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All Journal Nurse Media Journal of Nursing INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Darmabakti Cendekia: Journal of Community Service and Engagements Adi Husada Nursing Journal Babali Nursing Research Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Abdimas Altruis: Jurnal Pengabdian Kepada Masyarakat Indonesian Health Science Journal Jurnal Pengabdian Masyarakat Mentari
Pratiwi, Wahyu Nur
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Self-Instructional Training Application on Diabetic Patients' Self-Care Behaviors Wahyuni, Sri; Prasetyowati, Christina Dewi; Pratiwi, Wahyu Nur; Alfiadi, Khalid
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.29360

Abstract

Background: The diabetes mellitus cases have significantly increased in Indonesia over recent years. Health education for patients has often been carried out; however, education using self-instructional methods, which provided self-learning to solve problems by adjusting the patient's ability to improve self-care behaviors, has not been widely used.Purpose: This study aimed to analyze the self-care behaviors of diabetic patients with the application of self-instructional training.Methods: This research was a quasi-experimental study with a non-equivalent pretest-posttest with a control group design. The participants were 73 diabetic patients in the out-patient units selected by a purposive sampling technique, and divided into two groups: the intervention group (n=37) and the control group (n=36). The intervention group received a self-instructional training program which was carried out in two sessions using a booklet; each session lasted for 45 minutes. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to collect diabetic patients' self-care behavior data. Wilcoxon and Mann-Whitney tests were employed for data analysis.Results: Self-care behaviors of patients with diabetes mellitus increased before and after the training in both groups (p=0.000). However, the increase in the intervention group was higher than that in the control group, from 46.46±5.014 to 58.03±7.320 and from 47.78±4.929 to 51.64±6.406, respectively. There was also a significant difference in the self-care behaviors of diabetic patients between the intervention group and the control group (p=0.000).Conclusion: Self-instructional training significantly improves self-care behaviors of diabetic patients. Therefore, self-instructional training can be considered to apply in the clinical setting for improving self-care behaviors of diabetic patients to prevent complications, and for enhancing nursing care of diabetes mellitus.
Foot Exercise for Managing Neuropathic Pain in the Elderly Pratiwi, Wahyu Nur; Gayatri, Paramita Ratna; Isnaeni, Ely; Pratama, Yuan Guruh; Firmanda, Giovanni Iga; Lin, Chu-eh Ho
Adi Husada Nursing Journal Vol 10 No 1 (2024): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v10i1.528

Abstract

Elderly people often experience neuropathic pain in the extremities of the feet which is caused by decreased blood vascularization in the feet. One effort that can be made to increase blood vascularization in the feet is by doing foot exercises. This study aims to determine the effect of foot exercises on pain conditions due to neuropathy experienced by the elderly. This research was Quasi-experimental research with 22 elderly people who met certain criteria and then divided into control and intervention groups. Variable which is pre and post-test neuropathic pain data were obtained using the Numeric Rating Scale instrument in the observation sheet. The Wilcoxon signed-rank test in the intervention group showed a p-value = 0.003, while in the control group the p-value= 0.643. These results indicate that the change in neuropathic pain was significant in the intervention group after being given foot exercises. Foot exercise movements have a relaxing effect on the feet, thereby stimulating the production of endorphin hormones. Endorphin hormones play a role in blocking substance P which plays a role in triggering pain. This blocked substance P results in the transmission of pain impulses in the spinal cord being hampered so that the intensity of neuropathic pain in the lower extremities can decrease.
“TELANG TEA TIME”, MINUMAN SEHAT PENANGKAL HIPERTENSI Prodyanatasari, Arshy; Pratiwi, Wahyu Nur; Christanti, Sherly Herdiana; Novitasari, Debby; Santoso, Natasya Tian Harum; Hardianti, Berliana Putri; Hidayat, Muhammad Syam
ABDIMAS ALTRUIS: Jurnal Pengabdian Kepada Masyarakat Vol 7, No 2 (2024): Oktober 2024
Publisher : Universitas Sanata Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/aa.v7i2.9618

