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How Do The Community Health Nurses’ Experience in The Strategies of Non-Communicable Disease (NCD) Promotion and Prevention? Rizkiyani Istifada; Etty Rekawati; Wiwin Wiarsih
Jurnal Ilmu dan Teknologi Kesehatan Vol 9 No 1 (2021): September 2021
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v9i1.555

Abstract

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.
Hubungan Kepatuhan Pembatasan Cairan Terhadap Terjadinya Overload Pada Pasien Gagal Ginjal Kronik Post Hemodialisa Di Rumah Sakit Umum Pusat Fatmawati Rita Melianna; Wiwin Wiarsih
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 3, No 1 (2019): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v3i1.28

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Gagal ginjal kronik adalah suatu keadaan klinis yang di tandai dengan penurunan fungsi ginjal yang ireversible, pada suatu derajat yang memerlukan terapi pengganti ginjal. Masalah yang mengakibatkan kegagalan pada terapi hemodialisa adalah kepatuhan klien. Penelitian ini menggunakan desain deskriptif korelasi, menggunakan sampel pasien GGK yang mengikuti hemodialisa di RS Fatmawati sebesar 84 responden. Hasil univariat menunjukkan, responden tidak patuh terhadap pembatasan cairan sebesar 76%, responden mengalami overload sebesar 53,6%. Hasil bivariat (Chi-Square) dengan α=0,05, didapatkan tidak ada hubungan yang bermakna antara kepatuhan pembatasan cairan dengan overload (p=0,35). Semakin besar klien patuh pada pembatasan cairan maka akan semakin kecil terjadi overload.
Does Self-Stigma Affect Self-Efficacy on Treatment Compliance of Tuberculosis Clients? Nur Akbar; Astuti Yuni Nursasi; Wiwin Wiarsih
Indonesian Contemporary Nursing Journal Volume 5 No. 1 Agustus 2020
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v5i1.9645

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Introduction. TB is a contagious infectious disease that still threatens globally. One of the problems in TB control management is related to the issue of low treatment compliance. Low adherence to medication can be influenced by psychological factors, one of which is self-stigma. Method. This study aims to describe the self-stigma of TB clients and their relationship with self-efficacy in TB treatment compliance. This study used a cross-sectional method. The total sample was 157 people taken by purposive sampling technique at 18 community health centers (Puskesmas) in Jeneponto Regency. Data collection techniques used self-stigma and self-efficacy of TB treatment compliance questionnaires which were given directly to respondents. Then, the researcher used univariate and bivariate analysis in analyzing data. Result. The result of this study shows that 52.4% of respondents with high self-stigma had low self-efficacy of medication adherence. Among respondents with low self-stigma, 23.3% of respondents indicated low self-efficacy of treatment compliance. It means that there is a correlation between self-stigma and self-efficacy of treatmen compliance with p-value 0.001 * (<0.05). TB adult clients who have high self-stigma are 3 times more likely to have low self-efficacy of treatment compliance than TB adult clients who have low self-stigma. Conclusion. The results of this study indicate the need to consider self-stigma factors for TB clients in TB control management regimens, especially in providing informational and emotional support to increase self-efficacy in TB treatment compliance.
EFEKTIFITAS INTERVENSI KEPERAWATAN: SENAM DAN RELAKSASI DALAM MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Yulia Susanti; Agus Setiawan; Wiwin Wiarsih
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 6 No 2 (2016): Oktober
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.6.2.2016.65-69

