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Hubungan Pengetahuan dengan Kepatuhan Konsumsi Obat pada Lansia Penderita Hipertensi di Puskesmas Way Bungur Lampung Timur Dhitya, Ray Krisna; Keswara, Umi Romayati; Winarno, Rudi; Trismiyana, Eka
Malahayati Nursing Journal Vol 7, No 9 (2025): Volume 7 Nomor 9 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i9.17892

ABSTRACT One of the problems faced by the elderly due to decreased cardiovascular function is hypertension. The percentage increase in hypertension in Lampung Province reached 29.94%. Way Bungur Health Center itself has the highest number of patients suffering from hypertension compared to other sub-district health centers in East Lampung, namely 1126 patients. data from pre-survey results provided from the Community Health Center where 22 out of 25 patients stated that they lacked knowledge about the dangers of hypertension, so that quite a few of them ignored instructions on taking antihypertensive drugs routinely and regularly. It is known that there is a relationship between knowledge and compliance with medication consumption in elderly people with hypertension at the Way Bungur Community Health Center, East Lampung.This study uses a quantitative descriptive correlative analytical design with a cross-sectional approach. The population in this study were elderly hypertensive patients at the Way Bungur Health Center, East Lampung, totaling 312 people with a sample size of 175 respondents. Sampling used a random sampling technique. Data analysis used the Chi-Square statistical test. Based on the frequency distribution of high knowledge respondents there were 53 respondents (30.29%), while low knowledge there were 122 respondents (69.71%). while low compliance with drug consumption there were 126 respondents (72%). The p-value was obtained 0.036 and the odd ratio value was 3.436. There is a relationship between knowledge and compliance with drug consumption in elderly people with hypertension (p-value 0.036, OR 3.436) in the Way Bungur Health Center area, East Lampung in 2024. The Health Center is advised to increase counseling regarding hypertension and improve healthy living behavior, take medication regularly so that the risk of recurrence of hypertension can be avoided and the incidence of the disease can be minimized. Keywords: Knowledge , Compliance with Medication Consumption, Elderly People with Hypertension ABSTRAK Lansia dengan penyakit hipertensi memiliki masalah besar pada kepatuhan minum obat, pengetahuan pasien dan dukungan keluarga juga mempunyai peranan penting agar hipertensi pada lansia dapat di kendalikan. Hipertensi juga menjadi salah satu penyakit tidak menular dan paling banyak diderita masyarakat Indonesia (57,6%). Persentasepeningkatan hipertensi di Provinsi Lampung mencapai 29,94%. Puskesmas Way bungur sendiri mempunyai jumlah pasien penderita hipertensi terbanyak dibandingkan dengan Puskesmas kecamatan lainnya yanga da di Lampung Timur yaitu 1126 pasien. data hasil pre survey yang diberikan dari Puskesmas dimana 22 dari 25 pasien dinyatakan kurang pengetahuan mengenai bahaya penyakit hipertensi, sehingga tidak sedikit dari mereka mengabaikan instruksi konsumsi obat antihipertensi secara rutin dan teratur. Diketahui hubungan pengetahuan dengan kepatuhan konsumsi obat pada lansia penderita hipertensi di Puskesmas Way Bungur Lampung Timur. Penelitian ini menggunakan design analitik kuantitatif deskriptif korelatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah pasien lansia hipertensi di Puskesmas Way Bungur Lampung Timur sebanyak 312 orang dengan jumlah sampel 175 responden. Pengambilan sampel menggunakan teknik random sampling. Analisis data menggunakan uji statistik Chi-Square.Berdasarkan distribusi frekuensi pengetahuan responden tinggi ada 53 responden (30,29%), sedangkan pengetahuan rendah ada 122 responden (69,71%). sedangkan kepatuhan konsumsi obat rendah ada 126 responden (72%). Didapatkan p-value 0,036 dan nilai odd ratio 3,436. Ada hubungan antara pengetahuan dengan kepatuhan konsumsi obat pada lansia penderita hipertensi (p-value 0,036, OR 3,436) di wilayah Puskesmas Way Bungur Lampung Timur Tahun 2024. Bagi pihak Puskesmas disarankan untuk lebih meningkatkan penyuluhan mengenai penyakit hipertensi dan meningkatkan perilaku hidup sehat, minum obat secara teratur agar resiko kekambuhan .penyakit hipertensi dapat dihindari dan dapat meminimalisir angka kejadian penyakit tersebut. Kata Kunci: Pengetahuan, Kepatuhan Konsumsi Obat, Lansia Hipertensi

