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Efektivitas Layanan Pesan Singkat terhadap Kepatuhan Pengobatan Pasien Tuberkulosis Paru: Literatur Review Tobesi, Adrianus Jeniven Haki; Rachma, Nurullya
Holistic Nursing and Health Science Vol 7, No 2 (2024): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.2.2024.59-70

Tuberkulosis masih menjadi masalah kesehatan dunia, khususnya di Indonesia. Pengetahuan tentang tuberkulosis merupakan salahsatu aspek penting untuk meningkatkan kepatuhan pasien menjalani pengobatan. Upaya meningkatkan pengetahuan dapat dilakukan denganpendidikan kesehatan melalui Short Message Service(SMS). Penelitian sebelumnya dengan menggunakan metode systematic reviewberfokus pada SMS untuk mengingatkan jadwal minum obat dan kunjungan ke fasilitas kesehatan. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian SMS terhadap kepatuhan minum obat penderita tuberkulosis. Jenis penelitian yang digunakan adalah literatur reviewdengan menggunakan 10 artikel penelitian. Strategi pencarian artikel ini menggunakan sumber publikasi jurnal melaluiGoogleScholar, Sciencedirect, EBSCOhost dan ProQuestdengan menggunakan kata kunci sesuai dengan topik. Hasil yang diperoleh yaitu beberapa artikel menemukan pemberian SMS sangat efektif terhadap kepatuhan minum obat penderita TBC, namun beberapa penelitian lain menemukan hal yang berbeda.Penelitian ini merekomendasikan penelitian dengan Randomized Controlled Trial (RCT) untuk membuktikan lebih kuat efektivitas SMS dalam meningkatkan pengobatan TBC.

Gambaran Perilaku Self-Care Pasien PPOK di Balai Kesehatan Masyarakat Kurnianti, Nur Annisa; Hastuti, Yuni Dwi
Holistic Nursing and Health Science Vol 7, No 2 (2024): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.2.2024.%p

Pendahuluan: PPOK merupakan penyakit kronis yang memerlukan perawatan diri (self-care) untuk meningkatkan derajat kesehatan pasien. Self-care pada pasien PPOK yang dirawat dirumah sakit dengan derajat berat dan sangat berat mayoritas tidak memadai sebesar 85,4%. Sementara, kepatuhan pengobatan pasien PPOK di rumah sakit dengan usia lebih dari 40 tahun paling banyak pada tingkat sedang sebesar 55,4%. Pasien PPOK di Balai Kesehatan Masyarakat memiliki rentang usia dan derajat PPOK yang beragam. Mereka menyatakan telah melakukan beberapa bentuk perilaku self-care, tetapi belum pernah melakukan manajemen dispnea dengan teknis pengaturan pernapasan. Penelitian ini mengidentifikasi perilaku self-care pasien PPOK di Balai Kesehatan Masyarakat.Metode: Penelitian ini adalah studi kuantitatif dengan metode deskriptif survei. Teknik sampel menggunakan purposive sampling dengan sampel sebanyak 81 penderita PPOK di Balai Kesehatan Masyarakat. Penilaian perilaku self-care menggunakan kuesioner COPD self-care questionnaire (COPDSC-C). Kuesioner mencakup 8 domain kegiatan perilaku self-care. Skor total dikategorikan menggunakan Cut of Point mean karena data berdistribusi normal. Data menggunakan analisis univariat dalam bentuk distribusi frekuensi.Hasil: Hasil penelitian menunjukkan bahwa pasien PPOK lebih banyak yang memiliki perilaku self-care memadai (54,3%) daripada yang tidak memadai (45,7%). Sebagian besar pasien selalu minum obat untuk penyakit sesuai dengan anjuran dokter, sering meningkatkan asupan makanan bergizi seperti daging, telur, susu, ikan, dan ayam, tidak merokok, sering mempertahankan keseimbangan antara menghabiskan waktu sendirian dan menghabiskan waktu bersama orang lain, kadang-kadang beristirahat dengan cukup baik siang maupun malam. Namun, kadang-kadang tetap berada di tempat dimana ada orang yang demam, tidak pernah menjauhi orang atau sesuatu yang mengganggu jika sedang sesak napas dan tidak pernah melakukan manajemen dispnea dengan cara duduk dengan posisi condong ke depan kalau sesak napas.Kesimpulan: Pasien memiliki lebih banyak perilaku self-care memadai daripada perilaku self-care yang tidak memadai dengan persentase yang tidak jauh berbeda. Manajemen dispnea menjadi domain yang paling banyak belum dilakukan oleh pasien. Petugas kesehatan perlu mengajarkan manajemen dispnea kepada pasien untuk mengoptimalkan self-care pasien PPOK.

