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Pengaruh Penerapan Model Charting By Exception (CBE) Terhadap Nilai Interdialytic Weight Gain (IDWG) Pada Pasien Yang Menjalani Hemodialisa di RS Harapan dan Doa Kota Bengkulu Wasalamah, Bardah; Yustisia, Nova; Komala, Encik Putri Ema; Aprilatutini, Titin
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.37492

Abstract

Hemodialisa (HD) merupakan terapi pengganti ginjal yang paling banyak dijalani oleh pasien PGK di Indonesia dengan persentase sebesar 82%. Pembatasan cairan merupakan regimen yang paling sulit untuk dijalani oleh pasien HD yang menyebabkan terjadinya peningkatan nilai Interdilytic Weight Gain (IDWG) dengan berbagai komplikasi pada berbagai sistem tubuh. Pembatasan cairan menjadi faktor utama yang menyebabkan masalah paling sering pada pasien HD. Penerapan model Charting by Exception (CBE) merupakan salah satu metode inovatif yang dapat dilakukan oleh pasien secara mandiri dalam melakukan monitoring cairan. Diharapkan akan memberikan dampak positif terhadap kontrol nilai IDWG sebagau marker onjektif dari kepatuhan pembatasan cairan. Penelitian bertujuan untuk untuk mengetahui pengaruh penerapan model Charting by exeption  (CBE) terhadap nilai Interdialytic Weight Gain (IDWG) pasien yang menjalani hemodialisa. Desain penelitian ini adalah quasy experiment pre and post-test with control group design. Penelitian dilakukan di RS Harapan dan Doa Kota Bengkulu dengan melibatkan 52 responden. Responden dibimbing melakukan monitoring cairan menggunakan My hemodialysis Journal yang telah dikembangkan berdasarkan teori model dokumentasi CBE oleh peneliti. IDWG diukur secara konsisten selama 1 bulan atau delapan kali Hemodialisa. Penerapan model CBE secara signifikan dapat menurunkan nilai Interdialytic Weight Gain (IDWG) pasien Hemodialisa dengan p-value 0,021. Penurunan nilai IDWG pada kelompok intervensi lebih tinggi dengan rata-rata nilai IDWG adalah 1,96 dibandingkan kelompok kontrol 2,42 setelah diberikan intervensi.
HUBUNGAN SELF EFFICACY DAN TRAIT MINDFULNESS TERHADAP KESEJAHTERAAN PSIKOLOGIS LANJUT USIA DI SEKOLAH LANSIA CEMPAKA SMART BENGKULU Yustisia, Nova; Aprilatutini, Titin; Rahayu, Hazel Priscilia Juni Esa
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/haxgct92

Abstract

ABSTRAK Latar belakang: Proses menua akan mengakibatkan penurunan kapasitas fungsional tubuh, sehingga muncul asumsi masyarakat lansia tidak mampu melakukan pekerjaan, akhirnya mereka mengurangi keterlibatan lansia dalam sebuah kegiatan (Ageisme). Bila tidak diatasi akan berdampak pada menurunnya self efficacy dan trait mindfulness pada lansia, jika hal tersebut terjadi maka akan memengaruhi kesejahteraan psikologis lansia. Tujuan penelitian untuk mengetahui hubungan self efficacy dan trait mindfulness terhadap kesejahteraan psikologis lanjut usia di Sekolah Lansia Cempaka SMART BengkuluPenelitian menggunakan Metode: Jenis penelitian kuantitatif dengan pendekatan cross sectional. Hasil Menunjukkan nilai ? value = 0.000 pada variabel hubungan self efficacy terhadap kesejahteraan psikologis lanjut usia dan nilai ? value = 0.002 pada variabel hubungan trait mindfulness terhadap kesejahteraan psikologis lanjut usia (? value = <0.005). Kesimpulan Ada hubungan self efficacy dan trait mindfulness terhadap kesejahteraan psikologis lanjut usia di Sekolah Lansia Cempaka SMART Bengkulu. Kesejahteraan psikologis lansia perlu ditingkatkan dengan cara meningkatkan self efficacy dan trait mindfulness melalui kegiatan-kegiatan di Sekolah Lansia. Kata kunci: Kesejahteraan Psikologis, Lansia, Self Efficacy, Trait Mindfulness   ABSTRACT Background: The aging process will result in a decrease in the functional capacity of the body, so there is an assumption that the elderly community is unable to do work, eventually they reduce the involvement of the elderly in an activity (Ageism). If not overcome, it will have an impact on decreasing self efficacy and trait mindfulness in the elderly, if this happens it will affect the psychological well-being of the elderly. Research Objectives to determine the relationship between self efficacy and trait mindfulness on the psychological well-being of the elderly at the Cempaka Elderly School SMART BengkuluResearch using Methods: Quantitative research type with a cross sectional approach. Results: showed a ? value = 0.000 on the relationship variable of self efficacy to elderly psychological well-being and a ? value = 0.002 on the relationship variable of trait mindfulness to elderly psychological well-being (? value = &lt;0.005). Conclusion: There is a relationship between self efficacy and trait mindfulness on the psychological well-being of the elderly at the Cempaka SMART Bengkulu Elderly School. The psychological well-being of the elderly needs to be improved by increasing self efficacy and trait mindfulness through activities at the Elderly School. Keywords: Psychological Wellbeing, Elderly, Self Efficacy, Trait Mindfulness
SINDROM GERIATRI PADA LANJUT USIA DI PANTI SOSIAL TRESNA WERDHA BENGKULU Yustisia, Nova; Titin Aprilatutini; Nevia Fitriani
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 2 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/89nkjd56