Penerapan teknik buteyko breathing exercise terhadap pernapasan SPO2 pada klien bronkopneumonia dengan masalah keperawatan pola nafas tidak efektif Dalimunthe, Najamudin; Trismiyana, Eka; Djamaludin, Djunizar
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 4 (2025): September Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i4.1285

Background: Pneumonia remains the fifth leading cause of death worldwide. Indonesia accounts for 28 deaths per 100,000 people annually. Most confirmed cases are in adults aged 45-65 years (18%) and children aged 0-4 years (14.4%). Data from South Lampung in 2022 showed 972 cases of pneumonia. Purpose: To provide geriatric nursing care to clients with bronchopneumonia who experience ineffective breathing patterns, using the Buteyko breathing exercise technique. Method: This descriptive case study design involved two subjects, each with an ineffective breathing pattern. The study was conducted at the Branti Raya Natar Community Health Center in South Lampung. Patients received non-pharmacological nursing care with Buteyko breathing exercises, performed three times daily (morning, afternoon, and evening) for four weeks. Results: Nursing management of ineffective breathing patterns with the application of Buteyko breathing exercise techniques that the author carried out for 3 days on bronchopneumonia patients with ineffective breathing patterns in both clients was resolved, as evidenced by the normal breathing frequency of clients Mr. K and Mr. S and during the second procedure the clients were cooperative. Conclusion: There is an effect of the application of the Buteyko breathing exercise technique in reducing the breathing frequency in bronchopneumonia patients. Keywords: Bronchopneumonia; Buteyko Breathing Exercise; Ineffective Breathing Pattern. Pendahuluan: Pneumonia saat ini masih menjadi salah satu penyebab kematian yang menempati nomor lima di dunia. Terdapat 28 kematian per 100.000 penduduk di Indonesia setiap tahunnya. Sebagian besar di antara kasus terkonfirmasi adalah orang dewasa usia 45-65 tahun (18%) dan anak-anak usia 0-4 tahun (14.4%). Data di Lampung Selatan tahun 2022 mendapatkan data pneumonia sebanyak 972 kasus. Tujuan: Untuk melakukan asuhan keperawatan gerontik pada klien bronkopneumonia dengan masalah keperawatan pola nafas tidak efektif dengan penerapan teknik buteyko breathing exercise. Metode: Penelitian deskriptif dengan rancangan studi kasus menggunakan 2 subjek yaitu orang yang mengalami masalah keperawatan pola nafas tidak efektif. Tempat penelitian dilaksanakan di Wilayah Puskesmas Branti Raya Natar Lampung Selatan. Pasien diberikan asuhan keperawatan terapi non farmakologi dengan latihan pernapasan buteyko dilaksanakan 3 kali sehari (pagi, siang, dan malam) selama 4 minggu. Hasil: Pengelolaan keperawatan pola nafas tidak efektif dengan penerapan tindakan keperawatan teknik buteyko breathing exercise yang penulis lakukan selama 3 hari pada pasien bronkopneumonia dengan masalah pola nafas tidak efektif kedua klien teratasi semua dibuktikan dengan klien Tn. K dan Tn. S frekuensi nafasnya normal dan selama tindakan kedua klien kooperatif. Simpulan: Terdapat pengaruh penerapan teknik buteyko breathing exercise untuk mengurangi frekuensi nafas pada pasien bronkopneumonia. Kata Kunci : Bronkopneumonia; Buteyko Breathing Exercise; Pola Nafas Tidak Efektif.

