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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.
Akses Informasi Kesehatan tentang Bullying dan Literasi Kesehatan pada Remaja Yati, Yati; Wiarsih, Wiwin; Mulyono, Sigit; Permatasari, Henny
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16242

Abstract

Low health literacy contributes to health disparities, especially among adolescents who are vulnerable to problems such as bullying. Bullying has a negative impact on the physical, mental, and social health of adolescents. In the digital era, the internet has become the main source of health information, including bullying. However, low digital health literacy makes it difficult for adolescents to sort out accurate information, thus hampering their efforts to recognize, prevent, and deal with bullying. This study aimed to systematically review issues related to access to health information about bullying on health literacy in adolescents. This study was a systematic review that examines how adolescents receive access to health information about bullying in order to evaluate health literacy. Articles were obtained from several databases, namely ProQuest, PubMed, SAGE Journals, Springer Link, ScienceDirect, Oxford Academic, and Taylor & Francis. Article selection used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol. The results of the study indicated that access to adequate health information plays an important role in improving adolescent health literacy. Good health literacy allows adolescents to make informed decisions in dealing with bullying, understand their health risks, and support their long-term well-being. Access to health information and health literacy play an important role in helping adolescents prevent the risk of bullying, especially through education delivered on social media. On the other hand, low health literacy is a challenge because adolescents have difficulty distinguishing reliable information, which influences decision-making and increases the risk of bullying. It is concluded that access to information and health literacy play an important role in handling bullying in adolescents.Keywords: adolescents; bullying; health literacy; access to information ABSTRAK Literasi kesehatan yang rendah berkontribusi pada kesenjangan kesehatan, terutama di kalangan remaja yang rentan terhadap masalah seperti bullying. Bullying berdampak buruk pada kesehatan fisik, mental, dan sosial remaja. Di era digital, internet menjadi sumber utama informasi kesehatan, termasuk bullying. Namun, rendahnya literasi kesehatan digital menyulitkan remaja memilah informasi akurat, sehingga menghambat upaya mereka dalam mengenali, mencegah, dan menangani bullying. Studi ini bertujuan untuk meninjau secara sistematis hal-hal yang berkaitan dengan akses informasi kesehatan tentang bullying terhadap literasi kesehatan pada remaja. Studi ini merupakan systematic review yang mempelajari tentang bagaimana remaja menerima akses informasi kesehatan tentang bullying guna mengevaluasi literasi kesehatan. Artikel diperoleh dari beberapa basis data yairu ProQuest, PubMed, SAGE Journals, Springer Link, ScienceDirect, Oxford Academic, dan Taylor & Francis. Pemilihan artikel menggunakan protokol Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Hasil studi menunjukkan bahwa akses terhadap informasi kesehatan yang memadai berperan penting dalam meningkatkan literasi kesehatan remaja. Literasi kesehatan yang baik memungkinkan remaja membuat keputusan yang tepat dalam mengatasi bullying, memahami risiko kesehatannya, serta mendukung kesejahteraan jangka panjang mereka. Akses informasi kesehatan dan literasi kesehatan berperan penting dalam membantu remaja mencegah risiko bullying, terutama melalui edukasi yang disampaikan di media sosial. Sebaliknya, literasi kesehatan yang rendah menjadi tantangan karena remaja kesulitan membedakan informasi terpercaya, sehingga memengaruhi pengambilan keputusan dan meningkatkan resiko terhadap bullying. Disimpulkan bahwa akses informasi dan literasi kesehatan berperan penting dalam penanganan bullying pada remaja.Kata kunci: remaja; bullying; literasi kesehatan; akses informasi
Kebutuhan Klien dan Caregiver, Kualitas Perawatan, Desain Program dan Peran Tenaga Kesehatan sebagai Penentu Keberhasilan Penerapan Total Care di Komunitas Prastyanto, FX Bobby Tyas; Wiarsih, Wiwin; Permatasari, Henny; Setiawan, Agus
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025 (up coming)
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16243

Abstract

Home or community health care is increasingly popular, driven by increasing life expectancy and the rise in chronic diseases. Total care is a multidisciplinary approach that encompasses physical, psychological, social, and spiritual aspects. The success of total care implementation depends on meeting the needs of clients and their satisfaction with the services. The purpose of this study was to determine the factors that influence client and family satisfaction in the implementation of total care in the community. This systematic review followed the PRISMA guidelines, with a literature search in ProQuest, ScienceDirect, Scopus, and PubMed. The keywords used were "total care patient," "home care" and "patient satisfaction." Inclusion criteria included clients in palliative care and chronic diseases, with studies conducted in the last 10 years. The results of the analysis showed that the quality of care was influenced by client needs, satisfaction, the role of caregivers, and health workers. Good interactions between clients, families, and the health team increased satisfaction. However, challenges such as caregiver burden, ineffective communication, and limited access to resources still exist. Furthermore, it was concluded that the success of total care in the community requires a holistic and collaborative approach. Understanding the challenges faced by caregivers and improving communication and access to resources are key to improving client and family satisfaction in home-based health care.Keywords: total care; client satisfaction; caregiver; palliative care ABSTRAK Pelayanan kesehatan di rumah atau komunitas semakin populer, didorong oleh peningkatan harapan hidup dan peningkatan penyakit kronis. Total care adalah pendekatan multidisiplin yang mencakup aspek fisik, psikologis, sosial, dan spiritual. Keberhasilan penerapan total care bergantung pada pemenuhan kebutuhan klien dan kepuasan mereka terhadap layanan. Tujuan dari studi ini adalah mengetahui faktor-faktor yang mempengaruhi kepuasan klien dan keluarga dalam penerapan total care di masyarakat. Tinjauan sistematis ini mengikuti pedoman PRISMA, dengan pencarian literatur di ProQuest, ScienceDirect, Scopus, dan PubMed. Kata kunci yang digunakan adalah "total care patient," "home care" dan "patient satisfaction." Kriteria inklusi meliputi klien dalam perawatan paliatif dan penyakit kronis, dengan penelitian yang dilakukan dalam 10 tahun terakhir. Hasil analisis menunjukkan bahwa kualitas layanan dipengaruhi oleh kebutuhan klien, kepuasan, peran pengasuh, dan tenaga kesehatan. Interaksi yang baik antara klien, keluarga, dan tim kesehatan meningkatkan kepuasan. Namun, tantangan seperti beban pengasuh, komunikasi yang kurang efektif, dan akses terbatas terhadap sumber daya masih ada. Selanjutnya disimpulkan bahwa keberhasilan total care di komunitas memerlukan pendekatan holistik dan kolaboratif. Memahami tantangan yang dihadapi pengasuh dan meningkatkan komunikasi serta akses terhadap sumber daya adalah kunci untuk meningkatkan kepuasan klien dan keluarga dalam pelayanan kesehatan berbasis rumah.Kata kunci: total care; kepuasan klien; pengasuh; perawatan paliatif
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.
Hubungan Kepatuhan Pembatasan Cairan Terhadap Terjadinya Overload Pada Pasien Gagal Ginjal Kronik Post Hemodialisa Di Rumah Sakit Umum Pusat Fatmawati Rita Melianna; Wiwin Wiarsih
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 3 No. 1 (2019): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/qhsm9w02

Abstract

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.
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.