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Lucia Retnowati
Poltekkes Kemenkes Malang
Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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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 MAJAPAHIT 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 MAJAPAHIT 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 MAJAPAHIT 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 MAJAPAHIT 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.
The Relationship Between Physical Activity and the Risk of Diabetes Mellitus in High School Adolescents in Malang City Milwati, Susi; Widodo, Dyah; Retnowati, Lucia
Jurnal Keperawatan Terapan Vol 7 No 1 (2021): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i1.5273

Abstract

Diabetes mellitus is a disease caused by a hormonal disorder that affects insulin 5.7% of the total population of Indonesia, including teenagers. Is a big challenge for the health sector to do the step in anticipation of the complexity of health problems caused by diabetes mellitus in Indonesia. This study aims to analyze the relationship of physical activity with the risk of diabetes mellitus in adolescent high school in the city of Malang. This research is correlational research design, sampled in this study is partly a teenage high school class in Malang, city area drawn at random sampling with a large sample of 375 respondents. Research conducted at the high school SMU Negeri 6 and SMU Negeri 9 in the city of Malang, in May-August 2021. Data collection techniques using questionnaires. Data analysis is descriptive and analytic Spearman Rho correlation with alpha 0.05 using computer. The results showed that there is no relationship of physical activity with the risk of diabetes mellitus in adolescent high school in Malang. Recommended for teens to pay attention to healthy activity, so avoid the risk of diabetes mellitus
Peran Faktor Persalinan terhadap Stunting pada Balita: Studi di Desa Tasikmadu, Indonesia : The Role of Delivery Factors on Stunting in Toddlers: A Village Study Tasikmadu Village, Indonesia Della Kurnia Fauziah; Nurul Pujiastuti; Fitriana Kurniasari Solikhah; Tri Nataliswati
NERS Jurnal Keperawatan Vol. 19 No. 2 (2023): NJK Volume 19, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i2.66

Abstract

Stunting remains a persistent nutritional challenge in Indonesia, posing a substantial threat to child growth and survival, typically manifesting in the second year of life. Its primary antecedent is inadequate prenatal protein intake, resulting in shortened birth length and increased susceptibility to stunting. This study aimed to elucidate the relationship between birth length and stunting among toddlers within Tasikmadu Village, employing a retrospective cohort design with a total sample size of 128 individuals selected through Total Sampling. The analysis of the collected data yielded a noteworthy result, with a calculated p-value exceeding 0.570. This outcome signifies the absence of a statistically significant correlation between birth length and the incidence of stunting among the study participants in Tasikmadu Village. Instead, the investigation highlights the prominence of postnatal factors as significant determinants of stunting prevalence. These factors include the untimely introduction of complementary foods alongside breastfeeding (MP-ASI), irregular MP-ASI feeding schedules, a predominantly carbohydrate-based MP-ASI menu, erratic breastfeeding timings, and premature discontinuation of exclusive breastfeeding. In summary, this study discerns a conspicuous dissociation between birth length and stunting occurrence in Tasikmadu Village. The implication is that the roots of stunting lie predominantly in postnatal practices, emphasizing the critical role of addressing issues such as inappropriate MP-ASI practices and breastfeeding patterns to effectively combat the prevalence of stunting among toddlers. These findings contribute to a more nuanced understanding of the multifaceted nature of stunting in this context, guiding future interventions and public health initiatives aimed at its mitigation.
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.
Aksi “HAI AKU DIEM” Hidup Berkualitas dengan Diabetes Mellitus di Sumberporong Kecamatan Lawang Hidayah, Nurul; Setyorini, Anggun; Widiani, Esti; Pujiastuti, Nurul; Retnowati, Lucia; Kasiati; Utomo, Agus Setyo
Jurnal Pesut : Pengabdian untuk Kesejahteraan Umat Vol. 3 No. 1 (2025): Jurnal Pesut : Pengabdian untuk Kesejahteraan Umat
Publisher : Lembaga Pengembangan Publikasi Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30650/jp.v3i1.4480

