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Suplementasi Zinc Mempercepat Masa Penyembuhan dan Pencegahan ISPA pada Anak Usia 2-5 Tahun Sukmawati Sukmawati; Ahmad Ahmad; Luluk Widarti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus November-Desember 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk419

Abstract

Upper respiratory tract infection or ARI is an acute infection that attacks one component of the upper respiratory tract. West Nusa Tenggara Province has the highest incidence of ARI. In 2016 there were 16,085 cases of ARI in children under five, and in Bima Regency there were 1,429 cases of ARI cases in Bima, which were 1,429 cases in 2016. The benefits of zinc for human health are enormous, this mineral is very helpful for various body functions to run normally. This study was to determine the effect of zinc supplementation on the healing period of ARI and its prevention in children aged 2-5 years in the Work Area of the Madapangga Community Health Center, Madapangga District, Bima Regency in 2018. This type of research was analytical survey research, the design of this study was Quasi-experimental model "Pretest-Posttest. Control Group Design”. The population of this research were toddlers who seek treatment at Madapangga Public Health Center, Bima Regency, with population size of 40 children under five. The sample in this study were toddlers who suffer from ARI, the sampling was using the Quota Sampling technique of 40 toddlers. Research variables were healing period and prevention of ARI. Collecting data using observation sheets and questionnaires. Statistical data analysis used Wilcoxon Signed Rank Test, with a significance level of α
Holistic Learning Model Increase Asetilkoline Level and Caring Behavior on Student in Caring Patiens with Ischemic Stroke Luluk Widarti; Siti Maimuna; Tanty Wulandari; Moch Bahrudin
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (853.363 KB) | DOI: 10.20473/jn.v9i2.2570

Abstract

Introduction: Holistic learning requires attention and potential of students that covers aspects of intellectual, emotional, physical, artistic, spiritual, and creativity.Methods: This study used a pre-experimental design. The samples in this study were 30 students in semester 2 of nursing diploma Sidoarjo. Samples given intervention in the form of holistic learning, and given a pretest and posttest including measurement of acetylcholine levels by quantitative Elisa technique, and caring behavior by using questionnaires and observations. Data were analyzed using levene’s test, t-test, wilcoxon test and correlation.Results: Statistical analysis showed that there was significant difference in the level of asetilkoline before and after the intervention with p = 0.015, whereas significant differences in caring behavior indicates p = 0.001. The result of correlation test showed that there was significant correlation between the levels of acetylcholine and caring behavior after intervention (r = 0.003).Disscussion: It was concluded that the holistic learning model can improve the asetilkoline levels and caring behavior of the students. Lecturers are encouraged to use the model of holistic learning in teaching students.
Psychological Respons (Anxiety And Depression) and Biological Respons (Cortisol, Ifn-Γ And Tnf-Α) in Ischemic Stroke Patients by Home Care Holistic Model Approach Luluk Widarti; Moh. Hasan Mahfoed; Kuntoro Kuntoro; Ketut Sudiana
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.55 KB) | DOI: 10.20473/jn.v7i1.3993

Abstract

Introduction: The patient with stroke often experience on psychological disorder such as anxiety and depression that lead to biologycal aspects such as on cytokin. The objective of the study was to analyse the corelation between psychological respons (anxiety and depression) and biological respons (cortisol, ifn-γ dan tnf-α) in ischemic stroke patients by home care holistic model approach.Method: This study applied an experimental research with quasy experimental design. The study was conducted in the area of Surabaya by selecting ischemic stroke patients after being hospitalised at ”A-Seruni room, Medic IRNA, Dr. Soetomo hospital”. A sample of size 40 was patients divided equally into two groups, control and treatment groups. The treatment and control groups respectively received holistic home care and home care. The depression and anxiety level were measured by using questionnaires and observation technique, while Cortisol level, IFN-γ and TNF-α levels were measured by using ELISA quantitative technique. The data was analyzed by using Levene’s test for homogeneity of variance, t-test and correlation test.Result: The statistical analysis shows there was a significant difference between psychological response in control group after intervension with p = 0.000 for anxiety, and p = 0.000 for depression. For biological response, there is a significant difference p = 0.007 for cortisol and p = 0.000 for TNF-α. However, there is no significant difference in IFN-γ with p = 0.425. The correlation test result shows there was signi fi cant correlations between anxiety and biological responses such as Cortisol with r = 0.724 and p = 0.038; IFN-γ with r = 0.475 and p = 0.034; TNF-α with r = 0.592 and p = 0.006. Furthermore, there was positive correlation between depression and biological responses such as Cortisol with r = 0.705 and p = 0.033; IFN-γ with r = 0.454 and p = 0.044, TNF-α with r = 0.561 and p = 0.010.Conclusion: Holistic home care could improve the psychological responses by decreasing anxiety and depression level and also could improve biological responses by decreasing Cortisol, IFN-γ and TNF-α level in ischemic stroke patients.
Home Care Holistic on the Change of Anxiety and Depression for the Patient with Stroke Ischemic Luluk Widarti; Krisnawati Krisnawati
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.296 KB) | DOI: 10.20473/jn.v7i2.4008

