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Hambatan Kemampuan Individu Dalam Menjalankan Manajemen Diri Pasca Stroke: Studi Kualitatif Rhiana Eviranita Sariani; Reni Prima Gusty; Fitri Mailani
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55540

Abstract

Stroke merupakan penyakit kronis yang memerlukan manajemen diri berkelanjutan untuk mencegah kekambuhan dan komplikasi lanjutan. kini menjadi salah satu tantangan besar dalam dunia kesehatan. Secara global, terdapat 93,8 juta penyintas stroke dan 11,9 juta kasus baru, dengan 87% di antaranya adalah stroke iskemik (CDC, 2024). Namun, tidak semua pasien pasca stroke mampu menjalankan manajemen diri secara optimal di rumah. Penelitian ini bertujuan mengeksplorasi hambatan kemampuan pasien pasca stroke dalam menjalankan manajemen diri. Penelitian ini menggunakan desain deskriptif kualitatif dengan pendekatan wawancara mendalam semi-terstruktur pada enam pasien pasca stroke rawat jalan di Poli Saraf Rumah Sakit Universitas Andalas. Analisis data dilakukan menggunakan analisis tematik Braun & Clarke. Hasil penelitian mengidentifikasi tiga tema utama, yaitu hambatan pemahaman manajemen diri, hambatan literasi kesehatan serta hambatan kemampuan fungsional Tubuh dalam melakukan aktifitas fisik. Ketiga hambatan ini memengaruhi kemampuan pasien dalam menjalankan pengobatan, rehabilitasi, modifikasi gaya hidup, dan pencegahan kekambuhan. Penelitian ini menegaskan pentingnya intervensi edukasi dan rehabilitasi berkelanjutan untuk meningkatkan kemampuan manajemen diri pasien pasca stroke di rumah.
WhatsApp-Based Audiovisual Education Improves Knowledge and Attitudes Toward Hypertension Prevention Among At-Risk Adolescents Putri Anisa Fazira; Reni Prima Gusty; Mulyanti Roberto Muliantino
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57428

Abstract

Abstrak Hipertensi pada usia dewasa muda sering berawal dari perilaku tidak sehat yang terbentuk sejak remaja. Kondisi ini menegaskan pentingnya strategi pencegahan dini guna menurunkan risiko di masa mendatang. Perkembangan teknologi digital memberikan peluang baru dalam promosi kesehatan, salah satunya melalui pendidikan audiovisual berbasis WhatsApp. Penelitian ini bertujuan mengevaluasi efektivitas pendidikan audiovisual berbasis WhatsApp terhadap peningkatan pengetahuan dan sikap pencegahan hipertensi pada remaja dengan riwayat keluarga hipertensi. Desain penelitian menggunakan quasi-eksperimental dengan rancangan pretest-posttest control group. Sebanyak 66 remaja berusia 15–18 tahun direkrut dan dibagi rata menjadi kelompok intervensi dan kontrol. Kelompok intervensi memperoleh pendidikan audiovisual dua kali seminggu selama dua minggu melalui WhatsApp, disertai panggilan tindak lanjut dan diskusi chat grup. Kelompok kontrol hanya menerima informasi konvensional.. Analisis data dilakukan dengan uji univariat dan bivariat uji-t berpasangan dan independen. Hasil penelitian menunjukkan peningkatan signifikan pengetahuan (Δ mean=3,909; p<0,001) dan sikap (Δ mean=13,939; p<0,001) pada kelompok intervensi. Pada kelompok kontrol, tidak terdapat peningkatan bermakna pengetahuan (Δ mean=0,545;p=0,068>0,05), namun sikap meningkat signifikan (Δ mean=0.848;p=0,028<0,05) serta memiliki perbedaan yang signifikan pada kedua kelompok dengan p<0,001. Kesimpulannya, pendidikan audiovisual berbasis WhatsApp terbukti efektif meningkatkan pengetahuan dan sikap remaja berisiko hipertensi. Strategi ini direkomendasikan sebagai inovasi promosi kesehatan digital berbasis komunitas remaja. Kata Kunci: remaja,audiovisual,knowledge,hipertensi,edukasi Abstract Hypertension in young adults often originates from unhealthy behaviors developed during adolescence. This condition underscores the importance of early prevention strategies to reduce future risks. The development of digital technology provides new opportunities in health promotion, one of which is through WhatsApp-based audiovisual education. This study aims to evaluate the effectiveness of WhatsApp-based audiovisual education on improving knowledge and attitudes toward hypertension prevention in adolescents with a family history of hypertension. The research design uses a quasi-experimental approach with a pretest-posttest control group design. A total of 66 adolescents aged 15–18 were recruited and evenly divided into intervention and control groups. The intervention group received audiovisual education twice a week for two weeks via WhatsApp, accompanied by follow-up calls and group chat discussions. The control group only received conventional information. Data analysis was performed using univariate and bivariate tests, including paired and independent t-tests. The research results showed a significant increase in knowledge (Δ mean=3.909; p<0.001) and attitudes (Δ mean=13.939; p<0.001) in the intervention group. In the control group, there was no significant increase in knowledge (Δ mean=0.545; p=0.068>0.05), but attitudes increased significantly (Δ mean=0.848; p=0.028<0.05), and there were significant differences between the two groups with p<0.001. In conclusion, WhatsApp-based audiovisual education has proven effective in improving the knowledge and attitudes of adolescents at risk of hypertension. This strategy is recommended as an innovation in community-based digital health promotion for adolescents. Kata Kunci: Adolescent, audiovisual, knowledge, hypertension, education
Pengaruh Terapi Relaksasi Otot Progresif Terhadap Tekanan Darah Pada Remaja Hipertensi Aulia Asman; Reni Prima Gusty; Dally Rahman
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57929

