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Faktor Faktor Yang Mempengaruhi Kualitas Hidup Pada Pasien TB/HIV Indawati, Eli; Irawati, Winda
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.19741

ABSTRACT Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) are two global health problems that are interconnected and have a significant impact on the quality of life of sufferers. TB-HIV coinfection is one of the main challenges in the field of public health, especially in developing countries, including Indonesia. To identify factors that influence quality of life in TB-HIV patients. The type of research used is quantitative research and the design used is "Cross Sectional". The statistical test method uses the chi square statistical test. On factors that influence the quality of life in TB/HIV patients, a p-value of 0.000 (< 0.05) or smaller than alpha 0.05 was found, for age, work, family support and self-efficacy for quality of life. Meanwhile, gender did not affect quality of life, the p-value was 0.907 (> 0.05) or greater than alpha 0.05. The results of the research that has been carried out show that there is a positive impact on factors that influence the quality of life of TB-HIV patients. Keywords: Factors, Quality of Life, and TB/HIV. ABSTRAK Tuberkulosis (TB) dan Human Immunodeficiency Virus (HIV) adalah dua masalah kesehatan global yang saling berhubungan dan memiliki dampak signifikan terhadap kualitas hidup penderitanya. Koinfeksi TB-HIV merupakan salah satu tantangan utama dalam bidang kesehatan masyarakat, terutama di negara berkembang, termasuk Indonesia. Untuk mengidentifikasi faktor-faktor yang mempengaruhi kualitas hidup pada pasien TB-HIV.Jenis penelitian yang digunakan yaitu penelitian kuantitatif dan desain yang digunakan yaitu “Cross Sectional”. Metode uji statistik menggunakan uji statistik chi square. Pada factor-faktor yang mempengaruhi kualitas hidup pada pasien TB/HIV didapat p-value 0,000 (< 0,05) atau lebih kecil dari alpha 0,05, pada usia, pekerjaan, dukungan keluarga dan efikasi diri terhadap kualitas hidup. Sedangkan pada jenis kelamin tidak mempengaruhi kualitas hidup didapat p-value 0,907 (> 0,05) atau lebih besar dari alpha 0,05. Dari hasil penelitian yang telah dilaksanakan bahwa menunjukkan adanya dampak positif faktor-faktor yang mempengaruhi kualitas hidup pasien TB-HIV. Kata Kunci: Faktor-Faktor,Kualitas Hidup, dan TB/HIV

Pengaruh Resiliensi terhadap Kepatuhan Minum Obat Oat pada Pasien TB-HIV Indawati, Eli; Narulita, Lenny
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.19742

ABSTRACT About a quarter of the world's population suffers from tuberculosis infection. In Indonesia, tuberculosis is an opportunistic inflammatory disease that is generally associated with HIV. Tuberculosis and HIV remain global and Indonesian public health problems, and eradicating these diseases by 2030 is a priority. Able to identify the influence of health education on the Influence of Resilience on Compliance with OAT Medication in TB-HIV Patients. The type of research used is quantitative research and the design used is "Quasi Experimental Pre-Post test". Calculating the sample size can be done using statistical methods using the two mean test. From the parametric test, a sig (2-tailed) result was obtained on the relationship between the Pre Test and Post Test using the Wilcoxon Test, namely 0.000 (< 0.05) or smaller than alpha 0.05, so a decision can be made that the test results are H0 rejected and Ha accepted. This means that there is a significant difference between the influence of resilience on adherence to taking OAT medication in TB-HIV patients. Keywords: Resilience, Compliance, and TB-HIV. ABSTRAK Sekitar seperempat penduduk dunia menderita infeksi tuberkulosis, di Indonesia tuberkulosis merupakan penyakit inflamasi oportunistik yang umumnya dikaitkan dengan HIV. Tuberkulosis dan HIV masih menjadi masalah kesehatan masyarakat global dan Indonesia, dan pemberantasan penyakit tersebut pada tahun 2030 merupakan sebuah prioritas. Mampu mengidentifikasi pengaruh pendidikan kesehatan terhadap Pengaruh Resiliensi Terhadap Kepatuhan Minum Obat OAT Pada Pasien TB-HIV. Jenis Penelitian yang digunakan yaitu penelitian kuantitatif dan desain yang digunakan yaitu “Quasi Eksperimental Pre-Post test”. Penghitungan jumlah sampel bisa dilakukan dengan metode statistik menggunakan uji dua mean. dari uji parametric didapat hasil sig (2-tailed) pada hubungan Pre Test dan Post Test dengan menggunakan Uji Wilcoxon Test yaitu sebesar 0,000 (< 0,05) atau lebih kecil dari alpha 0,05 maka dapat diambil keputusan bahwa hasil pengujian adalah H0 ditolak dan Ha diterima. Artinya, ada perbedaan signifikan antara pengaruh resiliensi terhadap kepatuhan minum obat OAT pada pasien TB-HIV. Kata Kunci: Resiliensi, Kepatuhan, dan TB-HIV.

