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Asuhan Keperawatan Gerontik Pasien Diabetes Melitus Dengan Masalah Keperawatan Ketidakstabilan Kadar Glukosa Darah Menggunakan Terapi Relaksasi Otot Progresif Di UPT PSTW Jombang Arini, Adellia Rahma; Wahdi, Achmad; Camellia, Dina; Roni, Faishol; Pratiwi, Tiara Fatma
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 2 (2025): Jurnal Pengabdian kepada Masyarakat Nusantara Edisi April - Juni
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i2.6157

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Proses penuaan pada lansia diikuti dengan adanya penurunan berbagai fungsi organ di dalam tubuh termasuk pada sel beta pankreas yang efeknya membuat produksi insulin menurun sehingga mengakibatkan kadar gula dalam darah meningkat, biasa disebut diabetes melitus. Penelitian ini bertujuan untuk melaksanakan asuhan keperawatan gerontik pada pasien diabetes mellitus dengan masalah keperawatan ketidakstabilan kadar glukosa darah menggunakan terapi relaksasi otot progresif. Metode yang digunakan desain penelitian ini menggunakan studi kasus dengan metode asuhan keperawatan. Subyek yang digunakan dalam penelitian ini adalah 2 pasien lansia yang memiliki diabetes mellitus dengan masalah keperawatan ketidakstabilan kadar glukosa darah, penelitian dilaksanakan selama 7 hari menggunakan terapi relaksasi otot progresif. Hasil penelitian adalah terapi relaksasi otot progresif efektif terbukti efektif dalam menurunkan hiperglikemia pada lansia dengan diabetes melitus. Pasien pertama GDS awal 250 mg/dl setelah dilakukan terapi relaksasi otot progresif GDS 208 mg/dl. Pasien ke dua GDS awal 219 mg/dl setelah dilakukan terapi relaksasi otot progresif GDS 185 mg/dl. Kesimpulan dan saran adalah terapi relaksasi otot progresif dapat digunakan oleh lansia sebagai terapi nonfarmakologi untuk menurunkan kadar glukosa darah pada lansia dengan diabetes mellitus, diharapkan lansia dapat menerapkan terapi relaksasi otot progresif dalam kesehariannya.
The Effect of Intervention on Pregnancy with Diabetes Mellitus on Health-Related Quality of Life (HRQoL) Devangga Darma Karingga; Achmad Wahdi; Dewi Retno Puspitosari; Kun Ika Nur Rahayu; Rahma Kusuma Dewi
Journal for Quality in Public Health Vol. 8 No. 2 (2025): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v8i1.534

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Gestational diabetes mellitus (GDM) is a form of hyperglycemia that develops during pregnancy and is associated with maternal and neonatal complications. Women with GDM face increased risks of cesarean delivery, preeclampsia, and mental health issues, while their infants are more prone to macrosomia, neonatal jaundice, and long-term metabolic disorders. This systematic review evaluates the impact of interventions on the health-related quality of life (HRQoL) of pregnant women with diabetes mellitus. A systematic search in Scopus, SAGE, ScienceDirect, and ProQuest was conducted for studies published between 2021 and 2025, following PRISMA 2023 guidelines. From 611,094 initial records, 36 studies met the inclusion criteria, with five selected for in-depth analysis. The JBI critical appraisal tool was used to assess the validity and reliability of findings. Results indicate that digital health interventions, such as mobile fitness applications, improve adherence to pelvic floor exercises, enhancing physical health. Psychological interventions, including self-transcendence nursing models and cognitive-behavioral therapy, effectively reduce stress and enhance emotional well-being. Cardiovascular monitoring is essential, as GDM increases the risk of cardiac complications. Counseling, both face-to-face and app-based, supports self-care and lowers fasting blood glucose levels. In conclusion, a multidisciplinary approach integrating digital technology, psychosocial support, and cardiovascular monitoring is crucial for optimizing maternal and fetal health. Comprehensive care strategies, supported by policy frameworks, can enhance intervention effectiveness and improve the overall quality of life for women with GDM.
The Severity of Head Injuries Based on Injury Location: a Cross-Sectional Study Erik Irham Lutfi; Meirna Eka Fitriasnani; Hengky Irawan; Achmad Wahdi; Ely Isnaeni
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.821

