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Implementasi Program Peduli Sehat untuk Meningkatkan Kesadaran dan Deteksi Dini Penyakit Tidak Menular Nursanti, Irna; Fadhillah, Harif; Natashia, Dhea; Anggraini, Dewi; Susanti, Yuanita
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21627

Abstract

ABSTRAK Penyakit Tidak Menular (PTM) seperti hipertensi, diabetes, dan dislipidemia merupakan ancaman utama kesehatan masyarakat, terutama pada kelompok perempuan menopause yang mengalami perubahan hormonal dan metabolik signifikan. Rendahnya kesadaran terhadap deteksi dini dan gaya hidup sehat menjadi faktor yang memperburuk risiko. Kegiatan ini bertujuan untuk meningkatkan kesadaran dan literasi kesehatan melalui program edukasi, pemeriksaan kesehatan, dan konsultasi individual berbasis komunitas pada kelompok usia ≥45 tahun, khususnya perempuan menopause. Dari 50 peserta, sebanyak 80% merupakan perempuan dengan rata-rata usia 62 tahun. Hasil pemeriksaan menunjukkan rata-rata tekanan darah sistolik 137,76 mmHg (prehipertensi), GDS 145,92 mg/dL (prediabetes), IMT 26,54 kg/m² (overweight), kolesterol 224,22 mg/dL (borderline high), dan asam urat 6,83 mg/dL (di atas normal untuk perempuan). Sesi penyuluhan dan konsultasi menunjukkan bahwa peserta memahami keterkaitan antara hasil pemeriksaan dengan risiko PTM, dan mayoritas menyatakan motivasi untuk mulai mengubah pola hidup. Program PEDULI SEHAT terbukti efektif dalam meningkatkan pemahaman dan kepedulian peserta terhadap kondisi kesehatannya. Peran ‘Aisyiyah sebagai mitra komunitas memperkuat keberhasilan pendekatan edukatif yang partisipatif dan responsif gender, khususnya pada kelompok perempuan menopause. Kata Kunci: Penyakit Tidak Menular, Menopause, Edukasi Kesehatan, Deteksi Dini, Lansia.  ABSTRACT Non-Communicable Diseases (NCDs) such as hypertension, diabetes, and dyslipidemia are major public health threats, particularly among postmenopausal women who experience significant hormonal and metabolic changes. Low awareness of early detection and healthy lifestyle practices further increases these risks. This community-based program aimed to improve health literacy and awareness through education, health screening, and individual consultation targeting adults aged ≥45 years, with a focus on postmenopausal women. Of the 50 participants, 80% were women with a mean age of 62 years. Health screening results showed an average systolic blood pressure of 137.76 mmHg (prehypertension), random blood glucose of 145.92 mg/dL (prediabetes), BMI of 26.54 kg/m² (overweight), total cholesterol of 224.22 mg/dL (borderline high), and uric acid of 6.83 mg/dL (above normal for women). Educational and consultation sessions helped participants understand the link between their health indicators and NCD risk, and most expressed motivation to adopt healthier lifestyles. The PEDULI SEHAT program was effective in enhancing participants’ awareness and concern for their health status. The involvement of ‘Aisyiyah, a trusted community-based women’s organization, played a vital role in supporting a participatory and gender-responsive health promotion approach, especially among postmenopausal women. Keywords: Non-Communicable Diseases, Menopause, Health Education, Older Adults
Meningkatkan Kesiapan Sekolah dalam Edukasi Kesehatan Reproduksi bagi Siswi Tunagrahita: Studi Pengabdian di SLB Jakarta Pusat Anggraini, Dewi; Sari, Irma Permata; Nursanti, Irna
Mestaka: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 4 (2025): Agustus 2025
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/mestaka.v4i4.746

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Reproductive health education for intellectually disabled female students in special schools remains inadequate due to the lack of tailored teaching modules, teacher training, and curriculum support. This community service program, initiated by nurses from the Department of Maternity and Reproductive Health Nursing at UMJ, aimed to enhance school readiness through three main interventions: provision of menstrual kits, installation of educational posters, and teacher training for 10 special school teachers. The program also targeted 15 intellectually disabled students and representatives of parents and school principals as policymakers. Nurses played a key role in designing instructional media, facilitating interactive workshops, and guiding pre‑post test evaluations. Implemented at SLB B‑C Cempaka Putih Central Jakarta from October 2024 to June 2025, this participatory approach yielded a 35% average increase in teacher knowledge scores, 85% respondent satisfaction, and positive student behavioral changes in recognizing menstrual signs and maintaining hygiene. This success demonstrates the enhanced capacity of nurses and schools to create an inclusive, supportive, and responsive environment for the reproductive needs of intellectually disabled adolescents.
Sapa Jiwa Bersama Keluarga Meringankan Beban, Menguatkan Harapan Dalam Perawatan ODGJ Slametiningsih, Slametiningsih; Widiastuti, Eni; Nursanti, Irna; Rita, Erni; Sukma, Bagja Angga; Kusmayadi, Yadi; Somana, Aan; Wahyuni, Sri
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 9 (2025): Volume 8 No 9 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i9.21981

