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PENGARUH SENAM PROLANIS TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DI DESA GLAGAHWERO KECAMATAN PANTI KABUPATEN JEMBER Rahmawati, Lutfiasih; Aizza, Nailul
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.541 KB) | DOI: 10.32528/ijhs.v0i0.1539

Abstract

Hipertensi merupakan salah satu penyakit degenerative yang banyak ditemukan di Indonesia, ditandai oleh kenaikan tekanan darah diatas nilai normal yang dapat diakibatkan oleh berbagai macam faktor. Penelitian ini bertujuan untuk mengetahui pengaruh senam Prolanis terhadap penderita hipertensi. Jenis penelitian ini ialah ekperimental lapangan dengan pre-post test one group design. Sampel penelitian berjumlah 22 orang lansia yang diperoleh melalui purposive sampling. Senam Prolanis dilakukan selama 4 minggu. Analisis data menggunakan uji t berpasangan. Hasil penelitian memperlihatkan terdapat perbedaan bermakna antara tekanan darah sistolik awal dan akhir pada latihan 2 kali/minggu (p = 0,003 <? =0,001); antara tekanan darah diastolik awal dan akhir pada latihan 2 kali/minggu (p = 0,002 <? =0,001). Terdapat perubahan rerata tekanan darah sebelum dan sesudah latihan senam baik pada latihan 2 kali/minggu. Simpulan pada kedua kelompok latihan terdapat penurunan bermakna tekanan darah sistolik dan diastolik setelah senam Prolanis selama 4 minggu berturut-turut. Kata kunci: senam prolanis, hipertensi
PENGARUH SENAM PROLANIS TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DI DESA GLAGAHWERO KECAMATAN PANTI KABUPATEN JEMBER Lutfiasih Rahmawati; Nailul Aizza
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ijhs.v0i0.1539

Abstract

Hipertensi merupakan salah satu penyakit degenerative yang banyak ditemukan di Indonesia, ditandai oleh kenaikan tekanan darah diatas nilai normal yang dapat diakibatkan oleh berbagai macam faktor. Penelitian ini bertujuan untuk mengetahui pengaruh senam Prolanis terhadap penderita hipertensi. Jenis penelitian ini ialah ekperimental lapangan dengan pre-post test one group design. Sampel penelitian berjumlah 22 orang lansia yang diperoleh melalui purposive sampling. Senam Prolanis dilakukan selama 4 minggu. Analisis data menggunakan uji t berpasangan. Hasil penelitian memperlihatkan terdapat perbedaan bermakna antara tekanan darah sistolik awal dan akhir pada latihan 2 kali/minggu (p = 0,003 α =0,001); antara tekanan darah diastolik awal dan akhir pada latihan 2 kali/minggu (p = 0,002 α =0,001). Terdapat perubahan rerata tekanan darah sebelum dan sesudah latihan senam baik pada latihan 2 kali/minggu. Simpulan pada kedua kelompok latihan terdapat penurunan bermakna tekanan darah sistolik dan diastolik setelah senam Prolanis selama 4 minggu berturut-turut. Kata kunci: senam prolanis, hipertensi
Literature Review: Model PRECEDE dapat Meningkatkan Kualitas Hidup Pasien dengan Coronary Artery Bypass Grafting (CABG) Rahmawati, Lutfiasih; Anika, Lusi; Wicaksana, Anggi Lukman
Jurnal Kesehatan Vol 12 No 3 (2021): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i3.2426

Abstract

One type of cardiovascular disease that often occurs is coronary heart disease. Although the coronary artery bypass grafting (CABG) procedure can help overcome coronary heart disease problems, the post-CABG recovery stage can also lead to an increase in angina symptoms (chest pain), decreased ability to exercise, and mostly in the Quality of dimension life. The purpose of this literature review is to determine the effectiveness of the PRECEDE educational model in reducing depression and improving quality of life in patients with coronary heart disease who have CABG. This idea seems reasonable was carried out by searching through databases in PubMed and ScienceDirect until May 13, 2020, for nursing studies in chronic heart disease patients with CABG. Two articles were found that were suitable for a literature review. Findings from the literature suggest that designing educational interventions according to the PRECEDE model significantly improves all aspects of a patient's quality of life. Providing educational programs with the PRECEDE model can reduce depression in patients with CABG. This PRECEDE educational model can reduce depression and increase QoL in patients with Coronary heart disease who have undergone CABG.
PENINGKATAN PENGETAHUAN DIET NUTRISI DAN CAIRAN PADA KELUARGA PENDERITA GAGAL GINJAL KRONIK DALAM PERAWATAN HEMODIALISA MELALUI EDUKASI KESEHATAN Wahyuni, Emmi; Rahmawati, Lutfiasih; Hidhayanti, Hayyu Naafi; Dewi, Nurhayati Veryanti; Mayasari, Dian
Mitra Mahajana: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2024): Volume 5 Nomor 2 Tahun 2024
Publisher : LPPM Universitas Flores