The psychological impact of exposure to floods among adolescents Sari, Putri Melinda; Trismiyana, Eka; Winarno, Rudi
JOURNAL OF Mental Health Concerns Vol. 4 No. 3 (2025): October Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i3.1438

Background: Floods are the most common natural disaster in the world, dominating with 163 incidents or 50.77% in 2023. Based on the Indonesian Disaster Index (IDI) data, 8.331 flood disasters occurred in Indonesia from 2014 to 2023. Meanwhile, the National Disaster Management Agency (NDMA) recorded 16 flood incidents in the Bandar Lampung area over the past 10 years. This disaster not only causes damage to infrastructure but also instills anxiety among students, which has the potential to affect their level of preparedness. Therefore, it is very important to understand the relationship between anxiety and the preparedness of adolescents. Purpose: To determine the psychological impact of flood exposure on adolescents. Method: A Descriptive Correlational research type with a Cross Sectional approach, employing a quantitative method design with a Descriptive Correlation design. The respondents in this study are students at Junior High School 27 Bandar Lampung with a population of 469 students. The total sample obtained using Proportionate Stratified random sampling technique is 216 respondents. Results: Out of 87 students with anxiety, there were 78 (89.7%) respondents who were not prepared and 9 (10.3%) respondents who were prepared to face floods. Meanwhile, out of 129 respondents without anxiety, there were 80 (62.0%) respondents who were not prepared and 49 (38.0%) respondents who were prepared to face flood disasters. The chi-square test results showed a p-value of 0.000 < 0.05. Conclusion: Adolescence, as a dynamic transitional phase, is a crucial period for developing awareness, resilience, and preparedness in the face of disasters such as floods. Findings indicate a significant relationship between anxiety and preparedness, with adolescents experiencing anxiety being five times more likely to be unprepared than those without anxiety. Keywords: Adolescents; Anxiety; Preparedness.

The effect of disaster management education on citizen preparedness facing floods Pabio, Pabio Leo capilo; Novikasari, Linawati; Winarno, Rudi; Trismiyana, Eka
JOURNAL OF Mental Health Concerns Vol. 4 No. 4 (2025): December Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i4.1441

Background: Natural disasters, especially floods, have become a crucial issue in Indonesia. Indonesia's geographical position as an archipelagic country that crosses the equator makes it vulnerable to high rainfall, which often triggers hydrometeorological disasters such as floods. Purpose: To determine the influence of health education about flood first aid on the mental readiness of the community in facing disasters. Method: A quantitative design with a quasi-experimental approach type one group pre-test post-test design. The research sample consisted of 30 respondents selected from 85 heads of families in RT 03 Nyunyai Village. Data was collected using a validated questionnaire. Data analysis included univariate analysis, normality test with Kolmogorov-Smirnov, and bivariate analysis with t-test. Results: A significant increase in knowledge and skills after being given health education interventions. The average score of knowledge and skills increased from 11.60 on the pre-test to 15.47 on the post-test. The results of the t-test proved a significant influence with a p-value of 0.000 (< 0.05). Conclusion: Health education has a significant influence in increasing the knowledge and preparedness of the people of Nyunyai Village regarding first aid during floods. Keywords: Communities; First Aid; Floods; Health Education; Preparedness.

Pengaruh booklet pertolongan pertama cedera olahraga terhadap pengetahuan tentang perawatan cedera olahraga pada siswa Nurlita, Ela; Trismiyana, Eka; Rianty, Dian Asih; Keswara, Umi Romayati
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 5 (2025): October Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i5.1391

