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Penerapan Video Observed Therapy (VOT) Terhadap Kepatuhan Minum Obat Anti Tuberkolosis Pada Pasien TB Di Puskesmas Cempaka Putih Jakarta Pusat Diana Tati Haryati; Lily Herlina Herlina; Ninik Yunitri
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.v9i3.44607

Abstract

Tuberkulosis (TB) merupakan salah satu masalah kesehatan masyarakat yang masih menjadi tantangan di Indonesia. Salah satu faktor penting dalam pengendalian TB adalah kepatuhan pasien dalam mengonsumsi Obat Anti Tuberkulosis (OAT). Namun, kepatuhan pasien sering kali menjadi kendala, terutama dalam pemantauan minum obat secara rutin. Video Observed Therapy (VOT) merupakan inovasi teknologi dalam memantau kepatuhan minum obat pasien secara jarak jauh melalui rekaman video. Mengetahui pengaruh penerapan Video Observed Therapy (VOT) terhadap kepatuhan minum OAT pada pasien TB di Puskesmas Cempaka Putih, Jakarta Pusat. Penelitian ini menggunakan desain pre-experimental dengan pendekatan one group pretest-posttest. Populasi adalah seluruh pasien TB yang tercatat di buku register Puskesmas Cempaka Putih. Sampel sebanyak 37 responden ditentukan menggunakan aplikasi G*Power versi 3.1.9. Intervensi VOT dilakukan selama 8 minggu dengan evaluasi mingguan. Instrumen yang digunakan adalah lembar observasi laboratorium hasil TCM/BTA dan kuesioner kepatuhan minum OAT. Analisis data menggunakan uji Paired Sample T-Test dengan tingkat signifikansi 5%. Terdapat perbedaan yang signifikan antara tingkat kepatuhan minum OAT sebelum dan sesudah penerapan VOT (p < 0,05), yang menunjukkan bahwa intervensi VOT efektif dalam meningkatkan kepatuhan pasien. Penerapan Video Observed Therapy (VOT) terbukti efektif dalam meningkatkan kepatuhan minum obat pada pasien TB. Inovasi ini dapat dijadikan alternatif strategi pemantauan pengobatan TB, khususnya di era digital saat ini.
Effect of rubber ball gripping range-of-motion exercise on hand muscle strength in patients with non-hemorrhagic stroke Zainab, Zainab; Yunitri, Ninik; Agung, Rizki Nugraha; Saharuddin, Saharuddin
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.694

Abstract

Background: Stroke remains a major cause of disability worldwide, often resulting in impaired upper limb function and decreased hand muscle strength that limit independence in daily activities. Simple, structured rehabilitation strategies such as range-of-motion (ROM) exercises using a rubber ball may provide practical and cost-effective support for motor recovery, yet evidence regarding their specific impact on hand muscle strength in non-hemorrhagic stroke patients remains limited. Objective: This study aimed to examine the effect of rubber ball gripping range-of-motion exercise on hand muscle strength in patients with non-hemorrhagic stroke. Methods: This study employed a pre-experimental one-group pretest–posttest design conducted in the Stroke Center inpatient ward of RSUD Labuang Baji Makassar. A total of 21 patients with non-hemorrhagic stroke who experienced upper extremity weakness were recruited using consecutive sampling based on predefined inclusion criteria. Hand muscle strength was measured using the manual muscle testing scale before intervention and daily after implementation. The intervention consisted of rubber ball gripping ROM exercise performed twice daily for six consecutive days as part of evidence-based nursing practice. Data were analyzed using descriptive statistics and paired statistical testing with a significance level of α = 0.05. Results: The mean hand muscle strength score increased from 3.10 ± 0.301 before intervention to 4.10 ± 0.301 after six days of exercise. Progressive improvement was observed beginning on the third day of intervention, with statistically significant differences between pre- and post-intervention measurements (p < 0.05). These findings indicate that repetitive ROM rubber ball gripping exercise contributed to clinically meaningful improvement in upper limb muscle strength among non-hemorrhagic stroke patients. Conclusion: Rubber ball gripping range-of-motion exercise demonstrated significant effectiveness in improving hand muscle strength in patients with non-hemorrhagic stroke.
Pengaruh Qigong Exercises Sebagai Evidence Based Nursing Practice Terhadap Pengendalian Hipertensi Pada Lansia Fatih Hibatullah; Syamsul Anwar; Ninik Yunitri; Nurhayati Nurhayati
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55680

