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Family Empowerment to Fullfillment Nutrition in Stunted Children Apriyani Puji Hastuti; Dina Nurpita Suprawoto; Ratna Roesardhyati; Ardhiles Wahyu Kurniawan; Domingos Soares; Rif'atul Fani
Babali Nursing Research Vol 5 No 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51337

Abstract

Background: This research aims to analyze family empowerment in efforts to fulfill nutritional requirements for children aged 6-24 months who are stunted. Method: The method used was a quasi-experiment with a pre-post test control group design approach to 72 mothers in each group. Result: The results of the research show that there is a difference in mothers' ability to fulfill nutrition in terms of complementary feeding and responsive feeding after being given family empowerment interventions in families with stunted children aged 6-24 months, namely food preparation and processing (p=0.000), complementary feeding (p= 0.000), responsive feeding (p=0.000). Conclusion: So it is hoped that family empowerment is an effort to strengthen its role in handling and accelerating the reduction in stunting incidents.
Smart Health Village berbasis Web sebagai Media Informasi Kejadian Bencana Hastuti, Apriyani Puji; Roesardhyati, Ratna; Kurniawan, Ardhiles Wahyu; Ambarika, Rahmania; Pradini, Risqy Siwi
Yumary: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 3 (2024): Maret
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/yumary.v4i3.2679

Abstract

Purpose: The aim of community services was to socialize and inform Balakarcana officers to report information about disaster events. Disaster-prone areas have the potential for natural disasters such as earthquakes, mountain eruptions, and landslides caused by activity or movement from the bottom of the earth. Understanding the potential for natural disasters in each region is an anticipatory step toward minimizing the number of victims of natural disasters. Precise and accurate information is required for disaster management. The community also experiences difficulties in receiving information and submitting reports on the village conditions. In this community service activity, a web-based smart health village application was developed so that it could be accessed by all residents of the local area. Methodology: The method of implementing this activity consists of the design stage, application creation, system design, outreach and training, and trial reporting of information on disaster events based on the smart health village concept in the Poncokusumo Region, Malang Regency, from July to October 2023. Results: This service is an application system for reporting information on disaster events to increase community preparedness for disasters. This web-based application system allows the community (users), admins (task force), and verifiers (village officials) to access anywhere and at any time, thereby increasing the capability and quality of human resources in disaster preparedness and disaster-prone areas. Limitations: People who do not have Internet access experience difficulties in receiving information and submitting reports regarding village conditions. Contribution: Utilization of web-based information systems to make it easier for village officials to validate disaster events and as an effort to improve disaster preparedness.
Selfcare Management In Diabetic Ardhiles Wahyu Kurniawan; Heny Nurmayunita; Risa Putri Rahmadani
Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health Vol. 4 No. 2 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

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

Abstract

Diabetes Mellitus (DM) is a disease characterized by increased blood glucose levels and is a disease that needs attention. Diabetes mellitus cannot be cured, but it can be controlled by controlling blood sugar levels to prevent complications from occurring. These complications can be minimized with self-care management . This research aims to find out description self - care management on patient diabetes mellitus in the Kendalsari Community Health Center area, Malang City.This type of research is descriptive with an approach. The research was conducted in the Kendalsari Public Health Center area, Malang City on March 2023 with a sample size of 44 people. How to take samples is non-probability sampling that is purposive sampling. Tool measure that used is questionnaire Summary of Diabetes Self-Care Activities (SDSCA). Data collection is presented in the form of a frequency distribution table. Based on results self-care research patient management almost half of diabetes is in the good category amount 17 people (38.63%), the majority on enough category amount 27 people (61.37). DM patients are expected to improve self-care management behavior to improve health status and prevent further complications.
Hubungan Perception Barriers Dengan Keaktifan Kunjungan Ibu Dalam Posyandu Balita Widiya Wati, Roidah Hadis; Kurniawan, Ardhiles Wahyu; Hastuti, Apriyani
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.25012

