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The Combination Therapy of Self-Surrender Exercise and Distraction Against Osteoarthritis Pain Scale of Elderly In Coastal Area Syaifurrahman Hidayat; Elyk Dwi Mumpuningtias; Ratna Indriyani
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 2 (2020): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i2.425

Abstract

A combination therapy of resignation and distraction techniques builds on relaxation. For this reason, this study aims to provide a combination therapy of self-surrender training (LPD – latihan pasrah diri in bahasa) and distraction techniques to reduce the scale of osteoarthritis pain in Madurese elderly in coastal areas. The research method used was quasi-experimental. The sample of the study was elderly who experience osteoarthritis pain in coastal areas, with a purposive sampling technique using the inclusion and exclusion criteria approach, with a total sample of 70 elderlies. Data were analyzed using the Wilcoxon Signed Ranks and Mann-Whitney Test. The results of this study indicate that the combination therapy of self-surrender training and distraction techniques is effective in reducing the level of osteoarthritis pain in the elderly living in coastal areas. The relaxing activity can be done both inside and outside the homes of the elderly who are mostly coastal areas
The Effect of Blood Pressure On The Quality of Daily Sleep In The Elderly In PSTW Pandaan Mujib Hannan; Syaifurrahman Hidayat; Akhmad Feri Fatoni
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.707

Abstract

The blood pressure normally increases in the elderly, making them subject to greater risk of hypertension. This is compounded by poor quality of sleep which leads to a further increase in the blood pressure. The method was analytic correlation using cross sectional design. The population included adults above 45 years old in Tresna Wedha Nursing Home (PSTW) in Pandaan while the sample size of 64 people was determined by Purposive Simple sampling technique.The data analysis was conducted using chi square test. The results of the data analysis using chi square test was statistically significant with p value = 0.003 (p<0.005) which showed a relationship between blood pressure and sleep quality. Irregular sleeping pattern leads to physiological changes and imbalance of homeostasis. The active sympathetic nervous system tends to increase peripheral resistance and cardiac output which results unraised blood pressure.
Sand based on Transcultural Nursing as a Non-Pharmacological Therapy to Increase Β-Endorphin Levels and Reduce Pain Osteoarthritis in Coastal Elderly Mujib Hannan; Hidayat, Syaifurrahman; Yulia Wardita; Abdul Muhith; Emdat Suprayitno
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.666

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Background: Culture Inability has an affect on the comes about of care, this may be done to supply consideration and welfare for the elderly. The marvel of inborn coastal communities with special traditions whose day by day propensities begin resting within the sand, playing within the sand, splashing on the shoreline, and giving birth within the sand. When the elderly sleep well on the sand and the HPA axis is suppressed, there is a decrease in ACTH and cortisol. Purpose: Decrease ACTH and cortisol, stimulate POMC synthesis, and increase production of β endorphins that prevents the release of substance P as a key factor in the transmission of pain signals. Methods: The study uses a quasi-experimental pre-post test control group design and includes a total of 82 elderly individuals aged 60-74 years, who experience osteoarthritis pain. The sample is divided into two groups, an experimental group of 41 individuals who sleep on the sand, and a control group of 41 individuals who sleep on mattresses. The implementation of sleeping on the sand was carried out for 30 days with a duration of 6-7 hours a day. data analysis with wilcoxon test and mann whitney test. Results: The results show that there is a significant difference with p-value (<0.05) of post-test measurements on the thirtieth day on the variable β-endorphine level and pain scale. The intervention group showed difference between the pre-test and post-test after the intervention was given, with a p-value of 0.000 (<0.05). Conclusion: The study concludes that sleeping on sand is an effective non-pharmacological therapy that can increase β-endorphin levels and reduce osteoarthritis pain in coastal elderly individuals. Transcultural nursing is able to maintain healthy behavior or sick behavior physically and psychoculturally according to cultural background. The study highlights the importance of considering the cultural background of the clients while providing nursing care.
Kualitas Hidup Lansia Penderita Hipertensi yang Tinggal di Wilayah Pesisir Hakim, Arif Rahman; Endang Fauziyah Susilawati; Hidayat, Syaifurrahman; Hidayat, Mukhlish
Indonesian Health Science Journal Vol. 5 No. 2 (2025): September
Publisher : Universitas Nazhatut Thullab Al- Muafa Sampang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52298/ihsj.v5i2.129

