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Peningkatan Kompetensi Kader Kesehatan Lanjut Usia Melalui “Kelas Kader Lansia”: Improvement Of The Community Health Worker (CHW) Competencies Through “Chw Class” Sugiharto; Alfa Yuliana Dewi; Muhammad Arifiyanto
Jurnal Pengabdian Masyarakat Kesehatan Vol. 8 No. 4 (2022): JPM | Edisi Khusus 2022
Publisher : LPPM - STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jpm.v8i4.1299

Abstract

Seiring meningkatnya jumlah lanjut usia (lansia), maka beban sosial dan kesehatan pun meningkat akibat perubahan fisiologis dan psikologis yang dialami lansia. Masih banyaknya lansia yang tinggal di komunitas menuntut peran kader kesehatan lansia untuk dapat memberikan pelayanan dasar yang sesuai dengan standar.  Dalam hal ini, kompetensi kader memegang berperan sangat penting. Masalah yang dihadapi mitra saat ini adalah para kader belum pernah mendapatkan pelatihan secara formal, sehingga diperlukan peningkatan kompetensi kader dalam memberikan pelayanan kesehatan dasar bagi lansia. Untuk mengatasi masalah tersebut, Program Kemitraan Masyarakat (PkM) ini mengacu pada strategi audit dari the Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI PACES) dan Getting Research into Practice (GRiP). Tiga tahapan yang telah dilaksanakan pada PkM yaitu pada tahap persiapan berupa penyusunan kurikulum yang merupakan kombinasi antara kurikulum standar dari Departemen Kesehatan dan kearifan lokal hasil survei dengan kader. Tahap kedua yaitu pelaksanaan “Kelas Kader” yang dilaksanakan sebanyak sepuluh kali pertemuan. Dan tahap terakhir adalah evaluasi. Diperoleh hasil ada peningkatan yang signifikan sebanyak 90% pengetahuan dan keterampilan kader. Untuk instansi terkait diharapkan dapat secara kontinyu melakukan update pengetahuan dan keterampilan kader melalui pertemuan-pertemuan kader.
Gambaran Kualitas Hidup Lansia Yang Tinggal di Panti Literature Review N Nasihotin; S Sugiharto
Prosiding University Research Colloquium Proceeding of The 16th University Research Colloquium 2022: Mahasiswa (Student Paper Presentation)
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Penuaan adalah suatu proses yang dimana terjadi perubahan kondisi tubuh baik anatomis, fisiologis dan biokimia pada tubuh lansia. Permasalahan yang dapat ditimbulkan akibat proses penuaan yaitu turunnya kualitas hidup pada para lansia. dalam kehidupan dipanti lansia sering mengalami kesendirian karena jauh dari keluarga dan kualitas hidup yang rendah karena factor keluarga yang jauh. Tujuan dalam penelitian ini yaitu mendeskripsikan kualitas hidup lansia yang tinggal di panti. Metode: Pemilihan artikel pada penelitian ini menggunakan mnemonic PICO. Penulisan artikel ini menggunakan penelusuran literature melalui PubMed dan Portal Garuda. Kriteria inklusi antara lain sesuai dengan kata kunci, dipublikasi dari rentang waktu 2011-2021, ditulis dalam Bahasa Indonesia ataupun Bahasa Inggris, artikel lengkap. Kriteria ekslusi antara lain artikel review/systematic review. Hasil: Hasil penelitian didapatkan kualitas hidup lansia berdasarkan domain yaitu domain physical sebesar 47,075; domain psychologikal sebesar 36,712; domain social sebesar 33,746; dan domain Enviromental sebesar 37,172. Simpulan: Bagi perawat hendaknya dapat meningkatkan derajat kesehatan lansia dengan memberikan dukungan perawatan yang baik guna meningkatkan kualitas hidup lansia.
The Feasibility Test of “COVID” Learning Strategy: An Alternative Approach to Cope Learning Process during Pandemic of COVID-19 Sh Sugiharto; Benny Arief Setyanto
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 6, No 1 (2021): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.975 KB) | DOI: 10.24990/injec.v6i1.368

