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                        PEER TUTOR DALAM MENINGKATKAN MOTIVASI SADARI (PEMERIKSAAN PAYUDARA SENDIRI) PADA REMAJA PUTRI 
                    
                    widayati, dhina; 
rachmania, diana; 
novitarinda, shely                    
                     Journals of Ners Community Vol 9 No 2 (2018): Journals of Ners Community 
                    
                    Publisher : Fakultas Ilmu Kesehatan Universitas Gresik 
                    
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                                DOI: 10.55129/jnerscommunity.v9i2.716                            
                                            
                    
                        
                            
                            
                                
Metode pembelajaran peer tutor merupakan suatu metode pembelajaran yang dilakukan oleh peserta didik dengan teman sebayanya untuk meningkatkan motiasi mereka, terutama pada teknik SADARI (pemeriksaan payudara sendiri). Tujuan penelitian ini adalah untuk mengetahui pengaruh peer tutor terhadap motivasi SADARI (pemeriksaan payudara sendiri).Desain dalam penelitian menggunakan quasy eksperimental dengan pendekatan control group pra-post test design. Jumlah populasi 40 siswa, teknik sampling yang digunakan yaitu simple random sampling dan diperoleh sampel sebanyak 12 sampel yang terbagi atas dua kelompok yaitu kelompok kontrol (n=6) dan perlakuan (n=6). Instrumen penelitian yang digunakan adalah lembar observasi kuisioner yang hasilnya dianalisis menggunakan uji statistik paired sample t-Test dan independent sample t-Test α= 0,05. Hasil pengukuran motivasi pre intervensi pada kelompok  perlakuan terdapat 83% dengan rentang skor (17 – 23) dan 17% dan rentang skor (24 – 30). Pada kelompok kontrol terdapat 50% dengan rentang skor (24 – 30) dan 50% dengan rentang skor (17 – 23). Data motivasi setelah dilaksanakan peer tutor pada kelompok perlakuan seluruh responden (100%) memiliki rentang skor (24 – 30) dan pada kelompok kontrol hampir seluruh dari responden (83%) memiliki rentang skor (24 – 30).Hasil analisis menunjukkan àvalue= 0,002 < α= 5% = 0,05 yang berarti ada pengaruh metode peer tutor terhadap motivasi SADARI (pemeriksaan payudara sendiri). Bedasarkan hasil penelitian, disarankan untuk menggunakan aspek pengukuran motivasi secara obyektif dengan menggunakan wawancara maupun data observasi. Kata kunci : Peer Tutor, Motivasi SADARI, Remaja Putri     Abstract  Peer tutor learning method is a method of learning that conducted  by learners with their peers to improve their motivation, especially in technique of SADARI (breast self-examination). The objective of this research was to know the influence of peer tutor toward motivation of SADARI (pemeriksaan payudara sendiri). The research design used control group pra test-post test design. The population amounted to 40 students, Technique of sampling used random sampling and obtained sample amounted to 12 students that consisted of two groups, control (n=6)dan treatment (n=6). The research instrument used observation sheet of questionnaire then the result analyzed using statistical test of paired sample t-Test and independent sample t-Test α= 0,05. Before being implemented peer tutor in the pre test treatment group contained 83% with an (17 – 23) score range of 17% with a (24 – 30) score range. In the control group there were 50% with the range of scores of (24 – 30) and 50% with a score range (17 – 23). Thereafter peer tutor and conducted post test in the treatment group (100%) of all respondents had a score range of (24 – 30) late in the almost group almost all of respondents (83%) had a score range (24 – 30). The analysis showed àvalue = 0,002 <α = 5% = 0.05, which means that there ws the influence of the peer tutors on the motivation of SADARI (breast self-examination). Based on the results of research, are adviced to use the measurement aspect of motivation objectively by using interview and observation data. Keyword: Peer Tutor, motivation of SADARI, adolescent girlsDOI: 10.5281/zenodo.2629475
                            
                         
                     
