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Peningkatan self management pada penderita hipertensi dengan penggunaan Hypertension Self Management Diary (HSMD) Tursina, Hella Meldy; Silvanasari, Irwina Angelia
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 8, No 2 (2022): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.8.2.18-25

Pendahuluan:Hipertensi adalah penyakit yang menjadi pusat perhatian, khususnya Indonesia. Hipertensi merupakan penyakit kronis yang menyebabkan morbiditas dan mortalitas yang tinggi akibat komplikasi dari perawatan diri yang buruk. Penatalaksanaan hipertensi memerlukan keterampilan manajemen diri yang baik untuk tetap patuh pengobatan dan kesadaran yang tinggi untuk gaya hidup yang tepat bagi pasien hipertensi. Pendekatan yang komprehensif dan dapat membantu penderita secara mendetail hingga ke kehidupan sehari-hari sangat diperlukan. ProgramÂ Hypertension Self-Management Support And Education(H-SMSE) dengan modifikasi penggunaan modul dan Hypertension Self-Management Diary (HSMD) untuk Penderita Hipertensi perlu diaplikasikan di Kabupaten Jember.Metode:Penelitian ini menggunakan Quasy eksperimen denganÂ one group, pre and post test design. Teknik pengambilan sampel yang digunakan adalah simple random sampling, dengan jumlah pasien hipertensi sebanyak 64 orang di Kabupaten Jember.Hasil:Â Hasil analisis bivariat menunjukkan terdapat perbedaan yang signifikan antara variabel manajemen diri sebelum dan sesudah intervensi 0,00 (p<0,05).Â Simpulan:HSMD dapat menjadi inovasi untuk membantu pasien hipertensi dalam mengelola masalahnya secara mandiri.

Empowerment of Health Cadres in Utilizing Family Medicinal Plants (TOGA) as an Effort to Control Non-Communicable Diseases in the Elderly: Pemberdayaan Kader Kesehatan Dalam Pemanfaatan Tanaman Obat Keluarga (TOGA) Sebagai Upaya Mengontrol Penyakit Tidak Menular Pada Lansia Basri, Achmad Ali; Maurida, Nurul; Silvanasari, Irwina Angelia
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

The aging process results in a decrease in physical and psychological conditions, a decrease in independence, an inability to work and an impact on the non-fulfillment of independence in fulfilling daily basic needs and socializing with the community. Community empowerment efforts to optimize promotive, preventive, curative and rehabilitative for elderly problems need to carry out activities that can support these efforts through the elderly Posyandu, providing support for the elderly and optimizing the use of family medicinal plants for curative efforts for the elderly health problems. This activity aims to apply community-based science and technology for health cadres to manage elderly health problems. The method used in this empowerment is by making health promotion media in the form of leaflets and flipcharts, lectures, demonstrations, providing equipment for processing family medicinal plants, training in cultivating family medicinal plants and training in the production of traditional family medicines which are carried out in Jenggawah Village, the working area of the Jenggawah Health Center. Fifty health cadres attended empowerment participants. Pretest results obtained good knowledge 6%, good attitude 5%, good behavior 3%. After the community service activities were conducted, the post-test scores for good knowledge were 68%, good attitudes were 74%, and good behavior was 62%. So it can be concluded that there has been an increase in knowledge and skills in managing elderly health problems, especially non-communicable diseases, and an increase in cadres’ ability to process herbal ingredients. Suggestions that can be given are that cadres need to apply the knowledge and skills acquired in their daily activities and when implementing the elderly Posyandu.

Hubungan Dukungan Keluarga dan Efikasi Diri dengan Kualitas Hidup Lansia Penderita Diabetes Melitus Vitaliati, Trisna; Maurida, Nurul; Silvanasari, Irwina Angelia
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 18 No 1 (2023): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v18i1.232

People with Diabetes Mellitus need long-term care and treatment to improve their quality of life. Family support and self-efficacy are believed to have an influence on the quality of life of elderly people with diabetes mellitus. The objective of the study was to identify family support, self-efficacy and quality of life for elderly people with diabetes mellitus. This study is a descriptive analytic study with a cross-sectional approach. The sample in this study were elderly people with diabetes mellitus who were selected using a purposive sampling technique with a total of 54 respondents. Furthermore, univariate data analysis was carried out using the frequency distribution and statistical tests using the Spearman Rho Test. The results of the Rho Spearman analysis showed that family support was positively correlated with the quality of life of elderly people with diabetes mellitus (rho=0.579; p<0.01). Meanwhile, the results of the Rho Spearman analysis showed that self-efficacy correlated positively with the quality of life of elderly people with diabetes mellitus (rho=0.537; p<0.01). The recommendation from the results of this study, is that nurses can increase family support and self-efficacy for elderly people with diabetes mellitus by forming a support group consisting of families who have elderly family members with diabetes mellitus so that they can share information related to how to provide family support to provide positive reinforcement and motivation to elderly people with hypertension so that their quality of life increases.

