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Analisis Konsep Self Care Pada Klien Hipertensi Martiningsih, Martiningsih; Novieastari, Enie; Rustina, Yeni; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.20258

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ABSTRACT Self-care is fundamental in the care of clients with chronic diseases such as hypertension. The purpose of this paper is to clarify the concept of self-care for hypertensive clients. Literature review with search strategies carried out through Scopus, Ebscohost, Embase, Sciencedirect, PubMed and Google Scholar web sources published from 2012 to 2022 which were then analyzed according to Walker & Avant, S. (1995) to clarify the concept of self-care. This concept analysis shows that self-care has definition attributes as a process of physical and psychological actions carried out by individuals to maintain health, reduce risk and manage disease in an effort to maintain health, avoid risk factors that cause disease and efforts to reduce the effects of disease. Case models, Borderline and Contrary cases, antecedents, consequences, and empirical references to explain the concept of self-care. The definition of the concept of self-care identifies a number of comprehensive attributes, namely actions that include ongoing processes that include physical and psychological activities carried out by individuals in disease management. Nurses are actively involved as educators-counselors who can maximize self-care agency of hypertensive clients in the self-care process. Topics related to self-care should be explored further to advance nursing interventions in managing hypertensive clients. Keywords: Risk Factors, Physical and Psychological, Disease Management, Hypertensive Clients, Self Care.  ABSTRAK Perawatan diri merupakan hal mendasar dalam perawatan klien dengan penyakit kronis seperti hipertensi. Tujuan penulisan ini adalah untuk memperjelas konsep perawatan diri klien hipertensi. Literatur review dengan strategi pencarian yang dilakukan melalui websources Scopus, Ebscohost, Embase, Sciencedirect, PubMed dan Google Schoolaryang diterbitkan dari tahun 2012 hingga 2022 yang selanjutnya dilkaukan analisis konsep menurut walker & Avant,S. (1995) untuk memperjelas konsep self care. Analisis konsep ini menunjukkan bahwa perawatan diri memiliki atribut definisi sebagai proses tindakan fisik dan psiklogis yang dilakukan individu untuk menjaga kesehatan, mengurangi risiko dan menajemen penyakit dalam upaya mempertahankan kesehatan, menghindarkan diri dari faktor risiko yang menyebabkan penyakit dan upaya mengurangi efek dari penyakit. Model kasus, kasus Borderline dan Contrary, anteseden, konsekuensi, dan referensi empiris untuk menjelaskan konsep self care. Definisi konsep self-care mengidentifikasi sejumlah atribut yang komprehensif yaitu tindakan yang mencangkup proses berkelanjutan yang meliputi aktivitas fisik dan psikologis yang dilakukan individu dalam manajemen penyakit. Perawat terlibat aktif sebagai edukator-konselor yang dapat memaksimalkan self-care agency klien  hipertensi dalam proses perawatan diri.Topik yang terkait dengan perawatan diri harus dieksplorasi lebih lanjut untuk memajukan intervensi keperawatan dalam mengelola klien hipertensi. Kata Kunci:  Faktor Risiko, Fisik dan Psikologis, Manajemen Penyakit, Klien Hipertensi, Self Care.
The Effect of Yoga on Substance Use Disorder: A Systematic Review Suryanti, Putu Emy; Ella Nurlaella Hadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025): August 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7355

