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Difran Nobel Bistara
Universitas Nahdlatul Ulama Surabaya, Indonesia
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Rehabilitasi Psikososial berbasis Rumah Sakit sebagai Upaya Sustainable bagi ODGJ di Kabupaten Gresik Hafid Algristian; Difran Nobel Bistara; Fifi Khoirul Fitriyah; Abdul Hakim Fasya; Khamida
Warmadewa Minesterium Medical Journal Vol. 2 No. 1 (2023): Januari 2023
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.2.1.2023.51-60

Abstract

Treatment for people with mental disorders (orang dengan gangguan jiwa, ODGJ) in Gresik Regency is still limited to curative (medication) because Gresik Regency does not yet have adequate psychosocial rehabilitation facilities (RPS). RPS aims to restore the social functions of ODGJ so that they are more productive according to their abilities. Activity goals. To initiate the hospital-based RPS activities. Problem-solving framework. The framework is carried out through several activities, such as conducting assessments and focused group discussions with hospitals managers as potential partners, creating RPS service guidelines, conducting training and upgrading skills for health workers, involving ODGJ, families, and health cadres in RPS services, and planning a follow-up with the community health center (community health center, puskesmas), social institutions, and local officials. Results. Grha Husada Gresik Hospital (RSGH) is willing to initiate RPS services in Gresik Regency. This RPS service will be carried out for a minimum of two years, with ODGJ clinical evaluations every three months. The RSGH’s advantage is that it has 4 (four) certified health workers as behavior therapists for children with special needs (ABK). The RPS module was made by modifying the ABK behavior therapy module to suit the needs of adult ODGJ. RPS training is carried out based on the module. A total of 30 participants attended the initial RPS service, consisting of 10 ODGJ patients, 10 companions, and 10 local health cadres. The consistency of the arrival of ODGJ and companions is still low, due to the lack of awareness of the benefits of RPS services. RSGH and the health cadres took the initiative together to pick them up, but the arrival rate was still around 5-6 people per meeting. Conclusion. Good cooperation between hospitals, health cadres, and families is the first step for sustainable RPS services. The main challenge is to raise awareness of the need for RPS services for patients and their families.
Self-Efficacy and Adherence as Predictors of Quality of Life in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study at Jemursari Islamic Hospital, Surabaya ilmi nafiah; Difran Nobel Bistara; Chilyatiz Zahroh; Riska Rohmawati; Susanti; Priyagung Gusmantara
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.7871

Abstract

Type 2 diabetes is associated with a progressive decline in patients' quality of life (QoL). Self-efficacy and adherence are critical behavioral determinants that influence disease management and outcomes. This study examines the correlation between self- efficacy and adherence to quality of life in patients with type 2 diabetes mellitus. This study used a correlational analytic research design with a cross-sectional approach. The study was conducted at Islamic Hospital Jemursari, Surabaya, from August to October 2024. The population consisted of 307 patients with diabetes, and 174 respondents were selected through purposive sampling. Data were collected using validated questionnaires: the Diabetes Management Self-Efficacy Scale (DMSES), the Adherence to Diabetes Questionnaire (ADQ), and the Diabetes Quality of Life (DQOL)questionnaire. Data analysis was the Spearman's Rank correlation test. The results showed that nearly half of the respondents reported low self-efficacy, most had low adherence, and 60.3% experienced poor QoL. Spearman analysis demonstrated a significant correlation between self-efficacy and QoL (r = 0.647; p < 0.000), and between adherence and QoL (r = 0.684; p < 0.000). In conclusion, self-efficacy and adherence are strong predictors of quality of life in patients with type 2 diabetes mellitus at Jemursari Islamic Hospital, Surabaya. Future research should investigate interventions to enhance self-efficacy and adherence, particularly among patients with a poor quality of life, to develop more effective strategies for supporting diabetes care.
Workshop: Stunting Prevention Effort in Sidoraharjo Village, Kedamean District, Gresik Regency Budhi Setianto; Siti Nur Hasina; Difran Nobel Bistara; Agus Aan Adriansyah; Edza Aria Wikurendra; Akas Yekti Pulih Asih; Abdul Hakim Fasya; Dwi Handayani; Aditya Rizky Alfaridzi; Novianti Fatimahtus Zahro; ewi Sinta Nuriatul Imamate
Journal of Health Community Service Vol. 4 No. 1 (2024): Journal of Health Community Service: 2024 January
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhcs.v4i1.6786

