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DETERMINAN KEJADIAN STRES PADA PASIEN COVID-19 Wawan Suwandi; Toha Muhaimin; Wati Jumaiyah
Jurnal Kesehatan - STIKes Prima Nusantara Vol 13 No 2 (2022): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i2.701

Abstract

Latar Belakang: Kejadian stres pada pasien COVID-19 cukup tinggi dan belum banyak diketahui determinannya. Penelitian ini bertujuan untuk mengetahui determinan stres pada Pasien Covid-19 di RSAL Dr Mintorahardjo Jakarta.Tujuan: Penelitian ini bertujuan untuk mengetahui determinan kejadian stres pada pasien COVID-19 di RSAL Dr Mintorahardjo Jakarta.Metode: Penelitian ini menggunakan penelitian kuantitatif dengan pendekatan cross sectional untuk mengetahui hubungan variabel independent dan dependent yang diidentifikasi pada waktu yang sama. Penelitian ini dilakukan pada tahun 2021 terhadap 75 responden. Analisis statistik menggunakan analisis univariat, bivariat dengan chi square dan mulitvariat dengan regresi logistik berganda.Hasil: Pada variabel umur didapatkan p-value sebesar 0,005 dengan OR 0,167, jenis kelamin didapatkan p-value sebesar 0,24 dengan OR 0,273, pendidikan didapatkan p-value sebesar 0,014 dimana 1,587, pengetahuan didapatkan p-value sebesar 0,049 OR 0,588, variabel dukungan sosial didapatkan p-value sebesar 0,048 OR 2,148, dukungan perawat didapatkan p-value sebesar 0,197 OR 0,410, komorbid didapatkan p-value sebesar 0,529 OR 0.683. Hasil pengujian multivariat variabel umur, jenis kelamin, pendidikan, pengetahuan, dukungan sosial secara bersama-sama berhubungan terhadap kejadian stress pada pasien COVID-19, namun secara statistik  dukungan social merupakan variabel yang paling berpengaruh terhadap kejadian stress pada pasien COVID-19.Kesimpulan: Berdasarkan hasil penelitian diperoleh hasil yang menunjukkan bahwa ada hubungan jenis kelamin, pendidikan dan komorbid terhadap tingkat stress pasien COVID-19. Oleh karena itu hendaknya perawat memberikan konseling kepada pasien COVID-19 tentang menejemen stress dan teknik relaksasi otot untuk mencegah terjadinya stress.
The Effect of Pre-Operative Education on Anxiety in Patients Undergoing Percutaneous Coronary Intervention Cahyo Pramono; Wati Jumaiyah; Dhea Natashia; Yani Sofiani
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): 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.v6iS5.4694

Abstract

Myocardial infarction (MI) describes the process of myocardial cell death caused by ischemia or an imbalance between myocardial oxygen supply through the coronary arteries and demand. Coronary heart disease remains the leading cause of death worldwide, and in Indonesia it still shows that coronary heart disease is the highest cause of death at all ages after stroke. Providing preoperative education by providing relevant health care information and preparing physically and psychologically can reduce patient anxiety. The purpose of this research is to determine the effect of preoperative education on the anxiety of patients undergoing PCI. The method uses a quasi-experimental design. The research method used a quasi-experiment with an intervention group and a control group. The sampling technique used Purposive sampling. The number of samples in this study was 46 respondents, 23 intervention groups and 23 control groups. The study was conducted in May - June 2024 in the ICCU room of PKU Muhamadiyah Gamping Hospital, with a data collection time allocation of 15 minutes to measure anxiety and provide pre-operative education. Pre-test anxiety measurements were carried out during the ACS medical diagnosis and scheduled for PCI, then pre-operative education was given with booklet media, post-test measurements were carried out one hour before the PCI was carried out. The instrument used was the STAI (State-Trait Anxiety Inventory) questionnaire with 20 question. Data analysis using the Independent Samples Test. The result is a P value of 0.00, which means there is a difference in anxiety between the intervention group and the control group. The average anxiety of the intervention group pre-test was 34.39 decreasing to 30.57, and the control group pre-test anxiety average was 34.17 decreasing to 33.22. The conclusion is that pre-operative education is effective in reducing anxiety in patients undergoing PCI.
Cognitive Behavioral Therapy (CBT-I) Terhadap Kualitas Tidur Pasien Gagal Ginjal Yang Menjalani Hemodialisis Danny Des Kartyko Lakoro; Dhea Natashia; Dewi Gayatri; Diana Irawati; Wati Jumaiyah; Tuti Nuraini
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15079

