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All Journal Wiraraja Medika: Jurnal Kesehatan Khazanah Informatika: Jurnal Ilmu Komputer dan Informatika Holistic Nursing and Health Science Martabe : Jurnal Pengabdian Kepada Masyarakat Media Keperawatan Indonesia Bunda Edu-Midwifery Journal (BEMJ) JURNAL PENDIDIKAN TAMBUSAI Health Sciences Journal Jurnal Perawat Indonesia Jurnal Sehat Mandiri South East Asia Nursing Research JPP Jurnal Kesehatan Poltekkes Palembang Jurnal Ilmu Kesehatan Jurnal Kesehatan Madani Medika JURNAL PENELITIAN PERAWAT PROFESIONAL BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Indonesian Journal of Global Health research Ners Muda Borneo Student Research (BSR) Ana Bulava Jurnal Pendidikan Anak Jurnal Kesehatan Tambusai International Journal of Engineering, Science and Information Technology Syntax: Journal of Software Engineering, Computer Science and Information Technology Ahmar Metastasis Health Journal (AMHJ) Indonesian Journal of Health Science Proceedings of the International Conference on Nursing and Health Sciences Jurnal Keperawatan GENIUS JOURNAL (General Nursing Science Journal) Journal of Nursing Invention SEHAT : JURNAL KESEHATAN TERPADU Jurnal Keperawatan Merdeka Jurnal Keperawatan Profesional (KEPO) International Journal of Health, Engineering and Technology Jurnal Ilmu Kesehatan dan Gizi Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Pustaka Keperawatan Jurnal Keperawatan Profesional Jurnal Ilmiah Kesehatan Keperawatan Strada Jurnal Ilmiah Kesehatan (SJIK) Jurnal Pengabdian Masyarakat Nusantara
Milkhatun, Milkhatun
Universitas Muhammadiyah Kalimantan Timur
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The Effectiveness of Audiovisual Education on the Level of Pre-Elderly's Knowledge about Healthy Lifestyle and Hypertension Prevention Rusni Masnina; Fitri Kholisah; Gusnawati Sulaeman; Milkhatun Milkhatun; Ghozali Ghozali
Ahmar Metastasis Health Journal Vol. 6 No. 1 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i1.818

Abstract

As humans age, there are physiological changes that reduce the elasticity of blood vessel walls, which can cause increased blood pressure. In addition, unhealthy lifestyles can also cause high blood pressure. For example, lack of physical activity, stress, and poor eating habits are factors that increase the incidence of high blood pressure. Individuals aged 45-59 years (pre-elderly) need to prepare themselves to carry out self-care in order to face the emergence of hypertension. This study aims to analyze the effectiveness of audiovisual education on the level of knowledge of pre-elderly about healthy lifestyle to prevent hypertension. The research design One-group Pretest-posttest was conducted on 30 pre-elderly respondents in Samarinda City. Data collection on respondent characteristics and level of knowledge about lifestyle used a structured questionnaire. The results showed that the characteristics of pre-elderly respondents based on an average age of 52 years, while the average systolic blood pressure was 131.07 mmHg and diastolic was 84.07 mmHg. The results of statistical analysis showed that there was significant difference in the average knowledge score of respondents between before being given education (6.27) and after being given audiovisual education (7.60). The statistical test results using the Wilcoxon Signed Rank Test obtained a p-value of 0.001 (<0.05). This indicates that audiovisual education can effectively increase pre-elderly knowledge about healthy lifestyle to prevent hypertension.
Hubungan Perawatan Diri (Self Care) dengan Kadar Gula Darah pada Penderita Diabetes Melitus Tipe 2 Siti Khoiroh Muflihatin; Zulmah Astuti; Milkhatun Milkhatun; Nur Halimah; Purwo Setiyo Nugroho
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 16 No 1 (2024): JIKM Vol. 16, Edisi 1, Februari 2024
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v16i1.489

