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Effect of Counselling on Medication Adherence in Tb Patients with the DOTS Strategy: A Scoping Review Kurnia, Anggraini Dwi; Ni’mah, Isna Hidayatun; Masruroh, Nur Lailatul; Melizza, Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (647.903 KB) | DOI: 10.30604/jika.v6i4.762

Abstract

Tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis; these bacteria can attack various organs especially the lungs. Lack of knowledge and awareness of the importance of taking medication which leads to poor patient adherence in treatment thus increases the risk of morbidity, mortality and drug resistance in TB patients. Providing counselling is an effort to increase patient’s knowledge and understanding to increase their compliance with medication. This study aims to determine the effect of counselling in increasing medication adherence to TB patients with the DOTS strategy through a literature review. This study used a literature study research method by examining 11 journals related to counselling in increasing medication adherence to TB sufferers. The data was collected by searching data based on article data published on the Google Scholar, Proquest, Pubmed, and EBSCOhost websites. Then the data were analyzed using descriptive analysis. The data was then assessed using the Joanna Briggs Institute (JBI) and data extraction was carried out. In 11 journals related to counselling in improving medication adherence to TB patients, it was found that 11 journals proved that there was an effect of counselling in increasing medication adherence of TB patients with the DOTS strategy. Counselling added to the DOTS strategy is effective in increasing medication adherence to TB patients compared to the DOTS strategy without counselling. There are several methods of providing counseling such as individual counseling, counseling with a psychological approach, telephone counseling, leaflet-based counseling, and counseling-based motivational interviewing. The conclusion of this study is that counselling can improve medication adherence to TB patients with the DOTS strategy. By providing counselling, it can increase the patient's knowledge and understanding so that it can change the patient's behavior to a better and positive direction, which is shown by the patients' behavior who adherence to TB medication.Tuberkulosis (TB) adalah penyakit menular yang disebabkan oleh bakteri Mycobacterium tuberculosis; bakteri ini dapat menyerang berbagai organ terutama paru-paru. Kurangnya pengetahuan dan kesadaran akan pentingnya minum obat yang menyebabkan rendahnya kepatuhan pasien dalam pengobatan sehingga meningkatkan risiko morbiditas, mortalitas dan resistensi obat pada pasien TB. Pemberian konseling merupakan upaya untuk meningkatkan pengetahuan dan pemahaman pasien untuk meningkatkan kepatuhannya dalam minum obat. Penelitian ini bertujuan untuk mengetahui pengaruh konseling dalam meningkatkan kepatuhan minum obat pada pasien TB dengan strategi DOTS melalui studi pustaka. Penelitian ini menggunakan metode penelitian studi kepustakaan dengan menelaah 11 jurnal terkait penyuluhan dalam meningkatkan kepatuhan minum obat pada penderita TB. Pengumpulan data dilakukan dengan mencari data berdasarkan data artikel yang dipublikasikan di website Google Scholar, Proquest, Pubmed, dan EBSCOhost. Kemudian data dianalisis dengan menggunakan analisis deskriptif. Data tersebut kemudian dinilai menggunakan Joanna Briggs Institute (JBI) dan dilakukan ekstraksi data. Pada 11 jurnal terkait konseling dalam meningkatkan kepatuhan minum obat pada pasien TB ditemukan 11 jurnal yang membuktikan adanya pengaruh konseling dalam meningkatkan kepatuhan minum obat pasien TB dengan strategi DOTS. Konseling dengan strategi DOTS lebih efektif dalam meningkatkan kepatuhan minum obat pada pasien TB dibandingkan dengan strategi DOTS tanpa konseling. Ada beberapa metode pemberian konseling seperti konseling individu, konseling dengan pendekatan psikologis, konseling telepon, konseling berbasis leaflet, dan wawancara motivasi berbasis konseling. Kesimpulan dari penelitian ini adalah penyuluhan dapat meningkatkan kepatuhan minum obat pada pasien TB dengan strategi DOTS. Dengan memberikan penyuluhan dapat meningkatkan pengetahuan dan pemahaman pasien sehingga dapat mengubah perilaku pasien ke arah yang lebih baik dan positif, yang ditunjukkan dengan perilaku pasien yang patuh minum obat TB.
Factors Related to the Quality of Life among Elderly with Dementia: A Scoping Review Anggraini Dwi Kurnia; Adit Krisnanda; Nur Lailatul Masruroh; Nur Melizza
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2053

