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Health Problem Related Smoking Behaviour Among Adult in Indonesia Nian Afrian Nuari
Journal of Ners and Midwifery Vol 7, No 1 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i1.ART.p130-134

Smoking behaviour is a problem that is often found in Indonesian society. The number of active smokers in Indonesia is increasing from year to year. Smoking can cause losses both in terms of socio-economic and health and even death. The aim this research is (1) to assess the prevalence of smoking cigarette among adult in Indonesia, and (2) to analizing relationship between health problem and smoking cigarette among adult in Indonesia. This is a cross-sectional study based on data extracted from the Indonesia Demographic and Health Survey, 2017. A household-based survey, implemented in a representative probability sample of more than 47963 households from urban and rural areas in Indonesia. This research was analytic correlational study with Cross sectional approach. The sample of reserach were 18023 adult aged between 15 and 44 years. Relationship between health problem and smoking cigarette among adult in Indonesia was assessed by bivariate methods. Based on the results of the study found that most smokers have ages, residing in rural areas, secondary level education background, have a very poor wealth index level. The research findings found there is a relationship between age (p=0,001), type of residence (p=0,005), type of education (p=0,000), type of wealth index (p=0,000), and health problem related smoking behavior. The findings indicate that there is a relationship between complaints of short / rapid breath (p=0,001), and dont have relationship with nasal disorders and the presence or absence of cough with smoking behavior.

Blood cholesterol and its related factors among Indonesian blood donors Nian Afrian Nuari; Efa Nur Aini; Dhina Widayati
International Journal of Public Health Science (IJPHS) Vol 12, No 1: March 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i1.21816

Blood donation nowadays were considered to improve health status of the donors by declining human’s cholesterol level. The high level of cholesterol inside the blood bags influenced the blood quality. However, there was limited data about cholesterol level and its influencing factor on the blood donors. This cross-sectional study aimed to analyse the associated factors of cholesterol levels in blood donors. This study involved 120 respondents using the purposive sampling as sampling method. Data was collected using questionnaires and blood cholesterol examination. The obtained data was analysed using univariate and bivariate statistic tests with significance level α=0.05. This study found that the majority of respondents aged 35-45 years (60.8%) and male (60.8%). More than half respondents were routine to donate their blood. Although they consumed cholesterol foods, their cholesterol level remained normal (88.3%). This study also found that blood donation had an association with cholesterol level p=0.000, while the other variables did not show any relationship. The normal cholesterol level among blood donors was influenced by frequent blood donation. Further study needs to be explored about the activities and the foods type to identify the cholesterol level among blood donors.

TELEHEALTH AND TELEMEDICINE APPLICATIONS IN THE MANAGEMENT OF DIABETES MELLITUS DURING PANDEMIC COVID 19 : BIBLIOMETRIC ANALYSIS Nian Afrian Nuari
International Journal Of Health Science Vol. 2 No. 3 (2022): November: International Journal of Health
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v2i3.593

The Covid 19 pandemic of the past three years has necessitated certain modifications to the management strategy, as health care professionals and diabetic patients cannot communicate directly. Technology is used to ensure that the management of Diabetes Mellitus remains intact. Using a bibliometric methodology, this study intends to examine the breadth of research on the application of telehealth to the management of Diabetes Mellitus during the Covid 19 Pandemic. Google scholar, Pubmed, and Science Direct are used to search for research databases, and VOS-viewer is used to retrieve the search results. The analysis of 902 articles from 2020 to 2022 reveals the existence of three clusters (red, green, and blue) that illustrate the relationship between topics. Bibliometric mapping using three distinct visualization techniques, including network visualization, overlay visualization, and density visualization. The most frequent keywords are Covid, Diabetes Mellitus, and Telemedicine. Telemedicine plays an essential role in the care of Diabetes Mellitus during a pandemic since it is simpler to communicate with patients due to limited interaction during lockdown, as seen by the analysis of the visualization above. Telehealth visits could be the subject of research that could be utilized to future studies.