Pengaruh Pembelajaran Metode Online terhadap Peningkatan Pembelajaran pada Mahasiswa Wahyuni, Sari; Indawati, Eli
MAHESA : Malahayati Health Student Journal Vol 3, No 7 (2023): Volume 3 Nomor 7 (2023)
Publisher : Universitas Malahayati

ABSTRACT Learning Improvement is a very important evaluation carried out in order to find out whether or not a learning method is effective. The purpose of conducting this research is to determine whether there is an influence of online method learning on improving learning in students. Data collection was carried out by distributing questionnaire sheets, the design of this study was descriptive with a cross sectional approach. The sample used in this study was undergraduate students of STIKes Abdi Nusantara with a total population of 121 and 93 samples used. The results of the Chi-Square test for improving learning before and after applying the online method based on the results of Bivariate Analysis with a sample of 93 responses (n = 93) obtained data that from 93 student respondents with an effective learning process as many as 58 respondents (62.3%), and ineffective as many as 35 students (37.7%) obtained a p-Value of 0.003 (p-value) which means that there is an influence between online learning methods on improving learning in students. From the results of this study, it is expected for all undergraduate students of STIKes Abdi Nusantara to be able to improve the learning process in students well, and maintain a positive attitude and reflect an attitude of discipline and responsibility. Keywords: Learning Improvement, Online Method Learning. ABSTRAK Peningkatan Pembelajaran merupakan evaluasi yang sangat penting dilakukan dalam rangka mengetahui efektif atau tidaknya suatu metode pembelajaran. Tujuan dilakukannya penelitian ini adalah untuk mengetahui apakah terdapat pengaruh pembelajaran metode online terhadap peningkatan pembelajaran pada mahasiswa. Pengumpulan data dilakukan dengan membagikan lembar kuesioner, desain penelitian ini bersifat deskriptif dengan pendekatan cross sectional. Sampel yang digunakan dalam penelitian ini adalah mahasiswa program sarjana STIKes Abdi Nusantara dengan jumlah penduduk 121 dan 93 sampel yang digunakan. Hasil uji Chi-Square untuk peningkatan pembelajaran sebelum dan sesudah menerapkan metode daring berdasarkan hasil Analisis Bivariat dengan sampel sebanyak 93 respon (n=93) diperoleh data bahwa dari 93 responden siswa dengan proses pembelajaran efektif sebanyak 58 responden (62,3%), dan inefektif sebanyak 35 siswa (37,7%) memperoleh p-Value sebesar 0,003 (p-value) yang berarti terdapat pengaruh antar metode pembelajaran online terhadap meningkatkan pembelajaran pada siswa. Dari hasil penelitian ini diharapkan bagi seluruh mahasiswa program sarjana STIKes Abdi Nusantara untuk dapat meningkatkan proses pembelajaran pada mahasiswa dengan baik, serta menjaga sikap positif dan mencerminkan sikap disiplin dan tanggung jawab. Kata Kunci: Peningkatan Pembelajaran, Pembelajaran Metode Online.

