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GEN-SEHAT: Pelatihan Kesehatan Reproduksi, Pencegahan Penyakit Kronik, dan Bantuan Hidup Dasar untuk Meningkatkan Literasi Kesehatan Remaja Vokasi di SMK Bina Husada Mandiri Bekasi Irna Nursanti; Harif Fadhillah; Muhammad Hadi; Endang Zakaria; Diana Irawati; Dhea Natashia; Nani Winani; Nendra Bagus Pamungkas; Ade Asrianti; Ade Indah Irmayanti Yusuf; Slamet Slamet
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 7 (2026): Volume 9 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i7.26649

Abstract

ABSTRAK Remaja merupakan kelompok usia yang rentan terhadap berbagai masalah kesehatan, termasuk rendahnya literasi kesehatan reproduksi, meningkatnya faktor risiko penyakit kronik, serta kurangnya kesiapsiagaan menghadapi kondisi kegawatdaruratan. Keterbatasan akses terhadap informasi kesehatan yang tepat dapat meningkatkan risiko perilaku tidak sehat dan menurunkan kemampuan remaja dalam mengambil keputusan yang berkaitan dengan kesehatan. Oleh karena itu, diperlukan program edukasi yang komprehensif untuk meningkatkan literasi kesehatan remaja. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan siswa mengenai kesehatan reproduksi, pencegahan penyakit kronik, dan Bantuan Hidup Dasar (BHD) melalui program GEN-SEHAT. Kegiatan dilaksanakan menggunakan metode penyuluhan, pelatihan, demonstrasi, dan simulasi kepada siswa SMK Bina Husada Mandiri Bekasi. Program terdiri atas tiga sesi utama, yaitu edukasi kesehatan reproduksi, edukasi penyakit kronik, dan pelatihan Bantuan Hidup Dasar. Evaluasi dilakukan menggunakan desain pre-test dan post-test untuk mengukur perubahan pengetahuan peserta setelah intervensi. Sebanyak 228 siswa mengikuti kegiatan dan mengisi pre-test, sedangkan 161 siswa menyelesaikan pre-test dan post-test secara lengkap. Hasil evaluasi menunjukkan peningkatan pengetahuan pada seluruh domain yang diberikan. Pengetahuan kesehatan reproduksi meningkat dari 6,14 ± 2,10 menjadi 7,58 ± 1,94 (p 0,001), pengetahuan penyakit kronik meningkat dari 6,21 ± 2,34 menjadi 7,81 ± 2,33 (p 0,001), dan pengetahuan Bantuan Hidup Dasar meningkat dari 7,84 ± 2,18 menjadi 9,07 ± 1,60 (p 0,001). Secara keseluruhan, skor pengetahuan total meningkat secara signifikan dari 20,19 ± 5,58 menjadi 24,46 ± 4,92 (t = 11,38; p 0,001). Program GEN-SEHAT efektif meningkatkan literasi kesehatan remaja pada aspek kesehatan reproduksi, pencegahan penyakit kronik, dan Bantuan Hidup Dasar. Program ini dapat dijadikan model promosi kesehatan berbasis sekolah untuk meningkatkan pengetahuan dan kesiapsiagaan remaja menghadapi berbagai masalah kesehatan. Kata Kunci: Remaja, Bantuan Hidup Dasar, Kesehatan Reproduksi, Penyakit Kronik, Promosi Kesehatan.ABSTRACT Adolescents are vulnerable to various health problems, including limited reproductive health literacy, increasing risk factors for chronic diseases, and inadequate emergency preparedness. Limited access to accurate health information may increase unhealthy behaviors and reduce adolescents' ability to make informed health decisions. Therefore, comprehensive health education programs are needed to improve adolescent health literacy. This community service program aimed to improve students’ knowledge regarding reproductive health, chronic disease prevention, and Basic Life Support (BLS) through the GEN-SEHAT program. The program employed health education, training, demonstrations, and simulations involving students from SMK Bina Husada Mandiri Bekasi. The intervention consisted of reproductive health education, chronic disease prevention education, and Basic Life Support training. Knowledge improvement was evaluated using a pre-test and post-test design. A total of 228 students participated in the program and completed the pretest, while 161 students completed both the pretest and posttest assessments. Significant improvements were observed in all educational domains. Reproductive health knowledge increased from 6.14 ± 2.10 to 7.58 ± 1.94 (p 0.001), chronic disease knowledge increased from 6.21 ± 2.34 to 7.81 ± 2.33 (p 0.001), and Basic Life Support knowledge increased from 7.84 ± 2.18 to 9.07 ± 1.60 (p 0.001). Overall knowledge scores significantly improved from 20.19 ± 5.58 to 24.46 ± 4.92 (t = 11.38, p 0.001). The GEN-SEHAT program effectively improved adolescent health literacy regarding reproductive health, chronic disease prevention, and Basic Life Support. This program may serve as a school-based health promotion model to improve adolescents’ health knowledge and emergency preparedness. Keywords: Adolescents, Basic Life Support, Chronic Disease, Health Promotion, Reproductive Health.
Nursing Care for Type 2 Diabetes Mellitus Patients Based on Nola J. Pender's Health Promotion Model: A Case Report Danur Azissah Roesliana Sofais; Irna Nursanti
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.993

