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All Journal JURNAL WACANA KESEHATAN Jurnal Kesehatan: Jurnal Ilmu- Ilmu Keperawatan, Kebidanan, Farmasi dan Analis Kesehatan TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Journal of Education Technology Information Social Sciences and Health Jurnal Keperawatan JOURNAL OF Mental Health Concerns Nusantara Journal of Multidisciplinary Science Jurnal Vokasi Keperawatan (JVK) Holistik Jurnal Kesehatan
Novika Andora
Universitas Mitra Indonesia
Religion Humanities Computer Science & IT Education Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

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PERBEDAAN PENGARUH KONSUMSI JUS BUAH NAGA MERAH DAN JUS SEMANGKA TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI Novika Andora; Richta Puspita Haryanti; Annisa Agatha
JURNAL WACANA KESEHATAN Vol 6, No 2 (2021): Desember 2021
Publisher : AKPER Dharma Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52822/jwk.v6i2.279

Abstract

Buah naga merah memiliki kandungan antioksidan, fitokimia berupa flavonoid, vitamin C juga kalium dan menjadi alternatif dalam upaya penurunan tekanan darah pada penderita hipertensi primer. Buah semangka mengandung sitrulin dan kalium, yang sangat berpengaruh terhadap penurunan tekan darah tinggi. Tujuan dari penelitian ini untuk mengidentifikasi Perbedaan Pengaruh jus buah naga merah  dan jus semangka dalam menurunkan tekanan darah pada penderita hipertensi primer di wilayah kerja Puskesmas Kedaton Bandar Lampung. Penelitian ini menggunakan desain quasy experiment dengan teknik pengambilan sampel purposive sampling. Besar sampel sebanyak 32 reponden terbagi menjadi dua kelompok yaitu kelompok pertama jus buah naga merah dan kelompok kedua jus semangka. Kedua kelompok dilakukan pengukuran sebelum dan sesudah perlakuan di hari pertama dan hari terakhir. Hasil penelitian menunjukan bahwa setelah konsumsi jus buah naga merah didapatkan ada penurunan tekanan darah sistolik sebesar 14 mmHg dari selisih hasil pre dan post test (148,25-134,25 mmHg), dan diastolik 8,625 mmHg dari selisih pre dan post test (95,375 – 86,75 mmHg), sedangkan pada kelompok semangka terdapat penurunan tekanan darah sistolik  hanya 7,5 mmHg dari selisih pre dan post test (149,375-141,875 mmHg), tekanan darah diastolic juga menunjukkan penurunan 3,35 mmHg dengan hasil ( 93,125 – 89,775 mmHg). Kesimpulan penelitian ini adalah terdapat perbedaan hasil pengaruh yang signifikan antara kelompok jus buah naga merah dengan kelompok jus semangka terhadap penurunan tekanan darah (sistolik) dengan hasil uji Mann-Whitney Test diperoleh P value 0.001, dan pada  tekanan darah ( diastolik ) terdapat perbedaan hasil pengaruh yang signifikan dengan hasil uji Mann-Whitney Test diperoleh P value 0.000.
Influence of Age, Gender and Workload Factors Against Work Fatigue on Nurses Sri Maryuni; Novika Andora
Jurnal Keperawatan Vol 14 No S1 (2022): Jurnal Keperawatan: Supp Maret 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.073 KB) | DOI: 10.32583/keperawatan.v14iS1.81

Abstract

Work fatigue is a condition that can cause a decrease in vitality and work productivity. The impact of work fatigue can reduce the quality of nurses in providing nursing care. The purpose of this study was to determine the effect of age, gender and workload on work fatigue on nurses at Alimuddin Umar Liwa Hospital, West Lampung Regency. This type of research is a quantitative research with analytic survey and using a cross sectional approach. The population in this study were nurses at the Allimudin Umar Liwa Hospital, West Lampung Regency, amounting to 220 people. The sample in this study amounted to 71 respondents with proportional random sampling technique The workload questionnaire uses a questionnaire that has been made by Nursalam (2016) which consists of 13 questions using a Likert scale. The job fatigue questionnaire used the standard KAUPK2 questionnaire ((Kuesioner Alat Ukur Perasaan Kelelahan Kerja). Data analysis using univariate and bivariate analysis using Chi-squere test. The results showed that most of the respondents were male, amounting to 39 respondents (54.9%), most of the respondents aged > 40 years 37 totaling 52.1%, most of the respondents having a normal workload amounting to 53.3% , and most had 57.7% fatigue. The conclusion of this study is that there is an influence of gender (0.016), age (p-value = 0.014) and workload (p-value = 0.032) on work fatigue in nurses at Allimuddin Umar Liwa Hospital, West Lampung Regency.
Pengaruh Progressive Muscle Relaxation (Pmr) Terhadap Perubahan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Sukabumi Kecamatan Buay Bahuga Kabupaten Way Kanan Tahun 2023 Sonia; Novika Andora; Budi Antoro
Nusantara Journal of Multidisciplinary Science Vol. 1 No. 2 (2023): NJMS - September 2023
Publisher : PT. Inovasi Teknologi Komputer

