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Hubungan kadar gula darah dengan tekanan darah pada lansia penderita Diabetes Tipe 2 Erni Setiyorini; Ning Arti Wulandari; Ayla Efyuwinta
Journal of Ners and Midwifery Vol 5 No 2 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i2.ART.p163-171

Abstract

Diabetes melitus tipe 2 merupakan penyakit kronis yang disebabkan oleh tubuh yang tidak mampu menggunakan insulin secara efektif. Prevalensi diabetes tipe 2 meningkat seiring dengan usia dan pola hidup yang tidak sehat. Kadar gula darah diabetes tipe 2 yang tidak terkontrol dapat memicu berbagai macam komplikasi pada penderita diabetes tipe 2, salah satunya terjadi makroangiopati yaitu komplikasi pada pembuluh darah besar sehingga mempengaruhi perubahan tekanan darah. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kadar glukosa darah dengan tekanan darah lansia penderita diabetes tipe 2. Desain dalam penelitian ini adalah korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah lansia penderita diabetes tipe 2 yang berobat di Poli Penyakit Dalam RSUD Mardi Waluyo Blitar sebanyak 300 responden, sampel yang didapatkan sebanyak 75 responden dengan menggunakan teknik accidental sampling. Uji statistik menggunakan Spearman Rank. Hasil dari penelitian menunjukkan kadar gula darah normal sebanyak 41 responden (54,7%) dan tekanan darah normal sebanyak 42 responden (56%). Hasil uji Spearman Rank menunjukkan terdapat korelasi yang signifikan antara kadar gula darah dan tekanan darah pada lansia penderita diabetes tipe 2 ( = 0.017) dengan koefisien nilai korelasi adalah 0.274. Terdapat hubungan antara kadar gula darah dengan tekanan darah. Kadar gula darah yang terkontrol dapat mempertahankan tekanan darah dalam range normal, sehingga mencegah terjadinya hipertensi.
Kemampuan Pecinta Trail Adventure sebagai Medical First Responder pada Korban Kecelakaan Ning Arti Wulandari; Erni Setiyorini
Journal of Ners and Midwifery Vol 5 No 3 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i3.ART.p212-217

Abstract

Kecelakaan lalu lintas merupakan masalah yang besar namun belum mendapatkan fokus perhatian tatanan kesehatan. Diperkirakan 1,2 juta orang di dunia  terbunuh dan 50 juta orang luka-luka setiap tahunnya akibat kecelakaan. Ternyata bukan hanya berkendara di jalan raya saja, berkendaraan di jalur ekstrim seperti yang dilakukan oleh para pecinta trail adventure  juga beresiko mengalami kecelakaan. Tujuan penelitian ini mengidentifikasi kemampuan pecinta adventure sebagai medical first responder pada korban kecelakaan. Desain dalam penelitian ini adalah deskriptif eksploratif, dengan jumlah sampel 57 orang anggota CROSSTRABS Komunitas Trail Adventure Blitar Selatan yang diambil dari seluruh populasi. Penelitian ini dilakukan di tanggal 25 November 2018 di Tulungagung dalam acara HOT Enduro 2018, pengumpulan data dengan menggunakan kuesioner. Hasil penelitian ini adalah 81% dari 57 responden memiliki kemampuan kurang, 18% mempunyai kemampuan cukup dan 1% mempunyai kemampuan baik dalam berperan sebagai  medical first responder pada korban kecelakaan. Hasil penelitian menunjukkan bahwa kemampuan pecinta trail adventure sebagai medical first responder terbanyak adalah dalam kategori kurang. Oleh sebab itu sangat di perlukan pelatihan tentang medical first respons pada pecinta trail adventure, sehingga kemampuan sebagai medical first responder meningkat.
Intradialytic Complication and Associated Factors among Patients Undergoing Hemodialysis Yeni Kartika Sari; Ning Arti Wulandari; Sandi Alfa Wiga Arsa; Iwit Rata Ari Dewi
Journal of Ners and Midwifery Vol 8 No 3 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i3.ART.p378-385

Abstract

Hemodialysis is one of the vital management options for end-stage renal disease (ERDS) patients. Adequate hemodialysis can make a good quality of patient life. Hemodialysis patient commonly has experienced intradialytic complications, and it can be life-threatening. ESRD patients who are not compliant with fluid and dietary restrictions raised Intradialytic weight gain (IDWG), and blood pressure leads to intradialytic complications. This study aimed to determine factors associated with intradialytic complications among undergoing hemodialytic patients in Blitar. The data analysis used Multiple linear regression analysis to ascertain the possible factors that influence intradialytic complications. The sample was 55 hemodialysis patients with intradialytic complications. Based on this study, the Spearman Rank correlation test results, the factor that correlated with intradialytic complications was patient compliance with a Sig (2-tailed) value of 0.016 with a correlation coefficient value of -0.26. The correlation coefficient in the results above was negative, namely -0.263 so that the correlation between the two variables was not unidirectional. The higher compliance showed, the lower the intradialytic complications. The odds ratio (OR) value between adherence and the occurrence of intradialytic complications was 3,229. That value meant that patients with kidney failure who do not comply with the diet will have a 3-fold risk of intradialytic complications compared to patients with renal failure who comply. This result emphasizes the need for constant motivation and education at frequent intervals to ensure better adherence.
Knowledge about The Dangers of Smoking and Smoking Behavior of Students in Septembro Unamet 4th High school Dili, Timor Leste Maximiano Oqui; Ning Arti Wulandari; Tonílio de Fátima dos Santos; Ana do Rosário de Jesus Leite
Journal of Ners and Midwifery Vol 9 No 2 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i2.ART.p162-167

