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The Effect of teach-back educational method on self-management in hemodialysis patients Fani, Rif'atul; Wahyusari, Shinta; Hastuti, Apriyani Puji; Al Husna, Chairul Huda
Jurnal Keperawatan Vol. 16 No. 1 (2025): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v16i1.35754

Abstract

Introduction: Patients with chronic kidney disease undergoing hemodialysis may experience a decline in physical and psychological conditions such as increased risk of depression and non-compliance in undergoing therapy. Therefore, proper self-management is needed so that patients can control their disease. Teach-back education is one interactive method that can be used to improve self-management of hemodialysis patients. Objectives: The purpose of this study was to determine the effect of the teach-back educational method on self-management in hemodialysis patients. Methods: This study used a quasi-experimental design with a pre-test and post-test design, for 137 end-stage renal disease patients undergoing hemodialysis at Wava Husada Hospital. The duration of the training was 3 sessions and the time of each session ranged from 45 minutes to one hour. To collect data from patients, a demographic questionnaire and the Hemodialysis Self-management Instrument-18 (HDSMI-18) were used to assess patient self-management before and after the intervention. A significance level of 5% was established for the analysis. Results: The overall self-management score before intervention was 53.47 ± 8.59. The total score of self-management after intervention was 57.15 ± 8.94. Data analysis indicated that the difference in the mean score of self-management before and after teach-back education was significant (p = 0.000). Among the dimensions of self-management, there was a significant difference for two dimensions including self-care and problem-solving before and after teach-back education (p = 0.000).Conclusions: The teach-back educational method was effective in improving self-management in hemodialysis patients. It improved self-management in the dimensions of self-care and problem-solving. It is recommended that nurses in hemodialysis units implement teach-back education as a routine practice in caring for hemodialysis patients.
Mother's Behavior: Infant and Young Children Feeding In Stunted Children Apriyani Puji Hastuti; Dion Kunto Adi Patria; Novanda Ramadhani Nugraha
Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health Vol. 4 No. 2 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

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

Abstract

Infant and Young Children Feeding (IYCF) are possible efforts​ used in prevention and reduction of stunting. Many children are deprived nutrition because food given too fast and inaccuracy responsive feeding. Level knowledge previous mother​ No know wrong way to be the right way appropriate. The aim of the study was mother knowledge about infant and young children feeding. For measure level of mother knowledge about infant and young children feeding and responsive feeding in toddlers and stunted children​ at the Public Health Center Sumbermanjing Kulon and Pagak in Malang Regency. Desain of this study used descriptive survey with a total of 60 respondents selected use total sampling technique. Data is collected through questionnaire that includes aspect knowledge mother, preparation and processing food, complementary feeding, and responsive feeding. Result of this study show that mother knowledge about infant and young children feeding in category good knowledge (67%), and less knowledge (33%). Based on every indicator from mother behavior show that preparation and processing food in category good (86%), complementary feeding in category good (100%), as well practice giving responsive feeding (80%). However, some mother is also lacking in responsive feeding (20%). Although level knowledge from Mother Enough high , related with knowledge mother who became source main that is support family too. This matter show necessity intervention that is not only focus on education and exposure but also on level I want to know, mother For increase knowledge Mother to giving eating in toddlers and children For in the future For prevent the occurrence of stunting.
Hubungan Perception Barriers Dengan Keaktifan Kunjungan Ibu Dalam Posyandu Balita Widiya Wati, Roidah Hadis; Kurniawan, Ardhiles Wahyu; Hastuti, Apriyani
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.25012

