IJENS: INDONESIAN JOURNAL OF EMPIRICAL NURSING SCIENCES
Jurnal Studi Keperawatan Empiris Indonesia ( IJENS ) merupakan jurnal akses terbuka dan peer-review yang diterbitkan oleh Institut Teknologi, Sains, dan Kesehatan RS Dr. Soepraoen Malang bekerja sama dengan organisasi profesi perawat di Departemen Keperawatan Dasar dan Departemen Keperawatan Lanjut . Jurnal Studi Keperawatan Empiris Indonesia ( IJENS ) diterbitkan dua kali setahun pada bulan Maret dan September . Kami menerima artikel penelitian, studi kasus, dan/atau tinjauan pustaka dalam bidang kesehatan yang luas.
Program Studi Keperawatan, Fakultas Ilmu Kesehatan, ITSK RS dr Soepraoen
INTERVENSI TEKNIK RELAKSASI NAPAS DALAM TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI GRIYA LANSIA KHUSNUL KHOTIMAH MALANG
Latar Belakang: Hipertensi merupakan penyakit kronis yang banyak dialami oleh lansia dan dapat menimbulkan keluhan pusing dan lemas apabila tidak dikelola secara optimal. Salah satu intervensi nonfarmakologis yang dapat dilakukan adalah teknik relaksasi napas dalam sebagai upaya meningkatkan manajemen kesehatan pasien. Tujuan: Studi kasus ini bertujuan untuk mengetahui efektivitas edukasi teknik relaksasi napas dalam terhadap peningkatan manajemen kesehatan pada pasien lansia dengan hipertensi. Metode: Studi kasus ini dilakukan pada dua pasien lansia dengan hipertensi di Griya Lansia Husnul Khatimah selama tiga hari. Asuhan keperawatan diberikan berdasarkan SDKI, SIKI, dan SLKI dengan diagnosis keperawatan kesiapan peningkatan manajemen kesehatan. Intervensi utama berupa edukasi dan pendampingan teknik relaksasi napas dalam yang melibatkan keluarga. Hasil: Hasil evaluasi menunjukkan penurunan keluhan pusing dan lemas, peningkatan rasa nyaman, serta kecenderungan penurunan tekanan darah. Pasien mampu melakukan teknik relaksasi napas dalam secara mandiri setelah intervensi diberikan. Kesimpulan: Edukasi teknik relaksasi napas dalam efektif sebagai intervensi keperawatan nonfarmakologis untuk meningkatkan manajemen kesehatan pada pasien lansia dengan hipertensi.
Copyright (c) 2026 IJENS: INDONESIAN JOURNAL OF EMPIRICAL NURSING SCIENCES
hipertensi, diet DASH, edukasi keluarga, keperawatan keluarga
Pendahuluan: hipertensi merupakan penyakit tidak menular dengan prevalensi yang terus meningkat dan berisiko menimbulkan komplikasi serius apabila tidak dikelola secara optimal. Pengendalian hipertensi secara nonfarmakologis dapat dilakukan melalui penerapan Dietary Approaches to Stop Hypertension (DASH). Keberhasilan diet DASH sangat dipengaruhi oleh tingkat pengetahuan dan keterlibatan keluarga dalam pengelolaan kesehatan pasien. Tujuan: penelitian ini bertujuan untuk mengetahui hasil intervensi edukasi keluarga berbasis diet DASH terhadap peningkatan pengetahuan keluarga pada pasien hipertensi di Dusun Nongkosewu, Kecamatan Poncokusumo, Kabupaten Malang. Metode: myang digunakan adalah pendekatan kualitatif dengan desain studi kasus pada lima keluarga yang memiliki anggota keluarga dengan riwayat hipertensi. Pengumpulan data dilakukan melalui wawancara, pengkajian keperawatan keluarga, serta pengukuran tingkat pengetahuan menggunakan kuesioner diet DASH sebelum dan sesudah edukasi, dengan keabsahan data dijaga melalui triangulasi. Hasil: hasil penelitian menunjukkan bahwa sebelum edukasi seluruh responden berada pada kategori pengetahuan kurang. Setelah diberikan edukasi keluarga berbasis diet DASH, seluruh responden mengalami peningkatan pengetahuan ke kategori cukup. Kesimpulan: disimpulkan bahwa edukasi keluarga berbasis diet DASH efektif meningkatkan pengetahuan keluarga dan dapat direkomendasikan sebagai intervensi keperawatan keluarga dalam pengendalian hipertensi dan pencegahan komplikasi.
