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Gambaran Tanda Gejala Diabetes Mellitus Tipe II pada Pasien Sebelum dan Sesudah Pemberian Terapi Air Putih (Hydrotherapy): Studi Kasus Dwi Anggraini; Esti Widiani; Budiono Budiono
Indonesian Journal of Nursing and Health Sciences Vol 4 No 2 (2023): Indonesian Journal of Nursing and Health Sciences: October 2023
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v4i2.2118

Abstract

Penatalaksanaan penyakit diabetes mellitus kebanyakan menggunakan obat karena dianggap merupakan cara yang mudah dan simple, tetapi dapat dikombinasikan dengan terapi komplementer seperti terapi air putih (hydrotherapy) agar tanda gejala dapat terkendali dengan baik. Tujuan penelitian ntuk mengetahui gambaran tanda gejala diabetes mellitus pada pasien sebelum dan sesudah pemberian terapi air putih (hydrotherapy) di RSUD Karsa Husada Batu. Penelitian ini adalah penelitian deskriptif dengan pendekatan studi kasus yang dilakukan dengan 2 subjek penelitian. Penelitian dilakukan dengan berfokus pada hasil wawancara dan observasi tanda gejala diabetes mellitus sebelum dan sesudah menjalani terapi air putih (hydrotherapy) pasien. Penelitian menunjukkan sebelum diberikan terapi air putih (hydrotherapy) kepada responden 1 dan 2 yang memiliki penyakit diabetes mellitus tipe 2 didapatkan hasil mengalami gejala sukar kenyang meski tidak sedang menjalani aktivitas berat, sering buang air kecil, sering kesemutan atau perasaan tertusuk-tusuk, mudah merasa lemas, serta hasil gula darah sesaat ≥ 200 mg/dL. Setelah menjalani terapi tanda gejala yang dirasakan responden seperti pola makan kedua responden menjadi lebih terkontrol, perasaan ingin berkemih menjadi berkurang, sensasi kesemutan jarang dirasakan, serta hasil gula darah sesaat yang terkendali. Kedua responden mengalami perubahan yang lebih baik pada tanda gejala diabetes mellitus setelah diberikan terapi air putih (hydrotherapy).
HUBUNGAN ANTARA STATUS PEKERJAAN DENGAN KEMAMPUAN IBU DALAM MENSTIMULASI PERKEMBANGAN PSIKOSOSIAL OTONOMI PADA TODDLER Esti Widiani
Jurnal Ilmiah Kesehatan Keperawatan Vol 14, No 3 (2018): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v14i3.352

Abstract

Toddlers are the second stage of psychosocial development after the baby is in the age range of 18 months to 36 months. Failure to skip psychosocial autonomy versus hesitation or shame can be prevented by providing good stimulation. The purpose of this study was to determine the relationship of work with the ability of the mother to stimulate psychosocial development of autonomy in infants. This study used an observational design using cross sectional. The research was conducted in Kemantren Village, Jabung District, Malang Regency. The technique used to take samples in this study was accidental sampling with a total sample of 168 respondents. The instrument used to measure the ability of the mother is a modification of the Care of Babies. HOME Inventory. The data analysis used was chi-square with no statistical results that correlated the employment status with the ability of the mother to stimulate psychosocial development of autonomy in infants with a value of p = 0.106 (p> 0.005). The recommended BKB (Toddler Family Development) group needs to be held in each Posyandu as a service center and learning center for mothers about early detection and stimulation of development
PENINGKATAN PENGETAHUAN ANAK PRA-SEKOLAH TENTANG JAJANAN SEHAT DAN 6 LANGKAH CUCI TANGAN MELALUI LAGU ANAK Pujiastuti, Nurul; Retnowati, Lucia; Widiani, Esti; Hidayah, Nurul
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 7 No. 2 (2023): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v7i2.3891

