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Case Study: Physical Mobility Impairments in Elderly Gout Arthritis Through A Combination Therapy Otaviani, Olvy Oriska; Devi, Hilda Mazarina; Maemunah, Neni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6758

Abstract

The increase in uric acid levels in the elderly (gout arthritis) can cause physical mobility impairments, requiring the role of nurses to address them. The aim of this study is to implement nursing care for physical mobility disorders through a combination therapy of warm ginger compresses and Range of Motion (ROM) exercises at Rumah Asuh Anak Lansia Griya Asih Lawang. The study design is a case study. The respondents were three elderly individuals with gout arthritis. The nursing interventions provided included identifying pain or other physical complaints, assessing physical tolerance for movement, monitoring blood pressure before starting mobilization, monitoring general conditions during mobilization, facilitating mobilization activities with assistive devices, providing non-pharmacological techniques to reduce pain (warm ginger compresses) for 10 consecutive days, facilitating ROM exercises for 10 consecutive days, explaining the objectives and procedures of mobilization, and teaching simple mobilization techniques to be performed. After intervention and nursing approach for 10 days, physical mobility disorders decreased as indicated by a decrease in acid levels in patient 1 with a value of 10.2 mg/dl, patient 2 9.4 mg/dl and patient 9.8 mg/dl as well as muscle strength in patients 1 5/5 and 5/4, patient 2 5/5 and 4/5, patient 3 5/4 and 4/4.  Warm ginger compress therapy and ROM exercises can be used as an intervention to reduce physical mobility disorders
Associated factors of cervical cancer screening intention among reproductive aged women: A cross-sectional study Putri, Santy Irene; Devi, Hilda Mazarina; Fransiska, Ratna Diana
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.70638

Abstract

Introduction: Cervical cancer screening has consistently proven effective in reducing both the incidence and mortality of cervical cancer. However, in many developing countries, including Indonesia, participation in screening programs remains considerably low. The primary objective of this study was to examine the intention toward cervical cancer screening and the associated factors among reproductive-aged women in Malang city, East Java, Indonesia. Methods: This study employed an observational analytic approach with a cross-sectional design. Researchers conducted the study with 410 participants selected through a simple random sampling technique in Malang. The study focused on cervical cancer screening intention as the dependent variable, while considering attitude, affordability of health services, and health worker support as independent variables. The data collection instrument utilized was a questionnaire comprising various aspects such as attitude, affordability of healthcare services, and health worker support. The researcher-designed questionnaire was guided by the PRECEDE-PROCEED Model. The data were analyzed through multiple linear regression. Results: The results revealed that favorable attitudes (B = .08, SE = .04, P-value = .026), affordable healthcare services (B = 1.06, SE = .19, P-value = < .001), and support from healthcare workers (B = .59, SE = .24, P-value = .013) were associated with an increased intention toward undergoing cervical cancer screening. Conclusion: This study highlights that favorable attitudes, affordable access to healthcare services, and adequate support from health workers are significantly associated with the intention to undergo cervical cancer screening among reproductive-aged women. Keywords: attitude; cervical cancer screening; health worker support; healthcare services; reproductive-aged women
Relationship between Diet and Medication Adherence to the Blood Pressure of Hypertensive Elderly in East Sumba Waluwanja, Relithen Umbu; Putri, Ronasari Mahaji; Devi, Hilda Mazarina
Jurnal Surya Vol 14 No 2 (2022): VOL 14 NO 02 AGUSTUS 2022
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v14i2.510

