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Overview of Self-Directed Learning Readiness (SDLR) in First-Year Nursing Students Anggia Astuti Astuti; Dodi Wijaya; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.186

Abstract

Self-directed learning (SDL) solves learning challenges using various learning tools. Nursing requires lifelong learning, and SDL is an important skill for practitioners to stay current and effective. It is required of nursing students to embrace SDL and hone these abilities. Nevertheless, there is no indication of this novel procedure in Lumajang. This study aims to assess nursing students' preparation for SDL and its impact on learning outcomes. This quasi-experimental study purposefully included 91 students who carry out basic nursing clinical practice as participants. The instrument used in this study was the Self-Directed Learning Readiness Scale (SDLRS) questionnaire developed by Fisher. The results of this study showed that there was an increase in the SDLR level from 9 students (9.9%) having a high SDLR level to 78 students (85.8%) and 82 students (90.1%) having a moderate SDLR level to 13 students (14.2%). The nursing students' average SDL preparedness level has a substantial impact on learning outcomes. Nursing training institutes should give the resources required to adopt SDL as a primary teaching technique to ensure competent lifelong professionals.
The Implementation of Deep Breathing Relaxation and Al-Quran Recitation in Reducing Acute Pain in Post-Op Sectio Caesarea Patients: A Study Case Musviro Musviro; Ainun Syarifatul Fitriyah; Nurul Hayati; Laili Nur Azizah; Anggia Astuti
Health and Technology Journal (HTechJ) Vol. 2 No. 6 (2024): December 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i6.297

Abstract

Acute pain frequently affects post-cesarean section patients and, if left unmanaged, can slow recovery and potentially lead to chronic pain. Non-pharmacological methods like Deep Breathing Relaxation combined with Murottal Al-Quran therapy offer a promising solution to alleviate this pain. This case study examines the effectiveness of these techniques in reducing acute pain post-cesarean section in the Teratai Ward of Dr. Haryoto Regional General Hospital, Lumajang. Therapy involves daily 20-minute sessions of QS Ar-Rahman (78 verses) recited by Qori' Ahmad Saud via MP3. The participant was a patient meeting specific criterion: hospitalized for at least 3 days, with moderate pain levels (NRS score), exhibiting signs such as pain complaints, grimacing, protective behaviors, sleep difficulties, of Islamic faith, and with no hearing impairments. Pain levels were measured using the Numeric Rating Scale (NRS) before and after the intervention. Results showed a notable reduction in pain over the 3-day intervention, with the NRS score decreasing from 7 (moderate) to 4 (mild), accompanied by reduced grimacing, less protective behavior, and improved sleep quality. This study suggests that combining deep breathing relaxation and Murottal Al-Quran offers significant pain relief for post-cesarean patients. It is practical and cost-effective, allowing it to be easily implemented by nursing staff starting from the first-day post-surgery. These findings highlight a feasible approach for pain management in post-cesarean care, providing an effective and accessible option that aligns with the needs of Islamic patients, ultimately enhancing their comfort and recovery process.
Pursed Lips Breathing with Balloon Enhancing Airway Clearance in Children with Pneumonia Musviro; Arini Fitria; Nurul Hayati; Laili Nur Azizah; Anggia Astuti
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.357

