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All Journal IJMS - Indonesian Journal on Medical Science Adi Husada Nursing Journal Intan Husada : Jurnal Ilmiah Keperawatan LOSARI: Jurnal Pengabdian Kepada Masyarakat Kosala : Jurnal Ilmu Kesehatan Global Abdimas: Jurnal Pengabdian Masyarakat Indonesian Journal on Medical Science (IJMS) JOURNAL OF Mental Health Concerns Jurnal Kesehatan Masyarakat Indonesia (JKMI) ABDIMAS KOSALA : Jurnal Pengabdian Kepada Masyarakat An Nafi’; Multidisciplinary Science Holistik Jurnal Kesehatan Prosiding Konferensi Nasional Ilmu Kesehatan STIKES Adi Husada
Yulianti, Tunjung Sri
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PENINGKATAN KESEHATAN MASYARAKAT: UPAYA PENCEGAHAN DAN PENGENDALIAN PENYAKIT KARDIOVASKULER MELALUI DETEKSI DINI KADAR KOLESTEROL Christina, Tri Yahya; Andika, I Putu Juni; Safaruddin, Safaruddin; Yulianti, Tunjung Sri; Sriwiyati, Lilik; Oktiva, Yayuk Dwi; Fatimah, Khoirunnisa
GLOBAL ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Mei 2025, GLOBAL ABDIMAS
Publisher : Unit Publikasi Ilmiah Perkumpulan Intelektual Madani Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51577/globalabdimas.v5i1.664

Abstract

Kolesterol diperlukan oleh tubuh manusia untuk menghasilkan sel-sel sehat. Namun, kadar kolesterol yang terlalu banyak dalam darah dapat meningkatkan risiko penyakit kardiovaskuler dan penyakit berbahaya lainnya. Penumpukan lemak ini dapat menghalangi aliran darah di arteri, sehingga jantung dan otak serta organ vital lainnya tidak mendapatkan pasokan darah yang kaya oksigen. Oleh sebab itu perlu adanya deteksi dini kadar kolesterol sebagai upaya prefentif. Namun, banyak orang yang enggan menjalani skrining hiperkolesterolemia, dengan alasan yang bervariasi, seperti biaya, sulitnya akses ke lokasi pemeriksaan, keterbatasan fasilitas, dan kendala waktu. Oleh karena itu, penting untuk melaksanakan program pengabdian masyarakat guna memfasilitasi hal ini. Pengabdian masyarakat ini dilaksanakan pada hari sabtu 22 Februari 2025 di Soko Bogor, Cawas, Klaten, Jawa Tengah dengan pemeriksaan kolesterol gratis. Tujuh puluh lima peserta mengikuti kegiatan ini. Pemeriksaan dilakukan dengan metode Point Of Care Testing (POCT) menggunakan alat Easy Touch GCU. Hasil menunjukkan bahwa sebagian besar (33,33%) peserta adalah lansia akhir berusia 56 – 65 th, 72% peserta adalah Perempuan, dan 33,33% peserta memiliki BB antara 50-60 Kg. Pemeriksaan kolesterol mendapatkan hasil: 48% peserta normal dan 52% peserta mengalami hiperkolesterol, dimana 17,94% peserta yang mengalami hiperkolesterol adalah laki- laki dan 79,48 peserta adalah perempuan. Hasil ini menyimpulkan bahwa sebagian besar warga yang mengikuti kegiatan pengabmas mengalami hiperkolesterol, yang merupakan salah satu faktor risiko penyakit kardiovaskuler dan PTM lainnya. Oleh sebab itu perlu adanya interfensi lebih lanjut sebagai pencegahan penyakit kardiovaskuler
SYSTEMATIC REVIEW AND META ANALYSIS PENGARUH UMUR DAN STATUS EKONOMI LANSIA TERHADAP RISIKO ELDERLY ABUSE Diyono, Diyono; Kristanto, Budi; Aminingsih, Sri; Sri Yulianti, Tunjung
KOSALA : Jurnal Ilmu Kesehatan Vol 12 No 1 (2024): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v12i1.323