Karakteristik Perilaku Manajemen Perawatan Diri Hipertensi pada Lansia di Daerah Rural Irwina Angelia Silvanasari; Nurul Maurida; Trisna Vitaliati; Achmad Ali Basri
Nursing Sciences Journal Vol 7 No 2 (2023): Oktober 2023
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v7i2.5103

Proper control, especially in the self-care management of hypertension in the elderly, is reported to be able to prevent unwanted complications. The aim of this research is to identify the characteristics of hypertension self-care management behavior in the elderly. The type of research was descriptive with a sample size of 150 out of 240 elderly people with hypertension in rural areas. The variable studied was hypertension self-care management behavior. The research instrument is the HSBMQ questionnaire. Data analysis is in the form of univariate analysis in the form of frequency distribution of the indicators of the variables studied. The research results showed that elderly people with hypertension had adequate behavior in self-care management for hypertension. This indicates that elderly people with hypertension are quite good in terms of self-integration, self-regulation, interaction with health workers, monitoring blood pressure, and compliance with treatment. Elderly people with hypertension should be able to increase their implementation of a healthy lifestyle such as diet and physical activity, be able to properly recognize the signs of hypertension and appropriate actions to overcome them, be able to discuss with health workers regarding action plans to overcome the hypertension they suffer from, be able to monitor blood pressure regularly , and able to comply with recommended treatment.

Optimalization Family Health Task in Adolescent Reproductive Health Through Familly Support Group at Jenggawah Village maurida, nurul; Ali Basri, Achmad; Angelia Silvanasari, Irwina; Vitaliati, Trisna
Community Development Journal Vol 8 No 3 (2024): Community Development Journal
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/cdj.v8i3.6561

Reproductive health problem among adolescent are increases, such as child marriage, premarital sexual behavior, sexual violence, use drugs and cigarettes, balanced nutrition and access to health services. Adolescents in rural areas dominate reproductive health problems among adolescents. The family was contributing to adolescent decision to act. The objective were to improve family health maintenance task in adolescent reproductive health using family support group (FSG) method. The family support group involving 20 families with 2 meetings, that are increasing knowledge at meeting 1 and implementing FSG at meeting 2. Before and after the FSG was carried out, participants were given the opportunity to fill out a questionnaire about family health maintenance tasks. The results of this community service was increases implementation of family health maintenance tasks in improving reproductive health in adolescents. The majority of families' ability to recognize problems has increased by 85% in the good category, the majority of families' ability to make decisions has increased by 100% in the good category, families' ability to care for the family has increased by 65% in the good category, families' ability to modify the environment experienced an increase of 70% in the good category and families' ability to access health services increased by 90% in the good category. Family support groups can be one method applied to improve adolescent reproductive health through optimizing family health maintenance tasks.

Exploring The Factors Affecting On Reproductive Health Of Adolescents In Rural Areas Achmad Ali Basri; Nurul Maurida; Irwina Angelia Silvanasari; Trisna Vitaliati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): In Progress issue
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.891

The understanding of Indonesian teenagers, especially in rural areas, about reproductive health is still very low, especially among teenage girls, only 10.4% of the 15-24 year old age group know about reproductive health, resulting in various reproductive health problems such as free sex, sexual harassment, dropping out of school, early marriage, pregnancy outside of marriage, and many religious marriages. The purpose of this study was to explore the description of factors affecting on reproductive health management in adolescents. The study used a qualitative method with a phenomenological approach. Participants were selected using a purposive sampling strategy. There were 12 participants with the criteria, namely adolescents aged 14-18 years, receiving data collected through in-depth interviews, observation, and documentation. The results of the research theme were obtained using collaizi analysis which was arranged in stages using data triangulation starting from coding, categorization, and theme formation. Based on the results of the analysis of participant information, three main themes were formulated, namely knowledge, parental support, and peers. The conclusion of this study is that factors that influence adolescent reproductive health in rural areas are knowledge factors, family support and peer support. Adolescents are expected to be able to take responsibility for maintaining their reproductive health independently, increase spirituality and be able to maintain open communication with their parents and peers.

STRIVING FOR DIABETES SELF-CARE MANAGEMENT IN THE OLDER PEOPLE BASED ON SELF-DETERMINATION THEORY Vitaliati, Trisna; Angelia Silvanasari, Irwina; Maurida, Nurul; Ali Basri, Achmad
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 6 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v6i2.55513

Introduction: Older people with diabetes mellitus need disease management through self-management which is quite complex because the disease will have an impact on their health condition both physically and psychologically. Based on Self Determination Theory, motivation is important component in improving psychological health and treatment effectiveness of patients with diabetes mellitus. The purpose of this community service is to strive for diabetes self-care management so that blood sugar levels can be controlled reduce the risk of complications and achieve a prosperous psychological condition. Methods: The method of implementing this community service is in the form of health education, early screening, diabetes gymnastics, and family assistance in carrying out family healthcare functions. This community service was carried out at Jenggawah Public Health Center in March 2023. The participants of this community service activity are older people with diabetes mellitus. Results: There is an increase in the motivation of older people to carry out self-care activities, and the older people and families can also practice diabetes gymnastics by what has been taught. Conclusion: With optimal management behavior of diabetes mellitus in older people, the psychological aspects of the elderly with Diabetes Mellitus will improve so that further complications of this disease can be prevented.

