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Pengaruh light massage dan alternate nostril breathing exercise (ANBE) terhadap tekanan darah pada penderita hipertensi Putri, Melsa; Husni, Husni; Wijaya, Andra Saferi; Heriyanto, Hendri; Nugroho, Nehru
Holistik Jurnal Kesehatan Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2062

Abstract

Background: Hypertension is a leading cause of degenerative diseases and death worldwide. Hypertension control efforts rely not only on pharmacological therapy but also on non-pharmacological interventions such as relaxation. Light massage and alternate nostril breathing exercises (ANBE) are complementary therapies known to help lower blood pressure. Purpose: To determine the effect of the combination of light massage and ANBE on changes in blood pressure in patients with hypertension. Method: This study used a quasi-experimental design with a pretest–posttest approach with a control group. The study was conducted from August to November 2025 in the Telaga Dewa Community Health Center area, Bengkulu City. A total of 42 participants were divided into two groups: an intervention group receiving light massage and ANBE, and a control group receiving slow deep breathing, each consisting of 21 participants. The interventions were administered twice daily for five days. The data were then analyzed using statistical tests according to the data distribution. Results: There was a significant difference between blood pressure before and after treatment in both groups (p = 0.001). The combination of light massage and ANBE was shown to significantly reduce systolic and diastolic blood pressure with a p-value of 0.012 (p ≤ 0.05). Conclusion: The combination of light massage and ANBE is effective in lowering blood pressure in patients with hypertension.   Keywords: Alternate Nostril Breathing Exercise (ANBE); Blood Pressure; Hypertension; Light Massage.   Pendahuluan: Hipertensi merupakan salah satu penyebab utama penyakit degeneratif dan kematian di seluruh dunia. Upaya pengendalian hipertensi tidak hanya mengandalkan terapi farmakologis, tetapi juga intervensi nonfarmakologis yang bersifat relaksasi. Light massage dan alternate nostril breathing exercise (ANBE) merupakan terapi komplementer yang diketahui dapat membantu menurunkan tekanan darah. Tujuan: Untuk mengetahui pengaruh kombinasi light massage dan ANBE terhadap perubahan tekanan darah pada penderita hipertensi. Metode: Penelitian desain quasi-experimental dengan pendekatan pretest–posttest with control group. Penelitian dilaksanakan pada bulan Agustus-November 2025, di wilayah kerja Puskesmas Telaga Dewa, Kota Bengkulu Sebanyak 42 partisipan dibagi menjadi dua kelompok, yaitu kelompok intervensi yang diberikan light massage dan ANBE, serta kelompok kontrol yang diberikan slow deep breathing, masing-masing terdiri dari 21 partisipan. Intervensi diberikan dua kali sehari selama lima hari. Selanjtunya data dianalisis menggunakan uji statistik sesuai dengan distribusi data. Hasil: Terdapat perbedaan yang signifikan antara tekanan darah sebelum dan sesudah perlakuan pada kedua kelompok (p = 0.001). Kombinasi light massage dan ANBE terbukti berpengaruh signifikan terhadap penurunan tekanan darah sistolik dan diastolik dengan nilai p = 0.012 (p ≤ 0.05). Simpulan: Kombinasi light massage dan ANBE efektif dalam menurunkan tekanan darah pada penderita hipertensi.   Kata Kunci: Alternate Nostril Breathing Exercise (ANBE); Hipertensi; Light Massage; Tekanan Darah.
The Effect of First Aid Coaching on First Aid Skills For Dislocations Among High School Students Participating in Sports Nosi Tamala; Erni Buston; Andra Saferi Wijaya; Septiyanti; Dwi Wulandari
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 4 No. 1 (2026): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v4i1.667

Abstract

Background of study: Sports injuries, particularly dislocations, are common among sports school students and may lead to serious complications if not treated promptly. However, students first aid knowledge and skills remain limited. This study aimed to determine the effect of First Aid Coaching on first aid skills for dislocations among students at a Sports Talent High School in Bengkulu City. Methods: This study used a quasi-experimental design with a pretest– post-test control group approach. A total of 70 students (n=70) were selected using purposive sampling and divided into an intervention group (n=35) receiving First Aid Coaching and a control group (n=35) receiving leaflets. Data were collected using a knowledge questionnaire and a skills observation sheet and analyzed using the Wilcoxon test and the Independent Samples t-test. Result: The results showed a significant difference in first aid skills between the two groups (p < 0.05). The mean posttest skill score in the intervention group was higher (M = 54.88) compared to the control group (M = 43.06), indicating a greater improvement following First Aid Coaching. Conclusion: In conclusion, First Aid Coaching is more effective than printed media in improving students’ first aid skills for dislocations. This method is recommended as an educational strategy to enhance students’ preparedness in managing sports injuries.
The Effectiveness of Multimedia and Educational Games on Children’s Knowledge and Attitudes Toward Diabetes Mellitus Mercy Nafratilova; Andra Saferi Wijaya; Rahma Annisa
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56093

