Nina Indriyawati
Poltekkes Kemenkes Semarang

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EFEKTIVITAS DIABETES SELF MANAGEMENT EDUCATION DAN COMMUNITY BASED INTERACTIVE APPROACH TERHADAP SELF CARE PENDERITA DIABETES MELLITUS Diani Novianti; Nina Indriyawati; Syamsul Arif Setyonegoro
JENDELA NURSING JOURNAL Vol 3, No 1 (2019): June 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v3i1.4453

Abstract

Background: Self care deficit is still a major problem in patients with type 2 diabetes mellitus because self care agency is lower than self care demands, where it can be influenced by several factors, one of which is knowledge.Purpose: This study aims to determine the effectiveness of DSME and CBIA-DM on self care in people with diabetes mellitus.Methods: The research method was quasy prepost test design. Sample of the study was diabetes mellitus type 2 patients (n=52) divided into 2 groups using non probability sampling with purposive sampling. The instrument used SDSCA questionnaire by Kusniawati (2011) (r = 0,361, alpha cronbach ‘s = 0,80). Data analysis used dependent and independent t test.Results: Data analysis used independent t test obtained p value 0.019, indicating there was a significant differences and the results of the Δmean DSME group was 18,50 and the Δmean CBIA-DM group was 15.61, so that DSME was more effective than CBIA-DM.Conclusion: DSME is more effective to improving self care in people with diabetes mellitus. It is recommended that the Puskesmas can implement the DSME intervention conducting socialization through prolanist activities.
Family Support Increases Self-Esteem in Rehabilitation Stroke Patients Ferishandy Bagaskara; Nina Indriyawati; Suharto Suharto
JENDELA NURSING JOURNAL Vol 5, No 1 (2021): JUNE 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v5i1.6979

Abstract

Background: the number of hemorhagic and non-hemorhagic stroke increase significantly year by year and the number of rehabilitation stage stroke patient that has the problem of family support is still high.Purpose: this study aims to determine the corellation between the level of family support and the level of self-esteem in stroke patients in the rehabilitation stage.Methods: the type of research design that researcher used is a correlation test design. The approaching methods that used by the researcher is a cross-sectional study. The researcher uses purposive sampling based on the criteria that researcher made. To  obtain the data researcher uses 2 questionaire, that is Family Support Questionaire and RSES (Rosenberg Self-Esteem Scale)Results: the result of this research is the value of Sig. (2-tailed) Spearman's rank test of family support with the level of self-esteem of stroke patients in the rehabilitation stage is 0.000 or p 0.05. Next is the value of Sig. (2-tailed) Spearman rank test of emotional support and appreciation with the self-esteem level of stroke patients in the rehabilitation stage is 0.000 or p 0.05, instrumental support with self-esteem is 0.000 or p 0.05, and informational support with self-esteem level. esteem is 0.01 or p 0.05.Conclusion: there is a corellation between family support both in general and in the aspects such as emotional, appreciation, instrumental, and informational aspects with the level of self-esteem in stroke patients in the rehabilitation stage.
Nursing Care to Meet Fluid and Electrolyte Needs of Chronic Kidney Disease Patient Tasya Shafa Rahman; Sri Utami Dwiningsih; Nina Indriyawati
JENDELA NURSING JOURNAL Vol 5, No 1 (2021): JUNE 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v5i1.6954

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Background: Chronic Kidney Failure (CKD) is a kidney function disorder that occurs gradually, cannot be recovered, and describes a decrease in urine production which results in an accumulation of fluid in the body. This can disrupt their fluid and electrolyte balance. In this regard, in Indonesia there are still many phenomena of non-compliance with fluid monitoring that occur. If this is left unchecked, it will result in a condition of overload or excess fluid in the patient. Fluid management is needed to fulfill the patient's fluid and electrolyte needs, so that changes in body weight and the results of the calculation of fluid balance can be controlled and become an illustration of meeting these needs.Purpose: to explain nursing care to meet fluid and electrolyte needs in chronic kidney disease patients.Methods: nursing care was carried out on patients with a diagnosis of chronic kidney disease who have impaired fluid and electrolyte requirements. The nursing intervention used to overcome this problem was fluid management. Data were collected from interviews and observations and further analysis was carried out.Results: After three days nursing intervention, the results showed that the client's level of shortness of breath decreased, the blood pressure level was close to normal, fluid calculation close to balance, and the client's weight seemed stable.Conclusion: fluid management was effective for monitoring fluid intake and output of chronic kidney disease patient.
Development of Audio Visual Health Education Media About Self Management in Patients Type II Diabetes Mellitus Rifa Ainun Najihah; Nina Indriyawati; Mugi Hartoyo
JENDELA NURSING JOURNAL Vol 5, No 1 (2021): JUNE 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v5i1.6893