HUBUNGAN ANTARA FAKTOR KARAKTERISTIK DEMOGRAFIK DENGAN KEPATUHAN GAYA HIDUP SEHAT PADA PASIEN HIPERTENSI Emi Eliya Astutik; Irwina Angelia Silvanasari; Roby Aji Permana
Jurnal Keperawatan Malang Vol 9 No 2 (2024): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v9i2.322

Background: Hypertension is not only found in the elderly group, but now the incidence rate is also increasing in the productive age group. The increase in the incidence of hypertension occurs due to a lack of healthy lifestyle behavior Purpose: The aim of this study is to analyze the relationship between demographic characteristic factor with healthy lifestyle compliance in hypertension patient Methods: This research is a correlation study with a sample of 150 hypertension sufferers. Independent variables, namely demographic characteristic factors, include age, education, knowledge and duration of illness. The dependent variable is adherence to a healthy lifestyle. Data were collected using a questionnaire on demographic characteristic factors and healthy lifestyle adherence. Data analysis used the gamma correlation test Result: The research results showed that there was no relationship between age and adherence to a healthy lifestyle (p value=0.150 > 0.05). There is a relationship between education and adherence to a healthy lifestyle (p value = 0.041 < 0.05). There is a relationship between knowledge and adherence to a healthy lifestyle (p value = 0.043 < 0.05). There is no relationship between disease duration and adherence to a healthy lifestyle (p value = 0.153 > 0.05) Implication: Good education and knowledge can keep hypertensive patients away from non-compliance with a healthy lifestyle, although there are still hypertensive patients who are not fully compliant in living a healthy lifestyle. Health workers can maximize adherence to a healthy lifestyle for hypertension sufferers by providing health education related to their hypertension.

Exploring The Factors Affecting On Reproductive Health Of Adolescents In Rural Areas Achmad Ali Basri; Nurul Maurida; Irwina Angelia Silvanasari; Trisna Vitaliati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.891

The understanding of Indonesian teenagers, especially in rural areas, about reproductive health is still very low, especially among teenage girls, only 10.4% of the 15-24 year old age group know about reproductive health, resulting in various reproductive health problems such as free sex, sexual harassment, dropping out of school, early marriage, pregnancy outside of marriage, and many religious marriages. The purpose of this study was to explore the description of factors affecting on reproductive health management in adolescents. The study used a qualitative method with a phenomenological approach. Participants were selected using a purposive sampling strategy. There were 12 participants with the criteria, namely adolescents aged 14-18 years, receiving data collected through in-depth interviews, observation, and documentation. The results of the research theme were obtained using collaizi analysis which was arranged in stages using data triangulation starting from coding, categorization, and theme formation. Based on the results of the analysis of participant information, three main themes were formulated, namely knowledge, parental support, and peers. The conclusion of this study is that factors that influence adolescent reproductive health in rural areas are knowledge factors, family support and peer support. Adolescents are expected to be able to take responsibility for maintaining their reproductive health independently, increase spirituality and be able to maintain open communication with their parents and peers.

The Relationship between Coping Mechanisms and Anxiety Levels among Hypertensive Elderly in Rural Areas Wahyuni, Adhitya Restu; Silvanasari, Irwina Angelia; Suswati, Wahyi Sholehah Erdah
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.475

Background: Hypertension is a prevalent condition among the elderly in rural areas. Anxiety in older adults with hypertension in these regions can significantly impact their blood pressure management, as it may hinder their adherence to medical treatment and healthy lifestyle practices. Purpose: This study aims to analyze the relationship between coping mechanisms and anxiety levels in elderly individuals with hypertension in rural areas. Methods: This quantitative study employs a cross-sectional approach. The population consisted of 198 elderly individuals, with a sample size of 132 elderly individuals with hypertension, selected using simple random sampling. The independent variable is the coping mechanism, and the dependent variable is the level of anxiety. Research instruments included the Coping Mechanism Questionnaire and the Hamilton Anxiety Rating Scale (HARS). Statistical analysis was conducted using the gamma test. Results: The findings indicate that the majority (59.1%) of participants utilized maladaptive coping mechanisms, while nearly half (41.7%) experienced severe anxiety. The gamma test revealed a P-value of 0.000 ≤ 0.05, with a contingency coefficient of -1.000, indicating a statistically significant and strongly negative relationship between coping mechanisms and anxiety levels in elderly individuals with hypertension. Conclusions: The study concludes that adaptive coping mechanisms are associated with lower anxiety levels in hypertensive elderly. Providing these individuals with information and counseling on effective coping mechanisms could help reduce anxiety and promote more adaptive coping strategies.

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