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All Journal Jurnal Kesehatan: Jurnal Ilmu- Ilmu Keperawatan, Kebidanan, Farmasi dan Analis Kesehatan Kolaborasi Jurnal Pengabdian Masyarakat Jurnal Kesehatan
Wahyu Ikka Setyarini, Wahyu Ikka
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Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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Medication Adherence and Lifestyle Modification in Pregnant Women with Hypertension Sambas, Etty Komariah; Nurliawati, Enok; Setyarini, Wahyu Ikka
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 1 (2025): Jurnal Kesehatan (April 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i1.818

Abstract

Hypertension in pregnancy is a leading cause of maternal and fetal morbidity and mortality, contributing to 10% of global pregnancies and 412 maternal deaths in Indonesia in 2023. Proper management through medication and lifestyle changes is essential, but adherence remains low due to misinformation, fear of medication effects, and limited healthcare access. This study aimed to identify medication adherence and lifestyle modification in pregnant women with hypertension. A cross-sectional design was used with stratified random sampling. Data were collected through a validated questionnaire and analyzed descriptively. Results showed that 80.7% of respondents had high medication adherence and 77.2% had high lifestyle modifications. Significant associations were found between parity (p=0.042), history of hypertension (p=0.01), and ANC frequency (p=0.008) with medication adherence. Similarly, lifestyle modification was significantly associated with parity (p = 0.003), a history of hypertension (p = 0.000), and ANC frequency (p = 0.001). Multivariate analysis showed that ANC frequency predicted medication adherence (p=0.028), while history of hypertension predicted lifestyle modification (p=0.035). In conclusion, most pregnant women demonstrated high adherence levels. However, continuous health education, counseling, and family support are essential to maintain optimal maternal outcomes and reduce the risks associated with hypertensive disorders during pregnancy. Keywords : Hypertension, pregnancy, medication adherence, lifestyle modification.
Implementation of Screening, Counseling, and Health Education for Hypertension Prevention among Adolescents Marpatmawati, Idhfi; Sambas, Etty Komariah; Suprapti, Betty; Rismawan, Wawan; Wayunah, Wayunah; Yuningsih, Aneng; A, Saefunnuril; Hidayat, Nandita Milda; Setyarini, Wahyu Ikka; A, Iman Syarifuddin; Asparina, Arina; Bilhamdillah, Zalfa Nabilah; Gustiani, Mia Ruhmiati; Nuraeni, Nuraeni; Ramadhan, Gilang; Ismawi, Ade Sayid
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 5 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i5.640

Abstract

Introduction: Hypertension is no longer a health issue limited to adults but increasingly affects adolescents. Its asymptomatic nature makes it difficult to detect early, while lifestyle factors such as poor diet, lack of physical activity, and stress significantly increase the risk. Early intervention through school-based programs is crucial to increase awareness and prevention. Objective: The purpose of this service was to provide promotive and preventive efforts against hypertension in adolescents at SMK Suryalaya, Tasikmalaya, by increasing their knowledge, awareness, and healthy lifestyle practices through health screening, education, and counseling Method: This public service was conducted by lecturers and students of Universitas Bakti Tunas Husada in collaboration with SMK Suryalaya. The program consisted of three stages: preparation, implementation, and evaluation. Screening included measurement of blood pressure, pulse, body mass index (BMI), and fitness tests. Health education was delivered through interactive lectures and discussions, while personal counseling was provided for students identified with health risks. Result: The activity involved 58 students (34 from grade X and 24 from grade XI). Screening results revealed 9.1% hypertension, 34.8% hypotension, and 13.6% obesity, indicating significant cardiovascular risks. Health education improved students’ knowledge with an average score increase from 60 (pre-test) to 82 (post-test), a gain of 36.7%, shifting most students from “moderate” to “high” knowledge categories. Personalized counseling for at-risk students enhanced their understanding and commitment to adopting healthier habits. Conclusion: This program demonstrated that integrating screening, education, and counseling effectively improved adolescent health awareness and promoted preventive behaviors. Early detection and health promotion in schools are essential strategies to reduce long-term cardiovascular risks. The program can serve as a replicable model for adolescent health promotion in other educational institutions.
PENERAPAN SENAM HAMIL SEBAGAI INTERVENSI NON FARMAKOLOGIS UNTUK MENGURANGI NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III Nurliawati, Enok; Komariah, Etty; Setyarini, Wahyu Ikka; Husen, Nur Resma
Jurnal Kesehatan Vol. 16 No. 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