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

Abstract

Salah satu terapi non farmakologis yang ditawarkan untuk menurunkan hipertensi adalah dengan melakukan terapi Progressive Muscle Relaxation (PMR). Progressive Muscle Relaxation yaitu proses yang dapat melepaskan ketegangan dan mengembalikan keseimbangan pikiran maupun tubuh. Tujuan penelitian ini adalah diketahui pengaruh progressive muscle relaxation terhadap perubahan tekanan darah pada penderita hipertensi Di Wilayah Kerja Puskesmas Sukabumi Kecamatan Buay Bahuga Kabupaten Way Kanan Tahun 2023. Populasi dalam penelitian ini adalah pasien hipertensi yang berkunjung ke Puskesmas Sukabumi Kecamatan Buay Bahuga Kabupaten Way Kanan terhitung sejak April -Mei 2023 yang berjumlah 101 responden dengan jumlah sampel dalam penelitian ini berjumlah 40 responden yang akan dibagi 2 yaitu 20 responden untuk kelompok intervensi dan 20 responden untuk kelompok control. Dalam penelitian ini teknik sampling yang digunakan adalah purposive sampling. Berdasarkan uji statistik, didapatkan p-value 0,000 atau p-value < 0,05 yang artinya terdapat Pengaruh Progressive Muscle Relaxation (PMR) Terhadap Perubahan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Sukabumi Kecamatan Buay Bahuga Kabupaten Way Kanan Tahun 2023. Diharapkan kepada responden agar lebih rutin lagi dalam melakukan Progressive Muscle Relaxation (PMR), hindari konsumsi minuman berkafein tinggi (minuman kopi), hindari merokok.
Pengaruh Latihan Isometrik Handgrip Exercise Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Negara Ratu Lampung Utara Yuli Oktavia; Novika Andora; Hernida Warni
Nusantara Journal of Multidisciplinary Science Vol. 1 No. 3 (2023): NJMS - Oktober 2023
Publisher : PT. Inovasi Teknologi Komputer

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

Abstract

Penatalaksanaan hipertensi secara non farmakologi salah satu dapat menggunakan latihan Isometric Handgrip Exercise yang merupakan terapi latihan statis menggunakan handgrip dynamometer yang dapat dapat menurunkan tekanan darah pada hipertensi sekitar 7 mmHg untuk sistolik dan 5 mmHg untuk diastolik. Tujuan dari penelitian ini adalah diketahui Pengaruh Latihan Isometrik handgrip exercise Terhadap Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Negara Ratu. Jenis penelitian kuantitatif, metode penelitian yang digunakan adalah menggunakan metode pre eksperimental designs dengan pendekatan menggunakan pendekatan pre test and post test with control group. Sampel dalam penelitian ini adalah adalah 21 responden dan kelompok kontrol berjumlah 21 responden. Teknik pengambilan sampelpurposive sampling. Diketahui bahwa rata-rata (mean) tekanan darahsistolik sebelum adalah 165,743 dan diastolic 107,10 sedangkan pada kelompok control adalah 158,137 dan 110,76, sedangkanrata-rata (mean) tekanan darahsistolik sesudah adalah 140,38 dan diastolic 100,19 dan pada kelompok control adalah 144,88 dan 103,61.Berdasarkan uji statistik, didapatkan p-value 0,000 atau p-value< 0,05 yang artinya terdapat pengaruh latihan isometrik handgrip exercise terhadap tekanan darah pada penderita hipertensi Di Wilayah Kerja Puskesmas Negara Ratu. Diharapkan kepada responden agar lebih rutin lagi dalam melakukan latihan isometrik, minimal 1 kali sehari, sehingga tekanan darah dapat menurun.
RED GINGER BOILED COMPRESSES ARE MORE EFFECTIVE IN REDUCING THE PAIN SCALE IN RHEUMATOID ARTHRITIS THAN CITRONELLA BOILED WATER COMPRESSES Novika Andora; aulia rahman
Jurnal Vokasi Keperawatan (JVK) Vol. 4 No. 2 (2021): DESEMBER
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/jvk.v4i2.17347

