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Pengaruh Pendidikan Kesehatan Metode Guidance and Counseling terhadap peningkatan Efikasi Diri (Self Efficacy) pada Pasien TBC di wilayah kerja Puskesmas Boro Elok Dwi Mamiri; Ulfa Husnul Fata; Thatit Nurmawati
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.p190-195

Abstract

TB Paru merupakan salah satu penyakit menular yang masih menjadi permasalahan di dunia hingga saat ini.Angka dropout dan kambuh terjadi setiap tahun dan salah satu faktor internal yang mempengaruhi yaitu efikasi diri (self efficacy) yang rendah dan untuk meningkatkannya perlu metode pendidikan kesehatan yang tepat yaitu guidance and counseling.Tujuan penelitian ini untuk mengetahuipengaruh pendidikan kesehatan Metode Guidance and Counselingterhadap peningkatan efikasi diri (self efficacy) pada pasien TBC di wilayah kerja Puskesmas Boro.Penelitian menggunakan desain penelitian quasy experiment.Populasi adalah Pasien TBC di wilayah Puskesmas Boro dan sesuai kriteria inklusi sebanyak 19 responden dengan teknik purposive sampling, pengumpulan data menggunakan kuesionerdan analisis data menggunakan uji statistik wilcoxon signed rank test. Nilai rata – rata efikasi diri sebelum intervensi 24, setelah intervensi sebesar 32,63. Peningkatan rata – rata sebelum dan sesudah intervensi sebesar 8,63. Hasil uji statistik wilcoxon signed rank test dengan α ≤ 0,05 menunjukkan bahwa nilai ρ-value sebesar 0,000. Hal ini berarti ada ada pengaruh pendidikan kesehatan metode guidance and counseling terhadap peningkatan efikasi diri pada pasien TBC. Berdasarkan hasil penelitianini maka petugas kesehatandapat mengaplikasikan metode guidance and counselinguntuk meningkatkan pengetahuan dan keterampilan serta memaksimalkan peran petugas kesehatan pada pemberian pendidikan kesehatan dalam rangka pelayanan paripurna dan menunjang kesembuhan pasien TBC dengan meningkatkan efikasi diri (self efficacy) pasien. Pulmonary TB is one of the infectious diseases that still exist until now. The number of dropouts and relapses cases occurs every year. One of the internal factors that affected the case is low self-efficacy (self efficacy). Guidance and counseling method could increase the self efficacy. The purpose of this study was to determine the effectiveness of health education with Guidance and Counseling methods to the improvement of self efficacy of TB patients in working area of Boro Public Health Center. The study used quasy experiment design. The population was TB patients in working area of Boro Pulic Health Center. The sample was 19 respondents with purposive sampling technique. The data collected by questionnaires and the data analysis used Wilcoxon signed rank test statistics. The average value of self-efficacy before intervention was 24, after the intervention was 32.63. The increase in the average before and after the intervention was 8.63. The result showed that ρ-value 0,000 meant that there was an effect of health education with guidance and counseling methods to the improving self-efficacy in TB patients. Based on the results of this study, health workers could apply guidance and counseling methods to the improvement of knowledge and skills and maximize the role of health workers in the provision of health education in the context of plenary service and support the recovery of TB patients by increasing patient self-efficacy.
Oxygen Saturation (SPO2) in Covid-19 Patients Ulfa Husnul Fata; Lutvi Febriana
Journal of Ners and Midwifery Vol 8 No 3 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i3.ART.p290-294

Abstract

One of the emergency problems of Covid-19 patients is a decrease in oxygen saturation (SpO2). Factors that affect the decrease in oxygen saturation, age, immune system, and gender. The purpose of this study was to identify Oxygen Saturation (SpO2) in Coronavirus Disease (Covid-19) patients. The research design is descriptive. The population in this study were all Covid-19 patients at the Aminah Blitar Islamic Hospital starting last month December 2020 to March 2021 totaling 346 and the number of samples is 185. This research instrument uses data studies on the medical records of Covid-19 patients. Sampling technique using purposive sampling. Statistic testusefrequency distribution. The results of this study indicate that from 185 respondents there were 77 (41.4) respondents who did not experience hypoxemia and 108 (58.6) respondents experienced hypoxemia. Covid-19 must be watched out for because of its relatively fast transmission, has a mortality rate that cannot be ignored, and there is no definitive therapy yet. A decrease in oxygen saturation (SpO2) is an important thing that needs to be considered in Covid-19 patients.
The Correlation of High-Risk Age on Women of Reproductive Age and Post Partum Bleeding Case Laily Prima Monica; Ulfa Husnul Fata
Journal of Ners and Midwifery Vol 9 No 2 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i2.ART.p192-195