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Latar Belakang: Populasi lansia dan meningkatnya prevalensi hipertensi di kalangan lansia di wilayah pesisir menimbulkan masalah kesehatan masyarakat yang signifikan. Kehidupan pesisir  memiliki keuntungan sekaligus tantangan yang memengaruhi kualitas hidup (QOL) lansia. Studi ini mengeksplorasi QOL dan faktor-faktor terkaitnya pada lansia dengan hipertensi yang tinggal di wilayah pesisir Madura, Jawa Timur, Indonesia. Metode: Desain penelitian ini adalah cross-sectional yang mengundang 140 lansia berusia 60–80 tahun sebagai partisipan dengan cara purposive samoling. Data dikumpulkan menggunakan kuesioner Kualitas Hidup dari Organisasi Kesehatan Dunia (WHOQOL-BREF) untuk mengukur kualitas hidup partisipan melalui empat domain, yaitu kesehatan fisik, psikologis, hubungan sosial, dan lingkungan. Analisis hubungan antar variabel dialkukan dengan menggunakan uji t-test dengan signifikansi statistik p < 0,05. Hasil: Temuan penelitian menunjukkan bahwa peserta paruh baya (usia 70–80) menunjukkan skor kualitas hidup (QOL) yang lebih tinggi dalam hal kesehatan fisik, kesejahteraan psikologis, dan lingkungan dibandingkan dengan peserta muda (usia 60–69). Peserta laki-laki menunjukkan skor Kualitas Hidup (QOL) yang lebih tinggi daripada perempuan, terutama dalam hal kesehatan fisik, psikologis, dan hubungan sosial. Status perkawinan dan tingkat pendidikan tidak berhubungan signifikan dengan kualitas hidup (p>.05). Nelayan memiliki skor kualitas hidup (QOL) keseluruhan tertinggi, menunjukkan bahwa kepuasan kerja memainkan peran penting dalam kesejahteraan lansia. Selain itu, durasi hipertensi tidak berdampak signifikan terhadap kualitas hidup (QOL), yang menunjukkan adanya manajemen diri yang efektif di antara peserta. Kesimpulan: Jenis kelamin dan status pekerjaan merupakan satu-satunya faktor yang berhubungan signifikan dengan kualitas hidup (QOL) pada lansia penderita hipertensi di wilayah pesisir. Temuan ini menyoroti perlunya intervensi yang terarah, terutama bagi perempuan lansia dan individu yang tidak bekerja, untuk meningkatkan QOL. Para pemangku kebijakan harus berfokus pada peningkatan aksesibilitas layanan kesehatan, inklusi sosial, dan program dukungan ekonomi yang disesuaikan dengan populasi lansia di wilayah pesisir.
Sand House Therapy: Health Tourism Innovation Based on Local Wisdom through the Utilization of Sand Mattresses in Sumenep Regency Oktaviyani, Haniza; As Sauri, Sofyan; Laora, Marisa; Sevtiana, Lily; Huzaimah, Nailiy; Hidayat, Syaifurrahman
Jurnal Abmas Negeri (JAGRI) Vol. 6 No. 1 (2025): Volume 6 Nomor 1 Juni 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jagri.v6i1.1279

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The community empowerment program initiated by the HIMIKA PPK Team of Wiraraja University provided a solution through the development of a Health Tourism Village known as "Sand House Therapy.” The implementation of this program consisted of three main stages: planning, implementation, and evaluation. The planning stage began with surveys, focus group discussions (FGDs), and interviews with the local community. The implementation stage involved the formation of a management team, initial data collection, the design and construction of the Sand House Therapy facilities, tourism village education, PHBS (Clean and Healthy Living Behavior) socialization, training on Sand Therapy standard operating procedures (SOPs), business management, and digital marketing, followed by the handover of assets and the official launching of Sand House Therapy. The evaluation stage included the analysis of pre- and post-test data, fulfillment of program outcomes, workshops, and regular monitoring. This HIMIKA PPK program was conducted from February 26 to October 30, 2024, by the HIMIKA implementation team of Wiraraja University. The results indicated a significant improvement in the knowledge and skills of the target group regarding tourism village development, PHBS, business management, Sand Therapy SOPs, and digital marketing. A management team was successfully formed, and a new health tourism destination Sand House Therapy was established. Through this innovation, the community of Legung Timur Village was able to optimize the use of its cultural tradition of sand mattresses and introduce this local uniqueness to domestic and international tourists.
Durasi Penggunaan Gadget Dalam Waktu Lama Berhubungan Dengan Kejadian Nyeri Leher Pada Remaja Susilawati, Endang Fauziyah; Hidayat, Syaifurrahman; Pratama, Danil Aditiya; Kuzzairi, Kuzzairi; Amin, Edy Suryadi
Bima Nursing Journal Vol. 6 No. 1 (2024): November
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/bnj.v6i1.1603

