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HUBUNGAN PENGGUNAAN WAKTU PERILAKU KURANG GERAK (SEDENTARY BEHAVIOUR) DENGAN OBESITAS PADA ANAK USIA 9-11 TAHUN DI SD NEGERI BEJI 02 KABUPATEN TULUNGAGUNG Setyoadi Setyoadi; Ika Setyo Rini; Triana Novitasari
Journal of Nursing Science Update (JNSU) Vol. 3 No. 2 (2015)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (886.82 KB)

Obesitas pada anak merupakan keadaan patologis ditandai dengan penimbunan lemak berlebih daripada yang diperlukan untuk fungsi tubuh akibat konsumsi energi terlalu berlebih dibandingkan dengan pemakaian energi yang ditandai dengan Indeks Massa Tubuh (IMT) menurut umur â‰¥ 2 SD. Sedentary behavior merupakan sekelompok perilaku yang terjadi saat duduk atau berbaring yang membutuhkan pengeluaran energi yang sangat rendah. Sebanyak 21.08% siswa obesitas di SD Negeri Beji 02 Tulungagung usia 9-11 tahun. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan waktu perilaku kurang gerak (sedentary behaviour) dengan obesitas pada anak usia 9-11 tahun di SD Negeri Beji 02 Kabupaten Tulungagung. Desain penelitian ini adalah case control dengan kohort retrospektif, menggunakan sampel sejumlah 34 siswa yang terdiri dari 17 anak obesitas dan 17 anak berat badan normal yang dipilih dengan uji hipotesis perbedaan 2 proporsi. Penelitian menggunakan timbangan injak pegas, microtoise, dan kuesioner. Hasil uji korelasi Spearman menunjukkan significancy sebesar 0,000 dengan value sebesar 0.589. Terdapat 14 (82.4%) anak obesitas sering melakukan sedentary behaviour dan 4 (23.5%) pada anak berat badan normal dengan total rata-rata keduanya 8.5359Â±1.05233 jam/minggu. Hal ini menunjukkan bahwa anak obesitas lebih sering melakukan sedentary behaviour dibandingkan dengan anak berat badan normal dengan nilai efektivitas 58.9% sedangkan sisanya dipengaruhi faktor lain, mengingat bahwa obesitas sebabkan oleh mulitifaktorial. Kata Kunci : Obesitas Anak, Sedentary Behaviour

The effect of celery (Apium graveolens l) ethanol extract on the prevention of gastric ulcers in rats Sartika Lestari Ismail, Dina Dewi; Kristianto, Heri; Sandra Novita Yunianto; Setyoadi, Setyoadi
Jurnal Keperawatan Vol. 15 No. 01 (2024): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v15i01.25224

Background: Gastric ulcer is an excoriation area of the stomach caused by the destruction of mucosal defense against the predominant factors. One of the efforts that should be made to reduce the incidence of gastric ulcers is a precautionary measure to use ethanol extract of celery (Apium graveolens L). Celery contains phenolic compounds, such as apigenin which acts as an antioxidant. Antioxidant has the potential as an agent of gastric mucosal protection against cell damage caused by excessive activation of free radicals (ROS). Objectives: This study aimed to determine the effect of celery ethanol extract in preventing gastric ulcers through a reduction of ulcer lesion length. Method: Research method Post-test Only Randomized Controlled Group Design conducted on Wistar strain rats. Experimental animals were divided into 5 groups: healthy, normal wound with induction indomethacin, and celery ethanol extract administered orally at a dose of 200 mg/kg, 300, mg/kg, and 400 mg/kg. Observations were made on the length of gastric ulcer lesions. The length of the gastric ulcer was measured using a vernier caliper and statistically analyzed by the One-way ANOVA test. Result: The result showed that the ethanol extract of celery at 300mg/kgBB was the best dose in preventing the formation of gastric ulcer by decreasing the length of the gastric ulcer. Conclusion: Based on these results, the researcher suggests comparing other various parameters regarding the effect of celery ethanol extract for the prevention of gastric ulcers.

