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All Journal Journal of Nursing Care and Biomolecular Citra Delima Scientific journal of Citra Internasional Institute Manuju : Malahayati Nursing Journal Al-Asalmiya Nursing: Journal of Nursing Sciences Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Jurnal Keperawatan JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Kesehatan Tambusai Journal of Vocational Nursing Jurnal Keperawatan Sisthana GENIUS JOURNAL (General Nursing Science Journal) Jurnal Keperawatan JURNAL SMART ANKes Citra Delima Scientific journal of Citra Internasional Institute JUKEJ: Jurnal Kesehatan Jompa Jurnal Pengabdian Kepada Masyarakat Citra Delima Jurnal Keperawatan Profesional Journal of Nursing Science Research Jurnal Riset Multidisiplin Edukasi AT-TAKLIM: Jurnal Pendidikan Multidisiplin Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Jurnal Penelitian Keperawatan
Fitri, Nurwijaya
Institut Citra Internasional
Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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Implementation of Buerger Allen Exercises on Foot Sensitivity in Patients with Diabetes Mellitus Susiana, Susiana; Faizal, Kgs. M; Fitri, Nurwijaya
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.820

Abstract

Introduction: Diabetes mellitus is a chronic metabolic disease with a rapidly increasing global prevalence and is commonly associated with peripheral complications, including decreased foot sensitivity. Impaired peripheral circulation in patients with type 2 diabetes mellitus increases the risk of foot ulcers and other serious complications. Buerger Allen exercise is a non-pharmacological intervention that may improve peripheral blood flow and foot sensitivity through postural changes and muscle contractions. Therefore, this study aims to examine the effect of Buerger Allen exercise on foot sensitivity in patients with diabetes mellitus. Objective: This study aimed to evaluate the effectiveness of Buerger Allen Exercise in improving foot sensitivity among patients with Diabetes Mellitus at Sejiran Setason Regional Public Hospital, West Bangka, in 2025. Method: The study used a quantitative design with a quasi-experimental method, employing a pretest-posttest control group design with a total sample of 36 participants. The research involved two groups: an intervention group and a control group. Foot sensitivity was measured using the monofilament test before and after the intervention. The Buerger Allen Exercise therapy was carried out for five consecutive days, twice daily in the morning and afternoon. Result: The results showed a significant difference in foot sensitivity levels after the intervention in the treatment group (p-value = 0.00; p < 0.05). This indicates that Buerger Allen Exercise is effective in improving foot sensitivity in Diabetes Mellitus patients. Conclusion: It is recommended that this therapy be included as one of the nursing interventions in the management of Diabetes Mellitus at Sejiran Setason Regional Public Hospital, West Bangka.
Factors Associated with an Increased Incidence of Complications in Patients with Hypertension Marlizah, Marlizah; Faizal, Kgs. M.; Fitri, Nurwijaya
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.821

Abstract

Introduction: Hypertension is a major global health problem and a leading cause of cardiovascular morbidity and premature mortality worldwide. The prevalence of hypertension continues to increase and is frequently associated with serious complications such as heart failure, stroke, kidney damage, and visual impairment. Several factors, including age, physical inactivity, and smoking habits, contribute to the development of hypertension-related complications. Understanding these associated factors is essential to strengthen preventive and promotive strategies in managing hypertension complications. Objective: Hypertension or high blood pressure is a serious medical condition that significantly increases the risk of heart disease, stroke, kidney disorders, and visual impairments. Data from 2024 show an increase in complications, with 70 cases related to heart failure and stroke, and 17 cases involving kidney damage and vision loss. Method: This study aims to identify the factors associated with the increased incidence of complications in hypertensive patients at Sejiran Setason Regional Public Hospital, West Bangka, in 2025. This research employs a quantitative method with a correlational analytic design and a cross-sectional approach, where independent and dependent variables are measured at a single point in time. Result: The results indicate a significant relationship between age, physical activity, and smoking habits with the occurrence of complications in hypertensive patients. Older individuals have a higher risk of hypertension-related complications. Additionally, a lack of physical activity and smoking habits further increase this risk. Conclusion: Based on these findings, preventive efforts are recommended through health lifestyle education and regular screening for high-risk groups. Further research is needed to evaluate the long-term effects of these factors on the progression of hypertension complications.
Factors Associated with Nurses’ Performance at Mitra Medika General Hospital Pangkalpinang Nurmiati, Nurmiati; Maryana, Maryana; Fitri, Nurwijaya
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.849

