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All Journal Jurnal Keperawatan Nurse Media Journal of Nursing Jurnal Kesehatan Andalas UNEJ e-Proceeding Jurnal Kesehatan Mesencephalon Jurnal Kesehatan Medika Saintika JMM (Jurnal Masyarakat Mandiri) NERS Jurnal Keperawatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Ilmiah Ekotrans & Erudisi (JIEE) NERS Jurnal Keperawatan
Leni Merdawati
Universitas Andalas
Computer Science & IT Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic Jamil, Mohd; Merdawati, Leni; Krisdianto, Boby Febri; Khambri, Daan; Harahap, Wirsma Arif; Arifin, Hidayat
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.54738

Abstract

Background: The concern surrounding the physical and mental health-related quality of life (HRQoL) among patients with breast cancer emerged during COVID-19. However, there is a lack of sufficient studies that have specifically addressed this issue. It is crucial to emphasize the evaluation of this aspect as it significantly impacts the enhancement of future physical and mental HRQoL for these patients.Purpose: This study investigated the determinants of physical and mental HRQoL among patients with breast cancer during COVID-19.Methods: In a cross-sectional study conducted between September and October 2022, participation involved 260 patients diagnosed with breast cancer, selected through convenience sampling. Our observation focused on assessing the outcomes of physical and mental HRQoL using the Short Form (SF-12) questionnaire for data collection. Additionally, the data underwent analysis via binary logistic regression.Results: Respondents aged <50 years (p=0.010; aOR=2.08; 95% CI=1.18–3.67), unemployed (p=0.022; aOR=2.29; 95% CI=1.16–4.53), and had high depression (p=0.026; aOR=2.41; 95% CI=1.13–5.12) have a more likelihood to have low physical HRQoL. In addition, unemployed respondents (p=<0.001; aOR=4.15; 95% CI=2.14–8.04) and had high anxiety (p=0.004; aOR=2.71; 95% CI=1.38–5.33) have more likelihood to have low mental HRQoL.Conclusion: In this study, it was found that anxiety, depression, and unemployed respondents were associated with a higher likelihood of experiencing lower physical and mental HRQoL. Nurses and healthcare workers should prioritize addressing psychological issues such as anxiety and depression among breast cancer patients, emphasizing the necessity for interventions aimed at alleviating these concerns. 
Gambaran Pelaksanaan Mobilisasi dengan Pola Eliminasi Fekal Pasien Paska Laparatomi : Overview of Mobilization Implementation with Fekal Elimination Pattern Post-Laparatomical Patients Feki Surya Ardica; Leni Merdawati; Emil Huriani
NERS Jurnal Keperawatan Vol. 9 No. 2 (2013): NJK Volume 9, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v9i2.115

Abstract

Patient post laparatomy just lay in bed and afraid to move because he felt pain in the scar. Constipation rate increased by 17-15% in patients who experience physical decline because long bed rest due to surgery. Recommended 6-10 hours post-op patients should be mobilized to accelerate the recovery of organs in patients. This research determine the effect of mobilization to fecal elimination patterns in patients after laparotomy in Irna B (Surgery) RSUP Dr. M. Djamil Padang. Pre-exsperiment Research design uses post-test only design with many use 13 respondents, sampling was done in quota sampling. Data collection techniques with observation. Analysis performed univariate. Results showed that there were 92% of respondents had normal fecal elimination patterns. Expected for the nursing, institution RSUP Dr. M. Djamil padang can be suggested that the mobilization is importan post-laparotomy patients to improve teh patient’s fecal elimination and revise SOP mobilization after surgery and socialized.
Pengaruh Latihan Yoga terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 : Effect of Yoga Exercise on Blood Sugar Levels of Diabetes Patients Mellitus Type 2 Leni Merdawati; Reni Prima Gusty; Rika Fatmadona; Esi Afrianti
NERS Jurnal Keperawatan Vol. 14 No. 1 (2018): NJK Volume 14, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i1.186