Abstract

The reasons behind snacking habits in children include children not having breakfast, children's psychology, biological needs, and parental behavior. One of the efforts to introduce healthy snacks to preschool children is through children's songs that can be sung every day so that children know about healthy snacks. The purpose of this community service is to increase the knowledge of preschool children about how to choose healthy snacks and the six steps of washing hands. This community service activity was carried out at the ABA Kindergarten, Sumberporong Village, Kec. Lawang Kab. Unfortunately and given to 14 children. The implementation of the activity consists of 3 (three) stages, namely assessment, education, and evaluation. The assessment stage is carried out by assessing children's knowledge about healthy snacks and the six steps of washing hands. The education stage is carried out through the method of singing songs about healthy snacks and six steps of washing hands with blackboard media to write song lyrics. The evaluation stage was carried out by asking children about their commitment to washing their hands with six steps and choosing healthy snacks. The results of community service activities showed that there was an increase in children's knowledge about the six steps of washing hands and choosing healthy snacks after being given education. The results of the evaluation showed that the children had a commitment and were willing to do the six steps of washing their hands and choosing healthy snacks. The activity of singing a song about the six steps of washing hands and choosing healthy snacks is carried out every day at the beginning of the meeting so that children memorize and remember the steps to wash their hands and choose healthy snacks
Peningkatan Keterampilan Pembuatan Pamflet Elektronik Sebagai Media Sosialisasi Kegiatan Posyandu dalam Manajemen PTM Kardiovaskuler Melalui Pelatihan Penggunaan Aplikasi Canva pada Kader Widiani, Esti; Hidayah, Nurul; Pujiastuti, Nurul
Abdimas Galuh Vol 6, No 2 (2024): September 2024
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v6i2.15376

Abstract

Penyakit Tidak Menular (PTM)  kardiovaskular merupakan salah satu tantangan kesehatan masyarakat utama yang membutuhkan perhatian serius dalam pengelolaannya. Posyandu (Pos Pelayanan Terpadu) lansia berperan penting dalam sosialisasi dan penyuluhan terkait manajemen PTMK. Untuk meningkatkan efektivitas komunikasi dan penyampaian informasi, artikel ini mengkaji penerapan pelatihan penggunaan aplikasi Canva dalam pembuatan pamflet elektronik oleh kader Posyandu. Pengabdian masyarakat ini bertujuan untuk meningkatkan keterampilan kader dalam membuat pamflet elektronik yang informatif dan menarik sebagai media sosialisasi. Metode yang digunakan adalah pelatihan intensif dan evaluasi keterampilan kader sebelum dan setelah pelatihan. Hasil pelatihan menunjukkan peningkatan signifikan dalam keterampilan kader dalam pembuatan pamflet elektronik, serta peningkatan kualitas dan daya tarik media sosialisasi yang dihasilkan. Pelatihan penggunaan alat digital modern dalam mendukung upaya penyuluhan kesehatan, khususnya dalam manajemen PTM Kardiovaskuler di komunitas. Penggunaan pamflet elektronik yang dirancang dengan baik dapat memperkuat efektivitas komunikasi dan meningkatkan kesadaran masyarakat mengenai pencegahan dan pengelolaan PTM Kardiovaskuler.
Anxiety, Depression, and Sleep Quality of Nursing Clinical Practitioner Students During the COVID-19 Pandemic Esti Widiani; Rahmawati, Ira; Hidayah, Nurul
Window of Health : Jurnal Kesehatan Vol 6 No 1 (Januari 2023 )
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v6i01.284

