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Pengaruh edukasi Range of Motion (ROM) pasif terhadap pengetahuan sikap dan keterampilan keluarga dalam merawat pasien stroke Marwanti Marwanti; Fitriana Noorkhayati; Sri Rahayuningsih
Health Sciences and Pharmacy Journal Vol 5, No 1 (2021)
Publisher : STIKes Surya Global Yogyakarta

Stroke is the highest cause of disability. Stroke patients with paralysis need to do the ROM exercise regularly. Families of stroke patients need an enough knowledge in ordet to do the ROM exercise at home. The purpose of the study is to determine the effect of passive ROM education on families’ knowledge, attitudes and skills in stroke patients at the Klaten Islamic Hospital. This research was a quantitative type with a research design using a quasi-experiment with a pretest-posttest design with a control group. The population in this study were all stroke patients at Klaten Islamic Hospital with an average of 42 patients per month. The sampling technique used was total sampling. The samples were grouped, a total of 21 research respondents were included in the intervention group and there were 21 samples in the control group. The data research instrument used questionnaires and observation sheets to measure and observe the knowledge, attitudes and skills of the family in performing passive ROM on patients. Data analysis used Wilcoxon and Mann Whitney test. The results showed an increase in family knowledge, attitudes and skills about ROM both in the intervention group and the control group. The category of improvement towards the good category mostly occurred in the intervention group. In the intervention group, the results of the assessment showed that the majority of respondents with poor knowledge (71.4%) changed to be good (100%). The attitude of the respondents also increased, from the majority (72.6%) to be good (90.5%). And also on the skill variable, from the majority was less (81%) to be good (100%). The results of the different test showed that there was an effect of passive ROM education on knowledge, attitudes and skills with p value of 0.000. The conclusion obtained shows that there is an effect of passive ROM education on the knowledge, attitudes and skills of stroke patients' families in both the control and intervention groups.

The Effect of Balance Exercise (Forward Stepping) on The Risk of Falling in the Elderly Esri Rusminingsih; Marwanti Marwanti; Endang Sawitri; Apriliana Dwi Cahyani
Urecol Journal. Part C: Health Sciences Vol. 1 No. 1 (2021): January - June
Publisher : Konsorsium LPPM Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Falling is a common occurrence in the elderly and the risk of falling increases with age. The elderly will experience a physical deterioration in the musculoskeletal system, which causes a decrease in balance, making them prone to falling. Impaired balance is the main cause of the risk of falls in the elderly because of visual, vestibular and somatosensory disorders. The risk of falling in the elderly can lead to complications of fractures and even death. Elderly balance exercise can be used as an effort to improve the quality of life of the elderly in the community. This study aims to determine the effect of balance training (forward stepping) on ??the level of risk of falling in the elderly. The research design used a pre-experiment with the One-Group Pretest-Posttest Design. The sampling technique used random sampling with a total of 16 respondents with criteria over 65 years of age, independent mobility and not experiencing hearing and vision problems. The intervention was given in the form of forward stepping balance exercises 3 times a week for 4 weeks with a duration of 15 minutes. Measuring the risk of falling using the Time Up and Go Test (TUGT). The results showed that the mean age of the elderly was 72.38 ± 3.46 years, with 12 more elderly women (75%) than men. The risk of falling before being given training in the elderly was included in the light category with an average TUGT value of 17.06 seconds and after training there was a decrease to an average of 13.24 seconds. The Wilcoxon Test shows the effect of balance training (forward stepping) on ??the risk of falling in the elderly with p-value = 0.000 <0.05. Conclusion: The results of this study indicate that balance training (forward stepping) can reduce the risk of falls in the elderly.

