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Warijan Warijan
Poltekkes Kemenkes Semarang
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Analisis Penerapan Otago Exercise pada Lansia Risiko Jatuh Warijan Warijan; Ajeng Titah Normawati; Cipto Cipto
Jurnal Kesehatan Vol 11 No 2 (2022): Jurnal Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Yatsi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37048/kesehatan.v11i2.472

Abstract

Background: Aging is an economic and social challenge in the modern era that often occurs at this stage is the incidence of falling which is one of the geriatric giants because it often results in injury. One of the efforts to prevent falls is through the application of Otago exercises. Purpose: This study describes the analysis of nursing care with the application of Otago Exercise in the elderly at risk of falling used a qualitative case study approach. Results: This study involved three elderly with a risk of falling as samples, who are assessed using the Berg Balance Score instrument. The elderly were given the intervention of applying Otago exercise as much as six exercises for three consecutive weeks. The results of the implementation describe the outcome criteria in the form of increasing the ability to walk, move places, and maintain a stable standing position and sitting position. Evaluation of the berg balance score measurement showed that their experienced an increase in balance score but were still in the same fall risk category. Conclusion: Based on this study, elderly can apply Otago exercise on an ongoing basis with their families to maintain the quality of their health, especially preventing falls.
Pengelolaan Defisit Pengetahuan Pada Lansia Dengan Diabetes Mellitus Type II Di RSUD Dr. R Soetijono Blora Zainal Abidin; Anita Puspitasari; Agus Prasetyo; Warijan Warijan; Tavip Indrayana
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9604

Abstract

Latar Belakang: Prevalensi lansia dengan diabetes mellitus di Indonesia tahun 2021 menduduki 10,3 juta dan meningkat pada tahun 2045 sebesar 16,7 juta. Manajemen diabetes tipe 2 adalah diet sehat, meningkatkan aktivitas fisik dan menjaga berat badan, obat oral dan insulin untuk mengontrol kadar glukosa darah. Defisit pengetahuan diet, minum obat dan olahraga berhubungan dengan keterbatasan kognitif lansia ditandai dengan pasien mengatakan tidak mengetahui cara penanganan diabetes dengan benar sering didapati dilapanganTujuan: Menggambarkan asuhan keperawatan diabetes mellitus pada lansia dengan fokus studi pengelolaan defisit pengetahuan di RSUD Dr. R Soetijono Blora. Metoda: Rancangan penelitian ini menggunakan pendekatan penelitian deskriptif, melalui studi kasus dan menggunakan pendekatan proses keperawatan. Pengumpulan data dilakukan dengan wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi keperawatan. Hasil: Setelah dilakukan asuhan keperawatan lansia selama tiga hari, di dapatkan hasil klien memperoleh peningkatan pengetahuan spesifik tentang diabetes mellitus (diet, minum obat dan olah raga) dan mengetahui cara penanganan diabetes dengan benar. Saran yang diajukan, agar keluarga melakukan pendampingan tentang cara penanganan diabetes pada klien lansia. Kata kunci: Diabetes mellitus, lansia, defisit pengetahuan.
Machine Learning Model For Stunting Prediction Sutarmi Sutarmi; Warijan Warijan; Tavip Indrayana; Dwi P. Putro b; Indra Gunawan
Jurnal Health Sains Vol. 4 No. 9 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i9.1073

