Cross Sectional Time Approach Research Articles

Relationship Between Working Length of Pharmacy Personnel, Working Length of Doctors and Treatment Length of Patients with the Availability of Medicine in the Era of National Health Insurance (JKN) in the Hospital Grandmed Lubuk Pakam in 2024

Background: Quality public health services must have sufficient quantities and varieties of medicines when needed. The availability of these medicines can be ensured through good pharmaceutical standards and regulations. Optimal availability of medicines is the availability of medicines that can meet patient needs. One important step in medication management is the purchase of medicines. If the purchase of medicines is not managed carefully and responsibly, for example buying more medicines than needed, it will result in wasteful budget, increased purchasing and storage costs, and medicines or goods cannot be distributed. or expired.Objectives: To find out what factors influence the availability of drugs in the health insurance era (JKN) at the Grandmed Lubuk Pakam Hospital in 2024.Research method: This type of research is quantitative and is descriptive quantitative with a cross-sectional time approach. Results: There is a relationship between the length of service of pharmacists. The length of service of doctors and the length of treatment of patients with the availability of drugs in the era of JKN at the Grandmed Hospital in Lubuk Pakam in 2024. Conclusion: The availability of medicine for the community is one of the government's commitments in implementing public health services. The efforts made by the government are certainly aimed at maintaining public health.

The Influence of Social Awareness and Social Skills on the Quality of Midwife Partnerships in Postnatal Care Services

Postpartum maternal deaths have always been more than 50% of total maternal deaths from 2016-2021, and the realization of visits by postpartum mothers at Community Health Centers has also not met the target. The low number of visits is due to the fact that postpartum mothers still need strong encouragement and motivation. Midwives have the role of providing information, education and monitoring the condition of postpartum mothers, so midwives need support from social competence and good partnerships with various parties. This research aims to analyze the influence of social competence, which includes social awareness and social skills, on midwife partnerships in postnatal care services. The research design is observational analytic with a cross-sectional time approach. The research location was carried out at 63 Community Health Centers, Surabaya City, Indonesia with a sample of 100 midwives taken using Proportional Stratified Random Sampling. The variables measured are social awareness, social skills and partnerships through distributing questionnaires. Data were analyzed using the chi-square test. This research has gone through an ethical review with number 085/HRECC.FODM/III/2022. The research results showed that the social awareness competency and social skills of midwives related to postnatal care services had a good percentage rating (93%, 81%, 98%). The quality of midwife partnerships in providing postnatal care services is influenced by social awareness (p= 0.04 & PR= 0.714x), but not influenced by social skills (p=0.345). If midwives' social awareness is better, the quality of midwife partnerships will be better. Therefore, midwives must be able to establish good relationships and be more open in communicating with colleagues or other work units when serving postpartum mothers.

THE CORRELATION BETWEEN ACTIVENESS PREGNANT WOMEN CLASSES AND THE KNOWLEDGE OF POSTPARTUM KB AT WAVA HUSADA HOSPITAL

Background : The results of a preliminary study conducted on 10 pregnant women, there were only 3 people who could answer about postpartum contraception planning, so researchers were interested in knowing more about the relationship between the activeness of the pregnant women class to knowledge about postpartum contraception planning. Subjects and Methods : This research uses Correlational Analytic Design and Cross Sectional Time Approach. The total population is 157 pregnant women and the samples used are 62 samples. Results : Of this study indicate that the majority of respondents who attended classes for pregnant women were active in attending classes for pregnant women as many as 37 people, the knowledge of pregnant women about family planning after childbirth was dominant in respondents having good knowledge with a value of ≥ 60%, namely 53 people. The results of the Chi Square test showed that there was a relationship between the active participation of pregnant women in classes and the knowledge of pregnant women about postpartum contraception planning as evidenced by a P value of 0.000 <0.05. Conclusion : Most pregnant woman are active and understand well about the knowledge of postpartum KB in pregnant woman’s class activities.

