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EDUKASI KEBUTUHAN KALORI DENGAN METODE CAKRAM IMT TERHADAP PENURUNAN KADAR GULA DARAH PADA PASIEN DM TIPE 2 Nelyta Oktavianisya; Sugesti Aliftitah
Jurnal Kesehatan Mesencephalon Vol 7, No 1 (2021): Jurnal Kesehatan Mesencephalon - April 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v7i1.259

Tatalaksana penyakit diabetes terdiri atas empat macam yaitu, edukasi, Medical Nutrition Theraphy, latihan jasmani, dan intervensi farmakologis. Edukasi kebutuhan kalori merupakan dasar utama dalam pengendalian kadar gula darah. Penelitian ini bertujuan mengetahui pengaruh edukasi kebutuhan kalori dengan metode cakram IMT terhadap penurunan KGD pada pasien Tipe 2 di UPT Puskesmas Pandian. Quasy-experiment adalah rancangan yang dipakai, dengan pendekatan pretest-posttest control group design. Penelitian ini melibatkan 40 responden terbagi kelompok kontrol dan kelompok perlakuan masing-masing sebanyak 20 reponden. Pengambilan sampel dengan teknik purposive sampling. Variabel bebas yaitu edukasi kebutuhan kalori dan variable terikat kadar gula darah. Alat ukur yang digunakan adalah Glucotest. Analisis data menggunakan uji T. Hasil penelitian menunjukkan bahwa rata-rata kadar gula darah setelah dilakukan intervensi (post) terdapat penurunan sebesar 25,75 mg/dL. Rata-rata kadar gula darah pada kelompok kontrol setelah dilakukan intervensi terdapat penurunan sebesar 0,3 mg/dL. Hasil analisis data menggunakan uji Independent Sample T Test, posttest-posttestkadar gula darah pada kelompok perlakuan dan kelompok kontrol diperoleh ρValue=0,000 (α=0,05). Karena ρValue

STRES DAN KECEMASAN PADA DOSEN YANG MELAKSANAKAN KULIAH DARING PADA MASA PANDEMI COVID-19 Sugesti Aliftitah; Nelyta Oktavianisya
Jurnal Kesehatan Mesencephalon Vol 7, No 2 (2021): Jurnal Kesehatan Mesencephalon - Oktober 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v7i2.299

Online learning applied since March 2020, during 10 month passed, obstacle raised among students and lecturers which found during online learning, student had difficulties on phone signal especially students from island near Madura island, student poorly understood about the topic given by the lecturer. Problem faced by lecturer such as student didn’t pay attention during online learning, and some of lecturers clueless with online learning app. This will raise stress and anxiety for lecturers who was doing online learning. The aim of this study was to represent anxiety and stress level of lecturers during online learning for pandemic covid 19 period. The design of this study was descriptive design. The Population in this study were all of lecturers of Universitas Wiraraja as much as 168 lecturers with sample 63 lecturers. The result of this study showed that respondent mostly on medium level of anxiety were 33 people (52,4%) and the stress level of respondent mostly on medium level of stress werw 42 people (66,7 %). A lecturer expected to improve their coping mechanism in overcoming stress and anxiety during online learning for pandemic time. By proper stress management, it will increase lecturer work performances on this pandemic condition. Keywords: Anxiety, Stress, Covid 19, lecturers

