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HUBUNGAN DUKUNGAN KELUARGA DENGAN PERILAKU LANSIA DALAM PENGENDALIAN HIPERTENSI Herlinah, Lily; Wiarsih, Wiwin; Rekawati, Etty
Jurnal Keperawatan Komunitas Vol 1, No 2 (2013): Jurnal Keperawatan Komunitas
Publisher : Jurnal Keperawatan Komunitas

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Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan perilaku lansia dalam pengendalian hipertensi di Wilayah Kecamatan Koja Jakarta Utara. Metode penelitian menggunakan cross sectional, dengan jumlah sampel 99 responden. Pengambilan sampel dengan teknik multi stage random  sampling. Sampel pada penelitian ini adalah lansia dengan usia 60 tahun ke atas, didiagnosis hipertensi TD ≥ 140/90 mmHg, lansia tinggal bersama keluarga, berkomunikasi verbal dengan baik, bersedia menjadi responden. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukkan ada hubungan antara dukungan emosional, dukungan penghargaan, informasi, dan instrumental denganperilaku lansia dalam pengendalian hipertensi dengan nilai  (p<0,05). Analisis lebih lanjut menunjukan bahwa dukungan informasi merupakan faktor yang dominan terhadap perilaku lansia dalam pengendalianhipertensi. Dukungan keluarga sangat penting dalam meningkatkan derajat kesehatan lansia.
MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH JAKARTA SELATAN Lestari, Ratna; Rekawati, Etty; Wiarsih, Wiwin
Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i2.279

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Background: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life. Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members.Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method. Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety.   Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach.  Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values
EFEKTIFITAS INTERVENSI KEPERAWATAN: SENAM DAN RELAKSASI DALAM MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Susanti, Yulia; Setiawan, Agus; Wiarsih, Wiwin
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 6 No 2 (2016): Oktober
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.327 KB) | DOI: 10.32583/pskm.6.2.2016.65-69

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ABSTRAK Pendahuluan: Skizofrenia Penyakit tidak menular (PTM) menjadi sebagai penyebab utama kematian didunia. Proporsi penyebab kematian PTM pada orang-orang berusia kurang dari 70 tahun, terdiri dari penyakit kardiovaskular 39%, diikuti kanker 27%, sedangkan penyakit pernafasan kronis, penyakit pencernaan dan PTM yang lain bersama-sama menyebabkan sekitar 30% kematian, serta diabetes 4%. Upaya pencegahan dan penanggulangan PTM hipertensi akan lebih efektif dan efisien jika faktor risiko dapat dikendalikan.Berbagai intervensi keperawatan dapat diberikan pada penderita hipertensi seperti pemberian terapi komplementer, pemberian informasi tentang masalah kesehatan, pengaturan pola makan, latihan atau olah raga. Metode: Karya ilmiah ini bertujuan untuk melaporkan penerapanintervensi keperawatan berupasenam dan relaksasi pada penderita hipertensi. Karya ilmiah ini menggunakan pendekatan asuhan keperawatan: intervensi keperawatan terhadap 60 penderita hipertensi yang berusia dewasa. Hasil: Penerapan intervensi keperawatan berupa senam dan relaksasi dapat menurunkan tekanan darah penderita hipertensi usia dewasa.Rata ? rata penurunan tekanan darah sistolik 6,6 mmHg dan tekanan darah diastolik 5,05 mmHg Diskusi: Tindakan keperawatan senam dan relaksasi direkomendasikan untuk diberikan pada penderita hipertensi dimasyarakat dalam upaya pengendalian hipertensi dirumah.   Kata kunci: Senam, Relaksasi, Penyakit Hipertensi.   ABSTRACT Introduction: Non-communicable disease (PTM) is the leading cause of death in the world. The proportion of causes of PTM death in people aged less than 70 years, consisting of 39% cardiovascular disease, followed by cancer 27%, while chronic respiratory illness, gastrointestinal illness and other PTM together cause about 30% of deaths, as well as diabetes 4% . Efforts to prevent and control PTM hypertension will be more effective and efficient if risk factors can be controlled. Nursing interventions can be given to hypertensive patients such as complementary therapy, information on health issues, dietary regulation, exercise or gymnastics. Methods: This paper aims to report on the application of nursing interventions in the form of exercise and relaxation in hypertensive patients. This scientific work uses the approach of nursing care: nursing intervention to 60 adult hypertensive patients. Results: Implementation of nursing intervention in the form of exercise and relaxation can decrease blood pressure of adult hypertension patient. Mean systolic blood pressure reduction of 6.6 mmHg and diastolic blood pressure 5.05 mmHg. Discussion: Nursing and relaxation treatment is recommended to be given to people with hypertension in the community in controlling hypertension at home.   Keywords: Exercise, Relaxation, Hypertension Disease.  
PENINGKATAN PERILAKU IBU DALAM PENGATURAN POLA MAKAN BALITA DI POSYANDU MELATI DESA BINTORO KECAMATAN PATRANG KABUPATEN JEMBER PENINGKATAN PERILAKU MENCUCI TANGANDENGAN TEKNIK MODELING PADA KELOMPOK ANAK USIA SEKOLAH Wiwin Wiarsih***, Sri Wahyuni. A* Sigit Mulyono**
The Indonesian Journal of Health Science Vol 6, No 2 (2016): The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.433 KB) | DOI: 10.32528/the.v6i2.139

