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All Journal Jurnal Surya Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Global Research in Public Health
Wiga, Sandi Alfa
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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DEVELOPMENT OF GUIDANCE AND COUNSELING METHODS IN IMPROVING SELF-MANAGEMENT OF EPILEPSY PATIENTS IN THE NEUROLOGY CLINIC OF KANJURUHAN KEPANJEN GENERAL HOSPITAL Sandi Alfa Wiga Arsa; Denok Panglipuring Sulistya
Surya : Jurnal Media Komunikasi Ilmu Kesehatan Vol 13, No 3 (2021): Jurnal Surya, Vol. 13, No. 03, Desember 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i3.354

Abstract

Background: Epilepsy is the oldest neurological disease, found at all ages, can cause disability and mortality. Epilepsy has a higher risk of death due to seizures. Knowing the trigger seizures and taking steps to manage the disease greatly helps reduce the occurrence of death. Purpose: this study was to investigate the effect of the health education Guidance and Counseling Method on increasing self-management in epilepsy patients in the Neurology Clinic in Kanjuruhan Kepanjen Hospital. Methods: This research is a pre-experimental design with a one-group pre-post test village approach. The population was 44 respondents, 40 respondents samples, purposive sampling technique, data collection using a questionnaire, and data analysis using statistical test Wilcoxon Signed Rank test. Results: Wilcoxon Signed-Rank Test results obtained 0.000 (α ≤ 0,05) resulted in the influence of health education guidance and counseling method to the increase of self-management in epilepsy patients at Kanjuruhan Kepanjen Neurology Clinic. Conclusion: Based on the results of this study it was important for health workers to improve knowledge and skills in health education, especially guidance and counseling methods to support the recovery of epilepsy patients by increasing self-management of epilepsy patients.
Development of a Model of Asthma Management in Children Based on Beliefs by Parents in The Concept of The Health Belief Model Wiga, Sandi Alfa
Journal of Global Research in Public Health Vol. 3 No. 2 (2018): December
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v3i2.61

Abstract

Introduction: Asthma in children causes loss of school days, and also causes growth in children. Parents have a responsibility to manage asthma, they need asthma management education for children who can increase their wisdom in managing it. The research objective was to develop a model of asthma management education in children based on beliefs in the concept of the Health Belief Model. Method: quasi-experimental research with 66 respondents, probability sampling method through simple random sampling. Using 3 HBM model development questionnaires belief, threat and behavior. Statistical analysis : using a paired t-test, Mann Whitney test, linear regression adjusted for each variable studied in developing HBM. Results and Analysis : education on trust (p <0.001), confidence in threats (p = 0.001), threats towards behavior (p <0.001), educational influence on behavior (p <0.001). Discussion and Conclusion: Parents' beliefs about their ability to discuss existing problems are very important to overcome recurrence. Increased confidence in skills, increased satisfaction and self-confidence, with an effective increase in good conditions by children with asthma.
Early Warning Scores as a Predictor of Mortality in Non Comorbid COVID-19 Patient Rahmawati, Anita; Nurmawati, Thatit; Arsa, Sandi Alfa Wiga; Fata, Ulfa Husnul; Murti, Rahma
Journal of Ners and Midwifery Vol 11 No 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i2.ART.p153-159

Abstract

There are several non-comorbid COVID-19 patients lead to mortality, but the risk factors that affect it have not been widely discussed in research. Treatment of COVID-19 patients focuses more on patients with comorbidities. This study aimed to check the effectiveness of Early Warning Scores (EWS) assessment to predict the mortality of non-comorbid COVID-19 patients. The method of the study was a case study research with a retrospective approach using secondary data, namely the patient's medical record status. This study took medical record data from 262 patients confirmed positive for non-comorbid COVID-19 who were hospitalized at Ngudi Waluyo Wlingi Hospital from July to September 2021. The multivariate data analysis used multiple linear regression tests to simultaneously test the relationship of the independent variables (age, gender, and Early warning score) to the dependent variable (mortality). The statistical analysis result showed the correlation between gender, age, and assessment with mortality, each of which has a p-value of 0.000, meaning that each of these variables has a relationship with mortality. If a simultaneous test (F test) is carried out, the p-value is 0.000, meaning that gender, age, and EWS simultaneously affect mortality. The coefficient of determination or R square of 0.773 means that gender, age, and EWS simultaneously influence mortality by 77.3%. Early Warning Scores (EWS) assessment influenced the mortality of non-comorbid COVID-19 patients. The highest contribution affecting mortality was the EWS assessment. The contribution of influence on sex and age is relatively the same.
Knowledge, Attitude, and Practice Among Nurses Regarding Nutrition Management of Diabetes Mellitus Patients Sutrisno, Imam Tri; Rosyda, Rafika; Wirawan, Nandar; Arsa, Sandi Alfa Wiga
Journal of Ners and Midwifery Vol 11 No 3 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i3.ART.p276-285

