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All Journal Jurnal Keperawatan Indonesia Majalah Kesehatan FKUB Jurnal Kesehatan Prima Journal of Community Empowerment for Health Gemakes: Jurnal Pengabdian Kepada Masyarakat Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) JI-KES (Jurnal Ilmu Kesehatan)
Rosyida, Ratna Wirawati
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Education Health Professions Medicine & Pharmacology Nursing Public Health

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The Combination of Ankle Pumping Exercise and 30˚ Leg Elevation on Foot Edema in Chronic Kidney Disease Nursanti, Afrilia; Rosyida, Ratna Wirawati; Setyorini, Yuyun
Jurnal Kesehatan Prima Vol 18, No 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1338

Abstract

Chronic kidney disease is a condition in which progressive and irreversible kidney function disorders occur that the body fails to maintain metabolism, fluid, and electrolyte balance. Excess fluids and electrolytes in the body can cause circulation overload and edema. Edema not handled properly can cause complications in various body systems. Treatment that can be to reduce edema can be pharmacology and non-pharmacological. One of the non-pharmacological methods is ankle pumping exercise therapy with a combination of 30˚ leg elevation. To find the effectiveness of giving ankle pumping exercise therapy with a combination of 30° leg elevation to reduce the degree of edema in chronic kidney disease patients. This study used a randomized controlled trial (RCT) research design with a pre-posttest design with a control group. The number of samples is 58. Sampling uses probability sampling with a simple random sampling technique. The results of the Wilcoxon statistical test in the control group obtained significant results of 0.083 (p-value> 0.05), and the intervention group obtained significant results of 0.000 (p-value <0.05). The Mann-Whitney test found a difference between the two groups with a significance result of 0.000 (p-value <0.05). Ankle pumping exercise therapy with a combination of 30° leg elevation effectively reduces the degree of edema in chronic kidney disease patients.
DIABETES ONLINE COMMUNITY (DOC) DI INDONESIA: ANALISIS KONTEN MEDIA SOSIAL Purnamayanti, Ni Kadek Diah; Rosyida, Ratna Wirawati
Majalah Kesehatan Vol. 12 No. 1 (2025): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2025.012.01.5

Abstract

Strategi pencegahan dan intervensi untuk diabetes melitus telah dikembangkan dan dimanfaatkan di internet. Penyebaran pengguna internet berdampak pada pembentukan Diabetes Online Community (DOC) dan memberikan manfaat bagi pengguna. Studi tentang pengembangan DOC di Indonesia masih terbatas. Penelitian ini bertujuan untuk mengumpulkan informasi tentang perawatan diabetes di komunitas online di Indonesia. Facebook berbasis DOC dianalisis menggunakan analisis konten untuk mendapatkan makna aktivitas komunikasi di antara anggota. Sampel yang terpilih adalah 3 grup Facebook DOC yang menggunakan Bahasa Indonesia dan aktif hingga 31 Desember 2020. Pengumpulan data dilakukan dengan mengambil screenshot dan mendokumentasikannya dalam Microsoft Excel. Data dianalisis oleh lima coders untuk mengumpulkan makna dari tiga DOC. Hasil menunjukkan ada tiga kelompok DOC, yaitu FSD, BID, dan SD. Isi dari FSD, BID, dan SD terdiri dari konten tentang diet, pemantauan gula darah, pengobatan, dan komplikasi luka dan kaki yang tercantum pada n = 187,53,76; n = 258,62,64; n = 229,76,32; n = 71,43,29 secara berurutan. Anggota yang bergabung dengan DOC adalah pasien (81,22%), kerabat (10,70%), atau tidak satupun dari mereka (8,08%). Kesimpulannya ada tiga DOC di Indonesia yang masih aktif. DOC tersedia dalam Bahasa Indonesia dan secara aktif mendiskusikan konten tentang diet, pemantauan gula darah, pengobatan, dan komplikasi luka dan kaki. Tidak ada praktisi kesehatan yang mengambil peran dalam DOC, dan hanya pasien dan kerabat yang bergabung dengan grup. Selain itu, partisipasi praktisi kesehatan menjadi sangat penting untuk meningkatkan manfaat DOC di Indonesia
OPTIMALISASI PROLANIS SEBAGAI SUPPORT GROUP DALAM UPAYA PEMBERDAYAAN PASIEN DIABETES MELITUS TIPE 2: OPTIMIZATION OF PROLANIS AS A SUPPORTGROUP INEFFORTS TO EMPOWER TYPE 2 DIABETES MELLITUS PATIENTS Rosyida, Ratna Wirawati; Sari, Febriana Sartika
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2025): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v5i2.2037

