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Health Gate
Published by Dewan Perwakilan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar
ISSN : -     EISSN : 29861098     DOI : 10.70111
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
"Health Gate" is a media for the publication of articles on research, case report, literature review, book review, perspective, scientific news and letter to editor in the areas of health science and practice such as nursing, midwifery, public health, medicine, dentistry, pharmaceutical, environmental health, nutrition, health technology, clinical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 66 Documents
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Family Medicinal Plants (TOGA) Self-Care as a Non-Pharmacological Therapy for Hypertension Control Aulia, Vebi Rizki; Wulandari, Ning Arti; Wega Arsa, Sandi Alfa
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3401

Abstract

Hypertension is a non-communicable disease with a high prevalence that can cause serious complications and even death if not treated optimally. To prevent hypertension complications, hypertension control efforts are needed, one of which is with non-pharmacological therapies such as the use of Family Medicinal Plants (TOGA) as a natural alternative in controlling blood pressure. This research aims to increase the knowledge, skills, and independence of the community in managing hypertension through independent care of TOGA, especially in the Tera Gymnastics group in Blitar Village. The implementation of activities included health education, demonstrations, and blood pressure measurements, which were attended by 44 respondents. Evaluation was carried out through pretest and posttest knowledge, as well as blood pressure measurements before and after intervention. The results of the study used the Wilcoxon Signed Rank Test, which showed an increase in knowledge with a value of p < 0.005, which means that there is an influence on the knowledge of partners. In the post-test after being given herbal drinks, a decrease in systolic and diastolic blood pressure was obtained; the average results were that the systolic blood pressure value decreased by 7.95 mmHg and the diastolic by 2.43 mmHg. TOGA Independent Care has proven to be effective as a complementary therapy in efforts to control hypertension. It is hoped that this program can continue and be developed in other communities as a sustainable promotive and preventive effort.
Family Nursing Care for Clients With Diabetes Mellitus in Community Health Center hastutik, annasikah sustyo; fata, ulfa husnul; romadhon, wimar anugrah
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3402

Abstract

Diabetes Mellitus (DM) is a growing public health problem in Indonesia, particularly among the elderly. Type 2 DM develops slowly and is closely linked to unhealthy lifestyles. Elderly people with DM require family support to prevent complications and improve their quality of life. This study aims to describe the implementation of family nursing care for DM patients at the Sananwetan Community Health Center in Blitar City. The research design was a case study involving four families with elderly people with DM. The nursing care process consisted of assessment, diagnosis, planning, implementation, and evaluation. The instruments used included the family assessment format, the Indonesian Nursing Diagnosis Standards (SDKI), the Indonesian Nursing Outcome Standards (SLKI), and the Indonesian Nursing Intervention Standards (SIKI). Implementation was carried out through an educational approach using leaflets and calendars containing information about acupressure therapy and DM management. This study identified six nursing diagnoses: ineffective family health management, readiness to improve family coping, unstable blood glucose levels, knowledge deficit, readiness to improve knowledge, and non-compliance. The interventions provided demonstrated improved family knowledge, active involvement in care, and patient adherence to diabetes treatment and management. Family nursing care with an educational approach and supporting media has proven effective in enhancing the family's role in diabetes management in the elderly. Family support is a key factor in successful disease control. It is recommended that families continue to develop health management skills, healthcare providers improve family education, and community health centers strengthen ongoing education programs.
Family Nursing Care Based On Complementary Therapy Using Syzygium Polyanthum In Families With Gout Arthritis permatasari, chintia ayu; setiyorini, erni; putri, roro dewi; Fernandez, Angelina Da Costa
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3403

Abstract

Gout arthritis is a non-communicable disease commonly found in the elderly, characterized by joint pain due to monosodium urate crystal deposition. Its high prevalence in Indonesia is associated with a high-purine diet, low physical activity, and limited knowledge of disease management. Complementary therapy using boiled bay leaves offers a safe and affordable method to reduce uric acid levels. This case study was conducted on four families with elderly members aged 60–75 years suffering from gouty arthritis in the Sananwetan Community Health Center, Blitar City. Nursing care was provided through assessment, nursing diagnosis, planning, intervention, implementation, and evaluation. Interventions included health education on a low-purine diet and administration of 10–15 bay leaves boiled in 200–400 ml of water, consumed once daily for six days. Data collection was performed through interviews, observations, and physical examinations, including uric acid level monitoring. The main nursing diagnoses established were ineffective family health management, chronic pain, knowledge deficit, readiness to improve coping, readiness to enhance knowledge, and impaired family processes. Results showed a reduction in uric acid levels (average 6.2 mg/dl), decreased joint pain, and improved family knowledge and involvement in patient care. This study highlights the effectiveness of integrating family-based health education and complementary therapy using bay leaves in managing gouty arthritis. Family support proved to be an essential factor in successful disease control and quality of care for elderly patients.
Analysis of Demographic Characteristics of Elderly Hypertension Patients at Sananwetan Primary Health Centerimary Health Center Yudhawati, Sherlyana Kartika; Mujito, Mujito; Hariyanto, Tanto
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3405