The Impact Of Physical Fitness On Acute Mountain Sickness Incidence: A Study At Mount Buthak Batu Malang

Background: Nowadays, hiking has become a highly favored trend among all groups. What is very much needed before hiking is to ensure that the body is in a healthy condition by maintaining physical fitness. This is because during hiking, the body requires energy to prevent injuries and altitude sickness, also known as Acute Mountain Sickness. Objective: To determine the Relationship between Physical Fitness and Acute Mountain Sickness (AMS) on Mount Buthak, Batu Malang Regency. Method: This study is a non-experimental research using a correlational analytic design with a cross-sectional time approach. The population in this study is 150 climbers with a sample size of 109 climbers using simple random sampling technique. The independent variable in this study is physical fitness while the dependent variable is Acute Mountain Sickness. The instruments used are a physical fitness questionnaire and an Acute Mountain Sickness questionnaire. Data analysis in this study uses Spearman's rho Test with the assistance of SPSS software for Windows version 25. Results: The statistical test results of the relationship between physical fitness and Acute Mountain Sickness obtained a significance value of p < 0.05 which means that H1 is accepted. Conclusion: The statistical test results of the relationship between physical fitness and Acute Mountain Sickness obtained a significance value of p < 0.05 which means that H1 is accepted, thus it can be concluded that there is a relationship between Physical Fitness and Acute Mountain Sickness (AMS) on Mount Buthak, Batu Malang Regency. Most respondents maintain good physical fitness, and half of the respondents experience Acute Mountain Sickness with a mild category.

ANALYSIS OF RISK FACTORS FOR THE INCIDENT OF EARLY ONWARD NEONATAL SEPSIS REVIEWED FROM THE APGAR SCORES AND WEIGHT AT BIRTH AT KUDUNGGA HOSPITAL

Neonatal sepsis is one of the most common causes of death in neonates.. The aim of this study was to analyze the relationship between early onset neonatal sepsis in terms of the score. APGAR and birth weight infants. The research design used was correlational analytic with a cross sectional time approach with a total sample of 52 respondents. The sampling method in this study used the Accidental Sampling technique. Data were collected using medical record data .Test the analysis using the Chi Square Test. The APGAR score in newborns is known to be mostly in the APGAR score category 7-10 (no asphyxia) (73.1%). Almost all of the birth weights of newborns were found to be in the birth weight category ≥2500 grams (77%). The incidence of early-onset neonatal sepsis in newborns is known to be mostly in the category of no early-onset neonatal sepsis (69.2%).

DUKUNGAN KELUARGA TERHADAP PEMBERIAN KOLOSTRUM PADA IBU POSTPARTUM SECTIO CAESAREA

Background: The number of post sectio cesarea patients at PKU Aisyiyah Jepara Hospital in June 2021 – April 2022 was 458 patients, data on infants who were breastfed colustrum in postpartum mothers with cesarean sectio were 102 babies. It can be said that the coverage of colustrum breastfeeding at PKU Aisyiyah Jepara Hospital tends to be less than babies who are not given colustrum breastfeeding. While mothers who did not give colustrum breast milk as much as 22.2%. Objective: Knowing the relationship between family support for colostrum administration to postpartum SC mothers at PKU Aisyiyah Jepara Hospital. Method: A type of correlational analytic research with a cross sectional time approach. Large sample of 41 respondents with total sampling technique. The instrument used questionnaire. Analysis of statistical test data of Spearman Rho. Research Results: The majority of respondents' family support was sufficient, namely as many as 27 people (65.9%) and mothers gave colostrum as many as 32 people (78%). Conclusion: There is a relationship between family support for colostrum administration to postpartum SC mothers at PKU Aisyiyah Jepara Hospital with p value 0.001 α 0.05 and r value = 0.487.

THE RELATIONSHIP OF FAT INTAKE AND NUTRITIONAL STATUS IN ADOLESCENT WOMEN OF THE ISLAMIC BOARDING SCHOOL, TUBAN DISTRICT

Teenagers are one of the groups that easily experience nutritional problems such as malnutrition and overnutrition. Nutritional status is a description of the body's condition as a result of the use of nutrients from the food consumed daily. This research aims to determine the relationship between fat intake and nutritional status in adolescents. Analytical research method with a cross-sectional time approach. The population of this study consisted of 402 respondents with a sample of 200 teenagers, determined using a cluster random sampling technique. The Independent variable is a fat intake, dependent variable is nutritional status. The research analysis uses Spearman's correlation statistical test. The results of the study showed that the majority of adolescent girls' fat intake was higher. Based on the results of statistical tests using the Spearman correlation test for fat intake, a value of p = 0.000 was obtained so that ρ < 0.05, there is a significant relationship between fat intake and nutritional status, the Correlation Coefficient value is in the weak category at 0.312. The conclusion from this study is that there is a significant relationship between fat intake and nutritional status. Keywords: Nutritional Status; Fat Intake; Adolescents.