Investigative Study on Self-Concept of Diabetes Mellitus Ulcer Patients Istianna Nurhidayati; Marwanti Marwanti; Susminingsih Susminingsih; Sutaryono Sutaryono
Urecol Journal. Part D: Applied Sciences Vol. 1 No. 1 (2021): January - June
Publisher : Konsorsium LPPM Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia that occurs due to abnormal insulin secretion. Uncontrolled hyperglycemia condition can cause complications in the foot neuropathy and ulcers are often associated with diabetes. Diabetic ulcers have an impact on loss of bodily function, decreased activity tolerance resulting in disruption to the individual's self-concept. The aim of this study was to analized relationship between diabetic ulcers and self-concept of diabetes mellitus patients in RSUP dr. Soeradji Tirtonegoro Klaten. The study design used case control with non-probability, sampling technique was consesecutived sampling. The number of samples used were 82 samples divided into two groups: 41 controls 41 cases. analysis of the results using bivariate test with Chi-Squere. Comparative test results with Chi-Squere between DM ulcers with self-concept in the control group and case group were adjusted p value = 0.034 (OR = 0.35). Conclusion there was a relationship between diabetic ulcers with the self-concept of diabetes mellitus patients at RSUP dr. Soeradji Tirtonegoro Klaten. Based on these findings, the proposed interventions that could be implemented was to increase self concept patient with diabetic ulcer.

GAMBARAN KEPATUHAN DIET PADA PENDERITA DIABETES MELITUS DI DESA JATINGARANG S Supardi; M Marwanti; Ambar Winarti; Puput Risti Kusumaningrum; Arma Kurnia Putri
Prosiding University Research Colloquium Proceeding of The 12th University Research Colloquium 2020: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.278 KB)

Diabetes Militusmerupakan (DM) kumpulanpenyakit metabolic yangdi tandaidenganhiperglikemiakibatkerusakansekresi insulin,ataukeduanya. Diabetes mellitus tipe 2adalahkondisiguladalamdarahdalamtubuhtidakterkontrolakibatgangguansentivitassel pancreas untukmenghasilkan hormone insulinTujuan penelitian ini adalah mendeskripsikan gambaran kepatuhandiet pada penderita Diabetes MelitusMetode penelitian ini adalah deskriptif. Jumlah sempel penelitian iniadalah 20 responden. Pengambilan semple dengan teknik totalsampling. Instrument yang digunakan adalah kuisioner.Datadinanalisis menggunakan uji Univariant dalam bentuk prosentase.Hasil penelitian menunjukan bahwa respoden dalam penelitian inimemiliki karakteristik yaitu sebagian besar berumur 60-69tahun(30%). Pendidikan SD (30%) sama dengan pendidikan SMA (30%).Tidak berkerja (40%). Kepatuhan diet penderita diabetes mellitusadalah patuh yaitu 12 responden (60%).Kesimpulan penelitian ini adalah kepatuhan diet pada penderitadiabetes mellitus adalah patuh, didan desa harus meningkatkanpendidikan kesehatan tentang diabetes mellitus dan meningkatkanpengetahuan tentang diet yang baik dan benar untuk penderitadiabetes mellitus.

Dukungan Keluarga Berhubungan dengan Kecemasan pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa Marwanti Marwanti; Stifani Azizah Islamiati; Saifudin Zukhri
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 12 No 3 (2022): Jurnal Ilmiah Permas: jurnal Ilmiah STIKES Kendal: Supp Juli 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

