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PENGARUH EDUKASI KESEHATAN TERHADAP TINGKAT KECEMASAN PADA LANSIA PENDERITA HIPERTENSI Wilia Aprilisa Utami; Farrah Fahdhienie; Dharina Baharuddin
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 7 No. 4 (2026): Vol. 7 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v7i4.59958

Abstract

Hipertensi suatu penyakit kronis yang dialami lansia dan sering disertai masalah psikologis berupa kecemasan. Kecemasan pada lansia penderita hipertensi dapat memperburuk kondisi kesehatan serta meningkatkan tekanan darah. Rendahnya pemahaman mengenai penyakit, risiko komplikasi, dan pengelolaan hipertensi menjadi faktor yang berkontribusi terhadap munculnya kecemasan. Sehingga, edukasi kesehatan diperlukan sebagai upaya meningkatkan pengetahuan dan membantu mengurangi kecemasan pada lansia. Tujuan pengabdian ini untuk mengetahui pengaruh edukasi kesehatan terhadap tingkat kecemasan pada lansia penderita hipertensi di UPTD Panti Sosial Lanjut Usia Geunaseh Sayang Banda Aceh. Metode yang digunakan adalah desain single group pre-test and post-test terhadap 30 lansia. Tingkat kecemasan diukur menggunakan kuesioner Geriatric Anxiety Inventory (GAI) sebelum dan setelah dua minggu pemberian edukasi kesehatan. Hasil menunjukkan penurunan skor rata-rata setelah intervensi diberikan dengan nilai mean change sebesar -6,30. Selain itu, terjadi perbaikan klasifikasi tekanan darah setelah edukasi kesehatan diberikan. Temuan ini menunjukkan bahwa edukasi kesehatan merupakan intervensi nonfarmakologis yang efektif untuk menurunkan kecemasan dan mendukung pengelolaan hipertensi pada lansia.
EDUKASI KEPATUHAN MINUM OBAT ANTIHIPERTENSI PADA PASIEN HIPERTENSI Nurasmi Fuji; Dharina Baharuddin; Farrah Fahdhienie
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 7 No. 3 (2026): Vol. 7 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v7i3.60634

Abstract

Hipertensi merupakan penyakit kronis yang prevalensinya terus meningkat, baik secara global maupun di Indonesia. Kepatuhan pasien dalam mengonsumsi obat antihipertensi menjadi faktor penentu keberhasilan pengendalian tekanan darah. Penelitian ini bertujuan mengetahui pengaruh edukasi kesehatan terhadap tingkat kepatuhan minum obat antihipertensi pada pasien hipertensi di RSU Harapan Ibu Glumpang Baro Kabupaten Pidie. Metode yang digunakan adalah intervensi pra-eksperimental dengan rancangan pre-test dan post-test tanpa kelompok pembanding. Sebanyak 33 responden yang memenuhi kriteria dipilih secara purposive, kemudian diberikan edukasi menggunakan metode ceramah interaktif dan diskusi. Instrumen yang digunakan adalah kuesioner Morisky Medication Adherence Scale-8 (MMAS-8). Hasil pengukuran menunjukkan bahwa sebelum edukasi, sebanyak 81,8% responden berada pada kategori kepatuhan rendah dengan rata-rata skor 4,36. Setelah edukasi diberikan dua sesi, terjadi peningkatan signifikan sehingga hanya 6,1% responden yang masih berkategori rendah, sementara 72,7% berada pada kategori sedang dan 21,2% pada kategori tinggi, dengan rata-rata skor meningkat menjadi 6,78 (mean change 2,42). Rata-rata tekanan darah juga mengalami penurunan dari 162/95 mmHg menjadi 145/90 mmHg. Edukasi kesehatan terbukti efektif meningkatkan kepatuhan minum obat antihipertensi dan berkontribusi terhadap perbaikan tekanan darah pada pasien hipertensi.
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIARE PADA ANAK USIA SEKOLAH (6–12 TAHUN) DI PUSKESMAS BATOH KOTA BANDA ACEH Devi Satul Hajar; Tahara Dilla Santi; Dharina Baharuddin
Jurnal Mutiara Kesehatan Masyarakat Vol 11 No 1 (2026): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v11i1.6209

