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Mobilisasi Dini dan Proses Penyembuhan Luka Post Operasi Abdominal Pada Fase Inflamasi Daiyana, Intan; Hermansyah, Hermansyah; Raharjo, Setio Budi; Hanum, Lathifah
Journal Keperawatan Vol. 3 No. 1 (2024): May 2024
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v3i1.63

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Background: Abdominal surgery is a type of surgical operation performed on the abdominal area by making an incision in the lining of the abdominal wall to get parts of problematic organs such as bleeding, perforation, cancer, and obstruction. The incisions made during abdominal surgery cause large wounds and require a long recovery time and constant care, and are at risk of complications. The problem that often occurs in post-abdominal surgery patients is the lack of patient behavior to carry out early mobilization. Early mobilization is a series of light post-operative activities, starting from moving on the bed to being able to get out of bed, walk to the toilet, and get out of the toilet. Purpose: To determine the relationship between early mobilization and the wound healing process after abdominal surgery in the inflammatory phase. Methods: The quantitative research used a cross-sectional study method in the Surgical Ward of Meuraxa Hospital, Banda Aceh City from March 23 to May 20 2023. Data collected by interviewing and observe 30 postoperative patients who were selected according to the inclusion criteria and data analyzed by Chi-square test. Results: The results of the chi-square statistical test with CL=95% and α=0.05 showed a p-value of 0.032. This p value is <0.05, which means there is a significant relationship between early mobilization and the healing process of post-abdominal surgery wounds in the inflammatory phase. Conclusion: There is a relationship between early mobilization and the healing process of post-abdominal surgery wounds in the inflammatory phase.
Utilization of voluntary counseling and testing (VCT) services among transexual in Banda Aceh Yusuf, Nazira; Marthoenis, Marthoenis; Saputra, Irwan; Hermansyah, Hermansyah; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1429

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Indonesia ranks fifth in Asia in terms of high risk of HIV/AIDS. Men who have sex with men (MSM) are 22 times more likely to contract HIV among at-risk populations worldwide. MSM ranks third in the percentage of HIV-positive individuals undergoing HIV testing in Indonesia, at 8.75%. Previous research estimated that there were 30 active transgender sex workers in Banda Aceh and 311 MSM. Voluntary Counseling and Testing (VCT) is one way to detect HIV. However, several factors prevent transgender individuals from utilizing VCT services. The research design used is descriptive quantitative, analyzing VCT utilization among transgender individuals in Banda Aceh in 2021. The sample size in this study is 77 individuals using total sampling technique. Data collection was conducted using a questionnaire. Data analysis involves univariate analysis. t was found that 83.12% of surveyed transgender women are under the age of 35, with 80.52% having a secondary education. 71.43% of them work in salons, and 83.13% identify themselves as Acehnese. Only 50.65% have partners, although 58.44% exhibit a positive attitude towards VCT services. However, 55.84% face stigma and discrimination. Approximately 53.25% of respondents rate VCT facilities positively, but only 54.55% utilize the service. 33.33% have used VCT for 3 years, primarily at health centers, with partner rejection being the main obstacle (34.29%). While 84.42% correctly identify VCT, there are still misunderstandings, such as simultaneous testing and counseling (79.22%). Additionally, only 62.34% are aware of the voluntary nature of HIV testing, and only 50.65% understand the affordability and lifelong treatment of HIV.
Analysis of determinants of adherence to anti-tuberculosis drugs in tb patients during covid-19 at the public health center of Aceh Besar Regency Amiruddin, Amiruddin; Ichwansyah, Fahmi; Hermansyah, Hermansyah; Maidar, Maidar; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1432

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The Covid-19 pandemic has had a significant impact on TB patients, particularly in terms of treatment and drug monitoring. During the pandemic in 2020, there were 350 cases of TB in Aceh Besar District. This study aimed to assess the compliance of TB patients during the Covid-19 period at the Aceh Besar District Health Center. A cross-sectional study design was employed, and data were collected from 118 TB patients from April to October 2020. The research was conducted in April 2022. Questionnaires were used for data collection, and bivariate and multivariate analyses were performed using the STATA 12 application program. The results of the multivariate analysis revealed that several risk factors, including Covid-19, history of illness, sources of information, age, knowledge, and trips to the health center, were associated with non-compliance in taking OAT medications. Efforts to increase awareness and educate the public about the risk factors of TB should continue, even during the Covid-19 pandemic. Building partnerships with former TB patients who have completed treatment and recovered can also help in promoting adherence to OAT medications among current TB patients.
The relationship between health literacy and quality of life among diabetes mellitus patients in the working area of Darul Imarah Subdistrict Health Center Isnani, Ayu; Hermansyah, Hermansyah; Maidar, Maidar; Saputra, Irwan; Abdullah, Asnawi; Rani, Hafnidar Ar
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1433