Abstract

This study aims to find the best Supervised Machine Learning (SML) model for stunting prediction. This research was conducted using an experimental approach using 192 infant data with a composition of 183 normal infant data and 9 stunted infant data using a custom dataset. The conclusion obtained from this study can be concluded that the combination of the Random Forest classification algorithm with Support Vector Machine Weighting and the Genetic Algorithm Feature Selection has the best performance. The parameters with the best performance are: The training and testing data distribution is 90% of the training data and 10% of the testing data. The number of trees in the random forest algorithm is 100, and the Gain Ratio criterion and max_depth is 10. In the Genetic Algorithm, the best parameters are: The Roulette Wheel selection method, the population is 20, the mutation value is 0.03, and the crossover value is 0.9. The validation method uses k-fold cross validation with a value of k = 10. Another conclusion is that there are 44 supporting factors for stunting, which, if we take a ranking of 10 in order of magnitude from largest to smallest, the supporting factors for stunting are 1.Baby's weight at birth. 2.Baby’s Height at Birth. 3.Number of meal per day. 4.Breast Milk. 5.Diarrhe times per 3 month. 6.Child development examination during covid by Health Worker at home. 7.Mother's age at birth. 8.Mother height at birth. 9.Number of sibling. 10.Age when the first food was given. This research has the disadvantage of no test on other datasets. So researchers do not know the reliability of findings is on different datasets
Effectivenes Of Puzzle Play Therapy To Reduce Anxiety, Case Study In Pre-School Age Children Who Undergo Chemotherapy At Rsup Dr. Kariadi Semarang Sutarmi Sutarmi; Siti Musyarofah; Warijan Warijan; Tavip Indrayana; Joni Siswanto
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10323

Abstract

ABSTRACTBackground: Children with cancer will undergo various treatments and the most common is chemotherapy. Chemotherapy and repeated hospitalization make children uncooperative with health workers and anxious. One of the cooperative and collaborative efforts that can be done to overcome children's anxiety is by playing puzzle therapy. Purpose: Knowing the effect of the application of puzzle play therapy on reducing anxiety in preschool children (3-6 years) undergoing chemotherapy during hospitalization. Methods: Case study design based on inclusion and exclusion criteria. The number of respondents was 3 clients. Observation using the instrument of measuring the level of anxiety Preschool Anxiety Scale Revised (PASR). The intervention was carried out for 10-15 minutes 1 hour before chemotherapy. Discussion: There were 3 respondents aged 3-6 years, most of them were women who did not receive chemotherapy for the first time. 2 out of 3 clients experienced severe anxiety and 1 client experienced moderate anxiety, the child seemed to cry, was silent, avoided eye contact, looked tense. After the puzzle play therapy intervention, 2 clients experienced moderate anxiety and 1 client experienced mild anxiety, the three clients seemed calm, didn’t cry, tensed less. Recommendation: In this case study the application of puzzle play therapy can reduce the anxiety level of preschool children undergoing chemotherapy with hospitalization. It is hoped that by carrying out this case study, it can add insight, references, and innovations in non-pharmacological actions for preschool children who are undergoing chemotherapy with anxiety.Keywords: anxiety level; pre-school; chemotherapy; hospitalization; puzzle play therapy.
PENCIPTAAN WIRAUSAHA BARU MOM AND BABY CARE BAGI MAHASISWA POLTEKKES KEMENKES SEMARANG Sutarmi Sutarmi; Warijan Warijan; Tavip Indrayana; Marlynda Happy Nurmalita Sari
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 4 (2023): Volume 4 Nomor 4 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i4.19400

