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The Effect of Psychoeducation on Self-Efficacy in Elderly People with Diabetes Mellitus Harniko, Arafanda Maharani Putri; Kustin; Vitaliati, Trisna
Journal of Nursing Periodic Vol. 1 No. 2 (2024): July
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v1i2.25

Abstract

Introduction: Diabetes mellitus is a long-term illness that presents threats to one’s physical health as well, but also has a significant psychological impact on sufferers, as a result of which the ability to increase self-efficacy decreases. Psychoeducation can be chosen as an alternative to help the elderly to form positive coping by increasing their self-efficacy. This study aims to analyze the effect of psychoeducation on self-efficacy in elderly patients with diabetes mellitus in the Jenggawah Community Health Center area. Methods: The method used in this research was a quasi-experimental design using an intervention group and a control group. The sample in this study was 60 elderly people with diabetes mellitus. This research uses a purposive sampling technique. The measuring tool in this research is the Diabetes Management Self-efficacy Scale questionnaire which consists of 18 statements that are valid and reliable. Data analysis used the Wilcoxon and Mann Whitney tests. Results: The results of the Wilcoxon Test statistical analysis were obtained in the pre-post test of the intervention and control groups, p-value 0.000 < 0.05. The Mann Whitney test showed a p-value of 0.000 < 0.05 indicating that there was an influence of providing psychoeducation on Self Efficacy in elderly people with diabetes mellitus at the Jenggawah health center. Conclusions: Psychoeducational activities can be an alternative intervention used by Public Health Center to increase motivation and also information to patients about the importance of Self Efficacy in empowering diabetes mellitus.
The Effect of Buerger Allen Exercise on Perfusion of Peripheral Tissues in Patients with Diabetes Mellitus: Literature Reviews Anggraeni, Hani Nur; Vitaliati, Trisna; Cahyono, Hendra Dwi
Jurnal Kesehatan Manarang Vol 9 No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v9i1.776

Abstract

Diabetes mellitus is not treated immediately can cause ineffective peripheral tissue perfusion. Ineffective peripheral tissue perfusion can lead to lower extremity amputation. Buerger allen exercise can improve ineffective peripheral tissue perfusion with an indicator of increasing the value of the ankle brachial index (ABI). This literature study aims to explore the intervention of Buerger Allen exercise on the ineffectiveness of peripheral tissue perfusion in patients with diabetes mellitus. This study uses a literature review method with 3 databases, namely Proquest, Google Scholar, and PubMed with a total of 6 articles reviewed with the PICOS framework criteria. The criteria for the articles used are those published from 2016 to 2021 amounting to 2,445 articles, then a selection is made based on duplicate titles, PICOS and critical appraisal to 6 articles. The administration of Buerger Allen exercise greatly affects the increase in the value of the ankle brachial index (ABI) as an indicator of the effectiveness of peripheral tissue perfusion in patients with diabetes mellitus. All reviewed articles show the same results. Buerger allen exercise can increase oxygen in the blood vessels so that it can be an alternative therapy that can be given to people with diabetes mellitus to improve ineffective peripheral tissue perfusion.
Factors Contributing to Hypertension Self-Care Management Behavior in Elderly Rural Residents Silvanasari, Irwina Angelia; Basri, Achmad Ali; Maurida, Nurul; Vitaliati, Trisna
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1639