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Introduction: Substance use disorder become pervasive global issue, and have the impacts on disability and mortality. Substance use disorder within the context of drug addiction is a multifaceted disorder characterized by recurrent psychological and physiological dysfunction resulting from the continued use of drugs. This systematic review aims to evaluate the impact of yoga as a complementary therapy for people with substance use disorder to promote yoga as complementary therapy in drug rehabilitation to prevent relapse. Methods: This systematic review utilised secondary data retrieved from four electronic databases: PubMed, SAGE, ScienceDirect, and SpringerLink. The keywords are: “yoga” and “substance use disorder”, used the Boolean Operator, utilizing both AND and OR codes to refine the search parameters. The data collection applying PICOS (Populations, Interventions, Comparisons, Outcomes, Study Design) as a full inclusion criteria framework to refine literature selection. Results: A total of 10 selected articles were eligible based on the criterias. Most reviewed articles show the beneficial effects of yoga as a complementary therapy for SUD. Yoga had positive effects to decrease several physical and psychological issues, also reduce addictive behaviors. Yoga is low cost and low risk treatment, both culturally acceptable and accessible treatment. Overall, yoga recommended as complemenntary therapy in drug rehabilitation. Conclusion: This study contributes to understanding the effects of yoga on substance use disorder. Yoga has positive effects on physiological, psychological, and behavioral domain. This review provides insight into promote yoga as complementary for comprehensive drug rehabilitation. A future meta-analysis can yield a quantitative assessment of yoga's efficacy as a therapeutic intervention.
Dukungan Suami dalam Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Air Tawar Kota Padang, Sumatera Barat Ramadani, Mery; Hadi, Ella Nurlaella
Kesmas Vol. 4, No. 6
Publisher : UI Scholars Hub

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Abstract

Manfaat pemberian ASI yang sangat besar ternyata belum mampu meningkatkan angka cakupan ASI eksklusif. Hal tersebut terlihat pada tingkat pemberian ASI eksklusif di tanah air yang masih rendah berada pada kisaran 39%-40%. Tujuan penelitian ini mengetahui dukungan suami dalam pemberian ASI eksklusif di Wilayah Kerja Puskesmas Air Tawar, Kota Padang Tahun 2009. Rancangan penelitian potong lintang digunakan pada bulan Maret-April 2009 dengan responden ibu bayi usia 7-12 bulan. Hasil penelitian mendapatkan 55,4% ibu memberikan ASI eksklusif dan 57% ibu mendapat dukungan suami dalam pemberian ASI eksklusif. Ada hubungan antara dukungan suami dengan pemberian ASI eksklusif, ibu yang suaminya mendukung pemberian ASI eksklusif berpeluang memberikan ASI eksklusif 2 kali daripada ibu yang suaminya kurang mendukung pemberian ASI eksklusif setelah dikontrol oleh pekerjaan suami, dukungan petugas kesehatan, dan pekerjaan ibu. Oleh karena peran suami penting dalam pemberian ASI eksklusif, maka suami harus dijadikan sasaran penyuluhan ASI dan didorong untuk lebih aktif mencari informasi serta aktif belajar mengenai ASI, sehingga lebih paham dalam memberikan dukungan kepada ibu untuk menyusui secara eksklusif. The objective of this study was to know husband’s support in exclusive breastfeeding at working areas of Puskesmas Air Tawar, Padang in 2009. Cross sectional design was used in this study that was conducted from March to April 2009. The respondents were mothers with baby of 7 to 12 months. This study found out that 55.4% of mothers did exclusive breastfeeding, and 57% mothers gained husband’s support in exclusive breastfeeding. There was a relationship between husband’s support and exclusive breastfeeding whereas mothers who had husbands’ support likely do exclusive breastfeeding two times than mothers without husband’s support after adjusted by husband’s occupation, health provider’s support and mother’s occupation. As the role of husband is important in exclusive breastfeeding, therefore husbands should became the target of education on exclusive breastfeeding and encourage them to be more active in searching information about exclusive breastfeeding, so that they would support their wives in exclusive breastfeeding.
Praktek Ibu dalam Perawatan Neonatus di Kabupaten Garut, Jawa Barat Haryanto, Aji; Hadi, Ella Nurlaella
Kesmas Vol. 3, No. 6
Publisher : UI Scholars Hub

