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EFEKTIVITAS PENDIDIKAN KESEHATAN TENTANG DIET RENDAH PURIN TERHADAP KADAR ASAM URAT PADA PENDERITA GOUT ARTRITIS Ahmad Zaini Arif; Aprilia Nur Malasari; Atika Jatimi; Tri Nili Sulayfiyah; Dwi Intan Pakuwita AR; Willi Holis
Jurnal Vokasi Kesehatan Vol 5 No 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/gq9zat26

Abstract

Penyakit gout (arthritis gout) merupakan penyakit sendi yang disebabkan oleh tingginya asam urat di dalam darah.penyabab utama penyakit gout yaitu gaya hidup dan makan yang mengandung lemak berlebih yang menyebabkan tingginya kadar asam urat dalam darah. Diet Rendah Purin diberikan antara lain kepada pasien penyakit Gout dimana kadar asam urat dalam darah tinggi. Tujuan dari penelitian ini bertujuan untuk menganalisis efektivitas pendidikan kesehatan tentang diet rendah purin terhadap kadar asam urat pada penderita gout atritis di wilayah kerja puskesmas jrengik sampang. Pada Penelitian ini menggunakan desain Pre ekperimental. Populasi dalam penelitian ini adalah seluruh masyarakat di wilayah kerja puskesmas jrengik penderita gout atritis. Jumlah sampel yang diambil sebanyak 38 responden dengan teknik Random Sampling. Data di ambil melalui pengisian infrom consend dan pengukuran kadar asam urat. Analisis data dilakukan menggunakan uji MC Nemar Test dengan nilai <0,05 (p<a). Hasil penelitian uji statistic MC Nemar test diperoleh nilai p value 0,006 <a = 0.05, sehingga ada pengaruh pendidikan kesehatan tentang diet rendah purin terhadap kadar asam urat pada penderita gout atritis. Penelitian ini menunjukkan adanya pengaruh pendidikan kesehatan tentang diet rendah purin terhadap kadar asam urat pada penderita gout atritis di wilayah kerja Puskesmas Jrengik Sampang
Terapi CBT terhadap Penurunan Depresi pada Pasien Gagal Ginjal Kronik Ida Wahyuni; Bergita Dumar; Tri Nily Sulayfiyah; Dwi Intan Pakuwita Ar
Journal of Telenursing (JOTING) Vol. 8 No. 1 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/rp93j543

Abstract

This study aimed to determine the effect of CBT on reducing depression in patients with Chronic Kidney Failure (CKD). The study used a quasi-experimental pre-post test design without a control group and was conducted in the hemodialysis ward of Abdur Rahem Hospital, Situbondo. The sample size was 39 patients in the treatment group and 39 in the control group, selected through purposive sampling. The Beck's Depression Inventory-II (BDI-II) was used to measure depression. The results showed a significant reduction in depression levels in both groups (p = 0.001), but a greater reduction occurred in the treatment group, with an average N-gain of 45.44%, compared to the control group, which only achieved 17.54% (p = 0.000). These findings indicate that CBT is effective in reducing depression levels in CKD patients undergoing hemodialysis. In conclusion, CBT therapy is recommended as a routine psychological intervention to improve the mental well-being and quality of life of CKD patients. Keywords: Cognitive Behavior Therapy, Depression, Chronic Kidney Failure
Penurunan Level Stress pada Pasien DM Tipe 2 Menggunakan Terapi SEFT di Denurse Care Dwi Intan Pakuwita AR; Tri Nili Sulayfiyah; Ahmad Zaini Arif; Laras Eka Nur Hasanah; Mira Wahyu Kusumawati; Ahmad Fauziansyah
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2654

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease that affects not only patients' physical health but also their psychological well-being. Psychological stress may increase blood glucose levels, worsen clinical conditions, and reduce the effectiveness of diabetes management. Therefore, effective non-pharmacological interventions are needed to help reduce stress among patients with T2DM. This study aimed to examine the effect of the Spiritual Emotional Freedom Technique (SEFT) on stress levels in patients with T2DM. A quasi-experimental study with a one-group pretest–posttest design was employed. Five respondents with moderate to high stress levels participated in the study. Stress levels were assessed before and after the intervention using the Depression Anxiety Stress Scale-42 (DASS-42). Data were analyzed using the Wilcoxon Signed Rank Test. The results demonstrated a significant reduction in stress levels following the SEFT intervention, with a significance value of p = 0.039 (p < 0.05). The mean stress score decreased from 22.80 before the intervention to 13.80 afterward. These findings indicate that SEFT effectively reduces stress in patients with T2DM through a combination of gentle tapping techniques and spiritual approaches that promote relaxation, emotional balance, and psychological well-being. Therefore, SEFT can be considered an effective, safe, and practical non-pharmacological therapy to support stress management and improve the overall quality of life of individuals with type 2 diabetes mellitus.