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Gaya Hidup Pasien Penyakit Jantung Koroner Di Poli Jantung RSUD dr. R. Koesma Tuban Rossy Sinta Nurbaya; Anita Joeliantina; Padoli; Minarti
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 4 No. 10 (2025)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jikmc.v4i10.1960

Abstract

Secara global, Penyakit Jantung Koroner termasuk faktor kematian tertinggi di antara penyakit lainnya, bersama Tingkat prevalensi tinggi di Indonesia. Diabetes Mellitus (DM) sebagai faktor risiko memperburuk kondisi pasien PJK. Aspek kebiasaan sehari-hari yang menambahkan potensi bahaya kesehatan, termasuk pola makan yang tidak sehat, rendahnya tingkat aktivitas fisik, dan kebiasaan merokok, dan kurang istirahat menjadi penyebab utama. Menganalisa dan memaparkan ciri khas gaya hidup pasien Penyakit Jantung Koroner di Poli Jantung RSUD Dr. R. Koesma Tuban merupakan tujuan penelitian. Studi ini menggunakan desain deskriptif melalui pendekatan cross-sectional. Dengan populasi berjumlah 112 pasien PJK, dengan sampel sebanyak 74 pasien dipilih menggunakan metode purposive sampling. Data diperoleh melalui kuesioner terstruktur, kemudian dianalisis menggunakan metode deskriptif. Data dan temuan yang diperoleh melalui penelitian ini, kebanyakan responden berada antara umur 60 hingga 74 tahun (47,3%), berjenis kelamin laki-laki (54,1%), berpendidikan rendah (hampir setengahnya tidak sekolah), dan tidak bekerja (57,3%). Sebanyak 89,2% pasien memiliki gaya hidup yang tidak sehat, ditandai oleh aktivitas fisik yang kurang, pola makan tinggi lemak, serta kebiasaan istirahat yang kurang. Seluruh pasien mengonsumsi makanan yang disediakan keluarga, dan sebagian besar belum pernah menjalani tindakan operasi atau kateterisasi jantung. Data yang dihasilkan dari penelitian ini memperlihatkan bahwa gaya hidup pasien PJK sangat dipengaruhi oleh faktor sosiodemografis seperti usia lanjut, rendahnya pendidikan, dan status pekerjaan. Rendahnya tingkat aktivitas fisik dan konsumsi makanan yang tidak seimbang termasuk masalah utama yang dapat memperburuk kondisi pasien. Hal ini menegaskan pentingnya peran tenaga kesehatan dalam memberikan edukasi yang konsisten dan berkelanjutan kepada pasien dan keluarga, serta perlunya pengembangan program promotif dan preventif oleh fasilitas kesehatan untuk mendukung perubahan gaya hidup yang lebih sehat dan berkelanjutan.
Pengaruh Kecanduan Smartphone Terhadap Tingkat Aktivitas Fisik Pada Remaja Di SMA Negeri 4 Tuban Shinta Nurul Fadhila; Titik Sumiatin; Su’udi; Anita Joeliantina
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 4 No. 10 (2025)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jikmc.v4i10.1984

Abstract

Kecanduan smartphone seringkali menyebabkan dampak negatif pada kehidupan sehari-hari seperti malas beraktivitas, gangguan emosi, dan gangguan tidur. Tujuan umum yang ingin dicapai dari penelitian ini adalah untuk mengetahui pengaruh kecanduan smartphone terhadap tingkat aktivitas fisik pada remaja di SMA Negeri 4 Tuban. Pengembangan ilmu keperawatan tentang aktivitas fisik pada remaja sangat diharapkan dengan terlaksananya penelitian ini. Penelitian ini mengambil desain korelasional dimana menggunakan pendekatan cross-sectional. Dari 256 siswa kelas X sebagai populasi, dengan mengacu pada kriteria serta teknik purposive sampling, maka sebanyak 156 siswa akan dilibatkan dalam penelitian. Penelitian ini menggunakan kuesioner sebagai instrumen, dan proses analisis dilakukan menggunakan uji Chi-Square. Dari hasil penelitian didapatkan 50% remaja yang kecanduan smartphone memiliki tingkat aktivitas fisik rendah. Nilai uji Chi-Square <0.001 menunjukkan terdapat hubungan signifikan antara kecanduan smartphone dengan tingkat aktivitas fisik remaja. Dengan ini dapat ditarik kesimpulan bahwa semakin tinggi tingkat kecanduan smartphone, maka secara signifikan akan semakin rendah aktivitas fisik pada remaja. Temuan ini menegaskan pentingnya peran bersama dari sekolah, keluarga, dan tenaga kesehatan dalam menangani kecanduan smartphone. Pendekatan yang bisa dilakukan meliputi sosialisasi, pembatasan penggunaan smartphone di luar jam belajar, dan peningkatan kegiatan fisik yang menyenangkan. Membangun kesadaran siswa terhadap pentingnya aktivitas fisik serta risiko dari penggunaan smartphone berlebihan juga sangat dibutuhkan. Upaya ini dapat membantu menciptakan lingkungan yang lebih sehat bagi perkembangan remaja.
Hubungan Kecanduan Telepon Pintar (Smartphone Addiction) Dengan Kecenderungan Perilaku Phone Snubbing (Phubbing) Pada Remaja Kelas X Di SMAN 3 Tuban Dinda Ailsa Vania; Padoli; Anita Joeliantina; Titik Sumiatin
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 4 No. 11 (2025)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jikmc.v4i11.1987

