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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Perawat Indonesia Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Jurnal Ilmiah Keperawatan Imelda Jurnal Ners Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Journal SAGO Gizi dan Kesehatan MAHESA : Malahayati Health Student Journal Proceedings of the International Conference on Nursing and Health Sciences Kolaborasi Jurnal Pengabdian Masyarakat DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Jurnal Berita Ilmu Keperawatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan
Jumaiyah, Wati
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Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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

Abstract

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.
Penerapan Evidence Based Practice Chin Tuck Againts Resistance (CTAR) dalam Penanganan Disfagia pada Pasien Stroke Rinawati, Rinawati; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizki Nugraha; Nurhayati, Elis
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14130

Abstract

ABSTRACT The Chin Tuck Against Resistance (CTAR) intervention is rarely utilized by nurses in treating dysphagia among stroke patients. Symptoms arising from a stroke can differ based on the affected brain area, encompassing speech disorders, chewing and swallowing difficulties (dysphagia), limb paralysis or weakness, personality alterations, emotional disturbances, diminished cognitive abilities, impaired urinary function, and others. The use of Evidence-Based Nursing Practice (EBNP) is conducted to comprehend the impact of implementing chin tuck against resistance (CTAR) on improving swallowing muscle strength in stroke patients with dysphagia. In this study, the data were analyzed using univariate data analysis to evaluate the demographic characteristics and swallowing ability profiles of each respondent. Furthermore, the statistical test of influence was conducted using a paired t-test to assess changes in swallowing ability after undergoing CTAR rehabilitation exercises. Sampling in this study utilized the total sample method, involving 8 respondents. The CTAR intervention has been shown to significantly improve swallowing ability in stroke patients. The results indicate a meaningful increase from an average of 84.3 to 91.7 post-intervention, with an effect size of 4.59 and a p-value of 0.022, demonstrating the statistical effectiveness of this therapy. Furthermore, CTAR exercises are convenient to implement, time-efficient, and can be performed by patients without disrupting their daily routines. To enhance its effectiveness, it is recommended to involve patients and their families in the education process, enabling them to continue the exercises independently. The simplicity of these exercises facilitates nurses in providing interventions during nursing care for stroke patients experiencing dysphagia. Keywords: Evidence Based Practice Chin Tuck Against Resistance (CTAR), Dysphagia, Stroke Patients  ABSTRAK Intervensi Chin Tuck Exercise (CTAR) jarang digunakan oleh perawat untuk mengatasi disfagia pada pasien stroke. Gejala yang muncul akibat stroke dapat bervariasi tergantung pada area otak yang terkena, termasuk gangguan berbicara, kesulitan mengunyah dan menelan (disfagia), kelumpuhan atau kelemahan anggota gerak, perubahan kepribadian, gangguan emosi, penurunan fungsi kognitif, gangguan fungsi berkemih, dan lainnya. Penggunaan Praktik Keperawatan Berbasis Bukti (EBNP) dilakukan untuk memahami dampak dari penerapan chin tuck against resistance (CTAR) terhadap peningkatan kekuatan otot menelan pada pasien stroke dengan disfagia. Pada penelitian ini, data dianalisis menggunakan analisis data univariat untuk mengevaluasi karakteristik demografi dan gambaran kemampuan menelan pada setiap responden. Selanjutnya, uji statistik pengaruh dilakukan dengan uji paired t-test untuk menilai perubahan kemampuan menelan setelah menjalani latihan rehabilitasi CTAR. Pengambilan sampel dalam penelitian ini menggunakan metode total sampel dengan melibatkan 8 responden. Intervensi CTAR terbukti secara signifikan meningkatkan kemampuan menelan pada pasien stroke. Hasil menunjukkan peningkatan yang berarti dari rata-rata 84.3 menjadi 91.7 setelah intervensi, dengan besaran efek sebesar 4.59 dan nilai p-value sebesar 0.022, menunjukkan keefektifan terapi ini secara statistik. Lebih lanjut, latihan CTAR memberikan kemudahan dalam pelaksanaan, tidak memakan waktu lama, dan dapat dilakukan oleh pasien tanpa mengganggu rutinitas harian. Untuk meningkatkan efektivitasnya, disarankan untuk melibatkan pasien dan keluarganya dalam proses edukasi, sehingga mereka dapat melanjutkan latihan secara mandiri. Kesederhanaan latihan ini memudahkan perawat dalam memberikan intervensi selama asuhan keperawatan pada pasien stroke yang mengalami disfagia. Kata Kunci: Praktek Berbasis Bukti Chin Tuck Melawan Resistensi (CTAR), Disfagia, Pasien Stroke 
Cognitive Behavioral Therapy (CBT-I) Terhadap Kualitas Tidur Pasien Gagal Ginjal Yang Menjalani Hemodialisis Lakoro, Danny Des Kartyko; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
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.v4i8.15079

