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Self-Stigma as The Trigger of Depression Factor in Multidrug - Resistant Tuberculosis (MDR-TB) Patients at a Public Hospital in Gresik Widya Lita Fitrianur; Wiwik Widiyawati; Ervi Suminar
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.78 KB) | DOI: 10.24990/injec.v7i1.495

Abstract

Introduction: Multidrug-Resistant Tuberculosis (MDR-TB) is a chronic infectious disease that can affect the patient's physical appearance so that it has an impact on the patient's psychosocial condition, including the emergence of anxiety and depression. Anxiety and depression in MDR-TB patients have an impact on the patient's rejection of the diagnosis and they choose to stop the treatment process. The incidence of anxiety and depression in MDR-TB patients is influenced by several factors, one of which is self-stigma. The purpose of this study was to determine the impact of the factor of self-stigma on the incidence of depression in MDR-TB patients.Method: The study design used a cross-sectional approach with a sample of 71 MDR-TB patients undergoing treatment. The study used a questionnaire that was filled out directly by the patient during the treatment process. The sampling technique used purposive sampling by setting inclusion criteria. The bivariate statistical test used in the study was chi-square.Results: The results of the self-stigma study obtained a p-value = 0.000 <0.05 with an OR value of 54.643, meaning that there was a significant relationship between self-stigma and depression in MDR-TB patients.Conclusions: MDR-TB patients with high self-stigma have a higher chance of experiencing depression than patients with low self-stigma. Suggestions in this study are that it is hoped that the family, health workers, community, and government can help reduce the stigma against patients with MDR-TB. Promotive efforts by providing support and education to the community can help to eliminate the stigma so that the incidence of depression in MDR-TB patients can be minimized.
THE USE OF SOAKING WARM WATER FOR BLOOD PRESSURE REDUCTION IN ELDERLY HYPERTENSIVE PATIENTS Andita Nugroho, Fiza Paluphi; Widiharti, Widiharti; Suminar, Ervi; Fitrianur, Widya Lita
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 2 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v8i2.601

Abstract

Introduction: According to a survey conducted by the Indonesian Gerontology Doctor Association in 2022, 37.8% of the elderly population in Indonesia have a history of hypertension. In addition to medication therapy, hypertension can be controlled through non-pharmacological therapy, including to soak the feet in warm water. The purpose of this study is to investigate the use of soaking the feet in warm water to reduce blood pressure in elderly hypertensive patients in Jatikalang, Prambon District.Method: This pre-experimental study uses a one-group of pre-test post-test strategy. The population for this study consists of 46 elderly hypertensive patients. The technique of sampling is purposive, resulting in a sample size of 42 elderly patients. The instruments used are a questionnaire and an observation sheet. Data analysis was by the Wilcoxon test.Results: The systolic blood pressure before soaking the feet in warm water was 140.98 mmHg, and the diastolicof  blood pressure was 83.29 mmHg. The results of the analytical test yielded 0.000 (a p-value) for systolic blood pressure, and 0.000 for blood pressure of diastolic.Conclusions: Soaking the feet in warm water has an effect on reducing blood pressure of elderly hypertensive patients. It is hoped that this therapy can be used as an additional treatment for hypertension patients, allowing the community to perform it at home for 15 minutes daily, to lower blood pressure at a low cost.Keywords: Soaking Feet in Warm Water, Blood Pressure, Elderly
Co-Authors Ach. Riyanto Wibowo Aghani, Fandi Nur Akmaaliyah, Ahdiyah Ziidah Alivia Laily Rahmah Andita Nugroho, Fiza Paluphi Arsya, Nadya Priska Cicik Kholidatur Rizkiyah Devia Dwi Ramadanty Dheea Mayreela Diah Fauzia Zuhroh Diah Jerita Eka Sari Dwi Ismawati Dwi Lina Octavia Eka Febby Andrea Eka Sari, Diah Jerita Ernawati Ernawati Fardah Etsa Maulani Fatkhiyah, Dewi Nur Fauziah Zuhro, Diah Firdaus, Ali Rayhani Al Firdaus, Erisma Firman Firdauz Saputra Fitrianur, Widyalita Fitriyah, Cholifatul Jerita Eka Sari, Diah junaidi, junaidi junaidi Khafid, Muhamad Kholidatur Rizkiyah, Cicik Krisnawati, Dyah Ika Lailatul Islamiyah Laily Rahmah, Alivia Lestari, Daniar Hani Levi Tina Sari, Levi Tina Lidia Aditama Putri Lidiah, Putri Lita, Diana Aura Masmumah, Atqin Mas’Ulah, Shohibatul Mayreela, Dheea Meilani, Deby Ayu Mohammad Mansyur Nabilasari, Khoirunnisa Nisrina Nava, Muzayyana Danifatun Nevy Norma Renityas, Nevy Norma Nofita Syafaatin Nourma Yunita NOVIA DWI ASTUTI NURUL HIDAYAH Nurun Nikmah Prastito, Firman Prastito Pratama, Firman Sukma Hadi Puspita Maharani, Laras Putri Lidiah Putri Malinda Istifani Rokani, Rokani Safitri Wulandari Saputra, Rizma Dwi Ady Sari, Monica Kopda Sofa Qurrata A'yun Sri Yuliastutik Suhartanti, Oktalia Suhartono Suhartono Suhartono Swandari, Riska Syi'ami, Nurul Isnaini Ummah, Safira Rahmatul WAHYU WIBISONO Widiharti Widiharti Widiharti Widiharti Widiharti Widiharti, Widiharti Widodo Widodo Widya Lita Fitrianur Widya Lita Fitrianur, Widya Lita Wiwik Widiyawati Zahroh Zahroh Zahroh, Chainunatuz Zufra Inayah Zuhriyah, Halimatuz Zuhro, Diah Fauzia