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PK - TIDAK MENULAR (PANDU KESEHATAN PENYAKIT KRONIS - TIDAK MENULAR) Dewi Hartinah; Zumrotun Nisak, Ana; Iswatun Qasanah
Diseminasi: Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 2 (2024)
Publisher : Pusat Pengabdian kepada Masyarakat- LPPM Universitas Terbuka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33830/diseminasiabdimas.v6i2.9856

Abstract

Keprihatinan terhadap peningkatan prevalensi PTM telah mendorong lahirnya kesepakatan tentang strategi global dalam pencegahan dan pengendalian PTM, khususnya di negara berkembang. Indonesia saat ini menghadapi beban ganda penyakit, yaitu penyakit menular dan Penyakit Tidak Menular. Perubahan pola penyakit tersebut sangat dipengaruhi antara lain oleh perubahan lingkungan, perilaku masyarakat, transisi demografi, teknologi, ekonomi dan sosial budaya. Tujuan dari pengabdian masyarakt ini adalah meningkatkan pengetahuan tentang pengelolaan dan pengendalian penyakit kronis tidak menular serta peningkatan status kesehatan masyarakat anggota PRM 02 Pasuruhan Lor melalui pembentukan pandu kesehatan penyakit kronis tidak menular. Adapun permasalahan yang dihadapi Anggota PRM 02 Pasuruhan Lor Kecamatan Jati Kabupaten Kudus yaitu kurangnya pengetahuan masyarakat untuk melakukan pengelolaan dan pengendalian penyakit kronis tidak menular terutama penyakit darah tinggi atau hipertensi dan diabetes melitus. Solusi yang dapat dilakukan adalah penyuluhan kesehatan dengan penyampaian informasi yang jelas dan mudah dipahami tentang pentingnya pengelolaan dan pengendalian penyakit kronis tidak menular. Metode pelaksanaan kegiatan ini meliputi penerapan Ipteks, tahapan sosialisasi, pelaksanaan dan evaluasi dan pelaporan. Dari kegiatan ini, terjadi peningkatan pengetahuan, pemahaman, ketrampilan, serta pembentukan pandu kesehatan penyakit kronis tidak menular yang berdampak pada peningkatan motivasi dan kepatuhan dalam pengendalian penyakit kronis tidak menular. Kata Kunci: Pandu Kesehatan, Penyakit Kronis, Penyakit Tidak Menular ABSTRACT Concern about the increasing prevalence of NCDs has prompted an agreement on a global strategy for preventing and controlling NCDs, especially in developing countries. Indonesia is currently facing a double burden of disease, namely infectious diseases and non-communicable diseases. Changes in disease patterns are strongly influenced by, among other things, environmental changes, community behavior, demographic, technological, economic and socio-cultural transitions. The Objective of this community service is to increase knowledge about the management and control of non-communicable chronic diseases as well as improving the public health status of PRM 02 Pasuruhan Lor members through the formation of non-communicable chronic disease health guides. The problem faced by members of PRM 02 Pasuruhan Lor, Jati District, Kudus Regency, is the lack of public knowledge to manage and control non-communicable chronic diseases, especially high blood pressure or hypertension and diabetes mellitus. The solution that can be implemented is health education by providing clear and easy to understand information about the importance of managing and controlling non-communicable chronic diseases. The method of implementing this activity includes the application of science and technology, stages of socialization, implementation and evaluation and reporting. From this activity, there was an increase in knowledge, understanding, skills, as well as the formation of health guides for non-communicable chronic diseases which had an impact on increasing motivation and compliance in controlling non-communicable chronic diseases. Keywords: Health Guide, Chronic Disease, Non-Communicable Diseases
Lifted Skin Fold (LSF) Technique as an Effort to Reduce Insulin Injection Pain Iswatun Qasanah; Diana Tri Lestari; Tukiyo; Sukamto
Indonesian Journal of Nursing Research (IJNR) Vol. 8 No. 2 (2025)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v8i2.4078

