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All Journal PAKDEMAS : Jurnal Pengabdian Kepada Masyarakat Sewagati: Jurnal Pengabdian Masyarakat Indonesia Jurnal Kesehatan Amanah Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Nursing Applied Journal Compromise Journal : Community Proffesional Jurnal Praba: Jurnal Rumpun Kesehatan Umum Essentia: Journal of Medical Practice and Research Sanitas: Journal of Health, Medical, and Psychological Studie
Rahayu Winarti
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Hubungan Tingkat Kecemasan Dengan Peningkatan Tekanan Darah pada Pasien Pre Fiber Optik Bronchoscopy (FOB) di RSP DR. ARIO WIRAWAN SALATIGA Rahayu Winarti; Fitrianingsih Fitrianingsih
Jurnal Kesehatan Amanah Vol. 8 No. 2 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i2.657

Abstract

Background: FOB supporting survey is an interrogation option to establish the diagnosis and as a therapeutic in pulmonology medicine. Excessive anxiety and increased blood pressure became one of the obstacles to his examination. The study aims to determine the relationship between anxiety levels and increased blood pressure of Pre-Fiber Optic Bronchoscopy patients at RSP dr. Ario Wirawan Salatiga City. Method: This research is Correlative Descriptive Research using quantitative methods with a cross-sectional approach and observational approach to 32 respondents. This research used Non Probalility Sampling Technique with Consecutive sampling approach. The research instrument used Hamiltons Anxiety Rating Scale (HARS). Bivariate analysis of the Spearman Rank correlation test used in this research. Results: The majority of respondents had anxiety as much as 17 (53.1%). Increased blood pressure occurred in 18 respondents (56.25%). The results of the Spearman p value rank correlation test is 0.000 with a correlation of 0.953 mean that there is a very strong correlation with the direction of a positive relationship between anxiety levels and increased blood pressure of pre-FOB patients at IBS RSPAW Salatiga. Conclusion: There is a significant relationship between Anxiety Levels and Increased Blood Pressure of pre-FOB patients at IBS RSPAW Salatiga so that the higher the level of anxiety, the increase in blood pressure will occur.
Pelatihan Manajemen Stres pada Penderita Penyakit Kronis di Kelurahan Beringin Semarang Rahayu Winarti; Machfud Saifudin; Meirita Pranawati; Raidha Febria Handayani; Wahyu Griyaningsih; Tri Dian Herlambang Sakti; Niken Sukesi; Wahyuningsih Wahyuningsih
Compromise Journal Community Proffesional Service Journal Vol. 1 No. 4 (2023): Compromise Journal : Community Proffesional Service Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/compromisejournal.v1i4.154

Abstract

Stress can worsen disease and reduce quality of life in patients with chronic diseases. This is because a chronic illness that is suffered for a long time will disrupt all aspects of life, including financial problems, career, role disorders, and including psychosocial problems. The aim of this community service is to increase the knowledge and abilities of chronic disease sufferers regarding stress management through training activities.The results of a preliminary study through interviews with cadres, residents and community health center officers show that mental health services are not yet optimal, especially for people with chronic illnesses. People, especially those suffering from chronic diseases, do not yet know about stress management techniques and there is no special program from the Community Health Center for health services for patients experiencing psychosocial problems. Health services are only provided to patients with serious mental disorders. The activity method used to overcome the problem is 1) Education through counseling to community groups suffering from chronic diseases and about psychosocial problems such as stress and ways to reduce and overcome it. 2) Training and Demonstration, after being given education through partner counseling, demonstrations of deep breathing and muscle relaxation are given. 3) Evaluation to determine the extent of the program's success and to ensure the sustainability of the program. Evaluation activities will be carried out using instruments to measure the partner's level of knowledge and skills. Activities continued with consolidation with the community health center and village government for the sustainability of the mental health service program, including the psychosocial early detection program.The results of the education were that participants' knowledge about stress management increased by almost 95%, participants were able to carry out deep breathing and progressive muscle relaxation techniques independently and stated their attitude that they would apply them at home.
PENYULUHAN GIZI PADA IBU HAMIL DI DESA DONO ARUM KECAMATAN SEPUTIH AGUNG KABUPATEN LAMPUNG TENGAH Belani, Maritsa; Ika Indra Aryani; Wiwit Sundari; Eni Widiastuti; Rahayu Winarti; Deti Nurdianah; Putri Novita Sari; Lili Apriyani; Suprihatin; Dinda Sherly Allamanda
PAKDEMAS : Jurnal Pengabdian Kepada Masyarakat Vol 4 No 1 (2024): Desember
Publisher : Fakultas Pertanian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/pakdemas.v4i1.291

