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All Journal Jurnal Kesehatan Jurnal Keperawatan Karya Bhakti Healthy Behavior Journal
Wulandari, Tri Suraning
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Efek Musik Suara Alam (Nature Sounds Music) terhadap Penurunan Kecemasan pada Pasien Pasca Stroke wulandari, Tri suraning; Kurniawati, Ratna; Azizatul Ilmiyah, Vina
Jurnal Kesehatan Vol 12 No 1 (2023): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v12i1.117

Abstract

Stroke refers to a disorder caused by cerebral blood flow interruption that results in neurological impairment. Brain deterioration causes anxiety and eventually results in mortality.  The prevalence of anxiety in stroke (Post-Stroke Anxiety, or PSA) is 10.9%, with most of the cases occured in males and ranged from mild to moderate levels. The anxiety usually appear when daily activities cannot be done. The long-term impacts of post-stroke anxiety influence one's quality of life. Providing natural sounds music, such as music from piano, bird noises, and water bubbling sounds, is an alternative to alleviate the post-stroke anxiety. This study aims at identifying whether nature sounds music might help to reduce anxiety in post-stroke patients. Quasi-experimental design was carried out by implementing a one-group pretest-and post-test design. Post-stroke patients who had been unable to carry out everyday tasks for more than 6 months were purposively selected as research samples. Data were obtained through interviews and observations, as well as using questionnaire (The Hamilton Rating Scale for Anxiety or HRS-A). Paired T-Test was used in analyze the data. The findings showed that from 17 respondents, 11 of them (64.7%) had moderate anxiety, while the others (35.3%) had severe anxiety. The tests on varied degrees of anxiety showed the p-value of 0.000, indicating that there was difference in anxiety prior and after being given nature sounds music. The post-test mean value (18.53) was lower than that on the pre-test (21.53). To summarize, nature sounds music is good for lowering anxiety in post-stroke patients.
Pemberian Pijat Kaki (Foot Massage) untuk Mengatasi Masalah Keperawatan Resiko Perfusi Cerebral Tidak Efektif pada Hipertensi Arnifa, Erlin Dewi; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol 2 No 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1356

Abstract

Hypertension is a disease of the cardiovascular system with an increase in blood pressure both systole and diastole above 140/90 mmHg. One of the nursing problems that often occurs in patients with hypertension is the risk of ineffective cerebral perfusion which can result in decreased oxygen supply to the brain. This descriptive qualitative case study research aims to determine the effectiveness of non-pharmacological therapy in the form of foot massage on the problem of ineffective cerebral perfusion risk in two hypertensive subjects. Data were collected through interviews, observations, and physical examinations. Foot massage intervention with pressing and twisting techniques at certain points on the soles of the feet for 25 minutes per day was given for three consecutive days. The results showed that after the foot massage intervention, the first subject (Mrs M) had a decrease in blood pressure from 158/96 mmHg to 143/87 mmHg with improvement in symptoms such as headache and anxiety. In the second subject (Mr M), blood pressure dropped from 156/93 mmHg to 147/86 mmHg with similar symptom improvement. It can be concluded that the provision of foot massage can effectively improve the risk of ineffective cerebral perfusion problems in patients with hypertension by lowering blood pressure and improving symptoms experienced.
Pemberian Hidroterapi (Rendam Kaki Air Hangat) untuk Mengatasi Risiko Perfusi Serebral Tidak Efektif pada Pasien Hipertensi Sari, Dita Indah Wulan; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol 2 No 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1358