Abstract

Introduction: Stroke is the main cause of long-term disability. It was reported that one third out of stroke survivors showed dementia in three months after stroke. Stroke patients need medication and palliative caring so that home-care is highly recommended. In Indonesia, home-care nursing for ischemic stroke has not yet been optimally applied in caring patient with stroke. The objective of thestudy was to examine the effect of home care holistic nursing on the change of anxiety and depression for the patient with stroke ischemic.Method: An experimental research with quasy experimental specifically nonrandomized pre-post test control group design was applied in this study. The study was conducted in Surabaya by selecting ischemic stroke patients after being hospitalized at "A-Seruni was, Medic IRNA, Dr. Soetomo hospital". A sample of size 40 patients was divided equally into two groups, control and treatment groups. The treatment and control groups respectively received holistic home care and home care. The depression and anxiety level were measured by using questionnaires technique. The data were analyzed by using Levene's test for homogeneity of variance, and t-test.Result: The result showed that there were significantly different between both groups for psychological response such as anxiety with p-value = 0.000, depression with p = 0.000.Discussion: It was concluded that holistic home care could improve the psychological responses by decreasing anxiety and depression level in ischemic stroke patients. It is recommended to make standard operational procedure of holistic home care that can be implemented by all health personnel who take care ischemic stroke patients.
Model Pendekatan Pelaksanaan Tugas Kesehatan Keluarga Berbasis Implementasi GERMAS Terhadap Perubahan Status Kesehatan Dan Kolesterol Pada Pasien Hipertensi Luluk Widarti; Siti Maimuna; Tanty Wulan Dari; Sukmawati Sukmawati
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 10, No 4 (2020): November 2020
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik10407