Abstract

Diabetes mellitus (DM) is a serious threat to global health and is one of the top ten causes of death in the world. DM patients face challenges in undergoing therapy, especially due to pain and discomfort during insulin injection. This condition often causes refusal of treatment, which has a negative impact on therapy compliance and quality of life. The purpose of this study was to determine the effect of the LSF technique on the level of pain during insulin injection. This study employed a quasi-experimental research design with a pre-posttest design. The sample size was 120 inpatients who met the inclusion criteria of being DM patients with good awareness and willing to be respondents, and the exclusion criteria of being DM patients who could not read and write and were unwilling to be respondents. The sampling technique used in this study was total sampling. The research instruments used were a demographic questionnaire, NRS (Numeric Rating Scale) pain scale, and LSF technique SOP. Data analysis used the Wilcoxon Test and Mann Whitney Test. The study results showed that the pre-test pain level of the intervention group had a median value of 3, and the post-test became 2. The pre-test pain level of the control group had a median value of 3, and the post-test remained at 3. The results of the Wilcoxon test for the intervention group were p = 0.000, while the control group was p = 0.160. The results of the Mann Whitney test obtained p = 0.000. There was a significant difference in the level of pain pre-test post-test in the intervention group. There was no difference in the level of pain pre-test post-test in the control group. There was an effect of the LSF technique on the level of pain in insulin injection. This study recommends that the LSF technique can be one of the options to reduce pain when injecting insulin.
PENGEMBANGAN MODEL EDUKASI PASIEN PASKA OPERASI ORTOPEDI Iswatun Qasanah; Eko Winarto; Rita Dewi Sunarno
Jurnal Ilmu Keperawatan dan Kebidanan Vol 13, No 1 (2022): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v13i1.1292

Abstract

Abstrak Latar Belakang: Setiap pasien yang ada di Rumah Sakit berhak untuk mendapatkan informasi dan edukasi tentang kesehatannya. Edukasi harus diberikan pada awal diagnosis dan mengawal perjalanan penyakit. Masalah muskuloskeletal pasien paska operasi ortopedi dapat bersifat akut dan kronis dengan kemungkinan efek yang luas. Efek yang paling jelas adalah adanya nyeri dan dampak terhadap mobilitas. Peran perawat adalah membantu pasien melanjutkan hidup atau mencapai status kesehatan yang mereka inginkan dan mampu beradaptasi. Namun berdasarkan penelitian sebelumnya dan hasil survei langsung kepada pasien, kita mengetahui bahwa harapan pasien bedah ortopedi rawat jalan mengenai pengetahuan tidak selalu terpenuhi dan belum ditemukan model dan metode yang tepat berdasarkan kebutuhan pasien. Keperawatan sebagai pelayanan professional, dalam aplikasinya harus dilandasi oleh dasar keilmuan keperawatan yang kokoh, dengan demikian perawat harus mampu berfikir logis dan kritis dalam menelaah dan mengidentifikasi fenomena respon manusia. Salah satu diantaranya yang bisa diterapkan adalah teori model keperawatan Nola J Pender. Model promosi kesehatan ini konsisten dan berfokus pada pentingnya promosi dan pencegahan penyakit untuk dilakukan guna peningkatan kesehatan klien atau masyarakat yang lebih baik dan optimal.Tujuan: Untuk menjawab pertanyaan tentang pengembangan model edukasi pasien yang tepat dan efisien sesuai dengan kebutuhan dan harapan pasien, edukasi yang bisa dipahami dan bisa dilaksanakan dengan mudah oleh pasien paska operasi ortopedi.Metode: Laporan ini merupakan suatu literature review, di dalamnya terdapat 10 artikel yang diambil dari data base komputer melalui Research Gate, International Journal of Caring Sciences, PubMed, Elsevier, Semantic Scholar.Kesimpulan: Berbagai model edukasi terus dikembangkan untuk menunjang keefektifan dari alat edukasi kesehatan yang hemat waktu dan tenaga, buklet terbukti membantu pasien pasca operasi ortopedi yang tidak yakin tentang apa yang harus atau tidak boleh mereka lakukan setelah operasi ; sementara itu secara bersamaan dapat bertindak sebagai alat hemat waktu dan tenaga, dan edukasi berbasis internet dapat digunakan dalam edukasi pasien bedah ortopedi rawat jalan untuk meningkatkan pemberdayaan kognitif pasien. Abstract Background: Every patient in the hospital has the right to get information and education about his health. Education should be given early in the diagnosis and monitor the course of the disease. The musculoskeletal problems of post orthopedic surgery patients can be acute and chronic with a wide range of possible effects. The most obvious effect is the presence of pain and the impact on mobility. The nurse's role is to help patients continue to live or achieve the health status they want and are able to adapt. However, based on previous research and the results of direct patient surveys, we know that the expectations of outpatient orthopedic surgery patients regarding knowledge are not always met and the appropriate models and methods have not been found based on patient needs. Nursing as a professional service, in its application must be based on a solid scientific basis of nursing, thus nurses must be able to think logically and critically in studying and identifying the phenomenon of human response. One of them that can be applied is Nola J Pender's nursing model theory. This health promotion model is consistent and focuses on the importance of disease promotion and prevention to be carried out in order to improve the health of clients or the community for a better and optimal.Objective: To answer questions about developing appropriate and efficient patient education models according to patient needs and expectations, education that can be understood and can be easily implemented by post-orthopedic patients.Methods: This report is a literature review, in which there are 10 articles taken from a computer database through Research Gate, International Journal of Caring Sciences, PubMed, Elsevier, Semantic Scholar.Conclusion: Various educational models continue to be developed to support the effectiveness of health education tools that save time and effort, booklets have been proven to help post orthopedic surgery patients who are unsure about what they should or should not do after surgery ; while it can simultaneously act as a time and effort saving tool, and internet-based education can be used in outpatient orthopedic surgery patient education to increase patient cognitive empowerment. 
STUDI FENOMENOLOGI : KEBUTUHAN PENDIDIKAN KESEHATAN PADA PASIEN FRAKTUR EKSTREMITAS ATAS Iswatun Iswa Qasanah; Eko Winarto; Yunani Yunani
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 2 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i2.2062

