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All Journal Jurnal Keperawatan Komunitas Jurnal Kedokteran dan Kesehatan JMM (Jurnal Masyarakat Mandiri) Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Malahayati International Journal of Nursing and Health Science Indonesian Journal of Global Health research Nursing Sciences Journal Journal of Pubnursing Sciences Indonesian Jurnal of Nursing Sciences and Practice
Lily Herlinah
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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The role of community-based nursing interventions on knowledge, self-efficacy, and blood pressure control among elderly people with hypertension Herlinah, Lily; Khasanah, Uswatul; Syamsir, Syamikar Baridwan; Badriah, Siti
Malahayati International Journal of Nursing and Health Science Vol 6, No 7 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i7.13335

Abstract

Background: The high prevalence of hypertension in the elderly has serious consequences with the potential to cause various health complications, especially negative impacts on the cardiovascular system, which can include heart failure, stroke, myocardial infarction, and even fatal risks. Community-Based Nursing Intervention (CBNI) has been identified as an effective solution in efforts to improve hypertension management in the elderly population.Purpose: To evaluate the impact of CBNI on knowledge, self-efficacy, and blood pressure values of hypertensive elderly before and after the intervention.Method: The research method used was quasi-experimental with a pre-post design without a control group. A sample of 30 participants was selected through total sampling. The measurement instruments involved the assessment of knowledge, self-efficacy, as well as blood pressure measurements. The intervention included teaching about hypertension, nutritional management, and progressive muscle relaxation therapy (PMRT) combined with music therapy. Data analysis was performed using paired t-tests.Results: The research results showed significant differences before and after the intervention in the variables of knowledge (p=0.000), self-efficacy (p=0.000), systolic blood pressure (p=0.000), and diastolic blood pressure (p=0.000).Conclusion: This study highlights the positive potential of Community-Based Nursing Intervention as an approach that can be adopted and reinforces the important role of community-based nurses in providing effective care and education for the elderly population with hypertension. 
The Effect of Cognitive Puzzle Therapy on the Independence Level of Elderly with Dementia in Nursing Home East Jakarta Wahyudi, Dheni; Anwar, Syamsul; Herlinah, Lily
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.620

Abstract

Aims: This study aims to identify the effect of puzzle cognitive therapy on the level of independence of elderly people with dementia in nursing homes. Method : the research used a quasi-experimental pre-post design with control group design. Sampling was taken using a total sampling technique, 24 respondents in the intervention group and 24 in the control group. Puzzle therapy was carried out for 9 sessions. Measurement of independence used the MMSE (Mini mental status examination) questionnaire and the Katz Index. Analysis with dependent t-test at significance 0.05 (CI 95%) and GLM-RM (General Linear Model Repeated Measure). Results: The results of the paired T test in the intervention group produced a p-value of 0.000, while the control group had a p-value of 0.043. dependent T test and Greenhouse-Geisser (sig) with p value 0.00. Elderly people who are given puzzle activities improve the health and well-being of elderly people with cognitive decline Conclusion: puzzle therapy can improve increasing independence in elderly people with dementia.
Pemberdayaan Lansia dalam Penanganan Hipertensi dengan Terapi Komplementer Akupresur Muhdiana, Dedi; Nurhayati, Nurhayati; Herlinah, Lily; Rosyati, Heri; Al-Ashri, Azizah; Rohanah, Rohanah; Atifa, Anggita Delia Putri; P, Shalza Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13326

