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Using Health Applications in Blood Pressure Monitoring on Hypertension Control in Hypertension Patients: Literature Review Kamalia, Annisa; Safitri, Destia; Aufa Suryana, Arriela; Sulastri, Afianti; Wahdini, Ridha; Salasa, Sehabudin; Sumartini, Sri
Jendela Nursing Journal (JNJ) Vol 9 No 2 (2025): DECEMBER 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v9i2.12813

Abstract

Background: hypertension is a leading risk factor for cardiovascular disease and remains a major public health challenge worldwide. Patient adherence to antihypertensive therapy is often suboptimal, particularly in low- and middle-income countries. Mobile health (mHealth) technologies have emerged as promising tools to enhance medication adherence and support self-monitoring of blood pressure. Objective: this review aims to evaluate the effectiveness of mHealth applications in improving blood pressure control among hypertensive patients. Methods: a systematic literature review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Relevant studies were identified through comprehensive searches of PubMed and Google Scholar using keywords such as “hypertension,” “telemedicine,” and “blood pressure.” Articles were screened based on predefined inclusion and exclusion criteria, and findings were synthesized descriptively to identify trends and outcomes across studies. Results: evidence indicates that mHealth applications integrating patient education, monitoring, and behavioral support are associated with improved medication adherence and reductions in blood pressure. However, results varied across studies due to differences in intervention design, duration of use, and patient characteristics. Conclusion: mHealth applications show potential as effective adjuncts to hypertension management, but further research is needed to optimize personalization, integration with health systems, and accessibility. Proper implementation of these technologies may enhance patient quality of life and contribute to reducing the global burden of cardiovascular disease.
EFEKTIVITAS LATIHAN ERGONOMI TERHADAP KUALITAS TIDUR PETANI: INTERVENSI BERBASIS KOMUNITAS Wahdini, Ridha; Wardany, Nadia Sintia; Perdani, Agni Laili; Darmawati, Irma; Rohaedi , Slamet
Jurnal Porkes Vol 9 No 1 (2026): Maret: Article in Progress
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/porkes.v9i1.32698

Abstract

The problem in this study is that farmers are at high risk of musculoskeletal disorders due to non-ergonomic work postures, which have an impact on poor sleep quality. Community-based non-pharmacological interventions to address this problem in the Indonesian farming population are still very limited. This study aims to evaluate the effect of a community-based ergonomic exercise program on improving sleep quality among farmers. The method used in this study is a one-group pretest-posttest quasi-experimental design without a control group. A total of 85 farmers were selected using purposive sampling in West Bandung Regency. The intervention consisted of ergonomic exercises (stretching, core muscle strengthening, relaxation) for 10-15 minutes per session, 5 times a week, for 2 weeks. Sleep quality was measured using the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using the Wilcoxon signed-rank test. The results showed a significant decrease in the global PSQI score from 12.92 (SD=4.71) to 11.61 (SD=4.29) with a mean difference of -1.31 (95% CI: -1.89 to -0.73; p<0.001). The effect size was in the moderate category (r=0.359). The proportion of respondents with good sleep quality increased from 9.4% to 22.4%. The discussion in this study is that ergonomic exercises are associated with improved sleep quality through muscle tension reduction, autonomic nervous system modulation, and increased postural awareness. These findings are consistent with previous studies in working populations. However, the absence of a control group limits causal conclusions. In conclusion, community-based ergonomic exercise programs show potential as a feasible and acceptable promotive-preventive intervention to improve sleep quality among farmers. Further research with an RCT design and longer duration is needed to confirm causal effectiveness.
Association Between Social Engagement and Depression Severity Among the Elderly: A Community-Based Study Darmawati, Irma; Trần Ngọc Thanh, Đặng; Laili Perdani, Agni; Wahdini, Ridha; Sintia Wardany, Nadia
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.13200

