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DETERMINAN FAKTOR YANG BERHUBUNGAN DENGAN MANAJEMEN DIRI PASIEN HIPERTENSI Baedlawi, Azhari; Ardiansyah, Fakrul; Hustra, Tika Desvicasari; Prasetyo, Restu Dwi
Scientific Journal of Nursing Research Vol 5, No 1 (2023): April 2023
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/sjnr.v5i1.1319

Abstract

Pendahuluan. Hipertensi atau biasa disebut dengan darah tinggi kian menunjukkan peningkatan prevalensi. Data riskesdas menunjukkan adanya peningkatan yang signifikan. Diprediksi tahun 2025 sekitar 29% populasi dunia menderita hipertensi. Sepertiga total populasi Indonesia menderita hipertensi. Tujuan. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan manajemen diri penderita hipertensi. Metode. Penelitian ini adalah penelitian observasional. Sampel berjumlah 149 responden. Penderita hipertensi yang memiliki keparahan berat tidak dilibatkan dalam penelitian ini. Penelitian ini menggunakan kuesioner data demografi dan kuesioner manajemen diri yang dimodifikasi oleh peneliti. Hasil. Sebagian besar responden berusia 47-59 tahun, jenis kelamin laki-laki, tingkat pendidikan SMA, pekerjaan ibu rumah tangga, penghasilan dibawah UMR, lama mengidap hipertensi > 5 tahun, memiliki Riwayat hipertensi, belum pernah mendapatkan edukasi terkait hipertensi, tidak memiliki penyakit penyerta, mengkonsumsi obat hipertensi, tidak mengkonsumsi obat herbal, dan memiliki hipertensi tidak terkontrol. Terdapat hubungan antara Riwayat pekerjaan dan Riwayat hipertensi dikeluarga dengan manajemen perawatan diri hipertensi (p = 0,01 dan p = 0,03). Tidak terdapat hubungan antara usia, jenis kelamin, Tingkat pendidikan, penghasilan, lama mengidap hipertensi, edukasi tentang hipertensi, riwayat penyakit penyerta, konsumsi obat hipertensi, konsum herbal, dan status hipertensi dengan manajemen diri penderita hipertensi (p > 0,05). Kesimpulan. Pasien hipertensi perlu meningkatkan manajemen perawatan diri utamanya pengidap hipertensi yang memiliki riwayat hipertensi di keluarga.
PERBEDAAN PENGARUH TELUR REBUS DAN IKAN GABUS TERHADAP LAMA PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS Fajrin, Dessy Hidayati; Lamana, Aspia; Ardiansyah, Fakrul
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i2.1165

Abstract

Luka pada perineum akibat ruptur atau laserasi merupakan daerah yang tidak mudah untuk dijaga agar tetap bersih dan kering. Bila proses penyembuhan luka tidak ditangani dengan baik, maka dapat menyebabkan 3 tidak sempurnanya penyembuhan luka ruptur tersebut. Hal ini dapat menyebabkan perdarahan tidak dapat berhenti dengan baik ataupun menyebabkan terjadinya infeksi yang pada akhirnya dapat menyebabkan kematian pada ibu. Akibat perawatan perineum yang tidak benar dapat mengakibatkan kondisi perineum yang terkena lochea dan lembab sangat menunjang untuk perkembangbiakan bakteri yang dapat menyebabkan timbulnya infeksi pada perineum. Telur rebus dan ikan gabus merupakan bahan pangan yang yang memiliki nilai protein tinggi sehingga baik untuk mempercepat penyembuhan luka perineum. Penelitian ini menggunakan metode Quasy eksperimen dengan rancangan Nonequivalent posttest group design, Analisa bivariat dilakukan dengan Shapiro-Wilk dan Mann whitney U-Test. Didapatkan p-value = 0.000, lebih kecil dari ɑ = 0.05 (p-value < 0.05) sehingga dapat disimpulkan bahwa terdapat perbedaan lama penyembuhan luka perineum pada kelompok ibu nifas yang diberikan ikan gabus dibandingkan dengan telur rebus dengan kelompok yang diberikan ikan gabus dinyatakan sebagai terapi yang membutuhkan waktu relatif lebih cepat jika dibandingkan dengan kelompok yang diberikan telur rebus.
FA EDUKASI DAN SIMULASI BANTUAN KEGAWATDARURATAN BALUT BIDAI, EVAKUASI DAN TRANSPORTASI PADA KASUS CIDERA BAGI PMR SMAN I SEI AMBAWANG KUBU RAYA: Edukasi Dan Simulasi Bantuan Kegawatdaruratan Balut Bidai, Evakuasi Dan Transportasi Pada Kasus Cidera Bagi PMR SMAN 1 Sei Ambawang Kubu Raya Ardiansyah, Fakrul; Mather, Mather; Sudarto, Sudarto
Jurnal Pengabdian Kesehatan Komunitas (Journal of Community Health Service) Vol. 2 No. 3 (2022): JPKK Edisi Desember 2022
Publisher : LPPM Universitas Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/jpkk.Vol2.Iss3.1391

