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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) KESANS : International Journal of Health and Science International Journal of Management Science and Information Technology (IJMSIT) Bureaucracy Journal : Indonesia Journal of Law and Social-Political Governance Indonesian Journal of Community Development Medical-Surgical Journal of Nursing Research Jurnal Abdimas Sains
Herdiman, Herdiman
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Arts Humanities Chemistry Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Effect of Telemonitoring and Nurse-Led Collaboration on Self-Management and Quality of Life in Heart Failure Patients in West Java Lindayani, Linlin; Nurdina, Gina; Anggraini, Dian; Herdiman, Herdiman; Darmawati, Irma; Mutiar, Astri
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 | DOI: 10.33755/jkk.v11i1.808

Abstract

Aims: This study aimed to assess the combined effects of telemonitoring and nurse-led collaborative care on self-management, medication adherence, QoL, and hospital readmission rates among HF patients in West Java, Indonesia. Methods: A randomized controlled trial (RCT) was conducted with 120 HF patients randomized into an intervention group (telemonitoring and nurse-led collaborative care) and a control group (standard education). The intervention included health education, telemonitoring of clinical parameters, and regular nurse follow-ups. The primary and secondary outcomes—hospital readmissions, self-management, medication adherence, and QoL—were measured using validated instruments. Data analysis was performed using multivariate regression and chi-square tests. Results: Participants in the intervention group demonstrated significant improvements in self-management (mean score increased from 62.4 to 78.3), medication adherence (mean core increased from 4.3 to 6.8), and QoL (mean score decreased from 51.8 to 38.4) compared to the control group (p < 0.001). Additionally, the 180-day hospital readmission rate was significantly lower in the intervention group (30.0%) compared to the control group (60.0%, p < 0.001). Telemonitoring and nurse-led care independently reduced the odds of readmission by 3.8 times (OR: 3.8, 95% CI: 1.9–7.4, p < 0.001). Conclusion: This scalable and effective model for HF management highlights the importance of culturally tailored interventions in low- and middle-income countries, offering a practical approach to overcoming resource limitations.
Effect of Progressive Muscle Relaxation Therapy on Stress and Blood Pressure in the Pre-Hypertensive Group Herdiman, Herdiman; Adawiyah, Dita Rabiatul; Triantika, Triantika; Lindayani, Linlin
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.477

Abstract

Introduction: Prehypertension is a condition that precedes the onset of hypertension and typically presents without noticeable symptoms in affected individuals. One of the major contributing risk factors for hypertension among young adults is an unhealthy lifestyle, including elevated stress levels. Objective: This study aims to determine the effect of Progressive Muscle Relaxation (PMR) Therapy on stress and blood pressure among individuals with prehypertension. Method: A quantitative approach was used with a quasi-experimental two-group pre–posttest design involving 40 participants selected through purposive sampling, divided into intervention and control groups. Result and Discussion: The intervention consisted of PMR therapy administered for two consecutive weeks, with each session lasting 20 minutes. Statistical analysis using paired sample t-test showed that, prior to the intervention, 55% of participants in the intervention group experienced moderate stress, with an average blood pressure of 130.80 mmHg systolic and 85.15 mmHg diastolic. After the intervention, 60% fell into the mild stress category, and the average blood pressure decreased to 117.20 mmHg systolic and 76.15 mmHg diastolic. The significance value of 0.000 < 0.05 indicates a meaningful effect of PMR therapy on reducing stress and blood pressure in prehypertensive individuals. Conclusion: This therapy effectively enhances relaxation, reduces muscle tension, and serves as a beneficial nonpharmacological intervention for community use.
Knowledge, Attitudes, And Practices Regarding Chronic Kidney Disease Among At-Risk Populations Yulianti, Melli; Mahmud, Salsa Nafarila; Nurdina, Gina; Herdiman, Herdiman
Medical-Surgical Journal of Nursing Research Vol. 4 No. 2 (2025): (in collaboration with STIKep PPNI Jawa Barat) Medical-Surgical Journal of Nurs
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v4i2.54

