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PENINGKATAN PERAN KADER KESEHATAN DALAM DETEKSI DINI RISIKO PENYAKIT KARDIOVASKULER DENGAN JAKARTA KARDIOVASKULER SKOR Martiningsih Martiningsih; Ade Wulandari
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2020)
Publisher : Universitas Ahmad Dahlan, Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jp.v4i1.1431

Penyakit kardiovaskular (PKV) adalah penyakit yang disebabkanÂ oleh gangguan fungsi jantung dan pembuluh darah yang dapat dicegah terutama pada kelompok berisiko. PencegahanÂ perilaku berisiko dan merubahnya menjadi perilaku yang menunjang kesehatan melalui edukasi menjadi penting dalam upaya preventif jangka panjang yang terus berkelanjutan dan bersinergi dengan program yang menunjang kesehatan. Tujuan kegiatan pengabdian kepada masyarakat ini adalah memberikan edukasi deteksi dini risiko PKV bagi kader kesehatan. Kegiatan dilaksanakan di Desa Penapali Kecamatan Woha Kabupaten Bima-NTB pada 19 kader kesehatan, pada hari Sabtu-Minggu, tanggal 26-27 Oktober 2019 berupa penyuluhan kesehatan tentang deteksi dini risiko penyakit kardiovaskuler menggunakan Jakarta kardiovaskuler skor (JKS) melalui media leaflet dilanjutkan demonstrasi pengukuran tekanan darah,tinggi badan, berat badan dan menghitung indeks massa tubuh serta diskusi penggunaan JKS untuk mengetahui besarnya risiko PKV. Karakteristik kader kesehatan yang mengikuti kegiatan penyuluhan semuanya adalah perempuan, pada kelompok usia 21 â€“ 45 tahun. Penilaian risiko pada kader kesehatan menunjukkan hasil semua peserta dapat melakukan pengukuran dan hasil penilaian dengan JKS pada kelompok kader menunjukkan 100% Â kader pada kelompok risiko rendah PKV namun temuan lain mengindikasikan bahwa faktor risiko terbanyak adalah pada indeks massa tubuh melebihi normal (overweigh dan obesitas 55,6%). Kedepannya peran kader perlu ditingkatkan melalui kelas edukasiÂ dan program edukasi Â berkelanjutan.

Hubungan Kepribadian Hardiness dengan Gambaran Diri pada Pasien yang Telah Melakukan Mastektomi Ella Putri Lestari; Jumaini Jumaini; Martiningsih Martiningsih; Nurul Huda
Bima Nursing Journal Vol 2, No 2 (2021): Mei
Publisher : Poltekkes Kemenkes Mataram

Mastektomi merupakan salah satu jenis pengobatan pada kanker payudara. Pada umumnya operasi mastektomi akan menyebabkan pasien mengalami gangguan gambaran diri. Salah satu faktor yang dapat meningkatkan gambaran diri adalah kepribadian tangguh (hardiness). Metodologi penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional. Penelitian ini dilakukan pada 47 pasien yang telah melakukan operasi mastektomi di sebuah rumah sakit rujukan di Provinsi Riau dengan menggunakan teknik purposive sampling. Alat ukur yang digunakan adalah yang telah dilakukan uji validitas dan reliabilitas. Hasil penelitian menunjukkan karakteristik responden terbanyak berada pada usia dewasa madya (41-60 tahun) berjumlah 68,3%, lama post mastektomi terbanyak yaitu ≥ 6 bulan berjumlah 78,7%, status pernikahan terbanyak yaitu menikah berjumlah 78,7%, tingkat pendidikan responden terbanyak yaitu SMA 34% dan jenis pekerjaan responden terbanyak sebagai ibu rumah tangga berjumlah 83%. Responden yang memiliki kepribadian hardiness berjumlah 26 orang 55,3%, responden yang memiliki gambaran diri negatif berjumlah 53,2%. Hasil penelitian diperoleh p value= 0.258 yang menunjukkan bahwa tidak ada hubungan antara kepribadian hardiness dengan gambaran diri pasien kanker payudara yang telah melakukan operasi mastektomi. Hasil penelitian ini menyarankan kepada tenaga kesehatan untuk lebih mengeksplor faktor yang dapat meningkatkan gambaran tubuh pasien seperti dukungan pasangan