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The study aimed to examine the relationship between health literacy and the quality of life of Diabetes Mellitus (DM) patients in the Darul Imarah Sub-District Health Center, Aceh Besar District. Using an analytical observational design with a cross-sectional approach, the study included 1,125 DM patients, with 100 individuals selected as research samples. Data analysis involved univariate, bivariate, and multivariate analysis using logistic regression. The findings revealed that a majority of DM patients in the working area of the health center experienced poor quality of life (82%). Additionally, there was a significant relationship between health literacy and the quality of life of DM patients (OR=8.34; 95% CI=1.05-66.05; p=0.044). Confounding assessment identified socioeconomic status, family history of DM, access to information, and low physical activity as factors influencing the quality of life of DM patients. The multivariate analysis highlighted socioeconomic status as the most dominant factor (OR=25.43; 95% CI=2.24-288.44; p=0.009). In conclusion, DM patients in the Darul Imarah Sub-District, Aceh Besar Regency, generally have poor quality of life, with health literacy, socioeconomic factors, descent, information access, and physical activity playing significant roles in influencing it.
Knowledge and skills in combating stunting in toddlers in Aceh Besar regency (a comparative study of BKKBN cadres with Integrated Service Post cadres) Majid, Abdul; Hermansyah, Hermansyah; Zahara, Meutia; Abdullah, Asnawi; Hafnidar, Hafnidar
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1436

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Stunting is a critical issue with irreversible consequences on children's growth and development. In Ingin Jaya and Indrapuri districts, stunting is a significant concern. This research examined the knowledge and skills of TPK and Posyandu cadres in tackling stunting in Aceh Besar Regency. The study included 50 TPK cadres and 50 Integrated Service Post cadres actively engaged in Want Jaya and Indrapuri districts in 2022. Analysis revealed no significant differences in knowledge (P=0.562) and skills (P=0.445) between the cadres. Cadres' motivation level emerged as the most influential factor impacting stunting prevalence, with lower motivation associated with a 4.67% increase in stunting village score (P=0.030). These findings offer valuable insights for addressing stunting and inform effective management strategies in rural areas. While no significant differences were found in knowledge, skills, education, and occupation between TPK and Integrated Service Post cadres in Aceh Besar District, variations were observed in the distance from the village to the district capital. Inadequate knowledge and motivation in both cadre groups significantly affect efforts to combat toddler stunting.
Analysis of factors related to stress levels in outpatients with diabetes mellitus and hypertension during the Covid-19 pandemic in Aceh Besar Regency Yanti, Cut Aini Fauzi; Ichwansyah, Fahmi; Hermansyah, Hermansyah; Marthoenis, Marthoenis; Abdullah, Asnawi
Science Midwifery Vol 12 No 3 (2024): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i3.1630

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The prognosis of COVID-19 is influenced by age and comorbidities such as hypertension, diabetes mellitus (DM), pulmonary diseases, and obesity. Observations have found that patients who test positive for the coronavirus often experience anxiety and have high stress levels, particularly among outpatients at health centers. This study aims to analyze the factors related to stress levels in outpatients with DM and hypertension during the COVID-19 pandemic at Krueng Barona Jaya Health Center, Aceh Besar Regency. This quantitative research employs a cross-sectional study approach. The sample consists of 111 individuals out of a total of 154 outpatients with DM and hypertension in the working area of Krueng Barona Jaya Health Center, Aceh Besar Regency, selected through stratified proportional random sampling. Data collection was conducted in the working area of Krueng Barona Jaya Health Center from August 4 to August 10, 2022, using questionnaires distributed to the respondents. The statistical test used was logistic regression with STATA software. The study results showed that 45 individuals (45.04%) experienced moderate stress levels. Bivariate analysis revealed a partial relationship between knowledge, family support, and income with the stress levels of outpatients with DM and hypertension during the COVID-19 pandemic at Krueng Barona Jaya Health Center, Aceh Besar Regency (p<0.05).
The Effectiveness of School-Based Disaster Management Education on Knowledge and Preparedness of D-III Nursing Study Program Students Hermansyah, Hermansyah; Muhammad, Muhammad; Nurhayati, Nurhayati; Masyudi, Masyudi
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.5933