Abstract

The behavior of hypertension self-care management in the elderly is very important to be applied to reduce the prevalence of hypertension in rural areas. This study aims to analyze the factors associated with hypertension self-care management behavior in the elderly in rural areas based on the Protection Motivation Theory (PMT). The research design uses analytic observational with a cross-sectional approach. The sample in this study was 150 elderly people with hypertension who lived in rural areas. The independent variables are perceived vulnerability, perceived severity, perceived reward, response efficacy, self-efficacy, and intention. The dependent variable is hypertension self-care management behavior. Data collection uses the PMT and HSMBQ questionnaires. Bivariate analysis used the Spearman correlation test and multivariate analysis used linear regression with a significance level = 0.05. Bivariate test results found that perceived vulnerability (r=0.615 and p<0.05), perceived severity (r=0.497 and p<0.05), perceived reward (r=0.598 and p<0.05), efficacy response (r=0.510 and p<0.05), self-efficacy (r=0.477 and p<0.05), and intention (r=0.513 and p<0.05) related to hypertension self-care management behavior. Multivariate test results found that the PMT model associated with hypertension self-care management behavior includes perceived vulnerability (p<0.05), perceived severity (p<0.05), perceived reward (p<0.05), and self-efficacy (p<0.05). The value of R square = 0.519 indicates that the PMT model can predict 51.9% of self-care behavior. The dominant factor that can increase hypertension self-care management behavior is the perception of vulnerability. Nurses should be able to provide health education to improve hypertension self-care management behavior.
Internal and External Factors Associated with Preoperative Anxiety: A Cross-Sectional Study Vitaliati, Trisna; Setiyowati, Lilis
Journal of Nursing Periodic Vol. 3 No. 1 (2026): January
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v3i1.53

Abstract

Introduction: Anxiety is a common psychological response experienced by patients before undergoing surgery. This condition can affect physiological stability, the healing process, as well as the success of surgery. Factors that affect a patient's anxiety level can come from internal aspects such as age, gender, education level, and knowledge; as well as external factors such as family support, information from health workers, and previous surgery experience. This study aims to analyze internal and external factors related to the patient's anxiety level before surgery. Methods: This study uses an analytical descriptive design with a cross sectional approach. The population obtained was obtained from the average number of surgery patients each month of 100 people. The number of samples calculated using the slovin formula was obtained by 80 respondents who were taken using the Random Sampling technique. Data collection was carried out using the Hamilton Anxiety Rating Scale questionnaire to measure anxiety levels as well as questionnaires of related factors. Data analysis uses chi-square tests to look at the relationships between variables. Results: The results of the study showed that the factors related to the level of anxiety in pre-operative patients through statistical tests were age (pvalue = 0.04), education level (pvalue = 0.02), surgical experience (pvalue = 0.001) and family support (pvalue = 0.001). Meanwhile, another factor that was not related to the anxiety level of pre-operative patients was gender (pvalue = 0.216). Conclusions: Both internal and external factors have an influence on the patient's anxiety level before surgery. Efforts are needed to improve pre-operative education and psychological support for patients to reduce anxiety levels and increase readiness for surgery.
COMPREHENSIVE NURSING ASSESSMENT INSTRUMENT FOR THE MANAGEMENT OF DIABETES MELLITUS IN THE ELDERLY Vitaliati, Trisna
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.68151

Abstract

Introduction: The ability of the self and the implementation of family functions of the elderly with diabetes in the management of diabetes mellitus is essential to know because it can influence the elderly to take appropriate actions to get effective interventions and prevent complications from the disease. This study aims to determine the validity and reliability of a comprehensive nursing assessment instrument for the management of diabetes mellitus in the elderly.   Method: This study's design is descriptive, with a crossectional approach conducted on 30 elderly respondents with diabetes mellitus who meet the inclusion criteria. This research instrument was developed based on the theory of family-centered nursing and the functional consequences model, which was then carried out with construct validity and reliability tests.   Result: The results of the validity test of the comprehensive nursing assessment instrument in the management of diabetes mellitus in the elderly living with family for all statement items based on family-centered nursing and functional consequences. The results were valid, all statement items had an r value calculated > the r table, which was all more than 0.361. Meanwhile, the reliability test of the instrument found that all instruments were declared reliable, namely the Cronbach alpha value of the entire instrument was less than 0.7.   Conclusion: The comprehensive nursing assessment instrument developed can be used to see how efforts to handle diabetes mellitus in the order of education, research, and health services at the Health Center.   Keywords: Diabetes mellitus; disease management; elderly; family; self-ability.
Program Edukasi dan Keterampilan: Konversi Susu Menjadi Yogurt Skala Rumah Tangga dan Teknik Pijat Bayi sebagai Upaya Pencegahan Stunting di Kecamatan Sukorambi Fitrianingtyas, Rizki; Badrudin, Ali; Anggitasari, Wima; Vitaliati, Trisna; Mauludiyah, Zaida
Jurnal Abdi Masyarakat Indonesia Vol 6 No 1 (2026): JAMSI - Januari 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.2459