A ASUHAN KEPERAWATAN PADA PASIEN CVA ICH DENGAN PEMBERIAN DUKUNGAN MOBILISASI DI RUANG EDELWEIS B RUMAH SAKIT KARSA HUSADA BATU
Stroke hemoragik (CVA ICH) adalah jenis stroke yang disebabkan oleh pecahnya pembuluh darah pada suatu area otak. Salah satu asuhan keperawatan yang dapat diberikan yaitu dukungan mobilisasi karena sangat mempengaruhi klien CVA ICH, serta mencegah komplikasi seperti kaku sendi, atrofi, decubitus, bahkan kematian. Jenis penelitian ini adalah deskriptif analisis dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosa, intervensi, implementasi, dan evaluasi keperawatan. Subyek penelitian ini adalah dua pasien dewasa dengan usia >45 tahun berjenis kelamin laki-laki yang terdiagnosa CVA ICH. Berfokus pada tindakan nonfarmakologis dengan pemberian dukungan mobilisasi pada kedua klien, dengan dibantu pemberian kolaborasi pemberian farmakologis. Hasil evaluasi menunjukkan adanya perbaikan sedikit demi sedikit pada status kesehatan pasien. Dengan demikian, intervensi keperawatan yang diberikan mampu mengatasi masalah yang dialami pasien CVA ICH.
USE OF SUGAR-FREE CHEWING GUM (XYLITOL) TO ACCELERATE GASTROINTESTINAL MOTILITY RECOVERY IN POST-APPENDECTOMY PATIENTS AT KANJURUHAN HOSPITAL
Introduction: Appendectomy may cause delayed gastrointestinal motility recovery, increasing the risk of postoperative complications, prolonging hospital stay, causing patient discomfort, and delaying oral feeding, particularly in patients who undergo preoperative fasting. This study aimed to describe the use of sugar-free chewing gum containing xylitol as a non-pharmacological nursing intervention to accelerate gastrointestinal motility recovery in post-appendectomy patients at Kanjuruhan Regional General Hospital. Methods: A case study design was conducted involving two post-appendectomy patients presenting with hypoactive bowel sounds averaging 1–2 times per minute, mild abdominal distension, and absence of flatus. The intervention was initiated two hours after surgery by administering xylitol chewing gum three times daily at six-hour intervals, with each session lasting ten minutes using four pieces of chewing gum. Gastrointestinal motility was assessed through bowel sound frequency and the occurrence of flatus before and after the intervention. Results: The findings showed a gradual increase in bowel sound frequency from hypoactive levels to increased activity, accompanied by the appearance of flatus within six hours after the intervention. Conclusion: Sugar-free chewing gum therapy may accelerate gastrointestinal motility recovery and support earlier oral intake, making it a simple, safe, and effective complementary nursing intervention for post-appendectomy patients.
ASUHAN KEPERAWATAN PADA PASIEN DIABETES MELITUS (ULKUS DIABETIKUM) DENGAN PEMBERIAN TERAPI RELAKSASI BENSON UNTUK MENURUNKAN TINGKAT KECEMASAN PRE OPERASI AMPUTASI DI RUANG DIPONEGORO BAWAH RSUD KANJURUHAN KABUPATEN MALANG
ABSTRAK Ulkus diabetikum merupakan komplikasi berat diabetes melitus yang berisiko menyebabkan infeksi, gangguan perfusi jaringan, hingga amputasi. Kondisi ini sering memunculkan kecemasan pada pasien, terutama ketika menghadapi tindakan pembedahan. Kecemasan pre-operasi dapat memengaruhi kondisi fisiologis, meningkatkan tekanan darah, memperburuk kontrol glukosa, serta menghambat proses penyembuhan luka. Intervensi keperawatan nonfarmakologis seperti relaksasi benson dapat digunakan untuk membantu menurunkan kecemasan tersebut. Metode: Studi ini merupakan studi kasus pada dua pasien dengan diabetes melitus tipe II yang mengalami ulkus pedis dan direncanakan menjalani amputasi. Pengkajian dilakukan secara komprehensif meliputi kondisi fisik, psikologis, status luka, dan tingkat kecemasan. Intervensi relaksasi benson diberikan selama 10–20 menit, 1–2 kali per hari sesuai toleransi pasien. Evaluasi dilakukan melalui observasi respon fisiologis dan penilaian kecemasan sebelum dan sesudah intervensi. Hasil: Setelah pelaksanaan relaksasi benson selama beberapa sesi, kedua pasien mengalami penurunan tingkat kecemasan. Pasien tampak lebih tenang, mampu mengontrol napas dengan baik, dan menunjukkan peningkatan kenyamanan. Secara fisiologis terjadi penurunan frekuensi napas dan stabilisasi tanda vital. Pasien juga menyampaikan kesiapan yang lebih baik dalam menghadapi prosedur amputasi. Kesimpulan: Relaksasi benson efektif membantu mengurangi kecemasan melalui mekanisme relaxation response yang memengaruhi sistem saraf otonom. Intervensi ini mudah dilakukan, tidak memerlukan alat khusus, dan dapat diterapkan pada pasien dengan kondisi kronis seperti ulkus diabetikum. Temuan ini mendukung penggunaan relaksasi benson sebagai bagian dari asuhan keperawatan untuk manajemen kecemasan pre-operasi. Kata Kunci: Ulkus diabetikum, kecemasan, amputasi, relaksasi benson
HUBUNGAN ANTARA POLA MAKAN DAN KENAIKAN BERAT BADAN MINIMUM DAN STATUS GIZI DI ANTARA ANAK-ANAK BERUSIA 2-5 TAHUN DI PUSAT KESEHATAN MASYARAKAT PANDANWANGI
