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Health Behavior and Medication Adherence in Hypertensive Client Wiwin Wiarsih; Nurul Miftahul Jannah; Junaiti Sahar
Indonesian Journal of Global Health Research Vol 2 No 2 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (585.973 KB) | DOI: 10.37287/ijghr.v2i2.75

Abstract

Hypertension as Non-Communicable Diseases (NCD) is the largest contributor to the causes of death in the world. Complications of hypertension account for the majority of deaths globally. Uncontrolled health behavior in patients with hypertension is closely related to an increase in morbidity rates due to complications from hypertension each year. Medication adherence is one of an effort to form positive health behaviors to prevent hypertension complications. This study aims to identify the relationship between health behavior with medication adherence in hypertensive clients in Cipayung District, East Jakarta. This study using cross sectional design, approach with 109 participants, who were selected by purposive sampling, are choosen primary hypertensive clients of middle adulthood. The results of the chi square test showed that there was a relationship between health behavior and medication adherence (p value: 0.024) 90% CI. The results of the study it can be concluded that the more positive the health behavior, the higher the adherence to taking medication in hypertensive clients. Community nurses have an important role in modifying the behavior of hypertensive patients with a variety of approaches both as individuals, families, and the public can maintain their health well-being. Keywords: hypertension; health behavior; medication adherence
The Impact of Vegetarian Diets and Body Mass Index on Hypertension Tri Mariha; Wiwin Wiarsih
Jurnal Keperawatan Indonesia Vol 22 No 3 (2019): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i3.726

Abstract

A vegetarian diet is believed to prevent hypertension. This study aims to identify the impact of vegetarian diets, including fat, salt, potassium, and body mass index (BMI), on hypertension. Data was taken by systematic random sampling method from 173 vegetarians and analyzed using chi-square. The result showed that there is no significant association between the intake of fat, sodium, and potassium with hypertension in vegetarians (p> 0.05). However, there is a significant relationship between BMI with the incidence of hypertension (p= 0.025), where overweight res-pondents are 3.837 more likely to have hypertension (OR 3.837; 95% CI= 1,256–11,721). It implies that vegetarians tend to have a safe intake of fat, salt, and potassium, and therefore, this condition prevents hypertension. Thus, health promotion about the selection of sources of fat, regulation of salt, potassium intake, and weight management will be beneficial for vegetarians in preventing hypertension. Abstrak Dampak Diet Vegetarian dan Indeks Massa Tubuh terhadap Hipertensi. Diet vegetarian diyakini dapat mencegah hipertensi. Penelitian ini bertujuan untuk mengetahui dampak diet vegetarian, meliputi asupan lemak, garam, kalium, dan Indeks Massa Tubuh (IMT) terhadap hipertensi. Data diperoleh melalui metode systematic random sampling pada 173 vegetarian dan dianalisis menggunakan chi-square. Tidak ada hubungan yang signifikan antara asupan lemak, garam, dan kalium pada vegetarian dengan hipertensi (p> 0.05). Namun, terdapat hubungan yang signifikan antara IMT dengan kejadian hipertensi (p= 0.025), dimana responden dengan berat badan berlebih 3.837 kali berpeluang lebih besar untuk mengalami hipertensi (OR 3.37; 95% CI= 1.256–11.721). Hal ini menunjukkan bahwa vegetarian cenderung memiliki asupan lemak, garam, dan kalium yang aman sehingga kondisi ini dapat mencegah hipertensi. Dengan demikian, promosi kesehatan mengenai pemilihan sumber lemak, pengaturan asupan garam:kalium, dan manajemen berat badan akan sangat bermanfaat bagi vegetarian untuk mencegah hipertensi. Kata kunci: diet, hipertensi, IMT, vegetarian
“I’m Not Satiety Without Rice”: Phenomenological Study of Barrier and Weight Loss Efforts in Home Settings Rohayati Rohayati; Wiwin Wiarsih; Astuti Yuni Nursasi
Unnes Journal of Public Health Vol 12 No 1 (2023): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v12i1.48661