Abstract

Stunting is a condition in which children fail to grow, both physically and mentally Reported from Jawa Pos news on July 23, 2022, information obtained by Jawa Pos, NEW data from the Gresik Regency Health Office, until July 2021, there were 5,288 stunting toddlers. This figure comes from the number of children who were weighed and measured as many as 80,663 toddlers. So KKN activities from Group 18 of Sidoraharjo Village held socialization of stunting prevention activities aimed at residents of Sidoraharjo village. The purpose of this activity is to provide knowledge related to stunting prevention. The method used is holding a workshop involving residents of Sidoraharjo, as well as making brochures and posters so that people are more aware of the importance of stunting prevention. The satisfaction of the workshop participants was 89.3% and there was an increase in knowledge of 16.6%. From this activity, it was concluded that this workshop was very beneficial to the participants. The presentation in simple language and followed by a discussion made the participants happy and increased awareness together to prevent stunting.
Workshop on Making MPASI as an Effort to Prevent Stunting in Sukoraharjo Village, Kedamean District, Gresik Regency Budhi Setianto; Siti Nur Hasina; Difran Nobel Bistara; Agus Aan Adriansyah; Edza Aria Wikurendra; Akas Yekti Pulih Asih; Abdul Hakim Fasya; Dwi Handayani
Journal of Health Community Service Vol. 4 No. 1 (2024): Journal of Health Community Service: 2024 January
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhcs.v4i1.6788

Abstract

Stunting is a condition in which a child's body fails to grow due to chronic malnutrition so that the child's age is too short. The prevalence of stunting in children under five according to the World Health Organization (WHO) is the country with the third highest prevalence in the Southeast Asia/South-East Asia Regional (SEAR) region, the prevalence of stunting in Indonesia in children under five in 2017 was 36.4% and in 2018 it was 30.8%. One of the stunting preventions can be provided by providing complementary foods from 6-24 months. By holding a workshop related to making complementary foods to prevent stunting, this workshop aims to provide insight to Sidoraharjo residents about the importance of knowledge in compiling complementary foods, and how to make them, as well as preparing the complementary food process. 87.8% and 16.2% increase in knowledge.
Pemanfaatan media E-Leaflet digital tentang demam tifoid dalam upaya peningkatan literasi kesehatan Erika Martining Wardani; Riezky Faisal Nugroho; Difran Nobel Bistara; Tata Mahyuvi; Nunik Purwanti
SOROT : Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2026): Juli
Publisher : Fakultas Teknik dan Ilmu Komputer (FASTIKOM) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/dq0gkj45

Abstract

Demam tifoid masih menjadi salah satu masalah kesehatan masyarakat di Indonesia yang erat kaitannya dengan sanitasi lingkungan yang kurang baik dan rendahnya penerapan Perilaku Hidup Bersih dan Sehat (PHBS). Rendahnya literasi kesehatan masyarakat mengenai penyebab, penularan, dan pencegahan demam tifoid mendorong perlunya inovasi media edukasi yang mudah diakses dan dipahami. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan literasi kesehatan melalui pemanfaatan media e-leaflet digital tentang demam tifoid. Kegiatan dilaksanakan pada April–Mei 2026 di Kelurahan Wonokromo, Surabaya, dengan melibatkan 88 peserta. Metode yang digunakan meliputi tahap persiapan, sosialisasi, pelatihan, penerapan teknologi melalui distribusi e-leaflet digital, serta pendampingan dan evaluasi menggunakan pre-test dan post-test. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan peserta mengenai pengertian demam tifoid dari 48% menjadi 72,67%, cara penularan dari 45,33% menjadi 70,67%, pencegahan dari 46,67% menjadi 72%, serta PHBS dari 50% menjadi 74%. Temuan ini menunjukkan bahwa penggunaan e-leaflet digital menunjukkan peningkatan pengetahuan peserta karena mudah diakses, menarik, dan mendukung penyampaian informasi kesehatan secara luas. Namun, belum mengevaluasi perubahan perilaku PHBS secara berkelanjutan sehingga diperlukan tindak lanjut untuk menilai dampak jangka panjang dari intervensi yang diberikan. Pemanfaatan media digital berpotensi menjadi strategi edukasi kesehatan yang efektif dalam mendukung upaya promotif dan preventif pencegahan demam tifoid di masyarakat.
Hubungan Kebiasaan Mengkonsumsi Kopi dengan Tekanan Darah Pada Dewasa Muda Bistara, Difran Nobel; Kartini, Yanis
Jurnal Kesehatan Vokasional Vol 3, No 1 (2018): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.34079