The Effect of a nurse's home visit intervention on knowledge, dietary salt adherence, and blood pressure in hypertensive patients at primary health care setyoadi, setyoadi; D. W., Sari; C. K., Amartasari; H., Ayuntyas; F., Akhsinadya; H., Baroya; F. F., Ferinasmara; R. G., Mufida; P. A., Azizah; A. N., Wulandari; F. I., Wati; N. I., Oktavia
Jurnal Keperawatan Vol. 15 No. 02 (2024): July
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v15i02.25376

Introduction: Home visits are a primary health care program targeting families with chronic health problems to promote healthy behavior changes and improve the quality of life of patients. Objectives: This study aims to determine the effect of nurse home visit interventions on knowledge, dietary salt adherence, and blood pressure in hypertensive patients at the Primary Health Care (Puskesmas) in Dau District. Methods: This quantitative research uses a quasi-experimental method with a one-group pre-test post-test design. The sample consisted of 69 individuals from Kunci and Princi hamlets who suffered from hypertension. The sampling technique was purposive sampling with inclusion criteria including families with hypertension, living with family members, being able to read and write, and willing to participate as respondents. The home-visit interventions were conducted over 7 weeks and included counseling on hypertension concepts, diet, medication, physical activity, and stress management, along with ongoing monitoring during the home-visit period. Results: Statistical test results on the knowledge variable using the paired t-test showed a significance of 0.01, indicating a significant change post-intervention. The dietary salt adherence variable, assessed using the Wilcoxon rank test, showed an average increase of 24.00 from pre-intervention to post-intervention. Both systolic and diastolic blood pressure variables exhibited significant changes, with a 2-tailed significance of 0.01. Conclusions: The results of this study conclude that nurse home-visit interventions have a positive effect on knowledge, dietary salt adherence, and blood pressure in hypertensive patients.

The Quality of Communication and Depression Levels among Elderly Residents in Nursing Homes Setyoadi, Setyoadi; Setyorini, Ika; Irmayanti , Ni Kadek Ayu Depy; Ismail, Dina Dewi Sartika Lestari
Journal of Nursing Science Update (JNSU) Vol. 12 No. 1 (2024): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2024.012.01.06

Nursing home residents are more likely to experience symptoms of depression compared to seniors living at home. Older individuals face various physical and psychological challenges, such as hearing loss, vision impairment, and memory decline, which can hinder effective communication and diminish their overall well-being. This study aims to investigate the link between the quality of communication among older people in nursing homes and their levels of depression. The study uses observational analytics with a cross-sectional approach. The sample comprises 50 older individuals living in nursing homes, selected through purposive sampling. The independent variable is communication quality, evaluated using the Quality of Communication (QOC) questionnaire, while the dependent variable is depression level, assessed using the Geriatric Depression Scale (GDS) questionnaire. Data analysis involves calculating the Spearman Rank Correlation Coefficient at a 95% confidence level. The research findings show that 60% of the older participants exhibited moderate communication quality, while 88% experienced mild depression. The Spearman Rho statistical test resulted in a p-value of 0.009 and a correlation coefficient of -0.366, indicating a significant inverse relationship between communication quality and depression among older people. Nurses are encouraged to promote communication among nursing home residents by organizing activity groups, facilitating interactions, and creating environments conducive to social engagement. In conclusion, effective communication plays a crucial role in lowering the depression levels of nursing home residents.

