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USIA SEBAGAI FAKTOR RISIKO YANG PALING BANYAK DITEMUKAN PADA OBESITAS DI PUSKESMAS CIPTOMULYO KECAMATAN SUKUN KOTA MALANG Agustina, Wiwik; Lampah, Ekawarsih
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.26 KB)

Abstract

Abstract : Central obesity is a public health problem that can occur in the world. Central obesity is one of the causes of degenerative diseases such as type 2 diabetes mellitus, dyslipidemia, cardiovascular disease, hypertension, cancer, sleep apnea, and metabolic syndrome. Metabolic syndrome is a condition in which a person develops hypertension, central obesity, dyslipidemia, and insulin resistance at the same time. Degenerative diseases are influenced by many factors: age, physical activity, emotional mental state, nutrition and hormonal contraceptive use. This study aims to determine the determinant factors of central obesity. The study design used was descriptive explorative. The sample of research is 40 respondents. The selected sample corresponds to the inclusion criteria.Prevalence of central obesity in Sukun Kota Malang counted 40 respondents, with result almost all respondents 90% have age which is at risk of central obesity, physical activity almost half of respondents 53% have aktvitas physical and 47% have activity light, emotional mental condition most of respondent 65% have normal emotional mental condition, nutrition most respondents 63% have normal nutrition, and hormonal contraceptive use most of respondents 67% of hormonal contraceptive users. It was concluded that the most common risk factor in obese people in Puskesmas  Ciptomulyo  Kecamatan  Sukun  Kota  Malang, was the age factor, so it can be suggested to the public to further increase physical activity, and switch to using non-hormonal contraception.Key Word : central obesity, risk factor Abstrak : Obesitas  sentral  merupakan  masalah  kesehatan  masyarakat  yang  dapat   terjadi  di  dunia.  Obesitas  sentral  merupakan  salah  satu  penyebab  terjadinya  penyakit – penyakit  degeneratif seperti  diabetes  mellitus  tipe  2,  dyslipidemia,  penyakit  kardiovaskular,  hipertensi,  kanker,  sleep  apnea,  dan  sindrom  metabolic. Sindrom  metabolik  adalah  kondisi  dimana  seseorang  mengalami hipertensi,  obesitas  sentral,  dyslipidemia,  dan  resistensi  insulin  pada  waktu  yang  bersamaan. Penyakit degenerative dipengaruhi oleh banyak faktor yaitu usia, aktivitas  fisik, kondisi  mental  emosional, nutrisi dan  penggunaan  kontrasepsi  hormonal. Penelitian ini bertujuan untuk mengetahui  faktor determinan terjadinya obesitas sentral. Desain  studi   yang  digunakan  adalah deskriptif eksploratif. Sampel  penelitian  sebanyak 40  responden. Sampel yang dipilih sesuai dengan kriteria inklusi. Prevalensi obesitas  sentral  di Sukun Kota Malang sebanyak 40 responden, dengan hasil hampir seluruh responden  90% memiliki  usia  yang  berisiko mengalami obesitas sentral, aktivitas  fisik    hampir setengah responden  53%  memiliki aktvitas fisik sedang  dan 47%  memiliki  aktivitas  ringan, kondisi  mental  emosional  sebagian  besar responden 65%  memiliki  kondisi  mental  emosional  normal, nutrisi  sebagian  besar responden  63%  memiliki nutrisi normal, dan penggunaan  kontrasepsi  hormonal  sebagian besar responden  67%  pengguna  kontrasepsi  hormonal meningkat. Disimpulkan  bahwa faktor risiko yang paling banyak ditemukan pada orang yang mengalami obesitas di  Puskesmas  Ciptomulyo  Kecamatan  Sukun  Kota  Malang adalah faktor usia dengan demikian dapat disarankan kepada masyarakat agar lebih aktivitas fisik, dan beralih menggunakan kontrasepsi yang tidak mengandung hormon.Kata Kunci : obesitas sentral, faktor risiko
Inorganic Fertilizer Application and Organonitrofos Sugarcane (Saccharum officinarum L.) in Dry Land Gedong Meneng Zulkarnain, Eldineri; Evizal, Rusdi; Lumbanraja, Jamalam; Rini, Maria Viva; Satgada, Catur Putra; Agustina, Wiwik; Amalia, Hanum Riajeng; Awang, Tegar Rafshodi
Jurnal Penelitian Pertanian Terapan Vol 17, No 1 (2017)
Publisher : Politeknik Negeri Lampung.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.18 KB) | DOI: 10.25181/jppt.v17i1.43

