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All Journal International Journal of Public Health Science (IJPHS) Journal of Educational, Health and Community Psychology Jurnal Keperawatan Muhammadiyah JURNAL NERS LENTERA BERDAYA: Jurnal Pendidikan dan Pengabdian Kepada Masyarakat JPK : Jurnal Penelitian Kesehatan Jurnal Ners Lentera
Manungkalit, Maria
Faculty Of Nursing, Widya Mandala Catholic University Surabaya
Humanities Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Perbedaan Efektifitas Senam Kebugaran Jasmani (SKJ) 2012 dan Rendam Kaki Air Hangat dalam Menurunkan Tekanan Darah Lansia dengan Hipertensi Ringan Manungkalit, Maria
JURNAL NERS LENTERA Vol 4, No 2 (2016)
Publisher : JURNAL NERS LENTERA

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Abstract

Pendahuluan: Lansia rentan mengalami hipertensi karena penurunan elastisitas pembuluh darah akibat proses penuaan. Tujuan penelitian ini adalah menganalisis perbedaan efektifitas SKJ 2012 dan rendam kaki air hangat dalam menurunkan tekanan darah lansia dengan hipertensi ringan. Metode: desain penelitian studi komparasi. Populasinya adalah semua lansia dengan hipertensi ringan di Panti Werdha (25 orang) dan di Posyandu Lansia Sejahtera (45 orang). Sampel dipilih dengan purposive sampling, besar sampel 32 orang yang terbagi dalam 2 kelompok. Variabel independen adalah SKJ 2012 dan rendam kaki air hangat sedangkan variabel dependen adalah tekanan darah. Instrument terdiri dari sphygmomanometer dan lembar observasi. Data penelitian dianalisis menggunakan Levene Test, bila didapatkan beda maka uji dilanjutkan dengan One Sample T Test. Hasil: ada beda penurunan tekanan sistole pada responden yang mendapatkan intervensi SKJ 2012 dengan Rendam Kaki Air Hangat dengan p value 0.01, pada diastole ditemukan tidak ada beda nilai p value 0.208. Hasil uji One Sample t-test menunjukkan bahwa SKJ 2012 (t=6.344) lebih efektif untuk menurunkan tekanan darah sistole dibandingan dengan rendam kaki air hangat (t=5,839). Diskusi: SKJ 2012 memiliki pola aktivitas yang lebih banyak dibandingkan dengan rendam kaki air hangat. Dilatasi arteriol menurunkan curah jantung sehingga menurunkan denyut jantung dan daya kontraktilitas jantung mengakibatkan terjadinya penurunan tekanan darah. Kesimpulan: Ada beda penurunan tekanan darah sistole intervensi SKJ 2012 dengan Rendam Kaki Air Hangat dan tidak ada beda penurunan tekanan diastole pada kedua intervensi. SKJ 2012 lebih efektif untuk menurunkan tekanan darah sistole dibandingan dengan rendam kaki air hangat.
Latihan Kultivasi Falun Dafa Dalam Mengontrol Tekanan Darah Orang Lanjut Usia (Lansia) Manungkalit, Maria
JURNAL NERS LENTERA Vol 1 (2013)
Publisher : JURNAL NERS LENTERA

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Abstract

Hipertensi pada lansia dapat merupakan dampak dari proses penuaan yang terjadi pada sistem kardiovaskular. Latihan Kultivasi Falun Dafa (KFD) adalah salah satu penatalaksaanaan terapi nonfarmakologi pada lansia dengan hipertensi. Penelitian ini bertujuan untk menganalisis latihan KFD dalam mengontrol tekanan darah lansia dengan hipertensi. Penelitian menggunakan quasy experiment dengan pretest-posttest control group design. Jumlah responden berjumlah 30 orang yang diambil dari populasi lansia dengan hipertensi. Mereka dibagi menjadi 2 kelompok, yaitu 15 responden sebagai kelompok eksperimen (dengan intervensi KFD) dan 15 responden sebagai kelompok kontrol (tanpa intervensi KFD). Latihan KFD merupakan variabel independen sedangkan tekanan darah adalah variabel dependennya. Data dianalisis dengan paired t test dan independent t-test (p ≤ 0,05). Hasil paired t-test menunjukkan bahwa latihan KFD pada kelompok eksperimen menurunkan secara signifikan tekanan darah sistolik (p=0,0001) maupun tekanan darah diastolik (p=0,0001), sedangkan pada kelompok kontrol tidak terjadi penurunan pada tekanan darah sistolik (p=0,190) maupun tekanan darah diastoliknya (p=0,503). Hasil independent t-test menunjukkan bahwa pada kelompok eksperimen post-intervensi dan kelompok kontrol post test ada beda yang signifikan, baik pada tekanan darah sistolik (p=0,001) maupun tekanan diastoliknya (p=0,0001). Dapat disimpulkan bahwa latihan KFD berpengaruh dalam mengontrol tekanan darah lansia dengan hipertensi.
HUBUNGAN LINGKAR PINGGANG DENGAN FAKTOR RISIKO DIABETES MELLITUS (TEKANAN DARAH, KADAR GULA DARAH DAN INDEKS MASSA TUBUH) PADA USIA DEWASA AWAL DI WILAYAH KECAMATAN GERIH KABUPATEN NGAWI (Correlation Between Waist Circumference and Diabetes Mellitus Ris Manungkalit, Maria; Kusnanto, .; Purbosari, Ana Dyah Ayu
JURNAL NERS LENTERA Vol 3, No 1 (2015)
Publisher : JURNAL NERS LENTERA

