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The Influence of Community Culture on the Giving of Colostrum to Infants Rickiy Akbaril Okta Firdaus; Achmad Wahdi; Hakim Tobroni HR; Dewi Retno Puspitosari
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 2 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Background: Awareness of the importance of breast feeding colostrum is still low, due to the presence of Culture contributes to the behavior of individuals and groups of people, cultures can menompa health behavior and health may worsen. This study aimed to determine the influence of culture on the provision comunnity colostrum in infants in rural districts Kandat Karangrejo Kediri district. Methods: The design of this study is an analytical cross sectional population of 56 and a total sample of 49 respondents who have a baby aged 7 days - 6 months, which is in the village of Kediri district Kandat Karangrejo districts, with a simple random sampling technique variable in this study consisted of two variables: independent variables which influence the society and culture of the dependent variable, namely the provision of colostrum in children, collect data using culture questionnaire and colostrum. Using chei-square statistical test (p < 0,05). Results: The results of this study, most of the 40 respondents had a positive culture and most of the 45 respondents gave the colostrum to the baby, based on test results che square p value = 0.002 (There is a cultural influence on giving colostrum to babies in Kandat Village, Karangrejo District, Kediri Regency). Discussion: The conclusion of this study is no effect on the provision of public culture colostrum to the baby in the Village District of Kandat Karangrejo Kediri.

Dietary pattern adherence in patients with type II diabetes mellitus Tiara Fatma Pratiwi; Achmad Wahdi; Novia Susanti; Hakim Tobroni HR; Rickiy Akbaril Okta Firdaus
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. Special Edition (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Aims : Modern lifestyle with many choices of food menus that contain high glucose results in non-adherence to diet in patients with diabetes mellitus. The purpose of this study was to determine the description of dietary non-compliance in patients with type II diabetes mellitus. Design : This type of research is descriptive research. The population is 50 people at the age of 30-60 with a sample of 46 respondents. Methdos : The independent variable is non-adherence to diet in patients with type II diabetes mellitus. The research instrument used a diet questionnaire and analyzed with descriptive frequency. Results : : The results showed that from 46 respondents, most (63.0%) had a diet with low adherence. Conclusions : Patients with Type II Diabetes Mellitus in RT 02 Wonokromo mostly have a low level of adherence and are expected to add insight and knowledge about dietary adherence in people with diabetes mellitus and further research can be developed based on other factors in the hope of new insights.

Peran Keluarga dalam Meningkatkan Self Care Agency Pada Klien DM Tipe II hakim tobroni HR; Sonti Kogoya
ARTERI : Jurnal Ilmu Kesehatan Vol 3 No 2 (2022): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v3i2.206

Self-care in patients with diabetes mellitus is something that is very important because it acts as a disease control (blood sugar increase) and prevents complications, so there needs to be a family role in controlling blood sugar. The purpose of the study was to describe the role of families in improving the self-care agency of type II diabetes mellitus clients at Amelia Pare Hospital. This research uses qualitative methods with a phenomenological study approach. The population of this study was a family of clients in the internal medicine room who had family members with type II diabetes mellitus at Amelia Pare Hospital with a sample number of 4 participants with purposive sampling techniques. Data analysis techniques use qualitative descriptive. The results of the study obtained family experience in improving the ability of self-care to have different ways and coping, as well as understanding in identification, problem-solving and confectionery differently each participant. The analysis of this study produced a theme about the way families improve self-care agencies, among others; 1) Understanding self care agency, 2) Components in Improving Self Care Agency, 3) How to Improve Self Care Agency, 4) Problems in Improving Self Care Agency. Efforts of people with type II diabetes mellitus can be in the form of discussions with close family or health services that are trusted in overcoming problems suffered by clients.