Abstract

Organonitrofos is one type of organic fertilizer capable of providing macro nutrients that more than other organic fertilizers, particularly nitrogen and phosphorous from the compost of a mixture of fresh manure and rock phosphate using Microbial N2-fixer and P-solubilizer. Research purpose was to study the effect of organonitrophos combined with inorganic fertilizer on the growth, production, yield of sugarcane, and determining the most effective combination of agronomically and economically in up landsugarcane. Research consisted of 5 treatments with 3 replications arranged in a randomized complete block design. The treatment were A (300 kg ha-1 Urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl), B (300 kg ha-1 Urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl, 5,000 kg ha-1 Organonitrophos), C (150 kg ha-1 Urea, 75 kg ha-1 TSP, 150 kg ha-1 KCl, 10,000 kg ha-1 Organonitrophos), D (10,000 kg ha-1 Organonitrophos), and E (without fertilization). The results showed that the dose of fertilizer recommendation (300 kg ha-1 urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl) supplemented with 5 ton ha-1 Organonitrofos compared to the doses of fertilizer recommendation (300 kg ha-1 Urea, 150 TSP kg ha-1, 300 kg ha-1 KCl) was not significantly different on growth, yield, productivity of sugarcane and sugar. While the addition of 10 ton ha-1 Organonitrofos at half dose of recommendation (150 kg ha-1 urea, 75 kg ha-1 TSP, and 150 kg ha-1 KCl) produced 106.11 tons ha-1of sugarcane and 7, 95 ton ha-1sugar being lower than the dose of fertilizer recommendation that produced 133.02 tons ha-1sugarcane and 10.72 ton ha-1 sugar resulting macro nutrients derived from half dose of fertilizer recommendation are not able to increase the productivity of sugarcane and sugar.Dose of fertilizer recommendation plus 5 ton ha-1 Organonitrofos was an effective dose of fertilizer agronomically while fertilizer dosage recommendation was the most efficient dose of fertilizer economically.Keywords :dry land, fertilizer, inorganic, Organonitrophos, sugar cane
The Relationship Between Anxiety and Sleep Quality in Chemotherapy Patients Ahsan, Zainol; Agustina, Wiwik; Maria, Lilla
Devotion: Journal of Community Service Vol. 3 No. 5 (2022): Devotion : Journal of Community Service
Publisher : Green Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/dev.v3i5.133

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Cancer is the number one cause of death in the world at the end of this century. The impact of the treatment of breast cancer patients on the psychological aspects of experiencing anxiety, and disturbed sleep patterns. The lower the anxiety experienced, the better the quality of sleep, and vice versa. The aim of the study was to analyze the relationship between anxiety levels and patient sleep quality. This research method is cross section with sampling using Accidental Sampling technique. Respondents were 40 breast cancer patients who underwent chemotherapy. The results showed that 82.5% of patients experienced severe anxiety 82.5% and 82.5% had poor sleep quality. The Spearman Rank test results show a correlation value (r) of 0.342 (34.2%) and a p-value of 0.031. P value < (0.05). There is a relationship between anxiety and sleep quality in patients undergoing chemotherapy. It is hoped that it can provide information for health care institutions, which can then be developed for the provision of nursing care in meeting the need for quality sleep for chemotherapy patients.
Perbedaan Kualitas Tidur Pasien Pneumonia Antara Pre Dengan Post Terapi BOP Noviantiningtyas, Dwi; Arsa, Putu Sintya Arlinda; Rahmawati, Nadhifah; Agustina, Wiwik
Indonesian Journal of Professional Nursing Vol 5 No 1 (2024)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijpn.v5i1.8198