Abstract

Latar Belakang: Perawatan diri (self care) pada penderita Diabetes Melitus (DM) adalah upaya mengendalikan glukosa darah. Perawatan diri tersebut meliputi pemantauan rutin glukosa darah, peningkatan aktivitas fisik, dan perawatan kaki. Perawatan diri yang rutin diharapkan dapat meningkatkan kualitas hidup pasien DM dan mencegah terjadinya komplikasi pada pasien. Penelitian bertujuan untuk mengetahui adanya hubungan antara perawatan diri pada pasien DM dengan kadar glukosa darah.Metode: Penelitian kuantitatif dengan pendekatan studi Cross-sectional dilakukan dengan mengumpulkan data melalui kuesioner SDSCA (Summary of diabetes self-care activities). Teknik purposive sampling digunakan untuk pemilihan sampel sehingga menghasilkan 190 responden berdasarkan kriteria inklusi, yaitu penderita DM tipe 2. Penelitian dilakukan di wilayah kerja Puskesmas Trauma Center Kota Samarinda pada bulan Oktober-November 2022. Data dianalisis menggunakan uji Chi square untuk melihat hubungan antara perawatan diri dengan kadar gula darah pada penderita DM tipe 2.Hasil: Proporsi pasien dengan perawatan diri yang baik sebesar 51,10% dan perawatan diri kurang sebesar 48,90%. Kadar glukosa darah didapatkan sebagian besar responden (61,10%) memiliki kadar glukosa darah tidak terkontrol. Didapatkan ada hubungan antara perawatan diri pasien DM tipe 2 dengan kadar glukosa darahnya dengan nilai p= 0,00.Kesimpulan: Perawatan diri merupakan faktor yang berperan penting dalam mengendalikan kadar glukosa darah pada penderita DM tipe 2.Kata Kunci: Diabetes Melitus, Glukosa darah, Perawatan diri Background: Self-care for people with Diabetes Mellitus (DM) is an important thing to do to control blood glucose levels. This self-care includes regular monitoring of blood glucose, increasing physical activity, and foot care. It is hoped that routine self-care can improve the quality of life of DM patients and prevent complications in patients. The research aimed to determine the relationship between self-care in DM sufferers and blood glucose levels.Method: Quantitative research with a Cross-sectional study approach was conducted with data collected using the SDSCA (Summary of diabetes self-care activities) questionnaire. A purposive sampling technique was used for sample selection so that 190 respondents were selected based on inclusion criteria, namely those with type 2 DM. The study was conducted in the work area of Trauma Center Health Care of Samarinda in October–November 2022. Data were analyzed using the Chi-square test to identify the relationship between self-care and blood sugar levels in type 2 DM patients.Results: The proportion of patients with good self-care was 51.10% and poor self-care was 48.90%. It was found that most respondents (61.10%) had uncontrolled blood glucose levels. It was found that there was a relationship between the self-care of type 2 DM patients and their blood glucose levels with a value of p = 0.00.Conclusion: Self-care was an important factor in controlling blood glucose levels in people with type 2 DM.Keywords: Blood glucose, Diabetes mellitus, Self-care
Performance Analysis of Ensemble Learning Models Comparing Bagging and Boosting Techniques for Early Preeclampsia Risk Detection in Pregnant Women Prediction Yudhi Saputra; Milkhatun Milkhatun; Aldi Bastiatul Fawait; Zakaria Ahmad Dahlan; Yazeed Al Moaiad; Haviluddin Haviluddin; Rayner Alfred
International Journal of Engineering, Science and Information Technology Vol 6, No 1 (2026)
Publisher : Malikussaleh University, Aceh, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52088/ijesty.v6i1.1880

Abstract

Preeclampsia is a major pregnancy complication that substantially contributes to maternal morbidity and mortality worldwide, making early identification of risk factors essential for effective prevention and timely clinical intervention. This study evaluates the performance of ensemble learning models by comparing bagging and boosting techniques to develop an accurate early prediction system for preeclampsia risk using clinical medical record data. The research follows the Cross-Industry Standard Process for Data Mining (CRISP-DM) framework, encompassing data understanding, data preparation, modeling, evaluation, and interpretation. The dataset was obtained from RSUD Inche Abdoel Moeis Samarinda and underwent preprocessing procedures, including data cleaning, transformation, feature encoding, normalization, and Synthetic Minority Over-sampling Technique (SMOTE) to address class imbalance. Six ensemble learning algorithms were evaluated, consisting of Random Forest, Extra Trees, and Rotation Forest as bagging methods, and XGBoost, LightGBM, and CatBoost as boosting methods. Model performance was assessed using accuracy, precision, recall, and weighted F1-score. The experimental results demonstrate that Random Forest achieved the highest predictive performance, with an accuracy of 0.92, precision of 0.93, recall of 0.92, and weighted F1-score of 0.91, indicating superior robustness and generalization capability. Extra Trees achieved comparable accuracy (0.92) but exhibited lower prediction stability across evaluation metrics. Among the boosting algorithms, LightGBM and CatBoost each obtained an accuracy of 0.89, while XGBoost achieved 0.88. Rotation Forest recorded the lowest accuracy (0.62), suggesting limited suitability for this clinical dataset. These findings indicate that bagging-based ensemble methods, particularly Random Forest, outperform boosting techniques for imbalanced clinical data and provide strong empirical support for developing reliable Clinical Decision Support Systems (CDSS) for early preeclampsia screening and risk assessment in healthcare settings
Impact of Drawing Occupational Therapy on Auditory Hallucinations Among Mental Health Patients Bunga Yusnanda; Milkhatun Milkhatun; Arief Budiman; Dwi Rahmah Fitriani
Jurnal Keperawatan Profesional Vol 14, No 2 (2026): Nursing in a Multicultural Environment
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i2.15696