Abstract

During the post partum there are physiological changes such as uterine involution and lochia expenditure. Excess lochea discharge to more than 500 cc after delivery is called postpartum hemorrhage. The purpose of this study was to analyze the correlation of high-risk age and the incidence of postpartum hemorrhage in the maternity room of Syuhada Haji Hospital, Blitar City. The type of the study was analytic with a cross sectional approach. The population was all postpartum mothers who gave birth in the maternity room of Syuhada Haji Hospital, Blitar City on January – December 2018. The poplation was 672 respondents and the sample was 97. The sample was taken systematically by random sampling. The measuring instrument used documentation guidelines. The study was carried out by Chi-Square test. It was obtained that X2 count (0.00) was less than á (0.05), then H0 was rejected and H1 was accepted. In conclusion there was a correlation between highrisk age and postpartum hemorrhage incidence. It is expected that the research area will pay more attention in the handling and care of pregnant women of reproductive age so that at the age that is slightly at risk for the occurrence of postpartum hemorrhage, they will not experience postpartum hemorrhage. And women of high-risk age should be able to give birth at hospital in order to reduce complications.
Self Management of Type 2 Diabetes Mellitus Patients at The Internist Polyclinic of Ngudi Waluyo General Hospital Blitar Distric Ulfa Husnul Fata; Ila Ageng Safiani; Laily Prima Monica; Maria Ulfa; Wahyu Wibisono
Journal of Ners and Midwifery Vol 9 No 3 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i3.ART.p387-392

Abstract

Type 2 Diabetes Mellitus is a disease that can cause many complications. Some of the problems that can arise in patients with Type 2 Diabetes Mellitus, one of the causes is low self-management behavior.This study aims to determine self-management in patients with type 2 diabetes mellitus. This research is a descriptive study. The variable in this study was self-management in type 2 diabetes mellitus patients. This research was a descriptive study. The population in this study were all type 2 diabetes mellitus patients who routinely exercised control at the Internal Medicine Polyclinic at Ngudi Waluyo Wlingi Hospital, Blitar Regency in December 2021, namely 156 people. The sample in this study based on the sample size formula was 112 people with a sampling technique, namely purposive sampling with regard to inclusion and exclusion criteria. This research was conducted from January to February 2022 at the Internal Medicine Clinic at Ngudi Waluyo Wlingi Hospital, Blitar Regency. Data collection in this study used general data instruments consisting of age, gender, routine control, level of education, and duration of DM. Specific data questionnaire using the SDMQ Questionnaire (Diabetes Self Management Questionnaire) which consists of 16 questions with several subdomains in it. The results of this study indicated that 69.6% (78 respondents) had good category of self-management and 30.4% (34 respondents) had sufficient category of respondents. It is hoped that the results of this study can be used as a form of input for health workers, especially nurses, in carrying out their roles as educators and counselors to improve self-management in type 2 diabetes mellitus patients to improve quality of life and prevent complications.
Compliance with a Low Salt Diet in Elderly Hypertension at the Elderly Posyandu, Gedog Village, Sananwetan District, Blitar City Ulfa Husnul Fata; Ayu Rahmawati; Wahyu Wibisono; Raden Roro Dewi Rahmawati Aktyani Putri
Journal of Ners and Midwifery Vol 10 No 2 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i2.ART.p177-181

Abstract

The problem of elderly hypertension is very complex, especially the problem of a low-salt diet. Non-compliance with hypertension will have a negative impact on the elderly and will cause many complications. This research is a descriptive study that aims to see the adherence to a low-salt diet in hypertensive elderly people. The population in this study were hypertensive elderly at the Srikandi elderly Posyandu and Brontoseno Elderly Posyandu in the Working Area of the Sananwetan Health Center, Gedog Village, Sananwetan District, Blitar City as many as 60 people. The sample in this study is based on the formula for calculating the number of samples, namely as many as 50 people. The sampling technique in this study was simple random sampling. The tools in this study were a respondent characteristics questionnaire and a low-salt diet adherence questionnaire that the researchers made themselves based on references. This research was conducted from April to May 2023. General data in this study included gender, marital status, last education, length of time suffering from hypertension and routine internal pressure control. While the specific data in this study is the adherence diet of hypertensive elderly. The results of this study indicate that almost half of the respondents are less compliant with the low-salt diet, namely 46% (23 respondents) and a small proportion of the respondents are compliant with the low-salt diet, 14% (7 respondents). Based on the results of this study, more in-depth interventions are still needed, especially to increase adherence to a low-salt diet in elderly hypertension
Nutritional Status Correlated with the Development of Toddlers Aged 24-60 Months Maria Ulfa; Laily Prima Monica; Wahyu Wibisono; Ulfa Husnul Fata
Journal of Ners and Midwifery Vol 10 No 3 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i3.ART.p309-315