PENGARUH JALAN KAKI 30 MENIT TERHADAP PENURUNAN TEKANAN DARAH SISTOLIK PADA KELOMPOK LANSIA DI DESA ERRABU Sugesti Aliftitah; Nelyta Oktavianisya
Jurnal Kesehatan Mesencephalon Vol 6, No 1 (2020): Jurnal Kesehatan Mesencephalon - April 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Hypertension became a problem in elderly because those could be the risk factor of CVA, cardiovascular problem and coronary heart disease. One of the factors which effect the blood pressure is physical activity. Physical activity is body movement of extremity which need energy. The aim of this study was to find out the effect of 30 minutes casual walking on reducing systolic blood pressure of elderly group in Desa Errabu. The design was quasy-experiment, pretest-posttest control group design. This study involved 30 respondent which divided into two groups. Purposive sampling technique used to gain sample. Automatic blood preasure monitor was used as instrument to obtain the data. The result showed that mean value of intervention group before intervention were 127,27 mmHg then after the intervention the mean value reducing to 116,87 mmHg. The result of data analysis by using Independent Sample T Test obtained ρValue=0,025 with α=0,05 there was difference between posttest-posttest result of blood pressure on intervention and control groups. Because the ρValue<α so there was an effect 30 minutes casual walking on reducing systolic blood pressure of elderly group in Desa Errabu. Casual walking has many advantage, one of the advantage is the heart muscle become more sturdy so it will pump the blood to the heart and normalize the blood pressure on hypertension phase. Keywords : casual walking, blood pressure, elderly Abstrak : Hipertensi menjadi masalah pada usia lanjut karena dapat menjadi faktor resiko dari penyakit stroke, payah jantung dan penyakit jantung koroner. Salah satu faktor yang mempengaruhi tekanan darah adalah aktivitas fisik. Aktivitas fisik adalah gerakan tubuh yang dihasilkan oleh otot rangka yang memerlukan energi. Penelitian ini bertujuan mengetahui pengaruh jalan kali 30 menit terhadap penurunan tekanan darah sistolik pada kelompok lansia di Desa Errabu. Desain penelitian yang digunakan adalah analitik, dengan rancangan bangun quasy-experiment, pretest-posttest control group design. Penelitian ini melibatkan 30 responden yang terbagi menjadi dua kelompok. Pengambilan sampel dengan teknik purposive sampling. Alat ukur yang digunakan adalah Automatic blood preasure monitor. Hasil penelitian menunjukkan bahwa sebelum dilakukan intervensi nilai mean pada kelompok perlakuan sebesar 127,27 mmHg kemudian terjadi penuruanan setelah intervensi yaitu nilai meannya 116,87 mmHg. Hasil analisa data posttest-posttest tekanan darah pada kelompok perlakuan dan kelompok kontrol menggunakan uji Independent Sample T Test didapatkan nilai signifikan ρValue=0,025 dengan α=0,05, terdapat perbedaan antara posttest-posttest tekanan darah pada kelompok perlakuan dan kelompok kontrol. Karena ρValue<α maka ada pengaruh jalan kaki 30 menit terhadap penurunan tekanan darah sistol pada kelompok lansia di Desa Errabu Tahun 2019. Jalan kaki memiliki banyak manfaat yaitu membuat otot jantung lebih kuat sehingga dapat memompa darah kembali menuju jantung dan menormalkan tekanan darah ketikahipertensi. Kata kunci : jalan kaki, tekanan darah, lansia

FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA ANAK USIA 2-5 TAHUN DI KEPULAUAN MANDANGIN Nelyta Oktavianisya; Sri Sumarni; Sugesti Aliftitah
Jurnal Kesehatan Vol 14 No 1 (2021): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v14i1.15498

Stunting is a linear growth disorders, caused by chronic malnutrion of nutrient intake or chronical nor recurrence infectious diseases, showed by Z-score height according to age less than -2 SD. The aim of this study was to analize factors related to stunting on 2-5 years old children In Pulau Mandangin Kabupaten Sampang. This study was analytic study with case control approach. The population of this study were every mother of children with 2-5 years age who lived in Pulau Mandangin in 2019. Case group were mother of children with 2-5 years ages with stunting diagnosis (76 respondents). Control group were mother of children with 2-5 years ages without stunting diagnosis (152 respondents). Simple random sampling technic was used on sample retrieval and data retrieval using questioner. The data analized by using univariate, bivariate (chi-square) and multivariate analysis with logistic regression test with 5% (α=0,05) level of significance. The study result showed that related variable to stunting were low birth weight baby with p-value 0,015. Genetic history with p-value 0,008, nutrient intake with p-value 0,011, exclusive breast milk with p-value 0,004, and environment with p-value 0,009. The result of multivariate analysis nutrient intake had great risk of stunting (p=0,013 OR=4,0, 95% CI=1,091 –14,821). Nutrient intake is dominant factors related to stunting incident. There was influence of low birth weight status, genetic, exclusive breast milk, nutrient intake and environment. While economic status was not related to stunting incident on children with ages 2-5 years in Pulau Mandangin Kabupaten Sampang.

TEKNIK MENURUNKAN TINGKAT STRES PADA LANSIA BERBASIS BUDAYA LOKAL MADURA Eko Mulyadi; Sugesti Aliftitah; Edi Sugianto
Wiraraja Medika : Jurnal Kesehatan Vol 5 No 1 (2015): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.256 KB)

