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EFEK SEDUHAN KELOPAK KERING BUNGA ROSELLA (Hibiscus sabdariffa Linn) TERHADAP PENURUNAN KADAR KOLESTEROL PADA MENCIT PUTIH JANTAN Balb/C HIPERKOLESTEROL Wahyuni, Sri
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 2, No 2 (2015)
Publisher : LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy

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Abstract

Latar belakang: Rosella merupakan salah satu tanaman yang diketahui mempunyai efek menurunkan kadar kolesterol. Tujuan: Mengetahui  efek pemberian seduhan kelopak kering bunga rosella (Hisbiscus Sabdariffa Linn) terhadap penurunan kadar kolesterol pada mencit hiperkolesterol. Metode: Penelitian eksperimental dengan desain pre-post-test dengan kelompok kontrol. Delapan belas mencit putih jantan galur Balb/C hiperkolesterol dibagi menjadi tiga, kelompok kontrol negatif diberi pakan standar  dan minum adlibitum, kelompok eksperimen rosella diberi pakan standar dan minum adlibitum dan seduhan rosella 2x0,45 ml/hari dan kelompok eksperimen simvastatin diberi pakan standart dan minum adlibitum dan simvastatin 0,026 mg/ hari selama 30 hari. Hasil: Pemberian seduhan kelopak kering bunga rosella menurunkan kadar kolesterol dari 161 mg/dl ±6,3 menjadi 119,2 ± 6,6 setelah perlakuan. Pemberian 0,026 mg simvastatin menurunkan kadar kolesterol dari 156,2 mg/dl ± 10,8 menjadi 99,5 mg/dl ±7,9 P=0,000. Simpulan dan Saran: Pemberian seduhan kelopak kering bunga rosella dengan rata-rata 1,37 gram yang dikonsumsi dua kali per hari dapat menurunkan kadar kolesterol mencit hiperkolesterol.  Pemberian seduhan kelopak kering bunga rosella dapat dipertimbangkan sebagai pengobatan alternatif pengganti obat kimia untuk menurunkan kadar kolesterol.
Improving The Self-Efficacy of Post-Stroke Patients Using The Application of Life Review Therapy Wahyuni, Sri; Prasetyowati, Christina Dewi
Jurnal Keperawatan Soedirman Vol 15, No 2 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2020.15.2.1202

Abstract

A stroke is a health problem that requires special medical attention, due to its long-term effects such as disability, anxiety, depression, and lack of social participation, which are the causes of patient's self-efficacy being reduced.  High self-efficacy is needed so that patients will be motivated to take therapy programs, increase their self-esteem and desire for recovery. The purpose of this study is to determine the self-efficacy improvement of post-stroke patients when provided with life review therapy. This study was quasi-experimental. A purposive sampling technique was used to collect the data, with a sample of 60 respondents (30 controls and 30 interventions). Data was collected using a stroke self-efficacy questionnaire. The statistical tests used were Wilcoxon and Mann Whitney. The patient's self-efficacy in the intervention group showed a change in category in the post-test result (before the intervention it was mostly in the moderate category, after the intervention it went  into the high category) with statistical test results p=0.00. The control group remained mostly in the moderate category on both pre-test and post-test results with statistical test results p=0.002. There was a comparison of the effectiveness of applying life review therapy between the two groups (p=0.000). The results of this study indicate that the administration of life review therapy can improve the self-efficacy of patients after a stroke.
Self-Instructional Training Application on Diabetic Patients' Self-Care Behaviors Wahyuni, Sri; Prasetyowati, Christina Dewi; Pratiwi, Wahyu Nur; Alfiadi, Khalid
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.29360