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Nyeri leher akibat terlalu lama bermain gadget, yang sering disebut sebagai "teksting neck" atau "tech neck" merupakan kondisi yang muncul ketika seseorang menghabiskan waktu berjam-jam menundukkan kepala untuk menggunakan perangkat elektronik seperti smartphone atau tablet. Penelitian ini bertujuan untuk mengetahui hubungan durasi bermain gadget dengan kejadian nyeri leher pada remaja. Metode: Penelitian ini menggunakan metode penelitian deskriptif dengan desain analitik korelasional. Populasi sebanyak 312  orang,  Sampel diperoleh sebanyak 175 orang remaja di SMAN 1 Waru Pamekasan dengan menggunakan teknik simple random sampling. Alat ukur instrumen yang digunakan adalah kuesioner tentang durasi bermain gadget dikategorikan >2 jam dan ≤2 jam, kejadian nyeri leher dikategorikan tidak nyeri, nyeri ringan, nyeri sedang, dan nyeri berat berdasarkan numeric rating scale. Hasil: Didapatkan bahwa hampir seluruh responden bermain gadget  >2 jam/hari, kejadian nyeri leher pada responden menunjukkan sebagian besar mengalami nyeri berat dengan skala 7-10. Hasil uji rank spearman didapatkan p value 0,000 sehingga hasil tersebut menunjukkan bahwa  ada hubungan antara penggunaan gadget dengan kejadian nyeri lehar. Kesimpulan: penggunaan gadget yang lama (>2 jam) dapat menyebabkan nyeri leher pada remaja. Menggunakan gadget yang lama tidak hanya mempengaruhi postur tubuh, tetapi juga berpotensi menciptakan kebiasaan yang merugikan kesehatan fisik mereka secara keseluruhan.
Terapi Kombinasi Sugesti Dan Dzikir Dalam Peningkatan Kualitas Tidur Pasien Hidayat, Syaifurrahman; Mumpuningtias, Elyk Dwi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 6, No 3 (2018): EDITION NOVEMBER 2018
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.493 KB) | DOI: 10.33366/jc.v6i3.953

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Kebutuhan istirahat masing-masing individu berbeda dipengaruhi oleh status kesehatan pada individu, pola aktivitas, gaya hidup, usia serta kualitas tidur. Pemberian terapi non farmakologi dapat dilakukan untuk mengatasi gangguan tidur, dengan modifikasi perilaku dan lingkungan. Pemberian sugesti melalui hipnoterapi, bentuk intervensi relaksasi juga dapat dilakukan dengan melakukan dzikir yang merupakan bentuk memasrahkan diri kepada Allah SWT. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi kombinasi sugesti dan dzikir dalam meningkatkan kualitas tidur pasien. Penelitian ini mengunakan metode quasy experiment control group pra post test design. Populasi dalam penelitian ini adalah semua pasien yang dirawat di RSI Garam Kalianget Sumenep. Teknik sampling yang digunakan yaitu purposive sampling, dengan jumlah sampel 16 responden. Analisis inferensial yang digunakan dalam penelitian adalah uji statistik Wilcoxon signed ranks test dengan nilai p= 0,011 (< 0,05). sehingga dapat diartikan bahwa pada kelompok perlakuan ada perbedaan kualitas tidur yang signifikan antara sebelum dan sesudah diberikan terapi kombinasi sugesti dan dzikir dan uji staistik Mann-Whitney untuk mengetahui dengan nilai p = 0,002. Hasil penelitian menunjukkan bahwa ada pengaruh pemberian terapi kombinasi sugesti dan dzikir dalam peningkatan kualitas tidur pasien di RSI Garam Kalianget Sumenep. Pemberian terapi kombinasi sugesti dan dzikir dpat meningkatkan kualitas tidur seseorang dengan cara menghambat produksi hormone stress misalnya adrenalin dan kortisol yang akan memicu perubahan fisiologis.
Pengaruh Relaksasi Otot Progresif Terhadap Pola Tidur Pada Lansia di Dusun Daleman Desa PorehKecamatan Lenteng Hidayat, Syaifurrahman; hanifah, Millatul
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 13 No 1 (2018): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v13i1.17

