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Pengaruh Kemandirian dan Kualitas Hidup terhadap Kepatuhan Pengobatan Pasien dengan Tuberkulosis Agustina, Agustina; Anwar, Syamsul; Herlina, Lily
Jurnal Keperawatan Vol 16 No 3 (2024): Jurnal Keperawatan: September 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i3.1866

Tuberkulosis merupakan salah satu masalah kesehatan masyarakat di Kabupaten Bogor. Penderita tuberkulosis mengalami perubahan fisik dan penurunan kemampuan fisik, penyakit seperti ini biasanya mempengaruhi rasa percaya diri mereka. Penderita tuberculosis seharusnya memiliki keinginan untuk mandiri dan sadr akan pentingnya berobat. Tujuan penelitian ini adalah untuk mengetahui pengaruh kemandirian dan kualitas hidup terhadap kepatuhan pengobatan pada pasien Tuberkulosis di Puskesmas Dramaga Kabupaten Bogor. Penelitian ini menggunakan metode kuantitatif dan pendekatan cross sectional, dan respondennya berjumlah 45 pasien tuberkulosis. Analisis data yang digunakan adalah partial least square. Pada penelitian menunjukkan dengan nilai p_value 0,027 bahwa kemandirian mempunyai pengaruh yang signifikan terhadap kepatuhan ajuran pengobatan pada pasien tuberkolosis. Terdapat pengaruh kualitas hidup terhadap kepatuhan pengobatan pasien tuberkulosis adalah p value sebesar 0,001. Idenpendensi diketahui mempengaruhi kepatuhan pengobatan pasien tuberculosis di puskesmas Dramaga adalah kualitas hidup pasien dengan hasil p value sebesar 0,005. Faktor terpenting yang mempengaruhi kepatuhan pengobatan pasien Tuberkulosis di Puskesmas Dramaga adalah kualitas hidup pasien.

Edukasi Kepatuhan Pengobatan, Perilaku Hidup Sehat, Dan Diet Pada Lansia Dengan Hipertensi Kasim, Febby Wahyunita; Herlina, Lily; Yunitr, Ninik
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.44642

Hipertensi merupakan penyakit kronis dengan prevalensi tinggi pada lansia dan menjadi faktor risiko utama komplikasi kardiovaskular. Kepatuhan terhadap pengobatan, perilaku hidup sehat, dan diet yang tepat menjadi kunci dalam pengelolaan tekanan darah. Namun, tingkat kepatuhan yang rendah dan kurangnya edukasi masih menjadi tantangan. Penelitian ini bertujuan untuk menganalisis efektivitas edukasi terkait kepatuhan pengobatan, perilaku hidup sehat, dan diet terhadap tekanan darah, skor efikasi diri (MASES), perilaku promosi kesehatan (HPLP), dan indeks massa tubuh (IMT) pada lansia dengan hipertensi. Desain penelitian menggunakan kuasi eksperimen dengan pendekatan pre-post test. Sebanyak 36 lansia hipertensi dipilih berdasarkan kriteria inklusi dan dihitung dengan aplikasi G-Power. Intervensi edukasi dilaksanakan selama enam minggu secara tatap muka dan mencakup materi tentang pengobatan, pola hidup sehat, dan diet hipertensi. Instrumen yang digunakan meliputi MASES, HPLP, alat ukur tekanan darah, dan pengukuran antropometri. Analisis data menggunakan uji t berpasangan dan GLM-Repeated Measures. Hasil menunjukkan peningkatan signifikan pada kepatuhan pengobatan, skor MASES dan HPLP, serta penurunan tekanan darah dan IMT (p<0,05). Edukasi yang terstruktur terbukti efektif dalam meningkatkan kepatuhan dan mengendalikan hipertensi pada lansia, serta direkomendasikan untuk diintegrasikan dalam pelayanan posyandu lansia.

The Effect Of Balance Exercise On Postural Balance In The Elderly At The Elderly Social Rehabilitation Center Karawang Sartika, Aprilina; Anwar, Syamsul; Herlina, Lily
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47215

