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APLIKASI TEKNIK RELAKSASI BENSON TERHADAP PENGELOLAAN TEKANAN DARAH DAN PSIKOLOGIS PADA LANSIA DENGAN HIPERTENSI Ramadhani, Dwi Yuniar; Mahundingan, Rosari O.; Rukmini, Rukmini; Andriani, Dewi
Community Development in Health Journal Volume 1, Nomor 2, Oktober 2023
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v1i2.477

Abstract

Introduction &; Aim: Hypertension is a chronic disease, where the sufferer will have an impact on the emergence of health problems, one of which is psychological problems. Patients who have to take medicine daily sometimes experience boredom, sadness, and fear of complications. This activity aims to provide health education and practice Benson's relaxation techniques. Method of Activity: Before the action is carried out, counseling is conducted, namely conducting an initial survey, followed by a time and place contract and then implementation. The media used is a booklet containing hypertension and Benson's relaxation techniques. The methods were lectures, question and answer discussions, and demonstrations and provided Geriatric Depression Scale (GDS) questionnaires. Results: Activities were carried out in the RW 4 Kapasan Village and Simokerti Districts obtained 22 elderly people affected by hypertension. The results of depression screening found mild depression in 12 people (55%) before the action and 9 people (41%) with mild depression after the procedure. Likewise, the categorization of stage 1 hypertension was 14 people (64%), and after action 12 people (54.5%). Discussion: Changes experienced by the elderly Benson's relaxation technique can be an alternative as an action to manage blood pressure and psychological elderly with hypertension. This technique is effortless to do independently and can be done on the sidelines.
Family-Based Diabetes Self-Management Education terhadap Self Care dan Self-Efficacy Ramadhani, Dwi Yuniar; Rukmini; Anggraeni, Sindy Maullina; Larasati, Diva Sukma; Intan Elisya; Vidia, Indri
Indonesian Journal of Nursing Research (IJNR) Vol. 7 No. 1 (2024)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v7i1.3200

Abstract

Diabetes mellitus is caused by disorders of high blood glucose levels. Lack of self-care and self-efficacy will result in uncontrolled blood sugar levels, causing complications. This research aims to determine the effect of family-based Diabetes Self-Management Education on self-care and self-efficacy in diabetes mellitus sufferers in the Sidotoopo Wetan Region. This research is quantitative research with a Pre-Experimental approach with a one-group pretest Post-test design, with Family Based Diabetes Self-Management Education intervention. The population of elderly people suffering from diabetes mellitus is 30 people, the sample is the entire population, and the sampling technique used is the total population. Data was taken using the SDCSCA and DSMES questionnaires. The statistical tests used are the Wilcoxon test and paired T-test. Research Results show an influence of Family Based Diabetes Self-Management Education on Self-Care and Self-Efficacy with the results of self-care (p value=0.000) and self-efficacy (p value=0.000).Diabetes mellitus sufferers can maintain good self-care and self-efficacy to avoid complications, and the family also plays an important role in maintaining blood sugar stability by supporting and facilitating treatment, monitoring blood sugar, nutritional food consumed, and exercise.   Abstrak Diabetes melitus disebabkan oleh gangguan kadar glukosa darah yang tinggi. Kurangnya perawatan diri dan efikasi diri akan mengakibatkan kadar gula darah tidak terkontrol sehingga menimbulkan komplikasi. Penelitian ini bertujuan untuk mengetahui Pengaruh Pendidikan Self-Management Diabetes Berbasis Keluarga Terhadap Self Care dan Self-Efficacy Pada Penderita Diabetes Mellitus Di Wilayah Sidotoopo Wetan. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan Pre-Experimental dengan desain one-group pretest Post-test, dengan intervensi Family Based Diabetes Self-Management Education. Populasi lansia yang menderita diabetes melitus berjumlah 30 orang, sampelnya adalah seluruh populasi, dan teknik pengambilan sampel yang digunakan adalah total populasi. Data diambil dengan menggunakan kuesioner SDCSCA dan DSMES. Uji statistik yang digunakan adalah uji Wilcoxon dan uji T berpasangan. Hasil Penelitian menunjukkan adanya pengaruh Family Based Diabetes Self-Management Education terhadap Self-Care dan Self-Efficacy dengan hasil perawatan diri (p value=0,000) dan self-eficacy (p value=0,000).Penderita diabetes melitus dapat mempertahankan perawatan diri dan efikasi diri yang baik agar terhindar dari komplikasi, dan keluarga juga berperan penting dalam menjaga kestabilan gula darah dengan mendukung dan memfasilitasi pengobatan, pemantauan gula darah, nutrisi makanan yang dikonsumsi, dan olah raga.
COMBINATION OF FOOT HYDROTHERAPY AND SLOW DEEP BREATHING ON BLOOD PRESSURE IN HYPERTENSIVE PATIENTS Ramadhani, Dwi Yuniar; Mahundingan, Rosari Oktaviana; Ramadhani, Nurlita Arinda Rini; Ramadhani, Irma Yunita; Ramadhani, Berliani Ananda Risvy
Lux Mensana: Journal of Scientific Health Vol. 2 Issue 3 (2023)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/jsh.v2i3.417

