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Peningkatan pengetahuan dan pengurangan stigma terhadap orang dengan HIV/AIDS melalui edukasi kesehatan dalam peringatan hari AIDS sedunia Siti Latipah; Indah Wulandari; Imas Yoyoh; Annisaa F. Umara; Nuraini Nuraini; Naryati Naryati; Aisyah Aisyah; Giri Widakdo
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 3 (2026): June
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i3.39129

Abstract

Abstrak Stigma terhadap orang dengan HIV/AIDS (ODHA) masih menjadi salah satu hambatan utama dalam upaya pencegahan dan pengendalian HIV/AIDS di masyarakat. Stigma seringkali muncul akibat kurangnya pengetahuan masyarakat mengenai penularan, pencegahan, serta kehidupan orang yang hidup dengan HIV. Kondisi ini dapat menyebabkan diskriminasi sosial yang berdampak pada kualitas hidup ODHA serta menurunkan akses terhadap layanan kesehatan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran masyarakat dalam mengurangi stigma terhadap ODHA melalui edukasi kesehatan. Kegiatan dilaksanakan dalam rangka peringatan World AIDS Day dengan sasaran masyarakat umum yang berjumlah 38 peserta. Metode yang digunakan meliputi penyuluhan kesehatan, diskusi interaktif, serta pembagian media edukasi berupa leaflet. Hasil kegiatan menunjukkan adanya peningkatan pemahaman masyarakat mengenai HIV/AIDS, cara penularan, serta pentingnya memberikan dukungan sosial kepada ODHA. Peserta juga menunjukkan perubahan sikap yang lebih positif dan empati terhadap ODHA setelah mengikuti kegiatan edukasi. Dengan demikian, edukasi kesehatan terbukti menjadi strategi yang efektif dalam meningkatkan literasi kesehatan masyarakat sekaligus mengurangi stigma sosial terhadap ODHA. Kata kunci: edukasi kesehatan; HIV/AIDS; stigma masyarakat; ODHA; pengabdian masyarakat. Abstract Stigma toward people living with HIV/AIDS (PLWHA) remains a major barrier in HIV/AIDS prevention and control efforts within communities. Stigma often arises due to limited public knowledge regarding HIV transmission, prevention, and the lives of individuals living with HIV. This condition may lead to social discrimination that negatively affects the quality of life of PLWHA and reduces their access to health services. This community service activity aimed to improve community knowledge and awareness in reducing stigma toward PLWHA through health education. The activity was conducted in commemoration of World AIDS Day and involved 38 community participants. The methods included health education sessions, interactive discussions, and distribution of educational leaflets. The results showed an increase in participants’ understanding regarding HIV/AIDS, modes of transmission, and the importance of providing social support to PLWHA. Participants also demonstrated more positive attitudes and empathy toward PLWHA after attending the education session. Therefore, health education is considered an effective strategy to enhance community health literacy while reducing social stigma toward PLWHA. Keywords: health education; HIV/AIDS; stigma; community service; PLWHA.
Cryotherapy Intervention to Reduce Cannulation Pain in Hemodialysis Patients Giri Susanto; Wati Jumaiyah; Siti Latipah; Fitrian Rayasari
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.387

