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Aplikasi Terapi Guided Imagery Untuk Mengurangi Nyeri Akut Pada Ny. S Dengan Ca Mammae: Studi Kasus Rr. Reza Fitri Dwi Milenia; Murtaqib Murtaqib; Ana Nistiandani; Sulis Setyowati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 3 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.87315

Background: Breast cancer is the second leading cause of death in women after cervical cancer. One of the most feared symptoms by cancer patients is pain. Cancer patients have used guided imagery relaxation techniques for several years, and it has been proven that they can help reduce the side effects of chemotherapy, such as nausea, vomiting, pain, anxiety, and depression.Objective: To analyze the application of guided imagery therapy to reduce acute pain in Mrs.S with Ca Mammae in the Upper Melati Room, RSD dr. Soebandi.Case report: Mrs. S, 46 years old, is being treated in the Melati Room at RSD dr. Soebandi Jember with a medical diagnosis of Ca Mammae. When he came to RSD dr. Soebandi Jember patient complained of pain with a scale of 5 with a dull ache in the left breast. Patients were given the main intervention of Guided Imagery therapy for 3 days of treatment to reduce pain.Outcome: The patient said that on the first day of the intervention, the pain felt intermittent and it was difficult to sleep. Then after being given guided imagery therapy, the pain felt reduced.Conclusion: Guided imagery therapy can be applied to breast cancer patients where it can help reduce pain due to breast cancer felt by patients so that it will help in patient health care

Foot Self Care Education To Prevent Diabetic Ulcers: Edukasi Foot Self Care Untuk Mencegah Ulkus Diabetik Nistiandani, Ana; Widayati, Nur
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

The major complication of diabetes mellitus that needs special attention at this time is diabetic ulcers. Diabetic ulcers on the feet can reduce the quality of life and cause death. A lack of knowledge about foot care can cause this. In addition to controlling blood sugar levels, people with diabetes need education about foot care that is applied independently at home (foot self-care). This service aims to enable participants to understand and implement foot self-care to prevent diabetic ulcers. The educational method is given by lecture. Community service activities are carried out in four stages: education, discussion, question and answer, and evaluation. Participation partners involved are the Gucialit village community, totaling 25 people. Characteristics of the participants indicated that the gender of the majority of participants was male, totaling 17 people (68%), dominated by late adulthood, totaling 15 people (60%), and the majority were farmers, totaling 22 people (88%). The service results show increased knowledge about foot self-care to prevent diabetic ulcers before and after being given education. Further education on foot self-care can be given using a simulation method so that people can practice it directly.

Mitigation Of Non-Natural Disaster Outbreaks Through Increasing Awareness Of The COVID-19 Protocol In Mayang Village, Jember Indonesia: Mitigasi Bencana Non-Alam Wabah Penyakit Melalui Peningkatan Kesadaran Protokol Covid-19 Pada Masyarakat Desa Mayang Jember Sutawardana, Jon Hafan; Hakam, Mulia; Nistiandani, Ana; Siswoyo, Siswoyo
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

At the end of the COVID-19 Pandemic, as it is today, people tend to lose their self-awareness regarding implementing their health protocols. On the other hand, a new variant of Covid 19 threatens public health, as evidenced by the recent increase in the number of cases in Indonesia. The community needs to get educated about mitigating non-natural disasters of the Covid 19 outbreak, so they can prepare themselves when the danger of this outbreak re-emerges in the community through self-awareness of the Covid 19 Protocol. The time of health education is about 60 minutes. Health education methods are used through lectures, discussions, and demonstrations using information media such as LCD projectors, leaflets, posters, and X-banners. Understanding evaluation methods using pre-test and post-test. The community showed enthusiasm during the activity, as evidenced by the many questions asked. Participants could also practice washing their hands properly and wearing a mask. When the verbal evaluation was carried out, participants could also answer the questions the teaching team posed correctly. The results of the written test evaluation showed an increase in the average value, namely from the pre-test score of 70.5 to 90.1 for the post-test average value. The community expressed their commitment to implementing the COVID-19 protocol in their daily lives to prevent the spread of COVID-19 cases.

Pencegahan Kerusakan Saraf Perifer Pada Penderita Diabetes Mellitus Tipe 2 Nistiandani, Ana; Sutawardana, Jon Hafan; Rondhianto
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2023): April 2023
Publisher : Al-Hijrah Indonesia

Kerusakan saraf perifer merupakan komplikasi diabetes melitus (DM) yang dapat menyebabkan kecacatan secara permanen. Kabupaten Jember memiliki angka DM yang tinggi dan penderitanya memiliki resiko untuk mengalami kerusakan saraf perifer. Desa Mayang merupakan mitra sasaran yang membutuhkan informasi untuk mencegah kerusakan saraf perifer. Pengabdian masyarakat ini bertujuan untuk mencegah kerusakan saraf perifer pada penderita diabetes melitus tipe 2 di Kabupaten Jember. Metode pelaksanaan dilakukan dengan ceramah, diskusi, adanya evaluasi berdasarkan nilai pretes dan postes yang diberikan kepada peserta. Hasil kegiatan ini menunjukkan nilai pretes yang didapatkan dari rata-rata jawaban benar yaitu 41,79%. Sedangkan nilai benar rata-rata peserta postest yaitu 69,5%. Meskipun jawaban benar peserta belum mencapai 100%, dapat dikatakan bahwa terdapat peningkatan secara pengetahuan terkait diabetes melitus dan pencegahan komplikasi kerusakan saraf perifer pada peserta.Berdasarkan hasil tersebut, terdapat peningkatan nilai rata-rata jawaban benar dari peserta pengabdian kepada masyarakat. Sehingga dapat disimpulkan bahwa edukasi dengan metode diskusi dan ceramah efektif meningkatkan pengetahuan masyarakat.

