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Pelatihan pengelolaan hipertensi dan Hydrotherapy sebagai upaya Peningkatan Pengetahuan dan Penurunan Tekanan Darah Ilkafah Ilkafah; Joko Susanto; Joni Haryanto; Anestasia Pangestu Mei Tyas; Khotibul Umam; Abd Nasir; Amellia Mardhika; Makhfudli Makhfudli
Lumbung Inovasi: Jurnal Pengabdian kepada Masyarakat Vol. 8 No. 3 (2023): September
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/linov.v8i3.1414

Abstract

Hipertensi masih menjadi masalah utama gangguan kesehatan teruatama pada lansia. Prevalensi penderita hipertensi di Indonesia dan Jawa Timur semakin meningkat setiap tahunnya. Tekanan darah yang tidak terkontrol banyak diakibatkan karena tingginya konsumsi garam dan kurangnya pengetahuan. Penatalaksanaan hipertensi bisa dilakukan dengan terapi nonfarmakologi salah dengan hydrotherapy. Tujuan kegiatan pengabdian ini adalah untuk memberikan pelatihan berupa pengelolaan hipertensi, pengaturan menu rendah garam, serta terapi rendam kaki dengan air hangat. Sasaran pengabdian ini adalah lansia penderita hipertensi di Desa Dlanggu dengan 2 mitra yaitu Desa Dlanggu yang dikoordinatori oleh bidan desa dan Puskesmas Deket Kabupaten Lamongan. Metode pengabdian ini dilakukan dengan memberikan penyuluhan serta pelatihan, kemudian melakukan demonstrasi pengaturan menu rendah garam dan rendam kaki air hangat (hydrotherapy) dan evaluasi terhadap kegiatan yang sudah dilakukan. Hasil pengabdian ini adalah terjadi peningkatan pengetahuan lansia (p=0,026) dan terjadi penurunan tekanan darah baik systole (p=0,019), maupun tekanan darah diastole (p=0,032) sebelum dan setelah pelatihan selama 2 sesi. Kegiatan pengabdian ini bermanfaat bagi lansia penderita hipertensi berupa pengetahuan yang meningkat, peningkatan ketrampilan dalam pengelolaan hipertensi terutama pengaturan menu rendah garam, serta ketrampilan dalam pelaksanaan terapi rendam kaki air hangat. Hypertension management and hydrotherapy Training to increase knowledge and reduce blood pressure Hypertension is still a major health problem, especially in the elderly. The prevalence of hypertension sufferers in Indonesia and East Java is increasing every year. Uncontrolled blood pressure is mostly caused by high salt consumption and lack of knowledge. Management of hypertension can be done with non-pharmacological therapy, which is hydrotherapy. The purpose of this activity is to provide training for managing hypertension, setting a low-salt menu, and doing hydrotherapy. The target of this service is the elderly with hypertension in Dlanggu Village with 2 mitra, namely Dlanggu Village which is coordinated by the midwife and the Deket Public Health Center, Lamongan Regency. The method in this activity is to provide counseling and training, then demonstrate a low-salt menu and warm foot soaks (hydrotherapy) and evaluate the activities that have been carried out. The results of this activity were an increase in the knowledge of the elderly (p=0.026) and a decrease in both systolic blood pressure (p=0.019) and diastolic blood pressure (p=0.032) before and after training for two sessions. This activity is beneficial for elderly people with hypertension. the elderly has increased knowledge and skills in managing hypertension, especially setting a low-salt menu, as well as skills in implementing warm water foot soak therapy (hydrotherapy).
Kondisi Psikologis dan Kualitas Tidur pada Lansia Kelompok Prolanis Joko Susanto; Makhfudli Makhfudli; Ilkafah Ilkafah; Ali Sairozi; Anestasia Pangestu Mei Tyas; Endah Sri Wijayanti; Iswatun Iswatun; Khotibul Umam
Jurnal Kesehatan Vokasional Vol 7, No 4 (2022): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.74460