Abstract

Background: Self-management in patients with diabetes mellitus (DM) type II aims to control blood sugar levels and prevent the occurrence of disease complications. The media must be able to help understand information. One of the media that can be used is audiovisual that can stimulate vision and hearing senses. Audio Visual Media comes with images, background songs, sounds, and colors so it can cause interest.Purpose: Developing audiovisual about self-management in type II Diabetes Mellitus patients.Methods: This research used RD (research and development) methods with the ADDIE model. This research was only done through the process from analysis, design, and development process with 3 expert validation testing and 10 limited trials. The Analysis of data used is quantitative descriptive with a Likert scale of the value range of 1-5 and qualitative descriptive in the form of comments, suggestions, and criticisms. Results: the results of this study had developed 2 audiovisual videos using Indonesian. Average audiovisual media assessment results from    3    experts    and 10 limited trials got categories worth using.Conclusion: Audiovisual media presents general knowledge material about diabetes mellitus and self-management in type 2 diabetes mellitus patients and is equipped with animated images, backsound music and dubbing material. Audiovisual about self-management in type II diabetes mellitus iscategorized as suitable for use.
The Current Use Contraception in Indonesia Nina Indriyawati; Kun Aristiati Susiloretni; Najib Najib
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v9i2.5309

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In this report married couple tend to use modern contraception rather than traditional. The objective of the research was to describe the contraceptives methods of family planning among marriage couple. Methods was used nationally representative data from the Indonesian Demographic Health Survey (IDHS) 2017. This was cross-sectional household survey data, designed to be representative at the national, rural-urban, and provincial level. There were 47,963 households respondents targeted, from 33 provinces and 497 districts/cities. The data were selected from all households with currently married women age 15-49 years.  The descriptive analyze was used in this research. Results showed 53.95% of married women were currently using the modern methods of contraception and 6.64% traditional method while 39.42% were not using any method. Among women they prefer to using pill, implants, injections, and IUD than sterilization 11.62%, 5.02%, 4.18%, 4.17% and 3.74% respectively. Additionally, among men prefer used Male condom (2.33%) rather than Male sterilization (0.14%). In conclusion the unmet need of contraception is reducing and people are moving towards modern contraception instead of permanent methods, which in turn accelerates the improvement in women’s health.
PRAKTEK KERJA NYATA INTER PROFESSIONAL COLLABORATION (PKN-IPC) MAMPU MENINGKATKAN DERAJAT KESEHATAN MASYARAKAT Warijan Warijan; Marsum Marsum; Nina Indriyawati; Marichatul Jannah
Jurnal LINK Vol 14, No 2 (2018): NOVEMBER 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1459.336 KB) | DOI: 10.31983/link.v14i2.3764

