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Gambaran Karakteristik Pasien Stroke yang Mengalami Konstipasi Pasca Rawatan: Characteristics of Stroke Patients with Constipation Post-treatment Maria Valentina Sibarani; Rahmi Ulfah; Esi Afriyanti
NERS Jurnal Keperawatan Vol. 15 No. 2 (2019): NJK Volume 15, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v15i2.177

Abstract

Constipation is a problem that is often complained of by stroke patients, if not addressed will lead to complications of other diseases. The purpose of this study was to see a description of the characteristics of stroke patients who experience post-treatment constipation. This type of research is descriptive, the number of samples of 54 people taken by simple random sampling. The quosioener used to screen stroke patients is the National Institute of Health Stroke (NIHSS) and the Constipation Scoring System (CSS) for screening patients who experience constipation. The frequency distribution test results are more constipation suffered by women (68.52%), junior high school education (50%), history of IRT work (37.04%), average age of 53 years, stroke duration of 63 months and long time using laxative 23 months. Conclusion:Post-treatment stroke patients often experience constipation caused by disorders of the autonomic nerve and long-term use of laxatives. In addition,constipation in post-treatment stroke patients is influenced by female sex, increasing age, low educational status, IRT employment and duration of stroke. Post treatment stroke patients to reduce the use of laxatives and replace with more consumption of fiber and fluids and sufficient activity, to minimize the incidence of constipation.
Karakteristik Individual Perawat terhadap Kenyamanan dan Kepuasan Proses Interaksi Pelayanan Keperawatan: Individual Characteristics of Nurses on Comfort and Satisfaction of the Nursing Service Interaction Process Syafrisar Meri Agritubella; Yulastri Arif; Esi Afriyanti
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.v13i1.217

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Comfort and satisfaction in service are the reasons why patients choose the same hospital when they need treatment or come home for physical discomfort, psycho-spiritual, environmental and socio-cultural. Patient satisfaction in some areas is low with average patient satisfaction about 64,3% while according to Kemenkes (2012) patient satisfaction standard to treatment is more than 90%. This study aims to describe and analyze the comfort and satisfaction of patients in the process of interaction nursing service in RSUD Petala Bumi Year 2016. This type of research is an analytic description with a sample of 41 implementing nurses who are in Installation of inpatient. The results of the univariate analysis showed that most of the nurses were in the Early Adult age group (26-35 years) and female gender. More than half the nurses are DIII Nursing and duration of less than 5 years. The result of patient's comfort in interaction process more than half was in comfortable category (52,03%), and patient satisfaction in interaction process more than half of patient was in satisfied category (72,36%.). Bivariate analysis shows the relationship between the long characteristics of nurses working with the comfort and satisfaction of patients in the interaction process of nursing service. It was concluded that the duration of nurse work is an individual factor that gives comfort and satisfaction of the patient in interaction process of nursing service. It is expected that the hospital management consider the individual factors of the nurse as one of the factors that can affect the comfort and satisfaction of patients in the hospital and provide motivation to the old nurses in providing quality nursing services.
Pengaruh Stimulus Kutaneus Slow-Stroke Back Massage Terhadap Skala Nyeri Dismenore Primer Pada Mahasiswi Stikes Amanah di Padang : The Effect of Cutaneous Stimulus Slow-Stroke Back Massage on Primary Dysmenorrhea Pain Scale in Student of Stikes Amanah in Padang Vetty Priscilla; Esi Afriyanti
NERS Jurnal Keperawatan Vol. 13 No. 2 (2017): NJK Volume 13, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v13i2.229

