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TERAPI PROGRESSIVE MUSCLE RELAXATION MENINGKATKAN KUALITAS HIDUP PASIEN DIABETES MELLITUS TIPE 2 (Progressive Muscle Relaxation Therapy Increase Quality of Life Patients with Type 2 Diabetes Mellitus) Rokhman, Abdul; Ahsan, Ahsan; Supriati, Lilik
Journals of Ners Community Vol 6 No 2 (2015): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v6i2.44

Abstract

ABSTRAK Penyakit diabetes mellitus yang tidak bisa disembuhkan secara total sering berdampak pada penurunan kualitas hidup. Terapi progressive muscle relaxation dapat dilakukan untuk meningkatkan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui pengaruh terapi PMR (Progressive Muscle Relaxation) terhadap kualitas hidup pada pasien diabetes mellitus tipe 2.Desain penelitian menggunakan quasi eksperimental dengan pendekatan pre-post test control group design dengan simple random sampling. Jumlah sampel 50 orang dibagi menjadi 2 kelompok perlakuan dan kontrol masing-masing 25 orang. Penelitian ini dilaksanakan di RS Muhammadiyah Lamongan tahun 2015. Alat ukur menggunakan DQOL (Diabetes Quality of Life) untuk kualitas hidup. Analisis dalam penelitian ini adalah analisis univariat, bivariat menggunakan uji t, uji t tidak berpasangan, uji korelasi pearson & spearman. Faktor confounding dianalisis menggunakan regresi linier sederhana.Hasil analisis kualitas hidup dengan uji t pada kelompok perlakuan nilai p=0,000 dan kelompok kontrol p=0,098. Perbedaan kualitas hidup pada kelompok perlakuan dan kontrol p=0,076. Faktor confounding yang berhubungan yaitu pendidikan dengan kualitas hidup p=0,027.Terapi progressive muscle relaxation efektif untuk meningkatkan kualitas hidup pasien DM tipe 2. Tetapi tidak terdapat perbedaan kualitas hidup antara kelompok yang telah diberikan terapi progressive muscle relaxation dengan kelompok yang diberikan penyuluhan. Terapi progressive muscle relaxation dapat dimasukkan kedalam intervensi keperawatan pada pelayanan rumah sakit. Kata Kunci: Diabetes Mellitus tipe 2, Kualitas Hidup, Terapi Progressive Muscle Relaxation ABSTRACT Diabetes mellitus which can’t be cured completely often impact on the quality of life. Progressive muscle relaxation therapy can improve the quality of life of patients. This study aims to determine the effect of PMR therapy (Progressive Muscle Relaxation) on the quality of life in patients with type 2 diabetes mellitus.Quasy-experimental design with the approach of pre-posttest control group design with simple random sampling. This study conduct in Muhammadiyah Hospital Lamongan in 2015. Number of samples 50 people were divided into two treatment groups and control each 25 people. Quality of life is measured using DQOL (Diabetes Quality of Life).Results of the analysis of the quality of life by t test on the value of the treatment group and the control group p 0.000 p 0.098. Differences in the quality of life in the treatment group and the control p 0.076. Confounding factors associated with quality of life: education p 0.027. Progressive muscle relaxation therapy is effective to improve the quality of life of patients with type 2 diabetes in the treatment group. But there is no difference in quality of life between progressive muscle relaxation therapy groups with group counseling group. Progressive muscle relaxation therapy can be incorporated into nursing interventions on hospital services. Keywords :Type 2 Diabetes Mellitus, quality of life, progressive muscle relaxation therapy
PENGETAHUAN REMAJA TENTANG RESUSITASI JANTUNG PARU BERHUBUNGAN DENGAN EFIKASI DIRI REMAJA DI SMK NEGERI 2 SINGOSARI MALANG Yasin, Dudella Desnani Firman; Ahsan, Ahsan; Racmawati, Septi Dewi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 8, No 1 (2020): EDITION MARCH 2020
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.149 KB) | DOI: 10.33366/jc.v8i1.1751