Pengaruh Senam Diabetes Mellitus terhadap Nilai Gula Darah pada Penderita Hiperglikemi : (di Dusun Putuk Desa Banaran Kecamatan Kandangan Kabupaten Kediri) Hakim Tobroni HR; Berna Detha Meilyana
Protein : Jurnal Ilmu Keperawatan dan Kebidanan. Vol. 3 No. 1 (2025): Januari: 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.v3i1.1014

He primary issue in hyperglycemia is insulin resistance, a condition where the body becomes less responsive to insulin, preventing glucose from being effectively absorbed by cells. One method to address insulin resistance in patients is through physical activities such as exercise. This study aims to analyze the impact of diabetes mellitus exercises on blood glucose levels in patients with hyperglycemia. This study employed a One Group Pretest-Posttest design with a Cross-Sectional approach. The population consisted of all hyperglycemia patients in Dusun Putuk, Banaran Village, Kandangan Subdistrict, Kediri Regency, totaling 50 respondents. The study sample included 44 hyperglycemia patients selected using the Simple Random Sampling method. The independent variable was diabetes mellitus exercises, while the dependent variable was blood glucose levels, measured using a glucose test device. Data processing involved editing, coding, and tabulation. Data analysis was conducted using the Wilcoxon Test. The results showed that, before the exercises, blood glucose levels (BGL) were low in 9 respondents (20%), moderate in 15 respondents (35%), and high in 20 respondents (45%). After the exercises, BGL were low in 29 respondents (66%), moderate in 10 respondents (23%), and high in 5 respondents (11%). The Wilcoxon Test results indicated a p-value < 0.05, specifically p=0.009, thereby accepting H1. Nurses are encouraged to include diabetes mellitus exercises as part of hyperglycemia management programs, especially to enhance the effectiveness of blood glucose control. Further research with larger sample sizes and extended intervention durations is recommended to strengthen these findings.

Dietary pattern adherence in patients with type II diabetes mellitus Pratiwi , Tiara Fatma; Wahdi, Achmad; Susanti, Novia; Tobroni HR, Hakim; Firdaus, Rickiy Akbaril Okta
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v7i3.264

Aims : Modern lifestyle with many choices of food menus that contain high glucose results in non-adherence to diet in patients with diabetes mellitus. The purpose of this study was to determine the description of dietary non-compliance in patients with type II diabetes mellitus. Design : This type of research is descriptive research. The population is 50 people at the age of 30-60 with a sample of 46 respondents. Methdos : The independent variable is non-adherence to diet in patients with type II diabetes mellitus. The research instrument used a diet questionnaire and analyzed with descriptive frequency. Results : : The results showed that from 46 respondents, most (63.0%) had a diet with low adherence. Conclusions : Patients with Type II Diabetes Mellitus in RT 02 Wonokromo mostly have a low level of adherence and are expected to add insight and knowledge about dietary adherence in people with diabetes mellitus and further research can be developed based on other factors in the hope of new insights.

HUBUNGAN TINGKAT DEPRESI DENGAN KUALITAS HIDUP PADA PASIEN TB PARU DI WILAYAH KERJA PUSKESMAS BENDO KECAMATAN PARE KABUPATEN KEDIRI: RELATIONSHIP LEVELS OF DEPRESSION WITH QUALITY OF LIFE IN PULMONARY TB PATIENTS IN WORK AREABENDO HEALTH CENTER, PARE DISTRICT KEDIRI REGENCY Irawan, Hengky; Alise Kogoya; Hakim Tobroni HR
Jurnal Ilmiah Pamenang Vol. 6 No. 1 (2024): Jurnal Imiah Pamenang (JIP)
Publisher : Stikes Pamenang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jip.v6i1.209