Abstract

Malnutrisi pada anak masih merupakan masalah kesehatan masyarakat yang krusial secara global. Di Indonesia, stunting masih menjadi permasalahan kesehatan utama, di mana Kabupaten Jember tahun 2022 memiliki angka stunting tertinggi di Jawa Timur. Kejadian stunting di Desa Sukorambi menduduki peringkat 1 Kabupaten Jember yaitu 19,10%. Kegiatan pengabdian ini bertujuan untuk meningkatkan kemampuan kader dan masyarakat Desa Sukorambi tentang pijat bayi, serta meningkatkan pengetahuan tentang pemanfaatan pangan fungsional berbasis protein pada balita menjadi yogurt melalui pemberdayaan perempuan masyarakat. Metode yang digunakan adalah presentasi/ceramah dan demonstrasi yang ditujukan kepada kader Posyandu. Tahap tahap yang digunakan dalam metode yang pertama yaitu pendekatan lahan, pelaksanaan Pelatihan Pijat Bayi dan Pembuatan yogurt skala rumah tangga, evaluasi pelatihan dan penerapan program yogurt dan pijat bayi di posyandu dan yang terakhir adalah evaluasi program dengan masyarakat dan kader.  Hasilnya menunjukkan bahwa pelatihan ini mampu memberikan dampak yang baik terhadap pengetahuan dan penerapan pijat bayi pada balita untuk menstimulasi perkembangan. Selain itu, pelatihan pengolahan susu menjadi Yogurt berhasil diterapkan sebagai makanan tambahan pada balita di Posyandu Desa Sukorambi. Pengolahan susu menjadi Yogurt juga memberikan pengetahuan dan perubahan perilaku balita dalam mengonsumsi pangan berprotein tinggi. Kendala yang dihadapi adalah kurangnya kepercayaan diri kader dalam mempraktikkan pijat bayi, sehingga diberikan tutorial video dan konsultasi.
STUDI KORELASI ANTARA PENGASUH BALITA DAN RIWAYAT ASI ESKLUSIF DENGAN INDEKS MASSA TUBUH TERHADAP USIA SEBAGAI CERMINAN STATUS GIZI DI WILAYAH PEDESAAN wariin, sulton; Faradina, Daniar Septianing; Silvanasari, Irwina Angelia; Maurida, Nurul; Vitaliati, Trisna; Basri, Achmad Ali
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.52337

Abstract

Keadaan gizi balita sangat penting dalam menilai kualitas kesehatan komunitas masyarakat, terutama di wilayah pedesaan yang mengalami hambatan keterbatasan layanan kesehatan dan informasi. Faktor pengasuhan dan praktik ASI eksklusif diduga memiliki keterkaitan penting terhadap status gizi balita, khususnya indikator IMT/U. Penelitian ini bertujuan untuk melihat bagaimana hubungan riwayat ASI eksklusif dan pengasuh balita dengan (IMT/U) sebagai cerminan status gizi pada balita yang tinggal di wilayah pedesaan. Penelitian ini dirancang untuk menganalisis studi korelasional dan pendekatan cross-sectional. Teknik sammpling menggunakan Random sampling untuk memilih responden dari balita dan orang tua. Analsisis statistik menggunakan Uji Spearman Rank untuk melihat hubungan antar variabel; variabel independen adalah status gizi yang didasarkan pada indeks IMT/U, dan variabel dependen adalah riwayat pemberian ASI eksklusif dan pengasuh balita. Hasil penelitian menunjukkan adanya hubungan signifikan antara riwayat ASI eksklusif dengan status gizi balita (p = 0,048), di mana balita yang mendapatkan ASI eksklusif lebih banyak berada pada kategori gizi normal. Selain itu, terdapat hubungan signifikan antara pengasuh balita dengan status gizi (p = 0,030). Balita yang diasuh oleh ibu memiliki proporsi terbesar dalam kategori gizi normal dibandingkan dengan balita yang diasuh keluarga lain. Pengsuh balita dan riwayat ASI eksklusif berperan penting dalam menentukan status gizi balita di daerah pedesaan. Intervensi kesehatan masyarakat perlu memperkuat edukasi ASI eksklusif serta meningkatkan kompetensi pengasuh dalam mendukung tumbuh kembang dan pemenuhan nutrisi pada balita.
PENGARUH TERAPI QUR’AN TERHADAP PERUBAHAN INTENSITAS NYERI PADA PASIEN RAWAT INAP DI RUMAH SAKIT UMUM DAERAH KALISAT JEMBER Trisna Vitaliati
Jurnal Kesehatan dr. Soebandi Vol 1 No 1 (2013): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