Abstract

The increase in the number of deaths caused by traffic accidents usually occurs, partly because Indonesian people do not know how to provide the right first aid when the victim is found. However, the first aid given to the victim is often inappropriate, so education on the evacuation of first aid in traffic accidents is needed, which emergency victims from the beginning of the scene and during the journey to health facilities, to achieve a quality of life of the victim. The method used is public education carried out at SMAN I Ambawang, Kubu Raya Regency, West Kalimantan. The activity began with socialization regarding splint dressing, evacuation, and transportation education, then continued with a simulation held at SMA I Ambawang. The results of the evaluation of pre and post-test knowledge, as well as evaluation of pre and post-test skills. The results of the evaluation of pre-test knowledge obtained an average value of 40.48 while the average value of post-test knowledge was 92.04. The results of the evaluation of pre-test skills obtained an average of 30.55 while the average of post-test skills was 87.61. Community service on education and simulation of emergency assistance for PMR SMAN 1 Sungai Ambawang Kubu Raya can improve knowledge and skills of splint dressing, evacuation, and transportation in cases of injury Abstrak Peningkatan angka kematian yang disebabkan oleh kecelakaan lalu lintas biasanya terjadi salah satunya karena masyarakat Indonesia yang tidak mengetahui cara memberikan pertolongan pertama yang tepat saat korban ditemukan. Namun pertolongan pertama yang diberikan kepada korban sering tidak tepat sehingga perlu edukasi evakuasi pertolongan pertama pada kecelakaan lalu lintas yang merupakaan korban gawat darurat dari awal tempat kejadian dan selama perjalanan menuju sarana kesehatan, tercapainya kualitas hidup korban. Metode yang digunakan adalah pendidikan masyarakat dilaksanakan di SMAN I Ambawang Kabupaten Kubu Raya Kalimantan Barat. Kegiatan di awali dengan sosialisasi terlebih dahulu terkait edukasi balut bidai, evakuasi dan transportasi kemudian dilanjutkan dengan simulasi yang dilaksanakan di SMA I Ambawang. Hasil evaluasi pengetahuan pre dan post test, serta evaluasi keterampilan pre dan post test. Hasil evaluasi pengetahuan pre test didapatkan rerata nilai 40,48 sedangkan nilai pengetahuan post test reratanya 92,04. Hasil evaluasi keterampilan pre test didapatkan rerata 30,55 sedangan rerata keterampilan post test adalah 87,61. Pengabdian masyarakat tentang edukasi dan simulasi bantuan kegawatdaruratan bagi PMR SMAN 1 Sungai ambawang Kubu Raya dapat meningkatkan pengetahuan dan keterampilan balut bidai, evakuasi dan transportasi pada kasus cedera
IMPLEMENTING PUBLIC EDUCATION TO IMPROVE BASIC LIFE SUPPORT FOR OUT-OF-HOSPITAL CARDIAC ARREST VICTIMS Ardiansyah, Fakrul; Amandus, Hieronimus; Baedlawi, Azhari; Handayani, Vitria Wuri
Community Service Journal of Indonesia Vol 6 No 2 (2024): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v6i2.727