Abstract

Pandemic COVID-19 telah mengubah pola pikir masyarakat dalam mencari pelayanan kesehatan. Berubah untuk mendapatkan pelayanan yang sifatnya preventif dan promotif, yang peluang dan tantangan bagi para lulusan keperawatan dan kebidanan untuk mengembangkan usaha entrepreneurship, salah satunya yaitu bidang perawatan ibu dan anak. Tujuan dari program pengembangan kewirausahaan (PPK) adalah menciptakan wirausaha baru bidang perawatan ibu dan anak bagi mahasiswa dan alumni jurusan keperawatan dan kebidanan Poltekkes Kemenkes Semarang. Metode yang digunakan adalah Project Based Learning (PBL) untuk merintis usaha baru. Metode PBL meliputi beberapa tahap yaitu rekruitmen dan seleksi peserta, training kompetensi dan entrepreneurship, magang atau praktek klinik dan pendampingan meliputi penyusunan proposal dan penciptaan usaha baru serta monitoring dan evaluasi. Hasil dari kegiatan PPK menunjukkan animo masyarakat khususnya para lulusan bidan untuk mengembangkan wirausaha perawatan ibu dan anak sangat tinggi, terbukti dari 1:12 peserta (dimana target sasaran hanya 10 tenant, tetapi pendaftar mencapai 124 pendaftar). Target dari kegiatan selama 7 bulan terdapat 50% tenant telah membuka gerai baru usaha Mom and Baby Care tersebar di beberapa kota (Cepu, Pati, Jepara, Purbalingga) dan homecare di kota Blora. Dapat disimpulkan bahwa pandemic COVID-19 yang disikapi dengan pemikiran positif dan inovatif, menjadi peluang untuk dikembangkan menjadi bidang usaha jasa kreatif bagi para lulusan bidan dan perawat seperti usaha perawatan ibu dan anak.
Pengaruh Pendidikan Kesehatan dengan Media Audio Visual terhadapPeningkatan Kemandirian Keluarga dalam Merawat Lansia Hipertensi di KotaTasikmalaya Hartono, Dudi; Cahyati, Peni; Arifin, Unang; Warijan, Warijan
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Peningkatan usia lanjut membawa konsekuesi peningkatan kejadian penyakit degenaratif, salah satunya penyakit hipertensi. Penyakit hipertensi merupakan salah satu penyakit yang sifatnya kronis dan merupakan faktor utama penyebab gagal jantung, gagal ginjal dan stroke. Angka kejadian hipertensi di Indonesia dari tahun ke tahun terjadi peningkatan termsuk di Jawa Barat dan juga di Kota Tasikmalaya. Upaya strategi yang sudah diprogramkan pemerintah adalah melalui PIS-PK, dimana pelayanan pada pasien hipertensi merupakan salah satu indicator. Pendekatan ini mendorong kemandirian keluarga dalam merawat anggota keluarga (lansia). Kemandirian ini dapat dicapai bila keluarga memiliki pengetahuan. sikap dan keeterampilan dalam merawat lansia hipertensi. Upaya untuk meningkatakan pengetahuan, sikap dan keterampilan dapat dilakukan melalui kegiatan edukasi. Salah satu media edukasi yaitu berbentuk audio visual. Tujuan penelitian ini untuk melihat peningkatan tingkat kemandirian keluarga dalam merawat lansia hipertensi menggunakan edukasi video. Sampel dalam penelitian berjumlah 30 orang kelompok intervensi dan 30 orang kelompok control. Hasil yang di dapatkan adalah sebelum dilakukan intervensi edukasi video baik kelompok intervensi maupun kelompok control berada pada tingkat kemandirian 1 dan setelah dilakukan intervensi edukasi video terdapat peningkatan yang signifikan.
Pengaruh Range of Motion (ROM) Aktif Terhadap Fleksibilitas Sendi Lutut Pada Lanjut Usia Indrayana, Tavip; Warijan, Warijan; Siswanto, Joni
Jurnal Studi Keperawatan Vol 1, No 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (896.06 KB) | DOI: 10.31983/j-sikep.v1i1.5646