Abstract

ABSTRACT Hemodialysis can cause multi-component impacts such as fatigue, pain, restless legs syndrome, anxiety and depression which can cause sleep disturbances resulting in decreased sleep quality. CBT-I is a multi-component therapy that can overcome sleep problems caused by many factors. The purpose of this study was to determine the effect of CBT-I on sleep quality. The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 90 respondents with a sample size of 30 respondents using purposive sampling technique. Measurement sleep quality using pittsburgh sleep quality index (PSQI). Data analysis was performed using paired t-test and Repeated Measures ANOVA. The results showed that the average value of sleep quality before the intervention on the 1st measurement was 15.00 (±2.262), on the 2nd measurement after the intervention was 13.23 (±2.674) and the 3rd measurement was 10.23 (2.991). These findings explain cognitive behavioral insomnia (CBT-i) has a significant impact on improving sleep quality (P = 0.00). Multivariate analysis results showed the effect of time on sleep quality improvement scores (F(2, 58) = 349.493, p-value 0.000, partial eta squared = 0.959). It was also found that fatigue, pain, restless legs syndrome, anxiety and depression scores decreased. The results of this study can be used as a non-pharmacological treatment to improve sleep quality independently. Keywords: Cognitive Behavioral Therapy Insomnia, Fatigue, Sleep Quality, Hemodialysis.  ABSTRAK Hemodialisis dapat menimbulkan dampak multi komponen seperti kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi yang dapat menyebabkan gangguan tidur sehingga mengakibatkan penurunan kualitas tidur. CBT-I merupakan terapi multikomponen yang dapat mengatasi gangguan tidur yang disebabkan oleh banyak faktor. Tujuan penelitian ini adalah untuk mengetahui pengaruh CBT-I terhadap kualitas tidur. Metode penelitian yang digunakan adalah quasi eksperimen dengan pendekatan one group pretest-posttest tanpa pendekatan kelompok kontrol. Populasi sebanyak 90 responden dengan jumlah sampel sebanyak 30 responden dengan menggunakan teknik purposive sampling. Pengukuran kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Analisis data dilakukan dengan menggunakan uji t berpasangan dan Repeated Measures ANOVA. Hasil penelitian menunjukkan nilai rata-rata kualitas tidur sebelum intervensi pada pengukuran ke-1 sebesar 15,00 (±2,262), pada pengukuran ke-2 setelah intervensi sebesar 13,23 (±2,674) dan pada pengukuran ke-3 sebesar 10,23 (2,991). Temuan ini menjelaskan insomnia perilaku kognitif (CBT-i) mempunyai dampak signifikan terhadap peningkatan kualitas tidur (P = 0,00). Hasil analisis multivariat menunjukkan adanya pengaruh waktu terhadap skor peningkatan kualitas tidur (F(2,58) = 349,493, p-value 0,000, parsial eta squared = 0,959). Ditemukan juga bahwa skor kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi menurun. Hasil penelitian ini dapat digunakan sebagai pengobatan non farmakologi untuk meningkatkan kualitas tidur secara mandiri. Kata Kunci: Terapi Perilaku Kognitif Insomnia, Kelelahan, Kualitas Tidur, Hemodialisis.
Penyuluhan Peran Kader dan Remaja dalam Pencegahan Penyakit Katastropik di Ragajaya Bogor Jumaiyah, Wati; Agung, Rizki Nugraha; Siswandi, Iyar; Hanifah, Siti; Purnawati, Dewi; Kamil, Abdu Rahim; Rinawati, Rinawati; Firdaus, Nuzula; al Hasbi, Sulthan Dzahir; Triantono, Bayu; Fawwaz, Achmad Daffa
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13189

