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DERAJAT INTERDIALYTIC WEIGHT GAIN (IDWG) BUKAN SEBAGAI PREDIKTOR PERUBAHAN TEKANAN DARAH INTRADIALITIK Wayunah, Wayunah; Handayani, Eka Juwita; Somantri, Dadang
Medical-Surgical Journal of Nursing Research Vol. 2 No. 2 (2023): Medical-Surgical Journal of Nursing Research
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v2i1.25

Abstract

Salah satu masalah yang sering dialami pasien GGK yang menjalani hemodialisa adalah penambahan berat badan di antara dua waktu hemodialisa atau dikenal dengan interdialytic weight gain (IDWG). Meningkatnya derajat IDWG pada pasien yang menjalani hemodialisa dianggap dapat memengaruhi perubahan tekanan darah intradialitik. Studi ini bertujuan untuk menentukan hubungan antara derajat IDWG dan perubahan tekanan darah intradialitik pada pasien GGK yang dirawat di RSUD Kabupaten Indramayu. Penelitian ini menggunakan pendekatan deskriptif analitik cross-sectional. Jumlah sampel sebanyk 98 responden, yang diambil menggunakan consecutive sampling. Alat pengumpul data adalah lembar observasi. Data dianalisis menggunakan uji Pearson chi-square. Hasil penelitian ini didapatkan derajat IDWG pada pasien GGK di ruang hemodialisa RSUD Kabupaten Indramayu dalam ketegori derajat ringan sebanyak 44 (44,9%). Perubahan tekanan darah intradialitik pada pasien GGK di ruang hemodialisa RSUD Kabupaten  Indramayu sebanyak 61 (62,2%) mengalami kenaikan tekanan darah intradialitik sistolik, dan sebanyak 55 (56,1%) mengalami penurunan tekanan darah intradialitik diastolik. Hasil analisa lanjut didapatkan nilai p value 0,232 dan 0,785. Karena kedua p value > ? 0,05 artinya tidak ada hubungan antara derajat IDWG dengan perubahan tekanan darah intradialitik, baik sistolik maupun diastolik. Selanjutnya perlu adanya penelitian tentang faktor determinan perubahan tekanan darah intradialitik pada pasien GGK yang menjalani hemodialisa.
A Descriptive Study of Adolescent Lifestyle and Cardiovascular Disease Risk in Senior High School Wayunah, Wayunah; Anwar Huda, Syaefunnuril; Saefulloh, Muhammad
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 1 (2025): Jurnal Kesehatan (April 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i1.816

Abstract

Introduction: Common adolescent behaviors such as consuming fast food, high-sugar beverages, lack of physical activity, and excessive screen time are major contributing factors to the emergence of CVD among youth. Early detection of risk factors during adolescence is essential to prevent the progression of CVD later in life. Objective: This study aims to describe CVD risk factors among high school students. Method: A descriptive design, data were collected through questionnaires distributed to 162 twelfth-grade students at a public senior high school in Tasikmalaya, using accidental sampling. Data were analyzed using descriptive statistics (frequency and percentage). Result: The average age was 17 years, with the majority being female (63%). A total of 89.5% of respondents lived in urban areas, 63% showed a tendency toward light physical activity, 58.6% consumed junk food 1–2 times per week, 18.5% had a smoking habit, and 63% experienced significant stress. Conclusion: These findings indicate that adolescents' current lifestyle is prone to CVD risk factors. Integrated interventions through health education in school and family environments are necessary to raise awareness of the importance of a balanced diet, adequate physical activity, and effective stress management to prevent the future development of CVD.
Menggali Potensi Desa: Pemanfaatan Pangan Lokal dan Edukasi Sanitasi Sehat untuk Generasi Bebas Stunting di Desa Sinagar Wayunah, Wayunah; Zustika, Diana Sri; Ramadhan, Fauzan Sebastian; Sukma, Mentari Nurul; Nurhasanah, Lutfiah; Rahmatunnisa, Rahmatunnisa
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 5 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i5.627