Abstract

The nursing clinical practice program is an orientation for students to apply theory to practice and gain competence in nursing skills before graduation. The COVID-19 pandemic brings a new reality to nursing students who carry out clinical practice to be more professional. This condition triggers increased cases of anxiety and depression in nursing students. This study aims to determine the anxiety, depression, and sleep quality of nursing students undergoing clinical practice during the COVID-19 pandemic. The population in this study was 1320 nursing students. This study used a cross-sectional approach to 377 nursing students. Research respondents were taken using a purposive sampling technique. A generalized Anxiety Disorder 7‐item scale (GAD-7) was used to collect anxiety data. Depression was measured using the Patient Health Questionnaire (PHQ-9). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Based on the Spearman rank correlation test results, there is a correlation between sleep quality scores and depression scores with p = 0.000 (p < 0.01) and r = 0.528. There is a correlation between anxiety scores and sleep quality scores with p = 0.000 (p < 0.01) and r = 0.448. There is a correlation between anxiety scores and depression scores with p = 0.000 (p < 0.01) and r = 0.829. The quality of student sleep needs to be maintained to help reduce anxiety and depression in students practicing clinically. The role of professional clinical instructors in assisting students is needed to assist students in carrying out clinical practice well.
IMPLEMENTATION OF DIABETIC FOOT EXERCISES TO IMPROVE FOOT SENSITIVITY IN TYPE 2 DIABETIC PATIENTS Maidatul Ustadiyah; Esti Widiani; Anggun Setyarini
Jurnal Keperawatan Widya Gantari Indonesia Vol 8 No 3 (2024): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA (JKWGI)
Publisher : Nursing Department, Faculty of Health, Universitas Pembangunan Nasional "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v8i3.8579

Abstract

Patients with diabetes mellitus are at a higher risk of developing diabetic foot ulcers, which can occur due to decreased foot sensitivity. The decreased sensitivity is caused by elevated blood sugar levels, leading to reduced blood flow that can damage nerves in the foot area, resulting in decreased sensation in the soles of the feet, often characterized by complaints of pain in the foot area. To reduce the risk of complications in the foot area, action is needed to increase foot sensitivity, one of which is by performing diabetic foot exercise. The aim of this study is to determine the benefits of implementing diabetic foot exercise to enhance foot sensitivity in middle-aged patients with type 2 diabetes mellitus. This research is a qualitative descriptive case study with a case study approach. The results of the sensitivity examination on subject 1 before diabetic foot exercise on the right foot were 2 (moderate sensitivity) and the left foot was 1 (low sensitivity). Meanwhile, the sensitivity examination results on subject 2 were 2 (moderate sensitivity) on both feet. After performing diabetic foot exercise, the sensitivity on subject 1 was 3 (good sensitivity) on both feet, and on subject 2, it was 3 (good sensitivity) on both feet. Based on these results, there was an increase in foot sensitivity in both subjects. It is recommended that the subjects continue diabetic foot exercise independently or with family members to reduce complaints in the foot area.
IMPLEMENTATION OF BALANCE EXERCISE FOR THE ELDERLY AT RISK OF FALLING IN THE MULYOREJO HEALTH CENTER WORKING AREA: CASE STUDY Irmawan, Aurel Fendi; Prastiwi, Swito; Widiani, Esti
Jurnal Keperawatan Terapan Vol 10 No 02 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i02.5140

Abstract

Lansia kerap dikaitkan dengan penurunan pada fungsi fisik dan kognitif tubuh manusia. Akibatnya lansia mengalami penurunan keseimbangan tubuh yang dapat menimbulkan insiden jatuh dan mengakibatkan kejadian cedera pada lansia. Untuk mencegah hal tersebut terdapat beberapa metode yang dapat dilakukan salah satunya yaitu latihan keseimbangan atau balance exercise. Metode penelitian ini menggunakan deskriptif dengan pendekatan studi kasus. Penelitian ini melibatkan dua orang subjek penelitian yang telah dilakukan pada tanggal 25 januari-21 Februari 2023. Penelitian ini dilakukan dengan berfokus pada kegiatan observasi hasil penerapan balance exercise selama 3 minggu dengan masing masing minggu 3 kali latihan selama 15 menit. Data disajikan dalam bentuk tulisan, uraian kalimat, atau narasi, serta beberapa data disajikan dalam bentuk tabel dan grafik. Hasil penelitian ini didapatkan kedua subjek dilakukan pengitungan risiko jatuh sebelum dan sesudah diberikan memperoleh hasil tetap yaitu (40). namun pada penghitungan penilaian keseimbangan mengalami peningkatan, subjek 1 meningkat dari skor (42) menjadi (53) dan pada subjek 2 meningkat dari skor (47) menjadi (53). Kesimpulan kedua subjek mengalami penurunan risiko jatuh dapat dilihat dari peningkatan keseimbangan. Hal ini menunjukkan bahwa balance exercise mampu meningkatkan keseimbangan pada lansia sehingga risiko jatuh pada lansia dapat menurun.
Perpaduan Isometric Exercise dan Latihan Pernafasan Yoga Terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di Desa Mojojajar Wilayah Kerja Puskesmas Kedungsari Kabupaten Mojokerto Anjarsari, Dinda Risma Putri; Hanan, Abdul; Widiani, Esti
Jurnal Kesehatan Andalas Vol. 10 No. 1 (2021): Online March 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i1.1601

