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Health Care Functions of Elderly Families with Hypertension Who Live Alone Life in Bandung District (Phenomenological Study) Budiman, Budiman; Dedi, Blacius; Mendrofa, Fery Agusman Motuho; Hastuti, Witri; Hani, Umi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): 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.v10i2.687

Abstract

Aims: The aim of this research is to explore the health care function of families of elderly people with hypertension who live their lives alone in Bandung Regency. Methods : This research design uses a qualitative method with an exploratory phenomenological approach. The number of participants was 7 people who conducted a focus group discussion (FGD). Results : The results of this research obtained 5 themes, namely recognizing internal and external health problems based on reflex response, making decisions based on personal needs and complaints of the elderly, caring for oneself by preventing and strengthening positive energy, maintaining environmental health through dividing tasks and joint financial responsibility, and increasing optimization utilization of health services. Conclusions : Research on elderly hypertension families reveals five main themes: understanding hypertension through psychological and physical responses, making decisions based on personal needs, self-prevention and positive energy, dividing environmental health and joint financial responsibility, and optimizing health facility use through PKM and Health Services.
The Effectiveness of Diabetic Self-Management Education (DSME) on Dietary Habit, Obesity, and Physical Activity Among Patients with DM Type II Agow, Liana Lidia; Mendrofa, Fery Agusman Motuho; Sonhaji, Sonhaji
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1531

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Diabetes mellitus and metabolic disorders are the priority programs in Indonesia. There is one program to reduce the fatality impact of diabetes which is diabetic self-management education (DSME). This study aimed to examine the effectiveness of Diabetes Self-Management Education (DSME) on dietary habits, physical activity, and obesity.  This study is a quasi-experimental approach with one group pre-test post-test design. The sample in this study was 75 people with DM type II. The intervention for all samples was done for 4 sessions. Each session lasted 60 to 120 minutes/day with a maximum of 10 patients. The findings revealed that dietary habits were good from 56.0% to 69.3%, physical activity was good from 54.7% to 76.0%, and obesity decreased from 69.3% to 57.35, respectively for pre and post-test. The paired t-test result revealed that DSME correlates with dietary habits, physical activity, and obesity (obesity, physical activity, and dietary habit with p-values 0.024; 0.007; and 0.02, respectively). In conclusion, DSME has significantly influenced dietary habits, physical activity, and obesity. Education is crucial in promoting physical activity among individuals with diabetes. By enhancing self-efficacy, providing education on self-care behaviors, and emphasizing the importance of regular physical activity, these programs contribute to improving metabolic control, quality of life, and overall health outcomes in diabetic patients.
The Impact of Self Reminder Interactive (SRI) Application on Quality of Life, Compliance of anti-TB Drug, and Self Efficacy Among TB Patients Sriningsih, Sriningsih; Mendrofa, Fery Agusman Motuho; Sonhaji, Sonhaji
Ahmar Metastasis Health Journal Vol. 3 No. 4 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v3i4.245

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The impact of technology plays a significant role in health, including prevention and rehabilitation of Tuberculosis patients. One of the breakthroughs made to reduce pulmonary tuberculosis sufferers is through telenursing to improve patient behavior in preventing transmission of pulmonary tuberculosis. This study aimed to identify the influence of the Community Resources-based SRI (Self Reminder Interaction) Application on improving the quality of life, anti-TB drug Compliance, and Self-Efficacy among Pulmonary Tuberculosis patients. This study is a quasi-experiment research type with a nonequivalent control pre-test and post-test design. The sample in this study was selected using simple random sampling with a total of 50 respondents. The independent variables of this study were SRI application implementation, then the dependent variables included quality of life, self-efficacy, and anti-TB drug adherence.  The results of this study consist of the majority of respondents were aged 35 to 39 years old, female, and working as private laborers. The bivariate results found the significant impact of SRI application to increase quality of life, self-efficacy, and anti-TB drug adherence after. Among case groups, there is found significant improvement between pre and post-test after giving intervention. It can be concluded that the SRI application is significant in improving TB patient life. Future studies could add more predictors related to the accessibility of technology such as education level, income, and place of residence to explore the impact of such application in multivariate analysis.
EFEKTIFITAS PROGRAM MITRA LANSIA TERHADAP KADAR GLUKOSA DARAH LANSIA DIABETES MELITUS TIPE II Myla Ristiyowati; Fery Agusman Agusman Motuho Mendrofa; Sri Puji Lestari; Tri Ismu Pujiyanto
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 1 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i1.2220