Abstrak Latar Belakang: Proses penuaan menyebabkan berbagai perubahan fisiologis pada sistem muskuloskeletal, termasuk penurunan kekuatan otot dan gangguan keseimbangan tubuh, yang dapat meningkatkan risiko jatuh pada lansia. Latihan keseimbangan merupakan aktivitas fisik yang dirancang untuk mencegah gangguan keseimbangan dan meningkatkan stabilitas. Tujuan: Penelitian ini bertujuan untuk mengevaluasi pengaruh latihan keseimbangan terhadap keseimbangan postural pada lansia. Metode: Penelitian ini menggunakan desain kuasi-eksperimen dengan pendekatan pretest-posttest dan kelompok kontrol. Sebanyak 60 responden lansia dibagi menjadi dua kelompok: kelompok intervensi (n = 30) yang diberikan latihan keseimbangan, dan kelompok kontrol (n = 30) yang tidak diberikan intervensi. Keseimbangan postural diukur menggunakan Berg Balance Scale (BBS). Analisis data dilakukan dengan menggunakan Generalized Linear Model (GLM). Hasil: Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada keseimbangan postural lansia di kelompok intervensi dibandingkan dengan kelompok kontrol (nilai p = 0,000). Kesimpulan: Latihan keseimbangan yang dilakukan secara rutin terbukti efektif dalam meningkatkan keseimbangan postural pada lansia, sehingga dapat direkomendasikan sebagai strategi pencegahan risiko jatuh. Kata Kunci: lansia; latihan keseimbangan; keseimbangan postural; Berg Balance Scale; pencegahan jatuh. Abstract Background: Aging is associated with physiological changes in the musculoskeletal system, including reduced muscle strength and impaired body balance, which increase the risk of falls among the elderly. Balance exercises are physical activities designed to prevent balance disorders and improve stability in older adults. Purposes: This study aimed to evaluate the effect of balance exercises on postural balance among the elderly. Methods: A quasi-experimental study was conducted using a pretest-posttest control group design. Sixty elderly participants were recruited and assigned into two groups: intervention (n = 30) and control (n = 30). The intervention group received balance exercise training, while the control group did not. Postural balance was assessed using the Berg Balance Scale (BBS). Data were analyzed using the Generalized Linear Model (GLM). Results: The findings showed a significant improvement in postural balance in the intervention group compared to the control group (p-value = 0.000).Conclusion: Regular participation in balance exercises significantly improves postural balance in the elderly and can be recommended as a preventive strategy against falls. Keywords: elderly; balance exercise; postural balance; Berg Balance Scale; fall prevention.

THE EFFECT OF BOARDGAMES THERAPY: SCRABBLE ON COGNITIVE ABILITIES IN ELDERLY WITH DEMENTIA Jannah, Eka Sindi Miftahul; Anwar, Syamsul; Herlina, Lily
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 1 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i1.2638

Cognitive impairment in the elderly causes a decrease in the ability to do various things related to thinking and remembering. Dementia is a term used to describe memory decline in the elderly. Prevention of cognitive impairment can be done by using media that stimulate brain activity. Scrabble is a type of board game that emphasizes initiative, creativity, planning, and flexibility in dealing with success or failure while being entertaining.This study aims to determine the effect of board games (scrabble) on increasing cognitive capacity in the elderly with dementia. The study was conducted at Tresna Werdha Budi Mulia 2 Jelambar, West Jakarta during January-July 2023. The target of the study was the elderly living in nursing homes. Using the Generalized Linear Model (GLM) analytical method, this study design used a quasi-experiment with a two-stage approach. Group pretest-posttest design approach. The sample consisted of 31 elderly in the control group and 31 elderly in the intervention group. The sampling strategy was random using the two-population proportion formula. The research instrument used was the Mini Mental Status Examination (MMSE) questionnaire. Nine therapy sessions were given, and the eighth session showed a significant improvement after the implementation of scrabble game therapy. Statistical test using Paired T-test p-value of 0.000 < (α) 0.05 showed that board games (scrabble) can improve cognitive capacity in elderly with dementia. Broad-games therapy: Scrabble can be routinely recommended to be included in daily activities for the elderly so that it can delay the severity of dementia.

Determinants of Dementia Among the Elderly in Jakarta, Indonesia Umeda, Miciko; Widiyanto, Aris; Muhdiana, Dedy; Herlina, Lily; Atmojo, Joko Tri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.06

Background: The incidence of dementia rises sharply, and it is expected to grow worldwide in the decades ahead. This study aimed to investigate the determinants of dementia among the elderly in Jakarta, Indonesia.Subjects and Method: A cross-sectional design was employed in the Aisyah organization at Jakarta City, Indonesia. A total of 65 elderly people were selected using Stratified random sampling. The dependent variable was dementia. The independent variables were education, occupation, married status, and exercise routine. The dementia was assessed using the Mini-Mental State Examination (MMSE) questionnaire, which was translated into Bahasa. Results: The participants had an education level of high school or below (52.31%), were not married (53.85%), and were not working (55.38%). The majority reported frequent exercise (92.31%), and 44.62% were identified with dementia. Bivariate analysis showed that higher education (OR = 0.92; 95% CI= 0.26 to 3.22; p= 0.002) and being married (OR= 0.94; 95% CI= 0.34 to 2.61; p= 0.020) were significantly associated with lower dementia risk. Exercise routine showed a strong protective effect (OR = 0.17; 95% CI= 0.01 to 1.79; p= 0.043), while occupational status was not significantly associated (p= 0.074). In multivariate analysis, only exercise routine remained significantly associated with dementia (OR= 0.17; 95% CI= 0.01 to 1.78; p= 0.042), suggesting it as an independent protective factor after controlling for confounders.Conclusion: Regular physical activity was identified as a significant protective factor against dementia among the elderly. Promoting exercise may be an effective strategy for dementia prevention in this population.

