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Exercise Habits and Family Disease History as Determinant of Activity Intolerance and ECG Patterns of Patients with Acute Coronary Syndrome (ACS) Wiwiek Retti Andriani; Agus Wiwit Suwanto; Heru Wiratmoko; Agung Eko Hartanto; Sumy Dwi Antono; Endang Purwaningsih; Gandes Widya Hendrawati; Mirza Failasufi; Langgeng Cahyono
Health Notions Vol 6, No 4 (2022): April
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Acute Coronary Syndrome (ACS) occurs due to blockage of coronary blood vessels which causes a decrease in oxygen flow and advanced conditions has an impact on physical activity. Factors associated with activity intolerance and ECG patterns suc as: sex, age, education, history of previous illnesses, exercise habits, family history of illness. The study involved all patients diagnosed with NSTEMI in the ICCU room at RSUD Dr. Harjono, a sample of 30 respondents was selected using a consecutive sampling technique. This research was analyzed by multivariate analysis. The result of this research showed that factors that influence the tolerance of the activities of patients with coronary heart disease were sports habits and a history of previous illnesses. The respondent's habit of exercising affected the complaints that arise during the activity (each p-value was less tha 0.05). As conclusion, factors that affect the activity intolerance of coronary heart disease patients are physical exercise habits and family history of disease. Keywords: determinant factors; activity intolerance; ECG patterns; acute coronary syndrome

EFEKTIFITAS RELAKSASI BENSON DAN SLOW STROKE BACK MASSAGE TERHADAP PENURUNAN KECEMASAN PADA PASIEN HEMODIALISA Agus Wiwit Suwanto; Esti Sugiyorini; Heru Wiratmoko
Indonesian Journal for Health Sciences Vol 4, No 2 (2020): September
Publisher : Universitas Muhammadiyah Ponorogo

Terapi hemodialisa yang diberikan kepada pasien gagal ginjal kronik dapat menimbulkan kecemasan. Kecemasan yang terjadi adalah cemas tingkat ringan, sedang dan berat. Kecaemasan ini terjadi pada semua kalangan usia pasien hemodialisa, baik pasien yang punya pekerjaan maupun tidak, dan pada pasien yang sudah lama maupun pasien baru. Kecemasan yang terjadi pada pasien hemodialisa merupakan suatu kondisi yang harus ditangani karena akan memperberat kerusakan sel ginjal. Penelitian ini dilakukan bertujuan memberikan solusi untuk menurunkan kecemasan pada pasien hemodialisa dengan menggunakan teknik relaksasi Benson yang dipadukan dengan pemberian slow stroke back massage pada daerah punggung. Metode penelitian ini menggunakan penelitian quasi eksperimen dengan one group pre-test dan post-test dengan intervensi teknik relaksasi Benson dan slow stroke back massage terhadap 22 orang sampel penelitian. Kecemasan pada responden diukur dengan instrument HARS dan hasil penelitan di analisis dengan peired t-test. Berdasarkan uji statistik, mean skore kecemasan post-test pasien hemodialisa di RSU Aisyiyah Ponorogo menunjukkan terjadinya penurunan jika dibandingkan dengan mean skore kecemasan pre-test dengan tingkat signifikansi 0.000. Dari hasil penelitian ini dapat disimpulkan bahwa relaksasi Benson dan slow stroke back massage efektif menurunkan kecemasan pasien hemodialisa di RSU Aisyiyah Ponorogo.

Survey peningkatan resiko penyakit DM di masa Pandemi covid-19 Di wilayah Kabupaten Ponorogo tahun 2021 Heru Wiratmoko; Agus Wiwit Suwanto; Endang Purwaningsih
Indonesian Journal for Health Sciences Vol 7, No 1 (2023): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v7i1.5158

DM is a chronic disease that cannot be cured but can only be reduced and blood sugar levels controlled. Blood sugar levels of DM patients can be controlled and reduced by pharmacological and non-pharmacological measures. The impact of the Covid 19 pandemic that can increase the risk of DM is stress. Stress due to the declining level of the community's economy can be due to losing a job, increasing the burden of living and others. At times of stress can increase levels of the hormone cortisol which can increase blood sugar levels. During the pandemic, people are afraid to leave the house so that activity decreases so that it will reduce the use of blood sugar by cells so that blood sugar increasesThe method used in this research is a survey by distributing a google form questionnaire with the link https://forms.gle/EsCR4qnoj62LZFnv9 via WA Online media to the community in the Ponorogo district from 6-15 October 2021 so that the number of respondents who fit the sample criteria is as much as 122 respondents. Measurement of DM risk factors using the FINDRISC questionnaire is a questionnaire that helps to identify the risk of DM disease.The results of the Survey on Increasing the Risk of DM Disease During the Covid 19 Pandemic in the Ponorogo Regency Region in 2021 it is known that from 122 respondents, 60 (49%) low risk respondents, 45 (36%) risk respondents slightly increased, 8 (7%) risk respondents medium, 8 (7%) high risk respondents and 1 (1%) very high risk respondents.