Abstract

Background: The prevalence of obesity around the world is quite high. Obesity management takes a long time and is highly disciplined. This can increase the noncompliance to obesity treatment. Family is a support system that can help obesity management. The study was to explored family experiences regarding the efforts and barriers to obesity management in a home setting. Methods: This study used a descriptive phenomenological research design. The seventh family who lived in Depok City were selected using purposive sampling. Inclusion criteria include 1) having family members who are overweight/obese, 2) obese family members who do not have comorbid diseases, 3) participants who do not have a chronic disease A semi-structured interview was used to collect data. The data analysis used Colaizzi’s method. Results: Four themes emerged, including 1) nutrition management efforts, 2) weight loss efforts, 3) unhealthy nutritional behavior patterns, 4) desire to achieve normal conditions. Conclusion: Family plays an important role in obesity management in the home setting. Nurses can optimize the family by providing support for positive efforts that have been made. Family counseling is needed to reduce perceived barriers.
Hubungan Efikasi Diri dan Latihan Fisik dengan Status Nutrisi Remaja Pranata, Andi; Widyatuti, Widyatuti; Wiarsih, Wiwin
Jurnal Keperawatan Vol 16 No 2 (2024): Jurnal Keperawatan: Juni 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i2.1749

Abstract

Remaja merupakan aset kesehatan di masa mendatang, namun banyak remaja mengalami masalah nutrisi. Hubungan efikasi diri dan latihan fisik dengan status nutrisi pada remaja di Kota Bekasi merupakan suatu bentuk keyakinan diri sebagai dasar timbulnya keinginan merencanakan dan melakukan kegiatan terencana oleh remaja. Penelitian ini bertujuan untuk menganalisis hubungan efikasi diri dan latihan fisik dengan status nutrisi remaja. Penelitian ini menggunakan pendekatan cross sectional dan pengambilan sampel secara consecutive sampling sebanyak 356 siswa sekolah menengah atas negeri di Kota Bekasi. Hasil penelitian menunjukkan rerata remaja berusia 16 tahun dan berjenis kelamin perempuan 64,9%. Kesimpulan tidak terdapat hubungan yang signifikan antara efikasi diri dan latihan fisik dengan status nutrisi pada remaja (p > 0,05). Rekomendasi perlu peningkatan upaya pencegahan primer dengan optimalisasi kegiatan UKS dan layanan konseling nutrisi remaja.
“Accessibility”: A new narrative of healthcare services for people living with HIV in the capital city of Indonesia Mahathir, Mahathir; Wiarsih, Wiwin; Permatasari, Henny
Belitung Nursing Journal Vol. 7 No. 3 (2021): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1409

Abstract

Background: The progress of the fight against HIV is highlighted by significant change. HIV of the past is different from HIV of the present. Healthcare services have played an essential role in achieving the optimal goals needed to end the HIV epidemic. However, people living with HIV and those at risk of catching it (PLWH) often misunderstand the rapid growth of HIV healthcare service options.Objective: This study aimed to explore the experiences of PLWH in the healthcare services featured in this study.Methods: A qualitative phenomenological approach was used. Semi-structured interviews were conducted in 2017 with 12 PLWH who engaged with healthcare services in Jakarta, Indonesia, by using a purposive sampling technique. Semi-structured questions were asked which related to their experiences of using the services. Stevick Colaizzi Keen method was used to extract the thematic analysis of the study.Results: The study developed four essential themes of PLWH healthcare use. They were accessibility, availability at all healthcare levels, comprehensiveness of service, and affordability.Conclusion: Providing accessible healthcare services is considered essential by PLWH. It is also pivotal to helping people feel positive about the community-related healthcare services on offer. Nurse-led HIV services must maintain this progress by continuously evaluating the quality-of-service outcomes and promoting the accessibility of the services to the broader population.
The influence of body mass index (BMI) and physical activity changes on the effectiveness of e-health in obesity among adults: A systematic review Mahmuddin, Mahmuddin; Mulyono, Sigit; Rekawati, Etty; Wiarsih, Wiwin
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 4 (2024): Volume 7 Number 4
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i4.297

