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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

Abstract

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.
Spirituality and Anxiety in Critical Care Patients' Families: A Systematic Review Ninik Ambar Sari; Merina Widyastuti; Putri Aprilia Rifah
Jurnal Ilmu dan Teknologi Kesehatan Vol 9 No 1 (2021): September 2021
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v9i1.552

Abstract

The critical care room is an independent hospital with special staff and special equipment for observation, care and therapy of patients suffering from life-threatening illnesses, injuries or complications. Families in critical rooms usually experience anxiety, fear, and panic. One of the efforts to reduce anxiety is to get closer to God Almighty to increase spirituality. The review aims to obtain information about the spiritual level with anxiety in patients' families in critical care rooms at the hospital. A systematic review was carried out using the PRISMA (Prefered Reporting Items for Systematic Reviews and Meta-analysis) reporting technique with article selection using eligibility criteria. Search journals using Elsevier, PubMed, ScienceDirect, Google Scholar, Springer, and ProQuest databases from June to July 2021. Using English keywords, three journals are obtained; through Indonesian, six journals are obtained. The results of nine journals that have been analyzed by researchers as a whole are 57.5% of good family spiritual and 52.5% moderate family anxiety. This decrease in anxiety was caused by the spiritual services provided to respondents in the form of praying. The spiritual approach can be used as input for nurses to provide interventions to all patients' families in the hospital, especially those who experience anxiety.
EFEKTIFITAS AIR KELAPA HIJAU MUDA TERHADAP PENURUNAN TEKANAN DARAH TINGGI PADA LANSIA DI POSYANDU USILA PUSKESMAS PERAK TIMUR SURABAYA Ninik Ambar Sari; Dya Sustrami
Jurnal Ilmiah Kesehatan Vol 11 No 1 (2018): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.104 KB) | DOI: 10.33086/jhs.v11i1.95

Abstract

Hypertension is an increase in blood pressure where the systolic pressure is more than 140 mmHg and diastolic pressure is more than 90 mmHg. The cause of the onset of hypertension can be of age factor. Elderly who suffer from hypertension usually cause interruption of daily activities, so routine treatment is needed in order not to cause complications. Young coconut water contains potassium, magnesium and vitamin C which has benefits to help the body regulate blood pressure, so it can reduce hypertension. The purpose of this study was to determine the effect of young coconut water on the decrease of high blood pressure in the elderly. Experimental Quasy research design with Non-Equivalent Control Group Desaign approach. The population of this study is elderly who are not dependence of hypertension drugs as much as 32 people with the number of samples of 30 respondents selected by Probability Sampling with Simple Random Sampling approach. The independent variable is young coconut water therapy, the dependent variable is the decrease of high blood pressure. Data were collected using questionnaires and observations. Data were analyzed by using Paired t-test and Independent t-test. The results showed that the consumption of young coconut water as much as 250 ml morning and afternoon for 2 weeks in the treatment group can lower systolic blood pressure. The independent t test in the treatment group and the control group obtained the result p = 0.013 (p <a = 0.05). The implication of this study is that young coconut water can lower blood pressure in elderly people with hypertension, so that young coconut water treatment can be used as one of the non-pharmacological alternative to reduce blood pressure.
THE RELATIONSHIP BETWEEN SELF-MANAGEMENT AND QUALITY OF LIFE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS Ninik Ambar Sari; Ceria Nurhayati
Nurse and Health: Jurnal Keperawatan Vol 10 No 2 (2021): Nurse and Health: Jurnal Keperawatan July-December 2021
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v10i2.300