Abstract

Dementia is a degenerative neurological condition in the elderly with a syndrome of decreased brain function that affects cognitive, memory and function. One of the significant impacts of dementia is that it causes changes in the quality of life influenced by various factors. This study aims to examine the factors that affect the quality of life of the elderly with dementia based on a scoping review. The design of this research is a literature review. Journal searches were performed on the NCBI, SpringerLink, BioMed Central and EBSCOhost websites using the keywords (“Factors”) OR (“Risk Factors”) OR (“Predictors”) AND (“Influence”) OR (Affect) OR (Impact) OR ( “Associated”) AND (“Quality of Life)” OR (Health Related Quality of Life”) AND (“Elderly”) OR (“Aged” OR (“Older Adults”) AND (“Dementia”) according to inclusion criteria. The journals were then assessed for quality using JBI (Joanna Briggs Institute) and analyzed using thematic analysis method. A total of 11 relevant journals were used in this study with the results of the analysis showing that physical factors are the biggest factors affecting the quality of life of elderly dementia by 46%, followed by psychological factors 34%, other factors 8%, demographic characteristics factors 8% and social factors 4 %. Based on the findings of this study, various treatment strategies or interventions should be developed and implemented to improve the quality of life of the elderly with dementia by further identifying the factors that affect the quality of life.
Hubungan Status Rumah Sehat Dengan Kejadian Tuberkulosis Di Wilayah Kecamatan Campurdarat Zahid Fikri; Wisnu Bayu Samudra Samudra; Anggraini Dwi Kurnia; Nur Lailatul Masruroh; Nur Melizza
Indonesian Health Science Journal Vol. 1 No. 2 (2021): September
Publisher : Universitas Nazhatut Thullab Al- Muafa Sampang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52298/ihsj.v1i2.14

Abstract

Latar Belakang: Penyakit TB merupakan penyakit berbasis lingkungan dengan tingkat penyebaran tinggi melalui droplet di udara dan dapat menyebar cepat terutama bila didukung oleh lingkungan dan kondisi rumah yang tidak sehat. Di Indonesia secara nasional terdapat 61,81% rumah yang memenuhi syarat kesehatan. Hasil ini belum memenuhi target Kementrian Kesehatan tahun 2014 yaitu 77%. Rumah sehat bisa diperoleh dengan tersedianya sanitasi perumahan. Sarana sanitasi tersebut berupa ventilasi, suhu, kelembaban, kepadatan hunian, pencahayaan alami, kontruksi bangunan, sarana pembuangan limbah, dan penyediaan air bersih. Oleh karena itu, penelitian ini bertujuan untuk menganalisis hubungan rumah sehat dengan kejadian tuberkulosis. Metode: penelitian ini adalah penelitian dekskriptif analitik dengan pendekatan case control. Penelitian ini dilakukan pada bulan Oktober-November 2020 di Puskesmas Campurdarat. Pengambilan sampel dilakukan dengan purposive sampling, jumlah sampel 24 responden dengan kelompok control 12 responden dan kelompok kasus 12 responden. Analisa data menggunakan analisa bivariate yaitu uji chi-square. Hasil: Hasil penelitian menunjukkan bahwa mayoritas responden memiliki rumah tidak sehat (75 %), setengah dari responden menderita tuberkulosis (50 %) dan adanya hubungan antara rumah sehat dengan kejadian tuberkulosis (p=0,014) dengan nilai resiko suhu 0,1 kali, kelembapan 0,065 kali, pencahayaan alami 0,111 kali, ventilasi 0,111 kali dan kepadatan hunian 0,1 kali lebih beresiko di banding dengan rumah yang sehat. Diskusi: Adanya hubungan rumah sehat dengan kejadian tuberkulosis dikarenakan bahwa mayoritas responden memiliki rumah tidak sehat. Hal ini bisa dilihat dari mayoritas responden yang tidak membuka jendela saat pagi hari karena rumah berdekatan dengan pengrajin sehingga tidak ada pertukaran udara yang terjadi dalam rumah. Diharapkan petugas kesehatan, dalam memberikan pelayanan kesehatan untuk memotivasi responden untuk memiliki atau memodifikasi rumah menjadi rumah sehat.
Studi Literatur: Efektivitas Intervensi Isometric Handgrip Exercise Untuk Menurunkan Tekanan Darah Pada Lansia Dengan Hipertensi Nur Melizza; Ilvi Maulidiana Putri
Indonesian Health Science Journal Vol. 2 No. 1 (2022): Maret
Publisher : Universitas Nazhatut Thullab Al- Muafa Sampang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52298/ihsj.v2i1.23

