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PERAN KELUARGA DALAM PENGELOLAAN CEMAS LANJUT USIA YANG MENGALAMI HIPERTENSI DI WILAYAH KERJA PUSKESMAS RAMPAL CELAKET KOTA MALANG (STUDI KASUS) Lucia Retnowati; Hana Diah; Agus Setyo Utomo
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 15 No 2 (2023): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v15i2.972

Abstract

People with hypertension are easily anxious because high blood pressure tends to require relatively long treatment, there is a risk of complications and can shorten life. Anxiety with strong intensity and negative nature can interfere with the physical and psychological state of the individual. Elderly people with hypertension who experience anxiety need a family role to be able to accept their current condition. This research is a descriptive case study with one family member as the research subject and was conducted on March 21-April 01, 2023. This studyused interview techniques, questionnaires, and triangulation in data collection. Criteria and sample are older that has informed consent, have cooperation, more than 60 years old. The data are presented in the form of a narrative and are accompanied by snippets of verbal expressions from the subjects of the study. The results showed that there was an increase in the role of the family as a supporter after being given an education. This is evidenced by an increase in questionnaire scores and statements from family and elderly interviews. The family can continue to increase knowledge and implement its role as a supporter. Elderly who have been given support are expected to manage anxiety as motivation to improve their health status.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN FRAILTY SYNDROME PADA LANSIA WANITA DI WILAYAH KERJA PUSKESMAS SINGOSARI Siti Nuryatul Badriyah; Tri Nataliswati; Tri Cahyo Sepdianto; Sumirah Budi Pertami
HOSPITAL MAJAPAHIT : JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO Vol 16 No 1 (2024): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v16i1.1023

Abstract

Elderly is someone who is in the final stage of adulthood where age starts from 60 years and over. This condition is interpreted as a decrease, weakness, increased risk of various diseases and other physiological changes. Elderly who experience this condition is called frailty syndrome. If not handled properly frailty syndrome can lead to increased death in the elderly. This study used a quantitative design with a cross sectional approach and data collection was carried out using a questionnaire as an instrument. The independent variables in this study were sociodemographic (abandonment and family functioning), physical, nutritional, psychological, functional and cognitive. While the dependent variable is frailty syndrome. The research sample was 95 respondents using purposive sampling technique. The analytical method uses the Spearman Rank test. Factors related to frailty syndrome at the Singosari Health Center were sociodemographic factors (neglect) (p=0.000), physical factors (p=0.000), functional factors (p=0.000), psychological factors (p=0.000), cognitive factors (p=0.000) and nutritional factors (p=0.000), while sociodemographic factors (family functions) (p=0.214) had no relationship with frailty syndrome and the most dominant factor was functional factors. The suggestion put forward is that the health center increases the intensity of physical exercise programs that already exist at the puskesmas and at the elderly Posyandu such as walking together and exercising for the elderly and inviting the elderly to participate actively in order to increase independence.
PERKEMBANGAN LANSIA PENDERITA HIPERTENSI SETELAH DIBERIKAN TERAPI KOMPLEMENTER TOTOK PUNGGUNG DI DESA BANJARSARI KECAMATAN SUMBERASIH KABUPATEN PROBOLINGGO Lucia Retnowati; Mega Silvia; Kasiati
HOSPITAL MAJAPAHIT : JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO Vol 16 No 1 (2024): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v16i1.1026

Abstract

The increase in elderly people with hypertension that is not balanced with hypertension control results in complications. Treatment of hypertension can be done with nonpharmacological methods such as back acupressure. However, subject knowledge about back acupressure is still lacking, this is unfortunate if it is not applied as an alternative to hypertension control so that health status The elderly are less than optimal. The purpose of this study was to identify the development of the elderly in terms of physical and emotional complaints after being given back acupressure therapy. This research is a case study with a descriptive research approach. Sampling using purposive sampling with 2 subjects. Data collection using interview techniques and observation sheets. Data is presented in the form of transcript tables, graphs, and narratives. Overall, it was found that the administration of back acupressure therapy for 2 weeks with 6 meetings experienced changes in blood pressure reduction, physical complaints and emotional complaints. It can be concluded that after the administration of acupressure therapy, the back has gradually decreased changes. Therefore, back acupressure can be done routinely and control a healthy lifestyle in daily life, so that health status becomes optimal.
The Impact of Age and Nutritional Status on Wound Healing After Caesarean Section Zahroh, Manzilatuz; Pujiastuti, Nurul; Nataliswati, Tri; Solikhah, Fitriana Kurniasari
Journal of Nursing Science Update (JNSU) Vol. 12 No. 2 (2024): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2024.012.02.04