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Abstract

Third-trimester pregnancy is often accompanied by complaints of back pain due to physiological changes and altered body posture. Prenatal exercise is a non-pharmacological method that may help reduce the intensity of back pain in pregnant women. This study aimed to determine the response of a third-trimester pregnant woman before and after receiving a prenatal exercise intervention. The research design used a case study approach based on the nursing process. The subject was one third-trimester pregnant woman experiencing moderate back pain (pain scale 4–6) who met the inclusion and exclusion criteria. The nursing intervention, in the form of prenatal exercise, was administered for three consecutive days with a duration of 10–15 minutes per session according to the standard operating procedure. Data were collected through observation, interviews, and biophysiological assessments. The results showed a decrease in pain intensity, with the patient reporting a reduction in back pain to 2 out of 10 after the intervention. Non-verbal responses such as grimacing, protective posture, and restlessness also decreased. Prenatal exercise proved effective in reducing back pain in third-trimester pregnant women through mechanisms of muscle relaxation, increased flexibility, and improved body posture. Prenatal exercise may be recommended as a promotive and preventive intervention in antenatal care services. Abstrak: Kehamilan trimester III sering disertai keluhan nyeri punggung akibat perubahan fisiologis dan postur tubuh. Senam hamil merupakan metode non farmakologis yang dapat membantu menurunkan intensitas nyeri punggung pada ibu hamil. Penelitian ini bertujuan untuk mengetahui respon ibu hamil trimester III sebelum dan sesudah diberikan intervensi senam hamil. Desain penelitian menggunakan studi kasus dengan pendekatan proses keperawatan. Subjek penelitian adalah satu orang ibu hamil trimester III yang mengalami nyeri punggung sedang (skala nyeri 4–6) dan memenuhi kriteria inklusi serta eksklusi. Intervensi keperawatan berupa senam hamil diberikan selama tiga hari berturut-turut dengan durasi 10–15 menit per sesinya sesuai standar operasional prosedur. Pengumpulan data dilakukan melalui observasi, wawancara, dan pemeriksaan biofisiologis. Hasil penelitian menunjukkan adanya penurunan tingkat nyeri dan pasien melaporkan intensitas nyeri punggung menurun menjadi 2 dari 10 setelah intervensi. Respon nonverbal berupa ekspresi meringis, sikap protektif, dan gelisah juga berkurang. Senam hamil terbukti efektif dalam menurunkan nyeri punggung pada ibu hamil trimester III melalui mekanisme relaksasi, peningkatan fleksibilitas otot, dan perbaikan postur tubuh. Senam hamil dapat direkomendasikan sebagai intervensi promotif dan preventif dalam pelayanan antenatal care.
Co-Authors A, Iman Syarifuddin A, Saefunnuril Aneng Yuningsih Asparina, Arina Bilhamdillah, Zalfa Nabilah Devita Elsanti Enok Nurliawati, Enok Etty Komariah Sambas, Etty Komariah Gilang Ramadhan Gustiani, Mia Ruhmiati Hidayat, Nandita Milda Husen, Nur Resma Ismawi, Ade Sayid Komariah, Etty Marpatmawati, Idhfi Nuraeni Nuraeni Seger Kurniasih, Seger Suprapti, Betty Wawan Rismawan, Wawan Wayunah Wayunah