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All Journal Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Studi Keperawatan Journal Of Bionursing Indonesian Journal of Global Health Research
Asep Iskandar
Universitas Jenderal Soedirman
Humanities Education Health Professions Medicine & Pharmacology Nursing Public Health

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HUBUNGAN ANTARA PERSEPSI DENGAN MOTIVASI KADER POSYANDU LANSIA DALAM MELENGKAPI PENGISIAN KARTU MENUJU SEHAT Yosiana Nur Alifah; Asep Iskandar; Lita Heni Kusumawardani
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 2 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i2.640

Abstract

Tujuan penelitian: Penelitian ini bertujuan untuk menganalisis hubungan antara persepsi dengan motivasi kader posyandu lansia dalam melengkapi pengisian Kartu Menuju Sehat (KMS). Metode: Jenis penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Teknik sampling menggunakan total sampling dengan jumlah responden 103 orang. Instrumen penelitian berupa kuesioner persepsi dan motivasi yang menggunakan skala likert. Analisis menggunakan analisis univariat dan analisis bivariat dengan uji Somers’d. Hasil: Hasil univariat menunjukkan karakteristik responden mayoritas berusia 45 – 55 tahun. Mayoritas kader berpendidikan terakhir SMA ibu rumah tangga dengan pendapatan < UMK Banyumas tahun 2024. Mayoritas kader sudah menjabat ≥ 3 tahun. Kader sudah pernah mengikuti pelatihan mengenai tata cara pengisian KMS lansia. Selain itu, semua kader telah mendapatkan insentif dan mayoritas mendapatkan satu tahun sekali. Mayoritas kader memiliki persepsi dengan kategori sedang sebesar 85,4% dan motivasi dengan kategori rendah sebesar 56,3%. Analisis uji Somers’d diperoleh hasil nilai p-value = 0,001 (p<0,05) yang menunjukkan terdapat hubungan yang bermakna antara persepsi dan motivasi kader dalam melengkapi pengisian KMS. Kekuatan hubungan termasuk dalam kategori sedang dengan nilai r = 0,429 dan menunjukkan arah hubungan positif. Diskusi: Motivasi kader posyandu lansia yang rendah dalam melengkapi pengisian KMS menghambat pemantauan kesehatan lansia. Motivasi ini dipengaruhi oleh persepsi keyakinan diri kader terhadap kemampuan yang dimiliki. Kesimpulan: Semakin baik persepsi kader, maka motivasi kader dalam melengkapi pengisian KMS cenderung meningkat.Kata Kunci: Kader, Kartu Menuju Sehat (KMS), motivasi, persepsi, posyandu lansia.
Studi Kasus: Pengaruh Kombinasi Terapi Butterfly Hug dan Expressive Writing terhadap Kecemasan Sosial pada Remaja Di Desa Kedunggede Huria Husna Nabilah; Reza Fajar Amalia; Asep Iskandar
Journal of Bionursing Vol 7 No 3 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.3.18453

Abstract

Background. Adolescence is a transitional phase from childhood to adulthood with physical, psychological, and social changes, placing adolescents in a vulnerable phase in terms of establishing emotional balance. In addition, adolescents are very vulnerable to social insecurity due to a strong need for social acceptance, which causes social anxiety. The purpose of this study was to determine the effect of butterfly hug therapy and expressive writing on social anxiety in adolescents Methods. A case study with implementation based on evidence-based practice in nursing care Results. There was a change in the social anxiety scale from a score of 54 to 36 after administering butterfly hug therapy and expressive writing to adolescents. The social anxiety scale of adolescents after therapy showed an increase with a change of 1-2 scores on each item, namely the time needed to adjust, feelings of embarrassment when joining friends, confidence in their ability to complete a task, and verbal ability or openness of adolescents when answering questions Conclusion. The combination if butterfly hug therapy for 10 minutes over 6 sessions and expressive writing for 20 minutes over 5 sessions in six consecutive days had a positive effect on social anxiety levels. Clients felt calmer, their discomfort when interacting in social environments decreased, and they were able to make more rational assessments of the situations they faced.
Developing A Multilevel Community Nursing Framework to Improve Self-Management among Older Adults with Hypertension: A Qualitative Meta-Synthesis Asep Iskandar; Endang Triyanto
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): 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.v8i5.2444

Abstract

Hypertension is a leading cause of cardiovascular morbidity among older adults. Although community nursing interventions have improved blood pressure control, most focus on individual behaviour and overlook the interactions among individual, family, community, and healthcare system factors. To synthesize qualitative evidence on determinants of hypertension self-management among older adults and develop a Multilevel Community Nursing Framework. A qualitative evidence synthesis using a meta-synthesis approach was conducted following PRISMA 2020 and ENTREQ guidelines. Five electronic databases were searched for qualitative studies published between January 2018 and June 2026. Study quality was assessed using CASP. Data were analysed using Thomas and Harden's thematic synthesis involving line-by-line coding, descriptive theme development, and analytical theme generation. Six qualitative studies met the inclusion criteria. Six analytical themes emerged: (1) individual capability and health literacy, (2) self-efficacy and behavioural adaptation, (3) family engagement and social support, (4) community participation and social capital, (5) accessibility and responsiveness of primary healthcare services, and (6) technology-assisted community nursing interventions. These themes indicate that successful hypertension self-management is shaped by multilevel interactions extending beyond individual behaviour. The proposed Multilevel Community Nursing Framework provides an evidence-based model for integrating individual, family, community, healthcare, and technological determinants into community nursing practice to improve self-management and blood pressure control among older adults with hypertension.
Combined Celery Decoction and Progressive Muscle Relaxation in Elderly Hypertension: Combined Celery Decoction and Progressive Muscle Relaxation in Elderly Hypertension Ali Sofyan; Asep Iskandar; Eva Rahayu
Jurnal Studi Keperawatan Vol 7 No 2 (2026): SEPTEMBER 2026
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v7i2.15875

Abstract

Hypertension is a health problem that is the leading cause of death worldwide and occurs across all age groups, particularly among older adults. Older adults are at greater risk of developing hypertension due to the aging process and declining cardiac function. One non-pharmacological therapy that can be used by older adults to lower blood pressure in hypertension is complementary therapy using celery decoction and Progressive Muscle Relaxation (PMR). This study aimed to determine the differences in blood pressure before and after the intervention combining celery decoction and Progressive Muscle Relaxation (PMR) therapy. The method used was a case report with the application of Evidence-Based Practice (EBP) in the community. The sample consisted of 3 clients who received the intervention for 7 days. Blood pressure was measured daily before and after the intervention. The results showed a decrease in blood pressure among the 3 clients, with an average daily reduction of 4.71 mmHg in systolic blood pressure and 4.52 mmHg in diastolic blood pressure. The average reduction in blood pressure after 7 days of intervention was 20 mmHg for systolic blood pressure and 16.23 mmHg for diastolic blood pressure. Following the 7-day intervention, clients also experienced reduced complaints, including dizziness, tightness or pain in the neck and joints, and tingling in the fingers and toes. The conclusion indicates that the combination of celery decoction and PMR therapy can help reduce blood pressure in older adults with hypertension.
Co-Authors Ali Sofyan Endang Triyanto Huria Husna Nabilah Lita Heni Kusumawardani Rahayu, Eva Reza Fajar Amalia Yosiana Nur Alifah