Abstract

The focus of current global health problems is the death rate that occurs outside the Hospital Out-of-Hospital Cardiac Arrest (OHCA) due to cardiac arrest. Every year the incidence rate is very high and increasing. Delay in reporting and providing Lung Resuscitation can result in death. Providing knowledge about CPR is expected to reduce mortality due to cardiac arrest. The purpose of this study was to determine the relationship of knowledge with adolescent self-efficacy in performing Pulmonary Resuscitation. The research design used was cross-sectional study. The research location is SMK Negeri 2 Singosari Malang. The number of respondents was 110 respondents taken by purposive sampling technique. Data analysis using chi-square test that is knowledge obtained p = 0.003 (p
Factors Affecting the Meaning of Life in Breast Cancer Patients at Malang City, Indonesia Supriati, Lilik; Nova, Renny; Ahsan, Ahsan; Rodli, Muhammad; Rismayanti, I Dewa Ayu; Kapti, Rinik Eko
JURNAL INFO KESEHATAN Vol 21 No 3 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss3.1300

Abstract

The meaning of life is considered to affect breast cancer patients positively. Finding meaning in life is key to improving well-being during and after experiencing a traumatic event such as cancer. Previous research was still rare to explore the factors affecting the meaning of life in breast cancer patients. The study aimed to analyze the factors influencing the meaning of life of breast cancer patients.  This study was an analytical observational method with a cross-sectional design. The inclusion criteria of the respondents were breast cancer patients who had obtained at least one cycle of chemotherapy. We used purposive sampling, and the total sample in this study was 135 respondents. Questionnaires were used to collect the data. Data were analysed by multivariate test, namely a linear regression test with a significance level of p ≤ 0,05. The result showed only two variables affect the meaning of life, communication of health workers and spirituality, respectively. The strongest variable was the communication of health workers.  The equation from the analysis showed that 11 % explained the phenomenon. The spirituality and communication of health workers positively affected the meaning of life. Application of therapeutic communication as well as spiritual support are needed in nurses to patients while undergoing therapy. Therefore, nurses must pay attention to spirituality and good therapeutic communication when providing patient services.  
ANALYSIS OF FACTORS AFFECTING PATIENT SATISFACTION WITH CHRONIC DISEASES IN OUTPATIENT SERVICES: SCOPING REVIEW Mukuan, Carlina; Ahsan, Ahsan; Kapti, Rinik Eko
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2942

Abstract

Kepuasan pasien merupakan indikator penting dalam penilaian kualitas layanan kesehatan, terutama bagi pasien dengan penyakit kronis yang memerlukan perawatan jangka panjang. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kepuasan pasien dengan penyakit kronis terhadap layanan rawat jalan. Penelitian ini menggunakan metode scoping review dengan pencarian artikel melalui database PubMed, ScienceDirect, dan Google Scholar, menggunakan kata kunci: "patient satisfaction", "chronic disease", "outpatient services", "scoping review", dan "service quality". Ditemukan 315 artikel pada tahap awal, dan setelah dilakukan proses seleksi berdasarkan kriteria inklusi dan eksklusi, diperoleh 20 artikel yang dianalisis. Temuan menunjukkan bahwa faktor-faktor seperti kualitas interaksi dengan tenaga medis, aksesibilitas layanan, dan dukungan emosional sangat memengaruhi tingkat kepuasan pasien. Meningkatkan kepuasan pasien dapat dicapai melalui peningkatan kualitas layanan serta perhatian terhadap kebutuhan emosional dan fisik pasien dengan penyakit kronis.
The Effect of Standard Hospital Care on Chemotherapy Induced Nausea and Vomiting (CINV), Chemotherapy Induced Peripheral Neuropathy (CIPN) and Anxiety in Breast Cancer Patients With Chemotherapy in Jember, Indonesia Mu'awanah, Siti; Ahsan, Ahsan; Windarwati, Heni Dwi
Jurnal Health Sains Vol. 4 No. 12 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i12.1168

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Breast cancer has a large number of new cases and deaths in the world and Indonesia. Chemotherapy is one of the treatments chosen to treat breast cancer patients. Physical side effects can include Chemotherapy-induced Induced Nausea and Vomiting (CINV), Chemotherapy-induced Induced Peripheral Neuropathy (CIPN) and anxiety. Standard hospital care is care in which nursing actions are in accordance with the Standard Operating Procedure (SOP) that the hospital has established for each existing service. The research method used was quasi-experimental (quasi-experiment), which was carried out with an unequal control group design. The pre-test was carried out during chemotherapy when the researcher met the respondent, and the post-test was carried out during the respondent's following chemotherapy schedule. The population in this study were breast cancer patients undergoing chemotherapy at the chemotherapy clinic at RSD, Dr. Soebandi Jember and Rumkit Kindergarten. III Baladhika Husada Jember . The sampling method used was simple random sampling with a minimum sample size of 60 people. The results of the Paired Samples Test can be concluded that standard treatment in hospitals does not affect the level of Chemotherapy Induced Nausea and Vomiting (CINV) but does influence the incidence rate of chemotherapy-induced peripheral neuropathy (CIPN) and the level of anxiety in breast cancer patients with chemotherapy.
Perbandingan GAP dan RTS Sebagai Prediktor Perburukan Pasien Cedera Kepala Putri, Tengku Isni Yuli Lestari; Ahsan, Ahsan; Sugiarto, Sugiarto; Rofiyati, Winda; Triyono, Heru Ginanjar; Rosyida, Ratna Wirawati; Putra, Muhammad G A; Rahmania, Annisa; Idrus, Fitriyanti N
JI-KES (Jurnal Ilmu Kesehatan) Vol. 5 No. 1 (2021): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v5i1.220