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37478/mahajana.v5i2.4423

Abstract

Chronic kidney disease is a global health problem that affects millions of people worldwide. Chronic renal failure as the final stage of kidney disease, requires comprehensive management, starting from regular hemodialysis to self-care management of the patient at home. Fluid and nutritional management is an important aspect that patients and families must pay attention to. Lack of availability and effectiveness of nutrition and fluid education programs specifically aimed at patient families. Many families of chronic kidney failure patients experience difficulty in adapting and implementing appropriate nutritional recommendations in daily life. This community service aims to provide comprehensive education, which provides relevant and up-to-date information about nutrition and fluids and involves families in an interactive learning process. Community service activities were carried out using direct health education methods for 16 families of patients undergoing hemodialysis. The evaluation method is carried out by filling out a pre-and post-test design knowledge questionnaire. The activity was carried out on May 17 2024 in the hemodialysis treatment room at Hermina Daan Mogot Hospital. The results of community service activities show an increase in knowledge regarding nutritional diet and fluids in the families of patients undergoing hemodialysis. It is hoped that the community service team nurses will then directly assist families regarding nutritional diet and fluids for patients undergoing hemodialysis and then monitor its long-term implementation at home either online or offline.
Asuhan Keperawatan Pada Pasien Hipertensi Dengan Terapi Tawa Untuk Menurunkan Tekanan Darah Rahmawati, Lutfiasih; Wijayanti, Sinta; Faradisa, Elok; Setyorini, Dwi Yoga
Jurnal Ilmiah Kesehatan Mandala Waluya Vol. 5 No. 2 (2025): Jurnal Ilmiah Kesehatan Mandala Waluya
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jikmw.v5i2.1373

Abstract

Hipertensi merupakan penyakit degeneratif yang tidak hanya menyerang usia lanjut, namun kini juga mempengaruhi dewasa muda. Komplikasi yang dapat timbul akibat hipertensi antara lain gagal jantung, stroke, dan penyakit jantung koroner. Salah satu metode untuk menurunkan tekanan darah pada individu hipertensi adalah terapi tawa. Terapi tawa adalah suatu intervensi yang bertujuan untuk mencapai kegembiraan hati yang diekspresikan melalui mulut dalam bentuk tawa. Tujuan dari penelitian ini adalah untuk mengidentifikasi dan menganalisis pengaruh terapi tawa terhadap penurunan tekanan darah pada pasien hipertensi. Desain penelitian menggunakan metode kuantitatif dengan pendekatan studi kasus yang melibatkan 7 responden yang memenuhi kriteria inklusi. Instrumen yang digunakan dalam penelitian ini adalah Lembar Prosedur Operasional Standar (POS) terapi tawa serta lembar persetujuan tindakan medis (informed consent) dan lembar observasi. Selain itu, digunakan juga Lembar Prosedur Operasional Standar (POS) untuk pengukuran tekanan darah dengan alat sfigmomanometer dan stetoskop. Hasil penerapan intervensi dalam penelitian ini dilakukan 1 kali per hari selama 3 hari, dengan proses evaluasi dilaksanakan pada hari ketiga. Waktu pemberian intervensi adalah 20 menit. Dari ketujuh responden menyatakan bahwa setelah diberikan intervensi terapi tawa tekanan darah responden menurun dengan nilai rata-rata tekanan darah sebelum diberikan hipertensi 151,43/102,86 mmHg menjadi 132,86/87,14 mmHg. Kesimpulan dari penelitian ini adalah terapi tawa efektif dalam menurunkan tekanan darah pada pasien hipertensi usia lanjut.
Pemberdayaan Kader Posyandu untuk Meningkatkan Kemampuan Deteksi Dini dan Stimulasi Perkembangan Anak Usia Dini di Indonesia Sofie Handajany; Emmi Wahyuni; Lutfiasih Rahmawati; Lisnadiyanti Lisnadiyanti; Hayyu Naafi Hidhayanti; Nur Khotimah Elfiyani; Edi Gunawan; Dyas Nurvitasari Puspita; Khansa Aulia Putri; Harmoko Harmoko; Henny Listyawati
Jurnal Pengabdian Ilmu Kesehatan Vol. 5 No. 2 (2025): Juli: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v5i2.5746