Abstract

Hypertension is characterized by blood pressure above 140/90 mmHg and is an alarm of hemodynamic imbalance in the body. Hypertension is a silent killer. One of the efforts that can be made to stabilize blood pressure is by consuming telang (Clitoria ternatea L.) flower herbal drinks. The high antioxidant content in telang flowers is beneficial for health. To introduce the benefits of flowers to the community, community service activities were carried out in Tunge Village, Kediri Regency. This community service was carried out using the Participatory Action Research (PAR) method with a total of 238 participants. The community service was carried out in July-August 2024. It was divided into three activity groups. In each implementation, the activity was divided into six stages, namely: health screening, pretest, hypertension education, demonstration of making telang flower tea, tester, and testimony, then was closed with a post-test. There were several results obtained from the implementation of the community service activities, which were the increase in residents' knowledge about hypertension, the benefits of Clitoria ternatea L. flowers for health, and how to process Clitoria ternatea L. flowers into herbal drinks that are efficacious for health. In the processing into herbal drinks, the flower can be combined with other herbal ingredients to obtain other properties and a more delicious taste.
Pengaruh Edukasi terhadap Pengetahuan dan Kepatuhan Obat pada Penderita TB di Karanganyar Firmanda, Giovanni Iga; Pratiwi, Wahyu Nur; Sunarno, Rita Dewi; Wahyuningsih, Aries
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 1 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.104297

Abstract

Introduction: Pulmonary Tuberculosis (TB) is one of infectious diseases which remains as significant health issue in communities. The increasing cases of TB are often caused by medication non-adherence.Objective: To evaluate the effect of educational intervention toward medication knowledge and adherence among TB patients in Karanganyar.Method: This study was pre-experimental research with a One Group Pretest-Posttest design involving 30 TB patients as respondents, which were selected using purposive sampling. The respondents were provided with education in the form of direct counseling on TB disease, the importance of medication adherence, and the consequences of non-adherence behavior. The education was conducted in one group session lasting 30-45 minutes, where all participants engaged together in the session. Data were collected through questionnaires measuring medication knowledge and adherence before and after the education. Statistical analysis was performed using a paired t-test to compare the knowledge and adherence scores before and after the intervention.Results: The results showed a significant increase in the knowledge score and adherence of respondents’ treatment after education. The average knowledge score before education increased from 6,53 to 7,93 points. Likewise, the average adherence score before education increased from 8,97 to 17,27. The paired t-test obtained a p-value of 0,000 for both variables.Conclusion: Direct health education significantly improves the knowledge and treatment adherence of TB patients.INTISARILatar belakang: Penyakit menular menjadi masalah kesehatan yang signifikan di masyarakat dan Tuberkulosis Paru (TB) menjadi salah satu penyakit menular yang paling mengkhawatirkan. Peningkatan jumlah kasus TB sering kali disebabkan oleh ketidakpatuhan terhadap pengobatan.Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh dampak edukasi terhadap pengetahuan dan kepatuhan pengobatan pada pasien TB di Karanganyar.Metode: Penelitian ini merupakan penelitian pra-eksperimental dengan desain One Group Pretest-Posttest dan melibatkan 30 pasien TB yang dipilih menggunakan metode purposive sampling. Responden diberikan edukasi dalam bentuk penyuluhan langsung mengenai penyakit TB, pentingnya kepatuhan pengobatan, dan dampak ketidakpatuhan. Edukasi dilakukan dalam satu sesi kelompok dengan durasi 30-45 menit, semua responden berpartisipasi secara bersama-sama dalam sesi yang dilaksanakan di balai desa. Data dikumpulkan melalui kuesioner yang mengukur pengetahuan dan kepatuhan pengobatan pasien TB sebelum dan sesudah dilakukan edukasi. Analisis uji statistik menggunakan paired t-test untuk membandingkan skor pengetahuan dan kepatuhan sebelum dan sesudah intervensi.Hasil: Hasil penelitian menunjukkan peningkatan yang signifikan pada skor pengetahuan dan kepatuhan pengobatan pasien TBC setelah pemberian edukasi. Rata-rata skor pengetahuan sebelum diberikan edukasi dari angka 6,53 meningkat menjadi 7,93. Demikian halnya dengan rata-rata skor kepatuhan sebelum diberikan edukasi adalah 8,97 meningkat menjadi 17,27 setelah diberikan edukasi. Hasil uji paired t test diperoleh nilai p = 0,000 untuk kedua variabel.Simpulan: Edukasi yang diberikan dengan penyuluhan secara langsung terbukti dapat meningkatkan pengetahuan dan kepatuhan pengobatan pada pasien TB secara signifikan.
Edukasi Perilaku Hidup Bersih dan Sehat Pada Anak Usia Dini sebagai Upaya Meningkatkan Kesehatan Lingkungan dan Diri Sunarno, Rita Dewi; Firmanda, Giovanni Iga; Pratiwi, Wahyu Nur
Jurnal Pengabdian Masyarakat Mentari Vol. 1 No. 8 (2025): Maret
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmm.v1i8.60