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Hand washing is a simple action that can prevent a variety of diseases especially diarrhea, but this action is still rarely carried out by school children. This study aimed to increase hand washing behavior by modeling techniques at primary school age children ( 6-12 years ). The research design was quasi experiment consisting of two groups; 38 subjects as intervention groups and 38 subjects as control groups. The sampling technique used stratified random sampling, followed by simple random sampling. The results showed hand washing practices was increased by modeling activity (p=0.000). Behaviour modification with modelling techniques can be applied as one effort to increase hand washing behavior of school children that could be integrated in the school nursing service. Keywords: School age children, behavior modification, hand washing
Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia Jauhar, Muhamad; Nursasi, Astuti Yuni; Wiarsih, Wiwin
Nurse Media Journal of Nursing Vol 8, No 1 (2018): (JUNE 2018)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.657 KB) | DOI: 10.14710/nmjn.v8i1.16812

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Background: Patients with pulmonary TB experience physical, psychological, social, and spiritual changes, affecting their physical health status. Self-management counseling is an intervention which enhances the physical health status of patients with pulmonary TB.Purpose: This study aimed to identify the effects of self-management counseling on physical health status in patients with pulmonary TB.Methods: This study used a pre and post-test quasi-experimental design with a control group and took place in a hospital in Bogor. The total respondents were 60 patients who were assigned into two groups and recruited using purposive sampling. The counseling was given for four sessions in two weeks for about 60-90 minutes each session. The data were collected using the functional assessment of chronic illness therapy-tuberculosis (FACIT-TB) and analyzed using paired t-test and independent t-test.Results: The result showed that the physical health status in the intervention group increased significantly (MD=8.0, p=0.000) compared to the control group. However, there was no influence of self-management counseling on the improvement of physical health status (MD=3.24, p=0.314).Conclusion: Self-management counseling did not significantly increase the physical health status of pulmonary TB patients. More rigorous studies are needed to investigate the effect of self-management counseling delivered at early treatment on the improvement of physical health status. It is expected that patients can manage their TB symptoms and able to improve their physical health status.
MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH, JAKARTA SELATAN Lestari, Ratna; Rekawati, Etty; Wiarsih, Wiwin
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (65.956 KB) | DOI: 10.30989/mik.v7i2.228

Abstract

Background: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life. Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members. Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method. Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety. Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach. Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values
Health Education Using Booklet and Diary Media on the Self-Efficacy of Housewives with Hypertension Rasdiyanah, Rasdiyanah; Wiarsih, Wiwin; Sukihananto, Sukihananto
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 6, No 1 (2020): VOL 6, NO 1 (2020)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v6i1.23205

