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All Journal Jurnal Kesehatan Komunitas Indonesia Jurnal Kegawatdaruratan Medis Indonesia
Ardhani, Ni Ketut
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Promotion of Information Reception Readiness for Ineffective Health Management in The Community with Hypertension Dwiyanti, Faradilah Mulya; Ati, Niken Asih Laras; Susumaningrum, Latifa Aini; Ardhani, Ni Ketut
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 1: April 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i1.380

Abstract

Introduction: Hypertension is a cardiovascular disease in the heart and blood vessels and a serious health problem worldwide. This condition can be characterized by systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. An unhealthy lifestyle and a deficit of information account for most of the elements that cause hypertension, and problems arise with ineffective health management. Objective: This study aims to determine the description of community nursing care with Ineffective Health Management: Hypertension in the community of neighborhood 03 in Jumerto Village. Method: This study uses descriptive analysis with a total sampling of 33 samples. Data were collected using a DASH questionnaire, which was carried out before and after the intervention. Data analysis used the Wilcoxon test, with the research results showing a p-value. Result: The results of the intervention showed that there was a significant difference in systolic and diastolic blood pressure before and after the intervention with a significance level (p-value< 0.05), and there is an increase in health education about the hypertension diet with a p-value of 0.000 (p value< 0.05). Conclusion: Health education interventions and demonstrations of giving bay leaf decoction drinks as non-pharmacological therapy can overcome the problem of ineffective health management nursing.
The Combination of Diabetic Foot Exercises and Warm Water Foot Soak for Unstable Blood Glucose Levels Nursing Problems in Elderly Agustina, Liana Putri; Kurdi, Fahruddin; Ardhani, Ni Ketut
Jurnal Kegawatdaruratan Medis Indonesia Vol. 4 No. 2: August 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v4i2.340

Abstract

Diabetes mellitus is a vital health disease to pay attention to in the elderly population. When compared to individuals without diabetes, the older adult with DM loses muscle mass faster and has more comorbidities such as hypertension. Another common complication of diabetes is diabetic neuropathy, which causes tingling and numbness in the extremities. One method for managing diabetes is to combine diabetes foot exercises with a warm water foot soak. This study aimed to see how diabetic foot exercises and warm water foot soak affected blood glucose levels and foot sensitivity in the older adult with diabetes. This research was a case study, and the research subject was an older adult with diabetes mellitus. Random blood glucose levels and foot sensitivity were measured using a glucometer and monofilament test. Client’s average blood glucose levels decreased from 239.25 mg/dL to 235.75 mg/dL. Foot sensitivity points have increased from 8 points on the right foot and 7 points on the left foot to 9 points on the right foot and 8 points on the left foot. A combination of diabetic foot exercises and warm water foot soak can reduce blood glucose levels and increase the sensitivity of the feet of older adults with diabetes. The combination of these two therapies can be complementary to pharmacological therapy for older adults with diabetes.
Health System Guidance as Nursing Intervention for Ineffective Health Management in Aggregate Adults with Hypertension Sholikhah, Rahma Mar'atus; Ati, Niken Asih Laras; Kurdi, Fahruddin; Ardhani, Ni Ketut
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i2.334

Abstract

Introduction: Hypertension is a type of non-communicable disease that can significantly cause morbidity and mortality of sufferers. Adult age is a risk factor that has a great influence on hypertension. Interventions that can be given to the community are Health System Guidance to identify hypertension problems in the community and develop the ability to overcome existing health problems, namely hypertension problems. Objective: To determine the effectiveness of nursing interventions for health system guidance. Method: Descriptive and analytical research design with a sample of 50 productive age who have hypertension in the RW 08 area of Patrang Village and 5 health cadre. This research carried out implementation in the form of primary prevention (health education), secondary prevention (hypertension screening and cadre empowerment) and tertiary prevention (education and demonstration of giving star fruit juice). Data collection used respondent characteristic instruments, hypertension knowledge questionnaire, hypertension diet questionnaire, standart operating procedure for blood pressure measurement, standart operating procedure for making star fruit juice. Data analysis used paired sample t-test, wilcoxon test, and mann whitney test. Results: There was a significant difference between knowledge before health education and after health education (p = 0.000). In cadre empowerment, there was an increase in the percentage of cadre ability and the mean of cadre knowledge. In tertiary prevention, there was a significant difference between blood pressure after giving star fruit juice therapy between the intervention and control groups (p < 0.05). Conclusion: Health system guidance is effective in improving health management of hypertension.
Co-Authors Agustina, Liana Putri Dwiyanti, Faradilah Mulya Fahruddin Kurdi Latifa Aini Susumaningrum Niken Asih Laras Ati Sholikhah, Rahma Mar'atus