Abstract

Aging leads to physiological changes such as decreased vascular elasticity and impaired blood pressure regulation, increasing the risk of hypertension. Demographic factors such as age, sex, education level, and socioeconomic status also contribute. This study aimed to analyze the relationship between demographic characteristics and the prevalence of hypertension among older adults at Sananwetan Primary Health Center. A quantitative descriptive design was employed, with purposive sampling of 100 elderly individuals diagnosed with hypertension. Primary data were collected through interviews using a modified WHO STEPS questionnaire, and secondary data were obtained from health records. Data were analyzed using descriptive and inferential statistics (Chi-Square test). Most respondents were aged 60–74 years (77%), female (68%), had a high school education (50%), and belonged to the middle socioeconomic group (85%). The Chi-Square test showed significant associations between age (p = 0.019), sex (p = 0.007), education level (p = 0.034), and socioeconomic status (p = 0.016) with the prevalence of hypertension. In conclusion, demographic factors influence the risk of hypertension in older adults. Health education-based interventions, improved access to services, and promotion of healthy lifestyles are essential strategies to reduce hypertension prevalence in high-risk elderly populations. 
Design of Hyacinth Dressings as an Alternative to Sterile Wound Covers in Diabetes Mellitus Wounds Aviyanti, Desyta Dwiyana; Sepdianto, Tri Cahyo; Anam, Agus Khoirul
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3406

Abstract

Diabetic Wounds are a complication of diabetes that requires optimal care in a hospital and can cause serious complications and require significant costs. The method used in this study is Research and Development, the research procedure uses the ADDIE model which consists of 5 stages including Analysis, Design, Development, Implementation. The number of participants was 14 people consisting of 2 diabetic wound patients, 10 nurses from the Mitra Medika Clinic, 2 expert validators, namely doctors from the Mitra Medika Clinic and a supervisor of a diploma three Nursing lecturer in Blitar. Based on the results of the research conducted in stages, in the final stage the expert validator assessor stated that the product was suitable for use with a criterion value of 81%-100%. So that the product resulting from this study can be an Alternative Sterile Wound Cover for Diabetic Wounds so as to accelerate wound healing that is easily available, affordable and environmentally friendly.
Perception of HIV/AIDS Patients with Pulmonary TB on Family Support in Taking OAT ARV Medications In Handani, Aprida Luk Luk
Health Gate Vol 2, No 4 (2024): October 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2404

Abstract

abstractFamily support in reminding sufferers to take ARV medication can influence their medication compliance. Sufferers can despair if there is no family support and this can have bad consequences. The aim of the research was to explore the perceptions of HIV/AIDS sufferers with pulmonary TB regarding family support in taking ARV oat medication. The research design is qualitative using a phenomenological study. Samples based on criteria for treatment, living with family and willing to be respondents. The research sample used a total population of 3 respondents. The results of the interviews showed support for the assessment, all respondents felt that they were well received by their families and that the family had an important role in getting well, thereby motivating them to receive regular treatment. Instrumental support: All respondents said that medical needs were met by the family and it was not uncommon for sufferers to be invited to go on recreation. Informational support, some families do not know enough about providing health information and the family has explained the importance of taking medication. Emotional support, respondents said they felt disappointed and a burden when the family understood about illnesses that could be contagious. Overall family support in assessment, instrumental, informational and emotional is good but can be improved regarding providing health information and maintaining motivation to take medication.
Independent Care of Family Medicinal Plants and Acupressure for Blood Pressure in Hypertension Hermin, Catur
Health Gate Vol 3, No 1 (2025): JANUARY 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3104

