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Faktor-faktor yang berhubungan dengan pelaksanaan perilaku hidup sehat pada penderita hipertensi Yuliani, Devi; Mulyati, Lia; Hendriana, Yana
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 16 No. 02 (2025): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/k8qwt874

Abstract

Latar Belakang: Hipertensi sering dijuluki “The Silent Killer”. Program Pemerintah perilaku CERDIK sebagai upaya preventif bagi penderita hipertensi agar tekanan darah terkontrol. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan pelaksanaan perilaku CERDIK penderita hipertensi di Wilayah Kerja UPTD Puskesmas Kadugede Tahun 2025.Metode: Kuantitatif dengan pendekatan cross sectional. Sampel 91 responden penderita hipertensi dengan teknik purposive sampling. Instrumen pengumpulan data dengan kuesioner. Data dianalisis dengan proporsional & Chi-Square.Hasil: Tidak adanya hubungan antara sikap dengan pelaksanaan perilaku CERDIK (p= 0,311; OR= 1,704), ada hubungan pengetahuan dengan pelaksanaan perilaku CERDIK (p= 0,002; OR= 5,053), dukungan keluarga (p= 0,000; OR= 5,626), dan self efficacy (p=0,000; OR= 9,167).Kesimpulan: Terdapat hubungan pengetahuan, dukungan keluarga, dan self efficacy dengan pelaksanaan perilaku CERDIK, dan tidak ada hubungan sikap dengan pelaksanaan perilaku CERDIK penderita hipertensi di Wilayah Kerja UPTD Puskesmas Kadugede Tahun 2025. Dan penelitian ini self efficacy yang paling memiliki pengaruh besar terhadap perilaku CERDIK.
Transforming Nursing Clinical Education: The Power of Environment, Student Motivation, and Clinical Instructors Mulyati, Lia; Wulan, Nur; Rohim, Abdal
Jurnal Keperawatan Indonesia Vol 29 No 1 (2026): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v29i1.1501

Abstract

Clinical learning is an important component in the formation of nursing students’ professional competence. The clinical environment, student motivation, and the role of clinical instructors are factors that influence the achievement of learning outcomes in nursing clinical practice. However, the relationship between these factors is still not fully understood. This study aims to examine the relationship between the clinical environment, student motivation, and the role of clinical instructors, and to determine how these three factors contribute to learning outcomes in nursing clinical practice. A quantitative design with a cross-sectional survey approach was used. The sample consisted of 117 nursing students, and data were collected through questionnaires. Data analysis was conducted using the Partial Least Squares Structural Equation Modeling (PLS-SEM) method. The results showed that the clinical environment significantly contributed to learning outcomes (p-value 0.001) and student motivation (p-value 0.040). The role of clinical instructors influenced perceptions of the clinical environment (p-value 0.001) and student motivation (p-value 0.001), but did not directly affect learning outcomes. Student motivation contributed significantly to learning outcomes (p-value 0.029). The research model demonstrated a fairly good fit with the data. The clinical environment and student motivation are essential for achieving learning outcomes in nursing clinical practice. The role of clinical instructors contributes indirectly by enhancing student motivation. Educational institutions and hospitals should collaborate to create a conducive learning environment and provide effective training for clinical instructors.
Lifestyle and environmental stress as determinants of hypertension development in rural Indonesia: a multinomial logistic regression analysis Mulyati, Lia; Rosalia, Linda; Hendriana, Yana
Media Penelitian dan Pengembangan Kesehatan Vol. 36 No. 1 (2026): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v36i1.4191

Abstract

Background: Global evidence indicates that lifestyle behaviors and environmental stress contribute to blood pressure regulation; however, studies examining their combined effects on hypertension severity, particularly in rural Indonesian populations, remain limited. Objective: This study addresses this gap by applying multinomial logistic regression to predict hypertension stages and examine interactions between lifestyle and environmental stress. Methods: A cross-sectional study was conducted among 373 adults with hypertension aged ≥45 years in three rural villages in Kuningan Regency, Indonesia, selected through purposive sampling. Lifestyle behaviors and environmental stress were assessed using validated questionnaires with acceptable internal consistency (Cronbach’s α> 0.70). Blood pressure was classified into Stage 1, Stage 2, and Stage 3 hypertension. Multinomial logistic regression analyses adjusted for age, sex, body mass index, and hypertension duration were performed to estimate main and interaction effects. Results: The model demonstrated strong predictive validity (χ²= 174.10; p< 0.001). A healthy lifestyle was significantly associated with higher odds of Stage 1 (OR= 30.04) and Stage 2 hypertension (OR= 11.45) compared with Stage 3. Mild to moderate environmental stress also showed a protective association with hypertension severity (p< 0.01). A significant lifestyle–stress interaction (p< 0.05) indicated that a healthy lifestyle attenuated the adverse effects of severe stress, maintaining a high predicted probability of milder hypertension (0.67). Conclusion: These findings provide empirical evidence from rural Indonesia that lifestyle behaviors and environmental stress function as independent and interactive predictors of hypertension severity, supporting adaptive and health promotion frameworks and community-based interventions aligned with Sustainable Development Goal 3.