Abstract

Background: Hypertension or high blood pressure is a medical condition that can lead to ineffective cerebral perfusion risk. One of the non-pharmacological therapies that can be used to address this issue is hydrotherapy (warm foot immersion). Previous studies have shown the effectiveness of hydrotherapy in lowering blood pressure in hypertensive patients. Objective: This study aimed to determine the effectiveness of hydrotherapy (warm foot immersion) in addressing ineffective cerebral perfusion risk in hypertensive patients. Methods: This was a qualitative study with a case study design involving two adult female patients with hypertension and ineffective cerebral perfusion risk. The nursing intervention provided was hydrotherapy (warm foot immersion) for 30 minutes with water temperature around 40°C for three consecutive days. Data were collected through participatory observation and interviews, and analyzed by comparing patient facts with theory. Results: The evaluation results showed a significant decrease in blood pressure in both patients after hydrotherapy. In the first patient, blood pressure decreased from 169/96 mmHg to 150/87 mmHg, while in the second patient, it decreased from 184/123 mmHg to 151/102 mmHg. The cerebral perfusion evaluation results also showed a gradual improvement from the first day to the third day, with indicators ranging from moderately decreased to increased. Conclusion: This case study demonstrated that hydrotherapy (warm foot immersion) is effective in lowering blood pressure and addressing ineffective cerebral perfusion risk in hypertensive patients. These findings are consistent with previous research and support the use of hydrotherapy as a non-pharmacological intervention for managing this nursing problem.
Upaya Penyelesaian Masalah Defisit Pengetahuan Tentang Program Diet Hipertensi Melalui Tindakan Edukasi Diet Parmilah, Parmilah; Maryani, Anita; Wulandari, Tri Suraning
Jurnal Keperawatan Karya Bhakti Vol. 8 No. 2 (2022)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.103

Abstract

Hipertensi adalah kenaikan tekanan darah sistolik atau diastolik di atas nilai normal yang terjadi secara terus-menerus sehingga meningkatkan keras jantung dalam memompa darah. Hipertensi menjadi penyebab kematian nomor 3 (tiga) setelah stroke dan tuberkulosis yaitu 23,7% dari total 1,7 juta kematian di Indonesia pada tahun 2016. Masalah keperawatan yang sering muncul pada penderita hipertensi adalah perfusi jaringan otak tidak efektif, nyeri akut, intoleransi aktivitas dan defisit pengetahuan. Defisit pengetahuan tentang diet hipertensi adalah keadaan dimana tidak ada atau kurangnya informasi kognitif yang berkaitan dengan diet hipertensi, masalah ini biasanya ditandai oleh ketidakakuratan mengikuti perintah, ketidakakuratan melakukan tes, perilaku tidak tepat, dan kurang pengetahuan. Tindakan keperawatan utama untuk mengatasi defisit pengetahuan adalah edukasi diet. Yang dilakukan dengan mengajarkan pengelolaan faktor risiko dan diet perilaku hidup sehat yang meliputi konsep hipertensi dan pengaturan diet. Penelitian ini bertujuan untuk menguraikan sejauh mana edukasi diet dapat menyelesaikan masalah defisit pengetahuan tentang diet hipertensi. Metode penelitian ini adalah studi kasus kualitatif dengan menggunakan kriteria inklusi. Hasil penelitian ini menunjukkan bahwa edukasi diet hipertensi dapat mengatasi masalah defisit pengetahuan tentang diet hipertensi dengan peningkatan pengetahuan dari skala 3 (sedang) menjadi skala 5 (meningkat). Dengan demikian, terjadi peningkatan tingkat pengetahuan sebelum dan sesudah diberikan edukasi diet.
Aplikasi Modern Dressing pada Pasien Ullkus Diabetikum Wulandari, Tri Suraning; Kurniawait, Ratna; Asriyanto, Luthfy Fauzi
Jurnal Keperawatan Karya Bhakti Vol. 10 No. 2 (2024)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.156