Abstract

AbstractBroken bones or fractures are sudden situations where the client or family has no preparation to deal with the conditions that are happening. Fractures will have an impact on both the client and the family, for this reason the problems in cases of extremity fractures need to be studied further, so that they can provide an explanation regarding prevention or protective measures for extremity fracture clients and their families. In fact, there is no instrument that can identify the needs and learning characteristics of clients with upper extremity fractures. Existing instruments are in the form of assessment forms and general patient and family education plans that are used for all hospitalized patients with various cases. This study aims to explore the need for health education in upper extremity fracture patients. This study uses a qualitative research design with a phenomenological approach. Data collection was obtained by means of in-depth interviews. Participants were 5 patients with upper extremity fractures. Content validity test by 2 experts and 3 hospital practitioners. The analysis was carried out using the Colaizzi method. From the research results identified six main themes: (1) Perceived obstacles, (2) Perceived benefits of action, (3) Confidence, (4) Situational influence, (5) Interpersonal influence, (6) Commitment to plan an action. Results The content validity of each of the 28 items resulted in a Vaiken index value 0.80. This shows that all of the assessment instruments developed in this study in terms of their contents can measure what should be measured. Therefore, all of the instruments can be said to be feasible to use or be tested on respondents in order to obtain empirical evidence of the quality of the instrument.Keywords: Extremity Fracture, Needs, Health Education
HUBUNGAN KONSUMSI MAKANAN CEPAT SAJI DENGAN KEJADIAN OBESITAS PADA REMAJA DI MA MA’AHID KUDUS Iswatun Iswa Qasanah; Dewi Hartinah; Sofia Nur Halisa
(IJP) Indonesia Jurnal Perawat Vol 9, No 1 (2024): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/ijp.v9i1.2228

Abstract

Masalah yang perlu menjadi perhatian khusus karena obesitas dan overweight pada penduduk remaja 16-19 tahun terus mengalami peningkatan dari tahun ke tahun. Overweight dan obesitas adalah resiko terbesar penyebab kematian global. Sekitar 3,4juta remaja meninggal setiap tahunnya karena kedua hal tesebut (WHO,2014). Mengetahui hubungan konsumsi makanan cepat saji dengan kejadian obesitas di MA Ma’ahid Kudus. Jenis penelitian analitik korelasional dengan pendekatan waktu cross sectional. Besar sampel 52responden dengan teknik pengambilan sampel total sampling. Instrumen yang digunakan dengan lembar kuesioner dan observasi. Analisis data uji statistik Spearman Rho. Mayoritas konsumsi makanan cepat saji adalah sering sebanyak 19 orang (36,5%) dan dan gizi normal sebanyak 21 orang (61,5%). Hasil uji Spearman Rho menunjukkan bahwa ada hubungan konsumsi makanan cepat saji dengan kejadian obesitas (p value = 0,018). 
CASE REPORT CARING PATIENT COVID-19 WITH DIABETUS MELLITUS Iswatun Qasanah; Dewi Hartinah; Eko Winarto; Kurdiningsih Kurdiningsih
(IJP) Indonesia Jurnal Perawat Vol 7, No 2 (2022): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/ijp.v7i2.1773