Effect of Sociodemographic Factors on Self-Monitoring of Blood Glucose Behavior of People with Type 2 Diabetes Mellitus Rondhianto, Rondhianto; Nistiandani, Ana; Jannah, Latifah Nur
Jurnal Kesehatan dr. Soebandi Vol 11 No 1 (2023): 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.v11i1.452

Self-monitoring of blood glucose (SMBG) is important in diabetes self-management to achieve better HbA1c control and decrease complications, morbidity, and mortality in people with type 2 diabetes mellitus (T2DM). SMBG behavior can be influenced by various factors, one of which is sociodemographic factors. This study aimed to analyze the sociodemographic factors that influence the behavior of self-monitoring blood glucose in patients with T2DM. The cross-sectional study was conducted in ten health centers in Jember Regency with a sample size of 130 respondents using multistage random sampling. The independent variable is sociodemographic factors (age, gender, marital status, education level, income level, family type, and ethnicity), while the dependent variable is SMBG behavior. The instrument used was the Self-Monitoring Blood Glucose Questionnaire (SMBG-Q). Data were analyzed by multiple logistic regression. Most respondents had SMBG behavior in the good category (64.6%). Sociodemographic factors simultaneously had an influence on SMBG behavior (p = 0.001 < α = 0.05; R2 = 0.324). The sociodemographic factor that significantly affects SMBG behavior partially is ethnicity (p = 0.001 < α = 0.05). Meanwhile, age, gender, marital status, education level, income level, and family type did not have a significant partial effect (p = 0.095; p = 0.149; p = 0.083; p = 0.359; p = 0.507; p = 0.152 > α = 0.05). The sociodemographic factor that influences SMBG behavior is ethnicity. Therefore, efforts to improve SMBG behavior must pay attention to values and culture to improve the self-monitoring blood glucose behavior of people with T2DM. Keywords: Type 2 diabetes mellitus; self-monitoring blood glucose behavior; sociodemographic

Foot Self Care Education To Prevent Diabetic Ulcers: Edukasi Foot Self Care Untuk Mencegah Ulkus Diabetik Nistiandani, Ana; Widayati, Nur
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v1i1.29

The major complication of diabetes mellitus that needs special attention at this time is diabetic ulcers. Diabetic ulcers on the feet can reduce the quality of life and cause death. A lack of knowledge about foot care can cause this. In addition to controlling blood sugar levels, people with diabetes need education about foot care that is applied independently at home (foot self-care). This service aims to enable participants to understand and implement foot self-care to prevent diabetic ulcers. The educational method is given by lecture. Community service activities are carried out in four stages: education, discussion, question and answer, and evaluation. Participation partners involved are the Gucialit village community, totaling 25 people. Characteristics of the participants indicated that the gender of the majority of participants was male, totaling 17 people (68%), dominated by late adulthood, totaling 15 people (60%), and the majority were farmers, totaling 22 people (88%). The service results show increased knowledge about foot self-care to prevent diabetic ulcers before and after being given education. Further education on foot self-care can be given using a simulation method so that people can practice it directly.

Mitigation Of Non-Natural Disaster Outbreaks Through Increasing Awareness Of The COVID-19 Protocol In Mayang Village, Jember Indonesia: Mitigasi Bencana Non-Alam Wabah Penyakit Melalui Peningkatan Kesadaran Protokol Covid-19 Pada Masyarakat Desa Mayang Jember Sutawardana, Jon Hafan; Hakam, Mulia; Nistiandani, Ana; Siswoyo, Siswoyo
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v1i1.40

At the end of the COVID-19 Pandemic, as it is today, people tend to lose their self-awareness regarding implementing their health protocols. On the other hand, a new variant of Covid 19 threatens public health, as evidenced by the recent increase in the number of cases in Indonesia. The community needs to get educated about mitigating non-natural disasters of the Covid 19 outbreak, so they can prepare themselves when the danger of this outbreak re-emerges in the community through self-awareness of the Covid 19 Protocol. The time of health education is about 60 minutes. Health education methods are used through lectures, discussions, and demonstrations using information media such as LCD projectors, leaflets, posters, and X-banners. Understanding evaluation methods using pre-test and post-test. The community showed enthusiasm during the activity, as evidenced by the many questions asked. Participants could also practice washing their hands properly and wearing a mask. When the verbal evaluation was carried out, participants could also answer the questions the teaching team posed correctly. The results of the written test evaluation showed an increase in the average value, namely from the pre-test score of 70.5 to 90.1 for the post-test average value. The community expressed their commitment to implementing the COVID-19 protocol in their daily lives to prevent the spread of COVID-19 cases.