Abstract

End-stage chronic kidney disease requires hemodialysis with vascular access via an arteriovenous fistula (AVF). AVF cannulation is often painful. Cryotherapy, a cold therapy that can reduce pain through gate control theory, is used. Objective to assess the effectiveness of cryotherapy in reducing pain during arteriovenous fistula (AVF) puncture in hemodialysis patients. This study applied an Evidence-Based Nursing Practice approach, including a literature search through PubMed and ProQuest databases. The primary reference used was a systematic review and meta-analysis entitled "The Effect of Cryotherapy on Pain Associated with Arteriovenous Fistula Puncture in Hemodialysis Patients." This study used a single-group pre-test and post-test design. The population consisted of hemodialysis patients with AVFs who met the inclusion criteria, patients undergoing regular hemodialysis, using AVF access, and who had been using AVF access for more than three months. Exclusion criteria included patients who had taken pain medication within three hours before hemodialysis. A total of 19 participants were included. The intervention involved applying ice gel compresses to the cannulation area for 10 minutes before the procedure. Pain levels were measured using a Visual Analogue Scale before and after the intervention. Data were analyzed using paired t-tests and Chi-square tests. Cryotherapy significantly reduced AVF cannulation pain, with a p-value of 0.001. There was a difference in pain levels before and after the cryotherapy intervention.
Edukasi dan Skrining Kesehatan bagi Lansia untuk Pencegahan Komplikasi Penyakit Kronis Siti Latipah; Naryati Naryati; Giri Widakdo; Nurenah Nurenah; Hafizhah Diyanah Zhafirah; Nabillah Hassanah; Muhammad Fakhrian Saputra
Pelita: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 4 (2025): Pelita: Jurnal Pengabdian kepada Masyarakat
Publisher : Perkumpulan Kualitama Edukatika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The community service activity entitled “Healthy Living in Facing Chronic Diseases in Elderly: Towards Healthy and Active Elderly” was conducted at Posyandu Lansia Cendana, RW 04, Sumur Batu Village, Kemayoran, Central Jakarta. This program aimed to enhance the knowledge and awareness of elderly individuals regarding chronic disease management through structured health education and basic health screening. The activity employed a participatory and educational approach, including interactive counseling, healthy lifestyle training, elderly exercise sessions, and simple health assessments (blood pressure, random blood glucose, body mass index, and waist circumference). A total of 100 elderly participants took part, supported by healthcare professionals, local cadres, and community leaders. The results showed that most participants were women (87%) aged between 61 and 79 years. Screening data revealed that the majority of participants had a body mass index in the overweight category (48%) and waist circumference above the normal limit, indicating a high risk of metabolic disorders. Moreover, random blood glucose results suggested that many participants were in the prediabetic range. Statistical analysis demonstrated a significant improvement in knowledge scores before and after the educational intervention (p = 0.014), indicating the effectiveness of the program in improving elderly participants’ understanding of chronic disease prevention and management. This activity proved effective in promoting awareness, healthy lifestyle adoption, and early detection of chronic disease complications among the elderly. Furthermore, it positively influenced psychosocial well-being by enhancing confidence and social engagement. It is recommended that similar programs be conducted regularly and integrated into community-based elderly health initiatives, such as Posyandu Lansia, with active involvement of local health cadres to ensure program sustainability.
Intradialytic Flexybility Exercise Terhadap Fatigue Pada Pasien Penyakit Ginjal Kronis Anik Inayati; Wati Jumaiyah; Siti Latipah
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.23020

