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Sosial-Ekonomi dan Pengetahuan Terhadap Perspektif Lansia Penderita TB Paru di Kota Bengkulu Feri Surahman Saputra; Yance Hidayat; Jipri Suyanto; Diki Bima Prasetio; Suriyani Tan
Malahayati Nursing Journal Vol 7, No 5 (2025): Volume 7 Nomor 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i5.17323

Abstract

ABSTRACT Especially in older individuals, perspective can serve as the basis for health behavior. This perspective measures the extent to which tuberculosis patients adhere to the treatment process based on pre-established guidelines. The presence of a negative patient attitude directly correlates with an increased likelihood of non-adherence to therapy, thereby giving birth to additional complications, such as medication resistance. Investigation of the variables influencing the viewpoint of older individuals with Tuberculosis in Bengkulu City. The research utilised a cross-sectional methodology and included a total of 153 participants in Bengkulu City. The sample selection method utilises a multistage random sampling methodology applied during a research period of one month. The data analysis procedure utilizes both univariate and logistic regression estimation techniques. The findings indicated that almost 50% of the participants were male, nearly 50% had completed primary education, nearly 50% were employed as farmers, nearly 50% were divorced, over 50% earned the Regional Minimum Wage, nearly 50% had limited knowledge, and nearly 50% had a negative outlook. Moreover, the findings indicated a correlation between gender, secondary education, agricultural occupation, marital status, income, and knowledge as perceived by senior individuals with tuberculosis in the Bengkulu City Region, with a statistically significant p-value of less than 0.05. The results suggest a correlation between the viewpoint of the respondent and the elements inherent to him. Hence, in order to shift the respondent's viewpoint towards a favorable one and enhance the patient's own treatment process, it is imperative to have active support from all stakeholders, including the family, the community, and the medical team. The adoption of a positive attitude by patients can foster motivation to comply with the treatment suggestions provided by the doctor, thereby potentially resulting in a reduction in the occurrence of tuberculosis. Improved health of the community can ensue as a consequence. Keywords: Perspective of Older People with Tuberculosis, Gender, Socio-Economics. ABSTRAK Perspektif dapat menjadi dasar dalam hal berperilaku kesehatan, khususnya pada pasien lansia. Perspektif ini menjadi penyebab penentu kepatuhan pasien TB dalam menjalani proses pengobatan yang sesuai dengan aturan yang telah ditetapkan. Semakin buruk perspektif pasien tersebut, maka peluang tidak patuh dalam menjalani pengobatan akan semakin tinggi yang dapat menyebabkan masalah lain muncul, yaitu resistensi obat. Untuk Mengetahui faktor yang berhubungan dengan perpsektif lansia penderita TB di Kota Bengkulu. Penelitian ini menggunakan desain cross sectional yang dilaksanakan di Kota Bengkulu dengan jumlah respoden sebanyak 153 responden. Teknik dalam menseleksi sampel menggunaka teknik multistage random sampling dengan lama penelitian selama 1 bulan. Sedangkan analisis data menggunakan uji univariat dan uji logistic regression. Dari hasil menunjukan hasil bahwa hampir sebagian responden berjenis kelamin laki-laki, hampir sebagian dari responden memiliki pendidikan dasar, hampir sebagian dari responden memiliki background pekerjaansebagai petani, hampir sebagian dari responden memiliki status cerai, lebih dari setengah dari responden memiliki pendapatan UMR, hampir Sebagian dari responden memiliki pengetahuan kurang baik, dan lebih dari setengah dari responden memiliki perspektif kurang baik. Selaian itu hasil menunjukan juga bahwa adanya hubungan antara jenis kelamin, Pendidikan menengah, background pekerjaan sebagai petani, status perkawinan, pendapatan dan pengetahuan dengan perspektif lansia penderita TB di Kawasan Kota Bengkulu dengan nilai p-value di bawah 0.05. Dari hasil menunjukan hasil bahwa komponen faktor yang berasal dari diri responden memiliki hubungan dengan perpsektif dari responden itu sendiri. Oleh karena itu, untuk merubah perspektif responden tersebut menjadi baik sehingga dapat menstimulus dalam proses pengobatan pasien itu sendiri, diperluhkan dukunga dari semua kalangan, baik dari keluarga, Masyarakat dan dari team medis itu sendiri. Sehingga penderita dapat berpikir positif dan termotivasi untuk melakukan pengobatan sesuai ajuran dari dokter dan angkah kejadian dari TB itu sendiri memiliki peluang menjadi menurun. Sehingga dapat meningkatkan derajat Kesehatan di dalam komunitas itu sendiri. Kata Kunci: Persepektif Lansia Penderita TB, Jenis Kealmin, Sosial-Ekonomi.
Dampak Sosial Dan Kultural Pernikahan Terhadap Kualitas Hidup Lansia Dalam Dinamika Stigma Sosial Di Masyarakat Global: A Literature Review Yance Hidayat; Jipri Suyanto
Optimal Nursing Journal Volume 2, Nomor 1, Juni 2025
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67717/740306

