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Pelatihan Relaksasi Otot Progresif dan Benson pada Keluarga Lansia Tanggap Hipertensi di Kelurahan Linggasari Kabupaten Ciamis Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Ramadhan, Acep Lubna
JPKU: Jurnal Pengabdian Kesehatan Unigal Vol 1, No 2 (2024): Agustus
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jpkmu.v1i2.15876

Abstract

Latihan relaksasi otot progresif yang dipadukan dengan relaksasi Benson merupakan terapi efektif untuk mengurangi ketegangan otot dan memiliki berbagai manfaat bagi kesehatan, terutama dalam penanganan hipertensi pada lansia. Pelatihan ini dapat menurunkan tekanan darah, meningkatkan kualitas tidur, perasaan rileks, dan kualitas hidup lansia. Pengabdian ini bertujuan untuk meningkatkan kemandirian masyarakat, terutama keluarga, dalam menjaga kesehatan. Kegiatan dilakukan di Kelurahan Linggasari, Kabupaten Ciamis, dengan melibatkan perangkat desa dan masyarakat. Pelatihan diberikan di Posyandu Lansia dan balai masyarakat, dipandu oleh instruktur serta media video yang memudahkan masyarakat mengikuti gerakan. Selama 12 hari, kegiatan ini diikuti oleh 5 perangkat kelurahan, 10 kader, dan 30 warga. Kegiatan ini mendapat respons positif dengan tingkat kepuasan mencapai 98%. Masyarakat merasakan manfaat langsung, menjadi lebih relaks setelah mempraktikkan gerakan ini. Diharapkan gerakan relaksasi ini juga dapat diterapkan oleh keluarga, terutama lansia dengan hipertensi, untuk meningkatkan kesehatan dan mencegah serta mengatasi hipertensi.
The dangers of gadget addiction on the mental health of rural adolescents in Ciamis District Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Lesmana, Indra
Science Midwifery Vol 12 No 4 (2024): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i4.1694

Abstract

The increasing use of gadgets among Indonesian teenagers, with 98.3% using mobile phones, has raised concerns about its impact on mental health. Studies indicate that excessive gadget use can lead to anxiety, depression, sleep disorders, social isolation, poor academic performance, and problematic behavior. However, public awareness of these risks remains low, particularly in Ciamis Regency, where no definitive data on gadget addiction and mental health exists. This study aims to assess the prevalence of gadget addiction and its impact on adolescent mental health in Ciamis Regency through a cross-sectional observation of 100 teenagers aged 13-18 years. Socio-demographic factors such as age, gender, school type, parental occupation, and academic performance were analyzed, along with variables like gadget type, usage duration, internet activity, and parental or teacher supervision. To measure gadget addiction, the SASSV Scale was used, while mental health was assessed through the Generalized Anxiety Disorder Scale (GAD-7) and the Patient Health Questionnaire (PHQ-9) for depression. The study found a strong correlation between gadget dependence and mental health, with anxiety (correlation coefficient of 0.794) and depression (0.619) both significantly linked to gadget use. The findings highlight the negative effects of uncontrolled gadget use on adolescent mental well-being, particularly regarding anxiety. Key influencing factors include the frequency, type of application used, and duration of gadget use. The study emphasizes the need for effective strategies to manage gadget use among adolescents to mitigate these mental health risks.
TERAPI BERMAIN UNTUK ANAK MERINGANKAN STRES DAN MENINGKATKAN PENGALAMAN HOSPITALISASI Dini Nurbaeti Zen; Daniel Akbar Wibowo; Candra Mahardika; Usman Sasyari
Balarea: Jurnal Pengabdian Masyarakat Vol. 3 No. 2 (2024): BALAREA: Jurnal Pengabdian Masyarakat
Publisher : Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/balarea.v3i1.5289

