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High Self-Efficacy Strongly Predicted Self-Management Among Hypertensive Patients in Palembang Frisca, Sanny; Koerniawan, Dheni
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5694

Abstract

Hypertension as a chronic disease with a major sign of increased blood pressure is becoming a problem globally. Increased blood pressure can be the cause of various other chronic diseases such as coronary artery disease and stroke. As an effort to prevent these complications, hypertensive patients need good and sustainable self-care. Self-efficacy is one of the factors that contribute to good self-care. This study aims to determine the effectiveness of self-efficacy on self-management in hypertensive patients. This study was conducted in Palembang with 35 respondents with hypertension aged >17 years. Data was taken through self-efficacy and self-management questionnaires that have been declared valid and reliable. Most 35 respondents have elementary and high-school education backgrounds, high self-efficacy, and moderate self-management. Self-efficacy strongly predicts self-management, although age and educational background do not significantly influence it.
Factors Determining Commitment to Health-Promoting Behavior During COVID-19 Dheni Koerniawan; Sanny Frisca
Jurnal Keperawatan Indonesia Vol 26 No 2 (2023): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v26i2.1130

Abstract

Forming new behaviors during the COVID-19 pandemic required individual commitment. Based on Pender’s health promotion model (HPM), factors affecting commitment to new behaviors include benefit perception, barriers, self-efficacy, related activities, as well as interpersonal and situational influences. This study aims to determine the determinant factors that affected commitment to health-promoting behavior and habits during the COVID-19 pandemic. This study randomly assigned online questionnaires to 186 people in Palembang. The instruments used in this study were developed by the author based on Pender’s HPM. Path analysis with the SEM-PLS approach was used to analyze determinant factors of community commitment. The results of the analysis showed that the following influenced commitment: benefit variables (β = 0.192; p = 0.011), previous activities (β = 0.134; p = 0.031), interpersonal influence (β = 0.214; p = 0.005) and situational influence (β = 0.326; p = 0.000), barriers (β = -0.068; p = 0.247), and self-efficacy (β = 0.079; p = 0.256). All the predictors contributed to a commitment value of 40.6%. It can be concluded that enhancing perceived benefits and focusing on previously completed activities, and external factors, interpersonal and situational influence, may strengthen commitment to developing healthy behavior. Moreover, good self-efficacy based on previous practice can lower perceived barriers, which hinder commitment. Therefore, nurses need to focus on identifying individual internal and external factors to bolster commitment while lowering barriers.Abstrak Faktor-faktor Penentu Komitmen terhadap Perilaku Promosi Kesehatan selama COVID-19. Membentuk perilaku baru di masa pandemi COVID-19 memerlukan komitmen individu. Berdasarkan Pender’s health promotion model (HPM), faktor-faktor yang mempengaruhi komitmen terhadap perilaku baru meliputi persepsi manfaat, hambatan, efikasi diri, aktivitas terkait, serta pengaruh interpersonal dan situasional. Penelitian ini bertujuan untuk mengetahui faktor-faktor penentu yang mempengaruhi komitmen terhadap perilaku dan kebiasaan promosi kesehatan selama pandemi COVID-19. Penelitian ini menyebarkan kuesioner online secara acak kepada 186 orang di Palembang. Instrumen yang digunakan dalam penelitian ini dikembangkan penulis berdasarkan Pender’s HPM. Path analysis dengan pendekatan SEM-PLS digunakan untuk menganalisis faktor-faktor penentu komitmen masyarakat. Hasil analisis menunjukkan bahwa komitmen dipengaruhi oleh hal-hal berikut: variabel manfaat (β = 0,192; p = 0,011), aktivitas sebelumnya (β = 0,134; p = 0,031), pengaruh interpersonal (β = 0,214; p = 0,005) dan pengaruh situasional (β = 0,326; p = 0,000), hambatan (β = -0,068; p = 0,247), dan efikasi diri (β = 0,079; p = 0,256). Seluruh prediktor menyumbang nilai komitmen sebesar 40,6% sehingga dapat disimpulkan bahwa meningkatkan manfaat yang dirasakan dan fokus pada aktivitas yang telah diselesaikan sebelumnya, dan faktor eksternal, pengaruh interpersonal dan situasional, dapat memperkuat komitmen untuk mengembangkan perilaku sehat. Selain itu, efikasi diri yang baik berdasarkan praktik sebelumnya dapat menurunkan hambatan yang dirasakan, yang menghambat komitmen. Oleh karena itu, perawat perlu fokus dalam mengidentifikasi faktor internal dan eksternal individu untuk meningkatkan komitmen sekaligus menurunkan hambatan. Kata Kunci: model promosi kesehatan, new normal, perilaku komitmen, promosi kesehatan
The Influence of Knowladge and Atitudes on the Implementation of End of Life Care among Nurses in the Emergency Room and Intensive Room Alvareza Ratih Damayanti, Anastasia; Koerniawan, Dheni; Frisca, Sanny
UKMC International Conference (UKMC IC) Proceedings Vol. 1 No. 1 (2024): UKMC International Conference (UKMC IC) Proceeding
Publisher : Catholic University Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/ukmcic.v1i1.1298

