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Pengaruh Terapi Accupressure Dengan Menggunakan Minyak Zaitun Terhadap Penurunan Fatigue Pada Pasien Dengan Chronic Kidney Disease (CKD) Di Ruang Kenanga RSUD dr. Haryoto Lumajang Vidia Puspita Sari; R Endro Sulistyono; Ainul Yaqin Salam; Suhari Suhari
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4844

Abstract

Chronic Kidney Disease (CKD) is a clinical syndrome caused by a decline in kidney function. Fatigue in CKD patients occurs due to the kidneys’ inability to produce sufficient erythropoietin (EPO), a hormone necessary to stimulate red blood cell production. This results in decreased oxygen levels in the body, causing fatigue, weakness, and lethargy. Non-pharmacological therapies such as acupressure and olive oil application can stimulate the nervous system and improve energy flow in the body, which help reduc fatigue. This study used a pre-experimental design with a One-Group Pretest and Posttest Design. The Chi-Square test was used for data analysis. The sample consisted of 29 respondents selected through accidental sampling. The intervention involved applying acupressure to specific points on the body of CKD patients hospitalized in the Kenanga Room of dr. Haryoto Lumajang Public Hospital. The intervention was conducted over 3 days, with 3 sessions per day, each lasting 20 minutes. Before the acupressure and olive oil intervention, 7 respondents (24.1%) experienced mild fatigue and 22 respondents (75.9%) experienced severe fatigue. After the intervention, 20 respondents (69%) reported mild fatigue and 9 respondents (31%) still experienced severe fatigue. The results showed a p-value of 0.042 (< 0.05), indicating that the alternative hypothesis (Ha) is accepted. This means there was a significant difference before and after the acupressure combined with olive oil therapy in CKD patients at dr. Haryoto Lumajang Public Hospital. Based on these findings, it is recommended that hospitals, nurses, and patients consider acupressure and olive oil as non-pharmacological therapy options for patients experiencing fatigue.
Healthy Food After COVID-19 Vaccination: Makanan Sehat Paska Vaksinasi COVID-19 Wahyuningsih, Sri; Abdillah, Achlish; Hayati, Nurul; Sulistyono, R. Endro; Kurnianto, Syaifuddin
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 1 (2023): May 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i1.31

Abstract

Coronavirus is a cause of infectious diseases. The European Food Safety Association (EFSA), on March 9, 2020, explained that there is no evidence yet to show that food is part of the coronavirus transmission route (of course, when we consume food in the right and clean way standard). Basic Health Research conducted by the Ministry of Health in 2018 shows that few Indonesian citizens are malnourished or suffer from diabetes. This group risks experiencing fatal health problems when attacked by the coronavirus. The aim of this health promotion is that the post-vaccination participants for COVID-19 in the D3 Nursing Study Program, Faculty of Nursing, University of Jember, Lumajang Campus, have a better understanding of consuming healthy food after the COVID-19 vaccination. The service method uses counseling using lectures, question and answer, and demonstrations with X banner and leaflet media for participants after the COVID-19 vaccination, which was carried out on March 17, 2022, taking place at the D3 Nursing Study Program, Faculty of Nursing, Universitas Jember, Lumajang Campus. The results of this community service activity are likely successful. This can be observed in the level of attendance and the activeness of the participants. This activity took place in an orderly and good manner without experiencing significant obstacles. The follow-up that needs to be done is to continue to provide information on healthy food after the COVID-19 vaccination, so that confusing and untrue news can be suppressed so that the people of Indonesia are free of COVID-19, especially the people of Lumajang.
The Correlation Between Nurse Performance Evaluation Indicators and Nurse Work Productivity at Wijaya Kusuma Hospital Ernawati; Dodik Hartono; R. Endro Sulistyono
Health and Technology Journal (HTechJ) Vol. 2 No. 6 (2024): December 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i6.290