Abstract

Tingkat pengetahuan ibu hamil tentang gizi yang cukup sangat berpengaruh terhadap pemilihan makanan yang bergizi. Kekurangan Energi Kronis (KEK) merupakan salah satu gangguan masalah gizi pada ibu hamil. Menurut data World Health Organization (WHO) melaporkan bahwa prevalensi KEK pada tahun 2019 sebanyak (30,1%) dan terjadi kenaikan di tahun 2020 yaitu (35%). Penyuluhan yang dilakukan ini dilakukan dengan tujuan untuk meningkatkan sumber pengetahuan dan wawasan ibu hamil mengenai gizi pada ibu hamil. Salah satu faktor kurangnya pengetahuan ibu karena kurang adanya edukasi yang dilakukan kepada ibu hamil. Sehingga solusi yang ditawarkan dalam masalah tersebut yaitu dengan melakukan penyuluhan mengenai gizi pada ibu hamil. Kegiatan penyuluhan dilaksanakan pada Rabu tanggal 9 Oktober 2024 di Di Desa Dono Arum Kec Seputih Agung Lampung Tengah dengan jumlah 11 orang ibu hamil. Metode yang digunakan dalam kegiatan ini adalah ceramah, diskusi dan tanya jawab. Sehingga dengan kegiatan ini daharapkan masyarakat khusunya perempuan mampu memahami dan menyadari pentingnya gizi pada ibu hamil dan adanya peningkatan pengetahuan bagi ibu hamil.
Efektifitas Edukasi Berbasis Audiovisual Tutorial tentang ARV terhadap Kepatuhan Pengobatan Pasien HIV/AIDS di Puskesmas Bandarharjo, Semarang, Provinsi Jawa Tengah Rahayu Winarti; Niken Sukesi; Iq Ballurohman; Nanang Bagus
SEWAGATI: Jurnal Pengabdian Masyarakat Indonesia Vol. 4 No. 3 (2025): September : Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/sewagati.v4i3.3044

Abstract

Adherence to antiretroviral (ARV) medication is a crucial factor in the success of HIV/AIDS patient therapy. Adherence levels are often low due to a lack of knowledge, motivation, and support. Audiovisual and tutorial-based education is considered capable of improving patient understanding, thereby encouraging medication adherence. This community service activity aims to provide education to HIV/AIDS patients through audiovisual and tutorial media, and to assess its effectiveness on medication adherence. This community service is an implementation using the quasi-experimental method with 36 participants from a total population of 40 people. Data were processed statistically with SPSS and using the Wilcoxon test. Evaluation was carried out through pre-tests and post-tests and was participatory during the activity. The results of the activity showed an increase in patient understanding of ARVs, as well as increased medication adherence after being given educational interventions at the Bandarharjo Community Health Center. The results of the activity carried out with audiovisual and tutorial-based educational media showed an increase in knowledge of 92% of 36 patients after being given audiovisual and tutorial education, Medication Adherence; Before the intervention, almost 100% of patients were non-compliant with ARV medication. After the educational intervention, this increased to 92%. Patients reported feeling more motivated and understanding the material more easily through audiovisuals compared to traditional lectures. Tutorials helped them gain confidence in managing their medication schedules. Based on the analysis using the Wilcoxon test, a p-value of 0.000 indicates that the treatment or intervention significantly improved patient adherence to ARV treatment. Audiovisual and tutorial-based education has been proven effective in improving medication adherence in HIV/AIDS patients. This method can be used as an educational intervention strategy in community health centers and hospitals to improve the quality of care for HIV/AIDS patients.
Penerapan Massage Effleurage Menggunakan Virgin Coconut Oil Menurunkan Risiko Gangguan Integritas Kulit Pada Pasien Stroke Non Hemoragik Angelica Tarigan; Rahayu Winarti
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.531

