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FAMILY SUPPORT AS A SUPPORT SYSTEM IN PREVENTING INFECTION AND DISEASE RECURENCE: DUKUNGAN KELUARGA SEBAGAI SUPPORT SYSTEM DALAM PENCEGAHAN INFEKSI DAN KEKAMBUHAN PENYAKIT Nurlaily, Ari Pebru; Prastiwi, Firman; Murharyati, Atiek; Listrikawati, Martini
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 7 No. 1 (2025): JUNE 2025
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V7.I1.2025.76-80

Abstract

Background: Amilies play a crucial role in preventing the transmission and recurrence of disease by fostering care and instilling habits of clean and healthy living-most notably, the proper practice of handwashing. Although the COVID-19 pandemic has officially ended, new cases continue to emerge, and other infectious diseases remain a public health concern. Therefore, family support is essential to achieving optimal health, in line with the Sustainable Development Goals (SDGs). Objective: To improve the health status of families and communities, and to prevent infections and disease recurrence particularly among mothers in the Mojogedang 1 area. Method: The community service activity included lectures, presentations using banners and canva-based materials about family support and infection prevention. The program was conducted at the Mental Revolution House (WCS), covering the stages from assessment to evaluation. Results: The proportion of participants categorized as having “good” family support increased from 16.8% to 66.7%, while those with “good” knowledge rose from 25% to 91.7%. Conclusion: Empowered family support serves as the most effective system for preventing infectious diseases and their recurrence.
EXPLORING THE RELATIONSHIP BETWEEN SELF-EFFICACY AND STRESS IN ELDERLY HYPERTENSION PATIENTS Budiman, Amin Aji; Prastiwi, Firman; Vierdiana, Dyah; Amrullah, Adhi Wardhana; Rahmad, Muhamad Nur; Rosida, Nikma Alfi
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 2, Juli 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i2.1849

Abstract

Background: Elderly individuals with hypertension often face high stress levels, which can worsen their physical and psychological health. Self-efficacy, the belief in one's ability to manage challenges, plays a crucial role in coping with chronic illness. Research suggests that higher self-efficacy is linked to better stress management and improved health outcomes. In hypertensive elderly, strong self-efficacy may help reduce stress by promoting confidence in handling daily tasks and medical routines. Understanding this relationship is essential for developing effective interventions to support elderly patients and enhance their quality of life. The purpose of this study was to determine the relationship between self-efficacy and stress levels in elderly people with hypertension. Methods: This research design is correlational analytic using a cross-sectional approach; the instruments in this study were the Self-efficacy to Manage Hypertension-Five Item Scale and the Perceived Stress Scale (PSS). The sample in this study consists of 65 respondents, all of whom are elderly individuals diagnosed with hypertensionResults: 12 (18,5%) elderly experienced low self-efficacy, and 5 (7,7%) elderly had severe stress. There is a negative relationship between self-efficacy and stress in the elderly, with a p value <0.000 (<0.05), with a correlation of -.580**. Conclusion: This means that the higher the self-efficacy possessed by the elderly, the lower the stress that arises. Self-efficacy plays an important role in reducing stress in the elderly, especially those who suffer from hypertension. The elderly are recommended to increase their self-efficacy through several complementary therapies.
Penerapan Teknik Clapping Terhadap Bersihan Jalan Nafas Tidak Efektif Pada Pasien Penyakit Paru Obstruktif Kronik (Ppok) Di Igd Rsud Pandan Arang Boyolali Widyaningrum, Norma Ika; Prastiwi, Firman; Listrikawati, Martini
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 3 No. 8 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

