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Karakteristik, Dukungan Keluarga dan Efikasi Diri pada Lanjut Usia Diabetes Mellitus Tipe 2 di Kelurahan Padangsari, Semarang Ramadhani, Dwi Yuniar; MM, Fery Agusman; Hadi, Rita
JURNAL NERS LENTERA Vol 4, No 2 (2016)
Publisher : JURNAL NERS LENTERA

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Pendahuluan: Dukungan keluarga pada lansia DM tipe 2 sangat penting dalam manajemen diabetes, dimana anggota keluarga terlibat dalam banyak aspek kegiatan perawatan kesehatan yang diperlukan pasien diabetes. Adanya dukungan keluarga yang besar dapat meningkatkan efikasi diri penderita. Keyakinan pada diri pasien DM dapat ditunjukkan dari sebuah perilaku tertentu dan mengubah pola pikir tertentu. Metode: Penelitian kuantitatif korelasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh lansia dengan DM tipe 2 di Kelurahan Padangsari sebanyak 104 orang. Tehnik sampling yang digunakan semua anggota populasi menjadi sampel. Pengumpulan data mennggunakan kuesioner karakteristik demografi responden, kuesioner dukungan keluarga, efikasi diri. Analisis data dilakukan dengan menggunakan uji Pearson product moment danregresi linier. Hasil: Hubungan dukungan keluarga dengan efikasi diri lansia DM tipe 2 dengan (p value 0.008) dengan nilai r=0.258, tidak ada hubungan antara karakteristik responden dengan efikasi diri, kecuali jenis kelamin. Faktor yang paling berkontribusi pada efikasi diri lansia DM tipe 2 adalah jenis kelamin dengan nilai (p value=0.023; B=2.235). Pembahasan: Lansia mampu mengelola DM tipe 2 dengan baik bila ada peningkatan efikasi diri untuk menerima kondisinya disertai dengan dukungan keluarga yang baik. Kesimpulan: Meningkatkan efikasi diri pada lansia DM tipe 2 dengan memberikan pendidikan kesehatan, dan memfasilitasi dukungan sosial.

PERKEMBANGAN ANAK USIA PRASEKOLAH YANG DIASUH OLEH IBU BEKERJA DAN TIDAK BEKERJA Ramadhani, Dwi Yuniar
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 1 (2019): Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Jurnal Ilmu Keperawatan dan Kebidanan

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Perkembangan merupakan proses perubahan yang terlihat dari aspek motorik, kognitif, bahasa, personal pada anak. Salah satu faktor yang mempengaruhi perkembangan adalah pola asuh orang tua. Intensitas pertemuan orang tua khususnya ibu memberikan dampak pada perkembangan anak. Ibu bekerja memiliki intensitas bertemu dengan anak tidak banyak sedangkan ibu tidak bekerja bisa menemani anak sepanjang hari. Tujuan penelitian adalah untuk mengetahui perbedaan anak usia prasekolah 2-4 tahun yang diasuh oleh ibu bekerja dan tidak bekerja di Wilayah RW 01 dan RW 06 Kelurahan Ujung Kecamatan Semampir Kota Surabaya. Desain penelitian analitik komparatif. Sampel adalah anak usia prasekolah 2-4 tahun yang diasuh oleh ibu bekerja dan tidak bekerja yang diambil dengan teknik simpel random sampling berjumlah 39 responden dari jumlah populasi 64 responden. Pengukuran perkembangan anak menggunakan lembar observasi KPSP. Hasil uji Mann Whitney didapatkan nilai (p= 0,271) dimana tidak terdapat perbedaan yang bermakna antara perkembangan anak usia prasekolah yang diasuh oleh ibu bekerja dan tidak bekerja. Ibu bekerja dan tidak bekerja memiliki kesempatan yang sama untuk merawat anaknya walaupun intensitas waktunya tidak sama. Orang tua lebih memperhatikan perkembangan anak dan sering melatih kemampuan yang belum dicapai oleh anak, serta bisa memilih ibu pengganti yang dapat dipercaya untuk mengasuh anak dalam kesehariannya.