Abstract

ABSTRAK Penyakit tidak menular (PTM) merupakan penyakit katastropik yang dapat menimbulkan terjadinya peningkatan beban sosial ekonomi bagi penderita, keluarga maupun pemerintah, karena penanganannya membutuhkan waktu yang tidak sebentar, beberapa penyakit yang pada tingkat rumah tangga tergolong katastropik adalah Hipertensi, Diabetes Melitus (DM) dan Stroke. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberi pemahaman hingga pencegahan terhadap penyakit Katastropik pada Kader dan Remaja Ragajaya Bojong Gede, Bogor. Kegiatan pengabdian kepada masyarakat ini dilakukan melalui beberapa tahapan yaitu dimulai dengan penyuluhan, pemeriksaan deteksi dini faktor risiko PTM, konseling serta pelatihan Tekanan Darah dan Pengukuran Tinggi Badan. Pasca kegiatan ini diketahui telah terjadi peningkatan pengetahuan peserta terkait Penyakit Katastropik pada kader dan remaja RW 007 Ragajaya Bogor. Kegiatan Pelatihan penting dijalankan untuk dapat meningkatkan kesadaran masyarakat terhadap penyakit tidak menular melalui deteksi dini, early treatment serta mengendalikan faktor risiko sehingga dapat menurunkan tingkat kesakitan dan kematian. Kata Kunci: Pencegahan, Katastropik, Hipertensi, Diabetes, Stroke  ABSTRACT Non-communicable diseases (NCDs) are catastrophic diseases that can cause an increase in the socio-economic burden for sufferers, families and the government, because treatment requires a long time, some diseases that are classified as catastrophic at the household level are hypertension, diabetes mellitus (DM ) and Strokes. This community service activity aims to provide understanding and prevention of catastrophic diseases in Ragajaya Bojong Gede Cadres and Youth, Bogor. This community service activity is carried out through several stages, starting with counseling, early detection of NCD risk factors, counseling and training on Blood Pressure and Height Measurement. After this activity, it was discovered that there had been an increase in participants' knowledge regarding Catastrophic Diseases among cadres and teenagers of RW 007 Ragajaya Bogor. Training activities are important to carry out to increase public awareness of non-communicable diseases through early detection, early treatment and controlling risk factors so as to reduce morbidity and mortality rates. Keywords: Prevention, Catastrophe, Hypertension, Diabetes, Stroke
Application of Evidence-Based Nursing Practice: Shaker Exercise for Swallowing Ability in Stroke Patients with Dysphagia Saputra, M. Khalid Fredy; Agung, Rizki Nugraha; Yunitri, Ninik; Jumaiyah, Wati; Mulyatsih, MG Enny
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 04 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i04.3664