Abstract

Background: Chronic kidney disease (CKD) is a growing global health problem with a steadily increasing prevalence. CKD substantially affects individuals’ quality of life and imposes a significant economic burden on healthcare systems, particularly at advanced stages requiring long-term treatment. Community knowledge, attitudes, and practices (KAP) related to CKD risk factors play a critical role in disease prevention and early control. Objective: This study aimed to analyze the relationship between demographic characteristics, risk factors, and knowledge, attitudes, and practices related to CKD prevention among at-risk populations. Methods: A quantitative descriptive study with a cross-sectional design was conducted among 119 individuals from at-risk groups in the Pasirkaliki Public Health Center working area, Bandung. Participants were selected using convenience sampling. Data were collected using the CKD Screening Index questionnaire. Statistical analysis included frequency distribution, independent t-tests, and one-way analysis of variance (ANOVA). Results: Overall, respondents demonstrated limited CKD knowledge (mean = 9.23), positive attitudes (mean = 58.44), and relatively healthy preventive practices. Knowledge was significantly associated with age (p = 0.001), educational level (p < 0.001), and occupation (p = 0.003). Attitudes were significantly related to gender (p = 0.034) and age (p = 0.017), while preventive practices were associated with age (p = 0.003) and education (p = 0.001). Conclusion: Demographic characteristics significantly influence community knowledge, attitudes, and practices regarding CKD prevention. Targeted and intensified health promotion strategies that consider these factors are essential to strengthen CKD prevention efforts.
Occupational Stress And Blood Pressure Among Online Motorcycle Taxi Drivers In Bandung: A Cross-Sectional Study Indah Tiara Novelia; Herdiman, Herdiman
Medical-Surgical Journal of Nursing Research Vol. 4 No. 2 (2025): (in collaboration with STIKep PPNI Jawa Barat) Medical-Surgical Journal of Nurs
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v4i2.56

Abstract

Background: Hypertension is a major global public health problem influenced by a complex interaction of biological, psychological, and social factors, including stress. Individuals working in the informal transportation sector, such as online motorcycle taxi drivers, are at increased risk of psychological stress due to employment uncertainty, extended working hours, and continuous exposure to traffic-related conditions. Objective: This study aimed to examine the relationship between perceived stress levels and blood pressure among online motorcycle taxi drivers in Bandung. Methods: A quantitative cross-sectional study was conducted with 147 respondents selected through random sampling. Data were collected using a demographic questionnaire, the Perceived Stress Scale (PSS-10), and blood pressure measurements obtained with a digital sphygmomanometer. Data analysis included univariate statistics and bivariate analysis using Spearman’s rank correlation and Chi-square tests. Results: The majority of participants were male (91.8%) with a mean age of 28 years, and 76.9% reported smoking. Most respondents experienced moderate stress (92.5%). Blood pressure assessment showed that 53.1% were categorized as prehypertensive and 40.1% as having stage 1 hypertension. Perceived stress was positively correlated with systolic (p < 0.001; r = 0.462) and diastolic blood pressure (p = 0.002; r = 0.258). Smoking behavior and hypertension history were also significantly associated with blood pressure levels. Conclusion: Perceived stress is significantly associated with elevated systolic and diastolic blood pressure among online motorcycle taxi drivers. These findings highlight the need for stress management and lifestyle-based interventions to reduce hypertension risk in informal-sector workers.
Co-Authors Adawiyah, Dita Rabiatul Astuti, Rika Puji Cornelis, Vieta Imelda Darmawati, Irma Darmawati, Irma Dian Anggraini Fauzi, Deni Hamdan Hendra, Agus Indah Tiara Novelia Lindayani, Linlin Mahmud, Salsa Nafarila Mannulusi, Andik Mutiar, Astri Nurdina, Gina Purnama, Heni RAHMAN, DIAN Rahmani, Hardiyanti Sidarta, Dudi Djaja Soekorini, Noenik Sudrajat, Diwa Agus Tirtoprojo, Susanto Triantika, Triantika Yulianti, Melli