PERKEMBANGAN ANAK USIA PRASEKOLAH YANG DIASUH OLEH IBU BEKERJA DAN TIDAK BEKERJA Ramadhani, Dwi Yuniar
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 1 (2019): Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Jurnal Ilmu Keperawatan dan Kebidanan

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

Perkembangan merupakan proses perubahan yang terlihat dari aspek motorik, kognitif, bahasa, personal pada anak. Salah satu faktor yang mempengaruhi perkembangan adalah pola asuh orang tua. Intensitas pertemuan orang tua khususnya ibu memberikan dampak pada perkembangan anak. Ibu bekerja memiliki intensitas bertemu dengan anak tidak banyak sedangkan ibu tidak bekerja bisa menemani anak sepanjang hari. Tujuan penelitian adalah untuk mengetahui perbedaan anak usia prasekolah 2-4 tahun yang diasuh oleh ibu bekerja dan tidak bekerja di Wilayah RW 01 dan RW 06 Kelurahan Ujung Kecamatan Semampir Kota Surabaya. Desain penelitian analitik komparatif. Sampel adalah anak usia prasekolah 2-4 tahun yang diasuh oleh ibu bekerja dan tidak bekerja yang diambil dengan teknik simpel random sampling berjumlah 39 responden dari jumlah populasi 64 responden. Pengukuran perkembangan anak menggunakan lembar observasi KPSP. Hasil uji Mann Whitney didapatkan nilai (p= 0,271) dimana tidak terdapat perbedaan yang bermakna antara perkembangan anak usia prasekolah yang diasuh oleh ibu bekerja dan tidak bekerja. Ibu bekerja dan tidak bekerja memiliki kesempatan yang sama untuk merawat anaknya walaupun intensitas waktunya tidak sama. Orang tua lebih memperhatikan perkembangan anak dan sering melatih kemampuan yang belum dicapai oleh anak, serta bisa memilih ibu pengganti yang dapat dipercaya untuk mengasuh anak dalam kesehariannya.

The Effect of Ankle Strategy Exercises on Static Balance in The Elderly Dwi Yuniar Ramadhani; Putri Arivia
Jurnal Ilmiah Kesehatan Vol 14 No 1 (2021): Jurnal Ilmu Kesehatan (Journal of Health Sciences)
Publisher : Universitas Nahdlatul Ulama Surabaya

Decreased muscle strength is a musculoskeletal disorder in the elderly, resulting in slow movements and impaired physical mobility. Physical changes that occur in the elderly cause the risk of falling. This study analyzes the ankle strategy exercise's effect on static balance in the elderly at Regional Technical Implementation Unit (UPTD) Griya Werdha Surabaya. This study was Pre-Experimental with One Group Pre-Post Test Design. From the population, there were thirty-five respondents by simple random sampling. This study's independent variable was ankle strategy exercises with frequency three times a week within a month. The dependent variable was a static balance with the instrument Time Up Go (TUG) test. The authors analyzed the data with the Wilcoxon test. The study results showed a significant effect of the ankle strategy exercise on static balance in the elderly (p=0,000). The result showed a decrease in the number of elderly who have the high-risk of falling before the ankle strategy exercise (60% of elderly have a high risk of falling) and after the intervention (34% of elderly have a decreased risk of falling). The elderly should do the ankle strategy exercise independently or with assistant three times a week to improve their static balance and decrease their high-risk of falls.

Locus of Control and Self-Efficacy Relationship with Medication Adherence in Elderly with Hypertension Dwi Yuniar Ramadhani; Erna Fitriana; Cicik Dwi Febriyanti
Jurnal Ilmiah Kesehatan Vol 15 No 01 (2022): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Patients with hypertension in the elderly often experience non-compliance in the treatment process. In addition, they also experience difficulty in controlling themselves, which is known as the locus of control. An unhealthy lifestyle in the elderly tends to have low self-efficacy, which has an impact on non-adherence to treatment. Therefore, this study aims to identify the dominant factors associated with medication adherence in the elderly with hypertension. The study design was correlational analytic with a cross sectional approach. The population in this study were 36 elderly people with a diagnosis of hypertension who were selected using a total sampling technique. The questionnaire used a multidimensional Health Locus of Control Scale (MHLCS) form C, Self-efficacy for Managing Hypertension, MMAS-8 (Morisky Medical Adherence Scale-8 Items). Data analysis using Pearson Product Moment static test and Linear Regression. In this study, it was found that locus of control and medication adherence had a significant relationship with p-value=0.005, and r-value =0.460, while self-efficacy and medication adherence had a significant relationship with p-value= 0.001 and r-value= 0.527. The most dominant variable of medication adherence was self-efficacy (p=0.02; B=0.335). Based on these results, it can be concluded that the elderly with hypertension who adhere to medication have a good locus of control and high self-efficacy. Adherence to taking medication can be improved by providing health education and increasing self-efficacy through support from family.