Abstract

Background: Stroke is one of the leading causes of disability and mortality worldwide, with more than 13 million new cases recorded annually. Stroke can lead to various complications, including dysphagia, which disrupts the patient's swallowing ability. One therapy that can assist stroke patients with dysphagia is the Shaker Exercise. Objectives: This study aims to provide an overview of the impact of implementing Shaker Exercise on swallowing ability in stroke patients experiencing dysphagia through Evidence-Based Nursing Practice (EBNP). Methods: The study used a systematic approach by reviewing various articles and literature from seven prominent health databases, including ProQuest, PubMed, and ScienceDirect. Selected articles focused on Shaker Exercise interventions for stroke patients with dysphagia. Results: The review identified one article in the form of a Systematic Review Meta-Analysis, which examined 37 studies involving a total of 2,656 participants. The analysis results demonstrated that the Shaker Exercise is effective in strengthening suprahyoid muscles, reducing aspiration frequency, and improving swallowing ability in stroke patients with dysphagia. Conclusion: The implementation of Shaker Exercise therapy for stroke patients with dysphagia shows significant results in enhancing swallowing ability and reducing aspiration complications. This therapy aligns with evidence-based nursing principles, supporting the improvement of patients' quality of life through scientifically proven interventions.
Evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi Atun, Sri; Sofiani, Yani; Yuniarti, Niknik; Jumaiyah, Wati; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1610

Abstract

Background: Diabetic neuropathy is a complication that develops slowly and often goes undiagnosed. Guttormsen explained that neuropathy usually appears after years of diabetes and is often the initial cause of wounds and amputations. Therefore, early detection is crucial to prevent further complications. One recommended approach is non-invasive screening, which allows for early identification before severe symptoms appear. Purpose: To evaluate the effectiveness of non-invasive screening for early detection of foot disorders in people with diabetes. Method: The implementation of evidence-based nursing practice (EBNP) at Al Ihsan Regional Hospital, West Java Province, from June to July 2025, involved a non-invasive screening intervention for each patient for early detection of foot disorders in diabetic patients. This study was preceded by a systematic review and meta-analysis that compiled data from various previous studies. Results: Participants with the ROC curve test showed screening results on BDRFS with a sensitivity value of 1.000; on monofilament screening the sensitivity value was 0.545; vibration screening test sensitivity value was 0.818; temperature screening test sensitivity value was 0.864. In the QST screening test of touch sensation, it showed that the temperature screening test sensitivity value was 0.909. The QST screening test of vibration sensation showed that the temperature screening test sensitivity value was 0.909. The QST screening test of temperature sensation showed that the temperature screening test sensitivity value was 0.773. Conclusion: The implementation of EBNP “Evaluation of the Effectiveness of Non-Invasive Screening for Early Detection of Foot Disorders in Diabetics” has been proven to significantly increase early detection of diabetic neuropathy through a method that is safe, inexpensive, and can be performed by nurses.   Keywords: Diabetes; Early Detection of Foot Disorders; Non-Invasive Screening.   Pendahuluan: Neuropati diabetik merupakan komplikasi yang berkembang secara perlahan dan sering kali tidak terdiagnosis secara dini. Guttormsen menjelaskan bahwa neuropati biasanya muncul setelah bertahun-tahun menderita DM dan sering kali menjadi penyebab awal terjadinya luka hingga amputasi. Untuk itu, deteksi dini sangat penting guna mencegah komplikasi lebih lanjut. Salah satu pendekatan yang direkomendasikan adalah skrining non-invasif, yang memungkinkan identifikasi dini sebelum muncul gejala berat. Tujuan: Untuk mengevaluasi efektivitas skrining non-​​invasif untuk deteksi dini gangguan kaki pada diabetisi. Metode: Penerapan praktik keperawatan berbasis bukti (Evidence Based Nursing Practice/EBNP) yang dilaksanakan di RSUD Al Ihsan Provinsi Jawa Barat pada bulan Juni-Juli 2025. Setiap pasien dilakukan intervensi berupa pemeriksaan skrining non-invasif untuk deteksi dini gangguan kaki pada pasien diabetes. Hasil: Partisipan dengan uji ROC curve menunjukkan hasil skrining pada BDRFS dengan nilai sensitivity 1.000; pada skrining monofilamin nilai sensitivit 0.545; skrining vibrasi test nilai sensitivity 0.818; skrining temperatur test nilai sensitivit 0.864. Pada uji skrining QST sensasi sentuhan menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi getaran menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi suhu menunjukkan bahwa skrining temperatur test nilai sensitivit 0.773. Simpulan: Penerapan EBNP “evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi” terbukti dapat meningkatkan deteksi dini neuropati diabetik secara signifikan melalui metode yang aman, murah, dan dapat dilakukan oleh perawat.   Kata Kunci: Diabetisi; Deteksi Dini Gangguan Kaki; Skrining Non-​​Invasif.
Penerapan evidence-based nursing practice (EBNP) mengenai intervensi virtual reality (VR) dalam mengurangi kecemasan pada pasien yang menjalani coronary angiography Hendi, Oman; Jumaiyah, Wati; Latipah, Siti; Sofiani, Yani
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1628