Abstract

Introduction: The elderly are a group that is susceptible to various health problems, especially in the cardiovascular system such as hypertension. Hypertension often occurs in the elderly because of a decrease in organ function and structure. One of the non-pharmacological interventions that can be given is isometric handgrip exercise. This study aims to examine the effectiveness of isometric handgrip exercise to reduce blood pressure in the elderly with hypertension. Methods: This study uses the literature review method by analyzing scientific articles from 2017 to 2021. The data obtained are 10 journals from Science Direct, Pubmed, Google Scholar, ProQuest, and SAGE databases. Journal quality was assessed using Critical An appraisal from the Joanna Briggs Institute and analyzed using thematic analysis. Results: The results of 10 journals that have been analyzed, the tool used for isometric handgrip exercise using a dynamometer with muscle strength intensity 30%-90% MVC with a duration of 8-12 weeks can reduce high blood pressure in the elderly with hypertension. Conclusion: In this study, it was found that a dynamometer that uses maximal voluntary contraction (MVC) with an intensity of 30%-90% can have a positive effect in lowering blood pressure in the elderly with hypertension.
Personal factors related to self-care management among people with hypertension at primary health care: A cross-sectional study Anggraini Dwi Kurnia; Sri Hariyati; Nur Melizza; Chairul Huda Al Husna; Anchaleeporn Amatayakul; Adelia Handoko
Jurnal Keperawatan Padjadjaran Vol. 11 No. 3 (2023): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v11i3.2340

Abstract

Background: Hypertension requires long-term treatment and can last a lifetime. Recommendations for hypertensive patients, where it is necessary to change behavior related to self-care, consist of increasing a healthy diet, limiting sodium intake, increasing physical activity, reducing smoking, and reducing alcohol consumption. Objective: The purpose of this study was to identify the self-care model of patients with hypertension in primary healthcare in Kota Malang. Methods: This study's design was descriptive analytic with a cross-sectional methodology. Using G Power, 321 hypertension patients were used as samples. Purposive sampling was used in this study. The instruments used H-SCALE, also known as the Hypertension Self-Care Activity Level Effects. Pearson Chi-squared test was used to examine correlations among variables. Results: Factors of gender (p=0.001) and education (p=0.020) are related to self-care in hypertensive patients. Majority of respondents were women, 223 people (69.5%), Most of the respondents had elementary school education, 136 people (41.4%), the majority of the 321 respondents (216, 67.3%) have moderate self-care category. Gender and age were significant factors associated with self-care among hypertensive patients (p<0.05)  Conclusion: Gender and education level have significant correlation with self-care management of hypertension. Providing self-management intervention by considering gender and education level needs improvement. Other factors need to be explored in  further research.
The Influence of Religious Well Being on Family Resilience in Maintaining a Positive Outlook During The COVID-19 Pandemic Yoyok Bekti Prasetyo; Faridi Faridi; Nur Lailatul Masruroh; Nur Melizza; Agung Dwi Laksono; Yazid Abdullah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (647.782 KB) | DOI: 10.30604/jika.v8i1.1456