Abstract

Diabetes Mellitus (DM) merupakan salah satu penyakit kronis yang prevalensinya terus meningkat dan berdampak signifikan terhadap kualitas hidup penderitanya, khususnya di wilayah pedesaan. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan, kesadaran, dan kemampuan pengelolaan diri penderita DM di Desa Sumberporong, Kecamatan Lawang melaluiprogram bertajuk Aksi “HAI AKU DIEM” (Hidup Berkualitas dengan Diabetes Mellitus). Program ini dilaksanakan melalui pendekatan edukatif dan partisipatif berupa penyuluhan, senam diabetes, konsultasi gizi, dan pelatihan pemantauan gula darah mandiri. Sasaran kegiatan adalah warga dengan risiko dan penderita DM yang tergabung dalam Posbindu serta masyarakat umum. Hasil kegiatan menunjukkan 80% mengalami peningkatan pemahaman peserta tentang DM, perubahan perilaku gaya hidup sehat, dan peningkatan motivasi untuk melakukan pengendalian mandiri
Pengaruh Latihan Pursed Lips Breathing terhadap Perubahan RR Pasien Pneumonia di RSUD Lawang Azizah, Rizky Amalia Ulul; Nataliswati, Tri; Anantasari, Ririn
Journal of Ners and Midwifery Vol 5 No 3 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i3.ART.p188-194

Abstract

Pneumonia adalah penyakit yang bisa terjadi pada segala usia. Salah satu gejala pneumonia adalah meningkatnya RR yang disebabkan oleh inflamasi alveoli penuh cairan yang membuat tubuh sulit mendapatkan oksigen. Tindakan oleh perawat untuk merawat pasien dengn peningkatan RR pneumonia adalah terapi farmakologi menurut instruki dokter, dan tanpa tindakan non-farmakologi untuk mengatasi dengan menaikkan RR seperti melakukan latihan Pursed Lips Breathing. Tujuan dari pembelajaran ini adalah  untuk mengetahui efek latihan Pursed Lips Breathing pada perubahan RR pada pasien pneumonia di ruang flamboyan RSUD Lawang. Metode penelitian yang digunakan adalah Quasi Experimental. Dengn tipe metode Nonequivalent Control Group. Jumlah sampel didapat dari 30 responden, mengambil sampel menggunakan metode non probbility sampling dengan accidental sampling. Peralatan yang digunakan dalam penelitian ini adalah jam analog di grup intervensi dan grup kontrol. Analisis data dalam pembelajaran ini menggunakan T-Test Pasangan dan T-Test Individu dengan software SPSS untuk Windows 23.0 dengan level signifikan  = 0,05. Hasil menunjukkan bahwa ada efek dari latihan Pursed Lips Breathing dalam perubahan RR di pasien dengan pneumonia (nilai ρ 0.02 <0.05). Rekomendasi dari pembelajaran ini menunjukkan bahwa pursed lips breathing adalah saah satu intervensi perawatan dalam perubahan RR di pasien pneumonia.s
Hubungan Pelayanan Lansia Berbasis Kekerabatan dengan Lansia Tangguh di Desa Toyomarto Kecamatan Singosari Kabupaten Malang Setyo, Agus; Retnowati, Lucia; Hidayah, Nurul
Journal of Ners and Midwifery Vol 7 No 2 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i2.ART.p223-230