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Penyakit syndrome metabolik diabetes melitus masih menjadi masalah utama kesehatn di dunia karena angka morbiditas dan mortalitasnya kian meningkat. Penelitian ini bertujuan untuk menganalisis efektifitas program mitra lansia terhadap kadar glukosa darah lansia diabetes melitus tipe II. Penelitian quasi eksperimental dengan desain penelitian pretes dan posttes control/trial group design. Sebanyak 30 lansia diabetes melitus tipe II dari Puskesmas Gribig dan Puskesmas Jepang yang mengikuti penelitian ini dengan kriteria inklusi berusia 40-60 tahun menderita diabetes melitus tipe II. Subjek terbagi atas dua kelompok intervensi program mitra lansia dan kelompok kontrol. Kelompok intervensi diberikan program mitra lansia yang terdiri dari latihan perhatian, latihan jasmani dan konseling gizi sedangkan kelompok kontrol diberikan latihan jasmani dan konseling gizi. Subjek dilakukan pengambilan sampel darah puasa sebanyak 3 ml dan setelah diberikan perlakuan selama 3 hari diambil kembali sampel darah sebanyak 3 ml untuk dilakukan pemeriksaan kadar glukosa darah puasa. Hasil penelitian Kelompok intervensi yang diberikan program mitra lansia menunjukkan rerata nilai kadar glukosa darah mengalami penurunan setelah diberikan perlakuan. Sebelum diberikan perlakuan kadar glukosa darah puasa mean 163,33+81,71 setelah diberikan perlakuan menjadi 156,60+76,01. Kelompok kontrol yang diberikan perlakuan konseling gizi dan senam lansia sebelum diberikan perlakuan menunjukkan rerata 138,53+77,04 dan setelah diberikan perlakuan menunjukkan rerata mengalami peningkatan 149,93+84,822. Terdapat ffektifitas kelompok intervensi terhadap kadar glukosa darah (P=0,043) dan tidak terdapat efektifitas kelompok kontrol terhadap kadar glukosa darah (p=0,537). Kesimpulan penelitian ini mengorekomendasikan program mitra lansia lebih efektif dalam mengemdalikan kadar glukosa darah lansia diabetes melitus tipe IIKata Kunci: Program mitra lansia, Lansia Diabetes Melitus Tipe II dan Glukosa Darah
PENGARUH PROGRAM DELI (DEMENSIA PEDULI) TERHADAP PENGETAHUAN DAN EFIKASI DIRI KADER KESEHATAN PADA LANSIA DENGAN GANGGUAN KOGNITIF BERBASIS MASYARAKAT Novi Tiara; Fery Agusman Motuho Mendrofa; Fhandy Aldy Mandaty
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 1 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i1.2154

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Latar Belakang: Gangguan kognitif menjadi masalah serius bagi lansia karena menyebabkan terjadinya penurunan kinerja pada tugas-tugas kognitif utamanya saat mengambil keputusan akibat adanya keterlambatan terhadap pemrosesan, kerja memori dan fungsi kognitif eksekutif. Demensia merupakan penyakit gangguan fungsi kognitif yang paling umum. Gangguan fungsi kognitif pada demensia biasanya disertai dengan perburukan kontrol emosi, perilaku, dan motivasi. Dampaknya yaitu penurunan kualitas hidup pada lansia. Upaya manajemen demensia melalui pemberdayaan Kader kesehatan dengan pelatihan perlu diinisiasi. DELI merupakan salah satu upaya peningkatan kapasitas kader kesehatan dalam pencegahan demensia di masyarakat yang dirancang berbeda dari pendidikan kesehatan yang sudah ada. DELI dilaksanakan sebanyak 4 sesi selama 2 hari dengan waktu 60-90 menit. Tujuan Penelitian: untuk mengetahui pengaruh program DELI (demensia peduli) terhadap pengetahuan dan efikasi diri kader kesehatan pada lansia dengan gangguan kognitif berbasis masyarakat di Kabupaten Kudus. Metode Penelitian : Desain penelitian menggunakan kuasi eksperimen jenis pretest and posttest with control group. Jumlah masing-masing responden 24 kader pada kelompok intervensi dan kontrol diseleksi dengan simple random sampling. Instrument yang digunakan kuesioner pengetahuan menggunakan Alzheimer’s Disease Knowledge Scale (ADKS) dan kuesioner efikasi diri. Hasil Penelitian : Ada pengaruh program DELI terhadap pengetahuan dan efikasi diri kader kesehatan dengan nilai p=0,001 (p0,05) dan p=0,000 (p0,05).
PENGARUH CAREGIVER CLASS TERHADAP PERAN CAREGIVER INFORMAL DALAM PERAWATAN JANGKA PANJANG LANSIA Lasmini Lasmini; Fery Agusman Mutoho Mendrofa; Witri Hastuti; Umi Hani
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 1 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i1.2155