Abstract

Age and nutritional status are crucial in wound healing after a caesarean section. This study explores the relationship between these two factors and the duration of wound healing post-surgery at the Islamic University Hospital of Malang. Using a cross-sectional research design, the investigation will include all patients who had caesarean sections between March and May 2024, totalling around 31 respondents. The sampling technique employed for this study was total sampling. The Spearman Rank test was used to assess the data for statistical analysis. Findings show that 71% of respondents are in a non-risk age group, and 64.5% have good nutritional status. Conversely, 64.5% experienced poorly healing wounds. The Spearman Rank test produced a p-value of 0.005, indicating a significant relationship between age and wound healing duration, and a p-value of 0.000 showed a significant association between nutritional status and healing length. Correlation coefficients of 0.489 and 0.607 indicate moderate positive correlations. In conclusion, the study establishes relationships between age, nutritional status, and wound healing duration post-caesarean section, suggesting that future research should investigate other influencing factors like medical history and surgical complications.
ANALISIS WAKTU PENCAPAIAN BROMAGE SCORE SETELAH EDUKASI MOBILISASI DINI: ANALYSIS OF TIME TO ACHIEVEMENT OF BROMAGE SCORE AFTER EARLY MOBILIZATION EDUCATION Sharon, Dinda Hapsari Cahya Mawar; Anjaswarni, Tri; Nataliswati, Tri; Hamarno, Rudi
Quality : Jurnal Kesehatan Vol. 18 No. 2 (2024): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v18i2.1820

Abstract

Bromage Score adalah metode yang digunakan untuk mengetahui waktu pemulihan setelah anestesi spinal sebagai indikator dalam membuat keputusan pemindahan pasien dari kamar operasi ke ruang perawatan. Bromage Score sering dikaitkan dengan mobilisasi dini karena dapat meningkatkan sistem sirkulasi darah dan merangsang sistem persyarafan. Saat ini belum ada penelitian yang mengukur pencapaian Bromage Score dalam bentuk intervensi atau perlakukan dengan menggunakan kelompok kontrol.  Tujuan penelitian ini menganalisis pengaruh dari edukasi mobilisasi dini terhadap waktu pencapaian bromage score. Metode penelitian quasi-experimental dengan desain two group posttest with control group. Populasinya semua yang operasi dengan spinal anestesi di ruang Diponegoro RSUD Kanjuruhan sejumlah 200 pasien, dengan besar sampel 56 orang dibagi menjadi kelompok perlakuan dan kelompok kontrol yang diambil dengan purposive sampling. Analisis uji menggunakan “t-test independent”. Hasil penelitian menunjukkan ada pengaruh signifikan pemberian edukasi mobilisasi dini terhadap waktu pencapaian Bromage Scorel padal pasien spinall anestesi dengan p-value = 0.000. Waktu pencapaian Bromage Score pada kelompok perlakuan lebih cepat dibandingkan kelompok kontrol. Rerata waktu pencapaian hingga skor 0 (mampu bergerak sepenuhnya) pada kelompok perlakuan 233.1 (3 jam 53 menit) menit, sedangkan kelompok kontrol 275.53 menit (4 jam 35 menit). Pasien yang operasi dengan spinal anestesi membutuhkan edukasi mobilisasi dini untuk meningkatkan sirkulasi dan merangsang sistem syaraf melalui latihan fisik ROM yang berpusat pada ekstremitas bawah setelah selesainya operasi agar waktu pemulihan bromage score lebih cepat.
PENERAPAN SENAM HIPERTENSI SEBAGAI INTERVENSI NON-FARMAKOLOGIS PADA LANSIA DI PUSKESMAS ARJUNO KOTA MALANG Lucia Retnowati; Aminatus Sulfa Laili Fitria; Agus Setyo Utomo
HOSPITAL MAJAPAHIT : JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO Vol 16 No 2 (2024): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v16i2.1076

Abstract

Hypertension in the elderly poses significant health challenges, so effective non-pharmacological interventions are needed. This study aims to evaluate the effectiveness of hypertension gymnastics as a non-pharmacological intervention for elderly patients at the Arjuno Health Center, Malang City. The research method used was a qualitative case study, which involved two elderly subjects with hypertension over a period of two weeks. Data collection was carried out through in-depth interviews, direct observation, and blood pressure measurements before and after the gymnastics intervention. This hypertension gymnastics program includes light to moderate aerobic exercise and flexibility training. The results showed a consistent decrease in blood pressure in both participants, with an average decrease in systolic pressure of 10-15 mmHg and diastolic pressure of 5-10 mmHg over the study period. In addition, participants showed increased knowledge about hypertension management and motivation to engage in physical activity. Subjective symptoms such as headaches and sleep disturbances also improved. The effectiveness of hypertension exercises in this study was achieved through a dose of exercise in the form of a frequency of 4 times per week with a duration of 30 minutes per session, which was proven to provide a significant reduction in blood pressure. This gymnastics program emphasizes light to moderate intensity aerobic exercise, which has been shown to help improve cardiovascular function and lower vascular resistance. This research contributes to the development of scientific evidence regarding the effectiveness of structured gymnastics programs in the management of hypertension in the elderly. These results confirm the importance of hypertension gymnastics as an integral part of primary care strategies for hypertensive elderly patients, emphasizing the importance of a tailored non-pharmacological approach to improve blood pressure control and overall quality of life.
STUDI DESKRIPTIF TENTANG PERUBAHAN PSIKOLOGIS PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS LAWANG KABUPATEN MALANG Prahesty Yuliawardani; Tri Nataliswati; Tutik Herawati; Budiono
HOSPITAL MAJAPAHIT : JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO Vol 16 No 2 (2024): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v16i2.1080

