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THE EFFECTIVENESS LING TIEN KUNG EXERCISE ON SELF EFFICACY AND BLOOD PRESSURE IN HYPERTENSION PATIENTS Nindya, Anastasya; Rosaline, Mareta Dea; Tobing, Duma Lumban; Anggraeni, Diah Tika
Jurnal Ilmiah Keperawatan Vol 8 No 2 (2025): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Background: Hypertension is a common chronic disease in the community that requires prevention through a healthy lifestyle and high Self Efficacy to manage it effectively. Ling Tien Kung exercise therapy, a non-pharmacological approach for hypertension, involves body movements focusing on two core exercises: empet- empet anus and jinjit-jinjit. This study aims to assess the impact of Ling Tien Kung exercise therapy on Self Efficacy and blood pressure in hypertensive patients. Methods: The research employs a pre-experimental one-group pre-post test design, with 45 respondents selected through purposive sampling. Conducted twice a week over three weeks, data were collected using the General Self Efficacy Scale (GSES) questionnaire and a blood pressure observation sheet. Results: Analysis with the Wilcoxon Signed Rank Test revealed significant improvements in Self Efficacy and reductions in blood pressure before and after the intervention (p-value = 0.000 < 0.05). Conclusion: Thus, it can be concluded that Ling Tien Kung exercise therapy positively affects Self Efficacy and blood pressure in hypertensive patients, suggesting it can be a valuable complementary therapy for managing hypertension.
Aksi “Gulali”(Gerakan Pengendalian Diabetes Melitus) dengan Peer Health Coaching Program : Menuju Desa Siaga Dm Mareta Dea Rosaline; Diah Tika anggraeni; Duma Lumban Tobing; Santi Herlina; Arief Wahyudi Jadmiko; Sang Ayu Made Adyani; Lalu Ahmad Gamal; Marisa Syavitri Dilaga; Lina Berliana Togatorop; Clara Oktalia Cahyani; Syakia Retno Aditya Dwi Putri
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.25239

Abstract

ABSTRAK Diabetes Melitus (DM) merupakan ancaman kesehatan global dengan prevalensi yang meningkat signifikan, termasuk di Desa Kuta, Lombok Tengah. Literasi kesehatan dan efikasi diri menjadi hambatan utama dalam manajemen penyakit dan pencegahan komplikasi DM. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan masyarakat melalui Aksi GULALI (Gerakan Pengendalian Diabetes Melitus) dengan pendekatan Peer Health Coaching. Peserta berjumlah 55 orang dari Desa Kuta. Intervensi meliputi pelatihan Peer Health Coaching bagi kader dan keluarga yang mencakup tanda gejala DM, komplikasi, aktivitas fisik, pemantauan glukosa darah, kepatuhan terapi farmakologis, serta deteksi dini kaki diabetik menggunakan monofilament test. Selain itu, dilakukan skrining kadar gula darah yang berkolaborasi dengan Puskesmas Kuta. Evaluasi dilakukan menggunakan pre-test dan post-test yang dianalisis dengan uji Wilcoxon Signed-Rank. Mayoritas responden adalah perempuan (72,7%) dengan rata-rata usia 45,2 tahun. Hasil analisis menunjukkan peningkatan signifikan pada rata-rata skor pengetahuan dari 2,89 (48,15%) menjadi 4,32 (72%) dengan nilai p = 0,001. Proporsi peserta berpengetahuan tinggi meningkat dari 28,3% menjadi 68,3%. Program GULALI efektif meningkatkan pengetahuan masyarakat mengenai pengendalian DM dan perawatan kaki diabetik. Sinergi antara kader, keluarga, dan tenaga kesehatan setempat menjadi kunci keberhasilan program menuju Desa Siaga DM. Kata Kunci: Diabetes Melitus,GULALI, Gerakan Pengendalian Diabetes Melitus,Peer Health Coaching Program.  ABSTRACT Diabetes Mellitus (DM) is a global health threat with significantly increasing prevalence, including in Kuta Village, Central Lombok. Low health literacy and self-efficacy are major barriers to disease management and complication prevention. This community service activity aims to increase public knowledge through the GULALI Program (Diabetes Mellitus Control Movement) using a Peer Health Coaching approach. The participants consisted of 55 individuals from Kuta Village. The intervention included Peer Health Coaching training for cadres and families covering DM symptoms, complications, physical activity, blood glucose monitoring, pharmacological therapy adherence, and early detection of diabetic foot using the monofilament test. Additionally, capillary blood glucose screening was conducted in collaboration with the Kuta Health Center. Evaluation was performed using pre-test and post-test, analyzed with the Wilcoxon Signed-Rank test.The majority of respondents were female (72.7%) with an average age of 45.2 years. The analysis results showed a significant increase in the average knowledge score from 2.89 (48.15%) to 4.32 (72%) with a p-value = 0.001. The proportion of participants with high knowledge increased from 28.3% to 68.3%. The GULALI Program is effective in increasing community knowledge regarding DM control and diabetic foot care. Synergy between cadres, families, and local health workers is the key to the success of the program towards a DM Alert Village. Keywords: Diabetes Mellitus, Family, GULALI (Diabetes Mellitus Control Movement), Health Cadres, Family, Peer Health Coaching.
Program Noska : Pemberdayaan Keluarga dalam Deteksi Dini dan Pencegahan Sindrom Koroner Akut di Kelurahan Limo, Depok Diah Tika Anggraeni; Mareta Dea Rosaline; Iwan Sulistio Wibowo; Adya Alqasha; Fadhillah Regita; Zata Ismah Shabrina; Akmal Hidayatullah Hidayatullah; Saidah Alawiyah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.25005