Abstract

One of the non-pharmacological treatments that can be done to lower blood pressure is to increase the patient's physical activity, such as Isometric Exercise and Yoga breathing exercises. Objectives: To determined isometric exercise and yoga breathing on reducing blood pressure in hypertension. Methods: This study used a pre-experimental design with a one-group pretest-postest design. The sampling technique was purposive sampling. The number of samples in this study was 25 people. Results: The paired t-test statistical test results were a decrease in blood pressure after being given the intervention of isometric exercise and yoga breathing exercises with a p-value of 0.000 (p<0.05). Conclusion: Isometric exercise and yoga breathing exercises can be an alternative non-pharmacological therapy to reduce blood pressure in hypertension.Keywords:  Isometric Exercise, Yoga Breathing Exercise, Hypertension
Review Literatur: Faktor Resiko Depresi dan Kecemasan Pada Tenaga Kesehatan Selama Wabah COVID-19 Widiani, Esti; Palupi, Lingling Marinda
Jurnal Kesehatan Andalas Vol. 11 No. 1 (2022): Online March 2022
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v11i1.1923

Abstract

COVID-19 has created a state of anxiety and depression in health workers. Objectives: To identified what factors influence depression and anxiety. Methods: This literature summary used the PEOS framework. Search for articles through the ScienceDirect, PubMed, and Ovid databases in January 2021. The keywords used for the search for articles were (((((related factors) OR (risk factors)) AND (health workers)) OR (medical staff)) AND (anxiety)) AND (depression)) AND (covid 19). Results: The risk factors identified included age, gender, hours of work, front-line health workers, mental health, grade professional title, COVID-19 outbreak news or information, history of physical illness, negative experiences and social rejection, and fear of being exposed and transmitting COVID-19, and having children at home. Other risk factors included problems in the work environment, marital status, knowledge of COVID-19, quality of rest and sleep, living in the countryside, personal protective equipment, caring for family members, being infected with COVID-19, and bad family relationships. Many risk factors can trigger depression and anxiety. Conclusion:  Health policymakers must take steps to control these risk factors.Keywords:  depression; anxiety; COVID-19; healthcare worker
Effectiveness of Mindfulness-Based Stress Management Module on Stress and Healthy Behavior of Hypertensive Patients in Primary Health Services Hanan, Abdul; Widiani, Esti; Kasiati, Kasiati
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 9 No. 3 (2023): Vol 9 No 3 (2023) Special Issue: Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v9i3.5242