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ABSTRAK Pendahuluan: Skizofrenia Penyakit tidak menular (PTM) menjadi sebagai penyebab utama kematian didunia. Proporsi penyebab kematian PTM pada orang-orang berusia kurang dari 70 tahun, terdiri dari penyakit kardiovaskular 39%, diikuti kanker 27%, sedangkan penyakit pernafasan kronis, penyakit pencernaan dan PTM yang lain bersama-sama menyebabkan sekitar 30% kematian, serta diabetes 4%. Upaya pencegahan dan penanggulangan PTM hipertensi akan lebih efektif dan efisien jika faktor risiko dapat dikendalikan.Berbagai intervensi keperawatan dapat diberikan pada penderita hipertensi seperti pemberian terapi komplementer, pemberian informasi tentang masalah kesehatan, pengaturan pola makan, latihan atau olah raga. Metode: Karya ilmiah ini bertujuan untuk melaporkan penerapanintervensi keperawatan berupasenam dan relaksasi pada penderita hipertensi. Karya ilmiah ini menggunakan pendekatan asuhan keperawatan: intervensi keperawatan terhadap 60 penderita hipertensi yang berusia dewasa. Hasil: Penerapan intervensi keperawatan berupa senam dan relaksasi dapat menurunkan tekanan darah penderita hipertensi usia dewasa.Rata – rata penurunan tekanan darah sistolik 6,6 mmHg dan tekanan darah diastolik 5,05 mmHg Diskusi: Tindakan keperawatan senam dan relaksasi direkomendasikan untuk diberikan pada penderita hipertensi dimasyarakat dalam upaya pengendalian hipertensi dirumah. Kata kunci: Senam, Relaksasi, Penyakit Hipertensi. ABSTRACT Introduction: Non-communicable disease (PTM) is the leading cause of death in the world. The proportion of causes of PTM death in people aged less than 70 years, consisting of 39% cardiovascular disease, followed by cancer 27%, while chronic respiratory illness, gastrointestinal illness and other PTM together cause about 30% of deaths, as well as diabetes 4% . Efforts to prevent and control PTM hypertension will be more effective and efficient if risk factors can be controlled. Nursing interventions can be given to hypertensive patients such as complementary therapy, information on health issues, dietary regulation, exercise or gymnastics. Methods: This paper aims to report on the application of nursing interventions in the form of exercise and relaxation in hypertensive patients. This scientific work uses the approach of nursing care: nursing intervention to 60 adult hypertensive patients. Results: Implementation of nursing intervention in the form of exercise and relaxation can decrease blood pressure of adult hypertension patient. Mean systolic blood pressure reduction of 6.6 mmHg and diastolic blood pressure 5.05 mmHg. Discussion: Nursing and relaxation treatment is recommended to be given to people with hypertension in the community in controlling hypertension at home. Keywords: Exercise, Relaxation, Hypertension Disease.
PENINGKATAN PERILAKU IBU DALAM PENGATURAN POLA MAKAN BALITA DI POSYANDU MELATI DESA BINTORO KECAMATAN PATRANG KABUPATEN JEMBER PENINGKATAN PERILAKU MENCUCI TANGANDENGAN TEKNIK MODELING PADA KELOMPOK ANAK USIA SEKOLAH Sri Wahyuni. A* Sigit Mulyono** Wiwin Wiarsih***
The Indonesian Journal of Health Science Vol 6, No 2 (2016): The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/the.v6i2.139

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Hand washing is a simple action that can prevent a variety of diseases especially diarrhea, but this action is still rarely carried out by school children. This study aimed to increase hand washing behavior by modeling techniques at primary school age children ( 6-12 years ). The research design was quasi experiment consisting of two groups; 38 subjects as intervention groups and 38 subjects as control groups. The sampling technique used stratified random sampling, followed by simple random sampling. The results showed hand washing practices was increased by modeling activity (p=0.000). Behaviour modification with modelling techniques can be applied as one effort to increase hand washing behavior of school children that could be integrated in the school nursing service. Keywords: School age children, behavior modification, hand washing
Meaning of life among elderly individuals with chronic diseases living with family: A qualitative study Bahtiar, Bahtiar; Sahar, Junaiti; Wiarsih, Wiwin
Makara Journal of Health Research Vol. 24, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Many elderly individuals receive lifelong treatment caused by chronic diseases with symptoms that affecting them physically, psychologically, socially, and spiritually. Spirituality plays an essential role in health conditions and social relationships given that it provides meaning to the elderly individuals life by allowing them to see the wisdom of life events experienced. This research aimed to explore the meaning of life among elderly individuals with chronic diseases. Methods: This research applied descriptive phenomenology using Colaizzi’s method of thematic analysis among 13 elderly patients with chronic diseases. Results: Elderly individuals with chronic diseases found meaning through the following items: (1) surrender to God, (2) divine destiny, (3) care until death, (4) guarantee for health finance, (5) role replacement, and (6) observing the development of children and grandchildren. Conclusion: Elderly individuals with chronic diseases can obtained positive meaning in life through family support. Families are thus expected to facilitate the development of meaning in the lives of elderly individuals with chronic diseases to help them fulfill their spiritual needs.
FAMILY WITH A CHRONIC ILLNESS: ADAPTATION AND CHALLENGES Annisa Wuri Kartika; Wiwin Wiarsih; Henny Permatasari
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4540.62 KB) | DOI: 10.21776/ub.jik.2017.005.02.1

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Living with a chronic illness surely can affect clients and their families. Family capacity to adapt successfully can be quite different depend on characteristic of chronic illness and family perception about the illness. Consideration of the family’s view of illness support health care professionals in finding the best resources to assist family with chronic illness. The aim of this study was to describe impact of chronic illness to clients and their family. This research use a qualitative design with descriptive phenomenological approach. Using purposive-sampling, eight families living with chronic illness were participated in this study. Colaizzi’s method which involving participants to validate results was used in the research. The theme of this study are changes in the patient's health status, family system changes and family difficulties in maintenance tasks. Conclusion of this research is that family members are the biggest support to motivate clients and also challenged as they strive to assist member diagnosed with chronic condition to stay healthy. Involving clients and families in the decision making support the efforts of families in their self-management of chronic illness. Thus nurses could provide family counseling to strengthen family coping and capacity by providing family with adequate information about illness.   
DIABETES SELF-CARE EXPERIENCE ON ELDERLY WITHOUT MEDICATION Niko Dima Kristianingrum; Wiwin Wiarsih; Astuti Yuni Nursasi
Journal of Nursing Science Update (JNSU) Vol. 6 No. 2 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6394.778 KB) | DOI: 10.21776/ub.jik.2018.006.02.3

