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THE RELATIONSHIP BETWEEN SELF EFFICACY AND MEDICATION COMPLIANCE IN TUBERCULOSIS PATIENT-S AT GARUDA HEALTH CENTER IN BANDUNG CITY IN 2023 Marselina, Seli; Kusmiran, Eny; Sutisna, Iqbal
Indonesian Journal of Community Health Nursing Vol. 9 No. 2 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v9i2.49693

Abstract

Introduction. Tuberculosis is an infectious infection that often attacks the lung organs caused bymycrobacterium tuberculosis bacteria. Adherence to medication is a behavior that adheres torecommendations made by health care providers related to timeliness, dosage and frequency of takingmedication. Tuberculosis patients have a treatment time of about 6-9 months, making patients will besaturated with the duration of treatment. One of the psychological factors that affect adherence to takingmedication is self-efficiency. High self-efficacy in a person will have a positive impact and can provideconfidence and confidence in one's own ability to deal with problems.Method. The design of this study is descriptive analytic with a cross sctional approach. This researchinstrument used questionnaires. Data collection using total sampling technique obtained 77 respondents,data analysis using Chi-square test.Results. This study found 25 (32.5%) respondents belonging to the low self-efficacy category with acompliance rate of 14 (18.2%). There was a relationship between self-efficacy and medicationadherence in tuberculosis patients with a p-value of <0.001.Conclusion. It can be concluded that there is a relationship between self-efficacy and adherence totaking medication in tuberculosis patients at the Garuda City Bandung Health Center in 2023. Keywords: Medication Adherence; Self Eficacy; Tuberculosis.
HUBUNGAN SELF-MANAGEMENT DENGAN KUALITAS HIDUP PASIEN HIPERTENSI DI UPT PUSKESMAS GARUDA KOTA BANDUNG TAHUN 2025 Karmila, Mila; Kusmiran, Eny; Purwanti, Tentry Fuji
MAJU : Indonesian Journal of Community Empowerment Vol. 2 No. 2 (2025): MAJU : Indonesian Journal of Community Empowerment, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v2i2.1099

Abstract

Background: Hypertension is a non-communicable disease whose prevalence continues to increase globally and is a major risk factor for various cardiovascular complications. Self-management is an important aspect of hypertension control, as successful therapy depends not only on medical treatment, but also on the patient's active role in managing lifestyle, adherence to therapy, and regular blood pressure monitoring. However, many hypertensive patients experience difficulties in implementing effective self-management, which may result in a decrease in their quality of life. Objective of the study: Analyzing the relationship between self-management and the quality of life of hypertensive patients. Methods: This type of research is a quantitative research using a Cross sectional design. The sample used in this research was 68 respondents, with the data collection technique used was accidental sampling. The questionnaire used was in the form of the Hypertension Self Management Behavior Quetionnair (HSMBQ) and WHOQOL-BREF questionnaires with the data analysis used being a bivariate analysis, namely the Chi-Square test. Results: based on the results of the study, it was found that the majority of self-managemet respondents in the poor category were 28 people (41.2%). the majority of respondents' quality of life in the poor category were 25 respondents (36.8). based on the results of testing with the Chi-Square test, it was found that there was a relationship between self-managemet and quality of life, the p value = <0.001 <0.05.
HUBUNGAN TINGKAT STRESS DENGAN KUALITAS HIDUP PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RSUD CILILIN Ramdhani, Yunika Salwa; Kusmiran, Eny
MAJU : Indonesian Journal of Community Empowerment Vol. 2 No. 2 (2025): MAJU : Indonesian Journal of Community Empowerment, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v2i2.1100

Abstract

Background: Chronic Kidney Failure is the leading cause of death in the 21st century, this disease is characterized by decreased kidney function resulting in the accumulation of metabolic waste and fluid imbalance. Hemodialysis is a palliative measure carried out for life so that significant stress arises which affects the quality of life of Hemodialysis patients. Objective: Knowing the relationship between stress level and quality of life in chronic renal failure patients undergoing hemodialysis at Cililin Hospital. Methods: This method uses a cross sectional method. This study used a total sampling technique of 33 respondents. This research instrument uses the DASS 42 questionnaire to measure stress levels and WHOQOL-BREF to measure quality of life. Bivariate analysis used chi square test to determine the relationship between variables. Results: It was found that most of the respondents were categorized as severe stress level (54.5%) and in the mild category (45.5%). Respondents who fall into the category of poor quality of life (39.4%), moderate quality of life (30.3%) and good quality of life (30.3%). The chi square test results obtained a p-value of 0.001 &lt; 0.05. Conclusion: There is a Relationship between Stress Level and Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialysis at Cililin Hospital in 2025.
Self-Care and Treatment Adherence for Blood Pressure Control among Patients with Hypertension: a Cross-sectional Study Ramadhan, Muhammad Deri; Kusmiran, Eny; Istianah, Istianah
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 15 No. 2 (2025): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v15i2.483