Hubungan Sleep Hygiene Terhadap Tingkat Insomnia pada Lanjut Usia Setyoadi, Setyoadi; Purnamawati, Ni Putu Ika; Sari, Efris Kartika
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
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.v8i1.197

Latar belakang: Insomnia merupakan gangguan tidur yang paling sering dialami oleh lanjut usia. Insomnia dapat disebabkan oleh berbagai faktor dan salah satunya adalah kebiasaan sebelum tidur (sleep hygiene). Terdapat 6 komponen yang dinilai dalam kebiasaan sebelum tidur yaitu: pola tidur, penggunaan tempat tidur, tingkat aktivitas, kondisi lingkungan, kondisi psikologi dan diet (konsumsi kopi). Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara kebiasaan sebelum tidur dengan derajat insomnia pada lanjut usia di Posyandu Lansia Kelurahan Tulusrejo Wilayah Kerja Puskesmas Kendalsari Kota Malang. Metode: Desain penelitian yang digunakan adalah observasional melalui pendekatan cross sectional. Sampel dalam penelitian ini adalah 36 lansia lansia yang mengalami insomnia dan dipilih dengan metode purposive sampling. Teknik analisa data menggunakan uji korelasi Spearman Rank. Hasil: Hasil uji statistik didapatkan p value 0.000 dan koefisien korelasi (r) = 0.773 yang artinya terdapa hubungan antara kebiasaan sebelum tidur sengan derajat insomnia pada lansia, dengan arah korelasi posotif (+) yang artinya semakin baik kebiasaan sebelum tidur maka semakin rendah derajat insomnia yang dialami oleh lanjut usia. Kesimpulan:Terdapat hubungan antara kebiasaan sebelum tidur (sleep hygiene) terhadap tingkat insomnia pada usia lanjut. Saran yang dapat diberikan untuk penelitian ini yaitu kader posyandu dapat memberikan edukasi kepada lansia mengenai kebiasaan sebelum tidur yang baik pada lansia yang mengalami insomnia

Improved Family Coping Caring for Autistic Disorder Children with Knowledge Education: A Cross-Sectional Study Setyoadi, Setyoadi; Dwioktaviani, Indri Putri; Ahsan, Ahsan
Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 1 (2023): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v16i1.3785

Background: Cognitive, communication, social interaction, behavior patterns, and activity limitations in autistic children become a source of stress for parents. Parents' negative assessment of autistic children leads to maladaptive coping and results in inappropriate parenting behavior. Objective: This study focuses on evaluating parents' knowledge of autistic disorders and their relationship to coping in caring for children with autism. Method: Cross-sectional study is the design of this study. Involving 22 respondents, namely parents of children with autism whose children attend education at Special Schools (SLB) in Malang City. The data collection instrument was developed based on the Knowledge about Childhood Autism Among Health Workers (KCAHW) questionnaire to obtain data on family knowledge variables. Family coping variables using McCubbin's F-COPES questionnaire. Both questionnaires are tools that have been tested for reliability. Analystsare statisticians using the Spearman Rank test with a significance of 5%. Results: 64% of Parisipans had high knowledge of autism and 14% of parents had maladaptive coping. The results of statistical tests found that the level of knowledge about autism was related to family coping mechanisms in children with autisme disorder (p-value 0.003; r 0.599). Conclusion: Adaptive coping of families with autistic disorder children increases with good parental knowledge. Therefore, health education about autism and its care is always informed to the public to prevent maladaptive coping in the care of children with autism disorders in the family. Latar belakang: Keterbatasan kognitif, komunikasi, interaksi sosial, pola perilaku, dan aktivitas pada anak autis menjadi sumber stres bagi orang tua. Penilaian negatif orang tua terhadap anak autis menyebabkan koping maladaptif dan berdampak pada perilaku pengasuhan yang tidak tepat. Tujuan: Penelitian ini berfokus pada evaluasi pengetahuan orang tua tentang gangguan autis dan hubungannya dengan koping dalam merawat anak autisme. Metode: Studi cross sectional merupakan rancangan penelitian ini. Melibatkan 22 responden, yaitu orang tua dari anak dengan Autis yang anaknya mengikuti Pendidikan di Sekolah Luar Biasa (SLB) di Kota Malang. Instrument pengumpulan data dikembangkan berdasarkan kuesioner Knowledge about Childhood Autism Among Health Workers (KCAHW) untuk memperoleh data variabel pengetahuan keluarga. Variabel koping keluarga menggunakan kuisioner F-COPES McCubbin. Kedua kuesioner tersebut merupakan alat yang sudah diuji reabilitasnya. Analisis statistik menggunakan Rank Spearman test dengan signifikansi 5%. Hasil: Partisipan sebanyak 64% memiliki pengetahuan yang tinggi tentang gangguan autism dan masih terdapat orang tua yang memiliki koping maladaptif 14%,. Hasil uji statistik menemukan bahwa tingkat pengetahuan tentang autisme berhubungan dengan mekanisme koping keluarga pada anak dengan gangguan autisme (p-value 0,003; r 0,599). Simpulan: Koping adaptif keluarga yang memiliki anak gangguan autis meningkat dengan pengetahuan orang tua yang baik. Edukasi tentang autisme dan perawatannya perlu selalu diinformasikan kepada masyarakat untuk mencegah koping maladaptif dalam perawatan anak dengan gangguan autisme di keluarga.

