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Implementasi Program Peduli Sehat untuk Meningkatkan Kesadaran dan Deteksi Dini Penyakit Tidak Menular Nursanti, Irna; Fadhillah, Harif; Natashia, Dhea; Anggraini, Dewi; Susanti, Yuanita
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21627

Abstract

ABSTRAK Penyakit Tidak Menular (PTM) seperti hipertensi, diabetes, dan dislipidemia merupakan ancaman utama kesehatan masyarakat, terutama pada kelompok perempuan menopause yang mengalami perubahan hormonal dan metabolik signifikan. Rendahnya kesadaran terhadap deteksi dini dan gaya hidup sehat menjadi faktor yang memperburuk risiko. Kegiatan ini bertujuan untuk meningkatkan kesadaran dan literasi kesehatan melalui program edukasi, pemeriksaan kesehatan, dan konsultasi individual berbasis komunitas pada kelompok usia ≥45 tahun, khususnya perempuan menopause. Dari 50 peserta, sebanyak 80% merupakan perempuan dengan rata-rata usia 62 tahun. Hasil pemeriksaan menunjukkan rata-rata tekanan darah sistolik 137,76 mmHg (prehipertensi), GDS 145,92 mg/dL (prediabetes), IMT 26,54 kg/m² (overweight), kolesterol 224,22 mg/dL (borderline high), dan asam urat 6,83 mg/dL (di atas normal untuk perempuan). Sesi penyuluhan dan konsultasi menunjukkan bahwa peserta memahami keterkaitan antara hasil pemeriksaan dengan risiko PTM, dan mayoritas menyatakan motivasi untuk mulai mengubah pola hidup. Program PEDULI SEHAT terbukti efektif dalam meningkatkan pemahaman dan kepedulian peserta terhadap kondisi kesehatannya. Peran ‘Aisyiyah sebagai mitra komunitas memperkuat keberhasilan pendekatan edukatif yang partisipatif dan responsif gender, khususnya pada kelompok perempuan menopause. Kata Kunci: Penyakit Tidak Menular, Menopause, Edukasi Kesehatan, Deteksi Dini, Lansia.  ABSTRACT Non-Communicable Diseases (NCDs) such as hypertension, diabetes, and dyslipidemia are major public health threats, particularly among postmenopausal women who experience significant hormonal and metabolic changes. Low awareness of early detection and healthy lifestyle practices further increases these risks. This community-based program aimed to improve health literacy and awareness through education, health screening, and individual consultation targeting adults aged ≥45 years, with a focus on postmenopausal women. Of the 50 participants, 80% were women with a mean age of 62 years. Health screening results showed an average systolic blood pressure of 137.76 mmHg (prehypertension), random blood glucose of 145.92 mg/dL (prediabetes), BMI of 26.54 kg/m² (overweight), total cholesterol of 224.22 mg/dL (borderline high), and uric acid of 6.83 mg/dL (above normal for women). Educational and consultation sessions helped participants understand the link between their health indicators and NCD risk, and most expressed motivation to adopt healthier lifestyles. The PEDULI SEHAT program was effective in enhancing participants’ awareness and concern for their health status. The involvement of ‘Aisyiyah, a trusted community-based women’s organization, played a vital role in supporting a participatory and gender-responsive health promotion approach, especially among postmenopausal women. Keywords: Non-Communicable Diseases, Menopause, Health Education, Older Adults
Efektivitas terapi musik natural terhadap penurunan ansietas pasien penyakit jantung koroner yang menjalani angiografi koroner di RSPAD Gatot Soebroto Suwito, Kafi Pangki; Jumaiyah, Wati; Natashia, Dhea
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2769