Abstract

Hipertensi merupakan penyakit kardiovaskular yang umum terjadi pada lansia dan meningkatkan risiko morbiditas serta mortalitas. Karena sering tidak bergejala, pengendalian hipertensi pada lansia menjadi tantangan, terutama dalam kepatuhan pemeriksaan tekanan darah, terapi jangka panjang, dan penerapan gaya hidup sehat. Selain terapi farmakologis, intervensi non-farmakologis berperan penting dalam membantu mengontrol dan menstabilkan tekanan darah. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP), seperti latihan Qigong exercises, berpotensi menjadi strategi efektif dalam mendukung pengendalian hipertensi pada lansia. Penelitian ini bertujuan mengevaluasi pengaruh Qigong Exercises terhadap mengontrol tekanan darah pada lansia, melalui pendekatan One Group Pretest – Posttest Design. Sampel penelitian berjumlah 11 lansia dengan hipertensi di Kelurahan Rawasari, Jakarta Pusat, yang pilih secara Purposive. Intervensi dilakukan selama dua kali seminggu selama 8 minggu. Pengukuran tekanan darah dilakukan setiap minggu. Hasil penerapan Praktik Keperawatan Berbasis Bukti (EBNP) dengan intervensi Qigong exercises menunjukkan penurunan signifikan pada tekanan darah sistolik dan diastolik, masing-masing sebesar 13 mmHg dan 7 mmHg (p = 0,000). Dari hasil ini, dapat disimpulkan bahwa penerapan praktik keperawatan berbasis bukti, khususnya pemberian intervensi Qigong exercises, terbukti efektif dalam mengontrol tekanan darah pada lansia.
Penerapan Passive Stretching Exercise Pada Pasien Diabetes Melitus Tipe 2 Terhadap Penurunan Kadar Glukosa Darah Harwina Widya Astuti; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari; Uswatun Hasanah
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23507

Abstract

ABSTRACT Type 2 Diabetes Mellitus is a chronic disease caused by unstable blood sugar levels that exceed normal limits, or hyperglycemia, and disorders of carbohydrate, protein, and fat metabolism. Hyperglycemia can cause complications in form of macrovascular and microvascular blood vessel disorders. Efforts to controls blood sugar include physical activity, such as passive stretching exercise, which are beneficial for increasing cellular glucose uptake, thereby reduce blood glucose levels. This study aims to provide an overview of the impact of implementing passive stretching exercise in type 2 diabetes mellitus patients for reduce blood glucose levels through Evidence-Based Nursing Practice (EBNP). This study used a systematic approach by reviewing various articles and literature, namely PubMed and Google Scholar. The selected articles focused on passive stretching exercise interventions in patients type 2 diabetes mellitus to reduce blood glucose levels. The review identified one article in the form of systematic review with meta-analysis, which examined 13 studies. The results of the analysis showed that passive stretching exercises were effective in reduce blood glucose levels. The implementation of passive stretching exercise has been shown to reduce blood glucose level in patients with type 2 DM. Keywords: Blood Glucose Levels, Diabetes Mellitus Type 2, Hyperglycemia, Passive Stretching Exercise.  ABSTRAK Diabetes Melitus tipe 2 merupakan penyakit menahun yang disebabkan oleh ketidakstabilan kadar gula darah yang melebihi batas normal atau hiperglikemia dan gangguan metabolisme karbohidrat, protein, dan lemak. Hiperglikemia dapat menimbulkan komplikasi berupa gangguan pembuluh daik makrovaskuler atau mikrovaskuler. Upaya kontrol gula darah yaitu dengan melakukan aktivitas fisik, salah satunya adalah latihan passive stretching exercise. Latihan ini bermanfaat untuk meningkatkan serapan glukosa seluler sehingga menurunkan kadar glukosa darah. Penelitian ini bertujuan untuk memberikan gambaran tentang dampak pada penerapan latihan passive stretching exercise pada pasien DM tipe 2 dalam menurunkan kadar gula darah melalui praktik keperawatan berbasis bukti. Studi ini menggunakan pendekatan sistematis dengan meninjau berbagai artikel dan literatur, yaitu PubMed dan google scholar. Artikel-artikel yang dipilih berfokus pada intervensi latihan passive stretching exercise pada pasien DM tipe 2 untuk menurunkan kadar glukosa darah berbasis bukti dalam keperawatan. Tinjauan ini mengindetifikasi satu artikel dalam bentuk tinjauan sistematis dengan meta-analisis, yang meneliti 13 penelitian. Hasil analisis menunjukkan bahwa latihan passive stretching exercise efektif menurunkan kadar glukosa darah.  Penerapan passive stretching exercisemenunjukkan hasil dapat menurunkan kadar glukosa darah pada pasien DM tipe 2.  Kata Kunci: Diabetes Melitus Tipe 2, Hiperglikemia, Kadar Glukosa Darah, Latihan Peregangan Pasif.
The THE RELATIONSHIP BETWEEN SELF EFFICACY AND SPIRITUAL WELL-BEING WITH THE USE OF COPING STRATEGIES IN PEOPLE WITH HIV (ODHIV) Lina Sukmawati; Rohman Azzam; Ninik Yunitri; Fitrian Rayasari; Dian Novianti; Siti Maemun
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 1 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1598

