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Five-Finger Hypnosis Lowers Anxiety in Elderly Hypertensive Patients Indra Ruswadi; Kayubi; Nafisah Itsna Hasni
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.870

Abstract

One of the health problems that can cause anxiety is hypertension and the psychological aspects that accompany it. Anxiety is a feeling of worry as if something bad is going to happen and a feeling of discomfort as if there is a threat accompanied by physical symptoms such as heart palpitations, cold sweats, and shaking hands. One alternative relaxation for hypertensive patients is five-finger hypnosis, which aims to program oneself, relieve anxiety, and reduce the increase in heart rate, respiration, and blood pressure. The purpose of the study was to determine the effect of complementary therapy with the five-finger hypnosis method on the reduction of anxiety in elderly hypertensive patients (Elderly) at the Sliyeg Health Center, Indramayu Regency. Research method: This research is a type of pre-experiment with a one-group Pre-test Post test design. The population of this study is all elderly hypertension patients who use health services at the Sliyeg Health Center, Indramayu Regency, as many as 263 people, and the sample used is accidental sampling, as many as 32 respondents. The data collection instrument in this study is the Hamilton Anxiety Rating Scale (HARS) questionnaire, which is standard and according to the standard operating procedure of 5-finger hypnosis. The data analysis techniques used are univariate and bivariate analysis using the Wilcoxon sign rank test because the data of nominal free variables and ordinal-bound variable data are ordinal. Results: Before being given 5-finger hypnosis therapy, the majority of respondents were at a severe anxiety level of 28 respondents (87.5%); after being given 5-finger hypnosis therapy, the majority of respondents were at a mild anxiety level of 20 respondents (62.5%), and the results of the paired sample t-test statistical test obtained a p-value of 0.000. Conclusion: There was a very significant or meaningful change in anxiety level before and after being given five-finger hypnosis (p-value < α 0.05). Suggestion: elderly hypertension patients should be given complementary therapy with the 5-finger hypnosis method to complement conventional treatment.
Penerapan Media Pendidikan Kesehatan Terintegrasi Di Pos Pelayanan Terpadu (Posyandu) Madya Dalam Meningkatkan Cakupan Pelayanan: Application of Integrated Health Education Media in Madya Integrated Service Posts (Posyandu) in Increasing Service Coverage Kayubi, Kayubi; Priyanto, Priyanto; Indra Ruswadi
SAFARI :Jurnal Pengabdian Masyarakat Indonesia Vol. 1 No. 1 (2021): Januari : Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1048.252 KB) | DOI: 10.56910/safari.v1i1.161

Abstract

The role of the posyandu in the community is very large, so it must be supported by the quality of human resources (HR) in the posyandu, in this case the posyandu cadres. The purpose of community service is to implement integrated health education media in intermediate integrated service posts (posyandu) in increasing service coverage. The implementation method is carried out by planning, implementing, monitoring and evaluating. This community service activity was focused on Kongsijaya Village, Widasari District, Indramayu Regency from 5 - 9 October 2020 with the subject of mentoring as many as 42 people. The results of the activity were the implementation of integrated health education media by posyandu cadres both at the posyandu and outside the posyandu. Conclusion: Integrated Health Education Media has been implemented well, Recommendation: related parties such as the Chair of the Village Posyandu Working Group and also the regional supervisor from Health should periodically and continuously provide guidance related to the use of this integrated Health Education media.
The Effectiveness of Hypnotherapy in Reducing Stress among Individuals with Mental Health Disorders: A Quasi-Experimental Study with a Control Group Ruswadi, Indra; Wennie, Jummai; Susiani, Ani; Masliha, Masliha
Jurnal Berita Ilmu Keperawatan Vol. 18 No. 2 (2025): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v18i2.9806

