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All Journal Jendela Nursing Journal (JNJ) Jurnal Health Sains Gemakes: Jurnal Pengabdian Kepada Masyarakat Journal Of Health & Cardiovascular Nursing Eduvest - Journal of Universal Studies
Miradwiyana, Bara
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Aerospace Engineering Computer Science & IT Dentistry Electrical & Electronics Engineering Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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PENDAMPINGAN LANSIA DENGAN HIPERTENSI DI WILAYAH PUSKESMAS RAGUNAN KECAMATAN PASAR MINGGU JAKARTA SELATAN Nurulhuda, Uun; Pangastuti, Tri Endah; Miradwiyana, Bara
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2024): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v4i1.1535

Abstract

Hipertensi adalah kondisi di mana tekanan darah lebih tinggi dari 140/90 mmHg. Hampir semua orang dapat mengalami tekanan darah tinggi. Badan Kesehatan Dunia (WHO) memprediksi peningkatan secara global yaitu orang dewasa yang akan mengidap hipertensi melonjak hingga 29 % pada tahun 2025.  Menurut data Global Burden of Disease pada tahun 2017 bahwa penyakit gagal jantung di seluruh dunia merupakan penyakit dengan nilai penderita tertinggi yaitu sebanyak 64,3 juta. Data Riset Kesehatan Dasar (Riskesdas) Kemenkes RI tahun 2018 menunjukkan bahwa banyaknya penderita penyakit jantung berdasarkan diagnosis dokter pada semua umur diperkirakan sebesar 1,5 %, atau sebanyak 1.017.290 orang dan untuk provinsi DKI Jakarta diperkirakan penderita penyakit jantung sebesar 1,9% atau sebanyak 40.210 orang. Metode pelaksanaan dilakukan melalui program kemitraan masyarakat, yang merupakan teknik atau cara menyelesaikan permasalahan untuk mencapai tujuan program, yaitu melalui pendekatan tiga tahap yakni input, proses, dan output. Hasil pengukuran tekanan darah yang dilakukan pada kegiatan ini mendapatkan data 13 orang lansia (56,5%) yang beresiko hipertensi. Tekanan darah tinggi yang terjadi terus-menerus dapat membuat jantung bekerja lebih keras untuk memompa darah ke seluruh tubuh dan bisa membuat jantung membesar, merusak pembuluh darah, dan membuat ginjal tidak bisa bekerja dengan baik. Oleh karena itu, keluarga harus memiliki kartu kiendali hipertensi. Hipertensi pada lansia bukanlah kondisi yang harus diterima sebagai bagian dari proses penuaan. Dengan serangkaian kegiatan pengabdian kepada masyarakat dapat dilakukan melalui pemahaman, deteksi dini, dan pengobatan yang tepat, dapat mengelola serta mencegah komplikasi serius yang mungkin terjadi. Keterlibatan aktif lansia dan dukungan keluarga dalam mengelola dan mencegah hipertensi adalah kunci untuk menjaga kualitas hidup yang lebih baik.
Analysis Of The Application Of Play Therapy: Puzzles To Overcome Anxiety Due To Hospitalization In Children At Hospital: Analisis Penerapan Terapi Bermain: Puzzle Untuk Mengatasi Kecemasan Akibat Hospitalisasi Pada Anak Di Rumah Sakit Putri, Clarisa Setyo; Miradwiyana, Bara
Essential English Grammar Vol 4 No 2 (2024): Journal Of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v4i2.1853

Abstract

Hospitalization stress is a condition such as anxiety, sadness and fear that children and their families experience while undergoing treatment in hospital. The short-term impact that can occur due to anxiety and fear that is not treated immediately is rejection of treatment and care, which can result in an increase in days of care, and cause the child's condition to get worse. The aim of this research is to reduce anxiety due to hospitalization in children using puzzle play therapy. This research method uses a case study method carried out on children aged 4 and 6 years for 3 days with a duration of 15 minutes per meeting. The puzzle that will be given to children aged 4 years is 9 pieces, while children aged 6 years are given 12 pieces. The puzzles given to the two children were in the form of cute pictures. Before and after administering puzzle playing therapy, characteristics and anxiety scales were assessed using the Face Image Scale assessment. The results of the intervention that had been carried out for 3 days showed a decrease in the anxiety scale in the case of the 1st child who experienced a decrease in anxiety from a scale of 4 to 3. Meanwhile in the case of the 2nd child there was a decrease from an anxiety scale of 3 to 2. The conclusion is that there is effectiveness of puzzle playing therapy for reduce anxiety due to hospitalization in children. It is hoped that this puzzle play therapy can be applied in hospitals, especially in children's rooms, to minimize anxiety in children during hospitalization.
The Influence Of Self-Efficacy And Self-Control On Dietary Behavior Of Adolescents At Risk Of Non-Communicable Diseases Miradwiyana, Bara; Sunarjono, Sri; Sri Pudyastuti, Purwanti
Jurnal Health Sains Vol. 6 No. 7 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i7.2658