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ABSTRACTHealth education is one of intervention strategies in nursing. Optimization in its implementation requires media support, health promotion media that can be used are booklet and diary. Booklet provides more information and diary records daily activities. This research aimed to identify the effect of health education using booklet and diary on the self-efficacy of housewives with hypertension in Depok. This quasi experimental research used pre-post design with control group. The sampling technique used non probability sampling with consecutive sampling method. The total of samples were 66 respondents. Data were collected using an Indonesian version of the High Blood Pressure – Self Care Profile and analyzed using descriptive statistics. The result of independent t test showed significant effect in the mean of self-efficacy value after health education using booklet and diary (p value = 0.002 0.05). In conclusion, health education using booklet and diary media could increase the self-efficacy of housewives. This health education needs to be applied to clients with hypertension to increase self-efficacy in conducting self-management.                                                ABSTRAKPendidikan kesehatan merupakan salah satu strategi intervensi dalam keperawatan. Optimalisasi dalam pelaksanaannya  memerlukan dukungan  media, media promosi kesehatan yang dapat digunakan diantaranya adalah booklet  dan diary. Booklet memuat lebih banyak informasi dan diary mencatat aktivitas sehari-hari. Tujuan penelitian ini adalah untuk mengidentifikasi pengaruh pendidikan kesehatan menggunakan booklet dan diary terhadap efikasi diri ibu rumah tangga dengan hipertensi di Kota Depok. Penelitian quasi eksperiment ini menggunakan pre-post design with control group. Teknik sampling menggunakan non probability sampling dengan metode consecutive sampling. Total sampel sebanyak 66 responden. Data dikumpulkan menggunakan versi Indonesia High Blood Pressure – Self Care Profile dan dianalisis menggunakan statistik deskriptif. Hasil Independent t test menunjukkan pengaruh signifikan pada rata-rata nilai efikasi diri setelah pendidikan kesehatan menggunakan booklet dan diary (p value= 0,002 0,05). Sebagai kesimpulan bahwa pendidikan kesehatan menggunakan booklet dan diary dapat meningkatkan efikasi diri ibu rumah tangga. Pendidikan kesehatan ini perlu diterapkan pada klien dengan hipertensi untuk meningkatkan keyakinan diri dalam melakukan manajemen diri. 
PERSPEKTIF Caregiver DALAM MERAWAT KELUARGA DENGAN OBESITAS: STUDI FENOMENOLOGI 1, Rohayati; Wiarsih, Wiwin; Nurasasi, Astuti Yuni
Jurnal Mitra Kesehatan Vol 2, No 1 (2019)
Publisher : STIKes Mitra Keluarga

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Peningkatan prevalensi obesitas yang terus meningkat membutuhkan penanganan komprehensif dengan pendekatan multisektor. Peran keluarga sebagai caregiver  utama sangat penting dalam penanganan obesitas. Tujuan penelitian adalah mengetahui persepsi dan pengalaman keluarga dalam merawat anggota keluarga dengan obesitas. Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi deskriptif. Partisipan berjumlah 7 orang yang diperoleh secara purposive sampling. Dua tema yang dihasilkan yaitu dampak fisik dan psikososial yang dipersepsikan keluarga serta pengetahuan keluarga tentang kelebihan berat badan. Perawat diharapkan mengajarkan penilaian  status berat badan yang benar dan cara menghadapi dampak fisik serta psikologis yang mungkin terjadi pada keluarga dengan meningkatkan mekanisme koping. Kata kunci: caregiver, dampak fisik, dampak psikologis, obesitas, pengetahuan
Gambaran Perilaku Manajemen Perawatan Penderita DM Mu'in, Muhammad; Nursasi, Astuti Yuni; Wiarsih, Wiwin
Jurnal Keperawatan Soedirman Vol. 09 No. 1 (2014)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2014.9.1.546

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The aim of research were to explore experiences of Diabetes patient performing care at home. This research used qualitative descriptive phenomenology method and data collected by in-depth interview. Participants were Diabetes patient collected by criterion sampling technique. Data gathered were in form of record of in-depth interview and field note transcribed and analyzed by Collaizi’s method. Result of research identified 10 themes, consist of alteration caused by diabetes and its complication, responds to diagnosis and care management, dietetic management, physical exercise management, medical treatment management, health center visits management, use of alternatives medicine, spiritual effort in managing DM, motivation to perform care, spiritual experience and life lesson.
Pengalaman Keluarga yang Mempunyai Anak Pengguna Napza dalam Menjalani Kehidupan Bermasyarakat Ritanti,; Wiarsih, Wiwin; Asih, Imalia Dewi
Jurnal Keperawatan Soedirman Vol. 05 No. 3 (2010)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2010.5.3.305

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The study explored the experiences of families who have drug and addictive substance user children in living their social lives. This study used Husserlian descriptive phenomenological design. Data was obtained through an in-depth interview and analyzed by using Colaizzi�s method. The identified research themes of this study are the feelings of family, stigma felt by families, coping mechanism used by families, family burden, solving the problem, support for the family and family expectations to the authority and community. The families who have drug and addictive substance user were experiencing a deep, prolonged and repeated grieving process. Moreover, some of them also felt desperate. Therefore, it was recommended for community nurse to develop and addictive substance prevention program.