Abstrak Pendahuluan :Infeksi menular yang disebabkan oleh mycobacterium tuberculosis, suatu bakteri aerobik tahan asam, yang ditularkan melalui (airbon). Pengobatan penyakit TB membutuhkan waktu yang lama menyebabkan sering terjadinya kondisi stress atau depresi, sehingga tidak jarang pasien dengan penyakit TB mempunyai nilai kualitas hidup yang rendah dikarenakan depresi yang dialami pasien. Tujuan penelitian ini untuk mengetahui hubungan tingkat depresi dengan kualitas hidup pada pasien TB paru. Methode : Penelitian analitik korelasional yang digunakan pendekatan cross sectional dengan Spearman Rank. teknik pengambilan sampel yang digunakan adalah total sampling. Sampel pada penelitian ini adalah seluruh Pasien TB paru di Wilayah Kerja Puskesmas Bendo Kecamatan Pare Kabupaten Kediri sebanyak 30 responden. Instrument penelitian berupa kuesioner yang baku adalah. Zung Self-rating Depression Scale (ZSDS) dan World Health Organization Quality Of Life-BREF (WHOQOL-BREF). Hasil : Hasil penelitian ini menunjukkan bahwa p=0.001 (p<0.05 artinya ada hubungan tingkat depresi dengan kualitas hidup pada pasien TB paru yang cukup kuat dengan nilai korelasi positive. Sebagian besar responden tidak mengalami depresi yaitu sebanyak 18 responden (60,0%) dan sebagian besar responden memiliki kualitas hidup sedang yaitu sebanyak 18 responden (60,0%). Kesimpulan : Depresi dapat ditimbulkan karena rasa takut akan kesehatan yang semakin memburuk dari hari ke hari, serta pengobatan yang dijalani terlalu lama maka hal tersebut dapat mempengaruhi kualitas hidup pasien TB Paru Abstract Introduction : Pulmonary TB was a contagious infectious disease caused by Mycobacterium tuberculosis, an acid-fast aerobic bacteria, which was transmitted through (airborne). Treatment for TB disease takes a long time, caused stress or depression to often occur, so it was not uncommon for patients with tuberculosis disease to have a low quality of life due to the depression experienced by the patient. The aim of this study was to determine the relationship between levels of depression and quality of life in pulmonary TB patients.Methode : . Correlational analytical research used a cross sectional approach with Spearman Rank. The sampling technique used was total sampling. The sample in this study was all pulmonary TB patients in the Bendo Community Health Center Working Area, Pare District, Kediri Regency, totaling 30 respondents. The research instrument is a standard questionnaire. Zung Self-rating Depression Scale (ZSDS) and World Health Organization Quality Of Life-BREF (WHOQOL-BREF). Results: The results of this study show that p=0.001 (p<0.05 means there is a fairly strong relationship between the level of depression and the quality of life in pulmonary TB patients with a positive correlation value. The majority of respondents did not experience depression, namely 18 respondents (60.0%) and some Most of the respondents had a moderate quality of life, namely 18 respondents (60.0%). Conclusion : Depression can be caused by fear of health which gets worse day by day, and if treatment is taken for too long, this can affect the quality of life of

Dietary pattern adherence in patients with type II diabetes mellitus Pratiwi , Tiara Fatma; Wahdi, Achmad; Susanti, Novia; Tobroni HR, Hakim; Firdaus, Rickiy Akbaril Okta
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v7i3.264

Aims : Modern lifestyle with many choices of food menus that contain high glucose results in non-adherence to diet in patients with diabetes mellitus. The purpose of this study was to determine the description of dietary non-compliance in patients with type II diabetes mellitus. Design : This type of research is descriptive research. The population is 50 people at the age of 30-60 with a sample of 46 respondents. Methdos : The independent variable is non-adherence to diet in patients with type II diabetes mellitus. The research instrument used a diet questionnaire and analyzed with descriptive frequency. Results : : The results showed that from 46 respondents, most (63.0%) had a diet with low adherence. Conclusions : Patients with Type II Diabetes Mellitus in RT 02 Wonokromo mostly have a low level of adherence and are expected to add insight and knowledge about dietary adherence in people with diabetes mellitus and further research can be developed based on other factors in the hope of new insights.

