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All Journal Jurnal Delima Harapan Jurnal Kesehatan Karya Husada JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Keperawatan Duta Medika OVUM : Journal Of Midwifery and Health Sciences Proceeding of International Conference Health, Science And Technology (ICOHETECH) Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Masyarakat Madani Indonesia Jurnal Keperawatan TRIAGE Journal of Innovative and Creativity Jurnal Siti Rufaidah Borneo Nursing Journal
Endrat Kartiko Utomo
Universitas Duta Bangsa Surakarta
Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Pengaruh Aromaterapi Lavender terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di RSUD Dr.Darsono Pacitan Agus Malik Zakaria; Endrat Kartiko Utomo; Ucik Ernawati; Yanti Dwi Kurniawan
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.5403

Abstract

Hipertensi merupakan salah satu masalah kesehatan global yang berkontribusi signifikan terhadap angka kesakitan dan kematian. Upaya pengelolaan hipertensi tidak hanya bergantung pada terapi farmakologis, tetapi juga intervensi non-farmakologis, salah satunya aromaterapi lavender yang diketahui memiliki efek relaksasi dan potensial menurunkan tekanan darah. Penelitian ini bertujuan untuk mengetahui pengaruh aromaterapi lavender terhadap penurunan tekanan darah pada pasien hipertensi di RSUD dr. Darsono Pacitan. Metode penelitian menggunakan experiment pre-posttest serta alat tensimeter dan diffuser sebagai alat bantu dengan dua responden penderita hipertensi yang menerima intervensi aromaterapi lavender selama tiga hari berturut-turut. Tekanan darah diukur sebelum dan sesudah pemberian aromaterapi setiap harinya menggunakan tensimeter digital. Data pengkajian pasien meliputi kondisi klinis, riwayat penyakit, dan tanda vital sebelum intervensi.Hasil penelitian menunjukkan bahwa aromaterapi lavender memberikan penurunan tekanan darah baik sistolik maupun diastolik pada kedua responden. Penurunan terbesar terjadi pada hari pertama dan kedua, sedangkan hari ketiga menunjukkan penurunan yang lebih kecil, diduga akibat adaptasi tubuh terhadap stimulus aromaterapi atau pengaruh faktor fisiologis dan psikologis lain. Selain menurunkan tekanan darah, aromaterapi juga meningkatkan kenyamanan subjektif pasien, ditandai dengan berkurangnya keluhan pusing dan meningkatnya rasa relaksasi. Aromaterapi lavender efektif digunakan sebagai intervensi tambahan untuk membantu mengontrol tekanan darah pada pasien hipertensi.
Edukasi Pemanfaatan Daun Kelor menjadi Produk Olahan Puding sebagai Makanan Tambahan (PMT) Balita di Desa Luwang, Gatak, Sukoharjo Agung Widiastuti; Endrat Kartiko Utomo; Fakhrudin Nasrul Sani
Jurnal Masyarakat Madani Indonesia Vol. 5 No. 3 (2026): Agustus
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/pr3fa935