Abstract

Background: The diabetes mellitus cases have significantly increased in Indonesia over recent years. Health education for patients has often been carried out; however, education using self-instructional methods, which provided self-learning to solve problems by adjusting the patient's ability to improve self-care behaviors, has not been widely used.Purpose: This study aimed to analyze the self-care behaviors of diabetic patients with the application of self-instructional training.Methods: This research was a quasi-experimental study with a non-equivalent pretest-posttest with a control group design. The participants were 73 diabetic patients in the out-patient units selected by a purposive sampling technique, and divided into two groups: the intervention group (n=37) and the control group (n=36). The intervention group received a self-instructional training program which was carried out in two sessions using a booklet; each session lasted for 45 minutes. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to collect diabetic patients' self-care behavior data. Wilcoxon and Mann-Whitney tests were employed for data analysis.Results: Self-care behaviors of patients with diabetes mellitus increased before and after the training in both groups (p=0.000). However, the increase in the intervention group was higher than that in the control group, from 46.46±5.014 to 58.03±7.320 and from 47.78±4.929 to 51.64±6.406, respectively. There was also a significant difference in the self-care behaviors of diabetic patients between the intervention group and the control group (p=0.000).Conclusion: Self-instructional training significantly improves self-care behaviors of diabetic patients. Therefore, self-instructional training can be considered to apply in the clinical setting for improving self-care behaviors of diabetic patients to prevent complications, and for enhancing nursing care of diabetes mellitus.
Penurunan Kecemasan Keluarga Pasien Stroke Dengan Family Centered Empowerment Model Christina Dewi Prasetyowati; Sri Wahyuni
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v8i2.477

Abstract

Stroke merupakan keadaan yang terjadi akibat adanya gangguan suplai darah ke otak yang awal timbulnya mendadak, progresi cepat berupa defisit neurologis fokal yang berlangsung 24 jam atau langsung menimbulkan kematian. Dampak dari stroke selain bagi pasien juga menimbulkan dampak psikologis kecemasan bagi keluarga pasien dari ketidaksiapan keluarga dalam merawat pasien stroke. Kecemasan pada keluarga dapat diatasi dengan pemberian edukasi berbasis family centered empowerment model. Penelitian ini bertujuan untuk mengetahui penurunan kecemasan keluarga pasien stroke dengan family centered empowerment model di RSUD Gambiran Kota Kediri. Desain penelitian menggunakan pra experiment dengan rancangan one group pretest and posttest design. Pengambilan sampel secara non probability sampling dengan teknik accidental sampling yang berjumlah 54 orang. Pengumpulan data menggunakan kuesioner kecemasan HARS dan dianalisa dengan uji  Wilcoxon Signed Ranks Test. Hasil menunjukkan nilai p = 0,000 yang artinya ada pengaruh family centered empowerment model terhadap penurunan kecemasan keluarga pasien stroke. Kata Kunci : family centered empowerment model; kecemasan; keluarga; strokeAnxiety Reduction Of  Family Patients With Stroke And Family Empowerment Centered ModelAbstractStroke is a condition that occurs due to disruption of blood supply to the brain which has a sudden onset, rapid progression in the form of a focal neurological deficit that lasts 24 hours or immediately causes death. The impact of stroke in addition to the patient also causes psychological effects of anxiety for the patient's family from the family's unpreparedness in caring for stroke patients. Anxiety in the family can be overcome by providing education based on the family centered empowerment model. This study was aimed to determine the decrease in family anxiety of stroke patients with the family centered empowerment model at Gambiran Hospital, Kediri City. The research design used a pre-experimental design with a one group pretest and posttest design. The Sampling was taken by non-probability sampling with accidental sampling technique, totaling 54 people. Data was collected using the HARS anxiety questionnaire and analyzed using the Wilcoxon Signed Ranks Test. The results showed the value of p = 0.000 which means that there is an effect of family centered empowerment model on reducing family anxiety of stroke patients.Key Word: family centered empowerment model; anxiety; family; stroke 
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN EFIKASI DIRI PASIEN PASCA STROKE: STUDI CROSS SECTIONAL DI RSUD GAMBIRAN KEDIRI Sri Wahyuni; Christina Dewi
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 5, No 2 (2018)
Publisher : LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (296.305 KB)

