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OPTIMALISASI KELAS IBU HAMIL DALAM PENCEGAHAN DEPRESI POST PARTUM Marni, Marni; Husna, Putri Halimu; Yudhianto, Kresna Agung
Prosiding Seminar Informasi Kesehatan Nasional 2024: SIKesNas 2024
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/sikenas.vi.3930

Abstract

Latar Belakang:Depresi post partum merupakan salah satu masalah kesehatan mental yang terjadi pada ibu setelah melahirkan yang dapat berpengaruh pada aktifitas ibu, kegiatan menyusui dan merawat bayinya. Ibu yang mengalami depresi post partum dapat menyakiti dirinya sendiri maupun anaknya yang baru dilahirkan. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh kelas ibu hamil dalam mencegah depresi post partum Metode: Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan cross sectional study dengan post test study. Populasi dalam penelitian ini adalah ibu post partum sebanyak 40 orang. Teknik sampling yang digunakan adalah purposive sampling. Jumlah sampel yang didapat sebanyak 20 orang. Tingkat depresi post partum diukur menggunakan Edinburg Post Partum Depression Scale (EPDS). Analisis data menggunakan analisis univariat, bivariate dan multivariate dengan regresi logistik. Hasil: Responden yang mengalami depresi post partum adalah sebanyak 6 orang dan yang tidak depresi sebanyak 14 orang. Responden yang mengalami depresi 5 diantaranya tidak mengikuti kelas ibu hamil. KIH memiliki pengaruh sebesar 51,4% terhadap tingkat depresi dengan nilai signifikansi sebesar 0,011 dan Odds Ratio sebesar 0,033. Kesimpulan: Kelas ibu hamil berpengaruh secara signifikan terhadap tingkat depresi post partum. Penanganan lanjutan tingkat depresi post partum sangat penting untuk dilaksanakan serta koordinasi lintas sektoral perlu dilakukan
Implementation and Optimization of Saliency Mapping Algorithms in Convolutional Neural Networks (CNN) to Enhance Transparency in Pneumonia Diagnosis Ardiyanto, Marta; Irawan, Ridwan Dwi; Yudhianto, Kresna Agung
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2025: Proceeding of the 6th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/c9jq7074

Abstract

This study aims to develop a transparent and reliable artificial intelligence model for pneumonia diagnosis using chest X-ray images by implementing and optimizing Convolutional Neural Networks (CNN) with Saliency Mapping. The research employed a combination of advanced optimization techniques, including aggressive data augmentation, class weight balancing, L2 regularization, dropout, batch normalization, and adaptive learning rate scheduling to address overfitting challenges. A functional prototype was then deployed in a Streamlit-based application to provide an interactive diagnostic tool. The evaluation results demonstrated that the model achieved strong performance, with high training accuracy and competitive testing accuracy, while visualization through Saliency Mapping provided meaningful interpretability by highlighting critical lung regions, particularly the mid-to-lower lung fields and hilar area. This interpretability ensured that the system not only delivered accurate predictions but also supported clinical reasoning by aligning with radiological characteristics of early-stage pneumonia and bronchopneumonia. The integration into a user-friendly application illustrates the potential for practical adoption in healthcare settings, especially in regions with limited access to radiologists. Overall, the study demonstrates that combining CNN-based classification with explainable AI techniques can bridge the gap between advanced machine learning and clinical applicability, offering a strategic pathway to improve pneumonia diagnosis and patient outcomes.
PENGARUH DISCHARGE PLANNING SPIRITUAL PADA KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIS anjanani; Andriani Mei Astuti; Kresna Agung Yudhianto
MOTORIK Jurnal Ilmu Kesehatan Vol 20 No 2 (2025): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v20i2.1883

Abstract

Penyakit ginjal kronis merupakan masalah kesehatan global yang terus meningkat. Chronic Kidney Disease (CKD) atau penyakit ginjal kronis adalah kondisi progresif ginjal yang mengalami kerusakan sehingga menghambat kemampuannya untuk secara efektif membuang racun serta produk sisa metabolisme dari darah. Data Kementerian Kesehatan RI pada tahun 2022, jumlah penderita penyakit ginjal kronis di Indonesia meningkat menjadi 6 juta orang sedangkan tahun 2023 menunjukkan bahwa Provinsi Jawa Tengah memiliki prevalensi 0,19% yang menempati peringkat ke-15 secara nasional. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan Self-Management : Discharge Planning berbasis spiritual pada peningkatan kualitas hidup pasien penyakit ginjal kronis. Metode yang digunakan adalah kuantitatif dengan desain pre-eksperiment one group pretest-posttest, sampel pada penelitian ini melibatkan 63 responden yang merupakan pasien penyakit ginjal kronis di Unit Hemodialisa RSUD Pandan Arang Boyolali. Instrumen pengumpulan data yang digunakan adalah kuesioner kualitas hidup yang telah teruji valid dan reliabel oleh peneliti. Setelah dilakukan intervensi, kualitas hidup pasien mengalami peningkatan dengan nilai signifikansi 0.00 (p < 0,05) pada Uji Welcoxon. Sehingga dapat disimpulkan bahwa penerapan Self-management : discharge planning berbasis spiritual signifikan mempengaruhi peningkatan kualitas hidup pasien penyakit ginjal kronis di Unit Hemodialisa.
Pengaruh Terapi Stretching terhadap Nyeri Sendi Penderita Gout Arthritis pada Lansia Kurniawati, Nita; Rahmasari, Ikrima; Yudhianto, Kresna Agung
Jurnal Penelitian Perawat Profesional Vol 6 No 6 (2024): Desember 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i6.3750