Abstract

Early marriage, despite many countries having legislated marriage age limits, still occurs and has significant long-term impacts on the quality of life of individuals, especially older adults who experience it. The social and cultural impacts of early marriage, such as educational inequality, economic hardship, and social stigma, worsen the quality of life of older people who have married young, leaving them isolated and lacking access to necessary services. In a global context, early marriage also affects the physical and mental health of older people, including reproductive health problems, economic dependency, and difficulty adapting to social change, which worsens their condition as they age. The aim of this study was to examine the social and cultural impact of early marriage on older people's quality of life, with a focus on the dynamics of social stigma in global society. This study used the PRISMA approach to conduct a systematic literature review on quality of life in older adults. Selected articles were screened using inclusion and exclusion criteria based on the PICOS framework, which included population, intervention, comparison, outcome, and study design. Literature searches were conducted in reputable databases such as PubMed, Google Scholar, and ScienceDirect, with restrictions on English-language studies published between 2019 and 2025. Studies that met the criteria were included in a narrative synthesis analysis, which identified trends, patterns, and gaps in research findings. The selection and synthesis process was conducted with transparency, ensuring that the research results were based on reliable evidence. Research on the quality of life of older adults shows that various social, cultural, and activity factors influence their well-being. One study found that most older adults had a high quality of life, with traditional values of marriage having a significant effect on their well-being. Marital status also played an important role, with married older people showing better quality of life, especially in social relationships and psychological health. Another study showed the quality of life of older people in social care centers, where age and marital status influenced differences in quality of life, although gender, education, and length of stay did not have a significant effect. Meanwhile, older people's participation in customized cultural activities can improve their quality of life, with the involved group showing significant improvements compared to the control group. Social factors such as culture, marital status, and participation in cultural activities have a major influence on the quality of life of older adults. Local cultural values and social support can improve the well-being of older people, while cultural activities integrated into care also have a positive impact. Programs that support cultural values and meet the social needs of older people are important for improving their quality of life. Cooperation between the government, social institutions and communities is needed to create a supportive environment for the elderly.
Application Of Tomato Juice Therapy To Reduce Blood Pressure In Hypertension Patients Through The Application Of The Virginia Henderson Model At The Tresna Werdha Residence In Bengkulu City Sela Nova Lestari A; Yance Hidayat
Journal of Multidisciplinary Research Vol. 2 No. 2 (2026): January
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jmr.v2i2.474

Abstract

Hypertension or high blood pressure is a condition when there is an increase in blood pressure, namely above 140 mmHg for systolic blood pressure and 90 mmHg for diastolic blood pressure. Systolic blood pressure is the blood pressure measured by a sphygmomanometer when the heart contracts so that it reaches the highest number, while diastolic blood pressure is the blood pressure measured when the heart expands so that the number is lowest (Yohanes, 2023). The general objective of this case study is to implement tomato juice therapy to reduce blood pressure in hypertensive patients through the application of the Virginia Henderson model at the Panti Tresna Werdha in Bengkulu City. This case study method is a descriptive method using a descriptive method, namely a method carried out with the main aim of creating a picture or description of a condition objectively and focusing on a particular object. The results of nursing care provided in cases of hypertension show an adaptive response in patients. These results prove that Virginia Henderson is effectively applied to hypertensive patients. Thus, the Virginia Henderson Theory can be considered as a method in providing quality nursing care. Virginia Henderson's theory, namely the Fulfillment of 14 Basic Human Needs, aims to make patients independent (Hernawan, 2018). Considering that some problems that can occur in hypertension sufferers can recur, Virginia Henderson's theory is an appropriate one.
Hubungan Toxic Relationship Terhadap Kesehatan Mental Pada Remaja Di SMK Negeri 1 Lubuk Linggau Marlina Ulfa; Yance Hidayat; Sasteri Yulianti
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 1 (2026): Januari
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i1.9618

