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Upaya Peningkatan Kualitas Hidup Pasien Hemodialisa di RSUD Sidikalang Kabupaten Dairi Silaban, Jojor; Hutagalung, Perak Maruli Asi Roha; Naibaho, Risdiana Melinda
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 10 (2025): Volume 8 No 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i10.22384

Abstract

ABSTRAK Penyakit ginjal kronis (PGK) merupakan masalah kesehatan global yang menyebabkan peningkatan kebutuhan terapi hemodialisa. Pasien yang menjalani hemodialisa menghadapi berbagai permasalahan fisik, psikologis, sosial, dan spiritual yang memengaruhi kualitas hidup. Artikel ini bertujuan untuk menganalisis efektivitas intervensi edukasi dan pendampingan terhadap peningkatan kualitas hidup pasien hemodialisa. Penelitian ini menggunakan pendekatan kuasi-eksperimental dengan desain pre-test dan post-test tanpa kelompok kontrol. Edukasi diberikan melalui ceramah, diskusi, video edukasi, dan demonstrasi selama tiga hari, dilanjutkan pendampingan melalui grup WhatsApp selama lima hari. Evaluasi dilakukan satu bulan setelah intervensi menggunakan instrumen WHOQOL. Subjek penelitian adalah 48 pasien hemodialisa dan 48 pendamping di RSUD Sidikalang. Sebelum intervensi, mayoritas pasien memiliki kualitas hidup buruk, khususnya pada aspek fisik (79,17%) dan psikis (64,58%). Setelah intervensi, terjadi peningkatan kualitas hidup, terutama pada aspek psikis (kategori buruk menurun dari 64,58% menjadi 47,92%) dan spiritual (kategori baik meningkat dari 12,5% menjadi 22,92%). Edukasi dan pendampingan berbasis tatap muka dan media digital efektif meningkatkan kualitas hidup pasien hemodialisa, khususnya aspek psikis, spiritual, dan sosial. Disarankan agar intervensi ini dilakukan secara berkelanjutan dan terintegrasi dalam program perawatan pasien hemodialisa. Kata Kunci: Hemodialisa, Kualitas Hidup, Edukasi, Pendampingan, Intervensi Keperawatan.  ABSTRACT Chronic kidney disease (CKD) is a global health problem that increases the need for hemodialysis therapy. Patients undergoing hemodialysis face various physical, psychological, social, and spiritual challenges that impact their quality of life. This article aims to analyze the effectiveness of an educational and mentoring intervention on improving the quality of life of hemodialysis patients. This study used a quasi-experimental approach with a pre-test and post-test design without a control group. Education was provided through lectures, discussions, educational videos, and demonstrations for three days, followed by mentoring via a WhatsApp group for five days. Evaluation was conducted one month after the intervention using the WHOQOL instrument. The study subjects were 48 hemodialysis patients and 48 mentors at Sidikalang Regional Hospital. Before the intervention, the majority of patients had a poor quality of life, particularly in the physical (79.17%) and psychological (64.58%) aspects. After the intervention, there was an improvement in quality of life, particularly in the psychological (poor category decreased from 64.58% to 47.92%) and spiritual (good category increased from 12.5% to 22.92%). Face-to-face and digital media-based education and support effectively improve the quality of life of hemodialysis patients, particularly in the psychological, spiritual, and social aspects. It is recommended that these interventions be implemented sustainably and integrated into the hemodialysis patient care program. Keywords: Hemodialysis, Quality Of Life, Education, Support, Nursing Intervention.
Autogenic Relaxation is Effective in Reducing Blood Pressure in Elderly People who Experience Hypertension Naibaho, Risdiana Melinda; Arianti, Wiwik Dwi
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5492