HUBUNGAN ANTARA SELF EFICACY DENGAN KINERJA PERAWAT DALAM MELAKSANAKAN ASUHAN KEPERAWATAN DI RUANG RAWAT INAP RSUD dr. R. KOESMA TUBAN

Self-efficacy is a sense of confidence in oneself that individuals can face the problems that are being experienced and can provide positive results. Performance is the successful completion of a task or meeting a set target. This study aims to determine the relationship between Self Efficacy with the performance of nurses in carrying out nursing care in the hospital dr. R. Koesma Tuban. This type of research is correlational using a cross-sectional time approach with a population of 39 nurses selected by cluster random sampling technique of as many as 36 nurses. The independent variable is self-efficacy and the dependent is the performance of nurses in carrying out nursing care measured using the Spearmen correlation test. The results of the study were conducted after the analysis using the Spearmen correlation test with significance level ρ = ≤ 0.05. The results of the study on the relationship between self-efficacy with the performance of nurses in implementing nursing care proved that p = 0.000 indicates the value of ρ < ɑ (0.04 < 0.05) which means H1 is accepted that there is a relationship between Self Efficacy with the performance of nurses in implementing nursing care in inpatient hospital dr. R. Koesma Tuban, with a correlation value of 0.468, which is a strong correlation with a positive direction. from the description above it can be concluded that the relationship between Self Efficacy with the performance of nurses in carrying out nursing care in the inpatient hospital dr. R. Koesma Tuban . Keywords: Implementing Nursing Care, Nurse Performance, Self Efficacy

Hubungan Aktivitas Fisik Dengan Stabilitas Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Kembaran I

Hypertension is a disease whose prevalence always increases every year. Uncontrolled hypertension is still a major problem in efforts to treat hypertension. Lifestyle changes, one of which is physical activity, is an important part of cardiovascular therapy management and is important in controlling blood pressure. The purpose of this study was to determine the relationship between physical activity and blood pressure stability in hypertensive patients in the working area of the Kembaran 1 Public Health Center, Banyumas Regency. The research design is a correlation study survey with a cross sectional time approach. The sample in this study was hypertension recorded as Prolanis participants at the Kembaran I Health Center as many as 24 respondents with consecutive sampling technique. The research instrument used a Global Physical Activity Questionnaire (GPAQ) and a sphygnomanometer. Data analysis using lambda test. The results showed that most of the physical activity in hypertensive patients were in the moderate category (50%). Blood pressure stability in hypertensive patients was mostly in the stable category (54.2%). Lambda test results obtained p-value of 0.012 (p-value ? ?) and value of 0.455 (? 0). In conclusion, there is a relationship between physical activity and blood pressure stability in hypertensive patients in the Kembaran 1 Public Health Center, Banyumas Regency.

FAKTOR YANG BERPENGARUH TERHADAP KEJADIAN ASFIKSIA NEONATORUM DI RSUD BATARA GURU BELOPA

Asphyxia is an emergency event in the form of spontaneous breathing failure immediately after birth. It is very risky for death when the fetus does not breathe spontaneously and regularly so that it can reduce oxygen and increase carbon dioxide, which has bad consequences for continuing life. The cause of early neonatal death at Batara Guru Belopa Hospital is Asphyxia. Factors related to the incidence of asphyxia neonatorum at Batara Guru Belopa Hospital in 2021 This study uses a descriptive correlational method with a cross-sectional time approach. Sampling using the Slovin formula amounted to 62 respondents. Data collection tools using medical records Bivariate data analysis using the Chi-Square test shows that the incidence of asphyxia neonatorum is 52 infants, and infants who do not experience asphyxia neonatorum are 10 infants. There is a relationship between maternal age and neonatal asphyxia (p = 0.008), there is a relationship between parity and neonatal asphyxia (p = 0.000), there is a relationship between low birth weight (LBW) and neonatal asphyxia (p = 0.013), and there is a relationship between premature rupture (PROM) of membranes and neonatal asphyxia (p = 0.021). For institutions, it is hoped that the results of this study can be useful input for students, especially in preventing Neonatal Asphyxia so that it does not cause antenatal and neonatal deaths.
 Keywords: Asphyxia, maternal age, parity, LBW, PROM

