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The Relationship Between The Hemodialysis Span and The Stress Level and Sleep Quality of Chronic Kidney Failure Patients In Hemodialysis Room At Tk. III Slamet Riyadi Hospital Surakarta Rahmad, Muhamad Nur; Sutarman, Sutarman; Kanita, Maria Wisnu; Utami, Yola Kinanthi Wening
Journal of Midwifery and Nursing Vol. 6 No. 2 (2024): May: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i2.4322

Hemodialysis will affect stress levels and sleep quality in chronic kidney failure patients. The longer a patient with chronic kidney failure undergoes hemodialysis therapy, the patient's stress level and sleep quality will worsen. The study aimed to analyze the relationship between the term hemodialysis and the stress level and sleep quality of chronic kidney failure patients at Tk.III Slamet Riyadi Hospital, Surakarta. The research adopted a quantitative descriptive analytical design with a cross-sectional approach. The sampling technique used total sampling with 57 respondents. Data collection methods utilized the Depression Anxiety Stress Scale (DASS-42) and Pittsburgh Sleep Quality Index (PSQI) questionnaires. The statistical test operated the gamma test. The results revealed the relationship between the term hemodialysis and stress levels and sleep quality with a p-value of 0.009 and 0.006. It inferred a relationship between the hemodialysis span, stress levels, and sleep quality. The correlation value between variables is 0.431 and 0.410. The longer the hemodialysis, the higher the stress level and the worse the patient's sleep quality (one blank single space line, 9 point font)

Pengaruh Latihan Otot Pernafasan terhadap Peningkatan Fungsi Paru pada Periode Awal Ekstubasi Setiyawan, Setiyawan; Rahmad, Muhamad Nur; Zaidah, Noviana Nur
Faletehan Health Journal Vol 11 No 03 (2024): Faletehan Health Journal, November 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i03.729

There had been no structured breathing exercise intervention for patients at the beginning of post-extubation after the installation of mechanical ventilation in a hospital in Indonesia. Thus, this study aimed to determine the effects of respiratory muscle exercises on lung function in the early period of extubation. The research design used quasi experimental without control group. Respiratory muscle training intervention is carried out 1 hour after extubation through deep breathing 30 times (rest pause for 10 deep breaths) for 30-60 minutes. The exercises were given once a day for 3 days or according to the patient's condition. The population of this study were all patients after installation of a ventilator at the ICU. The sampling technique was consecutive with a total of 30 respondents. The instrument was an observation sheet, the results of respiratory frequency, and oxygen saturation parameters from the bedside monitor. Bivariate data analysis used Wilcoxson test. The results of the study showed that there were effects of respiratory muscle training on lung function in the initial extubation period with a p-value of 0.000 (p-value < 0.05). The results of the study proved that respiratory muscle training can improve the oxygenation function of the lungs in the early period of extubation.

Degree of Burn: A Digital Tool for Burn Area Assessment and Fluid Requirement Calculation Using Wound Image Analysis Agustin, Wahyu Rima; Rahmad, Muhamad Nur; Tobi, Hermiana Ernastin
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 2 (2025): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i2.1123

Burns are tissue damage due to contact with a heat source, such as fire, hot water, chemicals, electricity, or radiation. Burns are a type of trauma with high morbidity and mortality rates and require high treatment costs. In Indonesia, burns are still a serious problem that requires special care, high costs, and skilled personnel. Currently, burn assessments are carried out manually, which is time-consuming and the results are subjective. Treatment efforts include preventing infection and encouraging epithelial cell regeneration to close the wound. Therefore, innovation is needed in the form of a system that helps assess burns more effectively, including classifying wound tissue, measuring wound area, and monitoring wound development. The use of an Android-based system can provide more accurate measurements through a digital planimetry approach or image segmentation, which can identify wound boundaries and tissue types. Technology-based health applications, such as the "Degree of Burn" application, allow for more efficient calculation of burn area and fluid requirements. This study uses a literature review method from international journals, national journals, books, and conference results related to burn assessment to support the development of this system.

Degree of Burn: A Digital Tool for Burn Area Assessment and Fluid Requirement Calculation Using Wound Image Analysis Agustin, Wahyu Rima; Rahmad, Muhamad Nur; Tobi, Hermiana Ernastin
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 2 (2025): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i2.1123

Burns are tissue damage due to contact with a heat source, such as fire, hot water, chemicals, electricity, or radiation. Burns are a type of trauma with high morbidity and mortality rates and require high treatment costs. In Indonesia, burns are still a serious problem that requires special care, high costs, and skilled personnel. Currently, burn assessments are carried out manually, which is time-consuming and the results are subjective. Treatment efforts include preventing infection and encouraging epithelial cell regeneration to close the wound. Therefore, innovation is needed in the form of a system that helps assess burns more effectively, including classifying wound tissue, measuring wound area, and monitoring wound development. The use of an Android-based system can provide more accurate measurements through a digital planimetry approach or image segmentation, which can identify wound boundaries and tissue types. Technology-based health applications, such as the "Degree of Burn" application, allow for more efficient calculation of burn area and fluid requirements. This study uses a literature review method from international journals, national journals, books, and conference results related to burn assessment to support the development of this system.