In vivo study of celery (Apium graveolens L) extract for regenerating pancreatic β-cell Ismail, Dina Dewi Sartika Lestari; Kristianto, Heri; Setyoadi, Setyoadi; Maydinah, Anissa
MEDISAINS Vol 22, No 1 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i1.20079

Background: The celery plant (Apium graveolens L.) is a widely distributed herbal plant globally known for being a significant source of natural active products, including phenolic compounds and antioxidants demonstrating antidiabetic activity. Previous research findings have indicated the impact of celery leaf extract on reducing blood glucose levels. However, up to now, there is a dearth of research investigating the potential effect of celery leaf extract on the regeneration of pancreatic beta cells in mice with diabetes models.Objective: This study aims to determine the effect of the ethanol extract of celery leaves on the number of pancreatic cells in Streptozotocin (STZ)-induced mice.Method: This research method uses a randomized controlled group posttest only design. Experimental animals were divided into five groups, including a group of experimental animals in a healthy condition, the group with hyperglycemia, hyperglycemia group with celery extract at 200 mg/kg BW, hyperglycemia group with celery extract at 400 mg/kg, and hyperglycemia group with extract celery is 800 mg/kg BW. Termination was performed on day 60 after therapy and pancreas hematoxylin and eosin staining. They are counting the number of cells with a photo slide with 400x magnification in 5 fields of view—statistical analysis using One-Way ANOVA.Results: The study revealed that celery extract could increase the number of pancreatic cells compared to the control group (P<0.002). Notably, the highest increase in pancreatic cell count was observed in the group administered with 400 mg/BW of celery extract.Conclusion: Celery leaf extract effectively increased the number of beta cells in vivo.

Family Support in the Care of Patients with Type 2 Diabetes Mellitus: A Scoping Review Setyoadi, Setyoadi; Mudianti, Jihan Faadhilah; Nifangelya, Prisilya; Ramadhania, Lailatul; Ismail, Dina Dewi Sartika Lestari
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.01.05

The growing global incidence of Type 2 Diabetes Mellitus (T2DM) underscores the pressing need to investigate practical and sustainable management strategies. Type 2 diabetes mellitus (T2DM) is a chronic health condition that necessitates continuous monitoring and long-term care to maintain blood glucose levels within optimal limits. One critical factor influencing diabetes self-management is family support, which encompasses emotional, instrumental, informational, and appreciative dimensions. Family members play a crucial role in supporting individuals with T2DM by assisting with daily care routines, promoting adherence to treatment regimens, and offering motivation. This scoping review aims to critically evaluate the significance of family support as a key component in enhancing self-management among individuals diagnosed with type 2 diabetes mellitus (T2DM). It will outline the key elements of family support and investigate their relationship with diabetes-related outcomes, including glycemic control, medication adherence, and dietary adherence. The review encompasses an analysis of 15 pertinent articles retrieved from three key databases: ScienceDirect, Google Scholar, and ProQuest. The keywords employed comprised "family or caregiver support" and "diabetes mellitus type 2," integrated through the use of Boolean operators. The findings of this review indicate that family involvement considerably contributes to improved health outcomes for patients with T2DM. Individuals possessing robust family support demonstrate enhanced medication adherence, improved blood glucose levels, and greater compliance with dietary recommendations. In concludion, the integration of family support within diabetes management interventions has the potential to facilitate more effective and holistic approaches to treating type 2 diabetes mellitus (T2DM).