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Penyakit gagal ginjal kronis merupakan penyakit yang dinyatakan tidak dapat dipulihkan. Fungsi ginjal dapat mengalami penurunan secara mendadak maupun progresif. Pada kondisi ini pasien gagal ginjal kronik sangat membutuhkan motivasi untuk semangat melanjutkan hidup. Peranan keluarga sangat dibutuhkan untuk memberikan dukungan kepada keluarga tersebut. Keluarga diharapkan memberikan dukungan agar mengurangi kecemasan dalam menghadapi terapi hemodialisa. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kecemasan pada pasien gagal ginjal kronik yang menjalani hemodidalisa. Desain penelitian ini adalah penelitian deskriptif korelasional, jumlah sampel adalah 51 pasien gagal ginjal kronik yang menjalani hemodialisa di RSUP dr. Soeradji Tirtonegoro Klaten. Pengambilan sampel dengan teknik accidental sampling. Instrument yang digunakan adalah kuesioner yang telah di uji dengan hasil valid dan reliable. Data dianalisis menggunakan analisa univariat dan bivariate (spearman rho). Hasil dalam penelitian ini adalah mayoritas dukungan keluarga adalah tinggi dengan 27 responden (52,9%). Mayoritas responden memiliki status cemas sedang dengan 26 responden (51,0%). Setelah dilakukan uji statistic dengan spearman rho di dapatkan hasil bahwa p-value=0,012. Maka dapat diambil kesimpulan ada hubungan antara dukungan keluarga dengan kecemasan pada pasien gagal ginjal kronik yang menjalani hemodialisa.

Pencegahan Anemia Sebagai Upaya Peningkatan Kesehatan Remaja di SMAN 4 Klaten Esri Rusminingsih; Marwanti Marwanti; Retno Wulan Febriyati; Siti Salasa
Madaniya Vol. 4 No. 1 (2023)
Publisher : Pusat Studi Bahasa dan Publikasi Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53696/27214834.384

Anemia merupakan kondisi pada eritrosit dan hemoglobin yang beredar tidak memenuhi kebutuhan oksigen bagi jaringan tubuh. Anemia defisiensi besi (IDA) merupakan penyebab dominan (>60%) anemia secara global. Anemia dikalangan remaja sangat lazim terjadi dinegara-negara berpenghasilan rendah dan menengah. Remaja terutama wanita rentan mengalami anemia defisiensi besi ketika memasuki masa pubertas. Anemia dapat membahayakan percepatan pertumbuhan pubertas, serta mengurangi kapasitas fisik dan fungsi kognitif. Penurunan hemoglobin mengurangi ketersediaan oksigen ke jaringan mengakibatkan penurunan kerja fisik. Defisiensi zat besi akan menyebabkan perubahan fungsi neirotransmitter yang dapat mempengaruhi kognisi. Anemia menyebabkan prestasi sekolah rendah dan gangguan perilaku anak sekolah. Tingginya prevalensi anemia pada remaja disebabkan kurangnya pengetahuan, sikap dan praktik gizi sehat. Tujuan pengabdian masyarakat ini untuk meningkatkan pengetahuan remaja tentang pencegahan Anemia pada di SMKN 4 Klaten. Metode pengabdian masyarakat dilaksanakan dengan memberikan penyuluhan tentang pencegahan Anemia pada Remaja di SMKN 4 Klaten. Pertama peserta diberikan soal pre test tentang pencegahan Anemia, kemudian diberikan penyuluhan meliputi pengertian anemia, tanda dan gejala, penyebab anemia, jenis makanan sumber zat besi, zat yang menghambat penyerapan zat besi, serta vitamin yang meningkatkan penyerapan zat besi. Setelah penyuluhan selesai, peserta diberikan soal post test. Jumlah skor pengetahuan sebelum dan sesudah penyuluhan dihitung dengan nilai rata-rata. Kegiatan penyuluhan tentang pencegahan anemia pada remaja diikuti oleh 29 peserta. Rerata hasil pengetahuan sebelum dilakukan penyuluhan adalah 67, setelah penyuluha terjadi peningkatan pengetahuan dengan rata-rata nilai 86,6. Rata-rata peningkatan pengetahuan sebesar 19,3. Peserta mampu menjelaskan kembali tentang tanda-tanada anemia, penyebab anemia, akibat anemia. Peserta aktif dalam sesi diskusi dan tanya jawab. Pemberian penyuluhan pada remaja efektif dalam meningkatkan pengetahuan remaja tentang pencegahan anemia.