Abstract

Type 2 Diabetes Mellitus (T2DM) is a global health burden with increasing prevalence. Persistent hyperglycemia can lead to both microvascular and macrovascular complications. The patient's adherence to therapy, especially lifestyle modifications (diet and physical activity), is the main determinant of treatment success. The purpose of this case report is to analyze the basic concepts, key components, and application of the Nola J. Pender Health Promotion Model in the nursing practice of Type 2 Diabetes Mellitus. This study employed a descriptive case report design. Data were collected through comprehensive nursing assessment, including patient interviews, physical examinations, anthropometric measurements, laboratory results, and review of medical records. Data analysis was conducted using a theory-based approach by systematically mapping patient data to the components of Nola J. Pender’s Health Promotion Model. The analysis showed that the Health Promotion Model effectively guided nursing interventions to promote positive health behaviors, such as physical activity, balanced nutrition, medication adherence, and stress management. This model provides a comprehensive framework that considers personal, interpersonal, and situational factors in the formation of health behaviors. Nola J. Pender's Health Promotion Model provides systematic guidance for nurses to identify factors influencing health behaviors and design holistic, client-centered interventions.
The Effect of Back and Hand Massage Intervention on Pain in Patients Post-Cardiac Catheterization Fazarudin Fazarudin; Irna Nursanti; Wati Jumaiyah; Dhea Natashia; Ii ismail
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1194

Abstract

Cardiac catheterization is an invasive procedure that involves the insertion of one or more catheters into the heart and certain blood vessels to visualize the heart chambers, valves, great vessels, and coronary arteries. Prolonged immobilization in patients after cardiac catheterization can cause complications, one of them is back pain. The nursing intervention in this study was back and hand massage. This study aims to determine the effectiveness of back and hand massage interventions on pain in patients after cardiac catheterization. This study used a quasi-experimental method with a pre-test and post-test design, with an intervention group and a control group design. The sampling technique used purposive sampling. The sample size was 36 patients who had cardiac catheterization, calculated using the Federer formula. The intervention group received a total of 20 minutes of massage therapy: 10 minutes of back massage, 10 minutes of hand massage, the first period was carried out after the sheath was removed, and the second period was carried out after the elastic bandage was removed. The data analysis technique used multivariate with the Generalized Linear Model (GLM) Repeated Measures (RM) method. The results showed that back and hand massage had an effect on pain in post-cardiac catheterization patients, with a P value of 0.000. This indicates decreasing a pain scores after the intervention. Multivariate testing indicated that previous experience with catheterization pain influenced pain in post-catheterization patients. Back and hand massage intervention is expected to be an alternative supportive intervention, especially in post-catheterization patients, in reducing pain.
Model Konsep Teori Keperawatan Hildegard Elizabeth Peplau pada Celulitis Ante Brachii Osteomielitis dan DM II Kurniati Kurniati; Irna Nursanti
Journal of Telenursing (JOTING) Vol. 8 No. 1 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/mymb7244

Abstract

This study aims to analyze the application of Hildegard E. Peplau's Nursing Model Theory in the nursing care of patients with Cellulitis Ante Brachii Osteomyelitis and Diabetes II, where patients experience not only anxiety but also other physical problems such as pain and unstable blood sugar levels. The research method used a qualitative approach by conducting case studies on patients. The results showed that nurses who apply Peplau's theory by implementing therapeutic communication in building interpersonal relationships with patients can overcome anxiety and physical problems experienced by patients. Nurses and patients develop emotionally through four stages of the relationship: orientation, identification, exploitation, and termination. Each stage describes a mutually reinforcing and flexible relationship with intervention options tailored to SIKI and SLKI. In conclusion, this contributes to the development of understanding of the application of Peplau's theory in nursing care, which not only focuses on emotional issues such as anxiety but can also be modified to address other physical and health problems holistically. Keywords: Hildegard Peplau, Interpersonal Relationships, Nursing Theory
Konsep Model Keperawatan Berdasarkan Self Transcendence Theory Pamela G. Reed : Penelitian Wanda Yuni Putri; Irna Nursanti
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 3 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 3 (Januari 202
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i3.4676