MEMBANGUN POLA HIDUP BERSIH DAN SEHAT MELALUI EDUKASI KESEHATAN REPRODUKSI DI SDN 2 TANJUNGSARI: BUILDING A CLEAN AND HEALTHY LIFESTYLE THROUGH REPRODUCTIVE HEALTH EDUCATION AT SDN 2 TANJUNGSARI Nirmala K.S; Tobroni , Hakim; Rifkiana, Naila Arum; Jatmiko, Widy; Larasanti, Ayudina; Faradhila, Alifani Faiz; Atmajani, Wanudya
Jurnal Abdimas Pamenang Vol. 4 No. 1 (2026): Jurnal Abdimas Pamenang - JAP
Publisher : STIKES Pamenang Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jap.v4i1.451

Abstrak Rentang usia 6 hingga 12 tahun, anak-anak memasuki fase sekolah dasar dimana pertumbuhan dan perkembangan mereka berlangsung dengan sangat pesat. Kesehatan merupakan aspek penting dalam mendukung pertumbuhan dan perkembangan anak, terutama pada usia sekolah dasar. Pada fase ini, anak berada dalam masa transisi dari ketergantungan penuh pada orang tua menuju kemandirian, termasuk dalam menjaga kebersihan dan kesehatan dirinya. Pola Hidup Bersih dan Sehat (PHBS) menjadi salah satu upaya preventif yang dapat ditanamkan sejak dini agar anak terbiasa menjaga kesehatan tubuh dan lingkungannya. Kegiatan pengabdian ini adalah pemberian edukasi dengan media power point tentang cara menjaga kebersihan organ reproduksi. Kegiatan pengabdian ini berlangsung di SDN 2 Tanjungsari Tulungagung pada hari Sabtu 13 September 2025, yang dilaksanakan pada kelas 5 dan 6 yang diikuti oleh 69 murid. Secara keseluruhan, kegiatan ini berhasil meningkatkan pemahaman dan kesadaran murid sekolah dasar mengenai pentingnya menjaga kebersihan reproduksi sejak dini. Abstract Between the ages of 6 and 12 years, children enter the elementary school phase where their growth and development takes place very rapidly. Health is an important aspect in supporting the growth and development of children, especially at elementary school age. In this phase, children are in a transition period from complete dependence on parents to independence, including maintaining personal hygiene and health. A Clean and Healthy Lifestyle (PHBS) is one of the preventive measures that can be instilled from an early age so that children get used to maintaining a healthy body and environment. This service activity provided education through power point media about how to maintain the cleanliness of reproductive organs. This service activity took place at SDN 2 Tanjungsari Tulungagung on Saturday 13 September 2025, which was carried out in grades 5 and 6, attended by 69 students. Overall, this activity succeeded in increasing elementary school students' understanding and awareness of the importance of maintaining reproductive hygiene from an early age.

The Relationship Between Self-Care and Quality of Life Among Patients with Type 2 Diabetes Tobroni HR, Hakim; Nirmala K.S; Evi Tunjung Fitriani
Journal for Quality in Public Health Vol. 9 No. 1 (2025): November
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v9i1.575

Diabetes Mellitus (DM) Type II requires consistent self-care to maintain an optimal quality of life. However, DM patients often neglect self-care when they feel their condition is improving, potentially leading to a decline in their quality of life. This study aims to determine the relationship between self-care practices and the quality of life of DM Type II patients in Putuk Hamlet, Banaran Village, Kandangan District, Kediri Regency. This study used a correlational analytic design with a cross-sectional approach. The study sample consisted of 38 respondents selected using the simple random sampling technique from the population of DM Type II patients in the area. The independent variable was self-care and the dependent variable was quality of life. Data were collected using a questionnaire and analyzed using the Spearman test. The results of the study showed that the better the self-care implemented, the higher the quality of life of DM Type II patients. The Spearman test confirmed a significant relationship between self-care and the quality of life of diabetes mellitus patients, with a value of  = 0,000 (< α =0,05). There is a significant relationship between self-care and the quality of life of DM Type II patients. The implication is that the Kandangan Community Health Center is advised to enhance health education efforts, such as providing leaflets on self-care, as practical guides that can help patients consistently apply self-care at home to improve their quality of life.

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