Abstract

Background: Diabetes Mellitus (DM) is a metabolic disease characterized by high blood glucose levels as a result of insufficient insulin secretion, impaired insulin activity or both. Patients with diabetes mellitus are at risk for complications that can affect their quality of life. These complications can be minimized through self-management. Objectives: The aim of this study was to determine the relationship between self-management and quality of life in type 2 DM patients. Design: This study was a quantitative research. The design in this study was a cross-sectional analytic with a sample of 75 people who were carried out at the endocrine polyclinic RS Pusat TNI Angkatan Laut (RSPAL) DR. Ramelan Surabaya. Research instrument used the Diabetes Self-Management Questionnaire (DSMQ) developed by Schmitt et al (2013) to determine the self-management of type 2 DM patients and to measure the quality of life using the Diabetes Quality of Life Brief (DQoL Brief) instrument developed by Burrough et al (2008). The sample siza with simple random sampling method, and data analysis using spearman rank test. Results: The results showed that there was a significant relationship between self-management and quality of life in type 2 DM patients (p-value = .000, r = .394). Conclusion: There is a significant positive relationship between the level of self-management and quality of life in type 2 DM patients. From the results of the Spearman test correlation coefficient, there is a positive sign. This means that the higher the patient's self-management, it will also improve the quality of their life. The implication of this study are nurses can increase patient knowledge by providing education that focuses on improving self-management and facilitating the provision of family support as well as supervision and monitoring related to self-management by type 2 DM patients.
Efektifitas Video Simulasi Basic Life Support terhadap Pengetahuan Security Merina Widyastuti; Ninik Ambar Sari; Dwi Priyantini; Putri Septi; Nur Afifah Sari
CARADDE: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2021): Agustus
Publisher : Ilin Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31960/caradde.v4i1.965

Abstract

Adapun tujuan kegiatan ini adalah meningkatkan kemampuan security PT Shelter di Surabaya untuk berperan dalam pertolongan pertama pada korban henti jantung. Security sebagai garda terdepan saat menemukan orang yang tiba-tiba mengalami henti jantung. Tingkat Pengetahuan dan kesiapan menolong security perlu ditingkatkan agar bisa dan siap dalam melakukan pertolongan. Metode yang digunakan adalah demonstrasi, metode pembelajaran ini  dipilih karena dapat menggambarkan keadaan yang sebenarnya. Promosi kesehatan dengan metode demonstrasi diberikan 2 kali dengan lama pemberian 45 menit yang isi materi definisi BLS, tujuan BLS, dan langkah-langkah BLS. Hasilnya Setelah selesai simulasi peserta diberikan link post test secara online. Keluaran berdasarkan pencapaian dari implementasi ini adalah telah terjadi perubahan dalam pengetahuan yang ditunjukkan oleh peningkatan pengetahuan responden dalam melakukan dukungan kehidupan dasar. hal ini tampak dari peningkatan persentase yang signifikan yang dinilai dari hasil jawaban relawan saat setelah pelatihan diberikan.
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

Abstract

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
HUBUNGAN TINGKAT PENGETAHUAN HIPOGLIKEMIA DENGAN KEMAMPUAN DETEKSI HIPOGLIKEMIA PASIEN DM TIPE 2 Ceria Nurhayati; Ninik Ambar Sari
Indonesian Journal of Health Development Vol 2 No 1 (2020): IJHD
Publisher : Fakultas Ilmu kesehatan UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52021/ijhd.v2i1.30

Abstract

Diabetes melitus merupakan penyakit metabolik yang ditandai dengan adanya hiperglikemia, gangguan aktivitas insulin dan keKurangan sekresi insulin. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan tentang hipoglikemia dengan kemampuan dalam deteksi terjadinya hipoglikemia pada pasien DM tipe 2. Desain dalam penelitian ini adalah analitik cross sectional dengan jumlah sampel 60 orang yang dilakukan di Puskesmas Klampis Ngasem Surabaya. Hasil penelitian menunjukkan terdapat hubungan signifikan antara tingkat pengetahuan tentang hipoglikemia dengan kemampuan dalam deteksi terjadinya hipoglikemia pada pasien DM tipe 2 (r = 0.523). Hasil analisis multivariat menunjukkan bahwa ketersediaan alat glucometer merupakan faktor yang paling mempengaruhi hubungan antara tingkat pengetahuan tentang hipoglikemia dengan kemampuan dalam deteksi terjadinya hipoglikemia pada pasien DM tipe 2. Perawat dapat meningkatkan pengetahuan pasien dengan memberikan edukasi yang berfokus pada peningkatan self management dan memfasilitasi pemberian dukungan keluarga serta supervisi dan monitoring terkait self management yang dilakukan pasien DM tipe 2.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (227.923 KB) | DOI: 10.20473/cmsnj.v11i1.36045