Abstract

Abstrak Gejala klinis Covid-19 bervariasi, mulai dari demam, batuk, lemas dan diare Informasi Kementrian Kesehatan RI tahun 2021 pasien terkonfirmasi positif 105,836, pasien sembuh 102,625 dan meninggal 2.887 dengan postif rate 6,22% dan mortality rate 2,73%. Kondisi penyakit penyerta seperti diabetes melitus 26.8%. Diabetes Melitus merupakan suatu penyakit komorbid yang paling rentan terinfeksi Covid-19. Pada kasus Covid-19 dengan komorbid diabetus melitus yang kami laporkan didapatkan data seorang wanita usia 65 tahun yang masuk ke RS suspect covid dengan gejala klinis sesak nafas, batuk, mual, perut sakit dan terkonfirmasi pada hari ke-2 perawatan. Terapi oksigen menggunakan HFNC telah dilakukan dengan fraksi oksigen 100% menunjukan hasil analiss gas darah PH 7,27, PCO2 41,0, PO2 62,0, HCO3 18,8, Standar BE -7,7. Pasien tidak menunjukan perbaikan dengan saturasi oksigen yang terus menurun. Kesimpulan dari laporan kasus ini didapatkan bahwa hypoxemia pada kasus covid dengan komorbid DM sulit untuk ditangani. Kemungkinan penyebabnya adalah kegagalan sistemik terutama pada sistem kardiopulmonal pada penyakit kronis. Saran yang dapat diberikan pada kasus covid dengan cvomorbid DM lebih ditekankan pada penemuan kasus dini dan intervensi yang cepat untuk mencegah perburukan lebih lanjut.Kata Kunci : Covid-19, Diabetes Melitus, Hipoksemia.
SELF-EFFICACY AND ABILITY TO PERFORM ACTIVITIES OF DAILY LIVING (ADL) IN APPENDICECTOMY POST-OPERATIVE PATIENTS Iswatun Qasanah; Futkhatin Nasikhah; Heny Siswanti; Muhamad Jauhar
(IJP) Indonesia Jurnal Perawat Vol 9, No 2 (2024): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/ijp.v9i2.2632

Abstract

The incidence of appendicitis in Indonesia ranks highest among other abdominal emergencies. The cause is usually an obstruction in the lumen of the appendix and causes acute inflammation with perforation and abscess formation. Treatment of appendicitis can be done by surgery. Postoperative recovery restores normal physical, psychological, social, habitual, and daily activities. The ability to perform Activities of Daily Living (ADL) depends on cognitive, motor, and perceptual abilities, which can affect postoperative patients in mobilizing is a psychological factor, one of which is self-efficacy; someone who can mobilize early requires strong or high self-efficacy. This study aims to analyze the relationship between self-efficacy and ADL in appendicectomy postoperative patients. This study used a correlational research design using a cross-sectional approach and purposive sampling technique. The variables in this study were self-efficacy and ADL ability of appendicectomy postoperative patients. This research was conducted at Sunan Kalijaga Demak Hospital in August 2024. The sample obtained was 57 people who met the criteria. This research instrument uses the General Self-Efficacy (GSE) questionnaire and the Care Dependency Scale (CDS) questionnaire—data analysis using the Spearman Rank Test statistical test. Based on the results of this study, we obtained a p-value of 0.351 (p0.05). It can be concluded that there is a relationship between self-efficacy and ADL in postoperative patients at Sunan Kalijaga Demak Hospital. The results of this study can provide input to the nursing profession that self-efficacy can improve Activity of Daily Living (ADL) in postoperative patients.
HUBUNGAN ANTARA POLA KONSUMSI MAKANAN SEBELUM TIDUR DAN TINGKAT KECEMASAN PADA LANSIA DENGAN KEJADIAN INSOMNIA DI DESA TEMULUS KECAMATAN MEJOBO KABUPATEN KUDUS Nasriyah Nasriyah; Noor Cholifah; Iswatun Qasanah
Indonesia Jurnal Kebidanan Vol 4, No 2 (2020): INDONESIA JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/ijb.v4i2.1369

Abstract

ABSTRAKEstablished Populations For Epidemiologic Studies of the Elderly (EPESE) mendapatkan dari 9000 responden, sekitar 29% berusia diatas 60 tahun dengan keluhan insomnia. Di Indonesia setiap tahun diperkirakan sekitar 20%-50% orang dewasa melaporkan adanya keluhan susah tidur (Insomnia). Prevalensi gangguan tidur pada lansia cukup tinggi yaitu sekitar 67%. Sebagian besar lansia mengalami insomnia yang disebabkan oleh karena semakin rentannya kondisi fisik, juga perubahan fungsi sistem tubuh dan psikis (kecemasan) lansia. Mengetahui hubungan antara pola konsumsi makanan sebelum tidur dan tingkat kecemasan pada lansia dengan kejadian insomnia di Desa Temulus Kecamatan Mejobo Kabupaten Kudus. Jenis penelitian korelasi dengan pendekatan cross sectional. Populasi 552 lansia (bulan Februari 2014),metode ramdom sampling, sampel 85 lansia. Uji statistik dengan Kendall-Tau. Pola konsumsi makanan sebelum tidur (p=0,0000,05), correlation coeffisient 0,592 (kekuatan hubungan sedang pada rentang 0,40-0,599). Tingkat Kecemasan (p=0,0000,05, correlation coeffisient 0,608 (kekuatan hubungan kuat pada rentang 0,60-0,799). Ada hubungan yang signifikan antara pola konsumsi makanan sebelum tidur lansia dengan kejadian insomnia, ada hubungan yang signifikan antara tingkat kecemasan pada lansia dengan kejadian insomnia.   
Upaya Peningkatan Pengetahuan Tentang Penyakit Kelainan Genetik Pada Remaja Yulisetyaningrum Yulisetyaningrum; Dewi Hartinah; Iswatun Qasanah
Jurnal Abdimas Indonesia Vol 6, No 1 (2024): JURNAL ABDIMAS INDONESIA
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jai.v6i1.2476

