Articles
<![CDATA[The Influence of Pshycoeducation Therapy Toward Anxiety Level in Hemodialysis Patients ]]>
<![CDATA[Zulinda Risma Darmawati]]>;
<![CDATA[Heru Supriyatno]]>;
<![CDATA[Dwi Ari Murtiwidigdo]]>
<![CDATA[ Media Karya Kesehatan Vol 4, No 1 (2021): Media Karya Kesehatan ]]>
Publisher : <![CDATA[Universitas Padjadjaran ]]>
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DOI: 10.24198/mkk.v4i1.30340
<![CDATA[Hemodialysis is a treatment used to remove fluid and the waste products from the body when the kidneys are not able to perform its function. Hemodialysis can impact on both physical and psychological dimensions, one of psychological impact is anxiety. Anxiety can be managed by pharmacological and nonpharmacological therapy. One of method to reduce the level of anxiety with nonpharmacological approach is psychoeducation. The study aimed to know differences between anxiety level before and after implementing psychoeducation therapy on hemodialysis patients. This study was type of pre-experimental with one group pre test post test without a control group and involved 30 patients. The technique sample in this study was taken by consecutive sampling. The instrument use questionnaire Hamilton Anxiety Rating Scale (HARS) to determine the level of anxiety before and after a psychoeducation Therapy.Psychoeducation instrument that used is a checklist of activities patient participates in from first session to third session according to standard operating procedures. There was significant difference between the mean level of anxiety on hemodialysis patients before and after psychoeducation is 4.8 (p= 0.000). The study recommended to use a pshycoeducation Therapy to reduce anxiety on hemodialisys patients in early period. Keywords: Hemodialysis, anxiety, psychoeducation.]]>
<![CDATA[The Effect of the Foot Reflection Therapy toward Systolic Blood Pressure in Patients with Primary Hypertension ]]>
<![CDATA[Liota Marsha Renardiyarto]]>;
<![CDATA[Dwi Ari Murti Widigdo]]>;
<![CDATA[Tulus Puji Hastuti]]>
<![CDATA[ Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care ]]>
Publisher : <![CDATA[Universitas Padjadjaran ]]>
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DOI: 10.24198/jnc.v1i3.17069
<![CDATA[Hypertension is a high blood pressure disorder which disrupts blood flow resulting in blocking of oxygen and nutrition carried by the blood to body tissue. Based on Dinas Kesehatan Jawa Tengah's data, hypertension became one of the health issues with a percentage of 37%. One of non-pharmacological therapy is foot-reflexology therapy. This method gives a relaxation effect that could make blood circulating better, decay the blocking in blood vessel, nourish muscles and nerves, and strenghten heart activity. Objective: To determine the effect of foot reflection therapy toward systolic blood pressure in primary hypertension patient at Ngadirojo, Secang, Magelang Method: This study used the pre-experiment method with one group pre-test post-test design without a control group. Simple random sampling technic was used to get 46 subjects. Result: Wilcoxon Test result showed different significant in this study between pre-post test foot reflection therapy by p=0.000 (p<0.05). It meant there was an effect of foot-reflection therapy on systolic blood pressure in primary hypertension. The average of blood pressure decrease was 3,7 mmHg. Although, the results of this study showed that there was a significantly different decrease in this decrease was not clinically significant. The recommendation is made to conduct a study in a combination of pharmacology and non-pharmacology intervention to lower blood pressure.]]>
<![CDATA[Studi Kasus: Asuhan Keperawatan pada Pasien dengan Gagal Jantung Kongestif ]]>
<![CDATA[Evy Aulia Anita]]>;
<![CDATA[Bambang Sarwono]]>;
<![CDATA[Dwi Ari Murti Widigdo]]>
<![CDATA[ Jurnal Skala Husada : The Journal of Health Vol 18, No 1 (2021): Jurnal Skala Husada: The Journal of Health ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Denpasar ]]>
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DOI: 10.33992/jsh:tjoh.v18i1.1837