Asuhan Keperawatan Pada Pasien Gout Arthritis Dengan Ketidakpatuhan Diet Rendah Purin Muazam Nurfai Hardiansyah; Agung Eko Hartanto; Heru Wiratmoko; Yustina Purwaningsih; Gandes Widya Hendrawati
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.32372

Gout Arthritis is an acid formed due to purine metabolism in the body. Purine comes from foods containing protein. To maintain uric acid levels within the normal range, individuals must improve compliance with a low-purine diet supported by Health Education. The purpose of this study was to determine how nursing care is provided to gout arthritis patients with low-purine diet non-compliance. The research design was descriptive qualitative with a case study approach. Nursing interventions focused on diet education using leaflet media which showed a significant increase in the level of patient diet compliance, namely the compliance score increased from 2 (non-compliant) to 10 (compliant) within 7 days and resulted in a decrease in uric acid levels from 8.9 mg/dl to 5 mg/dl. The provision of this research education confirms that structured health education and appropriate educational media can improve diet compliance and health outcomes in gout arthritis patients.

Asuhan Keperawatan Pada Pasien Gout Arthritis Dengan Ketidakpatuhan Diet Rendah Purin Muazam Nurfai Hardiansyah; Agung Eko Hartanto; Heru Wiratmoko; Yustina Purwaningsih; Gandes Widya Hendrawati
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.32372

Gout Arthritis is an acid formed due to purine metabolism in the body. Purine comes from foods containing protein. To maintain uric acid levels within the normal range, individuals must improve compliance with a low-purine diet supported by Health Education. The purpose of this study was to determine how nursing care is provided to gout arthritis patients with low-purine diet non-compliance. The research design was descriptive qualitative with a case study approach. Nursing interventions focused on diet education using leaflet media which showed a significant increase in the level of patient diet compliance, namely the compliance score increased from 2 (non-compliant) to 10 (compliant) within 7 days and resulted in a decrease in uric acid levels from 8.9 mg/dl to 5 mg/dl. The provision of this research education confirms that structured health education and appropriate educational media can improve diet compliance and health outcomes in gout arthritis patients.

PENERAPAN MATRAS-TBC SEBAGAI STRATEGI INTERVENSI BERBASIS KOMUNITAS DALAM ELIMINASI TB–DM Agung Eko Hartanto; Heru Wiratmoko; Endang Purwaningsih; Agus Wiwit Suwanto; Yustina Purwaningsih; Gandes Widya Hendrawati
COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/community.v6i1.8951

Integrated community-based screening for Tuberculosis (TB) and Diabetes Mellitus (DM) is an essential strategy to enhance early detection of communicable and non-communicable diseases. This community engagement activity was conducted in July 2024 in Kadipaten Village, Ponorogo, using four screening approaches: village hall service, Posbindu, elderly health screening, and door-to-door. A total of 265 participants underwent TB screening and 166 underwent DM screening. Results showed 16 suspected TB cases (6%) and 15 individuals (9%) with elevated blood glucose, including four new DM cases (2.4%). The door-to-door method yielded the highest detection in both TB and DM screenings. The findings support existing evidence that active case finding improves detection coverage among at-risk populations. This integrated screening emphasizes the need for structured referral pathways, community health education, cross-program collaboration, and integrated health information systems to ensure sustainable TB–DM detection programs. ABSTRAK Kegiatan skrining terpadu Tuberkulosis dan Diabetes Mellitus (skrining TB-DM) berbasis komunitas merupakan salah satu strategi penting dalam meningkatkan deteksi dini penyakit menular dan tidak menular, khususnya di wilayah dengan akses terbatas terhadap layanan kesehatan. Pengabdian masyarakat ini dilaksanakan pada Juli 2024 di Kelurahan Kadipaten, Kecamatan Babadan, Kabupaten Ponorogo, melalui empat pendekatan, yaitu Balai Kelurahan, Posbindu, kegiatan lansia, dan door-to-door. Sebanyak 265 peserta mengikuti skrining TBC dan 166 peserta mengikuti skrining DM. Hasil menunjukkan 16 peserta (6%) terduga TBC dan 15 peserta (9%) dengan gula darah tinggi, termasuk 4 kasus DM baru (2,4%). Pendekatan door-to-door memberikan kontribusi temuan terbanyak baik pada TBC maupun DM baru. Temuan ini sejalan dengan bukti penelitian bahwa active case finding meningkatkan cakupan deteksi pada komunitas berisiko. Skrining terpadu ini menegaskan perlunya jalur rujukan konfirmasi, edukasi kesehatan masyarakat, kolaborasi lintas program, dan integrasi sistem informasi kesehatan untuk keberlanjutan program deteksi dini TB–DM.

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