Abstract

 Individuals with mental health disorders frequently experience elevated levels of stress and anxiety, which negatively impact their overall well-being. Hypnotherapy has been explored as a complementary nursing intervention to reduce psychological distress, yet its effectiveness in psychiatric settings remains under-researched. Objective: This study aimed to evaluate the effectiveness of hypnotherapy in reducing stress and anxiety levels among individuals with mental health disorders. Methods: A quasi-experimental pretest-posttest control group design was employed involving 80 participants diagnosed with psychiatric disorders, randomized into an intervention group (n = 40) and a control group (n = 40). The intervention group received six individual hypnotherapy sessions over four weeks, while the control group received standard psychiatric care. Stress and anxiety levels were measured using the Perceived Stress Scale (PSS-10) and the Beck Anxiety Inventory (BAI). Data were analyzed using paired t-tests and ANCOVA, with effect sizes and 95% confidence intervals calculated. Results: Participants in the hypnotherapy group showed a significant reduction in stress levels (mean difference = -8.4; 95% CI: -10.1 to -6.7; p < 0.001) and anxiety levels (mean difference = -7.4; 95% CI: -9.0 to -5.8; p < 0.001) compared to the control group. The effect sizes were large for both outcomes (Cohen’s d > 0.8). Additionally, 90% of participants in the intervention group reported high satisfaction with the treatment. Conclusions: Hypnotherapy appears to be an effective complementary intervention for reducing stress and anxiety in psychiatric patients. However, given the limited follow-up duration and sample size, future studies should investigate long-term effects, cultural factors, and integration into nursing practice.
The Penyuluhan Diabetes Melitus Gestasional pada Ibu Prenatal di Poli Kebidanan Rsud Arjawinangun Kabupaten Cirebon Yulianingsih, Nengsih; Priyanto, Priyanto; Ruswadi, Indra
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 1 (2025): Jurnal Pengabdian kepada Masyarakat Nusantara Edisi Januari - Maret
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i1.4947

Abstract

Gestational diabetes mellitus (GDM) is a carbohydrate intolerance disorder that occurs during pregnancy and has never been diagnosed as diabetes. GDM can only be detected at 24 weeks of pregnancy. The lack of knowledge of pregnant women about diabetes during pregnancy can increase the incidence of GDM which can have an impact on complications in subsequent pregnancies. The purpose of this community service is to increase the knowledge of pregnant women about GDM through health education activities at Arjavinangun Hospital, Cirebon. This activity is open to all pregnant women who want to visit the Obstetrics and Gynecology Department of Arjavinangun Hospital, Cirebon and participate in health education activities. The method used is to provide health education about GDM and measure the level of knowledge of participants before and after the intervention to determine changes in knowledge. Based on the results of the implementation of socially beneficial tasks, it can be ascertained that the knowledge of pregnant women about gestational diabetes has increased. Community service activities to increase participant knowledge through health education for pregnant women at risk of GDM are very effective in increasing the knowledge of pregnant women about the occurrence of GDM as an effort for early detection of GDM.
Effect of Effective Cough on Sputum Expulsion in Patients with ARI (Acute Respiratory Infection): - Indra Ruswadi; Roy Andri Yani; Tia Karlina; Fika Amalia
PROFESSIONAL HEALTH JOURNAL Vol. 4 No. 2 (2023): Juni
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v4i2.472

Abstract

ISPA or ARI (Acute Respiratory Infection) is an acute respiratory illness that lasts about 14 days and usually affects the throat, nose and lungs. A frequent problem in patients with acute respiratory infections is the inability to clear secretions from the airways which can lead to ineffective airway clearance. One of the non-pharmacological management of ARI can be done with effective cough training. The purpose of this study was to determine the effect of effective cough on sputum discharge in patients with ARI at Sumber Kasih General Hospital, Cirebon City in 2022. This research design uses pre experiment with one group pre test-post test design. The research subjects were 90 ARI patients at Sumber Kasih General Hospital, Cirebon City with the sampling technique used was accidental sampling. The research instrument was a sputum discharge observation sheet. The results of the study obtained data from the pretest results showed that sputum discharge in patients with ARI before effective cough training was carried out in the outgoing category, namely 54 people (60%). While the results of the posttest showed that sputum discharge in patients with ARI after effective coughing exercises with the outgoing category was 81 people (90%). Based on the results of the Wilcoxon test, the significance value (sig.2-tailed) <0.05 (p=0.000), then based on the decision-making criteria, Ha is accepted, meaning that effective cough training can increase sputum discharge in patients with ARI at Sumber Kasih General Hospital, Cirebon City. It is hoped that nurses can provide education about effective cough training to increase sputum discharge in patients with ARI, so that patients with ARI are able to practice it at home
Geber Madu Ayu, Gerakan Bersama Memajukan Pos Pelayanan Terpadu (Posyandu) di Kabupaten Indramayu Indra Ruswadi; Nengsih Yulianingsih; Hasim Asyari; Masliha Masliha
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 2 No. 3 (2022): September : Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v2i3.439

