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Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review Firman Prastiwi; Titin Andri Wihastuti; Dina Dewi Sartika Lestari Ismail
Jurnal Kedokteran Brawijaya Vol. 31 No. 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.04.12

Abstract

Fatigue is the primary complaint most frequently reported by patients on hemodialysis. The importance of knowing the factors related to fatigue is a strategy that can be carried out by health workers in optimally applying interventions to reduce patient fatigue problems. This systematic review aimed to determine the factors associated with fatigue in patients undergoing hemodialysis. The systematic review method began by identifying research articles in the Pubmed, ProQuest, Ebsco, and ScienceDirect databases in 2011–2020. Review protocol was using PRISMA. Based on the results of the analysis, it was obtained 23 articles that discussed demographic factors, physiological factors, socioeconomic factors, situational factors, and psychological factors that could be associated with fatigue in hemodialysis patients. There is much to learn about fatigue in patients undergoing hemodialysis, including causative factors, assessment of severity, and effective management of fatigue so that it can be used as a benchmark for determining appropriate interventions.
Factors Related to the Incidence of Hypertension in the Elderly Firman Prastiwi; Amin Aji Budiman; Nikma Alfi Rosida
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (632.676 KB) | DOI: 10.30604/jika.v8i1.1599

Abstract

The elderly will experience many physical and mental changes that can affect the incidence of hypertension. However, the results of several studies were different regarding what factors can affect elderly hypertension, so this can be used as a reference for further research. This study aims to determine what factors can influence the incidence of hypertension in the elderly at Panti Jompo Sabar Hati Banyuanyar. This study used a cross-sectional design with a sample of 84 elderly people at the Panti Jompo Sabar Hati Banyuanyar, Indonesia. The samples were collected using a total sampling technique. The tools used in this study were characteristic distribution instruments consisting of age, gender, family history, and lifestyle questionnaires consisting of histories of smoking and physical activity. The data analysis used was the chi-square test and multiple logistic regression tests. The results of the Chi Square test showed that there was no relationship between physical activity (p 0.418 and OR 1.600) and age (p 0.772 and OR 1.292) with the incidence of hypertension in the elderly. The results of the Chi Square test also showed that there was a significant relationship between gender (p 0.028 and OR 0.309), family history of hypertension (p 0.018 and OR 3.316), and history of smoking (p 0.045 and OR 3.061) with the incidence of elderly hypertension. In conclusion, there is a relationship between gender, family history, and smoking history with the incidence of hypertension in the elderly. However, there is no relationship between age and physical activity with the incidence of hypertension in the elderly. Abstrak: Lansia akan banyak mengalami berbagai perubahan pada fisik dan mental yang dapat berpengaruh terhadap kejadian hipertensi. Namun, hasil beberapa penelitian didapatkan berbeda terkait faktor apa saja yang dapat mempengaruhi hipertensi lansia sehingga hal ini dapat dijadikan acuan untuk penelitian lebih lanjut. Penelitian ini bertujuan untuk mengetahui factor apa saja yang dapat mempengaruhi kejadian hipertensi pada lansia di Panti Jompo Sabar Hati Banyuanyar. Penelitian ini menggunakan studi potong lintang dengan jumlah sampel 84 lansia di Panti Jompo Sabar Hati Banyuanyar, Indonesia. Sampel diambil dengan pendekatan teknik total sampling. Alat yang digunakan pada penelitian yaitu instrumen distribusi karakteristik terdiri dari usia,jenis kelamin, riwayat keluarga dan kuisioner gaya hidup yang terdiri dari riwayat merokok dan aktivitas fisik. Analisis data yang digunakan menggunakan uji chi-square dan uji regresi logistik berganda. Hasil uji Chi Square diperoleh tidak terdapat hubungan aktivitas fisik (p 0,418 dan OR 1,600) dan usia (p 0,772 dan OR 1,292) dengan kejadian hipertensi pada lansia. Hasil uji Chi Square juga menunjukan terdapat hubungan yang signifikan jenis kelamin (p 0,028 dan OR 0,309), riwayat keluarga hipertensi (p 0,018 dan OR 3,316), dan riwayat merokok (p 0,045 dan OR 3,061) dengan kejadian hipertensi lansia. Kesimpulannya terdapat hubungan jenis kelamin, riwayat keluaga dan riwayat merokok pada kejadian hipertensi lansia. Namun, tidak terdapat hubungan usia dan aktivitas fisik dengan kejadian hipertensi lansia.
Upaya Peningkatan Pengetahuan Lansia dengan Hipertensi dalam Menangani Kecemasan dengan Relaksasi Nafas Dalam Amin Aji Budiman; Firman Prastiwi; Nikma Alfi Rosida; Muhamad Nur Rahmad
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 8 (2023): Volume 6 No 8 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i8.10581