Abstract

Performance appraisal is a process within an organization that aims to evaluate employee performance. Performance appraisal is used to assess how much productivity is produced by employees. One of the main challenges many organizations face today is increasing employee productivity. This research aims to determine the relationship correlation performance assessment indicators and the work productivity of nurses at Wijaya Kusuma Hospital, Lumajang. The research design used analytical observational with a cross-sectional approach. The population included all nurses at Wijaya Kusuma hospital Lumajang totaling 79 nurses. The instruments used an employee performance assessment questionnaire within the Ministry of Health and IWPQ. Next, it was analyzed using the Spearman's rho test.This research has been submitted and passed ethics at KEPK Unhasa. The results of this research showed that 31 respondents (39.2%) performed in the very good category, 30. The number of respondents with an assessment of work productivity evaluation of work productivity in the Medium category was 48 (60.8%). The nurse performance assessment indicator significantly correlated with work productivity, as indicated by a correlation coefficient of 0.905 with a significance level of 0.001 (P0.05). Performance appraisal not only functions as an evaluation tool but also as an instrument for sustainable performance development. Hospitals should continue to improve their performance assessment systems, which are objective and support the development of nurse competency. With proper assessment, it is hoped that there will be a sustainable increase in work productivity, which will ultimately positively impact the quality of health services.
The Influence of Combining Anti-Hypertension Exercise and Watermelon Juice on Blood Pressure Reduction in The Elderly Posyandu of Labruk Lor Village Ridha Septrivinta; R. Endro Sulistyono; Iin Aini Isnawati
Health and Technology Journal (HTechJ) Vol. 2 No. 6 (2024): December 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i6.291

Abstract

The elderly are residents who have reached the age of 60 years or more. One of the diseases experienced by the elderly is hypertension. Hypertension is an increase in systolic blood pressure of at least 140 mmHg, and diastolic blood pressure of at least 90 mmHg. The management of hypertension is by pharmacology and non-pharmacology. One of non-pharmacological treatment by implementing the CERDIK program includes a diligent physical activity and a balanced diet. Antihypertensive exercise is an exercise that can increase the blood flow and oxygen supply to the heart muscle. The combination of drinking watermelon juice is done to prevent and reduce the hypertension. The purpose of this research is to determine the effect of antihypertensive exercise and watermelon juice on blood pressure in the elderly. This research used a quasi-experiment type of research with a pre-test – post-test approach with two group design. The samples of this study were 36 elderly with hypertension. The sampling technique used random sampling with a cluster sampling approach. The research instruments used modules and observations. The research was conducted from the 5th to the 19th of July 2024 at the elderly Posyandu in Labruk Lor Village, Lumajang District. Based on the results of the study, the average pre-test blood pressure value of the control and the experimental groups were almost entirely had hypertension. The research results showed that the average post-test blood pressure value of the control and intervention groups experienced a significant decrease. The results of the independent t test of the differences in blood pressure in the control and the experimental groups after being given antihypertensive exercise therapy and watermelon juice is by P value of 0.003 it can be concluded that there is a significant difference in elderly blood pressure between the control and experimental groups after being given therapy. The results of this study are expected to increase nurses’ knowledge about the effects of exercise and diet in the management of hypertension in order to provide effective education to patients.
The Relationship Between Peak Expiratory Flow Values and The Quality of Life among Asthma Patients Rico Irwan Saputro; R. Endro Sulistyono; Achmad Kusyairi
Health and Technology Journal (HTechJ) Vol. 3 No. 1 (2025): February 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i1.303

Abstract

Asthma is a common respiratory disease that significantly impacts patients' quality of life. Despite advances in asthma management, challenges remain in controlling symptoms and maintaining patients' quality of life. Peak Expiratory Flow (PEF) is an important parameter for monitoring lung function and managing asthma effectively. This study explores the relationship between Peak Expiratory Flow (PEF) values and the quality of life of asthma patients at the Pulmonary Polyclinic of Bhayangkara Lumajang Hospital. The study design used was observational analytics with a cross-sectional approach. The study population consisted of asthma patients undergoing regular check-ups at the pulmonary clinic, with a sample size of 60 patients selected through accidental sampling. Data were collected using a peak flow meter to measure PEF values and the Standardized Asthma Quality of Life Questionnaire (AQLQ-S) to assess patients' quality of life. Data analysis was conducted using the Spearman rank correlation test. The results showed that 37 respondents (61.7%) experienced airway narrowing, while 23 respondents (38.3%) had more severe airway narrowing. Regarding quality of life, 34 respondents (56.7%) fell into the moderate quality of life category, while 26 respondents (43.3%) were in the poor quality of life category. Spearman rank correlation analysis revealed a significant relationship between PEF values and the quality of life of asthma patients, with a ρ-value = 0.000. This indicates that higher PEF values are associated with better quality of life among asthma patients. The study concludes that PEF is an important indicator for assessing the quality of life of asthma patients, and regular PEF monitoring can help improve their quality of life. This research provides a foundation for developing more effective asthma management strategies.
The Correlation Between Nurse Response Time and Service Quality and Family Satisfaction in the Emergency Didik Wahyudi; Achmad Kusyairi; R. Endro Sulistyono
Health and Technology Journal (HTechJ) Vol. 3 No. 1 (2025): February 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i1.308