Abstract

Perubahan pola makan dan kebiasaan hidup modern telah menggeser pola kejadian hipertensi dari kelompok lansia ke remaja, akibat peningkatan konsumsi makanan tinggi garam, lemak, dan gula serta gaya hidup. Penatalaksanaan hipertensi tidak hanya mencakup terapi farmakologis, tetapi juga melibatkan terapi non farmakologis, termasuk terapi komplementer. Salah satu terapi komplementer yang tidak memiliki efek samping dan mudah dilakukan oleh siapa saja serta efisien. Terapi relaksasi otot progresif juga memiliki prinsip yaitu kontraksi dan relaksasi otot. Jenis penelitian yang digunakan adalah quasi experimental pretest- posttest with kontrol group design, jumlah sampel adalah 20 orang dibagi menjadi kelompok kontrol (N=10) dan perlakuan (N=10). Hasil uji Mann Whitney menunjukkan tekanan sistolik pada sampel setalah diukur sistolik (p value = 0.031) dan sedangkan diastoliknya (p value =0.261). Terapi relaksasi otot progresif berpengaruh terhadap perubahan tekanan darah sistolik tetapi tidak berpengaruh pada perubahan tekanan darah diastolik pada remaja dengan hipertensi.
Pengaruh Mobilisasi Dini Pasien Pasca Operasi Abdomen Terhadap Penyembuhan Luka dan Fungsi Pernafasan: Effect of Early Mobilization of Postoperative Abdominal Patients On Wound Healing and Respiratory Function Reni Prima Gusty
NERS Jurnal Keperawatan Vol. 7 No. 2 (2011): NJK Volume 7, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v7i2.16

Abstract

Injury and pain resulted from surgery makes the patient too lazy to move so delays wound healing and leads respiratory complications mobilization is a prominent factor in accelerating wound healing and optimal postoperative respiratory function. Type of research is Quasi-experimental approach to posttest control group design. Research objectives were to determine the effect of early mobilization after abdominal surgery on wound healing and respiratory function. Sample were 40 patients who undergone abdominal surgery room in IRNA RSUP DR. M. Djamil Padang. Analysis using Mann Whitney test. The results showed there were significant differences in wound healing and respiratory function of patients with postoperative abdominal between groups that do not perform according to the procedure of early mobilization (control) with early mobilization group that according to the procedure (treatment) for major surgery with p = 0.000. There were no significant differences in respiratory function of patients post abdominal surgery between the control group with treatment for minor surgery with p = 0.067 and there were significant differences in wound healing of the patient post abdominal surgery between the control group with treatment for minor surgery with p = 0.000. Hospital is expected to provide facilities to the smooth extension of early mobilization after surgery and nurses implements early mobilization in nursing care plan for recovery wound and increase respiratory function.
Faktor-Faktor yang Berhubungan dengan Kecendrungan Turnover Perawat di Rumah Sakit Islam “Ibnu Sina” Yarsi Sumbar Bukittinggi: Factors Associated with Nurse Turnover Tendency Turnover of Nurses at the Islamic Hospital “Ibnu Sina” Yarsi Sumbar Bukittinggi Bambang Aryanto; Reni Prima Gusty; Yulastri Arif
NERS Jurnal Keperawatan Vol. 7 No. 2 (2011): NJK Volume 7, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v7i2.23

