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Faktor-Faktor Yang Berhubungan Dengan Perilaku Pencegahan Ulkus Diabetikum Pada Penderita Diabetes Mellitus Oktorina, Rola; Wahyuni, Aria; Harahap, Ervina Yanti
REAL in Nursing Journal Vol 2, No 3 (2019): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v2i3.570

Abstract

DM sufferers continue to increase every year. Diabetic ulcers are a common complication that often occurs in DM patients. complications prevention behavior that must be performed by DM patients in order to prevent complications. This study aims to determine the factors related to the behavior of prevention of diabetic ulcers in patients with diabetes mellitus at Achmad Mochtar Bukittinggi Hospital in 2019This type of research is analytic descriptive with cross sectional study approach. The population in this study was 334 people. Sampling using accidental sampling technique with a sample size of 35 people. Data collection in this study used a questionnaire sheet. Data analysis included univariate and bivariate analyzes using the chi-square test.The results showed that 62.9% of respondents had low knowledge, 88.6% had no ulcers, 51.4% were low socioeconomic. The results of bivariate analysis showed that there was a relationship between knowledge (p = 0.038, OR = 6) and socioeconomic status (p = 0.028, OR = 6.417) with the prevention behavior of diabetic ulcer complications, whereas the ulcer experience variable was not related to the prevention behavior of diabetic ulcer complications (p = 0.619).It was concluded that knowledge and socioeconomic status were significantly related to the prevention of diabetic ulcers in DM patients. It is expected that all parties, especially health workers, will maximize education and counseling for DM patients, especially in the low knowledge group and with low socioeconomic status.
KORELASI LAMA HEMODIALISA DENGAN FUNGSI KOGNITIF Wahyuni, Aria; Kartika, Imelda Rahmayunia; Asrul, Imelda Firdausy; Gusti, Eka
REAL in Nursing Journal Vol 2, No 1 (2019): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (876.619 KB) | DOI: 10.32883/rnj.v2i1.328

Abstract

Hemodialysis can remove uremic toxins for cognitive process improvement in hemodialysis patients. This study aims to determine the long-standing relationship of hemodialysis to the cognitive function of patients with chronic renal failure. This type of research is descriptive analytic with a cross sectional study design. The population in this study were patients who underwent hemodialysis with the sampling technique used was total sampling totaling 83 respondents. The study was conducted in May - June 2018 in the hemodialysis unit. The instrument used to measure cognitive function is MMSE (Mini Mental State Exam). Data analysis used was univariate analysis and bivariate analysis using correlation test. The results showed that the duration of hemodialysis was the lowest 1 week and the highest 96 months with a mean duration of 21 months hemodialysis, the lowest cognitive function score 7 and the highest 30 scores with the average cognitive function was 18. Relationship analysis showed no long association of hemodialysis with function cognitive (p Value = 0.375; r = 0.099). This study provides recommendations for further research related to factors that influence cognitive impairment in hemodialysis patients and it is expected that nurses improve the quality of cognitive function nursing care in hemodialysis patients at risk of cognitive impairment.Keywords: Cognitive Function, Hemodialysis
Studi Kualitatif Strategi Koping Perawatan Diri Pada Pasien Post Percutaneous Coronary Intervention (PCI) Nadia, Sri; Wati, Del Fatma; Hasnita, Evi; Febrina, Wiwit; Wahyuni, Aria
REAL in Nursing Journal Vol 5, No 3 (2022): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v5i3.2066