Abstract

ABSTRACT Hemodialysis can cause multi-component impacts such as fatigue, pain, restless legs syndrome, anxiety and depression which can cause sleep disturbances resulting in decreased sleep quality. CBT-I is a multi-component therapy that can overcome sleep problems caused by many factors. The purpose of this study was to determine the effect of CBT-I on sleep quality. The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 90 respondents with a sample size of 30 respondents using purposive sampling technique. Measurement sleep quality using pittsburgh sleep quality index (PSQI). Data analysis was performed using paired t-test and Repeated Measures ANOVA. The results showed that the average value of sleep quality before the intervention on the 1st measurement was 15.00 (±2.262), on the 2nd measurement after the intervention was 13.23 (±2.674) and the 3rd measurement was 10.23 (2.991). These findings explain cognitive behavioral insomnia (CBT-i) has a significant impact on improving sleep quality (P = 0.00). Multivariate analysis results showed the effect of time on sleep quality improvement scores (F(2, 58) = 349.493, p-value 0.000, partial eta squared = 0.959). It was also found that fatigue, pain, restless legs syndrome, anxiety and depression scores decreased. The results of this study can be used as a non-pharmacological treatment to improve sleep quality independently. Keywords: Cognitive Behavioral Therapy Insomnia, Fatigue, Sleep Quality, Hemodialysis.  ABSTRAK Hemodialisis dapat menimbulkan dampak multi komponen seperti kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi yang dapat menyebabkan gangguan tidur sehingga mengakibatkan penurunan kualitas tidur. CBT-I merupakan terapi multikomponen yang dapat mengatasi gangguan tidur yang disebabkan oleh banyak faktor. Tujuan penelitian ini adalah untuk mengetahui pengaruh CBT-I terhadap kualitas tidur. Metode penelitian yang digunakan adalah quasi eksperimen dengan pendekatan one group pretest-posttest tanpa pendekatan kelompok kontrol. Populasi sebanyak 90 responden dengan jumlah sampel sebanyak 30 responden dengan menggunakan teknik purposive sampling. Pengukuran kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Analisis data dilakukan dengan menggunakan uji t berpasangan dan Repeated Measures ANOVA. Hasil penelitian menunjukkan nilai rata-rata kualitas tidur sebelum intervensi pada pengukuran ke-1 sebesar 15,00 (±2,262), pada pengukuran ke-2 setelah intervensi sebesar 13,23 (±2,674) dan pada pengukuran ke-3 sebesar 10,23 (2,991). Temuan ini menjelaskan insomnia perilaku kognitif (CBT-i) mempunyai dampak signifikan terhadap peningkatan kualitas tidur (P = 0,00). Hasil analisis multivariat menunjukkan adanya pengaruh waktu terhadap skor peningkatan kualitas tidur (F(2,58) = 349,493, p-value 0,000, parsial eta squared = 0,959). Ditemukan juga bahwa skor kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi menurun. Hasil penelitian ini dapat digunakan sebagai pengobatan non farmakologi untuk meningkatkan kualitas tidur secara mandiri. Kata Kunci: Terapi Perilaku Kognitif Insomnia, Kelelahan, Kualitas Tidur, Hemodialisis.
The Effect of Marjoram Aromatherapy and Deep Breathing Techniques on Blood Pressure of Hypertensive Patients Firza Pinamiranti; Irna Nusanti; Wati Jumaiyah; Dhea Natashia; Ii Ismail; Noviana Noviana
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.4068