Abstract

Prolanis merupakan program yang beranggotakan pasien di Puskesmas dengan penyakit kronis. Prolanis berperan sebagai supportkelompok sebaya untuk memberdayakan pasien DM tipe 2 dalam menerapkan manajemen diabetes secara efektif. Pasien DM perlu memiliki pemberdaaan diri (self-empowerment) dan literasi diabetes yang memadai untuk mendukung manajemen diabetes secara optimal. Kegiatan ini bertujuan untuk mengoptimalkan prolanis sebagai upaya memberdayakan pasien DM di Puskesmas.Kegiatan dilakukan dengan membentuk kelompok supportsebaya bagi pasien DM tipe 2 dan memberikan edukasi kepada kelompok supportsebaya terkait manajemen DM. Setelah itu, akan dilakukan evaluasi terhadap literasi kesehatan dan pemberdayaan diri pasien DM. Kegiatan terlaksana dengan baik, kelompok support group DM tipe 2 terbentuk. Peserta mengikuti kegiatan edukasi dan diskusi bersama kelompok support group. Hasil pre-test dan post-test menunjukan terjadi peningkatan literasi kesehatan mengenai DM dari skor 50,2 menjadi 53,4 dan terdapat peningkatan pemberdayaan diri pasien DM dari skor 29,9 menjadi 31,2. Dari uji statistik menggunakan Wilcoxon didapatkan nilai p <0,001 untuk literasi dan pemberdayaan diri.Diabetes merupakan penyakit yang perlu dikontrol seumur hidup, dan support group bermanfaat dalam memberikan suatu sistem dukungan bagi pasien DM untuk mengoptimalkan pemberdayaan diri. Support group memfasilitasi pasien DM untuk dapat saling bercerita pengalaman dan menemukan solusi perawatan DM yang ditemui.Prolanis dapat dimanfaatkan untuk membentuk support group pada pasien diabetes dan bermanfaat untuk meningkatkan literasi kesehatan dan pemberdayaan diri pasien DM tipe 2.
FACTORS ASSOCIATED WITH KNOWLEDGE, ATTITUDES, AND PRACTICES OF EVIDENCE-BASED PRACTICE (EBP) AMONG UNDERGRADUATE NURSING STUDENTS Rosyida, Ratna Wirawati; Sari, Febriana Sartika; Flores, Michael John
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.759

Abstract

Introduction: Applying evidence-based practice (EBP) is a key competency in delivering high-quality nursing care. Understanding the factors that influence EBP among nursing students is essential for enhancing their readiness to apply EBP in clinical settings. This study aimed to identify factors associated with the knowledge, attitudes, and practices of EBP among undergraduate nursing students.Methods: A cross-sectional survey was conducted with 90 undergraduate nursing students at the School of Nursing, Health Polytechnic of Surakarta, Ministry of Health, Indonesia. Data were collected using demographic questionnaires and the Student Evidence-Based Practice Questionnaire (S-EBPQ) via Google Forms. Statistical analyses included Pearson's test, t-test, and ANOVA for normally distributed data, and Spearman rank, Wilcoxon, and Kruskal–Wallis tests for non-normally distributed data. Data normality was assessed using the Kolmogorov–Smirnov test.Results: The overall mean S-EBPQ score was 4.98 ± 1.3. Subscale scores were as follows: acquiring and reviewing evidence (4.82 ± 1.1), sharing and applying evidence (5.1 ± 1.2), attitude towards EBP (5.1 ± 1.6), and EBP practice (4.99 ± 1.2). Factors significantly associated with students' EBP knowledge, attitudes, and practices included knowledge of how to access databases, frequency of EBP-related reading, and understanding of nursing research (p < 0.05).Conclusion: Undergraduate nursing students’ engagement with EBP is significantly influenced by their ability to access databases, their frequency of reading EBP materials, and their understanding of nursing research. Educational strategies that strengthen these areas may enhance EBP competence in nursing education.
The Combination of Ankle Pumping Exercise and 30Ëš Leg Elevation on Foot Edema in Chronic Kidney Disease Nursanti, Afrilia; Rosyida, Ratna Wirawati; Setyorini, Yuyun
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1338