Abstract

The incidence of out-of-hospital cardiac arrest worldwide is increasing every year, and Indonesia is one of the countries where the exact incidence of out-of-hospital cardiac arrest is not yet known. The main cause of cardiac arrest is cardiovascular disease. Deaths in Indonesia due to cardiovascular diseases amount to 7.4 million (42.3%), with 6.7 million (38.3%) caused by Coronary Heart Disease (CHD) and 6.7 million (38.3%) caused by stroke. The incidence rate of heart disease in West Kalimantan is 7.89%, with hypertension incidence in individuals over 18 years old at 8.16% and in Kubu Raya Regency at 5.51%. The incidence of stroke in West Kalimantan is 0.96%. This has led to an increasing incidence of out-of-hospital cardiac arrest. The purpose of this community service is to provide knowledge about basic life support for cardiac arrest victims at SMAN 1 Sungai Ambawang. Providing education about preparedness for the general public is very important for enhancing knowledge. the education impact test results indicated that the median knowledge score before delivery education is 47, whereas the median knowledge score after delivery education was 87. The average difference between the pre-test and post-test knowledge scores was 40.40. A the Wilcoxon test show that p = 0.001 (α<0.05), signifying a substantial effect of education on knowledge of basic life support for out-of-hospital cardiac arrest victims at SMAN 1 Sungai Ambawang. we can conclude that our understanding of basic life support for out-of-hospital cardiac arrest victims has improved.
Pengaruh Cakupan Layanan Kesehatan dan Kelas BPJS terhadap Taksiran Berat Janin pada Ibu Hamil hutagaol, rutmauli; Fauziah, Erna; Sesaria, Tiffany Gita; Anhar, Citra Amaniah; Ardiansyah, Fakrul
Jurnal Skala Kesehatan Vol 16 No 2 (2025): Jurnal Skala Kesehatan Edisi Juli 2025
Publisher : Politeknik Kementerian Kesehatan Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jsk.v16i2.469

Abstract

Estimated Fetal Weight is one of the important indicators in monitoring fetal growth during pregnancy. In addition to biological factors, the health services received by pregnant women and BPJS membership classes are suspected to have influenced TBJ. This study aimed to analyze the effect of health service coverage and BPJS classes on TBJ in pregnant women. This study uses a cross-sectional design with a retrospective approach. Data was taken from the medical records of 152 pregnant women participating in BPJS who were treated at two regional hospitals in South Kalimantan during 2024. The variables analyzed included the mother's age, education, gestational age, BPJS class, and the number of service types received. Data analysis was conducted using the chi-square test and logistic regression. The results of the analysis showed that gestational age, parity, and BPJS class had a meaningful relationship with TBJ. From the logistic regression analysis, the level of education (p = 0.034; OR = 0.580) and gestational age (p = 0.020; OR = 0.577) had a significant effect on TBJ. Although not statistically significant, the type of service showed the highest odds ratio value (OR = 2.108), indicating that the more types of services received, the greater the chances of TBJ being in the normal category. TBJ is influenced by educational factors, gestational age, and BPJS classes attended by pregnant women. Improving the quality and equitable distribution of health services, especially for low-class BPJS participants, is very important to support optimal fetal growth.
Effect of Health Education Using Animated Video Media and Snakes and Ladders Game on Young Girls’ Readiness for Facing Menarche Nisa, Solihatun; Ardiansyah, Fakrul; Amandus, H.; Hardika, Revani
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.417

Abstract

Menarche is the first menstruation experienced by teenage girls. This period is a transitional period marked by various physical, emotional and psychosocial changes. Efforts to prevent the negative impact on menarche require knowledge about menstruation, one of which is using animated video media and snakes and ladders games. The aim of this research is to identify the influence of health education using the media game Snakes and Ladders and animated videos on the readiness of young women to face menarche. This type of research is quasi-experimental with pre and post test control group design. The research sample consisted of 40 female students using probability sampling with simple random sampling technique. Data analysis used the Paired T-Test and Independent T-Test. The results of the univariate test showed that the pre-test and post-test mean scores in the intervention group were 47.60 and 69.90 and the pre-test and post-test mean scores in the control group were 47.65 and 59.95. Bivariate analysis using the Paired T-Test in the intervention group and control group obtained a result of 0.000 where the p-value <0.05, meaning that there was an influence of health education using snakes and ladders game media and animated videos as well as powerpoint and leaflet media on the readiness of young women in facing menarche. The Independent T-Test showed a result of 0.000 where the p-value <0.05, meaning that there was a significant difference between the mean value of young women's readiness to face menarche in the intervention and control groups. The conclusion that can be drawn is that health education using the media game snakes and ladders and animated videos has an effect on the readiness of young women to face menarche. Animated video media and snakes and ladders games are more effective than PowerPoint and leaflet media in increasing the readiness of young women to face menarche.
Public Training on Introduction and First Aid for Cardiac Arrest at SMAN 1 Kubu Raya Ardiansyah, Fakrul; Baedlawi, Azhari; Amandus, Hieronimus; Handayani, Vitria; Saripah, Eli
Jurnal Pengabdian Masyarakat Lentora Vol. 5 No. 1 (2025): September 2025
Publisher : Jurusan Keperawatan Politeknik Kesehatan Kementerian Kesehatan Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jpml.v5i1.4207