Abstract

Puberty in girls is indicated by a menstruation. Each adolescent girls have a different experience of their periods. Some girls get period without any complaints, but some of them accompanied with dysmenorrhea which resulted in a sense of discomfort in the form of pain that can interfere their daily activities. According to AHCPR (Agency for Health Care Policy and Research), pain management that can be performed by nurses are nonpharmacological therapy, one of which is cutaneous stimulation, Slow-Stroke Back Massage. This study aimed to investigate the direct effect of cutaneous stimulus: Slow-Stroke Back Massage on primary dysmenorrhea pain scale. Design for this reasearc is a quasi experiment in one group (one group pre test- post test design). Subjects in this study were 12 female nursing students of Stikes Amanah Padang who have met criteria of the study. Subjects had been taught about technique of slow-stroke back message, and practice during their period when dysmenorrhea felt for 1 week. Previously, pain experience during menstruation assessed using a scale Numerical Rating Scales (NRS). Data were analyzed using paired t-test. This study showed that more than half of female students (75%) were experienced a moderate level of dysmenorrhea pain with pain scale was 5.67 ± 1.56 before being given cutaneous stimulus slow-stroke back massage (pretest). After given the slowstroke back message (posttest), more than half (58.2%) experienced a mild level of pain dysmenorrhea with pain scale was 4 ± 2.09. The cutaneous stimulus slow-stroke back message can reduce dysmenorrhea pain scale of nursing students in STIKes Amanah Padang.
College Students' Coping Strategies for Dating Violence: A Case Study in Padang City Esi Afriyanti; Olga Mulyanes; Randy Refnandes
NERS Jurnal Keperawatan Vol. 21 No. 1 (2025): NJK Volume 21, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i1.249

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Dating Violence is still a problem in relationships between men and Female. Its prevalence is increasing from year to year, especially among students. Usually, victims will use self-defense (coping) in dealing with this dating violence situation. This study aims to determine the description of coping strategies of students who experience dating violence in the city of Padang. This type of research is descriptive observational research. The population of the study was students who experienced dating violence in two leading institutions in the city of Padang. The sample was obtained using the lemeshow formula of 380 people with a purposive sampling technique. The strategy questionnaire used The Ways of Coping the Revised Version, and dating violence used a questionnaire developed from the theory. The analysis used a frequency distribution. The results of this study indicate that respondents experienced dating violence in the moderate category (66.6%) in both institutions. The type of verbal dating violence that was widely accepted was in the moderate category (60%), while the type of physical dating violence was only in the mild category (64.5%). The coping strategy that was widely used by victims was emotional coping (66.8%). There is a need to develop effective interventions in accordance with the coping chosen to support the well-being of victims of dating violence
Pengaruh Relaksasi Otot Progresif terhadap Penurunan Dismenore pada Mahasiswi A 2012 Fakultas Keperawatan Unand : The Effect of Progressive Muscle Relaxation on Decreasing Dysmenorrhea in Student A 2012 Faculty of Nursing Unand Israd Akbar; Dewi Eka Putri; Esi Afriyanti
NERS Jurnal Keperawatan Vol. 10 No. 1 (2014): NJK Volume 10, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v10i1.295

Abstract

Dysmenorrhea is menstrual pain that is felt when, mainly in the lower abdomen to the waist andthighs spread that feels like cramping. The pain is subjective. In the severe circumstances can be accompaniedby nausea and vomiting. 60-70% of patients with dysmenorrhea are younger women, resulting in a sense ofdiscomfort and disruption have an impact on daily activities, academic and social. One of the nonpharmacological therapies that can be used to reduce dysmenorrhoea is progressive muscle relaxation. Thisstudy aims to determine whether the effect of progressive muscle relaxation in the pain management ofdysmenorrhoea. Subject is a student at A 2012 study in the Faculty of Nursing Andalas. This research uses aquasi-experimental approach with no control group with one group pretest-posttest. Sampling using samplingwith 37 people. Data analysis using the Wilcoxon. The research proves there is significant before and afterprogressive muscle relaxation to pain dysmenorrhoea on student A 2012 Faculty of Nursing in AndalasUniversity with p = 0.000 (p <0,05). This shows that progressive muscle relaxation can reduce the pain ofdysmenorrhoea on student A 2012 Faculty of Nursing in Andalas University. This shows that progressivemuscle relaxation can reduce the pain of dysmenorrhoea A 2012 School of Nursing student Andalas. It isrecommended for young women in order to implement progressive muscle relaxation in overcomingdysmenorrhoea.
Knowledge and Family Support in Nutritional Management of Productive Age Hemodialysis Patients Esi Afriyanti; Boby Febri Krisdianto; Chichi Hafifa Transyah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025)
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.
Efektivitas Brisk Walking Exercise 150 Menit Per Minggu Terhadap Perubahan Tingkat Stres Pada Penderita Hipertensi: Studi Quasi-Eksperimental dengan Repeated Measures Teguh Wiradharma; Reni Prima Gusty; Esi Afriyanti
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.26580