Abstract

Secara ilmiah daun kelor (Morinaga oleifera) memiliki kandungan gizi tinggi, sehingga berpotensi membantu mengatasi masalah kekurangan gizi, kelaparan, serta berperan dalam pencegahan dan penanganan berbagai penyakit salah satunya penurunan angka stunting. Namun, konsumsi daun kelor di masyarakat Indonesia masih relatif rendah karena aroma khasnya kurang disukai. Tujuan PKM ini untuk peningkatan pengetahuan dan keterampilan dalam pembuatan puding dun kelor kepada ibu Balita stunting di Desa Luwang, Gatak,  Sukoharjo. Metode yang digunakan meliputi tiga tahapan: (1) Persiapan, termasuk koordinasi dan perencanaan; (2) Implementasi, yang mencakup sosialisasi, penyuluhan, demonstrasi pembuatan PMT; dan (3) Evaluasi, yang dilakukan melalui umpan balik dan evaluasi pengetahuan lansia menggunakan pretest dan posttest. Hasil kegiatan terjadi perubahan tingkat pengetahuan yang awalnya kurang sebesar 20 responden (54%), setelah dilakukan edukasi meningkat menjadi pengetahuna baik sebesar 22 peserta (59%). Selain itu, keterampilan peserta juga meningkat kategori baik sebanyak 17 responden (48%) kemudian setelah dilakukan demostrasi terjadi peningkatan keterampilan peserta sebesar 27 peserta (73%). Kesimpulan Dengan demikian, edukasi mengenai pemanfaatan daun kelor sebagai produk olahan puding PMT balita memberikan dampak positif bagi masyarakat terkait pemanfaatan daun kelor sebagai sumber PMT bagi balita.
Relationship the Five Pillars of Diabetes Mellitus Management with the Quality Life of Diabetes Mellitus Patients Fatihah Balqis Azzahra; Fakhrudin Nasrul Sani; Endrat Kartiko Utomo; Antonia Soares
OVUM : Journal of Midwifery and Health Sciences Vol. 6 No. 1 (2026): OVUM : Journal of Midwifery and Health Sciences
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/fve1x422

Abstract

Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels in the body. The incidence of diabetes mellitus continues to rise across all sectors of society, necessitating control efforts to prevent further increases each year. The management of diabetes mellitus is categorized into five pillars: education, physical activity, dietary regulation, self-monitoring of blood glucose levels, and adherence to antidiabetic medication. These five pillars aim to help individuals with diabetes control their blood glucose levels, thereby improving their quality of life. This study aims to analyze the relationship between the five pillars of diabetes mellitus management and the quality of life of people with diabetes. A quantitative research method with a cross-sectional design was used, involving 72 respondents selected through purposive sampling. Data for the independent variables were collected using a five-pillar diabetes management questionnaire, while the dependent variable was measured using the Diabetes Quality of Life (DQOL) questionnaire. Data were analyzed using the Spearman Rank test. The result showed that most respondents had good five-pillars management and a good quality of life, with 42 people (58,3%). The test result showed a p-value = 0,000 and an r-value = 0,761, indicating a strong relationship between the five pillars of management and the quality of life of diabetes mellitus patients.
Effectiveness of Lavender Aromatherapy Administration on Insertion Pain in Hemodialysis Patients Risma Ayu Putri Diani; Endrat Kartiko Utomo; Marni Marni; Mahjanah Hussein
OVUM : Journal of Midwifery and Health Sciences Vol. 6 No. 1 (2026): OVUM : Journal of Midwifery and Health Sciences
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/8bhwer55

Abstract

Insertion pain is a significant problem for hemodialysis patients that can reduce comfort and therapy compliance. Non-pharmacological interventions are needed. This study aims to analyze the effectiveness of lavender aromatherapy to reduce insertion pain in hemodialysis patients at RSUD Ir. Soekarno Sukoharjo. This study method is a randomized controlled trial with a pretest-posttest control group design. The sample consisted of 40 respondents selected through purposive sampling and divided into intervention groups (n=20) and control groups (n=20). The intervention group received lavender aromatherapy inhalation for 5-10 minutes before insertion. The pain scale was measured using the Wilcoxon and Mann-Whitney tests. The results showed that before the intervention, the average pain score of both groups was in the moderate category (intervention=4.45, control=4.35). After the intervention, the pain score of the intervention group decreased significantly to 2.55 (mild pain), while the control group remained at 4.40 (moderate pain). Statistical tests showed a very significant difference between the groups (p=0.000). Cohen's results (2.44) confirmed the influence of the intervention in the large effect size category. In conclusion, lavender aromatherapy was proven to be very effective in reducing insertion pain in hemodialysis patients and is recommended as a complementary therapy.
Pengaruh Pemberian Murottal Al-Qur’an dengan Kecemasan pada Pasien Penyakit Gagal Ginjal Kronis yang Menjalani Hemodialisa di Rumah Sakit PKU Muhammadiyah Surakarta Lutvia Anisa Miftaqul Jannah; Endrat Kartiko Utomo; Puput Mulyono
TRIAGE Jurnal Ilmu Keperawatan Vol 13 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v13i1.1947