Abstract

Diabetes mellitus is a chronic metabolic disorder that contributes significantly to the global health burden, with a rising prevalence globally. Understanding nurses' knowledge, attitudes, and practices (KAP) is crucial because knowledge provides essential insights into how diet affects blood glucose levels, a positive attitude encourages support for patient adherence, and efficient practices ensure the consistent application of dietary management strategies. This study aimed to assess the KAP among nurses about the nutritional management of Diabetes. This descriptive study involved 100 nurses working in medical and surgical wards of a hospital, with 99 respondents included in the analysis following the dropping out of one respondent. Data was collected using a structured questionnaire designed to evaluate the KAP of nurses concerning diabetes nutritional management. The study found disparities in the levels of knowledge among nurses: 14.1% demonstrated high knowledge, 49.5% demonstrated intermediate knowledge, and 36.4% demonstrated poor knowledge. Despite these variations, none demonstrated a bad attitude, a lousy 11.1% demonstrated an intermediate attitude, and the majority of nurses (88.9%) exhibited high attitudes towards Diabetes nutritional management. Additionally, 0% engaged in harmful practices, 4% demonstrated intermediate practices, and nearly all respondents (96%) reported engaging in good practices. These results underscore the need for targeted educational interventions to bridge knowledge gaps. Enhancing nurses' knowledge in Diabetes nutritional management is essential to improve the quality of care and health outcomes for patients with Diabetes.
Hubungan Pemberian Syringe Pump Norepinephrine dengan Kadar Gula Darah Acak pada Pasien di Ruang ICU RSUD Mardi Waluyo Kota Blitar Prasetya, Yuda Dwi; Arsa, Sandi Alfa Wiga
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p283-291

Abstract

Ketidakwaspadaan terhadap kontrol gula pasien yang mendapatkan norepinephrine berakibat perpanjangan masa rawat inap dan perburukan kondisi.Tujuan penelitian adalah menganalisis hubungan pemberian syringe pump norepinephrine dengan kadar gula darah acak pada pasien di ruang ICU RSUD Mardi Waluyo Kota Blitar. Rancangan penelitian menggunakan korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pasien ICU RSUD Mardi waluyo Kota Blitar yang diberikan syringe pump norepinephrine pada 29 Oktober – 22 November 2018. Jumlah sampel penelitian sebanyak 30 orang dengan menggunakan tehnik pengambilan sampel accidental sampling. Analisa data menggunakan Spearman’s rho. Hasil penelitian menunjukan ada hubungan yang lemah antara pemberian syringe pump norepinephrine dengan kadar gula darah acak pada pasien di ruang ICU RSUD Mardi Waluyo Kota Blitar dengan p value = 0,034 dan rs = 0,389. Norepinephrine dapat meningkatkan tekanan darah pada pasien kritis yang mengalami hipotensi, akan tetapi berakibat meningkatkan kadar gula darah acak, sehingga diharapkan adanya pemantauan kadar gula darah acak pada pasien kritis serta adanya monitoring penggunaan cairan diluent normal saline 0,9% dan  dextrose 5% yang harus disesuaikan dengan kondisi dari pasien yang mendapatkan norepinephrine. Unawareness of blood sugar control in patients receiving norepinephrine resulted in an extended period of hospitalization and worsening conditions. The aim of the study was to analyze the correlation of giving norepinephrine syringe pump and random blood sugar levels of patients in ICU Mardi Waluyo Hospital, Blitar City. The study used correlation design with cross sectional approach. The population in this study was all ICU patients of Mardi Waluyo Hospital Blitar City who were given the norepinephrine syringe pump on 29 October - 22 November 2018. The sample was 30 people taken by using accidental sampling technique. The data analysis used Spearman's. The results showed there was a weak correlation between the administration of norepinephrine syringe pump and random blood sugar levels of patients in the ICU room at Mardi Waluyo Hospital, Blitar City with p value = 0.034 and rs = 0.389. Norepinephrine could increase blood pressure in critical patients who had hypotension, but it resulted in the increase of random blood sugar levels. It is expected to monitor random blood sugar level of critical patients as well as monitoring the use of diluent normal saline 0.9% and dextrose 5% which should be adapted to the conditions of patients who get norepinephrine.
The Effect of Yacon Leaf Powder (Smallanthus Sonchifolius) on White Rats (Rattus norvegicus) Blood Glucose Levels with High Sugar Diet Nurmawati, Thatit; Arsa, Sandi Alfa Wiga; Wulandari, Nawang; Saparudin, Agus
Journal of Ners and Midwifery Vol 8 No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p217-220