Abstract

Hypertension is a medical condition in which there is a chronic (long term) increase in blood pressure that exceeds 140/90 mmHg. According to data from the Jatirejo District Health Center. Mojokerto in 2018, the number of hypertension sufferers was 2,743 families. Based on data in Mojogeneng village, there were 164 households, only 64 of them had routine treatment, while in Bleberan village there were 228 families, and only 64 of them had routine treatment. This objective is to explain the effect of germas implementation on changes in health and cholesterol status in hypertensive patients. The research design was quasi-experimental with a nonrandomized pre-test - post-test control group design. The population in this study were families with hypertension sufferers. The number of samples of 100 patients divided into 50 patients in the control group and 50 patients in the treatment group. Examination of health status variables, blood pressure and cholesterol checks, was carried out before and after implementation. Statistical analysis using the T-test, Mann-whitney test, and Wilcoxson test. The results of statistical analysis showed that there were significant differences before and after the implementation of GERMAS behavior in the treatment group for health status, diastolic systolic blood pressure, and cholesterol with P values of 0.001, 0.000, 0.000, and 0.042 respectively. As for the control group, the results of statistical analysis before and after the implementation of conventional behavior showed that there were significant differences for health status and diastolic blood pressure with P values of 0.046 and 0.035 respectively, while for systolic blood pressure and cholesterol there were no significant differences with each. P values 0.000 and 0.433. Of this study proved that the implementation of germas can improve health status, lower blood pressure, and reduce cholesterol levels. Keywords: GERMAS implementation; health status; blood pressure; cholesterol; hypertension ABSTRAK Hipertensi merupakan kondisi medis dimana terjadi peningkatan tekanan darah secara kronis (jangka waktu yang lama) yaitu melebihi 140/90 mmHg. Menurut data dari puskesmas Jatirejo Kab. Mojokerto tahun 2018, jumlah penderita hipertensi 2.743 KK. Berdasarkan data di desa Mojogeneng sebanyak 164 KK, yang berobat rutin hanya 64 KK, sedangkan di desa Bleberan sebanyak 228 KK, yang berobat rutin hanya 64 KK. Tujuan ini adala menjelaskan pengaruh implementasi germas terhadap perubahan status kesehatan dan kolesterol pada pasien hipertensi. Desain penelitian ini adalah Quasi-experimental dengan bentuk nonrandomized pre test – post test control group design. Populasi pada penelitian adalah keluarga dengan penderita hipertensi. Jumlah sample 100 pasien yang terbagi dalam 50 pasien kelompok control dan 50 pasien kelompok perlakuan. Pemeriksaan variable status kesehatan, pemeriksaan tekanan darah dan kolesterol, dilaksanakan sebelum dan sesudah implementasi. Analisis statistik menggunakan T-test, Mann-whitney test, dan Wilcoxson test. Hasil analisis statistik menunjukkan bahwa ada perbedaan bermakna sebelum dan sesudah implementasi perilaku GERMAS pada kelompok perlakuan untuk status kesehatan, tekanan darah systole diastole, dan kolesterol dengan masing-masing nilai P adalah 0,001, 0,000, 0,000, dan 0,042. Adapun untuk kelompok kontrol, hasil analisis statistik sebelum dan sesudah implementasi perilaku konvensional menunjukkan ada perbedaan bermakna untuk status kesehatan dan tekanan darah diastole dengan masing-masing nilai P 0,046 dan 0,035, sedangkan untuk tekanan darah sistole dan kolesterol tidak ada perbedaan bermakna dengan masing-masing nilai P 0,000 dan 0,433. Kesimpulan penelitian ini terbukti bahwa dengan implementasi germas dapat meningkatkan status kesehatan, menurunkan tekanan darah, dan menurunkan kadar kolesterol. Kata kunci: implementasi GERMAS; status kesehatan; tekanan darah; kolesterol; hipertensi
PENDAMPINGAN KADER KESEHATAN DALAM UPAYA TERIDENTIFIKASI RESIKO TINGGI PENYAKIT KOMORBID COVID-19 DI DES MOJOGENENG KECAMATAN JATIREJO KABUPATEN MOJOKERTO: PENDAMPINGAN KADER KESEHATAN Luluk Widarti; Suprianto; Loetfia Dwi Rahariyani; Ani Intiyani; Zhaza Mey T; Munawaroh; Nabilah Fitri H
GEMASSIKA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2023): MEI
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gemassika.v7i1.1095

Abstract

ABSTRACT Background: The high morbidity rate due to the SARS-CoV-2 virus which causes COVID- 19 disease which is exacerbated by a history of comorbidities, especially hypertension and diabetes mellitus in the people of Mojogeneng Village. For this reason, this community service aims to explain the Covid-19 comorbid disease and assistance in efforts to identify the high risk of Covid-19 comorbid disease in health cadres. Methods: Socialization, counseling, training and assistance in an effort to identify the high risk of comorbid covid- 19 disease with a target of 25 health cadres. Results: The results of the knowledge value of cadres about the comorbid covid-19 disease with the provisions of 80%, the results of the skills of cadres with the provisions of 90%, the results of identifying people who have comorbid diseases with the provisions of 98% and the results of the people who carry out disease control by visiting health services and routine treatment with the provisions of 99% Discussion: This community service is proven that with counseling, training, and mentoring health cadres can change the knowledge and skills of health cadres in an effort to identify high risks of comorbid Covid-19 disease. Keywords: Covid-19 Comorbid Disease, Health Cadre, Mentoring
Gambaran Status Gizi Pada Anak Prasekolah di TK Dharma Wanita Persatuan Kloposepuluh Siti Putri Agustin; Siti Maemonah; Widarti, Luluk
JURNAL KEPERAWATAN Vol. 17 No. 2 (2023)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v17i2.87