Abstract

Ulkus diabetikum adalah luka terbuka yang terjadi pada kaki akibat diabetes mellitus yang disebabkan oleh tekanan berulang pada kaki yang disertai adanya neuropati perifer, kelainan bentuk kaki, perkembangan infeksi yang mempersulit penyembuhan akibat berkurangnya sirkulasi arteri. Dampak ulkus apabila tidak ditangani dengan tepat akan menjadi lama sembuh dan berdampak besar terhadap morbiditas, mortalitas dan kualitas hidup pasien diabetes mellitus. Masalah keperawatan yang muncul pada pasien salah satunya adalah kerusakan integritas kulit yang merupakan kerusakan pada epidermis dan dermis. Penelitian ini bertujuan membuktikan efektifitas perawatan luka dengan modern dressing dalam memperbaiki integritas kulit. Metode penelitian kuantitatif dengan desain pre-eksperimental (One Group Pretest posttest) dengan metode purposive sampling. Jumlah responden 10 dengan kriteria inklusi pasien diabetes melitus yang mempunyai luka stadium 1-4, usia 30-70 tahun, kesadaran compos mentis, dapat berkomunikasi dengan baik. Hasil penelitian didapatkan bahwa aplikasi modern dressing dapat memperbaiki integritas kulit antara lain peningkatan (perfusi jaringan, hidrasi), penurunan (kerusakan jaringan, kerusakan lapisan kulit, nyeri, perdarahan, kemerahan, hematoma, nekrosis) dan membaik (sensasi, suhu kulit). Kesimpulan terdapat penurunan total scoring pengkajian luka, sehingga terjadi perbaikan integritas kulit
Pemberian Pijat Kaki (Foot Massage) untuk Mengatasi Masalah Keperawatan Resiko Perfusi Cerebral Tidak Efektif pada Hipertensi Arnifa, Erlin Dewi; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol. 2 No. 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1356

Abstract

Hypertension is a disease of the cardiovascular system with an increase in blood pressure both systole and diastole above 140/90 mmHg. One of the nursing problems that often occurs in patients with hypertension is the risk of ineffective cerebral perfusion which can result in decreased oxygen supply to the brain. This descriptive qualitative case study research aims to determine the effectiveness of non-pharmacological therapy in the form of foot massage on the problem of ineffective cerebral perfusion risk in two hypertensive subjects. Data were collected through interviews, observations, and physical examinations. Foot massage intervention with pressing and twisting techniques at certain points on the soles of the feet for 25 minutes per day was given for three consecutive days. The results showed that after the foot massage intervention, the first subject (Mrs M) had a decrease in blood pressure from 158/96 mmHg to 143/87 mmHg with improvement in symptoms such as headache and anxiety. In the second subject (Mr M), blood pressure dropped from 156/93 mmHg to 147/86 mmHg with similar symptom improvement. It can be concluded that the provision of foot massage can effectively improve the risk of ineffective cerebral perfusion problems in patients with hypertension by lowering blood pressure and improving symptoms experienced.
Pemberian Hidroterapi (Rendam Kaki Air Hangat) untuk Mengatasi Risiko Perfusi Serebral Tidak Efektif pada Pasien Hipertensi Sari, Dita Indah Wulan; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol. 2 No. 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1358

Abstract

Background: Hypertension or high blood pressure is a medical condition that can lead to ineffective cerebral perfusion risk. One of the non-pharmacological therapies that can be used to address this issue is hydrotherapy (warm foot immersion). Previous studies have shown the effectiveness of hydrotherapy in lowering blood pressure in hypertensive patients. Objective: This study aimed to determine the effectiveness of hydrotherapy (warm foot immersion) in addressing ineffective cerebral perfusion risk in hypertensive patients. Methods: This was a qualitative study with a case study design involving two adult female patients with hypertension and ineffective cerebral perfusion risk. The nursing intervention provided was hydrotherapy (warm foot immersion) for 30 minutes with water temperature around 40°C for three consecutive days. Data were collected through participatory observation and interviews, and analyzed by comparing patient facts with theory. Results: The evaluation results showed a significant decrease in blood pressure in both patients after hydrotherapy. In the first patient, blood pressure decreased from 169/96 mmHg to 150/87 mmHg, while in the second patient, it decreased from 184/123 mmHg to 151/102 mmHg. The cerebral perfusion evaluation results also showed a gradual improvement from the first day to the third day, with indicators ranging from moderately decreased to increased. Conclusion: This case study demonstrated that hydrotherapy (warm foot immersion) is effective in lowering blood pressure and addressing ineffective cerebral perfusion risk in hypertensive patients. These findings are consistent with previous research and support the use of hydrotherapy as a non-pharmacological intervention for managing this nursing problem.
Efektivitas Teknik Pernapasan Buteyko Dalam Memperbaiki Pola Napas Tidak Efektif Pada Pasien Asma Bronkial Devinia, Hevita; Wulandari, Tri Suraning; Parmilah, Parmilah
HEALTHY BEHAVIOR JOURNAL Vol. 3 No. 1 (2025): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v3i1.1637