Abstract

The Integrated Service Post, known as Posyandu, is the front line in health services and other multifunctional services. However, at this time its existence has not been seen optimally, this is due to the lack of Posyandu implementers and managers in understanding the existence of Posyandu, so that reports on Posyandu activities that should be carried out in stages have not been carried out optimally, besides that there is still an assumption that Posyandu belongs to Health people. The objectives of the service activities are: Understanding Geber Madu Ayu, Joint Movement for Advancing Posyandu in Indramayu Regency. Methods: lectures, discussions and simulations. The results of the activity: All management of the Posyandu, Village Working Group, District Pokjanal and District Posyandu Pokjanal understand the importance of the Joint Movement to Promote Integrated Service Posts (Posyandu) in Indramayu Regency. Conclusion: The Joint Movement to establish a posyandu in Indramayu has been received and received a good response from stakeholders. Suggestion: Posyandu administrators at every level should increase their commitment to advancing posyandu by involving related elements, ranging from academics, business people, communities and media as well as advocating for regional/government heads.
The effectiveness of mental health education on improving adolescents’ knowledge of depression prevention Ruswadi, Indra; Wennie, Jummai; Masliha, Masliha
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 3, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss3.art4

Abstract

Background: Mental health problems, particularly depression, among adolescents in a community have become a growing public health concern globally. Early preventive efforts are essential to reduce the burden of depression. Educational interventions in the community are one of the recommended strategies.Objectives: This study aimed to determine the effectiveness of mental health education in increasing adolescents’ knowledge of depression prevention in a community. Methods: This study employed a pre-experimental one-group pretest-posttest design involving 60 adolescents selected through purposive sampling in a rural community setting. The data were collected using a validated knowledge questionnaire on depression prevention and analysed using paired-sample t-tests in SPSS version 28. Results: The findings revealed a significant increase in the mean knowledge score after the intervention (pretest mean = 11.82 ± 2.41; posttest mean = 16.45 ± 1.89; p < 0.001). These results indicate that the mental health education intervention effectively improves adolescents’ knowledge of depression prevention.Conclusion: Mental health education can be an effective strategy in improving adolescent knowledge of depression prevention in community settings. This finding supports the importance of community-based educational programs as part of sustainable mental health promotion aligned with the Sustainable Development Goals.
Elderly Exercises and Finger Grip Relaxation to Reduced Blood Pressure Indra Ruswadi; Masliha
Jurnal Penelitian Pendidikan IPA Vol 10 No SpecialIssue (2024): Science Education, Ecotourism, Health Science
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10iSpecialIssue.8408

Abstract

The elderly experience a phase of decline in all body organ functions, such as social, physical, psychological and emotional abilities which become increasingly weakened so that the elderly become vulnerable. fights various diseases, including hypertension. Elderly exercise and finger grip relaxation are non-pharmaceutical therapies that are believed to lower blood pressure. This study aims to determine the effect of elderly exercise and finger grip relaxation on reducing blood pressure. The research design used was a quasi-experimental nonequivalent control group pre-post test design. The research sample consisted of 114 respondents who were divided into 3 groups of 38 respondents each, with inclusion criteria: Elderly people suffering from hypertension, minimum age 60 years, currently taking antihypertensive medication, blood pressure >140/90 mmHg, able to participate in gymnastics movements. / can move the whole body, does not smoke and is not obese. Group selection used consecutive sampling techniques. The research location was carried out in the Cantigi Community Health Center working area and the Wilcoxon and Mann Whitney tests were used to analyze this research data. Research results: systolic and diastolic blood pressure before and after the test in the control group (systolic p = 0.480 and diastolic p = 0.301), systolic and diastolic blood pressure before and after the test in the exercise group (systolic p and diastolic p = 0.001), as well as relaxation of finger grip on a decrease in blood pressure (systolic p = 0.001 and p = 0.012 diastolic). The difference in systolic and diastolic blood pressure after elderly exercise and finger grip relaxation shows that elderly exercise produces lower diastolic blood pressure results compared to finger grip relaxation (diastolic p = 0.015 and 0.005). Conclusion: elderly exercise and finger grip relaxation have an effect on reducing blood pressure and elderly exercise produces lower diastolic blood pressure results compared to finger grip relaxation (diastolic p = 0.015 and 0.005).
The Relationship Between Self Efficacy and Family Support With Hypertension Treatment Adherence of Elderly Ruswadi, Indra; Asyari, Hasyim; Marsono, Marsono; Akhmadi, Akhmadi; Purwanta, Purwanta
Jurnal Pendidikan Keperawatan Indonesia Vol 9, No 1 (2023): Volume 9, Nomor 1, Juni 2023
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v9i1.59455

