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PENGGUNAAN TELENURSING : WEBSITE TERHADAP SELF MANAGEMENT PADA PASIEN HIPERTENSI Mevia, Brilliant Septi Arta; Metasari, Sherly; Ginanjar, Rizal
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45635

Abstract

Jumlah penderita hipertensi terus meningkat setiap tahun. Orang yang menderita hipertensi sering tidak menyadari kondisinya, sehingga mereka bisa mengalami masalah kesehatan yang lebih serius atau komplikasi akibat hipertensi tersebut. Pengetahuan yang terbatas tentang self management hipertensi dapat menyebabkan rendahnya kesadaran akan resiko komplikasi ini. Edukasi kesehatan berperan penting dalam membantu memahami dan meningkatkan pengetahuan self management hipertensi, salah satunya melalui kemajuan teknologi dan informasi dalam bidang keperawatan yaitu telenursing berbasis website. Tujuan penelitian ini untuk mengetahui pengaruh penggunaan telenursing berbasis website terhadap self management pada pasien hipertensi. Jenis penelitian ini adalah penelitian kuantitatif dengan desain “One Grup Pretest Postest Design” yaitu penelitian yang dilaksanakan pada satu kelompok saja tanpa kelompok pembanding dengan sampel sebanyak 45 orang yang menderita hipertensi. Teknik sampling yang digunakan non probability sampling jenis accidental sampling. Instrument yang digunakan adalah kuesioner HSMBQ (Hypertension Self management Behavior Quetionnaire), untuk mengetahui pengaruh penggunaan telenursing berbasis website terhadap self management pada pasien hipertensi menggunakan uji Dependent t test. Hasil uji dari dependent t test didapatkan nilai signifikansi p value = 0,000 yang berarti p<0,05. Dari hasil tersebut maka Ha diterima, sehingga dapat disimpulkan bahwa ada pengaruh penggunaan telenursing berbasis website terhadap self management pada pasien hipertensi di wilayah kerja Puskesmas Rowosari Kota Semarang. Terdapat pengaruh yang signifikan antara penggunaan telenursing berbasis website terhadap self management pada pasien hipertensi di wilayah kerja Puskesmas Rowosari Kota Semarang.
Hubungan Persepsi Tentang Penyakit Dengan Kepatuhan Minum Obat Penderita Hipertensi Purwandari, Galuh; Purwandari, Galuh; Hartoyo, Mugi; Hartoyo, Mugi; Metasari, Sherly; Metasari, Sherly
MNJ (Mahakam Nursing Journal) Vol 3 No 4 (2024): Nov 2024
Publisher : Poltekkes Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mnj.v3i4.247

Abstract

Background: Hypertension treatment requires a long period, often lasting a lifetime. Patients frequently experience fatigue in taking medication, leading to non-adherence and treatment discontinuation. Misconceptions about the disease usually influence this non-adherence. This study aims to determine the relationship between illness perception and medication adherence among hypertension patients. Method: The study employed a quantitative approach with a cross-sectional design involving 30 hypertension patients selected through simple random sampling. The instruments used were the Brief Illness Perception Questionnaire and the Morisky Medication Adherence Scale 8. Data analysis was performed using the Spearman Rank test. Results: The results indicated a significant relationship between illness perception and medication adherence (p = 0.000), with a strong positive correlation (r = 0.916). Conclusion: The better the patient’s perception of hypertension, the higher the level of medication adherence. This study is expected to be a reference for promoting positive perceptions of hypertension, leading to improved treatment adherence.
Hubungan Persepsi Tentang Penyakit Dengan Kepatuhan Minum Obat Penderita Hipertensi Purwandari, Galuh; Purwandari, Galuh; Hartoyo, Mugi; Hartoyo, Mugi; Metasari, Sherly; Metasari, Sherly
MNJ (Mahakam Nursing Journal) Vol 3 No 4 (2024): Nov 2024
Publisher : Poltekkes Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mnj.v3i4.247

Abstract

Background: Hypertension treatment requires a long period, often lasting a lifetime. Patients frequently experience fatigue in taking medication, leading to non-adherence and treatment discontinuation. Misconceptions about the disease usually influence this non-adherence. This study aims to determine the relationship between illness perception and medication adherence among hypertension patients. Method: The study employed a quantitative approach with a cross-sectional design involving 30 hypertension patients selected through simple random sampling. The instruments used were the Brief Illness Perception Questionnaire and the Morisky Medication Adherence Scale 8. Data analysis was performed using the Spearman Rank test. Results: The results indicated a significant relationship between illness perception and medication adherence (p = 0.000), with a strong positive correlation (r = 0.916). Conclusion: The better the patient’s perception of hypertension, the higher the level of medication adherence. This study is expected to be a reference for promoting positive perceptions of hypertension, leading to improved treatment adherence.
MANAGEMENT INTERPROFESSIONAL EDUCATION OF ETHICS COURSE ON HANDLING NONCOMMUNICABLE DISEASES Pujiastuti, Rr. Sri Endang; Widiyati, Sri; Metasari, Sherly; Suheri, Titin; Hartoyo, Mugi; Agussalim, Agussalim; Mutmainah, Ainun
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/595

