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Optimalization Family Health Task in Adolescent Reproductive Health Through Familly Support Group at Jenggawah Village maurida, nurul; Ali Basri, Achmad; Angelia Silvanasari, Irwina; Vitaliati, Trisna
Community Development Journal Vol 8 No 3 (2024): Community Development Journal
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/cdj.v8i3.6561

Reproductive health problem among adolescent are increases, such as child marriage, premarital sexual behavior, sexual violence, use drugs and cigarettes, balanced nutrition and access to health services. Adolescents in rural areas dominate reproductive health problems among adolescents. The family was contributing to adolescent decision to act. The objective were to improve family health maintenance task in adolescent reproductive health using family support group (FSG) method. The family support group involving 20 families with 2 meetings, that are increasing knowledge at meeting 1 and implementing FSG at meeting 2. Before and after the FSG was carried out, participants were given the opportunity to fill out a questionnaire about family health maintenance tasks. The results of this community service was increases implementation of family health maintenance tasks in improving reproductive health in adolescents. The majority of families' ability to recognize problems has increased by 85% in the good category, the majority of families' ability to make decisions has increased by 100% in the good category, families' ability to care for the family has increased by 65% in the good category, families' ability to modify the environment experienced an increase of 70% in the good category and families' ability to access health services increased by 90% in the good category. Family support groups can be one method applied to improve adolescent reproductive health through optimizing family health maintenance tasks.

Exploring The Factors Affecting On Reproductive Health Of Adolescents In Rural Areas Achmad Ali Basri; Nurul Maurida; Irwina Angelia Silvanasari; Trisna Vitaliati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): In Progress issue
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.891

The understanding of Indonesian teenagers, especially in rural areas, about reproductive health is still very low, especially among teenage girls, only 10.4% of the 15-24 year old age group know about reproductive health, resulting in various reproductive health problems such as free sex, sexual harassment, dropping out of school, early marriage, pregnancy outside of marriage, and many religious marriages. The purpose of this study was to explore the description of factors affecting on reproductive health management in adolescents. The study used a qualitative method with a phenomenological approach. Participants were selected using a purposive sampling strategy. There were 12 participants with the criteria, namely adolescents aged 14-18 years, receiving data collected through in-depth interviews, observation, and documentation. The results of the research theme were obtained using collaizi analysis which was arranged in stages using data triangulation starting from coding, categorization, and theme formation. Based on the results of the analysis of participant information, three main themes were formulated, namely knowledge, parental support, and peers. The conclusion of this study is that factors that influence adolescent reproductive health in rural areas are knowledge factors, family support and peer support. Adolescents are expected to be able to take responsibility for maintaining their reproductive health independently, increase spirituality and be able to maintain open communication with their parents and peers.

STRIVING FOR DIABETES SELF-CARE MANAGEMENT IN THE OLDER PEOPLE BASED ON SELF-DETERMINATION THEORY Vitaliati, Trisna; Angelia Silvanasari, Irwina; Maurida, Nurul; Ali Basri, Achmad
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 6 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v6i2.55513

Introduction: Older people with diabetes mellitus need disease management through self-management which is quite complex because the disease will have an impact on their health condition both physically and psychologically. Based on Self Determination Theory, motivation is important component in improving psychological health and treatment effectiveness of patients with diabetes mellitus. The purpose of this community service is to strive for diabetes self-care management so that blood sugar levels can be controlled reduce the risk of complications and achieve a prosperous psychological condition. Methods: The method of implementing this community service is in the form of health education, early screening, diabetes gymnastics, and family assistance in carrying out family healthcare functions. This community service was carried out at Jenggawah Public Health Center in March 2023. The participants of this community service activity are older people with diabetes mellitus. Results: There is an increase in the motivation of older people to carry out self-care activities, and the older people and families can also practice diabetes gymnastics by what has been taught. Conclusion: With optimal management behavior of diabetes mellitus in older people, the psychological aspects of the elderly with Diabetes Mellitus will improve so that further complications of this disease can be prevented.

Exploring The Factors Affecting On Reproductive Health Of Adolescents In Rural Areas Achmad Ali Basri; Nurul Maurida; Irwina Angelia Silvanasari; Trisna Vitaliati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.891

The understanding of Indonesian teenagers, especially in rural areas, about reproductive health is still very low, especially among teenage girls, only 10.4% of the 15-24 year old age group know about reproductive health, resulting in various reproductive health problems such as free sex, sexual harassment, dropping out of school, early marriage, pregnancy outside of marriage, and many religious marriages. The purpose of this study was to explore the description of factors affecting on reproductive health management in adolescents. The study used a qualitative method with a phenomenological approach. Participants were selected using a purposive sampling strategy. There were 12 participants with the criteria, namely adolescents aged 14-18 years, receiving data collected through in-depth interviews, observation, and documentation. The results of the research theme were obtained using collaizi analysis which was arranged in stages using data triangulation starting from coding, categorization, and theme formation. Based on the results of the analysis of participant information, three main themes were formulated, namely knowledge, parental support, and peers. The conclusion of this study is that factors that influence adolescent reproductive health in rural areas are knowledge factors, family support and peer support. Adolescents are expected to be able to take responsibility for maintaining their reproductive health independently, increase spirituality and be able to maintain open communication with their parents and peers.