Abstract

Auditory hallucinations are a common positive symptom of schizophrenia that can impair psychosocial functioning and increase the risk of aggressive behavior. Drawing-based occupational therapy has been proposed as a simple nonpharmacological intervention to help patients manage hallucinations. This study evaluated the implementation of drawing-based occupational therapy in reducing the severity of auditory hallucinations in a client with schizophrenia using a psychiatric nursing care approach. A single-case study was conducted involving one client diagnosed with schizophrenia and auditory hallucinations. The intervention was delivered in six sessions over three days. Outcomes were assessed using the Auditory Hallucination Rating Scale (AHRS) and clinical observation before and after the intervention. The AHRS score decreased from 30 (severe) before the intervention to 25 on the second day and 23 on the third day, indicating reduced hallucination severity. The client also showed improved concentration, greater participation in therapy, and better control of auditory hallucinations during drawing sessions. These findings suggest that drawing-based occupational therapy may be a useful supportive intervention in psychiatric nursing care, although further studies with larger samples are needed
Co-Authors Abi Prakasa Abidah, Aqmarina Adila, Lisa aditya aditya Ahmad Azhari Aldi Bastiatul Fawait Aldi Bastiatul Fawait Fawait Andriana Dwi Yunita Arie Chandra Meidianta Arief Budiman Arief Budiman Arief Budiman Aryandi, Syahrul Asma’ul Janah Asnawir Nur Aulia Rahmah Aulya Karimah aviva handini Ayu .H, Sendi Sandra Ayu Putri Salsabila Azhar Faridzal, Muhammad Azriani, Maya Bunga Yusnanda Candra Patniawati, Candra Patniawati Damaiyanti, Mukhripah Daysila Sri Mayuni Deby Krisna Yuwanda Desma Ramadini Dewi Nurkayatun Dobby Aldinatha Juce Dwi Rahmah Fitriani Dwi Rahmah Fitriani Dwi Rahmah Fitrniani Eka Pratiwi Eka Yulia Dithah Ellen Anggelina Elsa Putri Molatina Eka Suci Enok Sureskiarti Fathia Wianida Fatimah Fatimah Fitri Kholisah Ghina Fansuri Ghina Fansuri Ghozali Ghozali Gusnawati Sulaeman Handayono, Priyo Hanny Anggraini Hardianti Hardianti Haviluddin Haviluddin Imamah, Indah Nur Indah Permata Sari Indah Prayudita Irawan, Dalya Jemima Maulida Irvan Efendi Ismail Ismail Jaelani, Hamdan Jannah, Devi Nurul Jannah, Devita Nurul khairun Nisa Khoirul Umam Kiranti Ayu Safitri Laode Hepriansyah Latifah, Efita Latifah Latipah, Asslia Johar Lusmiati, Lusmiati Lutfia Novi Rahmawati Luthfiana Sukma Rantikasari M. Bachtiar Safrudin M. D, Maridi Mahmoud Ahmad Al-Khasawneh Maridi M Dirdjo Maridi M. D Mellia Anata Tasya Mentari Mentari Mike Sappe Datu Muh. Jamil Muhammad Alfarizi Palewo Muhammad Arief Choesaeri Muhammad Fikri Muhammad Fikri Muhammad Ihya Anshari Muhammad Kemal Arrifqi Muhammad Najibullah Muhammad Ramadhana Syahid Muhammad Rusman Fadillah Mulana, Mohammad Rizky Nabila, Nabila Nada Rizky Dwi Faridha Nadia Setyorini Utami Nadila Zuhaebah Naelan Najah Ni Wayan Wiwin Ni Wayan Wiwin Asthiningsih Ni Wayan Wiwin Asthiningsih Ni Wayan Wiwin Astiningsih nisa, Anisa Shahratul Jannah Nugroho, Purwo Setiyo Nur Abida Nur Elviana Daud Nur Halimah Nurjannah, Misbah octario wahyu, gihab Puspita Melati Putri, Nahda Tiramika Rahma Amalia Rahman Hidayat, Faried Rayner Alfred Reylah Sepiah Rini Ernawati Rizal, Alfi Ari Fakhrur Rizkia Cantika Rakhmawati Rizky Aditya Rosyid A.A, Achmad rusdi, romadhona Rusmawati Rusmawati, Rusmawati Rusni Masnina Rusni Masnina Septiawan, Taufik Siti Dela Soflianti - Siti Jahrah Amalia Siti Khoiroh Muflihatin Siti Maisyarah Sitti Rahmah Slamet Purnomo Suhendra Suhendra Sutriani, Merinda Suwaldi Pradana Tri Wulandari Tri Wulandari Wulandari Viana wahida wahida wahida Widjayatri, Rr. Deni Widyastuti, Dwi Winna Noor Cholifah Yazeed Al Moaiad Yudhi Fajar Saputra Yudhi Fajar Saputra Yudhi Saputra Zakaria Ahmad Dahlan