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All Journal Media Kesehatan Masyarakat Indonesia Nurse Media Journal of Nursing Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Riset Kesehatan Jurnal Kebidanan Indonesian Contemporary Nursing Journal (ICON Journal) Window of Health : Jurnal Kesehatan Journal of Maternal and Child Health Media Keperawatan Indonesia Medica Hospitalia Jurnal Ilmiah Keperawatan Imelda Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Ners Muda Jurnal Health Sains MAHESA : Malahayati Health Student Journal Jurnal Ilmiah Kesehatan (JIKA) Jurnal Pengabdian Ilmu Kesehatan Khulasah : Islamic Studies Journal Jurnal Abdimas Jatibara Jurnal Multidisiplin Indonesia JURNAL DIALOKA: Jurnal Ilmiah Mahasiswa Dakwah dan Komunikasi Islam Jurnal Pendidikan Educandum Tasyri' : Jurnal Muamalah dan Ekonomi Syariah Media Penelitian dan Pengembangan Kesehatan Kusuma : Jurnal Pengabdian Kepada Masyarakat
Arwani Arwani
Nursing Department, Polytechnic Health Ministry of Semarang
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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THE EFFECTIVENESS OF TRIPLE EXERCISES ON IMPROVING SWALLOWING ABILITY IN NON-HEMORRHAGIC STROKE PATIENTS WITH DISFAGIA Prabowo, Rully Hadi; Arwani, Arwani; Widiyanto, Budi
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3194

Abstract

Penyakit stroke merupakan penyebab utama kematian dan disabilitas global akibat gangguan peredaran darah ke otak, dengan disfagia sebagai komplikasi utama. Disfagia menyebabkan kesulitan menelan yang meningkatkan risiko aspirasi pneumonia, malnutrisi, dan dehidrasi. Penelitian ini bertujuan untuk menganalisis efektivitas kombinasi latihan menelan Triple exercises EMSE (Effortful swallow, Mendelsohn manuever, Shaker exercises) dibandingkan intervensi tunggal dan kelompok kontrol terhadap kemampuan menelan pada pasien stroke non-hemoragik (SNH) dengan disfagia. Penelitian ini dilakukan pada bulan September – November 2024 di RSUD dr. R. Soedjono Selong, menggunakan desain eksperimen pretest-posttest dengan kelompok kontrol. Jumlah sampel sebanyak 40 pasien yang diambil secara simple random sampling. Jenis stroke diukur dengan Sistem Scoring Stroke Dave & Djunaidi (SSSDD) yang divalidasi dengan hasil CT-scan, Derajat stroke diukur dengan kriteria NIHSS dan kemampuan menelan dinilai dengan skala GUSS. Analisa data menggunakan Paired T-Test dan Independent T-Test. Hasil menunjukkan bahwa latihan kombinasi triple exercises EMSE secara signifikan meningkatkan kemampuan menelan dibandingkan intervensi tunggal dan kontrol (ρ < 0,05), meskipun tidak ditemukan perbedaaan rata-rata yang signifikan antara kombinasi dan intervensi tunggal (p > 0,05). Latihan kombinasi memiliki efektivitas lebih tinggi dengan effect size yang kuat sebesar 1,43. Kesimpulannya, latihan menelan kombinasi Triple exercises EMSE efektif meningkatkan kemampuan menelan pasien SNH dengan disfagia, mempercepat pemulihan dan mengurangi komplikasi seperti aspirasi dan malnutrisi. Latihan ini direkomendasikan untuk diintegrasikan dalam standar perawatan pasien stroke dengan disfagia.
The Effectiveness of Android-Based Simantb (TB Monitoring Information System) on Medication Compliance of Pulmonary TB Patients in Ende Regency, East Nusa Tenggara Susanti, Maria; Arwani, Arwani; Widiyanto, Budi
Jurnal Health Sains Vol. 6 No. 9 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i9.2696