Abstract

Background: The use of e-health is now widely used as a new intervention e-health can be applications in smart phones, smart watches, or wearables, as well as telemedicine, interactive video and web-based interventions. Purpose: Submitting the results of exploration related to the impact of e-health use in increasing physical activity and changes in BMI in adults with obesity. Method: Literature reviews on several databases such as clinical key nursing, sage journal, and Pubmed using PRISMA methods. Results: This systematic review study proves that eHealth has an influence on physical activity and BMI in adults with obesity. From the 7 articles that used e-health as an intervention in changing physical activity and BMI showed significant results against changes in physical activity, BMI despite using different types of eHealth, such as virtual reality, smartphone applications/wearable devices and telehealth. Conclusion: The use of e-health can be recommended as part of a body weight management strategy as it has a good impact over time and needs to be integrated with nursing interventions so that nurses can monitor patient progress and adjust recommendations based on the data collected.
Peran ayah dalam penanganan stunting: A systematic review Boibalan, Filipus Yakobus; Rahmadiyah , Dwi Cahya; Permatasari, Heny; Wiarsih, Wiwin
Holistik Jurnal Kesehatan Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.650

Abstract

Background: Stunting is a significant malnutrition phenomenon faced by the world, including Indonesia. Various family factors, such as inadequate access to nutritious food, low exclusive breastfeeding practices, and exposure to diseases, contribute to the occurrence of stunting. Additionally, social factors such as political and economic conditions, healthcare providers, and socio-cultural norms also influence the prevalence of stunting. Purpose: To evaluate fathers' involvement in handling stunting in children. Methods: Systematic review research from various relevant international journals by searching through databases, including PubMed, Proquest, science direct, Ebsco host and Scopus. Of the 3,427 journals identified, there are 8 journals that meet the inclusion and exclusion criteria from 2019-2024. Results: The results show that father involvement in parenting contributes positively to the quality of children's diet and reduces the prevalence of stunting. The role of fathers in child care can increase family awareness regarding the importance of balanced nutrition and good eating patterns for children. This role has the potential to reduce the incidence of stunting among children. Conclusion: Father's involvement is very important in increasing family awareness about good nutrition and eating patterns as well as emotional and financial support, all of which play a role in preventing stunting.  A family approach that involves fathers is the key to supporting children's optimal growth and development   Keywords: Father; Role; Stunting.                                                                                                                                                                               Pendahuluan: Stunting merupakan fenomena gizi buruk yang signifikan yang dihadapi oleh dunia, termasuk Indonesia. Berbagai faktor keluarga, seperti akses yang tidak memadai terhadap makanan bergizi, praktik pemberian ASI eksklusif yang rendah, dan paparan penyakit, berkontribusi terhadap kejadian stunting. Selain itu, faktor sosial seperti kondisi politik dan ekonomi, penyedia layanan kesehatan, serta norma sosial budaya juga memengaruhi prevalensi stunting. Tujuan: Untuk mengevaluasi keterlibatan ayah dalam penanganan stunting pada anak. Metode: Penelitian sistematik review  dari berbagai jurnal internasional yang relevan dengan pencarian melalui database, antara lain PubMed, Proquest, science direct, Ebscohost, dan  Scopus. Dari 3.427 jurnal yang diidentifikasi terdapat 8 jurnal yang memenuhi kriteria inklusi dan eksklusi dari tahun 2019-2024. Hasil: Keterlibatan ayah dalam pengasuhan berkontribusi positif terhadap kualitas diet anak-anak dan mengurangi prevalensi stunting. Peran ayah dalam pengasuhan anak dapat meningkatkan kesadaran keluarga mengenai pentingnya gizi seimbang dan pola makan yang baik bagi anak. Peran ini  berpotensi mengurangi kejadian stunting di kalangan anak-anak. Simpulan: Keterlibatan ayah sangat penting dalam meningkatkan kesadaran keluarga tentang gizi dan pola makan yang baik serta dukungan emosional dan finansial yang semuanya berperan dalam pencegahan stunting.  Pendekatan keluarga yang melibatkan ayah adalah kunci untuk mendukung tumbuh kembang anak secara optimal.   Kata Kunci: Ayah; Peran; Stunting.
Kearifan lokal dalam upaya pencegahan kejadian stunting: Telaah sistematis Wildia, Wildia; Rahmadiyah, Dwi Cahya; Wiarsih, Wiwin; Permatasari, Henny
Holistik Jurnal Kesehatan Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.763

