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All Journal Journal of Public Health Sciences Jurnal Ilmu Keperawatan dan Kebidanan IJP (Indonesia Jurnal Perawat)
Iswatun Qasanah
Universitas Muhammadiyah Kudus
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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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.
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.
BRISK WALKING MENURUNKAN KADAR GULA DARAH DIABETESI DI WILAYAH PEDESAAN Nana Umi Farida; Diana Tri Lestari; Muhammad Jauhar; Faridha Alfiatur Rohmaniah; Iswatun Qasanah; Mohamad Khafidh Rio Irwansyah
Jurnal Ilmu Keperawatan dan Kebidanan Vol 16, No 2 (2025): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v16i2.3022

Abstract

Diabetes Mellitus (DM) saat ini menjadi masalah kesehatan yang mengancam masyarakat. DM disebabkan pola hidup kurang sehat atau faktor keturunan. DM berdampak pada penyakit kardiovaskuler, penyakit ginjal, kebutaan, disabilitas, hingga kematian. Salah satu intervensi nonfarmakologi sebagai terapi komplementer yang dapat dilakukan untuk mengontrol kadar gula darah yaitu Brisk Walking. Tujuan penelitian untuk menganalisis pengaruh durasi Brisk Walking terhadap kadar gula darah pada pasien DM. Desain Penelitian menggunakan eksperimen semu dengan pendekatan pretest and post-test with control group. Variabel independen yaitu durasi Brisk Walking dan variabel dependen yaitu kadar gula darah. Penelitian ini dilakukan pada bulan Februari-April 2024 di Wilayah Kerja UPT Puskesmas Dawe Kabupaten Kudus dengan jumlah sampel 19 Responden untuk masing-masing kelompok intervensi dan kontrol. Kriteria inklusi yaitu terdiagnosa DM oleh tenaga kesehatan, hasil pemeriksaan GDS³140 mg/dl, tidak memiliki komplikasi, mengkonsumsi obat anti DM. Kriteria ekslusi memiliki gangguan mobilitasfisik/ disabilitas dan menerima terapi nonfarmakologi lain. Instrumen yang digunakan yaitu lembar observasi kadar GDS dan alat pengukur kadar gula darah dengan merk Easy Touch Glucose tipe 301. Analisis data menggunakan paired t-test dan Independent t-test. Bentuk intervensi yang diberikan yaitu Brisk Walking selama 30 menit sebanyak 3 kali dalam seminggu. Hasil penelitian menunjukkan terdapat pengaruh yang signifikan secara statistik durasi Brisk Walking terhadap penurunan kadar gula darah pada pasien DM dengan nilai p= 0,032 (p0,05).  Durasi Brisk Walking dapat menurunkan kadar gula darah pada pasien DM. Model intervensi menjadi terapi komplementer dan dapat diintegrasikan dalam pelayanan Kesehatan masyarakat di puskesmas misalnya posbindu PTM, posbindu lansia, dan prolanis. AbstractDiabetes Mellitus (DM) is currently a public health problem threatening the community. DM is caused by unhealthy lifestyles or hereditary factors. It can lead to cardiovascular disease, kidney disease, blindness, disability, and even death. One non-pharmacological intervention as a complementary therapy that can be implemented to control blood sugar levels is diabetes.Brisk WalkingThe aim of this study was to analyze the effect of the duration of brisk walking on blood sugar levels in DM patients. The research design used a quasi-experimental approach.pretest and post testwith control group. The independent variable is duration Brisk Walking and the dependent variable was blood sugar levels. This study was conducted from February to April 2024 in the Dawe Community Health Center (UPT) working area of Kudus Regency, with a sample size of 19 respondents for each intervention and control group. Inclusion criteria were a diagnosis of diabetes mellitus by a health worker, and blood glucose (GDS) test results. ³ 140 mg/dl, no complications, taking anti-diabetic medication. Exclusion criteria included impaired physical mobility/disability and receiving other non-pharmacological therapy. The instruments used were a GDS level observation sheet and a blood sugar measuring device with the brand Easy Touch Glucose type 301. Data analysis using paired t-test andIndependent t-test. The form of intervention provided isBrisk Walking for 30 minutes, 3 times a week. The results showed a statistically significant effect of the duration of brisk walking on reducing blood sugar levels in diabetes patients with a p value of 0.032 (p 0.05). Brisk Walking can lower blood sugar levels in DM patients. The intervention model is a complementary therapy and can be integrated into public health services at community health centers, such as PTM Posbindu, Elderly Posbindu, and Prolanis.
UJI BANDING SENSITIVITAS DAN SPESIFISITAS CONFUSION ASSESSMENT METHOD-INTENSIVE CARE UNIT, INTENSIVE CARE DELIRIUM SCREENING CHECKLIST DAN THE NURSING-DELIRIUM SCREENING SCALE UNTUK MENGKAJI PASIEN DELIRIUM DI RUANG ICU Khamid Khanafi; Suhartini Suhartini; Iswatun Qasanah
Jurnal Ilmu Keperawatan dan Kebidanan Vol 17, No 1 (2026): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v17i1.3261

