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APLIKASI HASIL PENELITIAN: PENGENDALIAN PENYAKIT TIDAK MENULAR MELALUI PEMBERIAN TERAPI KOMPLEMENTER DI KELURAHAN PLALANGAN KEC. GUNUNG PATI Mardiyono, Mardiyono; Sulistyowati, Dina Indrati Dyah; widiyanto, Budi
Jurnal Salingka Abdimas Vol 3, No 2 (2023)
Publisher : Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/jsam.v3i2.4792

Abstract

Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) sejalan dengan program asuhan keperawatan keluarga dalam penyakit tidak menular, stop merokok dan kepesertaan BPJS. Masalah Indeks Keluarga Sehat kelurahan Plalangan 0,147 termasuk kategori rendah, jauh dari IKS kota Semarang 0,308. Masyarakat Plalangan banyak mengalami risiko tinggi dan menderita penyakit tidak menular termasuk penyakit jantung, diabetes, asthma, dan kanker payu dara, Rahim serta status Kesehatan gigi dan mulud masih rendah. Pendekatan keluarga mencakup upaya promotif dan preventif serta kuratif sederhana dilakukan dirumah dan program posbindu dan prolanis oleh petugas. Upaya kuratif paripurna dilakukan di Puskesmas dan program PANDU terpadu dan prolanis oleh tenaga medis bagi penderita pnyakit tidak menular. Pengendalaian penyakit tidak menular ke buku peserta posbindu holistik, sehingga data pasien penyakit  tidak menular dapat dimasukkan dalam SIMPUS.Metode:  The study is participatory action research kepada petugas puskesmas dan kader posbindu. Pospulasi kelurahan Plalangan 836 KK terbagi 3 RW 17 RT dengan kategori keluarga tidak sehat, pra sehat, sehat dan menderita penyakit hipertensi, penyakit hantung diabetes, astma dan kanker. Pemberi asuhan dibagi 3 tim RW 1, 2, dan 3.Hasil deteksi dini hiperkolesterolemia 13 pasien (11,3%), asam urat tinggi 5 pasien (4,3%), diabetes melitus 9 pasien (7,8%), hipertensi 25 pasien (21,7%). Pengendalian penyakit DM peserta posbindu holistic dengan case management minum obat, minum herbal, olah raga dan  diet DM. Pengendalian penyakit tidak menular dengan peserta posbindu holistic dengan case management minum obat, minum herbal, dan olah raga. 
Low Impact Aerobic On Blood Glucose Levels And Peripheral Circulation In Type II Diabetes Mellitus Clients In 2022 Darma, Dimas Dewa; Sudirman, Sudirman; Widiyanto, Budi
Amalee: Indonesian Journal of Community Research and Engagement Vol 4 No 2 (2023): Amalee: Indonesian Journal of Community Research and Engagement
Publisher : LP2M INSURI Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37680/amalee.v4i2.3014

Abstract

Hysical activities carried out, such as Low Impact Aerobics in patients with type II diabetes mellitus, can increase insulin resistance sensitivity to optimize insulin function. The purpose of this study was to determine the impact of low aerobics on blood glucose levels and peripheral circulation in type II diabetes mellitus clients. This research design uses true experimental with pre-test and post-test control group design. The total sample of 36 people consisted of 12 intervention group 1, 12 people in intervention group 2, and 12 people in the control group . The activity was carried out at the UPT Puskesmas working area of Semarang City in 2022. The sampling technique uses simple random sampling. Data analysis using Wilcoxon and Wallis crucible was α < 5%. The results showed that the average value of blood sugar levels after being given alow-impact. Aerobic intervention decreased by 57 mg/dl with p-value = 0.004. The mean peripheral circulation value of ABI after low impact aerobic intervention increased by 0.09 mmHg with p-value = 0.002. After the low impact aerobic intervention, the average CRT value of peripheral circulation decreased by 0.67 mmHg with p-value = 0.011. In conclusion, e fek eerobic has a low impact in lowering blood glucose levels and improving peripheral circulation.
The Effectiveness of Various Physical Activities on Glycemic Control in Individuals with Prediabetes Mellitus in Semarang Municipality Arwani, Arwani; Widiyanto, Budi; Widiyati, Sri
Media Keperawatan Indonesia Vol 6, No 4 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.4.2023.268-276

