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Hubungan Spiritualitas dengan Tingkat Kecemasan Efek Kemoterapi pada Pasien Kanker Haris, Tolak; Sutrisno, Sutrisno; Cahyono, Hendra Dwi; Fatarona, Anita
Jurnal Ilmiah Kesehatan Rustida Vol 11 No 2 (2024): Juli
Publisher : Akademi Kesehatan Rustida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55500/jikr.v11i2.231

Salah satu metode pengobatan kanker adalah melalui prosedur kemoterapi. Kemoterapi dapat berdampak pada kesehatan fisik dan psikologis pasien, terutama kecemasan. Salah satu terapi non farmakologis kecemasan adalah pemenuhan spiritual karena spiritualitas pasien yang terpenuhi dapat mengurangi kecemasan pada pasien yang menjalani kemoterapi. Pada tahun 2022, prevalensi kanker di Jawa Timur adalah 22,2%, sedangkan di Kabupaten Jember adalah 7,8%. Tujuan penelitian ini adalah mengetahui signifikansi hubungan antara spiritualitas dengan tingkat kecemasan efek kemoterapi pada pasien kanker. Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan desain korelasi yang menggunakan pendekatan cross-sectional. Sampel dalam penelitian ini adalah pasien yang menjalani kemoterapi dan terdapat efek samping kemoterapi yaitu sebesar 75 responden dengan metode quota sampling (judgement sampling). Analisis univariat distribusi frekuensi dan presentase, analisis bivariat Chi-Square dan koefisien kontingensi. Hasil: Sebagian besar responden (56,0%) dengan spiritualitas rendah, untuk tingkat kecemasan hampir setengah responden (36%) adalah kecemasan sangat berat. Dari analisis chi-square didapatkan p (0,00) < α (0,05) artinya H0 ditolak dan nilai koefisien kontingensi sama dengan 0,501 artinya hubungan sedang. Kesimpulan: Terdapat hubungan yang sedang antara spiritualitas dengan tingkat kecemasan efek kemoterapi pada pasien kanker. Saran rumah sakit mengadakan pelayanan spiritual untuk semua pasien utamanya pasien-pasien terminal.

Differences in The Effectiveness of Buerger Allen Exercise and Foot Exercises on Peripheral Perfusion in Type 2 Diabetes Mellitus Jannah, Rofiatul; Fatarona, Anita; Cahyono, Hendra Dwi
Journal of Nursing Science Update (JNSU) Vol. 12 No. 2 (2024): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2024.012.02.08

Diabetes mellitus results in both microvascular and macrovascular complications due to inadequately managed glucose levels over an extended period. A notable complication is peripheral neuropathy, which arises from compromised peripheral circulation. Implementing Buerger Allen Exercises and Foot Exercises can enhance circulation and mitigate these complications, with effectiveness assessed using the ankle-brachial index. This study aims to evaluate the differential efficacy of Buerger Allen Exercises compared to Foot Exercises in improving peripheral perfusion among patients diagnosed with type 2 diabetes mellitus affiliated with the Patrang Community Health Center. The research employs a quasi-experimental design featuring a pretest-posttest two-group format. The study sample consists of 30 respondents diagnosed with type 2 diabetes mellitus. The intervention, which included both Buerger Allen Exercises and Foot Exercises, was conducted once and lasted 20 minutes. The results indicate that the Buerger Allen Exercise group exhibited an average ankle-brachial index value of 0.992, while the Foot Exercise group yielded an average value of 0.900. The obtained p-value (0.004) was less than or equal to the alpha level of 0.005. Therefore, a statistically significant difference exists between the Buerger Allen Exercise intervention group and the Foot Exercise group. In conclusion, the Buerger Allen Exercise intervention is more effective than the Foot Exercise regimen in enhancing peripheral perfusion, as evidenced by the measured ankle-brachial index values.

Factors Associated with Medication Adherence in Hypertensive Patients in Rural Areas Tursina, Hella; Sya'id, Achmad; Fatarona, Anita
Jurnal Kesehatan dr. Soebandi Vol 12 No 2 (2024): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v12i2.773

Hypertension can have significant impacts if not addressed promptly, and treatment is often initiated too late. Effective management necessitates integrated care that considers both internal and external factors. Patients actively engaged in their treatment should possess essential qualities, including knowledge and motivation. This study aimed to investigate the factors associated with medication adherence in hypertensive patients residing in the rural area of Jember City. Using a cross-sectional design, this study focused on hypertensive patients in rural Jember. A simple random sampling technique was employed, including 94 respondents. Data collection was conducted using a questionnaire, with analysis performed using the Chi-Square test. The statistical results indicated a p-value of 0.015 (p < α = 0.05), suggesting that the level of knowledge is associated with medication adherence. Additionally, motivation yielded a result of p = 0.02 (p < α = 0.05), indicating that respondents' motivation correlates with adherence levels. The analysis of healthcare support showed a p-value of 0.048 (p < α = 0.05), demonstrating its association with adherence. Furthermore, family support revealed a p-value of 0.000 (p < α = 0.05), indicating significant influence on adherence levels. The variable concerning complementary therapy also showed a strong relationship, with a p-value of 0.000. In contrast, the type of medication indicated a p-value of 0.485 (p > α = 0.05), suggesting no correlation with adherence. All respondents reported that healthcare facilities were easily accessible.

