Margiyati Margiyati
Sekolah Tinggi Ilmu Kesehatan Kesdam IV/Diponegoro Semarang

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Penerapan Aplikasi Mobile Berbasis Edukasi dan Self-Care dalam Meningkatkan Kualitas Hidup Pasien CKD Stage V di RS Tk.II dr. Soedjono Endro Haksara; Ainurr Rahmanti; Margiyati Margiyati; Sheikha Raissa; Mareta Sukma
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 2 (2025): The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i2.849

Abstract

Stage V chronic kidney disease (CKD) is a serious health challenge in Indonesia due to its increasing prevalence and high cost of treatment. Educational efforts and the implementation of digital technology-based self-care, particularly through mobile applications, are considered to have the potential to improve patients' quality of life. This study aims to evaluate the effectiveness of educational and self-care-based mobile applications on the quality of life, knowledge, self-efficacy, and medication adherence of stage V CKD patients undergoing treatment at Dr. Soedjono Class II Hospital. The study used a quasi-experimental design with a pretest–posttest control group approach. From a population of 185 patients, 140 respondents were divided into intervention (n=70) and control (n=70) groups. The intervention included the use of a mobile application equipped with health education features, medication reminders, symptom monitoring, and communication with medical personnel. The results showed that the intervention group experienced significant improvements compared to the control group, including quality of life (+12.6 vs +4.2; p<0.01), knowledge (+16.5 vs +5.7; p<0.001), self-efficacy (+9.3 vs +3.1; p<0.01), and medication adherence (+1.2 vs +0.4; p<0.01). Furthermore, the frequency of application use at least four times per week was positively associated with improved quality of life (r=0.41; p<0.01). These findings demonstrate that mobile applications can be an effective and cost-effective strategy to support the management of stage V CKD patients in Indonesia.
IBM Pemberdayaan Kader Antihipertensi di Posyandu Lansia Sumur Gunung Margiyati Margiyati; Novita Wulansari
Jurnal Pengabdian Masyarakat Waradin Vol. 4 No. 1 (2024): Januari : Jurnal Pengabdian Masyarakat Waradin
Publisher : Sekolah Tinggi Ilmu Ekonomi Pariwisata Indonesia Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/wrd.v4i3.628

Abstract

Hypertension is one of the main cardiovascular risk factors which is the main cause of death in the world, especially in the elderly. Maximizing the utilization of elderly health posts is one strategy in controlling hypertension in the elderly, but the limited knowledge and skills of elderly health cadres, especially in managing hypertension, make the implementation of elderly health posts less than optimal. Sumur Gunung Elderly Health Post is one of the elderly health posts that routinely runs in Sumurejo Village, but services are still limited to measuring blood pressure, weight, and height, educational services still depend on the health center, there is no exercise, and there are no special provisions for the PMT menu. This is due to the limited knowledge and skills of the cadres. The results of BP examinations on 20 elderly people registered at the Sumur Gunung Elderly Posyandu showed that 35% (7 out of 20 elderly people) had blood pressure > 140/90 mmHg. The questionnaire results showed that 46% of elderly people had not regulated their diet, 75% of elderly people had a habit of drinking coffee, 80% of elderly people had not limited the amount of salt consumed, 50% of elderly people smoked, 60% of elderly people did not know how to treat hypertension. Based on this background, the STIKES Kesdam IV/Diponegoro Community Service Team carried out an activity entitled "IbM Empowerment of Antihypertension Cadres at the Sumur Gunung Elderly Posyandu". The activities included field visits, refreshing cadres, mentoring posyandu, hypertension education, and utilization of cucumber infusion water. The target outputs were to achieve increased knowledge and skills of cadres so that they were empowered in efforts to control hypertension, publication of community service results in national journals, and electronic media. The results of this activity obtained 35% of elderly people were detected to have blood pressure > 140/90 mmHg, there was an increase in knowledge and skills of cadres in implementing elderly posyandu according to standards, and the use of cucumber infused water to reduce hypertension in the elderly.