Abstract

Tuberculosis (TB) is an infectious disease and one of the leading causes of death worldwide. One indicator of the TB control program's success is the treatment success rate. Various factors are believed to hinder the success of TB treatment, including therapy failure due to non-adherence, which is one of the main factors. Therefore, appropriate interventions are needed to monitor and evaluate TB patient medication adherence using suitable media that are easy to use and accessible anytime and anywhere through mobile health technology. This study aimed to analyze the effectiveness of the Android-based SIMANTB application on medication adherence in pulmonary TB patients. The research employed a Research and Development (R&D) design with a pre-experimental approach using a static group comparison, conducted over 28 days (1 month). The sampling technique used was simple random sampling, consisting of 30 respondents divided into intervention and control groups. Research data were analyzed using the Shapiro-Wilk and Mann-Whitney tests. The SIMANTB application was found to be highly suitable for tuberculosis patients, with material feasibility percentages of 93.06% and 93.75%. The use of the Android-based SIMANTB application significantly increased medication adherence in TB patients (p = 0.004). The development of the Android-based SIMANTB application is expected to provide a solution for health workers (doctors, nurses, TB officers) to support TB patients in monitoring and motivating their treatment, thereby increasing the success rate of treatment.
PENGARUH EDUKASI THOUGHT STOPPING BERBASIS WEBSITE TERHADAP ANSIETAS PELAJAR SEKOLAH MENENGAH ATAS Fauzia, Fadhila; Widiyati, Sri; Putra, Riskiyana Sukandhi; Arwani, Arwani
Jurnal Keperawatan Jiwa Vol 13, No 3 (2025): Agustus 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.13.3.2025.545-554

Abstract

Stresor pada pelajar dapat menstimulasi berbagai kondisi negatif seperti ansietas. Thought stopping merupakan terapi dengan memberikan perintah kepada diri untuk menghentikan pikiran buruk penyebab ansietas melalui kata ”Stop”, yang akan memberi intruksi pada otak untuk memengaruhi respon Gamma-Aminobutyric Acid (GABA). Edukasi thought stopping disesuaikan dengan kecenderungan siswa yaitu edukasi berbasis internet. Penelitian bertujuan untuk mengetahui pengaruh thought stopping terhadap state anxiety dan trait anxiety pelajar sekolah menengah atas. Peneliti menggunakan desain quasi-experimental dengan jenis non randomized control group pretest posttest design.  Populasi penelitian ini adalah  pelajar kelas XII, dengan besar  sampel  adalah  24  responden  untuk  masing-masing  kelompok perlakuan  dan  kontrol  dengan  teknik  pengambilan  sampel proportionate random sampling. Instrumen penelitian menggunakan kuisioner baku STAI (State-Trait Anxiety Inventory), yang telah diketahui validitas dan reabilitasnya. Media berupa website SANS, yang telah diuji oleh ahli IT dan ahli keperawatan jiwa. Analisis statistik dengan menggunakan uji Paired T-test, Wilcoxon, dan Man-Whitney. Hasil uji stastistik state anxiety dan trait anxiety pada kelompok perlakuan menunjukkan nilai p-value 0,001<0,05. Uji beda antara kelompok kontrol dan perlakuan terhadap state anxiety dan trait anxiety didapatkan nilai p-value 0,001<0,05. Terdapat pengaruh edukasi thought stopping berbasis website terhadap penurunan state dan trait anxiety pelajar sekolah menengah atas.
The Effect of Leg Stretching Exercises with A Tennis Ball on Ankle Brachial Index as A Predictor of Diabetic Foot Ulcer Yuliartini, Henny; Arwani, Arwani; Widiyanto, Budi
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3348

