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Evaluasi Implementasi Pelayanan Kesehatan Tradisional Di Puskesmas Sawit Kabupaten Boyolali, Jawa Tengah Sri Mumpuni Yuniarsih; Rahajeng Win Martani; Nunung Hasanah
Jurnal Ventilator Vol. 1 No. 3 (2023): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i3.408

Abstract

Traditional health services are expected to be implemented in health care facilities. Puskesmas had a traditional health clinic that has been running since 2019, but there is no evaluation on that program. This study aims to identify the implementation that has been carried out, in order to find out which aspects still need improvement. The research method used is descriptive qualitative research. Researchers collect data by interview, observation and secondary data. The results of the study show that traditional health services at the puskesmas have been implemented fairly well. In 2022 there were 20 visitors with the majority of visitors aged 31-45 years (50%), female (90%), all coming from the Javanese and Muslim religions. Meanwhile, the average number of visits was 1 time (55%) and 5% of visitors made 4 repeat visits. The most frequently treated complaints were dizziness/headaches (35%) and other pain complaints (45%). Treatment in traditional health polyclinics is provided with oral medication as much as 40% and 60% without drug administration. The traditional treatment given is acupressure (65%), cupping (15%) and a combination of both as much as 20%. Officers who provide traditional health services at the Palm Health Center are nurses with acupressure training. The implementation that has been carried out still requires various improvements in order to increase the number of patient visits. Further research is needed to find the right implementation model so that traditional health services at puskesmas are widely utilized by the community.
SELF-ACUPRESURE DAN RAMUAN HERBAL UNTUK PENDERITA HIPERTENSI DI PUSKESMAS WONOKERTO 1 KABUPATEN PEKALONGAN Yuniarsih, Sri Mumpuni; Hasanah, Nunung; Martani, Rahajeng; Afifah, Umul
Jurnal Pengabdian kepada Masyarakat (NADIMAS) Vol 3 No 1 (2024): Jurnal Pengabdian kepada Masyarakat (Nadimas)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31884/nadimas.v3i1.67

Abstract

The prevalence of hypertension in Indonesia is still very high. The government has made various efforts to reduce the incidence of hypertension or prevent complications of hypertension. One of the efforts made is the Prolanis program implemented at the Puskesmas. Activities carried out in Prolanis include education on the care of patients with chronic diseases such as self-acupressure and herbal ingredients. self-acupressure is a massage technique at a certain point to help overcome various health problems and disease complaints, while herbal ingredients are all forms of traditional medicine that have been used for generations and have proven safe to overcome various specific health problems. The method used in this community service is self-acupressure training and making safe herbal concoctions for people with hypertension so that they can be applied at home safely by referring to a book published by the Ministry of health. The massage is done in the area of the head, shoulders, back of the hands, and back of the feet with a pressing motion for approximately 30 counts The herbs given were honey and nutmeg as well as gotu kola and garlic. The results of this community service were 16 participants with hypertension who received independent acupressure training and made herbal concoctions to reduce head pain and improve the quality of sleep of hypertensive patients. Most of the participants were female (87.5%), with a pre-elderly age category of 62.5%. A total of 37.5% were in the category of grade 2 hypertension with most experiencing mild headache (43.75%) and mild sleep disturbances (37.5%). This activity implies that participants get simple skills in self-care of hypertensive patients that are easy, cheap, and safe to overcome some of the symptoms that often appear, namely headache and sleep disturbances. Recommendations that can be given are integrated services between programs at the puskesmas, in this case, the traditional health service program and the disease control program, so that patients are exposed to traditional treatment methods in addition to conventional treatment.
THE EFFECT OF SELF-ACUPRESSURE ON REDUCING BLOOD PRESSURE, HEADACHE AND SLEEP QUALITY DISORDERS IN HYPERTENSIVE PATIENTS Yuniarsih, Sri Mumpuni; Hasanah, Nunung; Martani, Rahajeng Win; Afifah, Umum
International Journal of Islamic and Complementary Medicine Vol. 5 No. 2 (2024): International Journal of Islamic and Complementary Medicine
Publisher : International Islamic Medicine Forum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55116/IJICM.V5I1.88