Abstract

ABSTRAK Sindrom Koroner Akut (SKA) merupakan salah satu penyebab utama kematian di Indonesia, dengan prevalensi 1,5% dan kontribusi signifikan terhadap tingginya angka mortalitas. Kurangnya pengetahuan masyarakat mengenai gejala awal dan tindakan pra-rumah sakit sering menyebabkan keterlambatan penanganan. Program “NOSKA” (Nol Kasus Nol Mortalitas SKA) dikembangkan sebagai upaya pemberdayaan keluarga dalam deteksi dini, pencegahan, dan penatalaksanaan awal SKA di Kelurahan Limo, Depok. Metode yang digunakan adalah penyuluhan kesehatan dengan pendekatan Participatory Action Research (PAR) berbasis edukatif-partisipatif, yang dilaksanakan melalui tahapan analisis situasi, pemberdayaan keluarga, dan evaluasi program menggunakan desain pre–post evaluation. Hasil evaluasi menunjukkan adanya peningkatan signifikan pengetahuan keluarga mengenai faktor risiko, gejala, dan kesiapsiagaan menghadapi serangan jantung, dengan skor rata-rata meningkat dari 73,21 menjadi 95,92 (p = 0,000). Selain itu, 85% peserta mampu mengidentifikasi gejala awal SKA dengan benar berdasarkan observasi keterampilan. Temuan ini menunjukkan bahwa program NOSKA efektif dalam meningkatkan pengetahuan, kesadaran, dan kemampuan respons dini keluarga terhadap SKA. Program ini memiliki potensi untuk dikembangkan sebagai model intervensi pencegahan berbasis masyarakat yang berkelanjutan. Kata Kunci: Deteksi Dini, Pemberdayaan Keluarga,  Pencegahan, Sindrom Koroner Akut.  ABSTRACT Acute Coronary Syndrome (ACS) is one of the leading causes of mortality in Indonesia, with a prevalence of 1.5% and a substantial contribution to national death rates. Limited public knowledge regarding early symptoms and pre-hospital actions often results in delayed treatment. The “NOSKA” Program (Zero Cases Zero Mortality of ACS) was developed to empower families in the early detection, prevention, and initial management of ACS in Limo District, Depok. The method used is health education with an educational-participatory Participatory Action Research (PAR) approach, which is implemented through the stages of situation analysis, family empowerment, and program evaluation using a pre-post evaluation design.  Evaluation results showed a significant improvement in family knowledge regarding risk factors, symptoms, and preparedness for heart attack emergencies, with average scores increasing from 73.21 to 95.92 (p = 0.000). Additionally, 85% of participants were able to correctly identify early ACS symptoms based on observations from skill assessments.These findings indicate that the NOSKA program effectively enhances family knowledge, awareness, and early response capabilities related to ACS. The program demonstrates strong potential to be developed as a sustainable community-based prevention model. Keywords : Acute Coronary Syndrome, Early Detection, Family Empowerment, Prevention
EFFECT OF DIABETES CARE (DM CARE) ON ANXIETY AND BLOOD GLUCOSE LEVELS DIABETES MELITUS PATIENTS Mareta Dea Rosaline; Duma Lumban Tobing; Diah Tika Anggraeni
Jurnal Ilmiah Keperawatan Vol 9 No 1 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder commonly associated with physical and psychological complications, including anxiety. Optimal diabetes management requires effective self-care management, which can be enhanced through structured Diabetes Self-Management Education (DSME). The integration of digital health technology, such as mobile-based educational applications, offers a promising strategy to support diabetes management in primary healthcare settings. This study aimed to determine the effect of the Diabetes Care (DM Care) application on anxiety levels and blood glucose levels among patients with T2DM. A quantitative pre experimental study with a one-group pretest–posttest design was conducted at Limo Primary Health Center, Grogol Subdistrict, Depok City. A total of 40 patients with T2DM were recruited using consecutive sampling. The intervention consisting of DSME is delivered through an Android-based DM Care application . Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), and blood glucose levels were assessed as random blood glucose using a glucometer. The data were analyzed using the Wilcoxon Signed Rank Test with a significance level of p < 0.05. The results showed a significant reduction in anxiety levels and blood glucose levels following the intervention. The mean anxiety score decreased from 30.40 to 7.50, while the mean random blood glucose level decreased from 213.88 mg/dL to 127.88 mg/dL (p = 0.000). In conclusion, the DM Care application significantly reduced anxiety levels and blood glucose levels among patients with T2DM and may serve as an effective digital nursing intervention to improve self-care management and clinical outcomes in primary healthcare settings
Tingkat Pengetahuan, Sikap, dan Motivasi terhadap Kepatuhan Pelaksanaan Ventilator Associated Pneumonia Bundle di Ruang Intensive Care Unit Diah Tika Anggraeni; Syifa Putri Salsabila; Eneng Hasanah
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 15 No 3 (2023): JIKM Vol. 15, Edisi 3, Agustus 2023
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v15i3.500