Abstract

The International Diabetes Federation (IDF) states that more than 371 million people in the world aged 20 79 years have diabetes mellitus (DM). While Indonesia is the 7th country with the highest prevalence of diabetes, in the world. Diabetes mellitus has become a widespread epidemic, primarily because of the increasing prevalence and incidence of type 2 diabetes. DM can increase of the morbidity and mortality associated with cardiovascular disease, blindness, kidney disorders, neurological disorders and amputation. Physical activity such as yoga is a key element in the prevention and management of type 2 diabetes, The purpose of this study was to identify the effectiveness of Yoga exercise on decreasing blood sugar levels in Type 2 DM patients. This study used an experimental approach with non equivalent group comparison pre and post test design. The study subjects consist of 40 patients as experimental group and 40 patients as control group. All patient in experimental group were guided by yoga expert for reguler practice with supervision for 3 days. The result of this study show average of blood glucose level in experimental group was 217.05mg/dl with deviation standart 56,735mg/dl, while in the control group was 256.85mg/dl with deviation standart 34.04mg/dl. There was highly significant differences blood glucose average between experimental and control group (p=0,000). Yoga exercise is effective in reducing the blood glucose level on type 2 DM Patients and higly recommended as one of treatment for promotive care.
Community-Based Approach to Hypertension Screening through Cholesterol, BMI, and Physical Activity Assessment Merdawati, Leni; Mailani, Fitri; Huriani, Emil; Malini, Hema; Lenggogeni, Devia Putri; Muthia, Rahmi; Afriyanti, Esi; Oktarina, Elvi; Rahman, Dally; Simandalahi, Tiurmaida; Krisdianto, Boby Febri; Muliantino, Mulyanti Roberto; Fatmadona, Rika; Gusty, Reni Prima
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.4.520-526.2025

Abstract

Hypertension remains a major public health concern worldwide, largely driven by unhealthy lifestyles such as poor diet, physical inactivity, and excess body weight. Early identification of modifiable risk factors, including cholesterol levels, body mass index (BMI), and physical activity, is crucial for preventing hypertension. This community-based screening activity was conducted on 7 August 2025, at SMA Negeri 9 Padang, targeting teachers, administrative staff, and food vendors. A total of 80 adults participated in the study using convenience sampling. The activity included health education followed by individual health screenings, which consisted of blood pressure measurement, BMI calculation, cholesterol testing using portable point-of-care devices, and physical activity assessment using structured questionnaires. The results showed that 45% of participants were classified as prehypertensive, 83.8% had high cholesterol levels, and 66.3% were overweight or obese. Most participants (72.5%) reported moderate physical activity levels, which fell short of the World Health Organization’s recommendations. These findings indicate a high risk of hypertension among adults in the school community, particularly related to elevated cholesterol, excess body weight, and insufficient physical activity. We identified hypertension risk factors and provided health education and individualized screening feedback to raise awareness of cardiovascular risks and emphasize the importance of regular screening.
Hubungan Karakteristik Pasien Dengan Keparahan Chemotherapy-Induced Nausea And Vomiting (CINV) Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi Yelnia Tetrianti; Leni Merdawati; Mulyanti Roberto Muliantino; Devia Putri Lenggogeni
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51189

Abstract

Mual dan muntah merupakan efek samping yang sering dialami oleh pasien kanker payudara yang menjalani kemoterapi. Kondisi ini dapat menurunkan kualitas hidup dan memengaruhi kepatuhan pasien terhadap terapi. Penelitian ini bertujuan untuk mengidentifikasi hubungan karakteristik pasien dengan tingkat mual muntah pada pasien kanker payudara yang menjalani kemoterapi di RSUP Dr. M. Djamil Padang. Desain penelitian yang digunakan adalah cross sectional study dengan jumlah sampel 60 responden yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan yaitu kuesioner Rhodes Index of Nausea, Vomiting, and Retching (RINVR). Analisis data dilakukan menggunakan uji Pearson correlation, independent t-test, dan Kruskal-Wallis dengan bantuan program SPSS 25. Hasil penelitian menunjukkan terdapat hubungan bermakna antara usia dengan tingkat mual muntah (p=0,000), tingkat pendidikan dengan tingkat mual muntah (p=0,000), stadium kanker dengan tingkat mual muntah (p=0,000), dan siklus kemoterapi dengan tingkat mual muntah (p=0,009). Pasien dengan tingkat pendidikan rendah memiliki skor mual muntah yang lebih tinggi dibandingkan pasien dengan pendidikan tinggi. Kesimpulan penelitian ini menunjukkan bahwa karakteristik pasien seperti usia, tingkat pendidikan, stadium kanker, dan siklus kemoterapi berhubungan dengan tingkat mual muntah pada pasien kanker payudara yang menjalani kemoterapi. Kata Kunci : kanker payudara, karakteristik pasien, kemoterapi, mual muntah
Stigma sebagai Beban Psikososial pada Pasien Kanker Payudara: Studi Deskriptif Fillia Putri; Esthika Ariany Maisa; Daan Khambri; Made Satya Nugraha Gautama; Leni Merdawati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52033

