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All Journal Journal Of Nursing Practice Nursing Current : Jurnal Keperawatan Martabe : Jurnal Pengabdian Kepada Masyarakat Health Sciences Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Pengabdian kepada Masyarakat Nusantara Nursing Sciences Journal Jurnal Kesehatan Tambusai Well Being Jurnal Lentera Journal for Quality in Public Health Jurnal Penelitian Keperawatan Journal of Community Engagement in Health Journal for Quality in Women's Health JURNAL INSAN CENDEKIA
Achmad Wahdi
STIKes Bahrul Ulum Jombang
Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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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

Abstract

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

Abstract

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

Abstract

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.
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.
PENGARUH HEALTH EDUCATION DENGAN PENGARUH HEALTH EDUCATION DENGAN METODE AUDIOVISUAL TERHADAP PENGETAHUAN DAN SIKAP IBU DALAM UPAYA MENCEGAH STUNTING PADA ANAK PRASEKOLAH DI DESA KALIKEJAMBON KECAMATAN TEMBELANG: PENGARUH HEALTH EDUCATION DENGAN METODE AUDIOVISUAL TERHADAP PENGETAHUAN DAN SIKAP IBU DALAM UPAYA MENCEGAH STUNTING PADA ANAK PRASEKOLAH DI DESA KALIKEJAMBON KECAMATAN TEMBELANG Bella, Bella Dinita Rusmandani; Nofiah, Niafatun; Wahdi, Achmad; Yunita
WELL BEING Vol 8 No 1 (2023): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v8i1.185

Abstract

Toddlers who have less height are characterized by delayed growth of children which results in failure to achieve normal and healthy height according to the child's age. This study aims to determine the effect of health education on knowledge and attitudes of mothers in an effort to prevent stunting in Kalikejambon Village, Tembelang District, Jombang Regency. The method used is delivering material and filling out questionnaires related to stunting prevention. The results of the study were obtained after being given education using the audiovisual method there was an increase in sufficient knowledge (64%) while a positive attitude (92%) in preventing stunting in preschoolers, with a p-value = 0.00 (p <0.05) means that the accepted means that there is a significant effect after being given health education with the audiovisual method. It is hoped that with an increase in knowledge and attitude in mothers who have stunted children, it can reduce the incidence of stunting. Keywords: Stunting, Health Education, Audiovisual Method, Knowledge and Attitudes
Imogene King's Theory-Based Telenursing to Improve Medication Compliance in Tuberculosis Patients: Telenursing Tuberculosis Achmad Wahdi; Devangga Darma Karingga; Dewi Retno Puspitosari
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.931

Abstract

Background: Tuberculosis (TB) is an infectious disease with a high health burden that requires patient compliance in taking anti-tuberculosis (ATD) medications. Non-compliance remains a barrier to successful therapy. Telenursing, an information technology-based service innovation, can be utilized to improve patient satisfaction, especially when developed based on Imogene King's nursing theory. Objective: Can telenursing based on Imogene King's theory improve medication adherence in TB patients? Methods: The study used a quasi-experimental design, with an intervention group receiving telenursing services based on Imogene King's theory and a control group receiving health promotion. Data on medication adherence were collected through observation and a medication adherence questionnaire. Data were analyzed using the Wilcoxon Signed Rank test. Results: The study showed that in the intervention group, the majority of respondents (66.6%) or 10 patients had high medication adherence. Conversely, in the control group, the majority of respondents (66.6%) or 10 patients had only moderate medication adherence. This indicates that telenursing based on Imogene King's theory is more effective than conventional health promotion in improving ATD adherence. Conclusion: Telenursing based on Imogene King's theory can improve medication adherence in TB patients through reciprocal interaction, therapeutic communication, and the achievement of shared goals between nurses and patients using the SETIA-TB application. The implementation of telenursing based on abortion theory is recommended to support the success of TB therapy and can serve as an innovative service model in the community.
Co-Authors Abraham, Muchlas Adi Putra, Restu Agnes, Yeni Lufiana Novita Alimansur, Moh Amildha Yanuarita, Heylen Amriilah, Chusniah Alda Anik Nuridayanti Anis Akhwan Dhafin Arif Wijaya Arini, Adellia Rahma Asri Putri Kisfandari Bella, Bella Dinita Rusmandani Bima Mahdika Albab, Attabi’ Camelia, Dina Camellia, Dina Dewi Retno Puspitasari Dewi Retno Puspitosari Dwi Ramayanti, Eva 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 Mei Yunalia, Endang Neni Probosiwi Ni Njoman Juliasih Nisfil Mufidah Nofiah, Niafatun Novia Susanti Novia Susanti Nur Fahma Laili Nuridayanti, Anik Okky Intan Mawarni Perdana Sulistyoning Suharto, Idola 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 Sri Haryuni Sulistyoning Suharto, Idola Perdana Susanti Susanti Tania Yesika Wantania Thomas Ari Wibowo Tiara Fatma Pratiwi Tiara Fatma Pratiwi Tiara Fatma Pratiwi Ts. Fitriyah, Erna Tsamrotul Ilmi Umi Hanik Utari, Sri Defi Wahyudi, Mgs Ahmad Yuly Peristiowati Yuneka Saristiana YUNITA Zakiyah, Dewi