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Pengaruh Teknik Relaksasi Terhadap Penurunan Nyeri Epigastrium Pada Pasien Gastritis Nuryanti, Erni; Abidin, M. Zainal; Normawati, Ajeng Titah
Jurnal Studi Keperawatan Vol. 1 No. 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v1i1.5643

Abstract

ABSTRACTBackground: Today the frequency of psychosomatic illnesses experienced by a person is increasing. One such psychosomatic disease is gastritis. Pharmacotherapy for gastritis often results in less satisfactory results. Meanwhile the other alternatives to overcome these problems can be done with relaxation exercises. Relaxation can increase the sensitivity of baro-reflect and decrease sympathetic nerve activity and activate the correction so that there will be a decrease of pain level.Objective: To know the effect of relaxation technique on the reduction of epigastria pain in gastritis patients.Research Method: The design of the research used is one group pre test and post test design, where the patient came to check the level of pain with the scale of pain then done relaxation. After the relaxation was done and then re-check in the same way. Bivariate analysis used Wilcoxon Test.Results: The statistical results obtained p = 0,000 (P <0.05) which means that there is a very significant difference in the average value of the pain scale before relaxation with the average of pain scale after relaxation.Conclusion: There is a relaxation effect on the reduction of epigastria pain in gastritis patients Keyword : Relaxation, Pain, Epigastria
Kajian Karakteristik Penderita Gagal Ginjal Kronis Dalam Terapi Hemodialisis Cipto, Cipto; Siswoko, Siswoko; Normawati, Ajeng Titah; Uripno, Pambayun Sugeng
Jurnal Studi Keperawatan Vol. 5 No. 1 (2024): MARCH 2024
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v5i1.11279

Abstract

Characteristics that greatly influence a person's lifestyle include chronic kidney failure sufferers undergoing hemodialysis therapy. Patients with chronic kidney failure experience a gradual decline in kidney function which is quite severe. This is caused by various diseases that are progressive and generally cannot be recovered. The aim of this research is to determine the picture of chronic kidney failure undergoing hemodialysis therapy. This research method is descriptive quantitative by explaining the distribution of frequencies and percentages. The sample in this study amounted to 30 people with the criteria being patients suffering from chronic kidney failure who underwent hemodialysis with compensatory awareness. The research was conducted at the Blora District Hospital by researchers in October 2023. The results of the study showed that the majority of kidney failure patients undergoing hemodialysis therapy were women, the age characteristics reached early old age or in the range of 45 to 55 years, the majority had a high school or equivalent education, and the average is a housewife. Most of the responders had undergone hemodialysis for more than two years. Based on these results, it can be a basis or suggestion for developing further studies to analyze the correlation of each characteristic with the phenomenon of symptoms that occur in hemodialysis patients.Keywords: chronic renal failure, hemodialysis, characteristics
Korelasi Pengetahuan dan Sikap Ibu Nifas terhadap Implementasi Ambulasi Dini Siswoko, Siswoko; Cipto, Cipto; Normawati, Ajeng Titah
Jurnal Studi Keperawatan Vol. 5 No. 2 (2024): SEPTEMBER 2024
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v5i2.12163

Abstract

Latar Belakang: Angka kematian ibu di Indonesia masih tinggi, salah satu upaya untuk mengurangi angka kematian ibu adalah dengan perawatan masa nifas. Perawatan ibu nifas dalam 6 – 8 jam pertama bertujuan untuk mencegah perdarahan nifas karena atonia uteri. Berdasarkan pra survey di Puskesmas Kunduran Kabupaten Blora diketahui hasil wawancara kepada 10 ibu post partum didapatkan hanya 4 ibu yang melaksanakan ambulasi dini yaitu mobilisasi dini post partum.Tujuan penelitian ini adalah Untuk mengetahui hubungan antara pengetahuan dan sikap ibu nifas tentang ambulasi dini dengan pelaksanaan ambulasi dini di Puskesmas Kunduran.Metode Penelitian: Jenis penelitian ini adalah penelitian analitik. Metode penelitian ini menggunakan metode survey dengan melakukan pendekatan secara cross sectional.  Populasi penelitian ini adalah semua ibu nifas normal 6-8 jam post partum dengan teknik pengambilan sampel adalah sampling jenuh sebanyak 58 orang. Analisa data yang digunakan adalah Chi Square dan Koreksi Yates.Hasil Penelitian: Berdasarkan penelitian diperoleh hasil tingkat pengetahuan ibu nifas tentang ambulasi dini dalam kategori cukup yaitu sebanyak 31 orang (53,5%). Sikap ibu nifas adalah negatif yaitu sebanyak 30 orang (51,72%). Pelaksanaan ambulasi dini kategori kurang yaitu sebanyak 33 orang (56,9%).Kesimpulan: Ada hubungan pengetahuan dan sikap pada ibu nifas tentang ambulasi dini dengan pelaksanaan ambulasi dini di Puskesmas Kunduran Keyword :  Pengetahuan, Perilaku Kesehatan, Masa Nifas, Ambulasi Dini Post Partum
An Overview of Post-Traumatic Stress Disorder (PTSD) Among Flash Flood Victims Cipto, Cipto; Siswoko, Siswoko; Muawanah, Muawanah; Normawati, Ajeng Titah
Journal of Applied Health Management and Technology Vol. 5 No. 1 (2023): January 2023
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i1.9483