Efektivitas Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Lansia Penderita Hipertensi Primer Zulkarnaini, Zulkarnaini; Febriana, Dara; Ardilla, Arista
Holistic Nursing and Health Science Vol 8, No 1 (2025): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.1.2025.14-22

Primary hypertension is the most common type of hypertension. Previous studies have proved the effect of slow deep breathing on reducing blood pressure however there was still limited study to examine the effect on primary hypertension particularly in elderly population. This study aimed to evaluate the effectiveness of slow deep breathing exercises in reducing blood pressure among older adults with primary hypertension. A quasi-experimental design with a one-group pretest-posttest approach was used in this study. A total of 16 participants were selected through purposive sampling from the elderly population in a village in Lhokseumawe City. Researchers conducted slow deep breathing 15 minutes during 5 day and blood pressure was measured manually using a sphygmomanometer and stethoscope. Data analysis was conducted using the Wilcoxon signed-rank method. The analysis indicated a statistically significant reduction in average systolic blood pressure, decreasing from 153.8 mmHg to 135 mmHg, along with a decline in diastolic pressure from 90 mmHg to 83.8 mmHg (p < 0.05). These results indicate the effectiveness of slow deep breathing exercises in decreasing blood pressure and may serve as an adjunct therapy for hypertensive elderly individuals. It is recommended that hypertensive older adults regularly practice this exercise in addition to taking prescribed medications to support blood pressure control.

Relationship between Body Mass Index (BMI) and Disability Level of Low Back Pain (LBP) Patients Saragih, Ice Septriani; Simbolon, Maria Pujiastuti; Amelia, Reri Noor
Holistic Nursing and Health Science Vol 8, No 1 (2025): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.1.2025.23-31

LBP (Low Back Pain) is a pain in the back, especially in the lower part, which is one of the main reasons for visiting healthcare facilities. Various risk factors have been identified as causes of LBP and disability in LBP patients, one of which is Body Mass Index (BMI). Although several studies have shown that BMI can worsen low back pain, the direct relationship between BMI and the level of disability experienced by patients remains inconsistent and inconclusive. The purpose of this study was to determine the relationship between BMI and disability in LBP patients. This type of research was quantitative research with a correlational design. The number of samples in this study was 38 people. The inclusion criteria for the sample in this study were patients with LBP who are still cooperative, fully conscious, and willing to participate as research respondents. The instrument used to measure disability was the Oswestry Disability Index (ODI) or the Oswestry Low Back Pain Disability Questionnaire, while Body Mass Index (BMI) was measured using the results of weight and height measurements. Data analysis was carried out using computerization to compile the frequency distribution and percentage of each variable, as well as using the the Sperman rank test to determine the relationship between variables. The results showed that 55.26% of respondents had ideal body weight and 55.26% of respondents had moderate disabilities. There is no relationship between BMI and disability in LBP patients. This study recommends research related to interventions that can reduce disability in LBP patients.

Hubungan Game Addiction dengan Risiko Attention Deficit Hyperactivity Disorder (ADHD) pada Anak Usia Sekolah Zubaidah, Zubaidah; Arsila, Idha
Holistic Nursing and Health Science Vol 8, No 1 (2025): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.1.2025.1-13

