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BREASTFEEDING HISTORY AND FERTILITY DRUGS USE OF BREAST CANCER INCIDENCE OF PATIENTS AT THE HOSPITAL: A CASE-CONTROL STUDY Dian Ratnasari; Noor Hidayah; Fitriana Kartikasari
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/ijp.v10i1.2787

Abstract

Breast cancer is a malignancy that is frequently diagnosed in women and is the leading cause of cancer-related deaths worldwide. Based on previous studies, a history of not breastfeeding and the use of fertility drugs are suspected risk factors for breast cancer in women. This study aims to determine the risk factors of breastfeeding history and the use of fertility drugs for breast cancer among cancer and non-cancer patients at RS Tk. II Dr. Soedjono Magelang.This research employs a quantitative case-control study design. The primary data used in this study are medical records of women visiting the oncology clinic, inpatient ward, and chemotherapy unit at RS Tk. II Dr. Soedjono Magelang over five weeks from December 20, 2024, to January 25, 2025. A total of 228 women aged 20 to 86 years were identified, including 76 breast cancer patients. The control group in this study consisted of 152 non-breast cancer patients, with a case-to-control ratio of 1:1. A total of 76 control data points were randomly selected from the 152 non-cancer patients. Data collection was conducted using a questionnaire that covered breastfeeding history, history of fertility drug use, and breast cancer diagnosis, categorized as either 'yes' or 'no.' Data analysis was performed using univariate analysis (percentage) and bivariate analysis with the chi-square test. The study results showed a significant association between breastfeeding history and breast cancer, with a p-value of 0.006 and an odds ratio (OR) of 2.49. This means that mothers with a history of not breastfeeding have a 2.49 times higher risk of developing breast cancer compared to those who have a history of breastfeeding.
PENCEGAHAN PENYAKIT TROPIS MELALUI PEMBERANTASAN AGENT DAN VEKTOR DENGAN MEMANFAATKAN TEKNOLOGI BIOPORI DAN KOMPOS Diana Tri Lestari; Noor Hidayah; Fitriana Kartikasari; Achmad Ridwan; Yayuk Mundriyastutik
Jurnal Abdimas Indonesia Vol 4, No 1 (2022): JURNAL ABDIMAS INDONESIA
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jai.v4i1.1504

Abstract

Penyakit tropis berkaitan dengan cara hidup yang tidak sehat, higiene serta sanitasi lingkungan yang buruk. Untuk mencegah mewabahnya penyakit tropis maka perlu upaya untuk membuat lingkungan sehat sehingga agen dan vektor penyebab penyakit tropis tidak berkembang. Teknologi yang digunakan adalah teknik biopori dan kompos. Pengabdian masyarakat dilakukan dengan memberikan pendidikan pada masyarakat, mencakup kegiatan pemberian penyuluhan, kampanye teknologi biopori dan demonstrasi pembuatan lubang biopori dan kompos. Hasil dari pengabdian masyarakat ini pengetahuan masyarakat tentang pencegahan penyakit tropis melalui pemberantasan faktor penyebab dengan memanfaatkan teknologi biopori dan kompos. Dari aspek afektif, peserta menerima bahwa teknologi biopori dapat dikembangkan sebagai salah satu upaya pencegahan penyakit tropis dan dari aspek psikomotor, peserta mampu untuk membuat lubang resapan biopori dan kompos.
Efektivitas Kombinasi Terapi Relaksasi Benson dan Murottal Surah Al-Kahfi terhadap Tekanan Darah pada Pasien Hipertensi di Desa Kedungdowo Kaliwungu Kudus Putri Dina Kharisma Yana; Sukarmin Sukarmin; Fitriana Kartikasari
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 5 No. 1 (2026): April: Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v5i1.8003

