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SIKAP SEBAGAI VARIABEL INTERVENING ANTARA DUKUNGAN KELUARGA DENGAN PERILAKU KONTROL RUTIN PASIEN HIPERTENSI DI PALEMBANG Koerniawan, Dheni; Indaryati, Sri; Istiyani, Sry
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol 2 No 1 (2019): Jurnal Kesehatan Saelmakers Perdana
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Target of hypertension management is normal blood pressure or at least in stable condition. Stabilize blood pressure can be obtained if patient done regular checkup to monitor and evaluate his/her health condition. Regular checkup behavior influenced by patient attitude to making decision of his/her blood pressure control and family support to that decision. This study aimed to identify intervening variable between attitude and family support to regular checkup behavior of hypertensive patient in Talang Betutu Public Health Center. This study used analytic survey to 44 hypertensive patients with purposive sampling by questionnaire. Path analysis with logistic regression approach used to conduct conceptual model of influence between variables. Logistic regression result showed there was significant influence between attitude to regular checkup behavior (b: 2.616; p: 0.001) but not between family support to regular checkup behavior (b: 0.238; p: 0.756). Path analysis given model that attitude being intervening variable between family supports and regular checkup behavior so family support had indirect correlation and influence to regular checkup behavior. Thus, nurse education strategies pointed to increasing awareness of hypertensive patient about his/her health condition and effort to maintain blood pressure in control or stable as precaution and decreasing risk of complication.   Keywords:hypertension, attitude, family support, regular checkup behavior, logistic regression, path analysis

SIKAP SEBAGAI VARIABEL INTERVENING ANTARA DUKUNGAN KELUARGA DENGAN PERILAKU KONTROL RUTIN PASIEN HIPERTENSI DI PALEMBANG Koerniawan, Dheni; Indaryati, Sri; Istiyani, Sry
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol 2 No 1 (2019): Jurnal Kesehatan Saelmakers Perdana
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Target of hypertension management is normal blood pressure or at least in stable condition. Stabilize blood pressure can be obtained if patient done regular checkup to monitor and evaluate his/her health condition. Regular checkup behavior influenced by patient attitude to making decision of his/her blood pressure control and family support to that decision. This study aimed to identify intervening variable between attitude and family support to regular checkup behavior of hypertensive patient in Talang Betutu Public Health Center. This study used analytic survey to 44 hypertensive patients with purposive sampling by questionnaire. Path analysis with logistic regression approach used to conduct conceptual model of influence between variables. Logistic regression result showed there was significant influence between attitude to regular checkup behavior (b: 2.616; p: 0.001) but not between family support to regular checkup behavior (b: 0.238; p: 0.756). Path analysis given model that attitude being intervening variable between family supports and regular checkup behavior so family support had indirect correlation and influence to regular checkup behavior. Thus, nurse education strategies pointed to increasing awareness of hypertensive patient about his/her health condition and effort to maintain blood pressure in control or stable as precaution and decreasing risk of complication.   Keywords:hypertension, attitude, family support, regular checkup behavior, logistic regression, path analysis

EFEKTIVITAS RANGE OF MOTION (ROM) AKTIF TERHADAP KEKUATAN OTOT EKSTREMITAS ATAS DAN EKSTREMITAS BAWAH PADA LANSIA Hartinah, Siti; Pranata, Lilik; Koerniawan, Dheni
Publikasi Penelitian Terapan dan Kebijakan Vol 2 No 2 (2019): Publikasi Penelitian Terapan dan Kebijakan
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46774/pptk.v2i2.87

Elderly experienced the physiologic and morphologic changes in musculoskeletal system especially muscular which are decreasing muscle strength and mass.To analyze effectivity active ROM to upper and lower extremities muscle strength for elderly in Panti Tresna Werdha Teratai KM. 6 Palembang.This study used quasy experiment design with pre-post test non- equivalent control group approach to 18 respondents with total sampling. Active ROM done for three times in a week with duration 30 minutes and three times repetition in every extremity. Friedman and Mann-Whitney used for bivariate analysis. Majority in intervention group had 4 and 5 muscle strength scale and control group had and 4 muscle strength scale. Friedman test showed significant difference in upper (p=0.001) and lower extremities (p=0.008). Mann-Whitney test showed significant difference in upper extremities (p=0.03) after active ROM intervention, but not significant in lower extremities (p=0.058). Elderly and Panti Tresna Werdha Teratai KM. 6 Palembang expected can do the active ROM exercise and progaming it for daily routine because this exercise proven can improve the muscle strength.