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Latar Belakang : Peningkatan UHH memberikan dampak bertambahnya populasi lanjut usia. Perkembangan demografi ini dapat membawa dampak di bidang kesehatan, ekonomi, dan sosial.masalah kesehatan yang sering dialami lansia dalah penyakit tidak menular diantaranya hipertensi, osteoarthitis, Diabetes meilitus, penyakit jantung, stroke,  gagal ginjal, tubercolosis dan kanker. Masalah kesehatan tersebut dapat menyebabkan ketidakmampuan lansia dalam melakukan kegiatan sehari-hari sehingga membutuhkan perawatan jangka panjang. Pelaksanaan PJP, caregiver mempunyai peran yang sangat penting dalam mendampingi dan membantu lansia untuk melakukan kegiatan dan memenuhi kebutuhan sehari – hari. Tujuan Penelitian : untuk mengetahui perbedaan peran caregiver informal dalam perawatan jangka panjang lansia. Metode penelitian : Desain penelitian menggunakan kuasi eksperimen jenis pretest and posttest with control group. Jumlah masing-masing responden 24 kader lansia pada kelompok intervensi dan kontrol diseleksi dengan purposive sampling. Instrumen yang digunakan yaitu lembar kuisoner peran caregiver informal dalam perawatan jangka panjang yang dikembangkan oleh peneliti yang terdiri dari 3 (tiga) komponen yaitu pengetahuan, sikap dan lembar observasi keterampilan yang sesuai dengan tugas caregiver yang meliputi aspek fisik, aspek mental, aspek sosial budaya dan aspek spiritual. Penelitian dilakukan selama 16 jam atau selama 2 hari. Hasil penelitian : terdapat pengaruh caregiver class terhadap peran caregiver informal dalam perawatan jangka panjang lansia dengan nilai p=0,000 (p0,05)
Sistem intervensi terpadu mahasiswa berbasis kesehatan mental untuk menurunkan stres mahasiswa keperawatan Bahroen, Siti Um-um Andriyani; Mendrofa, Fery Agusman Motuho
Jurnal Inovasi Kesehatan Masyarakat Vol 6 No 1 (2025): Journal of Public Health Innovation (JPHI)
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/h7r0ea93

Abstract

Latar Belakang: Gangguan kesehatan mental pada mahasiswa keperawatan semakin meningkat, dengan stres sebagai faktor utama yang menghambat prestasi akademik. Penelitian ini menganalisa keberhasilan program SITI (Sistem Intervensi Terpadu Mahasiswa), metode holistik berbasis evidence-based practice yang disesuaikan dengan tingkat keparahan stres mahasiswa keperawatan S1.Metode: Penelitian quasi-eksperimental dengan desain pretest–posttest control group dilakukan di Universitas Muhammadiyah Sukabumi pada 67 mahasiswa keperawatan menggunakan purposive sampling. Kelompok eksperimen menerima program SITI sesuai tingkat stres, dan pengukuran menggunakan PSS-10 serta DASS-21.Hasil: Kelompok eksperimen mengalami penurunan bermakna rerata skor stres dari 20,97 ke 16,56 (p < 0,05), sedangkan kelompok pembanding meningkat dari 21,27 ke 23,24. Uji ANOVA menunjukkan perbedaan bermakna antarkelompok (F = 14,353, p = 0,000).Kesimpulan: Program SITI efektif menurunkan tingkat stres mahasiswa keperawatan melalui pendekatan menyeluruh dan terindividualisasi, menyediakan landasan implementasi intervensi kesehatan mental terintegrasi dalam kurikulum keperawatan
Community-Based Education Model Effect on Hypertension Patient Compliance in Majaran: a Social Ecological Approach Manurung, Romianti; Motuho Mendrofa , Fery Agusman
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 12 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i12.4651