Abstract

Gout arthritis adalah penyakit metabolik ditandai adanya pengendapan urat senyawa dalam sendi sehingga dapat menyebabkan peradangan sendi. Kadar asam urat yang tinggi dalam tubuh dapat menyebabkan pengendapan kristal asam urat pada jaringan lunak, terutama di sekitar sendi. Kelebihan kadar senyawa urat di dalam tubuh dapat menyebabkan nyeri gout arthritis. Penelitian ini bertujuan untuk mengetahui pengaruh terapi stretching terhadap nyeri sendi penderita gout arthritis. Penelitian ini menggunakan metode kuantitatif dengan rencana pre experimental pendekatan one group pretest and posttest design. Teknik pengambilan sampel non-random sampling dengan metode purposive sampling sebanyak 18 responden yang mengalami gout arthritis. Analisa data yang digunakan pada penelitian ini yaitu uji wilcoxon. Hasil penelitian ini menunjukkan terapi stretching yang diberikan kepada responden berpengaruh pada penurunan nyeri, yang ditunjukkan melalui uji statistik dengan tingkat signifikan nilai p value=0,000. Kesimpulannya terapi stretching efektif dalam menurunkan nyeri sendi pada lansia penderita gout arthritis.
Pengaruh Terapi Dzikir terhadap Kadar Gula Darah pada Penderita Diabetes Melitus Adilah, Balqis Nur; Sani, Fakhrudin Nasrul; Yudhianto, Kresna Agung
Jurnal Penelitian Perawat Profesional Vol 6 No 5 (2024): Oktober 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i5.3860

Abstract

Diabetes melitus merupakan penyakit kronis menahun berupa gangguan metabolik yang ditandai dengan peningkatan kadar gula darah yang melebihi batas normal dan salah satunya adalah diabetes melitus. Diabetes melitus terjadi karena sensitivitas insulin dan kapasitas produksi insulin yang tidak memadai, baik karena hormon insulin yang belum berkembang sempurna maupun karena ketidakmampuan menggunakan insulin secara efektif. Penatalaksanaan penyakit diabetes dapat dilakukan secara farmakologi maupun nonfamakologi, salah satu terapi nonfarmakologis adalah dengan terapi dzikir. Penelitian ini dilakukan secara observasional menggunakan pendekatan kuantitatif dengan metode Quasy Experiment dengan rancangan penelitian one group pretest-postest desain. Sampel berjumlah 30 responden dengan teknik simple random sampling. Analisa data menggunakan uji statistik dan uji Wilcoxon. Hasil penelitian menunjukkan bahwa terapi dzikir terapi dzikir berupa kalimat thayibah, asmaul husna dan doa yang dilakukan
Peran Self Compassion Terhadap Kecemasan Pada Siswa Smk Kelas 3 Yang Menghadapi Ujian Akhir Kelulusan Yudhianto, Kresna Agung
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 7, No 2 (2023): JISIP (Jurnal Ilmu Sosial dan Pendidikan) (Maret)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jisip.v7i2.5110

Abstract

        Penelitian ini bertujuan untuk mengetahui peran self compassion terhadap kecemasan. Metode penelitian yang digunakan adalah metode penelitian bersifat kuantitatif, yakni adanya pengumpulan data, kemudian interpretasi terhadap data statistik yang dihasilkan dan akhirnya publikasi hasil. Hasil dari penelitian yang dilakukan ini penelitian ini mengkonfirmasi hubungan yang diharapkan antara variabel, dengan mempertimbangkan penelitian sebelumnya : bahwa self-compassion mempunyai korelasi negatif dengan kecemasan dan depresi.
Stress and Motivation to Smoke among Adolescents Firdaus, Insanul; Arnas Suwarni, Anggita; Agung Yudhianto, Kresna; Mei Astuti, Andriani; Witriyani, Witriyani
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v5i1.4225