Abstract

Latar belakang: Jumlah kelompok usia lanjut (lansia) meningkat drastis seiring dengan peningkatan usia harapan hidup. Proyeksi jumlah lansia di Indonesia tahun 2035 mencapai 48,2 juta jiwa 15,77%, lebih tinggi dari angka global yaitu 28,8 juta (11,34%). Semakin lanjut usia individu akan diikuti dengan penurunan kemampuan fisik dan produktifitas sehingga sering menjadi beban keluarga. Tujuan penelitian ini untuk Mengidentifikasi pengaruh umur dan status ekonomi lansia terhadap risiko elderly abuse berdasar studi literatur. Metode Systematic Review dengan basis data Science Direct, Google schoolar, dan PubMed menggunakan program Harzing’s Publish or Peris.  Medical Subject Heading (Mesh) “risk factors” yang dikombinasikan dengan “Elderly Abuse” OR “elderly negelct” OR “elderly maltreatment”. Meta analisis menggunakan program MedCalc Statistic Seri 22. Hasil penelitian 1). Umur yang sangat lanjut meningkatkan terjadinya elderly abuse (OR=47,82; p:<0,001;CI: 11,804 to 14,577). 2) Status ekonomi lansia tidak meningkatkan risiko Elderly Abuse (p=0,436). Kesimpulan penelitian ini menunjukkan usia yang sangat lanjut meningkatkan risiko elderly abuse, sedangkan status ekonomi lansia tidak berpengaruh terhadap risiko elderly abuse.   Kata kunci: elderly abuse, elderly maltreatment, elderly neglect, status ekonomi, umur   Background: the number of elderly people (seniors) has increased drastically along with increasing life expectancy. The projected number of elderly people in Indonesia in 2035 will reach 48.2 million people, 15.77%, higher than the global figure of 28.8 million (11.34%). As individuals age, physical abilities and productivity decline, which often becomes a burden on the family. The aim of this research was to identifying the influence of age and economic status of the elderly on the risk of elderly abuse based on literature studies. Methods: Systematic Review with Science Direct, Google Scholar, and PubMed databases using the Harzing's Publish or Peris program. Medical Subject Heading (Mesh) “risk factors” combined with “Elderly Abuse” OR “elderly neglect” OR “elderly maltreatment”. Meta analysis using the MedCalc Statistics Series 22 program. The research results: 1). Very advanced age increases the occurrence of elderly abuse (OR=47.82; p:<0.001; CI: 11.804 to 14.577). 2) The economic status of the elderly does not increase the risk of Elderly Abuse (p=0.436). Conclusion: very advanced age increases the risk of elderly abuse, while the economic status of the elderly has no effect on the risk of elderly abuse.   Keywords: elderly abuse, elderly maltreatment, elderly neglect, economic status, age
English Pengenalan Terapi Non-Farmakologi pada Lansia Hipertensi di Kabupaten Klaten Jawa Tengah safaruddin, safaruddin; Tri Yahya Christina; Lilik Sriwiyati; I Putu Juni Andika; Tunjung Sri Yulianti
LOSARI: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 2 (2025): Desember 2025
Publisher : LOSARI DIGITAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53860/losari.v7i2.520

Abstract

Hypertension is a chronic health problem commonly experienced by the elderly and is a major cause of cardiovascular disease. This community service activity aimed to improve elderly knowledge about hypertension management through non-pharmacological therapy in Soko Bogor, Cawas, Klaten, Central Java. The implementation methods included preparation, education, training, and evaluation stages. The intervention consisted of education on a healthy diet, physical activity, stress management, and the practice of relaxation techniques such as deep breathing and finger-hold therapy. Knowledge assessment was conducted before and after the intervention using questionnaires. The results showed a significant improvement in knowledge levels, where the “good” category increased from 10% to 70%, while the “poor” category decreased from 55% to 0%. Most participants were female (90%), indicating higher participation among women compared to men. This activity effectively enhanced the elderly’s understanding of hypertension control through non-pharmacological approaches. However, continued assistance is needed to ensure that increased knowledge translates into sustainable behavioral changes.
Evaluasi pelaksanaan pemantauan early warning score di tatanan perawatan medikal bedah Christina, Tri Yahya; Putri, Rosalia Dian Arsyta; Safaruddin, Safaruddin; Sriwiyati, Lilik; Andika, I Putu Juni; Yulianti, Tunjung Sri
Holistik Jurnal Kesehatan Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.1990