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Angka kematian bayi (AKB) di Kabupaten Garut pada tahun 2005 (54,8 per 1000 kelahiran hidup) merupakan yang tertinggi di provinsi Jawa Barat, akibat kematian neonatus dalam tiga tahun terakhir terus meningkat. Studi yang bertujuan mengetahui determinan praktek ibu dalam perawatan neonatus, dilakukan dengan analisis lanjut data Survei Dasar Kesehatan Neonatus Esensial di Kabupaten Garut tahun 2007. Analisis dilakukan dengan menggunakan metoda regresi logistik ganda. Hasil studi menunjukkan, dari 577 ibu bayi 1-11 bulan yang menjadi sampel penelitian, sekitar 51,5% ibu melakukan praktek perawatan neonatus kurang baik. Faktor yang paling dominan berhubungan dengan praktek perawatan neonatus adalah pengetahuan ibu setelah dikontrol oleh dukungan keluarga, pendidikan ibu, pekerjaan ibu dan penyuluhan oleh tenaga kesehatan. Ibu yang berpengetahuan baik melakukan praktek perawatan neonatus baik 2,2 kali lebih besar daripada ibu yang dengan pengetahuan kurang baik. Disarankan agar Bidan di Desa (BdD) mengubah cara pemberian informasi kepada ibu dan keluarganya dengan metode diskusi dan menggunakan gambar serta buku Kesehatan Ibu dan Anak (KIA), sehingga ibu lebih mudah memahami dan menerapkan kepada bayinya. Infant Mortality Rate (IMR) in 2005 at Garut District (54.8/1000 live births), is the highest in West Java Province, due to ever increasing neonatus mortality rates in the last three year. The purpose of this study was to investigate the determinant of mother’s practice in neonatus care at Garut District, conducted by advance analysis of Baseline Survey of Essential Neonatus Health Services at Garut District data in 2007. The data was analyzed using chi square test and multiple logistic regression. The result of this study showed that out of 577 baby mothers who had 1-11 months as the sample of this research, 51.5% had unfavorable practice in neonatus care. The most dominant factor related to practice in neonatus care was knowledge of mother after adjusting by family support, mother’s education, mother’s occupation and counseling by health provider. Mothers who have good knowledge in neonatus care practice had chance 2.2 times higher compared to mothers who had unfavorable knowledge to implement good practice. Based on the result of this study, it is suggested that the Village Midwives should change the way in giving of information to mothers and her families by using more discussion method and utilizing picture, and also utilizing Maternal and Child Health book, so that it would be easier for the mothers to understand and to apply good practices to their babies.
Studi Kualitatif : Pelayanan Rujukan Asfiksia Bayi Baru Lahir di Kabupaten Cirebon Jawa Barat Hadi, Ella Nurlaella
Kesmas Vol. 3, No. 3
Publisher : UI Scholars Hub

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Pada tahun 2005, studi penatalaksanaan asfiksia bayi baru lahir (BBL) oleh bidan di desa Kabupaten Cirebon menemukan kematian asfiksia BBL yang dirujuk ke rumah sakit masih tinggi. Penelitian ini bertujuan untuk mendapatkan informasi yang mendalam tentang proses rujukan, alur penanganan rujukan kasus asfiksia BBL di RS dan kualitas pelayanan di RS rujukan Kabupaten Cirebon. Untuk itu, digunakan pendekatan kualitatif dengan metode studi kasus. Hasil penelitian menunjukkan BdD sudah menangani asfiksia BBL dengan benar, tetapi rujukan sering terlambat karena adanya faktor penghambat dari keluarga (ekonomi dan keputusan merujuk harus melibatkan keluarga besar) dan faktor lingkungan (transportasi di desa terpencil sulit terutama pada malam hari). Disamping, karena penanganan rujukan asfiksia BBL di RS belum optimal, karena masih kurangnya keterampilan petugas bagian UGD dalam manajemen asfiksia BBL dan tidak tersedianya alat resusitasi neonatus di bagian UGD, padahal prosedur penanganan kasus rujukan pertama kali di bagian UGD. In Cirebon district (2005) research on village midwives’s experience in managing birth asphyxia showed mortality of newborns with asphyxia who were referred to the hospitals were still high. This research was aimed to assess referral process, management procedure of referral birth asphyxia cases and quality of care given in the referral hospitals. This study was conducted using qualitative approach focusing on case study method. The result of this study showed that village midwives managed birth asphyxia correctly, but referral of newborn cases was often delayed, because of community factors (finance and delayed decision making by whole family to refer the newborn to the hospitals) and environmental factor (transportation in remote villages was difficult, especially at night. Besides that, referral hospitals were not yet providing adequate emergency care for referral cases of birth asphyxia. These were primarily due to lack of skills in management of birth asphyxia and unavailability of resuscitation device in emergency room.
Determinants of an integrated management of childhood illness program implementation in Indonesia Amalia, Dwi Octa; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 39 No 03 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i03.6974