Abstract

Currently, diabetes mellitus is a prevalence in Indonesia, with a rate of 2.1% based on relevant diagnoses or symptoms. It is estimated that by 2030, the number of individuals suffering form diabetes mellitus will reach 21.3 million. Conversely, the proportion of individuals with prediabetes is 2-4 times higher than those with diabetes. Physical activity has been identified as a preventive measure for prediabetes. Several studies have demonstrated the significant impact of physical activity on glycemic control. This study aimed to determine the effectiveness of different physical activities on glycemic control in prediabetic clients residing in Semarang municipality. A randomized control trials with a pretest-posttest design was conducted on 60 prediabetic clients using different treatments, including healthy/slow walking, brisk walking, and a combination of both slow and brisk walking. The data of the study were analyzed using univariate, and bivariate analysis using repeated ANOVA. All statistical analyses were carried out using SPSS version 22. The average level of glycemic control before intervention in the healthy walking group was 5.57%, which decreased to 5.46% after intervention. The combination group decreased from 5.93% to 5.78%, and the slowly walking group decreased from 5.74% to 5.71%. However, there was no significant effect of slowly walking on glycemic control (HbA1c levels). In contrast, brisk walking and the combination of slow walking and brisk walking had a significant effect on glycemic control (p<0.05). The combination of the physical activity group demonstrated the greatest impact on glycemic control (p<0.05).
LITERATURE REVIEW YANG BERHUBUNGAN DENGAN RHEUMATOID ARTRITIS PADA LANSIA Daryanti; Budi Widiyanto; Sudirman
Nursing Arts Vol. 14 No. 1 (2020): NURSING ARTS
Publisher : Politeknik Kesehatan Kemenkes Sorong

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

Abstract

ABSTRACTIntroduction: Rheumatoid Arthritis (RA) is an autoimmune disease, characterized by asystematic, chronic inflammatory process. One type of rheumatism that is often seen in old age isrheumatoid arthritis. Objective: this study was to determine the factors that influence rheumatoidarthritis in the elderly based on Literature Review (LitRef). Method: Literature review is takenfrom journal articles published online consisting of Indonesian and English journals. The criteriafor retrieving articles are those that are in accordance with the keywords and published at least2004-2019. Results: LitRef shows that the factors that influence Rheumatoid Aretitis in theelderly are (consumption of drugs, menopause, fractures, age, lifestyle, obesity, heredity,knowledge, alcohol, nutrition)Keywords: Literature revew, Rheumatoid Arthritis, ElderlyABSTRAKPendahuluan : Rheumatoid Artritis (RA) merupakan suatu penyakit autoimun, ditandai denganadanya proses peradangan kronis, bersifat sistematik. Salah satu jenis rematik yang sering tampakpada usia lanjut adalah arthritis rheumatoid. Tujuan : penelitian ini adalah untuk mengetahuifaktor-faktor yang mempengaruhi Remuatoid Artritis pada lansia berdasarkan Literature Review(LitRef). Metode : Literature Review diambil dari artikel jurnal yang dipublikasikan secaraonline yang terdiri dari jurnal bahasa Indonesia dan Bahasa Inggris. Kriteria pengambilan artikeladalah yang sesuai dengan kata kunci dan terbit minimal tahun 2004-2019. Hasil : LitRefmenunjukkan bahwa faktor-faktor yang pempengaruhi Reumatoid Aretitis pada lansia adalah(konsumsi obat-obatan, menopause, fraktur, usia, gaya hidup, obesitas, keturunan, pengetahuan,alkohol, gizi)Kata Kunci: Literatur revew, Reumatoid Artritis, Lansia
TERAPI KLOMPEMENTER PATCH AROMATERAPI BUNGA KENANGA (CANANGA ODORATA) TERHADAP TEKANAN DARAH DAN KECEMASAN PADA PASIEN HIPERTENSI GRADE I : AROMATHERAPY PATCH THERAPY OF CANANGA FLOWERS (CANANGA ODORATA) ON BLOOD PRESSURE AND ANXIETY IN GRADE I HYPERTENSION PATIENTS Atiqah, Ayuni; Widiyanto, Budi; Indrati Dyah Sulistyowati, Dina
Quality : Jurnal Kesehatan Vol. 19 No. 1 (2025): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v19i1.2351

