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The influence of education on increasing mothers' knowledge about acupressure for treating children with coughs and colds on increasing Engelina Choiru Fitroti; Sandi Alfa Wiga Arsa; Anita Rahmawati
Health Gate Vol 4, No 1 (2026): January
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4106

Abstract

A mother's knowledge of caring for young children is influenced by information. Information can provide direct knowledge gains that contribute to behavioral change, including the use of complementary therapies such as acupressure. Mothers with young children at the primary service integration cadres “Cut Muti”,  in Bendogerit Village, Blitar City, are a strategic group for empowerment because they play a central role in daily childcare. This study uses a one-group pretest-posttest pre-experimental design. The population consisted of 40 mothers of children under five who were registered at the the primary service integration cadres “Cut Muti”, using a total sampling technique. Data was collected using a questionnaire that measured mothers' knowledge of acupressure for managing coughs and colds in toddlers. The intervention consisted of health education thru lectures and counseling supported by leaflets, delivered individually, and conducted in a single 25-minute session. The data was analyzed using the Wilcoxon test. Statistical analysis shows a significant increase in mothers' knowledge after the intervention, with a p-value of 0.000 (p<0.05). This finding indicates a significant difference in knowledge levels before and after health education about acupressure therapy. Health education about acupressure effectively improves mothers' knowledge and is expected to support independent and correct home management of coughs and colds in toddlers. Future community service initiatives are recommended to expand participant coverage and strengthen community-based empowerment programs to sustainably reduce respiratory complaints in children under five in Indonesia.
Empowering Elderly Exercise Groups in Gout Arthritis Management Through Education and Ergonomic Exercise Himmatul Ulya; Erni setiyorini; Sandi Alfa Wiga Arsa; Anita Rahmawati
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4202

Abstract

Gout arthritis is one of the health problems commonly experienced by the elderly and can cause joint pain and limited activity if not managed properly. Lack of knowledge about gout arthritis management is a factor that can worsen the condition. Therefore, education about gout arthritis management and ergonomic exercise is needed as a non-pharmacological management effort that can be done independently. The purpose of this community service program was to increase the knowledge of the elderly exercise group in managing gout arthritis through health education and demonstrations of ergonomic exercises as a promotive and preventive measure. The method used was a lecture providing education on gout arthritis management and ergonomic exercises using leaflets and demonstrations of ergonomic exercises. The target of the activity was members of the elderly exercise group in Bacem Village, Ponggok District, Blitar Regency. The pre-test results showed that 70% of participants were in the adequate knowledge category, and 30% were in the good knowledge category. After the education was provided, the post-test results showed an increase in knowledge, with 85% in the good knowledge category and 15% in the adequate knowledge category. The results of the gout examination showed that 50% of participants had normal gout levels, 45% had high gout levels, and 5% had low gout levels. Education on gout arthritis management and ergonomic exercise proved to be effective in increasing the knowledge of the elderly and is recommended to be implemented continuously in promotive and preventive efforts in the community.
Early Warning Scores as a Predictor of Mortality in Non Comorbid COVID-19 Patient Anita Rahmawati; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Ulfa Husnul Fata; Rahma Murti
Journal of Ners and Midwifery Vol 11 No 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i2.ART.p153-159

Abstract

There are several non-comorbid COVID-19 patients lead to mortality, but the risk factors that affect it have not been widely discussed in research. Treatment of COVID-19 patients focuses more on patients with comorbidities. This study aimed to check the effectiveness of Early Warning Scores (EWS) assessment to predict the mortality of non-comorbid COVID-19 patients. The method of the study was a case study research with a retrospective approach using secondary data, namely the patient's medical record status. This study took medical record data from 262 patients confirmed positive for non-comorbid COVID-19 who were hospitalized at Ngudi Waluyo Wlingi Hospital from July to September 2021. The multivariate data analysis used multiple linear regression tests to simultaneously test the relationship of the independent variables (age, gender, and Early warning score) to the dependent variable (mortality). The statistical analysis result showed the correlation between gender, age, and assessment with mortality, each of which has a p-value of 0.000, meaning that each of these variables has a relationship with mortality. If a simultaneous test (F test) is carried out, the p-value is 0.000, meaning that gender, age, and EWS simultaneously affect mortality. The coefficient of determination or R square of 0.773 means that gender, age, and EWS simultaneously influence mortality by 77.3%. Early Warning Scores (EWS) assessment influenced the mortality of non-comorbid COVID-19 patients. The highest contribution affecting mortality was the EWS assessment. The contribution of influence on sex and age is relatively the same.
The Duration of Suffering from Diabetes Mellitus did not Correlate with the Occurrence of Cataract Ulfa Husnul Fata; Shinta Wulandari; Anita Rahmawati; Wahyu Wibisono
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i1.ART.p090-097

Abstract

People with diabetes mellitus are five times more likely to develop cataracts. High blood sugar levels over a long period of time can be one of the complications of cataracts. This was a correlational study with the purpose to determine the correlation between the duration of diabetes mellitus and the occurrence of cataracts in patients with diabetes mellitus at the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The population in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The sample in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital within a period of 2 weeks, totaling 56 people. The sampling used an accidental sampling technique. The statistical test used was chi-square. The results of this study showed that the p-value was 0.449, which meant that there was no correlation between the duration of diabetes mellitus and the incidence of cataracts. Several actions that can be taken to prevent cataracts are controlling blood glucose levels by obediently taking medication and following a diet. In addition, routine eye checks are useful in preventing cataracts in people with diabetes mellitus.
The Moderating Role of Drinking Water Habit on the Effect of High- Purine Dietary Intake on Uric Acid Levels in Adults and the Elderly Anita Rahmawati; Amelia Anggi Dwi Lestari; Ulfa Husnul Fata
Journal of Ners and Midwifery Vol 12 No 3 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i3.ART.p259-269

Abstract

Serum uric acid levels are affected by dietary patterns and lifestyle factors. High-purine food consumption is a primary contributor to hyperuricemia, while hydration status may moderate this effect. This study aimed to examine the moderating role of drinking water habits on the relationship between high-purine dietary intake and serum uric acid levels among adults and the elderly. A cross-sectional design with purposive sampling was conducted, involving 87 respondents from Elderly Integrated Health Post (Posyandu Lansia). Data on purine-rich food intake and water-drinking habits were collected via structured questionnaires, and serum uric acid levels were measured using a point-of-care testing (POCT) device (Easy Touch GCU 3-in-1) with compatible test strips. Multiple logistic regression analysis assessed the interaction between purine intake and drinking water habits. Results revealed a significant association between high-purine dietary intake and elevated serum uric acid levels (p = 0.022). Participants who reported high-purine dietary habits along with insufficient water consumption demonstrated the highest prevalence of hyperuricemia (71.4%), whereas those with similar dietary patterns but adequate hydration showed a substantially lower prevalence (20.0%). A significant interaction effect (p = 0.040) indicated that sufficient water intake moderated the impact of a high-purine diet on uric acid levels. Adequate hydration thus plays a critical moderating role in reducing the adverse effects of a high-purine diet. Promoting sufficient water intake may serve as a simple and effective behavioral strategy to prevent hyperuricemia, particularly among individuals with high purine consumption.