Abstract

Pneumonia can pose a serious threat to children's health. In pneumonia, increased lung secretions obstruct the airways, affecting breathing, especially in children who cannot expel sputum alone. If not treated immediately, this condition can be fatal. This study aimed to provide nursing care for children with nursing problems of ineffective airway clearance with Pursed Lips. Breathing using balloons can help improve gas exchange, which is observed by increasing oxygen saturation in the body and can help expel secretions. Participants in this study were pneumonia patients aged 3-5 years who were treated in the Bougenville Room of Dr. Haryoto Hospital, Lumajang, with nursing problems of Ineffective Airway Clearance and were not allergic to balloons. Data collection used interviews, observations, and documentation studies. The results of the assessment showed that An. A male, 5 years old, has a weak general condition, ineffective cough, sputum, additional breathing sounds of rhonchi, and an increased respiratory rate. The nursing problem that occurred was ineffective airway clearance. The interventions carried out refer to the Indonesian Nursing Intervention Standards (SIKI) intervention, namely airway management, respiratory monitoring, and Pursed Lips Breathing (PLB) actions. To attract children's interest, PLB uses balloons conceptualized as balloon play therapy, whose mechanism is similar to PLB with an atraumatic care approach. After nursing care for 4 days, the goals were achieved. Namely, changes in effective coughing increased, sputum decreased, additional breath sounds were absent, breathing patterns changed, and breathing frequency improved. Pursed Lips Breathing (PLB) can increase alveolar expansion in each lung lobe so that alveolar pressure increases and secretions can be pushed into the airway during expiration. PLB can be carried out to increase knowledge as an innovative intervention in treating children with pneumonia diagnosed with ineffective airway clearance.
Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly Anggia Astuti Astuti; Zainal Abidin; Rizeki Dwi Fibriansari; Devy Amanda
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.489

Abstract

Lack of sleep can harm the physical, mental, and emotional health, quality of life, cognitive function, and memory function of the elderly. Poor sleep quality can also directly affect health, with the risk of various problems such as hypertension, diabetes mellitus, stroke, obesity, heart disease, and several other conditions. Therefore, the need for effective non-pharmacological pain and symptom management strategies during sleep disorders is increasing. One recommended approach is relaxation therapy involving soaking the feet in warm water and jasmine aromatherapy before bedtime. This study aims to evaluate the effects of warm foot baths combined with jasmine aromatherapy on sleep quality and vital signs in older adults with insomnia. Using a case study design, the intervention was given to one participant, an 81-year-old woman diagnosed with moderate insomnia. The participant reported difficulty falling asleep, frequent waking during the night, dissatisfaction with her sleep quality, significant changes in sleep patterns, and insufficient rest. The therapy consisted of warm foot baths with jasmine aromatherapy, performed every night for five consecutive days before bedtime. To assess the effectiveness of the intervention, measurements were taken of changes in the Insomnia Severity Index (ISI) score, detailed observations of sleep patterns, and general monitoring of vital signs. The study showed a significant decrease in the ISI score from 19 (moderate insomnia) to 8 (mild insomnia). In addition, participants experienced improved sleep quality, characterized by sleeping through the night without waking up, increased sleep satisfaction, and adequate rest. Vital signs showed stabilization during the intervention period, indicating better physiological relaxation. These findings support using warm foot baths and jasmine aromatherapy as an effective nursing intervention to treat insomnia and improve sleep quality in the elderly.
Mitigating Uremic Pruritus and Improving Family Coping in Stage 5 Chronic Kidney Disease: A Dual-Intervention Case Study Using Topical Petrolatum Anggia Astuti Astuti; Luluk Sofia Davina Astuti; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.732

Abstract

Chronic Kidney Disease (CKD) imposes severe physical and psychosocial burdens, frequently precipitating a measurable decline in family coping mechanisms. This study explores the clinical efficacy of a dual intervention combining structured family coping support and topical petroleum jelly therapy for managing uremic pruritus and caregiver strain. Employing a descriptive case study design, researchers intervened with the family of a 55-year-old male diagnosed with stage 5 CKD who presented with severe pruritus, xerosis, and skin discoloration. The family initially exhibited care neglect, limited communication, and inadequate health literacy regarding appropriate symptom management. The protocol entailed targeted coping support education, along with twice-daily petroleum jelly application over eight consecutive days. Outcome measurements utilized the validated 5D Pruritus Scale and standardized nursing criteria to evaluate family coping. Post-intervention data revealed a significant reduction in the 5D Pruritus Scale score from 10 to 6, indicating a clear transition to mild pruritus. Family assessments concurrently demonstrated substantial improvements in health knowledge, active caregiving engagement, and interpersonal communication, effectively eliminating previous neglectful behaviors. These findings establish that integrating low-cost topical emollient therapy with targeted psychosocial education constitutes a highly effective, holistic nursing strategy. This comprehensive approach successfully mitigates dermatological distress while simultaneously restoring family coping capacity, offering a highly replicable model for advanced CKD management in community health settings.
Pengembangan Health Self-Empowerment: Analisis Indeks Massa Tubuh dan Gaya Hidup Masyarakat Agrikultural Rizeki Dwi Fibriansari; Nurfika Asmaningrum; Anggia Astuti
Jurnal Kesehatan Vokasional Vol 10, No 1 (2025): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.103402

