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Gambaran Kesiapsiagaan Perawat Puskesmas dalam Manajemen Bencana di Puskesmas Kasihan I Bantul Yogyakarta huriah, titih; Farida, Lisnawati Nur
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 10, No 2 (2010)
Publisher : Universitas Muhammadiyah Yogyakarta

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This study offers exploration about nurses ’ role on disaster preparedness in sub district level andprovides implementation strategiesfor health care professionals to adopt in preparation for and in response to disaster. A Qualitative-study with phenomenological approach was chosen to guide this study. In-depth interview and observation was used in data collection. The in-depth interview narrative was transcribed verbatim and thematically analyzed. Nurses ’ preparedness in sub district level in Puskesmas Kasihan I Bantul remains low. In this study, most of the participants were not implement their role in disaster preparedness, since there was no institutional preparation facing disastrous event. Although all of the participants have been prepared with emergency training, there were no family preparedness that can greatly inhibit the ability and willingness of participant to be available in emergency response. Puskesmas in the basic level area of disaster risk reduction effort should be prepared with the disaster plan and supported with nurses ’preparedness in disaster management.Penelitian ini memberikan gambaran tentang peran perawat pada kesiapsiagaan bencana di tingkat kecamatan dan memberikan informasi terkait strategi implementasi yang dapat dilakukan tenaga kesehatan baik dalam persiapan maupun merespon bencana. Jenis penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Data dikumpulkan dengan metode in-depth interview dan teknik observasi kemudian dianalisis berdasarkan tema-tema yang muncul. Hasil penelitian ini menunjukkan bahwa kesiapsiagaan perawat di tingkat kecamatan khususnya di Puskesmas Kasihan I Bantul masih rendah. Dalam penelitian ini, sebagian besar peran tidak dijalankan sebagaimana mestinya, dikarenakan belum adanya persiapan dari pihak institusi dalam persiapan bencana. Meskipun seluruh partisipan telah dibekali pelatihan penanganan kegawatdaruratan, tidak adanya perencanaan bencana dalam keluarga akan menjadi faktor penghambat kesiapan perawat dalam merespon bencana. Puskesmas sebagai pusat layanan kesehatan pada tingkat dasar dalam upaya pengurangan resiko bencana harus disiapkan dengan disaster plan yang didukung dengan peran serta perawat dalam manajemen bencana.
Kliping (Kelompok Ibu Pendamping Gizi) Sebagai Upaya Peningkatan Status Gizi Balita Malnutrisi di Kecamatan Mantrijeron Yogyakarta Huriah, Titih; Sakinah, Isnina Noor; Noorzanah, Noorzanah; Kunak, Andinayanti
Jurnal Keperawatan Komunitas Vol 3, No 1 (2015): Jurnal Keperawatan Komunitas
Publisher : Jurnal Keperawatan Komunitas

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Basic Health Research in 2010 showed that the prevalence of malnutrition in Yogyakarta was 1.4%. WHO since 2007 has socialized a Community-Based Management of Severe Acute Malnutrition programs to handled the malnutrition problem which one of activities was forming Self Help Group (SHG) in society. KLIPING is one of the SHG programs to give support each other and share experiences to mother who has same problem with malnourished children. This research is aimed to improve nutritient status of children under five with malnutrition by KLIPING program in Mantrijeron Sub District Yogyakarta. Quasi-experimental with pretest-posttest control group design was carried out in this study. 25 children with malnutrition were selected using purposive sampling, 11 children for intervention group and 14 childrens for control group. The analysis conducted used statistic test of Paired t-test and Independent ttest. The results showed there is increases of z score in the intervention group with p value 0.030, while there was no increase in the Z Score differences both of two groups before and after the KLIPING intervention. During 2 months intervention of KLIPING (Nutrition Supporting Group) there was significant increases of z score in intervention group.
METODE MASSAGE TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: A LITERATUR REVIEW ., Ardiansyah; Huriah, Titih
Jurnal Penelitian Keperawatan Vol 5, No 1 (2019): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.626 KB) | DOI: 10.32660/jurnal.v5i1.334