Introduction: This study aims to examine the relationship between eating patterns, minimal weight gain, and nutritional status among children aged 2–5 years. The research was conducted due to the persistent nutritional challenges in early childhood, which are often influenced by family eating habits. Methods: cross-sectional design was used with a total sampling of 65 children at Pandanwangi Health Center. Data were collected using an eating pattern questionnaire, minimal weight measurements, and nutritional assessments based on anthropometric standards. Results: The results indicated that most children had adequate eating patterns, experienced weight gain, and had good nutritional status. Chi-Squareanalysis showed no significant relationship between eating patterns and minimal weight gain or nutritional status.Conclusion: The study concludes that growth and nutritional outcomes are influenced by multiple factors beyond eating patterns, highlighting the need for comprehensive interventions through parental education and routine growth monitoring.
Copyright (c) 2025 IJENS: INDONESIAN JOURNAL OF EMPIRICAL NURSING SCIENCES
POLA MAKAN DENGAN KEJADIAN KEKAMBUHAN PADA KLIEN GASTRITIS
Introduction: Gastritis remains a prevalent health issue globally. Although not life-threatening, it significantly impacts an individual’s quality of life, primarily due to unhealthy lifestyle choices. Maintaining health eating habits plays a crucial role in preserving the digestive system’s health. This study aimed to analyze the relationship between dietary patterns and the recurrence pf gastritis. Methods: A cross-sectional design was employed in this study, involving 43 respondents at the Duono Community Health Center in West Halmahera Regency. Data were collected using questionnaires on dietary consumption patterns and the incident of gastritis. Statistical analysis was then performed using the Chi-Square test. Results: The study revealed a significant association between dietary patterns and the recurrence of gastritis (p<0.005). Conclusion: based on these findings, health care professionals at the Community Health Center, especially nurses, it is highly recommended to more proactive in educating the community about the importance of maintaining health eating habits to reduce the incidence of gastritis recurrence.
THE RELATIONSHIP BETWEEN THE INTENSITY OF GADGET USE AND DIFFICULT EATING BEHAVIOR IN SCHOOL-AGE CHILDREN
In this era of over-evolving technology, gadgets have become an integral part of everyday life, including for school-aged children. Therefore, a deeper investigation into the impact of gadget use on children’s eating habits at the local level is crucial to minimizing its impact. This issue is particularly evident at SDN 01 Sumber Sekar Dau, reflecting a broader phenomenon related to gadget use among children. When children spend more time playing with gadgets, such as gaming and watching videos, this reduces the time for physical activity and healthy social interactions. As a result, many children prefer fast food over healthy eating options, leading to fussy eating behavior. This study adopted a quantitative design with a questionnaire method. A total of 75 students were sampled using a total sampling technique. The results of the statistical test showed a p-value of 0,007, indicating a significant relationship between the intensity of gadget use and fussy eating behavior. In addition, the coefficient r of 0,353 indicates a positive relationship with a weak to moderate correlation strength. Thus,it can be concluded that the intensity of gadget use and difficult eating behavior are proven. The higher the intensity of gadget use, the greater the possibility of children experiencing difficult eating behavior.
THE EFFECT OF THE BUTEYKO BREATHING TECHNIQUE AS A NURSING INTERVENTION ON OXYGEN SATURATION IN ASTHMA PATIENT
Bronchial asthma is a chronic inflammatory disease of the airways that causes bronchial hyperreactivity and leads to episodic symptoms such as shortness of breath, coughing, and wheezing, which are reversible in nature. In emergency conditions, disturbances occur in the airway, breathing, and circulation, characterized by an increased respiratory rate (>30 breaths per minute) and decreased SpO₂ levels due to hypoxia. This condition requires immediate management as it can be life-threatening. This study aims to determine the effectiveness of the Buteyko breathing technique as a nursing intervention to improve oxygen saturation in asthma patients in the inpatient ward of Lavalette Hospital. A descriptive method in the form of a case study of nursing care was used to evaluate the effectiveness of the Buteyko breathing technique in increasing oxygen saturation among asthma patients in Lavalette Hospital, Malang. The approach was based on the nursing process, including assessment, nursing diagnosis, planning, implementation, and evaluation, to provide an in-depth understanding of the intervention outcomes. The results showed an improvement in oxygen saturation and a decrease in respiratory rate after the implementation of the Buteyko breathing technique in asthma patients. Both patients demonstrated better breathing patterns, reduced shortness of breath, and increased independence in performing the breathing exercises. The Buteyko breathing technique is effective as a non-pharmacological intervention to enhance oxygenation and improve respiratory function in patients with asthma.
