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All Journal Indonesian Journal of Global Health research Jurnal Berkawan Indonesian Journal of Global Health Research
Zulfiana Nurlaili
Universitas Muhammadiyah Surakarta
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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PENYULUHAN DAN SENAM HIPERTENSI DALAM MENGENDALIKAN TEKANAN DARAH PADA LANSIA DI POSYANDU ANGGREK, DESA WARU, KABUPATEN SUKOHARJO Mochamad Bagoes Nata Samudra; Atika Rianti Utami; Fitri Aulia Naufal; Aulia Kusuma Dewi; Serin Izzatut Taqiyah; Zulfiana Nurlaili; Jihan Fadhila; Merlin Anugraheni; Chemita Andien Prahasti; Salma Khoirunnisa; Cynthia Agustina; Siswa Oktaviani Pratiwi; Nur Lathifah Mardiyati; Tanjung Anitasari Indah Kusumaningrum
Jurnal Berkawan: Jurnal Pengabdian kepada Masyarakat Vol. 2, No. 2, Mei 2025
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/berkawan.v2i2.6054

Abstract

Kabupaten Sukoharjo memiliki jumlah penduduk 115.801 jiwa dan menduduki peringkat ke-19 dengan tingkat hipertensi tertinggi di Provinsi Jawa Tengah tahun 2021. Sedangkan di Desa Waru, terdapat 43 lansia di Posyandu Anggrek dan 58% diantaranya mengidap hipertensi yang disebabkan gaya hidup dan pola makan tidak sehat serta kurangnya edukasi terhadap penyakit hipertensi. Oleh karena itu, dilakukan penyuluhan terkait pengetahuan dan pemahaman serta deteksi dini terhadap penyakit hipertensi. Kegiatan pengabdian ini diawali dengan menentukan prioritas masalah dengan USG dan analisis masalah dengan fishbone. Media informasi yang digunakan adalah poster dan leaflet. Hasil dari penyuluhan terjadi peningkatan pengetahuan sebesar 13.3%. Hasil uji statistik non parametrik wilcoxon nilai p = 0.006 dengan rata-rata nilai pretest 6 dan nilai posttest 7.8. Hal ini menunjukkan adanya perbedaan yangsignifikan antara sebelum dan sesudah penyuluhan hipertensi. Berdasarkan hasil uji statistik non parametrik wilcoxon didapatkan nilai p= 0.348 (>0.05) pada tekanan darah sistolik dan p= 0,069 (>0.05) pada tekanan darah diastolik, maka tidak ada perbedaan yang signifikan antara nilai tekanan darah sistolik maupun diastolik pretest dan posttest. Berdasarkan kegiatan pengabdian diharapkan dapat meningkatkan partisipasi masyarakat agar rutin ke posyandu lansia untuk melakukan pemeriksaan kesehatan dan senam hipertensi serta menerapkan diet hipertensi bagi lansia.
The Relationship Between Physical Activity and Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialysis Zulfiana Nurlaili; Fahrun Nur Rosyid; Puji Kristini
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.v6iS6.4939

Abstract

Patients undergoing hemodialysis often report lower quality of life. Many factors cause this decline, and physical exercise is one of them. Doing physical activity helps patients live a better life. This study aimed to analyze the relationship between physical activity and the quality of life of CKD patients undergoing hemodialysis at Pandan Arang Hospital, Boyolali. This research method uses a descriptive correlative design with a cross-sectional approach. The sample of this study consisted of 121 respondents selected using accidental random sampling techniques. Data were collected using the WHOQOL-BREF questionnaire to measure quality of life and IPAQ to measure physical activity, and bivariate test data analysis was performed using the Spearman statistical test. With a significance of alpha = 0.05. The results showed that most patients had high levels of physical activity (69.4%) and high quality of life (66.1%). Physical activity and quality of life were significantly correlated (p-value <0.001), meaning patients' quality of life improved with increased physical activity. A good correlation exists between the quality of life and the physical activity level of hemodialysis patients with chronic kidney disease. Therefore, therapy that emphasizes enhancing the patient's physical activity is strongly advised as part of comprehensive care to improve the quality of life for patients receiving hemodialysis. Health workers should support rehabilitation and physical education programs to achieve the best results.
Ankle Pump Exercise as Evidence-Based Nursing for Managing Hypervolemia in Chronic Kidney Disease Patients Zulfiana Nurlaili; Nur Asa Rhahmadani Susanti; Beti Kristinawati; Afif Riada Pratama
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1605