Abstract

Latar belakang: Diare masih menjadi masalah kesehatan masyarakat yang signifikan, terutama pada anak usia sekolah di negara berkembang seperti Indonesia. Puskesmas Batoh, kasus meningkat dari 250 pada 2023 menjadi 258 pada 2024. Kejadian diare dipengaruhi oleh kebersihan pribadi, sanitasi lingkungan, dan pengetahuan ibu. Tujuan: untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada anak usia sekolah (6–12 tahun) di wilayah kerja Puskesmas Batoh Kota Banda Aceh. Metode: Penelitian ini menggunakan desain case control dengan jumlah sampel sebanyak 68 responden yang terdiri dari 34 kasus dan 34 kontrol. Teknik total sampling. Data dikumpulkan melalui wawancara menggunakan kuesioner. Analisis data menggunakan chi-square dan regresi linier berganda. Hasil: analisis multivariat menunjukkan bahwa variabel sanitasi lingkungan berpengaruh signifikan terhadap kejadian diare (p-value = 0,005; OR = 8,046), sedangkan variabel personal hygiene (p-value = 0,071; OR = 3,689) dan pengetahuan ibu (p-value = 0,056; OR = 3,897) tidak berpengaruh signifikan setelah dikontrol bersama variabel lainnya. Kesimpulan: sanitasi lingkungan merupakan faktor yang paling dominan terhadap kejadian diare pada anak usia sekolah (6–12 tahun).
Faktor - Faktor yang Mempengaruhi Kepatuhan Minum Obat Anti - Hipertensi pada Pasien di Wilayah Kerja Puskesmas Baiturrahman Banda Aceh Elysia Katri; Wardiati Wardiati; Dharina Baharuddin
INSOLOGI: Jurnal Sains dan Teknologi Vol. 5 No. 4 (2026): Agustus 2026
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v5i4.8588

Abstract

Hypertension is a major contributing factor to premature death globally, with an incidence rate of 30.8% in Indonesia. In Banda Aceh, the Baiturrahman Community Health Center recorded the highest number of cases, with 895 cases in 2024. This study aims to analyze various factors influencing patient adherence to antihypertensive medication. The research method used a quantitative approach with a cross-sectional design with 98 respondents. Data were collected through structured interviews from June 16 to 26, 2025. Data processing was carried out sequentially, starting with univariate analysis, followed by bivariate analysis using the chi-square test, and then multivariate analysis through multiple logistic regression with a stepwise approach using Stata/MP 17 software. This study has received ethical approval from the Health Research Ethics Committee of the Aceh Ministry of Health Polytechnic (No: DP.04.03/12.7/266/2025). The results showed that 45.92% of respondents were compliant with taking medication, while 54.08% were non-compliant. Multivariate analysis showed significant predictors of adherence, namely gender (p = 0.040; OR = 3.53), the role of health workers (p = 0.037; OR = 3.13), access to health services (p = 0.036; OR = 3.36), health literacy (p = 0.014; OR = 10.14), and family support (p = 0.002; OR = 7.97). The model has a Pseudo R² value of 0.36 indicating that the model is able to explain approximately 36% of the existing differences. The conclusion of the study shows that adherence to antihypertensive medication is significantly influenced by gender, the role of health workers, access to services, health literacy, and family support.
Relationship between Resilience Level and Mental Health in Female Victims of Sexual Harassment Bunga Annisa; Putri Nahrisah; Marthoenis Marthoenis; Dharina Baharuddin; Meutia Zahara
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2114

Abstract

Sexual harassment is a form of violence that has a serious impact on the mental health of victims, especially women, such as anxiety, depression, and Post Traumatic Stress Disorder (PTSD). This study aims to determine the relationship between resilience levels and mental health in female victims of sexual harassment in DDP3A Aceh in 2025. The method used is quantitative with a cross-sectional design. The population was 70 female victims who were in the DP3A Aceh Safe House, with a total sampling technique. The DASS-21 research instrument has demonstrated satisfactory validity and reliability, with Cronbach's alpha coefficients ranging from 0.88–0.94 for the depression subscale, 0.82–0.87 for the anxiety subscale, and 0.90–0.91 for the stress subscale. The resilience scale also demonstrated acceptable reliability, with a Cronbach's alpha coefficient of 0.70. analyzed using logistic regression tests. The results of the bivariate analysis showed a significant relationship between age (p = 0.024), education (p = 0.007), residence (p = 0.001), the relationship between the victim and the perpetrator (p = 0.011), and resilience levels (p = 0.031) with the victim's mental health. However, the multivariate analysis showed no factors significantly related to depression. For the anxiety variable, living with family had a significant association (p=0.038; OR=0.19), while stress was significantly associated with the relationship between the perpetrator and victim (p=0.012; OR=0.14). It was concluded that bivariate analysis found several factors associated with mental health, but multivariate analysis found only certain factors to be significant.
Meninjau Angka Kasus Hipertensi di Puskesmas Lampisang Kecamatan Peukan Bada Kabupaten Aceh Besar Defi Cintia Dewi; Muhammad Fikri; Eni Erlina; Farrah Fadhienie; Melania Hidayat; Dharina Baharuddin
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7922