Abstract

Maintaining a lifestyle can reduce the incidence of DM (diabetes mellitus). DM occurs due to insulin disorders so that blood glucose levels increase, which can lead to various complications. The management of blood glucose levels by activating the insulin function can be done by using natural ingredients such as the Yakon (Smallanthus sonchifolius) plant. Yakon leaves contain phenol which can reduce blood glucose. The design of this study was experimental with a pre-posttest approach with control-group design, using male and healthy white rats (Rattus norvegicus). Rats were divided into 3 groups, treatment dose 1, treatment dose 2 and control. The rats were given a high carbohydrate diet during 9 weeks to make the rats hyperglycemic. In the treatment group, dose 1 was 150 mg/kg BW, dose 2 was 300 mg kg BW, and was given for 3 days. The results showed that the rats in the treatment group dose 1 had decreased in the average blood sugar level of 114.10 mg / dl (p 0.002) and dose 2 was 105.27 mg / dl (p 0.005). This showed that there was an effect of treatments on blood sugar levels. The comparison results showed that there was a significant difference between the dose 1, the dose 2 group and the control (Sig. (2-tailed) = 0.001 (α) = 0.05). There was no significant difference in the treatment group dose 1 and treatment dose 2 (Sig. (2-tailed) = 0.693, (α) = 0.05). Yakon leaves can be used alternative to lower to control blood glucose levels in rats receiving a high-carbohydrate diet
The Correlation of Self-Regulation Theory Constructs and the Incidence of Intradialytic Complications during Hemodialysis Arsa, Sandi Alfa Wiga; Chairunnisa, Miftah
Journal of Ners and Midwifery Vol 8 No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p153-160

Abstract

Hemodialysis is currently applied as a routine treatment that is widely used by patients with chronic kidney failure, though complications still occur during dialysis. Self-regulation is a kind of theoretical model that represents the effect of perceived disease on behavior and health-related consequences. There is a process of problem representation, coping and appraisal or assessment of coping success involved in self-regulation. This study aimed to determine the correlation between self-regulation theory constructs and the incidence of intradialytic complications during hemodialysis. This was a descriptive analytic study with cross-sectional design. Consecutive sampling resulted in 42 respondents. Logistic regression results obtained disease representation variable with timeline (p=0.122; OR=0.412) and control (p=0.068; OR=0.582) sub-variables; as well as coping variable with Problem-focused (p=0.219; OR=0.912) and emotion-focused (p=0.036; OR=0.3) sub-variables. Intradialytic complications are complex conditions that involve many factors, but the patient's psychological adaptation process also deserves to be considered in developing self-regulation among hemodialysis patients. It is necessary to consider the provision of health education based on the constructs of this self-regulation theory, especially on variables/factors that have a correlation with the incidence of intradialytic complications in order to improve self-management among hemodialysis patients to get a better life.
Correlation Between Drinking Coffee and Incident Hypertension in Maospati Magetan District Sa’adah, Hamidatus Daris; Kurniasari, Devy Naning; Sandi, Yudisa Diaz Lutfi; Arsa, Sandi Alfa Wiga
Journal of Ners and Midwifery Vol 9 No 1 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i1.ART.p012-017

Abstract

Hypertension is a common disease in primary care. Hypertension is a cardiovascular disorder marked by elevated blood pressure caused by coffee consumption. Coffee is favorite common drink in Indonesia, is one of the causes of hypertension. This study aims to analyze the relationship between consumtion coffee habits and the incidence of hypertension in the Tanjungsepreh village. The study use cross sectional approch and collected data research were obtained by partitipan filling out a questionnaire. univariate analysis used descriptive statistics and bivariate analysis using the Spearman-rank test. In this study, there were 36 respondents with significant results, P-value = 0.039 and α = 0.05, which means that there is a relationship between consumption coffee habits and the hypertension for humans.
Intradialytic Complication and Associated Factors among Patients Undergoing Hemodialysis Sari, Yeni Kartika; Wulandari, Ning Arti; Arsa, Sandi Alfa Wiga; Dewi, Iwit Rata Ari
Journal of Ners and Midwifery Vol 8 No 3 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i3.ART.p378-385

