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Riki Ristanto
Institut Teknologi Sains Dan Kesehatan RS Dr Soepraoen Kesdam V Brawijaya Malang, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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KOLESTEROL TOTAL DAN TEKANAN DARAH SISTOLIK: ANALISIS HUBUNGAN PADA POPULASI DEWASA Megawati; Riki Ristanto
Jurnal Keperawatan Malang Vol 11 No 1 (2026): Jurnal Keperawatan Malang (JKM) As You go
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v11i1.460

Abstract

that frequently coexist in adult populations. However, most previous studies have been largely associative and have relied on categorical classifications of hypertension, resulting in limited quantitative evidence regarding the effects of total cholesterol on systolic and diastolic blood pressure components Purpose: This study aimed to assess the predictive value of total cholesterol on changes in blood pressure among adults Methods: This study employed a cross-sectional design. The study population included all patients attending the Internal Medicine Outpatient Clinic at Jailolo Regional Hospital, with 50 respondents recruited through consecutive sampling according to the inclusion criteria. Total cholesterol level was defined as the independent variable, while blood pressure was the dependent variable. Total cholesterol was measured using a digital cholesterol meter (Nesco), and blood pressure was assessed using a digital sphygmomanometer (Omron). Data were analyzed using simple linear regression with SPSS version 22, with a significance level set at p < 0.05. Result: The majority of respondents were female (58%), with a mean age of 58.1 years. The mean total cholesterol level was within the hypercholesterolemia range (>200 mg/dL), while the mean systolic and diastolic blood pressures were 168 mmHg and 94 mmHg, respectively. Regression analysis demonstrated that total cholesterol had a significant effect on systolic blood pressure (R = 0.394; R² = 0.156; p = 0.005), with each 1 mg/dL increase in total cholesterol associated with a 0.439 mmHg increase in systolic blood pressure. In contrast, no significant association was observed between total cholesterol and diastolic blood pressure (p = 0.196). Implication: These findings underscore the importance of lipid profile screening as part of comprehensive cardiovascular risk assessment. Future studies are recommended to employ longitudinal designs with larger sample sizes and multivariable analyses to control for major confounding factors
Hubungan Senam Lansia Terhadap Tekanan Darah Lansia Hipertensi di Puskesmas Konarom Rizqa Dwi Cahyani; Riki Ristanto
Integrative Perspectives of Social and Science Journal Vol. 3 No. 07 Juli (2026): Integrative Perspectives of Social and Science Journal
Publisher : PT Wahana Global Education

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

Abstract

Hipertensi merupakan salah satu penyakit kronis yang banyak dialami lansia akibat proses penuaan yang menyebabkan penurunan elastisitas pembuluh darah. Salah satu upaya nonfarmakologis untuk membantu mengendalikan tekanan darah adalah melalui senam lansia. Penelitian ini bertujuan untuk mengetahui pengaruh senam lansia terhadap tekanan darah pada lansia dengan hipertensi. Penelitian menggunakan desain quasi experiment dengan rancangan one group pretest-posttest without control. Sampel penelitian berjumlah 36 lansia yang dipilih menggunakan teknik purposive sampling. Analisis data dilakukan menggunakan paired t-test dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa sebelum intervensi seluruh responden (100%) berada pada kategori hipertensi, sedangkan setelah intervensi sebanyak 27 responden (75%) berada pada kategori non hipertensi dan 9 responden (25%) masih mengalami hipertensi. Hasil uji statistik menunjukkan nilai p < 0,001, yang berarti terdapat perbedaan tekanan darah yang signifikan sebelum dan sesudah senam lansia. Disimpulkan bahwa senam lansia efektif sebagai terapi nonfarmakologis untuk membantu menurunkan tekanan darah pada lansia dengan hipertensi.
Hubungan Riwayat Penyakit Diabetes Melitus Dengan Kejadian Gagal Ginjal Kronis di Usia Muda di RSUD R.T Notopuro Sidoarjo Farah Najwa Saffa Balqis; Musthika Wida Mashitah; Riki Ristanto
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61337