Abstract

Depression in the elderly is a public health issue that is sometimes influenced by low social interaction, but community-based studies are still limited. This study aims to analyze how social engagement relates to depression severity among elderly. This study used cross sectional approach and recruited 56 elderly participants aged 60–72 years. Depression level measured by the 30 item Geriatric Depression Scale (GDS). Social engagement was assessed with the Lubben Social Network Scale (LSNS). Data were analyzed using descriptive statistics, Spearman correlation, and linear regression analysis. Participants averaged score are 13.70 on depression (SD=5.77) and 17.57 on social engagement (SD=2.79). We found a negative correlation: less social contact linked to higher depression level (r = –0.288, p = 0.031). Regression confirmed this pattern which social engagement predicted depression levels (B = –0.398, p = 0.002). Social engagement is important to reduce depressive sign and symptoms among the elderly. Community-based programs is needed to strengthen social support to improve mental health in elderly.
Needs Assessment for Ergonomic Patient Repositioning Device Among Bedridden Patients: A Literature Review Darmawati, Irma; Perdani, Agni Laili; Wahdini, Ridha; Wardany, Nadia Sintia
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.1017

Abstract

Background: Pressure ulcers remain a prevalent and preventable complication among bedridden patients, with manual repositioning every two hours established as the clinical standard of prevention. This practice places substantial physical demands on nurses and informal caregivers, contributing to high rates of work-related musculoskeletal disorders, including low back pain, among those performing repetitive turning tasks. Despite the availability of various assistive devices, most have been developed without systematic assessment of the combined needs of both patients and caregivers as dual users. Objective: This review aimed to identify clinical, ergonomic, and functional needs for a patient repositioning device among bedridden patients and their caregivers through synthesis of existing literature. Methods: A literature review was conducted using Scopus, PubMed, and EBSCO, covering publications from 2016 to 2024. Articles published in English addressing repositioning practices, assistive device design or evaluation, caregiver ergonomics, or pressure injury prevention in immobile patients were included. Studies unrelated to repositioning function or device ergonomics were excluded. Eight articles met the inclusion criteria and were included in the final synthesis. Results: Three primary need domains were consistently identified across the reviewed literature. First, bedridden patients require effective pressure redistribution to prevent tissue injury during prolonged immobility. Second, caregivers need a reduction in biomechanical workload during repositioning, particularly in lumbar and shoulder loading. Third, the device must offer usability features that enable safe, consistent positioning without requiring multiple personnel or specialized training. Current assistive devices inadequately address all three domains simultaneously, with most designs optimizing for one dimension at the expense of others. Conclusion: Bedridden patients and their caregivers present distinct yet interdependent needs that must be jointly addressed in ergonomic repositioning device development. A dual-user design framework integrating pressure redistribution, biomechanical efficiency, and practical usability represents a critical direction for future nursing research and device innovation.
Efektivitas latihan senam poundfit high-intensity interval training (HIIT) terhadap kualitas tidur pada dewasa muda sedentary lifestyle Isaura, Gionovie Khalisha; Rahmi, Upik; Rohaedi, Slamet; Wahdini, Ridha
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2328