Abstract

The citronella plant contains analgesic compounds that help relieve aches or pains such as muscle aches and joint pain, pegalinu due to rheumatoid arthritis or anti-rheumatism. In addition, it is also useful as an antioxidant that can prevent cancer, in lemongrass there are anti-microbial and anti-bacterial substances that are useful as infection drugs. Red ginger compress is a combination of warm therapy and relaxation therapy that is useful for people with joint pain that has no side effects. Ginger contains phenolic compounds which have been shown to have anti-inflammatory effects and are known to be effective in relieving joint disease and muscle tension so that it can improve the declining musculoskeletal system. In addition, ginger also has a pharmacological effect, namely a hot and spicy taste where this heat can relieve pain, stiffness and muscle spasms and the occurrence of vasodilation of blood vessels. Simpur Health Center Bandar Lampung the incidence of rheumatoid arthritis increased in 2019 from 262 to 284 people. The purpose of this study was to determine the difference in the effect of giving compresses of boiled lemongrass water and red ginger water on decreasing pain scale in rheumatoid arthritis patients.This research method uses quantitative research, pre-experimental design using a two group pre-post-test design approach. The population in this study were all patients with rheumatoid arthritis at Simpur Bandar Lampung Health Center with a sample of 30 people. Data analysis using t test.The results of univariate analysis obtained that the average pain scale before being given a compress of warm lemongrass boiled water was 5.85, after being given a compress of warm lemongrass boiled water was 3.45. The average pain scale before being given a red ginger boiled water compress was 5.75, after being given red ginger boiled water was 2.65. The results of the bivariate analysis showed that there was a difference in the effect of giving lemongrass stem decoction compresses on the rheumatoid arthritis pain scale (p-value = 0.001). There is an effect of red ginger boiled water on the rheumatoid arthritis pain scale (p-value = 0.000). There is a difference between giving warm lemongrass boiled water compresses and red ginger boiled water compresses on the rheumatoid arthritis pain scale (p-value = 0.023).
Pengaruh Hand Massage dan Aromaterapi Lavender terhadap Penurunan Nyeri Penusukan Jarum AV Fistula pada Pasien Hemodialisis Artilla Raih Wiguna; Novika Andora; Sandra Andini
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 2 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i2.14855

Abstract

Chronic kidney disease patients undergoing haemodialysis with AV fistula vascular access often experience pain during needle insertion. Recurrent pain can reduce patient comfort and quality of life, necessitating effective non-pharmacological nursing interventions. Hand massage and lavender aromatherapy are non-pharmacological interventions with relaxing and analgesic effects are known to have relaxing and analgesic effects that have the potential to reduce pain intensity. This study aimed to determine the effect of relaxation techniques such as hand massage and lavender aromatherapy on reducing pain during AV fistula needle insertion in chronic kidney disease patients at Bhayangkara Hospital, Bandar Lampung, in 2025. This study used a quasi-experimental design with a pre-test–post-test control group design. The sample size was 50, consisting of 25 in the intervention group and 25 in the control group, The findings are primarily applicable to patients with severe initial pain. The intervention group received hand massage and lavender aromatherapy, while the control group received standard care. Data analysis used within-group differences were analyzed using paired t-test, while between-group differences were analyzed using independent t-test. The average pre-test pain scale in the intervention group was 8.04 ± 0.93 and decreased to 4.28 ± 0.98 in the post-test. In the control group, the average pre-test pain score was 8.00 ± 0.91 and the post-test score was 6.92 ± 0.86. Bivariate analysis showed a significant reduction in pain in the intervention group with a p-value < 0.001 (p < 0.05). Hand massage relaxation techniques and lavender aromatherapy significantly reduced pain during AV fistula insertion in patients with chronic kidney disease. This intervention is recommended for use as a supportive therapy in nursing practice in haemodialysis units.
Effect Cupping Therapy on Blood Pressure in Patients Hypertension Bukit Kemuning Public Health Center Dewi Ratna Sari; Tubagus Erwin Nurdiansyah; Novika Andora
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 13 No. 1 (2026): Jurnal Kesehatan
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v13i1.1043

