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Relationship between Dietary Fat-Sodium and Hypertension in Prolanis at Jarak Kulon Public Health Center Heryanti, Wiwik Dwi; Rifa'i; Nahariani, Pepin; Kurdi, Fahruddin
Journal of Rural Community Nursing Practice Vol. 2 No. 2 (2024): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v2i2.255

Hypertension is a disease that causes high pain. Consuming sodium and fatty acids every day can increase the risk of hypertension. The impact of high fatty acids affects the presence of cholesterol deposits in the blood, while the levels of fatty acids cause increased blood pressure. This study aimed to analyze the relationship between sodium fat and hypertension in the Chronic Disease Management Program (Prolanis) at the Jarak Kulon Public Health Center Jombang. The research design used was cross-sectional. The population of this study was all hypertensive patients who participated in Prolanis, as many as 50 people. The sampling technique used was total sampling. The independent variable is the fat-sodium diet, and the dependent variable is hypertension. The instrument for the fat-sodium diet uses a questionnaire, while the incident uses observation. Statistical tests use Spearman Ranks. Spearman ranked data analysis with a significance of 0.01 and obtained a value of 0.000. Because (<α) means there is a relationship between the fat-sodium diet and hypertension. The test results also show that the relationship level of 0.695 is included in the strong category. Based on the research results, it is hoped that food content that is low in fat and low in sodium levels will help blood pressure to reach near-normal levels to avoid more severe complications.

Relationship between Dietary Fat-Sodium and Hypertension in Prolanis at Jarak Kulon Public Health Center Heryanti, Wiwik Dwi; Rifa'i; Nahariani, Pepin; Kurdi, Fahruddin
Journal of Rural Community Nursing Practice Vol. 2 No. 2 (2024): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v2i2.255

Hypertension is a disease that causes high pain. Consuming sodium and fatty acids every day can increase the risk of hypertension. The impact of high fatty acids affects the presence of cholesterol deposits in the blood, while the levels of fatty acids cause increased blood pressure. This study aimed to analyze the relationship between sodium fat and hypertension in the Chronic Disease Management Program (Prolanis) at the Jarak Kulon Public Health Center Jombang. The research design used was cross-sectional. The population of this study was all hypertensive patients who participated in Prolanis, as many as 50 people. The sampling technique used was total sampling. The independent variable is the fat-sodium diet, and the dependent variable is hypertension. The instrument for the fat-sodium diet uses a questionnaire, while the incident uses observation. Statistical tests use Spearman Ranks. Spearman ranked data analysis with a significance of 0.01 and obtained a value of 0.000. Because (<α) means there is a relationship between the fat-sodium diet and hypertension. The test results also show that the relationship level of 0.695 is included in the strong category. Based on the research results, it is hoped that food content that is low in fat and low in sodium levels will help blood pressure to reach near-normal levels to avoid more severe complications.

Diabetic Foot Exercises for Hyperglycemia in Diabetes Mellitus Patient: A Case-Study Sari, Elia Nanda Wulan; Dianita, Eka Mei; Nahariani, Pepin; Yulianto, Heri
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.277

Background: Diabetes Mellitus is a metabolic disease characterized by increased blood sugar levels which occurs because the pancreas is unable to secrete insulin. Symptoms of diabetes mellitus cases are increased blood glucose levels, one action to overcome this is diabetes foot exercises. Objective: To determine the effectiveness of diabetes mellitus foot exercises in reducing blood glucose levels. Methods: Descriptive with presentation of case studies using a nursing care approach, namely assessment, diagnosis, intervention, implementation and nursing evaluation. Results: After carrying out nursing actions for 3 x 24 hours, it was found that blood glucose levels had decreased as evidenced by subjective data: the patient said that the weakness and tingling in the legs had decreased, objective data: decreased weakness, GDA examination was 129 mg/dL. Conclusions: There was a decrease in blood sugar levels after diabetes mellitus foot exercise. There are differences in the development of decreased blood glucose levels in patients with diabetes mellitus before and after the application of diabetes mellitus foot exercise.

Non-Pharmacological Approaches in the Management of Primary Dysmenorrhea: A Literature Review Mulyaningsih, Erika Agung; Juwita, septiana; Nahariani, Pepin; Mudhawaroh, Mudhawaroh
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i2.591

Background: The incidence of primary dysmenorrhea is a condition experienced by almost all adolescent women and of childbearing age, negatively impacting their quality of life and productivity. Although pharmacological treatments such as NSAIDs are frequently used, many individuals seek non-pharmacological alternatives to avoid long-term side effects. This study aims to explore the effectiveness of complementary therapies, including acupressure, herbal medicine, and yoga, in managing primary dysmenorrhea. Method: A systematic literature review (SLR) was conducted using the PRISMA approach, selecting relevant articles from PubMed, ScienceDirect, and Google Scholar based on specific keywords. Articles that met the inclusion criteria, such as publication range (2020-2025) and topic relevance, were further analyzed. Results: From a review of 17 articles that met the inclusion criteria, it was found that yoga can significantly reduce pain intensity by increasing relaxation and improving blood circulation in the pelvic area. Acupressure therapy, particularly on the SP6 point, has been proven effective in reducing menstrual pain by increasing the release of beta-endorphins. In addition, consumption of herbal medicines such as ginger has anti-inflammatory effects that help reduce the production of prostaglandins, one of the main causes of menstrual pain. Conclusion: Non-pharmacological therapies—such as yoga, acupressure, and herbal remedies—are effective, safe, and affordable alternatives to pharmacological management. It is recommended that healthcare professionals, particularly midwives, provide education and facilitate the implementation of these complementary therapies as part of promotive and preventive efforts to address menstrual pain in adolescents and women of childbearing age.