Abstract

High turnover is a problem in the management of human resources at hospitals. The nurse turnover rate at Islamic Hospital "Ibn Sina" Yarsi Bukittinggi, West Sumatra, has tended to rise each year, with data from 2009 and 2010 showing rates of 21.3% and 24.3%, respectively. The purpose of this research is to identify factors associated with nurse turnover trends at Islamic Hospital "Ibn Sina" Yarsi Bukittinggi, West Sumatra. This research uses a descriptive analytic cross-sectional study approach. The sample consisted of 75 people, and data was collected using questionnaires. Data analysis was conducted using the Chi-Square test. The results showed that 54.7% of nurses had a tendency to leave the hospital. There was a relationship between external factors, namely the availability of jobs in other institutions, and the tendency to leave (p-value 0.039). However, no relationship was found between internal organizational factors (such as the size of the organization, leadership, compensation, job satisfaction, career development, job weights, centralization) and individual employee factors with the tendency to leave. To reduce nurse turnover, it is important for hospital administrators to review programs aimed at addressing the issue. Such programs should focus on improvements in nursing leadership, career development, and efforts to enhance job satisfaction for nurses.
Efektivitas Pemberian Mobilisasi Dini terhadap Tonus Otot, Kekuatan Otot, dan Kemampuan Motorik Fungsional Pasien Hemiparise Paska Stroke Iskemik: The Effectiveness of Early Mobilization on Muscle Tone, Muscle Strength, and Functional Motor Ability in Patients with Hemiparesis Post Ischemic Stroke Reni Prima Gusty Gusty
NERS Jurnal Keperawatan Vol. 8 No. 1 (2012): NJK Volume 8, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v8i1.31

Abstract

Most of the impact of the onset of stroke is weakness in the limbs, leading to decreased productivity and economic ability. Early rehabilitation is needed to reduce these disadvantages, using early mobilization after acute stroke. The research objective was to see the effectiveness of early mobilization on muscular strength, muscle tone, and functional motor skills in hemiparesis after ischemic stroke. This type of research is a quasi-experimental pretest-posttest group design. The subjects were hemiparesis patients after ischemic stroke, distributed into two groups: the first group, consisting of 10 people, was given mobilization training 2 times/day; the second group, consisting of 10 people, was given mobilization training 3 times/day. Training started on day 2 after stroke until day 5. Analysis was conducted using paired and unpaired t-tests, with a significance level of p < 0.05. The results showed an increase in muscle tone, muscle strength, and functional motor ability in both groups, with p = 0.000 for each group. Better improvement was obtained in muscle tone and muscle strength (shoulder, elbow, wrist, thigh, knee, ankle) and functional motor skills in the therapy group that received 3 times/day training compared to the 2 times/day group, with significance values: shoulder muscle strength p = 0.016; elbow muscles p = 0.037; wrist muscles p = 0.042; hamstring muscle p = 0.004; and ankle p = 0.050. Increased ability to tilt to the healthy side p = 0.000; increased ability to sit supine p = 0.000; maintain sitting balance p = 0.007; and the ability to sit up p = 0.007. It is suggested that early mobilization exercise therapy be used as an independent nursing intervention, performed 3 times/day or 2 times/day to help speed recovery and prevent further weakness complications.
Pengaruh Pelatihan Komunikasi Asertif pada Perawat Pelaksana yang Mengalami Konflik Interpersonal terhadap Kinerjanya dalam Memberikan Asuhan Keperawatan di Ruang Rawat Inap RSUD Solok: The Effect of Assertive Communication Training on Nurses Experiencing Interpersonal Conflict on Their Performance in Providing Nursing Care in the Inpatient Room at Solok Regional Hospital Allfar End Honey; Reni Prima Gusty; Yulastri Arif
NERS Jurnal Keperawatan Vol. 8 No. 2 (2012): NJK Volume 8, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v8i2.76

Abstract

This study aims to determine the effect of assertive communication training on implementing nurse who experience interpersonal conflict on their performance in carrying out nursing care at the IRNA RSUD Solok. This type of research is a quasi experimental approaches one group pretest. Samples in this studies using total sampling technique, with a sample of 24 people. Interpersonal conflict is measured by questionnaires and respondents in providing nursing care was measured using the observation sheet. Were processed using statistical tests homogeneity. Marginal test obtained p = 0.00 ( 0.05 ) this shows there is a significant effect of training assertive communication on the performance of the experienced nurses managing interpersonal conflict in providing nursing care. Suggested to the hospital to provide training of assertive working environment for all nurses in staff development programs in an effort to improve the quality of nursing care in hospitals. Then to research in order investigation with another models in manage conflicts in organization.
Pengaruh Pelatihan Berprilaku Caring Terhadap Kemampuan Caring Mahasiswa Praktek Profesi Fakultas Keperawatan Unand di RSUP Dr.M.Djamil Padang : The Effect of Caring Behavior Training on Ability Caring Skills of Professional Practice Students of the Faculty of Nursing Unand at Dr.M.Djamil Hospital Padang Reni Prima Gusty
NERS Jurnal Keperawatan Vol. 9 No. 2 (2013): NJK Volume 9, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v9i2.117