Abstract

Introduction: Hospitals are complex healthcare organizations where leadership and work motivation play crucial roles in influencing nurse performance and the overall quality of healthcare services. Objective: Nurses' performance is one of the key indicators in determining the quality of health services in hospitals. Optimal performance is influenced by several factors, including leadership style, work motivation, and work environment. This study aims to determine the relationship between leadership style, work motivation, and work environment with nurses’ performance at Mitra Medika General Hospital Pangkalpinang in 2025. Method: This research used an analytical quantitative approach with a cross-sectional design. The sample consisted of 50 respondents selected using total sampling technique. The research instrument was a questionnaire, and data were analyzed using the Chi-Square test. Result: The results of the study indicate that there is no significant relationship between leadership style, work motivation, and work environment with nurses' performance at Mitra Medika General Hospital Pangkalpinang in 2025. The significance values for each variable are p = 0.603 for both leadership style, p = 0,323 for work motivation, and p = 0.953 for work environment, all of which exceed the 0.05 threshold. The conclusion of this study is that leadership style, work motivation, and work environment do not have a significant relationship with nurses' performance. Conclusion: The results of this study are expected to serve as a consideration for future researchers to develop further studies with broader variables and a qualitative approach, for educational institutions to utilize the findings as applied learning material, and for healthcare institutions to pay attention to leadership style, work motivation, and work environment in order to support the improvement of nurses' performance.
HUBUNGAN ANTARA KARAKTERISTIK RESPONDEN DAN TINGKAT STRES TERHADAP KEJADIAN HIPERTENSI Febriansyah, Pratama; Fitri, Nurwijaya
JURNAL SMART ANKes Vol. 9 No. 2 (2025)
Publisher : Biro Akademik, Penelitian dan Pengabdian kepada Masyarakat, Universitas Anak Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52120/jsa.v9i2.233

Abstract

Hypertension is a major public health problem in Indonesia, with stress being a significant contributing factor. Respondent characteristics such as age, gender, occupation, and education level have the potential to influence the relationship between stress and the incidence of hypertension, particularly in rural areas such as the Petaling Community Health Center in Bangka Regency. To analyze the relationship between respondent characteristics and stress levels on the incidence of hypertension in the working area of the Petaling Community Health Center, Bangka Regency in 2025. This study used a cross-sectional design conducted at the Petaling Community Health Center in Bangka Regency from October 2025 to November 2025. A total of 73 respondents were selected using purposive sampling. The inclusion criteria for respondents were aged 26-65 years and above, having hypertension, being a community member who sought treatment at the health center, and living in the working area of the Petaling Health Center, Bangka Regency. The instrument used was DASS. The analysis used in this study was the chi-square test and Fisher's exact test. Stress levels (p-value = 0.004) had a significant relationship with the incidence of hypertension. However, age (p-value = 0.331), gender (p-value = 0.246), education level (p-value = 0.570), and occupation (p-value = 0.926) were not significantly related to the incidence of hypertension. Conclusion: Of the five variables studied, there was one variable that was related, namely stress levels. The community has become more aware of the importance of health and conducts regular health checks to control high blood pressure. Keywords: Hypertension, Stress Level, Gender, Education, Occupation
HUBUNGAN KUALITAS TIDUR DAN KECEMASAN PADA PASIEN HIPERTENSI Ayu, Diyona Permata; Fitri, Nurwijaya
JURNAL SMART ANKes Vol. 9 No. 2 (2025)
Publisher : Biro Akademik, Penelitian dan Pengabdian kepada Masyarakat, Universitas Anak Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52120/jsa.v9i2.236

