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Faktor-Faktor yang Berhubungan dengan Perawatan Diri Pasien Hipertensi Dewasa: Literatur Review Sulistiawati Sulistiawati; Rika Sarfika; Esi Afriyanti
Jurnal Ilmiah Universitas Batanghari Jambi Vol 23, No 2 (2023): Juli
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v23i2.4118

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Self-care in adult hypertensive patients from previous studies, it was found that only some of the variables related to self-care management were found. Comprehensive self-care has not been found from previous studies so that the limitations in accessing and studying self-care management in adult hypertensive patients are not fully comprehensive. Conduct a literature review to determine the factors of self-care management by adult hypertensive patients. A literature search was conducted through the search engine databases PubMed, ScienceDirect and Google Scholar and obtained 371 research articles and then checked the menu completeness of the research articles with a total of 238 articles. After that, a separation of criteria and a critical review stage was carried out using the Joanna Bringgs Institute (JBI) format with a total of 5 articles that were reviewed in the literature. Self-care has variables which include smoking cessation, reducing body weight if overweight, hypertension diet, regular exercise, reducing alcohol consumption, and managing stress, as well as increasing medication adherence. Factors influencing self-care include gender, age, marital status, duration of hypertension, knowledge, self-efficacy, social support and economic status. Self-care of hypertension in adulthood can be influenced by various factors, so it is suggested that future researchers can implement innovative intervention strategies needed to control related factors.
Ventilasi Mandiri terhadap Stres pada Penyintas COVID-19 dengan Diabetes Mellitus Vania Aresti Yendrial; Arina Widya Murni; Esi Afriyanti
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.693 KB) | DOI: 10.31539/jks.v6i2.4842

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This study aims to determine the effect of self-ventilation on stress and blood sugar levels in survivors of Covid-19 with diabetes mellitus. This research method is a quasi-experimental design with a nonequivalent control group design. The results showed that the average stress of respondents in the intervention group before self-ventilation was 36.44, with a standard deviation of 1,917. After self-ventilation, the moderate pressure was 29.56 with a standard deviation of 3,124 (95% CI 5,376 - 8,384). In conclusion, there was an effect on the average stress of COVID-19 survivors with diabetes mellitus in the intervention group. In contrast, in the control group, there was no effect of self-ventilation on the moderate pressure of COVID-19 survivors with diabetes mellitus. Keywords: Diabetes mellitus, COVID-19 survivors, stress, self-ventilation
PENINGKATAN KAPASITAS PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) PADA SISWA SMA ADABIAH PADANG Esi Afriyanti; Reni Prima Gusty
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 2 (2024): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i2.21810