The Effect of Education with T-Plate Modeling on Mothers' Knowledge about Obesity Diet Agustina, Venti; Nurhayati; Herlina, Lily; Khasanah, Uswatul
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 15 No. 2 (2025): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v15i2.490

The GENTAS program (Gerakan Nusantara Tekan Angka Obesitas) recommends the use of the T plate model in one of its programs to reduce the prevalence of obesity. He purpose of this study was to determine the effect of education with T plate modeling on maternal knowledge about obesity diet. This study used a quasi-experiment with a one-group pretest-posttest approach, involving 18 mothers from RW 04,05, and 06 Harapan Mulya Village, Kemayoran District, Central Jakarta. Mothers' knowledge was measured using a questionnaire on obesity diet management knowledge given before and after education using the T-shaped Plate modeling. Data analysis used the Wilcoxon Test technique with a p-value of 0.05. Data analysis using Jamovi 2.3.28 software. The results of the analysis using the Wilcoxon test obtained the t value on the obesity diet knowledge variable, both pre-test and post-test, with a p-value of 0.001 (p <0.05) and an effect size of -1.00. This means that there is an effect of education with T plate modeling on obesity diet knowledge before and after intervention. ABSTRAK Program GENTAS (Gerakan Nusantara Tekan Angka Obesitas) menganjurkan penggunaan piring makan model T dalam salah satu gerakannya untuk menurunkan prevalensi obesitas. Tujuan penelitian ini adalah mengetahui pengaruh edukasi dengan pemodelan Piring T terhadap pengetahuan ibu mengenai diet obesitas. Penelitian ini menggunakan quasi-experimen dengan pendekatan one group pretest postest, yang melibatkan 18 ibu dari RW 04,05, 06 Kelurahan Harapan Mulya, Kecamatan Kemayoran, Jakarta Pusat. Pengetahuan ibu diukur menggunakan kuesioner pengetahuan pengelolaan diit obesitas yang diberikan sebelum dan sesudah edukasi menggunakan pemodelan Piring T. Analisis data menggunakan teknik Uji Wilcoxon dengan p-value 0,05 Analisis data dengan menggunakan software Jamovi 2.3.28. Hasil analisa dengan menggunakan uji Wilcoxon diperoleh nilai t hitung pada variabel pengetahuan diet obesitas baik pre-test dan post-test dengan p-value 0,001(p< 0,05) dan effect size -1,00. Hal ini mempunyai arti bahwa terdapat pengaruh edukasi dengan pemodelan Piring T terhadap pengetahuan diit obesitas sebelum dan sesudah intervensi.

The Determinants of Stunting in the Under-five in Three Municipalities in the Special Capital Region of Jakarta Permatasari, Tria Astika Endah; Chairunnisa, Chairunnisa; Djarir, Hernani; Herlina, Lily; Fauziah, Munaya; Andriyani, Andriyani; Chadirin, Yudi
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

The COVID-19 pandemic has impacted the global decline in public health status. This study aimed to analyze the determinants of stunting in the under-five in three municipalities in the Special Capital Region of Jakarta, Indonesia. A cross-sectional study was conducted in August-December 2020 with 460 pairs of mothers and children selected by simple random sampling. Stunting was measured using a conventional anthropometric index (length/height-for-age), and anthropometric failure was measured using the Composite Index of Anthropometric Failure. The prevalence of stunting, underweight, and wasting was 41.5%,35%, and 19.8%, respectively, and 62% of the under-five experienced anthropometric failure. The dominant factor associated with stunting was immunization record (p-value = 0.011; AOR = 2.360; 95%CI = 1.218–4.573). Children who did not receive complete basic immunization were at a 2.4 times greater risk of stunting than children who received complete basic immunization. The dominant factors associated with underweight, wasting, and anthropometric failure were the father's educational level, mother's occupation, and balanced nutrition practice. Increasing coverage of complete basic immunization, improving balanced nutrition practices and socioeconomic conditions is necessary to prevent undernutrition, especially stunting.