Abstract

The success of the posyandu program is very dependent on the active participation of the community, especially mothers with toddlers, but the reality on the ground is that the level of activity of mothers visiting posyandu is still often low. Various factors can influence this activity, one of which is the perceived barriers felt by the mother. Objective: The aim of this research is to analyze perception barriers with mothers' activeness in posyandu activities. Methods: This research design uses analytics with a cross-sectional approach. The population in this study were mothers who had participated in posyandu activities for at least 6 months. This research instrument uses a perception barriers questionnaire from the health belief model theory and documentation studies from the results of posyandu visits. Results: In this study the p-value obtained was 0.001. This shows that there is a relationship between perceived barriers and the activeness of mothers' visits to toddler posyandu. The main factors that influence perceptions of barriers include the mother's lack of understanding of the benefits of posyandu, lack of adequate posyandu facilities, and time constraints due to the mother's busy schedule. Conclusion: there is a significant relationship between perception barriers and the activeness of mothers' visits to toddler posyandu. The higher the perceived barriers, the lower the mother's active level of visitation.
Maternal and child factors of stunted children: a case control study Hastuti, Apriyani Puji; Sukartini, Tintin; Arief, Yuni Sufyanti; Nursalam, Nursalam; Roesardhyati, Ratna; Mumpuningtias, Elyk Dwi; Hidayat, Syaifurrahman; Kurniawan, Ardhiles Wahyu
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24473

Abstract

Due to the transition or weaning process and infant feeding patterns, infants under the age of five (IYCF) are susceptible to nutritional problems, especially with regard to food diversity, diet quality, availability, and accessibility. According to fundamental health research, the mother’s capacity to supply nourishment (sources from animal and vegetable protein) and the main meal as an energy source during the first two years of life is associated. Community based case-control study was conducted among children 6-24 month. The study participant used multistage random sampling procedure, with a sample size of 180 mothers who have stunted children. This study used a questionnaire as its data research instrument, which was examined for validity and reliability utilizing data analysis methods like linear regression and SPSS 16.0 statistical software. Factor associated the role of mothers in the feeding of stunted children to nutritional status are age, educational level, occupation, motivation, mobility, decision making, knowledge, self-esteem, self-efficacy, family type, family role, stress of family, coping of family, family social support, weight of birth, responsive feeding. The all of factors can affected roles of mothers in the feeding of stunted children to nutritional status with p-value <0.005. While the child’s age, birth length, breastfeeding, feeding children are not factors associated with the role of mothers in the feeding of stunted children to nutritional status.
HUBUNGAN JUMLAH PERDARAHAN DENGAN KEJADIAN HIPOTENSI PADA PASIEN SECTIO CAESARIA DENGAN SPINAL ANESTESI DI RSI UNISMA MALANG Paryadi Paryadi; Ardhiles Wahyu Kurniawan; Sindu Sintara; Widigdo Rekso Negoro
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.581

Abstract

Background: Cesarean section can lead to bleeding, which can reduce intravascular volume and result in a decrease in cardiac output. If this condition is not promptly addressed, it can trigger hypotension. Maternal mortality rates increase by 40-80% due to bleeding during cesarean section deliveries. The aim of this study is to determine the relationship between the amount of bleeding and the occurrence of hypotension in patients undergoing spinal anesthesia for cesarean section at RSI Unisma Malang. Method: An analytical observational study using a cross-sectional method. The total sample size was 26 patients, and data were obtained through direct observation with documentation following the informed consent procedure. Sample selection was done using purposive sampling technique. Univariate statistical analysis was followed by Spearman’s rho statistical test. Results: There is a very strong correlation between the amount of bleeding and the occurrence of hypotension in patients undergoing cesarean section with spinal anesthesia at RSI Unisma Malang (p= 0.000 < α 0.05; r = 0.902). Conclusion: There is a very strong positive correlation between the amount of bleeding and the occurrence of hypotension, meaning that higher amounts of bleeding can lead to a decrease in blood pressure (hypotension). Keywords: Hypotension, Amount of bleeding, Sectio Caesaria, Spinal anesthesia
Smart Health Village in Improving Disaster Preparedness Ardhiles Wahyu Kurniawan; Ratna Roesardhyati; Apriyani Puji Hastuti; Risky Siwi Pradini; Rahmania Ambarika
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.491