Abstract

The prevalence of hypertension is increasing every year. The keys of full success in controlling blood pressure among patients with hypertension were self-care and medication adherence. The research problem was that patients with hypertension still had inadequate self-care skills and were not compliant with treatment regimens. The aim of the study was to analyze the association between self-care and medication adherence with blood pressure control among patients with hypertension. The method, design of the study was cross-sectional. Primary data collection was conducted in outpatient wards at Type A Hospital, Bandung-Indonesia with accidental sampling technique. Period of data collection was February-March 2025. Total sample involved 138 respondents. The instruments used in this study were High Blood Pressure-Self-care Profile (HBP-SCP) and Modified-Morisky Adherence Scale-8 (MMAS-8). The statistical test used was Chi-Square. Results: We found 82.0% respondents with low self-care, 86.0% not adhere to medication, and 66.0% respondents with uncontrolled blood pressure. The results of the study showed there was a significant association between self-care and blood pressure control (P < .001), medication adherence and blood pressure control among patients with hypertension (P < .001). Recommendations related to improving self-care and medication adherence need to be evaluated periodically, support from health care professionals through ongoing health education or the use of appropriate technology needs to be carried out to monitor the self-care abilities of hypertension sufferers to avoid various complications. ABSTRAK Prevalensi hipertensi setiap tahunnya meningkat. Kunci keberhasilan pengendalian tekanan darah yaitu kemampuan self-care dan kepatuhan pengobatan. Masalah penelitian masih ditemukan penderita hipertensi yang memiliki kemampuan self-care yang kurang memadai dan tidak patuh terhadap rejimen pengobatan. Tujuan: menganalisis hubungan self-care dan kepatuhan pengobatan dengan pengendalian tekanan darah penderita hipertensi. Metode: desain studi cross sectional. Pengumpulan data primer penderita hipertensi yang rawat jalan di Poli Ginjal dan Hipertensi RS Tipe A Bandung dengan teknik accidental sampling. Periode Februari-Maret 2025. Besar sampel dalam studi 138 responden. Instrumen penelitian High Blood Pressure-Self-care Profile (HBP-SCP) dan Modified-Morisky Adherence Scale-8 (MMAS-8). Uji statistik yang digunakan Chi-Square. Hasil: Terdapat 82.0% responden dengan kemampuan self-care rendah, 86.0% responden dengan kepatuhan pengobatan rendah, dan 66.0% responden dengan tekanan darah tidak terkendali. Hasil studi diperoleh hubungan yang signifikan antara self-care dengan pengendalian tekanan darah pada penderita hipertensi (P < .001) dan kepatuhan pengobatan dengan pengendalian tekanan darah penderita hipertensi (p < .001). Rekomendasi studi terkait peningkatan self-care dan kepatuhan pengobatan perlu dievaluasi secara berkala, dukungan petugas kesehatan melalui pendidikan kesehatan berkelanjutan atau pemanfaat teknologi tepat guna perlu dilakukan untuk memantau kemampuan perawatan diri penderita hipertensi agar terhindar dari berbagai komplikasi.
EFEKTIVITAS PELAKSANAAN SENAM HIPERTENSI UNTUK MENGONTROL TEKANAN DARAH PADA PASIEN HIPERTENSI DI DESA CIHIDEUNG TAHUN 2024 Epriliyani, Adinda; Kusmiran, Eny
BESIRU : Jurnal Pengabdian Masyarakat Vol. 1 No. 12 (2024): BESIRU : Jurnal Pengabdian Masyarakat, Desember 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/yf8ng449