Abstract

Introduction. Hypertension becomes very dangerous when the patient cannot control blood pressure, because it will cause complications. One of the nonpharmacological therapies that can be done is foot hydrotherapy using warm red ginger decoction and slow deep breathing. The purpose of this study was to determine the effect of the combination of red ginger foot hydrotherapy and slow deep breathing on blood pressure in patients with hypertension. Method. Pre-experimental research design with one group pre-test post-test design approach with a sample of 20 people. Total sampling technique. Observation sheet measuring instrument and sphygmomanometer with Wilcoxon statistical test. Result & Analysis. The results of the study obtained blood pressure values before the intervention and found that all respondents had blood pressure in the category of hypertension stage 2 (100%) and after the intervention found 55% in the elevated category and stage 1 hypertension as much as 45%. The results of the static test p-value = 0.000, which shows the effect of the Red Ginger Foot Hydrotherapy combination of Slow Deep Breathing on the blood pressure of hypertensive patients. Discussion. Doing red ginger foot hydrotherapy in combination with slow deep breathing can control blood pressure, but must be supported to consume drugs regularly, exercise, carrying out a diet, and avoiding stress.
EFFECTIVENESS OF PEER GROUP SUPPORT IN THE APPLICATION OF ACUPRESSURE AND ABDOMINAL STRETCHING ON MENSTRUAL PAIN IN ADOLESCENT FEMALES WITH THE SELF DETERMINATION MODEL Mahundingan, Rosari Oktaviana; Andriani, Dewi; Ramadhani, Dwi Yuniar
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.679

Abstract

Background: One of the changes that appears in adolescent is menstruation. One way to reduce menstrual pain is to use relaxation techniques, acupressure, and abdominal stretching. Another way is to help teenagers deal with pain by using group methods, such as peer group support. Objective: The purpose of this study was to determine the relationship between Peer Group Support in the application of acupressure and abdominal stretching to menstrual pain in adolescent girls using the self-determination model approach. Methods: This study used a quasi-experimental design with a pre-test and post-test design. The sampling technique used was simple random sampling. Inclusion criteria were respondents who had menstruated, experienced menstrual pain, aged at menarche between ≤12 years to ≥14 years, and had a menstrual duration of 7 days, as well as being cooperative and willing to be a respondent. The sampling technique used was simple random sampling. The sample size was 70 female adolescent respondents. Results: The results of the study with Paired t-test showed that the Acupressure and Abdominal Stretching intervention groups both experienced changes with a value of p = 0.03 in the Acupressure and Abdominal Stretching groups and p = 0.000. On average, there was an increase in overcoming menstrual pain, but in the Acupressure group, there was only a slight increase in the t-count, which was 2.45. In the abdominal stretching group, the t-count value was greater, at 11.16. Conclusion: The published research shows that acupressure and abdominal stretching were also carried out on the same group in the 2 intervention groups. The results were effective and could be carried out together, as evidenced by a decrease in the level of pain during menstruation and self-determination.
PENGELOLAAN 4 PILAR DIABETES MELLITUS UNTUK MENINGKATKAN EFIKASI DIRI Ramadhani, Dwi Yuniar; Rukmini, Rukmini; Mamesah, Marline Merke
Community Development in Health Journal Volume 2, Nomor 2, Oktober 2024
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v2i2.584