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Terapi non farmakologi saat ini digunakan untuk hipertensi adalah mssage. pijat (massage) memberikan rangsangan akan menimbulkan efek relaksasi (pelemasan) otot-otot kaku sertaakibat vasodilatasi umum akan menurunkan tekanan darah secara stabil. Tujuan penelitian ini untuk mengetahui efektifitas beberapa metode massage terhadap tekanan darah pada penderita hipertensi. Metode Literature review ini menggunakan database Science Direct, Proquest, Goggle Scholar.Pada tahap awal pencarian dengan keywords: “Therapy Massage, Blood Pressure, Hypertension” didapatkan hasil 17 jurnal internasional dari rentang tahun  2013 sampai 2017 yang sesuai dengan kriteria inklusi dan eksklusi. Hasil yang diperoleh dari 17 jurnal yang diperoleh, 9 penelitian dilakukan pada responden per­empuan, 8 penelitian pada responden laki-laki dan perempuan. Mengungkapkan hasil bahwa ada perbedaan penurunan efek secara signifikan antara tekanan darah sistolik dan tekanan darah diastolik  setelah dilakukan bebrapa jenis metode swedish massage, aroma massage, massage therapy, acupoint massage, scalp massage, without massage, back massage, classic massage, singel session massage, mechanical massage, foot massage, dan whole body massage. Kesimpulan tinjauan literatur review ini mendapatkan hasil bahwa ada pengaruh efek signifikan pemberian dari beberapa jenis metode massage. Metode massage adalah salah satu terapi pijat yang paling efektif untuk menurunkan atau menstabilkan tekanan darah khususnya pada penderita hipertensi. 
FUNGSI KOGNITIF MEMILIKI HUBUNGAN DENGAN KEMANDIRIAN ACTIVITY DAILY LIVING LANSIA Suspiyanti, Dian; Huriah, Titih; Lestari, Ratna
Media Ilmu Kesehatan Vol 3 No 1: MIK April 2014
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v3i1.25

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Background: The increasing number of the elderly will become problems due to the aging process. The aging process in elderly has many aspects of life especially in health problem, one of them is the cognitive function. The cognitive problem will be a serious problem because it attacks the elderly’s thought. The cognitive destruction on the elderly known as demensia. Sliding scale of demensia will influence the social activities, normal occupation and daily activities whereas the daily activities are important to the viability, health and prosperity of the elderly. Objective: The study aimed to know between cognitive function with the independency of the elderly in fullfiling activity daily living in Jodog Village, Gilangharjo District, Pandak, Bantul. Methods: The study used a cross sectional design. The data collection used proportional random sampling methode, with the number of 62 elderly. The data are collected using MMSE and Katz Index questionaire. The data analysis method used the univariat and bivariat analysis of Kendall’s tau with p<0,05. Results: The result of cognitive function showed that 11,3% of the elderly have average level of cognitive function, 56,5% have light interruption level of cognitive function, and 3,2 % have heavy destruction level of cognitive function. The assesment of independency of the elderly in doing activity daily living shows that the indepency of the elderly in category A (35,5%), B (19,4%), C (17,7%), D (14,5%), E (4,8%), F (1,6%) and G (6,5%). The result of Kendall’s tau correlation between cognitive function with the indepency of the elderly in doing daily activities has 0,003 significance level (0<0,05) with the lowest correlation strength (coefficient correlation 0,321). Conclusion: There was a correlation between cognitive function and independency elderly in the doing activity daily living. Suggestion : The result of study can give more information for cadre at Jodog Village about the value of elderly cognitive impairment and independency of activity daily living. Keywords: elderly’s cognitive ability, independency in activity daily living.
Pengaruh Diabetes Self Management Education (DSME) terhadap Self Management pada Pasien Diabetes Mellitus Kurniawati, Trina; Huriah, Titih; Primanda, Yanuar
Jurnal Ilmiah Kesehatan (JIK) Vol 12, No 2 (2019): Jurnal Ilmu Kesehatan
Publisher : Jurnal Ilmiah Kesehatan (JIK)