Abstract

Salah satu komplikasi serius akibat diabetes mellitus adalah gagal ginjal kronik (GGK). Hiperglikemia kronis pada penderita DM menyebabkan kerusakan glomerulus ginjal secara bertahap melalui mekanisme stres oksidatif, glikosilasi protein, dan aktivasi jalur inflamasi. Penelitian ini dilakukan pada bulan November 2025 di RSUD R. T. Notopuro Sidoarjo. Populasi dari penelitian ini adalah Adalah 215 pasien GGK stadium V. Penelitian ini menggunakan teknik purposive sampling. penelitian yang digunakan adalah kohort retrospektif. Peneliti menggunakan variabel status Riwayat penyakit DM dan variable usia didagnosa GGK.Hasil penelitian menunjukkan bahwa Sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD R.T. Notopuro Sidoarjo berjenis kelamin laki-laki dan memulai hemodialisis pada usia lebih dari 40 tahun. Penyakit penyerta terbanyak yang ditemukan pada pasien GGK adalah hipertensi, diikuti oleh diabetes mellitus. Berdasarkan riwayat diabetes mellitus, sebagian besar responden tidak memiliki riwayat diabetes mellitus, namun responden dengan riwayat diabetes mellitus memiliki rerata usia terdiagnosis gagal ginjal kronik yang lebih tinggi dibandingkan responden tanpa riwayat diabetes mellitus, Terdapat perbedaan yang bermakna antara riwayat diabetes mellitus dengan usia terdiagnosis gagal ginjal kronik, yang ditunjukkan oleh hasil uji Mann–Whitney dengan nilai p = 0,031 (p < 0,05). Terdapat hubungan yang signifikan antara riwayat diabetes mellitus dengan kejadian gagal ginjal kronik di usia muda berdasarkan uji koefisien kontingensi dengan nilai p = 0,015 (p < 0,05), namun kekuatan hubungan berada pada kategori lemah. Hal ini menunjukkan bahwa diabetes mellitus berperan sebagai salah satu faktor risiko GGK di usia muda, tetapi bukan faktor dominan. Kata Kunci : Gagal Ginjal Kronik, Diabetes Mellitus,
Determinants of Smoking Behavior Among Indonesian Men: Evidence from the 2017 Indonesian Demographic and Health Survey Habib Adwi Prasetyo; Yuni Asri; Riki Ristanto
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4309

Abstract

Background: Smoking remains a major public health problem in Indonesia, particularly among males, and contributes substantially to morbidity and mortality. Sociodemographic inequality, socioeconomic status, and environmental factors may influence smoking behavior among Indonesian men; however, nationally representative evidence remains limited. Objective: This study aimed to analyze factors associated with smoking behavior among male respondents in Indonesia. Methods: This study employed a cross-sectional design using secondary data from the Indonesian Demographic and Health Survey (IDHS) 2017 male recode dataset (IDMR71FL). A total of 9,945 male respondents were included in the analysis. Sampling weights were applied to account for the complex survey design. The dependent variable was smoking behavior, while independent variables included age, education level, occupation, wealth index, residence, province, newspaper reading, television watching, radio listening, and internet use. Data were analyzed using IBM SPSS Statistics version 27.0.1. Descriptive statistics, chi-square tests, and multivariable logistic regression were performed with a significance level of p<0.05. Results: Education level, wealth index, residence, and province were significantly associated with smoking behavior. Respondents with junior high school education were more likely to smoke (AOR=1.57; 95% CI: 1.13–2.19), whereas respondents with academy or university education showed lower odds of smoking behavior (AOR=0.57; 95% CI: 0.39–0.82). High-income respondents had lower odds of smoking compared with low-income respondents (AOR=0.68; 95% CI: 0.61–0.77). Rural residence was associated with higher smoking behavior (AOR=1.16; 95% CI: 1.04–1.28). Conclusion: Smoking behavior among Indonesian males was significantly influenced by educational attainment, socioeconomic status, residence, and regional characteristics. Strengthening tobacco control interventions targeting vulnerable male populations is necessary to reduce smoking prevalence in Indonesia.  
Depression Levels Among Bedridden and Non-Bedridden Older Adults in a Residential Care Facility: A Cross-Sectional Comparative Study Ulfiatun Nafidah; Indari; Riki Ristanto
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8132