Abstract

Introduction: The incidence of hypertension in the elderly is increasing due to changes in people's lifestyles globally, low awareness to regulate diet, and low adherence to taking medications. This study aims to determine the relationship between hypertension-inducing diet and adherence to taking medications with the blood pressure of hypertensive elderly at the Wangga Pakuki Elderly Posyandu, Wangga Village, Kambera District, East Sumba.Methods: the variables of this study is hypertension-inducing diet and adherence to taking medications with the blood pressure of hypertensive elderly at the Wangga Pakuki Elderly Posyandu, Wangga Village, Kambera District, East Sumba. Primary data sources and data collection using dietary questionnaire sheets and medication adherence, as well as blood pressure observation sheets.Results: Most of the hypertensive elderly in the elderly posyandu had a hypertension- inducing diet in the high category (52%), almost half of the elderly had low medication adherence (35.8%) and had stage 3 hypertension (40.3%), and there was a relationship between hypertension-inducing diet (p=0.001) (OR=6.5) and adherence to taking medications (p=0.006) (OR=4.3) with the blood pressure of hypertensive elderly.Conclusion: There is a relationship between diet and adherence to taking medications to the blood pressure of the elderly with hypertension. Maintaining a regular diet and taking medications is highly recommended to maintain blood pressure, in addition to doing light walking activities, regular blood pressure checks and stress management.
Chronic pain management using combination of non-pharmacological therapy on elderly with arthritis rheumatoid: Case study Devi, Hilda Mazarina; Setyowati, Lilis
Jurnal Surya Vol 15 No 2 (2023): VOL 15 NO 02 AGUSTUS 2023
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v15i2.848

Abstract

 Arthritis rheumatoid are among the chronic conditions causing motor system decline in the elderly. The limited implementation of a non-pharmacological therapy combination involving warm compresses with deep breathing relaxation serves as the basis for this study. The aim of this scientific work is to conduct an analysis of pain management in elderly individuals with Arthritis rheumatoid.Method: A case study design was employed involving three clients, elderly individuals suffering from Arthritis rheumatoid. The nursing problem addressed was chronic pain (D.0078). The intervention applied to address chronic pain in these elderly individuals with an autoimmune condition involved a combination of warm compresses and deep breathing relaxation given three times over three consecutive days. The analysis was performed using the SMART (specific, measurable, achievable, relevant, and time-bound goals) method. The UNITRI FIKes gerontic nursing care format was used from data collection through action evaluation.Results: The case study revealed that on the initial assessment, all three elderly individuals experienced chronic pain at a moderate level. The planned nursing intervention was pain management, with pain level as the outcome criterion. After a three-day implementation, the issue of chronic pain was resolved in these elderly individuals, showing an increased ability to complete activities, reduced pain and grimacing, less protective attitude, and decreased sleep complaints.Conclusion: The combination therapy effectively reduced pain levels. This research serves as an addition to information and a resource for further studies concerning chronic pain management in elderly individuals with Arthritis rheumatoidKeywords: Arthritis, Breathing Exercises, Chronic pain, Hot Temperature, Rheumatoid 
Chronic Pain Nursing Care for Elderly Gout Patients Using Warm Water Compress Therapy Combination Lemongrass and Ginger Ndatang, Jefry Kabukut; Devi, Hilda Mazarina
Jurnal Surya Vol 16 No 1 (2024): VOL 16 NO 01 APRIL 2024
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v16i1.883

Abstract

Introduction: Uric acid is a normal substance found in the body and is the end result of purine metabolism, namely the result of the degradation of purine nucleotides which are important ingredients in the body as components of nucleic acids. The nursing problem that arises in elderly gout patients is chronic pain. The aim of this scientific work aims to explore nursing care for chronic pain in elderly gout patients with warm water compress therapy using lemongrass and ginger at RAAL Griya Asih Lawang.Methods: Using a case study design with nursing care. The subjects of this research were 3 elderly gout patients with chronic pain nursing problems for 3 days, with pain measurement using the Visual Analog Scale (VAS) and SLKI. and the targeted outcome criteria include the ability to complete activities, complaints of pain, protective attitudes, grimacing, restlessness and difficulty sleeping. The instrument used was the UNITRI gerontic nursing care format. Data was analyzed using the SMART method (Specific, Measurable, Achievable, Realistic, Time).Results: From the actions carried out on the three patients for 3 days, it was found that the chronic pain nursing problem in 3 patients was partially resolved with the following criteria: ability to complete activities increased, pain complaints decreased, protective attitude decreased, grimaces decreased, anxiety decreased, difficulty sleeping decreased.Conclusion: Due to limited time in conducting this research, which was only carried out for 3 days, it could affect the results of warm compresses using lemongrass and ginger which could only partially reduce pain complaints.Keywords: chronic pain, gout, warm water compress using lemongrass and ginger.
Menghidupkan Kembali Bank Sampah Pasca Pandemi Covid 19 RT 06 RW 09 Landungsari Malang Putri, Ronasari Mahaji; Devi, Hilda Mazarina
Jurnal Abdimas Kesehatan (JAK) Vol. 6 No. 1 (2024): Januari
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i1.611