Abstract

Hypertension is still a major health problem in Indonesia. Various efforts to overcome the problem of hypertension have been made, both pharmacological and non-pharmacological treatments. A therapy based on the patient's habits or culture will certainly be easier to implement and obey by. Therefore, this study aims to analyze the effect of self-acupressure on blood pressure, headache, and sleep quality of hypertensive patients. The research method used is a quasi-experiment, single-group pre-post-test design. The sample in this study were hypertensive patients who fit the inclusion and exclusion criteria at Wonokerto Health Centre, Pekalongan Regency. The data analysis used was univariate and bivariate analysis. Bivariate analysis used paired group t-test technique. The results showed that there was an effect of self-acupressure in reducing systolic blood pressure (p-value: 0.004), headache pain scale (p-value: 0.001), and decreased sleep quality disorder score (p value: 0.000). Massaging at acupressure points has the effect of improving blood flow, stimulating endorphin hormones and providing a relaxing effect so that it can reduce blood pressure, headache pain scale and sleep quality disturbance scores. Recommendations for future research are to add a control group and/or compare it with other independent complementary therapy techniques.
Pengaruh Psychoreligious Therapy “Murottal Al-Qur’an” terhadap Tingkat Kecemasan pada Lansia di Rumah Perlindungan Sosial Berbasis Masyarakat (RPSBM) Kota Pekalongan Pratiwi, Nofia Anggi; Martani, Rahajeng Win; Yuniarsih, Sri Mumpuni
Indonesian Journal of Nursing Research (IJNR) Vol. 7 No. 2 (2024)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

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

Abstract

Anxiety is defined as an emotional condition or feeling of discomfort, characterized by an uneasy mind and several other physical symptoms. Anxiety is a psychological state that can be triggered by physical changes in the elderly, including those that are involuntary. If left unaddressed, anxiety can cause disturbances in sleep patterns and the quality of life of the elderly. A variety of approaches have been taken to address anxiety, including non-pharmacological methods such as reciting the holy verses of the Qur'an. The objective of this study is to ascertain the impact of psychoreligious therapy, specifically Murottal Al-qur'an, on anxiety levels in the elderly population. This research employs a quantitative methodology with a pre-experimental, one-group, pretest-posttest design. The findings indicated that psychoreligious therapy through the listening of Al-qur'an murottal had a notable impact on the reduction of anxiety levels among the elderly population (p-value 0.000). The findings of this study can inform nursing practice, particularly in the context of complementary nursing. However, a limitation of this study is the absence of a control group, which may introduce bias in the results. Future research could consider incorporating control or comparison groups that receive alternative standardized interventions to enhance the rigor of the study.   Abstrak Kecemasan didefinisikan sebagai suatu kondisi emosional atau perasaan tidak nyaman yang ditandai dengan pikiran yang tidak tenang dan beberapa gejala fisik lainnya. Kecemasan merupakan kondisi psikologis yang dapat dipicu oleh perubahan fisik pada lansia, termasuk perubahan yang tidak disengaja. Jika tidak ditangani, kecemasan dapat menyebabkan gangguan pada pola tidur dan kualitas hidup lansia. Berbagai pendekatan telah dilakukan untuk mengatasi kecemasan, termasuk metode non-farmakologis seperti membacakan ayat-ayat suci Al Qur'an. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh terapi psikoreligius, khususnya Murottal Al-qur'an, terhadap tingkat kecemasan pada populasi lansia. Penelitian ini menggunakan metodologi kuantitatif dengan desain pra-eksperimental, satu kelompok, pretest-posttest. Hasil penelitian menunjukkan bahwa terapi psikoreligius melalui mendengarkan murottal Al-qur'an memiliki dampak yang signifikan terhadap penurunan tingkat kecemasan pada populasi lansia (p-value 0,000). Temuan dari penelitian ini dapat menginformasikan praktik keperawatan, khususnya dalam konteks keperawatan komplementer. Namun, keterbatasan dari penelitian ini adalah tidak adanya kelompok kontrol, yang dapat menyebabkan bias dalam hasil penelitian. Penelitian di masa depan dapat mempertimbangkan untuk memasukkan kelompok kontrol atau kelompok pembanding yang menerima intervensi standar alternatif untuk meningkatkan ketelitian penelitian.
Shift Kerja: Tingkat Stres dan Kinerja Perawat Ruang Rawat Inap Yuniarsih, Sri Mumpuni; Ayuningsih, Dwi
Jurnal Penelitian Perawat Profesional Vol 1 No 1 (2019): November 2019, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v1i1.5863

