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Hubungan Kecemasan dengan Kadar Nilai Glukosa Darah Pasien Diabetes Melitus di RSUD Fakfak Apricilia Yuniarti Talla; Erna Melastuti; Indah Sri Wahyuningsih
Jurnal Siti Rufaidah Vol. 3 No. 3 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i3.230

Abstract

Diabetes mellitus is a chronic metabolic disease that affects not only the physical condition but also the psychological aspect of patients, particularly anxiety. This psychological condition can influence blood glucose stability and potentially worsen the clinical state of patients. The aim of this study was to analyze the relationship between anxiety and blood glucose levels among patients with diabetes mellitus at Fakfak General Hospital. The study applied a quantitative approach using an observational analytic method with a cross-sectional design. The sample consisted of 50 patients selected through total sampling. Anxiety data were collected using a questionnaire, while blood glucose levels were obtained from laboratory results. Data were analyzed using univariate and bivariate methods with the Chi-Square test at a significance level of p < 0.05. The findings showed that most patients experienced anxiety (96%) and the majority had normal blood glucose levels (70%). The Chi-Square test revealed a p-value of 0.000, indicating a significant relationship between anxiety and blood glucose levels in patients with diabetes mellitus at Fakfak General Hospital. This study highlights the importance of addressing psychological conditions as part of a comprehensive diabetes management program. It is recommended that health care services provide special attention to anxiety management as an effort to improve the quality of life of diabetic patients.
Pengaruh Metode Edukasi Flipped Classroom terhadap Peningkatan Pengetahuan Kader Posyandu mengenai Pengukuran Antropometri Balita di Desa Bumiharjo Ngesti Setyawati; Mohammad Arifin Noor; Indah Sri Wahyuningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2314

Abstract

Posyandu plays a crucial role in improving community health, particularly in monitoring the growth and development of children during the golden age. However, limitations in the knowledge and skills of Posyandu cadres are still frequently found, especially regarding anthropometric measurement of toddlers. This study aims to examine the effect of the flipped classroom educational method on the knowledge improvement of Posyandu cadres in anthropometric measurement of toddlers in Bumiharjo Village. This research employed a quasi-experimental design with a pretest-posttest control group. A total of 38 respondents were recruited and divided into two groups: the intervention group, which received education using the flipped classroom method, and the control group, which did not receive the same treatment. Data analysis was conducted using the Wilcoxon Signed Rank Test, Mann Whitney U Test, and ANCOVA to control for baseline differences. The results showed a significant improvement in knowledge in the intervention group after treatment (p=0.000), with the proportion of respondents in the “good” knowledge category increasing from 5.3% to 36.8%. In the control group, improvement was observed but limited (p=0.003), with no respondents reaching the “good” category. The Mann Whitney test indicated significant differences in posttest scores between the groups (p=0.000). Furthermore, ANCOVA analysis confirmed that after controlling for pretest scores, posttest scores remained significantly different (F=6.771; p=0.013). In conclusion, the flipped classroom method effectively improves the knowledge of Posyandu cadres regarding toddler anthropometric measurement. This strategy can serve as an innovative and sustainable alternative for cadre training, ultimately enhancing Posyandu service quality in addressing nutritional and health issues among toddlers.
Pengaruh Intervensi Mindfulness dan Berdzikir terhadap Kecemasan pada Keluarga Pendamping Pasien Tahap Terminal di Ruang ICU Kukuh Feri Setyawan; Mohammad Arifin Noor; Indah Sri Wahyuningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2317