Abstract

Background: Stroke is a medical condition characterized by a disruption in blood flow to the brain, most commonly resulting in ischemic stroke, which accounts for 70%–85% of all stroke cases. Prolonged immobility in stroke patients increases the risk of pressure ulcers. Effective prevention strategies Include regular repositioning and meticulous skin care. Effleurage massage, when combined with Virgin Coconut Oil (VCO), enhances blood circulation and skin hydration, thereby potentially reducing the risk of impaired skin integrity. Objective: To analyze the management of a non-hemorrhagic stroke patient Through the application of Effleurage Massage therapy using Virgin Coconut Oil (VCO) to reduce the risk of skin integrity impairment. Methods: This case study involved a non-hemorrhagic stroke patient who was observed during hospital visits over a three-day period. Effleurage massage using VCO was applied twice daily—once in the morning and once at night. Skin integrity was assessed before and after the intervention using the Braden Scale Results: A decrease in the risk of skin integrity impairment was observed following the intervention, as evidenced by improved Braden Scale scores. Conclusion: Effleurage Massage using Virgin Coconut Oil may serve as an effective complementary therapy to reduce the risk of skin integrity Impairment in non-hemorrhagic stroke patients.
Penerapan Terapi Benson untuk Mengurangi Nyeri pada Pasien Post Operasi Fraktur di RSUD Kajen Kabupaten Pekalongan Indah Permata Sari; Dwi Retnaningsih; Rahayu Winarti
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 4 (2025): Oktober : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i4.882

Abstract

Post-fracture surgery patients generally experience acute pain due to damage to bone, muscle, and soft tissue affected by surgical trauma. Untreated pain can cause mobility disorders, anxiety, and even slow the healing process. Pain management can be carried out pharmacologically and non-pharmacologically. One effective non-pharmacological intervention is Benson relaxation therapy, a breathing relaxation technique combined with elements of belief or positive affirmations to create a sense of calm and comfort. The purpose of this case study is to determine the application of Benson relaxation therapy in reducing pain in post-fracture surgery patients at Kajen Regional Hospital, Pekalongan Regency. The method used is a descriptive case study approach, involving four post-fracture surgery patients who experienced pain with a scale of 4–6 (moderate pain). The instruments used include the Benson relaxation SOP, a Numeric Rating Scale (NRS) pain observation sheet, and a respondent consent form (informed consent). This case study was conducted in the inpatient ward of Kajen Regional Hospital, Pekalongan Regency, from September 8–13, 2025. Results showed a decrease in the average pain scale from 4–6 to 2–4 after 15 minutes of Benson relaxation therapy. Conclusion: Benson relaxation therapy effectively reduces pain intensity in post-fracture surgery patients and can be recommended as a non-pharmacological intervention in pain management in the ward.  
Penerapan Terapi Pemberian Jus Nanas Untuk Menurunkan Kadar Asam Urat di Desa Genuk Ungaran Barat Zahrani Fahrisa Putri; Rahayu Winarti
Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.814

Abstract

Uric acid is a byproduct of purine breakdown, which is a component found in DNA and food. Purine is broken down into uric acid in the body, and if not excreted properly, it can lead to the accumulation of uric acid in the blood, known as hyperuricemia. If left untreated, this condition can develop into gout, which is characterized by joint pain and inflammation, particularly in the foot joints. In addition to medical treatment through medications, uric acid levels can also be naturally reduced through the consumption of certain foods, one of which is pineapple juice. Pineapple juice is known to have beneficial properties in reducing uric acid levels. Pineapple contains vitamin C, flavonoids, and bromelain. Vitamin C plays an important role in increasing the excretion of uric acid through urine, thereby helping to lower uric acid levels in the body. In addition, the flavonoids in pineapple act as antioxidants, inhibiting the enzyme xanthine oxidase, which is involved in the purine metabolism that produces uric acid. By inhibiting this enzyme, the process of uric acid formation can be reduced. Bromelain, a protease enzyme found in pineapple, also provides additional benefits. Bromelain helps accelerate the healing of swelling and joint pain caused by uric acid, as well as having anti-inflammatory effects that help reduce inflammation. This study was conducted using a case study method with a one-group pretest-posttest design to observe changes in uric acid levels in respondents after consuming pineapple juice. For 7 days, four respondents consumed 200 ml of pineapple juice per day. The results showed a reduction in uric acid levels in all four respondents, indicating that pineapple juice is effective as a supportive therapy in lowering uric acid levels. These findings suggest the potential of pineapple juice as a natural alternative to help manage uric acid levels.
Penerapan Pemberian Posisi dan Nesting terhadap Perubahan Suhu Tubuh, Saturasi Oksigenasi dan Frekuensi Nadi pada Bayi dengan Berat Badan Lahir Rendah di Ruang Perinatologi RSUD Batang Sri Rahayu; Rahayu Winarti
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/frx4m015