Abstract

Several toddlers in Indonesia face developmental challenges, including delays in fine and gross motor skills, hearing impairments, speech delays, and cognitive issues. One of the main factors contributing to these problems is the limited ability of families to provide the proper stimulation needed for child development. In this context, the role of Pos Pelayanan Terpadu (Posyandu) cadres becomes essential. Cadres with good skills, high motivation, and consistent enthusiasm are needed to support the success of the Posyandu program, especially in early childhood developmental screening. This community service activity was designed to provide basic training for Posyandu cadres, with a primary focus on enhancing their ability to stimulate and detect early signs of developmental delays in children. The training was held on May 4, 2025, at the Mu'thi Jaya Indonesia Foundation Meeting Room and attended by 30 Posyandu cadres. An evaluation was conducted using pre- and post-test questionnaires to assess the knowledge and skills of the participants before and after the training. The evaluation results showed a significant improvement in the cadres' knowledge and skills related to early detection and stimulation of child development. Data analysis revealed a p-value of 0.074, indicating a substantial increase in understanding after the training. However, continuous support is necessary to ensure that early detection practices and child stimulation continue to be implemented effectively in the field. Routine monitoring and evaluation are also crucial to assess the long-term impact of this program on children's development in the community, as well as to ensure that the Posyandu program continues to function effectively in supporting the growth and development of children, particularly during the critical early years of life.
Family Palliative Care Exposure and Psychological Well-Being Among Senior High School Students Farida Nur Qomariyah; Lutfiasih Rahmawati
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.v4i3.727

Abstract

Adolescents supporting family members with serious, chronic, or life-limiting illnesses face unique psychosocial challenges, yet empirical evidence from low- and middle-income countries remains scarce. This study examined the psychological well-being of senior high school students and its association with exposure to family palliative care. A cross-sectional study was conducted at a public high school in Jember from March to April 2026. Using consecutive sampling, 100 students (mean age 16.81 years, SD = 0.95; 61.0% female) were recruited from a population of 348. Psychological well-being was assessed via the validated Indonesian WHO-5 Well-Being Index, with scores below 13 indicating poor well-being. Data were analyzed using descriptive statistics, exact tests, and crude odds ratios (OR). Notably, 66.0% of respondents exhibited poor well-being overall. However, family palliative care exposure was significantly associated with WHO-5 status (p = 0.004). Counterintuitively, exposed students were nearly 4 times more likely to report adequate well-being than their unexposed peers (OR = 3.91, 95% CI = 1.62–9.41). This positive association likely reflects psychological resilience, benefit finding, and robust communal family support, rather than a direct protective effect of the illness itself. Given the multidimensional nature of family illness exposure, educational institutions must implement subtle, non-stigmatizing screening protocols and targeted referral pathways to support adolescents navigating hidden home-care responsibilities effectively.
Nurse-Led Cold Compress Therapy to Mitigate Hemodialysis Cannulation Pain: A Descriptive Case Study Sinta Wijayanti; Lutfiasih Rahmawati; Nur Aminatu Rohima; Fitri Nuriya Santy; Ana Nistiandani
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.v4i3.728

Abstract

Repeated arteriovenous fistula cannulation induces significant procedural pain in patients undergoing maintenance hemodialysis, necessitating effective, non-pharmacological pain management strategies. This study aimed to evaluate the efficacy of a simple, nurse-led cold compress therapy in reducing cannulation-related pain among patients with chronic kidney disease (CKD). A descriptive case study was conducted in a hospital hemodialysis unit between June and July 2025. Two adult male patients (aged 45 and 53 years) reporting procedural pain were enrolled. Pain intensity was assessed using the Numeric Rating Scale (NRS) at baseline and following two subsequent hemodialysis sessions. The intervention consisted of applying ice cubes enclosed in a rubber glove to the cannulation site for approximately 10 minutes prior to needle insertion. At baseline, patients reported moderate (NRS 6) and severe (NRS 7) pain, respectively. Following the second intervention session, pain scores decreased to 4 and 5. By the third session, pain further diminished to mild levels (NRS 2 and 3). Notably, no adverse cutaneous or systemic events were observed during the application. Pre-cannulation cold compress therapy represents a feasible, low-cost, and safe nurse-led intervention that progressively mitigates hemodialysis cannulation pain. Larger, randomized controlled trials are warranted to validate these preliminary findings, isolate the analgesic effect, and standardize optimal clinical application protocols.
PENGARUH BLENDED LEARNING TERHADAP PENINGKATAN PENGETAHUAN DAN KETERAMPILAN PENANGANAN TERSEDAK PADA KADER Emmi Wahyuni; Sofie Handajany; Lutfiasih Rahmawati; Bella Nur Azizah; Putri Sri Yuweni; Nadia Oktiffani Putri; Fitriyati Fitriyati; Jamaludin Jamaludin; Retno Winarti
Jurnal Kesehatan Holistic Vol. 10 No. 1 (2026): Jurnal Kesehatan Holistic Volume 10/ Nomor 1/ January 2026
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