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AbstrakCedera kepala adalah cedera pada otak yang dapat menyebabkan perubahan fungsi serta struktur jaringan otak akibat mendapatkan dorongan mekanik eksternal seperti trauma tumpul maupun tusuk. Kejadian cedera kepala dan tingkat perburukan cedera kepala sangat tinggi di dunia. Oleh karena itu diperlukan penilaian awal untuk memprediksi perburukan pasien cedera kepala yaitu menggunakan GAP dan RTS. Tujuan penelitian untuk mengetahui perbandingan GAP dan RTS dalam memprediksi perburukan pasien cedera kepala. Desain penelitian observasional analitik dengan pendekatan retrospektif dengan purposive sampling. Responden berjumlah 245 rekam medis cedera kepala. Pengukuran dilakukan menggunakan lembar observasi. Analisis uji Receiver Operating Charateristic (ROC). Didapatkan hasil maisng-masing RTS dan GAP dalam memprediksi perburukan pasien cedera kepala mempunyai nilai = 0.851 vs 0.806. RTS lebih baik dalam memprediksi perburukan pasien cedera kepala dibandingkan dengan GAP.Kata kunci: cedera kepala, GAP, perburukan, RTS  AbstractHead injury is an injury to the brain that can cause changes in the function and structure of brain tissue due to external mechanical impulses such as blunt or puncture trauma. The incidence of head injuries and the rate of deterioration of head injuries is very high in the world. Therefore an initial assessment is needed to predict the worsening of head injury patients using GAP and RTS. The purpose of this study was to determine the comparison of GAP and RTS in predicting worsening head injury in patients. Using analytic observational research design with a retrospective approach with purposive sampling. Total respondents are 245 head injury medical records. The measurements were taken by an observation sheet. The data was analyzed by using Receiver Operating Characteristics (ROC) tests. The results obtained that in predicting the worsening of head injury patients RTS has a value of 0.851 while GAP is 0.806. RTS is better than GAP in predicting worsening head injury patients.Keywords: head Injury, GAP, worsening, RTS
Navigating Domestic Conflict: The Implementation of Maqasid al-Syari'ah in Sidorejo Village Ahsan, Ahsan; Zaenab, Zaenab; Hediturmudi, Asep; Hadrawi, Hadrawi; Salam, Abdul
Bilancia: Jurnal Studi Ilmu Syariah dan Hukum Vol. 19 No. 2 (2025): Bilancia: Jurnal Studi Ilmu Syariah dan Hukum
Publisher : Fakultas Syariah Institut Agama Islam Negeri Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24239/blc.v19i2.4594

Abstract

This study aims to reveal efforts to resolve disputes within families through a case study in Sidorejo Village, Wonomulyo Subdistrict, from the perspective of Maqasid al-Syariah (primary maslahat). This is a qualitative study. The research design is field research. The primary data sources for this study consist of the Head of Sidorejo Village as a community leader, Yulianti as a resident of Sidorejo Village, Wati as Yulianti's mother and a resident of Sidorejo Village, the Religious Advisor of the Wonomulyo Subdistrict KUA, and the Imam of Sidorejo Village. The results of this study indicate that: First, the causes of family disputes based on the case study in Sidorejo Village, Wonomulyo Subdistrict, are economic problems, differences in opinions and thoughts, and communication and understanding. Second, efforts to resolve family disputes based on the case study in Sidorejo Village, Wonomulyo Subdistrict, through deliberation and mediation show indicators that are in line with hifz al-Din, hifz al-Nafs, hifz al-'Aql, hifz al-Mal, and Hifz al-Nasl.
Pain symptoms and delays healthcare decision-making in acute myocardial infarction Ainan, Shafa; Lukitasari, Mifetika; Sari, Efris Kartika; Ahsan, Ahsan; Rohman, Mohammad Saifur; Satrijo, Budi
Heart Science Journal Vol. 7 No. 1 (2026): Accelerating Clinical Breakthroughs: The Journey from Molecular Discovery to Pa
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.01.16