Abstract

Background: Coronary angiography is used as an appropriate method for diagnosing coronary artery disease (CAD), which is the radiographic visualization of coronary arteries after the injection of radiopaque contrast media. However, patients undergoing coronary angiography experience anxiety. With advancements in technology, various innovations have emerged offering non-invasive alternatives for managing anxiety in patients undergoing coronary angiography. One innovative approach currently under development is the use of Virtual Reality (VR). Purpose: To determine the effect of VR in reducing anxiety in patients undergoing coronary angiography.  Method: This EBNP application is experimental, using a pre-post test design with a sample size of 30 patients. VR intervention was administered to patients undergoing coronary angiography for 30 minutes. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) questionnaire. Results: The VR intervention showed a reduction in anxiety, with a p-value of 0.000, which is less than the alpha level of 0.05, indicating a significant difference in anxiety levels before and after the VR intervention in patients undergoing coronary angiography.  Conclusion: The VR intervention has a positive effect in reducing anxiety in patients before coronary angiography.   Keywords: Anxiety; Coronary Angiography; Coronary Artery Disease; Virtual Reality.   Pendahuluan: Coronary angiography digunakan sebagai metode yang tepat untuk mendiagnosis penyakit jantung koroner yang merupakan  visualisasi radiografi pembuluh darah koroner setelah penyuntikan media kontras radiopak. Akan tetapi, pasien yang menjalani coronary angiography mengalami kecemasan.  Seiring dengan perkembangan teknologi terdapat berbagai inovasi yang menawarkan alternatif noninvasif dalam pengelolaan kecemasan pada pasien yang menjalani coronary angiography. Salah satu pendekatan inovatif yang sedang berkembang adalah penggunaan virtual reality (VR). Tujuan: Untuk mengetahui pengaruh penerapan evidence-based nursing practice (EBNP) mengenai intervensi virtual reality (VR) dalam mengurangi kecemasan pada pasien yang menjalani coronary angiography. Metode: Penerapan EBNP ini bersifat eksperimen menggunakan desain pre-post test design dengan jumlah sampel sebanyak 30 partisipan. Intervensi VR pada pasien yang menjalani coronary angiography selama waktu 30 menit. Melakukan pengukuran kecemasan 15 dengan kuesioner state trait anxiety inventory (STAI). Hasil: Intervensi VR menunjukkan menurvensi VR paru) mencapai 6,penurunan kecemasan diperoleh (p Value) 0.000 ≤ 0.05 yang berarti terdapat perbedaan signifikan kecemasan sebelum dan setelah dilakukan intervensi VR pada partisipan yang menjalani coronary angiography. Simpulan: Intervensi VR memberikan pengaruh positif dalam mengurangi kecemasan pasien sebelum tindakan coronary angiography.   Kata Kunci: Coronary Angiography; Coronary Artery Disease; Kecemasan; Virtual Reality.
Pemberdayaan Komunitas Lansia melalui Edukasi Kesehatan dan Pemeriksaan Dini Faktor Risiko Penyakit Kronis Latipah, Siti; Sofiani, Yani; Rayasari, Fitrian; Siswandi, Iyar; Nugraha, Rizky; Jumaiyah, Wati; Aisyah, Aisyah; Nathasia, Dhea
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 6 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i6.700