Abstract

Hypertension is a degenerative disease that increasing in its prevalence. Hypertension requires a long enough time to its treatment, even if there are no symptoms the patients should continue taking medication. So, patients need to obey to take medication. Adherence to taking medication correlated with self-efficacy and family support. This research aims to determine the relationship between self-efficacy and family support in hypertension treatment adherence of the elderly at Widasari Health Center, Indramayu Regency. The research design is a cross-sectional study. The sample of this research was 78 elderly. The data analysis used univariate to explain independent variables such as self-efficacy and family support, the dependent variable is hypertension treatment adherence, while the bivariate was used to determine the relationship between independent variables and the dependent variable. Dependent variable using the chi-square statistical test. The result of this research showed that 61.5% of the elderly had high self-efficacy criteria, 71.8% of the elderly received their family support, and 60.3% of the elderly obey to hypertension treatment adherence. The chi-square statistical test showed that there was a relationship between self-efficacy and family support with hypertension treatment adherence and also there is a relationship between self-efficacy and the level of adherence to taking medication in people with hypertension. It is recommended to increase the elderly self-efficacy by being able to communicate with fellow elderly who are undergoing hypertension treatment and now have reduced symptoms due to treatment adherence. Nurses should be able to provide health promotion about the importance of self-efficacy and family support in increasing compliance for the elderly undergoing hypertension treatment.
Penerapan Pendidikan Kesehatan Fisik dan Mental Dengan Pendekatan Saintifik Booklet Yoga Fital Kuat (Ayo Jaga Kesehatan Fisik dan Mental dengan Berperilaku Sehat) Dalam Upaya Meningkatkan Kesehatan Masyarakat Indra Ruswadi; N. Yulianingsih; Nafisah Itsna Hasni; Masliha Masliha
Faedah : Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia Vol. 1 No. 3 (2023): Agustus : Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia
Publisher : FKIP, Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/faedah.v1i3.242

Abstract

Measures to prevent disease, personal hygiene, choosing food, sanitation, and so on. Should be done with a healthy behavior. In order for the public to understand healthy behavior, it is carried out by applying the Strong Fital Yoga Booklet Scientific Media (Let's Take Care of Physical and Mental Health by Behaving Healthy). The purpose of the Community Service activities is so that PKK cadres in Eretan Kulon Village, Kandanghaur District, Indramayu Regency understand: 1) How to maintain Physical and Mental Health by Behaving Healthy, 2) How to use the Strong Fital Yoga Booklet (Let's Take Care of Physical and Mental Health by Behaving Healthy ), 3) How to educate the public about the importance of maintaining physical and mental health. The method used in PKM activities is carried out through training on the importance of maintaining physical and mental health by healthy behavior as well as explaining how to use the Booklet entitled Strong Fital Yoga with the mentoring model. Results: Availability of supporting media for PKM in the form of a Strong Fital Yoga Booklet, Implementation of training and outreach especially related to the use of a Strong Fital Yoga Booklet. There are HKI documents and reporting. Conclusion: PKM activities run smoothly and there is positive support from partners, Partnerships run well and smoothly and partners are happy to accept the booklet innovation product entitled Yoga Fital Strong. Recommendation: Partners should provide health education to the community both at the Posyandu and outside the Posyandu, paying attention not only to the physical aspect but also to the mental problems, this is because being healthy is not only seen from the physical aspect but also the mental and other aspects.