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Abstrak: Perilaku Hidup Bersih dan Sehat (PHBS) yang dilaksanakan di sekolah menjadi terhambat karena adanya pandemi covid-19 yang melanda Indonesia. Kondisi ini juga memberikan dampak pada SMA Adabiah dalam penerapan PHBS. Untuk itu diperlukan peningkatan pengetahuan dan keterampilan siswa tentang PHBS dalam agar sekolah menjadi bersih dan sehat. Pengabdian Masyarakat ini dilakukan pada pada 40 siswa PMR dan UKS. Kegiatan ini dilakukan dengan metode penyuluhan yang terbagi dua sesi yaitu sesi pertama berupa penyampaian materi atau ceramah tentang delapan indikator PHBS, dan dilanjutkan sesi kedua dengan demonstrasi bagaimana mencuci tangan dengan metode enam langkah secara baik dan benar, serta pengukuhan kader PHBS. Evaluasi dilakukan menggunakan kuesioner dan dianalisa menggunakan uji statistik paired t-test. Hasil dari kegiatan ini berupa peningkatan tingkat pengetahuan siswa tentang PHBS serta peningkatan kemampuan siswa dalam mencuci tangan setelah pelatihan dengan nilai pengetahuan sebelum pelatihan 310,625 ± 59,3 dan sesudahnya menjadi 347,625 ± 69,2 (p<0.05). Disarankan pada sekolah agar dapat mengakomodir kebutuhan siswa terhadap sarana dan prasarana terutama tempat sampah yang bersih. Abstract: Clean and Healthy Living Behavior (PHBS) implemented in schools has been hampered by the Covid-19 pandemic that has hit Indonesia. This condition also has an impact on Adabiah High School in implementing PHBS. For this reason, it is necessary to increase students' knowledge and skills about PHBS in order to make schools clean and healthy. This Community Service was carried out for 40 PMR and UKS students. This activity was carried out using an outreach method which was divided into two sessions, namely the first session in the form of delivering material or lectures about the eight PHBS indicators, and followed by the second session with a demonstration of how to wash your hands using the six-step method properly and correctly, as well as the inauguration of PHBS cadres. Evaluation was carried out using a questionnaire and analyzed using the paired t-test statistical test. The results of this activity were an increase in students' level of knowledge about PHBS as well as an increase in students' ability to wash their hands after training with a knowledge value before training of 310.625 ± 59.3 and afterward being 347.625 ± 69.2 (p<0.05). It is recommended that schools be able to accommodate students' needs for facilities and infrastructure, especially clean rubbish bins.
Self-efficacy in increasing physical activity of coronary heart disease patients: a cross-sectional study Muliantino, Mulyanti Roberto; Qadri, Nindy Zumratul; Afriyanti, Esi; Sarfika , Rika
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.51941

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Introduction: This study aimed to determine the association of physical activity and self-efficacy in patients with coronary heart disease. Methods: A cross-sectional study was conducted among outpatients of coronary heart disease at a cardiovascular center. A total of 238 coronary heart disease patients were included in the study using a purposive sampling technique. The self-efficacy was measured using the cardiac self-efficacy scales (CSE), and the physical activity was measured using the long form International Physical Activity Questionnaire  (IPAQ). Data analysis used the Chi-square test, Spearman correlation test and multivariate linear regression. Results: Self-efficacy was strongly positively correlated with physical activity in coronary heart disease patients (r = 0.956; p = 0.001). Domain-specific correlations included domestic (r=0.419, p<0.001), work (r=0.383, p<0.001), leisure time (r=0.296, p<0.001), and transport (r=0.247, p<0.001). Multiple linear regression analysis showed that employment status had the most significant negative impact on physical activity (B = -246.477), while age (B = 123. 889) and self-efficacy (B = 93.513) were positively associated with physical activity. These results indicate that higher self-efficacy and older age are linked to increased physical activity, whereas employment status is associated with decreased physical activity. Conclusions: In this population, self-efficacy, remaining working status and age are important factors of physical activity in coronary heart disease patients. Keywords: coronary heart disease, good health and well-being, physical activity, self-efficacy
FACTORS RELATED TO QUALITY OF LIFE IN CORONARY HEART DISEASE PATIENTS AT CARDIAC POLYCLINIC DR. M. DJAMIL PADANG HOSPITAL Laksmana, Rio; Afriyanti, Esi; Bawono, Agus Sri
Menara Medika Vol 7, No 2 (2025): VOL 7 NO 2 MARET 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v7i2.6269

