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Pengaruh Senam Kebugaran Jasmani Lansia (SKJ) terhadap Penurunan Tekanan Darah pada Pra Lansia Penderita Hipertensi Tauriana , S.; Fauzi , Ahmad Kholid; Romadhon, Wimar Anugrah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.24363

Objective: Hypertension if not treated immediately will cause complications of coronary heart disease, heart failure, damage to cerebral blood vessels, and kidney failure and even death. One of the causes of hypertension is lack of physical activity in pre-elderly. The purpose of this study was to determine the Effect of Elderly Physical Fitness Gymnastics (SKJ) on Reducing Blood Pressure in Pre-Elderly (49-59 Years) with Hypertension. Methods: The research design was a Quasi-experimental pre-post test with a pretest-posttest with control group design. A sample size of 25 pre-elderly intervention groups and 25 pre-elderly control groups were selected with inclusion and exclusion criteria. The independent variable is Physical Fitness Gymnastics and the dependent variable is Hypertension in pre-elderly. The instrument in this study was to measure blood pressure using a Sphygmomanometer and observation sheet. Statistical tests using Paired T-Test with a significance level of 0.0 Results: The results from the fourth week in the intervention group with a Paired T-test value of 0.001 or <0.050. Because the P value is smaller than the significance level (0.05) then (Ha) is accepted. So the conclusion is that there is an effect of Elderly Physical Fitness Gymnastics on Blood Pressure in Pre-Elderly (45-59 Years) with Hypertension. While the results of the Paired T-test in the control group were 0.574 or >0.050. Because the P value is greater than the significance level (0.05) then (Ha) is rejected. So the conclusion is that there is no effect of Blood Pressure in Pre-Elderly (45-59 Years) with Hypertension Conclusion: Physical Fitness Gymnastics needs to be carried out as a supporting therapy in treatment interventions to lower blood pressure in pre-hypertension elderly

Hubungan Kualitas Tidur Dengan Tekanan Darah Pada Pasien Stroke Di RSUD Mardi Waluyo Kota Blitar Tahun 2025 Widoyanti, Virki; Romadhon, Wimar Anugrah
Journal of Nursing Update Vol 7, No 1 (2025): Juni
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jnu.v7i1.6723

Pendahuluan: Stroke adalah kelainan saraf yang ditandai dengan adanya penyumbatan pembuluh darah.Gumpalan yang terbentuk di otak dan mengganggu aliran darah, menyumbat arteri dan menyebabkan pembuluh darah pecah, menyebabkan pendarahan. Pecahnya arteri yang menuju ke otak akibat stroke mengakibatkan kematian sel-sel otak secara mendadak karena kekurangan oksigen. Tujuan: untuk mengetahui hubungan kualitas tidur dengan tekanan darah pada pasien stroke di RSUD Mardi Waluyo Kota Blitar. Metode: Desain penelitian yang digunakan dalam penelitian ini menggunakan metode survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh pasien stroke yang berada di instalasi rawat jalan berada di RSUD Mardi Waluyo Kota Blitar yang berjumlah 90 responden. Pengambilan sampel yang digunakan adalah dengan cara purposivesampling yaitu teknik pengambilan sampel dengan menentukan kriteria- kriteria tertentu. Hasil: Berdasarkan hasil analisa dengan menggunakan uji Chi-Square memperlihatan bawha nilai signifikan probabilitas (Asymp.Sig) kualitas tidur adalah 0,033 atau nilai sig a = 0,05. Hal ini membuktikan bahwa ada hubungan kualitas tidur dengan tekanan darah pada pasien stroke di RSUD Mardi Waluyo Kota Blitar tahun 2025. Kesimpulan:Kesimpulan dalam penelitian ini menunjukkan bahwa secara statistik ada hubungan kualitas tidur dengan tekanan darah pada pasien stroke di tahun 2025

Family Nursing Care for Clients With Diabetes Mellitus in Community Health Center hastutik, annasikah sustyo; fata, ulfa husnul; romadhon, wimar anugrah
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3402