Tren Riset Penatalaksanaan Berbasis Terapi Komplementer Aktivitas Fisik Pada Hipertensi: Analisis Bibliometrik Nian Afrian Nuari
Jurnal Nurse Vol. 6 No. 1 (2023): Januari : Jurnal Nurse
Publisher : STIKES KESETIAKAWANAN SOSIAL INDONESIA

Terapi komplementer aktivitas fisik pada hipertensi diperlukan karena hipertensi merupakan masalah kesehatan yang cukup banyak dijumpai di masyarakat dan bisa menimbulkan komplikasi yang dapat menyebabkan kerusakan pada organ. Tujuan dari penulisan artikel ini adalah mengetahui analisis bibliometrik untuk penelitian yang terkait dengan terapi komplementer aktifitas fisik pada pasien Hipertensi. Pencarian online dimulai dengan menggunakan kata kunci berikut “Terapi komplementer aktifitas fisik untuk tekanan darah Hipertensi” dalam rentang tahun 2017-2022. Hasil analisis didapatkan 402 artikel dari tahun 2017-2022. Jumlah sitasi total dalam penelitian ini meliputi 660 sitasi. Untuk jumlah rata-rata sitasi pertahun menunjukkan jumlah sitasi per tahun 132 artikel. Cluster pertama menunjukkan terdapat 4 item yang meliputi alternative therapy, complementary, elderly dan non pharmacology therapy. Cluster kedua meliputi 4 item yang terdiri dari acupressure, complementary therapy, hypertension dan lower blood pressure. Cluster ke 3 meliputi 4 item yang meliputi blood pressure, hypertension patient, music therapy dan progressive muscle relaxation. Cluster ke 4 meliputi 4 item yang meliputi hipertensi, Indonesia, massage dan physical therapy. Terapi komplementer berbasis aktivitas fisik yang ditemukan misalnya adalah latihan aerobik (berjalan, berlari, bersepeda, atau berenang), Yoga, Latihan kekuatan, Latihan relaksasi otot progresif, accupresure, dan terapi musik. Analisis bibliometrik pada terapi komplementer aktivitas fisik pada hipertensi dapat memberikan informasi yang berguna untuk mengevaluasi tingkat produktivitas, kualitas, dan kontribusi penelitian dalam bidang ini dan membantu dalam menentukan arah dan tren penelitian selanjutnya.

SYNCOPE MANAGEMENT SIMULATION SEBAGAI UPAYA OPTIMALISASI PERAN KADER SISWA PMR DALAM PENANGANAN SYNCOPE Nian Afrian Nuari; Linda Ishariani
Jurnal Pengabdian Ilmu Kesehatan Vol. 3 No. 1 (2023): Maret : Jurnal Pengabdian Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v3i1.1445

ABSTRAK Penanganan sinkop bagi siswa yang mengalami pingsan perlu dilakukan penanganan yang akurat dan cepat agar tidak terjadi komplikasi. Hal itu mengharuskan warga sekolah terutama kader PMR harus memberikan penanganan yang cepat dan tepat. Kegiatan ini berbasis metode simulasi untuk meningkatkan kognitif, afektif dan psikomotrik siswa dalam menguasai syncope management. Tujuan dari kegiatan pengabdian masyarakat ini adalah melakukan optimalisasi peran kader siswa PMR dalam syncope management berbasis metode simulasi di sekolah. Metode pelaksanaan dalam kegaiatan ini dilakukan selama 2 tahap yang melibatkan 30 anggota PMR dan siswa. Kegiatan ini meliputi kegiatan edukasi pelaksanaan syncope dan melakukan simulasi tentang penatalaksanaan syncope di sekolah. Hasil dari kegiatan ini menunjukkan bahwa terjadi peningkatan kemampuan kognitif dan psikomotor siswa dalam melakukan penanganan syncope di sekolah. Evaluasi proses dalam pelaksanaan kegiatan pengabdian masyarakat ini peserta tampak mengerti dan memahami tentang materi pertolongan pertama pada pingsan dengan metode Simulasi. Peserta mampu mengetahui pentingnya pertolongan pertama pada pingsan dengan metode Simulasi, serta berusaha untuk memahami dan menerapkan materi tentang pertolongan pertama pada pingsan dengan metode simulasi. Diharapkan kegiatan ini dapat dilakukan secara kontinu agar dapat meningkatkan kemampuan kader PMR dan warga sekolah dalam penanganan syncope. Kata kunci : Simulasi, Siswa, Syncope, Managemen