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Pendahuluan: Penyakit jantung koroner (PJK) adalah salah satu penyakit kardiovaskular yang menyebabkan kematian tertinggi, yaitu sebanyak 35% dari penyebab kematian di seluruh dunia. Kualitas hidup yang baik pada pasien PJK diperlukan untuk menjaga status kesehatan yang optimal. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kualitas hidup pasien PJK di Poliklinik Jantung RSUD Pusat Dr. M. Djamil Padang. Metode: Penelitian ini menggunakan desain analitik dengan pendekatan cross-sectional studi, dengan jumlah sampel 94 orang dengan teknik purposive sampling. Data dikumpulkan menggunakan Kuesioner the Seattle Angina Questionnaire (SAQ-7), the Social Support Questionnaire, the Cardiac Anxiety Questionnaire (CAQ), dan the Cardiac Self-Efficacy Scales. Hasil: Hasil penelitian ini menunjukkan bahwa rata-rata kualitas hidup pasien PJK adalah 42,72. Ada hubungan antara dukungan keluarga (p-value = 0,001 dan r = 0,93), ansietas (p-value = 0,003 dan r = -0,67), dan efikasi diri (p-value = 0,032 dan r = 0,49) dengan kualitas hidup pasien PJK. Faktor yang mempengaruhi kualitas hidup pasien PJK adalah dukungan keluarga, ansietas, dan efikasi diri, sebanyak 80,2% (R2 = 0,082), dengan faktor yang paling dominan adalah dukungan keluarga, yaitu 89,1% (B = 0,891). Kesimpulan: berdasarkan hasil penelitian ini, diharapkan perawat dapat memberikan dukungan informasi berupa edukasi kesehatan kepada pasien PJK dan caregiver, terutama mengenai menjaga stabilitas angina, sehingga dapat menjaga kualitas hidup yang baik pada pasien PJK.Kata kunci: Penyakit Jantung Koroner (PJK), Kualitas Hidup, Dukungan Keluarga, Ansietas, Efikasi Diri.ABSTRACTBackground: Coronary heart disease (CHD) is one of the cardiovascular diseases that causes the highest mortality, which is as much as 35% of the causes of death worldwide. A good quality of life in patients with CHD is needed to maintain optimal health status. Objective: This study aims to determine the factors influencing the quality of life of CHD patients at the Cardiac Polyclinic of the Central General Hospital Dr. M. Djamil Padang. Method: This study used an analytic design with a cross-sectional study approach, with a sample size of 94 people and a purposive sampling technique. Data was collected using the Seattle Angina Questionnaire (SAQ-7), the Social Support Questionnaire, the Cardiac Anxiety Questionnaire (CAQ), and the Cardiac Self-Efficacy Scales. Results: The results of this study indicate that the average quality of life of CHD patients is 42.72, which is low compared to the maximum quality of life value of 100. There is a relationship between family support (p-value = 0.001 and r = 0.93), anxiety (p-value = 0.003 and r = -0.67), and self-efficacy (p-value = 0.032 and r = 0.49) on the quality of life of these CHD patients. Factors affecting CHD patients' quality of life are family support, anxiety, and self-efficacy, as much as 80.2% (R2 = 0.082), with the most dominant factor being family support, which is 89.1% (B = 0.891). Conclusions: With the results of this study, it is hoped that nurses can provide informational support in the form of health education to CHD patients and caregivers, especially regarding maintaining angina stability, so that they can maintain a good quality of life in CHD patientsKeywords: Coronary Heart Disease (CHD), Quality of Life, Family Support, Anxiety, Self-Efficacy.
Screening of Risk of Type 2 Diabetes Mellitus in Sungai Buluh Village, Padang Pariaman Devia Putri Lenggogeni; Hema Malini; Esi Afriyanti; Reni Prima Gusty; Rahmi Muthia; Elvi Oktarina
Warta Pengabdian Andalas Vol 31 No 1 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.1.135-142.2024

Abstract

Diabetes mellitus (DM) type 2 is a non-communicable disease, and the incidence continues to increase. Various factors can increase the incidence of type 2 DM, but many people lack the awareness to determine risk factors and the efforts that need to be made to reduce the risk of type 2 DM. This community service aims to conduct health examinations and determine the risk level of DM type 2 in Sungai Buluh, Padang Pariaman, West Sumatra. This community service activity includes health examination, determining risk levels of risk type 2 DM, and personal education to reduce the risk of type 2 DM. The instrument used to determine the risk of type 2 DM is the Finnish Diabetes Risk Score (FINDRISC). Type 2 DM screening showed that most people had a slightly increased risk 37 people (45.6%), low-risk 26 people (32.1%), high-risk 13 people (16.1%) and very high-risk five people (6.2%). It is hoped that health centers will carry out risk level screening and education on reducing the risk of type 2 DM as a planned and structured activity to increase public awareness to prevent and reduce the risk of type 2 DM.
The Efforts in Increasing Awareness and Identifiying Risk Factors of Cardiovascular Disease in Women Mulyanti Roberto Muliantino; Yuanita Ananda; Yelly Herien; Bobby Febri Krisdianto; Esi Afriyanti
Warta Pengabdian Andalas Vol 32 No 1 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.1.38-45.2025