Abstract

Latar Belakang: Prevalensi penyakit kronis terutama diabetes melitus (DM) dan hipertensi pada lanjut usia (lansia) terus meningkat. Hal ini berisiko menimbulkan kecacatan, penurunan kualitas hidup, bahkan kematian. Sebagian besar lansia mengeluh mengalami gangguan tidur sehingga mempengaruhi status kesehatan dan kualitas hidup. Aspek psikologis diidentifikasi sebagai salah satu faktor penyebab utama masalah tidur pada lansia penderita DM dan hipertensi.Tujuan: Menganalisis hubungan kondisi psikologis dengan kualitas tidur lansia penderita DM dan hipertensi.Metode: Penelitian dilakukan dengan pendekatan cross sectional di Puskesmas Sukodadi Kabupaten Lamongan pada bulan Oktober‒Desember 2019. Sampel penelitian adalah 104 lansia kelompok prolanis secara purposive sampling. Instrumen penelitian menggunakan kuesioner psychological distress dan Pittsburg Sleep Quality Index (PSQI). Analisis data dengan uji Spearman.Hasil: Sebagian besar 65,4% lansia mengalami tekanan psikologis ringan, dan 54,8% lansia memiliki kualitas tidur baik. Hasil uji Spearman rho p=0,004 dan r=0,282, berarti terdapat hubungan kondisi psikologis dengan kualitas tidur lansia penderita penyakit kronis, kekuatan korelasi lemah dan bersifat positif.Kesimpulan: Kondisi psikologis secara statistik berhubungan dengan kualitas tidur pada lansia penderita penyakit kronis pada kelompok prolanis.
Faktor yang Mempengaruhi Kondisi Psikologis dan Stigma pada Masa Pandemi Covid-19 Susanto, Joko; Makhfudli, Makhfudli; Ubudiyah, Masunatul; Rukanah, Rukanah; Sairozi, Ali; Ilkafah, Ilkafah
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk311

Abstract

Corona virus Disease 2019 causes health problems in the world in the form of a health crisis which results in psychological problems such as fear and anxiety. So a study is needed to find out the factors that influence psychology and stigma during the Covid-19 pandemic. Study was a literature review based on 5 databases (Scopus, CINAHL, Science Direct, PubMed, and ProQuest), involving cross-sectional or quasi-experimental, in March 2021. Center for Review and Dissemination and JBI Guidelines were used to measure quality and checklists PRISMA for guide reviews. Feasibility study based on title, abstract, full text, and research method. Eleven articles met the criteria. Most of the factors related to psychological conditions and stigma have a quasi-experimental and cross-sectional design. The mean number of participants was over 1,000 for each study and discussed psychological conditions and factors associated with social stigma. Factors related to psychological conditions were age, education, gender, symptoms and health conditions, information, economy, exposure duration and social support, while factors related to stigma were environment, history of comorbid illnesses, discrimination, and community perceptions.Keywords: psychological condition; stigma; Covid-19 ABSTRAK Corona virus Disease 2019 menimbulkan masalah kesehatan di dunia berupa krisis kesehatan yang mengakibatkan masalah psikologis seperti rasa takut and cemas. Maka diperlukan studi untuk mengetahui faktor yang mempengaruhi psikologis dan stigma selama pandemi Covid-19. Studi merupakan literature review berbasis 5 database (Scopus, CINAHL, Science Direct, PubMed, dan ProQuest), yang melibatkan cross-sectional atau kuasi-eksperimental, pada bulan Maret 2021. Pusat Tinjauan dan Diseminasi dan Panduan JBI digunakan untuk mengukur kualitas dan daftar periksa PRISMA untuk ulasan panduan. Studi kelayakan berdasarkan judul, abstrak, teks lengkap, dan metode penelitian. Sebelas artikel memenuhi kriteria. Sebagian besar faktor yang berhubungan dengan kondisi psikologis dan stigma memiliki desain kuasi eksperimental dan cross-sectional. Rerata peserta adalah lebih dari seribu untuk setiap studi dan membahas kondisi psikologis dan faktor yang terkait dengan stigma sosial. Faktor yang berhubungan dengan kondisi psikologis adalah usia, pendidikan, jenis kelamin, symptoms and health conditions, informasi, ekonomi, exposure duration dan social support, sedangkan faktor yang berhubungan dengan stigma adalah lingkungan, riwayat penyakit komorbid, diskriminasi, dan persepsi masyarakat.Kata kunci: kondisi psikologis; stigma; Covid-19
Hypertensive patients: self-care experience in rural community Susanto, Joko; Makhfudli, Makhfudli; Ilkafah, Ilkafah; Tyas, Anestasia Pangestu Mei; Yusuf, Ah.; Iswatun, Iswatun
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24171