CORRELATION BETWEEN STRESS LEVELS AND THE MENSTRUAL CYCLE OF FINAL YEAR NURSING STUDENTS AT ITSK DR. SOEPRAOEN HOSPITAL
Final year nursing students are individuals who are often exposed to stress. In their daily activities, they face physical and psychological pressures in academics. When stress strikes, cortisol levels become imbalanced, disrupting hormones in the menstrual cycle. This study aims to determine the relationship between stress levels and the menstrual cycle of final year nursing students at ITSK Dr. Soepraoen Hospital. This study used a cross-sectional method with a quantitative approach. The sample consisted of 62 final year nursing students using an accidental sampling technique. The instrument in this study was the Depression Anxiety and Stress Scale (DASS-42) questionnaire and took into account the menstrual cycle (normal & abnormal), data analysis used the Spearman Rank test. Based on the results of the Spearman's rho test conducted between the variables of stress levels and menstruation, there was a significant relationship between the two. The Spearman correlation coefficient value of 0.367 indicates a moderate positive correlation, meaning that the higher the stress level, the greater the likelihood of changes in menstruation. The results of the significance test (p=0.040) indicate that this correlation is significant at the 0.05 level of significance, meaning a relationship between stress levels and menstruation. The results of the study showed that there was a significant relationship between stress levels and the menstrual cycle in final year students.
THE EFFECT OF EARTHQUAKE DISASTER EDUCATION USING THE CARD PLAYING METHOD ON STUDENTS' KNOWLEDGE
Earthquake are a natural disaster that can occur suddenly and in a short time and can cause significant damage. Preparedness and appropriate responses are essential to reduce the impact. SDN 1 Bandungrejo is one of the schools located in an earthquake-prone area, where elementary school-aged students are a vulnerable group due to their low level of knowledge regarding disaster mitigation. This study aims to analyze the effectiveness of disaster education through a card game method on increasing students' knowledge about earthquakes. This study used a quantitative approach, with a preexperimental desain with a pretest-posttest approach. The sample size was 32 respondents selected using a total sampling technique. The results of the Wilcoxon Signed Rank Test showed a significant increase in knowledge after the intervention, with a p-value of 0.001 (<0.05). It can be concluded that the card game-based earthquake education method is effective in increasing elementary school students' understanding of earthquake mitigation.
FAMILY SUPPORT AND INDEPENDENCE OF THE ELDERLY IN ACTIVITY OF DAILY LIVING (ADL)
Background The aging process in individuals can have an impact on the emergence of various problems related to physical, mental, biological, and socioeconomic factors. As a person ages, a person's physical condition usually declines, making it difficult to meet daily needs independently and leading to dependence. The purpose of this study is to analyze the relationship between family support and the independence of the elderly. Method: This study is a quantitative research with an analytical design that links various factors and methods carried out simultaneously. The purpose of this study is to identify risk elements that have a certain influence by utilizing observation methods, where information is collected at a specific time. The sampling method applied was non-probability sampling using purposive sampling, resulting in a total of 53 elderly participants. Results: Based on the results of the study, all elderly people are supported by their families, and most of the elderly have a level of self-dependence. The analysis of the relationship between family support and the independence of the elderly shows a p-value of 0.000, a result <0.05, thus concluding that there is a relationship between family support and the independence of the elderly.
CORRELATION BETWEEN MOTIVATION AND SELF- EFFICACY IN DIABETIC PATIENT
Diabetes mellitus (DM) is a chronic disease with a continuously increasing prevalence, often reducing patients' quality of life due to complications and the demands of lifelong care. This study aims to analyze the relationship between motivation for recovery and quality of life in DM patients at Wava Husada Kepanjen Hospital. Using an analytical observational design with a cross-sectional approach, data was collected from 100 DM patients. The results showed that 100% of the respondents had good motivation for recovery. However, their quality of life varied, with 74% having a good quality of life and 26% a poor quality of life. Statistical tests indicated a significant relationship between the two variables (p-value = 0.002), with a correlation coefficient of r = -0.625. This finding suggests a strong negative correlation, where higher motivation for recovery is associated with a lower quality of life for the patient. This unexpected result highlights the need for interventions that focus not only on motivation but also on psychosocial support and realistic education to help patients effectively manage the hopes and challenges of their disease.