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Cardiovascular disease is the primary cause of mortality among women on a global scale. However, the awareness among women regarding the risks associated with cardiovascular disease remains limited, leading to a delay in prevention, treatment, and, ultimately, mortality. This activity is intended to raise awareness and to identify those at high risk of developing cardiovascular diseases. The method uses an educational program and health screening involved 21 women in RT 02 RW 06 Pasar Ambacang, Padang City. The ABCD risk questionnaire was used to measure awareness. The result showed that respondents’ awareness score prior to the educational intervention was 37.5, which increased to 49.5 following the intervention. The health screening results indicated the presence of respondents with obesity (33.3%), overweight (19.1%), and non-ideal abdominal circumference (85.8%). Furthermore, the data revealed that 14.2% of respondents had stage 2 hypertension, 19.1% had stage 1 hypertension, 47.6% had pre-hypertension, 57.1% had high cholesterol levels, and 19.1% had high blood sugar levels. Educational efforts have been proven to increase awareness; moreover, health screening is effective in identifying the risk of cardiovascular disease in women. It is imperative that the female community is provided educational program to enhance their knowledge and awareness regarding disease risk.
PEMERIKSAAN KESEHATAN SEBAGAI UPAYA DETEKSI HIPERTENSI PADA REMAJA Devia Putri Lenggogeni; Esi Afriyanti; Reni Prima Gusty; Elvi Oktarina; Mulyanti Roberto Muliantino; Tiurmaida Simandalahi; Bobby Febri Krisdianto; Dally Rahman
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 1 (2025): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i1.27848

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Abstrak: Hipertensi semakin sering terjadi pada kalangan remaja dan berisiko meningkatkan kemungkinan penyakit kardiovaskular serta komplikasi kesehatan di kemudian hari. Program pengabdian masyarakat ini bertujuan untuk mendeteksi tingkat risiko hipertensi pada remaja melalui pemeriksaan kesehatan di sekolah, serta memberikan informasi mengenai hipertensi pada siswa SMAN 9 melalui edukasi kesehatan. Kegiatan ini melibatkan 66 siswa di SMAN 9 Padang. Metode pelaksanaan meliputi pemeriksaan kesehatan dan edukasi kesehatan. Dari hasil pemeriksaan tekanan darah, ditemukan bahwa 50 siswa (76%) memiliki tekanan darah sistolik di bawah 120 mmHg, namun masih ada 5 siswa (7,3%) dengan tekanan sistolik di atas 129 mmHg. Untuk tekanan darah diastolik, 58 siswa (88%) berada di bawah 80 mmHg, sedangkan 4 siswa (5%) memiliki tekanan diastolik lebih dari 84 mmHg. Hasil edukasi kesehatan menunjukkan ada pengaruh yang signifikan terhadap pengetahuan siswa mengenai penyakit hipertensi dengan p – value < 0.005. Melalui kegiatan ini, pentingnya pemeriksaan kesehatan rutin dapat ditekankan sebagai langkah deteksi dini hipertensi pada remaja, sekaligus meningkatkan kesadaran dan mendorong penerapan langkah-langkah pencegahan.Abstract: Hypertension is becoming more frequently seen among adolescents, potentially increasing the risk of cardiovascular disease and health complications later in life. This community outreach initiative aimed to assess the prevalence of hypertension risk among adolescents via health screenings in schools and to identify hypertension-related risk factors. The activity included 66 students from SMAN 9 Padang. Methods consisted of health assessments and educational sessions. Blood pressure results showed that 50 participants (76%) had systolic blood pressure below 120 mmHg, while 5 participants (7.3%) had systolic pressure exceeding 129 mmHg. For diastolic pressure, 58 participants (88%) had readings below 80 mmHg, with 4 participants (5%) showing diastolic pressure above 84 mmHg. The results of health education indicate a significant impact on students' knowledge about hypertension, with a p-value < 0.005. This initiative highlights the value of regular health screenings as an early detection measure for hypertension in adolescents, fostering awareness and encouraging preventive practices. 
Knowledge and Family Support in Nutritional Management of Productive Age Hemodialysis Patients Afriyanti, Esi; Febri Krisdianto, Boby; Hafifa Transyah, Chichi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7404