Abstract

Introduction: Stunting is a major public health problem caused by chronic malnutrition and recurrent infections, resulting in impaired physical growth and cognitive development in children. Sinagar Village has a relatively high prevalence of stunting. Objective: This study aimed to evaluate the effectiveness of the program “Local Food Utilization and Healthy Sanitation Education for Stunting Prevention” in improving community knowledge regarding balanced nutrition, the use of local food, and healthy sanitation practices. Method: The education program was conducted on July 29, 2025, at the Sinagar Village Hall using an educative-participatory and community-based approach. Forty-five participants (pregnant women, breastfeeding mothers, mothers of toddlers, and community health cadres) took part in pre- and post-tests. Data were analyzed using Microsoft Excel to compare mean scores before and after the intervention. Result: The average score from 84.44 in the pre-test to 85.28 in the post-test. Participants demonstrated improved understanding of stunting, the importance of balanced nutrition, exclusive breastfeeding, immunization, and healthy sanitation practices. The program also included the distribution of nutritious milk and fruits, providing additional nutritional intake for target groups. Conclusion: The local food and healthy sanitation education program was effective in enhancing community knowledge for stunting prevention. Continued educational interventions are recommended to promote sustainable behavioral changes that support optimal child growth and health in rural communities.
Implementation of Screening, Counseling, and Health Education for Hypertension Prevention among Adolescents Marpatmawati, Idhfi; Sambas, Etty Komariah; Suprapti, Betty; Rismawan, Wawan; Wayunah, Wayunah; Yuningsih, Aneng; A, Saefunnuril; Hidayat, Nandita Milda; Setyarini, Wahyu Ikka; A, Iman Syarifuddin; Asparina, Arina; Bilhamdillah, Zalfa Nabilah; Gustiani, Mia Ruhmiati; Nuraeni, Nuraeni; Ramadhan, Gilang; Ismawi, Ade Sayid
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 5 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i5.640

Abstract

Introduction: Hypertension is no longer a health issue limited to adults but increasingly affects adolescents. Its asymptomatic nature makes it difficult to detect early, while lifestyle factors such as poor diet, lack of physical activity, and stress significantly increase the risk. Early intervention through school-based programs is crucial to increase awareness and prevention. Objective: The purpose of this service was to provide promotive and preventive efforts against hypertension in adolescents at SMK Suryalaya, Tasikmalaya, by increasing their knowledge, awareness, and healthy lifestyle practices through health screening, education, and counseling Method: This public service was conducted by lecturers and students of Universitas Bakti Tunas Husada in collaboration with SMK Suryalaya. The program consisted of three stages: preparation, implementation, and evaluation. Screening included measurement of blood pressure, pulse, body mass index (BMI), and fitness tests. Health education was delivered through interactive lectures and discussions, while personal counseling was provided for students identified with health risks. Result: The activity involved 58 students (34 from grade X and 24 from grade XI). Screening results revealed 9.1% hypertension, 34.8% hypotension, and 13.6% obesity, indicating significant cardiovascular risks. Health education improved students’ knowledge with an average score increase from 60 (pre-test) to 82 (post-test), a gain of 36.7%, shifting most students from “moderate” to “high” knowledge categories. Personalized counseling for at-risk students enhanced their understanding and commitment to adopting healthier habits. Conclusion: This program demonstrated that integrating screening, education, and counseling effectively improved adolescent health awareness and promoted preventive behaviors. Early detection and health promotion in schools are essential strategies to reduce long-term cardiovascular risks. The program can serve as a replicable model for adolescent health promotion in other educational institutions.
Decreased Foot Sensitivity as a Predictor of Diabetic Foot Ulcers Wayunah, Wayunah; Nur Aeni, Wiwin; Kuncoro, Martin; Saefulloh, Muhammad
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.550

Abstract

Introduction: Diabetic foot ulcers are a complication that often occurs in people with diabetes mellitus. This complication begins with a decrease in foot sensitivity which leads to neuropathy, resulting in frequent trauma to the feet. Decreased foot sensitivity in the form of decreased sensation of heat, cold, and pain is a dangerous complaint because it has a very high risk of causing foot ulcers or neuropathic foot ulcers. Objective: This study aimed to determine the relationship between the level of foot sensitivity and the incidence of dibetic foot ulcers in diabetes mellitus patients. Method: The type of research is a descriptive correlation with a cross-sectional approach. The population, all DM pstients at Internal Medicine Clinic 1 and 2 Indramayu District Hospital. The sample was 48 people taken by accidental sampling. Data collection tools used observation sheets and 10 G monofilament, while data analysis techniques used the Chi-square test. Result: The research results obtained from 44 respondents showed that 22 respondents (%) experienced neuropathy. Of these, 21 (95.5%) had ulcers. Meanwhile, of the 26 respondents who did not have neuropathy, 21 (80.8%) did not have ulcers. The results of further analysis obtained a p-value of 0.000 and an OR value of 88.2. Conclusion: The conclusion from this study is that there is a relationship between the level of sensitivity and the incidence of diabetic foot ulcers. DM patients who experience neuropathy are 88.2 times more likely to develop ulcers than those who do not experience neuropathy. Suggestions are given to nurses to continue making efforts to prevent diabetic foot ulcers by checking the sensitivity of the patient's feet regularly, at least once a year.