Abstract

Mental health has been recognized as important for achieving global development goals, as evidenced by its inclusion in the Sustainable Development Goals (SDGs). Poor mental health is a serious health problem, especially among adolescents, with most mental health problems beginning at the age of 14. A toxic relationship is a friendship that is very harmful and causes a person to feel bad. The research method used was descriptive research with a cross-sectional approach, using the Chi-Square statistical test. The sampling technique used was stratified random sampling with a sample size of 210 adolescents at SMK Negeri 1 Lubuk Linggau. The results of the univariate analysis showed that almost half of the respondents (46.7%) experienced toxic relationships, other respondents (16.7%) experienced moderate depression, any other respondents (21.4%) experienced moderate stress, and a small portion of respondents (17.1%) experienced moderate anxiety. The results of the bivariate analysis showed that there was a relationship between toxic relationships and depression in adolescents with p=0.001, there was a relationship between toxic relationships and stress in adolescents with p=0.001, and there was a relationship between toxic relationships and anxiety in adolescents with p=0.001. It is hoped that more attention will be paid to fostering healthy friendships, meaning that no individual will feel harmed by another individual, in order to prevent feelings of anxiety and depression caused by toxic friendships.
Hubungan Pengetahuan Dan Self Control Dengan Perilaku Merokok Pada Remaja Di SMP Negeri Selangit Musi Rawas Utara Tahun 2025 Eis Sian Nora; Yance Hidayat; Emi Pebriani
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 1 (2026): Januari
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i1.9629

Abstract

Indonesia is one of the largest cigarette consuming countries in the world. The Indonesian Health Survey (2023) found that the prevalence of smoking among the population aged ≥10 years was 22.46% daily smokers and 4.56% occasional smokers. Based on the age of adolescents aged 10-14 years, daily smokers were 0.5% and occasional smokers were 0.7%. Adolescents aged 15-18 years old smoked daily by 11.1% and occasional smokers by 5.6%. The purpose of this study was to determine the relationship between knowledge and self-control with smoking behavior in adolescents at Selangit State Junior High School, North Musi Rawas in 2025. The research method used was descriptive research with a cross-sectional approach. The sampling technique used Proportionate Stratified Random Sampling with a sample size of 72 adolescents at Selangit State Junior High School, North Musi Rawas in 2025. The results of the univariate test analysis showed that most of the respondents (52.8%) had sufficient knowledge, most of the respondents (52.8%) had moderate self-control, and almost half of the respondents (48.6%) had smoking behavior. The results of the bivariate analysis showed a relationship between knowledge (p-value 0.000) and self-control (p-value 0.000) with smoking behavior in adolescents. There is a relationship between knowledge and self-control with smoking behavior in adolescents at Selangit State Junior High School, North Musi Rawas in 2025. The researcher recommends that respondents use their knowledge to make healthy lifestyle choices, avoid smoking, and be a positive role model for their peers.
Pengaruh Pendidikan Karakter Anti-Bullying Terhadap Kesehatan Mental Pada Siswa Di SMP Negeri 19 Kota Bengkulu Tahun 2025 Desmi Desmi; Yance Hidayat; Erlina Panca Putri
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.10919