PENDAMPINGAN UPAYA MENURUNKAN INKONTINENSIA URIN BAGI MASYARAKAT DI TALANG BETUTU PALEMBANG Koerniawan, Dheni; Srimiyati, Srimiyati; Fari, Aniska Indah; Frisca, Sanny; Pratama, Wendi Putra
JMM (Jurnal Masyarakat Mandiri) Vol 4, No 1 (2020): Maret
Publisher : Universitas Muhammadiyah Mataram

Abstrak:Inkontinensia urine menjadi salah satu masalah yang meluas dan merugikan terutama bagi lansia. Salah satu bentuknya seperti lansia akan merasa rendah diri karena selalu basah akibat urine yang keluar, mungkin pada saat batuk, bersin, mengangkat barang berat dan ketidakmampuan menahan buang air kecil. Senam Kegel yang merupakan terapi non farmakologi untuk mengatasi inkontinensia urin. Kegiatan pengabdian yang dilakukan bertujuan untuk melatih lansia untuk melakukan senam Kegel sehingga dapat mengurangi gejala inkontinensia urin. Kegiatan dilakukan dengan pemberian edukasi, latihan senam Kegel, dan pendampingan selama tiga pertemuan. Hasil kegiatan menunjukkan bahwa mitra mengalami penurunan ketidakmampuan menahan kemih dari rerata 8,56 menjadi 6,3 dan penurunan frekuensi berkemih dari rerata 2,07 menjadi 1,44 serta rerata skor total inkontinensia urine menurun dari 10,63 menjadi 7,74.Â Abstract:Urinary incontinence is a widespread and detrimental problem especially for the elderly. One form such as the elderly will feel inferior because it is always wet due to urine coming out, maybe when coughing, sneezing, lifting heavy objects and the inability to resist urination. Kegel exercises which is a non-pharmacological therapy for overcoming urinary incontinence. Community service activities was aimed to train elderly for doing Kegel exercise thus can reduce symptoms of urinary incontinence. Service were carried out by providing education, Kegel exercises, and mentoring for three meetings. The results of the activity showed that the partners experienced a decrease in the inability to hold urine from an average of 8.56 to 6.3 and a decrease in the frequency of urination from a mean of 2.07 to 1.44 and the mean total urinary incontinence score decreased from 10.63 to 7.74Abstrak:Inkontinensia urine menjadi salah satu masalah yang meluas dan merugikan terutama bagi lansia. Salah satu bentuknya seperti lansia akan merasa rendah diri karena selalu basah akibat urine yang keluar, mungkin pada saat batuk, bersin, mengangkat barang berat dan ketidakmampuan menahan buang air kecil. Senam Kegel yang merupakan terapi non farmakologi untuk mengatasi inkontinensia urin. Kegiatan pengabdian yang dilakukan bertujuan untuk melatih lansia untuk melakukan senam Kegel sehingga dapat mengurangi gejala inkontinensia urin. Kegiatan dilakukan dengan pemberian edukasi, latihan senam Kegel, dan pendampingan selama tiga pertemuan. Hasil kegiatan menunjukkan bahwa mitra mengalami penurunan ketidakmampuan menahan kemih dari rerata 8,56 menjadi 6,3 dan penurunan frekuensi berkemih dari rerata 2,07 menjadi 1,44 serta rerata skor total inkontinensia urine menurun dari 10,63 menjadi 7,74.Â Kata kunci: Lansia; Inkontinensia urin; Senam KegelÂ Abstract:Urinary incontinence is a widespread and detrimental problem especially for the elderly. One form such as the elderly will feel inferior because it is always wet due to urine coming out, maybe when coughing, sneezing, lifting heavy objects and the inability to resist urination. Kegel exercises which is a non-pharmacological therapy for overcoming urinary incontinence. Community service activities was aimed to train elderly for doing Kegel exercise thus can reduce symptoms of urinary incontinence. Service were carried out by providing education, Kegel exercises, and mentoring for three meetings. The results of the activity showed that the partners experienced a decrease in the inability to hold urine from an average of 8.56 to 6.3 and a decrease in the frequency of urination from a mean of 2.07 to 1.44 and the mean total urinary incontinence score decreased from 10.63 to 7.74

EARLY DETECTION AND STIMULATION OF CHILDREN'S DEVELOPMENT Suryani, Ketut; Rini, Maria Tarisia; Koerniawan, Dheni; Utami, Rezki Dewi
JCES (Journal of Character Education Society) Vol 4, No 3 (2021): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v4i3.4723