Background: Sports injuries are injuries usually limited to sudden tissue damage that occurs during exercise, such as sprains and tears of the soft tissue in the musculoskeletal system. These injuries can be caused by many things, one of which is overuse syndrome. In children aged 7-14, injuries are the leading cause of death, with rates ranging from 20% to 60%, with the highest rate of sports injuries in Mesuji Regency (14.98%) and the lowest in Tulang Bawang (2.61%). However, in South Lampung Regency, the rate is 9.23%. Students' knowledge of first aid for sports injuries is lacking. Purpose: To determine the effect of the sports injury first aid booklet on students' knowledge of sports injury care. Method: Quantitative research with an experimental design. The population in this study were 30 students who are members of the PMR SMP N 2 Katibung, with a sample of 20 respondents drawn using random sampling. Data analysis used the t-dependent statistical test. Results: The average knowledge before the booklet counseling was 45.25. After the booklet counseling, the mean was 74.75, with a statistical test result of p-value = 0.000 <α. Conclusion: There is an effect of health counseling on the influence of the sports injury first aid booklet on knowledge about sports injury treatment in students. Keywords: Booklet; Knowledge; Sports Injury. Pendahuluan: Cedera olahraga adalah cedera biasanya terbatas pada kerusakan jaringan secara tiba-tiba yang terjadi selama berolahraga seperti terkilir dan robeknya jaringan lunak pada sistem muskuloskeletal dapat disebabkan oleh banyak hal, salah satunya adalah overuse syndrome. Anak berusia 7-14 tahun, cedera menjadi penyebab utama kematian dengan angka berkisar antara 20% hingga 60% dengan angka tertinggi cedera olahraga berada di kabupaten Mesuji 14.98% dan angka terendah berada di Tulang Bawang 2.61%. Namun di kabupaten Lampung Selatan terdapat 9.23%. Kurangnya pengetahuan siswa siswi tentang pertolongan pertama cedera olahraga. Tujuan: Untuk mengetahui pengaruh booklet pertolongan pertama cedera olahraga terhadap pengetahuan tentang perawatan cedera olahraga pada siswa. Metode: Penelitian kuantitatif dengan desain eksperimen. Populasi dalam penelitian ini adalah siswa siswi anggota PMR SMP N 2 Katibung sejumlah 30 orang dengan jumlah sampel sebanyak 20 responden yang diambil secara sample random sampling. Analisa data menggunakan uji statistik t-dependen. Hasil: Rata-rata pengetahuan sebelum dilakukan penyuluhan dengan booklet dengan mean 45.25. Sesudah dilakukan penyuluhan dengan media booklet mean 74.75 dengan hasil uji statistik didapatkan p-value = 0.000< α. Simpulan: Adanya pengaruh penyuluhan kesehatan tentang Pengaruh booklet pertolongan pertama cedera olahraga terhadap pengetahuan tentang perawatan cedera olahraga pada siswa siswi. Kata Kunci: Booklet; Cedera Olahraga; Pengetahuan.

Hubungan pengetahuan dengan kesiapsiagaan dalam menghadapi bencana banjir pada siswa siswi Indriana, Dwi Liza; Trismiyana, Eka; Romayati, Umi
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 5 (2025): October Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i5.1450

Background: A pre-survey conducted by researchers on 10 students found that approximately 7 (70%) still lacked knowledge and preparedness for potential flooding in their neighborhood. Furthermore, it was discovered that SDN 2 Rajabasa does not hold disaster preparedness classes or training. It appears there are still issues with flood preparedness behavior. Purpose: It is known that there is a relationship between knowledge and preparedness in facing flood disasters among students. Method: The type of quantitative research is a cross-sectional approach. The population used is all 5th grade students, namely 94 respondents and the number of samples is 94 respondents with a total sampling technique with a correlation test is the Chi-square test. Result: Of the 94 respondents, the results showed that the majority of knowledge levels were in the good category, namely 58 people (61.7%), while the majority of preparedness levels were in the very ready category, namely 49 people (52.1%). After conducting statistical tests using chi-square, a p-value of 0.000 (p<0.05) was obtained. Conclusion: There is a significant relationship between knowledge and preparedness for flooding among students at SDN 2 Rajabasa Bandar Lampung. It is hoped that the school and teachers will not only implement or explain the theory but also implement it practically through flood disaster training. Keywords: Knowledge, flood disaster preparedness, elementary school children Pendahuluan: Hasil pre survey yang dilakukan peneliti pada 10 siswa di didapatkan bahwa, sekitar 7 anak (70%) masih memiliki pengetahuan dan kesiapsiagaan yang kurang untuk menghadapi bencana banjir yang akan terjadi di lingkungan mereka. Selain itu, diketahui bahwa SDN 2 Rajabasa tidak mengadakan kelas atau pelatihan kesiapsiagaan bencana. Sepertinya masih ada masalah dengan perilaku kesiapsiagaan untuk bencana banjir. Tujuan: Untuk mengetahui hubungan pengetahuan dengan kesiapsiagaan dalam menghadapi bencana banjir pada siswa. Metode: Jenis penelitian kuantitatif dengan pendekatan cross sectional. Populasi yang digunakan seluruh siswa kelas 5 yaitu 94 responden dan jumlah sampel 94 responden dengan teknik total sampling dengan uji korelasi adalah uji Chi-square. Hasil: Sebanyak 94 responden diperoleh hasil, untuk tingkat pengetahuan mayoritas berada pada kategori baik yaitu sebanyak 58 orang (61.7%), sedangkan tingkat kesiapsiagaan mayoritas berada pada kategori sangat siap, yaitu sebanyak 49 orang (52.1%). Setelah dilakukan uji statistik menggunakan chi-square diperoleh nilai p-value sebesar 0.000 (p<0.05). Simpulan: Terdapat hubungan yang signifikan antara pengetahuan dengan kesiapsiagaan dalam menghadapi bencana banjir pada siswa siswi SDN 2 Rajabasa Bandar Lampung. Diharapkan pihak sekolah maupun guru bukan hanya menerapkan atau menjelaskan secara teoritis tetapi juga harus diterapkan secara praktik melalui pelatihan mengenai bencana banjir. Kata Kunci: Anak Sekolah Dasar; Pengetahuan; Kesiapsiagaan Bencana Banjir.