Abstract

The most prominent change in the third trimester in pregnant women is psychological changes. Trimester III is a phase called the waiting or vigilant period because pregnant women cannot wait for the birth of their babies. In this period, psychological changes that arise are fear, worry if the baby is born abnormally, fear of pain in the process of labor and fear of not being able to take care of the baby. Multigravida mothers, naturally also experience psychological disorders in the form of anxiety about the shadow of the pain she suffered in the past during childbirth. Especially for mothers who have experience with high-risk pregnancies, the anxiety level must also increase. Where this pregnancy has a high risk both during pregnancy and in the process of labor. There are also mothers who have experienced traumatic experiences and this has been shown to affect the anxiety of pregnant women in facing labor. The purpose of this study was to determine psychological changes in third trimester pregnant women in the Lawang Health Center Working Area. The design in this study was descriptive with a cross sectional approach. The population was 34 and the sample was also taken 34 people using the total sampling technique. The instrument used in this study was a questionnaire with a closed interview method. Research result shows that on average (71%), their psychological change is quite good. The conclusion of this research result is that the average pregnant women doesn’t know about psychological change and this can be resolved with giving counseling about pregnancy. Hopefully when they’re checking their pregnancies in Health Center, pregnant women would reach out and talk about their complaint or public opinion, especially primigravida women in their third trimester, so it can decrease their worry about their fetus.
EKSPLORASI PERKEMBANGAN KEKUATAN OTOT LANSIA PASCA STROKE MELALUI TERAPI MENGGENGGAM BOLA KARET Lucia Retnowati; Agus Setyo Utomo; Regina Rosca Putri Pertiwi
HOSPITAL MAJAPAHIT : JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO Vol 17 No 1 (2025): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v17i1.1107

Abstract

Stroke is one of the leading causes of physical disability in the elderly, particularly related to muscle weakness and motor impairments. This study aims to explore the development of muscle strength in elderly post-stroke through grip ball therapy with a qualitative approach. The study involves two elderly post-stroke subjects selected using purposive sampling. Data were collected through in-depth interviews and observations, and analyzed using a thematic approach. The results show that grip ball therapy significantly improves muscle strength in the affected hand of both subjects. The first subject experienced an improvement in right-hand strength, enabling greater independence in daily activities. The second subject reported increased strength in the left hand, making it easier to perform daily tasks independently. Additionally, this therapy had a positive impact on the psychological condition of the subjects, such as feelings of satisfaction, confidence, and gratitude for the progress achieved. This study concludes that grip ball therapy is a simple, effective, and affordable rehabilitation alternative for elderly post-stroke individuals, particularly in areas with limited access to medical facilities. This therapy not only enhances muscle strength but also has a positive impact on the overall quality of life of the patients. Further research is recommended to explore the long-term benefits of this therapy and to integrate psychological aspects into stroke rehabilitation approaches
UPAYA PENCEGAHAN PENULARAN TB PARU OLEH PASIEN TB KEPADA KELUARGA DI WILAYAH KERJA PUSKESMAS MULYOREJO KOTA MALANG Arif Dwi Sulistiyanto; Tri Nataliswati; Arief Bachtiar
HOSPITAL MAJAPAHIT : JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO Vol 17 No 1 (2025): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v17i1.1114

Abstract

Combating Tuberculosis case has become the world's attention and Indonesia become the fifth country with the highest TB burden in the world. Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis that can be transmitted when active lung TB patient coughs, sneezes, or speaks. So inadequate effort to prevent TB infection can increase the risk of transmitted this bacterium to families and increase the incidence of TB. This study aimed to determine the effort to prevent TB transmission of patients with active pulmonary TB to family in working area of Puskesmas Mulyorejo, Malang City. This study design was descriptive and 45 respondents (34.60 + 7.55 years old) were included in this study using total sampling. This study used closed questionnaire as instrument. The result of this studies showedthat effort to prevent transmission of TB of patients with active pulmonary TB to families was 55.5% categories enough. The effort of patients with active pulmonary TB that oftendo is open the window in the morning for better ventilation. This study concludes that patients with active pulmonary TB have sufficient effort to prevent transmission of TB to families.We suggest the effort to prevent transmission of TB can be increased and the effort of health center like PuskesmasMulyorejo should be maintained so that combating of TB can be accomplished.
GERAKAN KELUARGA SEHAT CIPTAKAN GENERASI BERKUALITAS DAN BEBAS DARI DIABETES MELITUS DI DESA KERTOSARI KEC. PURWOSARI KAB. PASURUAN budiono, budiono; Herawati, Tutik; Nataliswati, Tri; Pujiastuti, Nurul
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 9 No. 1 (2025): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v9i1.5234