Abstract

Families of terminal patients often experience anxiety triggered by the deterioration of the patient’s condition, limited information received, and feelings of loss due to facing separation from their loved ones in a critical situation. This anxiety may occur at varying levels, ranging from mild to panic, and if not properly managed, it can affect the psychological well-being of family members as well as their ability to support the patient. Therefore, appropriate interventions are needed to help reduce the psychological burden of families. One approach that can be applied is mindfulness combined with dhikr, which integrates full awareness with spiritual practice to calm thoughts and emotions. This study employed a quasi-experimental design with a one-group pretest–posttest approach without a control group, involving 20 respondents who were family members accompanying terminal patients in the ICU. Respondents were selected using total sampling according to the inclusion criteria. The research instrument consisted of an anxiety observation questionnaire, and data were analyzed using the Wilcoxon test. The results showed that before the intervention, all respondents experienced anxiety at different levels. After the intervention, there was a significant reduction, with 14 respondents (70%) in the mild anxiety category and 6 respondents (30%) reporting no anxiety. The Wilcoxon test yielded a p-value of 0.000 (<0.05), indicating a statistically significant difference between pre- and post-intervention. In conclusion, mindfulness and dhikr interventions were effective in reducing anxiety among family members accompanying terminal patients in the ICU. This method can be recommended as a spiritually based psychological support strategy to help families cope with critical situations more calmly and adaptively.
Protret Dukungan Keluarga pada Pasien Kanker yang Menjalani Kemoterapi Wahyuningsih, Indah Sri; Janitra, Fitria Endah; Wijayanti, Kurnia; Susanti, Heni
Prosiding University Research Colloquium Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Abstract

Latar Belakang : Proses dari kemoterapi seringkali menimbulkan kecemasan yang berlebih bagi pasien kanker. Dukungan keluarga berperan penting dalam mendukung keberhasilan dari proses kemoterapi. Dukungan yang diberikan oleh keluarga dapat membuat rasa percaya diri, menurunkan kecemasan dan dapat meningkatkan motivasi pasien kanker untuk menjalani kemoterapi. Tujuan dari penelitian ini adalah untuk mengetahui potret dukungan keluarga pada pasien kanker yang menjalani kemoterapi. Metode : Penelitian ini merupakan penelitian kuantitatif non-eksperimental dengan pendekatan cross sectional. Teknik pengumpulan sampel dengan purposive cluster random sampling dengan jumlah responden sebanyak 128 pasien kanker di dua ruang perawatan Rumah Sakit Islam Sultan Agung Semarang. Pengumpulan data menggunakan kuesioner dukungan keluarga pada pasien kanker. Hasil : Hasil penelitian menunjukkan bahwa jumlah reponden tertinggi adalah usia 35-54 tahun sejumah 87 responden (68,0%) dengan tingkat pendidikan SMA 41 responden (32,0%), pekerjaan sebagai ibu rumah tangga sejumlah 54 responden (42,2%) dengan siklus kemoterapi III sejumlah 86 responden (67,2%), stadium kanker didapatkan stadium II dengan 66 responden (51,6%), dan terbanyak dirawat oleh anak sejumlah 49 responden (38,3%). Hasil penelitian responden dengan dukungan keluarga cukup sejumlah 96 responden (75,0%), dukungan keluarga kurang sejumlah 26 responden (20,3%) dan dukungan keluarga baik sejumlah 6 responden (4,7%). Simpulan : Dukungan keluarga pada pasien kanker dapat diketahui dari siklus kemoterapi, stadium kanker dan keluarga yang merawat.
Penerapan Psikoedukasi Keluarga untuk Meningkatkan Dukungan Keluarga dengan Pasien Kanker Janitra, Fitria Endah; Wahyuningsih, Indah Sri; Fatiha, Chilmia Nurul; Wibawa, Yan Adi
Prosiding University Research Colloquium Proceeding of The 10th University Research Colloquium 2019: Bidang Pengabdian Masyarakat
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Kelurahan Bandarharjo merupakan kelurahan dengan presentaserumah sehat yang paling rendah dibandingkan dengan kelurahanlain yaitu sebesar 66,25%. Kondisi lingkungan yang tidak sehatmemicu berbagai masalah salah satunya adalah kanker. Tercatatlebih dari 10 warga terkena kanker dan beberapa diantaranyamengalami kanker payudara. Kanker payudara yang disertai lukakronis, memiliki masalah yang kompleks dalam penanganannya,karena luka kanker sulit sembuh dan biasanya berbau, bernanah dandisertai infeksi sehingga memerlukan perawatan fisik dan psikologiskhusus. beberapa pasien kanker kurang mendapatkan dukungan darikeluarga sehingga kondisi pasien kanker terus mengalamiperburukan baik dari sisi fisik maupun psikologis. Terapipsikoedukasi telah terbukti dapat meningkatkan dukungan keluargapada berbagai kasus kesehatan. Oleh sebab itu tim pengabdianmasyarakat ingin menerapkan terapi psikoedukasi pada keluargayang dengan pasien kanker di Kelurahan Bandarharjo. Khalayaksasaran pada PPM ini adalah 5 keluarga dengan pasien kanker yangteridentifikasi kurang mendapatkan dukungan keluarga di KelurahanBandarharjo. Metode kegiatan yang dilaksanakan adalah diskusi danterapi keluarga. Kegiatan PPM ini dilaksanakan dalam 6 sesi dengantopic pendahuluan, cara merawat pasien, manajemen stress dankekambuhan, mengatasi hambatan dan sesi tindak lanjut. Evaluasikerja yang dilaksanakan meliputi evaluasi pengetahuan dankemampuan anggota keluarga dalam merawat anggota keluargayang sakit. Pengetahuan keluarga meningkat dari 45% menjadi 65%,dan dari hasil observasi kemampuan anggota keluarga dalammerawat anggota keluarga yang sakit. Dengan demikian dapatdisimpulkan bahwa psikoedukasi keluarga dapat meningkatkanpemahaman dan kemampuan keluarga dalam merawat anggotakeluarga dengan kanker. Selanjutnya akan diadakan programpendampingan pada warga Kelurahan Bandarharjo untuk dapatmemberikan dukungan social bagi penderita kanker.
Decubitus Risk Assessment Instruments in ICU Patients: Literature Review Supriyanti, Deni; Sulistyaningsih, Dwi Retno; Wahyuningsih, Indah Sri; Rochmawati, Dwi Happy
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5635