Abstract

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.
LITERATURE REVIEW : PERCUTANEUS CORONARY INTERVENTION SEBAGAI TINDAKAN EMERGENSI PADA KASUS INFARK MIOKARD AKUT AKIBAT TRAUMA TUMPUL THORAX Ninik Ambar Sari; Nisha Dharmayanti Rianto
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 9 No. 2 (2020): OCTOBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.24 KB) | DOI: 10.20473/cmsnj.v9i2.23335

Abstract

Latar belakang: Infark miokard akut (IMA) penyebab non aterosklerotik pada dewasa muda disebabkan oleh trauma tumpul thorak merupakan kasus yang langka, tetapi berpotensi mengancam nyawa yang harus ditangani segera pada pasien yang datang ke IGD. Percutaneus Coronary Intervention (PCI) adalah standar emas untuk diagnosis dan manajemen. Karena prognosis pasien ini terkait erat dengan diagnosis dan penatalaksanaan dini, sangat penting untuk menjaga indeks kecurigaan yang tinggi untuk Acute Coronary Syndrome (ACS) pada pasien dengan trauma tumpul thorax dan nyeri dada. Tujuan: penelitian ini bertujuan untuk menyajikan tindakan PCI pada pasien IMA disebabkan oleh trauma tumpul thorax dan untuk meninjau beberapa litelatur mengenai topik ini.  Metode: penelitian ini merupakan bentuk literature review terhadap artikel dengan tema Percutaneus Coronary Intervention pada pasien infark miokard akut penyebab trauma tumpul thorax. Artikel pada penelitian ini berasal dari database elektronik Google Scholar, PubMed, Proquest, Scopus dan Science Direct  dimulai tahun 2005 sampai dengan 2020. Hasil: hasil penelusuran menggunakan kata kunci Percutaneus Coronary Intervention, acute myocardial infarction, blunt chest trauma diperoleh 56 artikel. 15 artikel yang memenuhi kriteria inklusi kemudian dilakukan review terhadap full text nya. Kesimpulan: Tindakan emergensi Percutaneus Coronary Intervention efektif dilakukan dan merupakan terapi yang aman untuk kasus Infark Miokard Akut akibat trauma tumpul Thorax. Tindakan emergensi Percutaneus Coronary Intervention menjadi pilihan terbaik untuk pasien tanpa disertai dengan perdarahan pada organ lain.
Optimization of Self Monitoring Blood Glucose in Diabetes Mellitus Patients in Detecting Hypoglicemia Episodes: Literature Review Ceria Nurhayati; Ninik Ambar Sari
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 10 No. 2 (2021): OCTOBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (392.16 KB) | DOI: 10.20473/cmsnj.v10i2.29103

Abstract

Introduction: Diabetes mellitus is a chronic disease that continues to increase from year to year. The act of detecting hypoglycemic episodes is a must for a diabetic patient. This study aims to present the optimization of blood glucose self-monitoring measures in patients with diabetes mellitus and to review some of the literature on this topic.Methods: This study is a form of literature review of articles with the theme Optimization Self Monitoring Blood Glucose in diabetes mellitus patient detecting hypoglicemia episodes. Articles in this study came from the electronic databases of Google Scholar, PubMed, Proquest, Scopus and Science Direct from 2005 to 2020. Results: Search results using the keywords Self Management Blood Glucose, Hypoglicemia, Diabetes Mellitus were obtained from 57 articles. 18 articles that met the inclusion criteria were then reviewed for their full text. Conclusion: Self Monitoring Blood Glucose is a preventive measure in detecting hypoglycemic episodes. This intervention is the best choice for patients to prevent further complications.