EXPLORING THE RELATIONSHIP BETWEEN SELF-EFFICACY AND STRESS IN ELDERLY HYPERTENSION PATIENTS Budiman, Amin Aji; Prastiwi, Firman; Vierdiana, Dyah; Amrullah, Adhi Wardhana; Rahmad, Muhamad Nur; Rosida, Nikma Alfi
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 2, Juli 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i2.1849

Background: Elderly individuals with hypertension often face high stress levels, which can worsen their physical and psychological health. Self-efficacy, the belief in one's ability to manage challenges, plays a crucial role in coping with chronic illness. Research suggests that higher self-efficacy is linked to better stress management and improved health outcomes. In hypertensive elderly, strong self-efficacy may help reduce stress by promoting confidence in handling daily tasks and medical routines. Understanding this relationship is essential for developing effective interventions to support elderly patients and enhance their quality of life. The purpose of this study was to determine the relationship between self-efficacy and stress levels in elderly people with hypertension. Methods: This research design is correlational analytic using a cross-sectional approach; the instruments in this study were the Self-efficacy to Manage Hypertension-Five Item Scale and the Perceived Stress Scale (PSS). The sample in this study consists of 65 respondents, all of whom are elderly individuals diagnosed with hypertensionResults: 12 (18,5%) elderly experienced low self-efficacy, and 5 (7,7%) elderly had severe stress. There is a negative relationship between self-efficacy and stress in the elderly, with a p value <0.000 (<0.05), with a correlation of -.580**. Conclusion: This means that the higher the self-efficacy possessed by the elderly, the lower the stress that arises. Self-efficacy plays an important role in reducing stress in the elderly, especially those who suffer from hypertension. The elderly are recommended to increase their self-efficacy through several complementary therapies.

Media Disc Triage Assessment on Improving Triage Skills Using the Australasian Triage Scale (ATS) on Students of Kusuma Husada University Surakarta Rosida, Nikma Alfi; Afni, Annisa Cindy Nurul; Rahmad, Muhamad Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 8 (2024): Volume 7 No 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i8.16056

ABSTRACT The Australasian Triage Scale (ATS) is a tool used by triage officers in the emergency department to assess patient severity and prioritize services based on the severity of the patient's condition. To evaluate the effectiveness of using learning tools in the form of Disc Triage Assessment as a learning medium in improving understanding and accuracy in determining triage by nursing students in using ATS triage. The Community Service method used is quasi-experimental with a pre-post test without control design. Community Service will be carried out on Nursing Study Program Students, Diploma Three Program, Faculty of Health Sciences, Kusuma Husada University. Data analysis was performed using the Wilcoxon test. The pretest results showed that the moderate category was 1 respondent (3.1%) and the poor category was 31 respondents (96.9%). The posttest results with the Good category were 3 respondents (9.4%) and the Fair category were 5 respondents (75.0%). The results of the use of Disc Triage Assessment media show that the p-value is 0.016 (<0.05) which means that there is an effect of Disc Triage Assessment Media on Skills to Determine Australasian Triage Scale (ATS) on Students of Kusuma Husada University Surakarta. Keywords: Media Disc Triage Assessment, Triage skills, Australasian Triage Scale (ATS)

Edukasi Meningkatkatkan Kualitas Hidup Lansia Dengan Krisis Hipertensi Melalui Dukungan Keluarga Prastiwi, Firman; Azali, Lalu M. Panji; Budiman, Amin Aji; Rahmad, Muhamad Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.20151

