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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

The Application of Reminiscence Therapy in Efforts to Prevent Dementia in the Elderly Romadhon, Wimar Anugrah; Suprajitno; Wulandari, Ning Arti; Rahmawaty, RR Dewi
Journal of Community Service for Health Vol. 4 No. 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v4i1.1131

Elderly at risk of dementia caused by decrease in cognitive function, one of the treatments that is safe with no side effects is the reminiscence therapy to increase cognitive function. The purpose of this study was to explain the reminiscence therapy on level of dementia in the elderly. The design of this study was pre-experimental design. The population was elderly in PSTW Wlingi. The total sample was 15 respondents. The sampling technique was purposive sampling with the inclusion criteria of cooperative elderly, easy to communicate with and willing to become respondents. The independent variable was the reminiscence therapy which was carried out for 6 times in a week, the dependent variable was level of dementia. The data was collected by using MMSE (Mini Mental State Examination) questionnaires and analyzed by using Paired t-test with a significance level of α ≤0.05. The reminiscence therapy to decrease level of dementia on elderly (p = 0.000). There was a significant difference between pre intervention and post intervention of the reminiscence therapy. The reminiscence therapy can improve cognitive function with dementia in the elderly. Elderly can apply the reminiscence therapy to help them memories and as support nursing intervention. The future studies could add to the respondents and determine the factors according to the characteristic of respondent.

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.

The Implementation of Hypertension Exercise as an Independent Solution for the Elderly in Controlling Blood Pressure Tauriana, S.; Romadhon, Wimar Anugrah; Wulandari, Ning Arti
Journal of Community Service for Health Vol. 6 No. 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v6i1.1208

Hypertension is one of the leading causes of death in the world. Farmer groups are at risk of developing hypertension. Several contributing factors include exposure to pesticides, unhealthy lifestyles (such as lack of exercise, smoking, consumption of high-sodium foods, stress, and alcoholic beverages), and heavy work that can cause fatigue. Lifestyle modifications that are known to prevent hypertension are physical activities that are carried out regularly, such as hypertension gymnastics. The implementation of hypertension gymnastics has been carried out in the community in Pajarakan Village to help prevent hypertension using the field survey approach method and hypertension gymnastics training. A total of 26 participants participated in hypertension gymnastics which ended with the provision of hypertension gymnastics videos to representatives of the residents. Pre- and post-test screening was also carried out after 3 days of intervention to determine the decrease in blood pressure in the farmer group. The results obtained on the first, second and third days were 0.000 (<0.05), meaning that there was an effect of hypertension gymnastics on reducing blood pressure. The community is expected to be able to hold hypertension gymnastics independently and regularly.

Self-Care Behavior and Associated Factors in the Elderly with Hypertension Putri, Raden Roro Dewi Rahmawaty Aktyani; Romadhon, Wimar Anugrah; Kolopaking, Tri Ratna
Journal of Ners and Midwifery Vol 9 No 2 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i2.ART.p248-254

Hypertension is one of the main risk factors for life-threatening cardiovascular disease and is often called the silent killerÂ The results of basic health research in 2018 suffered from hypertension were the most in the elderly aged 55 to 64 years (55.2%). Hypertension in the elderly is a chronic disease that requires disease care management including regular blood pressure control and self-care behavior programs to prevent further complications. This study aims to determine the factors related to self-care behavior in hypertensive elderly in the Integrated Health Care Center of elderly, Srikandi, Turi Sub District, Community Health Centers of Sukorejo, Sukorejo district, Blitar. The method used in this study was an analytical descriptive study with a cross-sectional approach conducted on 38 hypertensive elderly people. The study was conducted from January to February 2022. Analysis data using multiple linear regression analysis to ascertain the possible factors that influence self-care behavior. Based on this study, the Rank Spearman correlation test results, the factor that correlated with self-care behavior was level of education and time living with diagnosed hypertension with a Sig (2-tailed) value of 0.008; 0,000 with a correlation coefficient is positive, the value of 0.427; 0.605. so that theÂ relationship between the two variables is unidirectional. This study recommends that community nurses must understand the factors that influence self-care behavior in hypertensive clients in the community so that they are able to provide appropriate nursing care.

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

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.

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