Abstract

Depression is one of the most common mental health disorders among older adults and is frequently associated with reduced mobility and functional dependence. Older adults who are bedridden often experience limited physical activity, decreased social interaction, and increased dependence on caregivers, all of which may contribute to poorer psychological well-being. However, evidence comparing depression levels between bedridden and non-bedridden older adults living in residential care facilities remains limited, particularly in Indonesia. This study aimed to compare depression levels between bedridden and non-bedridden older adults residing at Husnul Khatimah Residential Care Facility, Malang Regency, Indonesia. A cross-sectional comparative study was conducted involving 110 older adults selected through purposive sampling, consisting of 55 bedridden and 55 non-bedridden participants. Depression levels were assessed using the 15-item Geriatric Depression Scale (GDS-15). Descriptive statistics were used to summarize participant characteristics, and differences in depression levels between the two groups were analyzed using the Mann–Whitney U test. The results demonstrated that bedridden older adults had significantly higher depression scores than non-bedridden older adults (p < 0.001). These findings indicate a significant association between bedridden status and depression levels among older adults. The study highlights the importance of routine psychological assessment, psychosocial support, and interventions aimed at maintaining functional independence to promote the mental well-being of older adults residing in long-term care facilities.
Relationship Between Parenting Styles and Psychological Well-Being Among Adolescents : An Analysis of Authoritative, Authoritarian, Permissive, and Uninvolved Parenting Sashifa Nissa Tiara; Dian Pitaloka Priasmoro; Riki Ristanto
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1379

Abstract

Introduction: Parenting style is a critical determinant of adolescent psychological well-being, yet evidence from semi-rural Indonesian settings remains limited. This study examined the relationship between parenting style and psychological well-being among adolescents at SMP Negeri 1 Pacet. Methods: A cross-sectional correlational design was employed involving 192 students aged 14–16 years. Parenting style was measured using the Parenting Style Four Factor Questionnaire (PS-FFQ), and psychological well-being was assessed using the Ryff Psychological Well-Being Scale (18 items). Data were analyzed using the Chi-Square test to determine the association between the variables. Results: Authoritative parenting was the dominant style (65.1%), while authoritarian (16.7%), permissive (10.9%), and uninvolved (7.3%) were less prevalent. Most adolescents demonstrated high psychological well-being (63.0%), followed by low (18.8%) and moderate (18.2%) levels. Chi-Square analysis revealed a highly significant relationship between parenting style and psychological well-being (χ² = 180.999; df = 6; p < 0.001). Adolescents with authoritative parents consistently showed higher psychological well-being, while other parenting styles were associated with lower levels. Conclusions: Parenting style significantly influences adolescent psychological well-being, with authoritative parenting serving as a strong protective factor. These findings highlight the importance of supportive, structured, and communicative parenting practices in promoting adolescent emotional health. Interventions aimed at strengthening positive parenting and enhancing family–school collaboration may improve adolescent well-being in semi-rural communities.
SELF-MANAGEMENT AND QUALITY OF LIFE AMONG CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS Sherli Amelia Putri Prasetya; Rif'atul Fani; Riki Ristanto
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1417

