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Intervention of Combination of Swedish Massage Therapy with Lavender Aromatherapy in Reducing Stress and Blood Pressure in Hypertensive Patients Billy Anoraga, Aditya; Suhita, Byba Melda; Kusumawati, Prima Dewi; Indasah; Ambarika, Rahmania; Prasetyo, Joko
Journal of Applied Nursing and Health Vol. 6 No. 1 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i1.201

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Background: Severe stress is one of the causes of hypertension, both the elderly, young adults and middle-aged people. Stress and increased blood pressure experienced by a person are the causative factors for hypertension. The purpose of this study is to analyze the effect of the combination  of Swedish Massage Therapy with Lavender Aromatherapy on stress and blood pressure in hypertensive patients. Methods: This study is a quantitative research that uses a quasy experiment research design  with a pretest - posttest control group design approach. The population of all hypertension patients in the Working Area of the Karangan Health Center, Trenggalek Regency is 107 people. The sample size was 54 respondents. The sampling technique is purposive sampling. The independent variables of the study were  the Combination of Swedish Massage  Therapy with Lavender Aromatherapy and the dependent variables were stress and blood pressure. The analysis used  the Mann Whitney  test with a significant p value < 0.05. Result. Results: of the study using the Mann Whitney  test showed  a p value of 0.000 or < 0.05 related to stress and blood pressure between the intervention group and the control group after the combination of Swedish Massage  Therapy and Lavender Aromatherapy. Conclusion: The combination of Swedish Massage  Therapy with Lavender Aromatherapy is effective in reducing stress and blood pressure in hypertensive patients.  This intervention is very easy to do, so it can be applied as a nursing intervention in the work area of the health center for the development of nursing science.
Correlation Compliance with the Implementation of Standard Operational Procedures Wound Treatment, Bundles Surgical Site Infection and Blood Sugar Levels with the Incident of Operative Site Infection in Sectio Ceasarea Patients Slamet Djoko Sunarko; Yuly Peristiowati; Prima Dewi Kusumawati
STRADA : Jurnal Ilmiah Kesehatan Vol. 13 No. 2 (2024): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v13i2.1142

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Non-compliance with wound care SOPs can trigger surgical site infections that result in increased morbidity and mortality, as well as increased length of care. The purpose of this study was to determine the relationship between compliance with the implementation of wound care SOPs, surgical site infection bundles, and blood sugar levels with the incidence of surgical site infections. Correlation research with a cross-sectional approach design. The independent variables of compliance with wound care SOPs, KGD, and the implementation of SSI bundles used observation.
The Influence of Zumba Exercise on Increasing Fitness, Reducing Body Fat and Body Mass Index in Health Service Employees, Population Control and Family Planning in Madiun City Wahyuni, Retno Dwi; Peristiowati, Yuli; Kusumawati, Prima Dewi
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14053

Abstract

ABSTRACT Health and fitness are basic needs that humans need and to achieve them requires fun and sustainable physical activity, including Zumba exercise. The results of tests and measurements in 2021 and 2022, from 119 employees, show that good fitness results remain at 34%, while body mass index and body fat in the normal category have decreased In general, the aim of this research is to determine the impact that Zumba exercise has on increasing fitness, body fat and body mass index. The population in this study were Madiun City PPKB Health Service employees with age requirements of 25-40 and not suffering from heart disease, hypertension and fractures with a total sample of 30 for the zumba exercise group and 30 for the control group. The research design uses One Group Pretest-Posttest Design, One group for the zumba exercise experiment and research was carried out for 4 months, with one workout a week. The data processed in this research is pre-test and post-test data to determine how much improvement the research program has implemented. The data that has been processed shows that there is a significant increase in fitness, namely the VO2max value (2-tailed p = 0,000), for body mass index there was also a significant decrease (2-tailed p = 0,000), and there was also a decrease in body fat percentage (2-tailed p = 0,000) . Zumba exercise can be used as a core or alternative exercise method to increase fitness decreased Body Fat Percentage and Body Mass Index. Keywords: Zumba Exercise, Fitness, Body Fat, Body Mass Index, Madiun City Health Office  ABSTRAK Kesehatan dan kebugaran adalah kebutuhan dasar yang dibutuhkan manusia dan untuk mencapainya membutuhkan aktivitas fisik yang menyenangkan dan berkelanjutan diantaranya senam zumba. Hasil tes dan pengukuran pada tahun 2021 dan 2022 dari 119 pegawai Dinas Kesehatan PP KB Kota Madiun menunjukkan hasil kebugaran baik tetap sebesar 34%, sedangkan indeks massa tubuh dan lemak tubuh pada kategori normal mengalami penurunan. Secara umum tujuan dari penelitian ini adalah untuk mengetahui dampak yang diberikan oleh senam zumba terhadap peningkatan kebugaran, Bodyfat dan Indeks Massa Tubuh. Populasi dalam penelitian ini adalah Pegawai Dinas Kesehatan PPKB Kota Madiun dengan syarat usia 25-40 serta tidak menderita jantung, hipertensi dan fraktur dengan total sampel 30 untuk kelompok senam zumba dan 30 kelompok kontrol. Desain penelitian menggunakan One Group Prestest-Postest Design. Satu kelompok menggunakan eksperimen dengan senam zumba dan penelitian dilakukan selama 4 bulan, dengan satu kali latihan dalam seminggu. Data yang diolah pada penelitian ini adalah data pre-test dan post-test untuk mengetahui seberapa besar peningkatan dari program penelitian yang telah dilaksanakan. Dari data yang telah diolah menunjukkan bahwa pada kelompok ekperimen terdapat peningkatan yang signifikan terhadap kebugaran yaitu nilai VO2max (2-tailed p = 0,000), untuk indeks massa tubuh pun terjadi penurunan yang signifikan (2-tailed p = 0,00), dan terjadi penurunan juga pada persentase lemak tubuh (2-tailed p = 0,000). Senam zumba dapat dijadikan metode latihan inti maupun selingan untuk meningkatkan kebugaran, dan menurunkan prosentase lemak tubuh dan Indeks Massa Tubuh. Kata Kunci: Senam Zumba, Kebugaran, Bodyfat, Indeks Masa Tubuh, Dinkes PPKB Kota Madiun
The Efficacy of a Mobile Application-Based Cognitive Behavioral Therapy (CBT) in Reducing Anxiety and Depression Symptoms Among Young Adults in the Post-COVID-19 Pandemic: A Randomized Controlled Trial Kusumawati, Prima Dewi; Koesnadi; Fonnie Kuhu; Reni Nurhidayah; Yan Deivita
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1641