Abstract

Background: People suffering from chronic kidney disease (CKD) and undergoing hemodialysis often experience anxiety due to their chronic condition, lifelong therapy, and psychosocial impacts. One therapeutic intervention is reciting the Qur'an, which is a non-pharmacological method that can be used. Objective: To determine how recitation of the Qur'an affects the anxiety levels of patients undergoing hemodialysis for CKD. Methods: A pretest–posttest quasi-experimental study with a control group was conducted in April–May 2025 at the Hemodialysis Unit of PKU Muhammadiyah Hospital in Surakarta. A total of 24 participants were selected with the following inclusion criteria: age ≥18 years, undergoing hemodialysis for ≥6 months, conscious, and willing to participate in the study. The intervention group (n=12) received recitation of Surah Ar-Rahman for 30 minutes three times, while the control group underwent routine procedures. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS). Data analysis was performed using the Paired Sample t-test, Independent Sample t-test, and Shapiro-Wilk normality test. Results: The mean anxiety score of the intervention group decreased from 29.5 ± 5.63 to 19.33 ± 2.39, while that of the control group decreased from 27.7 ± 5.12 to 23.17 ± 3.08. A significant decrease occurred in both groups (intervention p=0.000; control p=0.004). The improvement in the control group may have been influenced by adaptation to the procedure, stable HD room conditions, or patient coping mechanisms. The post-intervention difference showed an additional effect of murottal (p=0.003), but this needs to be interpreted with caution. Conclusion: Al-Qur’an murottal therapy is effective in reducing anxiety in patients undergoing hemodialysis due to CKD and can be recommended as a spiritual-based non-pharmacological therapy in nursing
Status Gizi dan Kualitas Hidup Lansia Berpenyakit Kronis di Panti Wredha Surakarta Kania Shiva Berliana Putri; Musta'in Musta'in; Endrat Kartiko Utomo
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.369

Abstract

Background: The increase in the number of elderly people is followed by an increase in the incidence of chronic diseases that can affect food intake, nutritional status, functional ability, and quality of life. Elderly people with chronic diseases are at risk of impaired nutritional status, physical weakness, decreased independence, and limited daily activities. Research on the relationship between nutritional status and quality of life among elderly people with chronic diseases living in nursing homes is still limited. Therefore, a comprehensive assessment of nutritional status and quality of life is needed as a basis for efforts to improve their quality of life. Objective: To determine the relationship between nutritional status and quality of life among elderly people with chronic diseases at a nursing home in Surakarta. Methods: This study used a quantitative correlational analytic design with a cross-sectional approach. The sample consisted of 35 elderly people with chronic diseases selected using purposive sampling. Nutritional status was measured using the Mini Nutritional Assessment (MNA), while quality of life was measured using WHOQOL-OLD. Data were analyzed using univariate and bivariate analyses with the Chi-Square test. Results: The results showed that 12 respondents (34.3%) had normal nutritional status, 12 (34.3%) were at risk of malnutrition, and 11 (31.4%) were malnourished. Most respondents had poor quality of life, namely 19 people (54.3%), while 16 (45.7%) had good quality of life. The Chi-Square test showed a significant relationship between nutritional status and quality of life, with p = 0.001 (p < 0.05) and r = 0.619. Conclusion: Elderly people with better nutritional status tend to have better quality of life.
Hubungan Tingkat Kecemasan dan Kualitas Tidur pada Pasien Hipertensi di Puskesmas Karangmalang Sragen Retsu Indah Kurnia Ningsih; Endrat Kartiko Utomo; Agung Widiastuti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 3 (2026): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i3.6817