Abstract

Latar belakang: Stroke terjadi dengan tiba-tiba tetapi memberikan dampak jangka panjang seperti, kecacatan, masalah emosional, depresi dan juga perubahan dalam hubungan sosial. Disfungsi pada pasien stroke menimbulkan pengaruh secara psikologis maupun sosial pada pasien, seperti timbulnya perasaan rendah diri, perasaan tidak beruntung, perasaan ingin memperoleh kembali kemampuan yang menurun, perasaan berduka, cemas dan putus asa, dimana hal tersebut merupakan tanda dan gejala efikasi diri yang rendah. Tujuan: Menganalisis faktor-faktor yang berhubungan dengan efikasi diri pasien pasca stroke di RSUD Gambiran Kediri. Metode: Penelitian ini menggunakan desain cross-sectional study. Jumlah sampel dalam penelitian ini adalah sebanyak 30 pasien stroke. Variabel terikat dalam penelitian ini adalah efikasi diri pasien pasca stroke. Variabel bebas dalam penelitian ini berupa karakteristik pasien stroke dan dukungan keluarga. Analisis yang dilakukan berupa uji univariat dan bivariat dengan menggunakan uji Chi square. Hasil: Variabel yang berhubungan dengan efikasi diri pasien pasca stroke (p<0.05) dalam penelitian ini adalah status perkawinan, jenis stroke, serangan stroke dan dukungan keluarga. Simpulan dan saran: Terdapat hubungan  status perkawinan, jenis stroke, serangan stroke dan dukungan keluarga dengan efikasi diri. Perlu adanya penentuan variabel yang paling berpengaruh terhadap efikasi diri.
The Level of Anxiety of Leprosy Patients in terms of Demographic Characteristics of Respondents Sri Wahyuni; Christina Dewi Prasetyowati
Gaster Vol 19 No 2 (2021): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (685.327 KB) | DOI: 10.30787/gaster.v19i2.603

Abstract

Leprosy is a chronic contagious disease caused by the mycobacterium leprae bacteria which attacks the skin and peripheral nerves. This disease can cause physical disabilities if not treated properly. Physical disabilities that appear can cause psychological problems such as anxiety. The purpose of this study was to analyze the level of anxiety in patients with leprosy based on respondents' demographic characteristics. This type of research is analytic observational with a cross-sectional research design. The sample in this study were 106 leprosy patients, with the accidental sampling technique. Data collection using a questionnaire consisted of demographic characteristics, namely age, gender, occupational education, degree of disability, and the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis used the chi-square statistical test.  Results Age, employment, education, and patients' disability degree were associated with patient anxiety (p-value <0.05), while gender was not associated with patient anxiety (p-value> 0.05). Conclusion The variables of age, education, employment, and patients disability degree can affect anxiety in leprosy patients.
Table Top Salt Triage In Improving Pre Hospital Triage Capacity And Disaster Victim Handling Preparedness Christina Dewi Prasetyowati; Sri Wahyuni
Jurnal Smart Keperawatan Vol 10, No 1 (2023): Juni 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v10i1.807