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Gangguan tidur menjadi salah satu masalah keperawatan yang terjadi pada pasien pneumonia. Gangguan tidur dapat mempengaruhi kualitas tidur dimana gangguan tidur menjadi salah satu komponen untuk mengukur kualitas tidur. Hasil penelitian sebelumnya menyebutkan dari 106 pasien pneumonia sebanyak 48 orang mengalami gangguan tidur. Tujuan dari penelitian ini untuk mengetahui perbedaan kualitas tidur pasien pneumonia antara pre dengan post terapi BOP (terapi Benson dan terapi relaksasi otot progresif). Penelitian ini menggunakan desain penelitian quasi experiment dengan desain pretest-posttest one group design. Sampel dipilih dengan teknik purposive sampling dan didapatkan sampel 20 orang. Metode pengumpulan data dilakukan melalui kuesioner. Analisis data dilakukan dengan uji Wilcoxon Signed Ranks Test. Hasil analisis berdasarkan uji Wilcoxon Signed Ranks Test diperoleh signifikansi = 0,000. Hasil penelitian menunjukkan terdapat peningkatan kualitas tidur pada sampel penelitian yaitu kualitas tidur baik sebanyak 12 orang (60%) dan kualitas tidur buruk sebanyak 8 orang (40%). Terapi BOP dapat memberikan relaksasi yang membuat kurangnya ketegangan pada otot, ketenangan pada otak dan dapat berpikir dengan baik sehingga membuat tubuh menjadi tenang dan mudah untuk tertidur. Berdasarkan hasil penelitian terapi BOP direkomendasikan dilakukan untuk meningkatkan kualitas tidur.
Perbedaan Tingkat Kecemasan Sebelum dan Sesudah Pemberian Terapi SEFT pada Pasien Preoperasi Mardika, Pamela; Kholifah, Siti; Anjarwati, Nurul; Agustina, Wiwik
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.16803

Abstract

Pada tindakan pembedahan, walaupun bertujuan untuk menyembuhkan pasien, namun akan menghasilkan reaksi cemas terhadap aspek fisiologis dan psikologis tanpa memandang besar kecilnya operasi. Kecemasan adalah respon adaptif, dipengaruhi oleh karekteristik individual atau proses psikologis, yaitu akibat dari tindakan, situasi atau kejadian eksternal yang menyebabkan tuntutan fisik atau psikologis terhadap seseorang. Respon psikologis karena tindakan pembedahan dapat berkisar cemas ringan, sedang, berat sampai panik tergantung masing-masing individu. Pasien yang akan dioperasi biasanya menjadi agak gelisah dan takut. Perasaan gelisah dan takut kadang tidak tampak jelas. Tetapi kadang-kadang pula kecemasan itu dapat dilihat dalam bentuk lain.Tujuan penelitian ini adalah mengetahui perbedaan tingkat kecemasan sebelum dan sesudah diberikan terapi Spiritual Emotional Freedom Technique (SEFT) pada pasien pre operasi di RS Panti Nirmala Malang. Desain penelitian mengunakan desain Pra-Experimental design. Hasil uji statistik menggunakan Paired t-Test .Instrument pengambilan data menggunakan kuisioner HARS. Sampel dalam penelitian ini sebanyak 50 pasien di ruang Santa Anna yang memenuhi kriteria Inklusi.Berdasarkan hasil penelitian di ruang St.Anna Rs Panti Nirmala Malang diperoleh bahwa kepada 50 responden dapat dijelaskan bahwa hasil uji T menunjukan p= 0,00 hasil menunjukan adanya perbedaan, dengan Nilai mean (rata-rata) pre 19.6% dan post 12.58%. Maka menunjukan penurunan terhadap kecemasan.Diharapkan pasien mendapatkan kemanfaatan dari terapi komplementer SEFT dan Rumah Sakit menerapkan terapi ini sebagai kombinasi dari terapi farmakologis dalam mengurangi kecemasan pada pasien pre operasi.
Dust, Cigarette Smoke, and Cold Air are the Main Risk Factors for Asthma Attacks Agustina, Wiwik
Jurnal Respirologi Indonesia Vol 44, No 4 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i4.647

