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All Journal International Journal of Public Health Science (IJPHS) Journal of Educational, Health and Community Psychology Jurnal Keperawatan Muhammadiyah Manuju : Malahayati Nursing Journal 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.
Latihan Jalan Kaki untuk Meningkatkan Vitalitas Lansia Sari, Ni Putu Wulan Purnama; Manungkalit, Maria; Mare, Agustina Chriswinda Bura; Sat, Yohana Maria Meliani Septiasih
BERDAYA: Jurnal Pendidikan dan Pengabdian Kepada Masyarakat Vol 6 No 1 (2024)
Publisher : LPMP Imperium

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36407/berdaya.v6i1.1060

Abstract

This activity aimed to maintain or increase the vitality of the elderly living in nursing home so as to optimize health status in old age. The method used were health education (HE) program about walking exercise, demonstration and redemonstration of walking exercise, as well as measuring vital sign (blood pressure) of the elderly before and after walking exercise. The instruments used were knowledge questionnaire, walking exercise observation sheet, and vital sign observation sheet. Parameters measured were the level of knowledge and blood pressure. Participants were elderly people living in a private nursing home in Surabaya (n=82). The majority were elderly women (79.3%) who were in the old category, namely 75-90 years old (59.8%). Before the HE program, the majority had insufficient knowledge about walking exercise (43.9%), then this level was increased became a sufficient level in the majority after the HE program (56.1%). There were 26 elderly participated in the walking exercise redemonstration (31.7%), all of whom were hypertensive. Before walking exercise, the Mean systolic blood pressure was 142.96 mmHg and the Mean diastolic was 75.92 mmHg. After walking exercise, 100% elderly experienced a decrease in systolic blood pressure with a Mean of 122.73 mmHg and diastolic with a Mean of 68.42 mmHg. There were only 7.7% elderly who did not experience a decrease in diastolic blood pressure after walking exercise. The results of the Wilcoxon Signed Rank test showed that walking exercise had a significant effect on systolic (p=0.000) and diastolic (p=0.002) blood pressure in hypertensive elderly. Walking exercise is a very appropriate sport for the elderly.
Kemampuan Perawatan Diri dengan Edukasi Manajemen Penyakit Degeneratif Pada Lansia Di Panti Werdha Manungkalit, Maria; Sari, Ni Putu Wulan Purnama; Mare, Agustina Chriswinda Bura
BERDAYA: Jurnal Pendidikan dan Pengabdian Kepada Masyarakat Vol 6 No 1 (2024)
Publisher : LPMP Imperium

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36407/berdaya.v6i1.1065

Abstract

Aging is a process experienced by every individual with increasing age. It is said to be elderly (elderly) if a person is over 60 years old. In the elderly, health problems will begin to be disrupted as a result of decreased function and changes in body structure so that it will affect the self-care of the elderly. Effective self-care is defined as a sense of responsibility towards oneself in maintaining one's own health. It is hoped that the elderly in dealing with health status problems can identify the symptoms that appear and know what steps and actions must be taken to reduce or reduce their pain. Community service activities carried out at the orphanage using the lecture method (counseling) and question and answer discussions. The activity ran smoothly and was attended by 82 elderly out of a population of 150 elderly people. Before the material is given, participants are first given an activity pretest questionnaire and will be given back with the same leveling as the activity posttest questionnaire to measure the participant's level of understanding of the material presented. The output that has been obtained from the implementation of this activity is shown from the results of increasing the knowledge of the elderly about self-care abilities for most of the elderly after being given health education, the level of knowledge has increased by a percentage of 64.6%. With an increase in the knowledge of the elderly, it is hoped that they will be able to take care of themselves independently or at least care.
Co-Authors . KUSNANTO Agustina Chriswinda Bura Mare Aniva, Dwi Reza Wardatul Antonio, Cristoper Caesar Cempaka, Anindya Arum 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 Sat, Yohana Maria Meliani Septiasih Sukmawati, Ermalynda