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PENERAPAN TERAPI GUIDED IMAGERY TERHADAP PENURUNAN KECEMASAN DAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI Lestari, Puspita Hanggit; Oktavia, Cristina; Ekasari, Mia Fatma; Ayu Pertiwi, Nur Fitri; Silviani, Nadhia Elsa
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 2 (2024): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i2.2100

Abstract

Background: Hypertension is still a health problem that often occurs in the elderly. One of the factors that causes blood pressure to increase is anxiety. Anxiety can be reduced through the application of Guided imagery therapy. Guided imagery is a relaxation technique that relaxes the elderly and helps lower blood pressure. Method: The research used a case study method involving 3 elderly people. Application is carried out for 7 consecutive days with a duration of 15-20 minutes. Anxiety was measured using the HARS questionnaire. Results: The three elderly experienced a change in anxiety level with the result that 2 elderly people had a severe level of anxiety to a moderate level of anxiety and 1 elderly person went from a moderate level of anxiety to a mild level of anxiety. The three elderly also experienced changes in blood pressure with the results, The first elderly with previous blood pressure of 175/98 mmHg became 149/95 mmHg; The second elderly from previously 134/90 mmHg to 114/85 mmHg; and the 3rd elderly with previous blood pressure of 150/83 mmHg to 121/82 mmHg. Conclusion: Guided Imagery Therapy has an influence in reducing anxiety levels and blood pressure in hypertensive elderly.
Pelatihan Kader Kesahatan untuk Meningkatkan Kompetensi Kader dalam Melakukan Pemeriksaan Gula Darah Mandiri dan Senam Kaki Diabetes di Wilayah Kerja Puskesmas Kecamatan Jatiwarna, Kota Bekasi, Jawa Barat Riyanti, Eska; Yardes, Nelly; Pangastuti, Tri Endah; Silviani, Nadhia Elsa
Jurnal Inovasi Pengabdian dan Pemberdayaan Masyarakat Vol 5 No 1 (2025): JIPPM - Juni 2025
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jippm.768

Abstract

Peran kader kesehatan dalam monitoring kestabilan gula darah dan senam kaki pada klien dengan Diabetes Melitus sangat penting, terutama dalam konteks pencegahan dan pengelolaan penyakit ini di masyarakat. Pelatihan dan pemberdayaan, kader kesehatan dapat meningkatkan pengetahuan dan keterampilan kader. Metode pengabdian masyarakat yang dilakukan adalah pelatihan kader kesehatan yang diikuti oleh 22 orang kader di wilayah Jatiwarna. Pelatihan berlangsung selama 5 (lima) hari kerja dengan pemberian edukasi, demonstrasi dan praktik. Hasil menunjukkan peningkatan pengetahuan kader dalam pemeriksaan gula darah mandiri dan senam kaki diabetes sebelum dan setelah mengikuti pelatihan mengalami peningkata rata-rata skor pengetahuan sebesar 1,62 (16 %), sedangkan peningkatan ketrampilan kader dalam pemeriksaan gula darah mandiri dan senam kaki diabetes sebelum dan setelah mengikuti pelatihan menunjukkan rata-rata skor ketrampilan 11,12 (11 %). Sehingga dapat disimpulkan bahwa pelatihan pada kader meningkatkan pengetahuan dan ketrampilan tentang senam kaki diabetes dan pemeriksaan gula darah. Pelatihan ini berpotensi meningkatkan kemampuan kader dalam melakukan monitoring kestabilan gula darah dan senam kaki di wialyah kerja Puskesmas Kecamatan Jatiwarna. Diharapkan pelatihan ini dapat diterapkan secara berkelanjutan di area fasilitas kesehatan primer.
THE INFLUENCE OF EDUCATIONAL VIDEOS ON EARLY PREVENTION OF STROKE AGAINST STROKE RISK IN THE ELDERLY Yardes, Nelly; Iriana, Pramita; Riyanti, Eska; Pangastuti, Tri Endah; Resnayanti, Yeti; Silviani, Nadhia Elsa
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1998