Abstract

Flash flood disaster is a natural disaster that can have a negative impact on victims. The psychological impact caused after the disaster is in the form of Post-Traumatic Stress Disorder (PTSD) which shows several symptoms in the form of Re-experiencing, Avoidance, and Hyper arousal. This research was conducted with the aim of knowing the description of Post-Traumatic Stress Disorder (PTSD) in the victims of the flash flood disaster one year after the incident. The method used in this study is descriptive research with a survey approach. The sample technique used in this study is a purposive technique. Data analysis used univariate analysis to determine the characteristics of the respondents which included age, occupation, gender, education, and description of PTSD symptoms. This study involved 48 people as respondents who showed the characteristics of 70% meeting the PTSD diagnostic criteria after the flash flood that hit their village two years ago. The results of this study can be used as a reference or basis for preparing interventions to improve mental health in communities especially those experiencing disasters. 
Pemberdayaan Kader Posyandu dalam Peningkatan Kesehatan Lansia Hipertensi Cipto Cipto; Siswoko Siswoko; Ajeng Titah Normawati
Jurnal Pengabdian Masyarakat - PIMAS Vol. 5 No. 3 (2026): Agustus
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v5i3.2573

Abstract

Hypertension is a major health problem in the elderly, putting them at risk of stroke, heart disease, and other cardiovascular complications. The role of Posyandu Lansia cadres is crucial in supporting promotive and preventive efforts, but their skills in health education, blood pressure monitoring, and mentoring the elderly still need to be improved. This community service activity aims to improve the knowledge and skills of cadres in managing hypertension in the elderly at the Posyandu Lansia in Gempolrejo Village, Tunjungan District, Blora Regency. The methods used included counseling, training in blood pressure measurement using a digital sphygmomanometer, health communication training, education on preventing hypertension complications, and evaluation through pre- and post-tests. The activity was attended by 15 health cadres. The results showed an increase in cadre knowledge, marked by an increase in the average score from 62.3±8.7 in the pre-test to 87.7±6.5 in the post-test, an increase of 25.4 points or 40.8%. In addition, the proportion of cadres with good knowledge increased from 20.0% to 86.7%. This activity effectively increased the capacity of cadres in health education, blood pressure monitoring, and mentoring elderly people with hypertension. Empowering Posyandu (Lansia Integrated Health Post) cadres can be a sustainable strategy for improving the health of elderly people with hypertension in the community. Keywords: health cadres, hypertension, elderly, Posyandu
Detection of Potential Occupational Health and Safety Risks (K3) in Nursing Education Laboratories: Deteksi Potensi Keselamatan dan Kesehatan Kerja di Laboratorium Pendidikan Keperawatan Ajeng Titah Normawati; Cipto, Cipto; Vina Aditya Astuti
Edulab : Majalah Ilmiah Laboratorium Pendidikan Vol. 9 No. 2 (2024)
Publisher : Laboratorium Pendidikan Fakultas Ilmu Tarbiyah dan Keguruan Colaboration with Persatuan Pranata Laboratorium Pendidikan Indonesia Tingkat Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/edulab.2024.92.05

