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Correlation Between Drinking Coffee and Incident Hypertension in Maospati Magetan District Hamidatus Daris Sa’adah; Devy Naning Kurniasari; Yudisa Diaz Lutfi Sandi; Sandi Alfa Wiga Arsa
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 Yeni Kartika Sari; Ning Arti Wulandari; Sandi Alfa Wiga Arsa; Iwit Rata Ari Dewi
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% Sandi Alfa Wiga Arsa; Anita Rahmawati; Thatit Nurmawati; Heni Rohmawati
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
Health education on the use of aromatherapy as an effort to control hypertension wijayanti, salsa -; setiyorini, Erni; Arsa, Sandi Alfa Wiga; Rahmawati, Anita
Health Gate Vol 4, No 1 (2026): January
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4104

Abstract

Hypertension is a non-communicable disease with increasing prevalence and is a major risk factor for cardiovascular disease, especially in the elderly. Low knowledge, unhealthy lifestyles, and suboptimal stress management often lead to uncontrolled hypertension in the community. Housewives have the potential to be empowered as a socio-religious community in efforts to control hypertension. This community service activity aims to increase the knowledge and independence of subjects in controlling hypertension through health education and the application of complementary lavender aromatherapy therapy. The activity method uses a pretest–posttest design approach without a control group, with housewives as subjects who are members of the Surah Yasin reading group. The sample was taken by accidental sampling, with a total of 50 people. Respondents were given education about hypertension and trained to use lavender aromatherapy provided by the researcher, then their blood pressure was evaluated. The instruments used were questionnaires and sphygmomanometer aneroid. The results of the activity were analyzed descriptively, showing an increase in knowledge in the good category from 26% before the activity to 78% after the activity and a decrease in average systolic blood pressure of 9.36 mmHg and diastolic blood pressure of 5.68 mmHg. This activity shows that a community-based approach through health education and lavender aromatherapy has the potential to support promotive and preventive efforts in controlling hypertension in the community.Keywords: hypertension
The influence of education on increasing mothers' knowledge about acupressure for treating children with coughs and colds on increasing Fitroti, Engelina Choiru; Arsa, Sandi Alfa Wiga; Rahmawati, Anita
Health Gate Vol 4, No 1 (2026): January
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4106

Abstract

A mother's knowledge of caring for young children is influenced by information. Information can provide direct knowledge gains that contribute to behavioral change, including the use of complementary therapies such as acupressure. Mothers with young children at the primary service integration cadres “Cut Muti”,  in Bendogerit Village, Blitar City, are a strategic group for empowerment because they play a central role in daily childcare. This study uses a one-group pretest-posttest pre-experimental design. The population consisted of 40 mothers of children under five who were registered at the the primary service integration cadres “Cut Muti”, using a total sampling technique. Data was collected using a questionnaire that measured mothers' knowledge of acupressure for managing coughs and colds in toddlers. The intervention consisted of health education thru lectures and counseling supported by leaflets, delivered individually, and conducted in a single 25-minute session. The data was analyzed using the Wilcoxon test. Statistical analysis shows a significant increase in mothers' knowledge after the intervention, with a p-value of 0.000 (p<0.05). This finding indicates a significant difference in knowledge levels before and after health education about acupressure therapy. Health education about acupressure effectively improves mothers' knowledge and is expected to support independent and correct home management of coughs and colds in toddlers. Future community service initiatives are recommended to expand participant coverage and strengthen community-based empowerment programs to sustainably reduce respiratory complaints in children under five in Indonesia.
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.
ACUPRESSURE SELF-CARE AS A COMPLEMENTARY THERAPY TO MANAGE HYPERTENSION Kristanti, Rahmalia Samsara; Arsa, Sandi Alfa Wiga; Wulandari, Ning Arti
Journal of Community Research and Engagement Vol. 2 No. 2 (2025): NOVEMBER
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/jcore.v2i2.1295

Abstract

The Indonesian Tera Klampok gymnastics group has a high prevalence of hypertension. This is evidenced by the results of interviews and preliminary studies as many as 80% of members who suffer from hypertension. This community service aims to increase the knowledge and ability of hypertension patients to apply acupressure independently to control blood pressure to prevent all risks of complications and partners can be independent in checking blood pressure regularly. The implementation of activities includes education, training and assistance for partners in applying acupressure therapy as complementary therapy, the media used are leaflets and power point broadcasts related to acupressure therapy. The participants who attended the activity were 36 people. In the post-test after providing education, training and assistance to partners in applying acupressure therapy as complementary therapy, it showed significant differences in the reduction of systolic and diastolic blood pressure in participants before and after acupressure therapy and there was an increase in knowledge and skills related to hypertension and the benefits of the application of independent acupressure complementary therapy as one of the management of non-pharmacological therapies that can lower blood pressure and partners are able to take part in demonstrations of acupressure techniques and points for hypertension and the community is able to apply acupressure therapy related to hypertension management. Keywords: Hypertension, Acupressure, Health Education, Elderly, Blood Pressure.