Abstract

Objective: Resilience is a person's ability to solve problems or adapt positively despite difficulties. Spiritual well-being (SWB) is considered a positive thing to solve various problems and is used as an alternative for self-care during the covid pandemic. This study aimed to determine the effect of religious well-being on family resilience in maintaining a positive outlook during the COVID-19 pandemic. Methods: The research design used is descriptive with a cross-sectional approach. Respondents in this study were 243 villagers in East Java Province. The Spiritual Well-Being Scale (SWBS) and Family Resilience Assessment Scale (FRAS) questionnaires were used. Data analysis used binary logistic regression and multivariate logistic regression. Results: Religious Well-being affects family resilience in maintaining a positive outlook. Families with adequate religious well-being will have one time chance of having resilience in maintaining a positive outlook compared to families with inadequate religious well-being (OR: 1.081; 95% CI: 1.038 – 1.127). Conclusion: Family resilience in maintaining a positive outlook is strongly influenced by religious well-being factors. Strengthening the community with a religious approach is needed to support the family's line of defense against this pandemic condition.
TRAINING AND MENTORING ON EARLY DETECTION AND TREATMENT OF CHILDHOOD GROWTH AND DEVELOPMENT DISORDERS IN ABA 05 KINDERGARTEN STUDENTS Melizza, Nur; Dwi Kurnia, Anggraini; Masruroh, Nur Lailatul; Cahyanti, Aslamiyah; Kartika, Rika Yuni; Ayu Trisna, Indah; Rosalina, Casumi; Azlina, Qory
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 6 No. 1 (2024): APRIL 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v6i1.55074

Abstract

Introduction: Early detection of growth and development is very important to be carried out to detect early deviations in growth and development in children. Independent monitoring of children's growth and development can be carried out by teaching staff at schools through various trainings in monitoring children's growth and development. This activity aims to provide training and assistance to students and teaching staff regarding the early detection and treatment of growth and development disorders so that if deviations are found, early intervention can be carried out so that growth and development return to normal or the deviations do not get worse. Methods: The methods used are counseling, training, demonstrations, and discussions carried out face-to-face. This activity was carried out at ABA 05 Kindergarten, Malang City by involving teachers (n=5) and students (n=52) in implementing the activity Results: The results obtained during the health examination were that 40% of students experienced dental caries and 2 students experienced growth and development disorders (speech delay). After being given training and assistance as well as practicing Early Detection of Child Growth and Development, participants were able to carry out early detection of child growth and development independently. Conclusion: This activity can be used as a good step to detect a child's growth and development so that appropriate intervention for growth and development disorders can be carried out as early as possible through collaboration between the school and parents.
The School Health Program Development Model to Realize Healthy School Movement Melizza, Nur; Lilis Setyowati; Anggraini Dwi Kurnia; Lailatul Masruroh; Nurilla Kholidah; Yusrina Syirly Salsabil Azzahra; Nur Alifah; Muhammad Hafis; Orizativa Jami; Sheilla Ayu Aqillah
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 8 No. 1 (2025): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v8i1.5870

