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All Journal Althea Medical Journal Jurnal NERS Nursing Inside Community JPP Jurnal Kesehatan Poltekkes Palembang Health Information : Jurnal Penelitian Jurnal Keperawatan dan Kesehatan Jurnal Abdi Insani Indonesian Journal of Health Sciences Research and Development (IJHSRD) PROFESSIONAL HEALTH JOURNAL Arus Jurnal Sosial dan Humaniora The Journal of Palembang Nursing Studies Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan dan Kesehatan (JKK) Waluya The International Science of Health Journal Jurnal Kesehatan Metro Sai Wawai Jurnal Anoa Keperawatan Mandala Waluya Jurnal Pengabdian Masyarakat Bumi Anoa Jurnal Riset Keperawatan dan Kesehatan
Heltty Heltty
Departement Of Medical-Surgical Nursing, Faculty Of Health Science, Universitas Mandala Waluya, Kendari, Indonesia
Religion Agriculture, Biological Sciences & Forestry Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Self-efficacy, social support, and their relationship to treatment adherence in pulmonary tuberculosis: A cross-sectional study Heltty, Heltty; Masriwati, Siti; Yati, Mimi; Saltar, La Ode; Dina, Hasniah
The Journal of Palembang Nursing Studies Vol. 4 No. 2 (2025): May 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns167

Abstract

Background: Tuberculosis (TB) remains a leading global health problem, with high morbidity and mortality. Adherence to long-term treatment regimens is essential to eradicate Mycobacterium tuberculosis and prevent drug resistance, yet many patients face psychosocial barriers that reduce adherence Objective: To examine the association of self-efficacy and social support with treatment adherence among patients with pulmonary TB. Methods: This cross-sectional study was conducted in the Outpatient Department of Kendari City Hospital, Indonesia, from April to June 2024. Using consecutive sampling, 88 patients with pulmonary TB aged 20 to 50 years who were undergoing treatment and met inclusion criteria were enrolled. Self-efficacy was assessed using the General Self-Efficacy Scale, social support with the Multidimensional Scale of Perceived Social Support, and treatment adherence with the 8-item Morisky Medication Adherence Scale. Associations were analyzed using chi-square tests and multiple linear regression. Results: Among 88 participants, 63.6% demonstrated high adherence, 63.6% reported good self-efficacy, and 63.6% reported high social support. Self-efficacy was positively associated with treatment adherence (r=0.265; p=0.024). Similarly, social support was positively associated with adherence (r=0.263; p=0.025). Regression analysis indicated that social support had the greatest influence on adherence (B=0.257; p=0.013), explaining 13.6% of the variance in adherence when combined with self-efficacy. Conclusion: Self-efficacy and social support are significant predictors of treatment adherence in pulmonary TB patients. Nursing interventions that enhance patient confidence and mobilize family and community support may improve adherence and optimize TB treatment outcomes
KONTRIBUSI HIPERTENSI, DIABETES MELLITUS, DAN HIPERCHOLESTEROLEMIA TERHADAP KEJADIAN STROKE ISKEMIK PADA ORANG DEWASA Heltty, Heltty; Krismiadi, Dedi; Masriwati, Siti; Yati, Mimi; Nofitasari, Ari
Jurnal Keperawatan dan Kesehatan Vol 16 No 2 (2025): Jurnal Keperawatan dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v16i2.462

Abstract

Stroke is a cerebrovascular disease caused by blockage or rupture of blood vessels in certain parts of the brain. Various factors can cause ischemic stroke. This study aims to determine the contribution of hypertension, diabetes mellitus, and hypercholesterolemia to the incidence of stroke. This type of study uses a Case-Control design. The respondents of this study were 152 respondents, sampling using a purposive sampling technique. Respondents of patients with conditions suspected of having a stroke based on the symptoms that appear who treated at the Kendari City Hospital. Data collection used measuring instruments (tension meter and easy touch). Data analysis was carried out using univariate and bivariate analysis tests. The results showed that hypertension, diabetes mellitus, and hypercholesterolemia were risk factors for stroke with an estimated value of hypertension = 3.986, diabetes mellitus = 0.289, and hypercholesterolemia = 1.699. Recommendation: Hypertension, diabetes mellitus, and hypercholesterolemia are risk factors for stroke, so it is very important for nurses to provide education to the community so that they can control blood pressure, blood glucose levels, and cholesterol to prevent stroke.
Efforts to Increase Knowledge and Prevent Stunting through Utilization of Local Food Resources in Wawatu Village, Southeast Sulawesi Marhanto , Eka Dharma Putra; Heltty; risky, sartini; lolok, nikeherpianti; yati, mimi; juliansyah, risky; Kasim , Moh. Alief Widyanto; Alam, Fitri Narcahyani; Juhriya, Aminatul
Arus Jurnal Sosial dan Humaniora Vol 4 No 2: Agustus (2024)
Publisher : Arden Jaya Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57250/ajsh.v4i2.568