Abstract

ABSTRAK Latar belakang: Sindrom geriatri merupakan suatu sindrom yang terjadi pada seseorang yang sudah memasuki usia lanjut, pada masa ini lansia akan mengalami beberapa penurunan kapasitas fisiologis, terjadinya penurunan status fungsional dan juga mengacu pada kejadian malnutrisi. terjadinya gangguan kesehatan serta beberapa kondisi klinis yang dialami oleh lansia yang dapat mempengaruhi kualitas hidup dan sangat mempengaruhi kemandirian lansia dalam menjalankan kehidupan sehari hari. Serangkaian gejala kesehatan yang sering dikeluhkan lansia, yang meliputi, instability, incontinence, intelektual impairment, infection, impairment of hearing, vision and smell, isolation/depresion, innanition, impecunity, iatrogenik, immunodeficiency, impotency, impaction, dan insomnia. Tujuan penelitian ini diketahuinya profil sindrom geriatri di Panti Sosial tresna Werdha Kota Bengkulu. Metode: Jenis penelitian kuantitatif dengan pendekatan deskriptif. Tekhnik pengambilan sampel dengan total sampling pada 40 orang lanjut usia. Hasil penelitian diperoleh sebagian besar 23 responden (53.5%) dengan 1-6 sindrom geriatri, hampir setengahnya 17 responden (42,5%) dengan 7-13 sindrom geriatri. Kesimpulan : Semua Lanjut usia di Panti Sosial Tresna Werdha yang menjadi responden sudah mengalami sindrom geriatri yang beragam yang  berdampak pada kemandirin dan mempengaruhi kualitas hidup lansia. Diharapkan pihak terkait dalam menyusun program kesehatan lansia untuk melakukan pemantauan kesehatan secara rutin dan berkala melalui screening kesehatan  sehingga dapat mencegah kemunduran kesehatan dan mengoptimalkan kesehatan lansia dengan berbagai upaya baik fisik, psikologis, sosial dan spiritual sehingga dapat meningkatkan kualitas hidup lanjut usia Kata kunci: Lansia, Sindrom Geriatri   ABSTRACT Background: Geriatric syndrome is a syndrome that occurs in individuals who have reached advanced age. During this period, the elderly experience a decline in physiological capacity, a decrease in functional status, and malnutrition. Health disorders and several clinical conditions experienced by the elderly can affect their quality of life and greatly influence their independence in carrying out daily activities. A series of health symptoms commonly reported by the elderly include instability, incontinence, intellectual impairment, infection, impaired hearing, vision, and smell, isolation/depression, anorexia, impecunity, iatrogenic issues, immunodeficiency, impotency, impaction, and insomnia. Method:The objective of this study is to determine the profile of geriatric syndrome at the Social Welfare Home for the Elderly in Bengkulu City. Result : A quantitative study with a descriptive approach. The sampling technique used total sampling on 40 elderly individuals. The study results showed that the majority of respondents (23, or 53.5%) had 1–6 geriatric syndromes, while nearly half (17, or 42.5%) had 7–13 geriatric syndromes. Conclusion: All elderly individuals at the Social Welfare Home for the Elderly who participated in the study had experienced various geriatric syndromes that impacted their independence and affected their quality of life. It is hoped that relevant parties in developing elderly health programs will conduct regular and periodic health monitoring through health screenings to prevent health deterioration and optimize elderly health through various physical, psychological, social, and spiritual efforts, thereby improving their quality of life. Keyword : Elderly, Geriatric Syndrome
Stress Management Education Among Housewife in Kebun Dahri Urban Village Bengkulu Wasalamah, Bardah; Komala, Encik Putri Ema; Aprilatutini, Titin; Yustisia, Nova; Susilawati, Desi
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 1 No. 2 (2023): Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v1i2.29