Identifikasi Nilai Indeks Massa Tubuh, Lingkar Perut, dan Konsumsi Buah Sayur sebagai Faktor Risiko Penyakit Tidak Menular Nur Chayati; Marwanti Marwanti; Desin Pambudi Sejahtera; Muhammad Ba'is Ats-tsaqib; Rahmi Pratiwi Munarji
Media Karya Kesehatan Vol 6, No 1 (2023): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v6i1.39292

Salah satu masalah yang dihadapi dalam pembangunan kesehatan saat ini adalah terjadinya pergeseran pola penyakit dari penyakit menular ke penyakit tidak menular. Di Indonesia, penyakit Tidak Menular (PTM) menjadi penyebab kematian tertinggi, menggeser angka kematian yang disebabkanpenyakit menular (PM). Analisis lanjut studi mortalitas tahun 2001 menunjukkan bahwa kematian cenderung lebih banyak di perdesaan daripada perkotaan. Hal ini dapat disebabkan antara lain karena kurang meratanya distribusi tenaga kesehatan di wilayah perdesaan dan kurangnya sarana prasarana di fasilitas kesehatan yang ada. Untuk itulah, kami mengadakan kegiatan pengabdian masyarakat yang berupaya meningkatkan pengetahuan terkait faktor risiko penyakit tidak menular, seperti stroke belum diketahui seluruh warga. Hal itu, secara spesifik, dilakukan di Desa Soropaten, Kecamatan Karanganom, Kabupaten Klaten, Propinsi Jawa Tengah. Adapun tujuan akhir yang diharapkan dari kegiatan kegiatan ini adalah hadirnya layanan pemeriksaan kesehatan yang berkaitan dengan deteksi penyakit tidak menular, seperti stroke, penyakit jantung, hipertensi. Berdasarkan pengamatan, nilai indeks masa tubuh (IMT) rata rata berjumlah 27,4884. Lebih jauh, rata-rata ukuran lingkar perut warga adalah 87,47 cm dan rata-rata sistolnya serta diastolnya, berturut-turut, sejumlah 137,44 mmHg dan 85,93 mmHg. Obesitas akan memicu munculnya aterosklerosis yang bisa berdampat pada lepasnya plak aterom dan menyumbat pembuluh darak ke gingal, otak dan organ lainnyanya. Dapat disimpulkan bahwa faktor resiko PTM secara output berdasarkan perilaku individu pada warga Soropaten didukung dari sejumlah aktivitas, seperti sulit tidur dan kurang nafsu makan, rendahnya intensitas aktifitas fisik harian, serta kurangnya konsumsi buah dan sayur < 5 porsi sehari. Keberlanjutan program yang direncanakan adalah terlaksana pemeriksaan kesehatan yang kedua, maksimal 6 bulan lagi.Kata kunci: Penyakit tidak menular, pemberdayaan masyrakat, stroke.

Health Belief of Hypertension Patients in Adherance Consume Drug in the Working Areas of Puskesmas Kalikotes A Phenomenology Study Istianna Nurhidayati; Marwanti Marwanti; Atik Yuliati
Jurnal Keperawatan Respati Yogyakarta Vol 7 No 3 (2020): SEPTEMBER 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v7i3.568

Hypertension is called the silent killer, a disease that causes cardiovascular organ damage and undetected for years. Recurrence of hypertension experiencee by sufferers with almost the same symptoms. Recurrence will not occur frequently if the patient adheres to the treatment regimen, especially obediently taking medication. A person can adhere to taking medication based on the health trust he/she has. The study aims to gain in-depth understanding of health belief of patients with hypertension in adherence to taking medication. This research used the qualitative design with phenomenologycal approach. The research sample consisted of seven participants using purposive sampling. The criteria of participan were hypertension patients who participate in the chronic disease management program, have controlled blood pressure for the last three months, declared obedient using a modified questionnaire measuring adherence to taking anti-hypertensive drugs, already suffering from ≥ 2 years and goods verbal comunication in indonesian languge. The data of the research ware collected through structured in-depth interviews, observations and focus group discussion (FGD). The data were analyzed by using the Colaizzi (1978). The results obtained eighteen themes, Thare are the definition of hypertension., signs of increased blood pressure, causes of increased blood pressure, how to regulate blood pressure, compliance with taking medication, obedient motivation to take medication, complications, measures to reduce risk, hypertension severity, more stable body, effects side, time, transportation, signs of the body increasing compliance, increased self-efficacy, quality service, expectations of officers, expectations of service. Conclusion The health belief of hypertension sufferers are good as a basis for making decisions or taking medication in this medication adherence.

