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Status Kesehatan Lansia Yang Bekerja utomo, agus setyo
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 3 No 1 (2017): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

Abstract: The life expectancy of the population in East Java increased until the period 2015-2020 to73.2 years. Along with the increase of age followed by a decline in physical ability so it is not uncommonto health concerns felt by the elderly. However, many elderly are still working to make ends meet. Thepurpose of this study to analyze the relationship of elderly activity useful (load activity, physical mobility,social interaction) with health status. This study was cross sectional study. The population in thisstudy were all elderly people who work some 215 people. While the sample is mostly elderly people whowork by simple random sampling technique sampling and sample size of 140 respondents. This studyused logistic regression analysis with the results of the independent variables jointly affect the healthstatus of respondents with significant value Workload (Sig. = 0.000), Mobility (Sig. = 0.010) andInteraction (Sig = 0.000)). Selection of work for the elderly should not have a heavy workload, there isno competition and deadlines.

PENGARUH JUS TOMAT TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI LANSIA Hidayah, Nurul; Utomo, Agus Setyo; D, Denys
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Mengatasi masalah hipertensi ada dua alternative yang bisa diberikan bagi penderita hipertensi yaitu dengan metode farmakologi maupun non farmakologis (secara tradisional). Penanganan farmakologi terdiri atas pemberian obat yang bersifat diuretik, penghambat saluran kalsium (ccb), betabloker, dan Penghambat ACE. Pengobatan non farmakologi salah satunya yaitu menggunakan Tomat. Tujuan penelitian adalah untuk mengetahui adanya perubahan tekanan darah pada penderita hipertensi yang mengonsumsi jus tomat di Kecamatan Lawang Kabupaten Malang pada 8-15 Juli 2016. Dengan metode penelitian Quasi eksperiment yang menggunakan pre test dan post test design. Populasi dalam penelitian ini adalah seluruh penderita hipertensi lansia yang belum pernah mengonsumsi jus tomat dan periksa rutin tekanan darah di Lawang yaitu sebanyak 30 orang. Dari hasil penelitian menunjukan bahwa nilai rata-rata tekanan darah awal 156/92 mmH dan rata-rata tekanan darah sesudah 142.33/88.52 mmHg. Ada perubahan pemberian jus tomat terhadap penurunan tekanan darah sistolik dan diastolik. Sistolik sejumlah 5.33 - 1.00 mmHg dan Diastolik sejumlah 1.64 - 0.33 mmHg. Perbedaan tekanan darah sebelum dan sesudah mengkonsumsi jus tomat pada responden yang diuji dengan Paired T Test . Hasil menunjukkan terjadi penurunan tekanan darah pada penderita hipertensi dengan nilai Pvalue=0,000<a=0,05. Hal ini menunjukkan ada pengaruh yang signifikan jus tomat terhadap penurunan tekanan darah pada penderita hipertensi dengan nilai p = 0,000. Hasil penelitian ini di dapat p value 0,00 < 0,05 yang berarti h0 ditolak dikarenakan sig. (2-tailed) lebih kecil dari ?, artinya ada pengaruh setelah diberikan jus tomat terhadap tekanan darah penderita hipertensi. Kata kunci: Hipertensi lansia, Jus Tomat, Tekanan Darah

Model of Back Acupressure, Infant Attachment-Position, and Breast Massage on Breast Milk Factors Nurul Pujiastuti; Agus Setyo Utomo; Mustayah Mustayah
Health Notions Vol 5, No 11 (2021): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn51103

The most common cause of failure in the breastfeeding process is due to various problems experienced by breastfeeding mothers. One of the causes breastfeeding failure is the mother feels that the milk does not come out or only comes out a little. Efforts that can be made to stimulate milk production are combination of complementary therapies, namely back acupressure, baby positioning and attachment, breast massage. The purpose of the study was to analyze the model of mother’s back acupressure, baby position and attachment, breast massage on colostrum and milk production secretion. The research design was descriptive explanatory survey. The sample size was determined based on the rule of the thumb (5 x the number of parameters studied). There were 18 parameters in this study, so the required sample size was 5 x 18 = 90 respondents. The sample was 90 breastfeeding mothers with purposive sampling technique. The sample criteria were mothers who breastfeed babies aged 0-6 months with spontaneous delivery in Sidoarjo Regency. The research was carried out in July-August 2021. Data analysis with structural equation-partial least square (PLS). The results showed that there was an influence of breastfeeding mothers on back acupressure factors, baby position and attachment, breast massage (T=2.587), health care factors on breastfeeding factors (1.957), back acupressure factors, baby position and attachment, breast massage on breastfeeding factors (2,132). Back acupressure, baby positioning and attachment, breast massage can help increase colostrum secretion and breast milk production for breastfeeding mothers. Furthermore, further research can be carried out related to hormonal levels of breastfeeding mothers.Keywords: back acupressure; breast massage; attachment-position