                 
                
                            
                    
                        Impact of Isometric Exercise on Systolic and Diastolic Blood Pressure Among Adults With Hypertension 
                    
                    Widayati, Dhina; 
Rachmania, Diana; 
Ade Aryanti, Windy                    
                     International Journal of Health and Medicine Vol. 2 No. 3 (2025): July: International Journal of Health and Medicine 
                    
                    Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia 
                    
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                                DOI: 10.62951/ijhm.v2i3.468                            
                                            
                    
                        
                            
                            
                                
Hypertension is one of the cardiovascular disorders characterized by increased blood pressure. One non-pharmacological effort to reduce increased blood pressure can be done through physical exercise. This study was to identify the effect of Isometric Exercise intervention on systolic and diastolic blood pressure in hypertensive patients. The Pre-Experimental Study became the design of this study involving 32 respondents from a population of 104 hypertensive patients through Purposive Sampling. Isometric Exercise intervention was given 4 times in 1 week with a duration of 15 minutes. Blood pressure variables were measured with a tensimeter and the data were analyzed by the Independent T-Test with α 0.05. The results showed a decrease in systolic of 5.875 mmHg (from a mean of 143.125 to 137.125) and diastolic of 3.25 mmHg (from a mean of 91.625 to 88.375). p value = 0.014 (<0.05), meaning that there was a difference in systolic and diastolic blood pressure pre and post test. Isometric exercise can increase stimulation of the sympathetic nervous system so that blood circulation becomes smooth through the mechanism of venous vasodilation causing a decrease in cardiac output and total peripheral resistance, followed by a decrease in blood pressure. Isometric Exercise intervention can be carried out as an effort to manage blood pressure in hypertension patients through a physical exercise approach.
                            
                         
                     
                 
                
                            
                    
                        Quality Nursing Work Life Dan Burnout Syndrome Pada Perawat 
                    
                    Widayati, Dhina                    
                     Journal of Ners and Midwifery Vol 7 No 1 (2020) 
                    
                    Publisher : STIKes Patria Husada Blitar 
                    
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                                DOI: 10.26699/jnk.v7i1.ART.p123-129                            
                                            
                    
                        
                            
                            
                                
Salah satu SDM (Sumber Daya Manusia) di RS yang mempunyai waktu bersama pasien paling lama adalah perawat. Pada pemberian asuhan keperawatan yang berkualitas diperlukan suatau kinerja yang baik. Terdapat beberapa hal yang mempengaruhi kinerja, salah satunya adalah quality nursing work life (QNWL). Perawat dengan beban kerja yang tinggi dan desain kerja yang monoton rentan mengalami burnout syndrome (stres kerja). Penelitian ini mempunyai tujuan untuk mengetahui hubungan QNWL dengan burnout syndrome. Korelasional dan crosssectional menjadi desain dan pendekatan dalam studi ini. QNWL merupakan variabel independen dan burnout syndrome variabel dependennya. Data diperoleh melalui kuesioner. Besar sampel sejumlah 30 responden yang diperoleh secara purposive sampling. Analisa data dilakukan dengan Spearman Rank Test dengan p value 0,009 dan coefisien correlation -0,56 yang menunjukkan bahwa terdapat hubungan dengan tingkatan sedang antara QNWL dengan kejadian burnout syndrome dengan arah hubungan negatif, artinya semakin baik QNWL maka semakin meminimalkan burnout syndrome. Salah satu faktor yang mempengaruhi QNWL adalah lingkungan kerja yang kondusif, oleh karena itu diharapkan kepada perawat untuk dapat menjalin kerjasama yang baik antar tim agar tercipta suasana kerja yang harmonis dan lingkungan kerja yang harmonis, dengan demikian maka akan menurunkan kejadian burnout pada perawat. One of the HR (Human Resources) in a hospital that has the longest time with patients is a nurse. In the provision of quality nursing care required a good performance. There are several things that affect performance, one of which is quality nursing work life (QNWL). Nurses with high workloads and monotonous work designs are prone to experiencing burnout syndrome (work stress). This study aims to determine the relationship of QNWL with burnout syndrome. Correlational and cross sectional design was used in this study. QNWL is an independent variable and burnout syndrome is the dependent variable. Data obtained through a questionnaire. The sample size of 30 respondents obtained by purposive sampling. Data analysis was performed with the Spearman Rank Test with p value 0.009 and the correlation coefficient of -0.56 which showed that there was a moderate level of correlation between QNWL and the incidence of burnout syndrome with the direction of the negative relationship, meaning that the better QNWL, the more minimizing burnout syndrome. One of the factors that influence QNWL is a conducive work environment, therefore it is expected that nurses will be able to establish good cooperation between teams in order to create a harmonious work atmosphere and a harmonious work environment, thereby reducing the incidence of burnout to nurse
                            