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Background: The mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding. Intracerebral hemorrhage is a common complication of traumatic brain injury. The severity of head injury patients is a predisposing factor that causes high mortality and morbidity rates. The presence of bleeding in the head affects the severity of the patient's injury, bleeding in the head will reduce blood flow to the head, which will cause decreased blood perfusion to the brain. In severe head injury, a hematoma of more than 50 mL is associated with higher mortality. Acute ICH (Intra Cerebral Haemoraghea) can be a catastrophic event with the mortality largely predicted by the hematoma size, location, and the patients' GCS  (Glasgow Coma Scale) on admission. Objective: This study aims to determine the relationship between the location of intracerebral hemorrhage and the severity of head injury. Methods: This study uses a correlational analytical approach with a cross-sectional design, utilizing secondary data from medical records of patients with traumatic head injuries from January to December 2022. The calculation of severity using RTS (Revised Trauma Score). These three scores (Glasgow Coma Scale, Systolic Blood Pressure, Respiratory Rate) are then used to take the weighted sum by RTS = 0.9368 GCSP + 0.7326 SBPP + 0.2908 RRP Values for the RTS are in the range 0 to 7.8408. Scores range from 0-4. The study population was patients with moderate to severe traumatic head injuries. Data were analyzed using a correlation test based on Spearman's rank correlation. Results: The results showed a significant relationship between the location of head trauma lesions and the severity of head injury patients (p value = 0.008, correlation coefficient 0.378). Conclusion: Mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding.  The majority of patient with Trauma brain Injury is male and were in the productive age range ranging from 12-35 years. Epidural hematoma (EDH) is one of the most life-threatening lesions in patients with craniocerebral disease.
PERAN IBU RUMAH TANGGA DALAM PENANGANAN HIPERTENSI Devangga Darma Karingga; Agnes, Yeni Lufiana Novita; Rahayu, Kun Ika Nur; Wahdi, Achmad; Suharto, Idola Perdana Sulistyoning; Alimansur, Moh
Jurnal LENTERA Vol. 5 No. 2 (2025): Jurnal LENTERA
Publisher : Stikes Yarsi Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hypertension is one of the most common non-communicable diseases and often goes undetected until it leads to serious complications. In Indonesia, the prevalence of hypertension reaches 34.1%, with most sufferers unaware of their condition. Low awareness and limited family skills-especially among housewives-in managing hypertension is a major contributing factor. This community service activity aimed to improve the knowledge and skills of housewives in managing hypertension within the family setting. The program was implemented in Banyakan Village, Kediri Regency, involving 15 housewives as participants. The methods included socialization, education on hypertension, training on preparing low-sodium menus based on the DASH diet, and the introduction of simple relaxation techniques. Pre-test and post-test evaluations showed an increase in average scores from 46.7 to 80.7. Furthermore, all participants stated that the program was beneficial and enriched their understanding. These results indicate that family-based education is effective in supporting hypertension control. This initiative is expected to contribute to the adoption of healthy lifestyles within families and support national programs such as GERMAS.
Effectiveness Test of Minimum Inhibitory Concentration (MIC) and Minimum Bacterial Concentration (MBC) of Papaya Latex Extract ( Carica papaya. L ) Against Pseudomonas aeruginosa Bacteria herman, herman; Prasetyawan, Fendy; Dhafin, Anis Akhwan; Wahdi, Achmad
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 15 No. 2 (2025): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v15i2.472

Abstract

This study aims to test the effectiveness of papaya latex extract (Carica papaya L.) in inhibiting and killing Pseudomonas aeruginosa bacteria using the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) methods. Papaya latex extract was extracted using the percolation method and tested at various concentrations, namely 50%, 25%, 12.5%, 6.25%, and 3.125% and 1,4%. The MIC test results showed that a concentration of 12.5% was able to inhibit bacterial growth, while concentrations of 25% and 50% effectively killed the bacteria completely. The SPSS test showed a significant difference between concentrations (p < 0.05) on bacterial growth, with a concentration of 25% as the most effective in killing bacteria. Based on these results, papaya latex extract has good antibacterial potential, especially at concentrations ≥ 25%, and can be used as an alternative in the development of natural antibacterial agents. ABSTRAK Penelitian ini bertujuan untuk menguji efektivitas ekstrak getah pepaya (Carica papaya L.) dalam menghambat dan membunuh bakteri Pseudomonas aeruginosa dengan menggunakan metode Kadar Hambat Minimum (KHM) dan Kadar Bunuh Minimum (KBM). Ekstrak getah pepaya diekstraksi dengan metode perkolasi dan diuji pada berbagai konsentrasi, yaitu 50%, 25%, 12,5%, 6,25%, 3,125% dan 1,4%. Hasil uji KHM menunjukkan bahwa konsentrasi 12,5% mampu menghambat pertumbuhan bakteri, sementara konsentrasi 25% dan 50% efektif dalam membunuh bakteri secara total. Uji SPSS menunjukkan adanya perbedaan yang signifikan antar konsentrasi (p < 0,05) terhadap pertumbuhan bakteri, dengan konsentrasi 25% sebagai konsentrasi yang paling efektif dalam membunuh bakteri. Berdasarkan hasil ini, ekstrak getah pepaya memiliki potensi antibakteri yang baik, terutama pada konsentrasi ≥ 25%, dan dapat dijadikan alternatif dalam pengembangan agen antibakteri alami.
The Effect of Telenursing-Based Health Education on Self-Efficacy in Tuberculosis in Hospital Setting Patients Wahdi, Achmad; Yusuf, Ah; Setiyowati, Eppy; Retno Puspitosari, Dewi; Irham Lutfi, Erik
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 15 No. 2 (2025): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v15i2.489

