wound healing—especially in patients with undiagnosed diabetes or coagulation disorders. The study also found that public misconceptions equating religious merit with clinical safety further worsen these risks. The research highlights the urgent need for standardized medical and sharia-based training, certification systems, and public education. Collaboration among healthcare professionals, Islamic scholars, and educational institutions is essential to establish a safe, accountable, and spiritually valid model of sunnah cupping. Integrating medical protocols with fiqh compliance can significantly reduce emergency incidents, enhance practitioner competency, and preserve the prophetic nature of the practice within a modern health framework. These findings offer a strategic path for safer implementation of prophetic medicine across Muslim communities.

ANALYSIS OF OUTPATIENT SATISFACTION LEVELS WITH LABORATORY SERVICES AT RSUD KLUNGKUNG

Diah Prihatiningsih, I Gusti Ayu Agung Diah Dwi Sukma, I Gusti Putu Agus Ferry Sutrisna Putra
Abstract: Healthcare services must continuously be improved to provide the best care for the community. Patient satisfaction is the result of patients' evaluations of healthcare services, comparing their expectations with the actual&#8230; al healthcare services received in a hospital setting. Patient satisfaction with laboratory services is not solely determined by the availability of sufficient healthcare personnel but also requires strong commitment and dedication from healthcare workers to provide professional services, supported by adequate facilities and medical equipment. This study aims to assess the level of outpatient satisfaction with laboratory services at RSUD Klungkung. The research employs an observational method with a cross-sectional design. Data collection was conducted using questionnaires, with a sample of 97 respondents selected through purposive sampling. The data analysis in this study was performed using the Chi-Square test. Based on the five service quality dimensions—reliability, responsiveness, assurance, empathy, and tangibles—the results showed a p-value < 0.05. Among these dimensions, responsiveness had the lowest p-value (0.005 < 0.05), indicating its stronger influence. These findings conclude that there is a significant relationship between service quality dimensions and the level of outpatient satisfaction with laboratory services at RSUD Klungkung. Furthermore, the responsiveness dimension, which had the lowest p-value compared to the other four dimensions, indicates that it has the most significant impact on patient satisfaction with laboratory services provided by the staff at RSUD Klungkung.

RELATIONSHIP BETWEEN ORAL AND DENTAL HEALTH MAINTENANCE AND THE INCIDENCE OF PERIODONTITIS IN DIABETES MELLITUS PATIENS IN THE WORKING AREA OF UPTD PUSKESMAS (PUBLIC HEALTH CENTER) PAGUAT

Desnawati Otoluwa, Ita Sulistiani, Sitti Fatimah Meylandari Arsad
Abstract: Periodontitis is a condition that can occur in diabetes mellitus patiens and is associated with poor maintenance of oral and dental health. This research aims to examine the relationship between oral and dental health maintenance&#8230; intenance and the incidence of periodontitis in diabetes mellitus patiens. The research employs an analytical observational method with a retrospective design. The sample was selected using a purposive sampling technique. Data were collected using instruments measuring oral and dental health maintenance and a doctor’s diagnosis to determine the presence of periodontitis. Analisis was conducted using the Fisher exact Test (p-value = 0,000). The results indicate a significant relationship between oral and dental health maintenance and the incidence of periodontitis in diabetes mellitus patients. Healthcare workers play a crucial role in educating on the importance of maintaining oral and dental health, including brushing teeth twice daily (morning after meals and before sleeping) and regularly visiting the dentist every six months.

THE RELATIONSHIP BETWEEN BLOOD GLUCOSE LEVELS AND VISUAL ACUITY IN DIABETES MELLITUS PATIENTS IN TOTO KABILA REGIONAL HOSPITAL

Novita Angraeni, Nasrun Pakaya, Sitti Fatimah Meylandari Arsad
Abstract: Diabetes Mellitus (DM) is a chronic disease caused by a lack of insulin production by the pancreas or the insulin produced cannot be used effectively by the body . This causes the formation of microaneurysms in the retinal&#8230; al blood vessels which make the blood vessels fragile and easily ruptured, causing visual impairment in the form of decreased visual acuity. The general objective of this study was to determine the relationship between blood glucose levels and visual acuity in patients with diabetes mellitus at Toto Kabila Hospital. This research uses a quantitative research type with a research design. descriptive analytical using cross sectional approach method . The population in this study were DM patients who visited the Eye Polyclinic at Toto Kabila Hospital and the sample in this study used the technique accidental sampling with a total of 87 samples. The instrument in this study used an observation sheet. The data analysis technique used the chi-square test . obtained value pvalue = 0.00 0 which means there is a relationship between blood glucose levels and visual acuity in diabetes mellitus patients at Toto Kabila Regional Hospital .