Abstract

Makalah ini membahas teori dan model konseptual keperawatan yang dikembangkan oleh Pamela G. Reed yaitu Self-Transcendence Theory. Teori transendensi diri memiliki 3 konsep utama dan 2 konsep tambahan. Tiga konsep utama yaitu vulnerability (kerentanan), self transcendence (transendensi diri) dan well-being (kesejahteraan). Sedangkan 2 konsep tambahan yaitu moderating mediating factors (faktor-faktor yang mempengaruhi proses transendensi diri yang dapat mempengaruhi hubungan antara vulnerability dengan self-transcendence dan antara self-transcendence dengan well-being) dan point of intervention (tindakan keperawatan yang memfasilitasi self-transcendence). Teori ini menjelaskan bahwa individu yang mengalami kerentanan (vulnerability) akibat penyakit, penuaan, atau krisis kehidupan dapat mencapai kesejahteraan dengan memperluas kesadaran diri melampaui batas-batas personal, sosial, dan spiritual. Dalam konteks keperawatan, perawat berperan sebagai fasilitator untuk membantu klien menemukan makna positif, memperkuat dimensi spiritual, dan mencapai keseimbangan emosional. Makalah ini juga mengaitkan teori Reed dengan paradigma keperawatan yang meliputi manusia, lingkungan, kesehatan, dan keperawatan. Penerapan teori dijelaskan melalui studi kasus pasien dengan Ca buccal stadium lanjut, di mana intervensi keperawatan dilakukan untuk mengatasi isolasi sosial, gangguan citra tubuh, ansietas, dan proses berduka menggunakan pendekatan spiritual dan humanistik. Analisis menunjukkan bahwa teori ini memiliki kekuatan dalam penerapan pada masalah psikososial dan spiritual pasien, meskipun memiliki keterbatasan dalam menjelaskan variabel secara konkret dan aplikasi pada kasus fisik kompleks.
Penguatan Kapasitas Keluarga melalui Edukasi untuk Mendorong Komunikasi Efektif dan Mengurangi Beban Perawatan Pasien Hemodialisis Diana Irawati; Slametiningsih Slametiningsih; Dian Fitria; Irna Nursanti; Dhea Natashia
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23740

Abstract

ABSTRAK Pasien yang menjalani hemodialisis membutuhkan dukungan keluarga yang optimal. Namun, keluarga sering menghadapi beban perawatan dan keterbatasan dalam memahami kondisi pasien serta berkomunikasi secara efektif, sehingga dapat memengaruhi kualitas dukungan yang diberikan. Menguatkan kapasitas keluarga melalui edukasi untuk meningkatkan pemahaman penyakit, keterampilan komunikasi terapeutik, manajemen stres, serta mengurangi beban perawatan. Metode: Kegiatan pengabdian kepada masyarakat ini dilaksanakan melalui edukasi terstruktur mengenai penyakit dan perawatan hemodialisis, pelatihan komunikasi efektif, latihan teknik manajemen stres, dan diskusi kelompok. Sebanyak tiga puluh empat keluarga pasien berpartisipasi. Evaluasi dilakukan menggunakan pre-test dan post-test pengetahuan serta pengukuran beban perawatan menggunakan instrumen beban keluarga. Terdapat peningkatan pengetahuan keluarga sebesar 20% setelah intervensi. Selain itu, terjadi penurunan beban perawatan yang ditunjukkan oleh penurunan rerata skor dan pergeseran kategori beban menuju tingkat yang lebih ringan. Kesimpulan: Edukasi komprehensif efektif dalam meningkatkan kapasitas keluarga, memperbaiki kualitas komunikasi keluarga–pasien, dan mengurangi beban perawatan. Program ini memiliki dampak positif dan berpotensi menjadi model pendampingan keluarga di unit hemodialisis. Kata Kunci: Edukasi Keluarga, Hemodialisis, Beban Perawatan, Komunikasi Terapeutik, Manajemen Stres, Dukungan Keluarga.  ABSTRACT Patients undergoing hemodialysis require strong family support, yet family caregivers often experience a heavy caregiving burden and limitations in understanding the patient’s condition and communicating effectively. To strengthen family capacity through education aimed at improving disease understanding, therapeutic communication skills, stress management, and reducing caregiving burden. Methods: This community engagement program consisted of structured educational sessions on hemodialysis care, effective communication training, stress-management exercises, and group discussions. Thirty-four family caregivers participated. Evaluation included pre- and post-test knowledge assessments and caregiving burden measurements using a standardized family burden instrument. Results: Family knowledge increased by 20% following the intervention. A reduction in caregiving burden was observed, reflected by decreased mean burden scores and a shift toward lighter burden categories. Conclusion: Comprehensive education effectively enhances family capacity, improves patient–family communication, and reduces caregiving burden. This program demonstrates positive outcomes and may serve as a model for family-support interventions in hemodialysis units. Keywords: Family Education, Hemodialysis, Caregiving Burden, Therapeutic Communication, Stress Management, Family Support.
EFFECTIVENESS OF THE STROKE-EASE PROGRAM USING ABDOMINAL STIMULATION AND EXERCISE TO MANAGE CONSTIPATION IN POST-THROMBOLYSIS STROKE PATIENTS Ade Asrianti; Dhea Natashia; Irna Nursanti; Rohman Azzam
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7208