Abstract

Indonesia memiliki tingkat kecanduan smartphone tertinggi di dunia, dengan lebih dari 19% remaja mengalami kecanduan. Data menunjukkan peningkatan signifikan dalam durasi online remaja, dari 7,27 jam menjadi 11,6 jam per hari (peningkatan 59,7%) pada 2.933 remaja yang disurvei di 34 provinsi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kecanduan smartphone dengan kecenderungan perilaku phubbing remaja di SMAN 3 Tuban. Desain penelitian ini diklasifikasikan sebagai studi correlational dengan pendekatan cross-sectional. Populasi yang diteliti terdiri dari 251 siswa, dengan jumlah sampel sebanyak 154 siswa yang dipilih menggunakan teknik probability sampling melalui metode simple random sampling. Pengumpulan data dilakukan melalui kuesioner SAS-SV dan PS. Analisis data dilakukan menggunakan uji Spearman Rank Correlation. Hasil penelitian terhadap 154 siswa SMAN 3 Tuban menunjukkan bahwa sebagian besar berada pada tingkat kecanduan smartphone sedang sebanyak 97 orang (63%), dengan kecenderungan perilaku phubbing hampir setengahnya berada pada kategori sedang sebanyak 50 orang (32,5%). Uji Spearman Rank Correlation dengan taraf signifikansi <0,05, menghasilkan nilai p-value <0,001, menandakan hubungan yang signifikan antara kecanduan smartphone dan perilaku phubbing, dengan koefisien korelasi -0,595 yang menunjukkan hubungan kuat dan negatif. Kecanduan smartphone di kalangan remaja telah menjadi fenomena global yang memengaruhi dinamika sosial sehari-hari. Salah satu dampaknya adalah meningkatnya perilaku phubbing, di mana remaja lebih memilih interaksi digital daripada komunikasi langsung dengan orang di sekitarnya. Kondisi ini menyoroti perlunya pendidikan digital yang seimbang dan dorongan untuk membangun kesadaran akan pentingnya koneksi antarmanusia di era teknologi yang kian mendominasi.
Identification of Foot Complaints in Patients with DM, Descriptive Study Joeliantina, Anita
Global Ten Public Health and Nursing Journal Vol. 3 No. 4 (2025): December
Publisher : Prodi keperawatan sidoarjo, politeknik kesehatan kemenkes surabaya indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Diabetic foot ulcers (DFUs) are a common complication of diabetes mellitus (DM) and cause significant morbidity and mortality. Diabetic feet exhibit various structural and functional changes compared to non-diabetic feet. The purpose of this study was to identify foot complaints commonly experienced by patients with DM. This study employed a descriptive design with a cross-sectional approach. The sample size was 200 adult patients with DM selected using a purposive sampling technique. Patients with DM were asked to provide written consent before completing the questionnaire. This study used descriptive analysis, using a frequency distribution table. Data on foot complaints of patients with DM showed that numbness or thickening of the feet was present in 28.5%, tingling in 32.5%, and numbness in the feet was less common, with only 7.0% reporting consistent experience. Meanwhile, 13.0% experienced itchy feet, and only 3.0% reported persistent reddish feet. Blackish feet, a more serious condition, were recorded with 12.5% reporting persistent blackness. Swelling in the feet was reported by 6.0% and pain in the feet was reported by 15.0%. All patients with diabetes in the study experienced complaints in their feet, some even having more than one foot complaint. Among these foot complaints, numbness/thickness, tingling, and pain are common among patients with diabetes. Patients with DM should receive accurate information to identify foot complaints of developing Diabetic foot ulcer and to prevent them by performing proper and regular foot care
The Impact of Counseling on the Anxiety Level of the Surrounding Community Due to Positive Indication of Residents of Covid-19 Jujuk Proboningsih; Endah Suprihatin; Anita Joeliantina; Aida Novita Sari; Fathimath Shifaza
International Journal of Advanced Health Science and Technology Vol. 4 No. 2 (2024): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i2.73