Pengetahuan Siswa Tentang Bantuan Hidup Dasar (BHD) Dengan Motivasi Menolong Korban Henti Jantung Pada Pelajar SMA Syaiful Syaiful; Dahlan Dahlan; Rachel Larasati; Martiningsih Martiningsih
Bima Nursing Journal Vol 1, No 1 (2019): November
Publisher : Poltekkes Kemenkes Mataram

Basic life support is emergency action for free your breath, help breathing and maintaining blood circulation without using aids. Basic life support knowledge (BLS) is knowledge and skills. Knowing the theory itself without practice makes motivation to be helpful and mentally untrained when actually dealing with real events. The aims of this study was to know the relation student knowledge of basic life support (BLS) with the motivation of helping victims of cardiac arrest at senior high school 02 in bima city on 2019. Design was used in this research was corelational. with cross sectional design. Sampling techniques using cluster sampling with 38 sample respondents. The research instrument used was a questionnaire. data analyzed using spearman rank test with significant level (α = 0.05). The results showed that students’ knowledge of BLS was mostly good with a percentage of 63,8 % and motivation to help victims of cardiac arrest was mostly high a percentage of 60,5 %. The results of data were analyzed by correlation test using spearman rank obtained a value of p = value α = 0,05. Because the value of p = 0.000 <value α = 0.05, then means that H0is rejected and Ha is accepted. There is a relationship between students' knowledge about basic life assistance (BLS) and the motivation to help victims of cardiac arrest at SMAN 02 Kota Bima.

Penurunan Tekanan Darah dengan Pemberian Terapi Bekam pada Pasien Hipertensi Primer di Klinik Pengobatan Nabawi Al-Jundi Kota Bima Tahun 2019 Ahmad Ahmad; Nurhasanah Nurhasanah; Martiningsih Martiningsih; A Haris A Haris; Nurwahidah Nurwahidah
Bima Nursing Journal Vol 2, No 1 (2020): November
Publisher : Poltekkes Kemenkes Mataram

Hypertension is one important factor as triggers not infectious disease that is currently a cause of death in the world number one.Cupping are other ways in the diagnosis and treatment ( unclassified diagnostic and treatment methods ) in its scope complementary therapy alternative. Cupping cause vasodilation general lowering blood pressure in a steady manner. Analytic research aims to know effectiveness cupping therapy to a decrease in pressure of patient hypertension in Treatment Nabawi Al-Jundi Bima City that collected with sheets of observation. Design used in this research was descriptive analytic with the design one group pre-post design. Way using the sampling purposive sample of samples from 33 respondents. Data analized t-test sample paired with a significant (a= 0,05). Research show that systolic blood peasure a patients before the first cupping 150 mmHg, decreased after second cupping being 130 mmHg, while dyastolic blood peasure a patients before the cupping 100 mmHg, decreased after second cupping being 90 mmHg. Research shows that cupping effektive in lowering systolic and dyastolic blood pressure with the p value = 0,000 (α < 0,05). Based on the research, cupping effektive in lowering blood prassure in patients hypertension at The Clinic Treatment Nabawi Al-Jundi Bima city

ABORTION AND ITS INFLUENCING FACTORS: A QUALITATIVE STUDY IN THE DETENTION CENTER Rini Hendari; Dahlan H Ahmad; Martiningsih Martiningsih
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Objective: This study was to explore the actions and factors causing abortion, killing and disposal of babies qualitatively in the detention center of Class II B, Raba Bima, West Nusa Tenggara, Indonesia. Methods: This was a descriptive qualitative study with six respondents who were purposively selected. Content analysis was used for data analysis. Member-checking and crosscheck triangulation were performed to ensure the trustworthiness of the data. Results: Findings emerged from data, namely: factors that cause adolescent abortion, killing and disposal of baby (internal factors, family factors and partner factors), the way to do those actions (to take medicine, by the help of health workers, shaman and the nearest person), and behavior after doing abortion, killing and disposal of baby. Conclusion: Understanding the factors affecting abortion, killing and disposal of baby among adolescents and the way how they did them as well as their behavior after all of these activities might help health practitioners to find the strategies to reduce the incidence of unwanted pregnancy which lead to abortion, killing and infant disposal.