Abstract

Latar Belakang: Kesehatan merupakan aspek vital dalam kehidupan manusia dan erat kaitannya dengan indeks massa tubuh (IMT) dan gaya hidup. Konsep self-empowerment atau pemberdayaan diri semakin berkembang dalam dunia kesehatan, dengan fokus pada upaya individu untuk mengambil peran aktif dalam pemeliharaan dan peningkatan kesehatan mereka sendiri.Tujuan: Tujuan penelitian ini adalah menganalisis dan mengukur distribusi IMT dan gaya hidup sehat berbasis pengembangan Model Health Self-Empowerment.Metode: Rancangan penelitian menggunakan desain diskriptif analitik. Teknik pengambilan sampel menggunakan total sampling sebanyak 269 responden di area agrikultural. Pengumpulan data dilakukan dengan cara observasi, mengukur IMT dan kuesioner tentang perilaku gaya hidup sehat. Analisis data menggunakan statistik diskriptif.Hasil: Mayoritas responden adalah laki-laki (88%) dalam kelompok usia <40 tahun (48%). Kategori IMT overweight 55 responden (20,4%) dan obesitas sejumlah 27 responden (10%). Aktivitas gaya hidup sehat yang dominan dilakukan adalah perilaku hidup bersih (67%) dan yang jarang dilakukan makan teratur dan bergizi (54%).Kesimpulan: Usia produktif dengan prevalensi overweight dan obesitas pada kelompok agrikultural masih cukup tinggi. Perlunya perhatian terhadap perilaku makan dan manajemen berat badan sebagai bagian dari promosi gaya hidup sehat. Gaya hidup sehat masyarakat agrikultural perlu ditingkatkan terutama dalam aspek manajemen stres, pola makan, dan pemantauan kesehatan.
The Lifestyle of Health and Sustainability Framework in Agricultural Community Rizeki Dwi Fibriansari; Anggia Astuti; Leersia Yusi Ratnawati
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.3.156-162

Abstract

Background: The Lifestyle of Health and Sustainability (LOHAS) concept encourages life choices and adopting behaviors that prioritize both environmental sustainability and personal well-being. Lifestyle shifts and food consumption patterns are significant factors that often hinder the pursuit of a healthy and sustainable way of living. The purpose of this research is to explore the concept of LOHAS and its role in addressing the fundamental health needs of agricultural communities.Method: This study employs a descriptive-analytic method with a cross-sectional design. A sample of 138 fish cage farmers was selected. Primary data were collected through interviews using questionnaires and direct observations, focusing on aspects such as physical fitness, mental and emotional health, spiritual well-being, environmental awareness, and social responsibility. The data were analyzed descriptively.Result: The majority of fish cage farmers are males over the age of 50 years old. Aging farmers face physical and health challenges that can impact their productivity and long-term sustainability. Optimal physical health in agricultural communities can be supported through a balanced diet and regular exercise. Moreover, mental and emotional well-being can be enhanced through stress-relief activities, meditation, and fostering positive relationships. Adopting a holistic health approach enables communities to address physical, mental, emotional, and environmental aspects in alignment with the LOHAS framework.