Abstract

Kanker payudara merupakan kanker dengan prevalensi tertinggi pada perempuan dan berdampak pada aspek psikososial. Selain beban fisik akibat pengobatan, pasien juga menghadapi stigma yang memengaruhi citra diri, hubungan sosial, dan pemulihan.Penelitian ini bertujuan untuk menggambarkan tingkat stigma yang dialami oleh pasien kanker payudara di RSUP Dr. M. Djamil Padang. Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan teknik purposive sampling. Sebanyak 280 responden yang memenuhi kriteria inklusi berpartisipasi dalam penelitian ini, yaitu perempuan berusia ≥18 tahun yang telah didiagnosis kanker payudara dan sedang atau telah menjalani pengobatan. Instrumen yang digunakan adalah Breast Cancer Stigma Assessment Scale (BCSAS) yang terdiri atas 28 item dengan tujuh domain. Analisis data dilakukan secara deskriptif menggunakan SPSS versi 26. Hasil penelitian menunjukkan bahwa sebagian besar pasien mengalami tingkat stigma tinggi (39,6%), sedangkan 25,4% dengan tingkat sedang dan 35% pada tingkat rendah. Domain dengan skor tertinggi adalah dapat disembunyikan dan perubahan citra diri, sedangkan skor terendah terdapat pada gangguan keluarga dan asal penyakit. Hasil ini menunjukkan bahwa stigma masih menjadi beban psikososial signifikan bagi pasien kanker payudara. Oleh karena itu, diperlukan intervensi psikososial yang berkelanjutan, seperti pembentukan peer support group, untuk membantu pasien saling berbagi pengalaman, meningkatkan penerimaan diri, dan mengurangi dampak stigma terhadap kesejahteraan emosional.
Peran Pengetahuan dan Keterampilan Keluarga Dalam Mengurangi Risiko Ulkus Dekubitus Pasien Pasca Stroke: Analisis Mediator Keterampilan Isra Surya Seprina; Reni Prima Gusty; Tiurmaida Simandalahi; Leni Merdawati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53610

Abstract

Stroke dapat menyebabkan pasien berisiko tinggi mengalami ulkus dekubitus, yang memerlukan perhatian khusus dari keluarga dalam perawatan. Penelitian ini bertujuan untuk mengeksplorasi peran pengetahuan dan keterampilan keluarga dalam mengurangi risiko ulkus dekubitus pada pasien pasca stroke, serta menguji apakah keterampilan keluarga memediasi hubungan antara pengetahuan dan risiko tersebut. Metode penelitian menggunakan desain cross-sectional dengan subjek 60 keluarga yang merawat pasien stroke di rumah sakit sampai ke rumah. Data dikumpulkan menggunakan instrumen Pressure Ulcer Prevention Protocol Interventions untuk keterampilan keluarga, Beckman Development Knowledge Scale untuk pengetahuan, dan Braden Scale untuk mengukur risiko ulkus dekubitus. Analisis data dilakukan dengan regresi jalur untuk menguji hubungan antar variabel. Hasil penelitian menunjukkan bahwa pengetahuan pengasuh memiliki pengaruh positif signifikan terhadap keterampilan pengasuhan keluarga (β = 0,256, p = 0,007), yang menjelaskan 12% varians dalam keterampilan (R² = 0,12). Keterampilan pengasuhan keluarga berpengaruh signifikan terhadap penurunan risiko ulkus dekubitus (β = 0,244, p = 0,019), yang menjelaskan 9,2% varians dalam risiko (R² = 0,092). Pengetahuan tidak memiliki pengaruh langsung terhadap risiko ulkus dekubitus (β = -0,076, p = 0,332), namun keterampilan keluarga memediasi hubungan antara pengetahuan dan risiko tersebut secara signifikan. Penelitian ini menunjukkan bahwa peningkatan keterampilan keluarga, yang dipengaruhi oleh pengetahuan, dapat mengurangi risiko ulkus dekubitus pada pasien stroke.
PENGUATAN PENCEGAHAN PENYAKIT GINJAL KRONIK MELALUI SKRINING FAKTOR RISIKO DAN EDUKASI KOMPREHENSIF PADA WANITA DEWASA Afriyanti, Esi; Fatmadona, Rika; Lenggogeni, Devia Putri; Merdawati, Leni; Oktarina, Elvi
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 1 (2026): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i1.36551

