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EFEKTIFITASSTRETCHING EXERCISE DAN PERNAFASAN YOGA TERHADAP REGULASI TEKANAN DARAH DAN KUALITAS HIDUP KLIEN ESRD YANG MENJALANI HEMODIALISIS DI RUMKITAL DR. RAMELAN SURABAYA Muji Astuti, Nur; Sudiana, I Ketut; Haryanto, Joni
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST
Publisher : Unusa Press

Hypertension intradialytic can affect the quality of life and quality of life can affect hypertension too. An area of concern to nurses is related to non-pharmacological treatment to prevent the occurrence of intradialitic hypertension and improved quality of life. One of them is with stretching exercise and yoga breathing. This research used quasi experimental pre post control group design design, sample size was 28 ESRD clients intradialysis in Dr. Rumkital. Ramelan Surabaya. Sampling technique used purposive sampling. Variables in this study were stretching exercise, yoga breathing, stretching exercise modification and yoga breathing, systolic blood pressure, diastolic blood pressure, and quality of life. Data collection using mercury sygmomanometer, and KDQOL SF 1.3 questionnaire. Data were analyzed using paired t test and multiple linear regression. The results of this study showed that the most effective intervention for lowering blood pressure 27,143 mmHg is a combination of stretching exercise and respiratory yoga, whereas the most effective yoga breathing improves the quality of life 5,143. ESRD clients intradialysis are expected to remain active in applying stretching exercises and breathing yoga during hemodialysis, and for nurses is expected to increase client motivation as well as arrange a daily program and actively involved in applying stretching exercise and yoga breathing. Key Word: Stretching Exercise, Yoga Breathing, Blood pressure, Quality Of Life

Motivation and Performance of Cadres to Optimize Resilience of Comorbid Diabetes Mellitus in the Covid-19 Pandemic Era Nur Muji Astuti; Dwi Priyantini; Merina Widyastuti; Ninik Ambar Sari; Christina Yuliastuti; Ceria Nurhayati
Journal of Health Community Service Vol. 2 No. 1 (2022): Journal of Health Community Service: 2022 March
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhcs.v2i1.2729

Older adults and people who have a history of chronic disease (comorbid) are more at risk of contracting COVID-19, one of which is diabetes mellitus (DM). The role of cadres is needed to increase the DM patients’ resilience during the pandemic. Optimizing this resilience can be realized in achieving cadres’ performance where motivation is one factor. This activity is performed by increasing information to comorbid diabetes mellitus patients during the pandemic using coaching level, implementation level, and evaluation level. The motivation and performance were measured using questionnaires with observational analysis method. This activity was carried out on December 20, 2020, and was attended by 23 cadres under the guidance of the Candi Sidoarjo Health Center. From the observations and analysis results, it was found that 100% of cadres have high motivation, and 100% of cadres have good performance towards efforts to optimize the resilience of patients with diabetes mellitus comorbid in the Covid 19 pandemic era. Performance is a function of motivation, competence, and work system. The cadres’ self-motivation makes the urge to behave (performance) that provides benefits to others; this will give the cadres some satisfaction (self-actualization) and help to achieve government programs through posyandu activities. The cadres’ involvement is essential in optimizing the resilience of patients with diabetes mellitus comorbid in the Covid 19 pandemic. The motivation and performance of cadres need to be maintained and even increased to create a physically and mentally healthy society.

EFEKTIFITASSTRETCHING EXERCISE DAN PERNAFASAN YOGA TERHADAP REGULASI TEKANAN DARAH DAN KUALITAS HIDUP KLIEN ESRD YANG MENJALANI HEMODIALISIS DI RUMKITAL DR. RAMELAN SURABAYA Nur Muji Astuti; I Ketut Sudiana; Joni Haryanto
Jurnal Ilmiah Kesehatan Vol 10 No 2 (2017): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Hypertension intradialytic can affect the quality of life and quality of life can affect hypertension too. An area of concern to nurses is related to non-pharmacological treatment to prevent the occurrence of intradialitic hypertension and improved quality of life. One of them is with stretching exercise and yoga breathing. This research used quasi experimental pre post control group design design, sample size was 28 ESRD clients intradialysis in Dr. Rumkital. Ramelan Surabaya. Sampling technique used purposive sampling. Variables in this study were stretching exercise, yoga breathing, stretching exercise modification and yoga breathing, systolic blood pressure, diastolic blood pressure, and quality of life. Data collection using mercury sygmomanometer, and KDQOL SF 1.3 questionnaire. Data were analyzed using paired t test and multiple linear regression. The results of this study showed that the most effective intervention for lowering blood pressure 27,143 mmHg is a combination of stretching exercise and respiratory yoga, whereas the most effective yoga breathing improves the quality of life 5,143. ESRD clients intradialysis are expected to remain active in applying stretching exercises and breathing yoga during hemodialysis, and for nurses is expected to increase client motivation as well as arrange a daily program and actively involved in applying stretching exercise and yoga breathing. Key Word: Stretching Exercise, Yoga Breathing, Blood pressure, Quality Of Life