Abstract

Hypertension is a condition where arterial blood pressure is persistently above normal values. Hypertension management does not only rely on pharmacological therapy, but also requires a non-pharmacological approach as a complementary effort. One non-pharmacological intervention that can be used is Benson relaxation therapy and murottal Surah Al-Kahfi. Both therapies are believed to contribute to lowering blood pressure through the mechanism of reducing stress responses, increasing physiological relaxation, and achieving psychological calm. This study aims to test the effectiveness of the combination of Benson relaxation therapy and murottal Surah Al-Kahfi in lowering blood pressure in hypertensive patients. The study design used a quasi-experimental approach with a pretest-posttest approach and a control group. The study population was 40 people who participated in the prolanis program in Kedungdowo Village. Based on inclusion and exclusion criteria, a sample of 36 respondents was taken, divided into two groups: 18 people in the intervention group who received a combination of Benson relaxation therapy and murottal, and 18 people in the control group who were not given any intervention. The Wilcoxon signed-rank test results in the intervention group showed an effect of Benson relaxation therapy and recitation of Surah Al-Kahf in the elderly (p-value 0.004). The control group showed a p-value of 0.102. The Mann-Whitney test results showed a p-value of 0.044, indicating a difference in post-test blood pressure in those with hypertension in the control and intervention groups.
Self Care and Blood Pressure Control Education Using Audio Visual for Self Management in Hypertension: Edukasi Perawatan Diri dan Pengendalian Tekanan Darah Menggunakan Media Audio Visual untuk Manajemen Diri pada Hipertensi Indriyati, Fira; Sukesih, Sukesih; Kartikasari, Fitriana
Indonesian Journal of Innovation Studies Vol. 26 No. 4 (2025): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijins.v26i4.1807

Abstract

Background: Hypertension remains a major public health challenge globally and in Indonesia, with suboptimal self management contributing to uncontrolled blood pressure and related complications. Specific background: Health education focusing on self care and blood pressure control is essential; however, conventional delivery methods often provide limited support for patient understanding and engagement. Knowledge gap: Empirical evidence on audio visual–based health education addressing self care and blood pressure control within primary health care settings is still limited. Aims: This study aimed to examine self management outcomes following self care and blood pressure control education delivered using audio visual media. Results: A quasi-experimental control group pretest–posttest design involving 60 hypertension patients demonstrated substantial improvements in self management scores in the intervention group, while only minor changes were observed in the control group, with statistically significant differences between groups. Novelty: This study introduces a structured audio visual health education approach integrating self care and blood pressure control tailored for community health centers. Implications: Audio visual–based health education represents a feasible strategy to support self management practices among hypertension patients in primary health care services. Highlights • Audio visual health education addresses self care and blood pressure control in hypertension. • Self management scores showed clear differences between intervention and control groups. • Community health centers provide a practical setting for audio visual education delivery. Keywords Hypertension, Health Education, Audio Visual, Self Management, Primary Health Care
Buerger Allen Therapy and Foot Sensitivity in Diabetes Mellitus Patients: Terapi Buerger Allen dan Sensitivitas Kaki Pasien Diabetes Melitus Mukaromah, Isna Aulia; Lestari, Diana Tri; Kartikasari, Fitriana
Indonesian Journal of Innovation Studies Vol. 27 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijins.v27i1.1808

Abstract

Background: Diabetes mellitus is a persistent global health condition frequently accompanied by peripheral neuropathy, which presents as reduced foot sensitivity and elevates the risk of foot-related complications. Specific background: Sensory impairment in the lower extremities remains a common clinical concern among diabetes mellitus patients receiving care at primary health facilities. Knowledge gap: Existing studies largely emphasize peripheral circulation parameters, while focused evidence describing foot sensitivity changes remains limited. Aims: This study aimed to describe foot sensitivity among diabetes mellitus patients undergoing Buerger Allen therapy in a community health setting. Results: A quasi-experimental pretest–posttest control group design was conducted with 82 participants. Monofilament testing revealed notable sensory changes in the intervention group, whereas the control group demonstrated relatively stable sensory findings. Novelty: This study places foot sensitivity as a primary clinical outcome rather than a secondary circulatory indicator. Implications: The findings support the incorporation of structured lower-extremity exercise within routine nursing care to address early sensory disturbances in diabetes mellitus. Highlights Buerger Allen therapy was accompanied by distinct foot sensory findings. Monofilament testing identified sensory patterns across intervention and control groups. Foot sensitivity served as a clinically meaningful outcome in diabetes care. Keywords Diabetes Mellitus, Buerger Allen Therapy, Foot Sensitivity, Diabetic Neuropathy, Nursing Care
Pengaruh Psikoterapi Dzikir Dengan Heart Rate Pasien Pra Operasi Di Rs Islam Kudus Nerlita Yogi Rizki Rulloh; Sukarmin Sukarmin; Fitriana Kartikasari
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.2914