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Purpose: This study aims to identify the factors related to health system support that influence the implementation of Integrated Management of Childhood Illness (IMCI) in primary health care facilities in Indonesia, specifically in relation to leadership. Methods: The research method used is a literature review. Database searches of Garuda, Google Scholar, Proquest, Science Direct, Biomed, and Pubmed were performed from 2012 to 2022 using the keywords “manajemen terpadu balita sakit”, “IMCI Indonesia”. Results: A total of 1,238 articles were screened for eligibility and five published articles met the inclusion criteria and objectives of this literature review. Based on five articles reviewed, nine variables associated with IMCI implementation were analyzed in this study, including leadership support, supervision, completeness of medicine and medical equipment, presence of consultation room, motivation, attitudes, knowledge, and completeness of filling out forms. Conclusion: The support of the health system is a key challenge in implementing IMCI. Therefore, strengthening health system support is needed to optimize the implementation of IMCI. In addition, there is a need to strengthen leadership and provide regular supervision and feedback to ensure that IMCI implementation is in accordance with standards and to increase health worker motivation to improve their performance in providing health services.
Visual inspection with acetic acid screening use determinants: a systematic literature review Ayu, Septi; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 40 No 04 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i04.12397

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Purpose: In Indonesia, in 2022, of 36,964 cervical cancer cases, 56% ended in death due to cervical cancer. Cervical cancer can be identified at an early stage through routine examinations, allowing for more effective treatment and increasing the chances of cure. The visual inspection of acetic acid (VIA) screening has emerged as a simple, effective, and affordable option. Methods: The research method uses a systematic literature review, carried out using primary studies from PubMed, Proquest, and Google Scholar using the keywords "woman; VIA; preventing cervical cancer" published between 2019 and 2024, full text and open access articles and according to the topic. Results: 25,999 research articles were screened for eligibility, and 10 met the inclusion criteria. The coverage of the VIA screening was due to age, social norms, opinions, behavior of other people, the availability of health facilities, support from husbands, support from health workers, and economic conditions. Conclusion: Educational interventions at the community and health facilities are needed to increase VIA examination coverage. Socialization and education involving women and men are expected to help increase public participation in VIA examinations and reduce morbidity and mortality due to cervical cancer.
Lifestyle Risk Factors and Hypertension on Students: a Cross Sectional Study Martiningsih, Martiningsih; Novieastari, Enie; Gayatri, Dewi; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1692