Abstract

Diabetic foot ulcers are caused by impaired peripheral circulation of the lower extremities due to peripheral arterial disease (PAD) that can be assessed by measuring the ankle brachial index. Leg stretching exercises with a tennis ball have an effect on increasing ABI values and predict the incidence of diabetic foot ulcers. Objective : This stydy aims to improve the effect of leg stretching exercises with a tennis ball on the ABI value as a predictor of the incidence of diabetic foot ulcers. Method: Quasi experimental quantitative research with a pretest-posttest with control group design. The total sample was 46 respondents using a purposive sampling technique to determine the Intervention group and Control group in 2 Puskesmas work areas that have plenary accreditation. After selecting each group, identification was carried out according to the inclusion criteria and exclusion criteria, resulting in 23 respondents in the Intervention group and 23 respondents in the Control group. The intervention group was given leg stretching exercises with a tennis ball for 15 minutes 14 times in 2 weeks and the control group received treatment from the Community Health Center, namely PROLANIS exercises. Data analysis uses univariate analysis and bivariate analysis, Paired Sample t-Test and Independent t-Test. Results: The ankle brachial index average increased to 0,300 mmHg and the prediction of the incidence of foot ulcers were decreased on the Intervention group (p=0,000) wheras the Control group ankle brachial index average decreased to 0,082 mmHg and the prediction of the incidence of foot ulcers were increased (p=0,008). Conclusion: Leg stretching exercises with a tennis ball have an effect on increasing ankle brachial index and can be used as a predictor of diabetic foot ulcers in type 2 diabetes mellitus.
The Effect of Family Empowerement in Preventing Stunting: Systematic Literature Review Suprihatin, Suprihatin; Runjati, Runjati; Arwani, Arwani
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4353

Abstract

Stunting is chronic malnutrition which is based on an index of body length compared to age (PB/U) or height compared to age (TB/U) with a limit (z-score) of less than -2 SD (Standard Deviation). Stunting problems need to be detected early, so that the interventions given can reduce long-term effects. Detection and management of stunting is carried out through empowerment efforts. Family empowerment as an effective step to reduce stunting cases through prevention and management efforts. The role of parents is very important in preventing stunting through detection and management. Anthropometric-based instruments that are easy to use are needed for the detection and management of stunting. Objective to analyze the variety of health promotion strategies to prevent stunting. The research design is a Systematic Literature Review of articles or journals published in 2018-2023, accessed on Google Scholar, PubMed and Scopus with the Prisma Flow technique. Research with different designs ranging from descriptive studies to quasi-experimental and participatory studies shows that an integrated and family-based approach can significantly improve knowledge, skills and awareness about stunting prevention. Programs involving education on exclusive breastfeeding, healthy food processing for toddlers, and maternal reproductive health have proven effective in reducing the prevalence of stunting. Health promotion strategies found in the literature review were mostly conceptual rather than operational and did not show when these strategies successfully reduced stunting.
Hydrogel Potential of Piper Crocatum (Piper Crocatum) Red Extract to Accelerate Perineum Wound Healing and Staphylococcus Aureus Bacteria Growth in Postpartum Lestari, Shelvi Ovi; Wijayanti, Krisdiana; Santoso, Bedjo; Arwani, Arwani; Kumorowulan, Suryati
JURNAL KEBIDANAN Vol. 14 No. 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i1.9185