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Various disasters have occurred due to lack of knowledge and unpreparedness of the community in the pre-disaster phase. In fact, preparedness has not become a permanent behavior in society so that if a disaster occurs, it is predicted that they will not take care themselves and others. Nursing students as prospective nursing staff must be equipped with knowledge, attitudes and practices in dealing with disasters. This quantitative research aims to determine the effectiveness of the school-based disaster management education model on the knowledge and preparedness of nursing students. A quasi-experimental method is used in the form of a one group pretest-posttest design on 80 Diploma III Nursing students who were trained by facilitators for 6 months. Data were collected using questionnaires and observations, then analyzed using the Paired t-test and Multiple Linear Regression (95% CI; α=0.05). The results showed that disaster management education model can increase knowledge (p=0.000) and preparedness (p=0.002) in facing disasters. Disaster preparedness is significantly related in predicting disaster knowledge scores (r=0.708). If a disaster occurs, nursing students are able to help themselves and the disaster victims. This model can also be used as an evaluation of learning outcomes for the Disaster Nursing course
Hubungan muniru (api-apian) dengan tingkat keparahan pasien tuberkulosis paru Kartini, Kartini; Fahdhienie, Farrah; Hermansyah, Hermansyah
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1389

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Background: Pulmonary tuberculosis (TB) remains a public health problem in Indonesia, particularly in areas with specific cultural practices that can worsen patient conditions. One common cultural practice in highland areas such as Bener Meriah Regency is Muniru (burning fire), which involves burning wood indoors to warm the body, resulting in continuous exposure to household smoke. This practice is thought to contribute to the severity of TB in patients. Purpose: To determine the relationship between the habit of muniru (burning fire) and the severity of pulmonary TB in patients. Method: This study used a mixed methods approach combining quantitative and qualitative data. Quantitative data were obtained from 96 patients with smear-positive pulmonary TB selected through purposive sampling and analyzed using chi-square tests and logistic regression. Qualitative data were collected through in-depth interviews with three patients and three healthcare workers. Results: The habit of muniru was significantly associated with TB severity (p=0.000; OR=1.40) and was the most dominant factor in the multivariate model. Respondents who frequently experienced muniru were more likely to develop severe TB. Meanwhile, education level also had a significant influence; Low education increases the risk of TB severity. Conclusion: Exposure to smoke from muniru significantly increases the severity of pulmonary tuberculosis. Culturally based educational interventions and improvements to the household environment are needed as preventative strategies.   Keywords: Fire; Muniru Habits; Severity; Pulmonary Tuberculosis.   Pendahuluan: Tuberkulosis (TB) paru masih menjadi masalah kesehatan masyarakat di Indonesia, terutama di daerah dengan kebiasaan budaya tertentu yang dapat memperburuk kondisi pasien. Salah satu praktik budaya yang masih umum dilakukan di dataran tinggi seperti Kabupaten Bener Meriah adalah Muniru (api-apian), yaitu kegiatan membakar kayu di dalam ruangan untuk menghangatkan tubuh, sehingga menghasilkan paparan asap rumah tangga secara terus-menerus. Kebiasaan ini diduga berkontribusi terhadap tingkat keparahan TB pada penderita. Tujuan: Untuk mengetahui hubungan antara kebiasaan muniru (api-apian) dengan tingkat keparahan pasien tuberkulosis paru. Metode: Penelitian menggunakan pendekatan mix method yang menggabungkan data kuantitatif dan kualitatif. Data kuantitatif diperoleh dari 96 pasien TB paru BTA (+) yang dipilih secara purposive sampling dan dianalisis menggunakan uji chi-square dan regresi logistik. Sementara itu, data kualitatif dikumpulkan melalui wawancara mendalam terhadap 3 pasien dan 3 tenaga kesehatan. Hasil: Kebiasaan muniru memiliki hubungan signifikan dengan keparahan TB (p=0.000; OR=1.40), dan menjadi faktor paling dominan dalam model multivariat. Responden yang sering muniru cenderung mengalami TB berat. Sementara itu, tingkat pendidikan juga memiliki pengaruh signifikan, pendidikan rendah meningkatkan risiko keparahan TB. Simpulan: Paparan asap dari kebiasaan muniru secara signifikan meningkatkan tingkat keparahan tuberkulosis paru. Diperlukan intervensi edukatif berbasis budaya lokal dan perbaikan lingkungan rumah tangga sebagai strategi pencegahan.   Kata Kunci: Api-Apian; Kebiasaan Muniru; Tingkat Keparahan; Tuberkulosis Paru.
Effectiveness of peer group-based learning in enhancing elementary students’ knowledge of larval monitoring in Banda Aceh Hermansyah, Hermansyah; Susanti, Helly
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2935