Non-Pharmacological Approaches in the Management of Primary Dysmenorrhea: A Literature Review Mulyaningsih, Erika Agung; Juwita, septiana; Nahariani, Pepin; Mudhawaroh, Mudhawaroh
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i2.591

Background: The incidence of primary dysmenorrhea is a condition experienced by almost all adolescent women and of childbearing age, negatively impacting their quality of life and productivity. Although pharmacological treatments such as NSAIDs are frequently used, many individuals seek non-pharmacological alternatives to avoid long-term side effects. This study aims to explore the effectiveness of complementary therapies, including acupressure, herbal medicine, and yoga, in managing primary dysmenorrhea. Method: A systematic literature review (SLR) was conducted using the PRISMA approach, selecting relevant articles from PubMed, ScienceDirect, and Google Scholar based on specific keywords. Articles that met the inclusion criteria, such as publication range (2020-2025) and topic relevance, were further analyzed. Results: From a review of 17 articles that met the inclusion criteria, it was found that yoga can significantly reduce pain intensity by increasing relaxation and improving blood circulation in the pelvic area. Acupressure therapy, particularly on the SP6 point, has been proven effective in reducing menstrual pain by increasing the release of beta-endorphins. In addition, consumption of herbal medicines such as ginger has anti-inflammatory effects that help reduce the production of prostaglandins, one of the main causes of menstrual pain. Conclusion: Non-pharmacological therapies—such as yoga, acupressure, and herbal remedies—are effective, safe, and affordable alternatives to pharmacological management. It is recommended that healthcare professionals, particularly midwives, provide education and facilitate the implementation of these complementary therapies as part of promotive and preventive efforts to address menstrual pain in adolescents and women of childbearing age.

Hubungan Gula Darah, Asam Urat dan Hemoglobin dengan Tekanan Darah Lansia: The Relationship between Blood Sugar, Uric Acid, and Hemoglobin with Blood Pressure in the Elderly Praningsih, Supriliyah; Firranda F, Fitri; Maryati, Heni; Dianita, Eka Mei; Nahariani, Pepin
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.29324

Objective: Hypertension is a leading cause of death worldwide, with over one billion people suffering from it. Several factors influence blood pressure, including blood sugar, uric acid, and hemoglobin. This study aimed to analyze the relationship between blood sugar, uric acid, and hemoglobin with blood pressure. Methods: The study design was correlational with a cross-sectional approach. The study population was 46 elderly people in Puton Village, Diwek District, Jombang Regency. Data on uric acid, blood sugar, and hemoglobin levels were collected using a multifunction blood test device through peripheral blood sampling. Blood pressure was measured using a sphygmomanometer according to standard guidelines. Data were analyzed using coding, editing, tabulation, and scoring, and statistical tests were performed using the Spearman Rank test. Results: Most respondents (73.9%) had high blood sugar. Most respondents (71.7%) had high uric acid (33%). Half of respondents (50%) had normal hemoglobin (23%). Nearly half of respondents (34%) had prehypertensive systolic blood pressure and stage 1 hypertension (34.8%) each. Half of the respondents had diastolic blood pressure (50%, 23 people) with grade 1 hypertension. The Spearman rank test for blood sugar and uric acid levels on systolic and diastolic blood pressure using SPSS yielded a p value > 0.05, indicating no correlation. The correlation between hemoglobin and diastolic blood pressure yielded a p value > 0.05, indicating no correlation. The hemoglobin-systolic blood pressure test yielded a p value of 0.017, less than 0.05, with a correlation coefficient of 0.349, indicating a moderate correlation between hemoglobin and systolic blood pressure. Conclusion: Proper control of the intervening variables is essential to ensure a truly homogeneous sample of respondents to achieve optimal results. The number of respondents should be increased.

ANALISIS PERBANDINGAN DEFLASI TORNIQUET LANGSUNG DAN BERTAHAP TERHADAP PERUBAHAN TEKANAN DARAH PADA PASIEN OPERASI TOTAL KNEE ARTHROPLASTY Hidayah, Nurul; Nahariani, Pepin; Kholis, Anja Hesnia; Priyanti, Ratna Puji; Hidayat, Wahyu; Utomo, Azis Mualim Priyo
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.30566

Background: Arterial tourniquets are used in extremity surgical procedures to create a bloodless surgical field. In Total Knee Arthroplasty (TKA) there is redistribution of intravascular volume to the ischemic lower extremity, bleeding, and vasodilation, thereby potentially reducing arterial blood pressure. Objective: to analyze the differences in blood pressure reduction in TKA patients after direct and gradual tourniquet deflation. Methods: Using the Quasy experiment, the population was TKA surgery patients in the Central Surgery Room at Dr. RSUD. Soedono, East Java Province in January – March 2024. Using Simple Random Sampling techniques, it was found that n=24 respondents were divided into intervention group n=12 and control group n=12. Data analysis used the independent T-test. Results: There was no significant difference in pre-intervention systolic and diastolic blood pressure between the gradual and direct groups (p=0.055, p=0.451), there was no significant difference in post-intervention systolic blood pressure between the gradual and direct groups (p=0.578) and there was a significant difference diastolic blood pressure at post intervention between the gradual and immediate groups (p=0.032). The mean difference between pre and post systolic blood pressure in the gradual deflation group was 4.08 mmHg and Dyastole was 6.17 mmHg. Meanwhile, the difference in the mean value of pre and post Systole blood pressure in the direct deflation group was 19.31 mmHg and Dyastole was 10.55. The decrease in blood pressure in both systole and diastole in the gradual deflation group was smaller than in the immediate deflation group. Conclusion: Gradual tourniquet deflation allows for a smaller risk of lowering blood pressure than directly so it can be considered as an alternative method of tourniquet deflation after TKA surgery

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