Abstract

This pandemic period has multiple impacts on all aspects of life. Both economic, social, religious, and psychological. The psychological side is the great fear in the community as the virus spreads very quickly from the sick to the healthy. Changes in interpersonal relationships and in the economy are often followed by changes in politics, including the life of the nation and the state. Various everyday problems also need to be observed and solved with new approaches. The aim of this research is to examine the impact of counseling on the anxiety level of the surrounding community due to residents found to have positive COVID-19 infection. So that people can understand Covid-19 properly and don't experience anxiety even though there are local residents who are confirmed positive for Covid-19. This study was a quasi-experimental study with a pre-post test control group design. The purpose of this study was to analyze the effectiveness of counseling in reducing anxiety levels in the surrounding community due to residents indicated as positive for Covid-19. Test results showed a significant difference in the treatment group before (pre-test) and after (post-test) counseling (p-value 0.000). The test results between the treatment group and the control group also showed a significant difference in the post-test (p-value of 0.000). Anxiety or stress during this pandemic leads to an increase in concern for one's own health and that of the family. The situation is exacerbated by the fact that information arriving in bewildering abundance will increase public anxiety. There is a need for participation and collaboration between health care facilities and health care workers and health cadres to provide accurate information so that people are properly informed and can reduce their fears so that they are able to take appropriate action. There is a significant effect of counseling to reduce the anxiety level of the surrounding community due to residents who tested positive for Covid-19.
The Experiences of Patients with Diabetes and Strategies for Their Management during the COVID-19 Pandemic: a Qualitative Study Anita Joeliantina; Irfany Nurul Hamid; Endang Sulistyowati
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i1.214

Abstract

The COVID-19 pandemic has posed significant challenges for individuals with chronic conditions like Diabetes Mellitus (DM), especially in terms of maintaining proper self-care. This qualitative study aimed to explore the self-care experiences of patients with DM during the pandemic, with a focus on the impact of restricted access to healthcare services and changes in daily routines. The study adopted a phenomenological approach, involving ten purposively selected DM patients from the Keputih Health Center in Surabaya, Indonesia. Data were collected through semi-structured in-depth interviews, both online and offline, between August and October 2021. The Van Manen method was utilized for data analysis. The results revealed five key themes: poor diabetic diet, absence of physical activity, impaired monitoring of blood glucose levels, changes in medication patterns, and neglect of foot care. These findings indicate a significant decline in self-care behaviors, largely attributed to restricted movement, limited access to health services, and heightened fear of COVID-19 transmission. The study also highlighted the use of herbal remedies as a supplementary treatment, a behavior not widely reported in previous research. The study concludes that diabetes management during the pandemic was adversely affected, emphasizing the need for tailored interventions, including online consultations and education, to support DM patients. Further research is recommended to explore effective strategies for managing DM during health crises, particularly the integration of traditional and medical treatments.
The Illness perception in patients with diabetes mellitus based on characteristics: cross-sectional study Anita Joeliantina; Indriatie Indriatie; Endang Soelistyowati; Nur Hasanah
International Journal of Advanced Health Science and Technology Vol. 5 No. 3 (2025): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i3.479r

Abstract

Disease perception is a factor that affects self-care practices, psychological distress, and other health outcomes in people living with diabetes mellitus (DM). A positive perception of the disease can affect the patient's self-care and health status. This study aims to determine the correlation between characteristic factors and illness perception in patients with DM. This study was correlational research with a cross-sectional approach. The sample size was 175 adult patients with DM recruited from 4 health centres in Surabaya in July–August 2024 using a simple random sampling technique. Data analysis uses linear regression with a significance level of 0.05. This study shows that most (59.42%) patients with DM have a high illness perception. The factors that had a positive correlation with illness perceptions were age (p=0.021), disease history (p=0.027), and comorbidity (p=0.023). Age, disease history, and comorbidities are factors that are positively correlated with illness perception. This must be vigilance for patients at risk of DM, so they are conditioned to perceive the disease positively. As part of health workers, nurses must provide continuous education and counselling about patients' diseases
Implications of Tuberculosis Prevention Smart Book in Elementary School Age Children on Parenting Social Support Approach Indriatie indriatie; Aida Novitasari; Anita Joeliantina
International Journal of Advanced Health Science and Technology Vol. 6 No. 3 (2026): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i3.571