Abstract

Response time is a combination of the response time when the patient comes to the health center until he receives service from the staff. The standard time is ≤ 5 minutes for patients to be served after arriving at the emergency room. Long response times can result in the risk of death or disability. Fast and precise response time can create a feeling of satisfaction with the service received. This study aims to determine the correlation between nurse response time, service quality, and family satisfaction in the UPT Kedungjajang Emergency Room Community Health Center. This was multivariate quantitative research using correlational analytical methods with a cross-sectional study. Respondents were obtained in the emergency room of the Kedungjajang Community Health Center, which was held from 26 June to 26 July 2024. The sampling technique used Total Sampling with a sample of 5 nurses and Accidental Sampling with 48 patient families. The instrument uses observation and questionnaires, and it is analyzed using SPSS with the MANOVA test. The research results showed that fast nurse response time at good service quality was 40 respondents (93.0%), fast nurse response time at the satisfaction point was 43 respondents (95.6%), and a significant p-value was obtained at p=0.022 at Nurse Response Time on service quality and p = 0.001 on nurse Response Time on family satisfaction. Service standards in assisting quickly and appropriately are provided to patients in the emergency room by competence and ability. Fast and precise response time can create a feeling of satisfaction with the service received. Nurse training is essential, and health centers are expected to provide triage information boards so that patients and families understand the triage priorities given by nurses.
Healthy Food After COVID-19 Vaccination: Makanan Sehat Paska Vaksinasi COVID-19 Sri Wahyuningsih; Achlish Abdillah; Nurul Hayati; R. Endro Sulistyono; Syaifuddin Kurnianto
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 1 (2023): May 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i1.31

Abstract

Coronavirus is a cause of infectious diseases. The European Food Safety Association (EFSA), on March 9, 2020, explained that there is no evidence yet to show that food is part of the coronavirus transmission route (of course, when we consume food in the right and clean way standard). Basic Health Research conducted by the Ministry of Health in 2018 shows that few Indonesian citizens are malnourished or suffer from diabetes. This group risks experiencing fatal health problems when attacked by the coronavirus. The aim of this health promotion is that the post-vaccination participants for COVID-19 in the D3 Nursing Study Program, Faculty of Nursing, University of Jember, Lumajang Campus, have a better understanding of consuming healthy food after the COVID-19 vaccination. The service method uses counseling using lectures, question and answer, and demonstrations with X banner and leaflet media for participants after the COVID-19 vaccination, which was carried out on March 17, 2022, taking place at the D3 Nursing Study Program, Faculty of Nursing, Universitas Jember, Lumajang Campus. The results of this community service activity are likely successful. This can be observed in the level of attendance and the activeness of the participants. This activity took place in an orderly and good manner without experiencing significant obstacles. The follow-up that needs to be done is to continue to provide information on healthy food after the COVID-19 vaccination, so that confusing and untrue news can be suppressed so that the people of Indonesia are free of COVID-19, especially the people of Lumajang.
Analysis of Factors Influencing Cognitive Function Decline in Elderly Prolanis Patients with Type 2 Diabetes Mellitus in the Kedungjajang Community Health Center Working Area, Lumajang Dewi Agustin Wulandari; Achmad Kusyairi; R. Endro Sulistyono
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.344

Abstract

Diabetes mellitus is a metabolic disorder characterized by persistent chronic hyperglycemia due to hormonal disturbances such as insulin resistance. Decreased cognitive function can start from the mildest form, such as being prone to forgetfulness, progress to mild cognitive impairment and eventually to dementia, the most severe clinical form. This study aims to explore the cognitive function and characteristics of elderly patient in the working area of the Kedungjajang Community Health Center. This research used a correlational analytic method with a cross-sectional approach. The study was conducted in the Kedungjajang Community Health Center Working Area. The respondents were elderly patients suffering from type 2 diabetes mellitus. Purposive sampling was utilized in this study during JuneJuly 2024. Interviews with patients were conducted using the Mini-Mental State Examination (MMSE) questionnaire. Among the 95 participants, the age group majority was 45-59 years (61.1%), with a predominant female gender distribution (83.2%). The duration of suffering from type 2 diabetes mellitus was most commonly less than 5 years (75.8%), with glucose levels over 200 mg/dl (53.7%). The analysis of this study used bivariate and subsequent multivariate tests, revealing a p-value (<0.25), indicating a significant correlation between the duration of illness and the decline in cognitive function. The results of this study are expected to educate about the importance of maintaining stable glucose levels to prevent worsening cognitive factors.
The Effect of Distraction Therapy in Reducing Children's Anxiety During Circumcision: Pengaruh Terapi Distraksi dalam Mengurangi Kecemasan pada Anak yang Disunat Primasari Mahardhika Rahmawati; R. Endro Sulistyono; Suhari; Dwi Ochta Pebriyanti
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 1 (2024): May 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i1.159