Abstract

Stres akibat hospitalisasi merupakan pengalaman yang menantang bagi anak-anak, yang dapat memengaruhi kesehatan mental dan fisik mereka serta menghambat proses penyembuhan. Artikel ini membahas pengaruh terapi bermain dalam mengurangi stres anak-anak yang dirawat di Rumah Sakit Umum Daerah Ciamis. Program pengabdian kepada masyarakat yang dilaksanakan selama satu bulan ini melibatkan 15 anak yang dirawat di ruang anak, dengan sesi terapi bermain yang dilakukan dua kali seminggu. Hasil pengabdian menunjukkan bahwa terapi bermain secara signifikan menurunkan tingkat stres dan kecemasan pada anak-anak, dengan penurunan rata-rata skor stres dari 63 menjadi 47. Selain itu, program ini juga meningkatkan keterlibatan orang tua dalam proses perawatan, yang berdampak positif terhadap kesejahteraan emosional anak. Artikel ini merekomendasikan integrasi terapi bermain sebagai bagian rutin dari perawatan anak di rumah sakit untuk mengurangi stres hospitalisasi dan meningkatkan kualitas perawatan.
Literature Review Pengaruh Terapi Bekam Terhadap Penurunan Tekanan Darah pada Pasien Hipertensi Rahayuningsih, Cita; Zen, Dini Nurbaeti; Ginanjar, Yoga
Jurnal Keperawatan Galuh Vol 7, No 2 (2025): Juli
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jkg.v7i2.20608

Abstract

Hypertension is one of the leading causes of morbidity and mortality worldwide, with its prevalence rising each year. Non-pharmacological therapies, such as cupping therapy, have become increasingly popular as alternative treatments for hypertension. This study aims to analyze the effects of cupping therapy on blood pressure reduction in hypertensive patients through a literature review. The method applied was a literature review using the PICOS approach. Articles were retrieved from Google Scholar, ScienceDirect, and PubMed using the keywords “Cupping Therapy”, “Wet Cupping”, “Blood Pressure”, and “Hypertension” from 2020 to 2025. A total of 10 articles met the inclusion and exclusion criteria and were critically appraised. The results showed that both dry and wet cupping therapy effectively reduced systolic blood pressure by 20.90 mmHg and diastolic pressure by 22.38 mmHg. The therapy was administered for 20–30 minutes, with a frequency of once a week to once a month for a duration of 2–3 months. Conclusion: Cupping therapy is effective as a complementary intervention in reducing blood pressure among hypertensive patients when applied regularly with proper duration and frequency.
Gambaran Faktor – Faktor yang Berhubungan dengan Pemilihan Alat Kontrasepsi Suntik pada Pasangan Usia Subur di Desa Kujang Kecamatan Cikoneng Kabupaten Ciamis Jawa Barat Anggraeni, Andini Anceu; Zen, Dini Nurbaeti; Rohmah, Siti
Journal of Midwifery and Public Health Vol 6, No 1 (2024): Mei
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v6i1.15881

Abstract

Alat kontrasepsi yang paling banyak digunakan di Indonesia menurut (BPS) yaitu KB suntik sebanyak 62,42%, yang disebabkan oleh beberapa faktor yang mempengaruhi diantaranya umur, pendidikan, pekerjaan, pengetahuan, dan pendapatan (Yuniartika, 2022). Tujuan Penelitian ini adalah untuk mengetahui gambaran faktor-faktor yang berhubungan dengan pemilihan alat kontrasepsi suntik pada pasangan usia subur di Desa Kujang Kecamatan Cikoneng Kabupaten Ciamis yang meliputi umur, pendidikan, pekerjaan, pengetahuan, dan pendapatan. Penelitian yang digunakan adalah deskritif kuantitatif yang bertujuan untuk mendapatkan gambaran faktor-faktor yang berhubungan dengan pemilihan alat kontrasepsi suntik pada Pasangan Usia Subur di Desa Kujang. Jumlah sampel pada penelitian ini terdiri dari 80 responden yang menggunakan alat kontrasepsi Suntik. Dengan alat ukur menggunakan kuesioner dengan pengumpulan data secara langsung dan analisis yang digunakan adalah distribusi freskuensi. Hasil penelitian ini didapatkan sebagian besar responden memilih KB suntik pada usia 20-30 tahun yaitu sebanyak 46 orang (57%), berpendidikan SMA sebanyaknya 40 orang (50%), bekerja sebagai ibu rumah tangga (IRT) sebanyak 55 orang (68,5%), berpendidikan baik sebanyak 42 orang (52,5%), dan berpendapatan di bawah UMR sebanyak 48 orang (60%).
Application of benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive patients in Linggasari Village, Ciamis Regency Zen, Dini Nurbaeti; Anggraeni, Dewi; Nurhayati, Nurhayati; Anwar, Syamsul; Wibowo, Daniel Akbar
Science Midwifery Vol 12 No 2 (2024): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i2.1516