                         
                     
                 
                
                            
                    
                        Butterfly Hug Reduce Anxiety on Elderly 
                    
                    Girianto, Pria Wahyu Romadhon; 
Widayati, Dhina; 
Agusti, Syahdila Sabrina                    
                     Journal of Ners and Midwifery Vol 8 No 3 (2021) 
                    
                    Publisher : STIKes Patria Husada Blitar 
                    
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                                DOI: 10.26699/jnk.v8i3.ART.p295-300                            
                                            
                    
                        
                            
                            
                                
The problem that often occurs in the elderly is anxiety. Anxiety can lead to cognitive impairment, mood disorders, and other emotional disabilities. Butterfly Hug is a non-pharmacological therapy to reduce anxiety levels. This study aims to determine the effectiveness of the butterfly hug on the level of anxiety in the elderly. The research design was a pre-experimental design with a one-group pre and post test design approach. The study population was 60 people and a sample of 18 respondents was used using a purposive sampling technique. Anxiety level instrument using the GAI questionnaire. Data analysis using the Wilcoxon test. The results of the pre-test showed that half of the respondents (50.0%) experienced severe anxiety, half of the respondents (50.0%) experienced moderate anxiety. The post-test results showed that half of the respondents (50.0%) experienced moderate anxiety and half of the respondents (50.0%) experienced mild anxiety. p-value 0.003 and = 0.05 (0.003 0.05) meaning that there is an influence of the Butterfly Hug on the level of anxiety in the elderly. The Butterfly Hug is done by gently clapping hands, which gives a comfortable sensation while breathing. This method can activate LHPA, stimulate the hypothalamus and CRH hormone secretion. ACTH is activated and stimulates the production of serotonin and endorphin hormones which make you feel relaxed and safe, so that anxiety decreases. It is recommended to use the Butterfly Hug as an alternative to reduce the level of anxiety in the elderly at UPT PSTW Jombang-Kediri. 
                            
                         
                     
                 
                
                            
                    
                        Virtual Assistance Improves Diet Compliance of Hypertension Patients 
                    
                    Widayati, Dhina; 
Girianto, Pria Wahyu Romadhon; 
Mete, Markus                    
                     Journal of Ners and Midwifery Vol 9 No 3 (2022) 
                    
                    Publisher : STIKes Patria Husada Blitar 
                    
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                                DOI: 10.26699/jnk.v9i3.ART.p296-302                            
                                            
                    
                        
                            
                            
                                
Changes in lifestyle that are far from healthy living behavior are currently in line with the increase in hypertension which requires compliance efforts in drug consumption and diabetes management. Lack of knowledge is one of the factors of non-compliance in the management of hypertension. Mentoring is one way to increase knowledge. Knowing the effect of virtual mentoring on hypertension diet on dietary compliance of hypertension sufferers is the goal in this study. The design of the study was pre-experimental. A sample of 28 respondents was obtained by purposive sampling technique. The results of the study before being given virtual assistance showed most of the respondents (53.6%) had adequate hypertension diet compliance, while after virtual assistance showed almost all respondents (89.3%) complied in the implementation of the hypertension diet. The results of the Wilcoxon test analysis showed p: 0.000 and: 0.05, indicating that virtual assistance had an effect on dietary compliance with hypertension sufferers. Virtual assistance makes communication between patients and health workers more intense, both in the process of transferring information and controlling. Virtual mentoring interventions can be used as a method of heath education for health workers to improve dietary compliance with hypertension sufferers.
                            