Abstract

Diabetes mellitus (DM) is a health problem that continues to increase, especially in Indonesia. Health education is one of the main strategies in increasing public understanding of the dangers of DM, the importance of early detection, and the implementation of a healthy lifestyle. This community service uses education, demonstration and observation to evaluate the effectiveness of education and training on the level of knowledge and behavior of participants. A total of 30 participants participated in counseling and training on DM, healthy eating patterns, and physical activity. Measurements were taken before and after the intervention. The results of the community service Education increased participants' knowledge about the dangers of DM (50% to 85%), early detection (40% to 80%), and healthy lifestyles (45% to 90%). The training also increased understanding of choosing healthy food ingredients (55% to 85%) and processing low-sugar foods (50% to 80%). Participation in diabetic foot exercises increased by 20%, and other physical activities increased by 46.7%. Blood sugar checks showed that 66.7% of participants were in the prediabetes category. Education and training have been proven effective in improving knowledge and practice of diabetes prevention. Sustainable interventions are needed to reduce prediabetes rates and prevent the development of DM in the community.
Co-Authors Abdul Hanan Afifta Wahyu Agus Setyo Agus Setyo Utomo Aminatus Sulfa Laili Fitria Angger Rangga Santika Annisa DN Arief Bachtiar Arif Dwi Sulistiyanto Arif, Taufan Bachtiar , Arief Budiono Budiono Budiono Cecep Kusmana Della Kurnia Fauziah Desy Rinawaty Devi Ayu Putri Aryandani Dicki Andrean Dina Dama Yanti Dyah Sartika Dyah Widodo Dyah Widodo Eddi Sujarwo edy suyanto Eirya Ertistiarsa Endang Sutjiati Endang Sutjiati Feny Dwi Aprilia Fina Salsabila Muqorrobin Fitriana Kurnia Sari Fitriana Kurniasari Sholikhah Fitriana Kurniasari Solikhah Ganif Djuwadi Hana Diah Herawati, Tutik Hurun ain imam - subekti Indah Dwi Kusuma Wardani Intan Azzahra, Helmalia Ira Rahmawati Jihan Triamanda Valentine Kasiati Kasiati Kasiati ., Kasiati Kissa Bahari Kissa Bahari Lailatul Alfi Syari Lillah Aulya Shabriena Pinasthi Satriyanto Lingling Marinda Palupi Lingling Marinda Palupi M Ivan Zeaul Alhaq Maria Diah Ciptaning Tyas Maria Diah Ciptaningtyas Maria Diah Ciptaningtyas Marsaid marsaid Mega Silvia Michellia Ayudia Pramitha Milwati, Susi Moh Adib Mabruri Moza Fadzila Hayyunur Astantri Muqorrobin, Fina Salsabila Mustayah ., Mustayah Mustayah Mustayah Mustayah, Mustayah Naya Erna Wati Naya Ernawati Naya Ernawati Niswatul F NURUL HIDAYAH Nurul Hidayah Nurul hidayah Nurul Pujiastuti Nurul Pujiastuti Pebri Triwandika Pertami, Sumirah Budi Prahesty Yuliawardani Regina Rosca Putri Pertiwi Ririn Anantasari Rizky Amalia Ulul Azizah Rudi Hamarno Sartika, Dyah Sartika, Dyah Setyo, Agus Setyorini, Anggun Sharon, Dinda Hapsari Cahya Mawar Sholha, Hanny Atus Sholikhah, Fitriana Kurniasari Silfi F Siti Jannatun Aliya Siti Nur Siti Nuryatul Badriyah Solikhah, Fitriana Kurniasari Soraya Qonita Zakia Athuf subekti, imam - Sulastyawati Sulastyawati Supono Supono Susi Milwati Syifa Azahra Irawan Theresia Wijayanti Tri - Anjaswarni Tri Anjaswarni Tri Anjaswarni Tri Cahyo Sepdianto Tri Wanda Agustina Triska Dama Yanti Wardani, Indah Dwi Kusuma Wati, Naya Erna Wati, Nurahma Widiani, Esti WIJAYANTI, THERESIA Yanti, Dina Dama Zahratu Ikfiyana Habsillah, Hanny Zahroh, Manzilatuz