Abstract

Most adults who are dependent on nicotine start smoking in their teens. Timor-Leste is the country with the highest smoking rate in the world. Every year, more than 700 people in Timor-Leste are killed by tobacco-related diseases. Tobacco-related diseases are the fourth leading cause of death.  assessment to find out knowledge about the dangers of smoking and smoking behavior. This research design uses Crosssectional in high school with sample 122 student. Data collection was carried out by Quetionare. In this research the researchers conducted an assessment of knowledge about the dangers of smoking and smoking behavior. This study said out of 122 respondents, it was found that 59.8% had poor knowledge, 27.0% had normal knowledge and 13.1% and out of 122 respondents, 86.6% smoked and 48.3% of them had poor knowledge. The results of statistical tests showed that there was a relationship between knowledge about the dangers of smoking and smoking behavior in high school students. Solution to overcome the problem of knowledge about the dangers of smoking and smoking behavior is the provision of health education about the impact of smoking using methods that are attractive to high school students and carried out consistently.
Preventing Non-Communicable Diseases by Implementing the Free Health Screening Program Wimar Anugrah Romadhon; Erni Setiyorini; Ning Arti Wulandari; Yeni Kartika Sari; Anita Rahmawati; Ulfa Husnul Fata; Raden Roro Dewi Rahmawaty Aktyani Putri; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Sabrina Rahmatillah Azhar
Journal of Community Service for Health Vol. 7 No. 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v7i1.1301

Abstract

Degenerative diseases are still a national problem and need special attention because if not handled properly, they will cause disability and even death. STIKes Patria Husada Blitar in collaboration with Visayas State University Philippines also succeeded in the government program, namely the Free Health Check (CKG). Together with the local health center, STIKes Patria Husada Blitar participated in health checks for the community including PTM screening, measuring body mass index, measuring blood pressure, checking blood sugar, cholesterol and uric acid levels, and other examinations. Participants in the Free Health Check were the community in the working area of ​​the Sananwetan Health Center as many as 57 participants. CKG activities were weighing, checking blood pressure, blood sugar levels, blood cholesterol levels, blood uric acid levels, eye screening, ear screening, dental screening, SADANIS examination and EKG examination. The CKG activity was held on Thursday, October 30, 2025 at the Residents' AssociationHall of Sananwetan Village. The examination results obtained that only 3.5% of the participants had a history of DM and 24.6% had a history of hypertension, as much as 42.1%; the majority of participants' blood pressure was pre-hypertension, namely 29.8%; the participants' blood sugar levels were mostly normal (<200 mg/dl), namely 59.6%; the participants' cholesterol levels were mostly normal (<200 mg/dl), namely 64.9%; and the participants' uric acid levels were mostly normal, namely 86%. The results of doctor consultations were only 24.6% who were advised to be referred to the Community Health Center or Health Facility. While the rest were advised to maintain their diet/regularly take medication. Universities can develop strategies for future community service activities by prioritizing promotive and preventive activities without neglecting curative and rehabilitative ones.
ACUPRESSURE SELF-CARE AS A COMPLEMENTARY THERAPY TO MANAGE HYPERTENSION Rahmalia Samsara Kristanti; Sandi Alfa Wiga Arsa; Ning Arti Wulandari
Journal of Community Research and Engagement Vol. 2 No. 2 (2025): NOVEMBER
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/jcore.v2i2.1295

Abstract

The Indonesian Tera Klampok gymnastics group has a high prevalence of hypertension. This is evidenced by the results of interviews and preliminary studies as many as 80% of members who suffer from hypertension. This community service aims to increase the knowledge and ability of hypertension patients to apply acupressure independently to control blood pressure to prevent all risks of complications and partners can be independent in checking blood pressure regularly. The implementation of activities includes education, training and assistance for partners in applying acupressure therapy as complementary therapy, the media used are leaflets and power point broadcasts related to acupressure therapy. The participants who attended the activity were 36 people. In the post-test after providing education, training and assistance to partners in applying acupressure therapy as complementary therapy, it showed significant differences in the reduction of systolic and diastolic blood pressure in participants before and after acupressure therapy and there was an increase in knowledge and skills related to hypertension and the benefits of the application of independent acupressure complementary therapy as one of the management of non-pharmacological therapies that can lower blood pressure and partners are able to take part in demonstrations of acupressure techniques and points for hypertension and the community is able to apply acupressure therapy related to hypertension management. Keywords: Hypertension, Acupressure, Health Education, Elderly, Blood Pressure.
Cardiovasculer Emergency Nursing: A Case Report Diana Maidhotul Khasanah; Ning Arti Wulandari; Wimar Anugrah Romadhon; Maximiano Oqui
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/hg4209