Abstract

Circumcision or circumcision is a surgical procedure that involves removing all or part of the foreskin of the penis with the aim of keeping the vital area clean so that it is not easily infected. By 2020, 85% of boys will be circumcised, equating to around 8.7 million boys annually. The circumcision rate will increase along with population growth in Indonesia. Most children who undergo circumcision will encounter obstacles such as fear, crying, refusing to enter the room and having to ask their parents to accompany them when they want to enter the room. This shows that there are fundamental problems in children who will be circumcised. Anxiety is one of the things a child will face before being circumcised. Anxiety can cause prolonged trauma, causing children to experience stressor crises. The cause of anxiety is pain and fear during the circumcision process. Often parents and medical personnel think this is trivial, but in fact if left unchecked it will have a serious impact on the child's mental condition. Distraction therapy is an example of therapy that can help reduce a child's anxiety about circumcision. Children who are circumcised will naturally feel afraid and anxious, so play therapy is carried out to reduce these feelings of anxiety. This therapy involves diverting attention to the child who will be circumcised. The goal is to change the child's orientation and thinking, which was initially focused on circumcision, towards the proposed therapy. This will create a feeling of security and comfort, thereby helping the circumcision process run smoothly.
Pengaruh Pijat Bayi Menggunakan Kombinasi Sunflower Oil Dan Musik Lullaby Terhadap Peningkatan Kualitas Tidur Bayi Usia 0-12 Bulan : The Effect of Infant Massage Using a Combination of Sunflower oil and Lullaby Music on Improving Sleep Quality in Infants Aged 0–12 Months at Fitri BabySpa Lumajang Djia Retno Sari; Achmad Kusyairi; R. Endro Sulistyono; Iin Aini Isnawati
Jurnal Keperawatan Bunda Delima Vol 8 No 1 (2026): EDISI JANUARI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i1.215

Abstract

Pendahuluan: Masa bayi merupakan periode emas pertumbuhan dan perkembangan yang sangat dipengaruhi kualitas tidur. Gangguan tidur dapat berdampak negatif pada proses tumbuh kembang, sehingga diperlukan intervensi nonfarmakologis yang aman dan efektif. Salah satu metode yang terbukti bermanfaat adalah pijat bayi menggunakan minyak bunga matahari (Sunflower oil) yang dipadukan dengan musik lullaby. Kombinasi ini memberikan efek relaksasi sekaligus menutrisi kulit, sehingga membantu bayi tidur lebih nyenyak. Penelitian ini bertujuan menganalisis pengaruh pijat bayi menggunakan Sunflower oil diringi musik lullaby terhadap peningkatan kualitas tidur bayi usia 0–12 bulan di Fitri BabySpa  Lumajang. Metode: Desain penelitian menggunakan pre-eksperimen one group pretest-posttest. Sebanyak 98 bayi dipilih dengan teknik purposive sampling dari populasi pengunjung. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan uji Wilcoxon Signed Rank Test. Hasil: Penelitian menunjukkan sebelum intervensi 80,6% bayi mengalami gangguan tidur ringan, namun setelah pijat dengan kombinasi tersebut 93,9% bayi tidak lagi mengalami gangguan tidur. Uji Wilcoxon menghasilkan p = 0,000 (<0,05), menandakan pengaruh yang signifikan. Kesimpulan: Pijat bayi dengan Sunflower oil diiringi musik lullaby efektif merangsang sistem saraf parasimpatis, menimbulkan relaksasi, memperkuat ikatan emosional melalui sentuhan hangat, sekaligus menstimulasi gelombang otak alfa yang memudahkan bayi tertidur lebih cepat, lebih lama, dan dengan kualitas yang lebih baik.