THE RELATIONSHIP BETWEEN KNOWLEDGE AND MEDICATION ADHERENCE IN HYPERTENSIVE PATIENTS
Introduction: Hypertension is a chronic disease that is often called a silent killer because its symptoms are often not recognized, but it is at risk of causing serious complications such as stroke, heart disease, and kidney failure. Hypertension control is strongly influenced by patient compliance in taking antihypertensive drugs. One important factor that can influence compliance is the patient's level of knowledge about the disease and its therapy. However, although knowledge is considered to play an important role, there are still many hypertensive patients who are not adherent to treatment. Methods: This study used a quantitative design with a cross sectional approach. The number of respondents was 40 people with hypertension who were selected by purposive sampling technique. The research instrument was a questionnaire to measure the level of knowledge and compliance. Data analysis was performed with Spearman's rho correlation test. Results: The results showed that most respondents had a moderate level of knowledge (70%), while compliance with taking medication was dominated by the non-compliant category (72.5%). The results of Spearman's rho correlation analysis obtained a value of r = -0.410 with p = 0.009, which means there is a negative relationship with moderate strength and statistically significant between knowledge and compliance. Conclusion: There is a significant negative relationship between the level of knowledge and compliance with taking medication in patients with hypertension at the Wira Husada Clinic in Malang. This indicates that increased patient knowledge does not always correlate with improved adherence. Therefore, additional approaches such as motivation, family support, and more persuasive education from healthcare providers are needed to improve patient adherence.
CORRELATION BETWEEN ALCOHOL ADDICTION AND MEMORY CONDITIONS IN EARLY ADULTHOOD
Alcohol addiction is one of the most common health problems among young adults. At this stage of life, individuals often face social pressures, risky lifestyles, and identity searches, which can increase their tendency to consume alcohol. Alcohol is known to have a negative impact on brain function, especially memory, which plays an important role in daily activities and academic and work performance. Methods: This study used a quantitative method with a cross-sectional design. The sample consisted of 50 early adult respondents selected using purposive sampling. The research instruments used included the Alcohol Dependence Scale (ADS) to measure the level of alcohol addiction and the Everyday Memory Questionnaire Revised (EMQ-R) to assess the respondents' memory. The data were analyzed using Spearman's test to determine the relationship between the two variables. Results: The results showed that of the 50 respondents, 13 respondents (26%) were in the low addiction category, 11 respondents (22%) were in the moderate category, 25 respondents (50%) were in the substantial category, and 1 respondent (2%) was in the severe category. Meanwhile, the respondents' memory conditions showed that 14 respondents (28%) had normal memory function, 5 respondents (10%) had mild memory impairment, 29 respondents (58%) had moderate memory impairment, and 2 respondents (4%) had severe memory impairment. Further analysis showed a significant relationship between the level of alcohol addiction and memory impairment in early adulthood. Conclusion: This study concluded that the higher the level of alcohol addiction, the greater the risk of memory impairment. These findings confirm that alcohol addiction in early adulthood is a serious problem that requires attention. Therefore, prevention efforts, health education, and early intervention at the community and educational institution levels are needed to protect cognitive function in the early adult age group.
PREDICTION OF QUALITY OF LIFE OF PATIENTS AFTER MODERATE - SEVERE HEAD INJURY: COHORT STUDY
Traumatic brain injury (TBI) is an injury to the brain caused by external forces, such as impact, falls, or accidents, which can result in damage to brain tissue. This disease has a significant impact on the quality of life of patients. This study aims to identify factors that affect the quality of life of patients post-head injury. This research study uses an analytical observational design with a retrospective cohort approach. A total of 62 respondents were sampled using purposive sampling techniques. Based on the research results, there was no significant relationship between age, gender, occupation, education level, and health insurance with the quality of life of patients post-head injury. Thus, it is important to improve education for patients and families regarding the importance of rehabilitation after head injury to enhance quality of life.