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ABSTRACT Hypertension is a major global health burden affecting more than 1.56 billion adults worldwide and contributing to approximately 10.44 million deaths annually. Psychological stress is a frequently overlooked yet clinically significant dimension of hypertension management, as uncontrolled stress activates the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis, leading to persistent increases in cortisol and catecholamines that worsen blood pressure control. This study aimed to evaluate the effectiveness of brisk walking exercise at 150 minutes per week on changes in stress levels among hypertensive patients at the Puskesmas Belimbing, Padang City. A quasi-experimental design with repeated measures and a control group was employed over four weeks from March to May 2026. A total of 64 respondents were selected through randomized sampling, comprising an intervention group (n=32) and a control group (n=32). The intervention group received brisk walking exercise for 30 minutes, five days per week (totaling 150 minutes per week), at a speed of 4–6 km/h. Stress levels were measured five times using the validated Perceived Stress Scale (PSS-10; Cronbach's α=0.847). Data were analyzed using General Linear Model-Repeated Measures (GLM-RM) with Greenhouse-Geisser correction and Pairwise Comparison (Bonferroni). Results showed a significant and progressive reduction in the intervention group's stress scores from baseline (mean=20.25; moderate stress) to week four (mean=5.23; mild stress), representing a total decline of 15.02 points compared to only 4.01 points in the control group. Between-group comparison confirmed a statistically significant difference (mean difference=−5.245; p=0.000). It is concluded that brisk walking exercise of 150 minutes per week is effective in reducing stress levels among hypertensive patients and is recommended as an evidence-based non-pharmacological nursing intervention in primary healthcare settings. Keywords: Brisk Walking Exercise, Hypertension, Perceived Stress Scale, Repeated Measures, Stress Level.  ABSTRAK Hipertensi merupakan beban kesehatan global utama yang memengaruhi lebih dari 1,56 miliar orang dewasa di seluruh dunia dan berkontribusi pada sekitar 10,44 juta kematian per tahun. Stres psikologis merupakan dimensi yang kerap terabaikan namun memiliki signifikansi klinis penting dalam pengelolaan hipertensi, karena stres yang tidak terkendali mengaktivasi sistem saraf simpatis dan aksis hipotalamus-pituitari-adrenal (HPA), sehingga mengakibatkan peningkatan menetap kadar kortisol dan katekolamin yang memperburuk kontrol tekanan darah. Penelitian ini bertujuan mengevaluasi efektivitas brisk walking exercise 150 menit per minggu terhadap perubahan tingkat stres pada penderita hipertensi di wilayah kerja Puskesmas Belimbing Kota Padang. Desain penelitian menggunakan quasi-eksperimental dengan repeated measures dan kelompok kontrol, dilaksanakan selama empat minggu pada bulan Maret–Mei 2026. Sebanyak 64 responden dipilih melalui randomized sampling, terdiri dari kelompok intervensi (n=32) dan kelompok kontrol (n=32). Kelompok intervensi menerima brisk walking exercise 30 menit sebanyak lima kali per minggu (total 150 menit per minggu) dengan kecepatan 4–6 km/jam. Tingkat stres diukur sebanyak lima kali menggunakan Perceived Stress Scale (PSS-10) yang telah tervalidasi (Cronbach's α=0,847). Analisis data menggunakan General Linear Model-Repeated Measures (GLM-RM) dengan koreksi Greenhouse-Geisser dan uji Pairwise Comparison (Bonferroni). Hasil penelitian menunjukkan penurunan skor stres yang signifikan dan progresif pada kelompok intervensi dari baseline (mean=20,25; stres sedang) hingga minggu keempat (mean=5,23; stres ringan), dengan total penurunan 15,02 poin dibandingkan hanya 4,01 poin pada kelompok kontrol. Perbandingan antara kelompok mengonfirmasi perbedaan yang bermakna secara statistik (mean difference=−5,245; p=0,000). Disimpulkan bahwa brisk walking exercise 150 menit per minggu efektif menurunkan tingkat stres pada penderita hipertensi dan direkomendasikan sebagai intervensi nonfarmakologis berbasis bukti dalam asuhan keperawatan di layanan kesehatan primer. Kata Kunci: Brisk Walking Exercise, Hipertensi, Perceived Stress Scale, Repeated Measures, Tingkat Stres.
PENGUATAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) MELALUI EDUKASI, GOTONG ROYONG, DAN DIGITALISASI DI MASYARAKAT Esi Afriyanti; Rika Fatmadona; Ayulia Fardila Sari ZA; Shelvy Haria Roza; Jefril Rahmadoni
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 6 (2025): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i6.34949