Abstract

Masalah gizi seperti gizi kurang (underweight) dan gizi lebih (overweight) dapat terjadi pada siapapun termasuk anak prasekolah. Gizi kurang merupakan keadaan dimana anak mengalami kegagalan dalam mencapai berat badan ideal sesuai dengan usianya, sedangkan gizi lebih merupakan suatu kondisi yang diakibatkan karena penumpukan lemak yang berlebih di dalam tubuh. Masalah gizi tersebut dapat berdampak pada anak baik dampak jangka pendek maupun dampak jangka panjang. Penelitian ini bertujuan untuk mengetahui gambaran status gizi pada anak prasekolah di TK Dharma Wanita Persatuan Kloposepuluh serta dapat memprediksi masalah kesehatan yang dapat terjadi selanjutnya. Metode penelitian yang digunakan adalah deskriptif. Populasi dalam penelitian ini adalah semua anak prasekolah (4-6 tahun) yang bersekolah di TK Dharma Wanita Persatuan Kloposepuluh sejumlah 55 anak. Teknik sampling yang digunakan adalah total sampling. Hasil penelitian menunjukkan bahwa status gizi anak prasekolah di TK Dharma Wanita Persatuan Kloposepuluh hampir seluruhnya (81,8%) memiliki status gizi baik, 12,7% dengan gizi kurang, 3,7% dengan gizi lebih dan 1,8% dengan obesitas. Gizi kurang dan gizi lebih yang terjadi pada anak prasekolah merupakan dampak dari berbagai faktor yang berpengaruh secara langsung maupun tidak langsung. Orang tua dan keluarga diharapkan lebih memperhatikan asupan gizi anak baik dalam hal kandungan gizi maupun kebersihan makanan serta mencari informasi mengenai nutrisi bagi anak sehingga anak dapat tumbuh optimal sesuai dengan usianya.
Gambaran Tingkat Kecemasan Mahasiswa Tingkat 2 Prodi D3 Keperawatan Sidoarjo Dalam Menghadapi Praktik Klinik Keperawatan Di Rumah Sakit Pangestuning Hidaya Na'im Putri; Maemonah, Siti; Widarti, Luluk
JURNAL KEPERAWATAN Vol. 17 No. 3 (2023)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v17i3.88

Abstract

ABSTRAK Kecemasan merupakan suatu perasaan takut dan khawatir yang pada sesuatu yang tidak jelas atau belum pasti akan terjadi. Banyak mahasiswa mengalami kecemasan dalam menjalani perkuliahan, termasuk mahasiswa keperawatan dalam menghadapi praktik klinik keperawatan. Hal ini dapat terjadi disebabkan karena kurangnya pengalaman mahasiswa dalam melakukan praktik klinik dan adanya perubahan lingkungan baru. Tujuan penelitian ini adalah untuk mengetahui tingkat kecemasan mahasiswa tingkat 2 Prodi D3 Keperawatan Sidoarjo dalam menghadapi praktik klinik keperawatan di rumah sakit. Penelitian ini dilakukan dengan metode deskriptif dengan pendekatan cross sectional dengan mengumpulkan data melalui pernyataan terstruktur Hamilton Anxiety Rating Scale (HARS). Penelitian dilakukan di Prodi D3 Keperawatan Sidoarjo pada bulan Maret 2023. Subjek penelitian ini yaitu seluruh mahasiswa tingkat 2 Prodi D3 Keperawatan Sidoarjo yang berjumlah 47 mahasiswa. Hasil penelitian ini menunjukkan presentase tingkat kecemasan yang dialami mahasiswa yaitu, 55% mahasiswa mengalami kecemasan ringan,28% mahsiswa mengalami kecemasan sedang, 4% mahasiswa mengalami kecemasan berat, 13% mahasiswa tidak mengalami kecemasan dan tidak ada mahasiswa yang mengalami kecemasan berat sekali. Sebagian besar mahasiswatingkat 2 Prodi D3 Keperawatan Sidoarjo mengalami kecemasan ringan dalammenghadapi praktik klinik keperawatan dengan tanda dan gejala yang hampir sama,yaitu mengalami lemah, kepala terasa berat, tegang, dan gelisah.  Kata Kunci: Tingkat kecemasan, mahasiswa, praktik klinik, HARS  ABSTRACT Anxiety is a feeling of fear and worry about something unclear or not sure what will happen. Many students experience anxiety in attending lectures, including nursing students in facing clinical practice nursing. This can happen due to the lack of experience of students in carrying out clinical practice and changes in the new environment. The purpose of this study was to determine the level of anxiety level 2 students of the Sidoarjo D3 Nursing Study Program in dealing with clinical nursing practice in hospitals. This research was conducted using a descriptive method with a cross-sectional approach by collecting data through structured statements of the Hamilton Anxiety Rating Scale (HARS). The research was conducted at the Sidoarjo D3 Nursing Study Program in March 2023. The subjects of this study were all level 2 students of the Sidoarjo D3 Nursing Study Program, a total of 47 students. The results of this study indicate the percentage level of anxiety experienced by students, namely, 55% of students experienced mild anxiety, 28% of students experienced moderate anxiety, 4% of students experienced severe anxiety, 13% of students did not experience anxiety and no students experienced very severe anxiety. Most students level 2 of the D3 Nursing Study Program in Sidoarjo experienced mild anxiety facing clinical practice of nursing with signs and symptoms that are almost the same,namely experiencing weakness, a heavy head, tension, and anxiety.  Keywords: Anxiety level, student, clinical practice, HARS
INTERVENSI PERILAKU CARING KELUARGA TERHADAP PERUBAHAN DEPRESI DAN TINGKAT KEMANDIRIAN PASIEN POST STROKE ISKEMIK DI WILAYAH KABUPATEN MOJOKERTO Sulystiono, Dony; Widarti, Luluk; Masyfahani, Muhammad Afif Hilmi; Maemonah, Siti; Herman, Sriyana; Rusli, Rusli
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 16 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v16i4.2480