Factors Associated With Incomplete Abortion At H.M. Ryacudu Regional General Hospital Of Kotabumi North Lampung Regency Lukitasari, Eli; Astriana, Astriana; Nurliyani, Nurliyani; Trismiyana, Eka
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 7 (2024): Volume 10,No.7 Juli 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i7.11518

ABSTRAK : FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS INKOMPLETUS DI RSUD H.M. RYACUDU KOTABUMI KABUPATEN LAMPUNG UTARA Latar Belakang : Salah satu masalah kehamilan yang banyak terjadi yaitu abortus, dari 46 juta kelahiran pertahun didapatkan 20 juta kasus karena abortus. Abortus menyumbang angka sebesar 5% dari komplikasi kehamilan yang menyebabkan kematian ibu. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan kejadian Abortus Inkompletus di Rumah Sakit Umum Daerah H.M Ryacudu Kotabumi Kabupaten Lampung Utara tahun 2020-2022Metode Penelitian : Jenis penelitian yang digunakan adalah rancangan cross sectional. Populasi penelitian ini adalah ibu-ibu hamil yang mengalami Abortus dan dirawat di ruang rawat inap Rumah Sakit H.M Ryacudu Kotabumi Lampung Utara tahun 2020 – 2022 yang berjumlah 167 orang. Sampel dalam penelitian ini berjumlah 167 orang. Variabel Independen Usia ibu, usia kehamlan, paritas dn riwayat aboertus. Tehnik sampling total sampling Analisa menggunkan uji Chi Square.Hasil penelitian : Didapatkan Kejadian abotrus inkompleteus sebanyak 112 kasus (67,1%). Usia ibu hamil yang mengalami kejadian abotrus >35 tahun sebanyak 89 orang (53,3%). Usia kehamilan ibu hamil yang mengalami kejadian abotrus <12 minggu sebanyak 135 orang (80,8%). Paritas ibu hamil yang mengalami kejadian abotrus < 4 kali sebanyak 125 orang (74,9%) Ibu hamil yang tidak memiliki riwayat abortus sebanyak 118 orang (70,7%). Ada hubungan usia Ibu dengan Kejadian Abortus Inkompletus p-Value 0,025. Ada hubungan usia kehamilan dengan kejadian abortus inkompletus p-Value 0,000. Ada hubungan paritas dengan kejadian abortus inkompletus p-Value 0,000. Ada hubungan riwayat abortus dengan kejadian abortus inkompletus p-Value 0,016.Kesimpulan : Ada hubungan Usia ibu, Usia Kehamilan, Paritas, Riwayat Abortus dengan kejadian abortus Inkompletus di Rumah Sakit Umum Daerah H.M Ryacudu Kotabumi Kabupaten Lampung Utara tahun 2020-2022.Saran : Disarankan kepada ibu hamil untuk melakukan ANC secara rutin dan mengatur paritas serta usia kehamilan untuk menghindari kejadian abortus. Kata kunci : Usia, Usia Kehamilan, Paritas, Riwayat Abortus ABSTRACT Background: One of the prevalent issues during pregnancy is abortion, with 20 million cases out of 46 million annual births resulting from abortions. Abortion contributes about 5% of pregnancy complications that lead to maternal death. The research aims to identify factors associated with the incidents of incomplete abortions at H.M. Ryacudu Regional General Hospital, Kotabumi, North Lampung Regency, from 2020 to 2022.Research Method: The study employed a cross-sectional design. The research population consisted of pregnant mothers who experienced abortion and were admitted to the inpatient ward of H.M. Ryacudu Regional General Hospital in Kotabumi, North Lampung from 2020 to 2022, totaling 167 individuals. The sample for this research was also 167 individuals. Total sampling technique was utilized, and Chi-Square test was employed for analysis.Research Findings: The study found 112 cases (67.1%) of incomplete abortion incidents. Pregnant mothers aged >35 years accounted for 89 individuals (53.3%). Pregnant mothers with a gestational age of <12 weeks during the abortion incident totaled 135 individuals (80.8%). Pregnant mothers with a parity of <4 accounted for 125 individuals (74.9%). Pregnant mothers without a history of abortion amounted to 118 individuals (70.7%). There is a correlation between Maternal Age and Incomplete Abortion Incident with a p-Value of 0.025. There is a correlation between Gestational Age and Incomplete Abortion Incident with a p-Value of 0.000. There is a correlation between Parity and Incomplete Abortion Incident with a p-Value of 0.000. There is a correlation between Abortion History and Incomplete Abortion Incident with a p-Value of 0.016.Conclusion: There is a relationship between maternal age, gestational age, parity, history of abortion with the incidence of incomplete abortion at the H.M Ryacudu Kotabumi Regional General Hospital, North Lampung Regency in 2020-2022.Suggestions : Pregnant mothers are advised to undergo regular antenatal care and manage their parity and gestational age to prevent abortion incidents. Keywords : Maternal Age, Gestational Age, Parity, Abortion History