                         
                     
                 
                
                            
                    
                        Pemberdayaan Peer Tutor Breathing Exercise Sebagai Upaya Meningkatkan Pengetahuan Manajemen Pencegahan Kegawatan Covid-19 Pada Remaja di SMK Pemuda Papar Kediri 
                    
                    Widayati, Dhina; 
Rachmania, Diana                    
                     TRI DHARMA MANDIRI: Dissemination and Downstreaming of Research to the Community (Journal of Community Engagement) Vol 1 No 2 (2021) 
                    
                    Publisher : SMONAGENES Research Center, Univeritas Brawijaya 
                    
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                                DOI: 10.21776/ub.jtridharma.2021.001.02.52                            
                                            
                    
                        
                            
                            
                                
Covid-19 hingga saat ini masih menjadi pandemi yang melanda hampir seluruh dunia sejak tahun 2019. Prevalensi Covid-19 tidak hanya terjadi pada usia dewasa, namun pada usia remajapun angka kejadiannya cukup tinggi, yakni seperdelapan dari jumlah kasus yang ditemukan. Penyakit ini berdampak mayor pada sistem pernafasan yang dapat menimbulkan kegawatan pada sistem pernafasan maupun pada sistem tubuh lainnya sehingga pengetahuan tentang pencegahan kegawatan penyakit ini menjadi esensial untuk mereduksi angka mortalitas. Permasalahan yang dihadapai oleh mitra yakni belum mengetahui manajemen pencegahan kegawatan sistem pernafasan pada Covid-19. Upaya peningkatan pengetahuan dapat dilakukan dengan pelatihan secara virtual oleh teman sebaya sebagai upaya preventif kegawatan sistem pernafasan akibat Covid-19 pada remaja. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja dalam manajemen pencegahan kegawatan Covid-19 melalui pelatihan breathing exercise secara virtual dengan melibatkan peer tutor. Metode Pelaksanaan kegiatan yang digunakan pengabdi adalah edukasi, pelatihan dan pemberdayaan. Mitra yang terlibat dalam kegiatan ini adalah 30 remaja di SMK Pemuda Papar. Pelaksanaan kegiatan dilakukan pada bulan April 2021 selama 1 bulan. Kegiatan ini terdiri dari rangkaian kegiatan yakni pembentukan peer tutor, edukasi manajemen pencegahan kegawatan Covid-19 dan  pelatihan breating exercise kepada peer tutor, serta sosialisasi materi edukasi dan pelatihan oleh peer tutor kepada teman sebayanya. Hasil kegiatan menunjukkan terjadinya peningkatan pengetahuan remaja dalam manajemen pencegahan kegawatan Covid-19, yakni dari sebagian besar (60%) dalam kategori cukup  meningkat menjadi hampir seluruhnya (90%) dalam kategori baik. Penyampaian informasi melalui pelatihan yang dikemas dalam bentuk virtual dapat diakses dimanapun dan dapat menarik minat remaja yang notabene dengan sistem pembelajaran jarak jauh sering menghabiskan waktu dengan gadget masing-masing. Selain itu, pelatihan dengan melibatkan teman sebaya sebagai tutor membuat remaja lebih terbuka dalam berdiskusi.  Kegiatan pengabdian masyarakat dengan metode pelatihan secara virtual dengan melibatkan teman sebaya sebagai bentuk pemberdayaan dapat dijadikan sebagai salah satu model dalam pelaksanaan kegiatan pengabdian masyarakat.
                            