Abstract

Background: Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Indonesia, with over 143,000 cases and an incidence rate of 51,5 per 100,000 population reported in 2023. Recurrent outbreaks in Banda Aceh highlight the need for sustainable, school-based prevention strategies. School-age children are highly vulnerable because Aedes aegypti mosquitoes bite during the daytime when children are at school.Objectives: This study evaluated the effectiveness of elementary school peer groups in improving students’ knowledge of dengue prevention through a school-based larval monitoring program.Methods: A quasi-experimental pre–post design was conducted from April to October 2024 among fourth and fifth grade students in six elementary schools in the Kutaraja Sub-district, Banda Aceh City. Guided by Bandura’s Social Learning Theory, 36 students were trained as peer educators to teach 120 peers (n = 120) about dengue prevention. Knowledge was measured using a 15-item Guttman scale questionnaire before and after the intervention. Data were analyzed using SPSS, including descriptive statistics, Kolmogorov–Smirnov normality tests, and paired t-tests (α = 0,05; 95% CI).Results: The mean knowledge score increased from 9,43 (SD = 1,27) to 10,16 (SD = 1,34), a significant improvement (mean difference = 0,73; 95% CI: 0,41–1,05; p < 0,001).Conclusion: Peer-group–based health promotion within schools is a promising approach to enhance dengue prevention awareness among children. Strengthening teacher facilitation and embedding structured peer education into school health programs may enhance long-term community participation in dengue prevention and control.
Analisis Faktor Self Care Management Hipertensi pada Pra Lansia Sampai Lansia di Wilayah Terpencil Kepulauan Nias Sumatera Utara Silviana, Rina; Ichwansyah, Fahmi; Abdullah, Asnawi; Hermansyah, Hermansyah; Hafnidar, Hafnidar; Zahara, Amelia
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24333