Abstract

The incidence of Diabetes Mellitus (DM) in children has increased substantially, reaching nearly seventy times compared to reports in 2010. This trend is associated with high consumption of sugary foods and beverages, rising rates of overweight and obesity, and unhealthy lifestyle patterns among children. However, more than half of children demonstrate limited knowledge regarding DM, its risk factors, and preventive strategies. This study aimed to examine the effectiveness of a Diabetes Mellitus health education intervention using multimedia and educational games on elementary school children’s knowledge and attitudes toward DM. A quantitative pre-experimental one-group pretest–posttest design was applied. A total of 127 elementary school children were selected using purposive sampling. Knowledge and attitudes were measured before and after the intervention. The results showed an increase in the mean knowledge score from 67.87 at pretest to 78.43 at posttest, while the mean attitude score improved from 33.13 to 34.96. The Wilcoxon signed-rank test indicated a statistically significant difference in knowledge scores before and after the intervention (p < 0.05). These findings demonstrate that multimedia- and educational game–based health education effectively improves children’s knowledge and attitudes toward Diabetes Mellitus
PENYULUHAN BULLYING DAN KEKERASAN PADA ANAK DAN REMAJA: UPAYA PENCEGAHAN MELALUI EDUKASI KESEHATAN MENTAL DI RT 25 KELURAHAN SAWAH LEBAR BARU Andra Saferi Wijaya; Septiyanti; Andara Meilia Selviana; Dyah Endang Kusuma
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 5 No 1 (2026): JPKM PUSTINGKIA JANUARI 2026
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jpustingkia.v5i1.1005

Abstract

Bullying is one of the significant social problems among children and adolescents with serious impacts on mental health and emotional development. In Indonesia, bullying cases are still quite high and often occur in school and community environments. Lack of understanding about the impact of bullying and minimal prevention education programs are factors that exacerbate this situation. The purpose of this community service is to increase children and adolescents' knowledge about bullying and violence and provide prevention strategies that can be applied in daily life. The target of community service is children and adolescents in RT 25 Sawah Lebar Baru Village, totaling 34 people. This service begins with socialization about the definition, types, causes, and prevention strategies of bullying and measuring the increase in target knowledge from the counseling that has been given. The implementation method uses lecture and question-and-answer approaches with LCD media, power point, and leaflets. The results of community service showed an increase in knowledge of 98.1% from before and after counseling was given. Children and adolescents also showed high enthusiasm in participating in activities and were able to understand the importance of preventing bullying behavior in their environment.
EFEKTIFITAS INTERVENSI KEPERAWATAN KELUARGA BERBASIS TRANSKULTURAL NURSING DENGAN APLIKASI ANDROID TERHADAP PENCEGAHAN STUNTING Andra Saferi Wijaya; Mercy Nafratilova
JURNAL PENELITIAN TERAPAN KESEHATAN Vol 12 No 2 (2025): JURNAL PENELITIAN TERAPAN KESEHATAN
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jptk.v12i2.1150

Abstract

Stunting tetap menjadi masalah kesehatan masyarakat yang serius di Indonesia, termasuk di Provinsi Bengkulu yang mencatat prevalensi 18,86% pada tahun 2022. Faktor budaya seperti pantangan makanan dan pola asuh tradisional yang kurang tepat turut memperburuk kondisi gizi anak. Penelitian ini bertujuan menganalisis efektivitas intervensi keperawatan keluarga berbasis Transcultural Nursing yang didukung aplikasi Android SIPENTING dalam meningkatkan pengetahuan, sikap, perilaku, dan praktik pengasuhan keluarga untuk pencegahan stunting pada balita. Penelitian menggunakan desain kuasi-eksperimen pre–post dengan kelompok kontrol. Sebanyak 80 keluarga balita berisiko stunting dipilih secara purposive. Kelompok intervensi menerima pendampingan keperawatan berbasis budaya melalui aplikasi SIPENTING selama delapan minggu, sedangkan kelompok kontrol hanya menerima edukasi standar melalui leaflet. Data dikumpulkan melalui kuesioner dan pengukuran antropometri sebelum dan sesudah intervensi, kemudian dianalisis menggunakan uji paired t-test dan Mann–Whitney. Hasil penelitian menunjukkan peningkatan signifikan (p<0,001) pada kelompok intervensi untuk semua variabel yang diukur. Skor pengetahuan, sikap, perilaku, dan praktik pengasuhan transkultural meningkat secara bermakna, sementara kelompok kontrol tidak menunjukkan perubahan berarti. Proporsi stunting juga menurun dari 37,5% menjadi 23,8% setelah intervensi.Kesimpulan: Intervensi keperawatan keluarga berbasis Transcultural Nursing yang dipadukan dengan aplikasi Android efektif meningkatkan perilaku pencegahan stunting dan praktik pengasuhan keluarga. Pendekatan ini dapat mengatasi hambatan budaya dan menjadi model berbasis bukti yang dapat diadopsi dalam upaya penanggulangan stunting di tingkat komunitas.