Abstract

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Modelling Quality Of Life Hypertensive Patient Koerniawan, Dheni; Frisca, Sanny
UKMC International Conference (UKMC IC) Proceedings Vol. 1 No. 1 (2024): UKMC International Conference (UKMC IC) Proceeding
Publisher : Catholic University Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/ukmcic.v1i1.1308

Abstract

Hypertension (HT) still become silent killer disease leading to mortality. Although many efforts and programs of HT increase blood pressure control, but internal factors such as age, gender, duration of illness (DOI), attitude, medication adherence (MA), routine check-up (RCU), and blood pressure (BP) still play important role to enhancing blood pressure control and even more so the quality of life (QoL) hypertensive patients. This research aims to testing a hypothetic modelling of previous research to find an internal factors model of QoL in hypertensive patients. Cross-sectional study used to 89 samples randomize due to online questionnaire collecting data. Correlation used to eliminate variables which did not significant adding to the model. Then model testing by partial-least square analysis. The result shows that attitude directly affect the MA and RCU significantly, also MA to BP and BP to QoL, but interestingly did not significant in RCU to BP. As addition, it has significant effect as attitude to BP through MA, MA to QoL through BP, and so simultaneously attitude to QoL with MA and BP as intervening. So, it becomes very important as nurses to empower patient’s attitude to manage and maintain their lifestyle with their hypertensive condition to enhance their adherence in medication so they blood pressure in controlled and will have a good quality of life.
PENINGKATAN KUALITAS HIDUP LANSIA: MELALUI DETEKSI DINI DAN MONITORING STATUS KESEHATAN Koerniawan, Dheni; Srimiyati, Srimiyati; Windahandayani, Veroneka Yosepfa; Fari, Aniska Indah; Pranata, Lilik
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 5 (2024): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i5.23605

Abstract

Abstrak: Penurunan fungsi tubuh lansia yang disebabkan oleh berkurangnya jumlah sel secara anatomi diantraranya fungsi kognitif, jantung, pembuluh darah, ginjal dan persyarafan. Hal ini mengakibatkan beberapa masalah kesehatan yang sering kali kemunculannya tidak dapat diprediksi dan baru diketahui setelah berkomplikasi. Mitra yang memiliki riwayat dan keluhan gejala penyakit hipertensi, diabetes mellitus, paska stroke, dan kelemahan fisik perlu mengelola proses perawatan dan pemeliharaan kesehatannya. Kegiatan pengabdian ini bertujuan untuk mendeteksi secara dini dan monitoring status kesehatan melalui pemeriksaan kesehatan pada mitra….. yang merupakan salah satu lembaga keagamaan di wilayah Palembang. Hasil pemeriksaan menunjukkan sebagian besar memiliki tekanan darah pada kategori pre-hipertensi dan hipertensi derajat 2, namun masih memiliki tekanan arteri rata-rata dan tekanan nadi yang normal, serta gula darah sewaktu yang normal dan meningkat (hiperglikemia).Abstract: Decreased body function in the elderly can then result in several health problems that often appear unpredictable and only known after complications. Partners who have a history and complaints of symptoms of hypertension, diabetes mellitus, post-stroke, and physical weakness need to manage the process of care and health maintenance. Therefore, this service activity aims to detect early and monitor health status through health checks at partners who are one of the religious institutions in the Palembang area and education based on the results of the examination. The results showed that most had blood pressure in the category of pre-hypertension and grade 2 hypertension, but still had normal average arterial pressure and pulse pressure, as well as normal and elevated blood sugar (hyperglycemia).
Penerapan Massage Abdomen untuk Menurunkan Volume Residu Lambung pada Cronic Kidney Disease (CKD) di Ruang Intensive Care Unit Fransiska Fajar Mulyaningsih; Dheni Koerniawan; Vincencius Surani
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 4 No. 2 (2026): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v4i2.2139