Abstract

The success of the posyandu program is very dependent on the active participation of the community, especially mothers with toddlers, but the reality on the ground is that the level of activity of mothers visiting posyandu is still often low. Various factors can influence this activity, one of which is the perceived barriers felt by the mother. Objective: The aim of this research is to analyze perception barriers with mothers' activeness in posyandu activities. Methods: This research design uses analytics with a cross-sectional approach. The population in this study were mothers who had participated in posyandu activities for at least 6 months. This research instrument uses a perception barriers questionnaire from the health belief model theory and documentation studies from the results of posyandu visits. Results: In this study the p-value obtained was 0.001. This shows that there is a relationship between perceived barriers and the activeness of mothers' visits to toddler posyandu. The main factors that influence perceptions of barriers include the mother's lack of understanding of the benefits of posyandu, lack of adequate posyandu facilities, and time constraints due to the mother's busy schedule. Conclusion: there is a significant relationship between perception barriers and the activeness of mothers' visits to toddler posyandu. The higher the perceived barriers, the lower the mother's active level of visitation.
Maternal and child factors of stunted children: a case control study Hastuti, Apriyani Puji; Sukartini, Tintin; Arief, Yuni Sufyanti; Nursalam, Nursalam; Roesardhyati, Ratna; Mumpuningtias, Elyk Dwi; Hidayat, Syaifurrahman; Kurniawan, Ardhiles Wahyu
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24473

Abstract

Due to the transition or weaning process and infant feeding patterns, infants under the age of five (IYCF) are susceptible to nutritional problems, especially with regard to food diversity, diet quality, availability, and accessibility. According to fundamental health research, the mother’s capacity to supply nourishment (sources from animal and vegetable protein) and the main meal as an energy source during the first two years of life is associated. Community based case-control study was conducted among children 6-24 month. The study participant used multistage random sampling procedure, with a sample size of 180 mothers who have stunted children. This study used a questionnaire as its data research instrument, which was examined for validity and reliability utilizing data analysis methods like linear regression and SPSS 16.0 statistical software. Factor associated the role of mothers in the feeding of stunted children to nutritional status are age, educational level, occupation, motivation, mobility, decision making, knowledge, self-esteem, self-efficacy, family type, family role, stress of family, coping of family, family social support, weight of birth, responsive feeding. The all of factors can affected roles of mothers in the feeding of stunted children to nutritional status with p-value <0.005. While the child’s age, birth length, breastfeeding, feeding children are not factors associated with the role of mothers in the feeding of stunted children to nutritional status.
Risk Factors of Stroke in Indonesian Population: Literature Review Rahmania Ambarika; Mohammad Saifulaman; Apriyani Puji Hastuti; Novita Ana Anggraini
Journal Of Nursing Practice Vol. 7 No. 1 (2023): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i1.439

Abstract

Background: Stroke is a major cause of death and disability in Indonesia. Stroke requires high-quality, fast, and precise management to prevent and avoid disability and death. Stroke can be prevented by adequately controlling the risk factors and encouraging healthy lifestyles. Efforts are needed to organize health promotion programs at the community level. More and a better distribution of neurologists and neuro interventionalists is needed. Purpose: The purpose of this research is to review risk factors of stroke patient. Methods:  We included English materials published between Science Direct, PubMed, Research Gate, and Google Scholar that were used to find studies related to stroke dan risk- factor between 2016- 2022. Results: In general, risk factor of stroke are sosiodemographic factor, biological factor, lifestyle factor, other condition and other factor can cause stroke. Stroke divide into stroke infark and stroke hemoragic. Risk factor of stroke infark are non- modifiable factor (age, sex, ethnicity, genetic) and modifiable risk factors (hypertension, current smoking, waist to hip ratio, diet, alcohol consumption). Risk factor of stroke hemoragic are non- modifiable factor (age, sex, ethnicity, genetic) and modifiable risk factors (hypertension, current smoking, waist to hip ratio, diet, alcohol consumption, physical inactivity, hyperlipidemia, diabetes, cardiac causes, apolipoprotein B to A1). Conclusion: Review of discharge planning can be influenced by several factors: individual characteristics (clients' potential with special needs early, motivation), family factors (social resources, home environment), health care system (teaching home care skills with community/ hospital professionals. These factors will affect the implementation of discharge planning in health services which is hospital accreditation.
Smart Health Village in Improving Disaster Preparedness Ardhiles Wahyu Kurniawan; Ratna Roesardhyati; Apriyani Puji Hastuti; Risky Siwi Pradini; Rahmania Ambarika
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.491