Abstract

Perawat memiliki peran penting dalam memberikan asuhan keperawatan, namun beban kerja yang tinggi dan sistem shift dapat menyebabkan stres yang berdampak pada kinerja perawat. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat stres kerja dengan kinerja perawat shift pagi, siang, dan malam di ruang rawat inap RSUD X Kota Pekalongan. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel penelitian adalah 78 perawat yang bekerja dalam sistem shift di ruang rawat inap RSUD Bendan, yang dipilih menggunakan teknik total sampling. Tingkat stres diukur menggunakan kuesioner Depression Anxiety Stress Scale (DASS) 42, sedangkan kinerja perawat diukur melalui lembar observasi. Analisis data dilakukan dengan uji korelasi Spearman. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara tingkat stres kerja dengan kinerja perawat shift pagi (p=0,012, r=0,283), shift siang (p=0,029, r=0,248), dan shift malam (p=0,000, r=0,387). Semakin tinggi tingkat stres, semakin rendah kinerja perawat, terutama pada shift malam yang memiliki tingkat stres tertinggi. Terdapat hubungan signifikan antara tingkat stres kerja dengan kinerja perawat di semua shift, dengan pengaruh yang lebih besar pada shift malam.
Exploring the Acceptability of Traditional Medicine Clinic Implementation in Indonesian Public Health Centers Yuniarsih, Sri Mumpuni; Padmawati, Retna Siwi; Madyaningrum, Ema; Mahendradhata, Yodi
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.67666

Abstract

Background: The World Health Organization (WHO) encourages the integration of traditional medicine (TM) into healthcare services, recognizing its cultural importance in countries like Indonesia. However, this integration needs improvement to ensure quality and accessibility. Previous research has primarily focused on policy implementation or health outcomes with limited exploration of the acceptability of TM clinics in Primary Health Centers (PHCs) from the perspectives of stakeholders using the Theoretical Framework of Acceptability (TFA). Operational and ethical challenges of this integration remain underexplored.Purpose: The purpose of this study was to explore the acceptability of traditional medicine clinics in PHC settings using the TFA, focusing on the perspectives of healthcare workers, traditional medicine practitioners, and patients.Methods: An exploratory qualitative study was conducted in five PHCs in Boyolali, Indonesia, with 25 participants, including healthcare workers, traditional medicine practitioners, and patients. Participants were purposely selected based on the following inclusion criteria: (1) healthcare workers providing services in traditional medicine clinics at PHCs, (2) traditional medicine practitioners operating within the clinic area, and (3) patients who had used the clinic’s services at least once. Data were collected through in-depth interviews and analyzed using a thematic approach.Results: Thematic analysis identified four key themes: (1) Perceived Benefits and Trust in TM Clinics, with participants reporting high satisfaction and trust in the services, (2) Readiness and Competency of Healthcare Workers, emphasizing confidence, ongoing training, and collaboration with traditional medicine practitioners, (3) Barriers to Acceptability and Implementation, including heavy workloads, limited resources, and a lack of dedicated personnel, and (4) Alignment with Professional and Cultural Values, focusing on the importance of cultural integration and ethical considerations for the sustainability of TM clinics.Conclusion: Traditional medicine clinics in PHCs are generally well accepted, but their sustainability depends on addressing resource constraints and enhancing staff training. Strategic investment and policy support are crucial for overcoming operational and ethical challenges and ensuring the successful integration of public health services.
Model Pemberdayaan Kader Kesehatan dan Pra Lansia Melalui Pengelolaan Kebun Herbal dengan Sistem Irigasi Kapiler untuk Menunjang Healthy and Active Aging Widhowati, Siwi Sri; Yuniarsih, Sri Mumpuni; Mahbub, Khafid; Sajuri; Afifah, umul; Ajeng, Miftahul
Jurnal Pengabdian Perawat Vol. 4 No. 1 (2025): Mei 2025
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