Family Health Care Function is Related to Self-Care Management in Elderly with Hypertension Irwina Angelia Silvanasari; Nurul Maurida; Trisna Vitaliati; Achmad Ali Basri
Jurnal EduHealth Vol. 16 No. 01 (2025): Jurnal EduHealt, Edition January - March, 2025
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Hypertension is a global health problem in the elderly population. The family has a role in self-care for elderly people who are vulnerable to health problems. The aim of this research is to analyze the relationship between family health care functions and self-care management in elderly people with hypertension. This research is quantitative research. The sample size was 150 elderly people with hypertension using a sampling technique, namely simple random sampling. The variables studied were family health care function and hypertension self-care management. The chi square test was used as a bivariate analysis in this study. The research results found that the majority (57.3%) had good family health care functions, the majority (54%) had poor self-care management. Family health care function is related to self-care management in elderly people with hypertension with p value = 0.000 < 0.05%. Most elderly people with hypertension who have good family health care functions have good self-care management. Families should maximize their role regarding the implementation of family health care functions to be able to maximize good self-care management for family members who suffer from hypertension.

Analysis of Factors Affecting Compliance Taking Medicine for Elderly Hypertension Based Health Belief Models Pristianti, Aulia Hilda; Vitaliati, Trisna; Maurida, Nurul
Journal of Rural Community Nursing Practice Vol. 1 No. 2 (2023): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i2.202

Entering old age, more and more diseases attack the elderly, including high blood pressure. Most people with hypertension don't know they have hypertension because it has no symptoms, so it's often called the silent killer. Elderly people must adhere to treatment in cases of hypertension, especially by taking antihypertensive drugs. The problem faced by elderly people with hypertension is that most of them do not adhere to their medication. The behavior of following a doctor's advice comes from beliefs or perceptions. The health belief model is one of the theories based on faith. This study aimed to analyze the factors affecting medication adherence in the elderly with hypertension as a function of health belief regimen. This study uses a type of quantitative research. The study design used descriptive analysis with a cross-sectional design. The study population consisted of 107 elderly people with a sample of 100 elderly people with hypertension in the work area of Jenggawah Primary Health Center. The study will be conducted from April to May 2023. The instrument used in the study is a questionnaire. Based on the test results by SPSS using a logistic regression test with α of 0.05, perceived susceptibility p-value of 0.003, p-value of perceived severity of 0.036, p-value of perceived benefit is 0.682 observed, perceived barriers are found to be p-value 0.216, self-efficacy p value 0.081, cues to action p value 0.746. Based on the study results, it can be concluded that there is an influence of the perception of susceptibility and the perception of severity on the adherence to drug treatment in the elderly with hypertension.

Karakteristik Hipertensi pada Lansia yang Tinggal Bersama Keluarga Irwina Angelia Silvanasari; Nurul Maurida; Trisna Vitaliati
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk420

Hypertension is a disease that is often experienced by the elderly due to physical deterioration in the cardiovascular system. The purpose of this study was to identify the characteristics of hypertension in the elderly who live with their families. This descriptive study involved 100 elderly people in Wonojati Village, Jenggawah Health Center, Jember, who were selected by simple random sampling technique. Data collection was carried out using a questionnaire, then analyzed with descriptive statistics. It was found that most of the elderly with hypertension were female (75%), elementary schooled (67%), unemployed (61%), from the Madurese (66%), had a history of hypertension (68%), had a habit of consuming salty foods. (54%), had a good level of knowledge (58%), adhered to the hypertension diet (52%), the average age was 62 years, the average systolic blood pressure was 156 mmHg, and the average diastolic blood pressure was 93 mm Hg. Regular treatment and lifestyle of elderly people with hypertension also require supervision from families who live in the same house as the elderly.Keywords: hypertension; elderly; characteristics; family ABSTRAK Hipertensi merupakan salah satu penyakit yang sering dialami oleh lansia akibat kemunduran fisik pada sistem kardiovaskuler. Tujuan dari penelitian ini adalah mengidentifikasi karakteristik hipertensi pada lansia yang tinggal bersama keluarga. Penelitian deskriptif ini melibatkan 100 lansia di Desa Wonojati, Puskesmas Jenggawah, Jember, yang dipilih dengan Teknik simple random sampling. Pengumpulan data dilakukan menggunakan kuesioner, lalu dianalisis dengan statistik deskriptif. Didapatkan bahwa sebagian besar lansia dengan hipertensi berjenis kelamin perempuan (75%), berpendidikan SD (67%), tidak bekerja (61%), dari suku Madura (66%), memiliki riwayat hipertensi (68%), memiliki kebiasaan mengkonsumsi makanan asin (54%), memiliki tingkat pengetahuan dalam kategori baik (58%), patuh dalam diet hipertensi (52%), rata-rata usia 62 tahun, rata-rata tekanan darah sistolik adalah 156 mmHg, dan rata-rata tekanan darah diastolik adalah 93 mmHg. Keteraturan pengobatan dan gaya hidup lansia dengan hipertensi juga memerlukan pengawasan dari keluarga yang tinggal satu rumah dengan lansia.Kata kunci: hipertensi; lansia; karakteristik; keluarga