Abstract

Introduction & Objectives: People with diabetes mellitus sometimes have trouble controlling blood glucose levels and have low self-efficacy. This can happen due to several factors ranging from lack of information, and complications of insufficient family support, causing a low quality of life. This community service aims to provide health education and identify self-efficacy and blood glucose levels. Method: The target of DM sufferers is 18 people. The implementation stage of the activity is the initial survey, health education about the 4 pillars of DM, data collection, and report preparation. Data were collected using a DMSES questionnaire and random blood sugar checks. Results: The majority of female respondents amounted to 14 respondents (77.8%), most of them suffered from DM for 1-6 months amounting to 12 respondents (66.7%), and poor and good self-efficacy each 9 respondents (50%), and 12 respondents (67%) could control. Discussion: Health education on managing the 4 pillars of DM is expected to increase knowledge and self-efficacy and control blood glucose.
MEWUJUDKAN WANITA SEHAT MELALUI PEKA : PROGRAM EDUKASI KEBERSIHAN WANITA Kurniawan, Afif; Ramadhani, Dwi Yuniar; Syaiful, Yuanita
Community Development in Health Journal Volume 3, Nomor 1, April 2025
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v3i1.615

Abstract

Introduction & Aim One of the ways to protect yourself from viruses and bacteria is by maintaining personal hygiene. The problem of personal hygiene that sometimes women do not pay attention to is cleanliness in the feminine area. The feminine area is often in humid conditions. Hence, it becomes a breeding ground for viruses and fungi that can cause infections, one of which is vaginal discharge or flour albus. The purpose of this community service activity is to provide health education through the PEKA Program (Women's Hygiene Education Program) and the making of traditional drinks. Method of Activity: This activity was carried out in the RW 05 area of Kapasan Village, with a target of 22 women. The activity steps are preparing booklets, coordinating with residents, providing pre-test questionnaires followed by providing education, and post-tests and demonstrations of hand washing, correct ways of cebok, and making traditional drinks. Results: The results of Wilcoxon's statistical test on the knowledge of women of childbearing age were p= 0.00 while the attitude used the Paired Sample t-test statistical test, which was a value of p=0.00. Discussion: The increase in knowledge will make a person change behavior in a positive direction. Keywords: Women, Personal Hygiene, Education, Attitude
Karakteristik, Dukungan Keluarga dan Efikasi Diri pada Lanjut Usia Diabetes Mellitus Tipe 2 di Kelurahan Padangsari, Semarang Ramadhani, Dwi Yuniar; MM, Fery Agusman; Hadi, Rita
JURNAL NERS LENTERA Vol. 4 No. 2 (2016)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v4i2.877

Abstract

Pendahuluan: Dukungan keluarga pada lansia DM tipe 2 sangat penting dalam manajemen diabetes, dimana anggota keluarga terlibat dalam banyak aspek kegiatan perawatan kesehatan yang diperlukan pasien diabetes. Adanya dukungan keluarga yang besar dapat meningkatkan efikasi diri penderita. Keyakinan pada diri pasien DM dapat ditunjukkan dari sebuah perilaku tertentu dan mengubah pola pikir tertentu. Metode: Penelitian kuantitatif korelasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh lansia dengan DM tipe 2 di Kelurahan Padangsari sebanyak 104 orang. Tehnik sampling yang digunakan semua anggota populasi menjadi sampel. Pengumpulan data mennggunakan kuesioner karakteristik demografi responden, kuesioner dukungan keluarga, efikasi diri. Analisis data dilakukan dengan menggunakan uji Pearson product moment danregresi linier. Hasil: Hubungan dukungan keluarga dengan efikasi diri lansia DM tipe 2 dengan (p value 0.008) dengan nilai r=0.258, tidak ada hubungan antara karakteristik responden dengan efikasi diri, kecuali jenis kelamin. Faktor yang paling berkontribusi pada efikasi diri lansia DM tipe 2 adalah jenis kelamin dengan nilai (p value=0.023; B=2.235). Pembahasan: Lansia mampu mengelola DM tipe 2 dengan baik bila ada peningkatan efikasi diri untuk menerima kondisinya disertai dengan dukungan keluarga yang baik. Kesimpulan: Meningkatkan efikasi diri pada lansia DM tipe 2 dengan memberikan pendidikan kesehatan, dan memfasilitasi dukungan sosial.
PEMBERDAYAAN KADER KESEHATAN DALAM DETEKSI DINI DIABETES MELLITUS DENGAN MENGGUNAKAN SUGAR HUNT Ramadhani, Dwi Yuniar; Kurniawan, Afif; Hardiyanti, Siti
Community Development in Health Journal Volume 3, Nomor 2, Oktober 2025
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v3i2.629