Abstract

Interprofessional education has been defined as a process learning program which includes learning outcomes, lecturers, material topics and skills enabling a synergistic influence of grouped student competence, so that interprofessional education becomes one of the initial stages for introducing collaboration and teamwork to students so that they can be applied of work. The explore the appropriateness and meaningfulness of Ethics and Health Law Course-based learning for nursing students. The research is a research and development design whose stages were carried out for 6 months with a research sample of 40 respondents, namely first semester students of the postgraduate nursing program. The results of this study showed that the significant for the materials of ethics, curriculum, learning outcomes (P=0.000). The students showed active participation, communication and good collaboration regarding health problem solving on handling non-communicable diseases. Management of interprofessional education (pretest = 54.32 and posttest mean 67.48) is needed in health education, as an approach to the learning process, includes the flexibility to respond to the specific (P=0.002), self-identified learning needs of students (P= 0.000). The results of the focus group discussion showed that knowing how to learn, having high expectations in problem solving, applying competencies to case tasks, collaborating with others, and being creative are all signs of a capable practitioner. There are important characteristics that determine the effectiveness of interprofessional education ethics courses, including faculty and students who consider their roles important to the team, open communication, autonomy, and equality of resources so that interprofessional education has a positive impact on the development of holistic care to improve the quality of patient care.
Learning Simulations in Increasing Satisfaction and Self-Confidence of Nursing Students Trisnaningtyas, Wenny; Indriyawati, Nina; Suharto, Suharto; Metasari, Sherly; Mohd. Fadzil, Nurika Faizah
JENDELA NURSING JOURNAL Vol. 8 No. 1 (2024): JUNE 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i1.11622

Abstract

Background: Simulation activities are an effective teaching method to increase student participation. Assessing student satisfaction with simulation methods is also important because it has not been fully explored in previous research.Purpose: The purpose of this research was to analyze the relationship between simulation design scale, education practice questionnaire, students' self-confidence and self-confidence in learning for Bachelor of Applied Nursing students.Methods: This research was a cross sectional descriptive study conducted on Bachelor of Applied Nursing students at the Ministry of Health Semarang Health Polytechnic in June-September 2023. The sample used was a total sampling of 80 students who were in the third year of study. Data collection techniques were carried out using the Student Satisfaction and Self-Confidence in Learning Scale (SCLS), Simulation Design Scale (SDS), and Educational Practice Questionnaire (EPQ) questionnaires and then processed using the Spearman rank test to determine the relationship between the three.Results: The results of the Spearman rank test test show that SDS is strongly related to EPQ (0.744), SDS is strongly related to SSCL (0.681), while EPQ is very strongly related to SSCL (0.846) with a positive relationship between each variable. There is a significant relationship between the SDS, EPQ, SSCL variables in Bachelor of Applied Nursing students with a p-value <0.05.Conclusion: Nursing students' satisfaction and confidence with simulation-based learning correlated with students' confidence in clinical practice.
Pengaruh Slow Stroke Back Massage Terhadap Penurunan Tekanan Darah pada Pasien Stroke Sherly Metasari; Wenny Trisnaningtyas; Syarifah Nurus Soffia Perwira Putri
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54806

Abstract

Stroke sebagaimana sebab utamanya kecacatan pun mortalitas, adanya hipertensi selayaknya faktor risikonyayang dominan dan sering tidak terkontrol. Intervensi nonfarmakologis diperlukan sebagai pelengkap terapimedis untuk membantu mengendalikan tekanan darahnya pasien stroke. Slow Stroke Back Massage (SSBM)yakni intervensi keperawatan komplementer di mana memberi efek relaksasi melalui penurunan aktivitas sistemsaraf simpatis. Studi berikut dituju menganalisis dampak SSBM pada penurunan tekanan darah kepada klienstroke. Studi berdesain quasi-experimentals berpendekatan pre test diikuti post test ada grub kontrol. Sampelberjumlah 60 pasien stroke dengan hipertensi yang diklasifikasi menjadi grub intervensi pun grub kontrol. Grubintervensinya diberi SSBM selama tujuh hari, sedangkan kelompok kontrol mendapatkan perawatan standar.Tekanan darahnya ditinjau melalui sphygmomanometer digital terkalibrasi. Perolehan studi memperlihatkanpenurunan bersignifikan tekanan darah sistolic juga diastolic di grub intervensi dibanding grub kontrolnya(p<0,05). SSBM ternyatakan tepat membuat tensi darah menurun untuk klien stroke lalu dapat diterapkansebagai intervensi keperawatan non farmakologis pada jasa medis primer.
Adherence, Quality of Life, and Determinant Factors among Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Cross-Sectional Analysis Wenny Trisnaningtyas; Novita Kurnia Wulandari; Sherly Metasari; Nina Indriyawati; Ana Permatasari; Sawab; Rodhi Hartono; Wahyu Sukma Samudera
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1099

Abstract

Background: Hemodialysis sustains life for chronic kidney disease patients but imposes heavy physical, psychological, and social burdens. Poor adherence worsens complications and reduces quality of life, emphasizing the need to explore how compliance and patient well-being interact to improve outcomes. Purpose: This study examined how quality of life and patient factors shape treatment adherence in chronic hemodialysis. Methods: A cross-sectional design was employed with 158 adult patients recruited from hospitals in Central Java. Data were collected using validated instruments: KDQOL-36 for quality of life and MMAS for adherence. Multivariable linear regression analysis was performed to examine associations between variables. Results: Moderate adherence was observed (47.66 ± 5.90), with the highest quality of life domain in the problem list (78.30 ± 9.67). Strong positive correlations were found between adherence and all QoL domains: SF-12 (r = 1.000, p < 0.001). Regression analysis showed that age, employment, education, income, dialysis duration, and CKD length negatively influenced adherence, while quality of life was a significant positive predictor (B = 0.021, p < 0.001), confirming that better adherence is strongly linked to improved quality of life across physical, psychological, and social domains, with patient-reported challenges being the most critical factor. Conclusion: Quality of life influences adherence by affecting burden, motivation, and self-management, while age and longer dialysis history weaken this link through fatigue and reduced resilience. Socioeconomic factors help only with psychosocial support, so nursing should reduce treatment burden.