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Hubungan Dukungan Keluarga dengan Pelaksanaan Pemberantasan Sarang Nyamuk di Wilayah Kerja Puskesmas Kedungmundu Rikza Azri Musyfiq; Moch Aspihan; Iskim Luthfa
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/xe7jh797

Abstract

Dengue Hemorrhagic Fever (DHF) remains a serious public health problem in Indonesia, with morbidity and mortality rates continuing to rise. The main prevention effort is carried out through mosquito breeding site elimination (MBSE) using the 3M Plus method, the implementation of which is highly dependent on the role of the family as the smallest unit of society. Family support plays an important role in shaping the awareness, motivation, and consistency of family members in implementing PSN on an ongoing basis. This study aims to analyze the relationship between family support and the implementation of PSN in the working area of the Kedungmundu Community Health Center. The study used a correlative analytical design with a cross-sectional approach. The sample consisted of 66 respondents selected using consecutive sampling. Data collection was conducted using a family support questionnaire and a PSN implementation questionnaire. Bivariate analysis used Sommers' d test with a significance level of 0.05. The results showed that some respondents had low family support (37.9%) and PSN implementation was in the poor category (40.9%). Sommers' d test produced a p-value of 0.000 and a correlation coefficient of r = 0.628, indicating a significant, strong, and positive relationship between family support and PSN implementation. The better the family support, the more optimal the PSN implementation.  
Faktor-Faktor yang Mempengaruhi Kadar Asam Urat pada Lansia di Puskesmas Bangetayu Nadia Eka Pramesti; Iskim Luthfa; Moch. Aspihan
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/h72rsh51

Abstract

Elderly people experience physiological changes, affecting decreased kidney function, purine metabolism, and the function of the endocrine and musculoskeletal systems. This decline in body function leads to susceptibility to degenerative diseases, one of which is hyperuricemia or excess uric acid. Factors associated with gout include gender, BMI, physical activity, rest habits, and diet, as these can reduce uric acid excretion. This study was quantitative, using a retrospective cohort approach. The total sample size was 153 respondents. Sampling was conducted using the purposive sampling technique and the Slovin formula. The research instrument consisted of a dietary questionnaire, The PASE (Physical Activities Scale of Elderly) questionnaire, digital scales, metline, and the GCU Easy Touch test were used. Data were analyzed using the Spearman test and logistic regression. The results showed that the majority of respondents had a good diet, good physical activity, and a BMI of obesity category I and experienced hyperuricemia. This study showed statistical results using the Spearman test, with a value of <0.001 for diet, 0.001 for physical activity, and 0.007 for BMI. The logistic regression test showed that diet was the most influential factor with a p-value of <0.001. It can be concluded that there is a relationship between diet, physical activity, and BMI with uric acid levels in the elderly at the Bangetayu Community Health Center
Hubungan Antara Dukungan Sosial dengan Kualitas Hidup pada Lansia di Rumah Pelayanan Sosial Semarang Rakhma Mayangsari; Iskim Luthfa; Moch. Aspihan
Journal of Educational Innovation and Public Health Vol. 4 No. 1 (2026): Januari: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i1.8412

Abstract

Background: Elderly people were a vulnerable population who experienced physical, psychological, social, and environmental changes that could reduce their quality of life. One important factor influencing quality of life was social support. Social support played a crucial role in helping alderly people improve their well-being and life satisfaction. Elderly people who received high social support from family, friends, or their environment tended to feel more valued, loved, and cared for. Method: This study employed a quantitative method with a cross-sectional approach. The study population consisted of 204 elderly people living in Pucang Gading Social Service Home, Semarang and Wening Wardoyo Social Servise Home, Ungaran. A total of 135 respondents were selection using non probability sampling. Data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support and the WHOQOL-OLD questionnaire to assess quality of life of older adults. Data analysis was conducted using the Somers’d test with a significance level of 0,05. Results: The results showed that most respondents have high social support (60,7%) and high quality of life (74,1%). The somers’d test indicated a p-value = 0,000 (p<0,05) and a correlation coefficient (r) of 0,508, indicating a positive relationship with moderate strength. Conclusion: There was a significant relationship between social support and quality of life among elderly people at social homes in Semarang. Increasing social support from family, peers, and the institutional environment could help elderly people experience their later years more happily, meaningfully, and prosperously.
Hubungan Tingkat Pemahaman dengan Praktik Personal Hygiene pada Lansia di Rumah Pelayanan Sosial Semarang Septiana Dwi Riskayanti; Iskim Luthfa; Moch. Aspihan
Journal of Educational Innovation and Public Health Vol. 4 No. 1 (2026): Januari: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i1.8413