Abstract

Abstrak: Permasalahan utama wanita dewasa di Kelurahan Alai Parak Kopi adalah tingginya faktor risiko penyakit ginjal kronik (PGK) serta rendahnya pengetahuan mengenai pencegahannya. Pengabdian ini bertujuan meningkatkan deteksi dini dan pemahaman masyarakat melalui skrining kesehatan dan edukasi komprehensif. Kegiatan melibatkan 53 wanita dewasa sebagai mitra, mencakup penyuluhan, pemeriksaan tekanan darah, gula darah, kolesterol, asam urat, indeks massa tubuh, serta senam kesehatan. Evaluasi dilakukan menggunakan pre-test pengetahuan dan observasi keterlibatan peserta. Hasil menunjukkan tingginya proporsi risiko PGK, yaitu IMT tinggi (45,3%), hipertensi (41,5%), hiperglikemia (24,5%), dislipidemia (39,6%), dan hiperurisemia (37,7%). Selain itu, pengetahuan peserta sebesar 18–32% pada aspek PGK, hipertensi, diabetes, asam urat, dan hiperkolesterolemia. Intervensi ini membuktikan bahwa skrining dan edukasi terstruktur efektif meningkatkan literasi kesehatan dan kesadaran pencegahan PGK. Program lanjutan berbasis komunitas direkomendasikan untuk menjaga keberlanjutan perubahan perilaku.Abstract: The major health concern among adult women in Alai Parak Kopi is the high prevalence of chronic kidney disease (CKD) risk factors and limited knowledge regarding its prevention. This community program aimed to enhance early detection and health literacy through structured screening and educational interventions. A total of 53 adult women participated in health education, screening of blood pressure, glucose, cholesterol, uric acid, body mass index, and group exercise sessions. Evaluation was conducted using a pre-test and behavioral observation. Results showed substantial CKD risk: high BMI (45.3%), hypertension (41.5%), hyperglycemia (24.5%), dyslipidemia (39.6%), and hyperuricemia (37.7%). Knowledge scores increased by 18–32% across CKD, hypertension, diabetes, uric acid, and hypercholesterolemia domains. These findings demonstrate that structured screening and education effectively improve health awareness and early prevention of CKD. Continued community-based programs are recommended to sustain behavioral change.
Women Cardiovascular Awareness And Physical Activity Promotion Muliantino, Mulyanti Roberto; Ananda, Yuanita; Afriyanti, Esi; Merdawati, Leni; Mailani, Fitri; Muthia, Rahmi; Rahayu, Siski
Warta Pengabdian Andalas Vol 33 No 1 (2026)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.33.1.10-18.2026

Abstract

Women's insufficient cardiovascular awareness remains a major obstacle in preventing cardiovascular disease (CVD) within this demographic. Addressing key contributing elements such as inactive lifestyles and insufficient physical activity among females is essential. The SEJIWA group, a women's fitness team in Padang, aims to foster healthy living, consistent physical training, and advancement in cardiac wellness. This program seeks to strengthen cardiovascular awareness and establish routine exercise culture among SEJIWA members. Various techniques were employed, encompassing educational sessions, promotional activities, health assessments, and practical training. The program ran from July through August 2025, with participation from 30 female SEJIWA members. Results revealed enhanced cardiac awareness score following education (50.04 versus 69.80), elevated physical activity measurements after weekly exercise routines (642.56 versus 940.38 MET). The majority exhibited unhealthy waist measurements, most participants were either obese or overweight, over half demonstrated elevated blood pressure readings and hypertension, most showed high cholesterol levels, while only a minority presented with elevated blood glucose. This program illustrated the efficacy of combined interventions including education, promotional strategies, screening, and consistent exercise in enhancing awareness and behavioral patterns. Nevertheless, the substantial CVD risk factors observed among participants highlight the critical need for sustained programs targeting CVD prevention in women.
Co-Authors Amella Gusty arif, yulastri Arifin, Hidayat Avit Suchitra Daan Khambri Dachriyanus Dally Rahman Emil Huriani Esi Afrianti Esi Afriyanti Fahmy, Rahmi Feki Surya Ardica Feri Fernandes Fillia Putri Fira Firdausia Fitri Mailani Gusty, Amella Hafni Bachtiar Hastoro Dwinantoaji Hema Malini Hema Malini, Hema Isra Surya Seprina Jamil, Mohd Januar Ramadhan Krisdianto, Boby Febri Lenggogeni, Devia Putri Leni Rozani Made Satya Nugraha Gautama Maisa, Esthika Ariany Marisih Damanik Mira Susanti Muliantino, Mulyanti Roberto Nofrizon Nofrizon Oktarina, Elvi Pardomuan Robinson Sihombing Rahayu, Siski Rahmi Muthia Rahmi Muthia Reni Prima Gusty Rika Fatmadona Riyena, Vilda Sidaria, Sidaria Siti Aisyah Nur Susmiati Susmiati Taufik Febriyanto Tiurmaida Simandalahi Wirsma Arif Harahap Yelnia Tetrianti Yuhelma Yuhelma