Abstract

Bullying in schools remains a serious problem that impacts students' mental health, particularly at the junior high school level. Data from the Indonesian Teachers' Union Federation shows an increase in bullying cases from 21 to 30 in 2023, with 50% occurring at the junior high school level. Furthermore, anxiety disorders are experienced by 4.1–5.3% of adolescents, and depression by 1.3–3.4%, potentially disrupting students' learning and psychological well-being. Therefore, anti-bullying character education is needed as a preventative measure to create a safe school environment and support students' mental health. This study aims to determine the effect of anti-bullying character education on student mental health at SMP Negeri 19, Bengkulu City. The method used was a pre-experimental study with a one-group pretest–posttest design. The study sample consisted of 160 students selected using stratified random sampling. The research instruments were an anti-bullying character education questionnaire and a mental health questionnaire. Data analysis was performed using univariate and bivariate methods using the Wilcoxon Signed Rank Test. The analysis showed that before the intervention, most students were in the moderate category for bullying (56.3%), and after the intervention, most were in the low category (60.6%). The mental health of students in the undisturbed category increased from 51.9% to 63.1% after the intervention. The Wilcoxon test showed a significant effect of anti-bullying character education on student mental health (p < 0.05). The researchers recommend that schools implement anti-bullying character education sustainably, including bullying prevention efforts, and improve student mental health.
Hubungan Pengetahuan Dan Peran Keluarga Sebagai Caregiver Informal Terhadap Perawatan Mandiri Lansia Di Posbindu Wilayah Kerja Puskesmas Megang Kota Lubuklinggau Tahun 2025 Wilda Firsty Casanova; Yance Hidayat; Tita Septi Handayani
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.10945

Abstract

The increasing number of elderly people presents challenges in fulfilling self-care needs due to declines in physical, psychological, and social functions. In this context, the family plays an important role as an informal caregiver through knowledge and active involvement in elderly care. Optimal family knowledge and roles are expected to enhance elderly independence in meeting basic needs. This study aimed to determine the relationship between family knowledge and the role of the family as informal caregivers on elderly self-care at the Posbindu in the working area of Megang Public Health Center, Lubuklinggau City. This study employed a quantitative observational analytic design with a cross-sectional approach. The sample consisted of 70 respondents selected from families with elderly members aged ≥60 years. Data were collected using structured questionnaires and analyzed through univariate and bivariate analyses using the Chi-square test. The results showed that most respondents had good levels of knowledge and informal caregiver roles, as well as good levels of elderly self-care. Bivariate analysis indicated a significant relationship between family knowledge and the role of the family as informal caregivers with elderly self-care (p < 0.05). The conclusion of this study indicates that family knowledge and the role of the family as informal caregivers are significantly associated with elderly self-care. Therefore, increasing family education and empowerment is necessary to support elderly independence and improve their quality of life.
Peran Dukungan Sosial Keluarga dan Teman Sebaya terhadap Kesehatan Mental Remaja di Era Digital Ignatius Gonggo Prihatmono; Ediyar Miharja; Yance Hidayat
Journal of Mandalika Social Science Vol 4 No 2 (2026): Journal of Mandalika Social Science
Publisher : Mandalika Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/jomss.v4i2.469

Abstract

Perkembangan teknologi digital telah mengubah pola interaksi sosial remaja sekaligus memengaruhi kondisi kesehatan mental mereka. Intensitas penggunaan media digital yang tinggi berpotensi meningkatkan risiko stres, kecemasan, depresi, dan kesepian apabila tidak diimbangi dengan dukungan sosial yang memadai. Penelitian ini bertujuan untuk menganalisis peran dukungan sosial keluarga dan teman sebaya terhadap kesehatan mental remaja di era digital. Penelitian menggunakan metode kepustakaan (library research) dengan mengumpulkan data melalui penelaahan berbagai buku, artikel ilmiah, jurnal nasional dan internasasional, serta laporan penelitian yang relevan. Data dianalisis menggunakan teknik content analysis untuk mengidentifikasi pola, hubungan, dan temuan utama dari berbagai sumber literatur. Hasil penelitian menunjukkan bahwa dukungan sosial keluarga berperan dalam membangun rasa aman, meningkatkan regulasi emosi, dan memperkuat resiliensi psikologis remaja. Sementara itu, dukungan teman sebaya berkontribusi terhadap pembentukan identitas, penerimaan sosial, dan kemampuan adaptasi. Sinergi kedua bentuk dukungan tersebut terbukti menjadi faktor protektif yang efektif dalam menjaga kesehatan mental remaja serta membantu mereka menghadapi berbagai tantangan psikologis yang muncul akibat perkembangan teknologi digital.