Abstract

ABSTRAK Kemunduran fungsi fisik dan psikologis serta sosial terjadi secara bertahap pada lansia. Hipertensi merupakan penyakit kardiovaskuler yang banyak diderita lansia dan berangsur lama, sehingga menyebabkan kecemasan, terapi relaksasi nafas dalam secara tidak langsung akan mempengaruhi kecemasan yang dirasakan lansia. Pengabdian masyarakat ini bertujuan agar pengetahuan lansia meningkat dan mampu menangani kecemasan dengan menggunakan relaksasai nafas dalam. Pengadbian masyarakat ini menggunakan metode penyuluhan, latihan dan demonstrasi. Hasil pengukuran kepada 15 lansia yang diberikan edukasi relaksasi nafas dalam menunjukan pre test sebanyak 10 lansia (66%) mempunyai tingkat pengetahuan kurang dalam mengenai penanganan hipertensi. Setelah post test sebanyak 15 orang (100%) mempunyai tingkat pengetahuan baik. Relaksasi nafas dalam mampu menurunkan kecemasan pada lansia penderita hipertensi, dan latihan ini dapat dilaksanakan setiap hari untuk mengatasi kecemasan. Kata Kunci: Lansia, Hipertensi, Relaksasai Nafas Dalam, Kecemasan  ABSTRACT Deterioration of physical and psychological and social functions occurs gradually in the elderly. Hypertension is a cardiovascular disease that many elderly suffer from and gradually take a long time, causing anxiety, deep breath relaxation therapy will indirectly affect the anxiety felt by the elderly. This community service aims to make the elderly able to handle anxiety by using deep breath relaxation. This community service uses counseling, training and demonstration methods. The measurement results of 15 elderly people who were given breath relaxation education showed that pre-test as many as 10 elderly (66%) had a level of knowledge less in handling hypertension. After the post test, 15 people (100%) had a good level of knowledge. deep breath relaxation can reduce anxiety in elderly people with hypertension, and this exercise can be done every day to overcome anxiety. Keywords: Elderly, Hypertension, Deep Breathing, Anxiety
Education on Hypertension Prevention in The Elderly Firman Prastiwi; Noor Fitriyani; Amin Aji Budiman; Muhamad Nur Rahmad
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 10 (2023): Volume 6 No 10 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i10.12137

Abstract

ABSTRACT Elderly people generally experience various kinds of changes that have an impact on the incidence of hypertension. Hypertension is still a disease that dominates the elderly and is a major risk factor for cardiovascular disease, stroke and kidney failure. A more common cause related to hypertension is the lack of knowledge of the elderly themselves about hypertension. The aim of this community service is to provide education on preventing hypertension in the elderly. The community service theme was Education on Handling Hypertension in the Elderly which was held on December 23 2022 at the WCS Mental Revolution House and was attended by 32 elderly people. The activity was carried out by delivering hypertension prevention material using leaflets and powerpoints, followed by discussions and questions and answers. From the results of an assessment of elderly people's knowledge about treating hypertension before being given education (pretest), most of them were poor, 10 people (31.3%). After being given education using leaflets and power points (posttest), the level of knowledge of the elderly regarding hypertension management was mostly good, 18 people (56.3%). The results of the Marginal Homogeneity Test analysis obtained a value of 0.005, indicating that there is an influence of education on hypertension management on the knowledge of the elderly. Providing education using leaflets and powerpoint media can increase the knowledge of the elderly Keywords : Health Education, Hypertension, Elderly
Influence of Audio-Visual Media on Elderly Knowledge About Hypertensive Crisis Prevention Firman Prastiwi; Amin Aji Budiman; Noor Fitriyani; Muhamad Nur Rahmad
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1216