Abstract

Hypertension is a chronic disease that often occurs in the world. Individual involvement in self-care is very important, in controlling blood pressure. The inability to carry out treatment will increase the risk and complications. The aim study is to explore the experiences and behavior of self-management and self-care of hypertension patients. The study is qualitative research with a phenomenological approach. The technique for taking participants was a purposive sampling of ten hypertensive patients. Data was collected using semi-structured interviews and then analyzed thematically based on the methodological framework of constructivist basic theory. Participant statements describing patient experiences in self-care include six themes, namely the cause of recurrences, emotional response, social support, self-care behavior, barriers to self-care, access to health facilities. The support factors of social support from family, health workers, and affordability of health services greatly influence self-care. An adequate support system, especially from nurses, is needed by patients because it will increase active participation so that patients will try to improve their care and skills in self-care.
VARIATIONS OF NURSING DIAGNOSIS LANGUAGE IN STROKE PATIENTS BASED ON SDKI (STANDARD DIAGNOSIS NURSING INDONESIAN) Ilkafah, Ilkafah; Qur'aini, Ouvin; Susanto, Joko; Pangestu Mei Tyas, Anestasia; Harisa, Akbar
Journal of Vocational Nursing Vol. 5 No. 1 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i1.55014

Abstract

Introduction: The nursing system in Indonesia has an SDKI (Standard Diagnosis Nursing Indonesia) as the basis for determining nursing diagnoses. Inappropriate enforcement of nursing diagnoses based on the SDKI causes the objectives of the SDKI to not be fully achieved. Stroke is a state of cerebrovascular disease that can occur due to death in brain tissue caused by a lack of blood flow and oxygen flow to the brain. This study aims to find out the description of variations in writing nursing diagnoses in stroke patients based on the SDKI in Hospital RSUD Dr. Soegiri Lamongan. Methods: This research method is a documentation study, of 125 medical records of stroke patients at Hospital RSUD Dr. Soegiri Lamongan from August 2021 to February 2022, totaling 125 medical records. The data collection used consecutive sampling. The research was carried out in the working area of Hospital RSUD Dr. Soegiri Lamongan in March 2022. Results: The results showed that nursing diagnoses in patients with hemorrhagic stroke and non-hemorrhagic stroke were based on the SDKI Hospital RSUD Dr. Soegiri Lamongan, which are mostly written by nurses are impaired physical mobility (63%), variations in writing nursing diagnoses according to the SDKI (66%) and not according to the SDKI (34%), signs and symptoms in patients with hemorrhagic stroke and non-hemorrhagic stroke are mostly experienced weakness in moving the right extremity (31%). Conclusions: Nurses in establishing nursing diagnoses are appropriate based on the SDKI.
Indonesian Nursing Diagnosis Standards for COVID-19 in Patients in East Java, Indonesia Susanto, Joko; Ilkafah, Ilkafah; Tyas, Anestasia Pangestu Mei; Makhfudli, Makhfudli; Yusuf, Ah.
Jurnal Keperawatan Soedirman Vol 20 No 2 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.2.10179