Abstract

Latar Belakang: Heart rate yang meningkat pada pasien pra operasi dapat berdampak negatif terhadap kondisi fisik dan emosional pasien. Salah satu pendekatan non-farmakologis yang dapat digunakan untuk menurunkan heart rate adalah terapi dzikir. Dzikir dipercaya mampu memberikan ketenangan secara spiritual sehingga berdampak pada kestabilan fisiologis pasien. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh psikoterapi dzikir terhadap penurunan heart rate pasien pra operasi di Rumah Sakit Islam Kudus. Metode: Penelitian ini menggunakan desain kuasi eksperimen dengan pendekatan pre-test dan post-test tanpa kelompok kontrol. Jumlah sampel sebanyak 60 pasien pra operasi yang dipilih melalui teknik purposive sampling. Intervensi berupa terapi dzikir diberikan selama dua hari kepada pasien rawat inap. Pengukuran heart rate dilakukan sebelum dan sesudah intervensi menggunakan pulse oximeter. Data dianalisis secara univariat dan bivariat menggunakan uji Paired T-Test. Hasil: Rata-rata heart rate pasien sebelum terapi dzikir adalah 91,83 denyut per menit dan setelah terapi menurun menjadi 81,82 denyut per menit. Hasil uji Paired T-Test menunjukkan nilai p-value < 0,000 yang berarti terdapat pengaruh signifikan antara terapi dzikir dengan penurunan heart rate pasien pra operasi. Simpulan: Psikoterapi dzikir terbukti secara signifikan mampu menurunkan heart rate pasien pra operasi di Rumah Sakit Islam Kudus.
Hubungan Pola Makan Dengan Kadar Asam Urat Pada Lansia Di Puskesmas Pati 1 Putri, Dwi Dyah; Hartinah, Dewi; Kartikasari, Fitriana
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2180

Abstract

Hiperurisemia atau peningkatan kadar asam urat pada lansia merupakan masalah kesehatan serius yang berdampak pada kualitas hidup dan komplikasi sistemik. Penelitian ini bertujuan menganalisis hubungan pola makan dengan kadar asam urat pada lansia di Puskesmas Pati 1. Desain penelitian ini adalah analisis korelasi dengan pendekatan cross-sectional. Populasi berjumlah 38 lansia penderita asam urat, sampel 35 responden dipilih melalui total sampling. Instrumen pengumpulan data menggunakan kuesioner Food Frequency Questionnaire (FFQ) dan alat pengukur Easy Touch GCU. Analisis data menggunakan uji univariat dan bivariat dengan korelasi Spearman Rank. Hasil penelitian menunjukkan 60% responden memiliki pola makan tidak baik dan 62,9% mengalami kadar asam urat tinggi. Uji Spearman Rank menghasilkan p-value 0,000 dengan koefisien korelasi r = 0,941, menunjukkan hubungan sangat kuat dan signifikan antara pola makan dengan kadar asam urat. Kesimpulannya, modifikasi pola makan merupakan strategi fundamental dalam pencegahan dan pengelolaan hiperurisemia pada lansia.
PEMBERDAYAAN KADER PEDULI DEMENSIA DALAM UPAYA PROMOSI DAN DETEKSI DINI DEMENSIA MELALUI PEMANFAATAN APLIKASI TELEPON PINTAR DAN MEDIA AUDIOVISUAL Muhamad Jauhar; Edi Wibowo Suwandi; Ashri Maulida Rahmawati; Edita Pusparatri; Fitriana Kartikasari
Jurnal Abdimas Indonesia Vol 7, No 2 (2025): JURNAL ABDIMAS INDONESIA
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jai.v7i2.2921

