Nursing Science Journal (NSJ)

PENGARUH LATIHAN KEKUATAN DAN DIET PROTEIN TERHADAP KADAR GULA DARAH PADA LANSIA PREDIABET

Fri, 27 Jun 2025 00:00:00 +0000

Pendahuluan : Kadar gula darah perlu dijaga dalam batas normal karena kadar yang terlalu tinggi atau terlalu rendah dapat menyebabkan masalah Kesehatan. Hipoglikemia bisa menyebabkan gejala yang mengancam jiwa. sedangkan hiperglikemia sering terkait dengan diabetes, dan bisa menyebabkan berbagai komplikasi serius jika tidak terkontrol. Tujuan : penelitian ini yaitu untuk menganalisa pengaruh technologi angkat beban dan diet protein terhadap kadar gula darah pada lansia prediabet. Metode : Penelitian eksperimen ini membandingkan dua perlakuan pada subjek penelitian. Responden dalam penelitian ini yaitu 32 lansia di salah satu Posyandu Wilayah Puskesmas Cipocok Jaya Serang Banten, yang termasuk dalam kategori prediabet. Teknik pengamilan sampel menggunakan purposive sampling dengan kriteria inklusi adalah responden termasuk dalam kelompok prediabet berdasarkan hasil uji skrining dan setuju mengikuti penelitian hingga akhir. Instrumen dalam penelitian ini adalah Dumbbell untuk latihan angkat beban, Lembar control diet protein serta glukotest. Uji Analisa menggunakan uji paired sample t-test. Hasil : mayoritas jenis kelamin responden pada penelitian ini adalah laki-laki (53,12%) dengan usia 71-80 tahun (37,50%). Hasil pengecekkan kadar gula darah sebelum intervensi menunjukkan seluruh responden berada pada kadar gula darah 100-125 mg/dL (100%). Sedangkan kadar gula darah setelah intervensi berada pada kadar gula darah 100-125 mg/dL (87,50%) dan < 125 mg/dL (12,50%). Hasil uji tabulasi silang menunjukkan adanya perubahan kadar gula darah sebelum dan sesudah diberikan intervensi. Uji Analisa menunjukkan p-value 0,044. Simpulan : ada pengaruh kadar gula darah sebelum dan sesudah diberikan intervensi technologi angkat beban dan diet protein.

EFEKTIVITAS JUS TOMAT DAN WORTEL TERHADAP PENURUNAN MEAN ARTERIAL PRESSURE PADA PENDERITA HIPERTENSI

Elsa Elsa, Rian Tasalim, Dede Mahdiyah, M.Sandi Suwardi — Fri, 27 Jun 2025 00:00:00 +0000

Latar Belakang: Tekanan darah tinggi adalah penyebab kematian dini nomor satu di dunia, dan peningkatan tekanan darah menyebabkan peningkatan risiko penyakit termasuk stroke, gagal jantung, dan kerusakan ginjal. Hal ini terlihat dari klasifikasi keparahan hipertensi menurut mean arterial pressure. Terkait tekanan darah, salah satu cara mengendalikan tekanan darah tinggi dapat dilakukan melalui terapi non-obat, yaitu meminum kombinasi jus tomat dan wortel.

Tujuan: Mengetahui efektivitas pemberian kombinasi jus tomat dan wortel terhadap penurunan mean arterial pressure pada penderita hipertensi

Metode: Penelitian ini menggunakan metode quasi eksperimen non-equivalent control group design. Besar sampelnya adalah 70 responden yang terdiri dari 35 responden kelompok intervensi dan 35 responden kelompok kontrol dengan metode pengambilan sampel menggunakan purposive sampling.