Abstract

ABSTRACTBackground : Joint flexibility decreases in old age due to a degenerative process resulting in changes in joints, connective tissue and cartilage in the elderly. Decreasing flexibility is also due to reduced elasticity of muscle fibers, where connective tissue in muscle fibers increases (Mariyam, 2008).Objective : The aim of this study was to analyze the effect of active exercise (ROM) on the lower extremities on increasing the flexibility of the knee joint in the elderlyMethods : This study using a quasi-experimental approach with One group pre-test and post-test design. The sampling technique uses the Slovin method of 42 people, obtained a sample of 25 elderly. Exercise is done twice a day for 8 days. Measurements were made on day 1, day 4 and day 8 of the study using a Goniometer measuring instrument..Result : The results of measurement I average of the right knee joint 117.52o, measurement II = 122.24, measurement III = 126, 36o. From the analysis with Paired simple t-Test between the measurements I and II, it was found that the different test measurements I and II t count value was equal to -1.908 with 0.068. Because sig 0.05, it can be concluded that Ho is accepted, meaning that the average angle of ROM before and after training is the same (not different). In the different test measurements II and III the value of t count is equal to -2.152 with sig 0.042.Conclusion : Because sig 0.05, it can be concluded that Ho is rejected, meaning that there is a difference in ROM angle after training between days 4 to 8 with the first day to day 4. Thus it can be stated that active ROM exercises affect the angle of ROM of the knee joint elderly after exercise ROM between day 4 to day 8. Keywords: active ROM exercise, flexibility of knee joint, elderly.
Efektivitas Deep Tissue Self Massage Therapy Dan Slow Deep Breathing Terhadap Penurunan Tekanan Darah Pada Klien Dikeluarga Pedagang Pasar Tradisional Abidin, M. Zainal; Prasetyo, Agus; Taryatmo, Taryatmo; Warijan, Warijan; Ulliya, Sarah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 10, No 3 (2022): EDITION NOVEMBER 2022
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v10i3.2956

Abstract

The prevalence of hypertension in traditional market traders is increasing, due to stress, work pressure, physical, and mental fatigue, and the burden of life. Hypertension can be prevented and controlled with non-pharmacological therapy by regulating lifestyle and relaxation. The purpose of this study was to identify the effectiveness of Deep Tissue Self Massage Therapy and Slow Deep Breathing in reducing blood pressure in hypertensive clients in families who work as traditional market traders. Quasi-experimental research design with two groups pretest-posttest used. Paired sample t-test was used in both groups before and after the intervention. Samples were collected using a proportional stratified random sampling technique with 100 respondents divided into 50 participants in each group. The results showed there was a decrease in systolic and diastolic blood pressure after the intervention of Deep Tissue Self Massage Therapy (tb = 7,997; pb = 0,004); (ta = 6.018; pa = 0.000), and there was a decrease in systolic and diastolic blood pressure after the Slow Deep Breathing intervention (tb = 7.311; pb = 0.000); (ta = 6.032; pa = 0.000). In conclusion, Deep Tissue Self Massage Therapy and Slow Deep Breathing have been shown to reduce both systolic and diastolic blood pressure in hypertensive clients. Further study using the control group as a comparison is recommended
Pengaruh Range of Motion (ROM) Aktif Terhadap Fleksibilitas Sendi Lutut Pada Lanjut Usia Indrayana, Tavip; Warijan, Warijan; Siswanto, Joni
Jurnal Studi Keperawatan Vol. 1 No. 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v1i1.5646

Abstract

ABSTRACTBackground : Joint flexibility decreases in old age due to a degenerative process resulting in changes in joints, connective tissue and cartilage in the elderly. Decreasing flexibility is also due to reduced elasticity of muscle fibers, where connective tissue in muscle fibers increases (Mariyam, 2008).Objective : The aim of this study was to analyze the effect of active exercise (ROM) on the lower extremities on increasing the flexibility of the knee joint in the elderlyMethods : This study using a quasi-experimental approach with One group pre-test and post-test design. The sampling technique uses the Slovin method of 42 people, obtained a sample of 25 elderly. Exercise is done twice a day for 8 days. Measurements were made on day 1, day 4 and day 8 of the study using a Goniometer measuring instrument..Result : The results of measurement I average of the right knee joint 117.52o, measurement II = 122.24, measurement III = 126, 36o. From the analysis with Paired simple t-Test between the measurements I and II, it was found that the different test measurements I and II t count value was equal to -1.908 with 0.068. Because sig> 0.05, it can be concluded that Ho is accepted, meaning that the average angle of ROM before and after training is the same (not different). In the different test measurements II and III the value of t count is equal to -2.152 with sig 0.042.Conclusion : Because sig <0.05, it can be concluded that Ho is rejected, meaning that there is a difference in ROM angle after training between days 4 to 8 with the first day to day 4. Thus it can be stated that active ROM exercises affect the angle of ROM of the knee joint elderly after exercise ROM between day 4 to day 8. Keywords: active ROM exercise, flexibility of knee joint, elderly.
SENTUHAN CINTA UNTUK CEGAH STUNTING MELALUI INTERVENSI STIMULASI PIJAT BAYI DAN BADUTA Sutarmi Sutarmi; Joni Siswanto; Warijan Warijan; Tavip Indrayana; Supriyo Supriyo
Jurnal Lintas Pengabdian Masyarakat Vol. 3 No. 2 (2024): MEI 2024 - OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jlpm.v3i2.11475

