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Breastfeeding promotion and counseling training effect on the skills posyandu cadre as stunting prevention Listiyanawati, Mutiara Dewi; Maretta, Megayana Yessy; Susilaningsih, Endang Zulaicha; Sensussiana, Titis; Vioneery, Deoni; Prastiwi, Firman
MEDIA ILMU KESEHATAN Vol 13 No 2 (2024): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v13i2.1417

Background: Improving the quality of human life should commence right from infancy. One pivotal factor contributing to this enhancement is breastfeeding (or breast milk). Challenges concerning the limited coverage of exclusive breastfeeding persist due to insufficient empowerment and suboptimal education activities for breastfeeding counselors, as well as ineffective dissemination, advocacy, and related breastfeeding campaigns. Establishing breastfeeding support groups and cadre is imperative to support mothers in successfully breastfeeding. Objective: The research aimed to assess the impact of Promotion And Breastfeeding Counseling training on cadre’s skills.Methods: This study employed a quasi-experimental design with one group pretest-posttest, utilizing purposive sampling technique. The total sample size consisted of 53 respondents. Test data were analyzed using wilcoxon.Results: The result of the study was known that there was an effect of Promotion And Breastfeeding Counseling training on skills training cadres (0.000 p <0.05). Conclusion: Promotion And Breastfeeding Counseling training effect on the level of skills of cadres.

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

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

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

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

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 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

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.

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

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.

Application Development of Android Based for Monitor Prediabetic Self Care Listrikawati, Martini; Fitriyani, Noor; Prastiwi, Firman
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4782

Diabetes occurs starting from the symptoms of prediabetes. Individuals with prediabetic conditions are more likely to develop Type-2 Diabetes mellitus 4 times greater than those with normal glucose tolerance. Intervention mobile app can be one of the solutions to increase awareness and compliance of intervention self-management of prediabetes state. There has been no research in the systematic review of intervention mobile phone applications to prevent the state of prediabetes. Objective: this study was to determine the behavior of prediabetes Self-Care in the Program Keluarga Harapan (PKH) group Method: The research method uses a cross-sectional approach. Results: respondents as many as 63 with the most age distribution of 26-35 years (31.7%) mostly female 73.1%, Education 84.1%. The results of the analysis of problems in the development of multimedia on Self-Care Prediabetes in the Hope Family Program group (PKH) for the risk of prediabetes into the category of moderate 36.5% and the results of self-care behavior prediabetes including bad category 57.1% Conclusions: Analysis of potential problems became the initial foothold in the development of smartphone-based self-care applications are still in the revision stage of the application media.

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

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%).

Influence of Audio-Visual Media on Elderly Knowledge About Hypertensive Crisis Prevention Prastiwi, Firman; Budiman, Amin Aji; Fitriyani, Noor; Rahmad, Muhamad Nur
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

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

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

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