Abstract

Stres merupakan faktor risiko utama dalam hipertensi yang dapat memperburuk kondisi kesehatan pasien. Intervensi berbasis mindfulness telah banyak digunakan dalam manajemen stres, namun efektivitasnya terhadap pasien hipertensi di layanan kesehatan primer masih perlu diteliti lebih lanjut. Penelitian ini bertujuan untuk mengevaluasi efektivitas modul manajemen stres berbasis mindfulness dalam menurunkan tingkat stres dan meningkatkan perilaku kesehatan pada pasien hipertensi di Puskesmas Dinoyo, Kota Malang. Studi ini menggunakan desain pra-eksperimental dengan model one-group pretest-posttest. Sampel penelitian terdiri dari 30 pasien hipertensi yang mengalami stres sedang hingga tinggi. Intervensi diberikan dalam enam sesi yang mencakup latihan mindfulness, edukasi kesehatan, dan diskusi kelompok. Data dikumpulkan menggunakan Perceived Stress Scale (PSS) dan kuesioner perilaku kesehatan, kemudian dianalisis menggunakan paired t-test. Hasil penelitian menunjukkan bahwa modul ini efektif dalam menurunkan tingkat stres responden, dengan skor PSS rata-rata turun dari 28,7 menjadi 17,5 (p < 0,001). Selain itu, perilaku kesehatan pasien juga mengalami peningkatan yang signifikan, dengan skor rata-rata meningkat dari 62,3 menjadi 85,6 (p < 0,001). Sebagian besar responden memberikan umpan balik positif terhadap modul, menyatakan bahwa pendekatan ini relevan dengan kebutuhan mereka. Modul manajemen stres berbasis mindfulness terbukti efektif dalam menurunkan tingkat stres dan meningkatkan perilaku kesehatan pada pasien hipertensi. Penelitian ini merekomendasikan penerapan modul secara lebih luas di layanan kesehatan primer sebagai bagian dari strategi holistik dalam pengelolaan hipertensi.
Co-Authors Abdul Hanan Abdul Hanan Ade Firman Agus Setyo Utomo Ahsan Ahsan Anggraini, P. Anggun Setyarini Anjarsari, Dinda Risma Putri Arief Bachtiar Arnoldina Martha Ema ARY KURNIAWAN Astri Astri Atti Yudiernawati, Atti Beki Tumewo Boyke Pangemanan Budiono Budiono Debora Biri Tara Dera Lukita Sari Desten Welnimus Adu Dina Adhila Dina Dewi Anggraini Dince Sari Rambu Amma Dinda Risma Putri Anjarsari Dionesius Adolfus Raga Doddy Indrawan Dorkas Tange Wini Dwi Anggraini Dyah Widodo Dyna Wardhani Egi Sumitra Eka Arvi Sukmawan Elvina Goveia Leite Ema Marlina Ema Marlina Erlisa Candrawati Erlisa Candrawati Ermelinda Jeniu Evy Safitri Farida Halis Farida Hallis Dyah Kusuma Frederikus Kely Gabriel Rahaq Haniza Haniza Hermina Nona Imelda Imelda Ira Rahmawati Ira Rahmawati Irene R.N. Latue Irmawan, Aurel Fendi Ita Historyana Kasiati Kasiati, ., Kasiati, Khorida Alvima Maul Jannah Kitri Nour Hamidea Lilik Supriati Lingling Marinda Palupi Lingling Marinda Palupi Lingling Marinda Palupi Lucia Retnowati Maidatul Hasanah Maidatul Ustadiyah Maria Fransiska Wulandari Maria Magdalena Sri Widiastuti Maria Resti Usfinit Munizar Munizar Nasuha Nasuha Nasution, Annio Indah Lestari Nety Herawati Ngesti W. Utami Noviasari Noviasari Nur Fauzi Marindra Nur Hafifah Nur Halilah NURUL HIDAYAH Nurul Hidayah Nurul Pujiastuti Nurul Pujiastuti Palupi, Lingling Marinda Pertiwi Perwiraningtyas Pitono Pipit Hari Popy Anggraini Ridho Putra Ridwan Ridwan Ronasari Mahaji Putri Sari, Marlynda Happy Nurmalita Sartiwi Sartiwi Satria Yudha K. Setyorini, Anggun Sindi Muthiah Utami Sirli Mardianna Trishinta Sofyan Rahman Sonny Sujatmiko Setyawan Sri Baskoro Kawoco Sulasmini Sulasmini susi susi Swito Prastiwi, Swito Tanto Hariyanto Tentrem Metionita Teofilus Evangelista Tri Handayani Tyas Dwi Widiandari Wahidyanti Rahayu Hastutiningtyas Yana Karina Yanti Rosdiana Yohanes Dudu Yosi Apriliani Yosi Apriliani Zaky Soewandi Ahmad