Abstract

Pulmonary TB treatment, which takes a relatively long time with regular medication intake, causes patient boredom with the treatment. The informational and emotional support provided is also less than optimal; this can reduce self-efficacy. This research aims to determine the effect of telenursing-based health education on self-efficacy in tuberculosis patients at the Jemursari Islamic Hospital, Surabaya. This was a quasi-experimental pre-post test control group design approach. Population of 38 tuberculosis patients at Jemursari Islamic Hospital, Surabaya. The sample size was 38 patients, divided into 2 intervention and control groups, taken using random sampling techniques based on sample allocation. Data was collected using a questionnaire. Data analysis used the Paired t-test and Independent t-test with α = 0.05. The research results showed that the difference between the self-efficacy of the intervention group was X ± (SD) = 7.05 ± (4.47) and the control group, namely X ± (SD) 0.11 ± (0.315). The results of the Independent t-test¸ ρ = 0.000, meaning that there is an influence of telenursing-based health education on increasing self-efficacy in tuberculosis patients. Telenursing-based health education can increase self-efficacy. Hospitals and nurses can use telenursing (long distance care) to provide health education to patients with chronic diseases such as tuberculosis ABSTRAK Pengobatan TB Paru yang memakan waktu relatif lama dengan asupan obat yang teratur menyebabkan pasien bosan terhadap pengobatan, kemudian dukungan informasional dan emosional yang diberikan juga kurang optimal, hal ini dapat menurunkan efikasi diri. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan berbasis telenursing terhadap efikasi diri pada pasien tuberkulosis di Rumah Sakit Islam Jemursari Surabaya. Desain penelitian ini adalah quasi experimental dengan pendekatan pre post test control group design. Populasi 38 pasien tuberkulosis di Rumah Sakit Islam Jemursari Surabaya. Besar sampel sebanyak 38 pasien, dibagi menjadi 2 kelompok intervensi dan kontrol, diambil dengan menggunakan teknik random sampling berdasarkan alokasi sampel. Data dikumpulkan dengan menggunakan kuesioner. Analisis data menggunakan uji Paired t-test dan Independent t-test dengan α = 0,05. Hasil penelitian menunjukkan selisih efikasi diri kelompok intervensi yaitu X ± (SD) = 7,05 ± (4,47) dengan kelompok kontrol yaitu X ± (SD) 0,11 ± (0,315). Hasil uji t-independent ρ = 0,000, artinya ada pengaruh edukasi kesehatan berbasis telenursing terhadap peningkatan efikasi diri pada pasien tuberkulosis. Edukasi kesehatan berbasis telenursing dapat meningkatkan efikasi diri. Rumah sakit dan perawat dapat memanfaatkan telenursing (long distance care) untuk memberikan edukasi kesehatan pada pasien dengan penyakit kronis seperti tuberkulosis.
PENGARUH LIDAH BUAYA DAN MADU TERHADAP PENYEMBUHAN LUKA DIABETIK PADA PASIEN DIABETES MELLITUS: DIABETES MELLITUS Puspitosari, Dewi Retno; Nuridayanti, Anik; Wahdi, Achmad; Jayanti, Eka Ama Putri
WELL BEING Vol 6 No 1 (2021): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v6i1.86