Abstract

Latar Belakang: Indonesia merupakan salah satu produsen kopi terbesar di dunia, tetapi memiliki nilai konsumsi kopi per kapita yang masih relatif rendah yaitu sekitar 70.000 ton/tahun atau 0,5 kg/orang/tahun. Kopi sering dikaitkan dengan sejumlah faktor risiko penyakit jantung koroner, termasuk meningkatkan tekanan darah dan kadar kolesterol darah karena kopi mempunyai kandungan kalium, polifenol, dan kafein. Kafein memiliki sifat meningkatkan tekanan darah, sedangkan kalium dan Polifenol memiliki sifat menurunkan tekanan darah.Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hubungan antara kebiasaan mengkonsumsi kopi dengan tekanan darah pada dewasa muda.Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah kolerasional dengan desain penelitian cross sectional. Variabel independennya adalah kebiasaan mengkonsumsi kopi dan variabel dependennya adalah tekanan darah. Pengambilan sampel dilakukan di Demak Jaya kelurahan Tembok Dukuh kecamatan Bubutan, Surabaya pada bulan Agustus-September 2017. Besar sampel sejumlah 40 responden yang diambil dengan teknik purposive sampling. Data yang diperoleh dikumpulkan dengan menggunakan lembar kuesioner dan observasi. Klaifikasi skala pengumpulan data ordinal dengan uji statistik yang digunakan pada penelitian ini adalah korelasi Spearman Rank.Hasil: Hasil uji statistik Spearman Rho p=0.465 (α=0.05), menunjukkan bahwa H1 ditolak, sehingga dapat disimpulkan tidak ada hubungan kebiasaan mengkonsumsi kopi dengan tekanan darah pada dewasa muda di Demak Jaya kelurahan Tembok Dukuh kecamatan Bubutan, surabaya.Kesimpulan: Peningkatan tekanan darah juga dapat disebabkan oleh faktor lain seperti stasus ekonomi, kegemukan, psikososial (stres), merokok, aktivitas fisik, konsumsi alkohol berlebih dan konsumsi garam.
Hubungan Pola Makan Dengan Kadar Gula Darah Pada Penderita Diabetes Mellitus Susanti, Susanti; Bistara, Difran Nobel
Jurnal Kesehatan Vokasional Vol 3, No 1 (2018): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.34080

Abstract

Latar Belakang: Pola makan merupakan asupan makanan yang memberikan berbagai macam jumlah, jadwal dan jenis makanan yang didapatkan seseorang. Pengaturan pola makan yang tidak tepat seperti yang dianjurkan 3J (Jadwal, Jumlah dan Jenis) dapat mengakibatkan peningkatan kadar gula darah.Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hubungan pola makan dengan kadar gula darah pada penderita Diabetes mellitus.Metode: Desain penelitian ini adalah korelasional. Variabel bebas yaitu pola makan dan variabel terikatnya yaitu kadar gula darah. Pengambilan sampel dilakukan di Puskesmas Tembok Dukuh Surabaya dengan memakai teknik purposive sampling. Pengambilan sampel dilakukan pada bulan Oktober sampai November 2017 dengan besar sampel 40 responden. Data yang diperoleh dengan menggunakan lembar kuesioner dan observasi. Skala pengumpulan data ordinal dengan uji statistik yang dipergunakan pada penelitian ini menggunakan korelasi Spearman Rank.Hasil: Hasil uji statistik Spearman Rho p=0,000 (α=0,05) menunjukkan bahwa H0 ditolak sehingga dapat disimpulkan ada hubungan antara pola makan dengan kadar gula darah pada penderita Diabetes Mellitus di Puskesmas Tembok Dukuh Surabaya. Hasil penelitian ini didapatkan ada hubungan yang kuat antara pola makan dengan kadar gula darah apabila pola makan yang tidak baik seperti yang dianjurkan prinsip 3J maka akan terjadi ketidakstabilan kadar gula darah.Kesimpulan: Pentingnya peran pengaturan pola makan pada penderita diabetes dalam pengendalian kadar gula darah sehingga kadar gula darah tetap terkontrol.
Pengaruh Range of Motion (ROM) terhadap Kekuatan Otot pada Pasien Stroke Susanti, Susanti; BIstara, Difran Nobel
Jurnal Kesehatan Vokasional Vol 4, No 2 (2019): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.44497