Abstrak: Tumbuh kembang anak menjadi pemenuhan kebutuhan anak yang penting karena dapat membentuk kemampuan anak dalam rentang kehidupannya. Perkembangan anak dapat menjadi optimal jika dilakukan dengan stimulus yang tepat. Stimulus yang sesuai dengan masa anak antara lain dengan mengajak anak bermain. Dunia anak merupakan dunia bermain, melalui bermain anak akan belajar berbagai hal, sebagai bekal bagi kehidupan anak. Tujuan pendampingan stimulasi perkembangan dengan pendekatan bermain adalah untuk mengoptimalkan perkembangan anak. Kegiatan ini dilakukan kepada anak yang mengalami keterlambatan perkembangan sesuai dengan hasil skrining perkembangan anak sebelumnya. Hasil Â kegiatan anak yang awalnya sulit untuk berinteraksi dengan teman sebayanya mulai mau berinteraksi. Pengetahuan ibu tentang stimulasi 10 dari 12 ibu tidak mengetahui bahwa bermain merupakan bentuk stimulasi perkembanga.Â Abstract:Â Child development is an important fulfillment of children's needs because it can shape children's abilities in their life span. Child development can be optimal if done with the right stimulus. Stimulus in accordance with childhood, among others, by inviting children to play. The world of children is a play, through playing children will learn various things, as provisions for children's lives. The goal of developmental stimulation assistance with a play approach is to optimize children's development. This activity is carried out for children whose development is not appropriate for their age in accordance with the results of previous child development screening. The result is that children who initially find it difficult to interact with their peers begin to want to interact. Mother's knowledge of stimulation 10 out of 12 mothers did not know that play was a form of developmental stimulation.

HUBUNGAN SPIRITUALITAS DENGAN STRES LANSIA DI PUSKESMAS PAKJO PALEMBANG Dheni Koerniawan; Uci Candrawulan
Elisabeth Health Jurnal Vol 3 No 2 (2018): Vol 3 No 2 (2018) : Elisabeth Health Jurnal
Publisher : STIKes Santa Elisabeth Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52317/ehj.v3i2.241

Elderly in aging process experienced physiological decline and loss and grieving. This can make elderly vulnerable to stress. Stress can make elderly not productive and focus on his/her losing. Stress might causes loss of interest, feelings of failure, and restless in physically and emotionally. Stress can impact to anger, anxiety, depression, pathological symptoms, and psychiatric illness. Thus, it require effective ways to manage stress which is experienced by older adults. Nursing management in handling stress can be done with holistic approach which one is spiritual care. Strong belief can make powerful positive effect to mind and body and can bring comfort. Goals : This study aim to know the relationship between spirituality with stress elderly in Palembang. Methods: Survey analytic design with cross sectional approach had done to 72 respondents by purposive. Data have been taken by Religious Commitment Inventory (RCI) and Perceived Stress Scale (PSS) then analyzed by Pearson’s correlation. Results : Results showed mean of RCI 31,03 (moderate religious) with standard deviation 7,551 and PSS mean 20,47 (moderate stress level) with standard deviation 5,642. Bivariate result showed there was negative relationship between spirituality and stress (r= –0,267; p= 0,023). Conclusion: Therefore, holistic nursing care with spiritual approach can be done by nurse in education to elderly so they can enhance their spirituality as positive and effective stress management with more intense praying, increase holy scripture learning and social interaction with other people with positive religious practice and activity.

DM Pengaruh Komorbid Hipertensi dan Diabetes Mellitus terhadap Kejadian COVID-19 : Comorbid COVID-19 Cicilia Cristin Septa Nanda; Sri Indaryati; Dheni Koerniawan
Jurnal Keperawatan Florence Nightingale Vol 4 No 2 (2021)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Hipertensi dan Diabetes Melitus (DM) merupakan penyakit komorbid COVID-19 tertinggi. Tekanan darah dan Gula darah yang tidak terkendali akan meningkatkan risiko terpapar 0,007 (p< 0,05) 0,007 (p< 0,05) infeksi COVID-19 dan memperburuk kondisi pasien COVID-19 sehingga mengancam kematian dengan cepat. Jenis Penelitian survey analitik ini menggunakan pendekatan case control. Analisis yang digunakan untuk mencari pengaruh kedua komorbid terhadap kejadian COVID-19 adalah Uji Regresi Logistik Binari. Populasi adalah seluruh kasus klien dewasa dan lansia yang dirawat inap kecuali ruang maternitas pada bulan Januari-Maret 2021, berjumlah 1.619. Sampel berjumlah 404 dibagi menjadi kelompok kasus Covid-19 dan kelompok kontrol. Hasil penelitian menunjukkan ada pengaruh komorbid hipertensi (nilai p value = 0,007< 0,05) dan ada pengaruh diabetes mellitus (nilai p value = 0,000 < 0,05) terhadap kejadian COVID-19. Hipertensi memiliki risiko terinfeksi COVID-19 sebesar 2,109 kali lebih tinggi dibandingkan pasien yang tidak memiliki hipertensi, sedangkan pada diabetes mellitus memiliki risiko sebesar 0,307 kali. Penderita hipertensi akan mengalami peningkatan ACE 2 di paru, arteri, jantung sebagai reseptor yang baik bagi corona virus. Gula darah yang tinggi akan mempercepat replikasi coronavirus. Faktor ini akan mempercepat proses penyakit COVID-19. Para penderita hipertensi dan diabetesi perlu lebih meningkatkan perilaku pencegahan terhadap penyakit COVID-19.