Abstract

Hypertension is a condition in which systolic blood pressure rises to ? 140 mmHg and diastolic blood pressure rises to ? 90 mmHg, as determined by at least two measurements taken five minutes apart while at rest. This study aims to analyze the relationship between sleep quality and anxiety in hypertensive patients at the Gerunggang Community Health Center in 2025. This study used a quantitative method with a correlational design and a cross-sectional approach. The study population consisted of all hypertensive patients who visited and sought treatment at the Gerunggang Community Health Center in Pangkalpinang in July 2025, totaling 260 people, with a sample of 80 respondents selected using random sampling techniques. The research instruments were a sleep quality questionnaire (PSQI) and a GAD7 anxiety questionnaire. Data analysis was performed using the chi-square test and the Pearson correlation test. The results showed a significant correlation between sleep quality and the incidence of hypertension with a p-value of 0.000. In addition, there was a significant correlation between anxiety and the incidence of hypertension with a p-value of 0.031. The direction of the correlation indicates that the poorer the sleep quality, the higher the anxiety level tends to be. The conclusion of this study is that there is a significant correlation between sleep quality and anxiety in hypertensive patients at the Gerunggang Community Health Center in 2025. It is hoped that health workers can improve education about healthy sleep patterns and anxiety management as part of efforts to control hypertension in primary health care services. Keywords: Hypertension, Sleep Quality, Anxiety
Pengalaman Lansia Dalam Pencegahan Stunting Di Keluarga Multigenerasi Di Desa Tanjung Gunung Khairunisa, Desvina; Sari, Indah Permata; Fitri, Nurwijaya; Mardiana, Nova
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2181

Abstract

Stunting merupakan masalah kesehatan publik global yang mempengaruhi 148 juta anak di bawah lima tahun. Indonesia mencatat prevalensi 21,6% pada 2022, dengan Desa Tanjung Gunung menunjukkan 24 kasus pada 2025. Lansia memiliki potensi signifikan dalam pencegahan stunting melalui pengasuhan cucu, namun penelitian mendalam tentang pengalaman mereka masih terbatas. Metode yang digunakan adalah metode Penelitian kualitatif dengan desain fenomenologi melibatkan enam partisipan (tiga lansia dan tiga anggota keluarga) melalui wawancara semi-terstruktur. Analisis data menggunakan metode tematik Braun dan Clarke dengan triangulasi sumber untuk validasi kredibilitas. Hasilnya Ditemukan enam tema utama: (1) pengetahuan lansia tentang stunting terbatas namun dipengaruhi pengalaman pribadi, (2) lansia berperan aktif dalam pengasuhan melalui penyediaan makanan bergizi dan kebersihan, (3) sikap lansia menunjukkan kepedulian meskipun pemahaman belum optimal, (4) budaya lokal berpengaruh signifikan terhadap praktik pengasuhan, (5) pola asuh lansia terstruktur dan konsisten, dan (6) dukungan lingkungan positif mendukung peran mereka. Lansia memiliki potensi besar dalam pencegahan stunting melalui praktik pengasuhan sehari-hari. Pendekatan edukasi berbasis komunitas yang menghormati nilai budaya lokal diperlukan untuk memperkuat pengetahuan dan keterampilan lansia dalam mendukung tumbuh kembang anak optimal.
PENGARUH PEMBERIAN TERAPI MASSAGE EXTREMITAS TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI Zahnia Mariska Putri; Nurwijaya Fitri; Rima Berti Anggraini
Jurnal Penelitian Keperawatan Vol 11 No 1 (2025): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v11i1.800

Abstract

Hipertensi adalah suatu penyakit dimana seseorang mengalami tekanan darah di atas normal mengakibatkan peningkatan angka rasa sakit (penyakit) dan angka kematian (mortalitas). Tekanan darah 140/90 mmHg didasarkan pada dua tahap Setiap detak jantung adalah sebuah fase sistolik 140 menunjukkan fase perdarahan jantung memompanya diastolik 90 menunjukkan fase perdarahan kembali ke hati. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi massage extremitas terhadap penurunan tekanan darah pada pasien hipertensi di RSUD Drs. H. Abu Hanifah Bangka Tengah Tahun 2024. Penelitian ini menggunakan desain penelitian kuantitatif dengan metode penelitian pre eksperimen dengan menggunakan pendekatan one group pretest dan posttest group design yaitu pada diukur Tekanan darah pre post pasca intervensi massage ekstermitas. Hasil uji paired t test didapatkan nilai p-value sebesar 0,000 < α 0,05, yang artinya ada perbedaan yang signifikan tekanan darah sitolik dan tekanan darah diastolik antara sebelum dan sesudah diberikan massase ekstremitas Di RSUD Drs. H. Abu Hanifah Tahun 2024. Hasil peneltian ini diharapkan dapat memberikan manfaat bagi peneliti untuk memperluas wawasan dan ilmu pengetahuan serta dapat dijadikan sebagai bahan referensi penelitian dan rujukan untuk selanjutnya agar bisa dikembangkan dalam penerapan asuhan keperawatan.
HUBUNGAN USIA, JENIS KELAMIN, DAN JENIS STROKE TERHADAP KUALITAS HIDUP PASIEN STROKE Vivi; Sirli Agustiani; Nurwijaya Fitri
Jurnal Penelitian Keperawatan Vol 11 No 1 (2025): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v11i1.804