Abstract

Diabetes mellitus is a chronic disease caused by the pancreas not being able to produce insulin, resulting in an increase in blood sugar levels. One of the complications is diabetic foot ulcers. Wound treatment using aloe vera and honey can help heal diabetic wounds. The purpose of this study was to determine the effect of wound care using aloe vera and honey on diabetic wound healing in patients with diabetes mellitus at the Griya Husada Clinic, Kediri City. The research design used Pre-Experiment with One Group Pre-Postest Design. The study population was all patients with diabetes mellitus as many as 20 respondents who were taken by total sampling technique. The results of the study obtained degenerated wounds which eventually regenerated 2 respondents (10%), regenerating wounds that had healed tissue 5 respondents (25%). Analysis of the data with Wilcoxon found differences before and before wound care (p = 0.008 <0.05), then Ho was rejected and Ha was accepted. Therefore, there is an effect of wound care using aloe vera and honey on diabetic wound healing in patients with diabetes mellitus at the Griya Husada Clinic, Kediri City. It is suggested that aloe vera and honey can be applied in wound care to speed up the healing process in diabetic wounds. Keywords: Aloe Vera, Honey, Diabetic Wound.
PENERAPAN KOMBINASI TERAPI NAFAS DALAM DAN MUSIK KLASIK DALAM MENGURANGI NYERI AKUT POST OPERASI APPENDICITIS DI RUANG BIMA RSUD JOMBANG: PENERAPAN KOMBINASI TERAPI NAFAS DALAM DAN MUSIK KLASIK DALAM MENGURANGI NYERI AKUT POST OPERASI APPENDICITIS DI RUANG BIMA RSUD JOMBANG huda, alfin rulian; Roni, Faishol; Wahdi, Achmad; Wijaya, Arif; Fitriyah, Erna Tsalatsatul
WELL BEING Vol 7 No 2 (2022): Well Being Volume 7 Nomor 2
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v7i2.162

Abstract

Appendicitis adalah peradangan yang terjadi pada appendiks vermiformis akibat adanya infeksi pada appendiks atau umbai cacing. Nyeri akut merupakan sebuah pengalaman sensorik atau emosional yang berhubungan dengan sebuah kerusakan jaringan fungsional, dengan waktu yang mendadak atau lambat dan berintensitas ringan sampai berat yang berlangsung selama kurang dari 3 bulan . Tujuan penelitian ini untuk mengetahui hasil perubahan penurunan intensitas nyeri akut pada pasien post operasi appendicitis setelah pemberian teknik relaksasi nafas dalam dan terapi musik klasik. Jenis penelitian ini adalah studi kasus. Dengan metode observasi dan wawancara langsung. Asuhan keperawatan yang dilakukan melibatkan dua orang pasien remaja yang terkena appendicitis setelah dilakukan operasi dengan memberikan intervensi terapi nafas dalam dan musik klasik dilakukan selama 6 hari. Hasil penelitian sebelum dilakukan terapi nafas dalam dan musik klasik skala nyeri 6 dan 5, setelah dilakukan tindakan skala nyeri menjadi 2 dan 2. Kesimpulan dari penelitian ini adalah terapi nafas dalam dan musik klasik dapat menurunkan intensitas nyeri pada pasien post operasi appendicitis sehingga teknik nonfarmakologi ini sangat direkomendasikan.
THE RELATIONSHIP OF DEPRESSION LEVEL WITH QUALITY OF LIFE TYPE 2 DIABETES MELLITUS PATIENTS: DIABETES MELLITUS Wahyudi, Rahmad; Mufidah, Nisfil; Achmad Wahdi; Abraham, Muchlas
WELL BEING Vol 7 No 2 (2022): Well Being Volume 7 Nomor 2
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v7i2.180

Abstract

Penyakit Diabetes mellitus mengakibatkan terjadinya perubahan fisik, psikologis maupun sosial. Salah satu perubahan psikologis yang paling sering terjadi adalah kejadian depresi pada pasien Diabetes Mellitus yang berdampak pada Kualitas Hidup yang akan semakin memperburuk kondisi penyakit. Tujuan dari penelitian ini untuk menganalisis hubungan depresi dengan kualitas hidup pasien diabetes melitus tipe 2. Penelitian menggunakan desain analitik korelasi dengan pendekatan Cross Sectional. Variabel independen depresi dan variabel dependen kualitas hidup. Penelitian dilakukan di poli penyakit dalam RSU Anna Medika Madura dengan sampel 41 pasien diabetes mellitus menggunakan metode purposive sampling dengan instrument Depression Anxiety Stress Scales (DASS) dan instrument kualitas hidup WHOQOL-BREF. Analisa data menggunakan Uji statistic Spearman Rank. Hasil analisis menunjukkan  hasil p value = 0,000 < α = 0,05. Sehingga dapat disimpulkan bahwa ada hubungan depresi dengan kualitas hidup pasien diabetes melitus tipe 2. depresi membuat perawatan diri dan kesadaran diri dan kurangnya kontrol terhadap kesehatan diri mengakibatkan kesehatan menurun sehingga berpengaruh pada aktifitas sehari- hari kualitas hidup. Pentingnya meningkatkan kualitas hidup pasien diabetes melitus tipe 2 Mekanisme koping depresi yang adaftif dapat menghasilkan kualitas hidup yang lebih baik dan menghasilkan suatu tindakan yang positif
PENGARUH TERAPI JALAN KAKI TERHADAP PENURUNAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2: DIABETES MELLITUS TIPE 2 Wibowo, Thomas Ari; Lilik; Wahdi, Achmad
WELL BEING Vol 7 No 2 (2022): Well Being Volume 7 Nomor 2
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v7i2.181