Abstract

Background: Coronary artery disease (CAD) is one of the leading causes of cardiovascular morbidity and mortality worldwide, including in Indonesia. Coronary angiography as the gold standard for CAD diagnosis often triggers significant anxiety in patients, which may affect physiological stability and increase the risk of complications.Objective: This study aimed to evaluate the effectiveness of natural music therapy in reducing anxiety among CAD patients undergoing coronary angiography at RSPAD Gatot Soebroto.Methods: This quasi-experimental study employed a non-randomized control group pretest–posttest design. The study was conducted at RSPAD Gatot Soebroto, Jakarta, in 2024. A total of 30 patients were divided into intervention and control groups. The intervention group received 20 minutes of natural music therapy, while the control group did not receive any intervention. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI), and physiological parameters (blood pressure, heart rate, respiratory rate) were also assessed. Data were analyzed using paired t-test, Wilcoxon signed rank test, and Mann–Whitney U test with a significance level of α = 0,05.Results: The findings revealed a significant reduction in anxiety scores in the intervention group (mean difference = 24,13 ± 11,64; p = 0,000), whereas the control group showed no significant change (mean difference = 0,20 ± 3,19; p = 0.812). Between-group analysis demonstrated a statistically significant difference in anxiety reduction (p = 0,000). However, natural music therapy did not significantly influence physiological parameters.Conclusion: Natural music therapy was effective in reducing anxiety among CAD patients undergoing coronary angiography.
Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD) Arsyi, Dila Nurul; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3694

Abstract

Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.
The Effect of Pre-Operative Education on Anxiety in Patients Undergoing Percutaneous Coronary Intervention Pramono, Cahyo; Jumaiyah, Wati; Natashia, Dhea; Sofiani, Yani
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4694

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Myocardial infarction (MI) describes the process of myocardial cell death caused by ischemia or an imbalance between myocardial oxygen supply through the coronary arteries and demand. Coronary heart disease remains the leading cause of death worldwide, and in Indonesia it still shows that coronary heart disease is the highest cause of death at all ages after stroke. Providing preoperative education by providing relevant health care information and preparing physically and psychologically can reduce patient anxiety. The purpose of this research is to determine the effect of preoperative education on the anxiety of patients undergoing PCI. The method uses a quasi-experimental design. The research method used a quasi-experiment with an intervention group and a control group. The sampling technique used Purposive sampling. The number of samples in this study was 46 respondents, 23 intervention groups and 23 control groups. The study was conducted in May - June 2024 in the ICCU room of PKU Muhamadiyah Gamping Hospital, with a data collection time allocation of 15 minutes to measure anxiety and provide pre-operative education. Pre-test anxiety measurements were carried out during the ACS medical diagnosis and scheduled for PCI, then pre-operative education was given with booklet media, post-test measurements were carried out one hour before the PCI was carried out. The instrument used was the STAI (State-Trait Anxiety Inventory) questionnaire with 20 question. Data analysis using the Independent Samples Test. The result is a P value of 0.00, which means there is a difference in anxiety between the intervention group and the control group. The average anxiety of the intervention group pre-test was 34.39 decreasing to 30.57, and the control group pre-test anxiety average was 34.17 decreasing to 33.22. The conclusion is that pre-operative education is effective in reducing anxiety in patients undergoing PCI.
Translation and psychometric testing of Indonesian Version of Chronic Kidney Disease– Symptom Burden Index Wasilah, Hinin; Natashia, Dhea; Huang, Chen-Hui; Chen, Hsing Mei; Yen, Miaofen
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.47539

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Introduction: Chronic Kidney Disease Symptom Burden Index (CKD-SBI) is an instrument measuring symptom burden developed by Almutary and colleagues in 2015 to refine the identification of symptom burden in chronic kidney disease population. This instrument has not been tested for Indonesian language, thus, the aim of study was to translate and psychometrically testing the Indonesian version of CKD-SBI. Methods: This study design was cross-sectional study. The study methods were divided into translation and psychometric testing. The translation was conducted by adapting Guillemin and Beaton's guidelines. The psychometric properties determined 320 hemodialysis patients with several inclusion criteria such as above 18 years old, regularly receiving hemodialysis for more than 3 months. Patients with cognitive impairment, psychiatric patients, and in critical condition were excluded. Results: The item content validity index of the Indonesian version was 0.92, and the subscale content validity was 0.78. The instrument demonstrated convergent validity with the Kidney Disease Quality of Life. Excellent internal consistency was demonstrated based on a Cronbach's alpha coefficient of .91 and a subscale ranging from 0.86 to 0.92. The confirmatory factor analysis showed that the five factors of English Version did not fit the Indonesian version.  Conclusions: Translated Indonesian versions of CKD-SBI can be used as instruments to assess symptom burden among patients with hemodialysis. By assessing symptom burden, we hope nurses in the hospital are able to decide effective symptom management to increase the health-related quality of life among these populations.
Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia Damayanti, Sri Utami; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Herawati, Eva
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.623