Abstract

Background: Deterioration in the condition of hospitalized patients is common and can have a more serious prognosis. Therefore, accurate and continuous monitoring of vital signs is crucial. The Early Warning Score (EWS) was developed as an effort to detect deterioration in patient condition early. Comprehensive and continuous EWS parameters, supported by clear implementation standards, are expected to save patients from deteriorating conditions. However, in medical-surgical care practices in Indonesia, the implementation of EWS monitoring still faces various obstacles that have the potential to delay early detection of patient deterioration, thus impacting patient safety. Therefore, an evaluation is needed. Purpose: To evaluate the implementation of Early Warning Score (EWS) monitoring in medical-surgical care settings. Method: This is a mixed-methods study with an exploratory sequential design. The sample consisted of 130 medical records and eight nurses who met the inclusion criteria. The medical record data obtained were analyzed using univariate analysis, while interview results were analyzed using content analysis. Results: The completeness of the EWS form remained at 44%, the accuracy of monitoring frequency was 12%, and the accuracy of the total score calculation was 3.8%. Several parameters contributing to the low level of form completeness include: blood sugar, which yielded a relatively low score (65%), followed by monitoring date (75%), level of consciousness (84%), monitoring frequency (86%), escalation scale (88%), initials (88%), blood pressure (89%), total score (89%), and suboptimal temperature (90%). These results align with the interview results, which yielded four themes: monitoring compliance, documentation compliance, appropriateness of temperature parameters, and non-specific EWS forms. Conclusion: Implementation of EWS monitoring in medical-surgical care settings still faces challenges that impact the effectiveness of the early warning system for patient deterioration. The study findings indicate a potential need for updating and/or developing the EWS system to meet hospital needs.   Keywords: Documentation; Early Warning System; Medical Surgical Nursing; Monitoring.   Pendahuluan: Penurunan kondisi pasien di rawat inap sering terjadi, bahkan memiliki proknosis yang lebih serius. Oleh sebab itu, pemantauan tanda-tanda vital yang akurat dan berkesinambungan sangat diperlukan. Early Warning Score (EWS) dikembangkan sebagai upaya untuk mendeteksi perburukan kondisi pasien sejak dini. Parameter EWS yang lengkap dan berkesinambungan yang didukung dengan standar implementasi yang jelas, diharapkan mampu menyelamatkan pasian dari kondisi yang lebih buruk. Namun, dalam praktik perawatan medikel bedah di Indonesia, pelaksanaan pemantauan EWS masih menghadapi berbagai kendala yang berpotensi menunda deteksi dini perburukan kondisi pasien yang berdampak pada keselamatan pasien. Oleh karena itu, evaluasi diperlukan. Tujuan: Untuk mengevaluasi pelaksanaan pemantauan Early Warning Score (EWS) dalam tatanan perawatan medikal bedah. Metode: Penelitian mixed-method dengan explanatory sequential design. 130 rekam medis dan 8 perawat yang sesuai kriteria inklusi diambil sebagai sampel. Data rekam medis yang diperoleh diolah secara univariat, sedangkan hasil wawancara diolah berdasar metode content analysis. Hasil: Kelengkapan pengisian formulir EWS masih mencapai 44%, ketepatan frekuensi monitoring 12%, dan ketepatan perhitungan total skor 3.8%. Beberapa parameter yang menyebabkan rendahnya tingkat kelengkapan pengisian formulir antara lain: parameter gula yang memberikan angka cukup rendah (65%), diikuti oleh tanggal pengjakian (75%), tingkat kesadaran (84%), frekuensi monitor (86%), skala eskalasi (88%), inisial (88%), tekanan darah (89%), total skor (89%), serta parameter suhu yang belum optimal (90%). Hasil ini sejalan dengan hasil wawancara yang menghasilkan 4 tema, yaitu kepatuhan pemantauan, kepatuhan dokumentasi, kesesuaian parameter suhu, dan formulir EWS yang tidak spesifik. Simpulan: Implementasi pemantauan EWS di tatanan praktik perawatan medikal bedah masih menghadapi tantangan yang memengaruhi efektivitas sistem peringatan dini perburukan pasien. Hasil penelitian menunjukkan adanya potensi kebutuhan pembaharuan dan atau pengembangan sistem EWS sesaui kebutuhan rumah sakit.   Kata Kunci: Dokumentasi; Early Warning Score; Medikal Bedah; Pemantauan; Perawatan.
Analysis of documentation quality for early warning score monitoring Inpatient: retrospective observational study Christina, Tri Yahya; Arsyta Putri, Rosalia Dian; Safaruddin, Safaruddin; Sriwiyati, Lilik; Andika, I Putu Juni; Yulianti, Tunjung Sri; Khairunisa, Fatimatuzzahra
JOURNAL OF Mental Health Concerns Vol. 4 No. 4 (2025): December Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i4.1970