Abstract

During the Covid-19 pandemic, people with heart disease are patients who are at high risk of severe severity if exposed (Indonesian Association of Cardiovascular Specialists, 2020). Chairman of the Central Board of the Indonesian Association of Cardiovascular Specialists (PERKI), Isman Firdaus, said that the Covid-19 pandemic which has been going on since the end of 2019 has become a concern for heart disease sufferers. Considering that exposure to any infection, including Covid-19 infection, can worsen cardiovascular diseases such as the recurrence of coronary heart disease or chronic heart failure (RI, 2019). One of the important efforts in preventing the occurrence of cardiovascular disease that can be done is to identify the risk factors for cardiovascular disease from each individual. There are several models to detect risk, one of which is by using the Jakarta cardiovascular score [2]. Health promotion is also one of the efforts in managing modifiable risk factors for heart disease (Handayani, 2010). Health promotion is expected to prevent risky behaviors that lead to an increased incidence of heart disease in the long term. This study aims to see the effectiveness of early detection and health promotion on changes in attitudes and lifestyles of residents at risk of heart disease after the covid-19 pandemic. The research method in this study uses a quasi-experimental design with a total of 30 respondents in a group of 1. The research was conducted in the working area of the Puskesmas of Pasar Minngu District, Jakarta. The results showed that after intervention by conducting early detection and providing health promotion, there was a change in attitude of 0.8 points, from 88.13 (before the intervention) to 88.95 (after the intervention). The results of the T test were obtained p value = 0.004, meaning that statistically there was a significant difference between before and after the intervention. The respondents' lifestyle also changed by 5.5 points, from 66.03 (before the intervention) to 71.62 (after the intervention) with p value = 0.004 which means that statistically there is a significant difference between before the intervention and after the intervention was carried out.
The Effectiveness of Early Detection of Heart Disease and Health Promotion on Attitude and Lifestyle Changes of Residents At Risk Of Heart Disease Post-Covid-19 Pandemic Miradwiyana, Bara; Suryati B, Suryati B; Nurhaeni, Heni; Kamsatun, Kamsatun; Rahmawati, Elsye
Eduvest - Journal of Universal Studies Vol. 4 No. 7 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i7.1583

Abstract

During the Covid-19 pandemic, heart disease patients were at very high risk of experiencing severe complications if exposed to the virus. One important effort in preventing cardiovascular diseases is to identify the cardiovascular risk factors in each individual. There are several models for detecting risk, one of which is the Jakarta Cardiovascular Score. Health promotion is also an effort to manage modifiable risk factors for heart disease. Health promotion is expected to prevent risky behaviors that lead to an increase in heart disease incidence in the long term. This study aims to assess the effectiveness of early detection and health promotion in changing the attitudes and lifestyles of residents at risk of heart disease post-Covid-19 pandemic. The research method used in this study is a quasi-experimental design with one group of 30 respondents. The study was conducted in the working area of the Pasar Minggu District Health Center in Jakarta. The results showed that after the intervention, which included early detection and health promotion, there was a change in attitude by 0.8 points, from 88.13 (before intervention) to 88.95 (after intervention). The T-test results showed a p-value of 0.004, indicating a statistically significant difference between before and after the intervention. The respondents' lifestyle also changed by 5.5 points, from 66.03 (before intervention) to 71.62 (after intervention), with a p-value of 0.004, indicating a statistically significant difference between before and after the intervention.
Group Counseling in Exploring Self Potential in Adolescents with Learning Difficulties on Depression Viryanti, Noerhaliza; Solihah, Ii; Miradwiyana, Bara
Jendela Nursing Journal (JNJ) Vol 9 No 2 (2025): DECEMBER 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v9i2.13263

Abstract

Background: Adolescence is a critical developmental stage characterized by identity formation and heightened vulnerability to academic stress stemming from demanding school tasks, competitive learning environments, and pressure for high achievement. These stressors may contribute to depressive symptoms, which can impair concentration, memory, social functioning, and academic outcomes. Globally, depression affects an estimated 280 million people, with the World Health Organization reporting higher rates among females. These trends underscore the need for effective and accessible mental-health interventions for adolescents, particularly those experiencing learning difficulties. Purpose: to examine the effect of group counseling focusing on self-potential exploration in adolescents with learning difficulties on reducing depressive symptoms. Methods: A quasi-experimental pre-test–post-test control group design was used. Fifty adolescents participated, with 25 assigned to the intervention group and 25 to the control group. The intervention group received structured group counseling sessions, whereas the control group took part in conventional lecture-based learning support. Depression levels were measured before and after the intervention using a standardized assessment tool. Results: Statistical analysis showed a significant difference in the reduction of depression scores between the intervention and control groups (p = 0.000). Adolescents who received group counseling experienced a greater decrease in depressive symptoms than those in the control group. Conclusion: Group counseling effectively reduces depression among adolescents with learning difficulties by fostering self-expression, emotional awareness, and positive self-potential exploration. Integrating group counseling into school-based mental-health services may strengthen psychological well-being and enhance academic resilience in this population.
Co-Authors Heni Nurhaeni Kamsatun, Kamsatun Pangastuti, Tri Endah Purwanti Sri Pudyastuti Putri, Clarisa Setyo Rahmawati, Elsye Solihah, Ii Sri Sunarjono Suryati B, Suryati B Uun Nurulhuda Viryanti, Noerhaliza