Abstract

Background: The weakness muscle is the biggest impact on patients with stroke, to the practice Range Of Motion with the aim is to maintain or preserve muscle strength, to maintain mobility joints and simulate circulation. With an increase in the incidence of stroke and disability, if the practice Range Of Motion is not implemented it will be a significant decrease in muscle strength, cause muscle kontraktur and a decubitus. Objective: The study aims to find his Range of Motion of muscle strength in patients with stroke in the Puskesmas Bulak Banteng Surabaya. Methods: This study uses Pra-eksperimental One Grup Pra-Post Test Design. Population in this study is a stroke patient who live in the Puskesmas Bulak Banteng Surabaya and sampels 32 of responden. The sample by using techniques simple random sampling. Variables independent in this study is Range Of Motion and the variables dependent is muscle strength. The instrument used in the collection of data is an observation to the strength of muscle and Range of Motion. Result: Wilcoxon test results show the significance level p value = 0.00 with α = 0.05 (p <α) on the right hand while in the left hand shows a significant level p value = 0.00 with α = 0.02 (p<α ).Conclusion:  H0 is rejected that there is influence between ROM exercises gripping the ball against the muscle tone in the right hand and left hand that suffered a stroke.Keywords: Range Of Motion, muscle strength.
Co-Authors -, Rusdianingseh Abdul Hakim Fasya Abdul Hakim Fasya Abraham Ahmad Ali Firdaus Abu Bakar Aditya Rizky Alfaridzi Afiyah, R. Khairiyatul Agus Aan Adriansyah Aisyah Aisyah Aizatun Nisa Akas Yekti Pulih Asih Alva Cherry Mustamu Andi Roesbiantoro Ardyarini Dyah Savitri Aric Vranada Arif Helmi Setiawan Arif Helmi Setiawan Aris Setyawan Ariyanto Nugroho Bariyah, Khadijah Khairul Budhi Setianto Budury, Syiddatul Choirotussanijjah Chuang, Yeu-Hui Dwi Andriani, Dwi Dwi Handayani Edza Aria Wikurendra Effendi Effendi Effendi Eppy Setiyoati Eppy Setiyowati ewi Sinta Nuriatul Imamate Fajriyah, Novita Faridah Umamah Fasya, Abdul Hakim Zakkiy Fifi Khoirul Fitriyah Fritria Dwi Anggraini Hadi, Achmad Hafid Algristian Haliza Abdul Rahman Hartatiek Nila Karmila Hartatik Nila Karmila Hatmanti, Nety Mawarada Heri Suroso, Heri Ikwan, Mochamad ilmi nafiah Ima Kurniastuti Imamatul Faizah Izzah, Shobibatur Rohmah Khamida Kombih, Muhammad Fifin Kristiani, Rina Budi Liang, Shu-Yuan Lina Andriani Lu, Kuo-Cheng M. Dwinanda Djunaedi M. Khafid Masita, Elly Dwi Masita Mawarda Hatmanti, Nety Maya Purnia Sari Mery Susantri Millah, Hanifiyatul Moch. Ikwan Muhammad Khafid Nailah Tri Iswira Nata Ratnawati Nety Mawarada Hatmanti Nikmatus Sa’adah Nordin, Roswati Binti Novianti Fatimahtus Zahro Nugroho, Riezky Faisal Nunik Purwanti Nur Ainiyah Priyagung Gusmantara Pulih Asih, Akas Yekti Putri, Rahmadaniar Aditya Ratriwardhani, Ratna Ayu Retna Gumilang Roesbiantoro, Andi Rohmawati, Riska Rusdianingseh Rusdianingsih Rusdianingsih Sari, Ratna Yunita Satriya Pranata Savitri, Ardyarini Dyah Savitri, Ardyarini Dyah Septianingrum, Yurike Setiawan, Arif Helmi Setyaningrum, Niken Siti Fadlilah Siti Khuzaimah Ahmad Sharoni Siti Nur Qomariah Siti Nurjannah Soleha, Umdatus Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Syagran, Evy Afiyah Tata Mahyuvi Taufiqurrahman, Affan Tsaaqif Umi Hanik Umi Hanik Wahyu Pranoto Wang, Tsae-Jyy Tiffany Wardani, Erika Martining Wijayanti, Lono Winoto, Priyo Mukti Pribadi Wu, Shu-Fang Vivienne Yanis Kartini Yobel, Sosilo Zahroh, Chilyatiz