Status Kesehatan Lansia Yang Bekerja agus setyo utomo
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 3 No 1 (2017): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v(3)i(1)y(2017).page:8-13

Abstract: The life expectancy of the population in East Java increased until the period 2015-2020 to73.2 years. Along with the increase of age followed by a decline in physical ability so it is not uncommonto health concerns felt by the elderly. However, many elderly are still working to make ends meet. Thepurpose of this study to analyze the relationship of elderly activity useful (load activity, physical mobility,social interaction) with health status. This study was cross sectional study. The population in thisstudy were all elderly people who work some 215 people. While the sample is mostly elderly people whowork by simple random sampling technique sampling and sample size of 140 respondents. This studyused logistic regression analysis with the results of the independent variables jointly affect the healthstatus of respondents with significant value Workload (Sig. = 0.000), Mobility (Sig. = 0.010) andInteraction (Sig = 0.000)). Selection of work for the elderly should not have a heavy workload, there isno competition and deadlines.

PENGARUH JUS TOMAT TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI LANSIA Nurul Hidayah; Agus Setyo Utomo; Denys D
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ijhs.v0i0.1525

Mengatasi masalah hipertensi ada dua alternative yang bisa diberikan bagi penderita hipertensi yaitu dengan metode farmakologi maupun non farmakologis (secara tradisional). Penanganan farmakologi terdiri atas pemberian obat yang bersifat diuretik, penghambat saluran kalsium (ccb), betabloker, dan Penghambat ACE. Pengobatan non farmakologi salah satunya yaitu menggunakan Tomat. Tujuan penelitian adalah untuk mengetahui adanya perubahan tekanan darah pada penderita hipertensi yang mengonsumsi jus tomat di Kecamatan Lawang Kabupaten Malang pada 8-15 Juli 2016. Dengan metode penelitian Quasi eksperiment yang menggunakan pre test dan post test design. Populasi dalam penelitian ini adalah seluruh penderita hipertensi lansia yang belum pernah mengonsumsi jus tomat dan periksa rutin tekanan darah di Lawang yaitu sebanyak 30 orang. Dari hasil penelitian menunjukan bahwa nilai rata-rata tekanan darah awal 156/92 mmH dan rata-rata tekanan darah sesudah 142.33/88.52 mmHg. Ada perubahan pemberian jus tomat terhadap penurunan tekanan darah sistolik dan diastolik. Sistolik sejumlah 5.33 - 1.00 mmHg dan Diastolik sejumlah 1.64 - 0.33 mmHg. Perbedaan tekanan darah sebelum dan sesudah mengkonsumsi jus tomat pada responden yang diuji dengan Paired T Test . Hasil menunjukkan terjadi penurunan tekanan darah pada penderita hipertensi dengan nilai Pvalue=0,000a=0,05. Hal ini menunjukkan ada pengaruh yang signifikan jus tomat terhadap penurunan tekanan darah pada penderita hipertensi dengan nilai p = 0,000. Hasil penelitian ini di dapat p value 0,00 0,05 yang berarti h0 ditolak dikarenakan sig. (2-tailed) lebih kecil dari ɑ, artinya ada pengaruh setelah diberikan jus tomat terhadap tekanan darah penderita hipertensi. Kata kunci: Hipertensi lansia, Jus Tomat, Tekanan Darah

Efektivitas antara Brisk Walk Exercise dan Relaksasi Otot Progresif terhadap Penurunan Kadar Gula Darah pada Diabetes Mellitus tipe 2 Winda Yunita Miftahul Jannah; Nurul Hidayah; Agus Setyo Utomo
Jurnal Keperawatan Terapan Vol 5 No 1 (2019): JURNAL KEPERAWATAN TERAPAN
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v5i1.491

Blood sugar levels in patients with diabetes mellitus type 2 can be reduced with walk-through brisk therapy and progressive muscle relaxation. This is because when walking exercise is done regularly can stimulate glycogen synthesis through increased action of insulin and stimulate glucose transport by GLUT4 glucose transporer. Meanwhile, when progressive muscle relaxation is done regularly able to inhibit the pathor stressor thus reinforcing the positive attitude to stress stimulation and resulted in reduced hypothalamus. This study aims to determine the effectiveness between Brisk Walk Exercise and Progressive Muscle Relaxation on the decrease of blood glucose level in Diabetes Mellitus Type 2. The design of this study used Quasy Experimental with Pre test and Post Test Group Design with consecutive sampling. The sample consists of 30 respondents, divided into 2 groups: Brisk Walk Exercise group and Progressive Muscle Relaxation group. The result of Paired T test of Brisk Walk Exercise was obtained p is 0,000, this means that there is a significant difference. While in the Progressive Muscle Relaxation group the p is 0.000, this means there is a significant difference. In Paired T test, p is 0,000, means that there is significant difference between Brisk Walk Exercise and Progressive Muscle Relaxation. Nurses are expected to apply non pharmacological therapy such as Brisk Walk Exercise and Progressive Muscle Relaxation as an alternative therapy an easy patient choice to do to lower blood sugar levels.