Abstract

Personal hygiene is an essential factor in maintaining the health and quality of life of the elderly, as aging is often accompanied by a decline in physical strength, mobility, and cognitive function that can reduce the ability to maintain personal cleanliness independently. Limited understanding of the importance of personal hygiene may increase the risk of infections, skin disorders, and other health complications, making education and awareness crucial for promoting better hygiene behavior. This study used a descriptive correlational design with a cross-sectional approach involving 204 elderly individuals residing at the Pucang Gading Elderly Social Service Home in Semarang and Wening Wardoyo Ungaran, with 135 respondents selected using a non-probability sampling technique. Data were collected using validated and reliable questionnaires measuring the level of understanding and personal hygiene practices and were analyzed using the Somers’d statistical test. The results showed that most respondents were female (60%) and aged between 70–79 years (48.9%). The level of understanding of personal hygiene among the elderly was predominantly in the moderate category (72.6%), and their personal hygiene practices were also mostly categorized as moderate (72.6%). Statistical analysis revealed a p-value of 0.000 (<0.05) with a correlation coefficient (r) of 0.472, indicating a positive and significant relationship between the level of understanding and personal hygiene practices. These findings suggest that improving knowledge through continuous education and guidance from health workers is necessary to enhance awareness, independence, and hygiene behavior among the elderly.
Korelasi Interaksi Sosial dan Kemandirian Activity of Daily Living dengan Tingkat Depresi pada Lansia di Panti Sosial Mutia Shofa; Iskim Luthfa; Moch. Aspihan
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/ynw3xq13

Abstract

Entering the elderly phase involves various biological, psychological, and social declines. Physical limitations in daily activities and reduced social interactions often trigger mental health issues, particularly depression. This study aims to analyze the relationship between social interaction and independence in Activity of Daily Living (ADL) with the level of depression among the elderly living in social care homes. This quantitative research utilized a cross-sectional study design. The population consisted of elderly residents at the social care home. A sample of 135 respondents was selected using a purposive sampling technique. Data collection instruments included a social interaction questionnaire, the Barthel Index to measure ADL independence, and the Geriatric Depression Scale (GDS-15) to assess depression levels. Data were analyzed using the Spearman Rank correlation test. Results the majority of respondents maintained good social interaction (63.0%) and a high level of independence (85.2%). Most of the elderly did not experience depression (66.7%). Statistical analysis revealed a significant relationship between social interaction and depression (p = 0.000,  r = -0.315), showing a positive correlation where poorer social interaction relates to higher depression scores. Furthermore, a significant relationship was found between ADL independence and depression (p = 0.002, r = -0.267), indicating a negative correlation where higher independence is associated with lower levels of depression. Active social interaction and maintained physical independence contribute significantly to reducing the risk of depression among the elderly in social service environments. It is recommended that social care homes increase group activities and physical rehabilitation programs to sustain the mental well-being of the elderly.
Hubungan Pola Makan dengan Kadar Gula Darah Pasien DM Tipe 2 di Rumah Sakit Sari Asih Karawaci Nur Khaira Rahmadhani; Nutrisia Nu’im Haiya; Moch. Aspihan
Jurnal Siti Rufaidah Vol. 4 No. 1 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i1.298