<![CDATA[ABSTRACTCongestive heart failure is a condition where the heart fails to pump blood flow which is useful to meet the metabolic needs of cells in the body. A person suffering from heart failure is one of the effects that occurs experiencing shortness of breath, and coughing which is sometimes accompanied by phlegm. So from the impact that occurs researchers conduct nursing care to overcome the problem of ineffectiveness of the airway cleaning. The purpose of this study was to determine nursing care in patients with congestive heart failure. This study used a qualitative research method with a case study design using the nursing process approach. Sampling uses purposive sampling technique. The sample is Ny. S is 69 years old in a gerontik ward at the RSJ. Prof. Dr. Soerojo Magelang. The results of the study were found Ny. After three days of nursing care, the phlegm and shortness of breath are reduced. Respiratory Rate is 20 times / minute, the pulse is 84 times / minute, and no rhythmic sounds are heard. Conclusion of the problem of primary nursing care in Mrs. S with congestive heart failure is the ineffectiveness of airway clearance.ABSTRAKGagal Jantung Kongestif merupakan kondisi dimana jantung mengalami kegagalan memompa aliran darah yang berguna untuk mencukupi kebutuhan metabolisme sel-sel di dalam tubuh. Seseorang yang menderita gagal jantung salah satu dampak yang terjadi mengalami sesak napas, dan batuk yang kadang disertai dengan dahak. Maka dari dampak yang terjadi peneliti melakukan asuhan keperawatan untuk mengatasi masalah ketidakefektifan bersihan jalan napas. Tujuan penelitian ini untuk mengetahui asuhan keperawatan pada pasien dengan gagal jantung kongestif. Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan studi kasus dengan pendekatan proses keperawatan. Pengambilan sampling menggunakan teknik purposive sampling. Sampelnya adalah Ny. S umur 69 tahun di bangsal gerontik di RSJ. Prof. Dr. Soerojo Magelang. Hasil penelitian ditemukan Ny. S setelah dilakukan asuhan keperawatan selama tiga hari betuk berdahak dan sesak napas berkurang Respiratory Rate 20 kali/menit, nadi 84 kali/menit, dan tidak terdengar suara ronchi. Kesimpulan masalah asuhan keperawatan utama pada Ny S dengan gagal jantung kongestif yaitu ketidakefektifan bersihan jalan napas. ]]>
<![CDATA[Dukungan Sosial Tenaga Kesehatan saat Menghadapi Pandemi Covid–19 terhadap Tingkat Stres yang Dialami di Kota Magelang ]]>
<![CDATA[Moh. Hanafi]]>;
<![CDATA[Heru Supriyatno]]>;
<![CDATA[Dwi Ari Murti Widigdo]]>
<![CDATA[ JURNAL KEPERAWATAN RAFLESIA Vol 5 No 1 (2023): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Bengkulu ]]>
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DOI: 10.33088/jkr.v5i1.909
<![CDATA[The impact of the Covid-19 pandemic is extensive on people's lives, including healthcare workers, whose families, friends, and close ones are crucial in providing support to help them reduce stress. The aim of this research is to identify the relationship between social support and stress levels among healthcare workers during the Covid-19 pandemic in Magelang City. A quantitative research design with a cross-sectional approach was used, involving 127 respondents. The Multidimensional Scale of Perceived Social Support (MSPSS) and the Perceived Stress Scale (PSS) were used to collect data. The research results indicate that the majority of respondents experienced high social support, with 111 individuals (87.4%), and the majority of respondents experienced moderate levels of stress, with 72 individuals (56.7%). The correlation test results showed a significant value with a p-value of 0.01 (p<0.05) and a correlation coefficient of -0.228. These results indicate a negative relationship between social support and stress levels, where higher levels of social support are associated with lower levels of stress experienced by the respondents. This research also demonstrates a relationship between the level of social support and stress levels among healthcare workers. Therefore, structured social support is necessary for healthcare professionals affected by the Covid-19 pandemic, with a focus on enhancing individual resilience through counseling within clinical supervision.]]>
<![CDATA[ASUHAN KEPERAWATAN PASIEN GAGAL JANTUNG KONGESTIF: STUDI KASUS ]]>
<![CDATA[Evy Anita Aulia]]>;
<![CDATA[Bambang Sarwono]]>;
<![CDATA[Dwi Ari Murti Widigdo]]>
<![CDATA[ Jurnal Keperawatan Vol 16 No 1 (2020): Jurnal Ilmiah Keperawatan Sai Betik ]]>
Publisher : <![CDATA[Jurusan Keperawatan Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jkep.v16i1.1714
<![CDATA[Gagal Jantung Kongestif merupakan kondisi dimana jantung mengalami kegagalan memompa aliran darah yang berguna untuk mencukupi kebutuhan metabolisme sel-sel di dalam tubuh. Seseorang yang menderita gagal jantung salah satu dampak yang terjadi mengalami sesak napas, dan batuk yang kadang disertai dengan dahak. Maka dari dampak yang terjadi peneliti melakukan asuhan keperawatan untuk mengatasi masalah ketidakefektifan bersihan jalan napas. Tujuan penelitian ini untuk mengetahui asuhan keperawatan pada pasien dengan gagal jantung kongestif. Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan studi kasus dengan pendekatan proses keperawatan. Pengambilan sampling menggunakan teknik purposive sampling. Sampelnya adalah Ny. S umur 69 tahun di bangsal gerontik di RSJ. Prof. Dr. Soerojo Magelang. Hasil penelitian ditemukan Ny. S setelah dilakukan asuhan keperawatan selama tiga hari betuk berdahak dan sesak napas berkurang Respiratory Rate 20 kali/menit, nadi 84 kali/menit, dan tidak terdengar suara ronchi. Kesimpulan masalah asuhan keperawatan utama pada Ny S dengan gagal jantung kongestif yaitu ketidakefektifan bersihan jalan napas]]>