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The COVID-19 pandemic has significantly increased anxiety and depression prevalence among young adults globally, with Indonesia experiencing substantial mental health challenges. Mobile application-based cognitive behavioral therapy (mCBT) interventions have emerged as promising solutions to address these widespread mental health issues. Objective: This randomized controlled trial aimed to evaluate the efficacy of a mobile CBT application in reducing anxiety and depression symptoms among Indonesian young adults in the post-COVID-19 pandemic period through comprehensive qualitative analysis. Methods: A mixed-methods randomized controlled trial was conducted with 25 young adults aged 18-25 years. Participants were randomly assigned to receive either the mCBT intervention or waitlist control. Qualitative data were collected through in-depth semi-structured interviews, focus group discussions, and thematic analysis following a phenomenological approach. Results: Thematic analysis revealed six major themes: Digital Therapeutic Alliance (89 mentions), Behavioral Change Process (92 mentions), Empowerment Through Technology (76 mentions), Resilience Building (67 mentions), Social Connection in Digital Space (54 mentions), and Challenges and Barriers (43 mentions). Participants demonstrated significant improvements in coping mechanisms, stress management, and emotional regulation through the mCBT intervention. Conclusions: Mobile CBT applications show promising efficacy in addressing post-pandemic anxiety and depression among Indonesian young adults. The intervention facilitated meaningful behavioral changes, enhanced self-efficacy, and provided accessible mental health support during challenging recovery periods
Determinan Yang Mempengaruhi Minat ODHIV Melakukan Tes Viral Load Di Kabupaten Tulungagung Idawati, Candra; Suhita, Byba Melda; Kusumawati, Prima Dewi
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 11, No 2 (2025): JMK Yayasan RS.Dr.Soetomo, Kedua 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v11i2.2308

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Tes viral load adalah tes yang digunakan untuk mengukur jumlah virus HIV di dalam darah pada pasien yang telah didiagnosis HIV positif untuk melihat bagaimana kondisi pasien setelah mendapat terapi ARV dan dapat membantu mendeteksi kegagalan ART lebih dini. Tujuan penelitian ini adalah untuk mengetahui faktor determinan yang mempengaruhi minat ODHIV melakukan tes viral load di Kabupaten Tulungagung. Desain penelitian ini adalah penelitian kuantitatif observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua ODHIV On ARV yang ada di Kabupaten Tulungagung dengan jumlah 1.149 dan sampel yang terpilih dengan cluster random sampling sejumlah 297 responden. Hasil penelitian menyatakan terdapat pengaruh yang signifikan antara akses layanan periksa terhadap minat tes viral load dengan nilai p-value 0,004; dukungan sebaya terhadap minat tes viral load dengan nilai p-value 0,038; dukungan keluarga terhadap minat tes viral load dengan nilai p-value 0,006; peran petugas terhadap minat tes viral load dengan nilai p-value 0,047.Terdapat pengaruh secara simultan antara akses layanan periksa, dukungan sebaya, dukungan keluarga dan peran petugas terhadap minat tes viral load. Faktor yang paling mempengaruhi minat tes viral load adalah peran petugas dengan nilai Exp(B) = 2,564. Studi referensi menyatakan faktor yang mempengaruhi minat seseorang melakukan pemeriksaan kesehatan antar lain umur, pendidikan, pengetahuan, akses terhadap informasi, akses ke pelayanan kesehatan, dukungan tenaga kesehatan dan sosial budaya. Selain itu penelitian yang lain menunjukkan pengaruh orang lain (sebaya, keluarga, sosial) terhadap minat melakukan pemeriksaan kesehatan. Diharapkan kepada ODHIV untuk terus terlibat aktif dalam pengobatan dan tes viral load dengan memanfaatkan semua fasilitas dan dukungan yang tersedia.Kata kunci : akses layanan, dukungan, peran petugas, minat tes VL
The Effect of Motivation, Workload, Subjective Norms, and Skills of the Accuracy of Triage Implementation to IGD Nurses in Karo Regency Sahat Tua Naiboha, Beres; anna Anggraeni, Novita; Kusumawati, Prima Dewi
STRADA : Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v14i2.1179