Abstract

Background: Improving nutrition in communities with diverse cultures can be done in various ways, namely understanding the community's cultural beliefs regarding food and health, recognizing food consumption practices that contribute to cultural identity, recognizing the nutritional types of certain ethnic foods and strengthening positive ethnic nutrition. Purpose: To determine the influence of the application of local wisdom in efforts to prevent stunting. Method: This study is a systematic review with a literature search using 4 databases, namely Pubmed, Proquest, ScienceDirect and Scopus. Based on systematic identification and review, 8 research articles were obtained, including 3 Randomized Controlled Trials (RCT) articles, 2 Quasi-experimental articles, 1 case control article, 1 cohort prospective study article and 1 cross sectional article. The studies were reviewed and assessed for risk of bias using the Joanna Briggs Institute (JBI) form. Results: Interventions based on local wisdom can improve nutrition in children and prevent stunting. The approach used using local wisdom increases access to protein sources for families, empowering women in making decisions regarding child nutrition. In many cultures, women are the main decision makers regarding family food and health, so empowering women can change food consumption patterns in the household. Providing nutrition promotions and providing interventions through short messages using local languages ​​can also provide positive results in the problem of stunting. Conclusion: Local wisdom has great potential in handling stunting through nutritional knowledge, sustainable agricultural practices, women's empowerment and providing health promotion based on local languages. Suggestion: Stunting prevention through local wisdom approach can be done by empowering women, both through training and decision making. Prevention of stunting problems should be done with culture-based interventions to change the stigma of society.   Keywords: Local Wisdom; Nutrition; Stunting; Toddlers.   Pendahuluan: Peningkatan gizi pada komunitas dengan budaya yang beragam dapat dilakukan dengan berbagai cara yaitu memahami keyakinan budaya komunitas tersebut terkait makanan dan kesehatan, mengenali praktik konsumsi makanan yang berkontribusi terhadap identitas budaya, mengenali jenis gizi makanan etnis tertentu serta memperkuat nutrisi etnis yang positif. Tujuan: Untuk mengetahui pengaruh penerapan kearifan lokal dalam upaya pencegahan kejadian stunting. Metode: Penelitian telaah sistematis dengan pencarian literatur menggunakan 4 database, yaitu Pubmed, Proquest, ScienceDirect, dan Scopus. Berdasarkan identifikasi dan penelaahan sistematis didapatkan 8 artikel yang meliputi: 3 artikel Randomized Controlled Trials (RCT), 2 artikel Quasi-eksperimental, 1 artikel case control, 1 artikel cohort prospektif study, dan 1 artikel cross sectional. Studi ditelaah dan dinilai risiko biasnya menggunakan formulir Joanna Briggs Institute (JBI). Hasil: Intervensi berbasis kearifan lokal dapat meningkatkan nutrisi pada anak dan mencegah kejadian stunting. Selain itu, meningkatkan akses terhadap sumber protein bagi keluarga dan memberdayakan perempuan dalam pengambilan keputusan terkait gizi anak. Dalam banyak budaya, perempuan adalah pengambilan keputusan utama terkait makanan dan kesehatan keluarga, maka dengan pemberdayaan perempuan dapat mengubah pola konsumsi makanan di rumah tangga. Pemberian promosi nutrisi dan pemberian intervensi melalui pesan singkat dengan menggunakan bahasa lokal juga dapat memberikan hasil yang positif dalam menurunkan permasalahan stunting. Simpulan: Kearifan lokal memiliki potensi besar dalam penanganan stunting melalui pengetahuan gizi, praktik pertanian berkelanjutan, pemberdayaan perempuan serta pemberian promosi kesehatan berdasarkan bahasa lokal. Saran: Pencegahan stunting melalui pendekatan kearifan lokal dapat dilakukan dengan pemberdayaan perempuan, baik melalui pelatihan maupun pengambilan keputusan. Sebaiknya pencegahan masalah stunting dilakukan dengan intervensi yang berbasis budaya untuk mengubah stigma masyarakat.   Kata Kunci: Balita; Kearifan Lokal; Nutrisi; Stunting.
HUBUNGAN JENIS KELAMIN TERHADAP MOTIVASI REMAJA DALAM MELAKSANAKAN PERILAKU CUCI TANGAN PAKAI SABUN DI MASA COVID - 19 Nurma Zela Gustina; Widyatuti; Wiwin Wiarsih
Journal Of Nursing Science Research Vol. 2 No. 1 (2025): Journal Of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v2i1.522