Abstract

Pendahuluan: Anak usia dini merupakan kelompok usia yang sangat rentan terhadap masalah kesehatan, baik fisik maupun psikologis. Perilaku hidup bersih dan sehat (PHBS) sejak dini merupakan salah satu cara untuk mencegah masalah kesehatan. Tujuan: Kegiatan pengabdian masyarakat untuk meningkatkan pengetahuan anak usia dini, orang tua, guru, dan pengasuh tentang pentingnya perilaku hidup bersih sehat. Metode: Pengabdian masyarakat ini dilakukan dengan edukasi yang berbasis pada pendekatan yang menyenangkan dan interaktif agar anak-anak dapat lebih mudah memahami dan mempraktikkan perilaku hidup bersih dan sehat. Edukasi dilaksanakan di TKK Soyus Madiun. Hasil: Anak usia dini melalui pendekatan yang menyenangkan, seperti permainan edukatif, cerita, dan demonstrasi lebih mudah memahami dan menerapkan kebiasaan PHBS dalam kehidupan sehari-hari. Selain itu, orang tua dan pendidik juga berperan penting dalam mendukung implementasi PHBS ini dengan memberikan contoh dan menciptakan lingkungan yang mendukung. Program edukasi PHBS ini terbukti efektif dalam meningkatkan kesehatan diri anak serta menciptakan lingkungan yang lebih bersih dan sehat. Diskusi: Edukasi PHBS pada anak usia dini tidak hanya berfokus pada kesehatan diri anak itu sendiri, tetapi juga pada peningkatan kualitas lingkungan tempat anak tinggal dan beraktivitas. Program edukasi ini dapat membantu menciptakan lingkungan yang lebih bersih dan sehat, baik di rumah, sekolah, maupun komunitas sekitar. Hal ini diharapkan dapat mengurangi prevalensi penyakit yang disebabkan oleh perilaku tidak sehat, serta menciptakan budaya kebersihan dan kesehatan yang berkelanjutan dalam masyarakat.
Hubungan Komunikasi Terapeutik Perawat dengan Kepatuhan Lansia dalam Melakukan Kontrol Hipertensi di Rumah Sakit Kota Kediri Firmanda, Giovanni Iga; Sunarno, Rita Dewi; Pratiwi, Wahyu Nur
Indonesian Health Science Journal Vol. 5 No. 2 (2025): September
Publisher : Universitas Nazhatut Thullab Al- Muafa Sampang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52298/ihsj.v5i2.152

Abstract

Hipertensi merupakan salah satu penyakit kronis yang banyak dialami lansia dan memerlukan pengobatan jangka panjang. Kepatuhan lansia dalam melakukan kontrol rutin menjadi faktor penting untuk mencegah komplikasi dan menurunkan risiko mortalitas. Komunikasi terapeutik perawat berperan dalam membangun hubungan saling percaya, memberikan informasi yang jelas, serta memotivasi pasien agar patuh pada regimen pengobatan.  Tujuan penelitian ini adalah untuk menganalisis hubungan komunikasi terapeutik perawat dengan kepatuhan lansia dalam melakukan kontrol hipertensi di Rumah Sakit Kota Kediri. Penelitian ini menggunakan desain analitik korelasional dengan pendekatan cross sectional. Populasi penelitian adalah pasien lansia yang menjalani kontrol hipertensi di poliklinik penyakit dalam. Sampel diambil dengan teknik accidental sampling sesuai kriteria inklusi didapatkan sejumlah 58 orang. Instrumen penelitian berupa kuesioner komunikasi terapeutik perawat dan kepatuhan kontrol hipertensi yang telah diuji validitas dan reliabilitas. Analisis data menggunakan Uji korelasi Spearman Rank dengan p-value 0,000 (r = 0,849).  Hasil penelitian menunjukkan bahwa sebagian besar responden menilai komunikasi terapeutik perawat berada pada kategori baik, dan tingkat kepatuhan kontrol hipertensi responden juga tergolong tinggi. Uji statistik menunjukkan adanya hubungan signifikan antara komunikasi terapeutik perawat dengan kepatuhan lansia dalam melakukan kontrol hipertensi, dengan arah hubungan positif.  Kesimpulan penelitian ini adalah semakin baik komunikasi terapeutik perawat, maka semakin tinggi pula tingkat kepatuhan lansia dalam melakukan kontrol hipertensi. Implikasi praktis dari temuan ini adalah pentingnya pelatihan komunikasi terapeutik bagi perawat sebagai bagian dari strategi manajemen hipertensi pada lansia untuk meningkatkan kepatuhan pengobatan dan mencegah komplikasi jangka panjang.
Efektivitas Pelvic Floor Muscle Training dan Bladder Training dalam Mengelola Inkontinensia Urine pada Alzheimer: Literature Review Firmanda, Giovanni Iga; Wahyuningsih, Aries; Pratiwi, Wahyu Nur
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 2 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.95655