Abstract

Hemodialysis is one of the vital management options for end-stage renal disease (ERDS) patients. Adequate hemodialysis can make a good quality of patient life. Hemodialysis patient commonly has experienced intradialytic complications, and it can be life-threatening. ESRD patients who are not compliant with fluid and dietary restrictions raised Intradialytic weight gain (IDWG), and blood pressure leads to intradialytic complications. This study aimed to determine factors associated with intradialytic complications among undergoing hemodialytic patients in Blitar. The data analysis used Multiple linear regression analysis to ascertain the possible factors that influence intradialytic complications. The sample was 55 hemodialysis patients with intradialytic complications. Based on this study, the Spearman Rank correlation test results, the factor that correlated with intradialytic complications was patient compliance with a Sig (2-tailed) value of 0.016 with a correlation coefficient value of -0.26. The correlation coefficient in the results above was negative, namely -0.263 so that the correlation between the two variables was not unidirectional. The higher compliance showed, the lower the intradialytic complications. The odds ratio (OR) value between adherence and the occurrence of intradialytic complications was 3,229. That value meant that patients with kidney failure who do not comply with the diet will have a 3-fold risk of intradialytic complications compared to patients with renal failure who comply. This result emphasizes the need for constant motivation and education at frequent intervals to ensure better adherence.
Monitoring Mean Arterial Preasur (MAP) in Traumatic Brain Injury Patients during The Initial 60 Minutes of Manitol 20% Arsa, Sandi Alfa Wiga; Rahmawati, Anita; Nurmawati, Thatit; Rohmawati, Heni
Journal of Ners and Midwifery Vol 10 No 2 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i2.ART.p217-224

Abstract

The effect of manitol 20% on changes in blood pressure after traumatic brain injury is unknown. The purpose of this study was to analyze the differences in blood pressure before and after the administration of 20% mannitol in traumatic brain injury patients at the Intensive Care Unit. This study is a quasi experimental research which uses a pre-post test without control one group design, a method used in observational analytic techniques. The population of this study were all traumatic brain injury patients who were given a manitol infusion of 20% 100ml, with consecutive sampling technique, obtained 12 samples. With a significance threshold of p 0.05, the test was performed using the Paired T test on systolic and MAP data and the post hoc Wilcoxon test on diastolic data.   paired t-test systolic p=0.000, MAP p=0,000. Wilcoxon test diastolic p=0,002. Decreasing blood pressure 15 minutes after administration of 20% mannitol occurs because half live mannitol which lowers blood pressure and responds to decreased blood pressure autoregulation, at 30 minutes resulting in decreased intra-cranial pressure, improves cerebral perfusion and brain autoregulation that affects systemic blood pressure 60 changes in blood pressure may be due to diuresis effects. During the administration of mannitol there is a change in blood pressure that needs to be monitored
Co-Authors Agus Saparudin Anita Rahmawati Anita Rahmawati Chairunnisa, Miftah Danang Candra Wiratama Denok Panglipuring Sulistya Devy Naning Kurniasari Dewi, Iwit Rata Ari Erni Setiyorini Hamidatus Daris Sa’adah Heni Rohmawati Imam Tri Sutrisno Iwit Rata Ari Dewi Kristina Widyanti Kurniasari, Devy Naning Laily Prima Monica Lury Trijayanti Maria Ulfa Miftah Chairunnisa Murti, Rahma Nawang Wulandari Nawang Wulandari, Nawang Ning Arti Wulandari Ning Arti Wulandari, Ning Arti Prasetya, Yuda Dwi Rafika Rosyda Rohmawati, Heni Sa’adah, Hamidatus Daris Sandi, Yudisa Diaz Lutfi Saparudin, Agus Thatit Nurmawati, Thatit Ulfa Husnul Fata WAHYU WIBISONO Wirawan, Nandar Yeni Kartika Sari, Yeni Kartika Yuda Dwi Prasetya Yulia Kuswidyarti