Abstract

The working area of the Lampisang Community Health Center, Peukan Bada District, Aceh Besar Regency, has shown an increasing trend in hypertension cases over the past three years, making this disease the most common case treated. Hypertension is one of the main causes of morbidity and mortality due to non-communicable diseases, and is a significant burden both clinically and economically in various countries, including Indonesia. This study aims to conduct the implementation of the hypertension program at the Lampisang Community Health Center in 2022–2024 with a comprehensive evaluation approach that includes input, process, output, outcome, and impact. The evaluation was conducted using quantitative and qualitative descriptive approaches. Data were collected from Posbindu PTM forms, Community Health Center activity reports, and interviews with cadres and health workers. The analysis focused on service achievements, education effectiveness, therapy fulfillment, and long-term impacts on patients and the health care system. During 2022–2024, the number of hypertension patients increased from 320 to 404 cases. Blood pressure screening coverage reached 63.4% in 2024. The percentage of educated patients increased from 56.3% to 73.0%, and therapy adherence reached 62.6% in 2024. Outcomes showed that 64.0% of patients experienced a decrease in blood pressure and 59.0% made positive lifestyle changes. Long-term impacts showed improved early detection, but complications were still found in 36 cases over three years. Key challenges included limited facilities, low service coverage, and minimal village fund allocation for Posbindu (Community Health Post). The hypertension program at the Lampisang Community Health Center (Puskesmas) showed increasing achievements and outcomes year after year. However, program effectiveness still needs to be improved through strengthening facilities, ongoing education, and cross-sector collaboration to significantly reduce the prevalence and complications of hypertension.
Evaluasi Program Hipertensi di Puskesmas Beutong Kabupaten Nagan Raya Sari Wartini; Natha Bella; Putri Nur Ramadhani; Dharina Baharuddin; Asnawi Abdullah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8030

Abstract

Hypertension is a non-communicable disease that poses a major challenge to the health system, particularly in rural areas. Community health centers (Puskesmas), as first-level service facilities, play a crucial role in the early detection, control, and prevention of hypertension complications. However, the achievement of Minimum Service Standards (SPM) targets is often hampered by various factors. This study aims to evaluate the implementation of the hypertension prevention and control program at the Beutong Community Health Center, Nagan Raya Regency, and to identify supporting and inhibiting factors in achieving program targets. The study used a mixed methods approach with formative and summative evaluation designs. Quantitative data were collected through secondary documents, while qualitative data were obtained through field observations and in-depth interviews with health workers and cadres. The evaluation was conducted using an input–process–output–outcome approach. Data analysis was descriptive and thematic with source triangulation to enhance validity. The evaluation results indicate that from the input side, the availability of tools and human resources is still limited, especially in Posbindu activities. In terms of process, screening and education are ongoing but not evenly distributed across all work areas. From the output side, the coverage of hypertension case examinations and detection has not yet reached the SPM target. The outcomes indicate that patient adherence to treatment and healthy lifestyle changes still need to be improved. The main inhibiting factors include lack of community participation, limited facilities, and suboptimal recording and reporting. The hypertension program at the Beutong Community Health Center (Puskesmas) has been running but is not yet optimal. Strengthening logistics, information systems, empowering cadres, and improving community education are needed to support the achievement of Minimum Service Standards (SPM) and reduce the number of complications caused by hypertension.  
Dampak Kesehatan Gigi dan Mulut terhadap Quality of Life pada Pasien Poli Gigi Puskesmas Batoh Kota Banda Aceh Nura Shara Amirza; Meutia Zahara; Dharina Baharuddin
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 4 No. 3 (2026): September: Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v4i3.2613

Abstract

Dental and oral health is an integral part of general health, with caries as the dominant problem measured using the DMF-T index. Data from the 2023 Indonesian Health Survey (SKI) shows that the national prevalence of caries is 82.8% with adult DMF-T at 5.4, while in Aceh it reaches 4.8. The high number of DMF-T has the potential to reduce oral health-related quality of life (OHRQoL). This study aims to analyze the relationship between the DMF-T index and the quality of life of patients at the Dental Polytechnic UPTD Batoh Health Center, Banda Aceh City. The study used a cross-sectional analytical observational design involving 93 patients aged ≥15 years through consecutive sampling techniques in February 2026. Data were obtained through the WHO standard DMF-T examination and the validated OHIP-14 questionnaire (Cronbach's α=0.83). The analysis was conducted in univariate, bivariate (chi-square test; α=0.05), and multivariate (multinomial logistic regression of the enter method). The results showed that the majority of female respondents (71%) were aged 25–44 years (37.6%). OHRQoL was dominated by the moderate category (60.2%), with moderate DMF-T (33.3%) and heavy calculus (35.5%). Multivariate analysis confirmed DMF-T as the dominant predictor of OHRQoL (p=0.033; AOR=0.044; 95% CI=0.003–0.782), followed by calculus (p=0.014; AOR=0.045; 95% CI=0.004–0.528). The conclusion of the study emphasizes the need for promotive, preventive, and curative interventions in primary services to reduce DMF-T and improve people's quality of life.
Regional Determinants of Infant Mortality in Indonesia: Indonesian Health Survey 2023 Cut Nur Azizah; Basri Aramico Ib; Meutia Zahara; Dharina Baharuddin; Hermansyah Hermansyah
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2602