Hasil: Nilai mean arterial pressure (MAP) sebelum intervensi adalah 119,343 mmHg (hipertensi derajat 2). Setelah intervensi, nilai mean arterial pressure menjadi 104.600 mmHg (normal tinggi). Sedangkan nilai mean arterial pressure (MAP) sebelum kelompok kontrol adalah 114,923 mmHg (hipertensi derajat 1), dan nilai mean arterial pressure (MAP) setelah kelompok kontrol adalah 109,966 mmHg (hipertensi derajat 1).

Simpulan: Kombinasi jus tomat dan wortel terbukti efektif menurunkan nilai tekanan arteri rata-rata pada pasien hipertensi dan secara signifikan (p-value 0,000<0,05), karena kandungan potasium wortel dan tomat memiliki banyak manfaat bagi kesehatan, antara lain menurunkan tekanan darah, menurunkan resistensi perifer, dan meningkatkan curah jantung.

PENGARUH EDUKASI ASI EKSKLUSIF TERHADAP PENINGKATAN PENGETAHUAN PADA IBU MENYUSUI DI WILAYAH PUSKESMAS KARANGDOWO

Ratna Agustiningrum, Suyami Suyami, Istianna Nurhidayati, Sri Handayani — Fri, 27 Jun 2025 00:00:00 +0000

Latar Belakang: Pemenuhan ASI pada Bayi baru lahir sangat diperlukan karena mengandung Imunoglobulin sebagai zat kekebalan atau daya tahan tubuh. Masalah kurangnya cakupan pemberian ASI dapat dipengaruhi karena faktor kurang pengetahuan ibu tentang ASI eksklusif. Tujuan : tujuan dari penelitain ini adalah untuk mengetahui pengaruh edukasi asi eksklusif terhadap peningkatan pengetahuan pada ibu menyusui. Metode : Penelitian quasy eksperiment ini menggunakan rancangan one group pre-test post-test design. Jumlah sampel dalam penelitian adalah sebanyak 36 responden yang diambil dengan teknik purposive sampling. Instrument dalam penelitian ini adalah kuesioner pengetahuan yang telah valid dan reliabel. Uji analisis menggunakan uji Wilcoxon. Hasil : Hasil penelitian ini adalah mayoritas responden berusia 19 - ≥28 (63,8%). Mayoritas responden dengan Tingkat Pendidikan SLTA (63,8%) dengan status pekerjaan bekerja, (63,8%). Responden dengan paritas Primigravida (50%) dan Multigravida (50%). Hasil penelitian menunjukkan tingkat pengetahuan saat pre-test mayoritas cukup (58,4%), dan hasil posttest mayoritas baik (58,4%). Hasil menunjukkan ada peningkatkan. Uji Wilcoxon didapatkan p-value 0,000. Simpulan : simpulan menunjukkan ada pengaruh edukasi ASI dengan tingkat pengetahuan ibu menyusui.

TINGKAT PENGETAHUAN DRIVER TRANSPORTASI ONLINE DALAM PERTOLONGAN PERTAMA PADA KECELAKAAN LALU LINTAS DI KOTA PANGKALPINANG

Ashar Abilowo, Erni Chaerani, Astri Yulia Sri Lubis, Sopian Hadi — Fri, 27 Jun 2025 00:00:00 +0000

Background: Road accident could make people suffer and die. Online taxi drivers are vulnerable to traffic accidents while driving. One procedure to reduce the number of victims of disability or death can be done by giving first aid to traffic accident victims properly, quickly, and correctly.

Objectives: The object of this research was determined the level of knowledge of online taxi drivers in providing first aid to traffic accident victims on the roads in the Pangkalpinang City area in 2024. Method: This research method uses quantitative descriptive, survey sample research design, sampling determination using purposive sampling of 56 online transportation driver respondents. Data collection using a questionnaire adopted from the First Aid Pocket Book for Road Accidents Be a Road Accident Helper Everyone Can Be a Helper published by the Indonesian Ministry of Health in 2019. The data were analyzed quantitatively with univariate analysis and the data were processed with the frequency distribution formula. Results: This research method used a cross sectional on 56 respondent of online taxi drivers. The statistical test show that one respondent (1.8%) has good knowledge level, 18 respondents (32.1%) have middle knowledge level and 37 respondents (66.1%) have low knowledge level. Conclusion: The result showed that level of knowledge of online motorcycle taxi drivers in providing first aid to traffic accident victims on the roads in the Pangkalpinang City still low.