Pendidikan Kesehatan Mencuci Tangan 6 Langkah Terkait Kewaspadaan Penularan COVID-19 Aisyiyah Ranting Glundengan Cabang Wuluhan-Jember Darotin, Rida; Fatarona, Anita
Journal of Health Innovation and Community Services Vol. 1 No. 1 (2022): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v1i1.5

Background: The first mysterious case of respiratory disorders came from Wuhan, Hubei Province. The media that became the source of transmission in this case is still not known for certain, this virus can be transmitted from human to human and has spread widely. People who are most at risk of contracting this disease are people who are in close contact with Covid-19 patients, including those who care for Covid-19 patients. Standard recommendations to prevent the spread of infection are through regular hand washing with soap and clean water, practicing cough and sneezing etiquette, avoiding direct contact with livestock and wild animals and social distancing with anyone showing symptoms of respiratory illness. Objective: increase the vigilance of the mosque congregation (women) regarding the transmission of covid-19 in the new normal era through health education, washing hands 6 steps during this pandemic is considered very necessary. Methods: Health education was carried out using lecture and discussion methods as well as monitoring success by observing mosque congregations (girls) in demonstrating 6 steps of hand washing. Results: The form of evaluation and achievement targets in this activity is to improve health status by increasing knowledge of Hand Washing 6 Steps to Increase Awareness related to Covid-19 Transmission in the New Normal Era. Conclusion: The indicator of success in the form of questions and answers at the end of the implementation session showed that most (85%) were able to answer questions smoothly and well.

Age, Chemotherapy Frequency, and Nutritional Status as Predictors of Chemotherapy-induced Anemia in Rural Populations Cahyono, Hendra Dwi; Martiana, Ina; Kusumasa, Fitri; Fatarona, Anita; Tursina, Hella Meldy; Correia Ximenes, Joao Manuel
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.7149

Chemotherapy is a primary treatment modality for cancer, but it often results in adverse effects such as anemia due to decreased hemoglobin levels. Factors including age, chemotherapy frequency, and nutritional status may influence hemoglobin levels, particularly in rural areas with limited healthcare resources. To examine the relationship between age, chemotherapy frequency, and nutritional status and hemoglobin levels among cancer patients undergoing chemotherapy in a rural setting. This cross-sectional, correlational study involved 154 cancer patients undergoing chemotherapy at Baladhika Husada Hospital, Jember, from July to September 2024. Data were collected through patient interviews, the Mini Nutritional Assessment (MNA), and hemoglobin test results. Bivariate analysis using Spearman’s rank correlation was conducted to assess associations among variables. The majority of participants were aged 46–55 years (42.8%), had received 1–3 chemotherapy cycles (57.1%), and were at risk of malnutrition (45.5%). A significant association was found between age (p = 0.009, r = 0.191) and nutritional status (p = 0.014, r = 0.178) and hemoglobin levels. No significant association was found between chemotherapy frequency and hemoglobin levels (p = 0.60). Age and nutritional status are significantly associated with hemoglobin levels in cancer patients undergoing chemotherapy, while chemotherapy frequency is not. These findings highlight the need for individualized care and nutritional interventions, particularly for elderly patients in rural areas, to mitigate the risk of Chemotherapy-Induced Anemia

Progressive Muscle Relaxation Implementation On Anxiety Level Of Pre Op AV Shunt Surgery Patients Fatarona, Anita; Martiana, Ina; Cahyono, Hendra Dwi; Cholida, Diana
Nursing Information Journal Vol. 5 No. 1 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i1.1224