Abstract

PKN IPC sebagai proses pembelajaran dilapangan bagi mahasiswa dikolaborasikan dalam berbagai disiplin ilmu direncanakan secara sistematis dan terpadu berdasarkan permasalahan yang digali dari keluarga dan dirumuskan bersama keluarga. Program PKN IPC dengan tema, Pemberdayaan Kesehatan dan Gizi Keluarga Berbasis Potensi Lokal yang diharapkan dapat meningkatkan empati, kepedulian, kerjasama mahasiswa dari berbagai latar belakang keilmuan dengan pendekatan kolaboratif untuk peningkatan kualitas hidup keluarga dan masyarakat dan mendorong terciptanya learning community. Program PKN-IPC sebagai bentuk pengabdian masyarakat dilaksanakan untuk membantu menyelesaikan persoalan pembangunan kesehatan di daerah secara kolaboratif. Kegiatan ini terlaksana pada tanggal 2-21 Juli 2018 di 16 desa Kecamatan Bringin dan 9 desa Kecamatan Bancak, Kabupaten Semarang. Peserta berjumlah 432 mahasiswa dari 5 Jurusan dan didampingi oleh 25 dosen pembimbing lapangan. 
Virtual Education Audiovisual Model of the New Normal Adaptation toward Campus Community Behaviors in Preventing the Spread and Transmission of Covid-19 Sudirman Sudirman; Suharto Suharto; Nina Indriyawati
JENDELA NURSING JOURNAL Vol 6, No 1 (2022): JUNE 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v6i1.8457

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Background: the number of confirmed or positive cases of Covid-19 has increased significantly.  However, the behavior and awareness of the community to work together to fight Covid-19 is still low. Education through various methods and media is an important component in adapting to new normal life. The campus community is expected to be a pioneer in preventing the spread and transmission of covid-19. Purpose: to develop a virtual education audiovisual model for adapting to new normal, and to assess its effect on the behavior of the campus community in preventing the spread and transmission of covid-19.Methods: the research designs used Research and Development (RD) and true - experimental design with control group. The 306 respondents were recruited in this research by randomized. Data collection using a questionnaire assisted by the google form program. Data were analyzed using the Wilcoxon test and the Mann Whitney test.Results: the results of the study showed that the virtual education audiovisual model with adaptation to new normal had an effect on increasing knowledge (p 0.0001), increasing positive attitudes (p 0.0001), and actions (p 0.0001) of the campus community. The total mean score of campus community behavior was in the range 0-75, before treatment was 65.69 (SD + 5.99) and after 73.52 (SD + 2.68) with a difference of 7.83 (p 0.0001).Conclusion: the virtual education audiovisual model of the new normal adaptation had improved the behavior of the campus community in preventing the spread and transmission of covid-19. 
APLIKASI HASIL PENELITIAN PELATIHAN DAN PENERAPAN AKUPRESUR UNTUK MENINGKATKAN DAYA TAHAN TUBUH DAN MENGURANGI KECEMASAN PADA IBU HAMIL DAN MENOPOUSE PADA ERA ADAPTASI COVID 19 Dina Indrati Dyah Sulistyowati; Arwani Arwani; Nina Indriyawati; Wien Soelistyo Adi; Mardiyono Mardiyono
Jurnal Pengabdian Ilmu Kesehatan Vol. 2 No. 3 (2022): November: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1538.818 KB) | DOI: 10.55606/jpikes.v2i3.841

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Kasus positif Covid 19 pada perempuan ibu hamil. Melahirkan dan nifas di Indonesia terdapat puluhan sampai ratusan kasus. Meningkatnya kasus covid 19 menjadikan kebutuhan informasi dan pengetahuan yang baik bagi petugas dan keluarganya akan penatalaksanaan kasus maternal dan menapouse dengan covid 19. Dengan meningkatnya kembali kasus covid dengan klister baru membawa dampak tersendiri bagi masyarakat terutama ibu hamil dan lansia. Terutama rasa cemas menghadapi kondisi tersebut. Rasa cemas yang timbul akan berdampak pada turunnya imun seseorang sehingga akan rentan tertular virus. Salah satu cara untuk meningkatkan imun dan mengurangi kecemasan yaitu dengan penerapan acupressure. Akupresur adalah salah satu terapi komplementar merupakan perpaduan antara self healing dan akupresur, dimana proses pemijatan mempunyai 2 reaksi, yaitu reaksi menguatkan (yang) dan reaksi menurunkan (yin). Pijatan-pijatan pada titik tertentu dalam terapi akupresur dapat merangsang gelombang syaraf sehingga mampu melancarkan aliran darah, merelaksasikan spasme, dan meningkatkan imun. Tujuan pengabdian masyarakat ini adalah untuk menerapkan hasil penelitian sebelumnya tentang Akupresur Untuk Meningkatkan Daya Tahan Tubuh Dan Mengurangi Kecemasan Pada Ibu Hamil Dan Menopouse Pada Era Adaptasi Covid 19 ”. Metode pengabdian masyarakat ini dengan menyelenggarakan pelatihan cara acupressure mandiri secara langsung maupun media online dan demostrasi. Hasil pengabdian masyarakat ini diharapkan dapat sebagai standar operasional dalam membantu meningkatkan pengetahuan masyarakat tetang cara acupressure untuk meningkatkan daya tahan tubuh dan menurunkan kecemasan di masa pandemic saat ini.
Pengaruh Progressive Muscle Relaxation terhadap Penurunan Kadar Glukosa Darah pada Penderita Diabetes Melitus Tipe 2 Annisa Supriyatini; Supriyadi Supriyadi; Nina Indriyawati
Jurnal Keperawatan Vol 15 No 2 (2023): Jurnal Keperawatan: Juni 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i2.783