The development of technology shows an increase the use of online devices including games. Games are fun for various age groups, including children. Game addiction causes psychosocial and mental problems that lead to the risk of Attention Deficit Hyperactivity Disorder (ADHD). Most previous studies have primarily focused on the prevalence of game addiction or its general impact on children's mental health, without directly examining the potential link between the level of game addiction and symptoms or risk of ADHD in school age children. The purpose of this study was to determine the relationship between game addiction and the risk of ADHD in school-age children in Ambal District, Kebumen Regency. This research was a descriptive study with survey approach. Data collection was conducted in February 2023 using probability sampling technique, called simple random sampling. The basis calculation uses Slovin formula until minimum number of respondents was obtained 128 repondents. Random sample selection uses RANDBETWEEN function in Microsoft Excel. Total sample was 128 pairs of parents and children in grades 4, 5, and 6 as respondents. The questionnaires were Indonesian Online Game Questionnaire (IOGQ) completed by the children and Indonesia of Assessment for Hyperactive Children's Behavior in Indonesia Scale completed by parents. Data were analyzed using Somers’d correlation test. The results showed that the highest percentage of game addiction in mild addiction category (65.6%) with 36.7% children not at-risk ADHD and 28.9% children at risk ADHD. Correlation results obtained p-value 0.000<0.05 and r = 0.448 which indicates the significant relationship between game addiction and the risk of ADHD with fairly strong relationship strength. The conclusion from this research is fairly strong, significant, and positive relationship between game addiction and the risk of ADHD in school-age children. Based on the results, the researchers suggest that necessary to supervise and monitor children from playing mobile devices, especially playing games. The next research is expected to involve a larger number of respondents, more effective methods, and other factors that have not been explored before.

Location of Signs and Symptoms of Gout Arthritis Patients Rumambi, Magda Fiske; Sitio, Rosiana; Sidauruk, Sari Putri Rohani; Kristanti, Stephany Angeline; Pangkey, Ballsy Cicilia Albertina
Holistic Nursing and Health Science Vol 8, No 1 (2025): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.1.2025.32-41

Gouty arthritis is a joint disorder that is on the rise among adults worldwide experiencing pain and swelling. Gouty arthritis often causes significant pain and swelling that can limit physical activity due to joint damage. Recently, lack of detailed information regarding the location pain and swelling. Therefore, this study aimed to identify characteristics (age, gender, BMI, and alcohol consumption), pain location and swelling location in patients with gouty arthritis at a private hospital in Western Indonesia. This study used quantitative methods with a retrospective documentation design. The sampling technique was total sampling, involving 47 medical records from one of the private hospitals in Western Indonesia. Instrument, data analysis The results of the study showed that pain most frequently occurred in the infrapatellar bursa (34%), while swelling was not found in 34% of patients with gout arthritis. The instrument used was a form sheet consisting of demographic data and information regarding location of pain and swelling. The data was analyzed using univariate analysis. Results show that the most pain and swelling were found in the infrapatellar bursa. Further research is recommended to explore effective interventions for managing these symptoms. The high incidence of gouty arthritis in individuals aged 55–65 years highlights the importance of prioritizing screening and early detection efforts for this age group. Given the high frequency of pain and swelling complaints among patients, further research on appropriate management strategies is essential for individuals with gouty arthritis.

Tingkat Kualitas Hidup Warga Binaan Pemasyarakatan dengan HIV di Lembaga Pemasyarakatan di Indonesia Rosyidah, Chalimatur; Andriany, Megah; Budiwiyarti, Lilis
Holistic Nursing and Health Science Vol 8, No 2 (2025): November (Issue in progress)
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.2.2025.%p

Human Immunodeficiency Virus (HIV) menjadi menjadi masalah kesehatan utama bagi Warga Binaan Pemasyarakatan (WBP) yang berdampak pada kualitas hidup WBP dengan HIV. Penelitian sebelumnya telah dilakukan untuk mengukur kualitas hidup WBP namun belum ada penelitian yang spesifik mengenai WBP dengan HIV. Tujuan penelitian ini adalah untuk mengetahui gambaran kualitas hidup WBP dengan HIV secara umum dan dari berbagai domain. Metode yang digunakan dalam penelitian ini menggunakan pendekatan deskriptif kuantitatif dengan survei. Total sampel dari penelitian ini adalah 78 WBP dengan HIV. Data diambil menggunakan kuesioner WHOQOL-BREF dan diolah menggunakan menggunakan analisis deskriptif kuantitatif. Hasil dari penelitian menunjukkan gambaran kualitas hidup WBP dengan HIV sebagian besar pada kategori baik secara umum pada pada semua domain terutama pada domain sosial. Pencapaian hasil ini sangat dipengaruhi oleh tingkat penerimaan diri dari WBP dengan HIV yang dipengaruhi oleh berbagai faktor. Perawat pemasyarakatan perlu menguatkan dukungan sosial dalam meningkatkan kualitas hidup WBP dengan HIV. Penelitian selanjutnya diharapkan lebih mengeksplorasi terkait kualitas hidup WBP dengan HIV wanita dan lansia.