Abstract

Hypertension is a major health problem that can increase the risk of cardiovascular disease if not properly managed. This study aims to determine the effect of cupping therapy on blood pressure in hypertensive patients in the Bukit Kemuning Inpatient Community Health Center, North Lampung, in 2026. The study used a quantitative pre-experimental design with a one-group pretest-posttest design. The sampling technique used was purposive sampling, with a sample size of 20 hypertensive patients. Blood pressure measurements were taken before and after cupping therapy. Data analysis used the Wilcoxon Signed Rank Test.The results showed that the average blood pressure before cupping therapy was 156.50/96.00 mmHg, while the average blood pressure after cupping therapy decreased to 127.50/80.50 mmHg. The Wilcoxon Signed Rank Test showed an Asymp. Sig. <0.05, indicating an effect of cupping therapy on blood pressure in hypertensive patients in the Bukit Kemuning Inpatient Community Health Center, North Lampung.
Korelasi antara lama diabetes mellitus dan kadar hba1c dengan skor diabetic neuropathy symptom (DNS) dan diabetic neuropathy examination (DNE) pada penderita diabetes mellitus tipe 2 Novika Andora; Sri Maryuni; Fajar Yudha
Hik Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.2092

Abstract

Background: Type 2 Diabetes Mellitus (DM) often leads to diabetic neuropathy, which can be assessed using the Diabetic Neuropathy Symptom (DNS) and Diabetic Neuropathy Examination (DNE) scores. Purpose: To analyze the correlation between the duration of DM and HbA1c levels with DNS and DNE scores in patients with type 2 DM Method: This quantitative study with a cross-sectional approach was conducted from January to February 2025 at Bintang Amin Hospital in Bandar Lampung. The sampling technique used simple random sampling with a sample size of 35 respondents. The independent variables in this study were the duration of DM and HbA1c levels, while the dependent variables were DNS and DNE scores. Data analysis was performed using univariate analysis in the form of frequency distribution and bivariate analysis using Pearson's correlation test. Results: The results showed a significant correlation between the duration of DM and both DNS and DNE scores (p < 0.05). However, there was no significant correlation between HbA1c levels and DNS or DNE scores (p > 0.05). Conclusion: The duration of DM was significantly associated with the degree of diabetic neuropathy, while HbA1c levels showed no significant association.   Keywords: Diabetic Neuropathy Symptom (DNS); Diabetic Neuropathy Examination (DNE); HbA1c Levels; Type 2 Diabetes Mellitus.   Pendahuluan: Diabetes Mellitus (DM) tipe 2 sering menyebabkan komplikasi berupa neuropati diabetik, yang dapat dinilai menggunakan skor Diabetic Neuropathy Symptom (DNS) dan Diabetic Neuropathy Examination (DNE). Tujuan: Untuk menganalisis korelasi antara lama menderita DM dan kadar HbA1c dengan skor DNS dan DNE pada pasien DM tipe 2. Metode: Penelitian kuantitatif dengan pendekatan cross sectional, dilaksanakan bulan Januari-Febuari 2025 di RS Bintang Amin Bandar Lampung. Teknik pengambilan sampel menggunakan simple random sampling dengan jumlah sampel yang digunakan sebanyak 35 responden. Variabel independent dalam penelitian ini adalah lama menderita DM dan kadar HbA1c, sedangkan variabel dependen adalah skor DNS dan DNE. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Korelasi Pearson. Hasil: Terdapat korelasi yang signifikan antara lama menderita DM dengan skor DNS dan DNE (p < 0.05). Namun, tidak ditemukan korelasi yang signifikan antara kadar HbA1c dengan skor DNS maupun DNE (p > 0.05). Simpulan: Lama menderita DM berhubungan secara signifikan dengan derajat neuropati diabetik, sedangkan kadar HbA1c tidak menunjukkan hubungan yang signifikan.   Kata Kunci: Diabetes Mellitus Tipe 2; Diabetic Neuropathy Symptom (DNS); Diabetic Neuropathy Examination (DNE); Kadar Hba1c.
Buerger allen exercise meningkatkan perfusi perifer pasien DM tipe 2 Novika Andora; Yunie Armiyani; Wanto Juli Silalahi
Hik Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.4108