<![CDATA[Factors That Influence Complience With Hypertension Patiens In The Kaliangkrik Puskesmas Working Area ]]>
<![CDATA[Novela, Nona Ringgi]]>;
<![CDATA[Supriyatno, Heru]]>;
<![CDATA[Sarwono, Bambang]]>;
<![CDATA[Widigdo, Dwi Ari Murti]]>
<![CDATA[ Midwifery and Nursing Research Vol 6, No 2 (2024): September 2024 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/manr.v6i2.11705
<![CDATA[Background: Hypertension is often referred to as the silent killer due to its potential to harm vital organs like the heart and kidneys without showing noticeable symptoms. Adherence to medication is crucial in preventing hypertension. Various factors, including medication-related issues, contribute to patient non-compliance. Many individuals fail to adhere to hypertension medication due to perceived side effects following consumption.Methods: This study uses a quantitative research method with a correlational research design. It employs a Cross-Sectional approach. The sampling technique used in this study is proportional simple random sampling. The sample consists of 88 respondents who suffer from hypertension. The research instrument used in this study is a questionnaire on factors influencing medication adherence among hypertension patients. To determine the relationships between these factors and medication adherence among hypertension patients, this study utilizes the Chi-Square test and Logistic Regression analysis.Conclusion: The most dominant factor influencing medication adherence in hypertension sufferers is the knowledge factor, followed by the second factor, namely the assumption of drug side effects. The most dominant factor influencing medication adherence in hypertensive patients is knowledge, followed by the second factor, which is assumptions about medication side effects.]]>
<![CDATA[The Relationship between Waist Circumference and Waist-to-Hip Ratio with Risk of Cardiovascular Disease in Indonesia ]]>
<![CDATA[Hastuti, Anung Puji]]>;
<![CDATA[Widigdo, Dwi Ari Murti]]>;
<![CDATA[Sarwono, Bambang]]>;
<![CDATA[Supriyatno, Heru]]>
<![CDATA[ Jurnal Keperawatan Soedirman Vol 17 No 3 (2022): Jurnal Keperawatan Soedirman (JKS) ]]>
Publisher : <![CDATA[Fakultas Ilmu-ilmu Kesehatan ]]>
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DOI: 10.20884/1.jks.2022.17.3.6313
<![CDATA[Cardiovascular disease (CVD) is one of the non-communicable diseases which is the mayor leading cause of death in the world. One of the modifiable factors of cardiovascular disease is central obesity. Assessment of central obesity status was carried out by measuring waist circumference (WC) and waist-to-hip ratio (WHR). This study aimed to determine the relationship between WC and WHR with the risk of cardiovascular disease. This was an observational study with a cross-sectional design. There were 106 respondents selected using a convenience sampling technique. In this study, the risk of cardiovascular disease was calculated using the Jakarta Cardiovascular Score. The Spearman Rho’s was used as bivariate analysis for this study. The findings showed that WC and the risk of cardiovascular disease indicates a significant relationship with a moderate correlation (p <0.001 and r =0.467). Meanwhile, there was a significant relationship between WHR and the risk of cardiovascular disease (p<0.001 and r =0.385). Nurse may use this study result as an evidence to develop a preventive central obesity program.]]>
<![CDATA[The Effect of Acupressure on Fasting Blood Glucose Levels in Clients with Type II Diabetes Mellitus ]]>
<![CDATA[Wekoadi, Galih Mahendra]]>;
<![CDATA[Arwani, Arwani]]>;
<![CDATA[Widigdo, Dwi Ari Murti]]>
<![CDATA[ Jurnal Multidisiplin Indonesia Vol. 3 No. 8 (2024): Jurnal Multidisiplin Indonesia ]]>
Publisher : <![CDATA[Riviera Publishing ]]>
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DOI: 10.58344/jmi.v3i8.1784