Teamwork Competence among Health Students in the Implementation of Interprofessional Education (IPE) Asmara, Fatikhu Yatuni; Rachmawati, Gita Rahayu
Holistic Nursing and Health Science Vol 8, No 2 (2025): November (Issue in progress)
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.2.2025.%p

Introduction: Interprofessional education (IPE) facilitates the development of interprofessional competencies, such as communication and teamwork. However, challenges in developing teamwork competencies can affect the enhancement of other competencies, such as communication and vision of a team. Additionally, teamwork is also affected by the previous learning process in silo professional. However, there are limited studies report the differences of teamwork among health students in different subjects. This study aims to identify the teamwork competence among health students in the IPE program.Methods: We used a descriptive research approach. We involved 470 students of semester 6th from various disciplines (medicine, nursing, and nutrition) as participants (total sampling), and a total of 431 students participated in the study (response rate: 92%). They were asked to complete the teamwork scale (TWS) online. Descriptive frequencies were used to analyze the data by identifying means and standard deviation (SD). Additionally, differences in teamwork scores among students from different subjects were analyzed by applying Kruskal-Wallis test since the data had abnormal distribution. Result: Nutrition students have lower scores compared to their peers in medicine and nursing in all subscales. There were differences in teamwork competencies among health students in different subjects in all subscales (team structure, leadership, situational monitoring, mutual support, and communication) with p-values 0.000; 0.000; 0.005; 0.000; 0.000, respectively. Discussion/Suggestions: The teamwork competence in all subscales was varied and it was different among students based on their subjects. It is suggested to identify students’ teamwork in other institutions and different settings, such as clinical settings, and to identify the nature of differences in achieving teamwork competence to support a deeper understanding of its achievement.

Kombinasi Isometric Handgrip dan Pursed Lips Breathing dalam Menurunkan Tekanan Darah Pasien Hipertensi: Case Report Firdaus, Moh. Nur Cahyo; Rohmah, Anis Ika Nur
Holistic Nursing and Health Science Vol 8, No 2 (2025): November (Issue in progress)
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.2.2025.%p

AbstractHypertension is a global health problem that requires pharmacological and non-pharmacological treatment. A combination of non-pharmacological interventions such as isometric handgrip and pursed lips breathing has the potential to have synergistic effects in lowering blood pressure, but there is still little evidence evaluating both intervention simultaneously during several days. This study aims to evaluate the effectiveness of the combination of isometric handgrip and pursed lips breathing in lowering blood pressure in hypertensive patients during five days. This study used a case study design with two female respondents aged 53 and 65 years who suffered from 1st and 2nd degree hypertension. The intervention was carried out for 5 days with one daily session directly supervised by the researcher. Isometric handgrip and pursed lips breathing are done alternately in the same session. Blood pressure was measured before and after the intervention. The results showed a decrease in blood pressure in both respondents. Systolic blood pressure decreased by 30 mmHg and diastolic decreased by 15 mmHg after 5 days of intervention. Respondents also reported feeling more relaxed and comfortable. The combination of isometric handgrip and pursed lips breathing is effective in lowering blood pressure in hypertensive patients. This intervention can be used as an easy, cheap, and safe nurse self-therapy to support hypertension control in the community. Future experimental studies are required to examine the effect of intervention in larger populations.Keywords: Isometric Handgrip; Pursed Lips Breathing; HypertensionAbstrakHipertensi merupakan masalah kesehatan global yang memerlukan penanganan farmakologis dan non-farmakologis. Kombinasi intervensi non-farmakologis seperti isometric handgrip dan pursed lips breathing berpotensi memberikan efek sinergis dalam menurunkan tekanan darah, namun masih sedikit bukti yang mengevaluasi keduanya secara bersamaan beberapa hari berturut-turut. Penelitian ini bertujuan untuk mengevaluasi efektivitas kombinasi isometric handgrip dan pursed lips breathing dalam menurunkan tekanan darah pada pasien hipertensi selama lima hari. Penelitian ini menggunakan desain case report dengan dua responden perempuan berusia 53 dan 65 tahun yang menderita hipertensi derajat 1 dan 2. Intervensi dilakukan selama 5 hari dengan satu sesi harian yang diawasi langsung oleh peneliti. Isometric handgrip dan pursed lips breathing dilakukan secara bergantian dalam satu sesi yang sama. Tekanan darah diukur sebelum dan setelah intervensi. Hasil menunjukan penurunan tekanan darah pada kedua responden. Tekanan darah sistolik turun 30 mmHg dan diastolik turun 15 mmHg setelah 5 hari intervensi. Responden juga melaporkan perasaan lebih rileks dan nyaman. Kombinasi isometric handgrip dan pursed lips breathing efektif menurunkan tekanan darah pada pasien hipertensi. Intervensi ini dapat dijadikan sebagai terapi mandiri perawat yang mudah, murah, dan aman untuk mendukung pengendalian hipertensi di komunitas. Penelitian eskperimen lanjutan dibutuhkan untuk menguji efektivitas pada skala populasi yang lebih luas.Kata kunci: Isometric Handgrip; Pursed Lips Breathing; Hipertensi