PENDAMPINGAN MENGHINDARI SEXUAL ABUSE PADA SISWA SMA CURUP BENGKULU Dheni Koerniawan; Ketut Suryani; Maria Tarisia Rini; Sagita Bahari
JMM (Jurnal Masyarakat Mandiri) Vol. 2, No. 1: Juni 2018
Publisher : Universitas Muhammadiyah Mataram

Abstrak: Perubahan hormon selama perkembangan remaja dapat menjadikan remaja mengalami kemelut (turmoil) dalam dirinya secara psikoseksual. Hal tersebut dapat memicu terjadinya perilaku menyimpang yang dilakukan oleh remaja atau dialami oleh remaja sehingga menempatkan remaja dapat menjadi pelaku atau korban dalam penyimpangan seksual seperti kekerasan seksual (sexual abuse). Oleh karena itu, edukasi dan pendampingan sejak dini perlu dilakukan untuk meningkatkan self-care remaja mengidentifikasi adanya risiko terjadinya sexual abuse baik yang dapat terjadi pada dirinya atau pun lingkungannya. Hal inilah yang menjadi tujuan dalam kegiatan pengabdian kepada masyarakat sehingga luaran yang diharapkan adalah remaja mampu mengenali kondisi atau orang yang berpotensi mengakibatkan terjadinya sexual abuse, mengamankan diri dengan mencegah munculnya kesempatan terjadinya sexual abuse, dan melaporkan kondisi atau orang yang berpotensi serta kejadian sexual abuse. Kegiatan dilakukan dengan metode edukasi dan konseling. Hasil abdimas menunjukkan bahwa sebagian besar peserta berusia 17 tahun dan berjenis kelamin perempuan, area pribadinya pernah disentuh orang lain dan korban sexual abuse verbal, pertama kali mengalami sexual abuse saat berusia 16 tahun, mengenal pornografi dan pornoaksi ketika berusia 15 tahun, serta menjadikan orang tua dan sahabat sebagai pihak yang dipercaya dalam melaporkan peristiwa sexual abuse baik yang dialami atau disaksikan peserta. Abstract: Hormonal changes is going along with adolescence growing so he/she has turmoil especially in psychosocial aspect. This could precipitate the deviant behavior that adolescence done or suffered. It can make adolescence be a doer or victims of sexual abuse. Thus, early education and accompaniment needed to be done to enhanced adolescence self-care to identify the risk of sexual abuse that can be happened with him/herself or in their environment. This was the aims of our public services so it has outcome that adolescence able to know condition or someone which has potential to be a sexual abuse, protecting self with preventing that potential to become sexual abuse, and reporting it. This activity done as an education and counseling. The result showed mainly of participants are 17 year old and girls, personal body parts had been touched by other people and as victims, first time being victim at 16 years old, knowing pornography and pornoaction at 15 years old, and made parents and best friends as trusted people to to report even being a victim or witness.

PENDIDIKAN KESEHATAN DAN RAPID TEST COVID-19 BAGI GURU UNTUK MENCEGAH KEJADIAN TERPAPAR SARS-COV2 Hotman Sinaga; Pra Dian Mariadi; Bangun Dwi Hardika; Srimiyati Srimiyati; Dheni Koerniawan; Vausta Nurjanah
JMM (Jurnal Masyarakat Mandiri) Vol 5, No 5 (2021): Oktober
Publisher : Universitas Muhammadiyah Mataram