Abstract

Background: Coronary Heart Disease is a disease of the coronary arteries that are in charge of  supplying blood supply to the heart muscles so that it can cause a heart attack. Prevention In order to prevent the recurrence of heart attacks in patients with coronary heart disease, they need to carry out massive self-care with the existence of coping strategies that can act as individual responses to the stressors they face. The purpose of this study was to explore how self-care coping strategies in post-Percutaneous Coronary Intervention (PCI) patients. Methods: This study used a phenomenologcal approachwith a qualitative design, and then the data were analyze  used The collaizi method. Research informants were taken using purposive sampling technique, totaling 7 people who did re-control at the Cardiology Polyclinic of RSUD Dr. Achmad Mochtar Bukittinggi. Data were collected through in-depth interviews and field notes. Results: The results of this study identified two themes, namely: problem-focused coping strategy and emotion-focused coping strategy. It can be concluded that the form of coping strategies carried out by post-Percutaneous Coronary Intervention (PCI) patients at RSUD Dr. Achmad Mochtar Bukittinggi varies and the Problem Focused Coping strategy is the main strategy used. There are also participants who use Emotion-Focused Coping strategies. Conclusion: It is recommended that the results of this study can add and provide input as well as reference material for health workers, especially nurses, in providing nursing interventions in the management of chronic diseases during treatment.Keywords: Coping Strategies, Self Care, Coronary Heart Disease, Percutaneous Coronary Intervention (PCI)
PEMBERIAN TERAPI KELOMPOK TERAPEUTIK (TKT) UNTUK MENINGKATKAN STIMULASI MOTIVASI ANAK DALAM BELAJAR DI SANGGAR BINAAN PCIA MALAYSIA Sari, Yuli Permata; Utami, Anisa Sri; Bachri, Yasherly; Oktarini, Sisca; prima, rezi; Wahyuni, Aria; Putri, Marizki; Nora, Rista; Ningsih, Ropika
Jurnal Salingka Abdimas Vol 5, No 1 (2025)
Publisher : Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/jsam.v5i1.6774

Abstract

Siswa siswi sekolah dasar menghadapi permasalahan tumbuh kembang yang dipengaruhi oleh kondisi lingkungan dan sekolah. Tujuan pengabdian masyarakat ini adalah menstimulasi tumbuh kembang anak usia sekolah dari berbagai aspek. Lokasi kegiatan pengabdian dilakukan di Sekolah Dasar, Sanggar Bimbingan Aisyiyah Kampung Pandan, Kuala Lumpur Malaysia. Adapun waktu pelaksanaannya pada tanggal 3 Oktober 2024. Sasaran adalah murid Sekolah Dasar kelas II-VI. Kegiatan pengabdian ini terdiri dari 7 sesi. Teknik pelaksanaan meliputi describing, modelling, role playing, feedback, dan transfering. Kegiatan TKT sesi 1 yaitu penjelasan ciri- ciri pertumbuhan dan perkembangan anak usia sekolah, sesi 2-6 yaitu stimulasi aspek motorik, aspek kognitif dan bahasa, aspek emosi dan kepribadian, aspek moral dan spiritual, dan stimulasi aspek psikososial. Sedangkan sesi 7 adalah stimulasi dari semua aspek (sesi 1-6). Dampak yang dihasilkan adalah anak mengetahui tugas dan perkembangan anak usia sekolah, sehingga dapat meningkatkan rasa percaya diri dalam menjalin hubungan pertemanan dengan teman sebaya dan dapat meningkatkan kemampuan dan motivasi anak dalam menerimaan  pelajaran di sekolah
Comparing Deep Breathing and Semi-Fowler Position to Reduce Respiratory Rate in Asthma Patients: A Quasi-Experimental Study Oktorina, Rola; Oktavia, Minda; Wahyuni, Aria; Rahman, Waldi; Yenni, Yenni; Rofi’i, Aby Yazid Al Busthomy
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3498