Abstract

Background: Sleep quality disturbances are highly prevalent among young adults and are closely associated with sedentary behavior, defined as waking activities performed in a sitting or reclining position with low energy expenditure for prolonged periods. Among university students, sedentary time exceeding 7 hours per day has been linked to poorer sleep quality. Although high-intensity physical activity is known to improve sleep quality, evidence regarding music-based High-Intensity Interval Training (HIIT), such as poundfit, remains limited. Purpose: To examine the effectiveness of poundfit-based HIIT on sleep quality among sedentary young adults. Methods: A quasi-experimental design with a pretest-posttest control group. A total of 40 female participants with high sedentary time, defined as more than 7 hours per day spent sitting or reclining while awake, were assessed using the Sedentary Behavior Questionnaire (SBQ). Participants were allocated into an intervention group (n = 20) and a control group (n = 20). The intervention group participated in poundfit-based HIIT sessions three times per week for four weeks, with each session lasting 45-60 minutes. Sleep quality was measured using the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), which has demonstrated good validity and reliability, with Cronbach’s alpha of 0.741. Data were analyzed using the Wilcoxon test, independent sample t-test, and effect size calculation. Results: The intervention group showed a significant reduction in PSQI scores from 8.35 ± 2.21 to 4.15 ± 2.18 (p < 0.001; r = 0.85), while the control group showed no significant change (p = 0.198). A significant difference in PSQI score changes was found between the intervention and control groups (p = 0.001). Conclusion: Poundfit-based HIIT is effective in improving sleep quality among young adults with high sedentary behavior of more than 7 hours per day. This intervention may serve as a practical and clinically meaningful physical activity program. Suggestion: Poundfit-based HIIT as a structured physical activity to improve sleep quality among university students with a sedentary lifestyle. The program can be effectively performed three times per week for four weeks, with a duration of 45-60 minutes per session. For less optimal outcomes, additional light-to-moderate physical activity, sleep hygiene education, and stress management are recommended. This intervention is considered more applicable and motivating for university students than conventional physical exercise in the context of promotive nursing care.   Keywords: High-Intensity Interval Training (HIIT); Poundfit; Sedentary Behavior; Sleep Quality; Young Adults.   Pendahuluan: Gangguan kualitas tidur banyak terjadi pada dewasa muda dan berkaitan erat dengan perilaku sedentari, yaitu aktivitas saat terjaga yang dilakukan dalam posisi duduk atau berbaring dengan pengeluaran energi rendah dalam waktu yang lama. Pada mahasiswa, waktu sedentari lebih dari 7 jam per hari telah dikaitkan dengan kualitas tidur yang lebih buruk. Meskipun aktivitas fisik intensitas tinggi diketahui dapat meningkatkan kualitas tidur, bukti mengenai latihan High-Intensity Interval Training (HIIT) berbasis musik, seperti poundfit, masih terbatas. Tujuan: Untuk mengetahui efektivitas latihan poundfit berbasis HIIT terhadap kualitas tidur pada dewasa muda dengan gaya hidup sedentary. Metode: Penelitian desain kuasi-eksperimen dengan rancangan pretest-posttest control group. Sebanyak 40 partisipan perempuan dengan waktu sedentari tinggi, yaitu lebih dari 7 jam per hari dalam posisi duduk atau berbaring saat terjaga, dinilai menggunakan Sedentary Behavior Questionnaire (SBQ). Partisipan dibagi menjadi kelompok intervensi (n = 20) dan kelompok kontrol (n = 20). Kelompok intervensi mengikuti latihan poundfit berbasis HIIT sebanyak 3 kali per minggu selama 4 minggu, dengan durasi 45-60 menit setiap sesi. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI) versi bahasa Indonesia yang telah menunjukkan validitas dan reliabilitas baik dengan nilai Cronbach’s alpha sebesar 0.741. Data dianalisis menggunakan uji Wilcoxon, independent sample t-test, dan perhitungan effect size. Hasil: Kelompok intervensi menunjukkan penurunan skor PSQI yang signifikan dari 8.35 ± 2.21 menjadi 4.15 ± 2.18 (p < 0.001; r = 0.85), sedangkan kelompok kontrol tidak menunjukkan perubahan yang signifikan (p = 0.198). Terdapat perbedaan perubahan skor PSQI yang signifikan antara kelompok intervensi dan kelompok kontrol (p = 0.001). Simpulan: Latihan poundfit berbasis HIIT efektif dalam meningkatkan kualitas tidur pada dewasa muda dengan perilaku sedentari tinggi lebih dari 7 jam per hari. Intervensi ini dapat menjadi program aktivitas fisik yang praktis dan bermakna secara klinis. Saran: Latihan HIIT berbasis poundfit sebagai aktivitas fisik terstruktur untuk meningkatkan kualitas tidur mahasiswa dengan gaya hidup sedentari. Program ini efektif dilakukan 3 kali seminggu selama 4 minggu dengan durasi 45-60 menit per sesi. Pada hasil yang belum optimal, diperlukan tambahan aktivitas fisik ringan hingga sedang, edukasi sleep hygiene, dan manajemen stres. Intervensi ini dinilai lebih aplikatif dan memotivasi mahasiswa dibandingkan latihan fisik konvensional dalam konteks keperawatan promotif.   Kata Kunci: Dewasa Muda; Kualitas Tidur; High-Intensity Interval Training (HIIT); Perilaku Sedentari; Poundfit.