Abstract

Hypertension is a condition in which systolic blood pressure is ≥140 mmHg and diastolic blood pressure is ≥90 mmHg. Hypertension is often accompanied by anxiety, anxiety is an unpleasant emotion that can directly affect the psychological and physiological well-being of people with hypertension. Anxiety can disrupt a person’s sleep quality, such as difficulty falling asleep, waking up in the middle of the night, or feeling unrested after waking up. Anxiety can disrupt sleep quality through sympathetic nervous system activity and HPA axis (Hypothalamic-Pituitary-Adrenal) activity. This study aims to examine the relationship between anxiety levels and sleep quality in patients with hypertension at the Karangmalang Community Health Center in Sragen. A quantitative correlation method with a cross-sectional approach was used in this study. The sample consisted of 64 participants selected using accidental sampling. The research instruments used included the Zung Self-Rating Anxiety Scale questionnaire and the Pittsburgh Sleep Quality Index questionnaire. Data analysis in this study utilized the Spearman rank test. The majority of respondents experienced mild anxiety (40 respondents, or 62.5%) and poor sleep quality (57 respondents, or 89.1%). The results of the statistical analysis indicate a significant association between anxiety levels and sleep quality in hypertensive patients at the Karangmalang Community Health Center in Sragen (p-value 0.032), with a Spearman correlation coefficient (r) = 0.269. There is an association between anxiety levels and sleep quality in hypertensive patients. Promotion and prevention efforts through education need to be enhanced regarding the importance of anxiety management and good sleep patterns in these patients.  
FAMILY EXPERIENCES AND COPING STRATEGIES DURING ICU CARE HOSPITALIZATION AT DR. MOEWARDI HOSPITAL: A QUALITATIVE DESCRIPTIVE STUDY Mutiara Rhomadhoni; Endrat Kartiko Utomo; Witriyani Witriyani
Jurnal Kesehatan Karya Husada Vol 14 No 2 (2026): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v14i1, Maret.876

Abstract

Background: Family involvement is crucial, especially for patients in intensive care. The increasing number of patients receiving intensive care and the occurrence of sudden, life-threatening conditions cause families to experience anxiety, uncertainty, and even stress. Such crisis situations can interfere with the selection of effective coping strategies used during the ICU stay. Objective: This study aims to explore in depth the experiences of families and the coping strategies they employ during critical care hospitalization in the ICU at Dr. Moewardi General Hospital in Surakarta. Method: This study employed a qualitative descriptive design using a phenomenological approach. Results: The study identified two themes: first, the families’ experiences during critical care hospitalization, encompassing psychological, physical, social, and spiritual dimensions; and second, the families’ coping strategies, which focused on emotion regulation and problem-solving, ranging from meeting information needs to emotional, social, and spiritual support.
Hubungan Distress Emosional Dengan Kualitas Tidur Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Terapi Hemodialisa Di Rumah Sakit TK. III 04.06.04 Slamet Riyadi Surakarta Anton Rahmadhan; Endrat Kartiko Utomo; Ikrima Rahmasari
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1093

Abstract

Latar Belakang: Penyakit ginjal kronis (PGK) merupakan penyakit tidak menular dengan beban kesehatan tinggi, dan stadium pasien bergantung pada hemodialisa untuk bertahan hidup lebih lanjut. Terapi yang berlangsung terus-menerus memicu stres, depresi, dan kecemasan yang berdampak pada kualitas tidur pasien. Tujuan: Penelitian ini bertujuan mengetahui hubungan antara distress emosional dengan kualitas tidur pada pasien PGK yang menjalani terapi hemodialisa. Metode: Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Teknik total sampling digunakan dengan sampel sebanyak 55 responden yang memenuhi kriteria inklusi di Rumah Sakit Tk. III 04.06.04 Slamet Riyadi Surakarta. Distress emosional diukur menggunakan kuesioner Depression Anxiety Stress Scale-21 (DASS-21) dan kualitas tidur menggunakan Pittsburgh Sleep Quality Index (PSQI); data dianalisis menggunakan uji korelasi Spearman Rank. Hasil: Hasil penelitian menunjukkan sebagian besar responden berada pada kategori ansietas sedang sampai sangat berat cukup tinggi (43,6%). Kualitas tidur buruk yang dialami 30 responden (54,5%) dan baik 25 responden (45,5%). Uji Spearman Rank menunjukkan hubungan signifikan dan positif antara distress emosional dengan kualitas tidur (p = 0,000; r = 0,784), dengan hubungan serupa pada dimensi stres (p = 0,000; r = 0,784), depresi (p = 0,002; r = 0,412), dan kecemasan (p = 0,000; r = 0,776). Kesimpulannya: semakin tinggi distress emosional yang dialami pasien, semakin buruk kualitas tidurnya, dan sebaliknya. Kata Kunci: Distress Emosional, Kualitas Tidur, Penyakit Ginjal Kronik, Hemodialisa
Eksplorasi Kecemasan Keluarga Penunggu Pasien Kondisi Kritis di unit Perawatan Intensif Rumah Sakit Adinda Jovita Septiawati; Endrat Kartiko Utomo; Adi Buyu Prakoso
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1409