Abstract

Background: Asthma remains a global health burden, marked by recurrent respiratory symptoms that significantly affect quality of life. Non-pharmacological nursing interventions such as deep breathing and semi-Fowler positioning have been increasingly recommended to improve respiratory function in patients with asthma. However, few studies have compared the relative effectiveness of these two interventions within a single experimental framework. Purpose: This study aimed to compare the effectiveness of deep breathing exercises and the semi-Fowler position in reducing respiratory rate among asthma patients. Methods: A quasi-experimental study was conducted involving 70 asthma patients, divided into two intervention groups: deep breathing (n = 35) and semi-Fowler position (n = 35). Participants were recruited using purposive sampling based on defined inclusion and exclusion criteria. Data on respiratory rate were collected before and after intervention using direct observation, recorded in breaths per minute. Paired and independent t-tests were used for statistical analysis with a significance level of α < 0.05.Result: In the deep breathing group, the mean respiratory rate decreased significantly from 29.03 ± 2.20 to 18.29 ± 1.56 breaths/minute (mean difference = 10.74; p < 0.001). Similarly, in the semi-Fowler group, the respiratory rate reduced from 28.43 ± 1.98 to 18.29 ± 1.66 breaths/minute (mean difference = 10.14; p < 0.001). However, the post-intervention comparison between the two groups showed no statistically significant difference (p = 1.00).Conclusion: Both deep breathing and semi-Fowler positioning are effective in reducing respiratory rate among asthma patients. These findings suggest that nurses can apply either method based on patient preference and clinical context, supporting individualized, evidence-based respiratory care.
Concept Analysis: "Cultural Disruption" in Indigenous Cardiac Patients and Its Implications for Nursing Practice Wahyuni, Aria; Oktorina, Rola; Yenni, Yenni
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3509

Abstract

Background: Indigenous populations experience disproportionately high rates of cardiovascular disease (CVD), yet their encounters with healthcare systems often involve cultural disconnection and marginalization. Despite increasing use of terms such as cultural safety and competence, the specific phenomenon of cultural disruption—particularly in hospital-based cardiac care—remains underexplored and poorly defined in nursing literature.Purpose: This concept analysis aims to explore and clarify the meaning of cultural disruption as it relates to Indigenous patients undergoing cardiovascular care, with a focus on implications for nursing practice.Methods: Walker and Avant’s eight-step method of concept analysis was employed to identify the defining attributes, antecedents, consequences, and empirical referents of cultural disruption. Data were synthesized from peer-reviewed articles published within the last 10 years, including qualitative studies and Indigenous health frameworks relevant to cardiac care.Results: Cultural disruption is characterized by disconnection from cultural identity and practices, invalidation of Indigenous knowledge systems, breakdown in relational and community support, spiritual alienation, and erosion of trust in healthcare systems. Antecedents include colonization, systemic racism, and biomedical dominance, while consequences include treatment non-adherence, patient disengagement, and poor health outcomes. Empirical referents include patient-reported cultural safety assessments, narrative interviews, and clinical documentation audits.Conclusion: Cultural disruption is a distinct and critical concept in understanding health inequities experienced by Indigenous cardiac patients. Recognizing this phenomenon enables nurses to implement culturally responsive strategies that uphold spiritual, relational, and community-based dimensions of care. Future research is needed to validate tools that assess cultural disruption and evaluate outcomes of culturally grounded interventions in cardiovascular nursing.   
PENGARUH PENGETAHUAN, PERSEPSI, DAN DUKUNGAN KELUARGA TERHADAP KEPATUHAN MINUM OBAT PASIEN HIPERTENSI Yurnita, Linda; Wahyuni, Aria; Nora, Rista
Menara Medika Vol 8, No 1 (2025): VOL 8 NO 1 SEPTEMBER 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i1.7018