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Aim: to determine the effectiveness of upper arm exercises on pain intensity among patients with breast cancer at the Dharmais Cancer Hospital, Indonesia. Methods: This study used a queasy experiment with pre-post-test and two-group design. Twenty respondents from breast cancer patients in each intervention and control group were recruited. The upper arm training intervention was carried out 3 times/week for 3 weeks. The Visual Analogue Scale (VAS) was used to assess pain, and linear regression and the dependent t-test with a significance level of 0.05 (CI 95%) were used for analysis. Result: The significant difference in pain levels between the intervention group and the control group shows that the mean difference in the pain level scale of respondents in the upper arm exercise intervention group was 2.50 (SD=0.60), while in the control group, the mean was 1.70 (SD=0.65). control group with (t=4.00, p=0.001), and age (p-value =0.023; OR=8.645) were predictors in this study. Conclusions: Upper arm exercises can be recommended to reduce pain in breast cancer sufferers, especially breast cancer patients who have undergone stage 1 and 2 mastectomy operations. It is recommended that further research involve respondents who had the same level of pain before upper arm exercises were carried out
The Effect of Social Media Application-Based Interventions on HIV Adherence to ARV Medication among Patients with HIV Herawati, Eva; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Damayanti, Sri Utami
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.637

Abstract

Aims: The purpose of this study was to determine the effect of health interventions based on social media applications on HIV patients' adherence to taking ARV medication.  Method: In this study, 76 were selected using a quasi-experimental methodology and a purposive sampling technique. then divided into two distinct groups: intervention and control. During the study, respondents in the intervention group received treatment in the form of reminders via WhatsApp and the SiARV web application. The control group was only given standard health services without any technology-based health interventions. Results: Significant changes in treatment adherence were observed in both the intervention group (p=0.001) and the control group (p=0.001). The difference in treatment adherence between the intervention group and the control group was statistically significant (p=0.040). In the context of multivariate analysis, education was found to be predictive of changes in respondent Adherence (p = 0.019; OR = 3.692). Discussion: Awareness of ARV adherence can be increased and maintained through SiARV social media as a strategy for reminding and controlling patient adherence Conclusion: HIV patients' adherence to taking ARV medications is affected by health interventions utilizing social media applications. It is anticipated that providing HIV patients with application-based interventions and a high level of patient knowledge through education will enhance their quality of life.
Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital Wahdaniyah, Wahdaniyah; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Resnayati, Yeti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.644

Abstract

Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test.  Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital
Exploring the Impact of Social Support on Tuberculosis Treatment: A Thematic Review Syamsir, Syamikar Baridwan; Setiawan, Agus; Supriyatno, Heru; Yudanagara, Bani Bacan Hacantya; Natashia, Dhea; Mar'ah, Novya Ashlahatul
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.744

Abstract

Aims: Tuberculosis (TB) remains a critical global health issue, characterized by significant morbidity and mortality rates. Recent research highlights the potential of social support interventions to enhance TB treatment outcomes and improve patient quality of life. This study examines the positive effects of social support interventions on TB patients throughout their treatment process. Method: Utilizing a traditional review approach, this study applies thematic analysis to synthesize findings from the literature. The review encompasses 17 articles selected from reputable databases, including PubMed, Wiley Online Library, ProQuest, and Google Scholar, based on predefined inclusion criteria. These articles underwent quality assessment using the Critical Appraisal Skills Programme (CASP) tool. The PRISMA flowchart provided transparency in the selection process. Results: Key themes identified through the analysis include treatment adherence, psychological well-being, motivation to recover, health-related quality of life, prevention of TB transmission, successful TB treatment, and self-efficacy to recover. Conclusion: The findings suggest that social support interventions can play a crucial role in addressing the persistent challenges of TB management globally.
The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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

Abstract

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.