Abstract

Background: Urinary incontinence is a common problem in Alzheimer's patients that significantly affects the quality of life and well-being of the sufferers. Non-pharmacological interventions such as Pelvic Floor Muscle Training (PFMT) and Bladder Training have been considered effective methods in managing this condition, but the cognitive limitations of Alzheimer's patients pose special challenges in their implementation. Objective: This literature review aimed to analyze the effectiveness of PFMT and Bladder Training in managing urinary incontinence in Alzheimer's patients and to understand the challenges and obstacles faced in implementing these interventions. Method: The type of study was a literature search. It was carried out through the EBSCO, Proquest and Science Direct electronic databases that discussed the problem of incontinence in Alzheimer's patients published in 2017-2022. Studies that met the inclusion and exclusion criteria were selected and evaluated using the JBI critical appraisal tool. Results: From the search results, 4 studies met the inclusion criteria and were analyzed in this review. The findings indicated that PFMT and Bladder Training can reduce the frequency of urinary incontinence in elderly with Alzheimer's.Conclusion: PFMT and Bladder Training (BT) play important roles in managing urinary incontinence in Alzheimer's patients. PFMT helps improve pelvic floor muscle control, while BT helps regulate mixed frequency. The combination of these two therapies can provide significant benefits in the management of urinary incontinence in Alzheimer's patients, helping to improve the patient's quality of life and overall well-being.INTISARILatar belakang: Inkontinensia urine merupakan masalah umum pada pasien Alzheimer, yang secara signifikan memengaruhi kualitas hidup dan kesejahteraan penderitanya. Intervensi non-farmakologis seperti Pelvic Floor Muscle Training (PFMT) dan Bladder Training telah dipertimbangkan sebagai metode efektif dalam mengelola kondisi inkontinensia urine ini. Namun, keterbatasan kognitif pada pasien Alzheimer menimbulkan tantangan khusus dalam penerapannya. Tujuan: untuk mengevaluasi efektivitas PFMT dan Bladder Training dalam mengelola inkontinensia urine pada pasien Alzheimer, serta memahami tantangan dan kendala yang dihadapi dalam penerapan intervensi ini. Metode: Jenis penelitian ini adalah pengkajian literatur. Pencarian literatur dilakukan melalui database elektronik EBSCO, Proquest, dan Science Direct, yang membahas masalah inkontinensia pada pasien Alzheimer, terbitan tahun 2017-2022. Literatur yang memenuhi kriteria inklusi, diseleksi dan dievaluasi menggunakan JBI’s critical appraisal tools. Hasil: Dari hasil pencarian, sebanyak 4 literatur memenuhi kriteria inklusi dan dianalisis dalam review ini. Hasil temuan menunjukkan bahwa PFMT dan Bladder Training berpengaruh terhadap pengelolaan inkontinensia urine pada pasien Alzheimer, meningkatkan kontrol otot dan frekuensi miksi, serta meningkatkan kualitas hidup pasien.Simpulan: Pelvic Floor Muscle Training (PFMT) dan Bladder Trainining (BT) dapat mengurangi frekuensi inkontinensia urine pada lansia dengan Alzheimer. 
The Nurses' Role in Management Complaint Wahyuningsih, Aries; Firmanda, Giovanni Iga; Pratiwi, Wahyu Nur; Margaretta, Sheylla Septina
Babali Nursing Research Vol. 5 No. 3 (2024): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.53392

