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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.
Effects of Self-Regulation Theory-Based Education on Psychological Response, Compliance, IDWG, and Perceived Complaints Arsa, Sandi Alfa Wiga; Erni Setiyorini; Thatit Nurmawati; Kristina Widyanti
Jurnal Surya Vol 17 No 2 (2025): Volume 17 Issue 02 2025
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v17i2.1240

Abstract

Introduction: Although hemodialysis is effective in prolonging life expectancy, it often results in physical complaints such as shortness of breath, nausea, headache, edema, and chest pain, as well as psychological complaints including anxiety, depression, and non-compliance with treatment regimens. These issues may ultimately affect therapeutic outcomes, such as increased Interdialytic Weight Gain (IDWG) and other complications. This study aims to analize the effects of self-regulation theory-based education on psychological response, compliance, IDWG, and  perceived complaints in hemodialysis patients Methods: This study employed a quantitative approach with a one-group pretest-posttest randomized experimental design. A total of 21 hemodialysis patients from the Hemodialysis Unit were selected as participants. The Wilcoxon test was used to analyze the data. Results: Significant results in Psychological Factors (p = 0.029), Compliance (p = 0.000), IDWG (p = 0.032), and perceived complaints (p = 0.049), the findings demonstrated significant improvements across all measured variables following the implementation of self-regulation-based health education Conclusion: Self-regulation-based health education can effectively enhance self-management in hemodialysis patients by addressing their specific physical and psychological challenges
DEVELOPMENT OF GUIDANCE AND COUNSELING METHODS IN IMPROVING SELF-MANAGEMENT OF EPILEPSY PATIENTS IN THE NEUROLOGY CLINIC OF KANJURUHAN KEPANJEN GENERAL HOSPITAL Arsa, Sandi Alfa Wiga; Sulistya, Denok Panglipuring
Jurnal Surya Vol 13 No 3 (2021): 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.
Contributing Factors to Intradialytic Complications in Hemodialysis Patients Arsa, Sandi Alfa Wiga; Rahmawati, Anita
Babali Nursing Research Vol. 4 No. 4 (2023): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.44275

Abstract

Introductioin : Intradialytic complications are still being debated among health workers in the Hemodialysis Unit in Hospitals, many factors can cause patients to experience complications during dialysis. This study aims to identify the factors that contribute to the incidence of intradialytic complications in order to minimize the incidence of complications. Methode : This study used a research design in the form of analytic descriptive with cross-sectional. The sampling technique was a consecutive sampling of 120 patients. The chi-square statistical test aims to examine differences in proportions. If the results of the bivariate test have p < 0.25, then these variables can be included in the multivariate model using multiple logistic regression analysis. Result : Candidate selection results, Hb (0,014), Fluid Compliance (0,221), Venous Access (0,236), IDWG (0,023), and Comorbid (0,006) have a p value less than 0.25. In the multivariate test obtained Comorbid (0,007; OR:2.361 ), IDWG (0,049;OR:-1,894), and Hb (0,047;OR: 0,922), it can be concluded that these three factors have a significant influence on the occurrence of intradialytic complications.The proportion of intradialytic problems that can be described by 5 variables, namely venous access, comorbidities, IDWG, HB, and adherence, is 24%, with the remaining 18% explained by other factors. Conclusion : Comorbid, interdialytic weight gain, and hemoglobin goal accomplishment all have a significant role in the occurrence of intradialytic complication. The findings of this study can be utilized to raise awareness of intradialytic consequences. This vulnerable population need effective management to manage the problems they are experiencing.
Early Anti-Corruption Education as an Effort to Create a Corruption-Free Generation Fata, Ulfa Husnul; Wibisono, Wahyu; Monica, Laily Prima; Ulfa, Maria; Nurmawati, Thatit; Rahmawati, Anita; Arsa, Sandi Alfa Wiga
Journal of Community Service for Health Vol. 3 No. 2 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v3i2.1123

Abstract

Corruption is a despicable act and a form of social disobedience of society. Corruption always has a bad impact on the life of the nation and state. Anti-corruption education from an early age is one of the powerful pillars in combating the dangers of corruption from an early age. The purpose of this community service program was to initiate anti-corruption values in the community from an early age. This community service activity was carried out by Lecturers of the Nursing and Midwifery Department in cooperation with the students of 2nd Semester of Nursing and Midwifery Department of STIKes Patria Husada Blitar. The activity were held on July 2022. The method used in this activity was a lecture session and question and answer about corrupting behavior in the school environment with leaflet media. The activities was carried out in accordance with the planning of the subject lesson. The activity was carried out on freshman at TKN Bendogerit 1 Blitar City, SDN 02 Plosokerep Kota Blitar, SMPN 1 Sanan Kulon, Blitar Regency and the Ibn Mas'ud Sum Islamic Boarding School Foundation Garum, Blitar Regency with the total number of students was 265 students. The initiation of anti-corruption values must be carried out from an early age, starting from basic education to higher education. planting anti-corruption values in schools can strengthen the character of students, namely the initiation of the value of honesty, concern for others, responsibility, respect for others, discipline, simplicity, and fighting power or persistence in learning.
Health Education about Behaviour of Clean and Healthy Life (PHBS) in Household and School Rahmawati, Anita; Nurmawati, Thatit; Arsa, Sandi Alfa Wiga
Journal of Community Service for Health Vol. 3 No. 1 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v3i1.1127

Abstract

Enhancement of public health quality through awareness process could be done by behaviour of clean and healthy life (PHBS) program. Application of the PHBS program is determined by knowledge possessed by community toward the program, better knowledge will result on better program awareness implementation. The purpose of this community service is to increase knowledge about PHBS through providing PHBS education. This activity is to be done on two distinct times, places, and targets. The PHBS target on school settings is student of SMKN 2 at the Blitar City, meanwhile the PHBS target on household settings are pregnant women and her companion. Health educations are using lecture and discussion methods with power point presentation and brief video shown by LCD projector. Knowledge measurement before and after education are using questionnaire. Result of this activity are showing average enhancement at knowledge value after education compare with before, both on school settings as well as on household settings. This activity should be continued with focusing on another content of the PHBS program, another target of education or another program level such as at workplace, health facility, or public places.
Hubungan Pemberian Syringe Pump Norepinephrine dengan Kadar Gula Darah Acak pada Pasien di Ruang ICU RSUD Mardi Waluyo Kota Blitar Yuda Dwi Prasetya; Sandi Alfa Wiga Arsa
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 Thatit Nurmawati; Sandi Alfa Wiga Arsa; Nawang Wulandari; Agus Saparudin
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 Sandi Alfa Wiga Arsa; Miftah Chairunnisa
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.