Abstract

Chronic Kidney Disease (CKD) is a structural or functional abnormality of the kidneys that lasts ≥3 months with the criteria of eGFR <60 mL/min/1.73 m² or the presence of kidney damage such as albuminuria and urinary abnormalities (Kidney International, 2024). CKD patients, especially those treated in intensive care units, often experience gastrointestinal disorders such as increased volume of gastric residues. Giving enteral nutrition to patients with NGT can increase the volume of gastric residue which is at risk of causing complications. One of the non-pharmacological interventions that can be carried out is abdominal massage, which is a light massage technique in the abdominal area that can stimulate intestinal peristalsis and improve gastrointestinal motility. The purpose of this case study was to determine the effect of giving abdominal massage on reducing the volume of gastric residue in CKD patients in the ICU. This scientific paper uses a case study design using abdominal mass therapy. The number of respondents was 3 people, the intervention was carried out for 3 days with a time of 10-15 minutes. The application of abdominal massage therapy in the three respondents showed a decrease in the volume of gastric residue after admixture was carried out for three consecutive days with an average decrease in the volume of gastric residue, which was 50 cc - 75 cc. Abdominal massage is a safe and effective nonpharmacological nursing intervention to help reduce gastric residue volume and support enteral nutrient tolerance in CKD patients in the ICU.
PENGETAHUAN DAN EFIKASI DIRI DENGAN KINERJA PERAWAT DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI RUANG GAWAT DARURAT DAN INTENSIF M. Rizki Agustin Triyendi; Dheni Koerniawan; Lilik Pranata
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2143

Abstract

Resusitasi Jantung Paru (RJP) adalah prosedur penyelamatan nyawa darurat yang dilakukan ketika jantung berhenti berdetak. Baik tidaknya kinerja perawat dalam melakukan RJP dapat ditentukan oleh pengetahuan dan efikasi diri, dampak jika kinerja perawat saat melakukan RJP tidak baik, maka RJP kemungkinan besar tidak akan ROSC sehingga nyawa pasien akibat cardiac arrest tidak tertolong.. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan efikasi diri terhadap kinerja perawat dalam melakukan resusitasi jantung paru pada ruang gawat darurat dan intensif. Jenis penelitian adalah penelitian kuantitatif dengan pendekatan cross-sectional dan survei analitik, sampel berjumlah 36 dengan teknik total sampling, alat pengumpulan data menggunakan kuesioner dan analisis data menggunakan korelasi Kendall Tau-b. Hasil penelitian menunjukkan ada hubungan yang signifikan pengetahuan (p<0,001) dan efikasi diri (p<0,001) dengan kinerja perawat dalam melakukan resusitasi jantung paru di ruang gawat darurat dan intensif. Disarankan bagi perawat yang bekerja di gawat darurat dan intensif perlu untuk meningkatkan pengetahuan guna mencapai efikasi diri dan kinerja yang maksimal dalam melakukan RJP agar dapat memperbesar peluang hidup pada pasien yang mengalami henti jantung.
Pemberian Minum Air Hangat dalam Meningkatkan Bersihan Jalan Nafas pada Pasien Asma di Instalasi Gawat Darurat Lia Safina; Dheni Koerniawan; Sanny Frisca
Journal of Educational Innovation and Public Health Vol. 4 No. 2 (2026): April: Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i2.8702

Abstract

Asthma is a heterogeneous disease characterized by chronic inflammation of the airways and respiratory symptoms such as wheezing, shortness of breath, chest tightness, and cough, which vary over time in both frequency and severity. This condition is accompanied by limitations in expiratory airflow, which can be either reversible or persistent. In asthma patients, especially those treated in the Emergency Department (ED), a common nursing problem is ineffective airway clearance due to mucus accumulation and bronchospasm. One strategy to address this is the administration of warm drinking water, aimed at improving airway clearance. The design used in this final nursing scientific paper is a qualitative case study with an intervention of warm water intake. The subjects of this study consisted of 3 asthma patients in the ED, and the intervention was conducted from January 3-11, 2026, at the Emergency Department of Charitas Hospital Km.7 Palembang. Airway clearance was measured before and after the intervention, which involved giving 200 ml of warm water at 38ºC, without a control group. After the intervention, all three patients showed improved airway clearance, indicated by more effective coughing, decreased sputum production, reduced wheezing, improved breathing patterns, and improved respiratory rate. The implementation of this evidence-based practice (EBP) is expected to provide additional information regarding the use of nonpharmacological therapy, specifically the administration of warm drinking water, in asthma patients with ineffective airway clearance.