An Analysis of Factors Related to the Ability of Hypoglycemic and Hyperglycemic Early Detection in patients of Diabetes Mellitus in Bima Public Hospital in 2017 Martiningsih Martiningsih
Media Keperawatan Indonesia Vol 1, No 3 (2018)
Publisher : Universitas Muhammadiyah Semarang

This study aims to determine the ability of early detection, the factors that are most influential and related to the ability of early detection of hypoglycemia and hyperglycemia in diabetes mellitus patients in Bima Public Hospital in 2017. The method used in this research is an analytical descriptive method and uses a cross-sectional approach. The population of this study was all DM patients in Bima Public Hospital in 2017. The sample size was determined by purposive sampling technique, namely 30 people. The study was conducted in the internal medicine room of Bima Hospital. The data were retrieved by using questionnaire of Ability to Detect Hypoglycemia and Hyperglycemia which has been tested for the validity and reliability of the instrument with Cronbach's Alpha value of 0.734. The data analysis process was carried out by using Chi-Square test and logistic regression. Results: The ability of hypoglycemia and hyperglycemia to be detected in DM patients in Bima Public Hospital in 2017 was 47% who were able and 58% who were not able with the average of 42.70, with a minimum-maximum value of 34-52. The results of the multivariate test revealed that the duration of DM disease had the most significant effect on the ability of hypoglycemia and hyperglycemia detection (p-value = 0.001, OR 39.429). Discussion: Improving the quality of nursing care through self-care education in the right nursing perspective with regard to the characteristics of the respondents, one of them is a history of long-term DM disease, can prevent acute hypoglycemia and hyperglycemia.

Pelatihan Training Of Trainer Kader Penyuluh Kesehatan Dalam Upaya Peningkatan Pengetahuan Kader Kesehatan Di Kelurahan Kolo Kota Bima Syaiful Syaiful; Martiningsih Martiningsih; Rosalina Edy Swandayani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 3 (2022): Volume 5 No 3 Maret 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i3.5651

ABSTRAK Kader kesehatan adalah tenaga yang berasal dari masyarakat, dipilih oleh masyarakat dan bekerja secara sukarela sebagai promotor kesehatan desa. Tujuan kegiatan pengabdian adalah meningkatkan pengetahuan kader dalam penyuluhan kesehatan melalui kegiatan “Pelatihan Training Of Trainer /TOT kader kesehatan”. Kegiatan ini dilaksanakan dengan mitra pihak Puskesmas dan kelurahan Kolo. Bahan yang digunakan berupa Modul pelatihan, SOP penyuluhan, SAP materi edukasi, spanduk dan brosur kegiatan. Pelatihan TOT kader dengan metode ceramah dan demonstrasi tentang bagaimana melakukan penyuluhan kesehatan yang baik dan tahap II praktek penyuluhan kesehatan langsung pada masyarakat. Pelaksanaan pelatihan TOT diikuti oleh 22 kader, tahap I kegiatan selama 2 hari yang diawali dengan pre test hari pertama dan diakhiri dengan post test pada hari kedua dan dilanjutkan dengan tahap praktek dimana kader mendemonstrasikan penyuluhan kesehatan penyakit Non infeksi dimasing-masing posyandu sesuai jadwal posyandu. Terdapat peningkatan pengetahuan kader dari rerata hasil pre test 60,91 meningkat dengan rerata nilai post test 97,73. Peningkatkan ketrampilan kader dalam melaksanakan penyuluhan kesehatan menunjukan nilai rata-rata 77. Disarankan mitra dapat menjadwalkan pertemuan rutin dengan para kader kesehatan,minimal 3 bulan sekali. Kata kunci: Pelatihan, Training of Trainer, Kader kesehatan, Penyuluhan Kesehatan, pengetahuan ABSTRACT Health cadres are workers who come from the community, elected by the community and work voluntarily as promoters of village health. The purpose of the service activity is to increase the knowledge of cadres in health counseling through the "Training of Trainers / TOT of health cadres" activities. This activity was carried out with partners from the Puskesmas and Kolo village. The materials used are in the form of training modules, counseling SOPs, SAP educational materials, banners and activity brochures. TOT training for cadres using lecture and demonstration methods on how to do good health education and phase II of direct health counseling practices to the community. The TOT training was attended by 22 cadres, phase I activities for 2 days starting with a pre test on the first day and ending with a post test on the second day and continued with the practice phase where the cadres demonstrated health education on tuberculosis and leprosy at each posyandu according to the posyandu schedule. There is an increase in the knowledge of cadres from the average pre-test result of 60.91, increasing to the average post-test value of 97.73. It is suggested that partners can schedule regular meetings with health cadres, at least once every 3 months. Keywords: Training, Training of Trainers, Health cadres, Health Counseling, knowledge