AKTIVITAS FISIK DENGAN PERILAKU SEDENTARI PADA ANAK USIA 9-11 TAHUN DI SDN KEDURUS III/430 KELURAHAN KEDURUS KECAMATAN KARANG PILANG SURABAYA Dwi Yuniar Ramadhani, Roseda Riantara Bianti
Adi Husada Nursing Journal Vol 3 No 2 (2017): Adi Husada Nursing Journal
Publisher : STIKes Adi Husada

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ABSTRAKAnak usia sekolah lebih sering melakukan aktivitas sedentary sehari-hari seperti main game, menonton televisi dan kurang dalam melakukan aktivitas fisik. Anak yang lebih sering menghabiskan waktu luang untuk melakukan aktivitas sedentary tanpa melakukan aktivitas fisik akan memberikan dampak obesitas bagi anak. Tujuan penelitian untuk mengetahui hubungan aktivitas fisik dengan perilaku sedentary pada anak usia 9-11 tahun di SDN Kedurus III/430. Desain penelitian menggunakan studi korelasi dengan pendekatan cross sectional. Populasi penelitian yaitu anak usia 9-11 tahun di SDN Kedurus III/430 yang berjumlah 120, sampel yang diambil 92 dengan menggunakan teknik sampling, purposive sampling. Hasil penelitian menunjukkan proporsi perilaku sedentary sering dengan aktivitas fisik pasif sebesar 96,9%. Hasil Spearman Rho dengan nilai p=0,00 dan nilai r=0,764. Dukungan keluarga, guru dan sekolah membantu anak dalam melakukan aktivitas fisik aktif dan memberi kemudahan dengan menyediakan fasilitas untuk berolah raga. Orang tua dapat melakukan perubahan pada anak dengan menetapkan peraturan untuk membatasi lama anak melakukan aktivitas berbasis layar dan mematikan televisi selama belajar. Kata kunci : Aktivitas Fisik, Perilaku sedentary, anak sekolah dasar ABSTRACTSchool-age children are more likely to engage in every day activities such as playing games, watching television and lacking in physical activity. Children who spend more free time to do sedentary activities without physical activity will have an impact on childhood obesity. The purpose of study was to investigate the relationship of physical activity with sedentary behavior in children aged 9-11 years in SDN Kedurus III/430. This research design use correlation study with cross sectional approach. The population of study are children aged 9 to11 years in SDN Kedurus III/430 which amounted to 120, samples taken 92 by using sampling techniques, purposive sampling. The results showed the proportion of sedentary behavior often with passive physical activity of 96,9%. Spearman Rho result with p value=0,00 and r value= 0,764. Family, teacher and school support help children in performing active physical activity and providing facilities by providing facilities for exercise. Parents can make changes to children by setting rules to limit the length of children performing screen-based activities and turning off the television during learning. Keywords : Physical Activity, Sedentary Behavior, Elementary School Children DAFTAR PUSTAKA1. Almatsier, Sunita. 