Abstract

Hipertensi dikenal dengan heterogeneous group of disease, yaitu hipertensi dapat menyerang setiap orang dari berbagai kelompok sosial ekonomi. (Munasifah, 2023). Pengabdian masyarakat ini bertujuan untuk melaksanakan program senam hipertensi sebagai upaya untuk menurunkan tekanan darah pada warga di RW 08, Desa Cihideung, Kecamatan Parongpong, Kabupaten Bandung Barat, pada tahun 2024. Metode yang dilakukan ada tiga tahap yaitu persiapan, pelaksanaan, dan evaluasi. Pelaksanaan senam dilakukan dua kali seminggu selama 30 menit yang dihadiri oleh 21 warga. Sebelum dan setelah senam, tekanan darah peserta diukur untuk menilai perubahan yang terjadi. Hasil pengukuran menunjukkan bahwa sebelum intervensi, rata-rata tekanan darah masuk dalam kategori Hipertensi Derajat II pada senam hari pertama. Setelah pelaksanaan senam hipertensi hari kedua, rata-rata tekanan darah turun dalam kategori Hipertensi Derajat I, hal ini menunjukkan adanya pengaruh dari senam hipertensi terhadap penurunan tekanan darah. Sehingga dapat disimpulkan bahwa senam hipertensi dapat memberikan dampak positif dalam menurunkan tekanan darah dan meningkatkan kualitas hidup penderita hipertensi
Potensi Antimikroba Pada Teh Kombucha Bunga Kecombrang (Etlangia elatior) Fadhilah, Fitri Rahmi; Pakpahan, Suyarta; Rezaldi, Firman; Kusmiran, Eny; Cantika, Erika; Julinda, Olvia; Muhammad, Riszal
The Indonesian Journal of Infectious Diseases Vol. 10 No. 1 (2024): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v10i1.186

Abstract

Latar Belakang: Salah satu minuman probiotik yang terbuat dari bunga kecombrang yang difermentasi bersama scoby (biang kombucha), dan substrat gula disebut kombucha teh bunga kecombrang. Peningkatan konsentrasi gula dapat menghambat pertumbuhan bakteri dan jamur patogen. Tujuan penelitian ini adalah untuk mengetahui pengaruh kombucha bunga kecombrang terhadap aktivitas pertumbuhan bakteri patogen gram positif dan gram negatif serta jamur patogen berdasarkan variasi konsentrasi gula. Perlakuan konsentrasi gula yang digunakan adalah 20%, 30%, dan 40%. Metode: Penelitian menggunakan metode difusi cakram dengan menggunakan bakteri uji Escherichia coli dan Staphylococcus aureus serta jamur uji Candida albicans untuk mengetahui diameter zona bening yang terbentuk berdasarkan  sifat anti mikroba kombucha. Hasil: Hasil penelitian menunjukkan bahwa konsentrasi 40% merupakan konsentrasi gula pada fermentasi kombucha bunga kecombrang yang paling baik dalam menghambat pertumbuhan Staphylococcus aureus, Escherichia coli, dan Candida albicans dengan diameter masing-masing 14 mm, 10,3 mm dan 12 mm. Setelah data digabungkan dengan zona hambat terhadap C. albicans, diperoleh hasil yang berbeda nyata pada konsentrasi gula 40% dengan p-value (0,000). Kesimpulan: Fermentasi kombucha teh bunga kecombrang mempunyai spektrum yang luas dan berpotensi sebagai minuman probiotik dalam meningkatkan imunitas dengan menghambat laju pertumbuhan bakteri patogen dan ragi.
Analysis of Hemodialysis Duration as a Determining Factor of Quality of Life in Patients with Chronic Kidney Disease : A Cross-Sectional Study at Regional General Hospital, Bandung Regency, 2024 Kusmiran, Eny; Tentry Fuji Purwanti; Hani Hanafiah
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.953

Abstract

Background: Chronic kidney disease (CKD) is a progressive global health problem, with hemodialysis serving as a vital life-sustaining therapy. The therapy duration potentially impacts patients’ quality of life due to physical, psychological, and social challenges. Purpose: This study aimed to investigate the relationship between the duration of hemodialysis and quality of life among CKD patients at Regional General Hospital, Bandung Regency, Indonesia. Methods: A cross-sectional correlational design was employed in May 2024 involving 80 CKD patients undergoing hemodialysis, recruited by accidental sampling. Duration of hemodialysis was obtained from medical records, while quality of life was measured using the validated Kidney Disease Quality of Life Short Form (KDQOL-SF36). Data were analyzed using descriptive statistics and the Chi-Square test, with significance set at α = 0.05. Results: The mean age of participants was 46.3 ± 8.9 years; 56.3% were male. Patients undergoing hemodialysis for more than 24 months constituted 45.0% of the sample. Quality of life was reported as good by 57.5% of respondents, moderate by 30.0%, and poor by 12.5%. A significant association was found between hemodialysis duration and quality of life (p < 0.001), with longer treatment durations correlating with better quality of life 86.1% of patients treated over 24 months reported good quality of life compared to 35.5% in those treated under 12 months. Conclusion: Longer duration of hemodialysis is significantly associated with improved quality of life among CKD patients, potentially reflecting enhanced coping and adaptation mechanisms. These findings highlight the necessity for holistic nursing care programs tailored to treatment duration to optimize patient outcomes.