Abstract

Many of the physical and psychological changes that occur with age can have an impact on the prevalence of hypertension. The more common causes of hypertensive crisis are related to the knowledge of the elderly themselves, such as non-adherence to medication, ignorance related to lifestyle, and ignorance related to the concept of disease. An effective and easy way to increase the knowledge of the elderly is to use audio-visuals. The purpose of this study was to determine the effect of audio-visual media on the knowledge of the elderly about hypertension crisis prevention at the Sabar Hati Banyuanyar Nursing Home. This research is a quasi-experimental approach with a total sample of 50 elderly people divided into two groups. The research tool utilizes audio-visual media, research characteristic instruments, and knowledge instruments. For analysis, the Wilcoxon and Mann-Whitney tests were chosen because the data distribution was not normal. The results showed the effect of audio-visual media on the knowledge of the elderly in the intervention group (p value 0.011), with a median pre-intervention value of 6 to 7. The results of the Man Whitney test showed that there was no difference between pre (intervention-control) and post (control), with p values of 0.342 and 0.181, respectively. The conclusion of the study was that audio-visual media could lead to an increase in the knowledge of the elderly regarding the prevention of hypertensive crisis
UPAYA PENCEGAHAN KRISIS HIPERTENSI MELALUI SENAM HIPERTENSI DAN MUSIK RELIGI BAGI WARGA DESA BULU, KECAMATAN MOJOGEDANG , KABUPATEN KARANGANYAR Noor Fitriyani; Firman Prastiwi; Siti Mardiyah
BUDIMAS : JURNAL PENGABDIAN MASYARAKAT Vol 5, No 2 (2023): BUDIMAS : Jurnal Pengabdian Masyarakat
Publisher : LPPM ITB AAS Indonesia Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29040/budimas.v5i2.10456

Abstract

Latar Belakang: Salah satu Penyakit Tidak Menular (PTM), yakni hipertensi sebagai penyebab kematian. Fase lanjut hipertensi yakni krisis hipertensi. Pentingnya penatalaksanaan yang tepat sebagai upaya preventif krisis hipertensi yakni senam hipertensi dan musik religi. Tujuan pengabdian kepada masyarakat dilakukan sebagai upaya pencegahan risiko krisis hipertensi. Metode pelaksanaan kegiatan demonstrasi dilakukan di Aula Rumah Revolusi Mental WCS Desa Bulu, Kecamatan Mojogedang, Kabupaten Karanganyar. Waktu dalam pelaksanaan kegiatan pengabdian kepada masyarakat pada tanggal 23 Desember 2022. Target pengabdian masyarakat adalah Lansia dengan hipertensi. Hasil pengabdian masyarakat sejumlah 32 responden yakni lansia dengan hipertensi mengalami peningkatan pengetahuan dari 0 - 25 % menjadi 100 % , sedangkan kemampuan simulasi senam hipertensi dan musik religi 0 % meningkat menjadi 80%. Kesimpulan pada kegiatan pengabdian diperlukan keterlibatan keluarga dalam upaya kontrol hipertensi, sehingga risiko krisis hipertensi tidak terjadi
ANALISIS KARAKTERISTIK LUKA DIABETES MELLITUS PADA PASIEN DM TIPE 2 DI RSUD KARANGANYAR Martini Listrikawati; Suci Indah Minarti; Lalu M Panji Azali; Firman Prastiwi
Jurnal Kesehatan Tambusai Vol. 4 No. 2 (2023): JUNI 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i2.18063