Abstract

Background: The global incidence of out-of-hospital cardiac arrest (OHCA) is a significant public health concern, though its precise rate in Indonesia remains unquantified. Cardiovascular diseases are a leading cause of mortality in Indonesia, contributing to a high burden of risk factors for OHCA. Enhancing community preparedness through basic life support (BLS) training is a critical strategy to improve survival rates. Objective: This study aimed to evaluate the impact of a BLS training program on the knowledge and practical skills of students at SMAN 1 Sungai Ambawang in managing cardiac arrest. Methods: A single-group, pre-test-post-test study design was employed. Participants' knowledge and skills were assessed immediately before and after a structured BLS training session. The Wilcoxon signed-rank test was used to analyze the differences in median scores, with a significance level of α < 0.05. Results: A total of 50 students participated. The median knowledge score increased from 63.66 (pre-test) to 86.50 (post-test). The median practical skills score demonstrated a more substantial improvement, rising from 36.00 to 94.06. The statistical analysis confirmed that these improvements were significant for both knowledge (p=0.001) and skills (p=0.001). Conclusion: A single session of BLS training significantly improved the knowledge and practical skills of high school students in cardiac arrest management. Implementing such training in school curricula is recommended to empower the lay public as potential first responders, thereby strengthening the chain of survival for OHCA victims in the community
Pengaruh Terapi Musik dan Aromaterapi Terhadap Nyeri Persalinan di Pontianak Sudarto, Sudarto; Rahayu, Halina; Amandus, Amandus; Rangkuti, Winnellia Fridinasandy; Ardiansyah, Fakrul
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15183

Abstract

ABSTRACT Labor pain is a significant issue experienced by mothers during childbirth, leading to excessive fear and worry for both the mother and her family. If not addressed properly, it can jeopardize the health of both the mother and the fetus, prompting healthcare providers to seek alternative therapies. The combination of aromatherapy relaxation therapy and music therapy is an alternative non-pharmacological therapy for relieving normal labor pain. To analyze the effectiveness of the combination therapy of aroma therapy relaxation and aromatherapy on pain during the active phase of normal delivery. This study utilized a quasi-experimental design with two groups. The study involved a total of 60 mothers in the delivery rooms of Siantan Hilir Health Center and GG Sehat Health Center in Pontianak City. A pre-test and post-test nonequivalent control group design approach was employed, with data analysis conducted using the Wilcoxon test. The results of the study indicated that the intervention group had a p-value of 0.0001 < 0.05 and the control group had a p-value of 0.001 < 0.05, indicating a difference in pain levels before and after the treatment. Based on the results of the Mann-Whitney U Test, a p-value of 0.001 < 0.05 was obtained, indicating a difference in pain intensity between the group of mothers who received a combination of aromatherapy and back massage and the group of mothers who received deep breathing relaxation. Aromatherapy and aroma therapy are effective in reducing normal labor pain during the active phase. It is hoped that these therapies can be considered as alternative techniques for providing relaxation as part of the standard operating procedure for maternal care during the active phase, especially for reducing the intensity of pain during the active phase of normal delivery.  Keywords: Labor Pain, Combination Therapy, Aromatherapy, Active Phase Of Labor  ABSTRAK Nyeri persalinan merupakan masalah  dirasakan oleh ibu waktu melahirkan yang berakibat  menimbulkan rasa takut dan khawatir yang berlebihan bagi ibu maupun keluarganya. Jika tidak diatasi dengan tepat makakesehatan ibu dan janin akan terancam, sehingga petugas kesehatan  mencari terapi alternatif untuk mengatasinya. Kombinasi terapi relaksasi Aromaterapi dan terapi musik alternatif terapi non farmakologi untuk relaksasi mengatasi  nyeri persalinan normal. Menganalisis efektifitas  terapi  kombinasi  relaksasi aroma terapi  dan Aroma terapiterhadap  nyeri  Inpartu kala 1 fase aktif persalinan normal . Penelitian ini menggunakan design quasi-eksperimen dua group. Dengan jumlah sampel 60  ibu  di ruang besalin Puskesmas Siantan Hilir dan Puskesmas GG Sehat Kota Pontianak.Pendekatan pre test and post test nonequivalent control group design dimana peneliti tidak melakukan randomisasi, Analisa data dengan uji Wilcoxon. Hasil uji  menunjukkan bahwa kelompok intervensi  nilai ρ 0,0001 < 0,05 dan kelompok kontrol  nilai ρ 0,001 < 0,05 yang berarti ada perbedaan tingkat nyeri sebelum dan sesudah perlakuan. Berdasarkan hasil uji statistik Mann Whitney U Test diperoleh nilai ρ 0,001 < 0,05 maka dapat  diartikan ada perbedaan intesitas nyeri  pada kelompok ibu melahirkan yang mendapat perlakukan kombinasi  aromaterapi dan pijat pungung  dengan kelompok ibu yang medapatkan realaksasi nafas  dalam. Terapi aroma dan Aroma terapi efektif untuk menurunkan nyeri persalian normal pada kala satu fase aktif .Diharapkan dapat dijadikan bahan alternatif untuk memberikan teknik relaksasi  sebagai SOP  dalam memberikan asuhan sayang ibu pada fase aktif  khususnya untuk menurunkan intensitas nyeri   pada inpartu kala I fase aktif persalinan normal. Kata Kunci: Nyeri Persalinan, Terapi Kombinasi, Aromaterapi, Fase Aktif Persalinan
PENERAPAN TERAPI LUKA TEKANAN NEGATIF TERHADAP PENURUNAN TINGKAT INFEKSI LUKA OPERASI.: Application Of Negative Pressure Wound Therapy To Reduce The Rate Of Surgical Wound Infection Ardiansyah, Fakrul; Ewa, Ade; Kapadia, Raju; H. Amandus, H. Amandus; Baedlawi, Azhari; Handayani, Vitria Wuri; Rahayu, Halina; Whardani, Puspa
Media Keperawatan: Politeknik Kesehatan Makassar Vol 15 No 2 (2024): Media Keperawatan: Poltekkes Kemenkes Makassar
Publisher : Jurusan Keperawatan