Abstract

Penelitian ini bertujuan untuk meningkatan status gizi untuk kesehatan ibu hamil dan bayi sangat diperlukan untuk mengurangi kejadian risiko stunting dengan melalui program pemberian makanan tambahan, pelatihan pengolahan berbasis makanan lokal juga memberikan ilmu parenting tumbuh kembang anak sehingga dapat meningkatkan taraf kesehatan masyarakat di desa. Peningkatan akses terhadap sumber air bersih dan sanitasi yang baik di Desa Wawatu juga dapat mengurangi penyakit yang diakibatkan oleh lingkungan. Metode penelitian yang digunakan dalam penelitian ini adalah pemberian edukasi kesehatan terkait stunting kepada seluruh masyarakat Desa Wawatu. Pemberian informasi ini dilakukan melalui media leaflet cetak dan slide PowerPoint, dengan menggunakan metode ceramah dan diskusi. Informasi yang disampaikan mencakup panduan dan pengetahuan tentang pemberian nutrisi yang tepat bagi keluarga dalam upaya mencegah stunting. Hasil penelitian dengan Intervensi Fisik berupa Pemberian Paket Stunting, Demo Masak Abon Ikan, Nugget Kelor, Dan Jahe Latte, Pemberian Makanan Tambahan, Pembagian Masker, Pengadaan Kalender Edukasi Cegah Potensi Stunting, Kunjungan Keluarga Potensi Stunting Melalui Door to Door, Pemberian Vitamin, Pembuatan Kompos Takakura, Pembuatan Saringan Sederhana. Sedangkan Intervensi Non Fisik berupa Penyuluhan Cegah Stunting, Belajar Bersama Masyarakat (BBM) Tentang Bahaya & Pencegahan ISPA, Survey Kepemilikan Jamban Layak, Parenting Pemantauan Tumbuh Kembang Anak. Setelah dilakukan intervensi maka didapatkan hasil yang pengetahuan Masyarakat meningkat dan menambha wawasan lebiih luas tentang pentingnya Kesehatan dan kebersihan lingkungan sekitar.
Resilience after stroke and its correlation with functional independence Heltty, Heltty; Zahalim, Zahalim
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41229

Abstract

Introduction: Resilience involves the ability to adapt to the conditions of disability experienced by post-stroke patients. The purpose of this study was to investigate the resilience of post-stroke patients and determine the relationship with the patient's functional ability. Methods: This research was a cross-sectional study that included 122 post-stroke patient respondents who had undergone a stroke recovery phase for 5 - 8 weeks. Selection of the sample used simple random sampling method. Univariate analysis was used to describe the characteristics of each respondent. Bivariate analysis was carried out to determine the relationship between resilience and functional abilities of respondents, especially functional abilities related to activities of daily living. Results: The results of this study found that there was a significant relationship between resilience and functional ability of the respondents (p = 0.000; 95% CI). Conclusions: Respondents with a high level of resilience can make better use of their abilities so that they can increase their functional independence abilities. Thus, it can achieve a better quality of life improvement.
PELATIHAN TEKNIK ”HANDS ON” DENGAN POSISI ERGONOMI UNTUK MENINGKATKAN KETERAMPILAN DAN PELAYANAN CAREGIVER STROKE INFORMAL Heltty, Heltty; Lisnawati, Lisnawati; Saptaputra, Syawal Kamiluddin
Jurnal Abdi Insani Vol 11 No 3 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i3.1803

Abstract

The modern lifestyle of the people of Kendari City can have an impact on health, especially stroke. The healing process for stroke patients is a long process so it requires the role of the family as caregivers. Lack of caregiver knowledge and skills in caring for post-stroke patients at home can create a burden for caregivers. Caregivers have never received education and training on how to lift and move (hands-on) family members after a stroke. The aim of Hands-on technique training with ergonomic positions was to increase the knowledge and skills of caregivers, which in the end can contribute to reducing the burden, including the cost of post-stroke care, and improving the quality of health services in the community. The method of implementing this training includes providing education, demonstrations and mentoring. The pre-test and post-test were carried out before and after the training. As a result of this community service, there was an increase in the knowledge of caregivers and health cadres by 31% and increased skills in applying hands-on techniques with ergonomic positions. The results of observations during the re-demonstration showed that the participants were able to repeat the skills that had been taught well. Good knowledge and skills make it easier for stroke caregivers to play an active role in the recovery process of stroke patients at home. The knowledge gained from this training can be used by caregivers in caring for family members after stroke without complaints of fatigue. Health cadres can also utilize the knowledge and skills gained during this training activity by teaching other caregivers who have not participated in this training activity. The Hands-on technique training activities with ergonomic positions that have been implemented provide new knowledge and improve the skills of informal stroke caregivers and health cadres. This increase can improve the quality of public health services.
Fatigue In Breast Cancer Patients: Correlation With Hemoglobin Heltty, Heltty; Masriwati, Sitti; Krismiadi, Dedi; Nofitasari, Ari
Health Information : Jurnal Penelitian Vol 17 No 3 (2025): September-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v17i3.1728