Abstract

Latar Belakang : Stunting, merupakan gangguan pertumbuhan dimana kondisi dimana tinggi badan anak lebih rendah dibandingkan standar usianya, akibat kekurangan gizi, infeksi berulang dan kurangnya stimulasi. Stunting menjadi penyebab meningkatnya risiko terjadinya kesakitan, kematian, terhambatnya perkembangan motorik  dan kognitif. Stunting masih menjadi prioritas masalah kesehatan di Indonesia. Kabupaten Blora merupakan salah satu kabupaten lokus dengan prevalensi stunting tahun 2022 mencapai 25,8%, lebih tinggi dibandingkan prevalensi stunting nasional (21,6%).Tujuan: Kegiatan pengabdian masyarakat untuk meningkatkan pengetahuan dan kesadaran masyarakat tentang upaya pencegahan stunting melalui stimulasi pijat bayi dan baduta, pengembangan media edukasi dan pengembengan ketrampilan kader dalam upaya cegah stunting.Metode: Metode yang di gunakan dalam kegiatan pengabdian adalah edukasi dan komunikasi, pengembangan media edukasi dan pendidikan dan latihan bagi kader dan ibu balita. Pengembangan dan pembentukan kader kesehatan sebagai fasilitator pencegahan stunting.Hasil Kegiatan: Kegiatan pengabdian masyarakat menghasilkan peningkatan dan kesadaran masyarakat dalam cegah stunting, terbentuk sebanyak 20 fasilitator untuk layanan dan edukasi stimulasi pijat bayi dan baduta dan tersedia medua edukasi yang menarik berupa booklet dan poster upaya pencegahan stunting.Kesimpulan: Cegah stunting itu penting, salah satu upaya pencagahn stunting dengan pemberian intervensi berupa stimulasi sentuh dengan pijat bayi dan baduta. Terbentuk fasilitator stimulasi pijat bayi dan baduta mebrikan akses kemudahan dalam pelayanan stimulasi tumbuh kembang bayi dan balita untuk cegah stunting.
Co-Authors Agus Prasetyo Agus Prasetyo Ajeng Titah Normawati Anita Puspitasari Annisa Immaniar Nurbaity Anton Kristijono Anton Kristijono Arifin, Unang Arwani Arwani Cipto Cipto Dwi P. Putro b Dwi Purnomo Elise Garmelia Endah Dwi Lestari Harbandinah Pietojo Hariyanti Hariyanti Hartono, Dudi Hermien Nugraheni Indra Gunawan Jannah, Marichatul Joni Siswanto Lina Umboro M. Zainal Abidin Marlynda Happy Nurmalita Sari Marsum Marsum Martha Marshynta Nur&#039;afifah Nina Indriyawati Peni Cahyati, Peni Rizka Isnaeni Sarah Ulliya Siswanto, Joni Siti Musyarofah Sri Lestari Sugiyanto Sugiyanto Suhardono Suhardono Supriyana Supriyana Supriyo Supriyo Sutarmi Sutarmi Sutarmi, Sutarmi Taryatmo, Taryatmo Tavip Indrayana Tavip Indrayana Tavip Indrayana Tavip Indrayana, Tavip Teguh Wahyudi Tinuk Istiarti Widodo Widodo Widodo Widodo Zainal Abidin