Abstract

Hipertensi merupakan penyakit tidak menular yang menjadi penyebab utama kematian di dunia. Pencegahan hipertensi dengan terapi farmakologis dan nonfarmakologis yaitu dengan menggunakan kearifan lokal salah satunya menggunakan patch aromaterapi bunga kenanga untuk mengupayakan stabilitas tekanan darah dan kecemasan. Tujuan dari penelitian ini adalah untuk mengetahui efektivitas patch aromaterapi bunga kenanga (cananga odorata) terhadap tekanan darah dan kecemasan pada pasien hipertensi grade I. Penelitian ini adalah penelitian quasy experiment dengan menggunakan rancangan pre-post test design with control group. Sampel pada penelitian ini adalah 60 responden yang mengikuti program PROLANIS dengan hipertensi grade I yang terbagi menjadi 2 kelompok dan diambil dengan menggunakan teknik simple random sampling. Penelitian ini dilakukan di wilayah kerja Puskesmas Suka Makmur Kabupaten Aceh Besar pada 25 September - 09 Oktober 2024. Uji beda pre – test post – test menggunakan uji beda Paired t- test dan uji Wilcoxon. Uji beda antar kelompok menggunakan Independent t – test dan uji Mann – Whitney. Penelitian ini menunjukkan bahwa terdapat perbedaan yang bermaksan sebelum dan sesudah diberikan perlakuan pada semua kelompok (p = 0,001). Hasil uji statistik juga menunjukkan bahwa patch aromaterapi bunga kenanga (canaga odorata) menjadi perlakuan yang paling baik dalam menurukan tekanan darah dan kecemasan (p < 0,05) dibandingkan dengan perlakuan lainnya. Terapi komplementer berupa patch aromaterapi bunga kenanga (canaga odorata) menjadi perlakuan yang efektif dalam menurunkan tekanan darah dan kecemasan.
THE EFFECTIVENESS OF TRIPLE EXERCISES ON IMPROVING SWALLOWING ABILITY IN NON-HEMORRHAGIC STROKE PATIENTS WITH DISFAGIA Prabowo, Rully Hadi; Arwani, Arwani; Widiyanto, Budi
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3194