Abstract

Background: Disaster-prone areas are areas that have the potential for natural disasters such as earthquakes, mountain eruptions, landslides caused by activity or movement from the base of the earth. Understanding the potential for natural disasters in each region as one of the anticipatory steps to minimize the number of victims of natural disasters. Precise and accurate information is needed for disaster management. The slope of the area is quite steep, and road access to villages and tourist attractions is vulnerable to landslides. The current disaster incident information reporting system still applies the conventional model. The community also experiences difficulties in receiving information and submitting reports regarding village conditions. Purpose: This research aims to analyze the effectiveness of smart health villages in improving disaster preparedness. Method: The research design used a pre-experiment with a pre-test and post-test design approach with a sample size of 64 volunteers who were taken using purposive sampling. The independent variable in this study is Smart Health Village and the dependent variable is the voluntary task force's ability to preparedness disaster. The research instrument used a questionnaire for each variable. Data analysis in this study is the Wilcoxon Signed Rank Test. The implementation of this activity consists of the design stage, application creation, system design, socialization and training, and trial. Results: The research results showed that the voluntary task force's preparedness was in a good category as much as 88% and as enough as 12% with p value = 0.000. This application system smart health village based on the web allows both the community (users), admin (task force), and verifiers (village officials) to access anywhere and at any time, thus increasing the capability and quality of human resources in disaster preparedness and disaster-prone areas. Conclusion: Based on the results it can be concluded that smart health village can improve ability in preparedness of disaster in disaster- prone areas thus reducing impact of anxiety and and panic due to disaster.
Anthropometric Parameters among Children Under 6 Years with Stunting Setiawan, Abdul Malik; Hastuti, Apriyani Puji
Journal of Ners and Midwifery Vol 8 No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p221-227

Abstract

Anthropometric measurement is a quantitative measurement as a nutritional status and can describe composition of the body. Stunting is when children have a low height-for-age. There are potential causes of stunting in Indonesia, including factor maternal nutritional status, breastfeeding practice, complementary feeding practice, exposure to infection, and related distal determinants such as education, dietary pattern, health care, and water sanitation hygiene. The objective of the research was to assess the association between gender, age and anthropometric parameters (weight-for-age, weight-for-height, body mass index for age) among children-under-six-years with stunting.  The research used a cross sectional method which used documentation research of gender, weight, height or length and age reports of 25.158 children under six years. The anthropometric parameters of the children were categorized using weight-for-age (WAZ), weight-for-height (WHZ), body mass index for age. This research used spearman rank test and binary logistic regression to analyze association between gender, age, weight-for-age, weight-for-height, body mass index for age, and height or length-for-age. Results: There were male 14.027 (55.8%), 2-6 years 15.789 (62.8%), with normal anthropometric parameter (weight- for-age, weight-for-height, and body mass index for age in stunted children. There was no significantly correlation between the children's gender and height-for-age (=0.096) and OR 0.993 (0.933- 1.056). Furthermore, there was low significantly correlation between age, anthropometric parameter (weight-for-age WAZ, weight-for-height WHZ and body mass index for age) with height-for-age (=0.000). Stunted children who had normal nutritional status were 0.469 times more likely to experience stunting.
HUBUNGAN PICKY EATER DENGAN STATUS GIZI PADA ANAK USIA PRESCHOOL DI WILAYAH KERJA PUSKESMAS NGANTANG Hastuti, Apriyani Puji; Berliana, Tria Agustin Nova; Koesrini, Juliati; Kurniawan, Ardhiles Wahyu
Health Sciences Journal Vol. 9 No. 1 (2025): Health Science Journal
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v9i1.3443