Diabetes Mellitus (DM) is a growing public health problem in Indonesia, particularly among the elderly. Type 2 DM develops slowly and is closely linked to unhealthy lifestyles. Elderly people with DM require family support to prevent complications and improve their quality of life. This study aims to describe the implementation of family nursing care for DM patients at the Sananwetan Community Health Center in Blitar City. The research design was a case study involving four families with elderly people with DM. The nursing care process consisted of assessment, diagnosis, planning, implementation, and evaluation. The instruments used included the family assessment format, the Indonesian Nursing Diagnosis Standards (SDKI), the Indonesian Nursing Outcome Standards (SLKI), and the Indonesian Nursing Intervention Standards (SIKI). Implementation was carried out through an educational approach using leaflets and calendars containing information about acupressure therapy and DM management. This study identified six nursing diagnoses: ineffective family health management, readiness to improve family coping, unstable blood glucose levels, knowledge deficit, readiness to improve knowledge, and non-compliance. The interventions provided demonstrated improved family knowledge, active involvement in care, and patient adherence to diabetes treatment and management. Family nursing care with an educational approach and supporting media has proven effective in enhancing the family's role in diabetes management in the elderly. Family support is a key factor in successful disease control. It is recommended that families continue to develop health management skills, healthcare providers improve family education, and community health centers strengthen ongoing education programs.

Family Nursing Care Using The PIS-PK Approach (Healthy Indonesia Program-Family Approach) As an Effort To Increase The Healthy Family Index Wulandari, Ning Arti; Romadhon, Wimar Anugrah; Abiddin, Andi Hayyun
Journal of Community Service for Health Vol. 5 No. 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v5i1.1147

Health development focuses on preventive activities by increasing awareness and the ability to live healthily for everyone in order to improve the level of public health. Health development should start from the smallest unit of society, namely the family. One of the government policies to achieve health development in Indonesia is PIS-PK (Healthy Indonesia Program-Family Approach). The PIS-PK program is very much in line with the concept of family nursing care, which is a nursing practice activity with a family nursing process approach. The aim of this activity was to increase the Healthy Family Index after providing family nursing care. The target of this activity was 10 families suffering from non-communicable diseases in RT.03/RW.02, Tanjungsari Village, Blitar City. The methods used start from assessment activities, establishing nursing diagnoses, determining nursing interventions, implementing nursing and conducting evaluations. This form of activity involved home visits to all target families. The indicators of success of this activity were the achievement of all nursing outcomes determined in the process of implementing nursing care and an increase in the healthy family index. The data obtained was presented in descriptive form. The results of this activity were an increase in the Healthy Family Index, of the 6 families in the Pre-Healthy category after being given family nursing care, 4 of them increased to healthy families and all the nursing outcomes specified in nursing care were all fulfilled. It is suggested to community health center nurses to apply this family nursing care in implementing the PIS-PK program.

Empowering the Elderly to Create Gardens for Aromatherapy; Enhancing Healthy Life Expectancy Wulandari, Ning Arti; Romadhon, Wimar Anugrah; Mildawati, Ratna
Journal of Community Service for Health Vol. 5 No. 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v5i2.1149

Life expectancy is one of the indicators of the success of health development, especially in the elderly population. One way to improve Healthy Life Expectancy is through Active Aging, which aims to transform previously inactive seniors into active individuals, with the goal of extending life expectancy in a healthy and quality manner. The partner in this community's dedication was Blitar PSTW in Tulungagung who had an old age problem, lack of physical activity, poor quality of sleep and lack of use of empty land. The aim of the beginner community service program was to empower potential elderly individuals to produce aromatic materials in the form of essential oils and scented candles, starting from planting the plants that provide the raw materials, all the way to the production of aromatic materials to enhance their physical activity. The results of the data analysis used the Wilcoxon signed-rank test showed P=0.000, thus it can be concluded that the used of aromatherapy at night and increased physical activity through gardening and the activities of making aromatherapy materials conducted by the elderly can improved sleep quality. This service has produced an innovative technology product in the form of Standard Operating Procedures (SOP) for the production of essential oils and aromatherapy candles, aromatherapy candles, essential oils, and therapy gardens. The outcomes achieved in healthy living skills include utilizing free time by engaging in activities for the elderly (16%) and improving the quality of sleep for the elderly (86%).

