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Hubungan Derajat Luka dan Lama Menderita dengan Quality of Life pada Penderita Ulkus Diabetik di Klinik Ikram Wound Care Center Kabupaten Majene Harli, Kurnia
Journal of Health Education and Literacy Vol 3 No 1 (2020): Journal of Health, Education and Literacy (J-healt)
Publisher : Universitas Sulawesi Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31605/j-healt.v3i1.781

Abstract

Abstract Diabetic ulcer is the most common complication of diabetes mellitus that had a detrimental effect on the patients’ physical and psychological state. These may impede patients' activity and productivity, therefore, it may reduce the quality of life of the patients. This study aimed to find out the relationship between the degree of the wound and the length of suffering to the quality of life in patients with diabetic ulcers at the Ikram wound care center Majene. The design of this study used a cross-sectional study design with a sample size of 36 respondents obtained by consecutive sampling methods, the data collections utilized the world health organization quality of life (WHOQOL) –BREF questionnaire and the degree of the wound and length of suffering observation sheet. The data were statistically analyzed using a chi-square test. The p-value of wound degree and quality of life was 0.251, this indicated that there was no relationship between the degree of the wound and the quality of life, furthermore, p-value of the length of suffering and quality of life was 1.000 which indicated that there was no relationship between the length of suffering and the quality of life.
Hubungan self-efficacy dengan self-management behaviour pada pasien hipertensi di rumah sakit umum daerah Majene Patma, Patmawati; Yunding, Junaedi; Harli, Kurnia; Amin R, Muhammad
Journal of Health Education and Literacy Vol 4 No 1 (2021): Journal of Health, Education and Literacy (J-healt)
Publisher : Universitas Sulawesi Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31605/j-healt.v4i1.1191

Abstract

Hypertension is a chronic disease, which can be managed non-pharmacologically by modifying lifestyle and self-management such as self-integration, socializing, and monitoring blood pressure. Self-management behavior (SMB) is an effective way for patients to manage behavior, improve patient health status, and independency to prevent complications in hypertension. One of the factors that influence the application of SMB is self-efficacy. The purpose of this study was to determine the relationship between self-efficacy and self-management behavior in hypertensive patients. This study used an observational analytic design with a cross-sectional study method. There were 77 hypertensive patients as samples obtained by using a purposive sampling technique which was analyzed by using the chi-square test. The results showed that there was a significant relationship between self-efficacy and self-management behavior in hypertensive patients (p = 0,000).
Efektifitas Buerger Allen Exercise terhadap Sensitivitas Kaki Pasien DM Tipe II Harli, Kurnia; Megawaty, Irna; Yulianti, Yulianti; Yunding, Junaedi
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Supp Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1931

Abstract

Perawatan yang tidak baik pada penderita diabetes berisiko mengalami yaitu neuropati dan ulkus kaki. Salah satu terapi latihan fisik buerger allen exercise menjadi penatalaksanaan neuropati yang relatif mudah dan cost-effective. Penelitian ini bertujuan untuk mengetahui efektifitas buerger allen exercise terhadap sensitivitas kaki pasien DM tipe II. Penelitian ini menggunakan quasi experiment pre-test and post-test with control group design. Penelitian ini telah dilakukan di Puskesmas wilayah Kabupaten Majene. Populasi dalam penelitian ini adalah seluruh penderita diabetes melitus tipe II  yang telah didiagnosis oleh dokter. Penentuan besar sampel dalam dalam penelitian ini menggunakan rumus Federer didapatkan adalah 36 orang. Teknik sampling yang digunakan adalah purposive sampling dengan kriteria inklusi penderita DM tipe II yang telah didiagnosa oleh dokter dan mengalami neuropati perifer, tidak memiliki ulkus kaki dan bersedia menjadi responden. Sedangkan kriteria eksklusi yaitu responden yang tidak mengikuti intervensi BAE minimal 1 kali selama proses pengambilan data serta mengalami keterbatasan fisik anggota gerak bawah. Terdapat dua kelompok dalam penelitian ini yaitu kelompok intervensi yang mendapatkan perlakuan buerger allen exercise, dan kelompok kontrol sebagai pembanding. Intervensi buerger allen exercise dilakukan selama 4 hari dan 5 kali dalam sehari dibawah pendampingan tim peneliti.  Analisa data menggunakan uji t berpasangan. Hasil penelitian menunjukkan terdapat perbedaan rerata pada sensitivitas kaki kiri dan kanan sebelum dan setelah pemberian intervensi buerger allen exercise dibanding kelompok yang tidak diberikan perlakuan yaitu nilai p<0,005. Maka dapat disimpulkan buerger allen exercise efektif mempengaruhi sensitivitas kaki pasien DM tipe II.
THE POTENTIAL OF SECANG WOOD DECOCTION AS AN ODOR CONTROL FOR DIABETIC FOOT ULCER : POTENSI AIR REBUSAN KAYU SECANG SEBAGAI PENGONTROL BAU ULKUS KAKI DIABETIK Harli, Kurnia; Irfan; Febrianti, Nur Auliyah; Azzahra, Siti Fatimah; Bauk, Ikram; Mursyid, Aco
Jurnal Kesehatan Vol 17 No 2 (2024): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v17i2.39658