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

Abstract

The effects of the disease on the body will cause pain. Pain experienced by hospitalized patients have pain intensity vary. Pain is the most common reason people seek medical care. Pain can be a major factor that hinders the ability and willingness of individuals to recover from an illness. Pain management with non-pharmacological means should be applied. But the ground reality of clients who complained of pain immediately given analgesics and ignore the non farmakolagi Qur'an as therapy. Yet what is important to note that in addition to drug delivery is mentally and emotionally clients. This study aims to find out is there any "Qur'an therapeutic effect to changes in pain intensity in hospitalized patients." This research is to design pre ekspeimental experiment (pre-experimental design) by using a one group pre-test and post-test took place in hospitals Kalisat Jember. The sampling method with a total sampling with 61 respondents. Test analysis in this study is the Wilcoxon matched pairs test and Friedman with SPSS version 12 mengngunakan. Research suggests that there are differences obtained pain scale before therapy after Qur'an therapy. Treatment Qur'an therapy in hospitalized patients between 1st day, 2nd day and 3rd day had a significant influence in the amount based on the value of significance 0.000 where sig <0.05.
APLIKASI SPIRITUAL CARE TERHADAP PERILAKU BERISIKO ANAK JALANAN DI KABUPATEN JEMBER Trisna Vitaliati
Jurnal Kesehatan dr. Soebandi Vol 6 No 1 (2018): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

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

Abstract

Research Objectives: This study aims to identify the effect of spiritual care on the risk behavior of street children in Jember Regency. Method: The research method used was a quasi-experimental approach to the pre-post test design using a risk behavior questionnaire, conducted on 30 street children. Data analysis was carried out univariately and bivariately. Results: The results showed a mean score of changes in risk behavior in street children. Wilcoxon matched pairs test results obtained Z count -4,802> t and asymp sig. (2-tailed) 0,000 <α = 0.05, so it can be concluded that the implementation of spiritual care significantly influences changes in risk behavior in street children. Conclusion: the implementation of nursing care with a spiritual care approach effectively prevents risky behavior in street children, so this program is recommended to be applied to street children as part of the street children's empowerment program.
Pemberdayaan Ibu Primigravida Melalui Upaya Promosi Kesehatan Untuk Deteksi Dini Pra Eklamsi Dalam Mengurangi Angka Kematian Ibu Trisna Vitaliati
Jurnal Kesehatan dr. Soebandi Vol 7 No 2 (2019): Jurnal Kesehatan dr. Soebandi Vol. 7, No. 2
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v7i2.116

Abstract

Early detection related to classification or activities to obtain information about pregnant women is very helpful in preparing for the control of the risk of pregnancy complications. Although the occurrence of preeclampsia cannot be completely prevented, its frequency can be reduced by making early detection. Non-compliance of pregnant women in antenatal care can cause various pregnancy complications not to be known so that they are not immediately addressed, so a health promotion strategy is needed with community empowerment efforts in this case is primigravida mothers. This allows the community and health workers to take adequate care and succeed in reducing maternal mortality.This study aims to analyze the empowerment of primigravida mothers for early detection of preeclampsia in Jember Regency. The research method used was Quasi Experimental Design with Pre-Post Test Control Group Design. The sample in this study was taken probability / random by cluster random sampling technique. The analysis is done univariately and bivariately.The results showed the average score of behavior change in the intervention group and the control group. In the Mann Whitney test results obtained p-value <0.05 so it can be concluded that the empowerment of primigravida mother programs significantly influence behavioral changes in early detection of preeclampsia. Primigravida mother empowerment program is effective in increasing pre-eclampsia early detection behavior so that this program is suggested to be applied to pregnant women as part of maternal and child health programs.