Abstract

Low birth weight (LBW) infants are at risk of physiological disorders such as hypothermia, unstable oxygen saturation, and hemodynamic disorders due to limited adaptation to the environment outside the womb. This study aims to determine the effect of positioning and nesting on changes in body temperature, oxygen saturation, and heart rate in LBW infants. The method used was a descriptive case study with a one-group pretest–posttest approach on five LBW infants treated in the Perinatology Unit of Batang Regional General Hospital. The nesting and positioning interventions were administered for three consecutive days, with each session lasting 30 minutes. Physiological parameters were measured before and after the intervention using a digital thermometer, neonatal pulse oximeter, and stethoscope. The results showed an increase in average body temperature from 35.8°C to 36.6°C, oxygen saturation from 94.8% to 98.2%, and heart rate from 130.8 to 136.8 beats per minute within normal limits. It was concluded that positioning and nesting are effective as non-pharmacological therapies to support the physiological stability of LBW infants.
Penerapan Edukasi Berbasis Theory of Planned Behavior Untuk Meningkatkan Kepatuhan Pengobatan, Nutrisi, dan Pencegahan Penularan pada Pasien Tuberkulosis (Tb) Di Puskesmas Batang 2 Sulistiyoningsih, Sulistiyoningsih; Rahayu Winarti
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/2hf8yc88

Abstract

Here is the high-quality academic English version: Tuberculosis (TB) is a communicable disease that affects not only patients’ physical health but also their psychological well-being. Non-adherence to treatment, inadequate nutritional intake, and insufficient transmission-prevention behaviors remain significant challenges in TB control efforts. Education grounded in the Theory of Planned Behavior (TPB) is considered capable of influencing attitudes, subjective norms, and perceived behavioral control, thereby promoting more optimal health behavior changes. This study aimed to determine the effectiveness of TPB-based education in improving treatment adherence, nutritional fulfillment, and transmission-prevention practices among TB patients at Batang 2 Primary Health Center. A case study design was employed involving five TB patients undergoing the intensive phase of treatment. The intervention consisted of four face-to-face educational sessions over a two-week period, supplemented by twice-daily SMS/WhatsApp reminders. Data were collected using adherence observation sheets, nutritional questionnaires, and TPB observation forms, and were analyzed by comparing pre- and post-intervention scores. The results demonstrated an increase in adherence scores from 5–6 to 7–9 across all respondents. TPB-based education proved effective and is recommended as a nursing strategy to support TB control in primary healthcare settings.  
Penerapan Hand Massage Minyak Zaitun Pada Anxietas Pasien Pre Operasi Laparatomy Di Rs Telogorejo Semarang Siti Nur Khasanah; Rahayu Winarti
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/rthehm30

Abstract

Preoperative anxiety is a common psychological response among patients undergoing laparotomy and may negatively affect physiological stability and surgical outcomes. This study aimed to evaluate the effectiveness of olive oil hand massage in reducing anxiety levels among preoperative laparotomy patients at RS Telogorejo Semarang. A pre-experimental one-group pretest–posttest case study design was applied to four participants who met inclusion criteria. The intervention consisted of hand massage using olive oil administered once daily for 10 minutes over three consecutive days. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after each intervention session. The findings demonstrated a consistent decrease in HARS scores across all participants, with anxiety levels declining from moderate to mild and, in one case, to no anxiety. Improvements in physiological parameters, including blood pressure and pulse rate, were also observed. These results indicate that olive oil hand massage may serve as a simple, safe, and effective nursing intervention to alleviate preoperative anxiety. Further research with larger samples and controlled designs is recommended to strengthen the evidence base.
Co-Authors Angelica Tarigan Belani, Maritsa Deti Nurdianah Dinda Sherly Allamanda Dwi Retnaningsih Eni Widiastuti Fitrianingsih Fitrianingsih Ika Indra Aryani Indah Permata Sari Iq Ballurohman Lili Apriyani Machfud Saifudin Meirita Pranawati Nanang Bagus Niken Sukesi Putri Novita Sari Raidha Febria Handayani Siti Nur Khasanah SRI RAHAYU Sulistiyoningsih Sulistiyoningsih Suprihatin Surani Suci Pratiwi Tri Dian Herlambang Sakti Wahyu Griyaningsih Wahyuningsih Wahyuningsih Wiwit Sundari Zahrani Fahrisa Putri