Abstract

PKK RT 06 RW 09 is a forum for gathering mothers in the village of Tirtosari RT 06 RW9 Landungsari Malang, with 45 members. The location of the Tirtosari village is close to the Final Garbage Shelter (TPAS), so it was found that many mosquitoes and sometimes the smell of garbage enters residential areas. Garbage bank activities at that location have been inactive for a long time, and this community service was carried out as an effort to revive waste bank activities in Tirtosari Village. Lack of knowledge from PKK mothers, the perception that the house is dirty because of hoarding trash and reluctance to collect and sort waste are the problems faced by Servants. Community service activities which include counseling on waste management by the Village Garbage Bank Team and waste bank activities (collection, sorting, depositing, weighing and recording waste) are carried out smoothly. Even though the visit target was not met (only 22 of the 44 women who were planned to attend), this activity was able to increase waste bank visits (from 7 mothers to 20 mothers) who participated in waste bank activities. It is hoped that this activity can continue and provide benefits for Kampung Tirtosari
Persepsi Orang Tua Tentang Kerentanan Dan Keseriusan Penyakit Terhadap Kekambuhan Ispa Pada Balita Di Puskesmas X Sumba Barat Woli, Onceniati S; Putri, Ronasari Mahaji; Devi, Hilda Mazarina
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 1 (2023): EDITION MARCH 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i1.4454

Abstract

ISPA in toddlers is an infectious disease of the first order of the ten most common diseases at Puskesmas X, West Sumba, and recurrences often occur, the recurrence rate is associated with parents' poor perception of ISPA. The study aimed to analyze the relationship between parents' perceptions of the vulnerability and seriousness of the disease to the recurrence of ISPA in toddlers at Puskesmas X, West Sumba. Cross-sectional study design used, with a population of 105 parents of toddlers with ISPA, a sample of 81 participant selected using purposive sampling. The research instrument was medical record data for ISPA recurrence as well as questionnaires on perceptions of vulnerability and seriousness that had been tested for validity (r count 0.514) and reliability for perceived vulnerability (α=925), and perceived seriousness (α=0786). The results showed that almost half of the parents had perceived susceptibility in the sufficient category (36%) and perceived seriousness in the sufficient category (48%) and more than half of the toddlers experienced relapse (75%). Chi-square test results on parents' perceptions of vulnerability (p-value 0.003); Fisher's exact test (p-value 0.000) revealed that there was a relationship between parents' perceptions of the susceptibility and seriousness of the disease to the recurrence of ISPA in toddlers at Puskesmas X, West Sumba. 
DUKUNGAN KELUARGA DAN MEKANISME KOPING BERHUBUNGAN DENGAN KECEMASAN LANSIA Putri, Ronasari Mahaji; Devi, Hilda Mazarina
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 10, No 2 (2022): EDITION JULY 2022
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v10i2.2892