Pengaruh Senam Kebugaran Jasmani Lansia (SKJ) terhadap Penurunan Tekanan Darah pada Pra Lansia Penderita Hipertensi Tauriana , S.; Fauzi , Ahmad Kholid; Romadhon, Wimar Anugrah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.24363

Objective: Hypertension if not treated immediately will cause complications of coronary heart disease, heart failure, damage to cerebral blood vessels, and kidney failure and even death. One of the causes of hypertension is lack of physical activity in pre-elderly. The purpose of this study was to determine the Effect of Elderly Physical Fitness Gymnastics (SKJ) on Reducing Blood Pressure in Pre-Elderly (49-59 Years) with Hypertension. Methods: The research design was a Quasi-experimental pre-post test with a pretest-posttest with control group design. A sample size of 25 pre-elderly intervention groups and 25 pre-elderly control groups were selected with inclusion and exclusion criteria. The independent variable is Physical Fitness Gymnastics and the dependent variable is Hypertension in pre-elderly. The instrument in this study was to measure blood pressure using a Sphygmomanometer and observation sheet. Statistical tests using Paired T-Test with a significance level of 0.0 Results: The results from the fourth week in the intervention group with a Paired T-test value of 0.001 or <0.050. Because the P value is smaller than the significance level (0.05) then (Ha) is accepted. So the conclusion is that there is an effect of Elderly Physical Fitness Gymnastics on Blood Pressure in Pre-Elderly (45-59 Years) with Hypertension. While the results of the Paired T-test in the control group were 0.574 or >0.050. Because the P value is greater than the significance level (0.05) then (Ha) is rejected. So the conclusion is that there is no effect of Blood Pressure in Pre-Elderly (45-59 Years) with Hypertension Conclusion: Physical Fitness Gymnastics needs to be carried out as a supporting therapy in treatment interventions to lower blood pressure in pre-hypertension elderly

SOCIALIZATION OF RED GUAVA TO REDUCE URIC ACID IN THE YASINAN GROUP: SOSIALISASI PEMANFAATAN JAMBU BIJI MERAH DALAM UPAYA MENURUNKAN ASAM URAT PADA KELOMPOK YASINAN Haryanti, Bin; Sari, Yeni Kartika; Romadhon, Wimar Anugrah; Rahmawati, Anita
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 7 No. 2 (2025): DECEMBER 2025
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V7.I2.2025.188-194

Background: Many individuals in the Yasinan group report experiencing pain in their knees and back, and they also have a history of elevated uric acid levels. Uric acid is a waste product generated from the metabolism of purines, primarily filtered by the kidneys and excreted through urine. Excess uric acid accumulation in the body, known as hyperuricemia, can lead to the formation of sharp uric acid crystals in the joints, tissues, and other organs, causing inflammation and discomfort. Objective: This community service initiative aimed to enhance the understanding of the Yasinan group in Tlogo Village, Blitar Regency, East Java, regarding the use of red guava as a non-pharmacological intervention to help reduce uric acid levels. Method: The socialization activity was carried out with thirty-three participants from the Yasinan mothers’ collective. Educational materials were delivered through informational brochures and red guava samples. An evaluative assessment was conducted via post-intervention uric acid analysis to monitor changes in uric acid levels following a seven-day intervention period. Results: The findings indicated that after seven days of red guava consumption, there was an average decrease in uric acid levels of 1.128 mg/dL among participants. Conclusion: The socialization program demonstrated that the consumption of red guava fruit for seven consecutive days may contribute to a reduction in uric acid concentrations, with an average decline of 1.128 mg/dL observed.