Abstract

Constipation is a frequent complication among post stroke patients and is often worsened by immobility, medication effects, dietary limitations, and neurological impairments. Effective bowel management is essential to improve comfort, prevent additional complications, and support recovery. Aims to evaluate the effectiveness of the STROKE EASE intervention in reducing constipation severity among post stroke patients who received thrombolysis. A quasi experimental pretest posttest study was conducted involving thirty post stroke patients in a private hospital in East Jakarta. Demographic and clinical data were collected, including age, sex, functional independence, diet type, comorbidities, muscle strength, and National Institutes of Health Stroke Scale score. Constipation severity was measured using the Constipation Assessment Scale before and after the intervention. Changes in scores were analyzed using paired samples t tests. The mean age of participants was 64.03 years with almost equal distribution between men and women. Most patients required partial assistance with daily activities and consumed a soft diet. Nearly all had comorbid hypertension or diabetes. The mean National Institutes of Health Stroke Scale score was 6.50. Constipation Assessment Scale scores decreased significantly from 11.00 before the intervention to 2.53 after the intervention with p less than 0.001. STROKE EASE intervention significantly reduced constipation severity in post thrombolysis stroke patients. This evidence based nursing approach offers a practical method to improve bowel function and patient comfort. Further studies with larger samples are recommended.
KONSEP TEORI IMOGENE M. KING DAN MENGAPLIKASIKAN DALAM KASUS KEPERAWATAN Abdilah Septiana Putri; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1064

Abstract

King uses a systems approach in developing conceptual systems and middle-range theory, namely the theory of goal achievement. King notes that “several scientists who have studied systems have noted that the only way to study humans interacting with the environment is to devise a conceptual framework of interdependent variables and interrelated concepts. King views humans as an open system that interacts with the environment, allowing objects, energy and information to freely influence it. In its conceptual framework, it includes three dynamic systems of interaction as individuals are called personal systems, when these individuals unite in groups it is called interpersonal systems. To deal with the problem of the patient's anxiety level, the nurse should explain the definition of the patient's illness, the risk factors that cause MCI in the patient, what examinations the patient should carry out, management and treatment for the patient. The nursing diagnosis of a knowledge deficit will decrease or decrease if the nurse has provided an explanation to the patient regarding the disease and how to treat it so that the patient no longer experiences a knowledge deficit. King's theory can describe a mutualistic relationship within a health team to achieve nursing care goals, where the individuals involved are also decision makers. It still covers a broad (general) scope, so its interpretation or application requires a clear understanding of the concept.
PENGAPLIKASIAN TEORI KATHERINE KOLCABA PADA KASUS KEPERAWATAN Depira Elza Nada; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1065

Abstract

The main concept of comfort theory is to assess the taxonomic structure between three comforts associated with four comfort experiences. One of the practical theories that supports the development of humidity both in the development of science and in practice is the comfort theory model developed by Katharine Kolcaba. In Kolcaba's perspective, relief (freedom), ease (calmness), transcendence (happiness) are indicators of providing holistic comfort (Wilson & Kolcaba, 2004). This theory provides a useful framework for improving patient comfort by helping to guide comprehensive intervention for not only physical discomfort, but also emotional or psychological discomfort. According to (Kolcaba, 2001) that patients strive to meet their comfort needs, and a comfort theoretical framework can assist nurses in assessing various comfort needs in "the context in which comfort occurs".
MODEL KONSEP TEORI ADAPTASI CALLISTA ROY PADA ASUHAN KEPERAWATAN DENGAN ANOREXIA NERVOSA Dayang Laily; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1066