Abstract

Stroke sering menyebabkan kecacatan jangka panjang yang mempengaruhi kualitas hidup pasien, termasuk munculnya depresi dan berkurangnya kemampuan untuk melakukan Aktivitas Kehidupan Sehari-hari (ADL). Depresi pada pasien stroke dapat memperburuk kondisi fisik dan emosional mereka. Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi medis dan perilaku peduli keluarga terhadap depresi dan ADL pasien pasca-stroke. Desain penelitian ini adalah kuasi-eksperimental dengan pendekatan Nonrandomized Pretest-Posttest Control Group. Sebanyak 30 pasien pasca-stroke dari Kabupaten Mojokerto dibagi menjadi dua kelompok: kelompok perlakuan (15 pasien) yang menerima intervensi medis dan dukungan keluarga, dan kelompok kontrol (15 pasien) yang hanya menerima perawatan medis konvensional selama dua bulan. Hasil penelitian menunjukkan bahwa kelompok perlakuan mengalami penurunan depresi yang signifikan (p = 0,000) dan peningkatan ADL yang signifikan (p = 0,000). Sebaliknya, kelompok kontrol tidak menunjukkan perubahan signifikan pada depresi (p = 0,508) dan ADL (p = 0,091). Kombinasi antara intervensi medis dan perilaku peduli keluarga dapat efektif dalam mengurangi depresi dan meningkatkan ADL pada pasien pasca-stroke di Kabupaten Mojokerto. Temuan ini menunjukkan bahwa dukungan keluarga dan perawatan yang melibatkan keterlibatan keluarga dapat menjadi komponen penting dalam rehabilitasi stroke, selain perawatan medis.
Meningkatkan Pengetahuan dan Praktik Ibu dalam Pemberian Makanan Pendamping ASI melalui Metode Demonstrasi Emosional: Enhancing Maternal Knowledge and Practices in Complementary Feeding through Emotional Demonstration Methods Intiyati, Ani; Edi, Imam Sarwo; Soesanti, Inne; Christianingsih, Juliana; Suprihatin, Kusmini; Widarti, Luluk
Amerta Nutrition Vol. 8 No. 2SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2SP.2024.49-57

Abstract

Background: Complementary feeding is crucial for children's growth and development, especially between the ages of 6 to 24 months. Adequate nutritional intake during this period can prevent long-term health issues, such as stunting and obesity. However, many mothers struggle with providing appropriate complementary feeding due to a lack of knowledge and inappropriate feeding practices. Objectives: This study aimed to assess the effectiveness of the Emotional Demonstration (Emo Demo) method in improving maternal knowledge, attitudes, and behaviors related to complementary feeding. Methods: Using a pretest-posttest control group design, 100 mothers with children aged 6 to 24 months were assigned to one of three groups: control (lecture), demonstration, and Emo Demo. Data were collected via questionnaires and observational assessments at multiple intervals to measure the sustainability of behavior changes. Statistical analyses, including ANOVA and Least Significant Difference (LSD) tests, revealed that the Emo Demo method significantly enhanced knowledge, attitudes, and feeding practices compared to traditional methods. Results: The study found no significant demographic differences between groups. ANOVA showed significant improvements in knowledge, attitudes, and behavior (p-value<0.05). LSD analysis revealed significant changes in the Emo Demo group (p-value=0.010 for knowledge and behavior, p-value=0.028 for attitude), indicating its effectiveness in improving complementary feeding practices. Conclusions: Innovative and emotionally engaging methods like Emo Demo can effectively address the challenges of complementary feeding, ultimately contributing to public health efforts to reduce stunting in Indonesia. Further research is recommended to refine educational strategies for improving maternal nutrition practices in diverse communities.