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Increasing of the number of elderly contributes to the increasing of prevalence of chronic degenerative diseases such as diabetes mellitus. Diabetes mellitus requires long-term care through self-care. Theaims of this study to find out the experience of elderly on diabetes self-care. The study used qualitative method of descriptive phenomenology with in-depth interviews on nine participants. Interview results were analyzed using the Colaizzi method. The results of the study identified a variety of self-care diabetes, were regulates food, exercise, and blood sugar checking. Self-care has not been done consistently so it needs diabetes self-care guidelines, diabetes self-care education, and a community health nurse program that can foster elderly with diabetes mellitus.
HUBUNGAN DUKUNGAN PERAWAT TERHADAP MOTIVASI REMAJA DI KOTA PALEMBANG DALAM MELAKSANAKAN PERILAKU 3M PADA MASA PANDEMI COVID-19 Nurma Zela Gustina; Widyatuti Widyatuti; Wiwin Wiarsih
Proceeding Seminar Nasional Keperawatan Vol 8, No 1 (2022): Proceeding Seminar Nasional Keperawatan 2022
Publisher : Proceeding Seminar Nasional Keperawatan

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Abstract

Kasus terkonfirmasi COVID-19 pada kelompok usia remaja saat ini masih terus terjadi. Perlu adanya motivasi dari remaja untuk melaksanakan perilaku 3M sebagai upaya mencegah penularan COVID-19 khususnya pada kelompok usia remaja. Dukungan perawat menjadi salah satu upaya dalam meningkatkan motivasi melaksanakan perilaku 3M dimasa pandemi COVID-19. Adanya dukungan perawat dapat mendorong motivasi remaja dalam pelaksanaan perilaku 3M di masa pandemi COVID-19. Tujuan penelitian untuk mengetahui hubungan dukungan perawat dengan motivasi remaja dalam melaksanakan perilaku 3M di masa pandemi COVID-19. Metode penelitian ini merupakan kuantitatif dengan metode deskriptif korelasi dan pendekatan cross sectional dimana populasi dalam penelitian ini adalah remaja yang bersekolah di masa pandemi COVID-19 yang berjumlah 316.865 siswa. Metode pengambilan sampel dalam penelitian ini dilakukan dengan mixed method sampling. Sampel dalam penelitian ini sebanyak 427 remaja di Kota Palembang. Hasil analisis uji korelasi pearson didapatkan bahwa terdapat hubungan yang signifikan antara dukungan perawat dengan motivasi remaja dalam melaksanakan perilaku 3M di masa pandemi COVID-19 dengan p value 0,001 (p < 0,05) dan nilai r = 0,397 dengan arah korelasi positif dan kekuatan korelasi sedang. Hasil ini juga menunjukan bahwa semakin tinggi dukungan perawat kepada remaja maka semakin tinggi motivasi remaja dalam melaksanakan perilaku 3M di masa pandemi COVID19. Simpulan dari penelitian ini adalah diketahuinya dukungan perawat berhubungan dengan motivasi remaja dalam melaksanakan perilaku 3M maka disarankan untuk meningkatkan program promosi kesehatan secara langsung diberikan oleh perawat pada kelompok usia remaja di masa pandemi COVID19.Kata Kunci: Dukungan perawat, motivasi, remaja
PERSPEKTIF CAREGIVER DALAM MERAWAT KELUARGA DENGAN OBESITAS: STUDI FENOMENOLOGI Rohayati Rohayati; Wiwin Wiarsih; Astuti Yuni Nursasi
Jurnal Mitra Kesehatan Vol. 2 No. 1 (2019): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v2i1.26

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Pendahuluan: Peningkatan prevalensi obesitas yang terus meningkat membutuhkan penanganan komprehensif dengan pendekatan multisektor. Peran keluarga sebagai caregiver  utama sangat penting dalam penanganan obesitas. Tujuan penelitian adalah mengetahui persepsi dan pengalaman keluarga dalam merawat anggota keluarga dengan obesitas. Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi deskriptif. Partisipan berjumlah 7 orang yang diperoleh secara purposive sampling. Hasil: Dua tema yang dihasilkan yaitu dampak fisik dan psikososial yang dipersepsikan keluarga serta pengetahuan keluarga tentang kelebihan berat badan. Kesimpulan: Perawat diharapkan mengajarkan penilaian  status berat badan yang benar dan cara menghadapi dampak fisik serta psikologis yang mungkin terjadi pada keluarga dengan meningkatkan mekanisme koping.