Abstract

Introduction: Chronic kidney disease is a progressive condition that requires long-term hemodialysis and can substantially affect patients’ quality of life. Effective self-management is essential to support patients in managing symptoms, adapting to treatment demands, and maintaining physical and mental well-being. Methods: A descriptive correlational design using a cross-sectional approach was used in this research. The participants were patients with CKD undergoing routine hemodialysis at a regional public hospital in Sidoarjo, Indonesia. A total of 194 respondents were recruited using purposive sampling. Self-management was assessed using the Hemodialysis Self-Management Instrument (HDSMI-18), and quality of life was calculated using the Kidney Disease Quality of Life (KDQoL-36) questionnaire. Univariate analysis with Spearman correlation tests used to analyzed data. Results: Self-care was significantly associated with symptom control (r = 0.190; p = 0.008), effects of kidney disease (r = 0.412; p < 0.001), disease burden (r = 0.322; p < 0.001), and mental quality of life (r = 0.497; p < 0.001). Problem solving was associated with effects of kidney disease (r = 0.220; p = 0.002) and mental quality of life (r = 0.158; p = 0.027). Emotional management was related to physical (r = 0.147; p = 0.041) and mental quality of life (r = 0.147; p = 0.040). Overall self-management was associated with effects of kidney disease (r = 0.296; p < 0.001), disease burden (r = 0.171; p = 0.017), and mental quality of life (r = 0.277; p < 0.001), while partnership showed no significant associations. Conclusions: Self-management related to quality of life among patients undergoing hemodialysis, with self-care showing the strongest and most consistent associations. These findings highlight the importance of strengthening self-management skills, particularly self-care, problem solving, and emotional regulation, to optimize quality of life in patients with CKD.
Hubungan Konsumsi Junk Food Dengan Obesitas Pada Siswa SMPN 2 Batu Engau Tiara Putri Ayu; Riki Ristanto
Health Research Journal of Indonesia Vol 4 No 6 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i6.1670

Abstract

Obesitas pada anak sekolah dipengaruhi oleh berbagai faktor, salah satunya adalah konsumsi makanan cepat saji atau junk food yang merupakan perilaku makan yang dapat dimodifikasi. Penelitian ini bertujuan untuk mengetahui hubungan konsumsi junk food dengan obesitas pada siswa sekolah sebagai dasar bukti empiris dalam pelaksanaan edukasi gizi di sekolah. Penelitian menggunakan desain kuantitatif dengan pendekatan korelasional dan melibatkan 90 siswa. Data diperoleh melalui kuesioner terstruktur dan observasi antropometri. Indeks Massa Tubuh (IMT) dihitung berdasarkan hasil pengukuran berat dan tinggi badan, kemudian dikategorikan menjadi kurus, normal, gemuk, dan obesitas. Konsumsi Junk Food diukur menggunakan kuesioner frekuensi dan dikategorikan menjadi rendah, sedang, dan tinggi. Analisis data dilakukan menggunakan uji Chi-Square dengan tingkat kepercayaan 95% (α = 0,05). Hasil penelitian menunjukkan bahwa sebagian besar siswa memiliki status gizi normal (33,3%), diikuti obesitas (25,6%), gemuk (23,3%), dan kurus (17,8%). Sebanyak 40% siswa memiliki konsumsi Junk Food tinggi, 31,1% sedang, dan 28,9% rendah. Hasil uji Chi-Square menunjukkan hubungan signifikan antara konsumsi Junk Food dan IMT (p = 0,002). Siswa dengan konsumsi Junk Food tinggi cenderung mengalami kegemukan atau obesitas. Oleh karena itu, diperlukan edukasi gizi serta kolaborasi sekolah dan orang tua untuk membentuk kebiasaan makan sehat.
Co-Authors Amin Zakaria Bayu Budi Laksono Cahyadi, Faisal Ahmad Chantika Mahadini Damasa Luthfiya Laili Dian Pitaloka Priasmoro Dian Pitaloka Priasmoro, Dian Pitaloka Dinda Ebti Safitri Dion Kunto Adi Patria Enjelica Cindy Flora Farah Najwa Saffa Balqis Habib Adwi Prasetyo Hastuti, Apriyani Hasugian , Paska Marto Ika Setyo Rini Indari Indari Ispriantari, Aloysia Khiong, Tjhia Khie Kurniawan, Ardhiles Wahyu M Rasjad Indra Mashitah, Musthika Wida Maulana Arif Murtadho Mayang Wulandari Megawati Mokhtar Jamil Nurmayunita, Heny Rif'atul Fani Rifatul Fani Rizqa Dwi Cahyani Rizzal, Fahrul Rizzal Roesardhyati, Ratna Sashifa Nissa Tiara Sherli Amelia Putri Prasetya Soares, Domingos Sri Poeranto Tiara Putri Ayu Tien Aminah Tohiviatuti, Aida Ulfiatun Nafidah Ulil Absar Ramadhan Yuni Asri Yuni Asri