Abstract

Picky eater merupakan masalah yang sering terjadi pada anak, dimana anak sulit atau sangat memilih dalam hal makanan sehingga hal ini berdampan asupan makanan yang dikonsumsi tidak adekuat. Kesulitan makan pada anak usia dini beresiko tinggi menjadi malnutrisi seiring dengan pertambahan usia. Tujuan penelitian ini adalah untuk mengetahui hubungan picky eater dengan status gizi pada anak usia pre- school. Desain penelitian ini meggunakan analitik dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah ibu yang memiliki anak pre- school yang mengikuti kegiatan posyandu yang berada di Wilayah Puskesmas Ngantang Kabupaten Malang. Instrumen penelitian ini menggunakan kuesioner Child Eating Behavior Questionnaire (CEBQ) dan status gizi dengan pengukuran BB/U, PB/U dan BB/TB. Analisa data menggunakan coefficient contingency. Hasil penelitian ini didapatkan bahwa 75% anak mengalami picky eater dan status gizi anak dengan indikator BB/U sebagian besar normal 71.2%, indikator TB/U menujukan sebagian besar sangat pendek 37%, sedangkan status gizi BB/TB sebagian besar 91% merupakan gizi baik. Selain itu ada hubungan picky eater dengan status gizi (TB/U) (p-value= 0.008) dan tidak ada hubungan picky eater dengan status gizi BB/U dan BB/TB. Orang tua diharapkan mampu menerapkan pola makan yang tepat pada anak usia pre- school sehingga dapat memperbaiki status gizi pada anak usia dini yang sangat penting diperlukan bagi masa pertumbuhan dan perkembangan anak
The Ability of Type 2 Diabetes Mellitus Patients to Control Body Weight and it’s Factors Influence Diana Rachmania; Dhina Widayati; Apriyani Puji Hastuti
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.484

Abstract

Type 2 diabetes mellitus is a long-term or chronic disease that needs to be managed properly. One of the biggest challenges for people with type 2 diabetes mellitus is their ability to control their weight. This cross-sectional study aims to determine the ability to control their weight in people with type 2 diabetes mellitus and the factors that influence it. Respondents in this study were 96 respondents using a purposive sampling technique. The independent variables were factors related to the ability to control their weight, while the dependent variable was the ability to control their weight. Data collection used a questionnaire, and statistical testing was carried out using Spearman's rho with a significance level of 0.05. The results of the study showed that most respondents (71.9%) used oral diabetes medication, almost all respondents (37.5%) used insulin diabetes medication, most respondents (59.4%) had suffered from diabetes for 1-2 years, most respondents (52%) were committed to maintaining their weight in the sufficient category, and most respondents (62.5%) had the ability to control their weight in the fairly good category. The Spearman rho statistical test results showed a relationship between the duration of diabetes (p-value: 0.027) and commitment (p-value: 0.039) with the ability to control weight, while there was no relationship with other factors. The relatively good ability to control weight in patients newly diagnosed with type 2 diabetes mellitus may be due to the patient's awareness and motivation that creates a commitment to control their health condition to prevent worsening conditions. It is hoped that patients with type 2 diabetes mellitus can maintain the ability to control their weight so that glucose levels remain under control.
Estimating Correlation Between Emotional Regulation and Independence in Early Childhood Hastuti, Apriyani Puji; Ivana, Vanesya; Ispriantari, Aloysia; Soares, Domingos
Jurnal Ilmiah Kesehatan Vol 18 No 03 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i03.6820

Abstract

One of the aspects of childhood independence is managing emotional turmoil. Emotion regulation is an individual's style in determining what emotions they feel, when and how to describe them, and recognizing these emotions. This research estimates the correlation between emotional regulation and independence in early childhood. This research design used analytics with a cross-sectional approach. The population was 86 mothers with young children in the Ciptomulyo Malang Public Health Center (PHC) working area. There were 80 samples with a purposive sampling technique. The inclusion criteria were children living with their parents. The instrument for emotional regulation was the Emotional Regulation Questionnaire for Children and Adolescents (ERQ-CA), and for early childhood independence was the Child Independence Questionnaire. The results showed that parents had an authoritarian parenting style (85%). They had expressive suppression in emotion regulation (92.5%) and an independent category of early childhood independence (57.5%). The Spearman Rank test obtained p=0.002 (p<0.05) and the r=0.625. Thus, there was a significant correlation between emotion regulation and early childhood independence. In conclusion, emotion regulation affects early childhood independence. Further research could evaluate children's social and cultural context and individual characteristics, providing deeper insight into the factors influencing early childhood independence.