Pelatihan Kelas Edukasi Kader Kesehatan dalam Upaya Pencegahan Risiko dan Deteksi Dini Penyakit Kardiovaskuler di Kelurahan Kolo Kota Bima Martiningsih Martiningsih; Ahmad Ahmad; Abdul Haris; Nurul Wahidah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 11 (2022): Volume 5 No 11 November 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i11.7415

ABSTRAK Penyakit kardiovaskular (PKV) adalah penyakit yang disebabkan oleh gangguan fungsi jantung dan pembuluh darah. Penyakit kardiovaskuler yang sering ditemui pada desa kolo adalah penyakit hipertensi dan diabetes mellitus. Hal ini merupakan 2 faktor risisko utama PKV yang dapat dicegah melaui upaya promosi kesehatan yang dapat dilakukan dengan melibatkan berbagai pihak diantaranya kader kesehatan. Kegiatan pengabdian ini adalah meningkatkan pengetahuan serta keterampilan kader dalam deteksi dini risiko penyakit kardiovaskuler di masyarakat khususnya penyakit Hipertensi dan diabetes mellitus. Kegiatan berupa kelas edukasi pelatihan kader yang dimulai dengan kegiatan penyampaian materi dengan metode ceramah dilanjutkan demonstrasi dan pendampingan pemeriksaan tekanan darah dan glukosa darah sewaktu yang dilakukan oleh kader dengan alat pemeriksaan sederhana dilanjutkan pendampingan praktek dimasyarakat dalam kegiatan posyandu. Kegiatan pelatihan diikuti oleh 10 kader kesehatan kelurahan Kolo dalam 4 sesi. Kemampuan kader kesehatan dalam melakukan pemeriksaan menunjukkan bahwa seluruh peserta pelatihan dapat melakukan pemeriksaan tekanan darah dengan menggunakan tensimeter digital dan melakukan pemeriksaan glukosa darah sewaktu dengan alat tes sederhana. Pemeriksaan yang dilakukan oleh kader pada masyarakat dalam kegiatan posyandu kelurahan menunjukkan 45% atau 9 orang dengan kategori risiko hipertensi Sedangkan hasil pemeriksaan glukosa darah sewaktu menunjukkan 30% atau 6 orang dengan kategori risiko Hiperglikemia. Ketrampilan kader masih perlu terus ditingkatkan dengan melibatkan secara aktif dalam kegiatan posyandu dan kemampuan dalam membaca hasil pemeriksaan dasar dengan tetap didampingi oleh petugas kesehatan dari puskesmas. Hasil pemeriksaan yang diperoleh perlu ditindak lanjuti dengan deteksi dini lanjutan dan rutin dipuskesmas. Kata Kunci: Pelatihan, Kelas Edukasi, Kader Kesehatan, Deteksi Dini ABSTRACT Cardiovascular disease (CVD) is a disease caused by impaired function of the heart and blood vessels. Cardiovascular diseases that are often found in Kolo village are hypertension and diabetes mellitus. These are the 2 main risk factors for CVD that can be prevented through health promotion efforts that can be carried out by involving various parties including health cadres. of this service activity is to increase the knowledge and skills of cadres in early detection of cardiovascular disease risk in the community, especially hypertension and diabetes mellitus. of activity is in the form of cadre training education classes starting with material delivery activities with the lecture method followed by demonstrations and assistance in checking blood pressure and blood glucose when carried out by cadres with simple examination tools followed by practical assistance in the community in posyandu activities. The training activities were attended by 10 health cadres from Kolo village in 4 sessions. The ability of health cadres to carry out examinations shows that all training participants can check their blood pressure using a digital sphygmomanometer and perform regular blood glucose checks with simple test equipment. The results of examinations carried out by cadres in the community in village posyandu activities showed 45% or 9 people in the hypertension risk category. The skills of cadres still need to be improved by being actively involved in posyandu activities and the ability to read the results of basic examinations while still being accompanied by health workers from the puskesmas. The results of the examination obtained need to be followed up with advanced and routine early detection at the primary health center. Keywords: Training, Education Classes, Health Cadres, Early Detection

Efektivitas Senam Tai Chi terhadap Nilai Angkle Brachial Indeks Pada Diabetes Mellitus Tipe 2 Perokok dan non Perokok Di Kota Bima Haris Haris; Martiningsih Martiningsih; Ahamd Ahamd; Sri Handayani Sri Handayani; Ns. Zulkarnain
Jurnal Health Sains Vol. 4 No. 2 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i2.665