THE SUCCESSFUL FACTORS TREATMENT OF MB TYPE LEPROSY IN THE WORKING AREA OF JENU PUBLIC HEALTH CENTER, TUBAN REGENCY

Leprosy is a chronic infection caused by Mycobacterium leprae which if not treatedimmediately will become progressive. The government has a treatment success target of >90%,but in some areas the effort to eradicate leprosy type MB is still slow [1]. The purpose of this studywas to determine the success factors for the treatment of MB type leprosy in the working area ofthe Jenu Public Health Center, Tuban Regency.The research design used was descriptive, cross sectional time approach. The populationis all patients with leprosy who seek treatment in the working area of the Jenu Public Health Centerfor a cohort period of 76 months (January 2016-April 2022) as many as 35 people, the samplingtechnique used is total sampling. Research instruments in the form of questionnaires andobservation sheetsThe results of the study were obtained from 35 patients with MB type leprosy almostentirely (82.9%) were found without disability, all (100%) immediately received treatment, all(100%) received good family support, all (100%) the role of health workers was good.The success of treatment for leprosy type MB requires support from the family and thesurrounding community, the family is the closest person who can supervise and control thepatient's condition. Treatment of leprosy also requires the role of health workers because healthworkers can provide encouragement to patients, in addition, if the patient has not taken themedicine, the health worker will come to give the medicine. Efforts to find and treat patients withMB type leprosy are very important, for this reason, family and community support are needed sothat there is no feeling of shame and immediately comes to the nearest health servic

The Relationship of Knowledge About Menstruation with Personal Hygiene Behavior in Young Women in Sutawinangun Village, Cirebon Regency

Objective: The research objective was to determine the relationship between knowledge about menstruation and personal hygiene behavior during menstruation in young women in Sutawinangun Village, Kedawung District, Cirebon Regency. Methods: This research is an analytic survey with a cross-sectional time approach. The population is 62 respondents, using total sampling with a total sample of 62 young women. The instrument was used to measure the knowledge and behavior of respondents using a questionnaire. Results: Description of young women's knowledge about menstruation in Sutawinangun Village, Kedawung District, Kab. Cirebon data were obtained from 62 respondents; 33 of them had enough knowledge (53.2%), while only 8 respondents (12.9%) had a good understanding, and 21 respondents (33.9%) had less knowledge. As for the behavior of young women regarding personal hygiene, the results showed that 41 people had positive personal hygiene behavior during menstruation (66.1%). In contrast, 21 respondents (33.9%) had negative personal hygiene behavior during menstruation. Based on the calculation results of Kendall tau, P-value = 0.000 < α = 0.05 (the P-value is more minor than α = 0.05). This means a significant relationship exists between young women's knowledge of personal hygiene behavior during menstruation. Conclusion: There is a Relationship between Knowledge about Menstruation and Personal Hygiene Behavior During Menstruation in Young Women in Sutawinangun Village, Kedawung District, Cirebon Regency.

RELATIONSHIP BETWEEN FOOD PARENTING AND SNACKING HABITS WITH THE NUTRITIONAL STATUS OF SCHOOL-AGE CHILDREN

School-age children are the second fastest growing period after toddlers. Where optimal health will produce optimal growth as well. Nutritional intake is needed to meet the physical and mental health of children. This study aims to determine the relationship between maternal eating patterns and children's snack habits with the nutritional status of school-age children. This type of research is correlational analytic with cross sectional time approach. The population is all mothers of school-age children at SDN Ngrandu 1 Kedungadem Bojonegoro in 2022 a total of 88 people, with a sample selected by proportionate stratified random sampling technique obtained 42 respondents. The independent variables in this study were the food parenting in the child and the child's snack habits. The dependent variable is the nutritional status of children. The results obtained after being analyzed using SPSS version 25 with the results of the Spearman test on the relationship between food parenting and the nutritional status of school-age children obtained significant results = 0.000; r = 0.694. The results of the Spearman test on the relationship between children's snack habits and the nutritional status of school-age children obtained significant results = 0.001; r = 0.493. From the description above, it can be concluded that there is a significant relationship between maternal eating patterns and children's snack habits with the nutritional status of school-age children (6-12 years) at SDN Ngrandu 1 Kedungadem. Keywords: School Age Children, Parenting, Snacking Habits, Nutritional Status