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Abstract

Pendahuluan: Diabetes mellitus adalah kumpulan gejala yang timbul pada seseorang yang mengalami peningkatan kadar gula darah akibat kekurangan hormon insulin secara absolut. Mengukur nilai Lingkar Pinggang adalah salah satu cara mengukur distribusi lemak dalam tubuh. Apabila Lingkar Pinggang melebihi batas normal dapat menyebabkan kegemukan, jadi merupakan faktor utama timbulnya penyakit-penyakit degeneratif seperti Diabetes mellitus. Metode: Penelitian ini bertujuan mencari hubungan antara Lingkar Pinggang dengan faktor resiko Diabetes mellitus (Tekanan Darah, Kadar Gula Darah dan Indeks Massa Tubuh) pada usia dewasa awal dengan 58 responden. Hasil: Hasil analisa korelasi menggunakan Pearson menunjukkan bahwa nilai korelasi Lingkar Pinggang dengan Tekanan Darah sistolik adalah 0,306 (p>0.05), nilai korelasi Lingkar Pinggang dengan Tekanan Darah Diastolik adalah 0,062 (p>0.05). Hasil korelasi Lingkar Pinggang dengan Kadar Gula Darah adalah 0,801 (p>0.05). Berarti bahwa tidak terdapat hubungan antara Lingkar Pinggang dengan Tekanan Darah dan Kadar Gula Darah. Hasil korelasi Lingkar Pinggang dengan Indeks Massa Tubuh adalah 0,000 (p
Pengaruh Terapi Relaksasi Benson terhadap Kadar Gula Darah pada Lansia dengan Diabetes (The Effect of Benson Relaxation Therapy towards Blood Glucose Level in Elderly with Diabetes) Juwita, Linda; Prabasari, Ninda Ayu; Manungkalit, Maria
JURNAL NERS LENTERA Vol 4, No 1 (2016)
Publisher : JURNAL NERS LENTERA

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Abstract

Pendahuluan: Diabetes Mellitus (DM) merupakan salah satu penyakit degeneratif. Komplikasi dari DM yakni hipoglikemia, diabetes ketoasidosis, sindrom hiperglikemik hiperosmolar nonketotik. Penderita DM rentan untuk mengalami penurunan kualitas hidup. Tujuan penelitian ini menjelaskan pengaruh terapi Benson terhadap kadar gula darah pada lansia dengan Diabetes Mellitus. Metode: Desain penelitian ini adalah quasy eksperimental. Desain yang digunakan dalam penelitian ini adalah pre test post test control group design. Populasinya adalah semua lansia penderita DM di Posyandu Lansia Matahari Surabaya. Sampel dalam penelitian berjumlah 38 Orang masing-masing kelompok perlakuan dan kontrol yaitu 19 orang, dengan kriteria menderita DM, usia 55 tahun, dan kooperatif. Hasil: Hasil penelitian kelompok kontrol yaitu p = 0.005 sedangkan kelompok perlakuan p = 0.001. Pembahasan: Stress yang menyebabkan hormon kortisol meningkat membuat glukosa lebih sulit untuk memasuki sel dan meningkatkan gula darah. Dalam relaksasi Benson, proses pernafasan yang tepat dilakukan, ini merupakan penawar stress. Kesimpulan: Relaksasi Benson dapat menurunkan kadar gula darah pada lansia dengan DM.
The best predictor of anxiety, stress, and depression among institutionalized elderly Ni Putu Wulan Purnama Sari; Maria Manungkalit
International Journal of Public Health Science (IJPHS) Vol 8, No 4: December 2019
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.253 KB) | DOI: 10.11591/ijphs.v8i4.20359