Abstract

Introduction & Aim: Health cadres are a form of active participation in society, equipped with knowledge and skills. Health cadres are not just extension agents but also liaisons with health centers and the early detection of health problems. Early detection of health problems is an anticipation for a person to become aware of their condition. Health problems such as diabetes mellitus can be anticipated by detecting lifestyles that are at risk of diabetes mellitus. This community service aims to increase knowledge, conduct random blood glucose checks, and identify lifestyles at risk of developing diabetes mellitus. Method of Activity: are health counseling, blood glucose checks, and detection of lifestyles at risk of diabetes mellitus using Sugar Hunt. Results: of community service activities were obtained by 29 people (85%) with a good level of knowledge and most of them were not at risk of diabetes mellitus, as many as 18 people (53%) and the results of random blood glucose tests showed normal as many as 18 people (53%). Discussion: Health education activities with interesting media will make it easier for the audience to remember and apply and carry out early detection as an anticipatory step. If you already have diabetes mellitus, it is essential to perform regular blood glucose checks at your nearest health service.
BLOOD PRESSURE CONTROL WITH BENSON RELAXATION TECHNIQUE IN HYPERTENSIVE PATIENTS Ramadhani, Dwi Yuniar; Annisa, Dinda Rahma; Suwandi, Putri Nabila Savira; Ulan Apriani; Aini, Diah Qurrotul; Dinata, Anggi Zubatian Artha
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.45155

Abstract

Introduction: A person who has high blood pressure sometimes has difficulty controlling blood pressure. As a result of uncontrolled blood pressure will cause various complications. Efforts that may be made to control blood pressure and avoid depression can be done by using non-pharmacological techniques, one of which is by using relaxation techniques. To find out blood pressure before and after Benson's relaxation technique is carried out in patients with hypertension. Methods: The research design used was quasy experimental, where there were 2 groups, namely the treatment group and the control group.  The population of people with hypertension was 38 respondents and simple random sampling technique. Respondents were divided into 2 groups.  Insresearch instruments used observation sheets and Geriatric Depression Scale (GDS). Statistical test used wilcoxone Signed Rank Test. Results: It was found that 19 respondents (100%) were found to have decreased blood pressure levels. In the control group or the group that did not do Benson relaxation technique, there was a decrease in blood pressure in as many as 9 respondents (47%). The Geriatric Depression Scale (GDS) value is known that as many as 34 people with hypertension (89%) fall into the category of mild depression with a score of 10-19, the intervention group is 18 people (95%) and 16 people (84%).  Benson's relaxation technique on blood pressure obtained a value of p = 0.000 which shows that the influence of Benson's relaxation technique with blood pressure in hypertensive patients. Conclusions:Benson's relaxation technique done regularly will help lower blood pressure and provide relaxation to the muscles so as to reduce muscle tension, reduce stress and calm mind.
EFFECTIVENESS OF PEER GROUP SUPPORT IN THE APPLICATION OF ACUPRESSURE ON MENSTRUAL PAIN Mahundingan, Rosari Oktaviana; Andriani, Dewi; Ramadhani, Dwi Yuniar
Journal of Vocational Nursing Vol. 6 No. 1 (2025): MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i1.63755

Abstract

Introduction: One of various techniques in reducing menstrual pain is using relaxation techniques, namely acupressure. Group methods and peer group support are used to help teenagers overcome pain. The purpose of this study was to review Peer Group Support in the application of acupressure to menstrual pain in adolescent girls using the Self Determination model approach. Methods: This study used a quasi-experimental design with a pre-test and post-test design, of one group without a control group. The sampling technique used was simple random sampling.  The inclusion criteria were respondents who had menstruated, experienced menstrual pain, age at menarche between ≤12 years to ≥14 years, and menstrual duration <3 days to >7 days, as well as being cooperative and willing to be a respondent. The sample size was 35 adolescent girls. Results: The study with the Paired t-test showed that the Acupressure group experienced changes with a p-value = 0.03. The average increase in managing menstrual pain in t-count was 2.45. Conclusions: The pain level was measured at the beginning of menstruation, followed by the acupressure technique independently, then the pain level was measured again and showed a significant increase after the intervention in the group that did not experience acupressure. There were 2 respondents (5.7%) of pain, 26 respondents (74.3%) were at the mild pain level and 7 respondents (20%) were at the moderate pain level.