Abstract

ABSTRAK Hipertensi pada lansia sebagian besar merupakan hipertensi sistolik terisolasi (HST). Upaya pengendalian Tekanan Darah secara Farmakologi dengan penggunaan Obat Anti Hipertensi dalam jangka panjang dapat memberikan dampak negative terhadap kesehatan secara umum terlebih tanpa adanya pengawasan dan control yang ketat dari tenaga medis. Upaya penangulangan hipertensi secara aman dan mudah dilakukan oleh masyarakat dapat dilakukan melalui upaya penerapan terapi komplementer diluar pengobatan secara farmakoterapi yang telah terbukti dan mudah dilakukan oleh masyarakat secara mandiri dengan Teknik akupresur.Tujuan dari pemberdayaan lansia ini menitik beratkan pada upaya promotif,  preventif dan kuratif dalam penanganan masalah hipertensi pada masyarakat  untuk meningkatkan pengetahuan, kesadaran dan kemampuan penanganan  hipertensi berbasis upaya kuratif non farmakologi dengan penerapan terapi komplementer dan alternative secara mandiri. Metode yang digunakan dalam kegiatan pengabdian masyakat dilakukan melalui tahapan kegiatan-kegiatan: 1. Melakukan analisis kebutuhan mitra. 2. Kegiatan pemberdayaan dengan   memberikan pendidikan dan pelatihan kepada mitra PKM tentang terapi komplementer hipertensi dengan teknik akupresur. 3. Melakukan bina suasana dengan cara mengembangkan kegiatan inovatif untuk keberlangsungan kegiatan dengan menciptakan suasana kegiatan yang aman, nyaman, menyenangkan serta efisien dan efektif. Peserta yang mengikuti kegiatan 25 orang. Hasil kegiatan diperoleh peningkatan pengetahun dan keterampilan peserta dalam penanganan hipertensi di masyarakat. Kesimpulan, adanya peningkatan pengetahuan dan keterampilan pada masyarakat penyandang hipertensi dan keluarganya dalam memahami hipertensi serta cara penangananya dengan terapi komplementer dalam bentuk akupresur. Kata Kunci: Pemberdayaan, Lansia, Hipertensi, Komplementer, Akupresur  ABSTRACT Hypertension in the elderly is mostly isolated systolic hypertension (HST). Efforts to control blood pressure pharmacologically by using anti-hypertensive drugs in the long term can have a negative impact on health in general, especially without strict supervision and control from medical personnel. Efforts to treat hypertension safely and easily by the community can be carried out through efforts to implement complementary therapies outside of pharmacotherapy treatment which have been proven and are easy for the community to carry out independently using acupressure techniques. The aim of empowering the elderly focused on promotive, preventive, and curative efforts in handling hypertension problems in the community to increase knowledge, awareness, and ability to treat hypertension based on non-pharmacological curative efforts by implementing complementary and alternative therapies independently. The method used in community service activities was carried out through stages of activities: 1. Analyzing partner needs. 2. Empowerment activities by providing education and training to PKM partners regarding complementary therapy for hypertension using acupressure techniques. 3. Building an atmosphere by developing innovative activities for the continuity of activities by creating an atmosphere of activities that is safe, comfortable, enjoyable as well as efficient, and effective. There were 25 participants who took part in the activity. The results of the activity were increased in participants' knowledge and skills in treating hypertension in the community. The conclusion was that there was an increase in knowledge and skills among people with hypertension and their families in understanding hypertension and how to treat it with complementary therapy in the form of acupressure. Keywords: Enpowerment, Elderly, Hypertension, Complementary, Acupressure
Effectiveness of Cognitive Behavioral Therapy with In Vivo Exposure on Anxiety Levels in Elderly Stroke Patients Fidrajaya, Ridho; Permatasari, Tria Astika Endah; Herlinah, Lily
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 03 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 03 September
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i03.3471

Abstract

Background: Stroke is a serious condition that can have a significant psychological impact on patients, including anxiety. Cognitive Behavioral Therapy (CBT) is a therapy that can influence attitudes and behaviors as well as cognitive changes, resulting in the desired attitude changes. Objectives: The objective of this study is to determine the effect of CBT on anxiety levels in elderly individuals diagnosed with stroke. Methods: This study employed a quasi-experimental design with a nonequivalent control group design. The sample consisted of 36 elderly stroke patients. The analysis in this study used the dependent T-Test. Results: The average anxiety level decreased by 14.89, and the statistical test results showed a P-Value of 0.000, indicating that the intervention had a significant effect. Conclusion: This study concludes that Cognitive Behavioral Therapy (CBT) using in vivo exposure techniques is significantly effective in reducing anxiety levels in the intervention group compared to the control group. Although there are other influencing variables such as education, these variables are not statistically significant.
Effectiveness of Health Education Using Video and Poster Media on Elderly Knowledge About Hypertension Pratama, Doan; Herlinah, Lily; Permatasari, Tria Astika Endah
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 03 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 03 September
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i03.3497