The Effect of Balance Exercise (Forward Stepping) on The Risk of Falling in the Elderly Esri Rusminingsih; Marwanti Marwanti; Endang Sawitri; Apriliana Dwi Cahyani
Urecol Journal. Part C: Health Sciences Vol. 1 No. 1 (2021): January - June
Publisher : Konsorsium LPPM Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53017/ujhs.43

Falling is a common occurrence in the elderly and the risk of falling increases with age. The elderly will experience a physical deterioration in the musculoskeletal system, which causes a decrease in balance, making them prone to falling. Impaired balance is the main cause of the risk of falls in the elderly because of visual, vestibular and somatosensory disorders. The risk of falling in the elderly can lead to complications of fractures and even death. Elderly balance exercise can be used as an effort to improve the quality of life of the elderly in the community. This study aims to determine the effect of balance training (forward stepping) on ??the level of risk of falling in the elderly. The research design used a pre-experiment with the One-Group Pretest-Posttest Design. The sampling technique used random sampling with a total of 16 respondents with criteria over 65 years of age, independent mobility and not experiencing hearing and vision problems. The intervention was given in the form of forward stepping balance exercises 3 times a week for 4 weeks with a duration of 15 minutes. Measuring the risk of falling using the Time Up and Go Test (TUGT). The results showed that the mean age of the elderly was 72.38 ± 3.46 years, with 12 more elderly women (75%) than men. The risk of falling before being given training in the elderly was included in the light category with an average TUGT value of 17.06 seconds and after training there was a decrease to an average of 13.24 seconds. The Wilcoxon Test shows the effect of balance training (forward stepping) on ??the risk of falling in the elderly with p-value = 0.000 <0.05. Conclusion: The results of this study indicate that balance training (forward stepping) can reduce the risk of falls in the elderly.

Investigative Study on Self-Concept of Diabetes Mellitus Ulcer Patients Istianna Nurhidayati; Marwanti Marwanti; Susminingsih Susminingsih; Sutaryono Sutaryono
Urecol Journal. Part D: Applied Sciences Vol. 1 No. 1 (2021): January - June
Publisher : Konsorsium LPPM Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53017/ujas.52

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia that occurs due to abnormal insulin secretion. Uncontrolled hyperglycemia condition can cause complications in the foot neuropathy and ulcers are often associated with diabetes. Diabetic ulcers have an impact on loss of bodily function, decreased activity tolerance resulting in disruption to the individual's self-concept. The aim of this study was to analized relationship between diabetic ulcers and self-concept of diabetes mellitus patients in RSUP dr. Soeradji Tirtonegoro Klaten. The study design used case control with non-probability, sampling technique was consesecutived sampling. The number of samples used were 82 samples divided into two groups: 41 controls 41 cases. analysis of the results using bivariate test with Chi-Squere. Comparative test results with Chi-Squere between DM ulcers with self-concept in the control group and case group were adjusted p value = 0.034 (OR = 0.35). Conclusion there was a relationship between diabetic ulcers with the self-concept of diabetes mellitus patients at RSUP dr. Soeradji Tirtonegoro Klaten. Based on these findings, the proposed interventions that could be implemented was to increase self concept patient with diabetic ulcer.

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