Abstract

Abstrak: Perilaku Hidup Bersih dan Sehat (PHBS) masih menjadi tantangan di masyarakat pedesaan karena rendahnya konsistensi dalam praktik sehari-hari. Tujuan pengabdian ini adalah meningkatkan pengetahuan dan keterampilan PHBS melalui kegiatan penyuluhan, sosialisasi, gotong royong, pembagian abate, serta pendampingan digital di Kenagarian Tanjung Bingkung dengan melibatkan sekitar 70 peserta dari berbagai kelompok masyarakat. Evaluasi dilakukan melalui observasi, pretest tentang PHS yang berisi 20 pertanyaan, dan wawancara. Hasil kegiatan menunjukkan peningkatan signifikan pada keterampilan mencuci tangan enam langkah, dari 42% sebelum intervensi menjadi 95% setelah penyuluhan. Selain itu, indikator penggunaan jamban sehat, ASI eksklusif, dan pengelolaan sampah mencapai lebih dari 80%. Program ini juga meningkatkan softskill berupa partisipasi aktif dan gotong royong warga sekitar 40–50%. Temuan ini membuktikan bahwa intervensi berbasis edukasi dan pemberdayaan mampu meningkatkan praktik PHBS secara nyata di masyarakat. Abstract: Clean and Healthy Living Behavior (CHLB) remains a challenge in rural communities due to the lack of consistency in daily practices. This community service aimed to improve knowledge and skills related to CHLB through counseling, socialization, community clean-up, abate distribution, and digital assistance in Tanjung Bingkung Village, involving around 70 participants from various community groups. Evaluation was carried out using observation, a 20-question pre-test on PHBS, and interviews. The results showed a significant increase in handwashing skills, from 42% before the intervention to 95% afterward. Other indicators such as healthy latrine use, exclusive breastfeeding, and waste management reached more than 80%. The program also enhanced soft skills, including active participation and community cooperation, by around 40–50%. These findings demonstrate that education and empowerment-based interventions can effectively improve CHLB practices in rural communities.
EDUKASI PHBS, PENCEGAHAN ROKOK, INTERNET SEHAT DAN PEMBUATAN RESERVOIR AIR BERSIH DI KABUPATEN PASAMAN Rika Fatmadona; Esi Afriyanti; Elvi Oktarina; Masrizal Masrizal; Nabila Siti Burnama
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 2 (2026): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i2.37741