Abstract

Background: The elderly, defined as individuals aged 60 years and above, have seen an increasing population due to advancements in healthcare but also face challenges such as hypertension. Hypertension, often referred to as "The Silent Killer," is becoming more common among the elderly due to physiological changes associated with aging. This condition, a leading cause of global cardiovascular diseases, heightens the risk of serious complications such as stroke and heart attack. Objectives: This study aims to determine the effectiveness of health education using video and poster media on the knowledge of the elderly about hypertension. Methods: This study employs a quasi-experimental design using a Nonequivalent Control Group Design method, where the experimental and control groups were not randomly assigned. A total of 32 samples were collected and divided into two groups (control and treatment). Data analysis included univariate, bivariate, and multivariate analyses. Results: The MANOVA test results indicated that the most influential variable affecting the respondents' knowledge level was education, with a p-value of 0.026. This value approaches 1, indicating that education has a stronger correlation compared to other variables. Conclusion: There is an effect of health education using video and poster media on the knowledge level of the elderly about hypertension.
THE EFFECTIVENESS OF ISOMETRIC HANDGRIP AND WALKING EXERCISES ON BLOOD PRESSURE IN ELDERLY PATIENTS WITH HYPERTENSION Rahmawati, Erni; Lily Herlinah; Nurhayati; Dhea Natashia; Syamsul Anwar
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.6981

Abstract

Hypertension in the elderly is one of the global health challenges with a high prevalence. This study aims to evaluate the effectiveness of isometric handgrip exercise and walking exercise in reducing blood pressure in the elderly with hypertension. The research method used a quasi-experimental design with three intervention groups: (1) isometric handgrip exercise, (2) walking exercise, and (3) a combination of both. A total of 36 elderly were randomly selected and equally divided into the three groups. The intervention was conducted for eight weeks with analysis using Shapiro Wilk test, One Way Anova and Wilcoxon Test The results showed that the isometric handgrip and combination exercise groups had a significant decrease in systolic and diastolic blood pressure (p<0.05). Meanwhile, walking exercise also had a positive effect, although not significant in all weeks of evaluation. The combination of both interventions showed the most optimal results, especially at weeks 5 and 8. This study concludes that isometric handgrip exercise and its combination with walking exercise are effective for lowering blood pressure in elderly with hypertension. It is recommended that this intervention be applied as a non-pharmacological therapy in elderly health services, with assistance by health workers to improve compliance and effectiveness of the program.    
THE EFFECTIVENESS OF POSITIVE DEVIANCE (HEARTH) TO REDUCE MALNUTRITION IN UNDER FIVE CHILDREN Africia, Fresty; Lily Herlinah; Nurhayati; Dhea Natashia; Syamsul Anwar
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.7010

Abstract

Positive deviance (pos gizi) merupakan program gizi yang berbasis keluarga dan masyrakat bagi balita yang mengalami gizi kurang. Tujuan penelitian yakni menganalisis keefektivan intervensi positive deviance (pos gizi) sebagai penatalaksanaan gizi kurang pada balita. Jenis penelitian yang digunakan yakni quasi experimental dengan menggunakan rancangan one group pre post test design. Intervensi positive deviance (pos gizi) diberikan selama 2 minggu (12 hari). Jumlah perhitungan subjek dengan G-power didapatkan minimal 10 responden, responden diambil secara total sampling, dan didapatkan 12 balita yang mengalami gizi kurang dengan BB/TB pada rentang Z score = -2 s/d =-3. Data pengetahuan, sikap, dan perilaku orang tua dikumpulkan dengan kuesioner dan dianalisis dengan uji T dependen. Sedangkan data berat badan dan tinggi badan diukur sebelum dan setelah intervensi dengan analisis GLM-RM. Hasil penelitian adalah terdapat peningkatan berat badan dan tinggi badan sebelum dan setelah intervensi positive deviance (pos gizi) karena makanan yang diberikan kandungan gizinya disesuaikan kebutuhan nutrisi balita. Selain itu terjadi peningkatan pengetahuan, sikap dan perilaku ibu sehingga praktik dalam memberikan makanan untuk balita menjadi lebih baik. Kesimpulannya bahwa positive deviance (pos gizi) sebagai salah satu intervensi komprehensif yang dapat diterapkan untuk mengatasi gizi kurang pada balita di masyarakat.  
PENERAPAN ISOMETRIC HANDGRIP EXERCISE DALAM UPAYA PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI KOMUNITAS Nurhayati, Nurhayati; Rahmawati, Erni; Muhdiana, Dedi; Herlinah, Lily; Khasanah, Uswatul; Rohanah, Rohanah; Wahyudi, Dheni
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 6 (2024): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i6.27589