Abstract

Cardiovascular emergencies are diseases caused by heart and blood vessel failure. The cardiovascular system is a vital system in the human body. Therefore, diseases affecting this system can directly affect a person's survival. Researchers found several complaints, including shortness of breath, weakness, chest pain, and fatigue. Overlying diagnoses for patients with cardiovascular emergencies included decreased cardiac output, ineffective breathing patterns, and acute pain. Interventions for patients with cardiovascular emergencies were tailored to the diagnosis of bleeding. Evaluation of patients with cardiovascular emergencies was conducted for approximately 6 hours in the Emergency Department to determine the underlying issues. Most problems were unresolved and required further treatment, including hospitalization. 
Conscious Techniques Affected the Adolescent’s Ability In Early Breast Cancer Detection Mujito; Andi Andi Hayyun Abiddin; Diwin Amaliyah; Ning Arti Wulandari
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.p169-174

Abstract

Breast cancer is a malignant tumor and grows in the breast tissue resulting in death. Breast cancer prevention by means of breast self-examination. This study aimed to determine the effect of video media on conscious techniques with a combination of demonstrations on the practical ability of adolescents in early detection of breast cancer. The method used a quasi-experimental design, non-equivalent control group design with a population of 279 and a sample of 40 respondents with inclusion criteria of young women, aged 16 years as students of SMA Negeri 1 Tarik Sidoarjo. The data collection measured skills in 2 groups of respondents. The experimental intervention group used videos and demonstrations, while the intervention control group used lectures and leaflets. The intervention was done in 1 day, the posttest was conducted 7 days after the intervention. The results showed that the average value of the pretest posttest of the two groups increased. The results of the statistical test paired T-Test obtained a significant value of p-value = (0.000 < 0.05) meant that there was an effect of providing video media with conscious techniques with a combination of demonstrations on the practical ability of adolescents in early detection of breast cancer. Educators should develop programs to improve skills for early detection of breast cancer, in collaboration with health workers through health promotion so that all students are aware of health.
Exploratory Descriptive Study on the Management og Hospital Facilities and Infrastructure Muhammad Saleh; Prima Dewi Kusumawati; Nurwijayanti; Ning Arti Wulandari; Andi Hayyun Abiddin
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p161-169

Abstract

Management of facilities and infrastructure has a very important role in the effectiveness of health services, especially in Medical Rehabilitation Installations. Hospitals face challenges related to increasing patient volumes, leading to patient overcrowding and extended waiting times. The aim of this research was to analyze the management of hospital service facilities and infrastructure. The design of this research was exploratory descriptive with a qualitative approach. The subjects of this research were 11 subjects from units related to hospital services at the West Sidoarjo General Hospital. The data collection process was carried out using interviews, observation and documentation. This study showed that improving coordination between management and medical staff as well as improving medical equipment maintenance systems will make a significant contribution to hospitals' ability to meet healthcare needs efficiently. Hospitals need to carry out routine training on the use of medical equipment, form equipment maintenance teams and carry out regular audits.
The Role of Adolescents in Preventing Non-Communicable Diseases Afifah Viramita; Ning Arti Wulandari; Ulfa Husnul Fata; Yeni Kartika Sari
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/hg4105

Abstract

The incidence of Non-Communicable Diseases (NCDs) is predicted to reach 52 million people in 2030, which has an impact on decreasing the productivity and quality of the nation's generation. Early intervention through the role of community nurses is very necessary, especially in adolescent groups in Islamic boarding schools. This activity aims to increase preventive awareness and early detection capabilities of NCDs in students through promotive and preventive efforts. This research method uses a Pre-Experimental method with a One Group Pretest, Posttest design. From a population of 80 students and 9 health cadres of students in " Islamic boarding school environment and a sample of 57 regular student respondents and 8 health cadres , by accidental sampling. The research instrument is a knowledge and attitude questionnaire, analyzed by the Wilcoxon Sign Rank Test. implementation includes health education with lecture and question and answer methods, health screening (blood pressure and Body Mass Index), and training of health cadres of students in blood pressure measurement techniques. This activity was conducted on December 15, 2025. The results showed a statistically significant increase in knowledge after the education program. Respondents' behavior in the good category increased from 29 to 43 (n=57). Rresults detected adolescents with pre-hypertension and overweight. Skills training successfully improved partners' competence in independently measuring blood pressure. In conclusion, providing health education and routine screening is effective in increasing knowledge, changing health behavior, and is a crucial first step in controlling NCD risk factors among adolescents.