Abstract

Latar Belakang: Ventilator Associated Pneumonia (VAP) menjadi salah satu infeksi paling umum di ICU yang terjadi akibat pemakaian ventilator selama lebih dari 48 jam. Dampak VAP pada pasien yaitu memperpanjang hari rawat, meningkatkan biaya perawatan, dan risiko kematian. Kejadian VAP dapat dicegah dengan VAP Bundle yang telah terbukti dapat menurunkan angka kejadian VAP. Pelaksanaan VAP Bundle merupakan indikator mutu pelayanan keperawatan di ruang ICU. Salah satu faktor keberhasilan dari VAP Bundle adalah kepatuhan melakukan perawatan. Penelitiannini bertujuan untukkmenganalisis hubunganipengetahuan, sikap, danimotivasi perawattdengan kepatuhan pelaksanaan VAP Bundle. Metode: Metode yang digunakan yaitu cross sectional dilakukan pada Mei-Juni 2022. Sampel sebanyak 30 perawat ICU di RS X Bogor dipilih secara total sampling. Wawancara daring mengenai pengetahuan, sikap, motivasi, dan kepatuhan pelaksanaan VAP Bundle dikumpulkan menggunakan kuesioner. Data tersebut diuji menggunakan Fisher’s exact. Hasil: Studi ini menemukan hubungan yang signifikan antara pengetahuan dengan kepatuhan pelaksanaan VAP Bundle (p=0,0001), sedangkan sikap dan motivasi tidak berhubungan dengan kepatuhan (p=0,418; 0,694). Kesimpulan: Terdapat hubungan yang signifikan antara pengetahuan dengan kepatuhan dalam pelaksanaan VAP Bundle di ruang ICU. Perlunya monitoring secara berkala oleh manajer keperawatan terkait kepatuhan pelaksanaan VAP Bundle. Sistem reward dan punishment serta refreshing melalui pelatihan menjadi upaya yang esensial untuk mengurangi kejadian VAP di ruang ICU. Kata Kunci: Kepatuhan, Motivasi, Pengetahuan, Sikap, VAP Bundle Level of knowledge, Attitudes and Motivation with Compliance of the Implementation of Ventilator-associated Pneumonia Bundle in the Intensive Care Unit Background: Ventilator-Associated Pneumonia (VAP) is one of the most common infections in the ICU that occurs as a result of using a ventilator for more than 48 hours. The impact of VAP on patients is extending the day of stay, increasing the cost of treatment, and the risk of death. VAP incidents can be prevented with the VAP Bundle which has been proven to reduce the number of VAP. Implementation of the VAP Bundle is an indicator of the quality of nursing services in the ICU. One of the success factors of the VAP Bundle is adherence to maintenance. This study aimed to analyze the relationship between knowledge, attitudes, and motivation of nurses with compliance with VAP Bundle implementation. Method: A cross sectional study performed during May-June 2022. About 30 ICU nurses at RS X Bogor was selected using total sampling. Online interviews regarding knowledge, attitudes, motivation and compliance with the implementation of the VAP Bundle were collected using a questionnaire. The data was tested with Fisher's exact. Results: This study found a significant relationship between knowledge and compliance with the VAP Bundle implementation (p = 0.0001), while attitudes and motivation were not related to compliance (p = 0.418; 0.694). Conclusion: There is a significant relationship between knowledge and compliance in the implementation of the VAP Bundle in the ICU. The need for regular monitoring by nursing managers regarding compliance with the implementation of the VAP Bundle. The reward and punishment system as well as refreshing through training are essential efforts to reduce the incidence of VAP in the ICU. Keywords: Attitude, Compliance, Knowledge, Motivation VAP Bundle