                         
                     
                 
                
                            
                    
                        Family Empowerment dalam Deteksi Dini Stroke pada Keluarga Pasien dengan Hipertensi 
                    
                    Rachmania, Diana; 
Widayati, Dhina                    
                     TRI DHARMA MANDIRI: Dissemination and Downstreaming of Research to the Community (Journal of Community Engagement) Vol 2 No 1 (2022) 
                    
                    Publisher : SMONAGENES Research Center, Univeritas Brawijaya 
                    
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                                DOI: 10.21776/ub.jtridharma.2022.002.01.10                            
                                            
                    
                        
                            
                            
                                
Adanya keterlambatan penanganan stroke dikarenakan kemampuan deteksi dini stroke masyarakat yang masih kurang. Hal ini berkaitan dengan penyakit hipertensi yang merupakan faktor risiko terjadinya stroke 6 kali lebih tinggi. Keluarga sebagai orang yang paling dekat dengan pasien riwayat hipertensi memiliki peran yang sangat besar dalam upaya pencegahan terjadinya keparahan akibat penyakit stroke. Oleh karenanya, pengenalan deteksi dini penyakit stroke pada keluarga serta pemberdayaan keluarga yang merawat pasien dengan hipertensi penting untuk dilakukan. Tujuan kegiatan pengabdian kepada masyarakat ini untuk meningkatkan pemahaman keluarga serta memberdayakan keluarga dalam deteksi dini stroke pada keluarga yang merawat pasien dengan hipertensi. Kegiatan ini dilaksanakan pada tanggal 6-22 September 2021 di Desa Menang, Kecamatan Pagu, Kabupaten Kediri terhadap 16 peserta. Metode yang dilakukan untuk meningkatkan pemahaman keluarga dengan pemberian pendidikan kesehatan kepada keluarga tentang deteksi dini stroke yang dilakukan secara door to door (karena pandemi Covid-19) dengan media pamflet. Alat ukur untuk menilai pemahaman keluarga berupa lembar observasi. Hasil dari kegiatan ini yaitu sebanyak 75% peserta yang awalnya tidak mampu melakukan deteksi dini stroke ditunjukkan dari hasil pre-test kegiatan menggunakan lembar observasi tentang cara deteksi dini stroke. Setelah dilakukan pendidikan kesehatan berupa penyuluhan tentang cara deteksi dini stroke, sebanyak 87,5% mampu melakukan bagaimana cara deteksi dini stroke. Hal ini ditunjukkan dari hasil post-test. Peran serta keluarga sangatlah penting dalam upaya pencegahan terjadinya keparahan pada penyakit stroke terutama stroke yang diakibatkan karena adanya riwayat hipertensi. Oleh karena itu, diharapkan keluarga mampu menerapkan deteksi dini stroke pada anggota keluarga dengan hipertensi yang berisiko tinggi mengalami kondisi penyakit stroke.
                            
                         
                     
                 
                
                            
                    
                        EMERGENCY PREPAREDNESS PLANNING AND ITS EFFECT ON LANDSLIDE DISASTER READINESS: A COMMUNITY-BASED STUDY 
                    
                    Widayati, Dhina; 
Rachmania, Diana; 
Almira Hutami, Nur; 
Mukhtar, Madiha                    
                     Indonesian Journal of Community Health Nursing Vol. 10 No. 2 (2025): AUGUST 2025 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/ijchn.v10i2.71949                            
                                            
                    
                        
                            
                            
                                ABSTRACT The problem of landslide risk that has a significant impact and the importance of preparedness efforts, it is very necessary to increase public awareness and perception to participate in landslide disaster planning. The public must understand the emergency plan to overcome the risk of landslides that can threaten safety, so it is necessary to provide an Emergency Planning simulation. This study was intended to explore the effect of emergency preparedness planning on community’s ability to prepare for and respond to landslide disasters. This research with Preexperimental design involved 84 respondents as the sample size through purposive sampling technique with inclusion criteria of youth groups aged 17-35 years. In this study, Emergency Planning simulation intervention was given twice with a duration of 170 minutes for each face-to-face meeting. The results showed an increase in community preparedness in the good category, which initially increased from 33.3% to 53.5% and a decrease in the less prepared category from 14.3% to 3.6%. The results of the Wilcoxon test data analysis obtained P value: 0.001 (
                             