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

Abstract

Norma Ika Widyaningrum1, Firman Prastiwi2, Martini Listrikawati3 Universitas Kusuma Husada Surakarta123 Email Korespondensi: : normawidya14@gmail.com ABSTRAK Penyakit Paru Obstruktif Kronik (PPOK) adalah penyakit pada saluran napas atau alveolus akibat adanya obstruksi pada jalan nafas akibat adanya sekret yang tertahan. Sekret yang tertahan dijalan napas mengakibatkan bersihan jalan nafas tidak efektif. Teknik untuk mengatasi pasien PPOK dengan bersihan jalan nafas tidak efektif adalah dengan memberi Teknik Clapping. Jenis Penelitian ini adalah deskriptif dengan menggunakan metode pendekatan studi kasus. Subjek dalam studi kasus ini adalah satu orang pasien dengan PPOK di ruang IGD RSUD Pandan Arang Boyolali. Hasil studi menunjukkan bahwa pada pasien penyakit paru obstruktif kronik dengan teknik clapping selama 1 x 6 jam dengan waktu 15 menit membantu mengurangi sputum, RR awal 25x/menit menjadi 20x/menit, Spo2 awal 94% menjadi 99%. Memberikan Teknik Clapping pada pasien PPOK membantu mengembalikan dan memelihara fungsi otot-otot pernapasan, membantu membersihkan sekret dari bronkus, mencegah penumpukan sekret, serta memperbaiki pergerakan dan aliran sekret. Rekomendasi pemberian Teknik Clapping mampu meningkatkan saturasi oksigen, meningkatkan respiratory rate dan mengurangi produksi sputum pada pasien PPOK. Kata Kunci: Bersihan Jalan Nafas, Teknik Clapping, PPOK
Correlational Analysis of Physiological and Psychological Factors with Fatigue on Chronic Kidney Disease Patients Undergoing Hemodialysis Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.641 KB) | DOI: 10.30604/jika.v7i1.803

Abstract

Fatigue is a major problem commonly experienced by chronic kidney disease patients undergoing hemodialysis. However, currently, the factors that correlate with fatigue in chronic kidney diseases patients undergoing hemodialysis are not comprehensive studies and there are still contradictory results from previous studies in Indonesia. This study aims to investigate the correlational analysis of physiological and psychological factors with fatigue on chronic kidney disease patients undergoing hemodialysis. This studi use a cross-sectional study with a sample count of 80 patients undergoing hemodialysis in Yarsi Public Hospital Pontianak, Indonesia. The sampling was carried out using the total sampling approach. A FACIT fatigue scale tool and depression and anxiety stress scale (DASS) 42 were employed to measure fatigue and depression, while hemoglobin and urea levels were taken based on medical history. The Spearman’s Rho test shows the physiological factor from the urea level had an insignificant correlation with fatigue (p-value 0.585). The physiological factor of hemoglobin level had a weak positive correlation (p-value 0.001 and r= 0.349) with fatigue. The psychological factor of depression had a strong negative correlation (p-value 0.000 and r = -0.812) with fatigue. The psychological factor of depression was the dominant factor causing fatigue than other factors based on the standardized coefficient beta value of -0.717. Factors that correlate with fatigue on chronic kidney disease patients undergoing hemodialysis are hemoglobin levels and depression. The most dominant factor influencing fatigue in chronic kidney disease patients undergoing hemodialysis is depression.Abstrak: Kelelahan merupakan masalah utama yang sering dialami oleh pasien gagal ginjal kronik yang menjalani hemodialisis. Namun, saat ini faktor-faktor yang berkorelasi dengan kelelahan pada pasien gagal ginjal kronik yang menjalani hemodialisis belum diteliti secara komprehensif dan masih terdapat hasil yang kontradiktif dengan penelitian-penelitian sebelumnya di Indonesia. Penelitian ini bertujuan untuk mengetahui analisis korelasi faktor fisiologis dan psikologis dengan kelelahan pada pasien gagal ginjal kronis yang menjalani hemodialisis. Penelitian ini menggunakan studi potong lintang dengan jumlah sampel 80 pasien yang menjalani hemodialisis di RSU Yarsi Pontianak, Indonesia. Pengambilan sampel dilakukan dengan menggunakan pendekatan total sampling. Alat FACIT Fatigue Scale dan depression and anxiety stress scale (DASS) 42 digunakan untuk mengukur kelelahan dan depresi, sementara kadar hemoglobin dan urea diambil berdasarkan riwayat medis. Uji Spearman's Rho menunjukkan faktor fisiologis dari kadar urea tidak terdapat korelasi dengan kelelahan (p-value 0,585). Faktor fisiologis kadar hemoglobin memiliki korelasi positif yang lemah (p value 0,001 dan r= 0,349) dengan kelelahan. Faktor psikologis depresi memiliki korelasi negatif yang kuat (p-value 0,000 dan r = -0,812) dengan kelelahan. Faktor psikologis depresi merupakan faktor dominan penyebab kelelahan dibandingkan faktor lainnya berdasarkan nilai koefisien standar beta sebesar -0,717. Faktor yang berhubungan dengan kelelahan pada pasien penyakit ginjal kronik yang menjalani hemodialisis adalah kadar hemoglobin dan depresi. Faktor yang paling dominan mempengaruhi kelelahan pada pasien penyakit ginjal kronis yang menjalani hemodialisis adalah depresi.
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.
ANALISIS KARAKTERISTIK LUKA DIABETES MELLITUS PADA PASIEN DM TIPE 2 DI RSUD KARANGANYAR Listrikawati , Martini; Minarti, Suci Indah; Azali, Lalu M Panji; Prastiwi, Firman
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%).
Edukasi Meningkatkatkan Kualitas Hidup Lansia Dengan Krisis Hipertensi Melalui Dukungan Keluarga Prastiwi, Firman; Azali, Lalu M. Panji; Budiman, Amin Aji; Rahmad, Muhamad Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.20151