Abstract

Hypertension is a major cause and risk factor for death worldwide. Nonpharmacological therapy of hypertension to reduce blood pressure of hypertensive patients, one of which is marjoram aromatherapy and deep breathing techniques that have proven effective in hypertensive patients. Objective: The purpose of the study was to determine the effect of marjoram aromatherapy and deep breathing techniques on blood pressure of hypertensive patients. Methods: This type of research is a quasy experiment with a one group pretest-postest design without control group approach, the number of samples was 20 respondents using total sampling. The data collection technique used is observation through blood pressure measurement. Hypothesis analysis is normality test, One Way Repeated Measurement (ANOVA), and multiple linear regression. Results: There is an effect of marjoram aromatherapy and deep breathing techniques on blood pressure of hypertensive patients (p-value <0.05). Conclusion: There is an effect of marjoram aromatherapy and deep breathing techniques on the blood pressure of hypertensive patients. Marjoram aromatherapy interventions and deep breathing techniques can be socialized in hospitals and can be done independently at home to reduce blood pressure in people with hypertension.
Benefits of Implementing Mobile Phone-Based Self-Management Interventions in Coronary Heart Disease Patients on Medication Adherence and Reducing Blood Pressure Risa Oktavina; Wati Jumaiyah; Dhea Natashia; Yani Sofiani; Sumedi Sumedi
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4350

Abstract

Coronary Heart Disease (CHD) is a non-communicable disease that is a public health problem and the number is increasing both in the world and in Indonesia. So good self-management skills are needed in effort to improve the patient's ability to manage CHD risk factors, compliance with taking medication and achieving reduced blood pressure. The development of technology makes the use of mobile phones a necessity. Therefore, mobile phone-based self-management interventions are expected to be effective in improving patients' ability to self-manage to achieve medication compliance and reduce blood pressure. Increased compliance with taking medication and a decrease in blood pressure. The design used is a case study with an innovative design in the form of applying research results regarding mobile phone-based self-management interventions for coronary heart disease patients. The self-management intervention took the form of personal education using e-booklets and short WhatsApp text messages for 8 weeks. And the standard questionnaire consists of MMAS8 and SCC HDI. It is known that there is a decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP), as well as a decrease in total cholesterol levels. Apart from that, there was an increase in patient medication adherence scores and an increase in the self-management ability of CHD patients. There was a significant effect of mobile phone-based self-management intervention on medication adherence, SBP and DBP values, total cholesterol, and self-management abilities.
The Effect of Progressive Muscle Relaxation on Stress and Blood Sugar in Diabetes Mellitus Patients Ika Mustafida; Fitrian Rayasari; Dewi Anggraini; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4428

Abstract

Diabetes Mellitus is a chronic condition characterized by impaired insulin production, leading to hyperglycemia. Physically and psychologically, Diabetes Mellitus can cause stress and fluctuations in blood sugar levels. This application aims to determine the effect of Progressive Muscle Relaxation (PMR) on stress and blood sugar levels in Diabetes Mellitus patients through the evidenced based nursing practice. This study used a quasi-experimental method with one group pretest posttest design. Data collection was carried out using the Diabetes Distress Scale (DDS-17) and blood sugar level measurements. Determination of the sample using purposive sampling of 25 Diabetes Mellitus patients. This study showed that there was a decrease in stress scores of 0.162 points and a decrease in blood sugar levels of 8.12 mg/dl after the implementation of Progressive Muscle Relaxation for 3 days. Progressive Muscle Relaxation has been proven to be effective in reducing stress and blood sugar levels in patients with Diabetes Mellitus and can be used as an evidence-based intervention in nursing care for patients with Diabetes Mellitus.
Discharge Planning Method of Diatohc (Diabetes Transition of Hospital Care) for Readmission Prevention Yeni Hartati; Fitrian Rayasari; Dewi Anggraini; Wati Jumaiyah; Uswatun Hasanah
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4719