Hubungan Religious Coping dengan Resiliensi pada Pasien Stroke di Wilayah Kerja Puskesmas Purwokerto Selatan

Stroke is a disease condition caused by a sudden cessation of blood flow to the brain, either due to blockage or rupture of blood vessels and is the third most common non-communicable disease after hypertension and diabetes. Stroke has a psychological impact that causes the patient to be irresistible. Resilience affects the recovery process in stroke patients. Stroke sufferers who are not resilient are influenced by religious coping (spirituality) where spiritual strength and belief can increase resilience in individuals. The purpose of this study was to determine the relationship between religious coping and resilience in stroke patients in the Work Area of the South Purwokerto Public Health Center. Research design is correlation study survey with a cross sectional time approach. The sample of this research was 45 respondents using simple random sampling technique. Data analysis was determined by the spearman-rank test. The results showed that religious coping in stroke patients in the Work Area of the South Purwokerto Health Center was mostly positive (84.4%). The resilience of stroke patients in the Work Area of the South Purwokerto Health Center is mostly high (86.7%). The results of the Spearman rank correlation test showed that the p-value was 0.0001 (p-value < 0,05). The conclusion is that there is a correlation between Religious coping and Resilience in Stroke patients in work area at South Purwokerto Health Center.

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Kader Posyandu Tentang Pencegahan Stunting

Stunting is a chronic nutritional problem characterized by a short body (stunted). Health education is held as a learning effort to improve the Posyandu cadres’ knowledge of stunting prevention. The Posyandu cadres’ role is vital to the early prevention of stunting. This study aimed to figure out the influence of health education on Posyandu cadres’ knowledge of stunting prevention in Keniten urban village, Ponorogo. The Posyandu in Keniten Ponorogo Village is divided into seven areas. The research was conducted using a quantitative type with a cross sectional time approach. The total population is 35 Posyandu cadres for toddlers, where each Posyandu consists of five Posyandu cadres. Before being given education about stunting prevention, a pre-test was carried out to posyandu cadres. Health education is carried out using lecture and discussion methods, then at the end of the activity a post test is given. The result showed a significant improvement in the cadres’ knowledge level before and after giving health education with an average score of 81 increased to 90. The statistical test result showed a p-value of 0.005 (≤0.05), indicating a significant effect of health education on Posyandu cadres’ knowledge level of stunting prevention in Keniten urban village. The improvement on posyandu cadres’ knowledge of stunting prevention level happens due to health education. Providing information on stunting prevention or conducting training regularly by the Community Health Center to the Posyandu cadres to improve their knowledge to be better.

Pengaruh ASI Eksklusif dan Frekuensi Menyusui terhadap Kembalinya Masa Subur pada Ibu Post Partum di Wilayah Kerja Puskesmas Arjosari Kabupaten Pacitan

Exclusive breastfeeding is defined as feeding infants from newborns until the age of 6 months as basic infant nutrition, without adding and/or replacing it other foods and beverages. The achievement of exclusive breastfeeding in Indonesia in 2019 was 67.74%. Based on previous studies breastfeeding can be used by mothers as a contraceptive called lactational amenorrhea method but there are 65.7% of mothers who do not use it. The purpose of this study was to determine the relationship of exclusive breastfeeding and breastfeeding frequency on the return of the fertile period in postpartum mothers. The sample was 23 postpartum mothers who had children aged 6-18 months. Research design using a quantitative method of correlation analytic with cross-sectional time approach and data analysis is chi-square test. The results showed mothers with a return a fertile more period more than 6 months a number of 20 respondents (87%), mothers with a return of fertile period less than 6 months a number of 3 respondents (13%) with a p-value of 0,000 (α <0.05). It can be concluded that there is an relationship of exclusive breastfeeding and breastfeeding frequency on the return of the fertile period of postpartum mothers.