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Hypertension management requires consistent medication adherence, yet compliance rates remain problematic in rural Indonesia. Social-ecological approaches that integrate multiple levels of influence may effectively address this challenge, but evidence from Eastern Indonesia remains limited. This study aimed to determine the effect of a community-based education model with a social-ecological approach on medication adherence among hypertensive patients in Puskesmas Majaran (Majaran Health Center), West Papua. A quasi-experimental study with a pre-post design was conducted, involving 60 hypertensive patients randomly assigned to intervention (n = 30) and control (n = 30) groups. The intervention group received a structured, four-stage community-based education program incorporating social-ecological principles over eight weeks, while the control group received standard care. Data were collected using the Modified Morisky Adherence Scale (MMAS-8) and analyzed using Chi-square, Wilcoxon, Mann–Whitney, and logistic regression tests. After the intervention, the experimental group showed significantly improved medication adherence (p < 0.001), with 76.7% of participants showing improvement (versus 26.7% in the control group). High adherence was achieved by 36.7% of intervention participants, while no control group participants reached high adherence. Family support was significantly associated with adherence in the intervention group (p = 0.003). The Mann–Whitney test confirmed significant differences between groups post-intervention (Z = –3.690, p < 0.001). The duration of hypertension diagnosis was not significantly associated with adherence (p = 0.954). Overall, the community-based education model with a social-ecological approach significantly improves medication adherence among hypertensive patients. This model effectively addresses multiple factors influencing adherence, particularly by strengthening family support systems. Healthcare providers should implement multi-level interventions that engage families and communities rather than focusing solely on individual patients.
The Effect of Reminiscence Exercise Therapy and Nursing Resource Management on the Psychological Well-being of Elderly in Nursing Homes: A Multi-Perspective Study Mendrofa, Fery Agusman Motuho
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1136

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Background: The aging population in Indonesia continues to grow rapidly, with projections reaching 19.8% by 2045 according to Indonesia's Central Bureau of Statistics (2022). Elderly individuals in nursing homes face complex physical and psychosocial challenges that require comprehensive interventions. Objectives: This study aimed to analyze the combined effect of Reminiscence Exercise Therapy (RE) and nursing resource management optimization on the psychological well-being of elderly residents in nursing homes. Method: This study employed a quasi-experimental design with a sequential explanatory mixed-methods approach. The quantitative component used a pre-post test design with three groups (n=72): RE intervention with nursing resource management optimization (combined intervention), RE intervention only, and control group. Data collection included Geriatric Depression Scale (GDS-15), Satisfaction With Life Scale (SWLS), and Timed Up and Go (TUG) test. The qualitative component involved in-depth interviews with nurses (n=12) and managers (n=6) to explore implementation processes. Results: Both intervention groups showed significant improvements in all three parameters compared to the control group (p<0.001). However, the combined intervention group demonstrated significantly greater improvements than the RE-only group in GDS-15 scores (mean difference -1.46, p=0.023), SWLS scores (mean difference 3.45, p=0.002), and TUG test (mean difference -1.44 seconds, p=0.034). Qualitative analysis identified four main themes: (1) synergy between reminiscence-based care and management practices, (2) empowerment of nursing staff in person-centered care approaches, (3) optimization of resource allocation for reminiscence activities, and (4) implementation barriers at system level. Conclusion: An integrated approach combining Reminiscence Exercise Therapy with nursing resource management optimization is significantly more effective in improving psychological well-being and functional mobility of elderly nursing home residents compared to RE Therapy alone or standard care. This study highlights the importance of considering organizational and management factors when implementing psychosocial interventions in nursing homes. Future research should explore the long-term sustainability of this integrated approach in various organizational contexts.
Literature Review: Pengaruh Indeks Massa Tubuh dan Anemia Terhadap Kejadian Komplikasi Kehamilan Firda Fibrila; Fery Agusman Motuho Mendrofa; Gunarmi Gunarmi; Bima Suryantara; Sumarmi Sumarmi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41335

