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All Journal IJNP (Indonesian Journal of Nursing Practices) Jurnal SOLMA Jurnal Keperawatan Muhammadiyah Jurnal Kreativitas PKM Indonesian Journal for Health Sciences (IJHS) Health Sciences Journal Journal of Health Sciences The Indonesian Journal of Health Science Gaster Health Gate
Lina Ema Purwanti
Universitas Muhammadiyah Ponorogo
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Age and Comorbidities as The Main Factors of Mortality in Covid-19 Patients : A Retrospective Cohort Study Mas’udah, Anni Fithriyatul; Purwanti, Lina Ema; Ernawati, Hery; Rohma, Naylil Mawadda; Muslimah, Vanesha Awaliya; Muslimah, Vanesya Isnaya
IJNP (Indonesian Journal of Nursing Practices) Vol. 7 No. 1 (2023): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i1.17347

Abstract

Background: The high mortality rate in COVID-19 patients is associated with demographic factors and comorbid conditions. This is supported by research which shows that a history of comorbidities causes 88% of deaths in SARS-CoV-2 positive patients.Consequently, it is important to identify factors associated with poor outcomes among COVID-19 patients.Objective: The purpose of this study was to determine the main factors that cause COVID-19 mortality in Indonesia.Methods: The research design used a retrospective cohort. The population of this study was all Covid-19 patients treated at the 'Aisiyah Ponorogo General Hospital from March to December 2021, totalling 881. The data was arrangedbased on the completeness of the medical records, and seven respondents had to be excluded due to incomplete data. Therefore, the total number of samples used was 874 patients. Data was analyzed using logistic regression.Result: The multivariate analysis showed that patients aged 46-65 years were 1.45 times greater potential to die than than patients who were 0-25 years old.  The risk factors for comorbidities had an effect on the mortality of patients with confirmed cases of COVID-19.The variables that had a significant effect on the mortality of COVID-19 included Diabetes mellitus (OR=1.36), Hypertension (OR = 1.78) and heart disease (OR = 1.4).Conclusion: The most common causes of mortality in Covid-19 patients are age and comorbidities diseases, there are diabetes mellitus, hypertension and heart disease
Maintaining Stabilization of Blood Sugar Levels in Diabetes Mellitus Patients with Foot Exercises: Case Report Purwanti, Lina Ema; Nur 'Aini, Ani
Health Gate Vol 2, No 3 (2024): July 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2301

Abstract

The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of different organs. Physical activity is one of the factors that affect glycemic management. This case study aims to maintain the stability of blood sugar levels in DM patients by applying leg exercises. The design of this research is a case report with a nursing process approach carried out on Diabetes Mellitus patients with nursing problems of unstable blood sugar levels. Nursing care was carried out for seven days at the Muhammadiyah Ponorogo General Hospital. The intervention implemented is foot exercises. The results of the case study are presented in the form of nursing documentation. The case study results showed that the patient's blood sugar levels tended to be stable starting on the second day of the intervention.Exercise-induced glycemic control is mostly explained by an increase in whole-body insulin sensitivity. The long-term advantages of frequent exercise on glycemic control appear to be related to the cumulative effect of transitory gains in insulin sensitivity and glycemic control after each bout of exercise, rather than structural changes in insulin sensitivity. Keywords: blood sugar level; diabetes mellitus; foot exercise 
Edukasi Kesehatan Reproduksi Remaja Sebagai Upaya Pencegahan Sexual Abuse di Panti Asuhan Verawati, Metti; Purwanti, Lina Ema; Ernawati, Hery; Sukamto, Filia Icha
Jurnal SOLMA Vol. 14 No. 1 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i1.17126