PERAN KELUARGA DALAM PENGELOLAAN CEMAS LANJUT USIA YANG MENGALAMI HIPERTENSI DI WILAYAH KERJA PUSKESMAS RAMPAL CELAKET KOTA MALANG (STUDI KASUS) Lucia Retnowati; Hana Diah; Agus Setyo Utomo
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 15 No 2 (2023): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v15i2.972

People with hypertension are easily anxious because high blood pressure tends to require relatively long treatment, there is a risk of complications and can shorten life. Anxiety with strong intensity and negative nature can interfere with the physical and psychological state of the individual. Elderly people with hypertension who experience anxiety need a family role to be able to accept their current condition. This research is a descriptive case study with one family member as the research subject and was conducted on March 21-April 01, 2023. This studyused interview techniques, questionnaires, and triangulation in data collection. Criteria and sample are older that has informed consent, have cooperation, more than 60 years old. The data are presented in the form of a narrative and are accompanied by snippets of verbal expressions from the subjects of the study. The results showed that there was an increase in the role of the family as a supporter after being given an education. This is evidenced by an increase in questionnaire scores and statements from family and elderly interviews. The family can continue to increase knowledge and implement its role as a supporter. Elderly who have been given support are expected to manage anxiety as motivation to improve their health status.

PENINGKATAN PENGELOLAAN HIPERTENSI PADA LANSIA MELALUI EDUKASI TERAPI BIJI KACANG HIJAU BERBASIS MASYARAKAT DI DESA SUMBERPORONG, KABUPATEN MALANG UTOMO, AGUS SETYO; HIDAYAH, NURUL
COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2024)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/community.v4i2.3325

Elderly in Indonesia face a high prevalence of chronic diseases, particularly hypertension. This study aimed to enhance knowledge and skills among the elderly in managing hypertension through mung bean seed therapy. The method employed was participatory with an educational and practical approach, involving 20 elderly participants in Sumberporong Village, Malang Regency. Activities included interactive counseling, demonstrations, and hands-on practice of mung bean seed therapy. Data were collected through pre-tests, post-tests, and direct observation. Results showed significant improvements in understanding heart organ therapy targets on hand fingers (55%) and locating therapy points (80%). Practical skills in applying mung bean seeds increased by 80%. Hypertension management awareness rose from 40% to 95%. Participant satisfaction reached 95%, with 90% committing to apply the therapy and 85% willing to recommend it to others. The program's success was attributed to interactive teaching methods, direct demonstrations, and a practical approach aligned with cognitive and behavioristic learning theories. Increased self-efficacy among participants also contributed to the program's success. In conclusion, this program effectively improved knowledge and skills among the elderly in managing hypertension through mung bean seed therapy. Similar programs have the potential to be implemented in other communities to strengthen public health through a holistic and participatory approach. ABSTRAKLansia di Indonesia menghadapi prevalensi penyakit kronis yang tinggi, terutama hipertensi. Penelitian ini bertujuan untuk meningkatkan pengetahuan dan keterampilan lansia dalam mengelola hipertensi melalui terapi biji kacang hijau. Metode yang digunakan adalah partisipatif dengan pendekatan edukatif dan praktis, melibatkan 20 lansia di Desa Sumberporong, Kabupaten Malang. Kegiatan meliputi penyuluhan interaktif, demonstrasi, dan praktik langsung terapi biji kacang hijau. Data dikumpulkan melalui pre-test, post-test, dan observasi langsung. Hasil menunjukkan peningkatan signifikan dalam pemahaman target terapi organ jantung di jari tangan (55%) dan cara mencari lokasi titik terapi (80%). Keterampilan praktis dalam menempelkan biji kacang hijau meningkat sebesar 80%. Kesadaran manajemen hipertensi meningkat dari 40% menjadi 95%. Tingkat kepuasan peserta mencapai 95%, dengan 90% berkomitmen untuk menerapkan terapi dan 85% bersedia merekomendasikan kepada orang lain. Keberhasilan program ini dikaitkan dengan metode pengajaran interaktif, demonstrasi langsung, dan pendekatan praktis yang sejalan dengan teori pembelajaran kognitif dan behavioristik. Peningkatan self-efficacy peserta juga berkontribusi pada keberhasilan program. Kesimpulannya, program ini efektif dalam meningkatkan pengetahuan dan keterampilan lansia dalam mengelola hipertensi melalui terapi biji kacang hijau. Program serupa berpotensi diterapkan di komunitas lain untuk memperkuat kesehatan masyarakat melalui pendekatan holistik dan partisipatif.

