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Hubungan Tingkat Stres Terhadap Perubahan Hemodinamik Pada Pasien Gagal Jantung Dianita, Eka Mei; Priyanti, Ratna Puji; Khoiri, Ahmad Nur; Permana, Arief Candra; Imam, Nurul; Sari, Purwanti Nurvita
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.25802

Objective: Heart failure is the number one cause of death from non-communicable diseases every year, which is caused by impaired heart and blood vessel function. In Indonesia, the prevalence continues to increase every year. One of the psychological factors for morbidity and mortality in heart failure patients is stress. High levels of stress have a negative impact on the development of heart failure. Methods: The purpose of this study was to determine the relationship between stress levels and hemodynamics in heart failure patients. This type of research is quantitative descriptive, using a cross-sectional data collection method. The number of respondents was 109 respondents in the heart polyclinic of Bangil Hospital using a purposive sampling technique. The research instrument used a questionnaire, PSS (Perceived Stress Scale) to measure stress levels and hemodynamic status measured including blood pressure, respiration. The hemodynamic instrument uses observations of blood pressure results using an automatic digital omron device and patient respiration by observing the condition and symmetry of respiratory movements. Data analysis used chi-square. Results: The results showed that heart failure patients experienced moderate stress levels of 78.9% and grade 1 hypertension blood pressure of 44.8%. In addition, heart failure patients experienced moderate stress levels and normal pulses of 95.4%. Conclusion: The conclusion of this study is that stress levels are related to blood pressure and pulse in heart failure patients.

Pengaruh Edukasi Dash Diet terhadap Tingkat Pengetahuan dan Kepatuhan Kontrol Tekanan Darah pada Lansia Hipertensi Nurul Imam; Nurmawati S Lataima; Shinta Wurdiana Rhomadona; Khalifatus Zuhriyah Alfianti
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i2.6231

Hypertension is a common health problem in the elderly that is often unrealized, so it requires effective education to improve blood pressure management. This study aims to determine the effect of DASH diet education on knowledge and compliance with blood pressure control in hypertensive elderly at the Surabaya Elderly Posyandu. A quasi-experimental method with a pretest-posttest design and a control group involved 40 elderly hypertensive respondents who were divided into intervention and control groups. The intervention group received DASH diet education through counseling, leaflets, and 1x/week discussions for 4 weeks. Results showed a significant improvement in p=0.000 knowledge and p=0.000 blood pressure control adherence in the intervention group, while the control group showed no significant change. Systolic and diastolic blood pressure in the intervention group also decreased significantly (158.2/94.3 to 139.7/84.5 mmHg), with 55% of respondents achieving normal blood pressure, compared to 10% in the control group. Conclusion: DASH diet education is effective in improving knowledge, compliance, and controlling blood pressure in hypertensive elderly. Similar educational programs are recommended to be implemented continuously in primary health services for more optimal hypertension management.

TRANSFORMING THE HEALTH OF THE ELDERLY THROUGH THE COMBINATION OF HATHA YOGA AND CHAYOTE JUICE FOR MENTAL HEALTH AND BLOOD PRESSURE Nurul Imam; Shinta Wurdiana Rhomadona; Nasywa Benita Trismantoro; Savira Agustina
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.6941

Hypertension in the elderly is still a serious health problem, especially in the Surabaya area with the highest prevalence in East Java. This condition not only affects the physical, but also has an impact on the mental health of the elderly, such as anxiety and depression, which often go unnoticed and actually worsen blood pressure. This study aims to examine the effectiveness of the combination of Hatha Yoga therapy and chayote juice in lowering blood pressure and improving the psychological condition of the elderly. The research design used a quasi-experiment with a pre-post test approach in two groups. A total of 100 elderly hypertensive patients in RW 04, Sumber Rejo Village, Surabaya, were divided into treatment groups (n=50) and control groups (n=50) through purposive sampling techniques. The treatment group underwent Hatha Yoga and consumed chayote juice twice a week for four weeks. Meanwhile, the control group participated in routine elderly gymnastics. Data were collected through questionnaires and observations, then analyzed using Wilcoxon and Mann-Whitney tests. The results showed a significant improvement in the emotional aspects of the elderly and a marked decrease in blood pressure in the treatment group with significant difference results (p = 0.000). This combination therapy has been shown to be effective and can be recommended as a safe, easy-to-apply, and beneficial nursing intervention in treating hypertension and mild psychological disorders in the elderly. Keywords: Hypertension, Elderly, Mental Health, Hatha Yoga, Chayote.