Abstract

Pressure ulcers can cause various problems for clients and hospitals. For patients, decubitus can cause extreme pain and discomfort, increase the length of stay (LOS), and quality indicators in the hospital cannot be achieved. The chronology of various factors means that a less standard decubitus assessment instrument will cause decubitus to continue to occur. This study aims to analyze the instruments used to prevent pressure ulcers in ICU patients. This study reviews eight relevant articles from 2019-2024. The results of a literature search of 2,662 journals resulted in a total of 15 journals being reviewed with the results of several studies using different pressure ulcer prevention instruments, including the Braden Scale, PUPrep, PUP Instrument, PIPGAI, COMHON, CFA, VALENT, PUKAT, KPUP, and RAPS, all instruments are used as decubitus detection instruments.
Literature Review: The Triage Optimization with Emergency Severity Index (ESI) Impact on Emergency Department Quality of Care Mariana, Mariana; Melastuti, Erna; Sari, Dyah Wiji Puspita; Wahyuningsih, Indah Sri
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5895

Abstract

Emergency Departments are critical healthcare units where efficient triage plays an important role in ensuring optimal patient care. The Emergency Severity Index (ESI) is a widely used triage system designed to improve prioritization and resource allocation. Proper use of ESI-based triage will improve the quality of care. Objective: This literature review aims to analyze the impact of ESI-based triage optimization on Emergency Department service quality. Methods: A systematic search was conducted using Google Scholar, PubMed, ResearchGate, and SciSpace databases, using the keywords: Emergency Severity Index (ESI), Emergency Department, Triage, using the PCC (Population, Concept, Context) approach. The article selection process used PRISMA which was then subjected to critical appraisal. The initial search was conducted through Google Scholar (5,521 articles), PubMed (2,019 articles), ResearchGate (881 articles), and SciSpace (99 articles). The process of removing duplicate articles left 8,151 articles, the initial screening of 8,125 articles was eliminated, so only 26 articles entered the further screening stage. From this process, 16 articles did not meet the criteria and were excluded. Finally, 10 articles that met the inclusion criteria were selected and reviewed. Results: The findings showed that ESI optimization improved patient flow, reduced waiting time, and improved resource utilization, leading to better clinical outcomes and patient satisfaction. Conclusion: implementation of an optimized ESI-based triage system contributes significantly to the efficiency and quality of Emergency Department care, emphasizing the need for consistent training and protocol adherence.
Peningkatan Kualitas Hidup Pasien Kanker Payudara Melalui Program BESTCARE (Breast Cancer Wound and Palliative Care) Endah Janitra, Fitria; Wijayanti, Kurnia; Wahyuningsih, Indah Sri; Apriyanti, Hani Werdi
Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS) Vol 3 No 1 (2020)
Publisher : University of Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jipemas.v3i1.4847