Abstract

Diabetic foot ulcers are a serious complication that can significantly affect the quality of life for individuals with diabetes. One common issue associated with diabetic foot ulcers is the presence of unpleasant odors. This study aims to investigate the potential of secang wood decoction as an effective odor control for diabetic foot ulcers. This research follows an experimental design with pre-test post-test control group. The study sample consists of 32 patients with diabetic foot ulcers, randomly assigned to two groups. The treatment group received wound cleansing with secang wood decoction, while the control group was washed with a 0.9% NaCl solution. The results indicated a significant reduction in odor intensity both treatment and control group. This research concludes that secang wood decoction demonstrated potential effectiveness in controlling odors associated with diabetic foot ulcers. These findings suggest that secang wood decoction holds promise as a natural and accessible method for managing odor in diabetic foot ulcers. Further research is needed to explore its long-term effects and potential side effects. Additionally, studies with larger sample sizes and diverse populations would provide more comprehensive insights into the effectiveness and safety of secang wood decoction as an odor control measure for diabetic foot ulcers.
Pengaruh Terapi Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan Pada Lansia Evidamayanti, Evidamayanti; Irfan, Irfan; Nurfadilah, Nurfadilah; Indrawati, Indrawati; Megawaty, Irna; Harli, Kurnia
Journal of Health, Education, Economics, Science, and Technology (J-HEST) Vol. 7 No. 1 (2024): Journal of Health, Education, Economics, Science, and Technology
Publisher : Journal of Health, Education, Economics, Science, and Technology (J-HEST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36339/

Abstract

Penelitian ini bertujuan untuk mengevaluasi pengaruh terapi relaksasi otot progresif terhadap penurunan tingkat kecemasan pada lansia di Lingkungan Barane, Kelurahan Baurung, Kabupaten Majene. Penelitian ini menggunakan metode quasi-eksperimen dengan desain pre-test dan post-test tanpa kelompok kontrol, melibatkan 29 responden sebagai sampel. Hasil penelitian menunjukkan adanya penurunan tingkat kecemasan pada lansia setelah diberikan intervensi. Analisis menggunakan uji Marginal Homogeneity menghasilkan nilai p sebesar 0,000 (p < 0,05), yang menunjukkan adanya pengaruh signifikan dari terapi relaksasi otot progresif terhadap penurunan kecemasan pada lansia. Terapi relaksasi otot progresif efektif dalam menurunkan kecemasan pada lansia di Lingkungan Barane, Kelurahan Baurung, Kabupaten Majene. Diharapkan terapi ini dapat dilakukan secara mandiri dan rutin untuk membantu mengatasi kecemasan serta meningkatkan kualitas hidup lansia.
Pengaruh Terapi Musik ‘Weightless’ terhadap Kecemasan Pasien Pre Operatif dalam Perspektif Keperawatan Harli, Kurnia; Irfan, Irfan; Azzahra, Siti Fatima
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 2 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: April 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i2.3609