Abstract

Introduction: Diabetes mellitus (DM) is one of the major non-communicable diseases with a steadily increasing prevalence in Indonesia, including in island regions with limited access to healthcare services. This community service program was conducted on Lancang Island, Kepulauan Seribu. Objective: The purpose of this service was of improving elderly participants’ knowledge of diabetes management, conducting early detection through health screening, and providing education on healthy lifestyle practices. Method: The methods included interactive health education sessions and physical examinations covering random blood glucose, blood pressure, and cholesterol levels. Result: The results showed that the majority of the 101 elderly respondents exhibited significant chronic health risk factors. The average blood pressure was 152/88 mmHg, indicating a tendency toward hypertension. The mean random blood glucose level of 140 mg/dL suggested a predisposition to prediabetes and diabetes mellitus, while the mean cholesterol level reached 253 mg/dL, categorized as high. Conclusion These findings indicate that most elderly participants have not yet implemented optimal dietary management and physical activity, further exacerbated by limited health facilities and access in island areas. The educational intervention effectively increased participants awareness of disease risks and complications, as well as the importance of early detection. Overall, the promotive and preventive activities had a positive impact on improving knowledge, awareness, and motivation among elderly participants to adopt healthy lifestyles. This program is expected to serve as a foundation for sustainable community health development efforts in island regions.
Intradialytic Flexybility Exercise Terhadap Fatigue Pada Pasien Penyakit Ginjal Kronis Inayati, Anik; Jumaiyah, Wati; Latipah, Siti
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 (p<0.05). 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 (p<0,05). 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
Penerapan metode teach-back terhadap self-care pasien gagal jantung Aminah, Siti; Jumaiyah, Wati; Latipah, Siti; Rayasari, Fitrian; Anggraini, Dewi
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1702