Abstract

Usia harapan hidup periode 2015-2020 menjadi 73,2 tahun sehingga mempengaruhi estimasi proporsi penduduk lansia. Jumlah Lansia Indonesia akan mencapai 28,8 juta orang atau 11,34 persen pada tahun 2020. Sebaran penduduk lansia tahun 2017 di Indonesia, pada urutan ketiga tertinggi ditempati oleh Jawa Timur yaitu 2,9 juta (12,25%) lebih dari 10% sehingga Jawa Timur bisa dikategorikan sebagai provinsi dengan penduduk tua (aging population) dengan jumlah lansia di Malang diperkirakan pada tahun 2020 sebesar 371.977 (Badan Pusat Statistik, 2015). Berdasarkan studi pendahuluan di Desa Toyomarto Pebruari 2018 diperoleh 320 lansia potensial. Sesuai hasil wawancara dengan 10 lansia potensial diperoleh data 70% masih aktif bekerja, 40% aktif dalam kegiatan kemasyarakatan dan 100% mandiri dalam pemenuhan kebutuhan sehari-hari, 70% mendapat dukungan keluarga sebagian dari dimensi (fisik, emosional, lingkungan, intelektual, profesional vokasional, sosial kemasyarakatan dan spiritual. Penelitian ini merupakan penelitian cross sectional. Populasi dalam penelitian ini adalah seluruh lansia potensial yang tinggal di Desa Toyomarto Kecamatan Ardimulyo sejumlah 320 orang. Sedangkan sampel dalam penelitian adalah sebagian lansia yang tinggal di Desa Toyomarto Kecamatan Singosari Kabupaten Malang sebesar 30 responden. Tehnik pengambilan sampel yang digunakan adalah simple random sampling. Analisis yang digunakan dalam penelitian ini adalah uji korelasi gamma diperoleh nilai p=0,000 yang menunjukkan bahwa hubungan pelayanan lansia berbasis kekerabatan dengan lansia tangguh bermakna. Dukungan keluarga dalam membina lansia belum optimal sehingga perlu mendapatkan perhatian agar kualitas dukungan menjadi baik. Perlunya peningkatan kualitas pembinaan oleh keluarga/kerabat dalam memberikan pelayanan kepada lansia dapat dilaksanakan dengan cara menjalin kerjasama lintas program maupun sektor agar terwujudnya lansia tangguh akan semakin nyata dan berlanjut hingga pemanfaatan keterlibatan lansia tangguh dalam mengisi pembangunan kesehatan khususnya kesehatan keluarga dan masyarakat. The life expectancy in 2015-2020 was 73.2 years, thus affecting the estimated proportion of the elderly population. The number of elderly in Indonesia will reach 28.8 million people or 11.34 percent by 2020. The distribution of the elderly population in 2017 in Indonesia, East Java  was the third highest by 2.9 million (12.25%), more than 10%, categorized as a province with an aging population (aging population) with the number of elderly in Malang estimated in 371,977 on 2020 (Badan Pusat Statistik, 2015). Based on preliminary studies in Toyomarto Village, February 2018, there were 320 potential elderly people. Based on the interview of 10 potential elderly, 70% were still actively working, 40% were active in community activities, 100% were independent in fulfilling their daily needs, 70% have family support in some part of dimensions (physical, emotional, environmental, intellectual, vocational professional, social and spiritual). This study aimed to analyze the correlation of kinship-based elderly service (emotional, spiritual, social, physical, environmental, intellectual, vocational professional) and resilient elderly in Toyomarto Village, Singosari District, Malang Regency. The study was a cross sectional study. The population was 320 people of all potential elderly living in Toyomarto Village, Ardimulyo Subdistrict. The sample was the majority of elderly people living in Toyomarto Village, Singosari Subdistrict, Malang Regency for 30 respondents. The sampling technique used simple random sampling. The analysis used gamma correlation test which obtained p value = 0,000 indicated that there was a correlation of elderly-based services and resilient elderly. The need to improve quality of guidance by families / relatives in providing services to elderly can be carried out by establishing cross-program and sector collaboration so that the realization of strong elderly people will become more apparent and continue to utilize involvement of strong elderly people in fulfilling health development, especially family and community health.
Co-Authors Abdul Hanan Afifta Wahyu Agus Setyo Agus Setyo Utomo Aminatus Sulfa Laili Fitria Angger Rangga Santika Aprilia, Feny Dwi Arief Bachtiar Arif Dwi Sulistiyanto Arif, Taufan Azizah, Rizky Amalia Ulul Budiono Budiono Budiono Cecep Kusmana Della Kurnia Fauziah Desy Rinawaty Dicki Andrean Dyah Sartika Dyah Widodo Eddi Sujarwo edy suyanto Endang Sutjiati Endang Sutjiati Hana Diah Herawati, Tutik Ira Rahmawati Kasiati Kasiati Kasiati ., Kasiati Kissa Bahari Lingling Marinda Palupi Lingling Marinda Palupi M Ivan Zeaul Alhaq Marsaid marsaid Mega Silvia Milwati, Susi Moh Adib Mabruri Muqorrobin, Fina Salsabila Mustayah ., Mustayah Mustayah Mustayah Mustayah, Mustayah NURUL HIDAYAH Nurul Pujiastuti Nurul Pujiastuti Pertami, Sumirah Budi Pertami, Sumirah Budi Prahesty Yuliawardani Regina Rosca Putri Pertiwi Ririn Anantasari, Ririn Rudi Hamarno Sartika, Dyah Sartika, Dyah Setyo, Agus Setyorini, Anggun Sharon, Dinda Hapsari Cahya Mawar Sholikhah, Fitriana Kurniasari Silfi F Siti Jannatun Aliya Siti Nuryatul Badriyah Solikhah, Fitriana Kurniasari subekti, imam - Sulastyawati Sulastyawati Susi Milwati Theresia Wijayanti Tri Anjaswarni Tri Cahyo Sepdianto Triska Dama Yanti Wardani, Indah Dwi Kusuma Wati, Naya Erna Widiani, Esti WIJAYANTI, THERESIA Yanti, Dina Dama Zahratu Ikfiyana Habsillah, Hanny Zahroh, Manzilatuz