Abstract

Purpose – This research was conducted with the aim of minimizing various hazard risks to students, educators, and staff in nursing education laboratories through the implementation of HIRARC (Hazard Identification, Risk Assessment, and Risk Control). Design/methods/approach – This research adopts a descriptive-analytic approach focusing on Occupational Health and Safety (K3) in nursing education laboratories. The HIRARC method is used to analyze hazard risks through the processes of hazard identification, risk assessment, and risk control. Data from hazard identification and risk assessment serve as the basis for determining risk control measures. Findings – Based on the analysis of occupational health and safety risk, it was found that the Nursing Laboratory at Blora, Poltekkes Kemenkes Semarang, has a low-risk hazard potential of 45%, a moderate-risk potential of 40%, and a high-risk potential of 15%. These risks stem from electrical equipment, sharp instruments, corrosive materials, and other laboratory environmental factors. The majority of the risks are low-level, and the results indicate that the Blora Nursing Laboratory is relatively safe for users to conduct activities. Research implications/limitations – This research illustrates the remaining potential for moderate and high risks in the laboratory, highlighting the need for hazard controls such as understanding Standard Operating Procedures (SOPs), provision of Personal Protective Equipment (PPE), and the safe use of laboratory facilities and equipment. Originality/value – The occupational safety and health risks in the Nursing Education Laboratory need to be regularly assessed as a basis for establishing hazard control measures in the laboratory. Abstrak Tujuan – Penelitian ini dilakukan dengan tujuan meminimalkan berbagai risiko bahaya bagi siswa, pendidik, dan staf di laboratorium pendidikan keperawatan melalui penerapan HIRARC (Hazard Identification, Risk Assessment, and Risk Control). Desain/metode/pendekatan – Penelitian ini menggunakan pendekatan deskriptif-analitik yang berfokus pada Keselamatan dan Kesehatan Kerja (K3) di laboratorium pendidikan keperawatan. Metode HIRARC digunakan untuk menganalisis risiko bahaya melalui proses identifikasi bahaya, penilaian risiko, dan pengendalian risiko. Data hasil identifikasi bahaya dan penilaian risiko menjadi dasar dalam menentukan langkah pengendalian risiko. Temuan – Berdasarkan analisis risiko keselamatan dan kesehatan kerja, ditemukan bahwa Laboratorium Keperawatan Blora, Poltekkes Kemenkes Semarang, memiliki potensi bahaya risiko rendah sebesar 45%, potensi risiko sedang sebesar 40%, dan potensi risiko tinggi sebesar 15%. Risiko ini berasal dari peralatan listrik, instrumen tajam, bahan korosif, serta faktor lingkungan laboratorium lainnya. Sebagian besar risiko berada pada tingkat rendah, dan hasil penelitian menunjukkan bahwa Laboratorium Keperawatan Blora relatif aman untuk kegiatan pengguna. Implikasi/batasan penelitian – Penelitian ini mengilustrasikan adanya potensi risiko sedang dan tinggi yang tersisa di laboratorium, sehingga menyoroti perlunya pengendalian bahaya, seperti pemahaman terhadap Prosedur Operasional Standar (POS), penyediaan Alat Pelindung Diri (APD), serta penggunaan fasilitas dan peralatan laboratorium secara aman. Keaslian/nilai – Risiko keselamatan dan kesehatan kerja di Laboratorium Pendidikan Keperawatan perlu dinilai secara rutin sebagai dasar untuk menetapkan langkah pengendalian bahaya di laboratorium.
The Relationship Between Academic Stress and Unhealthy Behavior of Nursing Students Cipto Cipto; Ajeng Titah Normawati; Febriana Sartika Sari; Novita Wulandari
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2620

Abstract

Academic stress is one of the problems that nursing students often experience due to academic demands, clinical practice, and learning loads. Poor stress management can be associated with changes in health behaviors, such as sleep patterns, diet, physical activity, and daily habits that have the potential to affect kidney health. This study aimed to analyze the relationship between academic stress levels and unhealthy behaviors and kidney health risks in nursing students. The study used a quantitative design with a correlational approach. The research was conducted in July 2026 in Blora. Respondents were 160 nursing students who met the research criteria. The sampling technique used simple random sampling. Data was collected using instruments measuring academic stress levels, unhealthy behaviors, and kidney health risks. The instruments were valid and reliable. The results showed that there was variation in academic stress levels, health behaviors, and kidney health risks in nursing students. The analysis showed that academic stress level was significantly related to unhealthy behavior. The findings of the study also show a link between health behavioral factors and kidney health risks. The conclusion is that academic stress and health behaviors are pivotal aspects in nursing students’ health. Promotive and preventive efforts through stress management, the implementation of healthy living behaviors, and education on the maintenance of kidney health need to be developed in a sustainable manner in the nursing education environment.
Deskripsi Riwayat Penyakit Pada Pasien Dengan Terapi Hemodialisa Mu'awanah Mu'awanah; Heru Purnomo; Suhardono Suhardono; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 6 No 1 (2025): MARCH 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v6i1.12612

Abstract

Latar belakang Terapi hemodialisis merupakan bentuk terapi penggantian fungsi ginjal yang paling banyak dilakukan dan layanan kesehatan dengan benban pembiayaan yang berat. Pengkajian riwayat penyakit pasien merupakan elemen yang penting dalam pemberian asuhan keperawatan guna menjadi landasan dalam menegakan diagnostic dan merumuskan intervensi keperawatan yang tepat.Tujuan penelitian yaitu dapat memperoleh gambaran riwayat penyakit pada pasien dengan terapi  Hemodialisa di  RSUD dr. R. Soetijono BloraMetode penelitian ini menggunakan metode Deskriptif Retrospektif dengan menggunakan data sekunder berupa rekam medik atau status pasien Hemodialisa yang tersimpan di bagian Rekam Medik RSUD dr. R. Soetijono Blora.Hasil penelitian kurun waktu mulai bulan Januari 2021 sampai dengan bulan  Desember 2022 didapatkan 115 kasus dengan terapi Hemodialisis yang sebagian besar berusia 56 – 65 tahun, jenis kelamin didominasi perempuan yang diduga pengaruh estrogen ginjal, adapun pasien dengan terapi Hemodialisis sebagian besar memiliki riwayat penyakit Diabetes Melitus (40,9%).Implikasi: Peningkatan jumlah kasus pasien dengan terapi Hemodialisa akan berdampak pada kesiapan layanan kesehatan dalam mempersiapan fasilitas, sumber daya, biaya dan teknologi untuk mengatasi permasalahan yang terjadi pada pasien dengan terapi Hemodialisa.Simpulan penelitian bahwa pasien dengan terapi hemodialisis sebagian besar mempunyai riwayat penyakit Diabetes Melitus