Abstract

Pendahuluan: Hipertensi merupakan salah satu penyakit tidak menular yang prevalensinya terus meningkat secara global, termasuk di Indonesia. Di Kota Bukittinggi, hipertensi tercatat sebagai penyakit terbanyak sepanjang tahun 2023-2024, namun pengelolaan kasus, termasuk kepatuhan minum obat, masih menunjukkan kesenjangan yang signifikan. Tujuan: penelitian ini bertujuan mengidentifikasi faktor-faktor yang memengaruhi kepatuhan minum obat pada pasien hipertensi di RSUD Kota Bukittinggi. Metode: Desain penelitian yang digunakan adalah deskriptif korelasi dengan pendekatan cross sectional dan melibatkan 66 responden yang dipilih melalui purposive sampling. Data dikumpulkan menggunakan kuesioner terstandar dan dianalisis secara univariat serta bivariat menggunakan uji chi-square. Hasil: sebagian besar responden memiliki pengetahuan baik (81,8%), namun sebagian besar juga memiliki persepsi negatif (78,8%) dan dukungan keluarga yang kurang (63,6%). Kepatuhan minum obat rendah yaitu 45,5% responden yang patuh. Diskusi: Tidak terdapat hubungan signifikan antara pengetahuan dan kepatuhan (p=0,772), tetapi ditemukan hubungan signifikan antara persepsi (p=0,03) dan dukungan keluarga (p=0,04) dengan kepatuhan. Pengetahuan baik, persepsi negatif dan minimnya dukungan keluarga menjadi faktor utama rendahnya kepatuhan. Oleh karena itu, intervensi keperawatan sebaiknya tidak hanya menekankan edukasi, tetapi juga membentuk persepsi positif dan melibatkan keluarga dalam pengelolaan hipertensi.
COMMUNITY HEALTH SCREENING FOR CARDIOMETABOLIC RISK THROUGH BLOOD PRESSURE, GLUCOSE, AND LIFESTYLE ASSESSMENT Wahyuni, Aria; Yenni, Yenni; Utami, Anisa Sri; Bachri, Yasherly; Oktorina, Rola
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 7 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v7i2.75122

Abstract

Introduction: Cardiometabolic diseases, particularly hypertension and diabetes, are rising in prevalence among adults in semi-urban regions of low- and middle-income countries. Early detection at the community level is essential to reduce complications and promote preventive action. This study aimed to identify early indicators of cardiometabolic risk through a nurse-led community health screening in Bukittinggi, West Sumatra, Indonesia. Methods: A descriptive cross-sectional design was conducted as a one-day service-learning outreach involving nursing faculty, undergraduate students, local health cadres, and community leaders. Adults aged 18 years and above were recruited using consecutive sampling. Preparations included coordination with local stakeholders to ensure community participation. Screening activities comprised blood pressure measurement, random blood glucose testing, body mass index (BMI) calculation, and structured interviews on behavioral risk factors. A total of 80 participants completed the screening, and data were analyzed descriptively. Results: 80 participants, 64 (80%) had elevated blood pressure ranging from prehypertension to hypertensive crisis, 21 (26.3%) showed abnormal blood glucose levels consistent with prediabetes or diabetes, and 42 (52.5%) were overweight or obese. Additionally, 77 participants (96.3%) reported low physical activity and inadequate fruit and vegetable intake, indicating a high clustering of modifiable cardiometabolic risk factors. Conclusion: This study highlights the burden of modifiable cardiometabolic risks in semi-urban communities and demonstrates the feasibility of nurse- and community-led health screenings for early detection. For sustainability and broader impact, future programs should be strengthened through collaboration with health cadres, primary health centers, and community leaders, combined with follow-up education and integration into primary healthcare services.
Penyuluhan Kesehatan Mental Pada Anak Remaja Tentang Dampak Masalah Psikososial Pada Remaja Masa Kini di Sekolah Asasuldin Wittaya, Yala Thailand Sari, Yuli Permata; Utami, Anisa Sri; Wahyuni, Aria; Nora, Rista; Prima, Rezi; Ningsih, Ropika; Bachri, Yasherly; Putri, Marizki
Menara Pengabdian Vol 5, No 2 (2025): Vol. 5 No. 2 Desember 2025
Publisher : LPPM Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/jmp.v5i2.7573