Abstract

Background: Data from the World Health Organization (WHO) shows that around 235 million people suffer from bronchial asthma. Data from the Ministry of Health in 2020 showed that the number of people with bronchial asthma in Indonesia was more than 12 million. Nursing problems that occur in bronchial asthma are ineffective breathing patterns. If ineffective breathing patterns are not addressed properly, the risk of bronchial asthma attacks will increase, the breathing process will become heavier and more difficult, and will even endanger life. One of the non-pharmacological therapies that can applied to patients with bronchial asthma through the buteyko technique. Purpose: This study was to determine the effectiveness of the Buteyko breathing technique in improving ineffective breathing patterns in patients with bronchial asthma. Methods: This case study used 2 respondents with bronchial asthma who experience nursing problems of ineffective breathing patterns aged 43 years and 58 years the method used in this study is a case study design with a qualitative research approach aimed at explaining a phenomenon.The inclusion criteria are respondents who suffer from bronchial asthma, show signs and symptoms of an ineffective breathing pattern, are willing to participate as respondents, and are in the young to middle adult age range (20–59 years). The instruments or tools used in this study to collect data include oximeter, watch/stopwatch, chair, and stethoscope. Results: The results of the analysis showed that after the Buteyko breathing technique was carried out for 3 consecutive days, (dyspnea/shortness of breath, use of breathing aids, prolongation of the expiratory phase, orthopnea/difficulty breathing when lying down, nasal flaring breathing) decreased and the respiratory rate improved. Conclusion: Two respondents initially experienced shortness of breath. After carrying out the Buteyko breathing technique for 3 consecutive days, the breathing pattern improved so that it can be concluded that the Buteyko breathing technique is effective in improving breathing patterns in patients with bronchial asthma.
Analisis Faktor Risiko Hipertensi Berdasarkan Jenis Kelamin dan Usia Di Temanggung Jawa Tengah Wulandari, Tri Suraning; Lusmiati Anisah, Retno; Fauzy Asriyanto, Luthfi
Jurnal Kesehatan Vol 14 No 1 (2025): JURNAL KESEHATAN
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v14i1.380

Abstract

Hypertension is a chronic condition that cannot be cured but can be effectively managed. It often develops without symptoms as early as adolescence and may worsen with age. In adolescents, hypertension increases mortality, morbidity, and risk of future cardiovascular diseases, while also disrupting daily activities and productivity. If left uncontrolled and no early prevention efforts, it can lead to severe complications, underscoring the importance of screening across all age groups (adolescents, adults, elderly). The purpose of this study was to identify factors influencing the risk of hypertension and to analyze the relationship between age, gender and hypertension. The research employed a descriptive-analytical design with a cross-sectional approach, involving 169 respondents (113 adolescents, 2 adults, and 54 elderly individuals) who were selected through purposive sampling. Data collection involved a high blood pressure risk screening questionnaire and blood pressure measurements taken using a sphygmomanometer. The Chi-Square test was used for analysis at a significance level of <0.05. The study results showed that 76 (45.0%) respondents were not at risk, and 93 (55.0%) respondents were at risk of hypertension. A significant correlation between age and gender with the risk of hypertension was found (p-values=0.000). As a conclusion, there was a significant correlation between age and gender with the risk of hypertension (p-value = 0.000), with 55.0% of respondents at risk of hypertension.
Co-Authors Arnifa, Erlin Dewi Asriyanto, Luthfy Fauzi Azizatul Ilmiyah, Vina Devinia, Hevita Fauzy Asriyanto, Luthfi Kurniawait, Ratna Kurniawati, Ratna Lusmiati Anisah, Retno Maryani, Anita Parmilah Parmilah Parmilah, Parmilah Sari, Dita Indah Wulan