Abstract

Penatalaksanaan diabetes melitus tipe 2 salah satunya latihan fisik perlu dilakukan agar tidak menimbulkan komplikasi. Salah satu terapi fisik yang dapat diterapkan pada penderita diabetes khususnya diabetes tipe 2 adalah progressive muscle relaxation. Penelitian ini bertujuan untuk menganalisis dan menguji pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah pada pasien dengan diebetes melitus tipe 2. Desain penelitian yang digunakan oleh peneliti adalah quasi- experimental dengan menggunakan pendekatan penelitian pretest and post test nonquivalent control group dengan metode purposive sampling dan masing- masing kelompok kontrol dan intervensi berjumlah 21 responden. Data diperoleh dengan wawancara, pengukuran glukosa darah sewaktu pre test dan post test setelah pemberian latihan progressive muscle relaxation 2 kali sehari selama 3 hari.Kemudian data dianalisis dengan uji normalitas shapiro wilk berdistribusi normal sehingga uji statistik yang digunakan adalah t test dependent dan t test independent.Hasil penelitian menunjukkan terdapat pengaruh yang signifikan terapi progressive muscle relaxation terhadap penurunan kadar glukosa darah pada pasien dengan diabetes melitus tipe 2 dengan hasil uji dependent t-test pada kelompok intervensi menunjukkan p value 0,000 (p<0,05). Serta hasil uji independent t test pada post test kelompok intervensi dan kontrol menunjukkan p value 0,031 (p < 0,05) Kesimpulan pada penelitian ini adalah ada pengaruh terapi progressive muscle relaxation terhadap penurunan kadar glukosa darah pada pasien dengan diabetes melitus tipe 2 di ruang rawat inap RSUD Kardinah Kota Tegal.
Factors Affecting Interdialytic Weight Gain (IDWG) in Kidney Failure Lia Murdaningsih; Wenny Trisnaningtyas; Nina Indriyawati
JENDELA NURSING JOURNAL Vol 7, No 1 (2023): JUNE 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v7i1.9393

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Background: interdialytic Weight Gain (IDWG) is a parameter easily measured routinely at the beginning of a dialysis session and an essential indicator to recommend fluid intake for patients with kidney failure. Increased IDWG is associated with various complications in patients undergoing hemodialysis.Purpose: to analyze the factors that influence IDGW in hemodialysis patients.Methods: a cross-sectional design was used in this study. Data were collected during January-March 2022. Data collected included: demographic variable (gender, age, level of education, fluid intake, thirst, and stress)/ Data were analyzed with descriptive correlation statistic, Simple regression analysis ANOVA.Results: the total number of participants recruited was 65 participants who undergoing hemodialysis 1 month at a private hospital in Semarang, there were 27 participants (41.5%) in the moderate IDGW category, and 20 participants (30.8%) experienced severe stress, while fluid intake had an influence on IDGW (r=0.493, p=0.000), thirst (r=0.394, p=0.001) and stress (r=0.562, p=0.000).Conclusion: in this study, the factors associated with IDWG were fluid intake, thirst and stress. The previous 3 factors significantly increased IDWG due to decreased renal function, but increased fluid intake interfered with patient compliance, including fluid management and hemodialysis. Factors not included in IDWG include age, gender and education.