Abstract

This paper aims to explore the application of Callista Roy's adaptation model theory in nursing care for Anorexia Nervosa patients. Anorexia Nervosa is a complex eating disorder with serious impacts on an individual's physical and mental health. Roy's adaptation model has a basic concept that includes four modes of adaptation, namely physiological, self-concept, social role, and interdependence. In the physiological mode, interventions focus on monitoring weight, nutrition, and optimal body function. The self-concept mode emphasizes developing self-esteem and body acceptance. Social roles are maintained through a therapeutic approach that supports positive social interactions. Additionally, interdependence is explored by involving the patient's family and social network in the healing process. By applying Callista Roy's adaptation model theory, nursing care for Anorexia Nervosa patients can become more holistic and integrated. An in-depth understanding of the four modes of adaptation provides a strong foundation for addressing the complex challenges faced by Anorexia Nervosa patients. The practical implication of this paper is the development of nursing care guidelines that are more specific and focused on the unique needs of Anorexia Nervosa patients, while still paying attention to the basic principles of Roy's adaptation model theory.
Co-Authors Abdilah Septiana Putri Ade Asrianti Ade Asrianti Ade Indah Irmayanti Yusuf Ade Indah Irmayanti Yusuf Adi Fahrudin Agnes Elisabeth Agnes Purba Agus Khusaeni Agustin, Marini Alni Lisarni Amami Amami Amelia Hartika Rani Ana Rif’atus Sakinah Surosa Anita Setyawati Arianti, Mery Asima Sirat Asrul Fahmi Ayu Sundari Bayu Aji Sismanto Chairil Anwar Cornellia Moningka Cut Mutiya Bunsal Danur Azissah Roesliana Sofais Dayang Laily Dea Aprilya Depira Elza Nada DEWI ANGGRAINI Dewi Anggraini Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dian Anggur Yulianti Dian Fitria Diana Irawati Diana Irawati Diana Irawati Dwi Ayu Fajar Dwi Budiyati Edy Prayitno Eko Riyanti Elfira Husna Endang Zakaria Erian Fatria Etti Sumyati Euis Purwatyningsih Euis Suhartini Fadhillah, Harif Fauzi Asra Fazarudin Fazarudin Febrian Rahmat Suwandi Fira Awanis Hazrina Fitri Handayani Fitri Yanti Giri Widagdo Giri Widagdo Giri Widakdo Hadi, Muhammad Henny Syapitri Hesti Rahayu Ii ismail Iis Sri Hardiati Irawati, Diana Istinganah Ito Iswati Ivan Elisabeth Purba Joko Relo Sutopo Jumaiyah, Wati Khoiriyah Kurniati Kurniati Linlin Lindayani M Natsir Nugroho Mahmud, Lia Rizqa Amelia Marthalena Simamora Masliha, Masliha Mery Arianti Mira Rosmiatin Mira Rosmiatin Muniroh Mursiti Mursiti Mustopa Mustopa Nani Winani Nani Winani Natsir Hugroho Natsir Nugroho Nendra Bagus Pamungkas Ni Luh Putu Martini Ni Wayan Rindiasih Nia Triani Noviana Haryanti Nugroho, M Natsir Nurhayati Nurhayati Khaier Nyimas Heny Purwati Pitriyanti Pitriyanti Prihatini, Fitria Putri Permata Sari Raudatul Jannah Reni Andriyani Rinezia Rinza Farizal Rinni Novella Simatupang Rival Wastu Kencana Rohman Azzam Rohman Azzam Rohman Azzam Rosaliana Ayu Saputri Ruth Sarah Rahmania Sarida Surya Manurung Sembiring, Rinawati Shiva Zakiyatul Ula Silviani Dewi Slamet Slamet Slametiningsih Slametiningsih Suci Rahmadia Suharjo Suharjo Sunardi Supra Saba, Iba Suwalgiyah Tri Lestari Wanda Yuni Putri Wati Jumaiyah Westy Tahapary Wicke Afriza Yahya Yahya Yeni Purnamasari Yunike Edmaningsih