Abstract

Disasters have broad and complex impacts, both on humans and the surrounding environment. One of the challenges often faced in health management efforts in disaster areas is the lack of skills of nurses and other health workers in disaster victim preparedness and the ability to carry out pre hospital triage which will ultimately hamper health services. The knowledge and skills of nurses in handling disaster victims including conducting triage on victims are still in the sufficient category at 60%. In pre hospital situations, the correctness of officers in making triage decisions in handling victims has a very important role. The research objective was to determine the effect of the SALT triage table top in improving pre hospital triage capabilities and disaster victim handling preparedness. The research design used was a quasi experiment with a pre-post test with a control group. Sampling using purposive sampling technique. The number of respondents obtained was 78 people. The results of the Wilcoxon test showed a value of p = 0.000, which means that there is an influence of the SALT triage table top in increasing the ability of pre hospital triage and preparedness for handling disaster victims. Keywords: disaster; preparedness; pre hospital; table tops; triageTable Top Salt Triage Dalam Meningkatkan Kemampuan Triage Pre Hospital Dan Kesiapsiagaan Penanganan Korban BencanaABSTRAK Bencana memiliki dampak yang luas dan kompleks, baik terhadap manusia maupun lingkungan sekitarnya. Salah satu tantangan yang sering dihadapi dalam upaya penanggulangan kesehatan di daerah bencana adalah kekurangan ketrampilan perawat dan tenaga kesehatan lainnya dalam kesiapsiagaan penanganan korban bencana maupun kemampuan melakukan triage pre hospital yang akhirnya akan menghambat pelayanan kesehatan. Pengetahuan dan ketrampilan perawat dalam penanganan korban bencana termasuk melakukan triage terhadap korban masih berada pada kategori cukup sebesar 60%. Pada situasi pre hospital, kebenaran petugas dalam membuat keputusan triage dalam penanganan korban memiliki peran yang sangat penting. Tujuan penelitian untuk mengetahui pengaruh table top SALT triage dalam meningkatkan kemampuan triage pre hospital dan kesiapsiagaan penanganan korban bencana. Desain penelitian yang digunakan adalah quasi eksperiment dengan pre-post test with control group. Pengambilan sampel dengan menggunakan tehnik  purposive sampling. Responden yang didapatkan berjumlah 78 orang. Hasil uji Wilcoxon menunjukkan nilai p = 0,000 yang artinya ada pengaruh table top SALT triage dalam meningkatkan kemampuan triage pre hospital dan kesiapsiagaan penanganan korban bencana. Kata Kunci : bencana; kesiapsiagaan; pre hospital; table top; triage
Mengenal Stroke sebagai Upaya Ketepatan Perilaku Pencegahan Penyakit Pada Masyarakat Sri Wahyuni; Yanuar Eka Pujiastutik
Journal of Community Engagement and Empowerment Vol 5, No 2 (2023)
Publisher : Institut Ilmu Kesehatah Bhakti Wiyata Kediri

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Abstract

Stroke merupakan penyakit pembuluh darah otak ditandai dengan muka terasa tebal, telapak tangan dan kaki mati rasa, mendadak ekstremitas lemas pada satu sisi, kesulitan berjalan, hilangnya keseimbangan tubuh mendadak, gangguan bicara, nyeri kepala mendadak dengan penyebab tidak jelas. Tingginya angka kejadian stroke menyebabkan permasalahan pada pasien seperti kelumpuhan atau kecacatan dan gangguan kognitif yang memerlukan penanganan secepat mungkin, terutama pada golden time penanganan dengan harapan dapat menurunkan terjadinya kecacatan dan kematian akibat stroke. Pengetahuan yang kurang pada keluarga atau masyarakat tentang gejala awal stroke dan penanganan awal saat terjadi penyakit stroke masih menjadi permasalahan yang ada di masyarakat Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan masyarakat tentang stroke sebagai upaya ketepatan perilaku pencegahan sakit pada masyarakat. Metode kegiatan memberikan edukasi kesehatan dengan media leaflet, materi yang disampaikan meliputi pengertian penyakit stroke, faktor resiko stroke, tanda dan gejala stroke, cara pencegahan penyakit stroke, golden periode dan penanganan stroke. Jumlah peserta sebanyak 25 orang warga RT 04/ RW 03 Desa Selodono, Kec. Ringinrejo, Kab. Kediri. Hasil dari kegiatan pengabdian masyarakat adalah terdapat peningkatan pengetahuan masyarakat setelah diberikan edukasi yaitu hampir seluruh peserta (84%). Diharapkan dengan adanya peningkatan pengetahuan masyarakat tentang stroke dapat meningkatkan ketepatan perilaku pencegahan stroke serta ketepatan perilaku penanganan penyakit stroke sehingga diharapkan dapat munurunkan angka kesakitan, kecacatan dan kematian akibat stroke.
Factors Associated with Glycemic Control Among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study Wahyuni, Sri; Prasetyowati, Christina Dewi; Pujiastutik, Yanuar Eka
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 4 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i4.614