Abstract

Background: Disaster-prone areas are areas that have the potential for natural disasters such as earthquakes, mountain eruptions, landslides caused by activity or movement from the base of the earth. Understanding the potential for natural disasters in each region as one of the anticipatory steps to minimize the number of victims of natural disasters. Precise and accurate information is needed for disaster management. The slope of the area is quite steep, and road access to villages and tourist attractions is vulnerable to landslides. The current disaster incident information reporting system still applies the conventional model. The community also experiences difficulties in receiving information and submitting reports regarding village conditions. Purpose: This research aims to analyze the effectiveness of smart health villages in improving disaster preparedness. Method: The research design used a pre-experiment with a pre-test and post-test design approach with a sample size of 64 volunteers who were taken using purposive sampling. The independent variable in this study is Smart Health Village and the dependent variable is the voluntary task force's ability to preparedness disaster. The research instrument used a questionnaire for each variable. Data analysis in this study is the Wilcoxon Signed Rank Test. The implementation of this activity consists of the design stage, application creation, system design, socialization and training, and trial. Results: The research results showed that the voluntary task force's preparedness was in a good category as much as 88% and as enough as 12% with p value = 0.000. This application system smart health village based on the web allows both the community (users), admin (task force), and verifiers (village officials) to access anywhere and at any time, thus increasing the capability and quality of human resources in disaster preparedness and disaster-prone areas. Conclusion: Based on the results it can be concluded that smart health village can improve ability in preparedness of disaster in disaster- prone areas thus reducing impact of anxiety and and panic due to disaster.
Subarachnoid Block Anesthesia as a Predictor of Perioperative Hypothermia in Cesarean Deliveries: A Clinical Study Hastuti, Apriyani; Kurniawan, Ardhiles Wahyu; Rinanda, Nazri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): 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.v11i2.778

Abstract

Background: Hypothermia, defined as a decrease in core body temperature below normal levels, is a common perioperative complication in patients undergoing surgical procedures, including cesarean section (CS). Subarachnoid Block (SAB) anesthesia has been identified as a contributing factor due to its thermoregulatory effects. Objective: This study aimed to evaluate the impact of SAB regional anesthesia on the occurrence of perioperative hypothermia in patients undergoing cesarean section. Methods: A pre-experimental study with a pretest-posttest design was conducted involving 60 cesarean section patients receiving SAB anesthesia at Al Fuadi General Hospital, Binjai. Body temperature measurements were taken before and after SAB administration. Data were analyzed using paired sample t-tests. Results: Prior to the administration of SAB anesthesia, the majority of patients (91.7%) exhibited normal body temperature, with a mean pretest temperature of 36.8°C (±0.3172). Following SAB administration, all patients (100%) developed hypothermia, with a mean posttest body temperature of 34.9°C (±0.4873), reflecting an average temperature decrease of 1.9°C. Statistical analysis indicated a significant effect of SAB anesthesia on the incidence of perioperative hypothermia (p = 0.000, p < 0.05). Conclusion: The administration of SAB regional anesthesia significantly increases the risk of perioperative hypothermia in cesarean section patients. Preventive strategies in clinical practice should include continuous monitoring of patient body temperature before, during, and after SAB administration to enable early detection and intervention, thereby reducing hypothermia-related complications.
Spiritual Support Improves Quality of Life in Diabetes Mellitus Patients Mulyana, Mulyana; Priasmoro, Dian Pitaloka; Kurniawan, Ardhiles Wahyu
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.01.10