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ABSTRAK Keluarga memiliki peran utama dalam merawat Orang Dengan Gangguan Jiwa (ODGJ), namun kerap menghadapi beban emosional, sosial, dan ekonomi. Minimnya akses terhadap edukasi dan dukungan psikososial membuat peran ini menjadi semakin berat. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meringankan beban keluarga pengasuh ODGJ melalui edukasi psikososial, diskusi kelompok, dan fasilitasi akses layanan kesehatan jiwa di Kelurahan Leuwi Gajah, Bandung. Metode: Kegiatan melibatkan 11 responden yang merupakan keluarga ODGJ. Mayoritas berjenis kelamin perempuan (63,6%) dengan usia rata-rata 39,6 tahun. Tingkat pendidikan sebagian besar adalah SMA (45,5%) dan SMP (36,4%). Hubungan responden dengan ODGJ sebagian besar adalah orang lain (54,5%) dan saudara kandung (36,4%). Sebagian besar menggunakan BPJS (90,9%) dan telah merawat ODGJ lebih dari satu tahun (90,9%). Perawatan dilakukan secara bergantian (81,8%), dan sebagian besar rutin melakukan kontrol ke rumah sakit (63,6%). Hasil: Sebelum intervensi, rata-rata skor beban keluarga sebesar 27,5 dan menurun menjadi 25,7 setelah intervensi. Meskipun tidak signifikan secara statistik, peserta melaporkan peningkatan pemahaman dan rasa lebih kuat secara emosional. Kesimpulan: Program “SAPA JIWA” memberikan dampak positif dalam meringankan beban keluarga dan memperkuat peran mereka dalam perawatan ODGJ. Pendekatan komunitas yang partisipatif menjadi kunci keberhasilan dalam membangun ketahanan keluarga. Kata Kunci: Pengabdian Masyarakat, ODGJ, Beban Keluarga, Edukasi Psikososial, Kesehatan Jiwa Komunitas.  ABSTRACT Families play a central role in caring for people with mental disorders (ODGJ), yet often face emotional, social, and financial burdens. Limited access to education and psychosocial support further complicates their role. Objective: This community service activity aimed to ease caregiver burden through psychosocial education, group discussions, and access to mental health services in Leuwi Gajah, Bandung. Methods: The program involved 11 respondents who were family members of ODGJ. Most were female (63.6%) with an average age of 39.6 years. Educational backgrounds were mostly high school (45.5%) and junior high (36.4%). The majority were non-parental caregivers (54.5%) and siblings (36.4%). Most used BPJS insurance (90.9%) and had been caring for the patient for more than one year (90.9%). Caregiving was mostly done in shifts (81.8%) and 63.6% routinely visited mental health services. Results: The average caregiver burden score decreased from 27.5 to 25.7 after the program. Although not statistically significant, participants reported improved understanding and emotional resilience. Conclusion: The “SAPA JIWA” program had a positive impact on reducing caregiver burden and strengthening the family's role in supporting ODGJ. A participatory, community-based approach was key to fostering family resilience. Keywords: Community Service, Mental Disorders, Caregiver Burden, Psychosocial Education, Community Mental Health
Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia Damayanti, Sri Utami; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Herawati, Eva
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.623

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Aim: to determine the effectiveness of upper arm exercises on pain intensity among patients with breast cancer at the Dharmais Cancer Hospital, Indonesia. Methods: This study used a queasy experiment with pre-post-test and two-group design. Twenty respondents from breast cancer patients in each intervention and control group were recruited. The upper arm training intervention was carried out 3 times/week for 3 weeks. The Visual Analogue Scale (VAS) was used to assess pain, and linear regression and the dependent t-test with a significance level of 0.05 (CI 95%) were used for analysis. Result: The significant difference in pain levels between the intervention group and the control group shows that the mean difference in the pain level scale of respondents in the upper arm exercise intervention group was 2.50 (SD=0.60), while in the control group, the mean was 1.70 (SD=0.65). control group with (t=4.00, p=0.001), and age (p-value =0.023; OR=8.645) were predictors in this study. Conclusions: Upper arm exercises can be recommended to reduce pain in breast cancer sufferers, especially breast cancer patients who have undergone stage 1 and 2 mastectomy operations. It is recommended that further research involve respondents who had the same level of pain before upper arm exercises were carried out
The Effect of Social Media Application-Based Interventions on HIV Adherence to ARV Medication among Patients with HIV Herawati, Eva; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Damayanti, Sri Utami
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.637

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Aims: The purpose of this study was to determine the effect of health interventions based on social media applications on HIV patients' adherence to taking ARV medication.  Method: In this study, 76 were selected using a quasi-experimental methodology and a purposive sampling technique. then divided into two distinct groups: intervention and control. During the study, respondents in the intervention group received treatment in the form of reminders via WhatsApp and the SiARV web application. The control group was only given standard health services without any technology-based health interventions. Results: Significant changes in treatment adherence were observed in both the intervention group (p=0.001) and the control group (p=0.001). The difference in treatment adherence between the intervention group and the control group was statistically significant (p=0.040). In the context of multivariate analysis, education was found to be predictive of changes in respondent Adherence (p = 0.019; OR = 3.692). Discussion: Awareness of ARV adherence can be increased and maintained through SiARV social media as a strategy for reminding and controlling patient adherence Conclusion: HIV patients' adherence to taking ARV medications is affected by health interventions utilizing social media applications. It is anticipated that providing HIV patients with application-based interventions and a high level of patient knowledge through education will enhance their quality of life.
Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital Wahdaniyah, Wahdaniyah; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Resnayati, Yeti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.644