Abstract

Confirmed cases of COVID-19 in the adolescent are unavoidable. There needs to be motivation from adolescent to carry out 3M behavior as an effort to prevent the transmission of COVID-19, especially in the adolescent. Health behavior can be influenced by gender, because in adolescence lend to be active in peer groups of the same gender. So it is important to know the relationship between gender and adolescent behavior in implementing 3M behavior during the COVID-19 pandemic. Aim of this study was to determine the relationship between gender and adolescent motivation in carrying out 3M behavior during the COVID-19 pandemic. This research method was carried out with descriptive correlative design on 427 adolescents in the city of Palembang. The results of statistic test analysis showed that there was a significant relationship between gender and adolescent motivation in implementing 3M behavior during the COVID-19 pandemic with a p value of 0.001 (p < 0.05). These results show that statistically there is a significant difference in motivation scores between male and female adolescents in carrying out 3M behavior during the COVID-19 pandemic. The conclusion is that knowing gender is related to adolescent motivation in implementing 3M behavior, so to increase the effectiveness of the results of health promotion, it is recommended to create a gender-based health promotion program in the aggregate of adolescents.
Digital Health Literacy amongst Hypertensive Clients in Depok City Fathurrahman, Sofyan Dwi; Rachmawati, Utami; Sukihananto, Sukihananto; Wiarsih, Wiwin
JURNAL CITRA KEPERAWATAN Vol 12 No 1 (2024): JURNAL CITRA KEPERAWATAN Edisi : June
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v12i1.357

Abstract

The still-growing of e-health integration in Depok City's hypertension prevention and control initiatives is at odds with the city's development goal for 2021–2026, which calls for the creation of contemporary public services and the development of technology–based infrastructure. This study aims to identify the digital health literacy in hypertensive clients in Depok City. With the greatest estimated population of hypertensive clients in Depok City, the research approach is a descriptive study using the I-eHEALS questionnaire with cluster sampling technique on hypertensive clients in five urban villages, with up to 100 samples. The findings revealed that most Depok City's hypertensive clients were young adults (64%), female (72%), with a secondary education level of 59% (junior high school, high school, or equivalent), and 25% of them used YouTube as a source of digital health information. Furthermore, it is also reported that hypertensive clients in Depok City have a digital health literacy level of 26. The study's findings indicate that hypertensive clients in Depok City tend to be more digitally literate when they are young adults, female, have higher levels of education, and use online health applications as a source of information about digital health. However, these clients still struggle to assess, evaluate, and feel confident when using digital health information. The researcher suggests fostering digital health literacy and creating digital health resources with an emphasis on hypertension patients' self-care management.