Abstract

Most elderly people with hypertension have poor sleep quality. Poor sleep quality in elderly people with hypertension can worsen their hypertension condition, causing an increased risk of heart disease, cognitive impairment, and a general reduction in quality of life. Benson relaxation therapy and progressive muscle relaxation can be an effective and safe alternative in managing sleep and activity in elderly people with hypertension. Both therapies do not involve the use of drugs and can be easily learned by seniors. This study aims to determine the effect of Benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive elderly people. This research uses a quasi-experimental method with a one group pretest posttest design. Data collection used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The sample was determined using purposive sampling with a total of 35 respondents. The statistical results of the paired sample t-test showed a p value of 0.000 (p value < α 0.05) so it can be concluded that there is an influence of Benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive elderly people. This study suggests integrating progressive muscle relaxation interventions combined with Benson therapy into community health programs by actively involving families.
The Effect of Digital Media-Based Nutrition Education on Animal-Based Food Feeding Behavior Among Parents of Toddlers: A Quasi-Experimental Study Wibowo, Daniel Akbar; Zen, Dini Nurbaeti
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.377

Abstract

Background: Low consumption of animal source foods (ASF) among children under five years children in Indonesia contributes to the high prevalence of stunting. Digital media–based nutrition education can potentially improve parental ASF feeding behavior. However, empirical evidence on its effectiveness in semi-urban and rural settings, particularly studies directly measuring parental behavioral change, remains limited. This study aimed to analyze the effect of digital media–based nutrition education on parental ASF feeding behavior among under-five children. Methods: This quasi-experimental one-group pretest–posttest study involved 150 parents of under-five children in Sukadana Village, Ciamis Regency, West Java, Indonesia, selected through stratified purposive sampling by hamlet. Inclusion criteria: parents with children <5 years old, having smartphone access, willingness to participate in the intervention, and provision of written informed consent. Exclusion criteria: incomplete pretest or posttest questionnaire data. The intervention consisted of a ±10-minute educational video on the importance of ASF, its sources, safe preparation, and tips to increase consumption, validated by nutrition experts. Feeding behavior was measured using a structured questionnaire (20 items; 3-point Likert scale; Cronbach’s alpha = 0.82). Data were analyzed using paired sample t-tests and effect size calculation (Cohen’s d) with 95% confidence intervals (CI) in SPSS v26. Results: Digital media–based nutrition education significantly improved parental ASF feeding behavior (p < 0.001), with a large effect size (Cohen’s d = 0.91; 95% CI: 0.69–1.12). The proportion of good behavior increased from 28.0% to 84.0%, while fair and poor behaviors decreased from 43.3% to 12.7% and from 28.7% to 3.3%, respectively. Conclusion: Digital media–based nutrition education is efficacious in improving parental ASF feeding behavior in semi-urban settings. This strategy has the potential to be integrated into stunting prevention programs in primary healthcare, community health posts, and community-based interventions. Recommendation: Implementation should be accompanied by healthcare worker support and continuous monitoring to ensure sustainable behavior change
Identification of gadget usage patterns and their impact on children's mental health using a local cultural approach in Ciamis Regency Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Wahyudi, Asep; Permana, Irfan; Nailla, Bunga Maratun; Firmansyah, Septian; Deswinta, Nina
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2194