Abstract

Diabetes mellitus is a metabolic disorder characterized by increased blood sugar levels (hyperglycemia) caused by lack of insulin, inability of insulin to work or both. Lack of education or information from health workers can have an impact on patient compliance with treatment, which will result in repeated treatment. This innovation program aims to reduce the risk of readmission in Diabetes Mellitus patients by providing integrated education using the DiaTOHC method, patients who are screened using the DERRI application if the score is > 27%, patients are at risk of readmission, then they will be given education using the DiaTOHC method, which is integrated education. When patients are treated, they will be given education on the 5 pillars, after the patient goes home during the control, they will be reviewed whether there are any obstacles or obstacles in the treatment, then in weeks 2, 3 and 4 the patient will be contacted by telephone for re-education and evaluation of treatment. The results of the trial of this program from 17 samples were successful, all of which were readmissions, it was concluded that there was effectiveness in providing education using the DiaTOHC method in Diabetes Mellitus patients to reduce the risk of readmission. Data is collected by interview, observation and filling out questionnaires, after the data is collected, data analysis is carried out by inputting all data found in excel software and then assessing the percentage of patients who are readmitted.
Implementation of Educational Interventions for Prevention Diabetic Foot Complications Martuti Dwi Handayani; Fitrian Rayasari; Dewi Anggraini; Wati Jumaiyah; Uswatun Hasanah
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4743

Abstract

Diabetic Foot Care is primary prevention in diabetic foot management to prevent injury to the occurrence of wounds on the feet of people with diabetes mellitus. Objective: To prove that educational interventions can prevent chronic complications, namely diabetic neuropathy (motor, sensory and autonomic) or death of the nerves in the feet, often exacerbated by infection. Method: This study used the Quasi Experiment method with the One Group pretest and posttest design method . Data collection was carried out using NAFF (Nottingham assessment of Functional Footcare) and the Attitude instrument modified by the Knowledge, Attitude and Practice (KAP) questionnaire. Determination of the sample using the accidental sample method of 24 people in Type 2 Diabetes Mellitus patients. Results: This study showed an increase in value of 11.12 points on NAFF and an increase of 1.41 points on attitudes after educational interventions related to diabetic foot care were carried out from May 30, 2024 to June 7, 2024. Conclusion: Diabetic Foot Care Education Intervention has been proven effective in reducing complications in diabetic feet and can be used as an evidence-based intervention in preventive care of diabetic feet in patients with Diabetes Mellitus.
The Effectiveness of Kegel Exercises in Reducing Urinary Incontinence in Post-Operative TURP Patients Junaidin Junaidin; Rizki Nugraha Agung; Dewi Anggraini; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5242

Abstract

Urinary incontinence is a common complication following Transurethral Resection of the Prostate (TURP) for benign prostatic tumors, which significantly impacts the quality of life of patients. Kegel exercises have been proven effective as a non-pharmacological intervention to improve bladder control and strengthen the pelvic floor muscles. This study aims to evaluate the effectiveness of Kegel exercises in reducing urinary incontinence levels in post-TURP patients. Objective to assess the effectiveness of Kegel exercises in reducing the severity of urinary incontinence in post-TURP patients. This study used a quasi-experimental design with a pre-test and post-test approach on 15 post-TURP patients at RSUD Labuang Baji Makassar. Respondents performed Kegel exercises for 7 days with a frequency of 6 sessions per day. Urinary incontinence levels were measured using the ICIQ-UI Short Form questionnaire before and after the intervention. Data analysis was conducted using the dependent t-test. Before the intervention, the average urinary incontinence score was 24.27 (±2.712), which decreased to 21.73 (±3.217) after the intervention, with a p-value of < 0.001. The effect size of 0.915 indicates a significant effect. Kegel exercises are effective in reducing the severity of urinary incontinence in post-TURP patients. This intervention is recommended as a non-pharmacological therapy to improve patients' quality of life.
Effectiveness of Intradialytic Exercise on Fatigue in Chronic Kidney Failure Patients Undergoing Hemodialysis Therapy Safruddin Safruddin; Rizki Nugraha Agung; Dewi Anggraini; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6079