Abstract

Pemahaman yang lebih komprehensif tentang interaksi antara IMT dan anemia dalam mempengaruhi risiko komplikasi kehamilan dapat memberikan landasan yang kuat untuk pengembangan strategi pencegahan dan intervensi yang lebih efektif. Tujuan: Studi literatur ini untuk menganalisis pengaruh status IMT dan status anemia kehamian terhadap kejadian komplikasi pada kehamilan Metode: Literatur review diterapkan dalam penulisan artikel ini dengan memanfaatkan data base Medline dan Google scholar. Kata kunci yang ditetapkan yaitu “BMI AND anemia AND complication pregnancy”. Menggunakan flowchart Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) untuk eliminasi artikel. Hasil: Berdasarkan kajian literatur terhadap 10 artikel sejenis terpilih, diketahui IMT dan anemia berpengaruh terhadap kejadian komplikasi kehamilan. Selain itu faktor risiko yang menyertai ibu berkontribusi terhadap kejadian IMT dan anemia yang berdampak pada timbulnya komplikasi kehamilan Kesimpulan: IMT, anemia, dan faktor risiko yang menyertai kondisi ibu memberikan dampak yang beragam terhadap timbulnya komplikasi kehamilan baik terhadap status kesehatan ibu hamil maupun janin. Saran: Harapannya kajian ini dapat menjadi dasar bagi praktisi untuk memberikan layanan terbaik kepada ibu hamil untuk mencapai kesehatan yang optimal dan menghasilkan generasi yang berkualitas.
Co-Authors Aditya Kartika Megantoro Agow, Liana Lidia Ahmad Faiq Andriyani, Yustina Ardina, Yenli Asih Dewi Setyawati Baehaqi Bagus Widjonarko Bahroen, Siti Um-um Andriyani Bambang Julianto Bima Suryantara Blacius Dedi Chatarina U. Wahyuni Dedi, Blacius Dewi Mayangsari Dicky Dwispataru Diyanto Diyanto Domianus Namuwali Dwi Indah Iswanti Dyah Ayu Wulandari Edi Susanto Edy Wiyono Eko Winarto Firda Fibrila Gloria Caesar Cabral Grasela Lelemboto Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi, Gunarmi Hani, Umi Hari Basuki Notobroto Hasan Machfoed Indah Wulaningsih Istriyah Istriyah Julius Afta Setyonugroho Juritno Harmi Gaib Kandar Kandar Kandar, Kandar Kasiyanti, Heny Khairul Huda Khairul Huda Khairul Huda Koesoemo, Rizki Fitryasari Patra Kuntoro Kuntoro Lasmini Lasmini Liana Lidia Agow Mandaty, Fhandy Aldy Manurung, Romianti Meidiana Dwidiyanti Memorya Yani Kharismawati Muhammad Bagus Andrianto Muhammad Jamaluddin Muhammad Muin Mujahidah, Sa'adah Murniati, Restu Myla Ristiyowati Ni Nyoman M A Ni Nyoman Maryaningtyas Adinatha Nia Agustiningsih Nursalam . Nursalam Nursalam Nursalam, Nursalam Ovtalia Andriyani Pangaribuan, Ingka Kristina Patonengan, Gita Sandy Pratama, Wisnu Puji Lestari, Sri Purdani, Kartika Setia Rachmad Hargono Rahma, Nurrulya Rita Dewi Rita Hadi Widyastuti Rita Hadi Widyastuti Rita Oktaviani Rose Nurhudariani Rusmini Rusmini Rusnoto Rusnoto Sa'adah Mujahidah safitri, ifana Saifudin, I Made Moh. Yanuar Sari , Fitri Arumdani Mei Kumala Satria Hendrawan, Gagah Sawab Sawab Sawab Sawab Sa’adah Mujahidah Shindi Hapsari Sigarlaki, Heni Sonhaji Sonhaji Sonhaji Sonhaji Sri Puji Lestari Sri Puji Lestari Sumarmi Sumarmi Sutrisno Sutrisno Tiara, Novi Tri Ismu Pujianto Tri Ismu Pujianto Tri Ismu Pujiyanto Ucik Mulyanti Umi Hani Umi Hani Umi Laila Widiyaningsih Widyaningsih Witri Hastuti Witri Hastuti Yuni Nurhidayat