Reducing diabetes burnout syndrome using self-instructional training Nian Afrian Nuari; Handono Fatkhur Rahman; Abdul Hamid Wahid
International Journal of Public Health Science (IJPHS) Vol 12, No 3: September 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i3.22849

Patients with type 2 diabetes mellitus (T2DM) experienced diabetes burnout, which influences the patientâ€™s daily living. Some treatments had been introduced to reduce this burnout, but self-instructional training method remained unknown for its effectiveness. This study was aimed to analyse the influence of self-instructional training toward diabetes burnout syndrome. This research was a quasy-experimental study involving patients with diabetes mellitus type 2. About 72 respondents were chosen using purposive sampling. This study divided the respondents into control and treatment groups. The treatment group gained self-instructional training in 4 meetings. Data was obtained from pre-test and post-test using diabetes burnout scale questionnaire and analysed with Paired T-test and Independent T-test. Study results showed that the treatment group had a significant decrease in diabetes burnout (severe to low level) (p=0.000). Diabetes burnout score among treatment group was lower compared to the control group (24.69Â±4.73; 19.19Â±4.24). In the control group, there was no significant statistical reduction about diabetes burnout (p=0.110). Besides, this study presented the difference diabetes burnout syndrome between treatment and control group (p=0.000; p<0.05). This study showed self-instructional training could minimize the occurrence of diabetes burnout syndrome among T2DM patients. This method has been proven to influence patientâ€™s behaviour positively.

Metode Self Instructional Training untuk Menurunkan Kadar Gula Darah Pasien DM Tipe 2 Nian Afrian Nuari
Journal of Ners and Midwifery Vol 4, No 1 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i1.ART.p006-011

Blood glucose levels uncontrolled is a problem that is often found in patients with Diabetes Mellitus. This has an impact on the health of the patient as it would appear some macrovascular and microvascular complications. Number of patients with DM in Indonesia has increased every year and only 50% of patients suffering from diabetes who are aware of, and around 30% of them take medication regularly. The purpose of this study to determine the effect of Self Instructional Training method on blood glucose levels of patients. The method used is pre experiment with purposive sampling technique and the sample size of 16 respondents. Measuring instrument used glucometers to measure blood glucose levels and analyzed with Paired T Test. Based on the results, the entire blood glucose levels before the intervention above 200 mg /dl. After Self Instructional Training Intervention average blood glucose level was 35.75 mg /dl. Blood glucose levels are highest when the post test was 253 mg /dl and the lowest is 197 mg /dl. Based on Paired T Test analysis obtained Self Instructional Training interventions can reduce blood glucose levels of patients with Diabetes Mellitus Type II (p value = 0.000). Diabetes Mellitus patients expected to be able to apply the SIT method to perform self-care so that the patient's blood glucose levels can be controlled. Patient can do this methods at home and needed support from their family and health professionals to treat the diseases.

Tingkat Premenstrual Syndrome (PMS) Dengan Kejadian Excessive Daytime Sleepiness (EDS) Pada Mahasiswi Rinditya Rafa Nadidah; Farida Hayati; Nian Afrian Nuari
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol. 1 No. 01 (2022): SPIKesNas - Agustus 2022
Publisher : STIKES dan AKZI Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar

Premenstrual Syndrome (PMS) is a collection of symptoms or complaints in the form of physical, emotional, and behavioral that occur 7-10 days before menstruation. Many theories state the cause of PMS, but one of the factors suspected of causing PMS is hormonal. The imbalance of estrogen and progesterone hormones allows a person to experience Excessive Daytime Sleepiness (EDS). This study aims to analyze the correlation between the level of Premenstrual Syndrome (PMS) with the incidence of Excessive daytime sleepiness (EDS) in undergraduate nursing students at STIKES KaryaHusada Kediri. The research design used in this study is correlated with a cross-sectional approach. The sample in this study was 165 people who were the whole population (Total Sampling). Data analysis using Spearman rank. The results showed that almost half of the respondents had moderate PMS and most of the respondents had EDS. Analysis with the Spearman rank statistical test obtained an -value of 0.001 with an error level of =0.05, which means that there is a relationship between the level of Premenstrual Syndrome (PMS) and the incidence of Excessive Daytime Sleepiness (EDS) with the strength of the weak category (r=0.252). Many factors can affect PMS and EDS conditions, perhaps one of the factors that can play a role in the form of bad living habits such as lack of physical activity and bad habits the form of playing with gadgets before going to bed. Thus, changing life habits for the better such as increasing physical activity and reducing bad habits of playing with gadgets before bed with maximum use of 30 minutes can be a solution to prevent the occurrence of EDS, besides that sufficient physical activity can also reduce the perceived risk of PMS severity. and also avoiding stressful and fatigue conditions can be the solution.