Abstract

Establishing the correct nursing diagnosis in patients with COVID-19 is crucial for determining the most effective nursing care to help patients recover optimally. The research aims to describe and analyze nursing diagnoses in COVID-19 patients treated in isolation rooms and Intensive Care Units (ICUs). This research used secondary data analysis from 296 hospital medical records of COVID-19 patients at dr. Soegiri Lamongan Hospital from February to August 2021. The researchers employed a simple random sampling technique to collect the data and analyzed it using descriptive statistics. The research revealed that the common symptoms and nursing diagnoses among hospitalized COVID-19 patients included hyperthermia, coughing, shortness of breath, decreased consciousness, ineffective airway clearance, impaired gas exchange, self-care deficit, impaired spontaneous ventilation, spontaneous circulatory disorders, knowledge deficit, and shock risk. The results of this study provide information about variations in nursing diagnoses among COVID-19 patients. Thus, nurses can use this primary data to develop comprehensive standards of nursing care for COVID-19 patients.
APPLICATION OF INDONESIAN NURSING DIAGNOSIS STANDARDS IN NURSING DIAGNOSIS DOCUMENTATION IN CHILDREN WITH DENGUE HEMORRHAGIC FEVER Tyas, Anestasia Pangestu Mei; Nuriantari, Risma Dysta; Mardhika, Amellia; Ilkafah, Ilkafah; Fadliyah, Lailatul; Sulpat, Emuliana
Journal of Vocational Nursing Vol. 5 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i2.63513

Abstract

Introduction: The Indonesian National Nurses Association has developed nursing language standards adapted to cultural differences and uniqueness of Indonesian nursing services, namely the Indonesian Nursing Diagnostic Standards. Dengue Hemorrhagic Fever cases in Indonesia have experienced a shortening cycle, which has led to a rise in the incidence rate (IR) and a fall in the case facility rate (CFR). This study was to learn how to describe the application of the Indonesian Nursing Diagnosis Standards (SDKI) in documenting nursing diagnoses in children with Dengue Hemorrhagic Fever (DHF). Methods: Retrospective descriptive research design with secondary data.  The secondary data used in the study, namely sourced from medical records from February 1, 2021 - March 31, 2022. The number of samples is 30 medical records using the total sampling technique. Data collection using observation sheet. Data analysis uses univariate analysis. Results: Most of the priority nursing diagnosis labels in DHF pediatric patients are by the Indonesian Nursing Diagnosis Standards, namely hyperthermia. However, all the writing of actual nursing diagnoses does not comply with the Indonesian Nursing Diagnosis Standards, which consists of writing three parts: [problems] related to [cause/related factors] as evidenced by [signs/symptoms], but the writing of nursing diagnoses is only in the form of problems or problems and causes. Conclusions: There needs to be a refreshing knowledge about the Indonesian Nursing Diagnosis Standards to improve the knowledge and skills of nurses in documenting nursing diagnoses.
MOTIVATION OF NURSES IN PROVIDING FIRST AID TO PATIENTS EXPERIENCING CARDIAC ARREST Putri, Ivananda Siera Lisna; Okviasanti, Fanni; Ilkafah, Ilkafah; Harianto, Susilo; Purwanto, Cucuk Rahmadi; Muhalla, Hafna Ilmy; Nasir, Abd; Iswatun, Iswatun
Journal of Vocational Nursing Vol. 5 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i2.63841

Abstract

Introduction: Cardiac arrest is often found in patients in the inpatient room of Ibnu Sina Hospital, Gresik. Nurses as the first responders who find cardiac arrest in the treatment room must have high work motivation to provide first aid to patients before the code blue team arrives. The purpose of this study was to obtain a description of the work motivation of nurses in providing first aid to patients experiencing cardiac arrest in the inpatient room of Ibnu Sina Hospital, Gresik. Methods: This study used quantitative research with a descriptive approach. The sample of this study was some of the nurses in the inpatient room of Ibnu Sina Hospital, Gresik, which was taken using a purposive sampling technique of 55 respondents who had met the inclusion and exclusion criteria. The data collection instrument used a questionnaire. The data was processed using SPSS v.25 for frequency and percentage. Results: The results showed that most respondents had good work motivation, with 53 respondents (96.4%) providing first aid to patients experiencing cardiac arrest. Conclusions: Nurses are expected to maintain work motivation in providing first aid to patients experiencing cardiac arrest, especially in inpatient rooms, through good collaboration between teams, always receiving positive support in the form of recognition of achievements from colleagues, and increasing periodic certification training related to handling cardiac arrest patients because patient safety is the main priority.
Pendampingan Lansia dengan Teknik Relaksasi Progresif untuk Peningkatan Pengetahuan dan Penurunan Tekanan Darah Susanto, Joko; Ilkafah, Ilkafah; Iswatun, Iswatun; Umam, Khotibul; Wijayanti, Endah Sri; Mardhika, Amellia; Tyas, Anestasia Pangestu Mei; Fadliyah, Lailatul
Jurnal Pengabdian Masyarakat Jajama (JPMJ) Vol 4 No 1 (2025): JPMJ Vol 4 No 1 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Panca Bhakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47218/jpmj.v4i1.328