2011. Prinsip Dasar Ilmu Gizi. Jakarta : PT Gramedia Pustaka Utama.2. Hadi, H. 2007. Beban Ganda Masalah Gizi dan Implikasinya terhadap Kebijakan Pembangunan Kesehatan Nasional. Yogyakarta : UGM3. Arundana, dkk. 2013. Aktivitas Fisik dan Asupan Kalsium sebagai Faktor Resiko Obesitas. Yogyakarta : Bumi Aksara.4. Guow, et al. 2010. Assiciations Betwen Diet and Activity Behaviors with Overweight and Obesity Among 10-18 Year Old. Public Health Nutr 13 (10) : London.5. Ochoa, et al. 2013. Predictor Factors For Childhood Obesity in a Spanish Case Control Study. Nutrition Journal 23 : Spanyol.6. Badan Penelitian dan Pengembangan Kesehatan. 2013. Riset Kesehatan Dasar RISKESDAS 2013. Kementerian Kesehatan RI.7. Yu et al. 2012. Trends in Overweight and Obesity Among Children and Adolescents in China 1981 to 2010. Am J Prev Med 6 : China8. Palilingan, Pingkan. 2010. Apakah Anak Anda Obesitas?. Betterhealth 9 (3) : Jakarta9. Soetjiningsih. 2010. Tumbuh Kembang Anak dan Permasalahanya. Jakarta Sagung Seto.10. Arundhana, Andi. I, dkk. 2013. Hubungan Aktivitas Fisik dengan Perilaku Sedentari Sebagai Faktor Resiko Kejadian Obesitas pada Anak Sekolah Dasar Usia 8-12 Tahun di Kota Yogyakarta dan Kabopaten Bantul. Jurnal Gizi dan Dietik Indonesia 5 (1) : Yogyakarya.11. Nurmalina, D. 2011. Gambaran Karakteristik Aktifitas Fisik dengan Kejadian Obesitas pada Anak Usia 9-12 Tahun di SDN III Cirendu. Jurnal Gizi Klinik Indonesia 9 (1) : Yogyakarta.12. Ramadhani, A. 2011. Gambaran Aktivitas Sedentary Diukur dengan Jumlah Durasi Aktivitas Sehari-hari pada Anak Usia 7-12 Tahun di SD Katolik Cendrawasih Makassar. Jurnal Kesehatan Masyarakat Madani 2 (4) : Makassar.13. Raynor, et al. 2012. Physical Activity and Sedentary Life Style Among Children From Privateand Public Schools. Rev Study Publica 6 (44) : Brazil.14. Khader, et al. 2009. Modifiable Characteristics Associated With Sedentary Behavior Among Youth. Internasional Journal of Pediatrics Obesity 3 (2) : Amerika15. Atkinson, R. L. 2008. Etiologies Of Obesity. Totowa, New Jersey : Humana Press.16. Stanish, et al. 2008. Health-Promoting Physical Activity. Medicine and Sciene in Sports and Exercise 12 (1) : London.17. Anderson, et al. 2010. Physical Activity, Active Play, and Screen Time In US Children Aged 7 to 11 Yeas to Weight Status Characteristic. BMC Public Health 8 (36) : America18. Oktariza, E. 2011. Pengaruh Aktivitas Fisik dengan Perilaku Sedentary Pada Anak Sekolah Dasar di Kota Yogyakarta. Jurnal Gizi dan Dietik Indonesia 12 (2) : Yogyakarta.