Abstract

ABSTRACT Hypertension is a chronic disease that has characteristics in unsTabel bloodpressure, so it needs a long treatment that can even be up to a lifetime and requiresconsiderable medical expenses. Hypertension is a condition in which systolic bloodpressure is equal to or higher than 140 mmHg and diastolic blood pressure is higher than 90 mmHg. This study aimed to analyze the factors associated with hypertension self-care management among pre-elderly and elderly individuals living in remote areas of Nias Regency, North Sumatra. This quantitative study employed a cross-sectional design. Data were collected over one month, from May 30 to June 30, 2024, through face-to-face interviews using a structured questionnaire. The study population comprised all hypertensive patients aged 45–74 years, categorized as pre-elderly and elderly, within the working area of Ehosakhozi Public Health Center. A total of 80 respondents were selected using random sampling. Data were analyzed using cross-sectional analysis with STATA version 14.0. The results showed that 50% of pre-elderly and elderly respondents had poor self-care management. Poor self-care management was predominantly found among the elderly group (75%) compared to the pre-elderly group (25%) (OR = 15.55; 95% CI = 3.29–73.41; p = 0.001). Insufficient family support increased the risk of poor self-care management by nearly four times (OR = 3.74; 95% CI = 1.12–12.51; p = 0.032). Gender, educational level, marital status, smoking history, alcohol consumption, and self-efficacy were also significantly associated with hypertension self-care management. Educational level was identified as the most dominant factor associated with hypertension self-care management among pre-elderly individuals. It is expected that healthcare providers will encourage and assist family members in supporting the care of pre-elderly and elderly individuals with hypertension. Keywords: Hypertension, Pre-elderly, Elderly, Self Care Management   ABSTRAK Hipertensi merupakan penyakit kronis yang memiliki karakteristik pada tekanan darah yang tidak stabil, sehingga perlu dilakukan pengobatan yang lama bahkan bisa sampai seumur hidup dan membutuhkan biaya pengobatan yang cukup besar. Untuk menganalisis faktor Self Care management hipertensi pada pra lansia sampai lansia di wilayah terpencil, Kabupaten Nias Sumatera Utara. Penelitian ini bersifat kuantitatif dengan rancangan Cross-Sectional. Pengumpulan data dilakukan selama sebulan sejak 30 Mei sampai dengan 30 Juni 2024 dengan wawancara langsung menggunakan kuesioner. Populasi dalam penelitian ini ada seluruh pasien yang mengalami hipertensi dari rentan usia 45-74 tahun dengan kategori pra lansia sampai lansia yang berada di wilayah kerja Puskesmas Ehosakhozi. Sampel yang diambil sebanyak 80 orang dengan teknik random sampling dan dianalisis dengan uji Cross-Sectional menggunakan aplikasi STATA 14.0. Hasil penelitian menunjukkan bahwa sebanyak 50% pra lansia dan lansia memiliki Self Care management kurang baik. Pra lansia dan lansia yang memiliki Self Care management kurang baik mayoritas pada kelompok lansia 75% dibandingkan dengan kelompok pra lansia 25% (OR=15,55; 95%CI=3,29-73,41; p=0,001). Dukungan keluarga yang kurang berisiko hampir 4 kali mengalami Self Care management kurang baik (OR=3,74; 95%CI=1,12-12,51; p=0,032). Jenis kelamin, pendidikan, status perkawinan, riwayat merokok, konsumsi alkohol dan Self Efficacy juga berhubungan dengan Self Care management hipertensi. Pendidikan menjadi faktor yang paling dominan berhubungan dengan Self Care management hipertensi pada pra lansia. Diharapkan petugas kesehatan dapat menghimbau dan membantu anggota keluarga untuk dapat merawat pra lansia sampai lansia dengan hipertensi. Kata Kunci: Hipertensi, Pra Lansia, Lansia, Self Care Management.
Co-Authors Abdul Majid Abdullah, Asnawi Abdullah, Asnawi Agus Mukholid Agussabti . Agussabti Agussabti Agustina Agustina Ainal Mardhiah Ainal Mardhiah Ainal Mardiah Alma, Siti Ambarwati, Rini Amiruddin Amiruddin Anisrina Anisrina Anwar Ahmad Aramico, Basri Ariska, Tasya Arnes Yuli Vandika Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asniah Syamsuddin Aulina Adamy Aulina Adamy Basri Aramico, Basri Cholila, Cholila Cut Nasrulsyah Daiyana, Intan Depy Ismarita Dewi Susanna Dito Anurogo, Dito Ede Surya Darmawan Elmiadi Elmiadi Erlangga Galih Zulva Nugroho Ernani Wijaya Fahmi Ichwansyah Fahmi Ichwansyah Fahmi Ichwansyah Farrah Fahdhienie Febi Dwirahmadi Fida’ Husain Fitria, Ida Fitriani Fadillah Fitriani Fitriani Hafnidar, Hafnidar Halimatussakdiah Halimatussakdiah Helly Susanti Hermansyah, Hermansyah Hilman Syarif Iklima Iklima Irma Suryani Irwan Saputra Irwan Saputra Ismail Ismail Ismail, Nizam Isnani, Ayu Isneini Isneini Isneini Judijanto, Loso Jufrizal Jufrizal Kartini Kartini Kholis Ernawati Lathifah Hanum, Lathifah Lisnayana, Lisnayana Liza Safrina M. Marthoenis Maidar Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Masyudi Masyudi Mayang Indah Arinimi Mega Fatimah Rosana Meutia Zahara Misbahul Jannah Mohamad Firdaus Mudatsir Mudatsir Muhammad Ikhsan Muhammad Muhammad Mulyadi Mulyadi Munandar, Arief Munawarah, Zakiya Munazar Munazar Mursal, Mursal Nabela, Danvil Nisa, Nurul Hafizatun Nita Adlina Nizam Ismail Nizam Ismail Nova Perdana Nurhasanah, Nurhasanah Nurhayati Nurhayati Nurhayati Nurhayati Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah, Nurjannah Nurleli Nurleli Nurleli, Nurleli Nuswatul Khaira Puspita, Kori Radhiah Zakaria Raharjo, Setio Budi Rahmil Azzati Rani, Hafnidar Ar Rauzatul Jannah, Syarifah Riska Novita Ritawati Ritawati Rusli Yusuf Saiful Bakri Salmayati Salmayati Saputra, Irwan Shannon Rutherford Silviana, Rina Sofyan Sufri Sri Alna Mutia Suryane Sulistiana Susanti Susanti, Helly Syarifah Rauzatul Jannah Syarifuddin Syarifuddin T. Budi Aulia Tahara Dilla Santi Tahlil, Teuku Taufik Umar Fahmi Ahmadi Wirda Hayati Wirda Hayati Yanti, Cut Aini Fauzi Yusuf, Nazira Zahara, Amelia Zakaria, Radhiah Zakaria, Radhiah