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

Abstract

Pendahuluan: Tersedak merupakan kegawatdaruratan pernapasan yang mengancam jiwa, yang jika dibiarkan terlalu lama dapat menyebabkan hipoksia dan kematian. Kader sebagai ujung tombak pelayanan kesehatan di masyarakat perlu dibekali dengan pengetahuan dan keterampilan dalam pertolongan pertama pada tersedak. Namun, pengetahuan dan keterampilan kader dalam memberikan pertolongan pertama pada penderita tersedak saat ini masih terbatas. Berbagai model pembelajaran dapat disesuaikan dengan situasi dan kebutuhan kader. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh blended learning terhadap peningkatan pengetahuan dan keterampilan penanganan tersedak pada kader. Metode: Penelitian ini menggunakan desain pra-eksperimen dengan pendekatan one-group pretest-posttest design. Penelitian ini dilaksanakan di Tambun, Kabupaten Bekasi, Provinsi Jawa Barat pada tahun 2025. Populasi dalam penelitian ini adalah kader Posyandu di Tambun. Pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel 30 responden. Pengumpulan data dilakukan dengan menggunakan kuesioner pengetahuan dan checklist. Uji statistik yang digunakan adalah uji Wilcoxon. Hasil: Hasil penelitian menunjukkan adanya peningkatan pengetahuan dan keterampilan dalam penanganan tersedak pada kader dengan nilai p <0,001. Rata-rata skor pascates menunjukkan peningkatan pengetahuan dan keterampilan dibandingkan dengan rata-rata skor prates. Kesimpulan: Metode pembelajaran campuran secara signifikan meningkatkan pengetahuan dan keterampilan penanganan tersedak pada kader.
Nursing Care for Mr. A with Hyperglycemia and the Implementation of Progressive Muscle Relaxation in the Emergency Room at Hermina Jatinegara Hospital, Jakarta: A Case Report Dea Arista; Emmi Wahyuni; Lutfiasih Rahmawati
Indonesian Journal of Nursing and Health Care Vol. 1 No. 2: August (2024)
Publisher : Ammar Dharma Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64914/kgydxy56

Abstract

Background: During Hyperglycemia is a condition where blood sugar levels are higher than normal levels, which is less than 200 mg/dl for casual plasma glucose values. Uncontrolled hyperglycemia can cause blood sugar levels to spike so high that it can cause emergency hyperglycemia.Objective: This study aims to determine the description of nursing care for patients with hyperglycemia with progressive muscle relaxation intervention.Research Method: This type of research is a case report. Data collection for this case study was carried out in the Emergency Room of Hermina Jatinegara Hospital on October 11, 2023. Data collection was carried out through observation, physical examination, and interview methods. Diagnostic examination data were obtained through the results of medical record records. Blood glucose levels were measured using a Glucometer.Results: Mr. A, 41 years old, male with a medical diagnosis of hyperglycemia, the results of the assessment were found that the client complained of weakness, dizziness, often felt thirsty, had nausea and vomiting 2 times and had 5 loose stools since morning, the extremities felt cold, skin turgor decreased and dry, bowel sounds frequency 40x / minute, blood glucose levels were 432 mg / dl, leukocyte levels were 14.7 10¬ ^ 3 / µL, and hematocrit was 47%. The nursing diagnoses that were established were unstable blood glucose levels, hypovolemia, and diarrhea. The nursing interventions provided were hyperglycemia management and additional progressive muscle relaxation therapy, hypovolemia management, and diarrhea management. Nursing evaluation found that the problem of unstable blood sugar levels was resolved, the problem of hypovolemia was partially resolved, and the problem of diarrhea was partially resolved.Conclusion: This case report provides an overview of nursing care for patients with hyperglycemia and information on the effectiveness of providing additional interventions, namely progressive muscle relaxation.