Abstract

Patients with diabetes often experience a decline in their quality of life. Among the various indicators used to assess quality of life, spirituality has garnered increased attention. This emphasis is due to the recognition that spiritual support is a vital component of human well-being, as it embodies an individual's pursuit of meaning and purpose while nurturing a connection with a higher power. This study aimed to investigate the correlation between spiritual support and quality of life among patients with diabetes mellitus at the Wonokerto Health Center in Malang Regency. A correlational study design was employed, utilizing purposive sampling to recruit 64 participants from the health centre's service area. Data collection occurred between October 3 and October 27, 2024. The research instruments utilized included the Daily Spiritual Experience Scale (DSES) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF).  The findings indicated that a majority of diabetes mellitus patients (53 respondents, 82.81%) reported high levels of spiritual support, while a significant portion (44 respondents, 68.75%) indicated an excellent quality of life. Data analysis using the Somers' D and Gamma tests revealed a p-value of 0.016 (p < 0.05), suggesting a statistically significant relationship between spiritual support and quality of life in individuals with diabetes. The correlation index (r = 0.546) showed a moderate strength of association, suggesting that heightened spiritual support is correlated with an improved quality of life for patients with diabetes mellitus. In conclusion, spiritual support for patients with diabetes mellitus must be consistently fostered to enhance their quality of life and facilitate more effective coping strategies for managing their condition.
Hubungan Kadar Ureum, Hemoglobin dan Lama Hemodialisa dengan Kualitas Hidup Penderita PGK Kurniawan, Ardhiles Wahyu; Koesrini, Juliati
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p292-299

Abstract

Penderita penyakit ginjal kronik mengalami penumpukan produk sisa dalam darah khususnya ureum yang menjadi toksin bagi tubuh. Anemia pada pasien PGK menyebabkan badan lemah dan penurunan perfusi jaringan. Terapi hemodialisa bisa menjadi stresor bagi pasien, karena terapi ini memerlukan waktu yang lama, keadaan ini berpotensi menurunkan kualitas hidup pasien. Tujuan penelitian adalah mengetahui hubungan kadar ureum, hemoglobin dan lama hemodialisa dengan kualitas hidup penderita PGK di Ruang Hemodialisa RS dr Soepraoen. Desain penelitian ini menggunakan kolerasional dengan pendekatan cross sectional. Responden adalah penderita PGK dengan terapi hemodialisis di ruang hemodialisa RS dr Soepraoen Malang. Sampel sejumlah 92 responden yang memenuhi kriteria eksklusi dan inklusi. Variabel yang diteliti adalah ureum, hemoglobin, lama hemodialisa dan kualitas hidup. Analisa data menggunakan uji korelasi somers’d gamma. Berdasarkan hasil uji korelasi somers’d gamma menunjukkan ada hubungan antara ureum dengan kualitas hidup responden dibuktikan dengan nilai p= 0,025 , r = 0,4. Ada hubungan antara kadar hemoglobin dengan kualitas hidup responden dibuktikan nilai p= 0,012 , r = 0,4. Tidak ada hubungan antara lama hemodialisa dengan kualitas hidup responden dibuktikan nilai p= 0,609, r = 0,6. Hasil penelitian ini meningkatkan kemampuan berpikir kritis perawat yaitu perubahan ureum dan hemoglobin berdampak pada kualitas hidup pasien PGK. Patients with chronic kidney disease experience a buildup of waste products in the blood, especially urea which is toxic to the body. Anemia in CKD patients causes weak body and decreased tissue perfusion. Hemodialysis therapy can be a stressor for patients, because this therapy requires a long time, this situation has the potential to reduce the quality of life of patients. The purpose of this study was to determine the relationship of urea levels, hemoglobin and duration of hemodialysis with the quality of life of patients with CKD in the Hemodialysis Room of dr. Soepraoen Hospital. The design of this study uses a cross-sectional study. Respondents were CKD sufferers with hemodialysis therapy in the hemodialysis room at dr. Soepraoen Hospital, Malang. Sample were 92 respondents who met the exclusion and inclusion criteria. The variables were urea, hemoglobin, length of hemodialysis and quality of life. Data analysis uses the gamma correlation test. Based on the gamma correlation test results showed that there was a relationship between the ureum and the quality of life of the respondents as evidenced by the value of p = 0.025, r = 0.4. There was a relationship between hemoglobin levels with the quality of life of the respondents as evidenced by the value of p = 0.012, r = 0.4. There was no relationship between the length of hemodialysis with the quality of life of respondents as evidenced by the value of p = 0.609, r = 0.6. The results of this study improve the critical thinking skills of nurses, namely changes in urea and hemoglobin affect the quality of life of CKD patients.Â