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Abstract

Hipertensi dan diabetes melitus merupakan permasalahan kesehatan masyarakat yang signifikan di antara populasi pra-lansia di Indonesia. Program pengabdian masyarakat di Desa Tratebang, Pekalongan, bertujuan untuk memberdayakan masyarakat pra-lansia dan kader kesehatan melalui pengelolaan kebun herbal dengan sistem irigasi kapiler. Program ini dilaksanakan pada bulan September hingga November 2024 dengan melibatkan 30 orang pra-lansia dan 10 orang kader kesehatan. Kegiatan yang dilakukan meliputi edukasi mengenai penuaan yang sehat, pelatihan budidaya tanaman herbal dengan sistem irigasi kapiler, pembuatan kompos organik, pengolahan minuman herbal dan simplisia, serta pelatihan branding dan pemasaran. Hasil menunjukkan bahwa terdapat peningkatan penanaman tanaman herbal di antara para peserta, peningkatan keterampilan dalam memproduksi dan memasarkan simplisia, dan manajemen kesehatan yang lebih baik untuk hipertensi dan diabetes melitus. Prevalensi hipertensi menurun dari 52% menjadi 39%, dan kadar glukosa darah puasa menurun secara signifikan (p = 0,049). Meskipun penurunan tekanan darah tidak signifikan secara statistik, para peserta melaporkan peningkatan kesehatan dan berkurangnya gejala. Proyek ini menyoroti potensi pengobatan herbal berbasis komunitas untuk manajemen penyakit kronis dan penuaan yang sehat, di samping membentuk kelompok kesehatan herbal yang berkelanjutan dalam layanan kesehatan lokal.
Workshop Pembuatan Massage Oil Aromaterapi dan Pijat Bayi sebagai Bekal Swamedikasi bagi Anggota Forum Kota Sehat (FKS) Kota Pekalongan: Workshop on Homemade Aromatherapy Massage Oil Preparation and Infant Massage Tutorial for Self-Medication among Members of the Healthy City Forum of Pekalongan City Indonesia Ermawati, Nur; Oktaviani, Nila; Yuniarsih, Sri Mumpuni
DARMADIKSANI Vol 5 No 1 (2025): Edisi Juni
Publisher : Jurusan Pendidikan Bahasa dan Seni, FKIP, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/darmadiksani.v5i1.7250

Abstract

Forum Kota Sehat (FKS) merupakan sarana penyaluran aspirasi masyarakat di Kota Pekalongan guna mendukung Program Kota Sehat. Salah satu upaya yang dilakukan dengan menerapkan budaya serta gaya hidup sehat, melalui penggunaan medikasi herbal. Pengobatan yang menggunakan tanaman obat termasuk dalam kategori pengobatan mandiri (swamedikasi). Swamedikasi tidak terbatas hanya pada penggunaan obat modern, tetapi juga dapat melibatkan obat herbal. Salah satu masalah kesehatan yang bisa diatasi dengan swamedikasi adalah batuk pilek atau selesma (common cold). Pada bayi, batuk pilek sering kali menimbulkan kekhawatiran bagi orangtua, sehingga mereka sering membawa bayi ke dokter. Namun, anak yang mengalami batuk pilek sering kali rewel dan sulit diberi obat. Oleh karena itu, diperlukan alternatif terapi untuk mendukung proses penyembuhannya. Alternatif terapi yang dapat membantu meredakan gejala batuk pilek adalah pijat. Manfaat pijat pada bayi salah satunya dapat mengurangi tingkat infeksi nosokomial, termasuk di antaranya batuk pilek. Minyak pijat (massage oil) dapat digunakan sebagai media dalam terapi pijat untuk meningkatkan efektivitas terapi. Kegiatan ini bertujuan untuk memberikan edukasi dan pelatihan pembuatan massage oil aromaterapi dan teknik pijat pada bayi. Metode yang digunakan meliputi diskusi permasalahan mitra dan observasi lapangan, memetakan lokasi kegiatan, edukasi dan pelatihan, serta evaluasi kegiatan. Kegiatan ini melibatkan 30 peserta dari anggota FKS tingkat kelurahan, kecamatan, dan kota. Kegiatan  ini berjalan lancar dan memperoleh respons positif dari kelompok mitra yang dibuktikan dengan persentase presensi dan antusiasme peserta dalam sesi penyampaian materi, diskusi dan tanya jawab, hasil praktik membuat sediaan dan teknik pijat bayi, serta respons positif peserta dalam kuesioner. Luaran kegiatan ini berupa produk massage oil aromaterapi, buku saku, dan artikel ilmiah yang diterbitkan pada jurnal nasional terakreditasi. Disarankan agar pelatihan ini dilakukan secara berkelanjutan dengan cakupan materi yang lebih luas untuk meningkatkan kemandirian masyarakat dalam perawatan kesehatan berbasis herbal.                                                                                            The Forum Kota Sehat (F KS), or Healthy City Forum, functions as a platform for the citizens of Pekalongan City to express their aspirations and support for the local government's the Healthy City Program. One of its key initiatives is promoting a healthy lifestyle and cultural practices, including the use of herbal remedies. Treatments utilizing medicinal plants are categorized as self-medication, which is not limited to modern pharmaceuticals but also encompasses traditional herbal approaches. A common health issue that can be managed through self-medication is the common cold. In infants, colds and coughs often raise concerns among parents, who frequently consult physicians. However, administering medication to infants can be challenging due to fussiness and resistance. This situation highlights the need for complementary therapies to support the healing process. One such therapy is infant massage, which has been shown to help alleviate cold symptoms. The benefits of infant massage include reducing the risk of nosocomial infections, such as the common cold. To enhance the effectiveness of massage, aromatherapy massage oil or balm can be used as a supportive medium. This community service aimed to share information and provide hands-on training on the formulation of aromatherapy massage oils and infant massage techniques. The methods employed included field observation, site mapping, information sharing session, and practical workshops. The program was carried out successfully and received positive feedback from the partner community. Participant engagement was evident during question-and-answer sessions, formulation exercises, and infant massage demonstrations. A total of 30 participants from FKS representatives at the sub-district, district, and city areas took part in the program. The outcomes of this initiative included the production of aromatherapy massage oil, a pocket guidebook, and a scientific article published on a nationally accredited journal. It is recommended that similar training be conducted continuously with broader material coverage to enhance community self-reliance in herbal-based health care.
Potensi Antioksidan Ekstrak Cangkang Kepiting Rajungan (Portunus pelagicus) dari Pekalongan, Jawa Tengah, Indonesia Ermawati, Nur; Mahbub, Khafid; Yuniarsih, Sri Mumpuni; Wiranti, Kharisma Wido; Octaviani, Felicia Aurelia
PHARMADEMICA : Jurnal Kefarmasian dan Gizi Vol 5 No 1 (2025): April - September
Publisher : LPPM-KI - POLTEKKES PIM (Formerly AKAFARMA-AKFAR PIM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54445/pharmademica.v5i1.79