Abstract

Pendahuluan: Kondisi kritis pasien yang dirawat di unit perawatan intensif memicu ketidakstabilan fisiologis dan risiko kematian, sehingga memberikan beban psikologis nyata bagi keluarga penunggu berupa kecemasan. Penelitian ini bertujuan mengeksplorasi secara mendalam pengalaman kecemasan keluarga penunggu pasien kritis di unit perawatan intensif Rumah Sakit Umum Daerah Dr. Moewardi. Metode: Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomonologi deskriptif. Subjek penelitian terdiri dari enam anggota keluarga penunggu pasien kritis yang dipilih menggunakan teknik Purposive Sampling. Pengumpulan data dilakukan melalui wawancara mendalam semi-terstruktur dan observasi sistematis, lalu dianalisis menggunakan metode analisis data model Coalaizzi. Hasil: Penelitian ini menghasilkan tiga tema utama: manifestasi respon fisik dan fisiologis (kualitas tidur yang buruk, kelelahan fisik ekstrem, dan reaksi otonom akut seperti jantung berdebar dan lemas); manifestasi hambatan kognitif (penurunan konsentrasi mental, pikiran kosong, dan kebingungan dalam pengambilan keputusan medis); serta manifestasi dinamika emosional (ketakutan ekstrem terhadap kehilangan pasien, ketegangan akibat keterbatasan fasilitas ruang tunggu, dan transisi koping spiritual menuju kepasrahan). Kesimpulan: Kecemasan keluarga bermanifestasi secara holistik pada ranah fisik, kognitif, dan emosional akibat stresor lingkungan serta ancaman kematian pasien, namun keluarga berhasil membangun resiliensi mental melalui koping spiritual. Rekomendasi: Rumah Sakit direkomendasikan mengoptimalkan fasilitas ruang tunggu, menerapkan teknik komunikasi terapeutik berkala sebelum meminta persetujuan tindakan medis, serta menyediakan layanan pendampingan spiritual bagi keluarga penunggu.
Co-Authors Adi Buyu Prakoso Adinda Jovita Septiawati Ady Irawan AM Agung Widiastuti Agus Malik Zakaria Aknes Galih Sumirat Anastacia Ratih Vida Kusuma Annisa Yuli Kartikasari Anton Rahmadhan Antonia Soares Aris Prio Agus Santoso Astuti, Andriani Mei Charulia Nur Arifah Dessy Nourma Siska Savitri Diva Agustinaningrum Dwi Lestari Mukti Palupi Erna Rochmawati, Erna Fakhrudin Nasrul Sani Fatihah Balqis Azzahra Ikrima Rahmasari Julmira Dos Santos De Jesus Kania Shiva Berliana Putri Lailya Khusna Livana PH Lutvia Anisa Miftaqul Jannah Mahjanah Hussein Marni Marni Mursudarinah Mursudarinah Musta'in Musta'in Mutiara Rhomadhoni Muzaroah Ermawati Ulkhasanah Noviana Ayu Ardika Panji Azali Puput Mulyono Retsu Indah Kurnia Ningsih Rifkhana Aulia Citra Risma Ayu Putri Diani Sinta Dwi Anggraini Sitti Rahma Soleman Susi Lastianingsih Totok Wahyudi Ucik Ernawati Wahyu Hidayati Witriyani Witriyani Yanti Dwi Kurniawan