PENDIDIKAN KESEHATAN TENTANG BIJAK MENYIKAPI COVID 19 DALAM UPAYA PENCEGAHAN PENYEBARAN VIRUS CORONA PADA SISWA SMK ROUDLOTUL HIKMAH GRESIK Ninik Ambar Sari; Dwi Priyantini; Dedi Irawandi; Nur Muji Astuti; Christina Yuliastuti; Imroatul Farida; Setiadi Setiadi
Jurnal Pengabdian Kesehatan Vol 4, No 1 (2021): Januari 2021
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jpk.v4i1.109

Insiden kasus covid 19 terus bertambah diberbagai negara tidak terkecuali di Indonesia.Tingginya mobilitas penduduk antar daerah merupakan salah satu mata rantai penularan yang sulit diputus. Sampai saat ini vaksin untuk mencegah dan obat khusus untuk mengobati virus corona belum ditemukan. Maka satu-satunya cara paling efektif adalah dengan upayapencegahan yaitu dengan menerapkan perilaku hidup bersih dan sehat. Pengabdian masyarakat ini bertujuan untuk meningkatkan kesadaran masyarakat tentang perilaku hidup bersih dan sehat. Metode yang digunakan adalah pendidikan kesehatan yang berisi tentang definisi Covid 19, gejala pasien terkena covid, cara tepat mencuci tangan, etika batuk yang tepat dan cara penggunaan masker yang tepat. Hasil pengabdian masyarakat ini menunjukkan ada perubahan secara signifikan tingkat pengetahuan tentang konsep covid 19 dan perilaku hidup bersih dan sehat. Keyword : Covid 19, pendidikan kesehatan, perilaku hidup bersih dan sehat

Self Confidence and Anxiety of Health Volunteers while Doing First Aid for Accident Victims in Surabaya Merina Widyastuti; Nur Wulan Adhani Lakato; Nur Muji Astuti; Ninik Ambarsari; Christina Yuliastuti; Imroatul Farida; Sri Anik Rustini
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: Health volunteers are first aid actors in the field when an accident occurs, health volunteers face various situations and conditions from victims and the environment, so they experience anxiety, the anxiety experienced can be an obstacle to first aid handling. This study aims to identify factors related to the anxiety of health volunteers when performing first aid on accident Methods: This study used an analytic observational design with a cross-sectional approach, the population of this study was the health volunteers of the city of Surabaya, amounting to 220 people. The sampling technique used probability sampling with a simple random sampling approach and obtained 103 respondents according to the inclusion and exclusion criteria. The research instrument was a questionnaire in the form of a google questionnaire consisting of questionnaires for demographic data, anxiety (DASS 42), motivation (VFI), and self-confidence (Lauster). Data analysis using Spearman Rho statistical test with p = 0.05. Result: The results of the study showed that the majority of respondents experienced a very severe level of anxiety (36.9%) and a weak majority level of self-confidence (96.1%). The results of the analysis of the relationship between self-confidence and anxiety levels obtained p = 0.003 (p <0.05). Conclusion: There is a relationship between self-confidence and the level of anxiety of health volunteers.

Karakteristik Mekanisme Koping Pasien Kanker Payudara di Poli Bedah Onkologi Rumkital Dr. Ramelan Surabaya Nur Muji Astuti; Dya Sustrami; Puji Hastuti; Lela Nurlela; Fransiska Herningtiyas A.N
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 13, No 1 (2018): March
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Breast cancer is the growth of uncontrolled malignant cells in abnormal cells of breast tissue (Osborn, Kathleen Swraa 2010). The patient's coping mechanisms are important to deal with the existing stressors and will have an impact on the anxiety levels facing the patient. Koping can suppress the stressors faced by the patient. The patient's coping mechanisms are important to deal with the existing stressors and will have an impact on the anxiety levels facing the patient. Coping can suppress the stressors faced by the patient so that it can decrease the anxiety level of breast cáncer patients (Gaston-johansson et al. 2013). This research used cross sectional design. The population was taken in oncology dr. Ramelan Hosptal Surabaya. Data collection used a demographic data questionnaire and a COPE Brief questionnaire with medium and low grade coping categories. The results showed that most of the respondents use coping mechanism which is problema oriented that is 21 people (60,0%), 4 people (11,4%) emotion oriented and 10 people (28,6%) oriented to problem and emotion. Coping Mechanism patients who were under going treatment at Rumkital Dr Ramelan Hospital Surabaya place oriented to the problem. Nurses were expected to improve their ability to improve breast cancer patients' coping with peer grouping. Keywords: Coping Mechanism, Breast Cancer