<![CDATA[Diabetes mellitus is a? disease that has a characteristic signs? in the from of an increase in glucose levels exceeding normal range . The prevalence of diabetes mellitus is increasing significantly. Currently, the management? of diet, exercise and use therapy pharmacological therapy are option in the management of diabetes mellitus. In addition to these therapies, there are complementary therapies such as acupressure. The purpose of this study was to prove the acupressure intervention in influencing fasting blood glucose levels. This research was a quasi- experimental study with a nonequivalent control group design with pre – test post – test. This study had 38 respondents? whi were devided into 2 groups and were taken using a consecutive sampling techniques. This study was conducted from April 7th 2021 – May 9th 2021. The pre – test and post -test difference test used the wilcoxone test. The diferent test between groups used Man – Whitney test and Independent – t test. Study This showed that there were significant differences? before and after treatment in all groups p = < 0.05. The results of the post-test differences between groups also showed p = 0.012 which shows that there are meaningful differences? between post-tests in groups intervention and control groups. Complementary therapy in the form of proven acupressure can decrease fasting blood glucose in type II diabetes mellitus patients, and complementary therapy in the form of acupressure can used for decrease fasting blood glucose levels in type II diabetes mellitus patients.]]>
<![CDATA[Treatment Of Grade II Diabetic Ulcer with Mindi Leaf Hydrogel (Melia Zadarach L) Against Wound Healing Process ]]>
<![CDATA[Ineke Noviana]]>;
<![CDATA[Mardiyono Mardiyono]]>;
<![CDATA[Dwi Ari Murti Widigdo]]>
<![CDATA[ STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/sjik.v10i1.629
<![CDATA[Diabetic ulcers are a chronic complication of Diabetes Mellitus. Modern society prefers non pharmacology as a nursing action because it is far from chemicals. Researchers found that mindi leaves with ingredients that can be used as anti-inflammatory, antidiabetic and antibacterial can be used to treat diabetes which is packaged into a hydrogel for the basic ingredient of modern care (modern dressing).To determine the effectiveness of mindi leaf hydrogel on the wound healing process in patients with grade II diabetic ulcers. True experimental design with pre-test post-test with control group design. Data were collected by taking 40 respondents through stratified random sampling and the hypothesis was tested by using the General Linear Model effectiveness test.Mindi leaf hydrogel significantly accelerated the healing process of grade II ulcers with a value of p=0.000.Treatment of diabetic ulcers with mindi leaf hydrogel is effective in accelerating the wound healing process]]>
<![CDATA[Teh Lidah Buaya (Aloe Vera) Terhadap Kadar Gula Darah Puasa Pada Klien Diabetes Mellitus Tipe II di Puskesmas Srondol Kota Semarang ]]>
<![CDATA[Ilham, Radiah]]>;
<![CDATA[Sudirman, Sudirman]]>;
<![CDATA[Widigdo, Dwi Ari Murti]]>
<![CDATA[ Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025 ]]>
Publisher : <![CDATA[Universitas Pahlawan Tuanku Tambusai ]]>
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DOI: 10.31004/jn.v9i3.44853
<![CDATA[Diabetes mellitus merupakan salah satu penyakit yang memiliki tanda yang khas berupa peningkatan kadar gula darah melebihi rentang normal Prevalensi diabetes mellitus semakin meningkat secara signifikan dari tahun ke tahun. Saat ini, pengelolaan diet, olahraga dan penggunaan terapi farmakologi menjadi pilihan dalam manajemen diabetes mellitus. Selain terapi tersebut terdapat terapi komplementer seperti pemberian teh lidah buaya (aloevera). Tujuan dari penelitian ini adalah untuk membuktikan pengaruh teh lidah buaya (aloevera) terhadap kadar gula darah puasa klien diabetes mellitus tipe II. Penelitian ini adalah penelitian quasi eksperimen dengan rancangan non randomized control group pre-test post-test design. Penelitian ini memiliki 48 responden yang terbagi menjadi 3 kelompok dan diambil dengan menggunakan teknik consecutive sampling, setiap kelompok diberikan intervensi selama 14 hari, yaitu teh lidah buaya (aloevera) 2x2 gr/hari, dan kelompok kontrol dengan perlakuan obat anti hiperglikemia yang diminum sesuai resep dokter. Penelitian dilakukan pada 12 Maret 2022 – 31 April 2022. Penelitian ini menunjukan bahwa terdapat perbedaan yang bermakna sebelum dan sesudah diberikan perlakuan pada semua kelompok (p = 0,001), baik pada kelompok dengan perlakuan the lidah buaya (aloevera), maupun perlakuan standar berupa obat anti hiperglikemia. Hasil uji statistik juga menunjukan bahwa teh lidah buaya (aloevera) menjadi perlakuan yang paling baik dalam menurunkan kadar gula darah pasien diabetes mellitus tipe II (p<0,05) dibandingkan dengan perlakuan lainnya. Terapi komplementer berupa teh lidah buaya (aloevera) menjadi perlakuan yang paling baik serta efektif dalam menurunkan kadar gula darah klien dengan diabetes mellitus tipe II. Terapi komplementer berupa teh lidah buaya (aloevera) dapat digunakan menjadi terapi komplementer untuk menurunkan kadar gula darah pasien diabetes mellitus tipe II]]>