Abstract

Free radicals contribute to oxidative stress, which plays a key role in degenerative diseases. Antioxidants neutralize free radicals, preventing cellular damage. This study evaluates the antioxidant activity of Portunus pelagicus shell extract from Wonokerto, Pekalongan Regency, using the 1,1-diphenyl-2-picrylhydrazyl (DPPH) method. Extraction was performed through demineralization, deproteinization, and maceration with virgin coconut oil. Phytochemical analysis confirmed the presence of terpenoids, which are known for their antioxidant properties, but Thin Layer Chromatography (TLC) did not detect astaxanthin. Antioxidant activity testing at concentrations of 5, 10, 50, and 100 ppm resulted in an IC50 value of 549.40 ppm, indicating very weak antioxidant potential. The absence of astaxanthin and the weak activity may be due to extraction method limitations, solvent choice, or low concentrations of active compounds. These findings highlight the need for optimized extraction techniques to enhance the bioactive potential of crab shell-derived compounds. This study contributes to marine biowaste utilization and provides insights into improving antioxidant properties for pharmaceutical and nutraceutical applications.
Perilaku Self-Care Pada Penderita Hipertensi di Indonesia: Sistematik Literatur Review Umam, Moh Khotibul; Martani, Rahajeng Win; Yuniarsih, Sri Mumpuni; Yuniarti, Yuniarti
Jurnal Promotif Preventif Vol 6 No 6 (2023): Desember 2023: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v6i6.1051

Abstract

Hipertensi merupakan penyebab utama kematian dini di seluruh dunia dengan prevalensi yang tinggi dan menjadi salah satu faktor risiko utama untuk berbagai komplikasi penyakit kronis. Risiko terjadinya komplikasi pada penderita hipertensi dapat dicegah dengan melakukan perilaku perawatan diri yang baik. Penelitian ini bertujuan untuk mengetahui gambaran perilaku pada penderita hipertensi di Indonesia. Penelitian ini menggunakan metode Systematic Literature Review (SLR) dengan panduan dari The Joanna Briggs Institute (JBI). Untuk mengidentifikasi studi yang relevan, pencarian dilakukan untuk artikel yang ditulis dalam Bahasa Inggris dan Bahasa Indonesia, diterbitkan diantara 5 tahun terakhir (2017 – 2022) di jurnal ilmiah bersumber dari database elektronik ProQuest dan Google Scholar. Kombinasi kata kunci termasuk "hypertention self-care", "adults’ people", "elderly", "older people", "self-care", "Indonesian people", digunakan untuk mencari setiap database. Proses skrining dilakukan dalam beberapa tahap yaitu judul, abstrak, dan isi artikel. Sehingga diperoleh 13 (tiga belas) artikel yang kemudian di review. Hasil SLR menunjukkan bahwa terdapat beberapa faktor yang mempengaruhi self-care pada penderita hipertensi yaitu persepsi, motivasi, efikasi diri, dan dukungan keluarga. Adapun salah satu jenis intervensi yang dapat meningkatkan perilaku self-care dari cukup menjadi baik adalah Cognitive Behaviour Therapy dan Self-Management.