The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Kartika, Annisa Wuri; Sari, Dewi Purnama; Septian, Angel Dwi; Lallo, Adelina Stefanie; Kurniasari, Rara
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.576

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder marked by hyperglycemia due to insulin resistance or impaired insulin secretion. Dyslipidemia, especially low High-Density Lipoprotein (HDL), contributes significantly to cardiovascular disease risk in T2DM. Glycated hemoglobin (HbA1c) serves as the standard biomarker for long-term glycemic control. Previous studies suggested an inverse relationship between HDL and HbA1c, but results remain inconsistent, and limited evidence exists from Indonesian primary care settings. Purpose: This study aimed to examine the association between HDL cholesterol and HbA1c levels in T2DM patients at a primary healthcare center in Batu City, Indonesia. Methods: An observational analytic study with a cross-sectional retrospective design was conducted. Secondary data were obtained from medical records of T2DM patients at Puskesmas Sisir, Batu City, in July 2025. A total of 79 patients fulfilling inclusion criteria were included through total sampling. Laboratory results of HDL (mg/dL) and HbA1c (%) were analyzed. Spearman’s rank correlation test was used, with significance set at p ≤ 0.05. Results: Among the 79 respondents, most were aged 45–65 years (50.6%) and female (77.2%). The mean HDL level was 45.3 ± 8.2 mg/dL, while the mean HbA1c level was 8.2 ± 1.5%. Correlation analysis indicated a weak negative association between HDL and HbA1c (r = –0.132, p = 0.246). Although higher HDL levels tended to correspond with lower HbA1c values, the relationship was not statistically significant. Conclusions: These findings underscore the critical role of community nurses in integrating routine HbA1c and lipid profile monitoring into T2DM follow-up visits, promoting holistic cardiovascular risk assessment even when individual biomarkers show weak associations.

The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Kartika, Annisa Wuri; Sari, Dewi Purnama; Septian, Angel Dwi; Lallo, Adelina Stefanie; Kurniasari, Rara
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.576

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder marked by hyperglycemia due to insulin resistance or impaired insulin secretion. Dyslipidemia, especially low High-Density Lipoprotein (HDL), contributes significantly to cardiovascular disease risk in T2DM. Glycated hemoglobin (HbA1c) serves as the standard biomarker for long-term glycemic control. Previous studies suggested an inverse relationship between HDL and HbA1c, but results remain inconsistent, and limited evidence exists from Indonesian primary care settings. Purpose: This study aimed to examine the association between HDL cholesterol and HbA1c levels in T2DM patients at a primary healthcare center in Batu City, Indonesia. Methods: An observational analytic study with a cross-sectional retrospective design was conducted. Secondary data were obtained from medical records of T2DM patients at Puskesmas Sisir, Batu City, in July 2025. A total of 79 patients fulfilling inclusion criteria were included through total sampling. Laboratory results of HDL (mg/dL) and HbA1c (%) were analyzed. Spearman’s rank correlation test was used, with significance set at p ≤ 0.05. Results: Among the 79 respondents, most were aged 45–65 years (50.6%) and female (77.2%). The mean HDL level was 45.3 ± 8.2 mg/dL, while the mean HbA1c level was 8.2 ± 1.5%. Correlation analysis indicated a weak negative association between HDL and HbA1c (r = –0.132, p = 0.246). Although higher HDL levels tended to correspond with lower HbA1c values, the relationship was not statistically significant. Conclusions: These findings underscore the critical role of community nurses in integrating routine HbA1c and lipid profile monitoring into T2DM follow-up visits, promoting holistic cardiovascular risk assessment even when individual biomarkers show weak associations.

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