PELATIHAN CARING BERBASIS TEORI WATSON BAGI PERAWAT PREOPERATIF SE-MALANG RAYA Bachtiar, Arief; Utomo, Agus Setyo; Hidayah, Nurul
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 3 (2024): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v4i3.1968

Perawat di Indonesia beberapa kali menjadi sorotan utama baik oleh media massa maupun elektronik. Penyebabnya adalah karena perilaku caring perawat yang kurang sehingga berdampak pada kecemasan dan keselamatan pasien, kepuasan pasien serta kualitas layanan keperawatan kepada pasien. Program kemitraan masyarakat ini dilakukan dengan tujuan agar perawat khususnya yang bekerja di ruang bedah memiliki pengetahuan yang baik tentang perilaku caring perawat dan mampu menerapkan perilaku caring sehingga tingkat kecemasan pasien yang akan menjalani tindakan operasi bisa diturunkan. Metode pelaksanaan pengabdian masyarakat terdiri dari persiapan, pelaksanaan, dan evaluasi. Kegiatan pengabmas dilaksanakan di kampus utama Poltekkes Kemenkes Malang dan dan di 9 rumah sakit di Malang Raya dimana mereka memberikan asuhan keperawatan pasien yang akan menjalani tindakan operasi. Pelaksanaan pengabdian di bagi dalam tiga tahap, pendidikan di kelas, praktik perilaku caring di tempat kerja masing-masing dan feedback aplikasi perilaku caring di kelas kembali. Hasil pengabdian masyarakat dalam aspek pengetahuan caring meningkat dari rata-rata skor 67,11 menjadi 84,59. Sementara, dalam aspek perilaku caring terjadi peningkatan rata-rata skor perilaku caring yang relative kecil yaitu dari 5,378 menjadi 5,382. Hasil ini membuktikan bahwa pelatihan caring mampu meningkatkan pengetahuan perawat preoperatif secara signifikan (p value = 0,001), namun belum tampak terjadi peningkatan perilaku caring perawat (p value = 0,973). Diharapkan dengan kegiatan ini terjadi peningkatan pengetahuan perawat tentang caring, dan minimal bisa mempertahankan perilaku caring pasien

PENERAPAN SENAM HIPERTENSI SEBAGAI INTERVENSI NON-FARMAKOLOGIS PADA LANSIA DI PUSKESMAS ARJUNO KOTA MALANG Lucia Retnowati; Aminatus Sulfa Laili Fitria; Agus Setyo Utomo
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 16 No 2 (2024): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v16i2.1076

Hypertension in the elderly poses significant health challenges, so effective non-pharmacological interventions are needed. This study aims to evaluate the effectiveness of hypertension gymnastics as a non-pharmacological intervention for elderly patients at the Arjuno Health Center, Malang City. The research method used was a qualitative case study, which involved two elderly subjects with hypertension over a period of two weeks. Data collection was carried out through in-depth interviews, direct observation, and blood pressure measurements before and after the gymnastics intervention. This hypertension gymnastics program includes light to moderate aerobic exercise and flexibility training. The results showed a consistent decrease in blood pressure in both participants, with an average decrease in systolic pressure of 10-15 mmHg and diastolic pressure of 5-10 mmHg over the study period. In addition, participants showed increased knowledge about hypertension management and motivation to engage in physical activity. Subjective symptoms such as headaches and sleep disturbances also improved. The effectiveness of hypertension exercises in this study was achieved through a dose of exercise in the form of a frequency of 4 times per week with a duration of 30 minutes per session, which was proven to provide a significant reduction in blood pressure. This gymnastics program emphasizes light to moderate intensity aerobic exercise, which has been shown to help improve cardiovascular function and lower vascular resistance. This research contributes to the development of scientific evidence regarding the effectiveness of structured gymnastics programs in the management of hypertension in the elderly. These results confirm the importance of hypertension gymnastics as an integral part of primary care strategies for hypertensive elderly patients, emphasizing the importance of a tailored non-pharmacological approach to improve blood pressure control and overall quality of life.

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