Stres pada lansia merupakan masalah psikogeriatrik sering dijumpai dan perlumendapat perhatian khusus. Perubahan fisik, psikologi, dan sosial merupakan stresor yangmenyebabkan stres pada lansia. Salah satu metode untuk mengatasi stres pada lansia diMadura adalah mendengarkan mamaca. Mamaca merupakan membaca teks cerita dengantulisan arab melayu menggunakan bahasa jawa keraton dengan cara ditembangkan,kemudian diterjemahkan kedalam bahasa madura. Penelitian ini bertujuan untuk mengetahuihubungan budaya mamaca dengan stres pada lansia di Desa Kerta Barat, KecamatanDasuk, SumenepJenis penelitian ini adalah observasional analitik dengan desain cross sectional. Teknikpengambilan sampel adalah total populasi. Data dikumpulkan dengan kuisioner danobservasi kemudian dianalisa dengan menggunakan uji statistik r dengan derajat signifikan0,05.Hasil penelitian tentang tingkat stres menunjukkan 21 (45,6%) lansia mengalami stresringan. Sedangkan tentang budaya mamaca menunjukkan 22 reponden (47,8%) merupakanlansia yang selalu mendengarkan mamacaHasil uji spearman rank didapat (ρ= 0,000 < α=0,05) dengan koefisien korelasi (-0,849)sehingga H1 diterima, artinya terdapat hubungan antara budaya mamaca dengan tingkatstres pada lansia dan keeratan hubungan yang tinggi. Lansia yang mengalami stres ringanmerupakan lansia yang selalu mendengarkan mamaca.Arah hubungan negatif (berlawanan arah) berarti semakin tinggi frekuensimendengarkan mamaca maka stres pada lansia akan semakin menurun. Hasil penelitian inidiharapkan dapat menjadi pertimbangan bagi perawat yang berada di rumah sakit maupundikomunitas untuk memasukkan budaya mamaca kedalam program yang diterapkan dalammeningkatkan mekanisme koping efektif lanjut usia.

PENGARUH SOLUTION FOCUSED BRIEF COUNSELLING (SFBC) DALAM MENCEGAH BURNOUT SYNDROME PADA MAHASISWA KEPERAWATAN SEMESTER AKHIR Sugesti Aliftitah
Wiraraja Medika : Jurnal Kesehatan Vol 6 No 2 (2016): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

Introduction: Stress cause nursing students change of behaviour e.g derivation of interest and activity, absent or late, Inclined to express cynicism to another, anger, shyness, dissappointed, frustrated, confused, pesimistic and weakening of responsibility. The early study of 12 nursing students in health faculty of wiraraja university, didn’t have enthusiasm in class 58,3% , anxiety 33,3 %, physically derangement (feeling sick, headache. etc) 42%, sleep disturbance or insomnia 67%. If the stress condition couldn’t get over with or advanced, it can be directed to burnout. This study aims to explain the effect of Solution Focused Brief Counselling (SFBC) to prevent burnout syndrome of nursing students in the final semester.Method: This is a quasi-experimental study with pretest - posttest control group design. Sample amount was 40 enrolled by means of simple random sampling technique. Sample was divided into two groups: treatment and control groups. Independent variable was Solution Focused Brief Counselling (SFBC) while dependent variables were burnout syndrome. Instruments used were MBI-SS with 16 question. Data analysis was using descriptive statistic, Paired t-test, Independent T-Test; α<0.05.Result and Discussion: Paired T test showed that treatment group before and after intervention was significant (p < 0,05). It means there was significant differences before and after intervention in treatment group. The control group before and after got motivation from academic adviser was significant (p < 0,05). It means there was significant differences before and after intervention in control group. The paired t test of each burnout dimension were significant except in professional efficacy dimension in treatment group. The result of this study suggests that Teachers, may enable to motivate and counsel the student with high risk of burnout. It will be advantageous, if teachers have capability to give counselling especially SFBC technic by participating in counselling workshop.

HUBUNGAN BEBAN KERJA DENGAN STRES KERJA PADA PERAWAT DI RUANG ICU RSUD dr. H. MOH. ANWAR SUMENEP Sugesti Aliftitah; Elyk Dwi Mumpuningtias; Imam Muttaqin
Wiraraja Medika : Jurnal Kesehatan Vol 8 No 2 (2018): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

Stress is an excessive workload, feelings of distress and emotional tension that impedes individual performance. The nurses' work stress can be attributed to the nurse's primary duties and responsibilities, heavy workloads, and leadership types. This type of research was analytic with Cross Sectional research design. In this research, the independent variables are workload and the dependent variable is the nurses' work stress. One month research time in ICU Room dr. H. Moh. Anwar Sumenep, sample17 respondents with total population sampling technique. Questionnaire research instrument and observation sheet, data analysis using Spearman with α (0,05). The results of most of the workload of nurses were moderate 9 (52,9%). Most of the work stress of nurse is light 10 (58,8%) .The data analysis obtained p value (0,031) <α (0,05) then H0 rejected which mean there is relation of work load with nurses work stress in ICU Room dr. H. Moh Anwar Sumenep. Efforts to suppress the work stress of nurses ICU dr. H. Moh.AnwarSumenep done by applying a service system in favor of nurses. Nurses should also enjoy the world of work and try to create a conducive working environment.

FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA ANAK USIA 2-5 TAHUN DI KEPULAUAN MANDANGIN Nelyta Oktavianisya; Sri Sumarni; Sugesti Aliftitah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 1 (2021)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i1.1955

Stunting is a linear growth disorders, caused by chronic malnutrion of nutrient intake or chronical nor recurrence infectious diseases. The aim of this study was to analize factors related to stunting on 2-5 years old children. This study was analytic study with case control approach. The population of this study were every mother of children with 2-5 years age who lived in Pulau Mandangin in 2019. Case group were mother of children with 2-5 years ages with stunting (76 respondents). Control group were mother of children with 2-5 years ages without stunting (152 respondents). Simple random sampling technic was used on sample retrieval and data retrieval using questioner. The data analized by using univariate, bivariate (chi-square) and multivariate analysis with logistic regression test.The study result showed that related variable to stunting were low birth weight baby (0,015), Genetic history (0,008), nutrient intake (0,011), exclusive breast milk (0,004), and environment (0,009). The result of multivariate analysis nutrient intake had great risk of stunting (OR=4,0). Nutrient intake is dominant factors related to stunting. there was influence of low birth weight status, genetic, exclusive breast milk, nutrient intake and environment. While economic status was not related to stunting incident on children with ages 2-5 years.

Promosi Kesehatan Dengan Model Sesama Berpengaruh Terhadap Kepatuhan Makan Pasien Diabetes Mellitus Tipe 2 Mujib Hannan; Abdul Muhith; Sugesti Aliftitah; Nur Laily Rochim
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 6, No 3 (2018)
Publisher : Universitas Tribhuwana Tunggadewi

Diabetes merupakan sekelompok kelainan heterogen yang ditandai oleh kenaikan kadar glukosa dalam darah atau hiperglikemia. Penatalaksanaan Diabetes tipe 2 yaitu perencanaan makan (diet), latihan jasmani (olahraga), terapi obat (insulin) dan edukasi. Penelitian ini bertujuan mengetahui pengaruh promosi kesehatan dengan model sesama terhadap kepatuhan diit pada pasien Diabetes tipe 2 di wilayah kerja UPT. Puskesmas Saronggi Tahun 2016. Penelitian ini merupakan quasy-experiment dengan pretest-posttest control group design. Populasi dalam penelitian ini adalah semua penderita Diabetes tipe 2 rawat jalan di UPT. Puskesmas Saronggi. Total sampling adalah cara yang dipilih untuk mendapatkan sampel yaitu sebanyak 34 orang. Data dikumpulkan menggunakan kuesioner yang telah diuji reabilitas dan validitas sebelumnya. Analisa data yang digunakan adalah uji “Wilcoxon Signed Rank Test” dan uji “Mann-Whitney” dengan nilai signifikasinya p = 0,05. Hasil penelitian menunjukkan bahwa ada Pengaruh Promosi Kesehatan Dengan Model Sesama Terhadap Kepatuhan Diet Diabetes Tipe 2 dengan nilai signifikansi p = 0,000. Penyandang diabetes perlu mendapat pengetahuan minimal setelah diagnosis ditegakkan. Informasi yang diberikan mencakup pengetahuan umum tentang Diabetes Mellitus Tipe 2, pemantauan mandiri oleh di penyandang Diabetes Mellitus Tipe 2, dan penatalaksanaan Diabetes MTipe 2 seperti perencanaan makan (Diet).

Hubungan Perilaku Caring Perawat Dengan Kecemasan Pasien Pra Operasi Di Ruang Bedah RSUD dr. H. Moh. Anwar Sumenep Sugesti Aliftitah; Emdat Suprayitno
Journal Of Health Science (Jurnal Ilmu Kesehatan) Vol 2 No 1 (2017): JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN)
Publisher : Fakultas Ilmu Kesehatan

Nurse caring behavior as a moral commitment to protect, maintain and improve the dignity of patients as human beings. The problem of this study is the patient psychological symptoms of anxiety that arise when undergoing surgery, and many patients complain that the nurse is not good when providing services.This study purpose was to analyze the relation between nurse caring behavior with preoperative anxiety patient in bedah ward RSUD dr.H. Moh. Anwar Sumenep. The study design was Cross Sectional Study. The population all preoperative patients who treated in bedah ward as many as 13 nurses and preoperative patient. The sample sum a 13 nurses and 55 preoperative patients who had fill inclusion criteria by Quota Sampling technique. Independent variable is nurse caring behavior and preoperative patient anxiety as dependent variable. The results showed that most of the have good caring behavior as 7 nurses (53.8%) and most of the preoperative patients had low anxiety many as 34 patients (61.8%). The result of statistic test use Spearman rho befoud P value <α (0.002<0.05). The correlation strength r of 0.783 who has the direction that the strength of the relationship study between vareabel is sturdy. Conclusion in this study be found significant relationship between nurse caring behavior with anxiety preoperative patients in bedah ward RSUD dr. H. Moh. Anwar Sumenep 2017.

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