Abstract

Meningkatnya prevalensi hipertensi merupakan tantangan bagi sistem kesehatan karena menjadi faktor penyebab dan risiko penyakit kardiovaskular dan ginjal, dan telah diidentifikasi sebagai penyebab kecacatan dan kematian dini. Penyakit hipertensi saat ini juga menjadi masalah utama gangguan kesehatan pada lansia. Tekanan darah yang tidak terkontrol disebabkan kurangnya pengetahuan dan kurangnya aktivitas fisik. Penatalaksanaan hipertensi dapat dilakukan dengan terapi nonfarmakologi salah satunya terapi teknik relaksasi progresif. Tujuan kegiatan pengabdian masyarakat adalah memberikan edukasi dan pelatihan berupa pengelolaan hipertensi dengan aktivitas fisik berupa teknik relaksasi progresif. Sasaran pengabdian adalah lansia dengan hipertensi di Desa Dlanggu Kecamatan Deket Kabupaten Lamongan. Metode yang digunakan adalah memberikan edukasi dan pelatihan, kemudian melakukan demonstrasi teknik relaksasi progresif dan evaluasi terhadap kegiatan yang dilakukan. Hasil pengabdian didapatkan terjadi peningkatan pengetahuan (p=0,021) dan terjadi penurunan tekanan darah sistole (p=0,018), dan penurunan tekanan darah diastole (p=0,029) sebelum dan setelah pelatihan selama 2 sesi. Kegiatan pengabdian bermanfaat bagi lansia dengan hipertensi dalam peningkatan pengetahuan, dan peningkatan ketrampilan dalam pengelolaan hipertensi terutama pelaksanaan terapi teknik relaksasi progresif.
Upaya Peningkatan Kualitas Hidup dan Kesejahteraan Psikologis Lansia dengan Diabetes Melitus melalui Mindfulness Meditation Susanto, Joko; Iswatun, Iswatun; Umam, Khotibul; Wijayanti, Endah Sri; Mardhika, Amellia; Tyas, Anestasia Pangestu Mei; Fadliyah, Lailatul; Ilkafah, Ilkafah; Makhfudli, Makhfudli
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 7 (2025): September
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i7.2931

Abstract

Lansia dengan diabetes melitus mempunyai tingkat kesejahteraan psikologis dan kualitas hidup yang cenderung rendah. Pengabdian masyarakat ini bertujuan untuk meningkatkan kesejahteran psikologis dan kualitas hidup lansia penderita diabetes melitus melalui intervensi mindfulness meditation. Kegiatan pengabdian masyarakat dilaksanakan di Desa Pangkatrejo Kecamatan Lamongan Kabupaten Lamongan. Kegiatan diikuti oleh 35 lansia penderita diabetes melitus. Kegiatan pengabdian masyarakat meliputi pelatihan mindfulness meditation dan pendampingan serta evaluasi kegiatan dengan menggunakan kuesioner kesejahteraan psikologis, kualitas hidup, pemeriksaan fisik dan laboratorium. Mindfulness meditation dapat meningkatkan kesejahteraan psikologis dan kualitas hidup lansia. Mindfulness meditation dapat dijadikan sebagai terapi komplementer alternatif untuk menangani permasalahan psikososial, karena berguna untuk mencapai ketenangan pikiran dan membantu penderita menyalurkan energi positif sehingga dapat memperbaiki kualitas hidup lansia dengan diabetes melitus melitus.