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Introduction: End-stage renal disease (ESRD) is a condition of total kidney failure whose prevalence continues to increase, mainly affecting productive age groups who contribute significantly to the family and country's economy. ESRD patients generally undergo hemodialysis, which causes high-cost burdens and significant changes in life due to physical impacts, absence from work, and effects of therapy. Quality and compliance with hemodialysis, including nutrition and fluid management, are essential because non-compliance can lead to decreased productivity, increased morbidity, and patient mortality. Optimal nutrition and fluid management require support and knowledge from the family. This study aimed to analyze the interaction of family knowledge and support with nutrition and fluid management in hemodialysis patients as measured by the results of clinical laboratory examinations in the productive age group. Methods: This study used a quantitative approach with a cross-sectional survey design involving 191 hemodialysis patients using a purposive sampling technique with certain criteria in West Sumatra, an area known for its unique culture and dietary patterns. The study was conducted in four hemodialysis referral hospitals. The knowledge instrument was compiled based on the Kidney Disease Questionnaire and chronic kidney disease nutrition guidelines, consisting of 23 statements, and the Family Support Instrument was adapted from the Family Support Scale (FSS) with 19 statement items. Nutrition and fluid management data were collected through observation sheets based on clinical laboratory results such as urea, creatinine, albumin, sodium, potassium, and IDWG. Spearman's rank correlation analysis was used with a significance level of ?<0.05 Results: The results showed no significant relationship between knowledge and Hemoglobin, creatinine, sodium, potassium, and Interdialytic Weight Gain (IDWG) (p>0.05). However, knowledge was related to urea (p=0.037) with weak strength and a negative direction (r = -0.151). Family support was not significantly related to Hemoglobin, urea, creatinine, sodium, potassium, and IDWG levels (p>0.05). Conclusion: This study shows that knowledge is only related to urea levels, while family support has no significant effect on nutritional and fluid compliance. These findings emphasize the importance of personal education, intensive monitoring, and family involvement in supporting nutritional and fluid management in hemodialysis patients.
Explorasi Diabetes Distres Pada Pasien Diabetes Melitus Tipe 2 di Kota Padang Wijaya, Nindi Eka; Malini, Hema; Afriyanti, Esi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50042

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Penyakit diabetes melitus sering dikaitkan sebagai penyebab stres psikologis bagi penderitanya. Hal ini disebabkan karena pola hidup, kelemahan fisik, masalah komplikasi, dan berpotensi terhadap kematian. Tujuan penelitian ini menginvestigasi gambaran diabetes distres pada pasien diabetes melitus tipe 2 di kota padang. Desain penelitian yang digunakan yaitu crossectional study yang dilakukan pada 350 sampel. Menggunakan instrument The Diabetes Distress Scale (DSS) . Analisa data dilakukan menggunakan SPSS 25 dengan uji analisis deskriptif. Hasil penelitian pada 350 responden diabetes melitus tipe 2, diperoleh skor rata-rata diabetes distres 3.31 ± 0.61, dengan rentang 1.0–5.2, yang menunjukkan bahwa responden umumnya cenderung mengalami diabetes distres. Kesimpulan penelitian menunjukkan bahwa diabetes distres merupakan masalah spesifik yang dialami pasien diabetes karena perjalanan kronis dari penyakitnya.