Abstract

Chronic kidney disease is a condition in which progressive and irreversible kidney function disorders occur that the body fails to maintain metabolism, fluid, and electrolyte balance. Excess fluids and electrolytes in the body can cause circulation overload and edema. Edema not handled properly can cause complications in various body systems. Treatment that can be to reduce edema can be pharmacology and non-pharmacological. One of the non-pharmacological methods is ankle pumping exercise therapy with a combination of 30˚ leg elevation. To find the effectiveness of giving ankle pumping exercise therapy with a combination of 30° leg elevation to reduce the degree of edema in chronic kidney disease patients. This study used a randomized controlled trial (RCT) research design with a pre-posttest design with a control group. The number of samples is 58. Sampling uses probability sampling with a simple random sampling technique. The results of the Wilcoxon statistical test in the control group obtained significant results of 0.083 (p-value> 0.05), and the intervention group obtained significant results of 0.000 (p-value <0.05). The Mann-Whitney test found a difference between the two groups with a significance result of 0.000 (p-value <0.05). Ankle pumping exercise therapy with a combination of 30° leg elevation effectively reduces the degree of edema in chronic kidney disease patients.
Relationships between self-efficacy, health belief, and self-care among type 2 diabetes mellitus Cahyani, Isnaini Putri; Fatimah, Fatma Siti; Rosyida, Ratna Wirawati
Journal of Community Empowerment for Health Vol 7, No 1 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.78298

Abstract

Introduction: Diabetes mellitus (DM) patients need to be empowered to manage their conditions. Some factors that affected the empowerment of diabetes mellitus patients were self-efficacy, health beliefs, and self-care. Self-efficacy positively correlates with health belief and self-care among patients with type 2 DM. However, such evidence is still limited in the Health Care Centers, especially in Yogyakarta. This research aimed to identify self-efficacy and the relationship between health belief and self-care among Type 2 DM patients. Methods: This is a correlative analytical of quantitative research using the cross-sectional approach. Purposive sampling was used to collect the samples, which were 83 patients who belonged to the inclusion criteria. This research was conducted in the Primary Health Center in Bantul Yogyakarta between April and May. The statistical tests used the Spearman rank correlation test due to the abnormal distribution. Results: The mean of self-efficacy, health belief, and self-care were 84.9±9.3; 105,1±7,2; 67,8±7,7, respectively. There was a significant relationship between self-efficacy and health belief at the value of p<0.000, and there was a relationship between self-efficacy and self-care at the value of p<0.000. Conclusion: Positive correlations were achieved between self-efficacy and health belief and between self-efficacy and self-care in diabetes mellitus patients.
Perbandingan GAP dan RTS Sebagai Prediktor Perburukan Pasien Cedera Kepala Putri, Tengku Isni Yuli Lestari; Ahsan, Ahsan; Sugiarto, Sugiarto; Rofiyati, Winda; Triyono, Heru Ginanjar; Rosyida, Ratna Wirawati; Putra, Muhammad G A; Rahmania, Annisa; Idrus, Fitriyanti N
JI-KES (Jurnal Ilmu Kesehatan) Vol. 5 No. 1 (2021): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v5i1.220

Abstract

AbstrakCedera kepala adalah cedera pada otak yang dapat menyebabkan perubahan fungsi serta struktur jaringan otak akibat mendapatkan dorongan mekanik eksternal seperti trauma tumpul maupun tusuk. Kejadian cedera kepala dan tingkat perburukan cedera kepala sangat tinggi di dunia. Oleh karena itu diperlukan penilaian awal untuk memprediksi perburukan pasien cedera kepala yaitu menggunakan GAP dan RTS. Tujuan penelitian untuk mengetahui perbandingan GAP dan RTS dalam memprediksi perburukan pasien cedera kepala. Desain penelitian observasional analitik dengan pendekatan retrospektif dengan purposive sampling. Responden berjumlah 245 rekam medis cedera kepala. Pengukuran dilakukan menggunakan lembar observasi. Analisis uji Receiver Operating Charateristic (ROC). Didapatkan hasil maisng-masing RTS dan GAP dalam memprediksi perburukan pasien cedera kepala mempunyai nilai = 0.851 vs 0.806. RTS lebih baik dalam memprediksi perburukan pasien cedera kepala dibandingkan dengan GAP.Kata kunci: cedera kepala, GAP, perburukan, RTS  AbstractHead injury is an injury to the brain that can cause changes in the function and structure of brain tissue due to external mechanical impulses such as blunt or puncture trauma. The incidence of head injuries and the rate of deterioration of head injuries is very high in the world. Therefore an initial assessment is needed to predict the worsening of head injury patients using GAP and RTS. The purpose of this study was to determine the comparison of GAP and RTS in predicting worsening head injury in patients. Using analytic observational research design with a retrospective approach with purposive sampling. Total respondents are 245 head injury medical records. The measurements were taken by an observation sheet. The data was analyzed by using Receiver Operating Characteristics (ROC) tests. The results obtained that in predicting the worsening of head injury patients RTS has a value of 0.851 while GAP is 0.806. RTS is better than GAP in predicting worsening head injury patients.Keywords: head Injury, GAP, worsening, RTS
Development of A Telenursing-Based Self-Assessment Questionnaire for Diabetic Foot Ulcer Risk Rosyida, Ratna Wirawati; Sugiyarto, Sugiyarto
Jurnal Keperawatan Indonesia Vol 28 No 3 (2025): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v28i3.1584