Abstract

Nutritional status is one of the physical variables that affects a child's growth and development. Considering that children are still in the process of growing and developing, it is crucial that their nutritional demands are addressed to the fullest extent possible. The purpose of this study was to determine how nutritional status and the development of toddlers aged 24 and 60 months related one another. Cross-sectional study was employed as the methodology of the study. 20 toddlers was served as the sample, which was collected through complete sampling at the Posyandu in Kuningan Village, Kanigoro District, and Blitar Regency. The Spearman Rank correlation test was used to examine the data. The study's findings indicated a correlation between nutritional status and toddlers' development aged of 24 and 60 months. Good category of nutritional status of the Toddlers showed good development results appropriate to their age. The recommendation of this research is for parents to pay more attention to nutritional intake and provide stimulation according to their toddler's development so that disorder in the developmental stage will not be occurred.
Early Warning Scores as a Predictor of Mortality in Non Comorbid COVID-19 Patient Anita Rahmawati; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Ulfa Husnul Fata; Rahma Murti
Journal of Ners and Midwifery Vol 11 No 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i2.ART.p153-159

Abstract

There are several non-comorbid COVID-19 patients lead to mortality, but the risk factors that affect it have not been widely discussed in research. Treatment of COVID-19 patients focuses more on patients with comorbidities. This study aimed to check the effectiveness of Early Warning Scores (EWS) assessment to predict the mortality of non-comorbid COVID-19 patients. The method of the study was a case study research with a retrospective approach using secondary data, namely the patient's medical record status. This study took medical record data from 262 patients confirmed positive for non-comorbid COVID-19 who were hospitalized at Ngudi Waluyo Wlingi Hospital from July to September 2021. The multivariate data analysis used multiple linear regression tests to simultaneously test the relationship of the independent variables (age, gender, and Early warning score) to the dependent variable (mortality). The statistical analysis result showed the correlation between gender, age, and assessment with mortality, each of which has a p-value of 0.000, meaning that each of these variables has a relationship with mortality. If a simultaneous test (F test) is carried out, the p-value is 0.000, meaning that gender, age, and EWS simultaneously affect mortality. The coefficient of determination or R square of 0.773 means that gender, age, and EWS simultaneously influence mortality by 77.3%. Early Warning Scores (EWS) assessment influenced the mortality of non-comorbid COVID-19 patients. The highest contribution affecting mortality was the EWS assessment. The contribution of influence on sex and age is relatively the same.
The Duration of Suffering from Diabetes Mellitus did not Correlate with the Occurrence of Cataract Ulfa Husnul Fata; Shinta Wulandari; Anita Rahmawati; Wahyu Wibisono
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i1.ART.p090-097

Abstract

People with diabetes mellitus are five times more likely to develop cataracts. High blood sugar levels over a long period of time can be one of the complications of cataracts. This was a correlational study with the purpose to determine the correlation between the duration of diabetes mellitus and the occurrence of cataracts in patients with diabetes mellitus at the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The population in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The sample in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital within a period of 2 weeks, totaling 56 people. The sampling used an accidental sampling technique. The statistical test used was chi-square. The results of this study showed that the p-value was 0.449, which meant that there was no correlation between the duration of diabetes mellitus and the incidence of cataracts. Several actions that can be taken to prevent cataracts are controlling blood glucose levels by obediently taking medication and following a diet. In addition, routine eye checks are useful in preventing cataracts in people with diabetes mellitus.
The Moderating Role of Drinking Water Habit on the Effect of High- Purine Dietary Intake on Uric Acid Levels in Adults and the Elderly Anita Rahmawati; Amelia Anggi Dwi Lestari; Ulfa Husnul Fata
Journal of Ners and Midwifery Vol 12 No 3 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i3.ART.p259-269

Abstract

Serum uric acid levels are affected by dietary patterns and lifestyle factors. High-purine food consumption is a primary contributor to hyperuricemia, while hydration status may moderate this effect. This study aimed to examine the moderating role of drinking water habits on the relationship between high-purine dietary intake and serum uric acid levels among adults and the elderly. A cross-sectional design with purposive sampling was conducted, involving 87 respondents from Elderly Integrated Health Post (Posyandu Lansia). Data on purine-rich food intake and water-drinking habits were collected via structured questionnaires, and serum uric acid levels were measured using a point-of-care testing (POCT) device (Easy Touch GCU 3-in-1) with compatible test strips. Multiple logistic regression analysis assessed the interaction between purine intake and drinking water habits. Results revealed a significant association between high-purine dietary intake and elevated serum uric acid levels (p = 0.022). Participants who reported high-purine dietary habits along with insufficient water consumption demonstrated the highest prevalence of hyperuricemia (71.4%), whereas those with similar dietary patterns but adequate hydration showed a substantially lower prevalence (20.0%). A significant interaction effect (p = 0.040) indicated that sufficient water intake moderated the impact of a high-purine diet on uric acid levels. Adequate hydration thus plays a critical moderating role in reducing the adverse effects of a high-purine diet. Promoting sufficient water intake may serve as a simple and effective behavioral strategy to prevent hyperuricemia, particularly among individuals with high purine consumption.