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ABSTRAK Krisis hipertensi juga dapat terjadi karena hipertensi yang tidak ditangani dengan baik. Angka kejadian krisis hipertensi berkorelasi positif dengan penurunan kualitas hidup pasien. Keluarga yang memberi dukungan pada pasien dengan hipertensi dapat memengaruhi kualitas hidup lansia. Keluarga adalah sumber utama dukungan sosial bagi sebagian besar orang tua, yang merupakan faktor penting dalam kesehatan dan kualitas hidup mereka. Oleh karena itu, sangat penting untuk memberikan pendidikan tentang dukungan keluarga. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan kualitas hidup orang tua yang mengalami krisis hipertensi dengan menawarkan dukungan keluarga. Pada tanggal 22 Februari 2025, Posyandu Mekar Sari Wonorejo dan Tim mengadakan pengabdian kepada masyarakat dengan tema meningkatkan kualitas hidup lansia dengan krisis hipertensi melalui dukungan keluarga diikuti 38 peserta. Hasil pengkajian menunjukkan bahwa terdapat tingkat pengetahuan yang diperoleh sebelum pemberian edukasi (pretest) terdapat pengetahun tidak baik berjumlah 9 orang (23,7%), kurang baik 25 orang (65,8%), cukup baik 3 orang (7,9%), baik 1 orang (2,6%). Setelah diberikan edukasi (posttest) terdapat tingkat pengetahuan tidak baik berjumlah 1 orang (2,6%), kurang baik 6 orang (15,8%), cukup baik 20 orang (52,6%), baik 11 orang (28,9%). Hasil analisis tingkat homogenitas marginal menunjukkan p nilai 0.000, yang menunjukkan bahwa ada pengaruh pendidikan dan dukungan keluarga terhadap pengetahuan pada kualitas hidup orang tua yang berisiko mengalami krisis hipertensi. Kata Kunci: Krisis Hipertensi, Lansia, Edukasi Kesehatan, Dukungan Keluarga  ABSTRACT Hypertensive crisis can also occur due to hypertension that is not properly managed. The incidence of hypertensive crisis is positively correlated with a decrease in the quality of life of patients. Families who provide support to patients with hypertension can affect the quality of life of the elderly. Family is the main source of social support for most elderly people, which is an important factor in their health and quality of life. Therefore, it is very important to provide education about family support. The purpose of this community service is to improve the quality of life of elderly people who experience hypertensive crises by offering family support. On February 22, 2025, Posyandu Mekar Sari Wonorejo and the team held a community service with the theme of improving the quality of life of the elderly with hypertensive crisis through family support attended by 38 participants. The results of the study showed that there was a level of knowledge obtained before the provision of education (pretest); there was poor knowledge totaling 9 people (23.7%), less good 25 people (65.8%), quite good 3 people (7.9%), and good 1 person (2.6%). After being given education (posttest), there was a level of knowledge that was not good, amounting to 1 person (2.6%), less good 6 people (15.8%), quite good 20 people (52.6%), and good 11 people (28.9%). The results of the analysis of the marginal homogeneity level showed a p-value of 0.000, which indicates that there is an influence of education and family support on knowledge on the quality of life of parents at risk of experiencing a hypertensive crisis. Keywords: Hypertension Crisis, Elderly, Health Education, Family Support
Efforts to Improve Knowledge and Skills of Splint Dressing with Simulation and Training Methods in Adolescents of Mandala Bhakti Health Vocational School Surakarta Rahmad, Muhamad Nur; Rosyida, Nikma Alfi; Budiman, Amin Aji; Prastiwi, Firman
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i8.15963