Abstract

The School Health Program (UKS) aims to improve the health status of students through the Trias UKS, which includes health education, health services, and fostering a healthy school environment. However, the implementation of UKS has not been optimal in many schools, including Muhammadiyah 1 Elementary School in Malang, which faces challenges such as students' lack of knowledge about balanced nutrition, Clean and Healthy Living Behavior (PHBS), and mental health. This community service activity included planning, implementation, and evaluation phases. The program was conducted with 19 fourth-grade students at Muhammadiyah 1 Elementary School in Malang through lectures, demonstrations, and training methods. Interventions included education on balanced nutrition, PHBS, handling bullying, first aid training, and developing a healthy environment through TOGA (medicinal plants) cultivation. Evaluations were conducted to assess changes in students' knowledge, attitudes, and behavior. There was a significant increase in students' knowledge, with the percentage of students demonstrating good knowledge rising from 76% to 95% after the intervention. A total of 85% of students were able to independently practice handwashing and toothbrushing, and 60% could demonstrate first aid. High participation rates were observed in physical exercise and TOGA cultivation activities. The use of lecture methods supported by PowerPoint presentations and demonstrations contributed to positive changes in students' healthy living behaviors. The development program of UKS based on the Healthy School Movement (GSS) effectively improved students' knowledge, attitudes, and behaviors related to health. This model can be adopted to optimize UKS in schools through structured, interactive, and integrated health education methods to create a sustainable healthy school environment that supports the optimization of students' health and education quality.
Optimising the FAST program for stroke prevention in rural communities: a literature review Agustin, Tasya Nabila; Melizza, Nur; Nur Rohmah, Anis Ika; Dwi Marta, Ollyvia Freeska
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 21 No. 1 (2025): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.3914

Abstract

Stroke poses a major challenge for rural communities due to limited healthcare access, low awareness, and cultural barriers to prevention. The FAST method offers a promising approach to early stroke detection by integrating community empowerment and a Transcultural Nursing framework, ensuring cultural adaptability and acceptance. This study uses a literature review method with the PRISMA approach to gather and analyze data from health science journals published from 2019 to 2024, accessed from databases such as Neliti, PubMed, ScienceDirect, and ProQuest. The screening process resulted in 15 articles that met the criteria, focusing on research related to early stroke detection education using the FAST method in at-risk populations. Data collection methods involved a systematic search strategy based on Medical Subject Headings (MeSH) and literature analysis utilizing the Joanna Briggs Institute (JBI) instrument. Analysis of the 15 articles indicates that education using the FAST method significantly enhances community understanding of early stroke symptoms. Through various media, such as posters, leaflets, and animated videos, this intervention is well-received by people of diverse ages and cultural backgrounds. Several studies also demonstrate a significant increase in participants’ knowledge after participating in the education program, with p-values <0,05. The FAST method, adapted with a Transcultural Nursing approach, is effective in improving stroke awareness among rural communities. This educational initiative contributes to reducing mortality and disability rates due to stroke in areas with limited access to healthcare services.
Pemberian Terapi Kompres Serai Hangat pada Tn. S dengan Osteoartritis untuk Mengurangi Nyeri Sendi Deni Pradana, Mustika; Melizza, Nur
Jurnal Keperawatan Duta Medika Vol. 5 No. 2 (2025): Jurnal Keperawatan Duta Medika
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/0fj35c89

Abstract

Introduction: Osteoarthritis is degenerative disease which there are pathological changes in joint structure characterized by joint cartilage damage, osteophyte growth at the joint edge, stretching of the joint capsule, inflammation, and weakening of the muscles that connect the joints. This paper work raises the case of Mr. S with osteoarthritis who has complaints of pain for 2 months. Objectives: To analyze nursing care for Mr. S with warm lemongrass compress therapy. Methods: The research method used in this paper was a case study report. The author follows the scientific method in accordance with the rules of the nursing process which includes: assessment, data analysis, nursing intervention, implementation, and evaluation. In the assessment process, the author used data collection techniques such as history taking, observation, interviews, and physical examination to collect data. Results: After analyzing patient data, 3 nursing diagnoses were raised, it was acute pain, impaired skin integrity, and risk for falls. Researcher made acute pain as priority diagnosis in this study. The provision of warm lemongrass compress therapy was able to reduce pain in Mr. S with osteoarthritis from pain scale 5 to 3. Conclusions: Acute pain nursing problems by providing interventions in the form of warm lemongrass compresses can reduce the pain scale, but do not solve the problem of joint range in patients. Range of motion recommendation therapy is needed by osteoarthritis patients in the hope of normalizing the patient's range of motion. Keyword: Nursing Care, Osteoarthritis, Joint Pain, Lemongrass Leaf.