AN OVERVIEW VAPE USE IN TERMS OF LIFESTYLE IN TEENAGER
The number of teenage vape users in Indonesia is currently increasing. Vape is indeed a modern lifestyle among the people. The development of lifestyle can be feared because it can make a person consume goods that are not concerned with the function of these goods but only to fulfill their desires. The purpose of this study was to describe the factors underlying the use of vape in terms of the lifestyle of students at SMPN 1 Kepanjen. The research design is descriptive. The population of this study was all 40 students of SMPN 1 Kepanjen who used vape. The sampling technique used is total sampling. The variables studied are the factors underlying the use of vape in terms of lifestyle. The research results were analyzed using univariate analysis. The research instrument used a questionnaire in the form of a google form. This research was conducted on 7 – 27 July 2023. The results of the study showed that most of them had a background of 16 people (60%), almost half of them did not have a background of 14 people (40%). From these results it can be concluded that age, gender, weekly allowance, have you ever received information about vape, sources of information, intensity of using vape, duration of using vape Based on this research, it is hoped that it can increase the role of educational institutions, especially regarding vape use by providing counseling to students about the dangers of vape use and as a self- evaluation of students about vape use so that it can encourage students to seek positive coping mechanisms by carrying out positive activities to reduce smoking. vaping use.
Copyright (c) 2024 IJENS: INDONESIAN JOURNAL OF EMPIRICAL NURSING SCIENCES
DEPRESSION IN ELDERY WITH NON- COMMUNICABLE DISEASE
Depression is a disease that is often not detected but significantly reduces the quality of life of the elderly, depression in the elderly can be caused by a lack of ability to adapt to oneself due to the process of physical, mental or social decline. The purpose of the study was to describe the indications of depression in the elderly with the frequency of non-communicable diseases at the integrated healthcare center for the elderly in Banjarejo Village, RW 02, Pakis Distric, Malang Regency. This research is a quantitative research with a descriptive research design. The population in this study were all elderly residents at the elderly integrated healthcare center RW 02 in Banjarejo Village, Pakis Distric, Malang Regency who suffered from non-communicable diseases as many as 100 people. The sample in this study were some of the elderly at the elderly integrated healthcare center as many as 40 people using Accidental Sampling. This research was conducted on January- February 2024. The research instrument used was the Geriatric Depression Scale. Data analysis used univariate or frequency distribution. The results showed that 67,5% were in the normal category, while 27,5% were elderly with mild depression indications, and 5% had severe depression indication categories. This is predicted because most of the elderly in Banjarejo Village are still working and active in environmental activities, so that they can improve the cognitive abilities of the elderly and help them avoid the risk of prolonged depression.
COMPLIANCE MANAGEMENT OF HYPERCHOLESTEROLEMIA IN ELDERY
Hypercholesterolemia is an increase in cholesterol levels in the blood. In order for cholesterol levels to remain stable, it is necessary to comply with therapy for the elderly who suffer from hypercholesterolemia. The purpose of this study was to determine the compliance of the elderly regarding the management of hypercholesterolemia in Gunungsari Village, RT 05/RW 02, Tajinan District, Malang Regency. This research was a descriptive research. The population was all elderly (>60 years) totaling 85 people. The sample was 62 people. The sampling technique used accidental sampling with univariate analysis. The research location was in Gunungsari Village, Tajinan District, Malang Regency and the research time was 29 June 2022, questionnaire research instrument. The variable in this study was elderly compliance in the management of hypercholesterolemia. The results of the study of elderly compliance in the management of hypercholesterolemia from 31 respondents lacked adherence, mostly 74% and a minority of 516%. This result was made possible by several factors such as age, gender, marital status, residence of the educator, occupation, drugs consumed, and information received. Based on the results, it is expected to increase compliance and carry out prevention and control by complying with diet, maintaining diet, exercising, quitting smoking, and contributing to family support.
One of the problems of parents who have toddler are toilet training children is that they don't understand their children's readiness, some parents are busy with work or are lazy about taking their children to the toilet. The failure of children aged 2-3 years who use diapers is a lack of parental, psychological and mental readiness. The aim of the research is to determine the toilet training in toodler who use diapers. This research is quantitative research with a descriptive research design. The population in this study were all toodler who used diapers in Distric of Kedungkandang Malang City, a total of 55 children. Sampling uses purposive sampling. This research was conducted on 04 - 10 June 2022. The research instrument used was univariate or frequency distribution. The research results showed that the majority of respondents were unsuccessful, namely 60%, and a small number of respondents were successful 40%. These results illustrate that the success of toilet training in children aged 2-3 years who use diapers is mostly unsuccessful. Based on the research results, it is hoped that we will continue to provide education and learning about toilet training for success, which requires maternal readiness, physical readiness and psychological readiness.