Pencegahan Kerusakan Saraf Perifer Pada Penderita Diabetes Mellitus Tipe 2 Nistiandani, Ana; Sutawardana, Jon Hafan; Rondhianto
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2023): April 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v2i1.75

Kerusakan saraf perifer merupakan komplikasi diabetes melitus (DM) yang dapat menyebabkan kecacatan secara permanen. Kabupaten Jember memiliki angka DM yang tinggi dan penderitanya memiliki resiko untuk mengalami kerusakan saraf perifer. Desa Mayang merupakan mitra sasaran yang membutuhkan informasi untuk mencegah kerusakan saraf perifer. Pengabdian masyarakat ini bertujuan untuk mencegah kerusakan saraf perifer pada penderita diabetes melitus tipe 2 di Kabupaten Jember. Metode pelaksanaan dilakukan dengan ceramah, diskusi, adanya evaluasi berdasarkan nilai pretes dan postes yang diberikan kepada peserta. Hasil kegiatan ini menunjukkan nilai pretes yang didapatkan dari rata-rata jawaban benar yaitu 41,79%. Sedangkan nilai benar rata-rata peserta postest yaitu 69,5%. Meskipun jawaban benar peserta belum mencapai 100%, dapat dikatakan bahwa terdapat peningkatan secara pengetahuan terkait diabetes melitus dan pencegahan komplikasi kerusakan saraf perifer pada peserta.Berdasarkan hasil tersebut, terdapat peningkatan nilai rata-rata jawaban benar dari peserta pengabdian kepada masyarakat. Sehingga dapat disimpulkan bahwa edukasi dengan metode diskusi dan ceramah efektif meningkatkan pengetahuan masyarakat.

A Self-Efficacy Theory-Based Program to Reduce Diabetic Foot Ulcer Risk in Agricultural Areas Nistiandani, Ana; Rondhianto, Rondhianto
Jurnal Kesehatan dr. Soebandi Vol 13 No 1 (2025): 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.v13i1.694

Several studies indicate a significant increase in diabetes and its complications in agricultural regions. Jember is an agricultural area with a high prevalence of diabetes and a heightened risk of Diabetic Foot Ulcer (DFU). Reducing aggressive risk factors involves a self-efficacy theory based program. This intervention aimed to evaluate the program's effectiveness on foot care behaviors, self-efficacy in self-care foot management, and the risk of DFU occurrence. The study spanned over six months, consisting of three stages: program introduction, health education delivery, and program evaluation. It employed a Pre-Experimental Design with a Group Pretest-Posttest approach. Sample selection was done using simple random sampling, resulting in a sample of 28 research participants. The statistical test used was the Wilcoxon Test. The study's results showed significance values for all three variables < 0.001, signifying the influence of the intervention. The risk of diabetic foot ulcers had a negative rank, indicating a decrease in the risk of DFU after the intervention, with an average reduction value of 13.00. Foot Self-Care Behavior showed a positive rank of 14.50, signifying an improvement in Foot Self-Care Behavior following the intervention. Foot Care Confidence displayed a positive rank, indicating an increase in Foot Care Confidence after the intervention, with an average improvement of 14.50. Consequently, nurses can implement a self-efficacy-based foot care education program to reduce the risk of diabetic ulcers by enhancing self-care behaviors and self-efficacy in independent foot care.

Interdialytic weight gain and fatigue in chronic kidney disease patients undergoing hemodialysis: A Correlational study Nur Widayati; Maharani, Nindy Dwi; Nistiandani, Ana
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.482

Chronic Kidney Disease (CKD) has become a significant global health problem, characterized by the gradual and progressive damage to nephrons and decreased glomerular filtration rate which causes toxins in the body to accumulate and cause fatigue. One of the main problems experienced by hemodialysis patients is how to manage interdialytic weight gain (IDWG). Continuous excess extracellular fluid can cause adverse effects on the heart and respiratory function, which serves as the physiological basis for fatigue. This study aimed to analyze the relationship between IDWG and fatigue in CKD patients undergoing hemodialysis. This study used an analytical observational design with a cross-sectional approach. The sample used was 139 respondents using total sampling technique. Data collection of IDWG was conducted by a One Health digital weighing scale and Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale version 4 questionnaire. Data mean value IDWG 3.48% with a standard deviation of 1.72 and a median fatigue score of 26.0 with a low score of 12 and a high score of 46. Data were analyzed by using Spearman's rho correlation test with a significance level of 0.05. The results showed a weak negative relationship between IDWG and fatigue (p value <0.001 ; r = -0.385). It means that the higher the IDWG value, the lower the fatigue score, indicating that the fatigue level is more severe. This study highlights the importance of controlling IDWG to reduce fatigue levels in chronic kidney disease patients undergoing hemodialysis

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