Abstract

HIV infection continues to be a significant public health problem worldwide, including Indonesia, with impacts spanning social, economic, and cultural aspects. People living with HIV (PLHIV) are faced with various pressures and are in dire need of coping strategies. This study aimed to determine the relationship between self-efficacy and spiritual well-being with the use of coping strategies in PLHIV. This study is an analytic study with a cross sectional approach. A sample of 39 ODHIV was selected using purposive sampling method. Data were collected by filling out the GSES questionnaire to assess self-efficacy, the SWBS questionnaire to measure spiritual well-being, and the BRIEF RCOPE questionnaire to determine coping strategies. Logistic regression multinomial inferencial test found no association between self-efficacy and spiritual well-being with the use of coping strategies. Most were male (76.9%), high school education level (64.1%), and married (59%). Descriptive analysis obtained respondents who used problem-oriented coping strategies (28.2%); emotion-oriented (38.5%); and religious-oriented (33.3%). Multinomial logistic regression test showed no significant association between self-efficacy and the use of coping strategies and no association between spiritual well-being and coping strategies (p-value > 0.05). Spiritual aspects are important to consider as they can be a source of coping and motivation to help patients cope with sudden illness and reduce the level of pain due to the perceived condition so as to quickly move towards healing. Nurses need to apply nursing care using coping instruments, comprehensively from the assessment process to the evaluation process.
Co-Authors Abdu Rahim Kamil Abdul Khamid, Abdul Ade Fitriani, Ade Adria Rusli, Adria Agung Widiastuti Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Ahmad Zubairi Anitha, Anitha Anwar, Syamsul Arifin, Hidayat Arsianti, Lyana Azzam, Rohman Baridwan, Syamikar Budiati, Dhiani Chairunnisa, Dea Christina Yeni Kustanti Dadang Saadulloh Dedi Supriadi Desvita, Eva Desy Anggraini Dewi Anggraini Dian Novianti Dian Noviati Kuriasih Diana Tati Haryati Dluha Maf’ula Dwisusanti, Oktina Eka Kristina Asi Erna Rochmawati, Erna Fatih Hibatullah Fatma, Hindri Royiah Fauzi Ashra Firdaus, Nuzula Harwina Widya Astuti Haryanti, Noviana Hazrina, Fira Awanis Hendra Hendra Henny Dwi Susanti Herlina, Lily Hernani, Eny Hidayat Arifin Ikaningtyas, Nurlia Ima Sukmawati, Ima Janitra, Fitria Endah Jumaiyah, Wati Kamil, Abdu Rahim Kurnati, Nana kurniasari, septi Kurniasih, Dian Noviati Kustanti, Christina Yeni Kusumawaty, Jajuk Latipah, Siti Lestari, Sabrina Ayu Lilis Lismayanti Lily Herlina Herlina Lily Herlinah Lina Sukmawati Lofa, Priyo Hadi Prasetiyo Maemun, S.KM, M.Epid, Siti Maemun, Siti Mamang, Aisah Mei Rianita Elfrida Sinaga Melati Fajarini Melati, Nimsi Mulyadi, Egi Mulyatsih, MG Enny Noviati, Elis Nugraha, Rizki Agung Nur Aini NUR AINI Nuraenah Nuraenah Nuraenah Nuraenah Nuraenah, Nuraenah Nurhayani, Yani Nurhayati Nurhayati Nurhayati, Elis Nurrahman, Aris Nursana, Vina Septia Prasetya, Ganjar Kundi Putri, Alifiani Rahmi Rahayu, Esti Kusuma Rahayu, Yuyun Rahmasari, Ikrima Rani Septiawantari Rayasari, Fitrian Rayasari, Fitriyan Rikawati, Rintan Rina Yuliaty, Rina Rinawati Rinawati Rita Sari Rohani Rohani Rohman Rohman Azzam Rohman Azzam Rohman Rohman Rosmiati Rosmiati Rudi Kurniawan Saadulloh, Dadang Saharuddin Sakinah, Sri Salsabila, Sephia Septiawantari, Rani Septiawardani, Rani Shahroh, Yuni Silistyorini, Cahyo Ismawati Siti Maemun Siti Nurjanah Slametiningsih Slametiningsih, S Slametiningsih, Slametiningsih SRI ATUN sri murtini . Sri Yulianti Srinayanti, Yanti Sulistyorini, Cahyo Ismawati Suryati Suryati Syamsul Anwar, Syamsul Tallulembang, Abdi Tampubolon, Briefman Tiara Octary Ulina, Barita Uswatun Hasanah Wahyudin, M. Didin Waluyo, Endrian Mulyadi Justitia Widia Astuti Widia Astuti A W widya astuti Wildan Yani Sofiani Yohanes Andy Rias Zainab Zainab