Abstract

Type 2 Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin action. Blood glucose control is influenced by various factors, one of which is dietary patterns. Diets that do not adhere to balanced nutrition principles can lead to poor glycemic control and increase the risk of complications. This study employed a quantitative design with a cross-sectional approach. The research sample consisted of 95 patients with Type 2 Diabetes Mellitus at Sari Asih Karawaci Hospital in 2025, selected using purposive sampling techniques. Dietary pattern data were collected using a questionnaire, while blood glucose level data were obtained from medical examination results. Data analysis was conducted using univariate and bivariate analysis with the Contingency Coefficient test. The results showed that most respondents had good dietary patterns (58.9%), and blood glucose levels within the normal category (51.6%). Bivariate analysis using the Contingency Coefficient test indicated a p-value of 0.005, demonstrating a significant relationship between dietary patterns and blood glucose levels in patients with Type 2 Diabetes Mellitus. There is a significant relationship between dietary patterns and blood glucose levels in patients with Type 2 Diabetes Mellitus. Proper dietary management is an important factor in controlling blood glucose levels and should be a primary focus in nursing care and health education for patients with Type 2 Diabetes Mellitus.
Pengaruh Kombinasi Pursed Lip Breathing Exercise dan Posisi High Fowler 90° terhadap Pertukaran Gas pada Pasien Tuberkulosis Paru Dini Al Hamdany; Nutrisi Nu’im Haiya; Moch Aspihan
Jurnal Siti Rufaidah Vol. 4 No. 1 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i1.299

Abstract

Pulmonary tuberculosis is a chronic infectious disease that can cause impaired gas exchange due to lung tissue damage, increased mucus production, and decreased lung elasticity. This condition may lead to shortness of breath, decreased oxygen saturation, and ineffective breathing patterns. Non-pharmacological nursing interventions such as pursed lip breathing exercise and body positioning are needed to improve respiratory function. The combination of pursed lip breathing exercise and the high Fowler position is expected to enhance alveolar ventilation and improve oxygenation in patients with pulmonary tuberculosis.Method: This study is a quantitative research with a pre-experimental/quasi-experimental design using a pre-test and post-test approach. The sample consists of pulmonary tuberculosis patients who experience impaired gas exchange and meet the inclusion criteria. The intervention provided is a combination of pursed lip breathing exercise and the high Fowler position. Gas exchange is measured by assessing oxygen saturation and respiratory rate before and after the intervention. Data will be analyzed using appropriate statistical tests to determine the effect of the intervention.Results: The expected results of this study are an increase in oxygen saturation and improvement in respiratory rate after the application of the combination of pursed lip breathing exercise and the high Fowler position in patients with pulmonary tuberculosis.Conclusion: The combination of pursed lip breathing exercise and the high Fowler position is expected to have a positive effect on improving gas exchange in patients with pulmonary tuberculosis and can be applied as an independent nursing intervention in clinical practice.
Gambaran Tingkat Depresi Kecemasan dan Stress pada Penderita Diabetes Mellitus Tipe 2 di Puskesmas I Pucakwangi Kabupaten Pati Izabela Ayu Pasya; Moch. Aspihan; Iskim Luthfa
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/x3se3x89

Abstract

Type 2 diabetes mellitus is a chronic disease that not only affects physical condition but also affects the psychological health of sufferers, including depression, anxiety, and stress. This study aims to describe the levels of depression, anxiety, and stress in people with type 2 diabetes mellitus at the Pucakwangi Community Health Center in Pati Regency. This study used a descriptive observational design with a cross-sectional approach involving 117 respondents through total sampling. Data collection was conducted using the Depression Anxiety Stress Scale-21 (DASS-21) questionnaire. The results showed that most respondents experienced anxiety (82 patients, 70.0%), the majority did not experience stress (97 patients, 83.0%), and some respondents experienced varying levels of depression. The psychological conditions experienced by patients have the potential to affect blood glucose control and adherence to treatment and therapy. This picture shows that the management of Type 2 Diabetes Mellitus needs to consider psychological aspects as part of efforts to improve the quality of life of patients. A comprehensive approach between physical and psychological aspects is expected to support the success of therapy and prevent long-term complications