ABSTRAK Krisis hipertensi juga dapat terjadi karena hipertensi yang tidak ditangani dengan baik. Angka kejadian krisis hipertensi berkorelasi positif dengan penurunan kualitas hidup pasien. Keluarga yang memberi dukungan pada pasien dengan hipertensi dapat memengaruhi kualitas hidup lansia. Keluarga adalah sumber utama dukungan sosial bagi sebagian besar orang tua, yang merupakan faktor penting dalam kesehatan dan kualitas hidup mereka. Oleh karena itu, sangat penting untuk memberikan pendidikan tentang dukungan keluarga. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan kualitas hidup orang tua yang mengalami krisis hipertensi dengan menawarkan dukungan keluarga. Pada tanggal 22 Februari 2025, Posyandu Mekar Sari Wonorejo dan Tim mengadakan pengabdian kepada masyarakat dengan tema meningkatkan kualitas hidup lansia dengan krisis hipertensi melalui dukungan keluarga diikuti 38 peserta. Hasil pengkajian menunjukkan bahwa terdapat tingkat pengetahuan yang diperoleh sebelum pemberian edukasi (pretest) terdapat pengetahun tidak baik berjumlah 9 orang (23,7%), kurang baik 25 orang (65,8%), cukup baik 3 orang (7,9%), baik 1 orang (2,6%). Setelah diberikan edukasi (posttest) terdapat tingkat pengetahuan tidak baik berjumlah 1 orang (2,6%), kurang baik 6 orang (15,8%), cukup baik 20 orang (52,6%), baik 11 orang (28,9%). Hasil analisis tingkat homogenitas marginal menunjukkan p nilai 0.000, yang menunjukkan bahwa ada pengaruh pendidikan dan dukungan keluarga terhadap pengetahuan pada kualitas hidup orang tua yang berisiko mengalami krisis hipertensi. Kata Kunci: Krisis Hipertensi, Lansia, Edukasi Kesehatan, Dukungan Keluarga ABSTRACT Hypertensive crisis can also occur due to hypertension that is not properly managed. The incidence of hypertensive crisis is positively correlated with a decrease in the quality of life of patients. Families who provide support to patients with hypertension can affect the quality of life of the elderly. Family is the main source of social support for most elderly people, which is an important factor in their health and quality of life. Therefore, it is very important to provide education about family support. The purpose of this community service is to improve the quality of life of elderly people who experience hypertensive crises by offering family support. On February 22, 2025, Posyandu Mekar Sari Wonorejo and the team held a community service with the theme of improving the quality of life of the elderly with hypertensive crisis through family support attended by 38 participants. The results of the study showed that there was a level of knowledge obtained before the provision of education (pretest); there was poor knowledge totaling 9 people (23.7%), less good 25 people (65.8%), quite good 3 people (7.9%), and good 1 person (2.6%). After being given education (posttest), there was a level of knowledge that was not good, amounting to 1 person (2.6%), less good 6 people (15.8%), quite good 20 people (52.6%), and good 11 people (28.9%). The results of the analysis of the marginal homogeneity level showed a p-value of 0.000, which indicates that there is an influence of education and family support on knowledge on the quality of life of parents at risk of experiencing a hypertensive crisis. Keywords: Hypertension Crisis, Elderly, Health Education, Family Support

Efforts to Improve Knowledge and Skills of Splint Dressing with Simulation and Training Methods in Adolescents of Mandala Bhakti Health Vocational School Surakarta Rahmad, Muhamad Nur; Rosyida, Nikma Alfi; Budiman, Amin Aji; Prastiwi, Firman
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i8.15963

ABSTRACT A fracture is a condition where a bone is cracked or broken due to trauma or physical impact. The strength and angle of physical exertion, the condition of the bone itself, and the soft tissue around the bone will determine whether the fracture is complete or incomplete. The impact of a fracture can cause bone deformity or disability and even death in the victim if help is not immediately provided, where splinting is one of the first aid measures that must be given to patients who experience a fracture. This community service activity aims to help increase the knowledge and skills of teenagers, especially PMR members, in providing first aid when they find a victim who has suffered a fracture. The method used in this activity uses power point media when providing education, then continues with demonstrations and direct simulations for participants on how to apply splints to patients who have fractures. The results of the activity showed the enthusiasm of the participants in carrying out the splint dressing demonstration as well as an increase in participants' knowledge and skills in carrying out the splint dressing, namely during the pre-test, 25% of their knowledge and skills were good, increasing to 81.25% after the education and post-test were carried out. So it can be concluded that providing health education and demonstrations regarding dressing splints really helps teenagers in increasing their knowledge and skills in dressing splints. Keywords: Skills, Splinting, Training

HUBUNGAN TINGKAT AKTIVITAS FISIK DAN EMOTIONAL EATING DENGAN OBESITAS PADA REMAJA: STUDI CROSS-SECTIONAL di SMA SURAKARTA Faradisa, Elok; Kusumawati, Mira Wahyu; Rosida, Nikma Alfi; Rahmad, Muhamad Nur
Juru Rawat. Jurnal Update Keperawatan Vol 5 No 2 (2025): Desember 2025
Publisher : Prodi Keperawatan Tegal Program Diploma III Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v5i2.13011

Obesity in adolescents is a rising health issue that can lead to metabolic and psychological problems. This study aims to identify the relationship between physical activity and emotional eating with the occurrence of obesity in adolescents. A quantitative non-experimental study with a cross-sectional design was conducted. The sample consisted of 72 students from grades X and XI with a BMI ≥ 23, selected using random sampling. Data were collected using the International Physical Activity Questionnaire (IPAQ) and the Dutch Eating Behavior Questionnaire, along with anthropometric measurements to assess BMI. Data analysis was performed using Spearman’s rho test with SPSS. The majority of adolescents with low physical activity levels were classified as Obese 2 (BMI ≥ 30), and high emotional eating was also significantly associated with obesity. Both variables showed a significant correlation with p-values < 0.05. Low physical activity and high emotional eating are major risk factors for obesity in adolescents. It is recommended that schools and government authorities enhance physical activity programs and emotional management education to prevent obesity. Support from family and the environment is also crucial to reinforce healthy lifestyles among adolescents.

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