Abstract

Background: The prevalence of asthma has increased worldwide over the past few decades, with an estimated incidence reaching 400 million people by 2025. By the end of 2020, the prevalence of asthma in Indonesia was 4.5% of the total population, exceeding 12 million individuals.Methods: This study aimed to analyze the most frequent risk factors for asthma attacks. A correlative descriptive design was employed, with a population consisting of all asthma patients. The sample was selected using purposive sampling, resulting in 30 respondents. This research was conducted in Malang and included respondents with a history of asthma who were not hospitalized.Results: Logistic regression analysis revealed that 72% of asthma recurrences were attributed to dust, cigarette smoke, cold air, family/hereditary history of disease, obesity, pollen, animal dander, seafood, eggs/nuts, fungi, and cow's milk. The remaining 28% were linked to other risk factors, including pregnancy, stress, excessive emotions, physical fatigue, weather changes, and more. The three primary risk factors for asthma attacks were dust (87%), cigarette smoke (83%), and cold air (73%).Conclusion: Asthma recurrence is primarily caused by hypersensitivity, with allergens triggering elevated IgE levels, leading to bronchoconstriction and subsequent asthma attacks. The findings of this study identified dust, cigarette smoke, and cold air as the main risk factors for asthma recurrence. Asthma patients need to recognize their allergens to facilitate preventive measures and reduce the likelihood of asthma attacks.
THE EFFECT OF BACK ACUPRESSURE THERAPY IN BLOOD PRESSURE WITH HYPERTENSION PATIENTS Nonon, Lidia; Arsa, Putu Sintya Arlinda; Erwanto, Erwanto; Agustina, Wiwik
International Journal of Patient Safety and Quality Vol. 1 No. 2 (2024): International Journal of Patient Safety and Quality, October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i2.61857

Abstract

Background: Hypertension occurred when there was an increase in blood pressure that exceeded the normal limit according to age. A person with hypertension was prone to blood pressure fluctuations, which risked causing complications in the body's organs. Therefore, people with hypertension require therapies to maintain blood pressure stability. The aim of the study was to identify blood pressure before and after therapy and to analyze blood pressure pre- and post-back acupressure therapy in hypertension sufferers.  Methods: This research used experimental method using one group pretest and posttest design. The sample of this study were 30 respondents who had hypertension, using total sampling technique. Back acupressure therapy was provided 8 times in March-April 2023 at the Malang Passionis Monastery Community. Data analysis used the paired T-test.  Results: Almost all respondents were female (90%), and the majority were aged between 45 and 59 years. Half of the respondents (46.7%) held a bachelor's degree. The research results indicated that the average blood pressure before receiving back acupressure therapy was 146.13/89.57 mmHg, while the average blood pressure after the therapy was 117.20/71.86 mmHg. The results of the paired T-test showed a p-value = 0.000.  Conclusion: This research found that there is a difference in blood pressure in hypertensive patients between after and before back acupressure therapy in the Passionist Monastery Community in Malang. Back acupressure therapy is useful for lowering blood pressure. Suggestions for hypertension sufferers need to do back acupressure therapy with a therapist at least twice a week to lower blood pressure. 
PENGARUH PEMBERIAN EKSTRAK ALBUMIN IKAN GABUS (Channa striata) TOPIKAL TERHADAP PERCEPATAN KONTRAKSI LUKA INSISI PADA TIKUS PUTIH (Rattus norvegicus) STRAIN WISTAR THE EFFECT OF ALBUMIN EXTRACT CHANNA STRIATA TOPICAL ADMINISTRATION TOWARD THE ACCELERATION Putri, Rhista Christanti Susanto; Agustina, Wiwik
Journal of Nursing Care and Biomolecular Vol 1 No 1 (2016)
Publisher : STIKes Maharani Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32700/jnc.v1i1.10