Abstract

Tuberculosis (TB) remains a major public health challenge in Indonesia, particularly affecting vulnerable populations such as elementary school-aged children whose immune systems are not fully developed. Despite ongoing national efforts to mitigate the spread of TB, the incidence among children remains notably high, necessitating innovative prevention strategies. This study aims to evaluate the impact of a specifically designed Tuberculosis Prevention Smart Book on enhancing parental social support approaches towards childhood TB prevention. Employing a quantitative quasi-experimental design with a two-group pretest-posttest format, the research sampled 200 parents of children attending elementary schools in Surabaya. Data were collected through structured questionnaires measuring informational, instrumental, emotional, and reward dimensions of social support. Findings indicate a statistically significant improvement in all dimensions of parental support following the intervention, with p-values below 0.05 for informational, instrumental, and emotional support categories. Notably, the use of the Smart Book facilitated heightened parental awareness, increased proactive caregiving behaviors such as early symptom detection and maintaining hygienic environments, and strengthened emotional engagement with children. However, changes in the reward support dimension were not statistically significant. The study concludes that integrating educational Smart Books into health promotion initiatives markedly enhances parental involvement and social support mechanisms critical for childhood TB prevention. This approach offers a promising avenue for community-based TB control programs, emphasizing the pivotal role of parents in safeguarding child health and curbing TB transmission within educational settings
The Effect of Animation Book–Based Education on Adolescents’ Knowledge and Attitudes Toward Diabetes Mellitus Prevention: A Quasi-Experimental Study at Muhammadiyah 1 Junior High School, Sidoarjo, Indonesia Bilqis Nikma Fauzan; Anita Joeliantina; Sari Luthfiyah; Moch Bahrudin
International Journal of Advanced Health Science and Technology Vol. 6 No. 3 (2026): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i3.600

Abstract

The increasing prevalence of diabetes mellitus (DM) among adolescents represents a significant public health challenge, largely driven by lifestyle factors and insufficient awareness of preventive measures during early life stages. Despite existing health education efforts, traditional media such as leaflets often fail to effectively engage this population, limiting their impact on knowledge and behavioral change. This study aimed to evaluate the effectiveness of animation book-based health education compared to conventional leaflet methods in enhancing knowledge and attitudes toward diabetes mellitus prevention among adolescents at Muhammadiyah 1 Junior High School, Sidoarjo, Indonesia. Utilizing a quasi-experimental design with non-equivalent control groups, 64 ninth-grade students were allocated evenly into an intervention group receiving animation book education and a control group receiving leaflet-based education. Pretest and posttest assessments were conducted using structured questionnaires to measure changes in knowledge and attitudes. Statistical analysis applying paired and independent t-tests revealed a significant improvement in both knowledge and positive attitudes in the intervention group compared to the control group (p = 0.001). Notably, the animation book group demonstrated a substantial increase in knowledge scores, with the percentage of students exhibiting “good” knowledge rising from 40.6% to 93.8%, while the control group showed only marginal gains. Attitudinal improvements followed a similar pattern, indicating that the animation book medium facilitates more effective cognitive and affective engagement. These findings suggest that animation book-based education serves as a superior and innovative pedagogical tool for school-based health promotion aimed at early diabetes prevention. Integration of such interactive media can enhance adolescent health literacy and support preventive behaviors, ultimately reducing the future burden of non-communicable diseases.
HYPERTENSION EXERCISE AND BLOOD PRESSURE REDUCTION AMONG PATIENTS WITH HYPERTENSION: SENAM HIPERTENSI DAN PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Rosa Zahrotul Firdausa; Joko Suwito; Hilmi Yumni; Anita Joeliantina
Journal of Health and Cardiovascular Nursing Vol. 6 No. 1 (2026): Journal of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v6i1.2891

Abstract

Hypertension is a chronic condition that increases the risk of cardiovascular morbidity and mortality. In addition to pharmacological treatment, non-pharmacological interventions such as hypertension exercise are important components of comprehensive hypertension management. This study aimed to analyze the effect of hypertension exercise on blood pressure reduction among individuals with hypertension. A pre-experimental one-group pretest–posttest design was employed involving 41 participants selected through random sampling. The intervention consisted of eight hypertension exercise sessions conducted over four weeks. Blood pressure was measured before and after the intervention and analyzed using the Paired t-test with a significance level of 0.05. The results showed that mean systolic blood pressure decreased from 141.56 mmHg to 131.24 mmHg, while mean diastolic blood pressure decreased from 83.37 mmHg to 82.51 mmHg. Statistical analysis revealed a significant reduction in systolic blood pressure (p < 0.05), whereas the reduction in diastolic blood pressure was not statistically significant (p > 0.05). It can be concluded that hypertension exercise is effective in reducing blood pressure, particularly systolic blood pressure, but has not shown a significant effect on diastolic blood pressure.