MANAGEMENT ANXIETY LEVEL BY USING LEMONGRASS AROMATHERAPY ON RESIDENTS OF RT 7 RW 4 KAPASARI VILLAGE SEMAMPIR DISTRICT SURABAYA Dwi Yuniar Ramadhani
Journal of Health Community Service Vol. 2 No. 3 (2022): Journal of Health Community Service: 2022 September
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhcs.v2i3.2970

The Covid-19 pandemic affects people’s psychology, particularly the incorrect information about covid-19 that causes worry, stress and anxiety. This study aims to manage anxiety levels by using lemongrass aromatherapy. Community service activities were carried out in the RT 7 RW 4 Kapasari Village area, with as many as 34 residents.The activities carried out were about health education and the manufacture of lemongrass aromatherapy. While the health condition used media in the form of leaflets. Activities were carried out online and offline. Measuring instruments used was Anxiety Scale (CAS). The results showed a change in anxiety levels, namely not anxietyas much as 64.7% and anxiety as much as 35.3%. Lemongrass contents can provide a sense of relaxation to reduce anxiety. Proper anxiety management during the Covid-19 pandemic can increase immunity and provide serenity so that people can have a good And healthy life.

BLOOD PRESSURE CONTROL WITH BENSON RELAXATION TECHNIQUE IN HYPERTENSIVE PATIENTS Dwi Yuniar Ramadhani; Dinda Rahma Annisa; Putri Nabila Savira Suwandi; Ulan Apriani; Diah Qurrotul Aini; Anggi Zubatian Artha Dinata
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.45155

Introduction: A person who has high blood pressure sometimes has difficulty controlling blood pressure. As a result of uncontrolled blood pressure will cause various complications. Efforts that may be made to control blood pressure and avoid depression can be done by using non-pharmacological techniques, one of which is by using relaxation techniques. To find out blood pressure before and after Benson's relaxation technique is carried out in patients with hypertension. Methods: The research design used was quasy experimental, where there were 2 groups, namely the treatment group and the control group. The population of people with hypertension was 38 respondents and simple random sampling technique. Respondents were divided into 2 groups. Insresearch instruments used observation sheets and Geriatric Depression Scale (GDS). Statistical test used wilcoxone Signed Rank Test. Results: It was found that 19 respondents (100%) were found to have decreased blood pressure levels. In the control group or the group that did not do Benson relaxation technique, there was a decrease in blood pressure in as many as 9 respondents (47%). The Geriatric Depression Scale (GDS) value is known that as many as 34 people with hypertension (89%) fall into the category of mild depression with a score of 10-19, the intervention group is 18 people (95%) and 16 people (84%). Benson's relaxation technique on blood pressure obtained a value of p = 0.000 which shows that the influence of Benson's relaxation technique with blood pressure in hypertensive patients. Conclusions:Benson's relaxation technique done regularly will help lower blood pressure and provide relaxation to the muscles so as to reduce muscle tension, reduce stress and calm mind.

UPAYA MENGONTROL TEKANAN DARAH DENGAN LATIHAN SLOW DEEP BREATHING PADA PENDERITA HIPERTENSI Rosari Oktaviana Mahundingan; Dwi Yuniar Ramadhani; Irma Yunita; Nurlita Arinda Rini; Berliani Ananda Risvy
Community Development in Health Journal Volume 1, Nomor 1, April 2023
Publisher : UPPM STIKES Adi Husada

Introduction & Aim: Hypertension or high blood pressure is a major risk factor in atherosclerosis, cardiovascular disease, heart failure, stroke, and kidney failure. Hypertension is a big and serious problem because it often goes undetected even though it has been years. One of the non-pharmacological therapies that people can do with hypertension is relaxation. Slow Deep Breathing is a relaxation technique that serves to lower blood pressure so that it can be carried out independently. This community service aims to reduce blood pressure in hypertension patients through Slow Deep Breathing exercises. Method of Activity: The methods carried out in community service are health counseling and the demonstration of Slow Deep Breathing exercises. The target of this activity was hypertension patients who were in Balai RT 06 Jalan Gembong Sekolahan which amounted to 23 participants. Results: A total of 23 participants the result showed that characteristics based on gender, the majority were female (87%); based on age, the majority 36-45 years (35%); based on education, the majority were elementary school (43%); and based on work the majority housewife (52%). Characteristics based on long-suffering from hypertension mostly within 2 years (26%). The result of activity before Slow Deep Breathing systolic blood pressure in the stage 2 hypertension category (61%) and after intervention in the stage 1 hypertension category (70%). Discussion: For participation with hypertension, Slow Deep Breathing should be a complementary therapy to monitoring blood pressure to improve the quality of life.

Monitoring of Older Adult’s Joint Pain Management by Families Based on Information Technology (IT) Platform Rizkiyani Istifada; Iswati Iswati; Wahyu Dini Candra Susila; Dwi Yuniar Ramadhani; Muh Asnoer Laagu
Adi Husada Nursing Journal Vol 9 No 2 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i2.451

Older adults experience an aging process that impacts a decrease in physiological function. Joint pain is one of the negative consequences of decreased physiological function. Older adults need a continuum of care to deal with the perceived vulnerability due to the effects of pain. The family has a role in self-management at home, but sometimes families experience difficulties in the mentoring process because of their high productivity outside the home. The research aims to explain monitoring on the pain scale, knowledge, skills, self-efficacy of older adults, and the level of family independence based on Information Technology (IT) platform. The method used is a case report on an older adult and the family for two months of monitoring. The intervention consisted of 4 meetings using psychoeducational techniques, cognitive restructuring, demonstration, and problem-solving. The result showed a decrease in the pain scale and an increase in the knowledge, skills, and self-efficacy of older adults. In addition, the result showed increased family independence after intervention. The family has an essential role in accompanying older adults during the joint pain management process. This result is expected to be a recommendation for health workers to maximize the part of the family in treating pain management in older adults.

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