Abstract

Pada masa remaja, banyak terjadi perubahan biologis, psikologis maupun social. Tetapi umumnya proses pematangan fisik terjadi lebih cepat dari proses pematangan kejiwaan (psikososial). Beberapa jenis gangguan jiwa yang banyak terjadi pada masa remaja dapat menimbulkan kondisi negative dan berdampak terhadap masalah psikososial, seperti kecemasan, stress, depresi, gangguan bipolar, gangguan citra tubuh, harga diri rendah, bullying, tawuran, seks bebas bahkan penggunaan narkoba. Kegiatan Pengabdian Kepada Masyarakat ini berupaya memecahkan problematika atau permasalahan kompleks yang dihadapi komunitas kelompok tertentu dewasa ini, terutama pada kelompok masyarakat yaitu pada anak remaja yang sangat rentan dan mempunyai factor resiko. Sehingga Kesehatan mental pada anak remaja yang menjalani masa pembinaan di sekolah sangat penting ditingkatkan. Apabila tidak di tangani secara efektif dan efisien, eksistensi maka kejiwaannya akan terganggu yang tentunya berdampak negatif bagi anak remaja, keluarga dan masyarakat. Kegiatan PKM ini menggali lebih dalam kesehatan mental anak remaja. Adapun solusi yang ditawarkan oleh tim PKM dari program ini adalah memberikan penyuluhan dan pemberian edukasi tentang kesehatan mental. Peserta sasaran kegiatan yaitu anak remaja di sekolah Asasuldin Wittaya, Yala Thailand. Peserta kegiatan ini berjumlah sebanyak 58 orang anak remaja putri sekolah tingkat menengah atas. Metode PKM adalah pendampingan atau penyuluhan dilakukan oleh Tim Dosen Prodi Ilmu Keperawatan Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat. Pelaksana kegiatan PKM dilakukan pada tanggal 14 Agustus 2025. PKM berlangsung dan telah terprogram bekerjasama dengan Asosiasi Muhammadiyah Yala Thailand.
Efektivitas Senam Jantung Sehat Terhadap Tekanan Darah Lansia Hipertensi di Panti Sosial Karawang Beatrix Elizabeth; Aprilina Sartika; Previarsi Rahayu; Aria Wahyuni
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52654

Abstract

Peningkatan usia menyebabkan penurunan fungsi organ, termasuk sistem kardiovaskular, sehingga lansia lebih rentan mengalami hipertensi. Kondisi ini dapat menurunkan kualitas hidup apabila tidak ditangani dengan tepat. Salah satu upaya non farmakologis yang dapat diterapkan adalah senam jantung sehat, yang diketahui mampu meningkatkan kesehatan jantung, menurunkan tekanan darah, serta mencegah penumpukan lemak pada dinding pembuluh darah, sehingga elastisitas pembuluh darah tetap terjaga terutama pada usia lanjut. Penelitian ini bertujuan mengetahui pengaruh senam jantung sehat terhadap tekanan darah sistolik dan diastolik pada lansia hipertensi. Desain penelitian menggunakan quasi eksperimental dengan pendekatan Two Group Pre-Post, melibatkan 40 lansia hipertensi yang dipilih melalui random sampling. Tekanan darah diukur sebelum dan sesudah intervensi pada kelompok intervensi dan kontrol. Uji normalitas menunjukkan data berdistribusi normal, sehingga analisis menggunakan Paired Sample t-test. Hasil penelitian menunjukkan penurunan signifikan pada kelompok intervensi, dengan tekanan darah sistolik turun dari 165,20 mmHg menjadi 153,65 mmHg dan diastolik dari 100,85 mmHg menjadi 92,95 mmHg (p < 0,001). Sementara itu, kelompok kontrol tidak mengalami perubahan bermakna. Temuan ini menegaskan bahwa senam jantung sehat efektif sebagai intervensi nonfarmakologis untuk membantu mengendalikan hipertensi pada lansia.