Abstract

Background: Rapid initiation of reperfusion therapy in acute myocardial infarction (AMI) is vital for a favourable prognosis and is significantly affected by the duration from symptom onset to hospital arrival. Previous studies have indicated that cardiac autonomic neuropathy (CAN), prevalent in diabetic patients, may impair pain perception, potentially delaying healthcare-seeking behaviour Objective: This study aimed to compare chest pain characteristics and healthcare-seeking delays between patients with diabetes mellitus (DM) and without DM (non-DM) myocardial infarction. Methods: A cross-sectional study was conducted involving 93 subjects (35 DM and 58 non-DM) diagnosed with either ST-elevation myocardial infarction (STEMI, n=78) or non-ST elevation myocardial infarction (NSTEMI, n=15). Data on symptoms, including pain quality and healthcare-seeking timing within 72 hours of admission, were gathered via a standardized questionnaire. Result: Logistic regression analysis highlighted stabbing pain as a strong predictor (OR = 3.296, p-Value = 0.038), indicating that patients with this symptom are more than three times more likely to delay seeking care. Patients with DM are more frequently reported back-radiating stabbing pain (p<0.05). No significant differences between the groups were observed in pain symptomatology and decision-making delay, although DM patients were more likely to delay seeking care for over two hours. Conclusion: While pain characteristics showed no significant differences between DM and non-DM myocardial infarction patients, DM patients were prone to later healthcare engagement. This delay could be attributed to the misinterpretation of cardiac symptoms as diabetic complications, underscoring the need for targeted patient education. Therefore, strengthened patient education and routine screening for cardiovascular symptoms in individuals with diabetes are essential to support early detection and timely management.
Information Management and Critical Thinking–Strategic Decision-Making Competencies of First-Line Nurse Managers and the Achievement of Minimum Service Standards for Older Adults: The Mediating Role of Job Satisfaction: Job Satisfaction Rakhmawati, Rani; Ahsan, Ahsan; Hayati, Yati Sri
Jurnal Keperawatan Vol. 17 No. 1 (2026): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.42118

Abstract

Introduction: The increasing number of older adults poses growing challenges for primary healthcare services, particularly in achieving the Minimum Service Standards (MSS) for elderly health. In community health centers (Puskesmas), first-line nurse managers play a strategic role in planning, implementing, and monitoring health programs for the elderly. However, achievement of MSS varies across facilities, suggesting that managerial competencies and work-related factors may influence service outcomes.Objective: This study aimed to examine the direct and indirect relationships between first-line nurse managers’ managerial competencies—specifically information management, critical thinking, strategic decision-making, and the achievement of Minimum Service Standards for elderly health, with job satisfaction as a mediating variable.Methods: An analytical quantitative cross-sectional study was conducted among 126 first-line nurse managers from 17 community health centers in Malang City and Malang Regency, Indonesia. Data were collected using the Primary Care Manager’s Managerial Competence Scale (15 items) and the short version of the Minnesota Satisfaction Questionnaire (16 items). Data were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM).Results: Critical thinking–strategic decision-making competence showed no significant direct association with MSS achievement (β = −0.012; T = 0.740; p = 0.460), nor did information management competence (β = −0.016; T = 0.734; p = 0.463). However, mediation analysis revealed significant indirect associations through job satisfaction. Critical thinking–strategic decision-making competence demonstrated a positive indirect association with MSS achievement (β = 0.028; p = 0.021), while information management competence also showed a significant indirect association (β = 0.037; p = 0.024).Conclusion: Managerial competencies of first-line nurse managers were not directly associated with the achievement of Minimum Service Standards for elderly health. However, these competencies showed significant indirect associations with MSS achievement through job satisfaction, highlighting the importance of fostering supportive work environments to enhance elderly health service performance in primary care settings.
Nurse Credentialing, Work Motivation, and Performance: A Cross-Sectional Mediation Study Ahsan, Ahsan; Wokas, Deyfi Christine; Yuliatun, Laily
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.524