Remaja Peduli Bencana : Implementasi “ Gesana “ ( Gerakan Sadar Bencana) Di Wilayah Surabaya Berbasis Kearifan Lokal Sari, Ethyca; Nurul Imam; Fikria Marfuatin Nur
JURNAL PENGABDIAN TEKNOLOGI TEPAT GUNA Vol 6 No 3 (2025): Teknologi Tepat Guna (TTG)
Publisher : Universitas Sahid Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Kegiatan pengabdian ini berfokus pada peningkatan kesiapsiagaan remaja terhadap bencana melalui program “GESANA” (Gerakan Sadar Bencana) di RW 2 Kelurahan Putat Jaya, Surabaya. Permasalahan utama adalah rendahnya pengetahuan dan keterampilan remaja terkait mitigasi bencana serta belum terintegrasinya kearifan lokal dalam edukasi kebencanaan. Kegiatan dilakukan melalui pelatihan, simulasi evakuasi, pembentukan relawan, dan penyuluhan berbasis kearifan lokal. Hasil menunjukkan adanya peningkatan signifikan pada tingkat pengetahuan (kategori baik meningkat dari 10% menjadi 68%) dan keterampilan remaja (kategori baik meningkat dari 10% menjadi 62%) dengan p-value < 0,001. Kegiatan ini sejalan dengan SDGs dan Asta Cita, memperkuat peran remaja sebagai agen perubahan dalam menciptakan komunitas tangguh bencana berbasis budaya lokal. Keywords: GESANA, remaja, kearifan local, Banjir, Kebakaran

Remaja Peduli Bencana : Implementasi “ Gesana “ ( Gerakan Sadar Bencana) Di Wilayah Surabaya Berbasis Kearifan Lokal Sari, Ethyca; Nurul Imam; Fikria Marfuatin Nur
JURNAL PENGABDIAN TEKNOLOGI TEPAT GUNA Vol 6 No 3 (2025): Teknologi Tepat Guna (TTG)
Publisher : Universitas Sahid Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47942/jpttg.v6i3.2085

Kegiatan pengabdian ini berfokus pada peningkatan kesiapsiagaan remaja terhadap bencana melalui program “GESANA” (Gerakan Sadar Bencana) di RW 2 Kelurahan Putat Jaya, Surabaya. Permasalahan utama adalah rendahnya pengetahuan dan keterampilan remaja terkait mitigasi bencana serta belum terintegrasinya kearifan lokal dalam edukasi kebencanaan. Kegiatan dilakukan melalui pelatihan, simulasi evakuasi, pembentukan relawan, dan penyuluhan berbasis kearifan lokal. Hasil menunjukkan adanya peningkatan signifikan pada tingkat pengetahuan (kategori baik meningkat dari 10% menjadi 68%) dan keterampilan remaja (kategori baik meningkat dari 10% menjadi 62%) dengan p-value < 0,001. Kegiatan ini sejalan dengan SDGs dan Asta Cita, memperkuat peran remaja sebagai agen perubahan dalam menciptakan komunitas tangguh bencana berbasis budaya lokal. Keywords: GESANA, remaja, kearifan local, Banjir, Kebakaran

PEMBERDAYAAN REMAJA MELALUI PELATIHAN PERTOLONGAN PERTAMA TERSEDAK DI WILAYAH PAKIS SURABAYA Imam, Nurul; Artini, Budi; Siagian, Martha Lowrani S; Suseno, Wahyu
Jurnal Booth Dharma Medika Vol. 6 No. 2 (2025): Jurnal Booth Dharma Medika
Publisher : STIKes William Booth Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47560/wyt94452