Abstract

Hypertension in the elderly is a degenerative disease health problem that tends to worsen over time and can increase the risk of various cardiovascular diseases. Autogenic relaxation, which involves deep breathing and self-suggestion to calm the body, is expected to help lower blood pressure. This study aims to explore the effects of autogenic relaxation techniques in lowering blood pressure in the elderly with hypertension. The research method used was pre-experimental with a One Group Pretest-Posttest Design. The population of this study were all active elderly at Posyandu for the elderly of Bintang Village in the working area of UPT Puskesmas Batang Beruh who experienced hypertension 34 samples with purposive sampling technique to collect data with measuring instruments using blood pressure meters according to SOP and observation sheets. The average decrease in blood pressure after intervention was 137.56 mmHg with an average difference in systole reduction of 15.41 mmHg, diastole blood pressure after intervention was 83.41 mmHg with an average difference in diastolic reduction of 9.26 mmHg. Statistical tests using Paired Sample t-test resulted in a p value <0.01, which indicates significance at the 95% level of significance (α = 0.05). Autogenic relaxation is effective in reducing blood pressure in the elderly who experience hypertension.
Implementasi Latihan Relaksasi Autogenik pada Lansia dengan Hipertensi untuk Menurunkan Tekanan Darah di Posyandu Desa Bintang Naibaho, Risdiana Melinda; Arianti, Wiwik Dwi; Silabang, Jojor
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.v8i5.19898

Abstract

ABSTRAK Hipertensi adalah salah satu masalah kesehatan yang umum dialami oleh lansia, yang dapat meningkatkan risiko komplikasi serius jika tidak dikelola dengan baik. Salah satu pendekatan non-farmakologis yang efektif adalah melalui teknik relaksasi autogenik, yang dapat membantu menurunkan tekanan darah dengan merangsang sistem saraf parasimpatis dan mengurangi stres. Pengabdian kepada masyarakat ini bertujuan untuk mengimplementasikan latihan relaksasi autogenik pada lansia penderita hipertensi di Posyandu Desa Bintang, guna menurunkan tekanan darah mereka. Kegiatan ini melibatkan 32 orang lansia yang berisiko atau sudah menderita hipertensi. Proses pelaksanaan dimulai dengan pemberian edukasi mengenai hipertensi dan pentingnya relaksasi autogenic untuk kesehatan jantung, dilanjutkan dengan demonstrasi teknik relaksasi autogenik Evaluasi dilakukan melalui pengukuran pengetahuan dan pengukuran tekanan darah sebelum dan setelah pelaksanaan latihan. Hasil pengabdian menunjukkan seluruh peserta antusias dan aktif sehingga diperoleh peningkatan pengetahuan baik dari 6,06 % menjadi 78,78 selanjutnya hasil pengukuran tekanan darah systole rata rata 9,34 mmHg dan diastole rata rata penurunan 7,18 mmHg. Penurunan tekanan darah yang signifikan pada sebagian besar peserta setelah melakukan latihan relaksasi autogenik secara rutin. Aktivitas ini terbukti efektif dalam memberikan manfaat bagi lansia, baik dalam pengelolaan hipertensi.  Kata Kunci: Implementasi Latihan Relaksasi Autogenik Lansia Dengan Hipertensi Menurunkan Tekanan Darah   ABSTRACT Hypertension is one of the common health problems experienced by the elderly, which can increase the risk of serious complications if not properly managed. One effective non-pharmacological approach is through autogenic relaxation techniques, which can help lower blood pressure by stimulating the parasympathetic nervous system and reducing stress. This community service aims to implement autogenic relaxation exercises for elderly people with hypertension at Posyandu Desa Bintang, in order to lower their blood pressure. This activity involved 32 elderly people who were at risk or already suffering from hypertension. The implementation process began with providing education about hypertension and the importance of autogenic relaxation for heart health, followed by a demonstration of autogenic relaxation techniques. Evaluation was carried out through measuring knowledge and measuring blood pressure before and after the exercise. The results of the service showed that all participants were enthusiastic and active so that an increase in good knowledge was obtained from 6.06% to 78.78, then the results of systole blood pressure measurements averaged 9.34 mmHg and diastole averaged a decrease of 7.18 mmHg. A significant decrease in blood pressure in most participants after doing autogenic relaxation exercises regularly. This activity is proven to be effective in providing benefits for the elderly, both in the management of hypertension. Keywords: Implementation of Autogenic Relaxation Exercise for Elderly with Hypertension Lower Blood Pressure
Edukasi Pengetahuan Lanjut Usia tentang Kesiapsiagaan Tanggap Bencana Alam Putting Beliung di Desa Sitinjo II Kecamatan Sitinjo Naibaho, Risdiana Melinda; Silaban, Jojor; Hutagulung, Perak MA
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 5 (2024): Volume 7 No 5 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i5.14482