PERTOLONGAN PERTAMA PADA CIDERA OLAH RAGA(SPRAIN STRAIN) DENGAN METODE RICE PADA PMR DI SMAN 1 PLOSOKLATEN Didit Damayanti; Farida Hayati; Nian Afrian Nuari
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol. 1 No. 01 (2022): SPIKesNas - Agustus 2022
Publisher : STIKES dan AKZI Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar

The high level of physical activity carried out by school adolescents is one of the factors that causes the condition of the sprain strain to occur in students. The high enthusiasm for sports such as playing soccer, running and other sports can trigger the condition of a sprain strain that is difficult for students to avoid. Improving the health status of the school community can be done through various activities, one of which is the provision of first aid training for sports injuries (sprain strain) using the RICE method. Students of SMAN I Plosoklaten are a group of teenagers in a community setting who have a risk of health problems due to dynamic activities. First aid for a sprain strain can be a treatment that can be given immediately. This is to prevent the injury from getting worse. One method that can be used to treat cases of sprain strain is RICE (Rest, Ice, Compress, Elevate) by keeping the leg that has a sprain strain still, compressing it with ice or cold water to relieve pain, Giving an elastic bandage to prevent swelling and also This can be done by elevating the injured body part to improve blood flow. Community service activities in the form of Sports Injury First Aid Training (Sprain Strain) at PMR SMAN I Plosoklaten are very positive activities to be carried out in order to disseminate health knowledge so as to increase the knowledge and ability of each student in providing assistance to muscle injuries.

Home Based Walking Exercises and Alternative Nasal Breathing Decrease Blood Pressure in Pre-Elderly People with Hypertension Efa Nur Aini; Nian Afrian Nuari; Adhelia Harly Avia Noviantika
Jurnal Medika Nusantara Vol. 2 No. 1 (2024): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i1.763

The condition known as hypertension is brought on by the body's elevated blood pressure as a result of the heart pounding too hard. Hypertension is caused by a variety of causes, including both modifiable and unmodifiable ones. The purpose of this study is to evaluate the impact of alternate nostril breathing and walking exercise at home on the blood pressure of senior hypertension patients. A quasi-experiment with a pre-post test control group design methodology is used in the research design. Using the Total Sampling approach, 50 respondents with hypertension made up the research sample. In two weeks, the intervention was performed four times. The paired t-test results indicate that the combination of alternate nostril breathing and home-based walking exercise has an effect on blood pressure in the treatment group (both diastolic and systolic have p values = 0.000), while the control group experiences no change in blood pressure (diastolic has p values = 0.200 and systolic has p values = 0.195). The findings of the Independent T-Test demonstrated variations in blood pressure changes in both the systolic and diastolic domains between the treatment and control groups (diastolic p-value = 0.000), and systolic (p-value = 0.000). The findings of the Independent T-Test demonstrated variations in blood pressure changes in both the systolic and diastolic domains between the treatment and control groups ,diastolic (p-value = 0.000), and systolic (p-value = 0.000). Systolic and diastolic blood pressure drop as a result of an increase in endorphin chemicals and a decrease in cortisol. This calms and relaxes the body and balances the actions of the sympathetic and parasympathetic nervous systems. It is advised that individuals with pre-elderly hypertension who are able to independently implement combination therapies in an attempt to control their blood pressure. Kata kunci: Home Based Walking Exercise, Alternate Nostril Breathing, Pre-Elderly, Hypertension

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