Latar Belakang: Tersedak merupakan kondisi darurat yang dapat mengancam nyawa apabila tidak segera ditangani dengan tepat. Di wilayah Pakis Surabaya, pengetahuan dan keterampilan remaja mengenai pertolongan pertama tersedak masih rendah sehingga berpotensi menghambat upaya penyelamatan dini. Pemberdayaan remaja melalui pelatihan menjadi strategi penting untuk meningkatkan kesiapsiagaan dan kemampuan respons terhadap kondisi darurat tersebut. Metode: Kegiatan dilaksanakan menggunakan pendekatan edukatif dan partisipatif dengan melibatkan 60 remaja sebagai peserta. Pelatihan mencakup penyampaian materi, demonstrasi teknik Heimlich, serta praktik langsung menggunakan alat peraga. Evaluasi dilakukan melalui pre-test dan post-test untuk menilai perubahan pengetahuan dan keterampilan. Analisis data menggunakan uji statistik komparatif untuk mengetahui signifikansi peningkatan setelah pelatihan. Hasil: Mayoritas peserta berada pada rentang usia 15–16 tahun (46,7%) dan sebagian besar belum pernah mendapatkan pelatihan sebelumnya (83,3%). Terdapat peningkatan signifikan pada pengetahuan, dari nilai rata-rata 62,35 menjadi 85,20 setelah pelatihan (p < 0,05). Keterampilan peserta juga meningkat secara bermakna, dari rata-rata 58,10 menjadi 88,65 (p < 0,05). Selain peningkatan skor, proporsi peserta dengan kategori baik meningkat tajam baik pada aspek pengetahuan maupun keterampilan. Kesimpulan: Pelatihan pertolongan pertama tersedak terbukti efektif dalam meningkatkan pengetahuan dan keterampilan remaja di wilayah Pakis Surabaya. Program ini berpotensi menjadi model pemberdayaan remaja dalam kesiapsiagaan darurat di lingkungan masyarakat. Rekomendasi diberikan untuk melanjutkan kegiatan serupa secara berkala guna memperkuat peran remaja sebagai agen penyelamat di komunitas.

FOOD DIVERSIFICATION TO IMPROVE THE NUTRITIONAL STATUS OF CHILDREN AGED 6-24 MONTHS THROUGH COLLABORATION BETWEEN HEALTH WORKERS AND THE COMMUNITY IN SUKAMAJU VILLAGE, TAMBELANG DISTRICT: FOOD DIVERSIFICATION TO IMPROVE THE NUTRITIONAL STATUS OF CHILDREN AGED 6-24 MONTHS THROUGH COLLABORATION BETWEEN HEALTH WORKERS AND THE COMMUNITY IN SUKAMAJU VILLAGE, TAMBELANG DISTRICT Ananda Patuh Padaallah; Aprilina Sartika; Previarsi Rahayu; Nurul Imam
Community Service Journal of Indonesia Vol. 8 No. 1 (2026): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v8i1.888

Nutrition problems in children aged 6–24 months remain a public health challenge, especially during the period of complementary feeding. Lack of food variety, limited knowledge among mothers, and the suboptimal role of health workers are risk factors for nutrition problems. This community service activity aims to improve children's nutritional status through a food diversification program based on collaboration between health workers and the community in Sukamaju Village, Tambelang District. The methods used in this activity included identifying nutritional problems, providing education on complementary feeding based on local foods, training on menu diversification, health worker assistance, and evaluating the nutritional status of children aged 6–24 months. A total of 26 mothers and health workers were involved in this activity. The evaluation was conducted through weight measurements, knowledge assessments, and observations of complementary feeding practices. The results of the activity showed an increase in mothers' knowledge about diversifying complementary feeding, an increase in cadres' skills in nutrition education, and an increase in the variety of children's daily menus. This collaborative program effectively raised community awareness about the use of local foods as a source of nutrition for children. It was concluded that collaboration between cadres and the community through a participatory approach can improve the quality of complementary feeding.

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