OVERVIEW OF THE NUTRITIONAL STATUS OF TOODLER
Nutritional problems are more susceptible to being experienced by children, especially toddlers. Nutritional disorders in toddlers (1-3 years) will affect the quality of life in the future. The purpose of this study was to describe the nutritional status of toddlers (1-3 years). The research design used a descriptive design. The population of this study was all toddler age children at Posyandu Duta Sehat 5 Ngawonggo Village, Tajinan District, a total of 30 toddler age children. Sampling used a total sampling of 30 children. This research was conducted on 1-3 April 2022. The research instrument used an observation sheet based on the results of anthropometric measurements of WAZ/HAZ. The results of the study found that the nutritional status of toddlers was mostly 66% with good nutritional status, a small portion of 20% with poor nutritional status, a small proportion of 7% with poor nutritional status and 7% overweight nutritional status. It is hoped that the mother of all toddlers more creative in choosing and preparing food ingredients for children under five so that nutritional problems do not occur at the age of toddlers.
FAMILY ROLE IN FULLFILLMENT PERSONAL HYGIENE NEEDS OF THE ELDERY
The aging process in the eldery will affect a person’s level of independency. It means that eldery no longer take care of themselves, in this case the eldery were very dependent on their families. The role of the family it selfis highly expected by eldery to assisst in their family needs. The aim of this study was to describe the role of the family in the fullfillment of personal hygiene in the eldery in Pasuruan Regency. The design of this study used descriptive study with cross - sectional approaches. The population of study are eldery families and use total sampling were 80 respondent. The research location is in Pasuruan Regency on April 2024. Variables of this study was family role in fulfillment personal hygiene needs of the eldery. Instruments of this study using questionnaire. Analysis of this study used univariate analyzed. The results of this study shows that the role of family in fulfillment personal hygiene in the eldery in Pasuruan Regency with 80 respondent. It was found that the most of them had a good family role in 55% and 45% had a sufficient family role in fulfillment personal hygiene needs in eldery. These results are influenced by several factors age, education, knowledge, occupation, gender. Based on this research, it can motivate that early adult women can develop a positive self - concept so that they will create satisfaction with their positive body image and positive coping mechanisms
BODY IMAGE OF YOUNG ADULT WOMEN WITH BODY SHAMING EXPERIENCE IN THE FITNESS CENTER OF MALANG CITY
Young adult women are victims of body shaming or critics regarding skins color, and body size. A person who have negative image because she only focused on self - image, not recognizing his own strength and potential. A negative self - image refers too much to other people's assessment of themselves, hows judge their body image or their physical condition The design of this study used descriptive study with cross - sectional approaches . The population of study are women of early adulthood . The sampling technique used consequence sampling with 60 samples size . Variables of this study was body image of young adult women . Instruments of this study using questionnaire . Analysis of this study used univariate analyzed. The results of this study shows that of body image disturbance 90% and less body image disturbance 10%. These results are influenced by several factors , age , gender , marital status, community and experience of body shaming . Based on this research, it can motivate that early adult women can develop a positive self - concept so that they will create satisfaction with their positive body image and positive coping mechanisms .
SELF- MANAGEMENT IN HYPERTENSION PATIENT
Background Uncontrolled hypertension can cause complications of hypertension. The codition of increasing complications of hypertension is influenced by the lack of hypertensive self-management behavior. One of them is the lack of healthy living behaviors such as smoking, eating a high meaning of salt and lack of monitoring of blood pressure. The purpose of this study was to determine the picture of self-management of hypertension sufferers in Malang Regency. Method This research is a quantitative research with a descriptive research design. The population of this study was hypertension sufferers in Malang 40 people. The sampling technique used is purposive sampling. This research was conducted on June- July, 2023. Data collection instrument using HSMBQ questionnaire (Hypertension Self- Management Behavior Quetionnaire). Result The results showed that hypertension self-management behavior almost entirely (85%) had sufficient self-management. A small percentage (10%) have less self-management, and (5%) have good self-management. Based on the analysis of the question items, the results of self-management of people with low hypertension were obtained on indicators of self- integration, self-regulation, and blood pressure monitoring. Based on the results of this study, it is hoped that people with hypertension can apply hypertension self-management, it can also be an input and consideration to apply the correct self-management behavior in preventing complications and recurrences of hypertension
MOTHER’S BEHAVIOR IN FULFILL NUTRITION STUNTED CHILDREN
Background Stunting is a condition of failure to grow in children so that children are too short for their age. Mother's behavior also influences children's stunting, especially the pattern of providing nutrition to children. The researcher's aim was to determine the behavior of mothers in fulfilling nutrition for stunted children aged 6-24 months in Tanjungarum Village, Sukorejo District, Pasuruan Regency. Method This research method is a quantitative research study with a descriptive research design. This population is all mothers in Tanjungarum Village, Sukorejo District, Pasuruan Regency. The sampling technique used was purposive sampling. The sample for this research was 90 mothers in Tanjungarum Village, Sukorejo District, Pasuruan Regency. This research was conducted in April-June 2022. The measuring instrument used a questionnaire sheet. Results The research results show that almost all mothers' behavior in providing nutrition for stunted children behaves adequately, 63%, a small portion behaves inadequately, 20%, and a small portion behaves well 17). It is hoped that this research can be used as a source of information for mothers, especially for mothers who have children who are stunted so that the children grow and develop well during their growth period.