Chronic Kidney Disease (CKD) affects over 10% of the global population (>800 million people) and increases the risk of cardiovascular diseases such as coronary artery disease, heart failure, and stroke. One of the primary treatments for CKD is hemodialysis, with arteriovenous (AV) shunt access used in approximately 92% of procedures. AV shunt installation is a surgical procedure often associated with increased patient anxiety. In addition to pharmacological treatment, non-pharmacological approaches such as Progressive Muscle Relaxation (PMR) can be effective in reducing anxiety. This study aimed to determine the effect of PMR on the anxiety levels of patients undergoing pre-operative AV shunt installation. A quasi-experimental pretest-posttest design with a control group was used, involving 70 respondents at Jember Klinik Hospital, divided equally into intervention and control groups (n=35 each). Sampling was conducted using sequential sampling. The State-Trait Anxiety Inventory (STAI) was used to measure anxiety levels, and data were analyzed using the Wilcoxon Signed Rank Test. Results showed a significant decrease in anxiety in the intervention group after receiving PMR. The median anxiety score in the experimental group decreased from 42.66 (pre-test) to 29.57 (post-test), moving from moderate to mild anxiety. In contrast, the control group showed no significant change (pre-test median = 38.06; post-test = 40.03). The Wilcoxon test yielded a p-value of 0.000 in the intervention group, indicating a significant difference before and after the intervention. These findings support the use of PMR as an effective complementary therapy to reduce anxiety in pre-operative CKD patients undergoing AV shunt surgery.

Keterampilan Penggunaan Masker dalam Upaya Pencegahan Penularan Covid-19 pada Warga Kecamatan Kaliwates Kabupaten Jember Fatarona, Anita; Darotin, Rida; Sya'id, Achmad
Khatulistiwa Nursing Journal Vol. 4 No. 2 (2022): July 2022
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v4i0.186

Latar Belakang: Pandemi COVID- 19 muncul di Wuhan Cina, pada Desember 2019, menyebabkan penyakit Coronavirus Disease-2019 (COVID-19). Program kesiapsiagaan dan kewaspadaan telah dilakukan pemerintah untuk menekan angka kejadian COVID-19 salah satunya dalam penggunaan masker. Tujuan untuk mengetahui skill keterampilan penggunakan masker kepada warga kelurahan Kaliwates dalam upaya pencegahan penularan Covid-19 dengan KIE. Metode: Jenis penelitian yang dilakukan adalah quasi experiment. Teknik pemilihan sampel menggunakan total sampling 35 orang. Kriteria inklusi Warga pengajian RT/RW 004/002 di Kelurahan/Kecamatan Kaliwates Jember yang bersedia menjadi responden. Kriteria eksklusi yaitu responden yang tidak hadir dan mengundurkan diri dari penelitian. Variabel dependen mengobservasi hasil keterampilan sebelum variabel independent setelah KIE dan 1 bulan setelah KIE menggunakan lembar observasi. Analisis statistik menggunakan Uji Cochran dan kemudian dilanjutkan dengan uji Post Hoc Mc.Nemar Hasil: Analisis bivariat Uji Cochran didapatkan hasil P Value 0,000. Pengaruh yang bermakna antara Keterampilan menggunakan masker Sebelum, sesudah maupun sebulan sesudah diberikan KIE keterampilan menggunakan masker. Selanjutnya uji Post Hoc Mc.Nemar didapatkan nilai P value 0,250 untuk mengetahui pengaruh yang paling bermakna diantara ketiga pengukuran. Kesimpulan: KIE memiliki pengaruh terhadap keterampilan seseorang dalam penggunaan masker dengan benar sehingga membutuhkan observasi lebih dari sekali untuk mempertahankan penggunaan masker dengan benar. Penelitian ini diharapkan dijadikan acuan dalam mensukseskan program pemerintah dalam mengurangi angka penularan COVID 19.

Penilaian Pengetahuan, Persepsi terhadap Partisipasi Kesediaan Vaksin Covid-19 pada Kader Posyandu di Kabupaten Jember Fatarona, Anita; Sya'id, Achmad; Darotin, Rida
JI-KES (Jurnal Ilmu Kesehatan) Vol. 6 No. 1 (2022): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v6i1.413