Abstract

Latar belakang: Prevalensi kanker payudara terus meningkat dengan kelelahan sebagai gejala debilitating yang dipengaruhi oleh berbagai faktor, termasuk penurunan kadar hemoglobin akibat kemoterapi. Tujuan: Menganalisis hubungan antara kadar hemoglobin dengan tingkat kelelahan pada pasien kanker payudara yang menjalani kemoterapi. Metode: Penelitian kuantitatif dengan desain korelasional menggunakan total sampling terhadap 34 pasien kanker payudara di RSUD Bahteramas Kendari pada Agustus-September 2024. Kadar hemoglobin diukur menggunakan Easy Touch GCHb terkalibrasi, sedangkan kelelahan dinilai dengan Brief Fatigue Inventory versi Indonesia. Data dianalisis menggunakan uji Pearson correlation (?=0,05). Hasil: Ditemukan korelasi negatif kuat antara kadar hemoglobin dengan tingkat kelelahan (r=-0,675; p<0,001), menunjukkan semakin rendah hemoglobin, semakin berat kelelahan yang dialami. Simpulan: Kadar hemoglobin berkorelasi signifikan dengan tingkat kelelahan pada pasien kanker payudara yang menjalani kemoterapi. Saran: Monitoring hemoglobin rutin sebagai bagian manajemen kelelahan pasien kanker payudara perlu dipertimbangkan dalam praktik ilmu keperawatan onkologi
Insomnia as a Risk Factor for Cardiovascular Disease Among Adults in Eastern Indonesia Heltty Heltty; Firman Firman; Elmukhsinur Elmukhsinur; Wa Ode Aisya Zoharia; Noviati Noviati
Althea Medical Journal Vol 13, No 1 (2026)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v13n1.4420

Abstract

Background: Insomnia is a common sleep disorder with increasing prevalence among adults and has been linked to a higher risk of cardiovascular disease (CVD). This study aimed to investigate the association between insomnia severity and CVD risk among adults.Methods: This correlational study with a cross-sectional design involved adults aged 30–59 years with insomnia. Participants were recruited using convenience sampling, at Kota Hospital and Bahteramas Hospital, Kendari, Indonesia, between November 2023 and April 2024. Insomnia severity was measured using the Insomnia Severity Index (ISI), and CVD risk was assessed using the Framingham Risk Score. Data were analyzed using the Pearson chi-square and multinomial logistic regression analysis. Results: Of the 144 respondents, the majority were female (59.0%), aged >50 years (62.5%) with a mean age of 49.63±10.08 years. Gastroesophageal reflux disease (GERD) was the most common comorbidity (39.6%), and 57.6% were smokers. Most respondents had moderate insomnia (87%) and low CVD risk (66%). Severe insomnia was more frequently observed among participants with moderate and high CVD risk. A significant positive relationship was found between insomnia severity and CVD risk (p=0.000, r=0.669), with insomnia explaining 50.2% of the variance in CVD risk.Conclusion: Insomnia is significantly associated with cardiovascular risk and may represent a modifiable lifestyle-related risk factor. Improving sleep quality may contribute to healthier lifestyles and reduced CVD risk. 
Co-Authors Alam, Fitri Narcahyani Apriyanti Apriyanti Apriyanti Apriyanti Apriyanti Ardika R, Muhammad Ari Nofitasari Ari Nofitasari Ayu Sudirman, Putri Cece Indriani Dedi Krismiadi Dina, Hasniah Dwi Wulandari Dwi Wulandari Ningtias Purnama Elmukhsinur Elmukhsinur Fety, Yulli Firman Firman Islaeli Islaeli Izzah Leman, Nurul Juhriya, Aminatul Juliansyah, Risky Kadarman, Achmad Kasim , Moh. Alief Widyanto Krismiadi, Dedi L. Lisnawati Lisnawati Lisnawati Lisnawati Lolok, Nikeherpianti Marhanto , Eka Dharma Putra Marhanto, Eka Dharma Putra Marsidin Masriwati, Siti Masriwati, Sitti Nazaruddin Nazaruddin Noviati Noviati Palingrungi, Basso Pongdatu, Merry Rahmadania , Wa Ode Ramadan, Muhamad Fitrah Risaldi, Adi Risky, Sartini Saafi, La Ode Safitri, Ramdani Saltar, La Ode Saltar, Laode Saptaputra, Syawal Kamiluddin Sari Arie Lestari Sudarsono Wa Ode Aisa Zoahira Wa Ode Aisya Zoharia Yati, Mimi Zahalim Zahalim Zahalim, Zahalim