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The incidence of hypertension is likely to occur at an increasingly younger age. The incidence is mainly due to risk factors for unhealthy behavior and lifestyle in adolescents. The purpose of this study was to analyze behavioral and lifestyle risk factors that affect the incidence of hypertension in adolescents. This research design is a descriptive-analytic with the cross-sectional study. The subjects in this study were 407 respondents from 10 junior and senior high schools in Bima City. Independent variables were gender, age, some behaviors like smoking, alcoholic, drug abuse, exercise, and healthy diet, abdominal circumference, and body mass index. Whereas, the dependent variable covers the incidence of hypertension. Results: In this study, behavioral risk factors in adolescents that correlate with hypertension are body mass index, age, and smoking behavior. The omnibus test results p value = 0.018 (
Hubungan Persepsi Pola Asuh Orang Tua dan Karakteristik Siswa dengan Kecemasan Siswa Kelas 7 - 12 di Sekolah X Jakarta Apryanti, Andi Rika; Hadi, Ella Nurlaella; Damayanti, Rita
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 7, No. 1
Publisher : UI Scholars Hub

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Background. Anxiety is a negative emotional response that is subjective with physical symptoms. Anxiety is influenced by various factors such as parenting styles and student characteristics. Objective. The purpose of this study was to determine the relationship between perceived parenting styles and student characteristics with anxiety in 7th – 12th grade students at School X Jakarta. Method. This research is a quantitative study using a cross-sectional design. Data from 220 of 486 students who were willing to take part of this study and had permission from their parents were collected by filling out a questionnaire independently. Data were analyzed using the chi-square test. Results. The results showed that the prevalence of anxiety in 7th – 12th grade students at School X Jakarta were 27.3%. The most dominate student’s perceptions of their parenting styles are authoritative (36.4%) and neglectful (36.4%). Meanwhile, the characteristics of the students were early teens (58.2%), female (50.5%), and junior high school level (72.7%). The results of the analysis showed a significant relationship between neglectful parenting, indulgent parenting, student gender, and grade level with student anxiety. Conclusion. Student at risk of experiencing anxiety are female, high school level, and parenting style is neglectful or indulgent. For this reason, School X needs to conduct an evaluation to these student, as well as providing a "student’s mail box" and parenting workshops.
Analisis Implementasi Kebijakan Pemberian Air Susu Ibu (ASI) Eksklusif di Wilayah Kerja Puskesmas Kecamatan X Jakarta Timur : Policy Implementation Analysis on Exclusive Breastfeeding in Working Area X Community Health Center in East Jakarta Afriyanto, Dzul Fahmi; Ella Nurlaella Hadi; Meiriza Andarwati; Risma Wardiani; Queen Nazhofah; Andi Muhammad Yusuf; Devi Afni
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 2 (2022): February 2022
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (740.766 KB) | DOI: 10.56338/mppki.v5i2.1988

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ASI Eksklusif sangat penting untuk diberikan kepada bayi sebab ASI merupakan salah satu cara untuk menurunkan angka kematian ibu (AKI) dan angka kematian bayi (AKB). Pemberian ASI Eksklusif dapat menekan AKB dan mengurangi 30.000 kematian bayi di Indonesia serta 10 juta kematian bayi di dunia. Peran Puskesmas sebagai ujung tombak pelayanan kesehatan dalam implementasi program pemberian ASI Eksklusif menjadi sangat penting. Penelitian ini bertujuan untuk menganalisis kebijakan tentang pemberian ASI eksklusif di wilayah Kerja Puskesmas Kecamatan X Jakarta Timur. Penelitian ini menggunakan metode kualitatif, disain penelitian Rapid Assesment Procedure (RAP). Data dikumpulkan dengan metode wawancara mendalam (WM) kepada kepala puskesmas, pemegang program gizi, pemegang program KIA, dan kader posyandu. Selain itu, dilakukan dengan diskusi kelompok terarah (DKT) kepada Ibu ASI Eksklusif dan Ibu Tidak ASI Eksklusif. Selanjutnya data tersebut dianalisis secara tematik. Hasil penelitian menunjukkan bahwa unsur komunikasi masih belum optimal terutama dari sosialisasi dan penerimaan informasi, sedangkan untuk unsur sumber daya, struktur birokrasi, dan disposisi sudah diimplementasikan dengan baik dan terintegrasi antar semua sektor baik internal maupun eksternal.