Abstract

Background: Masalah kesehatan reproduksi remaja meningkat setiap tahun, termasuk remaja yang tinggal di panti asuhan. Remaja ini rentan mengalami sexual abuse. Santri perlu dikenalkan tentang bagaimana menjaga kesehatan reproduksi dan mencegah adanya penyimpangan seksual pada remaja. Edukasi ini bertujuan untuk memberikan informasi dan mengidentifikasi pengetahuan tentang kesehatan reproduksi remaja. Metode: Kegiatan ini diawali dengan edukasi menggunakan metode tanya jawab. Edukasi dilakukan oleh tim pengabdian dari Fakultas Ilmu Kesehatan. Selanjutnya mengisi kuesioner setelah edukasi, dan dianalisis. Kuesioner diisi oleh remaja penghuni panti dan pengasuhnya. Hasil: Didapatkan peningkatan pengetahuan remaja dan pengasuh di panti tentang kesehatan reproduksi pada remaja yang meliputi: manajemen hygiene menstruasi dan pelecehan seksual pada remaja di panti asuhan. Kesimpulan: Perilaku kewaspadaan terhadap kondisi yang dapat menyebabkan gangguan reproduksi pada usia remaja dan tindak kriminal pelecahan seksual pada remaja di lingkungan panti asuhan sangat penting. Untuk itu, perlu tersedianya informasi yang membantu penghuni panti dan pengasuh tentang kesehatan reproduksi dan pencegahan pelecehan seksual pada remaja dilingkungan panti asuhan Payamuba.
EFEKTIVITAS PENERAPAN POSISI SEMI FOWLER DALAM MENGATASI POLA NAPAS TIDAK EFEKTIF PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS Muslimah, Vanesha Awaliya; Purwanti, Lina Ema
Health Sciences Journal Vol. 9 No. 1 (2025): Health Science Journal
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v9i1.3450

Abstract

Penyakit paru obstruksi kronis (PPOK) merupakan penyakit paru kronis yang berlangsung lama dan ditandai dengan penurunan aliran udara pada saluran napas. Penurunan oksigen di arteri dapat menyebabkan sesak napas. Berkurangnya oksigen pada pasien PPOK dapat menyebabkan masalah keperawatan berupa ketidakefektifan pola napas, akibat ekspirasi dan inspirasi paru-paru yang tidak adekuat. Studi kasus ini memiliki tujuan untuk melakukan asuhan keperawatan pada klien PPOK dengan masalah keperawatan pola nafas tidak efektif. Metode yang digunakan adalah metode deskriptif dengan pendekatan proses keperawatan pada klien PPOK dengan masalah keperawatan pola nafas tidak efektif dengan melakukan asuhan keperawatan yang meliputi pengkajian, perumusan diagnosis, intervensi, implementasi serta evaluasi keperawatan. Proses asuhan keperawatan dilakukan selama 7 hari dari tanggal 21 Mei hingga 27 Mei 2024. Intervensi yang diberikan berupa penerapan posisi semi fowler untuk mengurangi sesak pada klien PPOK. Penerapan posisi semi fowler berlangsung selama 6 hari dan dilakukan 1 hari satu kali. Dari adanya proses keperawatan tersebut diperoleh hasil bahwa setelah dilakukan pemberian posisi semi fowler selama 6 hari sesak yang dirasakan oleh klien PPOK berangsur menurun, hal tersebut dapat dilihat dari data subjektif seperti klien mengatakan sudah tidak sesak baik dalam kondisi duduk atau berbaring. Asuhan keperawatan pada klien PPOK dengan masalah keperawatan pola nafas tidak efektif diharapkan dapat menjadi gambaran bagi penderita PPOK khususnya dengan pola nafas tidak efektif agar dapat menerapkan posisi semi fowler secara mandiri ketika sesak napas timbul
Walking Exercises for Diabetes Mellitus Patients with Unstable Blood Glucose Levels: Case Report Purwanti, Lina Ema; Roissah, Dinatur; Mas’udah, Anni Fithriyatul
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3304

Abstract

Controlling blood sugar levels is the key to the treatment program by reducing weight, diet, and exercise. Physical activity is one factor affecting glycemic management for Diabetes Mellitus (DM) patients. This case study aims to maintain the stability of blood sugar levels in DM patients by applying walking exercises. The design of this research is a case report with a nursing process approach carried out on Diabetes Mellitus patients with nursing problems of unstable blood sugar levels. The Bendo Community Health Center carried out nursing care for seven days. The intervention implemented is walking exercises. The case study results are presented in the form of nursing documentation. The case study results showed that the patient's blood sugar levels tended to be stable starting on the second day of the intervention. An increase in whole-body insulin sensitivity mostly explains exercise-induced glycemic control. The long-term advantages of frequent exercise on glycemic control are related to the cumulative effect of transitory gains in insulin sensitivity and glycemic control after each bout of exercise rather than structural changes in insulin sensitivity.
UNDERSTANDING THE BEHAVIOR OF PONOROGO COMMUNITY IN RECEIVING COVID-19 VACCINATION: A HEALTH BELIEF MODEL PERSPECTIVE Sari, Eka Permata; Purwanti, Lina Ema; Nasriati, Ririn
Indonesian Journal of Health Science Vol 9 No 2 (2025): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v9i2.11333