Abstract

Background: One of the vital signs monitoring systems currently being developed in medical-surgical wards is the Early Warning Score (EWS). However, its implementation still needs to be evaluated, given the frequent occurrence of code blues and even deaths in the ward due to delays in recognizing deteriorating patient conditions. Purpose: To determine and analyze the quality of documentation regarding the implementation of EWS monitoring in patient setting. Method: A retrospective survey of patient medical records, supported by an assessment tool. Medical records were collected based on inclusion criteria, namely medical records from both medical and surgical wards. Results: The completeness of the EWS form was still quite low at 44%, with monitoring frequency accuracy at 12%, and total score calculation accuracy at 3.8%. Several important parameters that were incomplete and needed improvement included blood sugar (65%), which was the component with the lowest achievement; level of consciousness (84%), blood pressure (89%), temperature (90%), total score (89%), and escalation scale (88%), which was still suboptimal. Conclusion: The significant gap between the implementation of EWS monitoring and the accuracy of its documentation indicates that nurses' consistent documentation of EWS monitoring needs to be improved. This condition increases the risk of clinical deterioration, delayed intervention, serious complications, and even death. Inaccurate documentation also hinders interprofessional communication and increases the potential for clinical errors. Keywords: Documentation; Early Warning Score; Medical-Surgical Room; Patient Deterioration; Vital Signs.
Co-Authors -, Dinar Ariasti Abda Abda Agustina Sandramustika, Agustina Ahmad Nur Kholik Aminingsih Sri Aminingsih, Sri Ana Pratiwi Ana Pratiwi, Ana Andika, I Putu Juni Anggit Ike Prascika Apresia Murtati Ariasti, Dinar Arsyta Putri, Rosalia Dian Budi Kristanto Budi Kristanto Budi Kristanto Catur Sukmono, Antonius Chindy Maria Orizani Christina, Tri Yahya Devianti Kristianingrum Wibowo Devina Setya Dewi Dewi Kristiana Dewi Novita Sari DEWI NOVITA SARI Dewi, Devina Setya Dinar Ariasti Dinar Ariasti Ditya Yankusuma Setiani Diyono, Diyono Endang Dwi Ningsih Endang Dwi Ningsih Fachry Abda El Rahman Fatimah, Khoirunnisa Fitria Purnamawati I Putu Juni Andika Ika Fitriani Mulyanto Iswati Iswati, Iswati Juni Andika, I Putu Khairunisa, Fatimatizzahra Khairunisa, Fatimatuzzahra Lilik Sriwiyati Listriana Intan Kurniawati Mega Suryaningsih Muljadi Hartono Ningsih, Endang Dwi Ningsih, Endang Dwi Nurwijayanti Oktiva, Yayuk Dwi Putri, Rosalia Dian Arsyta Rahayu Setyaningsih Ratna Dwi Maryanti Ratna Indriati Ratna Indriati, Ratna Ria Kurniawati Safaruddin Safaruddin Setiani, Ditya Yankusuma Setyaningsih, Rahayu Siti Nur Qomariah Sri Aminingsih Sriwiyati, Lilik Suryaningsih, Mega Tata Arayan Taufiq Bondan Rahmawan Tri Yahya Christina Unik Margiyani Warsini Warsini Warsini Wianti, Sri Wibowo, Devianti Kristianingrum Wulan Meilina Putri Wijayanti Zahra Apriliani Prihatiningtyas