Abstract

Stress is a universal phenomenon that can be experienced by everyone in everyday life. Stress can be defined as a condition that fully of worry and mental tension caused by a bad situation. It can cause negative impact to physical condition, psychological, intellectual and spiritual. The important thing that must be understood is how to control it in facing stress experienced. Health education as a community service activity is aim to provide an understanding of stress management for housewife. It is very important because there is still many people don't know about it. If people's knowledge is good so people can manage stress better. Health education was carried out in Kebun Dahri Urban Village, Bengkulu involving 29 housewife. It was provided with a leaflet as supporting media for education. Pre-test and post-test activity was carried out to evaluate knowledge before and after education. The results showed that there was an increase of knowledge about stress management among housewife after health education given. It wasn’t expected to increase knowledge only but also change behavior, so knowledge gained can be applied in everyday life.
Group Activity Therapy as an Effort to Prevent Elderly Frailty in Panti Sosial Tresna Werdha Bengkulu City Aprilatutini, Titin; Yustisia, Nova; Maiyulis, Maiyulis
DIKDIMAS : Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 2 (2022): DIKDIMAS : JURNAL PENGABDIAN KEPADA MASYARAKAT  VOL 1 NO 2 August 2022
Publisher : Asosiasi Profesi Multimedia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/dikdimas.v1i2.25

Abstract

The targets of this community service activity are:community, especially the elderly.The location for the activity was held at the Panti Sosial Tresna Werda (PSTW) Bengkulu City. PSTW is a residential institution that provides physical, spiritual and social services and care as well as protection for the elderly so that they can enjoy old age like other elderly people. Group activity therapy as an effort to prevent frailty in the elderly has many benefits as one of the most effective interventions to be used in medical therapy for healing a disease that can be applied to the community as therapy, one of which is in the elderly so that the elderly avoid frailty which will affect the elderly. quality of life of the elderly.The hope is that after this activity is carried outcan help social workers and health workers who are in PSTW to improve the welfare of the elderly and prevent the occurrence of frailty in the elderly so that their functional health can be maintained and improve the quality of life of the elderly.
Peningkatan pengetahuan tentang penanganan fraktur pra hospital pada Siswa SMA Negeri 5 Kota Bengkulu dengan metode demonstrasi Rosyadi, Imron; Hasymi, Yusran; Yustisia, Nova; Wasalamah, Bardah; Sorena, Esti; Susilawati, Desi
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 6 (2025): November
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i6.36144

Abstract

AbstrakKondisi gawat darurat pada anak usia SMA memiliki potensi yang cukup tinggi. Hal ini dikarenakan anak usia SMA memiliki aktivitas yang sangat tinggi di luar rumah. Kondisi gawat darurat seperti fraktur dapat menimpa siswa SMA saat berada di sekolah. Sehingga kemampuan untuk melakukan pertolongan pertama pada saat kejadian sangat dibutuhkan. SMA Negeri 5 Kota Bengkulu terletak di pusat Kota Bengkulu dengan lalu lintas yang cukup padat. Hal ini menjadi faktor yang kuat bagi pengabdi untuk memilih SMA Negeri 5 menjadi lokasi pengabdian masyarakat. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pemahaman siswa tentang penanganan fraktur pra hospital dengan menggunakan metode demonstrasi dengan diawali penyuluhan kesehatan. Peserta pengabdian masyarakat adalah siswa kelas XI yang berjumlah 50 orang. Metode pelaksanaan yang dilakukan adalah dengan memberikan pretest terlebih dahulu. Selanjutnya pengabdi memberikan edukasi kesehatan dan demonstrasi penanganan fraktur pada peserta. Setelah itu pengabdi memberikan posttest untuk mengukur tingkat pemahaman siswa dalam menangani fraktur. Hasil yang didapatkan adalah adanya peningkatan skor pengetahuan siswa. Rerata nilai pretest adalah 75 dan rerata nilai posttest adalah 85. Hasil pengabdian ini menunjukkan pemberian edukasi kesehatan dan metode demonstrasi efektif dalam meningkatkan pemahaman siswa SMA dalam memberikan pertolongan gawat darurat pra hospital pada korban yang mengalami fraktur. Kata kunci: fraktur; pra hospital; edukasi kesehatan; demonstrasi AbstractEmergency conditions in high school students have a high potential. This is because high school students have very high activities outside the home. Emergency conditions such as fractures can occur to high school students while at school. Therefore, the ability to provide first aid at the time of the incident is crucial. State Senior High School 5 in Bengkulu City is located in the center of Bengkulu City with heavy traffic. This is a strong factor for volunteers to choose State Senior High School 5 as the location for community service. The aim of this community service is to improve students' understanding of pre-hospital fracture management using a demonstration method preceded by health education. The participants of the community service are 50 students in grade XI. The implementation method includes conducting a pretest first. Then, the volunteers provide health education and demonstrate fracture management to the participants. After that, a posttest is given to measure the students' level of understanding in handling fractures. The results show an increase in students' knowledge scores. The average pretest score is 75 and the average posttest score is 85. This community service project demonstrates that health education and demonstration methods are effective in improving high school students' understanding of providing pre-hospital emergency assistance to victims with fractures. Keywords: fracture; pre-hospital; health education; demonstration