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All Journal Jurnal Surya Babali Nursing Research Health Gate Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Community Service for Health Journal of Global Research in Public Health Journal of Community Research and Engagement
Wiga, Sandi Alfa
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Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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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
Preventing Non-Communicable Diseases by Implementing the Free Health Screening Program Wimar Anugrah Romadhon; Erni Setiyorini; Ning Arti Wulandari; Yeni Kartika Sari; Anita Rahmawati; Ulfa Husnul Fata; Raden Roro Dewi Rahmawaty Aktyani Putri; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Sabrina Rahmatillah Azhar
Journal of Community Service for Health Vol. 7 No. 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v7i1.1301

Abstract

Degenerative diseases are still a national problem and need special attention because if not handled properly, they will cause disability and even death. STIKes Patria Husada Blitar in collaboration with Visayas State University Philippines also succeeded in the government program, namely the Free Health Check (CKG). Together with the local health center, STIKes Patria Husada Blitar participated in health checks for the community including PTM screening, measuring body mass index, measuring blood pressure, checking blood sugar, cholesterol and uric acid levels, and other examinations. Participants in the Free Health Check were the community in the working area of ​​the Sananwetan Health Center as many as 57 participants. CKG activities were weighing, checking blood pressure, blood sugar levels, blood cholesterol levels, blood uric acid levels, eye screening, ear screening, dental screening, SADANIS examination and EKG examination. The CKG activity was held on Thursday, October 30, 2025 at the Residents' AssociationHall of Sananwetan Village. The examination results obtained that only 3.5% of the participants had a history of DM and 24.6% had a history of hypertension, as much as 42.1%; the majority of participants' blood pressure was pre-hypertension, namely 29.8%; the participants' blood sugar levels were mostly normal (<200 mg/dl), namely 59.6%; the participants' cholesterol levels were mostly normal (<200 mg/dl), namely 64.9%; and the participants' uric acid levels were mostly normal, namely 86%. The results of doctor consultations were only 24.6% who were advised to be referred to the Community Health Center or Health Facility. While the rest were advised to maintain their diet/regularly take medication. Universities can develop strategies for future community service activities by prioritizing promotive and preventive activities without neglecting curative and rehabilitative ones.
ACUPRESSURE SELF-CARE AS A COMPLEMENTARY THERAPY TO MANAGE HYPERTENSION Rahmalia Samsara Kristanti; Sandi Alfa Wiga Arsa; Ning Arti Wulandari
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.
The influence of education on increasing mothers' knowledge about acupressure for treating children with coughs and colds on increasing Engelina Choiru Fitroti; Sandi Alfa Wiga Arsa; Anita Rahmawati
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.
Empowering Elderly Exercise Groups in Gout Arthritis Management Through Education and Ergonomic Exercise Himmatul Ulya; Erni setiyorini; Sandi Alfa Wiga Arsa; Anita Rahmawati
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4202

Abstract

Gout arthritis is one of the health problems commonly experienced by the elderly and can cause joint pain and limited activity if not managed properly. Lack of knowledge about gout arthritis management is a factor that can worsen the condition. Therefore, education about gout arthritis management and ergonomic exercise is needed as a non-pharmacological management effort that can be done independently. The purpose of this community service program was to increase the knowledge of the elderly exercise group in managing gout arthritis through health education and demonstrations of ergonomic exercises as a promotive and preventive measure. The method used was a lecture providing education on gout arthritis management and ergonomic exercises using leaflets and demonstrations of ergonomic exercises. The target of the activity was members of the elderly exercise group in Bacem Village, Ponggok District, Blitar Regency. The pre-test results showed that 70% of participants were in the adequate knowledge category, and 30% were in the good knowledge category. After the education was provided, the post-test results showed an increase in knowledge, with 85% in the good knowledge category and 15% in the adequate knowledge category. The results of the gout examination showed that 50% of participants had normal gout levels, 45% had high gout levels, and 5% had low gout levels. Education on gout arthritis management and ergonomic exercise proved to be effective in increasing the knowledge of the elderly and is recommended to be implemented continuously in promotive and preventive efforts in the community.
Early Warning Scores as a Predictor of Mortality in Non Comorbid COVID-19 Patient Anita Rahmawati; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Ulfa Husnul Fata; Rahma Murti
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 Imam Tri Sutrisno; Rafika Rosyda; Nandar Wirawan; Sandi Alfa Wiga Arsa
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.
Intention-Based Transcultural Family Empowerment Model for Complementary Feeding Practices: A Structural Equation Modeling Approach Agusta Dian Ellina; Novian Mahayu Adiutama; Yudisa Diaz Lutfi Sandi; Wardah Fauziah; Dewi Rahayu Ningsih; Esti Andarini; Sandi Alfa Wiga Arsa; Nuridha Fauziyah
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p126-135

Abstract

Stunting remains a major public health concern in Indonesia, particularly among children aged 6–24 months. The quality of complementary feeding is strongly influenced by cultural norms and family dynamics. This study aimed to validate a previously developed transcultural care-based family empowerment model by integrating “intention” as a mediating factor in behavioral change. A cross-sectional study was conducted involving 530 families in Kediri, East Java, Indonesia. Data were collected using structured questionnaires and analyzed through Structural Equation Modeling–Partial Least Squares (SEM-PLS). The findings revealed that “intention” served as a robust mediator between family empowerment and complementary feeding quality (β = 0.45; p < 0.001), with an R² value of 0.69. These results underscore that nutritional behavior within families is shaped not only by knowledge and cultural values but also by psychological intention to act. The expanded model—an intention-based transcultural family empowerment framework—enhances behavioral predictability and broadens the application of transcultural care theory in community nursing contexts. Future research is recommended to apply longitudinal or intervention-based designs to examine changes in family intention over time and their impact on child nutrition outcomes. Expanding the application of this model to other health behaviors and cultural settings may further strengthen its theoretical and practical relevance in community nursing and public health contexts.
Co-Authors Agus Saparudin Agusta Dian Ellina Anita Rahmawati Anita Rahmawati Danang Candra Wiratama Denok Panglipuring Sulistya Devy Naning Kurniasari Dewi Rahayu Ningsih Engelina Choiru Fitroti Erni Setiyorini Erni Setiyorini Esti Andarini Hamidatus Daris Sa’adah Hamidatus Daris Sa’adah Heni Rohmawati Himmatul Ulya Imam Tri Sutrisno Iwit Rata Ari Dewi Kristina Widyanti Laily Prima Monica Laily Prima Monica, Laily Prima Lury Trijayanti Maria Ulfa Maria Ulfa Miftah Chairunnisa Miftah Chairunnisa Nandar Wirawan Nawang Wulandari Ning Arti Wulandari Novian Mahayu Adiutama Nuridha Fauziyah Prasetya, Yuda Dwi Raden Roro Dewi Rahmawaty Aktyani Putri Rafika Rosyda Rahma Murti Rahmalia Samsara Kristanti Sabrina Rahmatillah Azhar Sandi, Yudisa Diaz Lutfi Sulistya, Denok Panglipuring Thatit Nurmawati, Thatit Ulfa Husnul Fata WAHYU WIBISONO Wardah Fauziah Wimar Anugrah Romadhon Yeni Kartika Sari, Yeni Kartika Yuda Dwi Prasetya Yudisa Diaz Lutfi Sandi Yulia Kuswidyarti