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ABSTRACT A fracture is a condition where a bone is cracked or broken due to trauma or physical impact. The strength and angle of physical exertion, the condition of the bone itself, and the soft tissue around the bone will determine whether the fracture is complete or incomplete. The impact of a fracture can cause bone deformity or disability and even death in the victim if help is not immediately provided, where splinting is one of the first aid measures that must be given to patients who experience a fracture. This community service activity aims to help increase the knowledge and skills of teenagers, especially PMR members, in providing first aid when they find a victim who has suffered a fracture. The method used in this activity uses power point media when providing education, then continues with demonstrations and direct simulations for participants on how to apply splints to patients who have fractures. The results of the activity showed the enthusiasm of the participants in carrying out the splint dressing demonstration as well as an increase in participants' knowledge and skills in carrying out the splint dressing, namely during the pre-test, 25% of their knowledge and skills were good, increasing to 81.25% after the education and post-test were carried out. So it can be concluded that providing health education and demonstrations regarding dressing splints really helps teenagers in increasing their knowledge and skills in dressing splints. Keywords: Skills, Splinting, Training
Optimizing Children's Knowlegdge Through Comic Media in Preventing Violence Againts Children Mardiyah, Siti; Windyastuti, Erlina; Ardiani, Nurul Devi; Prastiwi, Firman; Owa, Maria Goreti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22820

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ABSTRACT Child abuse refers to any act or treatment that has the potential to harm children, resulting in disability or even death. Educational health promotion plays an important role in reducing the negative impacts of child abuse by increasing awareness of prevention. One of the educational media used was comics, due to their attractive and easy-to-understand format. To increase knowledge and prevent violence against children.   The community service activities were conducted in the Kadipiro RW 13 area and through a webinar involving participants from Timor Leste. The activity involved 20 mothers with children as participans. The results of the activity showed that the knowledge of participants was 85%. The conclusion of the implementation of this community service activity was that it increased the knowledge of mothers. This community service activity effectively increased the knowledge of mothers and served as one step in building an environment that supports the mental health of the Indonesian people.  Keywords: Education, Violence Against Children, Comics
Hubungan Dukungan Keluarga Dengan Stres Lansia Penderita Hipertensi Di Posyandu Lansia Budiman, Amin Aji; Prastiwi, Firman; Vierdiana, Dyah; Karlina Megananda, Nadia
Jurnal Ilmiah Kesehatan Mandala Waluya Vol. 5 No. 2 (2025): Jurnal Ilmiah Kesehatan Mandala Waluya
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jikmw.v5i2.1379

Abstract

Hipertensi kronis berpotensi menimbulkan tekanan mental akibat keterbatasan fungsi fisik dan kondisi kesehatan yang tidak optimal, sehingga meningkatkan kerentanan terhadap stres. Dukungan keluarga berperan sebagai faktor protektif yang membantu proses adaptasi dan mencegah deteriorasi psikologis lansia. Penelitian ini bertujuan menganalisis hubungan antara dukungan keluarga dan tingkat stres pada lansia penderita hipertensi dengan desain analitik korelasional dengan pendekatan cross-sectional. Instrumen yang digunakan meliputi Perceived Social Support–Family Scale (PSS-Fa) mengenai dukungan keluarga dan Perceived Stress Scale (PSS) mengukur stres, dengan jumlah responden 73 lansia dengan teknik purposive sampling. Hasil menunjukkan hubungan signifikan antara dukungan keluarga dan stres (p = 0,005) dengan kekuatan korelasi kuat (r = -0,967). Disimpulkan bahwa dukungan keluarga berperan penting dalam menurunkan tingkat stres lansia dan menjadi komponen kunci dalam menjaga kesehatan lansia.