Abstract

Kecemasan merupakan salah satu masalah yang sering dialami oleh pasien pre-operatif, yang dapat berdampak pada kondisi psikologis dan fisiologis pasien selama masa perioperatif. Penelitian ini bertujuan untuk mengevaluasi pengaruh terapi musik Weightless terhadap kecemasan pasien pre-operatif dalam perspektif keperawatan. Penelitian ini menggunakan desain quasi-experiment dengan pendekatan time series. Sebanyak 16 pasien pre-operatif elektif berusia ≥17 tahun menjadi responden. Tingkat kecemasan diukur menggunakan instrumen Hospital Anxiety and Depression Scale (HADS-A) versi Bahasa Indonesia. Analisis data dilakukan menggunakan uji Friedman dan uji post hoc Wilcoxon. Hasil penelitian menunjukkan adanya penurunan signifikan pada tingkat kecemasan pasien setelah diberikan terapi musik Weightless (p < 0,05). Responden yang sebelumnya mengalami kecemasan berat, setelah intervensi terapi musik Weightless, mayoritas tidak mengalami kecemasan. Hasil ini menunjukkan bahwa terapi musik Weightless dapat menjadi alternatif nonfarmakologis yang efektif untuk mengurangi kecemasan pre-operatif.
Pemberdayaan Kader Kesehatan melalui Implementasi Inovasi Gelis Jiwa untuk Penanganan Kesehatan Jiwa dan Pencegahan Bunuh Diri Irfan, Irfan; Harli, Kurnia; Evawaty, Evawaty
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 5 (2025): Volume 8 No 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i5.19100

Abstract

ABSTRAK Kesehatan jiwa dan tingginya angka bunuh diri terus menjadi isu di masyarakat. Kelurahan Baurung, dengan tantangan sosial dan ekonomi yang ada, menghadapi peningkatan kasus gangguan kesehatan jiwa dan risiko bunuh diri. Program pengabdian ini bertujuan untuk memberdayakan kader kesehatan dalam menangani masalah ini melalui penerapan inovasi GELIS JIWA (Generasi Peduli Sehat Jiwa). GELIS JIWA merupakan pendekatan berbasis komunitas yang berfokus pada peningkatan pengetahuan, keterampilan, dan peran aktif kader kesehatan dalam upaya pencegahan dan penanganan kesehatan jiwa di tingkat lokal. Melalui pemberdayaan, program ini membekali kader kesehatan dengan pengetahuan tentang deteksi dini gejala gangguan jiwa, intervensi pertama, serta langkah-langkah pencegahan bunuh diri. Kader kesehatan diajak untuk melakukann sosialisasi dan edukasi kepada masyarakat untuk meningkatkan kesadaran akan pentingnya menjaga kesehatan jiwa dan mendukung individu yang rentan. Hasil dari program ini adalah peningkatan kapasitas kader kesehatan dalam menangani masalah kesehatan jiwa, pengurangan stigma terhadap penderita gangguan jiwa, serta pencegahan bunuh diri di Kelurahan Baurung. GELIS JIWA diharapkan dapat menjadi model yang berkelanjutan untuk diterapkan di wilayah lain, dan berkontribusi pada terciptanya masyarakat yang lebih sehat jiwa dan mental. Kata Kunci: Deteksi Dini, Inovasi Berbasis Komunitas, Kesadaran Kesehatan Jiwa.  ABSTRACT Mental health issues and the rising suicide rates remain significant concerns in society. Baurung Village, facing various social and economic challenges, has experienced an increase in mental health disorders and suicide risks. This community service program aims to empower health cadres to address these issues through the implementation of GELIS JIWA, a community-based innovation focused on enhancing the knowledge, skills, and active roles of health cadres in preventing and managing mental health problems at the local level. This empowerment initiative equips health cadres with the ability to detect early symptoms of mental disorders, provide initial interventions, and implement suicide prevention strategies. Additionally, health cadres are encouraged to conduct community outreach and education to raise awareness about the importance of mental health and support vulnerable individuals. The outcomes of this program include improved capacity of health cadres in managing mental health issues, reduced stigma associated with mental illness, and decreased suicide risks in Baurung Village. Consequently, GELIS JIWA is expected to become a sustainable model that can be adopted in other regions, contributing to the creation of a mentally and emotionally healthier society. Keywords: Community-based Innovation, Early Detection, Mental Health Awareness.
Enhacing Maternal Competence In Preventing Stunting Through Local Food-Based Complementary Feeding: A Quasi-Experimental Study In West Sulawesi, Indonesia Evawaty; Harli, Kurnia; Adhisty, Weny Anggraini; Fauziah; Nurwahita; Immawanti
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.2024