Abstract

Caring nurse behavior will be guarantee quality care, because Caring is the essence of nursing between nurses means responsive to the clients . Therefore Unand nursing faculty seeks caring training to make students better prepared to provide quality nursing care when the practice of the profession and to produce graduates who are ready kerja.Penelitian examines the effect of training on kemampun caring Caring Professions School of Nursing Students Practice Unand . This type of research experimentation Quasi one-group pretest- posttest design. Students study subjects practice the profession in Dr M Djamil Padang Hospital numbered 22 peoples and spread across nine rooms are neurologi , pulmonary , male internal , female internal , high care unit, female surgical , male surgical , trauma centere and recovery room . Instruments is queationer that measure eight capability caring consist of hear clients with caring attentive, giving a sense of security, a touch, build trusting relationships, responsibility, information, sensitive to the client, and respecting the client . Students were trained for 2 days with bedside teaching methods. Analysis of the data processed using Marginal homogenity test to see the effect of training on kemampun caring Caring Professions School of Nursing Students Practice Unand . The results showed that there is an increased ability to behave in the caring professions students of the Faculty of Nursing Unand practice after the training given to the value of p = 0.000 . Using suggestions caring approach to training in small groups more able to improve psychomotor skills of students in the practice of land . And can be used by professionals as part of main graduation loaded
Pengaruh Latihan Yoga terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 : Effect of Yoga Exercise on Blood Sugar Levels of Diabetes Patients Mellitus Type 2 Leni Merdawati; Reni Prima Gusty; Rika Fatmadona; Esi Afrianti
NERS Jurnal Keperawatan Vol. 14 No. 1 (2018): NJK Volume 14, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i1.186

Abstract

The International Diabetes Federation (IDF) states that more than 371 million people in the world aged 20 79 years have diabetes mellitus (DM). While Indonesia is the 7th country with the highest prevalence of diabetes, in the world. Diabetes mellitus has become a widespread epidemic, primarily because of the increasing prevalence and incidence of type 2 diabetes. DM can increase of the morbidity and mortality associated with cardiovascular disease, blindness, kidney disorders, neurological disorders and amputation. Physical activity such as yoga is a key element in the prevention and management of type 2 diabetes, The purpose of this study was to identify the effectiveness of Yoga exercise on decreasing blood sugar levels in Type 2 DM patients. This study used an experimental approach with non equivalent group comparison pre and post test design. The study subjects consist of 40 patients as experimental group and 40 patients as control group. All patient in experimental group were guided by yoga expert for reguler practice with supervision for 3 days. The result of this study show average of blood glucose level in experimental group was 217.05mg/dl with deviation standart 56,735mg/dl, while in the control group was 256.85mg/dl with deviation standart 34.04mg/dl. There was highly significant differences blood glucose average between experimental and control group (p=0,000). Yoga exercise is effective in reducing the blood glucose level on type 2 DM Patients and higly recommended as one of treatment for promotive care.
Tingkat Pengetahuan Perawat Dan Penerapan Ventilator Associated Pneumonia Bundle Di Ruang Perawatan Intensif: Nurses' Knowledge Level and Implementation of Ventilator Associated Pneumonia Bundle in the Intensive Care Unit Sri Idawati; Emil Huriani; Reni Prima Gusty
NERS Jurnal Keperawatan Vol. 13 No. 1 (2017): NJK Volume 13, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v13i1.220

Abstract

According to the Quality and Performance Report Benefits for Society Committee on Prevention and Control of Hospital Infection in 2014 found numerical Infections Ventilator Associated Pneumonia (VAP) 18.17 %, and in the last six months there were as many as 85.1% of patients in the ICU who use mechanical ventilation. Available protocol were not in accordance with the VAP bundle. Nurse was inconsistent in applying nursing intervention for VAP prevention. Research objective was to investigate orcrelation of knowledge of healthworkers with application of VAP prevention in ICU Hospital Dr. M. Djamil Padang. The research design was a descriptive cross sectional with total sample of 33 respondents. Analysis of the data by univariate and bivariate analysis. The results showed that 60 % of healthworkers had a high level of knowledge and 93.3 % of healthworkers performance in accordance with application of VAP Bundle. There was a significant relationship between knowledge level and the application of VAP Bundle in ICU (p= 0.001). Based on the research, suggested that the hospital is expected to provide variation or special training of nursing dissemination journal critical especially action mechanical ventilation so that the nurses can add insight into the latest knowledge of science so as to increase the quality of nurses. For management of room in order to establish SOP VAP Bundle to be always applied by the nurses in preventing the incidence of VAP.