Abstract

Background: Stress is a condition of anxiety or mental strain brought on by challenging circumstances and motivates us to face obstacles and dangers in life. Stress often experienced by adolescents, with a reported high prevalence of depression among teenagers. Each person uses different stress coping techniques, some of which are beneficial and others of which are detrimental. Smoking is one of the negative stress coping strategies that some people turn to in the hopes of finding mental calm. However, smoking behavior is dangerous for both active and passive smokers, who may experience a range of illnesses, including cancer, lung disease, impotence, reproductive abnormalities, stroke, and possibly fatal pregnancy issues for the fetus. Objective: The aim of this research is to determine the relationship between stress levels and smoking motivation among adolescents. Method: This research is a quantitative descriptive study with a cross-sectional approach by involving 80 subjects of adolescents. The research instrument used a questionnaire that had been tested for validity. Analysis of this research data used the Spearman Rho test. Results: It was discovered that 38 subject (47.5%) had low level of stress, 26 subject (32.5%) had moderate levels of stress, 9 (11,25%) had high levels of stress, 7 (8,75%) had very high levels of stress. Smoking motivation was discovered that 59 subject (73.75%) had moderate smoking motivation, 31 subject (38.75%) had high smoking motivation. Conclusion: There is a relation between stress levels and smoking motivation among adolescents with a significance value of 0.00 (p<0.05).
Hubungan Antara Dukungan Sosial dan Tingkat Stres pada Pasien dengan Penyakit Kronis Puput Mulyono; Kresna Agung Yudhianto
Inovasi Kesehatan Global Vol. 2 No. 4 (2025): November: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i4.2465

Abstract

Type 2 Diabetes Mellitus is a chronic disease that not only causes physical disorders, but also has an impact on the patient's psychological condition, especially increased stress levels. Unmanaged stress can worsen medical conditions, decrease adherence to treatment, and negatively impact the patient's quality of life. Social support is known to have an important role as a protective factor in helping patients cope with psychological burden. This study aimed to analyze the relationship between social support and stress levels in patients with Type 2 Diabetes Mellitus. The research design used was descriptive correlation with a cross-sectional approach, involving [number of respondents] patients selected with the [mention sampling technique]. The research instrument used a validated social support questionnaire and stress scale. The data were analyzed by the Pearson/Spearman correlation test according to the data distribution. The results showed that there was a significant relationship between social support and stress levels in patients with Type 2 Diabetes Mellitus (p < 0.05), with a negative correlation direction, which means that the higher the social support received by the patient, the lower the level of stress experienced. These findings confirm the importance of the role of family, health workers, and the social environment in supporting patients to manage stress and improve quality of life. This study recommends the need for social support-based interventions in diabetes management programs in health services.
Pengaruh Senam Kaki terhadap ABI Penderita DM di Wilayah Kerja Puskesmas Karanganyar Melati, Putri Sovia; Marni, Marni; Yudhianto, Kresna Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1909

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease that has the potential to cause serious complications, one of which is peripheral circulation disorders that can lead to diabetic ulcers and even amputation. Early detection of circulatory disorders can be done through the Ankle Brachial Index (ABI) examination. One of the non-pharmacological interventions that is useful in improving blood circulation in the lower extremities is diabetic foot exercises. Objective: to determine the effect of diabetic foot exercises on changes in ABI values in DM patients. Method: The study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 76 respondents with DM in the working area of the Karanganyar Community Health Center. The intervention in the form of foot exercises was given three times in two weeks, while the ABI examination was carried out using a manual sphygmomanometer according to standard procedures. Results: The results of univariate data analysis used frequency distribution, while bivariate analysis was carried out using the Paired t-test and Wilcoxon test. The results of the Wilcoxon test showed a p-value of 0.000 (p <0.05), so Ha was accepted and Ho was rejected. This indicates a significant effect of diabetic foot exercises on improving ABI values in DM patients. Conclusion: Diabetic foot exercises have been shown to be effective in improving peripheral blood circulation and increasing ABI values in DM patients. This intervention can be recommended as a simple, inexpensive, and easy-to-implement non-pharmacological method to prevent foot complications, including diabetic ulcers and amputations.
Efektivitas Posisi Semi Fowler 45° pada Kualitas Tidur Pasien Congestive Heart Failure Nourma Nurlita Sari, Nourma; Rahmasari, Ikrima; Widiastuti, Agung; Utomo, Endrat Kartiko; Yudhianto, Kresna Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1943

Abstract

Sleep disturbance is a common problem in patients with Congestive Heart Failure (CHF), often caused by disease symptoms such as dyspnea, which negatively impacts their quality of life. The 45° Semi-Fowler's position is a simple non-pharmacological nursing intervention that can improve lung expansion, reduce cardiac workload, and enhance patient comfort, thereby potentially improving sleep quality.This study aimed to determine the effect of the 45° Semi-Fowler's position on the sleep quality of CHF patients at RSUD dr. Moewardi Surakarta. This research employed a quasi-experimental design with a one-group pretest-posttest approach. A total of 32 CHF patients were selected using a purposive sampling technique.The intervention, applying the 45° Semi-Fowler's position, was administered for 30 minutes daily over three consecutive days. Prior to the intervention, patients were generally positioned supine or with minimal elevation. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and data were analyzed with the Wilcoxon Signed-Rank Test.The results showed a statistically significant difference in PSQI scores before and after the intervention (p < 0.05), with the median score decreasing from 7.00 (Poor Quality) to 4.00 (Good Quality)10. This clinically significant reduction suggests a positive impact of the positioning.This study concludes that the 45° Semi-Fowler's position is effective in improving the sleep quality of CHF patients and can be recommended as a standard nursing intervention, though future studies should utilize a Randomized Controlled Trial design to control for confounding factors, such as the placebo effect