Abstract

The development of digital technology has brought significant changes to children's behavior, including in Ciamis Regency. Gadgets such as smartphones and tablets are now part of children's daily lives, both for entertainment and learning. However, excessive use without parental supervision can have various negative impacts on children's mental health, such as sleep disturbances, emotional changes, and decreased social interaction. This study aims to identify gadget usage patterns and their impact on children's mental health, as well as explore the potential of local cultural values ​​as a promotive and preventive approach in maintaining children's psychosocial balance in the digital era. This study uses mixed methods with an explanatory sequential design, namely a quantitative analysis is carried out first to map the conditions of gadget use and mental health of school-aged children, then continued with a qualitative approach to explain the quantitative findings in more depth. In the quantitative stage, 60 children aged 7–12 years in Ciamis Regency were selected as respondents from the educational units that served as the research location. The instruments used were a questionnaire on gadget usage patterns and a mental health assessment instrument. Data analysis was carried out descriptively, cross-tabulation, and continued with ANOVA tests to determine the effect of gadget use on children's mental health. The results of the study showed that the majority of children were in the 9–11 year age range, a period of cognitive and psychosocial development that is highly sensitive to environmental stimulation. Gadget usage patterns showed that 50% of children were in the moderate usage category, while 36.7% were in the problematic usage category. The duration of gadget use was dominated by more than three hours per day with main activities such as watching YouTube, accessing TikTok, playing online games, and communicating via WhatsApp. Factors triggering high gadget use include busy parents, low supervision, and the use of gadgets as a tool to calm children. In terms of mental health, it was found that 43.3% of children were in the problematic category and 40% were in the borderline category, indicating a fairly concerning condition. Frequently reported symptoms included sleep disturbances, irritability, anxiety, decreased concentration, and withdrawal from social interactions. ANOVA analysis showed a p-value = 0.000, indicating a significant influence between gadget usage patterns and mental health. In other words, the more intense gadget use, the higher the risk of children experiencing mental health disorders. These findings align with previous research showing a strong link between excessive digital device use and increased symptoms of anxiety, depression, and social dysfunction in children and adolescents (Holmes et al., 2021; Odgers & Jensen, 2020).The qualitative phase was conducted through in-depth interviews with 21 informants consisting of parents and teachers. The analysis technique used was thematic analysis. The qualitative results revealed two major themes: (1) the emergence of psychological symptoms due to excessive gadget exposure and (2) changes in children's social behavior. Informants described that children became irritable when asked to stop playing with gadgets, were less interested in physical activities, and reduced interaction with peers. They preferred digital activities to traditional games or studying. Interviews also showed that local values ​​such as silih asih (compassion), silih asah (grooming), and silih asuh (caregiving) are still recognized, but have not been consistently integrated into parenting patterns and therefore have not been able to become a strong protective factor against the impact of gadget use. Overall, this study concludes that school-age children in Ciamis Regency are a group vulnerable to mental health problems related to gadget use. The mixed methods used provide a comprehensive picture that problematic gadget use patterns are directly proportional to the increased risk of mental health problems. Therefore, family-based interventions, schools, and local wisdom are important strategies in reducing the negative impacts of gadget use and supporting children's mental development.
Effectiveness of Allium cepa L. Compress in Reducing Body Temperature Among Under-Five Children with Acute Respiratory Infections: A Quasi-Experimental Study Zen, Dini Nurbaeti; Wibowo, Daniel Akbar
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.626

Abstract

Background: Acute Respiratory Infections (ARI) are among the most common illnesses affecting children under five and are often accompanied by fever. Inadequately managed fever may lead to discomfort and potential complications. One complementary therapy widely used in communities is the application of shallot (Allium cepa L.) compresses. This study aimed to analyze the effectiveness of Allium cepa L. compresses in reducing body temperature among toddlers with ARI. Methods: A quasi-experimental design with a pretest–posttest control group approach was employed. The study involved 48 toddlers, divided into 24 intervention and 24 control groups, selected using purposive sampling. Body temperature was measured using a digital thermometer. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: The mean body temperature in the intervention group decreased from 38.2°C before intervention to 36.6°C after intervention, with an average reduction of 1.63°C. Statistical analysis showed a significant effect (p < 0.05). The control group experienced a smaller decrease (0.28°C). There was a significant difference between the intervention and control groups, with a large effect size (r = 0.87). Conclusion: Allium cepa L. compresses are effective in reducing body temperature among toddlers with ARI and can be considered a non-pharmacological intervention in pediatric nursing practice, particularly in primary healthcare settings.