Abstract

Hypertension that occurs in the long term and is not treated will affect all organ systems of the body so that various complications occur that can cause death. To prevent complications in hypertension, hypertension control efforts are needed, one of which is complementary therapy in the form of utilizing toga and acupressure.  Family medicinal plants or “TOGA”  can be processed into various types of preparations so that they can be consumed by the community as a natural medicine to replace chemical drugs. The purpose of this study was to analyze the effect of the asman toga and acupressure program on blood pressure before and after being given asman toga and acupressure. This type of research is a one group pre-post test with a quasi-experimental research design. The number of samples in this study was 40 respondents. The research instrument used a needle tensiometer, questionnaire, “Asman Toga” pocket book and register book. The results of this study based on the results of the Wilcoxon Signed Rank Test statistical test on the pre-test and post-test obtained a p-value of 0.000 or <0.05, then Ho was rejected and Ha was accepted, which means that there is an effect in providing the “Asman toga” and acupressure program where there was a decrease in blood pressure. It is hoped that the results of this study can utilize toga and acupressure to maintain health because toga and acupressure are health facilities that are easy to apply.
Nursing Care for Patients with Atrial Fibrillation in the Intensive Care Unit: Case study Charista, Helvin Eka
Health Gate Vol 2, No 4 (2024): October 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2405

Abstract

Atrial fibrillation is a typical supraventricular tachyarrhythmia, with undirected atrial activation resulting in a decrease in atrial mechanical function. Objective: To identify an overview of the case study of nursing care for patients with atrial fibrillation (AF) in the Seruni ICU at Mardi Waluyo Hospital. Method: This research uses a case study design specifically designed to study in detail and in depth about a case and includes various sources of information. Results: The main nursing diagnoses that emerged in 2 managed patients were decreased cardiac output and activity intolerance. The interventions prescribed for patients with atrial fibrillation are in accordance with previously existing diagnoses and theories. The implementation carried out in patients with atrial fibrillation is in accordance with previously established interventions and adapted to the patient's condition and situation. Conclusion: The condition improved in case 1, and the problem was resolved, but in case 2 the problem was not resolved; the patient died.
Overview of Maternal First Aid For Children With Wounds At Home Pratiwi, Tiara Indah; Rachmawati, Dewi; Mulyadi, Arif
Health Gate Vol 3, No 1 (2025): JANUARY 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3105

Abstract

Mothers didn't know how to give wound first aid properly. Improper handling of wounds can cause the wound healing process to be prolonged. This study aims to determine the description of mothers' first aid for children who experience wounds at home. The research design used was quantitative descriptive with a sample of 31 people selected using quota sampling technique. Data collection was carried out on January 17 - February 17, 2024 by dor to dor in the Jatitengah Village. The instrument used was an observation sheet using a measuring instrument 3 Standard Operating Procedures (SOP) on bruises, open wounds, and burns. The results of this study showed 96.8% were lacking in handling bruises, 54.8% were lacking in handling open wounds and 80.6 were lacking in handling burns. The overall ability of mothers in providing first aid 90.3% (n = 28) have less ability, 9.7% (n = 3) of respondents have sufficient ability. The overall ability of mothers in providing first aid 90.3% (n=28) had less ability, 9.7% (n=3) of respondents had sufficient ability. The conclusion of this study is that almost all respondents get less ability due to lack of information about first aid, low education level and belief in using traditional methods. Therefore, it is necessary to educate health workers (Nurses) to mothers in order to improve the ability of mothers, so as to minimize more severe complications from the occurrence of wounds.
Hypertension Nursing Care for The Elderly: A Case Report Ridwan, Ali; Sari, Yeni Kartika; Romadhon, Wimar Anugerah
Health Gate Vol 3, No 1 (2025): JANUARY 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3101

Abstract

Hypertension in the elderly is a condition marked by increased blood pressure due to age-related physiological changes. Common symptoms include headaches, dizziness, blurred vision, fatigue, and chest pain, which serve as subjective data for formulating nursing diagnoses. The aims of this case study is to analyze nursing care for elderly patients with hypertension at the independent nursing practice in Karang Bendo Village, Ponggok District.. The method used is a case study involving four elderly respondents who received comprehensive nursing care, covering assessment, diagnosis, intervention planning, implementation, and evaluation. The respondents had a 4–7-year history of hypertension, with complaints such as dizziness, fatigue, headaches, tingling, and sleep disturbances. Blood pressure readings ranged from 140/85 to 160/95 mmHg. Identified nursing diagnoses included acute pain, risk of falls, fatigue, and disturbed sleep patterns. Nursing interventions were evaluated after each session, showing improved patient conditions and positive outcomes. This case study contributes to the development of geriatric nursing theory, particularly in managing hypertension in older adults, and provides additional evidence of the effectiveness of nursing interventions in controlling blood pressure in the elderly.

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