Diabetes mellitus is a metabolic disorder that is often associated with modern lifestyle habits such as smoking. The content of toxins in cigarettes can cause blood circulation disorders in the legs which can be measured through examination of the value of the ankle brachial pressure index. This comparative descriptive study aims to identify differences in anklebrachial pressure index values in smokers and non-smokers of diabetes mellitus patients. The sampling technique is in the form of purposive sampling involving 100 respondents to type 2 diabetes mellitus. The results of data analysis with the paired t test obtained a p-value value of 0.0001 > 0.05 there was an effect of giving tai chi movement on the value of ABI in smoker respondents, and obtained a p value of 0.01 > 0.05 there was an influence of giving tai chi movements on the value of ABI in non-smoker respondents. The conclusions of this study show that there are differences in the value of the ankle brachial pressure index in smokers and non-smokers of diabetes mellitus patients after being given tai chi. To prevent the occurrence of complications of diabetes mellitus, it is hoped that you will maintain a good lifestyle such as not smoking, maintaining a diet, and exercising regularly.

Risiko Penyakit Kardiovaskuler pada Peserta Program Pengelolaan Penyakit Kronis (Prolanis) di Puskesmas Kota Bima: Korelasinya dengan Ankle Brachial Index dan Obesitas Martiningsih Martiningsih; Abdul Haris
Jurnal Keperawatan Indonesia Vol 22 No 3 (2019): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i3.880

Penyakit kardiovaskular (PKV) adalah penyakit yang disebabkan oleh gangguan fungsi jantung dan pembuluh darah. PKV dapat dicegah terutama pada kelompok berisiko, diantaranya dengan penilaian risiko menggunakan Framingham Risk Score (FRS). Tujuan penelitian ini adalah untuk menganalisis risiko PKV dan korelasinya dengan Ankle Brachial Index (ABI) dan obesitas pada peserta Prolanis di Kota Bima. Pengambilan data menggunakan instrumen Framingham Risk Score, pengukuran tekanan darah, indeks massa tubuh, lingkar lengan, dan lingkar perut. Jenis penelitian ini adalah penelitian deskriptif analitik dengan rancangan cross-sectional. Pemilihan sampel ditentukan secara consecutive sampling pada semua responden yang aktif mengikuti kegiatan Prolanis dan memenuhi kriteria inklusi di lima Puskesmas di Kota Bima tahun 2018. Analisis data dengan uji parametrik Spearman. Hasil penelitian menunjukkan kelompok risiko tinggi 33 orang (40,7%), risiko sedang 28 orang (34,6%), dan risiko rendah 20 orang (24,7%). Tidak terdapat korelasi antara risiko PKV dengan ABI dan obesitas. Temuan lain dalam penelitian ini mengindikasikan adanya korelasi antara risiko PKV dengan subvariabel obesitas sentral walaupun tidak ditemukan adanya signifikansi (p> 0,05). Pada penelitian selanjutnya, disarankan jumlah sampel yang lebih banyak di komunitas dengan proporsi laki-laki dan perempuan yang berimbang.Abstract Risk of Cardiovascular Disease at Chronic Disease Management Program Participants in The Community Health Centers of Bima Town: The Correlation with Ankle Brachial Index and Obesity. Cardiovascular disease (CVD) is a disease caused by impaired heart and blood vessel function, which can be prevented, especially in risk groups that can be risk assessed using the Framingham Risk Score (FRS). The purpose of this study was to analyze the risk of CVD and the correlation with ABI and obesity in Prolanis participants at Bima City. Data collection was done by using the instrument FRS and measuring systolic blood pressure, body mass index, arm circumference, and waist circumference. This study was a descriptive-analytic study with a cross-sectional design. The sample selection was determined by consecutive sampling for all respondents who actively participated in Prolanis activities and fulfilled the inclusion criteria in five community health center at Bima City in 2018. Data analyzed with Spearmen parametric test. The results of research showed high risk group was 33 peoples (40.7%), moderate risk was 28 peoples (34.6%), and low risk was 20 peoples (24.7%). There was no correlation between risk of CVD with ABI and obesity. Other findings in this study indicate a correlation between CVD risk and subvariable central obesity, although no significance was found (p> 0.05). In further research, it is recommended that a larger number of samples in the general community with a balanced proportion of men and women. Keywords: ABI, cardiovaskuler, Framingham, obesity

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