Hubungan Fungsi Keluarga, Tugas dan Struktur Keluarga dengan Perencanaan Pernikahan Remaja Putri Di Daerah Rural maurida, nurul; Basri, Achmad Ali; Silvanasari, Irwina Angelia; Vitaliati, Trisna
Jurnal Kesehatan Vol 13 No 1 (2025): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v13i1.538

Marriage planning for women adolescent is one of the things that concern in maintaining reproductive health. One indicator of good marriage planning is marriage at a mature age. The phenomenon that occurs is the rise of early marriage among women adolescent in rural areas. The family has a role in decision making in marriage planning of women adolescent. The aim of this research is to analyze the relationship between family function, family task and family structure with marriage planning among women adolescent in rural areas. The research design is quantitative research with a cross sectional approach. The research sample was 100 women adolescent with a sampling technique using quota sampling. The inclusion criteria for the study were women adolescent in rural areas aged 13-18 years and the exclusion criteria were women adolescent with psychological disorders. The independent variables in this research were family function, family task and family structure. The dependent variable of the research was marriage planning. The research instrument was developed from the concept of family nursing and the concept of normal age marriage and has gone through validity and reliability tests so that it was declared valid and reliable. Research data was analyzed using person chisquare. The results showed that the majority of respondents had good family function (75%), good family task (68%) and good family structure (75%). Most respondents have been marriage planning for > 18 years (81%). The results of the person chisquare analysis show that there was a relationship between family function and marriage planning (ρ = 0.001<0.05), there was a relationship between family task and marriage planning (ρ = 0.000<0.05) and there was a relationship between family structure and marriage planning (ρ 0.001 <0.05). Increasing family knowledge is needed to form a family that is able to carry out the functions, task and structure of the family so that they can make good marriage planning decisions for women adolescent in rural areas.

Family-Centred Nursing Theory and the Functional Consequences Model Improve Diabetes Self-Management in Elderly Diabetics Vitaliati, Trisna; Silvanasari, Irwina Angelia; Maurida, Nurul; Basri, Ahmad Ali
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 9 Number 2 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v9i2.1051

Background: The self-care management of older diabetics is inconsistent and exhibits low adherence. This incident may be influenced by the elderly's disease management capabilities and familial involvement, which may not be conducive to their health and care. This study aimed to develop a management plan for elderly diabetes mellitus that emphasizes self-efficacy and family involvement. Methods: This research employed an explanatory survey design with a cross-sectional methodology. The probability sampling method, particularly simple random sampling, was employed to choose respondents for this study from a cohort of 100 individuals with diabetes mellitus and their families. We created a thorough assessment questionnaire for diabetes mellitus management in the elderly, utilizing the functional consequence model and family-centred nursing theory as the research framework. The statistical method employed was SEM-PLS. Results: The outer model analysis revealed that all indicators of each construct were valid, with a factor loading value of > 0.7. The inner model analysis revealed that the variables family structure, family function, family stressors, elderly risk factors, age-related changes, and elderly consequence functions had a significant effect with a t-value of >1.96 and p-value <0.05. Conclusion: The diabetic mellitus management model, which is based on self-efficacy and familial support, improves self-care management among the elderly. Nurses should adopt the diabetic mellitus management model to increase patient autonomy and educate families on how to support their loved ones, thereby improving the self-care practices of elderly adults with diabetes.

Diabetes Self-Care Management Among the Elderly in Rural Areas Vitaliati, Trisna; Irwina Angelia Silvanasari; Nurul Maurida; Achmad Ali Basri
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.518

Diabetes mellitus is susceptible to being experienced by the elderly because of physiological changes caused by the aging process. Diabetes mellitus will accompany the sufferer for life, so the elderly must be able to carry out diabetes self-care management to optimize metabolic control and prevent diabetes complications. In implementing diabetes self-care, this management will certainly be influenced by the characteristics of the sufferer. This study aims to explore the characteristics of elderly with diabetes mellitus in managing their diabetes self-care management in rural areas. The quantitative descriptive research method, with a cross-sectional approach, was carried out among 100 elderly with diabetes mellitus utilizing the purposive sampling method. This research instrument uses The Summary of Diabetes Mellitus Activities. Univariate analysis was performed using frequency distribution. The results of this study show that 57% of the elderly in rural areas had poor diabetes self-care management. Ususally related to the characteristics of the elderly with diabetes mellitus which can influence treatment in managing the disease.This study concludes that there are still elderly people who do not carry out diabetes self-care management independently in their daily lives. This research emphasizes the need for knowledge and awareness to be provided in rural areas regarding Diabetes self-care management. Structured programs need to be designed to improve the behavior of the elderly to promote better adherence to diet, exercise, medication adherence, and proper foot care.

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