Abstract

Anxiety, stress, and depression are the three most common negative emotional constructs found in the elderly. Evidences available worldwide about how psychological problem could be resulted in mental disorder, and there is significant difference in the context of living in the nursing home and in community setting. This study aimed to determine the best predictor of anxiety, stress, and depression in elderly living in the nursing home, useful for future modification and intervention development. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. HARS, SPST-20, and GDS were used in data collection. Linear regression and one way ANOVA tests were used in data analysis (α<0.05). Results showed that mostly in old individuals, mild anxiety and stress, and undepressed state were found. Sensory problems and concentration difficulties were the best predictor of anxiety and stress respectively, which were accounted for 61.2% and 65.6% variances of anxiety and stress in nursing home residents respectively. Spirits, life energy, happiness, and feeling wonderful to be alive could not predict depression significantly. Feeling inferior to others is the best predictor of depression, which was accounted for 25.9% variance of depression in this population. Low self-esteem leads to depression in nursing home residents.
Predictors of post prandial glucose level in diabetic elderly Ni Putu Wulan Purnama Sari; Maria Manungkalit
International Journal of Public Health Science (IJPHS) Vol 8, No 2: June 2019
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (409.772 KB) | DOI: 10.11591/ijphs.v8i2.19022

Abstract

Post prandial glucose (PPG) level describes the speed of glucose absorption after 2 hours of macronutrient consumption. By knowing this, we could get the big picture of insulin regulation function and macronutrient metabolism in our body. In elderly, age-related slower glucose metabolism leads to diabetes mellitus (DM) in older age. This study aimed to analyze the predictors of PPG level in diabetics elderly which consist of functional status, self-care activity, sleep quality, and stress level. Cross-sectional study design was applied in this study. There were 45 diabetic elderly participated by filling in study instruments. Pearson and Spearman Rank correlation test were used in data analysis (α<.05). Results showed that most respondents were female elderly, 60-74 years old, had DM for 1-5 years with no family history, and only 33.33% respondents reported regular consumption of oral anti diabetes (OAD). Hypertension was found to be frequent comorbidity. Statistical analysis results showed that functional status, self-care activity, sleep quality, and stress level were not significantly correlated with PPG level in diabetic elderly (all p>α), therefore these variables could not be PPG level predictors. Other factors may play a more important role in predicting PPG level in diabetic elderly.
The Influence of Anxiety and Stress toward Depression in Institutionalized Elderly Maria Manungkalit; Ni Putu Wulan Purnama Sari
Journal of Educational, Health and Community Psychology Vol 9 No 1 March 2020
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.v9i1.13917

Abstract

Due to age-related changes, the elderly are prone to psychological problems, such as anxiety and stress, and mental disorder, such as depression. This study aimed to analyze the influence of anxiety and stress on depression in elderly living in the nursing home. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. Hamilton Anxiety Rating Scale (HARS), Suan Prung Stress Test - 20 (SPST-20), and Geriatric Depression Scale (GDS) was used for collecting data. Linear and ordinal regression tests were used in data analysis (α<0.05).  Results showed that the majority was old married Chinese female with basic education level, and living in the nursing home for 1-3 years. Averagely, respondents had mild anxiety, mild stress, and not depressed. Anxiety has a significant influence on depression in elderly living in the nursing home (p = 0.000), and it was accounted for 12.8% variance of depression in this population (R2 = 0.128). Stress has significant influence also on depression (p = 0.000), and it was accounted for 24% variance of depression in this population (R2 = 0.240). Stress is proved to have more influence on depression in the elderly living in a nursing home compared to anxiety.Keywords: anxiety, depression, elderly, institutionalized elderly, nursing home, stress
PENGARUH AKTIVITAS FISIK TERHADAP TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI Manungkalit, Maria; Nia Novita, Sari; Natalia Andi Puput, Novita
JPK : Jurnal Penelitian Kesehatan Vol. 14 No. 1 (2024): Juni
Publisher : Sekolah Tinggi Ilmu Kesehatan Katolik St. Vincentius a Paulo Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54040/jpk.v14i1.249