                         
                     
                 
                
                            
                    
                        Nurse Responsiveness and Empathy as Predictors of Patient Loyalty: A Cross-Sectional Study in Hospital Care Settings 
                    
                    Widayati, Dhina; 
Rachmania, Diana                    
                     Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): VOLUME 8 ISSUE 2 2025 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/fmnj.v8i2.77252                            
                                            
                    
                        
                            
                            
                                
Introduction: Patient loyalty serves as an important indicator in evaluating the overall quality of nursing services within hospital settings. Loyalty reflects a crucial determinant of hospital competitiveness and sustainability. This study aims to analyze the relationship between nurse responsiveness, empathy, and patient loyalty in the hospital service environment. Method: This quantitative cross-sectional study involved 62 patients as respondents using accidental sampling techniques. Patient in the ward patients admitted to the ward during January. Data were collected through questionnaires to measure nurses' responsiveness and empathy through patient perceptions, as well as the Patient Loyalty Questionnaire (PLQ), which includes dimensions of attitudinal loyalty, behavioral loyalty, word of mouth, and recommendation intentions. Data were analyzed using Spearman correlation and Ordinal Logistic Regression. Results: Patient perceptions of nurse responsiveness showed that more than half (66.1%) were in the good category. Similarly, patient perceptions of nurse empathy showed that more than half (71%) were in the good category. Some patients (54.9%) had high loyalty. Analysis of the relationship between responsiveness and loyalty (p=0.001 and r=0.69) and between empathy and loyalty (p=0.001 and r=0.59). Both results indicate that responsiveness and empathy are related to loyalty with the strength of the relationship in the strong category Conclusions: Nurses' responsiveness and empathy are important factors influencing patient loyalty. Hospital management needs to develop training programs to strengthen nurses' skills in responding to patient needs quickly and effectively, as well as work systems that support nurses' quick, responsive, and timely responses in interacting with patients, so that patients feel satisfied and become loyal.
                            
                         
                     
                 
                
                            
                    
                        Improving Blood Type Checking Readiness in Adolescents Through Teams Games Tournament-Based Education and Video Animation 
                    
                    Rachmania, Diana; 
Widayati, Dhina                    
                     The Indonesian Journal of Health Science Vol. 15 No. 1 (2023): The Indonesian Journal of Health Science 
                    
                    Publisher : Universitas Muhammadiyah Jember 
                    
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                                DOI: 10.32528/tijhs.v15i1.421                            
                                            
                    
                        
                            
                            
                                
Background and Aim:. Every individual is important to know the types of their blood. Most adolesence are still unfamiliar with their blood type because of the lack of readiness of adolescents in examining blood type due to insufficient information. Education with games and video can provide information related to blood type. The aim of this study was determine the effect of education through a combination of Teams Games Tournament (TGT) and video animation on the readiness of blood types examination in adolescents.  Method : Pre-experimental became the design in this study involving 40 respondents through purposive sampling. Readiness of blood types examination variable was measured using a questionnaire. Data  analyzed by Wilcoxon test. Results: before being given an intervention, almost half of adolescents (45%) were not ready to check blood type and after being given an intervention, most (57.5%) were very ready to check blood type.  Conclusion: Education through a combination of TGT and video animation give a good effect on readiness of blood types examination in adolescents. This intervention can affect the readiness of adolescents through increasing knowledge so that they have a positive attitude and become more prepared in carrying out blood group tests. In TGT and animation videos, adolescents will use the five senses more so that it is easier for the brain to understand and generates a stimulus in the form of an attitude of readiness in examining blood type. Education with game and video-based media can be a method of education for adolescents.