The Peripheral Vascular Status in Individuals with Type 2 Diabetes Mellitus Imroatul Farida; Nur Muji Astuti; Yudha Bayu Firmansyah; Didik Dwi Winarno
Jurnal Ilmiah Kesehatan Vol 15 No 03 (2022): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Poor vascularization in individuals with diabetes will worsen blood circulation due to high glucose in the blood. One of the risk factors leading to diabetic foot ulcers (DFU) is peripheral vascular disease. This study aims to identify the peripheral vascular status in individuals with type 2 diabetes mellitus (T2DM) at Kebonsari Public Health Centre, Surabaya. The research design in this study used a quantitative descriptive approach. There were 40 respondents with an accidental sampling. The data collection was carried out for four weeks, from May to June 2020. The research instrument was an observation sheet to record the Dorsalis Pedis artery pulse and ankle-brachial index (ABI). In addition, a digital sphygmomanometer was used to measure the Dorsalis Pedis artery pulse. Most respondents had the normal Dorsalis Pedis artery pulse in the right legs (80%), 20% had bradycardia, and none had tachycardia (0%). In addition, they had the normal Dorsalis Pedis artery pulse in the left legs (70%), 20% had bradycardia, and none had tachycardia (0%). Furthermore, they had the normal ABI values in the right legs (55%), 45% had borderline ABI values, and none had ischemic and critical ischemic (0%). In addition, they had the normal ABI values in the right legs (52%), 47% had borderline ABI values, and none had ischemic and critical ischemic (0%). Most individuals with T2DM at the Kebonsari Public Health Center, Surabaya, had normal peripheral vascular status. However, few respondents had bradycardia in the Dorsalis Pedis artery pulses, and almost half had borderline ABI values.

The Effectiveness of Clinical Learning Module on Competency Achievement of Nursing Students Arif Helmi Setiawan; Siti Nurjannah; Nur Muji Astuti
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 3, No 2 (2018): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Introduction: Clinical learning is a very important component for nursing students to integrate theoritical with skills in real settings. However, the reality revealed that the achievement of student competency is still not fulfilled yet; this is due to the unstructured interaction between students and mentors. The purpose of this study was analyzed the competence of the clinical learning module on the competency achievement of nursing student. Methods: This research is a quasi-experiment with the pretest-posttesttwogroup research design. Research samples of students in two nursing school in Surabaya who met the criteria of 50 respondents as a treatment group and 50 respondents as a control group. The research instrument used questionnaires and clinical learning modules as well as competency achievement books. Data analysis used Wilcoxon sign ranks test and Mann Whitney test with α ≤ 0,05.Results: The results of statistical tests in the control group obtained P value 0.14 showed there were differences in achievement of competencies before and after, in the treatment group obtained P value 0.000 which means that there were differences in achievement of competencies before and after using the learning module, and the results of Mann Whitney Test obtained P 0.000 , means there is an influence of the clinical learning module on the achievement of the competence of nursing students.Conclusions: Nursing clinic learning requires interaction between students and mentors so that with this clinical learning module can effectively improve the achievement of the competence of nursing students.

Peningkatan Keterampilan Injeksi Pasien Diabetes dengan Menggunakan Self Insulin Injection Simulation Tool (SIIST) Nur Muji Astuti; Christina Yuliastuti; Imroatul Farida
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5607

This study aims to identify the effectiveness of using the Self Insulin Injection Simulation Tool (SIIST) to improve insulin injection skills in Diabetes Mellitus patients. The method used is a pretest-posttest control group design. The results showed that the increase in the average skill score in the SIIST intervention group was higher than in the control group, and there was a significant difference (p-value 0.001). In conclusion, education using SIIST is effective in improving the injection skills of Diabetes Mellitus patients. Instruction using the media simulation tool makes it easier for Diabetes patients to practice self-injection correctly and correctly. Keywords: Diabetes, Injection, Insulin, Skills, Simulation Tool

The KNOWLEDGE AND PREPAREDNESS IN DEALING WITH EARTHQUAKE DISASTER IN NURSING STUDENTS IN SURABAYA AND BANGKALAN Merina Widyastuti; Nur Muji Astuti; Ninik Ambar Sari Sari; Arju Rohmata; Mufarika -; Agus Haryanto
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 1 (2023): VOLUME 7 ISSUE 1 APRIL 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss1/454

Introduction : Knowledge in dealing with disasters is one part of disaster mitigation in the application of disaster preparedness in the campus environment. The death toll from an earthquake will increase along with the knowledge of the community and the level of preparedness they have. This study aims to see the significance of the relationship between knowledge and student preparedness in dealing with earthquake disasters in the campus environment. Method : Research design with descriptive correlational cross sectional approach. Sampling using non-probability sampling technique random sampling The research sample was 237 students at STIKES Hang Tuah Surabaya & STIKES NHM with questionnaires in the period of June- July 2022. Test data analysis using ChiSquare. Results The results showed that the majority of STIKES Hang Tuah Surabaya students had good knowledge of 205 (86.9%) and moderate preparedness of 226 (95.4%). Statistical test results show the value of ρ=0.011 (ρ<α=0.05) which means that knowledge has a close relationship with preparedness in the face of earthquakes. Conclusion The implications of this research can be concluded that increasing knowledge is an important part of mitigation in increasing preparedness in the campus environment in dealing with disaster threats, especially earthquakes in particular.

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