Abstract

Penyakit stroke merupakan penyebab utama kematian dan disabilitas global akibat gangguan peredaran darah ke otak, dengan disfagia sebagai komplikasi utama. Disfagia menyebabkan kesulitan menelan yang meningkatkan risiko aspirasi pneumonia, malnutrisi, dan dehidrasi. Penelitian ini bertujuan untuk menganalisis efektivitas kombinasi latihan menelan Triple exercises EMSE (Effortful swallow, Mendelsohn manuever, Shaker exercises) dibandingkan intervensi tunggal dan kelompok kontrol terhadap kemampuan menelan pada pasien stroke non-hemoragik (SNH) dengan disfagia. Penelitian ini dilakukan pada bulan September – November 2024 di RSUD dr. R. Soedjono Selong, menggunakan desain eksperimen pretest-posttest dengan kelompok kontrol. Jumlah sampel sebanyak 40 pasien yang diambil secara simple random sampling. Jenis stroke diukur dengan Sistem Scoring Stroke Dave & Djunaidi (SSSDD) yang divalidasi dengan hasil CT-scan, Derajat stroke diukur dengan kriteria NIHSS dan kemampuan menelan dinilai dengan skala GUSS. Analisa data menggunakan Paired T-Test dan Independent T-Test. Hasil menunjukkan bahwa latihan kombinasi triple exercises EMSE secara signifikan meningkatkan kemampuan menelan dibandingkan intervensi tunggal dan kontrol (ρ < 0,05), meskipun tidak ditemukan perbedaaan rata-rata yang signifikan antara kombinasi dan intervensi tunggal (p > 0,05). Latihan kombinasi memiliki efektivitas lebih tinggi dengan effect size yang kuat sebesar 1,43. Kesimpulannya, latihan menelan kombinasi Triple exercises EMSE efektif meningkatkan kemampuan menelan pasien SNH dengan disfagia, mempercepat pemulihan dan mengurangi komplikasi seperti aspirasi dan malnutrisi. Latihan ini direkomendasikan untuk diintegrasikan dalam standar perawatan pasien stroke dengan disfagia.
ANALYSIS OF FACTORS AFFECTING THE PERFORMANCE OF POSBINDU NON-COMMUNICABLE DISEASES Suciatmi, Ika; Arwani; Widiyanto, Budi
Jurnal Health Sains Vol. 5 No. 1 (2024): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i1.1221

Abstract

The cause of death of approximately 71% (36 million) people per year is due to non-communicable diseases. The 2018 Riskesdas data shows an increase in key NCD indicators. The significant increase in NCDs is expected to add to the burden on both the public and the government in healthcare financing. According to Government Regulation No. 71 of 2015, the prevention and control of NCDs are to be carried out through community health efforts and individual health efforts. The prevention and control of NCDs in the community are implemented through the activities of the NCD Posbindu. This research analyzes the factors affecting the performance of NCD Posbindu. The research method used is a Cross-Sectional approach with a quantitative method. The population consists of 486 NCD Posbindu, and the research sample uses Total Sampling, consisting of 29 NCD Posbindu. Data analysis includes univariate, bivariate (Spearman Rank), and multivariate (Multiple Linear Regression). The research results show that the majority of NCD Posbindu's performance falls into the "good" category, with 17 (58.62%), while the human resources (HR) are good in 19 (65.50%) cases, infrastructure is good in 12 (41.38%) cases, and the budget is good in 16 (53.20%) cases. Human resources, infrastructure, and the budget are positively and significantly correlated with the performance of NCD Posbindu, with correlation coefficients of HR (r=0.688), infrastructure (r=0.650), and the budget (r=0.598). The results of the Multiple Linear Regression test reveal that human resources, infrastructure, and the budget, when considered together, collectively affect the performance of NCD Posbindu, with an F value of 7.240, an adjusted R-squared value of 0.401, and a regression coefficient (β) of 18.799. Human resources, infrastructure, and the budget are related and significantly influence the performance of NCD Posbindu by 40.1%.
The Effectiveness of Android-Based Simantb (TB Monitoring Information System) on Medication Compliance of Pulmonary TB Patients in Ende Regency, East Nusa Tenggara Susanti, Maria; Arwani, Arwani; Widiyanto, Budi
Jurnal Health Sains Vol. 6 No. 9 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i9.2696