Abstract

Background: Nurse credentialing is intended to ensure professional competence, improve performance, and enhance work motivation. However, despite its widespread implementation, evidence regarding its actual impact on nurses’ motivation and performance remains inconsistent and inconclusive. This inconsistency reflects an unresolved gap in understanding whether credentialing directly influences nurse performance or operates indirectly through work motivation. This study aimed to examine the relationship between credentialing, work motivation, and nurse performance, with work motivation tested as a mediating variable. Methods: This quantitative cross-sectional study followed the STROBE reporting guideline. The population comprised all inpatient nurses at Dr. Sam Ratulangi Tondano Regional General Hospital (N = 176). Using purposive sampling, 122 nurses were selected based on inclusion criteria of at least one year of work experience and direct involvement in nursing care; nurses on leave were excluded. Credentialing level (PK0–PK3) was the independent variable, nurse performance the dependent variable, and work motivation the mediating variable. Motivation and performance were measured using validated Likert-scale questionnaires, while credentialing data were obtained from institutional records. Structural Equation Modeling–Partial Least Squares (SEM-PLS) was used to test direct and mediating effects. Results: Credentialing showed a negligible and non-significant effect on nurse performance (β = 0.002; p = 0.979) and work motivation (β = 0.027; p = 0.683). Conversely, nurse performance had a strong and significant effect on work motivation (β = 0.768; p < 0.001). Work motivation did not mediate the credentialing–performance relationship. Conclusion: Credentialing alone does not significantly influence nurse performance or motivation. Integrating credentialing with performance management and continuous professional development systems is essential to enhance its effectiveness
Co-Authors Abdul Rokhman Adine Yenie Cahyaning Pradyanti, Adine Yenie Afnuhazi, Ridhyalla Ah Yusuf, Ah Ainan, Shafa Andayani, Rifka Putri Annisa Rahmania Ariningpraja, Rustiana Tasya Asmaidar, Asmaidar Ayu, Ayu Azizah , Intan Rismatul Buhaerah Buhaerah, Buhaerah Carla Wulandari Sabandar Debora, Oda Dharma, I Dewa Gede Candra Dima, Niko Dinda, Dinda Dudella Desnani Firman Yasin, Dudella Desnani Firman Dwi Indah Iswanti Dwioktaviani, Indri Putri Effendy, Nuraeni Efris Kartika Sari, Efris Kartika Faizah, Melida Nur Fajrillah Kolomboy Fanani, Qori Fitri Wahyuni Hadrawi, Hadrawi Haiya , Nutrisia Nu'im Handayani, Nurul Nisya Hardianti, Anugerah Hasana, Hasana Hasanah, Nikmatun Hayati, Yati Sri Hediturmudi, Asep Hendrawati Hendrawati Heni Dwi Windarwati Heri Kristianto Hidaayah, Nur Hm, Safika Idrus, Fitriyanti N Ilmy, Ahofi Khaqul Iwan Ardian, Iwan Jenny Primanita Diningrum, Jenny Primanita Kartikawatiningsih, Dewi Khulud, Khoiron Kumboyono Kumboyono Kurnia Widyaningrum Laily Yuliatun Laily, Laily Lande, Hasriadi Lilik Supriati, Lilik Lukitasari, Mifetika Mahjum, Moh Melliza, Nur Moecharam, Moecharam Mohammad Saifur Rohman Mu'awanah, Siti Muhammad Rodli Mukuan, Carlina Musfayu, Musfayu Musfira, Musfira Nia Agustiningsih, Nia Noviyanti, Linda Wieke Nursalam Nursalam Prasetiyo, Ari Prasetyo, Yoyok B. Prasiska, Ni Luh Putu Ayu Primanoviasari, Titis Sukma Purnamasari, Devi Putra, Muhammad G A Rachmat Hargono Racmawati, Septi Dewi Rani Rakhmawati, Rani Renny Nova, Renny Retno Lestari Rinik Eko Kapti, Rinik Eko Rismaina Putri Rismayanti, I Dewa Ayu Rofiyati, Winda Rosyida, Ratna Wirawati Saba, Hafiz Saifudin, I Made Moh. Yanuar Saputra, Ahyar Satrijo, Budi Setiawan, Doni Elwin Setyoadi Setyoadi Soekerno, Nany Sugiarto S Sunadi, Apri Tengku Isni Yuli Lestari Putri Tintin Sukartini Sukartini, Tintin Sukartini Triyono, Heru Ginanjar Ulpianti, Ulva Windarwati, Heni Wisnasari, Shila Wokas, Deyfi Christine Yoyok Bekti Prasetyo Zuhroh, Fifi Kurnaini