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AbstrakEdukasi kepada pasien Diabetes Mellitus (DM) yang dapat memperbaiki hasil klinis adalah Diabetes Self Management Education (DSME). DSME merupakan salah satu metode yang dapat memfasilitasi pengetahuan dan keterampilan. Penelitian ini bertujuan untuk mengetahui pengaruh Diabetes Self Management Education terhadap Self Management pada pasien DM. Penelitian ini menggunakan metode penelitian quasi experimental dengan control group pre test- post test design. Teknik pengambilan sampel menggunakan teknik Simple random sampling dengan jumlah sampel sebanyak 46 orang yang terbagi menjadi 23 orang pada kelompok intervensi mendapatkan DSME sebanyak 4 sesi dalam satu bulan dan 23 orang pada kelompok kontrol mendapatkan edukasi dari Program PERSADIA. Instrumen yang digunakan menggunakan kuesioner. Analisis statistik menggunakan Wilcoxon dan Mann Whitney test. Hasil penelitian menunjukkan bahwa P value uji Wilcoxon test sebesar 0,000 pada kelompok intervensi, P value uji Mann Whitney test adalah 0,000 pada variabel self management. Berdasarkan hasil uji statistik didapatkan p<0,05 yang menunjukkan bahwa terdapat perbedaan nilai self management antara kelompok intervensi dengan kelompok kontrol secara signifikan. Kesimpulan penelitian ini adalah DSME dapat meningkatkan self management pada pasien DM. Disarankan petugas kesehatan dapat memberikan DSME untuk meningkatkan self management pasien diabetes dan menggunakan DSME sebagai program promosi kesehatan.Kata kunci: Diabetes Mellitus; DSME;Self Management  The Influnce of Diabetes Self Management Education (DSME) to the Self Management on the Diabetes Patient AbstractEducation to patients Diabetes Mellitus (DM) who can improve clinical outcomes is Diabetes Self Management Education (DSME). DSME is one method that can facilitate knowledge and skills. The purpose of this research is to determine the effect of Diabetes Self Management Education (DSME) to Self Management on the diabetes patients. This study is used the quasi experimental research method with control group pre test post test design. The sampling technique used Simple random sampling with a samples of 46 people and it is devided 23 people in the intervention group get DSME as much as 4 sessions in one month and 23 people in the control group get education programe at PERSADIA. The instrument used was questionnaire. Statistical analysis used Wilcoxon and Mann Whitney test. The results showed that P value of Wilcoxon test  was 0.000 in the intervention group, P test value of Mann Whitney test was 0.000 in self management variable. Based on statistical test results obtained p <0.05 which indicates that there are differences in self-management value between the intervention group and the control group significantly. The conclusions of this research is DSME can improve self-management on the patients with diabetes. It is recommended that health workers can provide DSME to improve self-management  in diabetic patients and use DSME as a health promotion program.Keywords  : Diabetes Mellitus, DSME, Self Management
METODE MASSAGE TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: A LITERATUR REVIEW ., Ardiansyah; Huriah, Titih
Jurnal Penelitian Keperawatan Vol 5 No 1 (2019): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.626 KB) | DOI: 10.32660/jurnal.v5i1.334

Abstract

Terapi non farmakologi saat ini digunakan untuk hipertensi adalah mssage. pijat (massage) memberikan rangsangan akan menimbulkan efek relaksasi (pelemasan) otot-otot kaku sertaakibat vasodilatasi umum akan menurunkan tekanan darah secara stabil. Tujuan penelitian ini untuk mengetahui efektifitas beberapa metode massage terhadap tekanan darah pada penderita hipertensi. Metode Literature review ini menggunakan database Science Direct, Proquest, Goggle Scholar.Pada tahap awal pencarian dengan keywords: “Therapy Massage, Blood Pressure, Hypertension” didapatkan hasil 17 jurnal internasional dari rentang tahun  2013 sampai 2017 yang sesuai dengan kriteria inklusi dan eksklusi. Hasil yang diperoleh dari 17 jurnal yang diperoleh, 9 penelitian dilakukan pada responden per­empuan, 8 penelitian pada responden laki-laki dan perempuan. Mengungkapkan hasil bahwa ada perbedaan penurunan efek secara signifikan antara tekanan darah sistolik dan tekanan darah diastolik  setelah dilakukan bebrapa jenis metode swedish massage, aroma massage, massage therapy, acupoint massage, scalp massage, without massage, back massage, classic massage, singel session massage, mechanical massage, foot massage, dan whole body massage. Kesimpulan tinjauan literatur review ini mendapatkan hasil bahwa ada pengaruh efek signifikan pemberian dari beberapa jenis metode massage. Metode massage adalah salah satu terapi pijat yang paling efektif untuk menurunkan atau menstabilkan tekanan darah khususnya pada penderita hipertensi. 
HUBUNGAN KADAR GULA DARAH DENGAN INSOMNIAPADA PENDERITA DIABETES MELITUS Wahyuningsih, Atik Setiawan; Huriah, Titih; Sari, Novita Kurnia
The Indonesian Journal of Health Science Vol 7, No 1 (2016): THE INDONESIAN JOURNAL OF HEALTH SCIENCE
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.689 KB) | DOI: 10.32528/the.v7i1.385