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease with a steadily rising prevalence, including in Bandar Lampung City. The most common chronic complication observed among inpatients at A. Dadi Tjokrodipo Regional General Hospital is impaired blood circulation to the lower extremities, clinically termed "Ineffective Peripheral Perfusion" in nursing diagnoses. This condition stems from macroangiopathy, which triggers Peripheral Artery Disease (PAD). Purpose: To implement an evidence-based nursing (EBN) intervention utilizing buerger-allen exercises to address the nursing diagnosis of ineffective peripheral perfusion in patients with type 2 diabetes mellitus. Method: This study employed a pre-experimental design, specifically a one-group pretest-posttest model, conducted at A. Dadi Tjokrodipo Regional General Hospital, Bandar Lampung City. Case management was focused on the Internal Medicine inpatient ward. The study involved 10 patients with the relevant medical diagnosis. A non-probability sampling technique, specifically purposive sampling, was used. Results: Analysis of the Buerger-Allen exercise implementation in this study demonstrated that the intervention was effective in improving peripheral perfusion in Type 2 Diabetes Mellitus patients, both statistically and clinically. Conclusion: The implementation of Buerger-Allen exercises proved effective in improving peripheral perfusion in Type 2 Diabetes Mellitus patients, both statistically and clinically. The success of this intervention was influenced not only by the underlying physiological mechanisms but also by the participants' baseline conditions, specifically the presence of perfusion impairment at a reversible stage, thereby enabling an optimal adaptive response to the intervention.   Keywords: Buerger-Allen Exercises; Peripheral Perfusion; Type 2 Diabetes Mellitus.
Hubungan Konsumsi Air Putih Dengan Kejadian Konstipasi pada Lansia di Puskesmas Kecamatan Gunung Labuhan Kabupaten Way Kanan Tahun 2024 Iqbal Hulul Fikri; Novika Andora; Tubagus Erwin
Journal of Education Technology Information Social Sciences and Health Vol. 4 No. 1 (2025): March 2025
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/jetish.v4i1.3869

Abstract

Sebagian besar penduduk Indonesia masih kurang konsumsi serat dari sayur dan buah, kurang olah raga dan bertambah makan makanan yang mengandung pengawet. Keadaan ini tentu saja menimbulkan gangguan dalam pencernaan dengan keluhan yang sering timbul antara lain kembung dan tidak dapat buang air besar secara lancar atau konstipasi. Kasus konstipasi umumnya diderita masyarakat umum sekitar 4-30% pada kelompok usia 60 tahun ke atasatau lansia. Tujuan dalam penelitian ini adalah diketahui hubungan konsumsi air putih dengan kejadian konstipasi pada lansia Di Puskesmas Kecamatan Gunung Labuhan Kabupaten Way Kanan Tahun 2024. Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif. Rancangan analitik dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh lansia yang ada Di Puskesmas Kecamatan Gunung Labuhan Kabupaten Way Kanan sejak Januari – April 2024 yang berjumlah 255 responden. Sehingga sampel dalam penelitian ini berjumlah 72 responden. Dalam penelitian ini teknik sampling yang digunakan adalah purposive sampling. Berdasarkan hasil uji statistik, didapatkan p-value 0,020 atau p-value < 0,05 atau yang artinya terdapat Hubungan Konsumsi Air Putih Dengan Kejadian Konstipasi Pada Lansia Di Puskesmas Kecamatan Gunung Labuhan Kabupaten Way Kanan Tahun 2024. Hasil penelitian ini dapat dijadikan sebagai bahan informasi bagi tempat penelitian tentang Hubungan Konsumsi Air Putih Dengan Kejadian Konstipasi Pada Lansia dan diharapkan agar tempat penelitian dapat memberikan edukasi kesehatan pada lansia tentang bahaya konstipasi serta bagaimana cara penanganan konstipasi pada lansia.
Co-Authors Annisa Agatha Ari Sukma Nela Artilla Raih Wiguna Aulia Rahman budi antoro Dewi Ratna Sari Fajar Yudha Fitri Anita Hanif Marisa Putra Hernida Warni I Nyoman Aditya Putra Iqbal Hulul Fikri Nurul Aziza Richta Puspita Haryanti Sandra Andini Santi Oktavia Sonia Sri Maryuni tubagus erwin Tubagus Erwin Nurdiansyah Wanto Juli Silalahi William Arisandi Yuli Oktavia Yunie Armiyani