Abstract

Latar Belakang : Masalah metabolisme pada Diabetes Mellitus ditandai dengan hiperglikemia akibat ketidakmampuan pankreas untuk mengatur insulin, gangguan kerja insulin, atau keduanya. kerusakan jangka panjang dan kegagalan pada berbagai organ seperti mata, ginjal, saraf, jantung, serta pembuluh darah apabila tidak ditangani, diketahui terapi jalan kaki dipercaya menurunkan glukosa DM. Tujuan Studi : Penelitian ini dilakukan dalam bentuk literature review yang bertujuan untuk mengetahui apakah ada pengaruh dari pemberian terapi jalan kaki terhadap penurunan kadar gula darah pada DM. Metodelogi : Penelitian kepustakaan adalah suatu penelitian yang berkaitan dengan metode data kepustakaan atau meneliti dan menggunakan informasi kepustakaan (jurnal ilmiah) untuk objek penelitian. Hasil : Ada pengaruh dari  databased 10 jurnal artikel penelitian. Kesimpulan : Ada pengaruh terapi jalan kaki terhadap penurunan kadar gula darah pada pasien diabetes mellitus tipe 2 dengan nilai signifikan P Value < 0,05.
Co-Authors Abraham, Muchlas Adi Putra, Restu Agnes, Yeni Lufiana Novita Ah Yusuf, Ah Alimansur, Moh Amildha Yanuarita, Heylen Amriilah, Chusniah Alda Anik Nuridayanti Anis Akhwan Dhafin Anis Akhwan Dhafin Arif Wijaya Arini, Adellia Rahma Asri Putri Kisfandari Bella, Bella Dinita Rusmandani Bima Mahdika Albab, Attabi’ Camelia, Dina Camellia, Dina Chadra Arifin Dewi Retno Puspitasari Dewi Retno Puspitosari Eka Ama Putrajayanti Eko, Saugi Apang Elsa Mahardika Putri Eppy Setiyowati Erik Irham Lutfi Erita, Chyntiya Ananda Fachry Abda El Rahman Farra Biyyu Dzaki, Annisa Fatma Pratiwi, Tiara Faturrohman, Rahul Fendy Prasetyawan Fitriani, Evi Tunjung Fitriasnani, Meirna Eka Fitriyah, Erna Tsalasatul Hakim Tobroni HR Hengky Irawan huda, alfin rulian Indasah Isnaeni, Ely Jayanti, Eka Ama Putri Kai, Meggy Wulandari Karingga, Devangga Darma Kun Ika Nur Rahayu Lilik M. Wahyu Ariawan Neni Probosiwi Ni Njoman Juliasih Nisfil Mufidah Nofiah, Niafatun Novia Susanti Novia Susanti Nur Fahma Laili Nuridayanti, Anik Okky Intan Mawarni Pratiwi , Tiara Fatma Puspitosari, Dewi Retno Putra, Mega Revangga Rahayu, Arinda Tri Rahayu, Kun Ika Nur Rahma Kusuma Dewi Rahmad Wahyudi Retno Puspitosari, Dewi Riatus Salamah Rickiy Akbaril Okta Firdaus Roni, Faishol Rushanti Widodo, Silvi Sakdiah, Hawana Halimatus Sely Delta Surya Ningsih Sugeng Santoso Sulistyoning Suharto, Idola Perdana Susanti Susanti Tania Yesika Wantania Thomas Ari Wibowo Tiara Fatma Pratiwi Tiara Fatma Pratiwi Tiara Fatma Pratiwi Tobroni HR, Hakim Ts. Fitriyah, Erna Tsamrotul Ilmi Umi Hanik Utari, Sri Defi Wahyudi, Mgs Ahmad Widhi Astutik Yuly Peristiowati Yuneka Saristiana YUNITA Zakiyah, Dewi