Abstract

Salah satu perubahan fungsi yang dialami lanjut usia (lansia) adalah menurunnya kelenturan/elastisitas pembuluh darah sehingga memicu potensi kejadian peningkatan tekanan darah (hipertensi). Kondisi ini juga erat kaitannya dengan kurangnya kegiatan lansia dalam melakukan aktivitas fisik. Aktivitas fisik yang sederhana yang bisa dilakukan di rumah seperti berjalan, bersepeda, jogging, ataupun aerobik ringan. Tujuan penelitian ini yaitu menjelaskan pengaruh aktivitas fisik terhadap tekanan darah pada lansia dengan hipertensi. Desain penelitian cross sectional dengan jumlah populasi sebanyak 200 orang. Besar sampel penelitian ini sebanyak 30 orang dengan teknik sampling menggunakan purposive sampling. Variabel independen adalah aktivitas fisik sedangan variabel dependen yaitu tekanan darah. Hasil uji hipotesis menggunakan uji regresi linear sederhana dengan hasil p value=0.013 (<0.05) yang berarti ada pengaruh aktivitas fisik terhadap tekanan darah pada lansia dengan hipertensi. Aktivitas fisik mempengaruhi perubahan tekanan darah pada lansia dengan hipertensi karena dengan melakukan aktivitas tersebut maka terjadi vasodilatasi dan relaksiasi pada pembuluh darah sehingga terjadi perbaikan penurunan pada tekanan darah.
Pengaruh Progressive Muscle Relaxation Terhadap Stres Pada Lanjut Usia Dengan Diabetes Melitus Tipe 2 Aniva, Dwi Reza Wardatul; Astarini, Made Indra Ayu; Manungkalit, Maria
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.22523

Abstract

Elderly with diabetes type 2 are very risk of stress, feelings of stress arises of lifelong diseases process and residence factor. Unresolved stress in elderly has a negative impact on medication and worsens sugar level. And will have an impact on a dractic decline in health or complications. The purpose of this study is to analyzed the effect of PMR on stress in elderly with diabetes type 2 in Nursing Home. This research design used pre-experimental with one-group pre-post test. Independent variable was PMR and dependent variable was stress. The research population was 24, Sample of this study was 20 elderly with diabetes type 2 who were selected used a purposive sampling. Instruments use are Perceived Stress Scale 10 (PSS-10) and Standard Operating Procedures (SOP). PMR given 8 times in a month (twice per week), the duration is 15 minutes. The hypothesis test that was carried out by the stastistic Paired T-Test. The mean pre-post stress value is 19,9 to 7,5. The results of this study is p= 0,000 (p< 0,05) which means that there is a significant PMR effect on stress in elderly with diabetes type 2 in Nursing Home. PMR can reduce cortisol hormone productions. Key words: Diabetes type 2, Elderly, Progressive Muscle Relaxation, Stress
Optimalisasi Peran Caregiver dalam Merawat Lansia yang Tinggal di Panti Werdha Manungkalit, Maria; Sari, Ni Putu Wulan Purnama
BERDAYA: Jurnal Pendidikan dan Pengabdian Kepada Masyarakat Vol 7 No 2 (2025)
Publisher : LPMP Imperium

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36407/berdaya.v7i2.1542

Abstract

Entering old age, the elderly will experience a decline in body function both physically and psychologically. This decline can result in a decrease in the physical ability of the elderly in carrying out their daily activities and activities and for this reason the elderly become dependent on others. The purpose of this community service activity is to improve the knowledge and skills of caregivers with health education or counseling methods and physical examination simulations for the elderly who experience health problems. This activity was carried out in August 2025 with a population of 71 caregivers working at the Santo Yosef Werdha Home. The number of participants who attended was 45 people. The instrument used in this activity was a questionnaire that was distributed and filled out before and after the provision of material by the resource person. The results showed that most caregivers before being given the material showed that the level of knowledge was not good, as many as 24 people (53%). After the provision of material, there was an increase in the level of knowledge with the results being mostly in the good category, as many as 38 people (84%). The need for caregiver understanding and skills in caring for and nurturing the elderly through counseling and training can increase the level of caregiver knowledge and have an impact on the quality of care provided to the elderly.
Co-Authors . KUSNANTO Agustina Chriswinda Bura Mare Aniva, Dwi Reza Wardatul Antonio, Cristoper Caesar Febiola, Yolla Ida Ayu Febiana, Ida Ayu Febiana Ida Ayu Febiana Juwita, Linda Kristina Pae Lilyana, Maria Theresia Arie Made Indra Ayu Astarini, Made Indra Ayu Mamahit, Ruth Lady Nyoo Natalia Andi Puput, Novita Ni Putu Wulan Purnama Sari Nia Novita Sari Ninda Ayu Prabasari NURUL HIDAYAH Purbosari, Ana Dyah Ayu Purbosari, Ana Dyah Ayu Putri, Tiurma Dian Pramesti Radjawane, Cormutia Jesica Reni, Paulina Nona Sari, Ni Putu Wulan Purnama Sukmawati, Ermalynda