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Abstrak: Akses air bersih dan penerapan Perilaku Hidup Bersih dan Sehat (PHBS) yang belum optimal berkontribusi terhadap rendahnya kualitas kesehatan masyarakat. Penelitian ini bertujuan meningkatkan pengetahuan dan praktik PHBS melalui edukasi kesehatan dan intervensi pendukung akses air bersih. Metode yang digunakan meliputi ceramah, diskusi interaktif, demonstrasi praktik cuci tangan dan sikat gigi, serta pembangunan sarana pendukung. Peserta kegiatan meliputi siswa 3 SD termasuk warga setempat. Dengan total 154 siswa, 6 orang guru, serta 16 warga desa. Evaluasi dilakukan menggunakan pre-test dan post-test untuk mengukur peningkatan pengetahuan dan pemahaman. Hasil menunjukkan 90% peserta mengalami peningkatan pengetahuan dan 80% warga mampu menjawab pertanyaan terkait upaya menjaga kebersihan secara benar. Temuan ini menunjukkan bahwa intervensi edukatif terintegrasi efektif dalam meningkatkan literasi dan praktik PHBS masyarakat.Abstract: Inadequate access to clean water and the execution of Clean and Healthy Living Behaviors (PHBS) adversely affect public health quality. This project seeks to enhance knowledge and habits related to PHBS through health education and interventions that facilitate access to clean water. Utilized methods encompassed lectures, interactive discussions, demonstrations of handwashing and toothbrushing techniques, and the establishment of supporting facilities. The participants were 154 pupils from three elementary schools, six teachers, and 16 neighborhood citizens. Assessment was performed utilizing pre- and post-tests to quantify advancements in knowledge and comprehension. Findings indicated that 90% of participants had enhanced understanding, while 80% of residents accurately responded to inquiries regarding hygiene initiatives. The findings demonstrate that integrated educational interventions effectively enhance PHBS literacy and community practices.
PENGUATAN PENCEGAHAN PENYAKIT GINJAL KRONIK MELALUI SKRINING FAKTOR RISIKO DAN EDUKASI KOMPREHENSIF PADA WANITA DEWASA Esi Afriyanti; Rika Fatmadona; Devia Putri Lenggogeni; Leni Merdawati; Elvi Oktarina
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 1 (2026): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i1.36551

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Abstrak: Permasalahan utama wanita dewasa di Kelurahan Alai Parak Kopi adalah tingginya faktor risiko penyakit ginjal kronik (PGK) serta rendahnya pengetahuan mengenai pencegahannya. Pengabdian ini bertujuan meningkatkan deteksi dini dan pemahaman masyarakat melalui skrining kesehatan dan edukasi komprehensif. Kegiatan melibatkan 53 wanita dewasa sebagai mitra, mencakup penyuluhan, pemeriksaan tekanan darah, gula darah, kolesterol, asam urat, indeks massa tubuh, serta senam kesehatan. Evaluasi dilakukan menggunakan pre-test pengetahuan dan observasi keterlibatan peserta. Hasil menunjukkan tingginya proporsi risiko PGK, yaitu IMT tinggi (45,3%), hipertensi (41,5%), hiperglikemia (24,5%), dislipidemia (39,6%), dan hiperurisemia (37,7%). Selain itu, pengetahuan peserta sebesar 18–32% pada aspek PGK, hipertensi, diabetes, asam urat, dan hiperkolesterolemia. Intervensi ini membuktikan bahwa skrining dan edukasi terstruktur efektif meningkatkan literasi kesehatan dan kesadaran pencegahan PGK. Program lanjutan berbasis komunitas direkomendasikan untuk menjaga keberlanjutan perubahan perilaku.Abstract: The major health concern among adult women in Alai Parak Kopi is the high prevalence of chronic kidney disease (CKD) risk factors and limited knowledge regarding its prevention. This community program aimed to enhance early detection and health literacy through structured screening and educational interventions. A total of 53 adult women participated in health education, screening of blood pressure, glucose, cholesterol, uric acid, body mass index, and group exercise sessions. Evaluation was conducted using a pre-test and behavioral observation. Results showed substantial CKD risk: high BMI (45.3%), hypertension (41.5%), hyperglycemia (24.5%), dyslipidemia (39.6%), and hyperuricemia (37.7%). Knowledge scores increased by 18–32% across CKD, hypertension, diabetes, uric acid, and hypercholesterolemia domains. These findings demonstrate that structured screening and education effectively improve health awareness and early prevention of CKD. Continued community-based programs are recommended to sustain behavioral change.