Abstract

Organisasi Internasional IDF sendiri sudah memperkirakan prevalensi diabetes mengalami peningkatan karena bertambahnya usia penduduk menjadi 19.9% atau 111.2 juta orang pada usia 65-79 tahun Prevalensi ulkus diabetikum terdapat sebanyak 15% dengan angka risiko amputasi sekitar 30 %, dan angka kematian sekitar 32%. Penelitian ini bertujuan untuk mengetahui karakteristik ulkus diabetikum pada penderita diabetes mellitus yang melakukan perawatan di RSUD Karanganyar. Jenis penelitian adalah observasional dengan desain potong lintang. Tehnik pengambilan sampel dilakukan secara purposive sampling. Hasil penelitian menunjukkan Karakteristik responden berdasarkan usia rata-rata 56-65 tahun yaitu berjumlah 20 responden (50.0%). Berdasarkan jenis kelamin responden mayoritas jenis kelamin perempuan yang berjumlah 24 responden (60%). Berdasarkan pekerjaan mayoritas sebagai ibu rumah tangga (IRT) yang berjumlah 13 responden (32.5%). Serta berdasarkan lama menderita DM rata-rata 5-10 tahun yang berjumlah 28 responden (70.0%). Karateristik kondisi luka diabetes melitus dari 40 responden jumlah terbanyak pada tahap regenerasi luka sebanyak 38 responden (80.0%).
Hubungan Resiliensi dengan Stres Lansia Penderita Hipertensi di Posyandu Lansia Sabar Hati Banyuanyar Amin Aji Budiman; Firman Prastiwi; Muhamad Nur Rahmad; Nikma Alfi Rosida
Malahayati Nursing Journal Vol 6, No 3 (2024): Volume 6 Nomor 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i3.12205

Abstract

ABSTRACT Hypertension is a cardiovascular disease that many elderly suffer. Physical limitations experienced by the elderly, sometimes cause the elderly to experience mental disorders such as stress. Resilience is associated with the mechanism of adaptation of the elderly in the face of something unpleasant, including chronic diseases suffered such as hypertension. The purpose of this study was to determine the relationship between resilience and stress levels of elderly people with hypertension. The method in this study is correlational analytics using a Cross Sectional approach, the instruments in this study are The Brief Resilience Scale and Perceived Stress Scale (PSS). There is a negative relationship between resilience and stress of elderly people with hypertension with p 0.037 where the higher a person's resilience, the lower the stress felt. resilience in the elderly is related to stress, therefore the elderly need complementary therapies that can be given to the elderly to increase resilience Keywords: Hypertension, Elderly, Stress, Resilience  ABSTRAK Hipertensi merupakan penyakit kardiovaskuler yang banyak diderita lansia. Keterbatasan fisik yang dialami oleh lansia, terkadang menyebabkan lansia mengalami masalah gangguan mental seperti stres. Resiliensi dikaitkan dengan mekanismje adaptasi lansia dalam menghadapi sesuatu yang tidak menyenangkan, termasuk penyakit kronis yang diderita seperti hipertensi. Tujuan penelitian ini adalah untuk mengetahui hubungan resiliensi dengan tingkat stres lansia penderita hipertensi. Metode dalam penelitian ini adalah analitik korelasional dengan menggunakan pendekatan Cross Sectional, instrumen dalam penelitian ini adalah  The Brief Resilience Scale dan Perceived Stress Scale (PSS). Terdapat hubungan negatif antara resiliensi dengan stress lansia penderita hipertensi dengan p 0,037 dimana semakin tinggi resiliensi seseorang maka stress yang dirasakan akan semakin rendah. resiliensi pada lansia berhubungan dengan stres, maka dari itu lansia perlua danya terapi komplementer yang dapat diberikan kepada lansia untuk meningkatkan resiliensi. Kata Kunci: Hipertensi, Lansia, Stres, Resiliensi
The Effect of Green Color Breathing Therapy on Blood Pressure in Patients at Risk of Hypertensive Crisis Noor Fitriyani; Firman Prastiwi; Siti Mardiyah
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.563