Efektivitas Konseling Terhadap Kepatuhan Minum Obat Pada Pasien Hipertensi di Puskesmas Bahagia Rifki, Renaldi; Indawati, ELI
Malahayati Nursing Journal Vol 6, No 2 (2024): Volume 6 Nomor 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i2.10759

ABSTRACT Hypertension is a disease that is familiar to the world’s population and the local community. Hypertension is also known as high blood pressure. Ussually hypertension is defined as pressure above 140/90, and is considered severe if the pressure is above 180/120.Data from the World Health Organization (2021) about 1.28 billion people in the world suffer from hypertension. West Java is the province with the highest prevalence of hypertension in Java, which is 29.4%. The highest prevalence was found in North Bekasi with 23.85% - 35.65% Compliance with taking medication for patients with hypertension is important because hypertension is a disease that cannot be cured but must always be controlled so that complications do not occur which can lead to death. To find out whether there is an effectiveness of counseling on adherence to taking medicatio in hypertension patients at the Bahagia Public Health Center. The research method used is descriptive analytical with a cross-sectional approach, sampling using non-probability sampling with purposive type. The population of this study was 73 respondentsThe number of samples using the slovin formula was 62 respondents. Collecting data using a questionnaire. Bivariate analysis using chi square test. From the Chi Square statistical test results obtained p value of 0.000 it can be concluded that p value (0.000) a value (0.05), this shows that there is Counseling Effectiveness on Compliance with Taking Drug in Hypertensive Patiens at the Bahagia I Public Health Center. There is a Significant effectiveness between counseling on medication adherence in hypertensive patients at the Bahagia Public Helth Center. It is hoped that after being given counseling, the community will be obedient to taking antyhipertensive drugs. Keywords: Hypertension, Counseling, Compliance with Taking Medication. ABSTRAK Penyakit hipertensi ini merupakan penyakit yang tak asing lagi ditelinga penduduk dunia dan masyarakat setempat. Hipertensi disebut juga dengan nama tekanan darah tinggi. Biasanya hipertensi didefinisikan sebagai tekanan di atas 140/90, dan dianggap parah jika tekanan diatas 180/120. Data WHO (2021) sekitar 1.28 miliar orang di dunia menderita hipertensi. Jawa barat merupakan provinsi dengan prevalensi hipertensi paling tinggi di pulau jawa yaitu sebesar 29,4%. Prevalensi tertinggi ditemukan di Bekasi Utara dengan 23,85% – 35,65%. Kepatuhan minum obat penderita hipertensi merupakan hal penting karena hipertensi merupakan penyakit yang tidak dapat disembuhkan tetapi harus selalu dikontrol atau dikendalikan agar tidak terjadi komplikasi yang dapat berujung pada kematian. Untuk mengetahui apakah ada efektivitas konseling terhadap kepatuhan minum obat pada pasien hipertensi di Puskesmas Bahagia. Metode penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional pengambilan sampel menggunakan non probability sampling dengan jenis purposive sampling. Populasi penelitian ini sebanyak 73 responden, jumlah sampel menggunakan rumus slovin sebanyak 62 responden. Pengambilan data menggunakan kuesioner. Analisis secara bivariat dengan menggunakan uji chi square. Dari hasil uji statistik Chi Square diperoleh p value sebesar 0,000 dapat disimpulkan p value (0,000) < nilai a (0,05), hal ini menunjukan bahwa ada Efektivitas Konseling Terhadap Kepatuhan Minum Obat Pada Pasien Hipertensi Di Puskesmas Bahagia. Ada Efektivitas yang bermakna antara konseling terhadap kepatuhan minum obat pada pasien hipertensi di Puskesmas Bahagia. Diharapkan setelah diberikan konseling, masyarakat dapat patuh terhadap minum obat antihipertensi. Kata Kunci: Hipertensi, Konseling, Kepatuhan Minum Obat.

Analisis Faktor yang Berhubungan dengan Kejadian Baby Blues Syndrom pada Ibu Nifas di Klinik Cempaka Medical Center Tambun Bekasi Tahun 2023 Yuhaeni, Neti; Indawati, Eli
Malahayati Nursing Journal Vol 6, No 4 (2024): Volume 6 Nomor 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i4.11139