Abstract

Background: As primary caregivers, nurses ensure patient safety and quality health services by effectively managing patient complaints. Proper handling of these complaints is crucial for providing effective treatment. Develop management and understanding of handling patient complaints efficiently by providing a systematic framework and identifying effective communication techniques to deal with patient complaints effectively. Methods: ProQuest, Ebsco, Science Direct, and Elsevier were the literature sources examined between 2013 and 2023. Results: Nursing managers should enhance nurses' communication skills to improve patient care and complaint management. Studies indicate that targeted training in communication significantly boosts nurses' effectiveness and patient satisfaction.Conclusion: Implementing training programs, regular assessments, and ongoing support will improve patient outcomes and more effective complaint handling.
The Role of Family Support in Stress and Anxiety Conditions in The Elderly with Chronic Kidney Disease Underwent Hemodialysis Therapy Pratiwi, Wahyu Nur; Gayatri, Paramita Ratna; Astutik, Wahyu Sri; Pratama, Yuan Guruh; Ayyaroh, Faridlatul A.
Adi Husada Nursing Journal Vol 9 No 1 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i1.392

Abstract

People with chronic kidney disease who underwent hemodialysis therapy programs are at great risk of experiencing cognitive impairment, as well as mental health disorders such as emotional disturbances, anxiety, and stress, so they need support from their families. Psychosocial problems are very prone to be experienced by people with chronic disease, especially the elderly, however, nurses tend to raise physical nursing problems, which makes psychosocial problems are still not sufficiently addressed as the implication. This study aims to determine the effect of family support on stress and anxiety levels in the elderly with chronic kidney disease undergoing hemodialysis therapy. Respondents in this study were elderly people with kidney disease who underwent hemodialysis therapy at Bhayangkara Hospital, Kediri City with certain criteria. The number of respondents who participated was obtained by accidental sampling technique. The data was obtained using a questionnaire for each variable and then it was tested using the Spearman correlation test. The results obtained show a significant value for both family support with stress levels and anxiety levels. This proves that family support has a good relationship with stress levels and anxiety levels.
DIETARY COMPLIANCE OF ELDERLY WITH GOUT IS INCREASING WITH THE KNOWLEDGE INCREASEMENT Pratiwi, Wahyu Nur; Isnaeni, Ely; R. Gayatri, Paramita; Astutik, Wahyu Sri; Pratama, Yuan G.
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 7 No. 3 (2023): VOLUME 7 ISSUE 3 DECEMBER 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss3/550

Abstract

Gout is a disease that is experienced by many elderly people. Gout treatment management can be successful with the sufferer's compliance, especially diet compliance. To be able to adhere with the diet that must be followed, elderly people need to have good knowledge about their disease. More than half of the elderly in Kauman Village, Tulungagung who were found during the initial data collection had limited melinjo-based foods but had not limited other foods that increase uric acid levels even though most had received education about gout. This study determine wheter there are relationship between knowledge about gout and dietary compliance in elder people with gout in Kauman, Tulungagung or not. This study was cross sectional research with 187 respondents. Spearmen rank correlation test result showed a significance value (0.000) with 0.728 of coefficient value. Knowledge about gout showed positive and strong relationship with dietary compliance in elderly people with gout. It can be inferred that the better knowledge, the better and higher respondents dietary compliance
Co-Authors Alfiadi, Khalid Anikasari, Erni Aries Wahyuningsih Arshy Prodyanatasari Ayyaroh, Faridlatul A. Christanti, Sherly Herdiana Giovanni Iga Firmanda Hardianti, Berliana Putri Hidayat, Muhammad Syam Isnaeni, Ely Jerhi Wahyu Fernanda, Jerhi Wahyu Laksono, Adi Lin, Chu-eh Ho Margaretta, Sheylla Septina Novitasari, Debby Paramita Ratna Gayatri Prasetyowati, Christina Dewi Prasetyowati, Christina Dewi Pratama, Yuan G. Pratama, Yuan Guruh R. Gayatri, Paramita Rita Dewi Sunarno Santoso, Natasya Tian Harum Wahyu Sri Astutik Werdiningsih, Wiwik