WOMEN SATISFACTION IN ANTENATAL CARE SERVICES
Background Pregnant women's satisfaction with Antenatal Care (ANC) services has a significant impact on the quality of maternal and neonatal care. The aim of this research is to determine the description of pregnant women's satisfaction with the Antenatal Care Service at the Puri Bunda Mother and Child Hospital, Malang City. Methods This research design used quantitative research with a descriptive research design. The population in this study were all pregnant women who had an antenatal care visit at Puri Bunda Hospital, Malang in March 2023. The sampling technique used was accidental sampling with a total of 90 research respondents. Measuring tool with a questionnaire sheet to measure patient satisfaction in antenatal care services. Data analysis uses univariant analysis. Result The research results showed that patient satisfaction was 50% very satisfied and 50% satisfied. This is expected to provide an overview of pregnant women's satisfaction with Antenatal Care services at hospitals in providing antenatal care services.
Introduction The problem of hypertension has become a hot topic of discussion and has become one of the priority health problems in Indonesia and in the world, because hypertension is the most common cause of cardiovascular events. Hypertension is also referred to as the "silent killer" because hypertension often does not show complaints and signs and symptoms so that patients do not realize that they have hypertension. The aim of this study was to determine adherence to medication in hypertensive patients at the Trio Husada Clinic, Lowokwaru, Malang. Method This research used descriptive research design. The population in this study were all 45 patients suffering from hypertension at the Trio Husada Clinic, Lowokwaru, Malang. The sampling technique used was purposive sampling, with a sample of 30 patients. Instrumen used questionnaire based on variable compliance of taking medicine hypertension. Result Data analyzed used univariant analysis.The results showed that low compliance are 73%, and high compliance 27%. Based on the results of the study, it is expected to continue to provide information and education on a regular basis so that hypertensi patients understand the importance of medication adherence to control their hypertension
PARENT’S READINESS TO IMPLEMENTATION OFFLINE LEARNING IN PROBOLINGGO
Since covid- 19 condition in Indonesia, the goverment has encouraged implementation of limited offline learning as a step to restore lost competencies during online learning period. Offline learning in the middle of a pandemic makes parent that their children necessary to achieve maximum educational goals. The aim of this study are parent’s readiness to implementation offline learning. The design of this study used descriptive study. The population of study are 68 parent. The sampling technique used purposive sampling. The sample is 42 children, collected data used questionnaire sheet. The research site is in SDN Kanigaran 03 Probolinggo, East Jawa, Indonesia in June- July 2023. The result of study showed that almost half of the respondent, readiness of parent in offline learning 48% ready, 28% well readiness, and 24% less readiness. The sample of this study 58 respondent and used total sampling. Instrument of this variable used questionnaire. An overview of the degree of fall risk in older adults with hypertension is the variable under study. Based on this research, it can motivate elderly, to better maintain their diet and always maintain safety and health. Risk of fall eldery with hypertension can be decreased with preventive measures that can be given to the eldery.
CORRELATION BETWEEN THE RISK OF FALL WITH INCIDENT OF HYPERTENSION IN THE ELDERY
The health of the elderly has a significant impact on a number of diseases. Hypertension is one of the illnesses that is frequently observed in the elderly. Blood flow to the heart muscles will become restricted if the heart's blood arteries are damaged. This may contribute to heart attacks, which raises the risk of falls in older people with a history of high blood pressure. The aim of this study are correlation between the risk of fall with incident of hypertension in the eldery. The design of this study used cross- sectional study. The population of study are elderly with hypertension in Lumbangsari Village, Bululawang District, Malang Regency, Indonesia. The sample of this study 58 respondent and used total sampling. Instrument of this variable used questionnaire. An overview of the degree of fall risk in older adults with hypertension is the variable under study. Analysis of this study used spearmank rank. The result of this study show that of the level of risk of fall in elderly hypertensi. Eldery who have high risk of fall (48.3%), moderate risk of fall (27.6%) and small risk of fall (24.1%). Level of hypertension are hypertension grade 2nd (48%), hypertension grade 1st (34%) and prehypertension (18%). There is positive correlation between level of risk and incident of hypertension with R=0.67 and p- value= 0.02. These results are influenced by several factors, namely age, gender, education, occupation, income, disease, smoking, excessive salt consumption. Based on this research, it can motivate elderly, to better maintain their diet and always maintain safety and health. Risk of fall eldery with hypertension can be decreased with preventive measures that can be given to the eldery.