ABSTRACT At first glance, baby blues syndrome is not dangerous, but it has an impact on the development. The results of a preliminary study on 10 mothers stated that there was fear, anxiety, difficulty sleeping, crying, and worry if abnormalities occurred in their babies. This shows that the mother has baby blues syndrome. Knowing the analysis of factors associated with the incidence of baby blues syndrome in postpartum mothers at the Cempaka Medical Center Clinic Tambun Bekasi in 2023. This research is a quantitative analytic study with a cross sectional design. The sample in this study was made up of postpartum mothers who were one week postpartum at the Cempaka Medical Center Tambun Bekasi Clinic as of February 2023, totaling 63 respondents using the accidental sampling technique. The research instrument used was a questionnaire. Data is primary data analyzed using the square test. The results of univariate analysis showed that most postpartum mothers did not experience baby blues syndrome (63.5%), had readiness (77.8%), high husband support (82.5%), type of normal delivery (63.5%), good knowledge (77.8%), and planned pregnancy (69.8%). The results of bivariate analysis revealed that there was a significant relationship between mother's readiness (p value = 0.006), husband's support (p value = 0.013), type of delivery (p value = 0.026), knowledge (p value = 0.006), and pregnancy planning (p value = 0.042) and the incidence of baby blues syndrome in postpartum mothers. Maternal readiness, husband's support, type of delivery, knowledge, and pregnancy planning are related to the incidence of baby blues syndrome in postpartum mothers. It is hoped that midwives can increase the knowledge of mothers, husbands, and families by providing more intensive counseling to avoid baby blues syndrome in postpartum mothers. Keywords: Baby Blues Syndrome, Mother's Readiness, Husband's Support, Type of Delivery, Knowledge And Planning of Pregnancy, Postpartum Mother ABSTRAK Sekilas baby blues syndrom memang tidak berbahaya, tapi berdampak terhadap perkembangan bayinya. Hasil studi pendahuluan pada 10 ibu menyatakan adanya rasa takut, cemas, waswas, susah tidur dan suka menangis setelah melahirkan dan khawatir jika terjadi kelainan pada bayinya. Hal ini menunjukkan bahwa ibu mengalami baby blues syndrom. Mengetahui analisis faktor yang berhubungan dengan kejadian baby blues syndrom pada ibu nifas di Klinik Cempaka Medical Center Tambun Bekasi tahun 2023. Penelitian ini merupakan penelitian analitik kuantitatif dengan rancangan cross sectional. Sampel dalam penelitian ini adalah ibu nifas satu minggu postpartum yang berada di Klinik Cempaka Medical Center Tambun Bekasi terhitung dari bulan Februari 2023 berjumlah 63 responden dengan teknik accidental sampling. Instrumen penelitian menggunakan kuesioner. Data merupakan data primer dianalisis menggunakan uji uji square. Hasil analisis univariat diketahui sebagian besar ibu nifas tidak mengalami baby blues syndrom 63,5%, memiliki kesiapan 77,8%, dukungan suami tinggi 82,5,5%, jenis persalinan normal 63,5%, memiliki pengetahuan baik 77,8% dan kehamilan direncanakan 69,8%. Hasil analisis bivariat diketahui bahwa ada hubungan yang signifikan antara kesiapan ibu (p value = 0,006), dukungan suami (p value = 0,013), jenis persalinan (p value = 0,026), pengetahuan (p value = 0,006) dan perencanaan kehamilan (p value = 0,042) dengan kejadian baby blues syndrom pada ibu nifas. Kesiapan ibu, dukungan suami, jenis persalinan, pengetahuan dan perencanaan kehamilan berhubungan dengan kejadian baby blues syndrom pada ibu nifas. Diharapkan bidan dapat meningkatkan pengetahuan ibu, suami dan keluarga dengan cara memberikan penyuluhan yang lebih intensif agar terhindar dari baby blues syndrom pada ibu nifas. Kata Kunci: Baby Blues Syndrom, Kesiapan Ibu, Dukungan Suami, Jenis Persalinan, Pengetahuan dan Perencanaan Kehamilan, Ibu Nifas

THE EFFECT OF HEALTHY LIVING EDUCATION ON REDUCING BLOOD PRESSURE IN ELDERLY PEOPLE WITH HYPERTENSION Apriyana, Eka; Indawati, Eli
HEARTY Vol 13 No 6 (2025): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i6.16107