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Priority of patient handling can be done by using triage. The triage system greatly influences the success rate of assistance when the patient experiences an emergency . The aim of the study was to analyze influence between motivation, burden work, and subjective norms to accuracy implementation triage to IGD nurses in karo district. The research design used was analysis descriptive with approach cross sectional. Population study all Emergency Nurses in Karo Regency. The research sample was 101 using the Stratified Sampling technique. The research was conducted in May 2024. Data analysis used multiple linear regression statistical tests . The results of the study show motivation of 0,000, the load Work of 0.022, subjective norm of 0.015 and triage skills of 0.000.
From Overthinking to Understanding: Outbond as a Strategy to Improve Self-Awareness and Mental Health Literacy Reni Nurhidayah; Prima Dewi Kusumawati; Joko Sutrisno; Hengky Irawan
Journal of Health Science Community Vol. 6 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i2.315

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Adolescence is a critical developmental stage in which individuals often experience psychological challenges such as overthinking, stress, and emotional dysregulation. Limited self-awareness and low mental health literacy exacerbate these challenges, contributing to poor decision-making, heightened anxiety, and stigma. Innovative approaches are needed to promote adolescent mental health.This study aimed to examine the effectiveness of the “Outbond from Overthinking to Understanding” program in improving self-awareness and mental health literacy among adolescents.A quasi-experimental design with pre-test and post-test control groups was conducted among 120 students (60 intervention, 60 control) from senior high schools (SMA) and vocational high schools (SMK) in Kediri, Indonesia. Participants were selected using cluster sampling. The intervention group participated in a one-day outbound program consisting of six activity stations, while the control group received a leaflet on adolescent mental health. Self-awareness was measured using the Self-Reflection and Insight Scale (SRIS), and mental health literacy was assessed with the Mental Health Literacy Scale (MHLS). Data were analyzed using paired and independent t-tests.The intervention group showed significant improvements in self-awareness (Mean Difference = +13.4, p < 0.001) and mental health literacy (Mean Difference = +17.7, p < 0.001), while the control group demonstrated no significant changes. Post-test comparisons revealed higher mean scores in the intervention group compared to the control group for both self-awareness (78.6 ± 7.9 vs. 66.3 ± 8.6, p < 0.001) and mental health literacy (80.2 ± 8.1 vs. 65.0 ± 8.7, p < 0.001).The “Outbond from Overthinking to Understanding” program significantly enhanced self-awareness and mental health literacy among adolescents. Outbound-based experiential learning offers a promising, engaging, and practical strategy for promoting adolescent mental health and should be considered as a complementary approach to conventional school-based education.
HUBUNGAN PERAN KELUARGA DENGAN PEMENUHAN AKTUALISASI DIRI LANSIA DENGAN DEMENSIA Kusumawati, Prima Dewi; Nurhidayah, Reni
Judika (Jurnal Nusantara Medika) Vol 6 No 1 (2022): Vol 6 No 1 April 2022
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/judika.v6i1.18545