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Sleep is an important aspect for maintaining a healthy body. This study aims to determine the effect of progressive muscle relaxation on sleep patterns in the elderly in Daleman Hamlet Poreh Village Lenteng District. Research design pre experiment use one group pre-post test design.The population in this study is elderly in Dusun Daleman Village Poreh Lenteng District as many as 103 people with a sample of 30 people. The sampling technique used is proporsive sampling. Using statistical tests Wilcoxon with α 0,05.The result of the research before progressive muscle relaxation in elderly mostly experienced bad sleep pattern asmuch as (63%) that is 19 people, then after progressive muscle relaxation there was improvement of good sleep pattern as much as 60% that is 18 people.The result of data analysis using Wilcoxon test obtained p = 0,000 (<0,05) which mean there is influence of progressive muscle relaxation to sleep pattern at elderly in Daleman hamlet Porah Village Lenteng Subdistrict.Progressive muscle relaxation may be used in the elderly especially those experiencing poor sleep patterns, as progressive muscle relaxation may facilitate sleep can also be usefulfor anxiety, reduce fatigue, muscle cramps and neck and back pain so as to improve comfort during sleep.Keywords: Progressive Muscle, Sleep Pattern, Elderly
Effect of Family-Centered Nursing-Based Health Education on Activities of Daily Living among Elderly Hypertensive Patients in Indonesia: A Quasi-Experimental Study Suprayitno, Emdat; Hannan, Mujib; Hidayat, Syaifurrahman; Permatasari, Dian; Huzaimah, Nailiy
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.392

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Background: Hypertension is a common chronic condition in the elderly, leading to decreased independence in performing Activities of Daily Living (ADL). Family support is a key determinant in maintaining the independence of the elderly. However, the family's role is still not optimal. Health education based on family-centered nursing (FCN) is expected to empower patients and families to manage hypertension and improve functional abilities. Methods: A quasi-experimental design with a non-equivalent control group was applied to evaluate the effect of Family-Centered Nursing (FCN)-based education on Activities of Daily Living (ADL) among elderly hypertensive patients. 64 participants meeting the inclusion criteria were selected using simple random sampling from the Rubaru Community Health Center, Indonesia. Data were collected using the validated Barthel Index questionnaire and analyzed with the Wilcoxon and Mann–Whitney tests using SPSS version 25. Results: Based on the paired t-test, the daily living activities score, p-value <.001, and the Independent test, p-value < .001 was obtained for both the control and treatment groups. This demonstrates the influence of family-centered nursing education on the independence of daily living activities of hypertension sufferers in the work area of the Rubaru Community Health Center. Conclusion: Family-centered nursing education has an impact and is effective on the daily living activities of older people with hypertension in the Rubaru Community Health Center (Puskesmas) area. It is recommended that the Community Health Center integrate family-based education programs into routine health services for the elderly.
Phenomenological Experiences of Grief Among Elderly Following Family Loss in Indonesia: A Roy’s Adaptation Model–Based Inquiry Maulidina, Nur Hasanah; Hidayat, Syaifurrahman; Huzaimah, Nailiy; Salat, Sri Yunita Suraida; Andrian, Maulana Widi
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.27

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Background: The loss of a family member presents a deeply emotional challenge for older adults, often disrupting their physical, psychological, and social equilibrium. Elderly individuals experiencing grief commonly face intense sorrow, isolation, and alterations in their daily routines. Without effective coping mechanisms, these emotional responses may negatively impact their bodily functions and social relationships. This study aimed to explore the grief experiences of elderly individuals in coping with family loss using the Roy Adaptation Model as a guiding framework. Methods: A qualitative phenomenological design was employed, underpinned by the Roy Adaptation Model. Participants were selected through purposive sampling, with inclusion criteria consisting of elderly individuals aged 60 or above who had lost a nuclear family member within the past 6 to 12 months. Exclusion criteria included the presence of cognitive, sensory, or severe physical impairments. The study involved seven elderly participants, two family members, and one healthcare provider from Kalianget District in 2025. Data were collected via in-depth interviews and analyzed thematically through open, axial, and selective coding. Data saturation was confirmed after the seventh participant. The research adhered to COREQ reporting standards and received ethical clearance from the Health Research Ethics Committee of Wiraraja University (No: 1234/EC/2025) Result: Participants experienced grief through crying, withdrawal, and denial. Coping strategies included engaging in religious practices, sharing stories, and staying occupied. Four central themes emerged: grief experience, coping mechanisms, physiological changes, and interdependence Conclusion: Grief significantly affects the emotional, physical, and social well-being of the elderly. Support from families, healthcare professionals, and communities is vital to promote adaptive coping.