Asuhan Keperawatan Lansia Penderita DM dengan Perfusi Perifer Tidak Efektif Menggunakan Terapi Range of Motion (ROM) Ankle di RS Pertamina Bintang Amin Safutri, Apriyanti; Trismiyana, Eka; Keswara, Umi Romayati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 11 (2024): Volume 7 No 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i11.17039

ABSTRACT The number of DM sufferers in the world has reached 425 million people. Based on the Central Statistics Agency / BPS (2019), the total population in Indonesia experiencing DM has reached 13.7 million people and in Pertamina Bintang Amin Hospital Lampung in 2023 there will be 6555 people. Neuropathy is the most common chronic complication of DM (Putri, et al, 2020). Peripheral neuropathy is a microvascular disease that affects the small arteries that supply blood to the periphery (Putri, et al., 2020). Ineffective peripheral tissue perfusion in DM patients can cause frequent tingling sensations, this is related to decreased peripheral blood circulation down to the nerve fibers (Lestari, 2016). Blood circulation disorders at the ends or edges of the body in people with diabetes are caused by poor blood circulation because the blood is too thick and contains a lot of sugar. Narrowing and blockage of peripheral (main) blood vessels often occurs in the lower legs (especially the feet) (Permatasari et al., 2020). To make nursing care for the elderly with peripheral perfusion ineffective, use Ankle range of motion (ROM) therapy at Pertamina Bintang Amin Hospital.. The case study method for 2 respondents focuses on nursing care for elderly people with ineffective peripheral perfusion using ankle range of motion (ROM) therapy at Pertamina Bintang Amin Hospital. In both cases of DM in Mr. S and Mrs. Y both showed improvement. Improvements in symptoms that can be observed include: warm palpable acral, CRT <3 seconds, good skin turgor, no pallor around the skin in the foot area, increased dorsalis pedis pulse, increased ABI value. Ankle ROM therapy can increase ABI values in ineffective peripheral perfusion Keywords: Elderly, Ineffective Peripheral Perfusion Type II DM, Ankle ROM Exercises ABSTRAK Jumlah penderita DM di dunia telah mencapai 425 juta jiwa. Berdasarkan Badan Pusat Statistik / BPS (2019) menyatakan bahwa total penduduk di Indonesia yang mengalami DM mencapai 13,7 juta orang dan di RS Pertamina Bintang Amin Lampung pada tahun 2023 sebanyak 6555 orang. Neuropati merupakan komplikasi kronik DM yang paling umum ditemui (Putri, Dkk, 2020). Neuropati perifer merupakan penyakit mikrovaskular yang mengenai pembuluh darah arteri kecil yang menyuplai darah ke perifer (Putri, Dkk, 2020). Ketidak efetifan perfusi jaringan perifer ini pada pasien DM dapat menyebabkan rasa kesemutan yang sering timbul, hal ini berkaitan sirkulasi darah perifer menurun hingga ke serabut saraf (Lestari, 2016). Gangguan sirkulasi darah pada bagian ujung atau tepi tubuh pada penderita penyakit diabetes diakibatkan karena peredaran darah yang kurang lancar karena darah terlalu kental dan banyak mengandung gula. Penyempitan dan penyumbatan pembuluh darah perifer (yang utama), sering terjadi pada tungkai bawah (terutama kaki) (Permatasari et al., 2020). Untuk membuat asuhan keperawatan lansia dengan keperawatan lansia dengan Perfusi ferifer tidak efektif menggunakan terapi range of motion (ROM) Ankle di RS Pertamina Bintang Amin. Metode studi kasus 2 responden memfokuskan pada asuhan keperawatan lansia dengan Perfusi ferifer tidak efektif menggunakan terapi range of motion (ROM) Ankle di RS Pertamina Bintang Amin. Pada kedua kasus DM pada Tn. S dan Ny. Y sama-sama menunjukkan perbaikan. Perbaikan gejala yang dapat diamati antara lain: akral teraba hangat, CRT <3 detik, turgor kulit baik, tidak ada pucat disekitar kulit area kaki, nadi dorsalis pedis meningkat, nilai ABI meningkat.Terapi ROM Ankle dapat meningkatkan Nilai ABI pada Perfusi ferifer tidak efektif Kata Kunci: Lansia, Perfusi Perifer Tidak Efektif DM Tipe II, Latihan ROM Ankle

Asuhan Keperawatan Keluarga dengan Penerapan Slow Deep Breathing Terhadap Nyeri Akut pada Penderita Hipertensi di Desa Kotahara Sukarami Balik Bukit Khorip, Patrur; Trismiyana, Eka; Winarno, Rudi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.16761

ABSTRACT Hypertension is categorized as a non-communicable disease (NCD) which is a disease that is not caused by infection with microorganisms such as protozoa, bacteria, fungi, or viruses. Hypertension can be defined as persistent blood pressure with systolic pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. One of the nonphanakological therapies that can be done is slow deep breathing therapy. To determine the effect of slow deep breathing therapy on lowering blood pressure. This study uses a descriptive method with a nursing care case study approach that discusses assessment, nursing diagnosis, planning, and evaluation. There is an effect of slow deep breathing therapy on lowering blood pressure, a decrease in systolic and diastolic blood pressure of 10 mmHg was obtained after being given slow deep breathing therapy for 15 minutes for 3 days and done every morning and evening. There is an effect of slow deep breathing therapy on lowering blood pressure Keywords: Slow Deep Breathing, Hypertension, Family ABSTRAK Hipertensi dikategorikan Penyakit tidak menular (PTM) dimana merupakan penyakit yang tidak disebabkan oleh infeksi mikroorganisme seperti protozoa, bakteri, jamur, maupun virus. Hipertensi dapat didefinisikan sebagai tekanan darah persisten dengan tekanan sistolik di atas 140 mmHg dan tekanan darah diastolik diatas 90 mmHg. Salah satu terapi nonfarnakologis yang dapat dilakukan terapi slow deep breathing. Untuk mengetahui pengaruh pemberian terapi slow deep breathing terhadap penurunan tekanan darah. Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus asuhan keperawatan yang membahas pengkajian, diagnose keperawatan, penrencanaan, dan evaluasi terdapat pengaruh terapi slow deep breathing terhadap penurunan tekanan darah, didapatkan penurunan tekanan darah systolic dan diastolic 10 mmHg setelah di berikan terapi slow deep breathing selama 15 menit selama 3 hari dan dilakukan setiap pagi dan sore hari. Terdapat pengaruh terapi slow deep breathing terhadap penurunan tekanan darah. Kata Kunci: Slow Deep Breathing, Hipertensi, Keluarga