Abstract

Every year, 15 million people worldwide have a stroke. Education using video that are thought to be simple for the elderly to grasp can alter knowledge, attitudes, and behavior among the elderly who are at risk of stroke. This study were conducted to assess the impact of early stroke preventive education videos on stroke risk in the elderly. The method was a quasi-experimental using a non-randomized pretest-posttest control group design. This study was carried out by delivering an educational video intervention for early stroke prevention for three months and comparing the results to those of the control group or without the intervention. The population of this study was the elderly, with a sampling approach of purposive sampling and a sample size of 60 people at Posbindu in the Cipayung district. The data analysis test employed was univariate and bivariate, utilizing independent t-test to assess the effect of the instructional video intervention on early stroke prevention. The difference in the average score of knowledge (1.333; pvalue = 0.011), attitude (1.533; pvalue = 0.011), and behavior (0.466; pvalue = 0.028) in the intervention group before and after the intervention was greater than the difference in the average score of knowledge (0.233; pvalue = 0.165), attitude (0.166; pvalue = 0.484), and behavior (0.000; pvalue = 1.000) in the control group. Furthermore, the independent T-test revealed that the instructional video intervention was helpful in improving knowledge (p-value = 0.064) and attitude (p-value = 0.008). Early stroke prevention education movies improve the elderly's knowledge and attitudes.
HUBUNGAN MOTIVASI LANSIA DAN KEPATUHAN KONTROL HIPERTENSI TERHADAP SELF MANAGEMENT HIPERTENSI DI PUSKESMAS KELURAHAN CIRACAS Balqies, Salsyabila TSaniya; Silviani, Nadhia Elsa
Jurnal Kesehatan Tambusai Vol. 6 No. 4 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i4.51921

Abstract

Hipertensi tidak terkontrol karena kurangnya motivasi terhadap self management hipertensi yang baik, berdasarkan Kemenkes terdapat kesenjangan antara jumlah responden yang terdeteksi hipertensi dengan jumlah responden yang melakukan kunjungan ulang (Kontrol) ke fasilitas pelayanan kesehatan, pada lansia diperoleh data yang terdiagnosa adalah 22,9% dan yang melakukan kunjungan ulang (kontrol) 11% . Berdasarkan survei Kementerian Kesehatan (Kemenkes), pada 2023 ada 8% penduduk Indonesia usia diatas 15 tahun ke atas yang terdeteksi memiliki tekanan darah tinggi atau hipertensi. Jika dipecahkan per wilayah, DKI Jakarta memiliki proporsi penduduk dengan hipertensi terbanyak, yaitu mencapai 12,6%. Kota Jakarta Timur menempati urutan kedua dengan jumlah kasus hipertensi sebanyak 6.342 kasus. Penelitian ini dilakukan untuk melihat apakah ada hubungan motivasi lansia dan kepatuhan kontrol terhadap self management hipertensi. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional dan menggunakan uji Mann-Whitney dan uji Spearman. Instrumen yang digunakan adalah TMQ (Treatment Motivation Questionaire) dan kuisioner HSMBQ (Hypertension Self Management Behaviour Questionaire dengan jumlah sampel 105 responde. Hasil analisis menunjukkan terdapat hubungan signifikan antara motivasi dengan self management hipertensi (p = 0,001), dimana lansia dengan motivasi tinggi cenderung memiliki kemampuan self management yang lebih baik. Namun, tidak ditemukan hubungan signifikan antara kepatuhan kontrol hipertensi dengan self management (p = 0,127). Motivasi berperan penting dalam meningkatkan self managemenr  hipertensi pada lansia, sedangkan kepatuhan kontrol hipertensi tidak selalau berbanding lurus dengan kemampuan self management hipertensi.
BINAURAL BEATS AS AN INTERVENTION TO REDUCE ACADEMIC ANXIETY IN FIRST SEMESTER STUDENTS Nurhalimah, Nurhalimah; Haryati, Omi; Rakhmawati, Indriana; Wartonah, Wartonah; Akbar, M Zaky; Silviani, Nadhia Elsa
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2317

Abstract

Anxiety and difficulty concentrating are often experienced by first-year college students, especially those with introverted personalities, poor coping mechanisms, low adaptability, and an inability to manage stress. These conditions can impact their academic performance. This is a quantitative study with a pre-experimental design using a one-group pretest-posttest design. A sample of 57 students in the Applied Undergraduate Study Program, Department of Nursing, Poltekkes Jakarta III, was selected through purposive sampling. Data were analysed using the Wilcoxon signed-rank test. The results showed that the average academic anxiety score before the intervention was 55.95, while after the intervention it decreased to 41.00, with a p-value of 0.001. These findings indicate that binaural beats are effective in reducing academic anxiety levels in nursing students at Poltekkes Kemenkes Jakarta III, thus offering an alternative approach to addressing students' academic anxiety.