Abstract

Tuberculosis (TB) is an infectious disease and one of the leading causes of death worldwide. One indicator of the TB control program's success is the treatment success rate. Various factors are believed to hinder the success of TB treatment, including therapy failure due to non-adherence, which is one of the main factors. Therefore, appropriate interventions are needed to monitor and evaluate TB patient medication adherence using suitable media that are easy to use and accessible anytime and anywhere through mobile health technology. This study aimed to analyze the effectiveness of the Android-based SIMANTB application on medication adherence in pulmonary TB patients. The research employed a Research and Development (R&D) design with a pre-experimental approach using a static group comparison, conducted over 28 days (1 month). The sampling technique used was simple random sampling, consisting of 30 respondents divided into intervention and control groups. Research data were analyzed using the Shapiro-Wilk and Mann-Whitney tests. The SIMANTB application was found to be highly suitable for tuberculosis patients, with material feasibility percentages of 93.06% and 93.75%. The use of the Android-based SIMANTB application significantly increased medication adherence in TB patients (p = 0.004). The development of the Android-based SIMANTB application is expected to provide a solution for health workers (doctors, nurses, TB officers) to support TB patients in monitoring and motivating their treatment, thereby increasing the success rate of treatment.
Kombinasi Konsumsi Air Alkali dan Akupresur terhadap Nilai Ankle Brachial Index Penderita Diabetes Melitus Tipe II Dwilatri, Ni Komang Winda; Mardiyono, Mardiyono; Widiyanto, Budi
Jurnal Keperawatan Profesional (KEPO) Vol. 5 No. 1 (2024): Volume 5 Nomor 1 Mei 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v5i1.980

Abstract

DM merupakan faktor risiko utama Penyakit arteri perifer (PAD). PAD dapat menyebabkan komplikasi pada semua pembuluh darah utama, termasuk arteri ekstremitas bawah. Salah satu komplementer yang digunakan untuk mengurangi komplikasi arteri ekstremitas bawah penderita diabetes melitus (DM) adalah konsumsi air alkali dan akupresur. Tujuan penelitian ini untuk menganalisis efektifitas kombinasi konsumsi air alkali dan akupresur untuk meningkatkan nilai ABI penderita DM tipe II. Penelitian true exsperimental ini mengunakan pendekatan pre test and post test control group design dengan melibatkan 56 pasien DM yang berobat di Puskesmas Kediri, Lombok Barat yang diambil secara acak dengan stratified random sampling kombinasi permuted block. 28 subjek menjadi kelompok kombinasi dan kelompok kontrol. Data dianalisis dengan uji Dependen t-Test dan Independen t-Test. Hasil uji statistik menunjukan bahwa terdapat perbedaan rerata ABI pada kelompok kombinasi dan kontrol setelah diberikan perlakuan (p=0,000). Kombinasi konsumsi air alkali dan akupresur dapat meningkatkan sirkulasi perifer penderita DM tipe II.
The Effect of Leg Stretching Exercises with A Tennis Ball on Ankle Brachial Index as A Predictor of Diabetic Foot Ulcer Yuliartini, Henny; Arwani, Arwani; Widiyanto, Budi
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): 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.v6i4.3348

Abstract

Diabetic foot ulcers are caused by impaired peripheral circulation of the lower extremities due to peripheral arterial disease (PAD) that can be assessed by measuring the ankle brachial index. Leg stretching exercises with a tennis ball have an effect on increasing ABI values and predict the incidence of diabetic foot ulcers. Objective : This stydy aims to improve the effect of leg stretching exercises with a tennis ball on the ABI value as a predictor of the incidence of diabetic foot ulcers. Method: Quasi experimental quantitative research with a pretest-posttest with control group design. The total sample was 46 respondents using a purposive sampling technique to determine the Intervention group and Control group in 2 Puskesmas work areas that have plenary accreditation. After selecting each group, identification was carried out according to the inclusion criteria and exclusion criteria, resulting in 23 respondents in the Intervention group and 23 respondents in the Control group. The intervention group was given leg stretching exercises with a tennis ball for 15 minutes 14 times in 2 weeks and the control group received treatment from the Community Health Center, namely PROLANIS exercises. Data analysis uses univariate analysis and bivariate analysis, Paired Sample t-Test and Independent t-Test. Results: The ankle brachial index average increased to 0,300 mmHg and the prediction of the incidence of foot ulcers were decreased on the Intervention group (p=0,000) wheras the Control group ankle brachial index average decreased to 0,082 mmHg and the prediction of the incidence of foot ulcers were increased (p=0,008). Conclusion: Leg stretching exercises with a tennis ball have an effect on increasing ankle brachial index and can be used as a predictor of diabetic foot ulcers in type 2 diabetes mellitus.