Abstract

Stroke merupakan suatu keadaan terjadi kematian mendadak pada jaringan otak disebabkan kurangnya oksigen mengakibatkan pasokan darah ke otak terganggu. Stroke dapat terjadi pada siapa saja tanpa memandang usia dan dapat baru atau berulang terjadi pada orang yang sama. Stroke menyebabkan disabilitas berat yang dapat mengganggu kestabilan emosional dan ekonomi, baik pasien maupun keluarga. Kualitas hidup penderita stroke mengalami gangguan atau hambatan karena adanya kecacatan fisik, kognitif, gangguan psikologis dan sosial. Selain itu, adanya penurunan kualitas hidup pasien pasca stroke yang meliputi aktivitas sehari-hari, pola komunikasi, aktivitas sosial, pekerjaan, istirahat, dan rekreasi. Penelitian ini bertujuan untuk mengetahui hubungan antara usia, jenis kelamin, dan jenis stroke terhadap kualitas hidup pasien stroke. Penelitian ini menggunakan desain cross sectional. Penelitian ini dilakukan di Poliklinik Saraf RSUD Depati Bahrin Sungailiat pada tanggal 20–30 Juni 2024. Populasi pada penelitian ini jumlah pasien stroke di Poliklinik RSUD Depati Bahrin Sungailiat tahun 2023 sebanyak 295 orang. Perhitungan sampel dengan rumus slovin didapatkan 83 orang. Peneliti menggunakan teknik purposive sampling. Penelitian ini menggunakan instrumen yaitu kuesioner. Data yang terkumpulkan kemudian analisis secara univariat dan bivariat menggunakan uji chi-square. Hasil penelitian didapatkan usia (p-value=0,000), jenis kelamin (p-value=0,299) dan jenis stroke (p-value=0,250). Kesimpulan ada hubungan usia dengan kualitas hidup pasien stroke. Diharapkan pasien stroke agar menambah pengetahuan, keterampilan, dan kemampuan untuk melakukan perawatan mandiri dan mengembangkan aktivitas-aktivitas yang dapat meningkatkan kualitas hidup pasien stroke.
HUBUNGAN TINGKAT STRESS DAN KUALITAS HIDUP TERHADAP PENERIMAAN DIRI PASIEN ULKUS DIABETIKUM Seilla Putrianingsih; Nova Mardiana; Nurwijaya Fitri
Jurnal Penelitian Keperawatan Vol 11 No 1 (2025): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v11i1.811

Abstract

Diabetes adalah penyakit kronis yang ditandai dengan gangguan metabolik peningkatan kadar gula darah dalam tubuh. Salah satu gejala penyakit diabetes melitus paling umum dan mudah dikenali adalah ulkus diabetikum. Ulkus kaki diabetikum merupakan penyebab utama pasien dilakukan rawat inap di rumah sakit dan penyebab peningkatan angka amputasi non-traumatik. Beberapa orang tidak dapat menyesuaikan diri secara mental atau fisik setelah didiagnosis menderita Diabetes Melitus, Hal ini menunjukkan rendahnya tingkat penerimaan diri pada pasien DM. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat stress dan kualitas hidup terhadap penerimaan diri pasien ulkus diabetikum di RSUD Depati Hamzah Pangkalpinang tahun 2024. Jenis penelitian dilakukan dengan desain cross sectional. Populasi dalam penelitian ini adalah pasien yang menderita ulkus diabetikum di RSUD Depati Hamzah Pangkalpinang, dalam penelitian ini 64 pasien yang dijadikan sampel dengan metode penarikan sampel secara Purposive sampling. Analisa data yang digunakan adalah analsis Univariat dan Analisis Bivariat dengan uji chi square. Hasil penelitian diperoleh bahwa ada hubungan yang signifikan antara tingkat stress (p-value = 0,003 < a 0,05), kualitas hidup (p-value = 0,003 < a 0,05) dengan penerimaan diri pada pasien ulkus diabetikum di RSUD Depati Hamzah Pangkalpinang. Saran diharapkan tenaga kesehatan khususnya di bidang pelayanan memberikan asuhan keperawatan mengenai deteksi dini stress dan kualitas hidup maupun penerimaan diri, serta memberikan kebijakan tentang penambahan program konselingdengan ahli psikologi untuk menurunkan tingkat stress dan kualitas hidup.
HUBUNGAN STRES DAN KUALITAS TIDUR TERHADAP KUALITAS HIDUP PASIEN CONGESTIVE HEART FAILURE (CHF) Salmiya Hasanah; Nurwijaya Fitri; Ardiansyah
Jurnal Penelitian Keperawatan Vol 12 No 1 (2026): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v12i1.940