Abstract

Background: Heart failure is a chronic disease that requires long-term management and active patient involvement in self-care. Non-adherence to medication, diet, and symptom monitoring increases the risk of recurrent hospitalization. The teach-back method is an effective educational approach to ensure patients’ understanding of medical instructions and improve self-care behaviors. Purpose: To analyze the effectiveness of implementing teach-back method-based education on self-care of heart failure patients. Method: This study implemented an Evidence-Based Nursing Practice (EBNP) approach using a one-group pretest–posttest design. The sample consisted of 13 heart failure patients who met the inclusion criteria. The intervention was delivered in three sessions during hospitalization, followed by two educational follow-ups via telephone after discharge. The instrument used to measure self-care was the European Heart Failure Self-care Behavior Scale (EHFScB-9). Data were analyzed using a paired t-test. Results: There was a significant improvement in patients’ self-care scores after the intervention (mean before = 48.49; after = 80.97; p = 0.000). This indicates that the teach-back method effectively enhanced the self-care abilities of patients with heart failure. Conclusion: The teach-back intervention effectively improved self-care among heart failure patients, demonstrating high validity, an applicable educational SOP, and positive patient responses.   Keyword: Heart Failure; Self-Care; Teach-Back Method.   Pendahuluan: Gagal jantung merupakan penyakit kronis yang membutuhkan manajemen jangka panjang dan keterlibatan aktif pasien dalam melakukan perawatan mandiri (self-care). Ketidakpatuhan pasien terhadap pengobatan, diet, dan pemantauan gejala dapat meningkatkan risiko rawat inap berulang. Metode teach-back merupakan salah satu pendekatan edukasi yang efektif untuk memastikan pemahaman pasien terhadap instruksi medis dan meningkatkan self-care. Tujuan: Untuk menganalisis efektivitas penerapan pendidikan berbasis metode teach-back terhadap self-care pasien gagal jantung. Metode: Implementasi Evidence-Based Nursing Practice (EBNP) dengan desain one group pretest post-test. Sampel terdiri dari 13 pasien gagal jantung sesuai kriteria inklusi. Intervensi diberikan dalam tiga sesi selama perawatan dan dilanjutkan dengan dua kali edukasi melalui telepon setelah pasien pulang. Instrumen pengukuran self-care menggunakan European Heart Failure Self Care Behavior Scale (EHFScB-9). Analisis data dilakukan dengan uji paired t-test. Hasil: Terdapat peningkatan signifikan skor self-care pasien setelah intervensi (mean sebelum 48.49; sesudah 80.97; p = 0.000). Hal ini menunjukkan bahwa metode teach-back mampu meningkatkan kemampuan perawatan mandiri pasien gagal jantung secara bermakna. Simpulan: Intervensi teach-back efektif meningkatkan self-care pasien gagal jantung dengan validitas tinggi, SPO edukasi aplikatif, dan respon positif pasien.   Kata Kunci: Gagal Jantung; Metode Teach-Back; Self-Care.
Co-Authors Abriyanti, Rika Mustika Agung Waluyo Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Aisyah Aisyah Aji, Prima Trisna al Hasbi, Sulthan Dzahir Anggaraini, Dewi Anggareni, Dewi Ardiani, Kristi Aresta, Annisa Septiani Arsianti, Lyana Ashar Prima Asmara, Amelia Atlantic, Mia Bayu Aji Sismanto Budi Susanto Budi, Arif Wahyu Setyo Burmanajaya, Bram Desy anggraini Dewi ANGGRAENI Dewi Anggraini Dewi Gayatri Dewi Purnamawati Dian Hudiyawati Dila Nurul Arsyi Ernawati, Dedeh Erni Kurniasih Erwin Erwin Fajarini, Melati Fawwaz, Achmad Daffa Febryandy, Valentino Feriadianto, Feriadianto Firdaus, Nuzula Firmansyah, Doddy Hamdah, Hamdah Handayani, Martuti Dwi Harison, Nunu Hartati, Yeni Hendi, Oman Hentu, Ardin Saleh Hernani, Eny Ibrahim, Mufti Inayati, Anik Indraswati, Ita Irawan, Aprianto Guntur Irawati, Diana Ismail, Ii Jaemi, Jaemi Jum’atina, Jum’atina Junaidin, Junaidin Kamil, Abdu Rahim Komalawati, Dedeh Lakoro, Danny Des Kartyko Latipah, Siti Maesaroh Maesaroh Maria Yulianti, Maria Masykur Khair Moh. Heri Kurniawan Mulyadi, Egi Mulyatsih, MG Enny Munaya Fauziah Munaya, Munaya Mustafida, Ika Natashia, Dhea Nathasia, Dhea Noviana Noviana Nugraha, Rizky Nurhayati, Elis Nurrahman, Aris Nursanti, Irna Nurwijayanti Nusanti, Irna Octoba, Fatwa Achmad Oktavina, Risa Pinamiranti, Firza Pramono, Cahyo Purnawati, Dewi Ratna Dewi Rayasari, Fitrian Rinawati Rinawati Rohani Rohani Saputra, M. Khalid Fredy Setiawati, Desy Silalahi, Lenny Erida Siswandi, Iyar Siti Aminah Siti Hanifah SRI ATUN Suhartini, Euis Sulistiyowati, Heppy Sumedi Sumedi Suryanti, Asih Dwi Suwandi, Wawan Suwito, Kafi Pangki Syafriati, Ani Tallulembang, Abdi Toha Muhaimin Triantono, Bayu Tuti Nuraini Tyawarman, Ady Uly, Nilawati Uswatun Hasanah Wahidi, Kemala Desy Yani Sofiani Yuli Widyastuti Yuliarti Yuliarti Yuliastutik, Fitri Yulistriani, Anisa Yuniarsih, Winda Yuniarti, Niknik Yunitri, Ninik Yunus, Muhammad Iqbal Zuliani, Peri