The Correlation Between Self-Awareness and Psychological Well-Being on Caring Behavior

Background: Nursing professional education aims to prepare learners to perform the functions and roles of nurses. Caring behavior is at the core of the nursing profession and is considered a fundamental indicator of the quality of nursing. Self-awareness related to the obligations and duties of being a nurse is the main indicator for a nurse to carry out caring behaviors. This self-awareness is expected to help students reach their potential and survive all academic and non-academic needs, thereby optimizing mental health. Objective: Knowing the relationship between self-awareness and psychological well-being with the caring behavior of Nurse professional students, Faculty of Health Sciences, University of Muhammadiyah Purwokerto. Method: This type of research is a quantitative research using the correlational study survey method with a cross-sectional time approach. Simple random sampling technique with a total of 59 students who are carrying out the practice of the Nurse profession by the criteria for inclusion and exclusion. The research instrument uses a questionnaire sheet. Data analysis using spearman-rank test. Results: The results showed that most of the Nurse professional students had high self-awareness (49.2%), a high level of psychological well-being (52.5%), and a high level of behavior caring (57.6%). There is a lack of self-awareness in the caring behavior of Nurse professional students with a p-value of 0.0001 (p-value < ?). There is psychological well-being with the caring behavior of Ners professional students with a p-value of 0.0001 Conclusion: Self-awareness and psychological well-being have a positive relationship with the caring behavior of students of the Nurse profession.

Faktor-faktor yang Berhubungan dengan Perilaku Pacaran Remaja di SMKN 2 Sewon

Adolescence is a transition from childhood to adulthood. Adolescence is a stage where they experience a change in thinking (mindset), self-identity questing, and curiosity increase. The influence of globalization causes behavioral changes in adolescents including dating behavior. The study aims to investigate the factors related to adolescents’ dating behavior in SMK N/ State Vocational High School 2 of Sewon. The study employed quantitative method and descriptive correlative design with cross sectional time approach. The samples in this study were 50 adolescents. The sampling technique was Purposive Sampling that fulfill the inclusion and exclusion criteria. The primary data were collected using questionnaire. The data were analyzed using Chi-Square. The result shows that 31 (62%) of adolescents have high religiosity, 26 (52%) of adolescents have negative peer roles, and 26 (52%) of adolescents have positive parenting roles. The variables of religiosity, the role of peers, and the role of parents are shown to be related to the adolescents’ dating behavior with p value ? 0.05. Hence, in this case the adolescent should keep the friendship environment and should be more active in positive activities. Meanwhile, the schools are suggested to initiate the Center for Information and Youth Counseling.

Hubungan Pengetahuan Dengan Kesiapan Mahasiswa Keperawatan Ende Dalam Melakukan Bantuan Hidup Dasar (BHD)

Objective: to analyze the effect of knowledge on the readiness of nursing students to perform basic life support in the Ende Nursing Study Diploma III ProgrammeMethods: this research is correlational non-experimental with a cross sectional time approach to determine the effect of nursing students' knowledge and readiness in performing basic life support. The sample in this study were 44 students who met the following criteria: 1) Level III students who were registered as diploma nursing students, 2) Willing to be partisipated in this research. The sample in this study were nursing students level III semester V totaling 44 people. In this research, the sampling technique used is total sampling. Data analysis using statistical analysis.The results showed that 68% of respondents had good knowledge of BLS and 70% of respondents were ready to do BLS. There is an influence of respondents' knowledge and readiness in doing BLS with p value = 0.03 (95% CI 1.121-10.480). Therefore, it is necessary to conduct further research on the skills of nursing students in carrying out BLS so that they can provide first aid in cases of cardiac arrest outside the hospital and improve survival.Conclusion: There is a correlation of knowledge with the readiness of nursing students in doing BHD

Level of blood glucose, fatigue and sexual anxiety in diabetes mellitus sufferers

Diabetes causes a decrease in glycogen which results in fatigue and neurovascular disorders which cause a decrease in body organ function. This condition raises their concerns about sexual problems in themselves and this is the main trigger for sexual problems in DM sufferers apart from physical problems. This study aims to determine the relationship between blood glucose levels and fatigue levels with sexual anxiety in diabetes mellitus sufferers. This research is correlational quantitative research with a cross-sectional time approach. The population of this study were DM sufferers in the Nalumsari Community Health Center working area with a sample of 36 people. The results of the analysis using the Spearman rho test obtained a P value of 0.000 so it can be concluded that there is a significant relationship between blood glucose levels and levels of fatigue and sexual anxiety in diabetes mellitus sufferers in the Nalumsari I Regional Health Center working area.