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Background: Polyuria is one sign that appears of patients with diabetes mellitus. Nocturia that occurs in patients with diabetes mellitus can cause sleep disturbances break. The impact of a decline in the quality of sleep can disruption of activity in the next day may even cause an accident that means. This study aims to determine the relationship insomnia and blood sugar levels in people with diabetes mellitus (DM). Methods: This study was correlational with cross sectional approach. Using purposive sampling. Samples were taken according to inclusion and exclusion criteria. Measuring instrument used is the Insomnia Severity Index (ISI) and glucometers. Analyzed by non-parametric correlation Spearman's rho. Result: Spearman's rho has shows the value 0.000 and the strength of the relationship 0.633. Conclusion:  This researchhave shown an correlation between increase blood sugar levels with insomnia Suggestion: For health care providers are expected in the provision of treatment is not only focused on the management of blood sugar, but also in the management of insomnia
PENGARUH PENDIDIKAN KESEHATAN TENTANG INFEKSI SALURAN PERNAFASAN ATAS (ISPA) TERHADAP KEMAMPUAN IBU DALAM PERAWATAN ISPA PADA BALITA DIDUSUN LEMAHDADI KASIHAN BANTUL YOGYAKARTA Huriah, Titih; Lestari, Ratna
Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol 5, No 1 (2009): Januari 2009
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2461.949 KB) | DOI: 10.22219/sm.v5i1.1027

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PENGARUH BIMBINGAN TENTANG RISIKO CIDERA TERHADAP PERILAKU PENCEGAHAN CIDERA DI SEKOLAH DASAR BIBIS KECAMATAN KASIHAN BANTUL YOGYAKARTA Huriah, Titih
Jurnal Keperawatan Vol 1, No 1 (2010): Januari
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (44.257 KB) | DOI: 10.22219/jk.v1i1.396