Integration Telemental Health to Reach Out Patients at Community Mental Health Services: A Systematic Review Priambodo, Rian; Fitryasari, Rizki; Tristiana, RR Dian; Erindia, Firnanda; Romadhon, Wimar Anugrah
Journal of Ners and Midwifery Vol 11 No 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i2.ART.p189-199

Low- and middle-income countries (LMICs) need to digitize mental health services to address disparities and improve access to healthcare. This study systematically reviewed the digitalization of integration mental health services that can reach interactions between service providers and recipients with media such as telemental health and mobile health. A literature search was conducted in March 2023. Randomized controlled trial (RCT) data were used from available studies. RCT data sources were obtained from internationally reputable journal articles with the theme of telehealth. The literature used was obtained from the databases Scopus, Web of Science, and PubMed. Integration digitalized mental healthcare system under the auspices of the Ministry of Health that reach-nationally, official psychiatrists and other professional mental healthcare that provides mental healthcare support to areas lacking specialists consisting crisis and emergency, stable conditions, as well as the process of counseling and follow-up therapy with telemental health and mobile health media. Telemental health plays a major role in mental health services and modality therapy that can be accessed effectively and efficiently, especially for mental patients in remote areas who experience barriers to attending in person.

The Analysis of Factors Related to Anemia Levels in Adolescent Girls Romadhon, Wimar Anugrah; Kartika Sari, Yeni; Putri, Raden Roro Dewi Rahmawaty Aktyani; Dwi Novitasari, Adelia
Journal of Ners and Midwifery Vol 11 No 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i2.ART.p146-152

The impact on teenagers, if they experience anemia, is that it disrupts their ability to learn, reduces their physical exercise ability and body fitness, reduces individual work capacity, reduces the body's immune function, and reduces the ability to regulate body temperature. This research aimed to analyze factors related to anemia in adolescent girls. The research method used quantitative with a cross-sectional approach. The population in the study were all 50 Adolescents who were checked for Hb in March and had moderate anemia. The sample was 44 respondents taken by purposive sampling technique. The instrument used a questionnaire to determine the length of the menstrual period, nutritional status, knowledge, and iron intake. The research used an ordinal distribution used an ordinal regression test. The research results showed that the variable length of menstruation was 0.879 with p=0.348 (> 0.05), the nutritional status variable was 0.231 with p=0.631 (>0.05), the knowledge level variable was 4.407 with p=0.021 (>0.05) and the nutritional intake variable was 11.575 with p=0.001 (<0.05). This meant that the level of knowledge and nutritional intake was related to the level of anemia. Meanwhile, the length of menstruation and nutritional status were not related to the level of anemia. For future researchers, it is expected to provide interventions related to knowledge including individual or group counseling as well as providing a healthy lunch menu program to increase iron intake in adolescents.

Sunrise Model “Transcultural Nursing Leininger” on Toddler Stunting Incidents Putri, Raden Roro Dewi Rahmawaty Aktyani; Romadhon, Wimar Anugrah
Journal of Ners and Midwifery Vol 11 No 3 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i3.ART.p263-275

Stunting is chronic malnutrition due to prolonged lack of nutrients, short or very short stature based on length/height for age. It is estimated that nearly a quarter of children in Indonesia are stunted. Stunting is an unresolved nutritional problem in Indonesia. The purpose of this study was to analyze the factors of stunting in toddlers based on the Transcultural Nursing theory. The research was conducted in the working area of Puskesmas Panggungrejo, Margomulyo Village. The sampling technique used purposive sampling. The sample size of this study was 154 respondents. The dependent variable of this study is the incidence of stunting. Independent variables consisted of technological factors, religiosity and philosophy, social support, cultural values and lifestyles, politics and legal, economic and educational factors. Data were collected using a questionnaire and analyzed using the Spearman rank statistical test with a significance level of α <0.05. The results of this study indicate that there is a relationship between technological factors p = 0.000, religiosity and philosophy factors p = 0.010, social support factors p = 0.002, cultural values and lifestyle factors p = 0.000, political and legal factors p = 0.000, economic factors p = 0.021 with the incidence of stunting while the education factor p = 0.128 is not associated with the incidence of stunting.

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