Abstract

Delirium pada pasien kritis terjadi karena ada kumpulan sindrom pada pasien dengan gangguan pernafasan, kardiovaskuler, persarafan, post operasi. Delirium  menyebabkan perubahan status mental yang fluktuatif, gangguan perhatian dan berfikir. Pengkajian delirium diperlukan mengetahui kondisi pasien sejak awal. Penelitian ini bertujuan untuk mengetahui sensitivitas dan spesifisitas antara CAM-ICU (Confusion Assessment Method-Intensive Care Unit), ICDSC (Intensive Care Delirium Screening Checklist), dan Nu-DESC( Nursing Delirium Screening Scale) untuk mengkaji pasien delirium di Ruang ICU. Penelitian ini menggunakan desain penelitian komparasi dengan pendekatan cross sectional study. Teknik pengambilan sampel menggunakan purposive sampling dengan sampel 83 subjek penelitian berdasarkan kriteria inklusi. Analisa data menggunakan receiver operating characteristic (ROC) untuk menilai sensitivitas dan spesifisitas dengan membandingkan Area Under curve ( AUC). Hasil penelitian menunjukkan CAM-ICU mempunyai nilai sensitivitas sebesar  97,05% dan spesifisitas 87,75% , ICDSC mempunyai sensitivitas 87,5% spesifisitas 98,3% dan Nu-DESC mempunyai sensitivitas 56,4% dan spesifisitas 100% dengan nilai AUC semuanya 96 %. Ketiga Instrumen CAM-ICU, ICDSC,Nu-DESC dapat digunakan dalam mengkaji pasien delirium di ruang ICU tetapi lebih direkomendasikan CAM-ICU karena mempunyai sensitivitas yang tertinggi, lebih mudah digunakan, dan cepat dalam pelaksanaannya.AbstractDelirium in critically ill patients occurred because there were the syndrome clusters in patients with respiratory disorders, cardiovascular, neurological disease, and postoperative status. Delirium causes fluctuating mental status changes, impaired attention and disorganized thinking. Delirium assessment was necessary to know the patient's condition earlier. The purpose of this research to determine the sensitivity and specificity of CAM-ICU (Confusion Assessment Method-Intensive Care Unit), ICDSC (Intensive Care Delirium Screening Checklist), and Nu-DESC ( Nursing Delirium Screening Scale) in assessing delirium patients in the ICU. This study were a comparative study design with a cross sectional study approach. The sampling technique were purposive sampling with 83 subjects who met the inclusions criteria. Data analysis were used receiver operating characteristics (ROC) by comparing the Area Under curve (AUC) of each tool. The results showed that CAM-ICU had sensitivity value of 97.05% and specificity of 87.75%. ICDSC had sensitivity of 87.5% and specificity of 98.3% . Nu-DESC had a sensitivity of 56.4% and specificity of 100% with all value of AUC 96%. The three of instruments (CAM-ICU, ICDSC, Nu-DESC) can be used to assess delirium phase for critically ill patients in.  However, CAM-ICU has been recommended more as it has the highest sensitivity, easier to use, and faster in its implementation.
Co-Authors Dewi Hartinah Diana Tri Lestari Faridha Alfiatur Rohmaniah Futkhatin Nasikhah Heny Siswanti Ika Tristanti Khamid Khanafi Mohamad Khafidh Rio Irwansyah Muhamad Jauhar Muhammad Jauhar Nana Umi Farida Suhartini Suhartini