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Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test.  Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital
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.
THEORY CONCEPT OF DOROTHEA ELIZABETH OREM'S NURSING MODEL DOROTHEA ELIZABETH OREM: SELF-CARE IN NURSING CARE FOR MR. S WITH NON-HEMORRHAGIC STROKE AT MAYAPADA HOSPITAL Tasya, Chindyca Anna; Nursanti, Irna
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.300

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This study aims to implement nursing care in a non-hemorrhagic stroke case in an inpatient setting, using Dorothea Orem's nursing model theory. The focus of this case study is to provide comprehensive nursing care to Mr. S based on Orem's conceptual framework. The research method used is a case study with a nursing care approach based on Orem's theory. Data were collected through interviews, observations, physical examinations, and using an assessment format adapted to Orem's nursing theory.The initial assessment of Mr. S revealed a blood pressure of 180/100 mmHg, a pulse rate of 80 beats/min, SpO2 of 95% with 3 lpm of oxygen, and a respiratory rate of 26 breaths/min. From this data, two primary nursing problems were identified: the risk of decreased cerebral tissue perfusion and an ineffective breathing pattern. Nursing interventions aligned with the Indonesian Nursing Outcome Standards (SLKI). After three days of nursing care for Mr. S, it was concluded that both nursing interventions had partially resolved the problem. This study recommends that nurses consistently implement and improve the quality of nursing care using Dorothea Orem's self-care theory.
THEORY CONCEPT OF HILDEGAR E PEPLAU’S NURSING MODEL IN MENTAL NURSING CARE WITH THE RISK OF VIOLENT BEHAVIOR IN THE KUTILANG WARD OF THE PROVINCIAL MENTAL HOSPITAL BENGKULU IN 2025 Fitri, Riza; Nursanti, Irna
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.301

Abstract

Analysis of the interpersonal relationship theory by Hildegard E Peplau explain the basic concepts of the theory that focuses on human, health, nursing and environmental aspects. This theory is also one of the most influential nursing models in psychiatric nursing practice, especially in treating patient at risk of violent behavior.  In its application, this theory forms a dynamic and continuous interpersonal relationship between nurses and patients. This interpersonal relationship is divided into four phases of therapeutic relationship between nurses and patients, namely the orientation phase, the identification phase, the exploitation phase and the resolution phase. Here we discuss the concept of Peplau’s theory and its application to psychiatric nursing care in the kutilang ward of the Bengkulu Provincial Mental Hospital for patient with medical diagnosis of schizophrenia who experiences auditory hallucination and is at risk of violent behavior. The application of the theory focuses on therapeutic communication, assessing, triggers of aggression, establishing trusting relationships and developing adaptive coping through. Structured interventions based on the SDKI-SLKI-SIKI. The result of the application show a decrease in improvement in patient’s self-esteem. The theoretical analysis shows that the Peplau model has advantages in building effective interpersonal relationships and increasing patient involvement in the recovery process. However, this theory has limitations in patients with severe psychosis who find it difficult to establish optimal therapeutic contact, and it underemphasizes the biological aspects often needed in the acute phase. Overall, Peplau’s theory has proven relevant and effective as humanistic, relationship-oriented approach to psychiatric nursing.
THEORY CONCEPT OF DOROTHEA ELIZABETH OREM'S NURSING MODEL: IN NURSING CARE FOR TYPE 2 DIABETES MELLITUS Hidayanti, Putri; Nursanti, Irna
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.302

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Type 2 Diabetes Mellitus requires long-term management and patient involvement in self-care. Dorothea Elizabeth Orem's Self Care Theory provides a comprehensive approach to facilitating patient independence through identifying self-care needs, self-care agency capabilities, and determining appropriate nursing systems. This study aims to provide a comprehensive overview of the conceptual model and theory of Dorothea Elizabeth Orem and analyze the application of Orem's theory in nursing care for type 2 diabetes mellitus patients through a case study on Mrs. S, a patient with poor blood sugar control, non-adherence to medication, dietary ignorance in diabetics, and difficult-to-heal foot wounds. The research method uses a case study approach, through requisites assessment, self-care deficit identification, nursing system determination, and the preparation of interventions based on SIKI-SLKI standards. The results show that Mrs. S experiences knowledge deficits, ineffective health management and infection risks. The nursing system required includes supportive-educational and partly compensatory systems. The interventions provided improved patient understanding, medication adherence, wound care, and general self-care skills. The application of Orem's theory has been shown to provide a systematic framework for improving the independence of patients with Type 2 DM and preventing complications.