Abstract

Fatigue is one of the most common symptoms experienced by patients undergoing hemodialysis therapy. This condition can affect the quality of life of chronic patients, because reduced physical activity, such as sedentary habits, and emotional stress can also be the cause of fatigue. Intradialitic exercise has various benefits in reducing fatigue experienced by patients. This study aims to evaluate the effect of exercise training on the level of fatigue in patients undergoing hemodialysis therapy. The study used a design Quasi-experimental research using the pre-test and post test group design. The research population was all patients with end-stage renal failure with the sampling technique being accidental sampling, with amount sample of 22 patients. Intradialytic exercises were performed for six weeks at a frequency of twice a week, with each session lasting a maximum of 20 minutes. Fatigue levels were measured using the Functional Assessment of Chronic Illness Therapy (FACIT) questionnaire. Data analysis was performed using the dependent t-test. The results of the study showed that the average level of fatigue before the intervention is 26.36 (SD ± 3.580 ), while the average score is the fatigue level after intervention is 32.09 (SD ±4.116 ) with a p value of 0.001, the effect size is -3.378, then including in category effect tall based on Cohen'. There is significant difference between fatigue levels before and after interdialytic exercise in patients with chronic renal failure undergoing hemodialytic therapy.
Co-Authors Abdu Rahim Kamil Achmad Daffa Fawwaz Ady Tyawarman Agung Waluyo Ahmad Redho ani syafriati Arifah Rakhmawati Asep Novi Taufiq Firdaus Asih Dwi Suryanti Bayu Triantono Briefman Tampubolon Busjra Busjra Cahyo Pramono Danny Des Kartyko Lakoro Denny Alfiansyah dewi adnan Dewi Anggaraini Dewi Anggraini Dewi Gayatri Dewi Gayatri Dewi Purnamawati Dewi Purnawati Dhea Nastashia Dhea Natashia Dhea Natashia Dian Hudiyawati Dian Novianti K Dian Novianti Kurniasih Diana Irawati Diana Irawati Dila Nurul Arsyi Dimas Utomo Hanggoro Putro Dina Rahmawati Elis Nurhayati Faradilla Miftah Suranata Fatriani Fatriani Fernalia Fernalia Firza Pinamiranti Ii Ismail Ii Ismail Ika Mustafida Ilham Suryana Irawati, Diana Irna Nursanti Irna Nusanti Iyar Siswandi Jaemi Jaemi Juli Andri Jumari Jumari Junaidin Junaidin Kustiyuwati Kustiyuwati Marni Marni Martuti Dwi Handayani Masmun Zuryati Mayasari Mayasari Melati Fajarini Mustikasari Mustikasari Noviana Noviana Nunu Harison Nunung Nursasih Nurmayanti Nurmayanti Nuzula Firdaus Prima Trisna Aji Purnamawati, Dewi Ratna Dewi Rayasari, Fitrian Rinawati Rinawati Risa Oktavina Rizki Nugraha Agung Rizki Nugraha Agung Rohman Azzam Rohman Azzam Safruddin Safruddin Sapriyanti Sapriyanti Sarida Surya Manurung Siti Aminah Siti Hanifah Sofiani, Yani Sugiyono Sugiyono Sulthan Dzahir al Hasbi Sumedi Sumedi Suryati Suryati Toha Muhaimin Tria Astika Endah Permatasari Tuti Nuraini Tuti Nuraini Uswatul Khasanah Uswatun Hasanah Uswatun Hasanah Wasis Widodo Wawan Suwandi Yanto Suryanto Yeni Hartati Yunitri, Ninik