Hubungan Pengetahuan dan Sikap Masyarakat tentang Mitigasi Bencana Banjir dengan Perilaku Kesiapsiagaan Terhadap Ancaman Banjir di Kelurahan Rajabasa Listiana, Listiana; Trismiyana, Eka; Rianty, Dian Asih
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20014

ABSTRACT Floods can cause direct and indirect losses. Indonesia is ranked fourth in Asia in terms of flood disaster risk. Lampung Province is a province with a high flood disaster risk index, and in 2024, there were 10 flood events that occurred in the Bandar Lampung area, with the most frequent occurrences in the Bandar Lampung area. Rajabasa Village is the most frequently affected area by floods, and preparedness behavior towards flood threats is necessary. The purpose of this study was to determine the relationship between knowledge and attitude of the community about flood disaster mitigation with preparedness behavior towards flood threats.This research used a quantitative approach with an analytical survey design and a cross-sectional approach. The population consisted of residents of RT 3, Rajabasa Village, Bandar Lampung City, with a sample size of 96 people, using simple random sampling technique. Statistical tests used chi-square test. The results showed that most respondents had good knowledge about flood disaster mitigation (60.4%), a good attitude towards flood disaster mitigation (54.2%), and preparedness behavior towards flood threats in the good category (59.4%). The results of the statistical test showed that there was a relationship between knowledge level (p-value = 0.01; OR = 3.316) and attitude (p-value = 0.000; OR = 13.115) with preparedness behavior towards flood threats. It is expected that health workers can increase public awareness about the importance of flood disaster mitigation through socialization and training activities. Keywords: Flood Disaster Mitigation, Knowledge, Attitude, Preparedness Behavior. ABSTRAK Banjir dapat menimbulkan kerugian baik secara langsung maupun tidak langsung. Indonesia berada diurutan ke empatdi wilayah Asia yang rawan bencana banjir. Provinsi Lampung merupakan Provinsi yang memiliki indeks risiko bencana banjir dalam kategori tinggi, pada tahun 2024 terjadi bencana banjir sebanyak 10 kejadian yang meliputi wilayah Bandar Lampung, dimana paling banyak terjadi di wilayah Bandar Lampung. Kelurahan Rajabasa merupakan wilayah paling sering terdampak banjir, dimana diperlukan perilaku kesiapsiagaan terhadap ancaman banjir. Tujuan penelitian ini yaitu diketahui hubungan pengetahuan dan sikap masyarakat tentang mitigasi bencana banjir dengan perilaku kesiapsiagaan terhadap ancaman banjir.Jenis penelitian ini adalah kuantitatif. Rancangan survey analitik dengan pendekatan waktu cross sectional. Populasi yaitu warga RT 3 Kelurahan Rajabasa Kota Bandar Lampung, dengan jumlah sampel sebanyak 96 orang, menggunakan teknik sampling simple random sampling. Uji stastistik menggunakan uji chi-square. Hasil penelitian diperoleh sebagian besar responden memiliki pengetahuan baik tentang mitigasi bencana banjir (60,4%), sikap baik terhadap mitigasi bencana banjir (54,2%), serta perilaku kesiapsiagaan terhadap ancaman banjir dalam kategori baik (59,4%). Hasil uji statistik diperoleh adamya hubungan tingkat pengetahuan (p-value = 0,01; OR= 3,316) dan sikap (p-value = 0,000; OR= 13,115) dengan perilaku kesiapsiagaan terhadap ancaman banjir. Diharapkan bagi tenaga kesehatan agar dapat meningkatkan kesadaran masyarakat tentang pentingnya mitigasi bencana banjir melalui kegiatan sosialisasi dan pelatihan. Kata Kunci: Mitigasi Bencana Banjir, Pengetahuan, Sikap, Perilaku Kesiapsiagaan

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