Abstract

Menurunnya kemampuan beradaptasi terhadap perubahan dan stres lingkungan seringkali menimbulkan gangguan psikososial pada lansia. Masalah kesehatan jiwa yang sering muncul pada lansia adalah demensia (pikun). Tujuan penelitian untuk mengetahui peran hubungan keluarga dengan pemenuhan aktualisasi diri pada lansia demensia di Desa Kepung Barat Kecamatan Kepung Kabupaten Kediri. Penelitian ini menggunakan analitik korelasional. Populasi dalam penelitian ini adalah seluruh keluarga lansia yang mengalami demensia di Desa Kepung Barat Kecamatan Kepung Kabupaten Kediri sebanyak 38 keluarga responden dengan lansia yang masih produktif untuk memenuhi kebutuhan hidupnya secara mandiri dengan menggunakan teknik purposive sampling. Uji analisis menggunakan uji statistik Spearman Rho dengan tingkat signifikansi 0,05. Hasil penelitian pada variabel peran keluarga sebagian besar responden memiliki peran keluarga dalam merawat lansia sebanyak 22 responden (57,9%), sedangkan pada variabel aktualisasi diri hampir separuh responden memiliki dengan kategori kurang terpenuhi sebanyak 17 responden. (44,7%). Analisis penelitian ini memiliki nilai sig (2-tailed) = 0,000, sehingga < , maka H0 ditolak dan H1 diterima, artinya ada hubungan peran keluarga dengan pemenuhan aktualisasi diri pada lansia demensia di Desa Kecamatan Kepung Barat Kecamatan Kepung Kediri tahun 2019, sedangkan nilai koefisien korelasi 0,821 yang berarti kekuatan hubungan termasuk dalam kategori sangat kuat dan positif dengan analisis apabila peran keluarga baik maka aktualisasi diri pada lansia akan terpenuhi. Keluarga membantu lansia untuk kebutuhan aktualisasi diri keluarga dapat memantau perkembangan aktualisasi diri lansia yaitu dengan mengajak lansia berdiskusi, memberikan lansia dalam mengambil keputusan.
Co-Authors A, Chevy Herli Sumerli Aat Agustini Adani Dinanhashfi Hersariti Afelina Krissinta Rahayu Putri Agus Sucipto Ajeng Rahardyani Hersariti Alfian Fawzi Ambarsari, Fifin Aning Laorani Anna Anggraeni, Novita Anshoriyah, Sofiyatul Ardi Bastian Ardilla Oktaviana Arlia Arlia Asbath Asih Pusparin Asih Puspitasari Asmaul Khusna Asnuddin, Asnuddin Atik Setiawan Wahyuningsih Betharia Mardiyani Billy Anoraga, Aditya Byba Melda Suhita Byba Melda Suhita Candra Wahyuni Choirul Amri Chusnul Justati David Rhesy Saputrodewo Dedi Saifulah Deivita, Yan Delvy Mardvin Siokain Dewi Zuniawati Eli Sabrifha Elok Aqila Febriani Elok Aqila Febriani Eny Susilowati Fadli Fadli Fauzi, Ahmad Zil Ferdiana Azhar Fernandez, Fransisca Debby Christine Fitra Okta Damayanti Fitriani Abdal Fonnie Kuhu Hengky Irawan Heri Saputro Idana, Rindang Farihah Idawati, Candra Ikhlasiah, Marthia Ikko Ambar Noviana Indasah Indasah Indrawati, Iing Yuli Irwandi Irwandi Jamilatus Sholeha Jaya, Adetya Wahyu Dwi Joel Rey Ugsang Acob Joko Prasetyo Joko Sutrisno Joko Sutrisno Joko Sutrisno Kamesyworo, Kamesyworo Katmini Khasanah, Mutiara Khomsiyatin, Binti Ratna Koesnadi Koesnadi, Koesnadi Kurnia Sari, Dhita Kurniati, Ana La Joni Laorani, Aning Larasati, Nindya Cahya Maidelwita, Yani Maria, Iva Jaya Mendieta, Gaiska Mitakda, Esterlina Nafa Zunaidah Fahma Natalia Lisma Br Sembiring Nindya Cahya Larasati Ningsih, Eka Sarofah Nugroho, Budi Sulistiyo Nur Widya Trisnawati Nur Widya Trisnawati Nurhidayati, Wa Ode Nurwijayanti Pande Ayu Naya Kasih Permatananda Pudyastuti, Rita Rena Puspitasari, Asih Putri, Elvina Triana Ragilia, Sepda Rahmania Ambarika Ratna Wardani Reni Nurhidayah Sabrifha, Eli Sahat Tua Naiboha, Beres Sepda Ragilia Sergio Rodrigues Soares Siti Komariyah Slamet Djoko Sunarko Soares, Sergio Rodrigues Sulasiyah, Siti Surahman Sukron Rosyadi Sutrisno Sutrisno Sutrisno, Vivi Koernia Waty Trisnawati, Nur Widya Trisnawati, Nur Widya Venty Suryanti Wahyuni, Retno Dwi Wawan Kurniawan Weraman, Pius Wiji Astuti Winarningsih, Rahayu Arum Wing Wiryanto Waang Wing Wiryanto Waang Wiwit Azmi Lestari Yadnya, I Dewa Gede Sayang Adi Yammar Yan Deivita Yenny Puspitasari Yohanes Deo Fau Yuli Peristiowati, Yuli Yuly Peristiowati