Abstract

Infant mortality is an important indicator of population health. Although the infant mortality rate in Indonesia has declined, identifying complex and multifactorial determinants, including biological factors (twins, complications), behavioral factors (exposure to cigarette smoke), health services (delivery methods and birth assistance), and social support, remains necessary to further reduce infant mortality and address disparities across regions. This study aimed to analyze the determinants of infant mortality in Indonesia using data from the 2023 Indonesian Health Survey (SKI). This study employed a cross-sectional design using secondary data from SKI 2023, covering 38 provinces in Indonesia. The sample consisted of 70,916 mothers. Data collection for SKI 2023 was conducted through direct interviews using a structured digital questionnaire (CAPI/Computer Assisted Personal Interviewing). This study obtained ethical approval from the Health Research Ethics Committee under ethics approval code FRM/SMKI-PUSDATIN/70. The results showed that factors significantly associated with infant mortality included postpartum depression (OR=0.59; p=0.000), pregnancy complications (OR=1.27; p=0.003), birth complications (OR=0.54; p=0.000), healthcare access (OR=1.42; p=0.021), family support (OR=0.48; p=0.000), smoking in the household (OR=2.53; p=0.004), twin birth (OR=29.0; p=0.000), and delivery assistance (OR=0.66; p=0.000). Twin birth was the strongest determinant (OR=31.00; 95% CI:26.35-38.53; p=0.000), followed by smoking in the household (OR=2.00; p=0.007), cesarean delivery method (OR=1.00; p=0.000), birth complications (OR=0.62; p=0.000), family support (OR=0.51; p=0.000), and assistance by non-healthcare personnel (OR=0.66; p=0.000). Stratified analysis showed consistent risk factors in urban and rural areas, although healthcare access was significant in urban areas (OR=1.57; p=0.022). The main determinants of infant mortality in Indonesia include perinatal factors (twin birth, birth complications), behavioral factors (exposure to cigarette smoke), health services (delivery method, healthcare access, and delivery assistance), and social support, with differing patterns of association between urban and rural areas.
Edukasi Pola Makan Sehat Disertai Pemeriksaan Glukosa Darah, Kolesterol, dan Asam Urat pada Lansia Selama Ramadan dan Pasca-lebaran di Aceh Timur Husnul Khatimah; Dharina Baharuddin; Farrah Fahdhienie
Jurnal Ragam Pengabdian Vol. 3 No. 3 (2026): September-Desember Integrating Multidisciplinary Knowledge for Sustainable Comm
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/jfzrqq04

Abstract

Lanjut usia berisiko tinggi mengalami penyakit tidak menular akibat perubahan fisiologis terkait usia yang memengaruhi metabolisme glukosa, lipid, dan purin. Perubahan pola makan selama Ramadan dan setelah Idulfitri berpotensi semakin memengaruhi status metabolik tersebut. Kegiatan pengabdian kepada masyarakat ini memberikan edukasi mengenai pola makan sehat sekaligus menggambarkan perubahan kadar glukosa darah, kolesterol total, dan asam urat pada lansia selama Ramadan dan setelah Idulfitri di Idi Rayeuk, Kabupaten Aceh Timur. Kegiatan diikuti oleh 30 lansia di wilayah kerja Puskesmas Idi Rayeuk. Rangkaian kegiatan meliputi pengukuran awal menggunakan Point of Care Testing (POCT), edukasi kesehatan mengenai pola makan sehat dan pencegahan penyakit tidak menular, serta skrining ulang setelah Idulfitri. Data dianalisis secara deskriptif. Rata-rata glukosa darah meningkat dari 155 menjadi 172 mg/dL, kolesterol total dari 218 menjadi 240 mg/dL, dan asam urat dari 6,0 menjadi 6,7 mg/dL. Peningkatan kadar ditemukan pada 70,0% peserta (glukosa), 73,3% (kolesterol), dan 66,7% (asam urat). Sesi edukasi terlaksana dengan baik dan meningkatkan kesadaran peserta akan pentingnya pola makan sehat serta pemeriksaan kesehatan rutin. Kegiatan serupa perlu dilaksanakan secara berkesinambungan sebagai upaya promotif dan preventif