Abstract

Aims: Even though the prevalence of type 2 diabetes mellitus in Indonesia continues to increase, research data on glycemic management, which is the primary strategy for reducing complications of diabetes mellitus, is still limited. In this study, an evaluation of glycemic control status and related factors was conducted in adult patients with type 2 diabetes mellitus. Methods: This research was a cross-sectional study with 115 type 2 diabetes adults who came to the Hospital in Kediri for treatment. Data was collected using the UK Diabetes and Diet Questionnaire (UKDDQ) questionnaire, which consists of 24 questions and the Godin Leisure-Time Exercise Questionnaire (GLTEQ), along with a blood glucose check between July and August 2023. The glycemic level was assessed using a random blood glucose level, and 'poor glycemic control' was defined when the blood glucose level was >200 mg/dL. SPSS was used for descriptive analyses and inferential statistics by chi-square test to analyze the relationship between patients glycemic control status and its relevant risk factors, including demographics, dietary control, and physical activity. Results: Only 26.1% of type 2 diabetes mellitus patients at Aura Syifa Kediri Hospital have good glycemic control. In bivariate analysis, gender, education, control status of diet, and physical activity (P values 0.05) were significantly correlated with glycemic control. Meanwhile, age, marital status, employment status, and duration of diabetes mellitus (p-value> 0.05) were not associated with glycemic control. Conclusion: The prevalence of good glycemic control in type 2 diabetes patients remains low. Based on this research, we found that gender, education, diet control, and physical activity were influencing factors in this problem. Publicity and education regarding the importance of glycemic control should be developed for type 2 diabetes patients, and targeted interventions should be made for risk groups.
Pengaruh Terapi Relaksasi Benson Terhadap Kecemasan Pada Ibu Hamil Trimester III Di RS Aura Syifa Kabupaten Kediri Pujiastutik, Yanuar; Wahyuni, Sri; Apriyanto, Bagus; Yauri, Indriani; Colis, Eko
Jurnal Sintesis: Penelitian Sains, Terapan dan Analisisnya Vol 5 No 1 (2024): Juni 2024
Publisher : Fakultas Sains, Teknologi, dan Analsisi Institut ilmu Kesehatan Bhakti Wiyata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56399/jst.v5i1.181

Abstract

ABSTRAKLatar Belakang : Kecemasan ibu hamil pada trimester ketiga kehamilan akan meningkat saat persalinan semakin dekat. Kecemasan yang tidak terkontrol akan berdampak negatif pada ibu dan janin apabila tidak diatasi. Kecemasan tersebut dapat menyebabkan kelahiran prematur, pre-eklampsia, dan gangguan proses kelahiran. Salah satu terapi yang digunakan untuk mengurangi kecemasan pada ibu hamil adalah terapi relaksasi benson. Terapi ini menghasilkan hormon endorfin, yang produksinya dalam tubuh dapat menghambat aktivitas sistem saraf pusat, sehingga mengurangi respon tubuh terhadap stress dan kecemasan. Tujuan : Mengetahui pengaruh terapi relaksasi benson terhadap kecemasan pada ibu hamil trimester III di RS Aura Syifa Kabupaten Kediri. Metode : Penelitian ini merupakan penelitian kuantitatif dengan pendekatan pra eksperimental design dengan rancangan one group pre test-post test design dengan nilai pretest posttest 1,27 dan 0,37. Tehnik sampling yang digunakan adalah accidental sampling dan didapatkan sample sebanyak 30 responden. Pengumpulan data dengan lembar observasi, menggunakan kuisioner HARS (Hamilton Anxiety Rating Scale) Hasil : Uji hipotesa menggunakan uji Wilcoxon, didapatkan hasil nilai signifikansi 0,000 (<0,05) sehingga hipotesa diterima. Kesimpulan : Terdapat pengaruh terapi relaksasi benson terhadap kecemasan pada ibu hamil trimester III di RS Aura Syifa Kabupaten Kediri. Saran : Penelitian selanjutnya disarankan dapat melakukan kolaborasi dengan tehnik terapi lain untuk mendapatkan hasil penurunan kecemasan yang lebih sesuai dengan tujuan yang diharapkan.