Abstract

Introduction: The COVID-19 outbreak requires spread prevention strategies that affects the education system at all levels. Consequently, appropriate and relevant learning strategies are required. The study aimed to examine the feasibility of “COVID” learning strategy as an alternative online learning system during pandemic COVID-19. Methods: The study applied a pre-experimental design with a one-group pretest-posttest approach. The sample size (34 participants) was determined using G*Power 3.1.9.7 software. The open recruitment of the participants was announced through WhatsApp. Students who were willing to be the participants were asked to fulfill the enrollment link. As the intervention, nursing students were taught using the "COVID (Creative, Outcomes-oriented, Valuable, Innovative, and Desire)" learning strategy. Two variables i.e. critical thinking and learning environment satisfaction were measured using the Diagnostic Thinking Inventory (DTI) and the Dundee Ready Education Environment Measure (DREEM), respectively. The paired t-test was used to analyze the DTI and DREEM data before and after the intervention. Results: The results show that the Flexibility Thinking dimension of DTI was significant with t-value of (30) = 7.025, p = .000. Likewise, with the assessment of the learning atmosphere using DREEM, a significant result was obtained with t (33) = -457,263, p = .000. The respondents' satisfaction with the "COVID" learning strategy was 8.5 on average. Conclusion: The "COVID" learning strategy can improve flexible thinking and student satisfaction with the online learning process. The "COVID" learning strategy can be an alternative learning strategy that is effective in the online learning process. 
The Validity and Reliability of The Summary of Diabetes Self-Care Activities Questionnaire: An Indonesian Version Sugiharto Sh; Yu Yun Hsu; Deborah J. Toobert; Shan Tair Wang
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 4, No 1 (2019): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.494 KB) | DOI: 10.24990/injec.v4i1.229

Abstract

Introduction: Diabetes self-care activities is a complex regimen, that required an appropriate tools to asses. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire is the most widely used tool for assess diabetes self-care activities. The study aimed to testing validity and reliability of the Bahasa Indonesia version of the SDSCA. Methods:  The study applied a forward-backward translation strategy. A pretest and a validation study were conducted. The Bahasa Indonesia version of the SDSCA was reviewed by an expert panel for conceptual and content equivalence to the English version. Furthermore, forty-five and 125 patients with T2DM participated in the pretest and the validation study, respectively. The psychometric properties were evaluated in terms of internal consistency, content validity, concurrent validity, and construct validity. Results:  The content validity index (CVI) and the internal consistency (Cronbach’s alpha) were satisfactory, which are 0.98, and 0.72, respectively. The exploratory factor analysis revealed that SDSCA-I are consistent with the original English version. There are significant correlations between three subscales of SDSCA-I and the diabetes knowledge levels namely general diet (r = 0.274, p = 0.002), physical activity (r = 0.269, p = 0.002), and foot care (r = 0.297, p = 0.001). SDSCA-I was significantly correlated with HbA1c values, in term of general diet (r = -0.205, p = 0.022) and self-monitoring of blood glucose (r = -0.265, p = 0.003). Conclusions:  The translation and psychometric test of the SDSCA-I were satisfactory. The tool could assess the self-care activities of Indonesians with T2DM in all settings. 
Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study Sh Sugiharto; Wiwiek Natalya; Bambang Widjanarko Otok
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33926

Abstract

Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services. 
EDUKASI PADA KADER LANSIA TENTANG HIPERTENSI DAN CARA PENGUKURAN TEKANAN DARAH Wiwiek Natalya; S Sugiharto
Jurnal Batikmu Vol. 1 No. 2 (2022): Jurnal Batik Mu Edisi Khusus Februari 2022
Publisher : Fakultas Ilmu Kesehatan Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/batikmu.v1i2.1087