Abstract

Abstrak: Hipertensi pada lansia terjadi pada proses penuaan yang berhubungan dengan peningkatan umur seseorang. Dampak hipertensi pad lansia menyebabkan komplikasi stroke yang menyebabkan kematian. Maka diperlukan penatalaksanaan terapi yang tepat secara farmakologi dan non farmakologi dapat dilakukan untuk menurunkan tekanan darah pada lansia hipertensi, dengan cara meningkatkan aktivitas fisiknya melakukan latihan isometric. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan penatalaksanaan hipertensi pada lansia dan melakukan isometric handgrip exercise terkini. Metode pengabdian ini menggunakan edukasi, demonstrasi isometric handgrip exercise dan cek tekanan darah pada lansia di Wilayah Kecamatan Kemayoran Jakarta Pusat. Kegiatan dilakukan pada hari Rabu 3 Juli 2024 di RPTRA Harapan Mulia diikuti oleh 36 lansia. Hasil pemeriksaan didapatkan terdapat penurunan tekanan darah pada sistolik (p=0.011) dan diastolik (p=0.017). Dengan demikian sangat dianjurkan penderita hipertensi dengan menggunakan isometric handgrip exercise untuk menurunkan tekanan darah baik dilakukan sendiri. Isometric handgrip exercise sangat baik dilakukan pada lansia yang mengalami hipertensi sehingga dapat mempertahankan tekanan darah secara mandiri dan terkontrol.Abstrak: The elderly with Hypertension occurs to aging process associated with an increase in a person's age. The impact of hypertension in the elderly causes stroke complications that cause death. So it is necessary to manage the right therapy pharmacologically and non-pharmacologically can be done to reduce blood pressure in elderly hypertension, by increasing physical activity doing isometric exercises. The purposed of this community service was to increase knowledge of hypertension management to elderly and perform latest isometric handgrip exercise. This community service method used education, demonstration of isometric handgrip exercise and blood pressure checks to the elderly in the Kemayoran District, Central Jakarta. The activity was carried out on Wednesday, July 3, 2024 in RPTRA Harapan Mulia followed by 36 elderly people. The examination results showed a decrease in blood pressure in systolic (p=0.011) and diastolic (p=0.017). Thus it is highly will recommend for people with hypertension to use isometric handgrip exercise to lower blood pressure either done alone. Isometric handgrip exercise Will be very good to do in the elderly who experience hypertension so that they can maintain blood pressure independently and controlled.
Co-Authors Agus Setiawan Al-Ashri, Azizah Aldri Frinaldi Atifa, Anggita Delia Putri Badriah, Siti Baridwan, Syamikar Dhea Natashia Erni Rahmawati Etty Rekawati Fresty Africia Henny Permatasari Heru Supriyatno Hilalliyah, H Khasanah, Uswatul Mamang, Aisah Muhdiana, Dedi Natashia, Dhea Noviati, Elis Nurhayati Nurhayati Nurhayati P, Shalza Dwi Pratama, Doan Rachmawati, Utami Rahayu, Yuyun Ridho Fidrajaya Rohanah, Rohanah Rosyati, Heri Rudi Kurniawan Rudiatin, Endang Srinayanti, Yanti Sugiatmi, Sugiatmi Syamikar Baridwan Syamsir Syamsul Anwar Syamsul Anwar, Syamsul Tria Astika Endah Permatasari Vilda, Vilda Wahyudi, Dheni Waluyo, Endrian Mulyadi Justitia Wiwin Wiarsih Wredatami, Putri Yunitri, Ninik