Abstrak Coronavirus merupakan virus baru yang muncul pertama kali di Wuhan Cina, pada Desember 2019 menyebabkan penyakit Coronavirus Disease-2019 (COVID-19). Prevalensi angka kejadian COVID-19 Â terus meningkatÂ di Indonesia. Selain memakai masker, cuci tangan, phisycal distancing, merupakan salah satu upaya pemerintah dalam menurunkan angka kematian dan kesakitan COVID-19 yaitu percepatan vaksinasi COVID-19 dapat diharapkan menekan angka kejadian COVID-19 dengan didukung pentingnya pemahaman, persepsi positif pentingnya vaksin COVID-19. Tujuan penelitian ini untuk mengetahui hubungan antara tingkat pengetahuan, persepsi dengan kesediaan vaksin COVID-19 secara bersama-sama pada kader posyandu Di Â Jember. Jenis penelitian deskriptif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah Kader Posyandu Di Kelurahan Kaliwates Jember. Jumlah sampel dalam penelitian ini adalah 50 responden. Pengumpulan data dilakukan menggunakan kuesioner untuk mengukur pengetahuan, persepsi dan Â kesediaan vaksin. Analisis statistik menggunakan analisis regresi linier berganda dengan menggunakan uji T dan uji F. Hasil penelitian ini bahwa terdapat hubungan pengetahuan dan persepsi secara secara bersama-sama terhadap kesediaan vaksin adalah sebesar 0,000<0,05 dan F hitung 82,224 > F tabel 3,23. Ada hubungan pengetahuan dan persepsi secara bersama-sama terhadap kesediaan vaksin kader posyandu di Jember.Kata kunci:Â Pengetahuan, Persepsi, Kesedian Vaksin, COVID-19Abstract Coronavirus Disease-2019 was brought on by a fresh strain of coronavirus that first surfaced in Wuhan, China, in December 2019 (COVID-19). The prevalence of the incidence of COVID-19 continues to increase in Indonesia. In addition to wearing masks, washing hands, physical distancing, is one of the government's efforts to reduce the mortality and morbidity of COVID-19, namely the acceleration of COVID-19 vaccination can be expected to reduce the incidence of COVID-19 supported by the importance of understanding, positive perceptions of the importance of the COVID-19 vaccine. . The purpose of this study was to determine the relationship between the level of knowledge, perception and the willingness of the COVID-19 vaccine together on posyandu cadres in Jember. This type of research is descriptive with a cross sectional approach. The population in this study is posyandu cadre in Kaliwates Jember. The number of samples in this study were 50 respondents. To gauge knowledge, perceptions, and vaccine accessibility, data were gathered using a questionnaire. Multiple linear regression analysis was utilized in statistical analysis together with T test and F test. The findings of this study indicate that there is a relationship between shared knowledge and perception of vaccination availability, which is 0.000 <0.05 and F count 82.224 > F table 3.23. For posyandu cadres in Jember, there is shared information and perception regarding vaccination availability.Keywords: Knowledge, perception, Vaccine Availability, COVID-19

Upaya Pengendalian Diabetes Mellitus (DM) dengan Education Implementation pada Kelompok DM dan Kelompok Beresiko DM pada Masyarakat Urban Fatarona, Anita; Cahyono, Hendra Dwi; Martiana, Ina
Bhakti Patrika Vol. 1 No. 1 (2025): Januari
Publisher : Pubfine Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64408/bp.2025.1120

Pendahuluan: Survey penyakit tidak menular (PTM) membuktikan bahwa prevalensi mortalitas dan morbiditas kejadian diabetes mellitus (DM) di Indonesia mengalami peningkatan. Salah satu Program Pengelolaan Penyakit Kronis (PROLANIS), namun angka DM (Diabetes Mellitus) masih meningkat. Karakteristik masyarakat Indonesia yang beragam juga memiliki perbedaan daya penerimaan dan integrasi perilaku masyarakat pedesaaan (rural) dengan masyarakat perkotaan (urban) Pemberian informasi kesehatan dengan basis Health Action Model sangat terkait dengan dampak perubahan perilaku. Metode: Metode yang digunakan dalam pengabdian Masyarakat ini, yaitu menggunakan Implementasi edukasi dengan pendekatan partisipatif, dengan melibatkan kerja sama dengan penanggung Jawab Program PTM dan Kader dalam pelaksanaan program edukasi yang berbasis Health Action Model sehingga bisa mempengaruhi perilaku. Hasil: Hasilnya menunjukkan perubahan yaitu peningkatan signifikan dalam dalam pengetahuan mengontrol dula darah (75%), motivasi dalam menjaga pola makan (60%), serta kebiasaan menerapkan perilaku dengan olahraga/ aktivitas (60%). Meskipun demikian, tantangan utama tetap pada kepatuhan dalam menjaga pola makan makanan manis dan keterbatasan melakukan aktivitas karena keluhan nyeri. Program ini juga berhasil meningkatkan pengetahuan dan pentingnya kesehatan sehingga gula darah bisa terkontrol. Kesimpulan: Kegiatan Edukasi sangat efektif dalam meningkatkan kesadaran dan pengetahuan dalam mengontrol gula darah sehingga dapat mengubah perilaku dalam memilih menu makanan, dan penerapan aktivitas atau olahgara secara rutin. Keberhasilan kegiatan ini dapat di evaluasi dalam penerapan perilaku yang baik jika program ini bisa dilakukan secara berkelanjutan. Evaluasi berkala dan partisipasi instansi terkait dan kader dalam program berkelanjutan kegiatan sangat penting dalam mencapai derajat Kesehatan yang optimal.

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