Abstract

ABSTRACT Chronic kidney disease (CKD) is a global health problem with increasing prevalence and mortality rates, leading most patients to require hemodialysis therapy. However, this procedure often causes complications, particularly fatigue, a condition of physical and mental exhaustion that does not improve with rest, which negatively impacts patients’ activity, psychosocial functioning, and quality of life. Non-pharmacological interventions such as intradialytic flexibility exercise are considered effective in reducing fatigue levels, improving physical function, and supporting the overall health of patients undergoing hemodialysis. To determine the effectiveness of intradialytic flexibility exercise in reducing fatigue among patients with chronic kidney disease. This experimental study employed a one-group pretest–posttest design. The population consisted of all CKD patients undergoing hemodialysis at Dr. H. Abdul Moeloek Regional General Hospital. A total of 15 patients were recruited using purposive sampling. The intervention consisted of intradialytic flexibility exercise administered in 8 sessions over 4 weeks, with each session lasting 10–15 minutes. The research instrument used was the FACIT-Fatigue scale. Intradialytic flexibility exercise was proven effective in reducing fatigue levels among CKD patients undergoing hemodialysis. This was indicated by an increase in the mean FACIT-Fatigue score from baseline to week 2 by 8.267 points, further increasing to 16.133 points at week 4, with an additional improvement of 7.867 points from week 2 to week 4 (p0.05). These findings indicate that intradialytic flexibility exercise provides a significant and sustained positive impact on reducing fatigue in patients with chronic kidney disease undergoing hemodialysis. Keywords: Intradialytic Flexibility Exercise, Fatigue, Chronic Kidney Disease  ABSTRAK  Penyakit gagal ginjal kronik (GGK) merupakan masalah kesehatan global dengan prevalensi dan angka mortalitas yang terus meningkat, sehingga sebagian besar pasien memerlukan terapi hemodialisis. Namun, prosedur ini kerap menimbulkan komplikasi, terutama berupa fatigue, yaitu kondisi kelelahan fisik dan mental yang tidak membaik dengan istirahat, serta berdampak pada aktivitas, fungsi psikososial, dan kualitas hidup pasien. Intervensi nonfarmakologis seperti intradialytic flexibility exercise diyakini efektif dalam mengurangi tingkat fatigue, meningkatkan fungsi fisik, serta mendukung kualitas kesehatan pasien yang menjalani hemodialisis. Mengetahui efektifitas pemberian intervensi intradialytic flexybility exercise terhadap penurunan fatique Pasien penyakit ginjal kronik. Studi eksperimen, desain one group pretest posttest. Populasi adalah seluruh pasien GGK yang menjalani hemodialisa di RSUD Dr. H. Abdul Moeloek. Besar sampel 15 pasien dengan teknik purposive sampling. intradialytic flexibility exercise pada pasien penyakit ginjal kronis yang menjalani hemodialisis, dilakukan sebanyak  8 sesi dalam waktu 4 minggu, dimana setiap sesi menjalani waktu 10-15 menit latihan. Instrumen penelitian menggunakan FACIT Fatigue. Intradialytic flexibility exercise terbukti efektif menurunkan tingkat fatigue pada pasien gagal ginjal kronik yang menjalani hemodialisis. Hal ini ditunjukkan dengan peningkatan rerata skor FACIT-fatigue dari pengukuran awal ke minggu ke-2 sebesar 8,267 poin, meningkat menjadi 16,133 poin pada minggu ke-4, serta tambahan peningkatan 7,867 poin dari minggu ke-2 ke minggu ke-4 (p0,05). Temuan ini mengindikasikan bahwa intervensi tersebut memberikan dampak positif yang signifikan dan berkelanjutan terhadap penurunan kelelahan pasien. Kata Kunci:  Intradialytic Flexybility Exercise, Fatigue, Gagal Ginjal Kronis
Nursing Care for Patients with HIV/AIDS Assessment of Self-Acceptance Based On The Kübler-Ross Theory Desi Tutu Ismaeni; Desmi Efrina; Maula Oktova Burnama; Siti Latipah
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2706

Abstract

Human Immunodeficiency Virus (HIV) is a chronic disease that affects not only physical health but also the psychological well-being of individuals living with HIV/AIDS. One psychological response experienced by people living with HIV/AIDS (PLWHA) is the process of self-acceptance, which can be understood through the Kübler-Ross Theory. Assessment of self-acceptance is an important component of nursing care because patients may demonstrate different emotional responses and therefore require individualized nursing approaches. To describe the implementation of nursing care for patients with HIV/AIDS, with a focus on assessing self-acceptance based on the Kübler-Ross Theory. This study employed a case study design involving two female patients with HIV/AIDS receiving care at the Teratai Clinic of Persahabatan Hospital. Data were collected through in-depth interviews, observation, physical examinations, documentation review, and psychological assessment based on the five stages of the Kübler-Ross Theory. The data were analyzed descriptively by comparing the self-acceptance processes of the two patients. The assessment revealed differences in the self-acceptance processes of the two patients. Although both patients had been receiving antiretroviral (ARV) therapy for several years, they demonstrated different psychological responses based on the Kübler-Ross Theory. Mrs. MK exhibited characteristics of several stages of the Kübler-Ross Theory, with depression being the predominant response, characterized by feelings of guilt, regret, worthlessness, and persistent sadness. In contrast, Mrs. SH demonstrated characteristics of acceptance, as indicated by her ability to accept her condition as a person living with HIV, maintain adherence to ARV therapy, have positive life goals, and actively participate in a Peer Support Group (KDS). These findings indicate that the process of self-acceptance is individual and dynamic and is not solely determined by the length of time a person has been living with HIV/AIDS. Assessment of self-acceptance based on the Kübler-Ross Theory helps nurses identify the stage of psychological adaptation in patients with HIV/AIDS and provides a basis for developing individualized, holistic, and patient-centered nursing care.