Abstract

Hypervolemia in patients with Chronic Kidney Disease (CKD) can cause lower extremity oedema. Non-pharmacological methods like ankle pump exercises and 30° leg elevation effectively reduce oedema and improve circulation by utilising muscle pump action and gravity to enhance venous return to the heart. The purpose of this case report evaluates the patient's response to the therapy provided. The method used is a descriptive design informed by evidence-based nursing (EBN). Data collection was conducted through interviews, observations, and the review of secondary data from medical records. The degree of oedema was measured using the Brodovicz pitting oedema scale. The study subject was Mrs S, a 60-year-old woman with stage V chronic kidney disease (CKD). She experienced fluid overload, shown by swelling, high neck vein pressure, weight gain, and low urine output. The intervention was carried out during four sessions, each lasting 40 minutes. The evaluation included the degree of oedema (Brodovicz pitting oedema), weight change, and foot circumference measurement. The results showed a decrease in the degree of oedema from 3 to 2, a decrease in weight from 48 kg to 46 kg, and an increase in urine output. Patients reported a reduction in heaviness and swelling in the lower extremities after the Ankle Pump Exercise and 30° leg elevation interventions, and no side effects were found during the implementation of these two interventions. Ankle pump exercise and 30° leg elevation proved to be effective, safe, and easy to apply as part of self-care. The results indicate that ankle pump exercise and 30° leg elevation can be used as non-pharmacological nursing interventions in the management of oedema in CKD patients with hypervolemia. Nurses play a crucial role in educating and guiding patients and their families to help them perform self-care interventions independently and continuously.
The Effect of Hypertension Exercises on Reducing Blood Pressure in the Elderly at the Elderly Posyandu Zulfiana Nurlaili; Arif Widodo
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2008

Abstract

Hypertension is a common degenerative disease among older adults and can lead to serious complications if not well controlled. Non-pharmacological approaches, such as hypertension exercise, are recommended to support blood pressure management. This study aimed to determine the effectiveness of hypertension exercise in reducing blood pressure among older adults at the Elderly Health Post (Posyandu Lansia). A quasi-experimental study with a one-group pretest–posttest design was conducted. A total of 30 elderly participants were recruited using total sampling. Blood pressure was measured before and after the intervention. Hypertension exercise was administered in three sessions (February 18, 21, and 23, 2026). Data were analyzed using univariate and bivariate methods to assess changes in blood pressure. The findings showed a significant reduction in average systolic blood pressure after each session. In the first session, the mean systolic pressure decreased from 151.8 mmHg to 136.4 mmHg. Similar reductions were observed in the second and third sessions, indicating a consistent downward trend following the intervention. Hypertension exercise is effective in reducing blood pressure among older adults.
Co-Authors Afif Riada Pratama Arif Widodo Atika Rianti Utami Aulia Kusuma Dewi Beti Kristinawati Chemita Andien Prahasti Cynthia Agustina Fahrun Nur Rosyid Fitri Aulia Naufal Jihan Fadhila Merlin Anugraheni Mochamad Bagoes Nata Samudra Nur Asa Rhahmadani Susanti Nur Lathifah Mardiyati Puji Kristini Salma Khoirunnisa Serin Izzatut Taqiyah Siswa Oktaviani Pratiwi Tanjung Anitasari Indah Kusumaningrum