Abstract

Development of a Telenursing-Based Self-Assessment Questionnaire for Diabetic Foot Ulcer Risk. Early identification of the risk of diabetic foot ulcers (DFU) is crucial in preventing ulcers. Caring for diabetic patients, including early detection of the risk of DFU with telenursing, will improve accessibility to health facilities and also help the work of nurses. Currently, there are many instruments or tools to detect the risk of DFU, but instruments that apply telenursing and can be used independently and easily by patients are still limited. This study aimed to develop a digital self-assessment questionnaire for DFU risk in type 2 Diabetes Mellitus (DM) patients and conduct validity and reliability tests. This study was carried out in three stages. The first stage was the planning stage by conducting a literature study; the second stage was the construction by determining the questionnaire items and testing the content validity index (CVI) by six experts; and the final stage was the validation stage by conducting a psychometric test in the form of a construct validity test with factor validity and internal consistency reliability with Cronbach-alpha on 40 respondents who had type 2 DM. The CVI score by the expert was 0.93, making it included in the very high validity category. The validity and reliability test results for the DM patients obtained a Cronbach alpha score of 0.83 and a validity of 0.43˗0.68. Two items were deleted due to invalid results. The self-assessment tool for DFU risk has good validity and reliability values. This questionnaire is simple and easy for DM patients to use independently. Keywords: diabetic foot, primary prevention, self-assessment, self-report, telenursing   Abstrak Pengembangan Instrumen Deteksi Dini Mandiri Berbasis Telenursing terhadap Risiko Ulkus Kaki Diabetes. Deteksi dini risiko ulkus kaki diabetes dapat memudahkan perawat dalam mencegah komplikasi ulkus pada pasien. Saat ini telah banyak instrumen atau alat untuk mendeteksi risiko ulkus kaki diabetes namun instrumen yang dapat diaplikasikan secara mandiri dengan mudah oleh pasien masih terbatas. Penelitian ini bertujuan untuk mengembangkan kuesioner deteksi dini mandiri risiko ulkus kaki diabetes berbasis digital pada pasien diabetes melitus tipe 2 (DMT2) dan melakukan uji validitas dan reliabilitas. Pengembangan kuesioner dilakukan melalui tiga tahapan. Tahap pertama yaitu perencanaan dengan melakukan studi literatur dan menentukan definisi operasional; tahap kedua yaitu konstruksi dengan menentukan item-item kuesioner dan uji content validity index (CVI) oleh enam orang pakar yang terdiri dari tiga perawat berpengalaman dalam merawat pasien diabetes, dua dosen keperawatan dengan area penelitian diabetes, dan dokter spesialis penyakit dalam yang berpengalaman mengobati pasien diabetes; tahap terakhir yaitu validasi dengan melakukan uji psikometrik berupa uji validitas dan reliabilitas konsistensi internal dengan Cronbach-alpha kepada pasien DMT2. Terdapat 13 item yang disusun berdasarkan studi literatur. Skor CVI yaitu 0,93 dan termasuk dalam kategori validitas sangat tinggi. Hasil uji validitas dan reliabilitas kepada pasien DM didapatkan skor Cronbach alpha sebesar 0,83 dan validitas sebesar 0,43-0,68. Dari total 13 item, dua item dihapus karena tidak valid. Self-Assessment Tool for DFU Risk memiliki nilai vailidtas dan relibilitas yang baik, sehingga dapat digunakan untuk deteksi dini secara mandiri risiko ulkus kaki diabetes. Kuesioner ini sederhana dan mudah digunakan secara mandiri oleh pasien DM. Kata Kunci: deteksi mandiri, laporan mandiri, pencegahan primer, telenursing, ulkus kaki diabetes
Co-Authors Ahsan Ahsan Annisa Rahmania Cahyani, Isnaini Putri Fatimah, Fatma Siti Febriana Sartika Sari Flores, Michael John Idrus, Fitriyanti N Nursanti, Afrilia Purnamayanti, Ni Kadek Diah Putra, Muhammad G A Rofiyati, Winda Sugiarto S Sugiyarto Sugiyarto Tengku Isni Yuli Lestari Putri Triyono, Heru Ginanjar Yuyun Setyorini