Abstract

Background: About 71% of non-communicable diseases (PTM) cause death, one of which is hypertension. The later phases of hypertension are the increased risk of hypertensive crisis, occurring in all types of hypertensions. Hypertensive crisis is a medical emergency and requires appropriate management. Non-pharmacological management is a complementary therapy to pharmacological therapy, one of which is green color breathing therapy. Objective: This study aims to determine the effect of green color breathing therapy on blood pressure in patients at risk of hypertensive crisis. Methods: This study used the pre and post-test method without control group design. The measuring instrument for this study used SOP green color breathing therapy and evaluated blood pressure with a sphygmomanometer. The research sample used a total sampling of 31 respondents. Bivariate data analysis using the Wilcoxon test. Results: Based on statistical tests with analysis of the Wilcoxon Test (p=0.001). This shows that the p value <0.05, there is a significant effect of green color breathing therapy on the blood pressure of patients at risk of hypertensive crisis. Conclusion: Green color breathing therapy can reduce blood pressure in patients at risk of hypertensive crisis.
EFEKTIFITAS E-KADARSI (KELUARGA SADAR HIPERTENSI) TERHADAP EVALUASI TUGAS KELUARGA PASIEN BERISIKO KRISIS HIPERTENSI Fitriyani, Noor; Vioneery, Deoni; Listrikawati, Martini; Prastiwi, Firman
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 2, Juli 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i2.1482

Abstract

Peningkatan prevalensi hipertensi setiap tahunnya diperlukan strategi secara global dalam pencegahan dan pengendalian. Tatalaksana hipertensi melalui pendekatan keluarga menjadikan kemampuan mengenali masalah dan pemecahan masalah lebih menyeluruh. Salah satu implementasi yang dapat diberikan adalah pemberian edukasi berbasis online ditujukan pada keluarga dengan hipertensi. Tujuan penelitian untuk mengetahui keefektifan e-KADARSI (Keluarga Sadar Hipertensi) Terhadap Evaluasi Tugas Keluarga Pasien Hipertensi. Metode yang digunakan pada penelitian ini adalah quasy eksperimental dengan pretest and posttest with control design. Jumlah subjek dalam penelitian ini adalah 60, terdiri 30 kelompok kontrol dengan intervensi standart dan 30 kelompok intervensi yang akan diberikan implementasi e-KADARSI dan diukur evaluasi tugas keluarga dengan kuisioner sebelum dan sesudah diberikan. Hasil analisa menunjukkan bahwa e-KADARSI efektif dalam evaluasi tugas keluarga dengan selisih nilai rata rata kedua kelompok sebesar 28.34 pada nilai pre test dan post test. Kesimpulan e-KADARSI sebagai tatalaksana yang tepat dalam upaya pencegahan krisis hipertens ditujukan pada keluarga. The increasing prevalence of hypertension every year requires a global strategy for prevention and control. Management of hypertension through a family approach makes the ability to recognize problems and solve problems more comprehensive. One implementation that can be provided is providing online-based education aimed at families with hypertension. The aim of the research is to determine the effectiveness of e-KADARSI (Hypertension Awareness Family) in evaluating the duties of families of hypertension patients. The method used in this research was quasi-experimental with pretest and posttest with control design. The number of subjects in this study was 60, consisting of 30 control groups with standard intervention and 30 intervention groups who would be given the implementation of e-KADARSI and measured evaluation of family tasks with questionnaires before and after being given. The results of the analysis show that e-KADARSI is effective in evaluating family tasks with a difference in the average score between the two groups of 28.34 in the pre-test and post-test scores. Conclusion e-KADARSI as appropriate management in efforts to prevent hypertension crises is aimed at families.