Abstract

The incidence of breast cancer increase every year, if didn’t controlled by the WHO estimates that there will be an increase of 30% and 70% in 2030. The patients often experience are complex problems such as the lack of self-confidence, pain in wounds and aesthetic problems. Postoperative patients or chemotherapy need proper care in order to achieve a good quality of life. The BESTCARE program aims to improve the quality of life of breast cancer patients through activities that can be carried out by cadres and patients. The methods was lectures, demonstrations and practices. While the media used are lectures, demonstrations, practices and wound care. The material presented includes the incidence of breast cancer, understanding, risk factors, conscious examination steps, wound care with modern dressing. Results: The team succeeded in forming a cancer care health, knowledge and understanding of the cadre of mam health increased from 50% to 85%, health cadres were able to make conscious movements from before 55% to 90%, an increase in the number of visits, decreased pain scale and wound care progress with modern dressing. Conclusion: The program of activities carried out by the Bestcare team was able to be carried out properly and as expected improving  the quality of life in palliative patients both  in the clinic or home visit.
Pengaruh Terapi Murrotal terhadap Tingkat Nyeri dan Kecemasan pada Pasien Pasca Tindakan Radiofrequency Muri Ambarwati; Indah Sri Wahyuningsih; Mohammad Arifin Noor
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1752

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This study aimed to evaluate the effect of murrotal therapy on pain and anxiety levels in patients after radiofrequency action. This study uses a quantitative approach with a pre-experimental design of one group pretest-posttest involving 50 post-radiofrequency patients at Sultan Agung Hospital Semarang. The research data were collected using the Numeric Rating Scale (NRS) instrument to assess pain levels and the Zung Self-Rating Anxiety Scale (SAS) to assess anxiety levels. Univariate analysis showed that most of the respondents were women with an average age of 44.04 years, included in the intermediate adult category. The results of bivariate analysis with the Wilcoxon Signed Rank Test showed a significant decrease in both pain and anxiety levels after being given murrative therapy, with a p-value of 0.000 for both variables. This shows that murrotal therapy is effective in providing psychological relaxation and spiritual distraction effects, so that it can reduce the intensity of pain while reducing anxiety in patients. Based on these findings, it can be concluded that murrotal therapy is a non-pharmacological intervention that is simple, safe, and easy to apply by health workers. It also has great potential as a complementary therapy that supports the management of pain and anxiety after medical procedures, especially invasive procedures such as radiofrequency. Thus, the application of murrotal therapy can be used as an additional alternative in improving the quality of nursing services in hospitals.
Pengaruh Relaksasi Otot Progresif terhadap Nyeri dan Tekanan Darah pada Penderita Hipertensi Almana Hithah Irli; Indah Sri Wahyuningsih; Mohammad Arifin Noor
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 2 (2025): March: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i2.1181

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One of the health issues that can lead to significant consequences, including heart disease and organ damage, is hypertension. For hypertensive patients, non-pharmacological treatments such as progressive muscle relaxation (PMR) offer an alternative to reduce discomfort and blood pressure. This study uses a quantitative methodology and a quasi-experimental design. For two weeks, 66 hypertensive patients from Puskesmas Bangetayu Semarang participated in the ROP intervention. The T-Test and Wilcoxon statistical tests were used to measure blood pressure and pain levels before and after the intervention. According to the Numeric Rating Scale (NRS), ROP therapy reduced pain from 2.68 to 1.76 and systolic blood pressure from an average of 150.15 mmHg to 133.64 mmHg. With a p-value of less than 0.05, statistical analysis revealed a significant difference. It has been proven that progressive muscle relaxation helps hypertensive individuals with their pain and blood pressure. This approach can be used both independently and in healthcare settings as a simple and safe non-pharmacological treatment. the effect of progressive muscle relaxation on pain and blood pressure in hypertensive patients