Abstract

The prevalence of perineal rupture increases every year, as a result, the greater the chance of puerperal infection in postpartum mothers. Factors that cause puerperal infection is the care of the perineal wound that is not paid attention to. One of the complementary treatments uses herbal plants made from red betel leaf (Piper crocatum) in the form of hydrogel preparations. Proving the potential of red betel leaf hydrogel (Piper crocatum) against accelerated perineal wound healing and staphylococcus aureus bacterial growth. This type of quantitative research uses a quasi-experimental method with purposive sampling, post-test design only with control group. Sampling was in accordance with the inclusion criteria with a sample size of 45 respondents, 15 control respondents, 15 respondents to intervention I with a dose of 2x1 a day and 15 respondents to intervention II with a dose of 3x1 a day. Data was obtained from the REEDA score assessment scale which was obtained from the assessment of Redness, Edema (Swelling), Eccymosis (Bleeding), Discharge (Extraction) and Approximation (Wound union) and vaginal swab samples carried out on days 3 and 7 for 7 days. The analysis used to assess variables is the Wilcoxon and Mann Whitney tests. The analysis used to assess the variables is the Wilcoxon and Mann Whitney test. Red betel leaf hydrogel intervention 2x1 a day and intervention 3x1 a day has the potential to accelerate perineal wound healing and decrease the growth of S. aureus bacteria with p-value <0.05, so it can be interpreted that there is a significant difference effect. The greatest decreasing value in reducing the REEDA score and the growth of S. aureus bacteria was the 3x1 a day intervention group, namely 4.60 and 8.74, so it can be concluded that the 3x1 intervention was more effective than the 2x1 a day intervention.
Pemberantasan Hama Tikus: Potensi dan Strategi KKN di Desa Pagedangan, Indramayu, Jawa Barat Arwani, Arwani
Kusuma: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 2 (2024): Kusuma: Jurnal Pengabdian kepada Masyarakat
Publisher : LPPM IAI Pangeran Dharma Kusuma Segeran Indramayu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55656/kjpkm.v1i2.393

Abstract

This community service program, "Rodent Pest Eradication in Farmers' Agricultural Fields," was designed and implemented as a potential and strategic focus for the Community Service Program (KKN) in Pagedangan Village, Tukdana Subdistrict, Indramayu Regency, West Java. Recognizing the significant agricultural landscape of the region and the detrimental impact of rodent pests on crop yields and farmers' livelihoods, this KKN initiative aimed to empower the community with sustainable solutions. The program involved a comprehensive situation analysis, educational workshops on rodent biology and integrated pest management, practical training on constructing and utilizing eco-friendly traps, and the establishment of farmer groups for collaborative action. Furthermore, it fostered partnerships with local agricultural agencies and explored environmentally sound pest control methods. The expected outcomes include increased farmer knowledge, adoption of effective pest management techniques, a reduction in rodent populations, improved crop productivity, and enhanced community resilience towards agricultural challenges. This KKN model demonstrates the potential of student engagement in addressing critical agricultural issues at the grassroots level, contributing to food security and rural development.
Potential of Honey Hydrogel Modern Dressing in Wound Healing of Patients with Grade II Diabetic Foot Ulcer Afikirtiani, Winda; Arwani, Arwani; Widigdo, Dwi Ari Murti
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 8 No. 1 (2023): Volume 8 No. 1 Agustus 2023
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v8i1.28153

Abstract

Aims: To analyze the potential of honey hydrogel modern dressing in wound healing process in patients with grade II diabetic ulcers. Methods: The research design used a true experiment with a randomized pretest posttestcontrol group design. This study had 36 respondents who were divided into 2 groupsthrough simple random sampling. The intervention group was given honey hydrogel with 4measurements. The first measurement or pretest on day 1, the second measurement orposttest 1 on day 7, the third measurement or posttest 2 on day 14, and the fourthmeasurement or posttest 3 on day 21. The instrument used to measure patient woundhealing using the Bates-Jensen Wound Assessment Tool (BWAT). Results: The increase in the mean wound healing score of patients who were given honeyhydrogel modern dressing from a score of 42.11 on day 1 to 34.56 on day 21 with p = 0.001while the increase in the mean wound healing score of patients who were givenmanufacturer hydrogel modern dressing from a score of 41.67 on day 1 to 37.17 on day 21with p = 0.001. The effect size between the intervention group and the control group is quitestrong with a value of 0.78. Conclusion: Honey hydrogel has the potential to promote wound healing in patients withgrade II diabetic ulcers. Further research is recommended to explore the use of honeyhydrogel by innovating the manufacturing process to ensure consistent dosing in thetreatment of grade II diabetic ulcers.
TOONATRIC ON REDUCING SYSTOLIC BLOOD PRESSURE IN HYPERTENSION PATIENTS Salsabila, Afifah; Windiarti, Sri Endang; Arwani, Arwani
Jurnal Riset Kesehatan Vol 14 No 1 (2025): MEI 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v14i1.12392

