Astuti, Yuniawati
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Relationship between Knowledge Level and Anxiety in Premenopausal Women Astuti, Yuniawati
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 8, No 1 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v8i1.178

Abstract

Before menopause, a woman will experience premenopause, which is the beginning of biological, physiological changes and other clinical symptoms as the beginning of menopause and includes one year or the first twelve months after menopause. Physical changes due to decreased estrogen and progesterone production cause various symptoms, both related to reproductive organs and other body organs. Changes that occur during menopause also affect a woman's psychological state. The purpose of this study was to determine the relationship between the level of knowledge and anxiety in women approaching menopause at Posyandu Melati II, Jatibening Village. This study was quantitative with a cross-sectional design that aimed to determine the relationship between the level of knowledge and anxiety in premenopausal women. The sample in this study were women aged over 40 years and had not yet experienced menopause at Posyandu Melati II, Jatibening Village in 2018, Bekasi, obtained through total sampling. Of the 40 respondents, it was found that respondents with low knowledge experienced the most anxiety, as many as 13 people (46.4%). Respondents with high knowledge did not experience anxiety, as many as 1 person (8.3%). The data obtained indicates a relationship between knowledge and anxiety. Women at the Melati II Integrated Health Post (Posyandu) in Jatibening Village who are in premenopause need to gain more information about the signs and symptoms of menopause from reliable sources to help them navigate menopause effectively and without anxiety.
Effectiveness of Mobile Health-Based Self-Care Education on Symptom Control and Quality of Life in Chronic Heart Failure Patients Rogayah, Rogayah; Yanti, Lastri; Astuti, Yuniawati; Siswosuharjo, Partono
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 9, No 1 (2025): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v9i1.204

Abstract

Background: Chronic heart failure is a cardiovascular disease with a high morbidity burden that significantly impacts symptom control and patient quality of life. Self-care education is an important component in heart failure management, but conventional approaches are often suboptimal. The development of digital technology, particularly mobile health (mHealth), offers new potential in improving the effectiveness of education and patient engagement in self-care. Objective: This study aimed to analyze the effectiveness of mobile health-based self-care education on symptom control and quality of life in chronic heart failure patients. Methods: This study used a quasi-experimental design with a randomized controlled trial approach. A total of 80 chronic heart failure patients were randomly divided into an intervention group (n=40) and a control group (n=40). The intervention group received self-care education based on a mobile health application for 8 weeks, while the control group received conventional education. Symptom control was measured using the Heart Failure Symptom Score, and quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire (KCCQ). Data analysis was performed using repeated measures ANOVA and mixed-effects models. Results: The study showed a significant reduction in symptom scores in the intervention group compared to the control group (p<0.001). Furthermore, there was a statistically significant improvement in quality of life in the intervention group (p<0.001). Compliance with application use was positively associated with improved clinical outcomes. Conclusion: Mobile health-based self-care education is effective in improving symptom control and quality of life in chronic heart failure patients and has the potential to be an innovative strategy in nursing practice
Effectiveness of Mobile Health-Based Self-Care Education on Symptom Control and Quality of Life in Chronic Heart Failure Patients Rogayah, Rogayah; Yanti, Lastri; Astuti, Yuniawati; Siswosuharjo, Partono
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 9, No 1 (2025): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v9i1.203

Abstract

Background: Chronic heart failure is a cardiovascular disease with a high morbidity burden that significantly impacts symptom control and patient quality of life. Self-care education is an important component in heart failure management, but conventional approaches are often suboptimal. The development of digital technology, particularly mobile health (mHealth), offers new potential in improving the effectiveness of education and patient engagement in self-care. Objective: This study aimed to analyze the effectiveness of mobile health-based self-care education on symptom control and quality of life in chronic heart failure patients. Methods: This study used a quasi-experimental design with a randomized controlled trial approach. A total of 80 chronic heart failure patients were randomly divided into an intervention group (n=40) and a control group (n=40). The intervention group received self-care education based on a mobile health application for 8 weeks, while the control group received conventional education. Symptom control was measured using the Heart Failure Symptom Score, and quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire (KCCQ). Data analysis was performed using repeated measures ANOVA and mixed-effects models. Results: The study showed a significant reduction in symptom scores in the intervention group compared to the control group (p<0.001). Furthermore, there was a statistically significant improvement in quality of life in the intervention group (p<0.001). Compliance with application use was positively associated with improved clinical outcomes. Conclusion: Mobile health-based self-care education is effective in improving symptom control and quality of life in chronic heart failure patients and has the potential to be an innovative strategy in nursing practice