Abstract

ABSTRAK Bencana yang telah terjadi di Indonesia memberikan banyak pembelajaran bagi masyarakat bahwa banyaknya korban jiwa, kerugian harta benda, kerusakan lingkungan dan dampak psikologis dalam musibah tersebut terjadi karena kurangnya pengetahuan dan ketidaksiapan lansia dalam mengantisipasi bencana. Lansia merupakan kelompok yang rentan akan peristiwa bencana alam disebakan lansia mengalami fenomena proses perubahan  yang melibatkan perubahan fisik, psikologis hingga perubahan keadaan social. Sehingga menyebabkan kapasitas fisik dan mental menurun ,lansia juga memiliki keterbatasan kemampuan regenerative yang terbatas sehingga meningkatkan resiko terkena penyakit.   kemunduruan terhadap struktur dan fungsi organ menyebabkan kelemahan pada lansia sehingga diaggap menjadi beban bagi keluarga, kurangnya dukungan socialdan psikologis menyebabkan kurangnya kemampuan untuk siap siaga menghadapi bencana. Beberapa faktor tersebut membuat lansia menjadi enggan untuk mengikuti berbagai jenis peyuluhan yang diberikan, disebakan keterbatasan kemampuan dan rendahnya pengetahuan.Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan lansia tentang kesiapsiagaan menghadapi bencana angin putting beliung. Metode pelaksanaan pengabdian masyarakay melalui program edukatif dengan melaksanakan penyuluhan dengan ceramah dan tanya jawab untuk meningkatkan pengetahuan lansia tentang kesiapsiagaan menghadapi bencana alam angin putting beliung dengan sasaran kelompok lansia sebanya 30 orang yang sebelumnnya dilakukan pre test untuk mengukur pengetahuan kesiapsiagaan menghadapi bencana angin putting beliung selanjutnya dilakukan evaluasi pada akhir penyuluhan dengan post test. Hasil dari kegiatan ini seluruh peseta antusis, aktif tanya jawab, adanya pengingkatan pengetahuan. Sebelum diberikan edukasi dari 30 responden Sebagian peserta memiliki pengetahuan kurang 86,67%, cukup 10,00% baik 3,33% setelah dilakukan edukasi didapatkan hasil Sebagian besar pengetahuan responden baik 83,33% cukup 16,67 %.edukasi dapat meningkatkan pengetahuan lansia sehingga memiliki kesiapsiagaan menghadapi bencana angin putting beliung. Kata Kunci: Kesiapsiagaan Bencana, Angin Putting Beliung, Lansia  ABSTRACT Disasters that have occurred in Indonesia provide a lot of learning for the community that the large number of casualties, property losses, environmental damage and psychological impacts in the disaster occurred due to the lack of knowledge and unpreparedness of the elderly in anticipating disasters. The elderly are a group that is vulnerable to natural disasters because the elderly experience the phenomenon of a process of change involving physical, psychological changes to changes in social conditions. So that it causes physical and mental capacity to decrease, the elderly also have limited regenerative abilities that increase the risk of developing disease. the decline in organ structure and function causes weakness in the elderly so that they are considered a burden to the family, lack of social support and psychological causes a lack of ability to be prepared. and psychological support causes a lack of ability to be prepared for disasters. With some of these factors, the elderly are reluctant to participate in various types of counselling provided, due to limited abilities and low knowledge. The purpose of this community service is to increase the knowledge of the elderly about preparedness to face a tornado disaster. The method of implementing community service through an educational programme by conducting counseling with lectures and questions and answers to increase the knowledge of the elderly about preparedness for natural disasters with the target group of 30 elderly people who previously conducted a pre-test to measure knowledge of preparedness for the putting wind disaster and then evaluated at the end of the counseling with a post test. The results of this activity were that all participants were enthusiastic, actively asked questions, and there was an increase in knowledge. Before being given education from 30 respondents, most of the participants had less knowledge 86.67%, enough 10.00% good 3.33% after the education was obtained the results Most of the respondents' knowledge was good 83.33% enough 16.67%. education can increase the knowledge of the elderly so that they have preparedness to face the putting wind disaster. Keywords: Disaster Preparedness, Tornado, Elderly