Abstract

Demensia menjadi salah satu ancaman Kesehatan masyarakat baik secara global maupun nasional. Hal ini didukung dengan meningkatnya angka morbiditas dan mortalitas khususnya pada kelompok usia lanjut. Penyakit tidak menular menjadi penyebab utama munculnya demensia pada hamper seluruh kelompok usia dan social masyarakat. Hal ini berdampak pada menurunnya kualitas hidup dan terganggungnya aktivitas sehati-hari. Perlu adanya partisipasi aktif dari masyarakat dalam menangani masalah ini. Tujuan kegiatan ini yaitu mendeskripsikan pengetahuan masyarakat tentang demensia dan fungsi intelektual pada kelompok risiko melalui pemberdayaan masyarakat. Bentuk kegiatan ini yaitu edukasi Kesehatan berbasis media audiovisual dan skrining demensia berbasis aplikasi telepon pintar.  Kegiatan ini dilakukan di 12 cabang aisyiyah di Kabupaten Kudus pada bulan Januari-Februari 2025. Sasaran kegiatan yaitu anggota aisyiyah di Kabupaten Kudus sebanyak 300 orang. Kegiatan ini dilakukan melalui pemberdayaan kader demensia yang terlatih. Aspek yang diukur yaitu pengetahuan tentang demensia dan fungsi intelektual menggunakan kuesioner dan formulir skrining yang tersedia di telepon pintar. Analisis data menggunakan deskriptif kuantitatif. Hasil kegiatan menunjukkan mayoritas peserta memiliki fungsi intelektual utuh sebanyak 282 peserta (94%) dan setengahnya peserta memiliki pengetahuan baik tentang demensia sebanyak 162 peserta (54%). Pengetahuan yang baik dan fungsi intelektual utuh menjadi hal penting dalam upaya pencegahan demensia di masyarakat. Model intervensi dan media edukasi ini dapat dikembangkan oleh fasilitas pelayanan Kesehatan.
Analisis Penanganan Komplain Pasien Oleh Tim Customer Service (Studi Kualitatif di Rumah Sakit X Kudus) Zia Ul Haq; Rusnoto Rusnoto; Fitriana Kartikasari
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.12242

Abstract

Komplain adalah sebuah tindakan yang dilakukan oleh seseorang dengan tujuan mengkomunikasikan sesuatu yang negatif terhadap produk atau pelayanan yang dipasarkan. tujuan penelitian ini adalah untuk menganalisis proses penanganan komplain pasien serta menganalisis hambatan yang dihadapi saat penanganan komplain pasien. penelitian ini menggunakan desain penelitian kualitatif deskriptif. metode analisis data menggunakan model Miles, Huberman & Saldana yaitu berupa reduksi data, penyajian data, dan penarikan kesimpulan. Proses penanganan komplain di Rumah sakit X kudus menerapkan sistem penangan berjenjang mulai dari level customer service, eskalasi ke humas, wakil direktur hingga direktur rs. Ini menunjukkan Rumah Sakit X Kudus sudah matang dalam menangani komplain pasien. Adapun hambatan dalam penanganan komplain pasien berupa hambatan internal dan eksternal. Hambatan Internal yaitu keterbatasan sumber daya manusia, kurangnya kompetensi staff, miskomunikasi, hingga beban kerja yang tidak seimbang. Sedangkan untuk hambatan ekternal yaitu berupa emosi pasien tinggi, ancaman hukum dan viralisasi di media sosial serta penggunaan identitas anonim di platform digital. Saran dapat disampaikan kepada Rumah Sakit X Kudus yaitu melakukan upaya penambahan staff penanganan komplain, implementasi program pelatihan, memperbaiki sistem komunikasi antar unit serta pengembangan strategi pengelolaan media sosial dan komplain digital.
Health Beliefs and Skills for Early Detection of Dengue Hemorrhagic Fever in Adolescents Muhamad Jauhar; Dewi Hartinah; Fitriana Kartikasari; Ilham Syarochman Putra
NERS Jurnal Keperawatan Vol. 21 No. 1 (2025): NJK Volume 21, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i1.222

Abstract

Dengue hemorrhagic fever (DHF) is a public health threat, especially in tropical countries like Indonesia. The increase in morbidity and mortality rates due to dengue fever, especially in the adolescent group, indicates that this problem needs more attention. This is due to a lack of health confidence and early detection skills for dengue fever. Teenagers, families, communities, and even countries feel the burden of disease. The research aims to analyze the relationship between health beliefs and early dengue detection skills in adolescents. The research design uses correlation analysis with a cross-sectional approach. Variable independent, namely Health beliefs, and variable dependent, namely early detection of dengue fever skills. The research was conducted at a state high school in Jepara Regency in January 2025. The research sample was 93 students selected using a purposive sampling technique based on predetermined criteria. Data analysis used the chi-square test. The results of the study showed that there was a statistically significant relationship between health beliefs in the dimensions of perceived vulnerability (p=0.048), perceived severity (p=0.025), perceived benefits (p=0.028), cues to action (p=0.020) and self-efficacy (p=0.002). However, there was no statistically significant relationship on the dimension of perceived barriers (p=0.467). Health beliefs related to early detection skills. There needs to be a collaboration between schools and community health centres in making efforts to prevent dengue fever by increasing health confidence and early dengue detection skills in students.