Employment of Digital Media to Increase the Self-Efficiency of Young Smokers Lismayanti, Lilis; Fitriani, Ade; Sukmawati, Ima; Herlina, Lily; Yunitri, Ninik; Anwar, Syamsul
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3154

Smoking is a habit or behavior that is very difficult to quit, especially for adolescents. To be able to stop smoking behavior, a strong belief (self-efficacay) is needed from the adolescent to stop smoking. The aim of this study is to determine the effect of empowerment through digital media on the self-efficacy of adolescent smokers at Senior High School. Method This study used a quasi-experimental design through a group pre-test and post-test design. The sampling technique was through convenience sampling, which amounted to 28 respondents. Collecting research data using the SEQ 12 (Smoking Self-Efficacy Questionaire) questionnaire instrument given at the pre-test and post-test stages. The collected data is then analyzed, which includes univariate analysis, namely analysis of demographic data and bivariate analysis to determine the effect of empowerment using digital media on the self-efficacy of adolescent smokers at SMA Negeri 2 Ciamis using the Wilcoxon test because the normality test results show abnormal data distribution. The results of the Wilcoxon test with a p-value of 0.002 <0.05, which means that there is a significant effect of empowerment using digital media on the self-efficacy of adolescent smokers at Senior High School. The conclusion based on the research that has been done is that empowerment with digital media has an effect on increasing the self-efficacy of adolescents to quit smoking.

Determinants of Dementia Among the Elderly in Jakarta, Indonesia Umeda, Miciko; Widiyanto, Aris; Muhdiana, Dedy; Herlina, Lily; Atmojo, Joko Tri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.06

Background: The incidence of dementia rises sharply, and it is expected to grow worldwide in the decades ahead. This study aimed to investigate the determinants of dementia among the elderly in Jakarta, Indonesia.Subjects and Method: A cross-sectional design was employed in the Aisyah organization at Jakarta City, Indonesia. A total of 65 elderly people were selected using Stratified random sampling. The dependent variable was dementia. The independent variables were education, occupation, married status, and exercise routine. The dementia was assessed using the Mini-Mental State Examination (MMSE) questionnaire, which was translated into Bahasa. Results: The participants had an education level of high school or below (52.31%), were not married (53.85%), and were not working (55.38%). The majority reported frequent exercise (92.31%), and 44.62% were identified with dementia. Bivariate analysis showed that higher education (OR = 0.92; 95% CI= 0.26 to 3.22; p= 0.002) and being married (OR= 0.94; 95% CI= 0.34 to 2.61; p= 0.020) were significantly associated with lower dementia risk. Exercise routine showed a strong protective effect (OR = 0.17; 95% CI= 0.01 to 1.79; p= 0.043), while occupational status was not significantly associated (p= 0.074). In multivariate analysis, only exercise routine remained significantly associated with dementia (OR= 0.17; 95% CI= 0.01 to 1.78; p= 0.042), suggesting it as an independent protective factor after controlling for confounders.Conclusion: Regular physical activity was identified as a significant protective factor against dementia among the elderly. Promoting exercise may be an effective strategy for dementia prevention in this population.

Application of eHealth Self-Management (eHSM) for clients hypertension Kusumawaty, Jajuk; Anwar, Syamsul; Herlina, Lily; Yunitri, Ninik; Supriadi, Dedi; Rosmiati, Rosmiati
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1469

Hypertension is a cardiovascular disease and is one of the main causes of premature death throughout the world. The aim of this research is to determine the effect of eHealth Self-Management (eHSM) intervention on reducing blood pressure in adult clients with hypertension. Method on The implementation of Evidence Base Nursing (EBNP) Practice was carried out in the Linggasari sub-district, Ciamis Regency. The number of respondents was 30 people, four times a month they were given education in the Linggasari area, carried out with a pretest at the beginning and a posttest at the end of the intervention, monthly telephone counseling was carried out for 4 weeks, education took place in 4 meetings every week with a duration of approximately 60 minutes in each session. to remind you to take your medication every night. Each counseling session lasts approximately 20 minutes via telephone via WhatsApp. Based on the Wilcoxon test results in the table using spss.16, the blood pressure results before and after implementing e-health gave significant results because the p value is 0.000, which is smaller than the Alpha value (<0.05), so Ho is rejected, which means there is a difference in blood pressure. before and after implementing e-health. Conclusion There is a significant effect of the eHealth Self Management (eHSM) intervention with the What App Group application on hypertensive clients in the Linggasari sub-district of the Ciamis Health Center Work Area.

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