Abstract

Community behavior in accepting the COVID-19 vaccination still contains a lot of controversy. Negative news causes differences in the community's perception and response to behavior. This study aims to analyze the perception and behavior of the community in receiving the COVID-19 vaccination with the health model theory approach. The design of this study is cross-sectional, with the population of the Banaran Village, Pulung District, Ponorogo Regency, a total of 2,220 people. The number of respondents in this study was 100 people chosen by purposive sampling techniques. Research instruments using a questionnaire. In addition, data were analyzed using the Chi-Squared test. The results showed the relationship between the perception and behavior of the people receiving the COVID-19 vaccination, with a value of 0,000 <0.05. Increasing public perception and behaviors, the importance of COVID-19 vaccination can be applied using the theory of health belief models. The role of health workers is vital in educating the public about the significance of COVID-19 vaccination in suppressing transmission, severity, to death from COVID-19.
PENERAPAN LATIHAN RANGE OF MOTION (ROM) CYLINDRICAL GRIP TERHADAP KEKUATAN OTOT EKSTREMITAS ATAS PADA PENDERITA STROKE NON HEMORAGIK DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK Purwanti, Lina Ema; Novianti, Andhika Alfa
Health Sciences Journal Vol. 8 No. 2 (2024): OKTOBER
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v8i2.2693

Abstract

Impaired physical mobility is a result of blocked blood vessels due to stroke. Functions lost due to motor disorders in stroke patients result in extremity dysfunction, there by reducing muscle strength. A form of management to restore muscle strength in non-hemorrhagic stroke patients is Range of Motion (ROM) Cyindrical Grip which is useful for improving the ability to move joints normally to increase muscle mass. Nursing care for Mrs. R with nursing problems with physical mobility disorders is carried out in the KH. Ahmad Dahlan Room RSU Muhammadiyah of Ponorogo for 6 days from 28 July to 02 August 2023. The method used is a case study with a nursing process approach. The results of the assessment showed that the client experienced weakness in the left limb and a history of hypertension. The nursing action taken to overcome the problem is by implementing the ROM Cylindrical Grip exercise. It can be concluded that the ROM Cylindrical Grip can increase the muscle strength of the upper extremities in non-hemorrhagic stroke sufferers. After doing 2 x 10 minutes of exercise for 5 days, the muscle strength of the upper extremities in non-hemorrhagic stroke sufferers increased from 0 to 1. The results of this study, if the ROM Cylindrical Grip was carried out periodically and continuously, resulted in gripping muscle strength in non-hemorrhagic stroke sufferers increase.Keyword: Impaired Physical Mobility, Muscle Strength, ROM Cylindrical Grip, Non Hemorrhagic Stroke
Co-Authors Agus Wijayanto Al Ma’idatul Latifah Ameliya Evi Cahyani Cholik Harun Rosjidi Dania Dwi Nurcahyani Dianita Rifqia Putri Dinda Mar’atush Sholihah Elmie Muftiana Enggar Prasetyo, Enggar Erna Suwanti Filia Icha Sukamto Hermin Lestari Hery Ernawati Hery Ernawati, Hery Honi Mujayanah Khris Witdiati Laily Isro&#039;in Laily Isro&#039;in Latifah Hanum Liyon Galra Saputra Maghfirah, Sholihatul Mas'udah, Anni Fithriyatul Mas’udah, Anni Fithriyatul Melania Dila Puspita Metti Verawati Metti Verawati Metti Verawati, Metti Muslimah, Vanesha Awaliya Muslimah, Vanesya Isnaya Nasriati, Ririn Nelly Adelian Nur Safitri Novianti, Andhika Alfa Nur 'Aini, Ani Nurul Sri Wahyuni Putri Ayu Kusuma Wardhani Rika Maya Sari Rohma, Naylil Mawadda Roissah, Dinatur Saiful Nurhidayat, Saiful Sari, Eka Permata Sholihatul Maghfirah Sri Andayani Sulistyo Andarmoyo Tetik Nurhayati Wahyu Wijayanti