Abstract

Abstract Prevalensi klien hipertensi di Kabupaten Pekalongan pada tahun 2017 sebanyak 18.966 kasus dan pada tahun 2018 sebanyak 23.649 kasus. Jumlah kasus baru hipertensi pada tahun 2018 sebanyak 28.688 kasus. Jumlah yang berkunjung ke Puskesmas sebanyak 44.961 kasus. Urutan tertinggi di Kabupaten Pekalongan tahun 2018 yaitu di daerah Wonopringgo (4.198 orang), Paninggaran (4.045 Orang), Kedungwuni (2.656 orang) dan Siwalan (2.491 orang). (Dinas Kesehatan Kabupaten Pekalongan, 2018). Prevalensi hipertensi yang tercatat di Puskesmas Kedungwuni Pekalongan pada tahun 2016 terdapat 1.825 kasus, tahun 2017 terdapat 2.148 kasus, sedangkan tahun 2018 terdapat 3030 kasus. Setiap tahun mengalami peningkatan kasus hipertensi. Salah satu desa yang mengalami peningkatan jumlah kasus Hipertensi adalah desa Bugangan. Desa Bugangan merupakan desa yang berada pada wilayah kerja Puskesmas Kedungwuni II. Hipertensi merupakan kasus tertinggi di desa Bugangan. Sebagian besar klien hipertensi adalah Lanjut Usia (Lansia).Studi pendahuluan terhadap 20 lansia hipertensi di Desa Bugangan, menunjukkan hasil 75% tekanan darah sistol > 170 mmHg, dan diastole ≥ 100 mmHg. Pemicu dari meningkatnya tekanan darah, 95% stress dan kurang tidur. Situasi yang menyebabkan stres antara lain masalah ekonomi. Dampak dari tekanan darah yang tidak terkontrol dapat mengakibatkan stroke dan kematian. Permasalahan mitra adalah jumlah lansia yang mengalami hipertensi tinggi dan Kader belum mengetahui tentang hipertensi dan cara mengukur tekanan darah menggunakan sphygmomanometer digital. Tujuan meningkatkan pengetahuan tentang hipertensi dan kemampuan kader tentang pengukuran tekakanan darah pada lansia hipertensi. Solusi permasalahan : memberikan edukasi tentang hipertensi dan melatih kader cara mengukur tekanan darah. Hasil : pengmas dikuti 25 kader Kesehatan, pengetahuan kader meningkat dan semua kader mampu mengukur tekanan darah menggunakan sphygmomanometer digital. Kata kunci: hipertensi, mengukur tekanan darah, kader lansia Abstract [EDUCATION TO ELDERLY CADRES ABOUT HYPERTENSION AND HOW TO MEASURE BLOOD PRESSURE] The prevalence of hypertension clients in Pekalongan Regency in 2017 was 18,966 cases and in 2018 there were 23,649 cases. The number of new cases of hypertension in 2018 was 28,688 cases. The number who visited the Puskesmas was 44,961 cases. The highest order in Pekalongan Regency in 2018 was in the areas of Wonopringgo (4,198 people), Paninggaran (4,045 people), Kedungwuni (2,656 people) and Siwalan (2,491 people). (Pekalongan District Health Office, 2018). The prevalence of hypertension recorded at the Kedungwuni Pekalongan Health Center in 2016 was 1,825 cases, in 2017 there were 2,148 cases, while in 2018 there were 3030 cases. Every year there is an increase in cases of hypertension. One of the villages experiencing an increase in the number of hypertension cases is Bugangan village. Bugangan Village is a village located in the working area of ​​the Kedungwuni II Health Center. Hypertension is the highest case in Bugangan village. Most of hypertensive clients are elderly. A preliminary study of 20 hypertensive elderly in Bugangan Village, showed 75% systolic blood pressure > 170 mmHg, and diastolic 100 mmHg. Triggers of increased blood pressure, 95% stress and lack of sleep. Situations that cause stress include economic problems. The impact of uncontrolled blood pressure can lead to stroke and death. Partner Problems is the number of elderly who have high hypertension and Cadres do not know about hypertension and how to measure blood pressure using a digital sphygmomanometer. The aim is to increase knowledge about hypertension and the ability of cadres to measure blood pressure in the elderly with hypertension. Solution to the problem: providing education about hypertension and training cadres on how to measure blood pressure. Results: 25 health cadres participated in the community service, knowledge of cadres increased and all cadres were able to measure blood pressure using a digital sphygmomanometer. Keywords: hypertension, measuring blood pressure, elderly cadres
EDUKASI TERAPI TIDUR UNTUK MENURUNKAN TEKANAN DARAH PADA HIPERTENSI Wiwiek Natalya; Aida Rusmariana; Ratnawati; Sugiharto
Jurnal Batikmu Vol. 2 No. 2 (2022): Jurnal Batik Mu
Publisher : Fakultas Ilmu Kesehatan Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/batikmu.v2i2.1207

Abstract

Hipertensi yang tidak terkontrol dapat mengakibatkan terjadinya stroke, gagal jantung, gagal ginjal dan kematian. Terapi farmakologis dan terapi non farmakologis yang teratur dapat menekan terjadinya komplikasi pada orang yang mengalami hipertensi. Terapi nonfarmakologis yang dapat menurunkan tekanan darah antara lain adalah terapi tidur. Terapi ini sangat efektif.meningkatkan kualitas tidur yang berdampak pada penurunan tekanan darah pada hipertensi. Salah satu desa yang mengalami peningkatan jumlah kasus Hipertensi adalah desa Bugangan. Desa Bugangan merupakan desa yang berada pada wilayah kerja Puskesmas Kedungwuni II. Hipertensi merupakan kasus tertinggi di desa Bugangan. Sebagian besar klien hipertensi adalah Lanjut Usia (Lansia). Permasalahan mitra yang terjadi adalah jumlah kasus hipertensi di desa Bugangan, setiap tahun meningkat. Jumlah yang mengalami stroke akibat hipertensi juga meningkat. Pengetahuan kader dan masyarakat tentang hipertensi dan pengelolaannya masih rendah. Solusi permasalahan yang ditawarkan adalah memberikan edukasi pada kader dan klien hipertensi mengenai terapi nonfarmalokogis untuk menurunkan tekanan darah yaitu terapi tidur. Pengabdian masyarakat dikuti 30 orang yang terdiri dari Kader Kesehatan dan klien hipertensi, setelah diberikan edukasi sebagian besar (96,7%) pengetahuan tentang hipertensi baik dan mampu mendemonstrasikan prosedur terapi tidur dengan benar.
STUDI AWAL RESIKO GESTASIONAL DIABETIK MELITUS DI WILAYAH KERJA PUSKESMAS BOJONG I KEBUPATEN PEKALONGAN Isyti'aroh Isyti'aroh; Sugiharto Sugiharto; Siti Rofiqoh; Windha Widyastuti
Jurnal Ilmiah Kesehatan Keperawatan Vol 19, No 1 (2023): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v19i1.1088