Abstract

Kualitas hidup penderita congestive heart failure (CHF) dipengaruhi oleh berbagai faktor, antara lain usia, jenis kelamin, pekerjaan, tingkat pendidikan, klasifikasi New York Heart Association (NYHA), tingkat keparahan gagal jantung, risiko kematian, dan kondisi kesehatan mental. Pasien dengan CHF sering kali mengalami kecemasan, kesulitan tidur, stres, dan rasa putus asa akibat penyakit yang diderita yang dapat menurunkan kualitas hidup mereka, bahkan meningkatkan risiko kematian. Tujuan dari penelitian ini adalah untuk mengetahui hubungan stres dan kualitas tidur terhadap kualitas hidup pasien congestive heart failure. Jenis penelitian dilakukan dengan desain cross sectional. Populasi semua pasien CHF yang berobat jalan di poliklinik jantung RSUD Sejiran Setason Bangka Barat pada bulan Oktober-Desember 2024 sebanyak 192 pasien. Cara menentukan sampel menggunakan rumus Slovin didapatkan 70 responden. Teknik yang digunakan yaitu consecutive sampling. Analisa data adalah analsis Univariat dan Analisis Bivariat dengan uji chi square. Hasil penelitian menunjukkan ada hubungan stress (ρ-value 0,000) dan kualitas tidur (ρ-value 0,001 dan OR = 7,765) terhadap kualitas hidup pasien Congestive Heart Failure (CHF) di Poliklinik Jantung RSUD Sejiran Setason Bangka Barat tahun 2025. Saran penelitian ini adalah diharapakan instansi Rumah Sakit dapat menyediakan program edukasi mengenai pentingnya pengelolaan stres dan tidur bagi pasien CHF.
Co-Authors Adrienne Fashihah Afrida, Yuni Agustin Agustin Akmal Haidar Alda Silviyana Anggraini, Rima Berti Anzalno, Rio Aprilia Sapitri Ardiansyah Ardiansyah Ardiansyah Arjuna Arjuna Arjuna, Arjuna Asep Mulyadi Ayu Pratiwi, Ayu Ayu, Diyona Permata Barokah Barokah Cindy Savira Danial Ramadhan eldapasya, eldapasya emelda, emelda Erni Chaerani Faizal, Kgs. M Faizal, Kgs. M. Febriansyah, Pratama Fitriyanti Fitriyanti Ghandi, Ira gita, mutiara kemala Hendra Kusumajaya Hendra Kusumajaya Hendra Kusumajaya Indah Permata Sari Indah Permata Sari Indah Permatasari Indri Puji Lestari Indri Puji Lestari Intan Mawarizki Tambunan Izati, Nurul Juniarti, Linda Kesy Zhulfa Kasi Kgs. M. Faizal Khairunisa, Desvina Komariah Komariah Kusuma, Bayu Kusumajaya, Hendra Lasmini Lasmini, Lasmini Lestari, Indri Puji Luthfi Handayani Mardianna, Nova Marisa Marisa Marlizah, Marlizah Maryana Maryana Maryana Maryana, Maryana Meta Susanti Muhammad Thufeil Addausy Nabila, Ikrima Neva Nogi Zulfikaredi Aditama Nova Mardiana Nova Mardiana Nova Mardiana Nova Mardiana, Nova Novitasari Novitasari Nurmiati Nurmiati Okta Vergia Oktaningsih, khendy Putri Safitri Ratri Mawarni Safitri Safitri Salmiya Hasanah Sanjaya, Arya Saputro, Dicky Bagus Savira, Cindy Seilla Putrianingsih Shanti Wardaningsih Sholehah, Annisa Sirli Agustiani Siti Zakiyah Sugiarsih, Sugar Susiana Susiana Suzanna Suzanna Tasya Anggraini Tasya, Tasya USWATUN HASANAH Vivi Windiani Windiani, Windiani Wisnu diarti, Sundari Yesi Purnamasari Yulyani Yulyani Zahnia Mariska Putri