Abstract

Stunting remains a major public health concern in Indonesia, particularly among children under five. A key contributing factor is limited maternal competence, including insufficient knowledge of the appropriate age to introduce complementary feeding, poor understanding of dietary variety, and inconsistent feeding practices. This study aimed to evaluate the effectiveness of two educational interventions—cooking demonstrations and emotional demonstrations (emo-demo)—in improving maternal knowledge, attitudes, and practices regarding local food-based complementary feeding. A quasi-experimental study was conducted in Majene Regency, West Sulawesi, involving 184 mothers of children aged 6–24 months. Participants were randomly assigned to either the cooking demonstration group or the emo-demo group. Data were collected at baseline and during three follow-up time points. Maternal competence was assessed using validated indicators covering knowledge, attitude, and behavior. Data analysis employed repeated measures ANOVA, the Friedman test, and Generalized Estimating Equations (GEE). Both interventions significantly improved maternal competence. However, the cooking demonstration group consistently achieved higher mean scores in all post-intervention assessments (p < 0.001). Improved maternal behavior was positively associated with weight-for-age in children, although no significant associations were found with height-for-age or weight-for-height indicators. Contextual, interactive, and hands-on educational approaches such as cooking demonstrations proved more effective in enhancing maternal competence for stunting prevention. Integrating culturally relevant, food-based learning into community health programs offers a promising and sustainable strategy to improve child nutrition, especially in regions rich in local food resources. Moreover, these educational interventions may also be incorporated into health education curricula at various academic levels to strengthen future health professionals’ competencies in nutrition promotion and stunting prevention.
The Relationship Between Sedentary Lifestyle and the Risk of Type 2 Diabetes Mellitus in Generation Z Nurdina, Nurdina; Harli, Kurnia; Wabula, Irfan
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1655

Abstract

Approximately 90% of diabetes cases in Indonesia are classified as type 2 diabetes mellitus (T2DM). In Indonesia, particularly among Generation Z, sedentary lifestyles are becoming increasingly prevalent. The primary aim of this study was to examine the association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z. A cross-sectional design was employed, with 135 respondents selected through purposive sampling. The study participants were undergraduate students from the 2023 cohort of the Accounting Study Program, Faculty of Economics, University of West Sulawesi. Data were collected using the Adolescent Sedentary Activity Questionnaire (ASAQ) and the Finnish Diabetes Risk Score (FINDRISC). The findings revealed that 101 respondents (74.8%) demonstrated a high sedentary lifestyle, while 5 respondents (3.7%) exhibited a high risk of developing type 2 diabetes mellitus. Results from the Chi-square test indicated a p-value of 0.861, which is greater than ? = 0.05, suggesting that there is no significant relationship between sedentary lifestyle and the risk of type 2 diabetes mellitus in Generation Z. In conclusion, this study found no significant association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z.
PENERAPAN RANGE OF MOTION (ROM) EXERCISES PADA KELOMPOK LANSIA DI DESA ULIDANG, KECAMATAN TAMMERODO SENDANA, KABUPATEN MAJENE Wabula, Irfan; Evawaty, Evawaty; Harli, Kurnia; Irfan, Irfan; Amin R, Muhammad; Megawaty, Irna; Nurmagandi, Boby
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 7, No 1 (2024): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v7i1.27-32

Abstract

Proses penuaan merupakan proses yang terjadi dalam siklus hidup, dalam siklus ini sistem kekebalan tubuh seseorang akan semakin menurun sehingga berbagai macam jenis penyakit semakin rentan menyerang tubuh. Salah satu masalah yang biasa dialami oleh seseorang yang sudah masuk usia lansia ialah masalah musculoskeletal. Melihat permasalahan tersebut terdapat upaya yang ditawarkan ialah dengan latihan ROM. Salah satu program alternatif untuk melaksanakan perawatan lansia yang baik dan benar ialah bina keluarga lansia, Pemberdayaan bina keluarga lansia khsususnya.masalah ROM perlu di tindak lanjuti dengan harapan kualitas hidup lansia.semakin membaik. Kegiatan pengmas diawali dengan pemeriksaan TTV, kemudian pemberian edukasi tentang ROM, dan pemeriksaan gula darah, asam urat, dan kolestrol. Tingkat pengetahuan dan keterampilan lansia diobservasi sebagai bentuk evaluasi dari edukasi dan pelatihan yang diberikan. Kegiatan edukasi dilakukan secara tatap muka dengan menggunkan media LCD dan fasilitator untuk para peserta. Peserta lansia diberikan leaflet. Kegiatan demontrasi Gerakan ROM dilakukan sesuai SOP dan kondisi kelemahan anggota gerak pada lansia. Diharapkan para lansia dapat melakukan gerakan Range of Motion (ROM) secara mandiri.