Abstract

AbstracGestational Diabetes Mellitus (GDM) is one of the complications of pregnancy that increases the morbidity and mortality of both the mother and the baby. This study aims to determine the risk factors that exist in all pregnant women in the working area of the Bojong I Public Health Center in Pekalongan. Study design used cross sectional. Sampling was taken using the total sampling technique for the entire population of pregnant women whose number was known, namely 146. The research location was in the working area of the Bojong 1 Public Health Center, Pekalongan Regency, which covering 14 villages. The research instrument used a questionnaire containing questions about risk factors for GDM including age, parity, body mass index before pregnancy, history of GDM, history of increased blood sugar, history of polycystic ovary syndrome, history of giving birth to babies > 4 kg, family history of DM, history of exercise routine before pregnancy, history of stillbirth, history of pregnancy with more than 1 fetus and history of babies born with congenital defects. The results showed that multiparity was the most common risk factor found in 106 (72.6%). Cumulatively, the majority of respondents only had one risk factor, namely 73 (50%). The conclusion from the study is multiparity is the most risk factor for GDM.
GAMBARAN RESILIENSI PADA LANSIA YANG TINGGAL DI PANTI PELAYANAN SOSIAL LANJUT  USIA Sh Sugiharto; Salisa Rahmawati
Jurnal SMART Keperawatan Vol. 11 No. 1 (2024): JUNE 2024
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/yqzbj744

Abstract

Unfortunate circumstances such as poverty, isolation, and neglect compel the elderly to reside in nursing facilities. In order to effectively cope with the various physical, psychological, social, and environmental changes that occur during the aging process, older individuals must possess the ability to adapt and demonstrate resilience. The study aims to provide a comprehensive description of the resilience levels exhibited by the elderly residents residing in the social welfare department-served nursing home. The present study employs a descriptive methodology with a cross-sectional approach. The study used total sampling to collect the samples. The study used Maneerat's Elderly Resilience Scale Questionnaire to measure resilience. The study applied univariate statistics, encompassing mean, standard deviation, and percentage, to the data. Out of a total of 49 respondents, 26 (53.1%) had strong resilience, whereas 23 (46.9%) had less resilience. Elderly people who live in a social welfare department-served nursing home tend to have good resilience. We anticipate that the nursing home's management will create programs that enhance resilience, such as problem-focused and emotionally-focused coping, as well as group activities that foster social and spiritual interaction among the elderly.
EDUKASI MANAJEMEN DIET PASIEN DIABETES MELITUS DI MASA PANDEMI COVID-19 Ria Desnita; Mira Andika; Zulham Efendi; Sugiharto Sugiharto
Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK) Vol 2, No 2 (2020)
Publisher : Universitas Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33660/jipmk.v2i2.37

Abstract

Pasien Diabetes Melitus (DM) termasuk kelompok rentan terhadap infeksi bakteri dan virus karena kondisi hiperglimia yang dialaminya. Kondisi pandemi COVID-19 merupakan kondisi yang mengancam bagi penderita DM sebagai kelompok rentan. Apabila pasien DM terinfeksi oleh virus SARS-CoV-2 atau yang dikenal dengan virus korona, penderita DM akan mengalami kondisi yang sangat buruk dibandingkan penderita tanpa DM. Pengendalian dan pengontrolan DM salah satunya manajemen diet merupakan tindakan yang harus dilakukan oleh pasien DM untuk mencegah komplikasi penyakitnya dan meningkatkan imunitas di masa Pandemi COVID-19 ini. Bentuk kegiatan pengabdian kepada masyarakat yang dilakukan pada kelompok pasien DM meliputi edukasi pada pasien dan keluarga tentang manajemen diet bagi penderita DM, edukasi pada pasien dan keluarga tentang manajemen diet bagi penderita DM di masa pandemi COVID-19 dalam memanfaatkan sumberdaya lokal dengan pendekatan budaya Minangkabau. Hasil dari kegiatan pengabdian kepada masyarakat didapatkan peningkatan pengetahuan tentang manajemen diet DM secara umum dan manajemen diet bagi penderita DM di masa pandemi COVID-19 dengan memanfaatkan sumberdaya lokal dan pendekatan budaya Minangkabau.