Abstract

Hypertension is a significant global health concern, contributing to high mortality rates and increased risks of cardiovascular disease. In Indonesia, hypertension prevalence has reached over 33% of the adult population. Non-pharmacological interventions, such as nature sound therapy and isometric handgrip exercises, have shown promise in managing hypertension by reducing systolic blood pressure. This study introduced Tool Nature Sound and Isometric Handgrip (Toonatric), an innovative tool combining nature sound therapy and isometric handgrip exercises. This research employed a quasi-experimental design with 66 elderly hypertensive patients divided into intervention and control groups. The intervention group used Toonatric for 30 minutes daily over 5 days, while the control group continued standard care. Pre and post-intervention blood pressure measurements were analyzed using Wilcoxon and Mann-Whitney tests due to non-normal data distribution. Results indicated a significant reduction in systolic blood pressure in the intervention group (p = 0.000), with an effect size of Cohen’s d = 0.48, demonstrating a moderate clinical effect. Toonatric has the potential as a complementary tool for managing hypertension in elderly, combining psychological and physical benefits. Further research should focus on long-term effects, broader populations, and usability improvements for clinical and home settings.
PlGF Levels and Blood Pressure in Pregnant Women with Hypertension Simanjuntak, Veronica; Runjati, Runjati; Suharsono, Suharsono; Arwani, Arwani
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 1 (2024): Volume 6 Nomor 1 April 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i1.647

Abstract

Hypertension in pregnancy is one of the causes of morbidity and mortality in mothers and babies. PlGF has been shown to be associated with the diagnosis of hypertensive disorders in pregnancy. Pregnant women with hypertension are characterized by reduced circulating PlGF levels, even before clinical signs and symptoms. A decrease in the amount of PlGF is positively correlated with the severity of disease progression This study aimed to analyze the relationship between PlGF levels and blood pressure in pregnant women with hypertension. Observational analytic with cross sectional study design.  Sampling was total sampling. The number of subject were 34 peoples. The results showed that there was no significant correlation between PlGF levels and blood pressure in pregnant women with hypertension. PlGF levels have no relationship with blood pressure.
Co-Authors Afifah Salsabila Afikirtiani, Winda Ari Murti Widigdo, Dwi Ari Suwondo Bedjo Santoso Kadri Budi Widiyanto Chatarina Umbul Wahyuni Dina Indrati Dyah Sulistyowati Dwi Ari Murti Widigdo DwiKurniadi, Septian Estuasih Dyah Pertiwi, Estuasih Dyah Fachry Abda El Rahman Fauzia, Fadhila Fitriyanti, Suci Abrelia Haryana, Chyntia Irmawati Irmawati Jauhary, Ermilya Restiani Karlina, Leni Krisdiana Wijayanti Lestari, Shelvi Ovi Lusi Ayuandita, Hera Mahendra Wekoadi, Galih Melyana Nurul Widyawati Nina Indriyawati Nisful Laila Nurul Huda Oktavia, Jinhan Nur Oktaviani, Nuni Prabowo, Rully Hadi Pujiastuti, Rr Sri Endang Pujiastuti, Rr. Sri Endang Putra, Riskiyana Sukandhi Rumbrawer, Daud Yusuf Simanjuntak, Veronica Siti Rizki Amalia Sofyana, Yudha Sri Endang Windiarti Sri Sumarni Sri Wahyuni Sri Widiyati, Sri Sudirman Sudirman Sugih Wijayati, Sugih Suharsono Suharsono Suharyo Hadisaputro Supardi Supardi Suprihatin Suprihatin Suryati Kumorowulan Susanti, Maria Suwando, Ari Valentina, Alina Veronika, Sindy Wekoadi, Galih Mahendra Wien Soelistyo Adi Yuliartini, Henny Zulfa, Alfania