Abstrak: Sekolah dan guru sebagai penyelenggara dan pengelola pendidikan memiliki peranan penting dalam proses belajar, terutama ketika terjadi peralihan dari metode pembelajaran daring menjadi tatap muka. Oleh karena itu, screening menjadi prioritas dalam upaya mencegah penularan dan terbentuknya kluster Covid-19 baru. Masalah yang dihadapi mitra adalah belum dilaksanakannya screening tersebut serta terminologi baru dalam kasus Covid-19. Sehingga, kegiatan pengabdian ini bertujuan untuk melakukan rapid test antigen dan pendidikan kesehatan bagi guru serta memberikan media informasi terkait Covid-19. Metode pelaksanaan kegiatan dilakukan dengan proses pemeriksaan rapid test antigen, penyuluhan, dan pemasangan media informasi. Hasil pengabdian didapatkan bahwa seluruh guru memiliki hasil rapid test antigen nonreaktif dan tingkat pengetahuan yang baik. Data evaluasi pengetahuan guru menunjukkan semua guru telah mengetahui virus penyebab Covid-19, meskipun yang menyebutkan secara spesifik sebanyak 20%. Seluruh guru mengetahui bahwa memegang benda yang telah disentuh orang lain juga termasuk cara penularan Covid-19 (100%). Demam (40%) dan anosmia (40%) menjadi gejala yang paling banyak dijawab oleh guru. Serta, cara pencegahannya dengan deteksi dini dengan Rapid test antigen (80%) dan Swab PCR test (20%), juga mencuci tangan dengan air mengalir dan sabun (100%). Abstract: School and teacher as education organizer and manager has important role in learning process, especially when there is transition from online to offline learning. Thus, screening would be priority in order to prevent transmission and new cluster of Covid-19. Partner’s problem was there has not been any screening and also new term for latest Covid-19. So, this services aimed to screening with antigen rapid test, health education, and information media for latest Covid-19 condition. The test showed that all teachers has non-reactive result and they knowledge about Covid-19 was overall good. Evaluastion data from teachers showed all teachers knew the virus caused Covid-19 with specifi answers as 20%. All teachers knew touching things which had been touched by others be ways to spread the virus (100%). Fever (40%) and anosmia (40%) as symptoms are the most answered. Then, ways to prevent with initial detection with antigen rapid test (80%) and PCR test swab (20%), and also washing hands with flowing water and soap (100%).

PELATIHAN RANCANGAN PENELITIAN BAGI PERAWAT KLINIS Dheni Koerniawan; Pra Dian Mariadi; Ketut Suryani; Maria Tarisia Rini; Vausta Nurjanah
JMM (Jurnal Masyarakat Mandiri) Vol 5, No 2 (2021): April
Publisher : Universitas Muhammadiyah Mataram

Abstrak: Penelitian merupakan “jembatan” antara teori dan Praktik khususnya dalam keperawatan. Penelitian mengungkapkan hal-hal praktis dalam asuhan yang sehari-hari diberikan kepada pasien sebagai bentuk praktik yang berbasis bukti. Kebutuhan perawat klinis dalam tuntutan jenjang karir, pendidikan keperawatan berkelanjutan, dan standar nasional akreditasi rumah sakit mendorong perawat untuk membudayakan suasana ilmiah yang salah satunya dalam bentuk penelitian. Hal ini pun juga dialami oleh mitra, sehingga dibutuhkan pendampingan dalam bentuk pelatihan untuk merancang rencana penelitian keperawatan. Pengabdian ini bertujuan untuk meningkatkan motivasi dan kemampuan mitra dalam merancang penelitian. Metode dilaksanakan dalam bentuk kegiatan paparan materi, praktikum, dan presentasi proposal penelitian yang dilakukan selama tiga hari. Hasil pengabdian menunjukkan bahwa hasil pretest terdapat 20 orang (71,4%) yang memiliki kategori pengetahuan kurang, 8 orang (28,6%) dengan kategori sedang. Sedangkan, hasil posttest terdapat 5 orang (17,9%) dengan kategori pengetahuan sedang dan 23 orang (82,1%) dengan kategori baik. Sehingga, terjadi peningkatan tingkat pengetahuan sebanyak 26 orang (96,43%) dan satu orang (3,57%) berada pada tingkat pengetahuan yang tetap. Abstract: Research is a "bridge" between theory and practice, especially in nursing. Research reveals practical things in care that are provided daily to patients as a form of evidence-based practice. The need for clinical nurses in the demands of career level, ongoing nursing education, and national standards of hospital accreditation encourages nurses to cultivate a scientific atmosphere culture, which one of it is research. This is also experienced by partners, so it requires assistance in the form of training to design a nursing research plan. The solutions offered are carried out in the form of material exposure activities, practicum, and presentation of research proposals conducted for three days. The results showed that the pre-test results were 20 persons (71.4%) who have less knowledge category, 8 persons (28.6%) with medium category. Meanwhile, post-test result there are 5 persons (17.9%) with medium knowledge category and 23 persons (82.1%), with medium category. Thus, there are increasing knowledge as 26 persons (96.43%) and one of them not change (3.57%).

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