Faktor-Faktor Yang Berhubungan Dengan Produktivitas Kerja Pada Pekerja Perawatan dan Pemeliharaan Kereta Api Tahun 2025 Balqis, Alya Alfianti; Lubis, Delfi Yunita; Arrazy, Syafran; Andhani, Intan; Sari, Laila; Billa, Nurna; Wahyuni, Raduwi; Zahrani, Windi
Holistic Nursing and Health Science Vol 8, No 2 (2025): November (Issue in progress)
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.8.2.2025.%p

AbstractWork productivity is an important indicator for assessing workers' ability to complete tasks effectively and efficiently. For railway maintenance workers, productivity is often influenced by the burden of physical activity such as painting, washing, and welding, as well as the adequacy of rest and hydration conditions. Based on a review of previous similar studies, a research gap was found in the form of a lack of studies specifically analyzing the relationship between physical activity, rest, and hydration with productivity in certain work units. This study aims to determine the relationship between physical activity, rest adequacy, and dehydration with work productivity in railway maintenance workers. The study used a quantitative correlational design with a cross-sectional approach. The sample determination in this study was carried out using a non-probability sampling technique with a purposive sampling approach, based on the inclusion criteria that had been determined by the researcher, 25 railway maintenance and care workers were obtained. Data analysis was performed univariately and bivariately using the Chi-Square test. The results showed that 60% of respondents had poor physical activity, 68% had low rest adequacy, and 12% were dehydrated. No significant relationship was found between these three variables and work productivity (p > 0.05). Thus, physical activity, rest, and dehydration are not related to work productivity, which is likely influenced by other factors such as motivation, work environment, and workload.Keywords: physical activity, rest, dehydration, work productivity.AbstrakProduktivitas kerja merupakan indikator penting untuk menilai kemampuan pekerja dalam menyelesaikan tugas secara efektif dan efisien. Pada pekerja perawatan dan pemeliharaan kereta api, produktivitas sering dipengaruhi oleh beban aktivitas fisik seperti pengecatan, pencucian, dan pengelasan, serta kecukupan istirahat dan kondisi hidrasi. Berdasarkan penelusuran terhadap penelitian serupa terdahulu, ditemukan gap penelitian berupa minimnya kajian yang secara khusus menganalisis hubungan antara aktivitas fisik, istirahat, dan hidrasi dengan produktivitas kerja pada unit kerja tertentu. Penelitian ini bertujuan mengetahui hubungan antara aktivitas fisik, kecukupan istirahat, dan dehidrasi dengan produktivitas kerja pada pekerja perawatan dan pemeliharaan kereta api. Penelitian menggunakan desain kuantitatif korelasional dengan pendekatan cross-sectional. Penentuan sampel dalam penelitian ini dilakukan menggunakan teknik non-probability sampling dengan pendekatan purposive sampling, berdasarkan kriteria inklusi yang telah ditetapkan peneliti diperoleh sebanyak 25 pekerja perawatan dan pemeliharaan kereta api. Analisis data ini dilakukan secara univariat dan bivariat dengan menggunakan uji Chi-Square. Hasil dalam penelitian menunjukkan bahwa 60% responden memiliki aktivitas fisik buruk, 68% memiliki kecukupan istirahat rendah, dan 12% mengalami dehidrasi. Tidak ditemukan hubungan signifikan ketiga variabel tersebut dengan produktivitas kerja pekerja (p > 0,05). Maka, aktivitas fisik, istirahat, dan dehidrasi tidak berhubungan dengan produktivitas kerja, yang kemungkinan dipengaruhi faktor lain seperti motivasi, lingkungan kerja, dan beban pekerjaan.Kata kunci: aktivitas fisik, istirahat, dehidrasi, produktivitas kerja.

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