Abstract

Fenomena tingginya kejadian kecemasan pada lansia masih belum tertangani. Kondisi lansia seringkali dihubungkan dengan rendahnya mekanisme koping lansia dan rendahnya dukungan keluarga lansia. Masalah kompleks ini akan menyebabkan kualitas hidup lansia memburuk Penelitin bertujuan menghubungkan dukungan keluarga, mekanisme koping dengan kecemasan pada lansia. Tujuan penelitia mengetahui hubungan self efficacy dengan kejadian depresi lansia. Merupakan penelitian observasional, desain crossectional. Populasi yakni seluruh lansia di RT X dan RW Y Kelurahan Tlogomas berjumlah 30 orang, dengan sampel diambil dengan teknik total populasi. Kriteria inklusi adalah pasien lansia yang mengalami kecemasan. Dukungan keluarga dan mekanisme koping adalah variabel bebas, dan  tingkat kecemasan variable terikat. Instrumen dukungan keluarga berupa kuesioner yang diadopsi dari Liandi (2011),  mekanisme koping serta instrument kecemasan menggunakan kuesioner HARS. Analisa data menggunakan uji chi square. Hasil penelitian menunjukkan sebagian besar  lansia mempunyai dukungan keluarga kurang (63,8%), mekanisme koping lansia kurang (70,0%), dan tingkat kecemasan berat (53,3%). Uji statistik menunjukkan kaitan dukungan keluarga dan mekanisme koping dengan tingkat kecemasan lansia (p value = 0,000).
Usia, Riwayat Pendidikan, Activity Daily Living (ADL) Berhubungan Dengan Kejadian Demensia Pada Lansia Leton, Elisabet Masan; Putri, Ronasari Mahaji; Devi, Hilda Mazarina
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 10, No 3 (2022): EDITION NOVEMBER 2022
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v10i3.3923

Abstract

Fungsi kognitif menurun seiring dengan meningkatnya usia. Lansia dengan ADL dan pendidikan rendah juga beresiko terhadap terjadinya demensia. Tujuan penelitian ini adalah mengidentifikasi usia, riwayat pendidikan dan ADL terhadap kejadian demensia pada lansia. Desain penelitian yang digunakan adalah cross-sectional korelasional. Populasi penelitian adalah seluruh lansia di Pondok Lansia Al-Ishlah Kecamatan Belimbing, Kota Malang sebanyak 35 orang. Jumlah sampel sebanyak 32 orang dipilih menggunakan teknik simple random sampling. Instrumen berupa kuesioner ADL menggunakan Indeks Barthel Collin dan kejadian demensia menggunakan MMSE. Data kemudian diuji menggunakan fisher’s exact. Hasil menunjukan bahwa 50% responden berusia 75-90 tahun, sebagian besar (75%) responden memiliki riwayat pendidikan dasar, hampir setengah responden (40,6%) memiliki ADL kategori ketergantungan berat, dan hampir setengah responden (37,5%) memiliki gangguan fungsi kognitif sedang. Hasil Analisa menunjukkan terdapat hubungan antara usia (0,004), riwayat pendidikan (p value 0,044) dan ADL (p value 0,034) terhadap kejadian demensia. Peneliti selanjutnya diharapkan dapat menggali lebih lanjut faktor lain seperti asupan zat gizi yang berkaitan dengan kejadian demensia pada lansia.
Perceived Barriers as Primary Determinant Factor in Uncleanliness and Unhealthy Behavior among Adolescents Putri, Ronasari Mahaji; Devi, Hilda Mazarina; Parnawati, Tantry Ajeng
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 2 (2024): EDITION JULY 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i2.4709

Abstract

An increasing number of teenagers are engaging in uncleanliness and unhealthy behavior which is a significant cause for concern. These behaviors range from mild to severe. Clean and healthy living practice are far from the habits of teenagers. The aim of this study was to analyze the Health Belief Model in addressing the unhealthy behavior of adolescents in the Malang Region. The cross-sectional design used with a sample size of 148 individuals, selected through accidental sampling. Instruments included open and closed questionnaires as well as observational sheets, with data collection techniques comprising interviews and observations. Data analysis used univariate, bivariate and multivariate tests. The results indicated that three variables had a significant relationship with clean and healthy living behaviors: perceived barriers (p=0.000), perceived susceptibility (p=0.000) and perceived self-efficacy (p=0.009). The majority of respondents (63.5%) exhibited good clean and healthy living behaviors. The most dominant variable influencing a clean and healthy living was perceived barriers with OR=17.15. It is recommended that future researchers investigate the effectiveness of clean and healthy living behaviors education, also the dangers of smoking and sexual behavior in adolescents.