Abstract

Luka insisi adalah luka yang diakibatkan oleh cedera atau pembedahan. Ekstrak Albumin ikan gabus digunakan untuk merawat luka insisi karena peran utama albumin di dalam tubuh sangat penting, yaitu membantu pembentukan jaringan sel baru. Penelitian ini bertujuan untuk mengetahui pengaruh ekstrak ikan gabus (Channa striata) terhadap percepatan kontraksi luka insisi pada tikus putih (Rattus norvegicus) Strain Wistar. Penelitian ini menggunakan true experimental pada 20 ekor tikus Wistar yang dibagi secara random ke dalam 4 kelompok yang telah diinsisi. Kelompok 1 merupakan kontrol yang dirawat lukanya menggunakan Normal Salin 0,9%, sedangkan kelompok 2 sampai 4 adalah kelompok yang diberi perawatan dengan ekstrak albumin ikan gabus dengan dosis yang berbeda (100 mg, 200 mg dan 400 mg) secara topikal selama 14 hari. Hasil  One Way ANOVA test p=0,00; α=0,05 dimana terdapat perbedaan yang signifikan terhadap percepatan kontraksi luka insisi antar kelompok, uji Regresi Linier menunjukkan bahwa seluruh dosis ekstrak albumin ikan gabus yang digunakan berpengaruh pada percepatan kontraksi luka insisi dengan presentase R-square 47% dan nilai koefisien korelasi yang kuat (R=0,688).  Dengan demikian terdapat pengaruh pemberian ekstrak albumin ikan gabus (Channa striata) terhadap percepatan kontraksi luka insisi pada dosis optimum 200 mg. Saran dari penelitian ini adalah perlu dilakukan penelitian lanjutan dengan sediaan dosis ekstrak albumin murni.
RUANG PRIVASI MENGAMBARKAN PERILAKU AGRESIF PADA REMAJA PRIVATE ROOM DESCRIBE AGGRESSIVE BEHAVIOR IN ADOLESCENCE Purnomo, Agus Eko; Priyanto, Dwiyan Dwi; Agustina, Wiwik
Journal of Nursing Care and Biomolecular Vol 1 No 1 (2016)
Publisher : STIKes Maharani Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32700/jnc.v1i1.12

Abstract

Tindakan kekerasan yang dilakukan remaja semakin meningkat, penyebab agresif meliputi keadaan homestatis, biologis, lingkungan, dan sosial. Penelitian ini merupakan penelitian korelatif, yang bertujuan untuk menganalisa hubungan antara ruang privasi dengan perilaku agresif remaja dengan 47 responden  sesuai dengan kriteria. Hasil penelitian menunjukkan bahwa hampir seluruh responden memiliki ruang privasi kategori baik yaitu 36 orang (75,59%), sebagian besar responden yaitu 25 orang (53,19%) berperilaku agresif ringan. Pada analisis Spearman, menunjukan tidak ada hubungan signifikan antara ruang privasi dengan perilaku agresif remaja, hasil tersebut dimungkinkan karena ada faktor lain yang lebih mendukung seperti pola asuh, kekerabatan, tuna wisma, yatim piatu, pendidikan rendah, media komunikasi masal dan sebagainya. Saran penelitian ini bagi orang tua agar memperhatikan kebutuhan seorang remaja yang mencari ideal diri dengan memberikan ruang yang memenuhi kebutuhan meskipun dalam kondisi yang standar.
Tiga Faktor Dominan Penyebab Kegagalan Toilet Training pada Anak Usia 4-6 Tahun Agustina, Wiwik; Sapta, Rendi Feri
Journal of Ners and Midwifery Vol 2 No 2 (2015)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v2i2.ART.p188-192

Abstract

Toilet training in children is an attempt to train children to be able to control in conduct urinating or defecating. There are many factors that might could affect toilet training  in children aged 4-6 years. This study aims to determine the main factors that affect the failure of toilet training in children aged 4-6 years. This research is a descriptive explorative study, with the population are all parents / trustee who have children aged 4-6 years and which stayed or recorded at RW(citizens association) 05 Pujiharjo Village Tirtoyudo Subdistrict Malang Regency a number of 55 respondents, data collection using interviews method. Result of the research showed that the biggest factor that affect the failure of toilet training was the mistake in teaching toilet training by 94,5%, inappropriate parenting  by 91%, unprepared emotional chidren by 61,8%. The result might happen because the way or uncorrect method of toilet training, resulting in children less understand the importance of urinating and defecating in the bathroom, how to do it and do not follow the stages consistenly, so that the child fails in doing toilet training. The research suggestion for health care at Pujiharto Village to provide counseling to parents about toilet training.