Abstract

Penyakit kelainan genetika yaitu penyakit kelainan pada gen seseorang, dimana penyakit ini pada umumnya diturunkan kepada keturunannya dan mempunyai sifat tidak menular. Penyebabnya yaitu bakteri, virus, radiasi, zat kimia, asaprokok, makanan awetan serta minuman beralkohol yang berpotensial menyebabkan mutasi gen. Sekarang ini makin banyak bermunculan berbagai penyakit genetika yang di akibatkan agen-agen penyebab mutasi gen. Pengetahuan pada masyarakat khususnya remaja terkait penyakit kelainan genetika masihsangat kurang, kebiasaan gaya hidup yang tidak teratur, kebiasaan merokok, lingkungan yang kotor, makan makanan yang tidak bergizi dan minum minuman beralkohol sering terpapar zat beracun di lingkungan sekitar karena polusi. Pendidikan kesehatan sebagai salah satu bentuk pengabdian kepada masyarakat yang dilakukan di SMA N 1 Mejobo Kudus dengan sasaran siswa kelas IX sejumlah 36 siswa. Kegiatan ini berfokus pada peningkatan pengetahuan tentang penyakit kelainan genetika pada remaja. Metode kegiatan dengan ceramah, diskusi dan tanya jawab. Siswa terlibat aktif dan antusias dalam pelaksanaan kegiatan pengabdian kepada masyarakat.Kata Kunci: Penyakit kelainan genetik, Remaja AbstractThe Genetic disorders are disorders in a person’s gene, where these diseases are generally passed on to their offspring and are not contagious. The causes are bacteria, viruses, radiation, chemicals, cigarette smoke, alcoholic drinks and preserved foods which have the potential to cause gene mutations. Currently, more and more genetic diseases are emerging due to the large number of agents that cause gene mutations. The public, especially teenagers, have very little insight into genetic disosders, they have irregular lifestyles, have a dirty environment, eat non-nutritious food,  have the habit of smoking and drinking alcoholic beverages and are often exposed to toxic substances around them due to pollution. Health education as a from of the community service is carried out at SMAN 1 Mejobo Kudus targeting focuses on increasing kwowledge about genetic disorders in adolescents. The activity methode is lecture, discussion and question and answer. Students are actively involved and enthusiastic in carrying out community service activities.Keywords: Genetic disorders, Adolescent.
Effectiveness of the "CEPAT" (Smart and Compliant) Health Promotion Model on Blood Pressure Control in Hypertensive Patients: A Quasi-Experimental Study Dewi Hartinah; Ika Tristanti; Iswatun Qasanah
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002077

Abstract

The necessity for efficient non-pharmacological methods to supplement medical therapy is highlighted by the fact that hypertension remains a major global public health concern. In Kudus Regency, Indonesia, this study looked at how well the CEPAT health promotion model worked to lower blood pressure in hypertensive individuals. Purposive sampling was used to choose 32 individuals from PRM 02 Pasuruhan Lor for a quasi-experimental study with a pre-test–post-test control group design. Participants were split equally between a control group (n = 16) and an intervention group. While the control group got standard care, the intervention group participated in a four-week CEPAT health promotion program. Following the intervention, the diastolic blood pressure decreased from 103.71 ± 1.03 mmHg to 93.13 ± 0.93 mmHg (p = 0.001) and the systolic blood pressure decreased significantly from 167.81 ± 32.19 mmHg to 135.63 ± 16.43 mmHg (p < 0.001). On the other hand, the control group showed no statistically significant changes. A substantial difference between the two groups was also shown by post-intervention analysis (p < 0.001). These results imply that the CEPAT health promotion model is a useful community-based intervention for improving blood pressure control and could be a useful tactic for managing hypertension.