Background: Background: Hypertension is where a person experiences an increase in blood pressure from the normal limit, where diastolic blood pressure is more than 140 mmHg and diastolic blood pressure is more than 90 mmHg. Self-management of hypertensive patients is a person's ability to maintain healthy living behavior to reduce blood pressure in elderly patients with hypertension in Kampung Warga I Cilangkap Cipayung, East Jakarta. This type of research is pre-experimental design research with a one group pre test-post test design approach. The sampling technique is non-probability sampling with a purposive sampling method with a sample size of 30 respondents. The instrument used is an intervention. Research Objective: To determine the effect of healthy living education on reducing blood pressure in elderly people with hypertension. This type of research is pre-experimental design research with a one group pre test-post test design approach. The parametric statistical test is the Wilcoxon test Research Results: Based on the results of the Wilcoxon statistical test in table 5.6, data on pre-post intervention systolic blood pressure was obtained, it was found that of the 30 respondents there were 22 people who experienced a decrease in systolic pressure (Negative rank), 3 respondents experienced an increase in blood pressure (Positive rank) and 5 people had constant blood pressure (Ties). Meanwhile, for the pre-test diastole, of the 30 respondents, 17 people experienced a decrease in diastolic pressure (Negative rank), 4 experienced an increase in diastolic pressure (Positive rank) and 9 people had constant blood pressure (Ties) and for systolic blood pressure the P value (ρ value) was 0.004 which means the overall value or total of everything. This means that there is an influence of healthy living education on reducing blood pressure in hypertensive patients in Warga Village I Cilangkap Cipayung. Conclusions and Suggestions: There is an influence of healthy living education on reducing blood pressure in elderly people with hypertension. It is hoped that the results of this study can increase

Pengaruh Resiliensi terhadap Peningkatan Kualitas Hidup Orang dengan TB-HIV Indawati, Eli; Sitohang, Lestari; Hartini, Sri; Syaripudin, Yayan
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19763

ABSTRACT HIV and tuberculosis are still major public health problems in Indonesia and around the world, and must beeradicated by 2030. When a person is diagnosed with HIV/AIDS, they may experience a variety of emotions, includingfear, regret, denial, confusion, and uncertainty about what to do that can lead to psychological stress. Resilience canplay a role in the quality of protection, reducing the negative impact of bad conditions that can reduce a person'squality of life. So it is necessary to increase resilience to improve the quality of life. Able to identify the effect ofresilience on improving the quality of life of people with TB-HIV. The method used in this study is "Quasi Experiment One Group Withaot Control" with the design of "one group pre test - post test". To take samples, the researcher used a purposive sampling technique. The results of this study stated that 20 respondents experienced an increase in scores from pretest to posttest. The results of the statistical test were obtained with a P value of 0.000 (<0.05) which means that there is a level after the intervention is given. Therefore, Ho was rejected and Ha was accepted stating that there was a significant correlation between resilience and improved quality of life. After this study was carried out, it was found that the results of the study showed the influence of resilience on improving the quality of life. Keywords: Resilience, Quality of Life, TB, HIV. ABSTRAK HIV dan tuberkulosis masih menjadi masalah kesehatan masyarakat utama di Indonesia dan di seluruh dunia, dan harus diberantas pada tahun 2030. Ketika seseorang didiagnosis mengidap HIV/AIDS, mereka mungkin mengalami berbagai emosi, termasuk ketakutan, penyesalan, penyangkalan, kebingungan, dan ketidakpastian tentang apa yang harus dilakukan sehingga dapat menyebabkan stres psikologis. Resiliensi dapat berperan sebagai kualitas perlindungan, mengurangi dampak negative dari kondisi buruk yang dapat menurunkan kualitas hidup seseorang. Sehingga perlu meningkatkan resiliensi untuk meningkatkan kualitas hidup. Mampu mengidentifikasi pengaruh resiliensi terhadap peningkatan kualitas hidup orang dengan TB-HIV. Metode yang digunakan dalam penelitian ini adalah “Quasi Eksperimen One Group Withaot Control” dengan desain “one group pre test - post test”. Untuk mengambil sampel maka peneliti menggunakan teknik purposive sampling. Hasil penelitian ini menyatakan bahwa 20 responden mengalami penaikan nilai dari pretest ke posttest. Hasil uji statistic didapat P value 0,000 (<0,05) yang artinya ada tingkatan setelah diberikan intervensi. Oleh karena itu, Ho ditolak dan Ha diterima menyatakan bahwa terdapat korelasi yang signifikan antara resiliensi dengan peningkatan kualitas hidup. Setelah penelitian ini dilakukan didapat bahwa hasil penelitian menunjukkan adanya pengaruh resiliensi terhadap peningkatan kualitas hidup. Kata Kunci: Resiliensi, Kualitas Hidup, TB, HIV.

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