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

Abstract

Negative pressure wound therapy has prevented postoperative wound complications, the surgical wound infection in high-risk patients such as postoperative gastrointestinal patients. Purpose This study aims to identify the results of nursing care and the negative pressure wound therapy on the level of infection in Mrs. J with septic shock in Dr. Abdul Aziz Singkawang. The method used by the author is a case study of nursing care starting from assessment, nursing diagnosis, nursing intervention, implementation, and evaluation of nursing and negative pressure wound therapy from May 9, 2022, to May 11, 2022. The results show that this study's nursing problems are spontaneous ventilation disorders, aspiration risk, gastrointestinal motility dysfunction, hypervolemia, and impaired skin/tissue integrity. After 3 days of implementation, it showed that the nursing problem didn't resolve and the negative pressure wound therapy could reduce the rate of surgical wound infection. The negative pressure wound therapy found a decrease in the rate of surgical wound infection, a decrease in the amount of exudate (14 ml to 9 ml), and a burning sensation (39.2°C to 37.9°C). Negative pressure wound therapy can reduce exudate, stabilizes the skin temperature around the wound, and reduces the number of bacteria, which is the wound healing process. Our suggestion is that negative pressure wound therapy can be applied with more samples and a longer time.
Implementing the Active Cycle of Breathing Technique (ACBT) for Managing Ineffective Breathing Pattern in a Patient with Congestive Heart Failure: A Case Study Ardiansyah, Fakrul; Aprilina, Sindi; Suhendra, Suhendra; Baedlawi, Azhari; Amandus, Hieroniumus; Handayani, Vitria
Madago Nursing Journal Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i2.4232

Abstract

Background: Congestive Heart Failure (CHF) is a chronic clinical syndrome characterized by the heart's inability to pump blood effectively, often leading to dyspnea due to pulmonary congestion. The Active Cycle of Breathing Technique (ACBT) is a breathing exercise designed to regulate breathing patterns, improve ventilation, and facilitate sputum clearance, which may alleviate dyspnea in CHF patients. To evaluate the effectiveness of ACBT in reducing dyspnea in a CHF patient with an ineffective breathing pattern Methods: A case study design with a nursing care approach was conducted over three days. The patient was assessed through interview and observation. A nursing diagnosis of Ineffective Breathing Pattern (SDKI D.0005) was established. Interventions included Airway Management (SIKI I.01011), semi-Fowler positioning, and ACBT administration for 15 minutes daily. Respiratory rate was measured using an oximeter, and dyspnea complaints were monitored. Results: Before the intervention, the patient complained of dyspnea with a respiratory rate of 28 breaths/minute, using accessory muscles and nasal flaring. After three days of ACBT intervention, the respiratory rate decreased to 20 breaths/minute, and the patient reported no further dyspnea. Conclusion: The ACBT intervention was effective in reducing respiratory rate and relieving dyspnea in a CHF patient with an ineffective breathing pattern. ACBT can be recommended as a non-pharmacological nursing intervention to manage dyspnea in CHF patients