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PENGARUH BIMBINGAN TENTANG RISIKO CIDERA TERHADAP PERILAKU PENCEGAHAN CIDERA DI SEKOLAH DASAR BIBIS KECAMATAN KASIHAN BANTUL YOGYAKARTAEffects of Guidance On The Risk of Injury To The Behaviour of Injury Prevention In Elementary School District Bibis Pity Bantul YogyakartaTitih HuriahProgram Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182e-mail: titih_psikumy@yahoo.comABSTRAKPenyebab cidera terbesar pada anak usia sekolah di negara sedang berkembang seperti di Indonesia adalah kecelakaan di jalan raya. Hasil survei oleh WHO pada 8 Provinsi di Indonesia tahun 2003 didapatkan angka cidera pada anak usia sekolah sebesar 28,27%. Hasil ini berimplikasi terhadap tingginya angka kematian pada anak usia sekolah di Indonesia. Penelitian ini bertujuan untuk mengetahui pengaruh bimbingan tentang resiko cidera terhadap perilaku pencegahan cidera di SD Bibis Kasihan Bantul Yogyakarta. Metode penelitian menggunakan kuasi eksperimental dengan rancangan one group pre test post test design. Subyek penelitian adalah pelajar SD Bibis yang pernah mengalami cidera berjumlah 50 sampel, 25 orang kelompok kontrol dan 25 orang kelompok perlakuan. Instrumen yang digunakan yaitu kuesioner dan cek list observasi. Uji statistik menggunakan SPSS dengan tingkat kemaknaan p < 0,05. Hasil analisis data menggunakan uji z test, perilaku pencegahan cidera anak usia sekolah pada kelompok perlakuan terlihat adanya peningkatan prosentase dari hasil pre test dan post test, yaitu 36% perilaku pencegahan cidera yang baik pada pelajar SD Bibis, dengan nilai p = 0,003 yang berarti terdapat perbedaan perilaku pencegahan cidera antara sebelum dan setelah diberikan perlakuan. Pada kelompok kontrol terjadi peningkatan 8% perilaku pencegahan cidera yang baik pada pelajar SD Bibis, dengan nilai p = 0,157 yang berarti tidak terdapat perbedaan perilaku pencegahan cidera antara nilai pre test dan post test pada kelompok kontrol. Hasil penelitian menunjukkan bahwa bimbingan tentang resiko cidera berpengaruh terhadap perilaku pencegahan cidera anak usia sekolah (p = 0,000). Sehingga perlu dilakukan kerja sama dengan berbagai intansi terkait (dinas kesehatan, dinas pendidikan dan dinas perhubungan) untuk implementasi kebijakan pencegahan cidera pada anak usia sekolah.Kata kunci: guidance, cidera, perilaku, anak usia sekolahABSTRACTThe largest cause of injuries in school age children in developing countries such as Indonesia is an accident on the highway. The results of the WHO survey conducted in 8 Provinces in Indonesia in 2003 found the number injured at school age children for 28,27%. These results may have implications for the high mortality in school age children in Indonesia. This study aims to determine the effect of giving guidance about the risk of injury prevention behavior in elementary Bibis Kasihan Bantul Yogyakarta. Research method used is quasy experimental design one group pre test post test design. Research subjects were elementary school students who have experienced Bibis injuries with totaling 50 samples, 25 of the control group and intervention group of 25 peoples. Ways of collecting data using questionnaires and observation check list. Statistical tests using SPSS with value level is p < 0,05. The results of this study data analysis using z test testing, injury prevention behaviors of school age children in the intervention group looks to an increase in the percentage of the pre test and post test, where an increase of 36% injury prevention behavior is good at Bibis Elementary School students, with the value p = 0,003, which means there is a difference between injury prevention behavior before and after a given intervention. In the control group an increase of 8% of injury prevention behaviors in both Bibis Elementary School students, with a value of p = 0,157, which means there is no difference in behavior between the value of injury prevention pre test and post test in the control group. The results showed that the guidance about the risk of injury affects behavior in primary injury prevention school age children?s (p = 0,000). So must cooperation with various related institutions (public health, education services and transportation services) to policy implementation order to realize the existence of injury prevention curricula in school age children.Keywords: guidance, injury, behavior, school age children
EMOTIONAL FREEDOM TECHNIQUES (EFT) MENURUNKAN KECEMASAN SISWA MENGHADAPI UJIAN AKHIRNASIONAL Wahyu Hidayati, Rizqi; Huriah, Titih
Jurnal Media Ilmu Kesehatan Vol 1 No 2 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Introduction: National Final Examination (UAN) often gives psychological impacts for students,especially anxiety. If anxiety is allowed to continue, it will give negative impacts on teens, such as adecision to commit promiscuity. Therefore, there are needs for therapies that can reduce the anxiety ofstudents in facing exam, one of which is Emotional Freedom Techniques (EFTs). Objective: To determine the effect of EFT on anxiety in the face of UAN at high school students. Methods:The research method was quasi experimental with pretest-posttest design. Prior to therapy, anxiety screening was performed on 137 students using a questionnaire of Pasco-Hernando CommunityCollege (PHCC) Anxiety Test. After that, 28 were taken students as the sample divided into 2 groups (control and intervention), each 14 students. The intervention group received 3 times of EFT therapysessions. Analysis of data was to determine the effect by using a paired t-test and to know thecomparison used independent t-test, with a of 0.05. Results:The initial screening results were as follows: mild to moderate anxiety (58, 4%) and moderate tosevere anxiety (0.7%). Test results of paired t-test showed p = 0, 046 (p &lt;0, 05). In addition, based onindependent t-test, p was 0.000 (p &lt;0.05); thus, the mean value of anxiety of the intervention group wassignificantly lower than that of the control group. Conclusion: EFT effectively reduced student anxiety in facing UAN in SMA N 1 Pakem, Sleman,Yogyakarta. It is suggested EFT can be used as a non-pharmacological psychological therapy. Keyword: EFT, anxiety, adolescents