NURSING CARE FOR NY.L PATIENTS WITH SCHIZOPHRENIA AUDITING HALLUCINATIONS USING TECHNIQUE INTERVENTION

Stevi Febi Arianti, Fida Dyah Puspasari, Sudiarto
Abstract: Background: Hallucinations are where the client cannot differentiate between something that is real and not real. One of the hallucinations that many people experience with schizophrenia is auditory hallucinations. One of&#8230; f the efforts made to overcome hallucinations is by using rebuke of hallucinations. By using the rebuke technique, it is hoped that the level of hallucinations in patients can decrease. Objective: To determine the process of nursing care for schizophrenic patients with sensory perception disorders, auditory hallucinations, using rebuke technique intervention. Method: Using descriptive research with a nursing care approach. Results: The results of the study showed that the signs of hallucinations decreased after the rebuke was carried out. Conclusion: Nursing care was successful and the rebuke technique was able to reduce the frequency of hallucinations.

ASUHAN KEPERAWATAN PADA Tn.M SKIZOFRENIA HALUSINASI PENDENGARAN DENGAN INTERVENSI MENGONTROL HALUSINASI BERCAKAP-CAKAP DENGAN ORANG LAIN DI RUMAH SAKIT DR. RM SOEDJARWADI KLATEN

Fikri Wiliyanto, Fida Dyah Puspasari, Sudiarto
Abstract: In Indonesia, the prevalence of schizophrenia/psychosis is around 6.7 per 1000 households. Hallucinations are a condition that befalls individuals with mental disorders which results in changes in the patient's subjective&#8230; e perception, which is characterized by the patient experiencing sensations such as sound, sight, taste and touch without any clear stimulation. If not treated immediately, the symptoms will get worse and can cause harm. self. One effective method for controlling schizophrenia is to encourage people to interact or converse with other people. The benefit of the activity is that it prevents hallucinations from occurring. The aim of the research is to determine the description of nursing care for patients with schizophrenic auditory hallucinations with a focus on the act of conversing with other people. Using descriptive methods by managing patients arranged in nursing care, functions to create systematic, real and precise descriptions of the facts.  The results of focused therapeutic actions on conversing with other people for 3 days can reduce the signs and symptoms of auditory hallucinations. This is proven when conversing with other people, the patient focuses on the conversation and can avoid whispers that are not real to the patient. It was concluded that the technique of conversing with other people can prevent signs and symptoms of auditory hallucinations.

IMPLEMENTASI TERAPI MUROTTAL UNTUK MENGONTROL HALUSINASI PENDENGARAN PADA PASIEN SKIZOFRENIA

Nur Zayyan, Rizal faris, Rahmawati , Arni Nur, Apriliyani , Ita
Abstract: Mental disorders are stressors that can cause changes in a person's thinking, perception, behavior, and feelings. Schizophrenia is a psychotic mental disorder that has positive, negative, and cognitive signs and symptoms.&#8230; . The World Health Organization in 2021 stated that the prevalence of schizophrenia in the world increased to 26 million people. Hallucinations are one of the symptoms of mental disorders where a person experiences changes or disturbances in sensory perception involving the five senses. The most common hallucination is auditory hallucination. One of the non-pharmacological treatments that can be done in patients with auditory hallucination is Murottal Therapy. Murottal therapy is a therapy by reading or listening to Al-Qur'an. The purpose of this study was to obtain an overview of the nursing process regarding the application of murottal therapy as an effort to control auditory hallucination. The research method used is a case study with the target of schizophrenia patients with auditory hallucinations at Banyumas Hospital. After Murottal Therapy for 6 days, the results showed that the patient could control his hallucinations as evidenced by the Auditory Hallucination Rating Scale score which decreased, score of 22 on the first day and a score of 10 on the sixth day. Therefore, it can be concluded that Murottal Therapy Surah Ar-Rahman verses 1-78 which is performed once a day for 6 days with a duration of 16 minutes, has proven effective for controlling auditory hallucinations in schizophrenic patients.