PENGETAHUAN HIPERTENSI PADA PASIEN PROLANIS PUSKESMAS KARANGANYAR KABUPATEN KEBUMEN

Fajar Agung Nugroho, Irmawan Andri Nugroho, Cahyu Septiwi, Bambang Utoyo — Fri, 27 Jun 2025 00:00:00 +0000

Background: Hypertension is a chronic medical condition often referred to as the "silent killer" because it frequently presents without symptoms yet carries a high risk of leading to serious complications such as stroke, coronary heart disease, and kidney failure. In Indonesia, hypertension remains a leading cause of morbidity and mortality. The prevalence of hypertension in Central Java Province, particularly in Kebumen Regency, is notably high. Compliance in the management of hypertension is strongly influenced by patients’ level of knowledge, especially among the elderly population.

Objective: This study aimed to describe the level of knowledge among hypertensive patients participating in the Chronic Disease Management Program (Prolanis) at Karanganyar Public Health Center, Kebumen.

Method: A descriptive quantitative design with a cross-sectional approach was employed, involving 57 respondents selected through total sampling. Data collection was conducted between September and December 2024 using an adapted hypertension knowledge questionnaire.

Results: The study found that the majority of respondents were aged 56–65 years (n = 31, 54.4%), followed by those aged 45–55 years (n = 14, 24.6%), and 66–75 years (n = 12, 21.1%). Most of the respondents were female (n = 40, 70.2%), while male respondents accounted for 29.8% (n = 17). Furthermore, a large proportion of respondents demonstrated a good level of knowledge regarding hypertension (n = 51, 89.5%), whereas 10.5% (n = 6) had a poor level of knowledge.

Conclusion: The majority of hypertensive patients were aged 56–65 years (54.4%) and predominantly female (70.2%). Most respondents exhibited a good level of knowledge about hypertension (89.5%).

Recommendation: Since the level of knowledge among hypertensive patients at Karanganyar Public Health Center remains suboptimal, it is recommended to provide more intensive educational interventions to improve patient awareness and promote better compliance in hypertension management.

HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN PERILAKU PENDERITA HIPERTENSI

Retno Lusmiati Anisah, Tri Suraning Wulandari, Ratna Kurniawati — Fri, 27 Jun 2025 00:00:00 +0000

ABSTRAK

Latar Belakang: Prevalensi hipertensi terus meningkat secara global, menimbulkan risiko kesehatan yang serius. Pengetahuan dan sikap positif dapat berkontribusi pada perilaku pencegahan, namun dipengaruhi oleh berbagai faktor. Tujuan: Menganalisis hubungan antara pengetahuan, sikap, dan perilaku pada pasien hipertensi. Metode: Studi korelasi deskriptif dengan pendekatan cross-sectional. Sampel terdiri dari 25 pasien hipertensi di Pusat Kesehatan Masyarakat Dharmarini Temanggung, dipilih menggunakan teknik accidental sampling. Alat penelitian berupa kuesioner. Data dianalisis menggunakan uji chi-square. Hasil: Sebagian besar pasien hipertensi memiliki tingkat pengetahuan yang baik (56%), sikap yang memadai (60%), dan perilaku yang memadai (76%). Ada hubungan antara pengetahuan dan perilaku dengan nilai χ² 12.155 dan p = 0.016, serta antara sikap dan perilaku dengan nilai χ² sebesar 9,649 dan p = 0,008. Kesimpulan: Terdapat hubungan yang signifikan antara pengetahuan dan perilaku, serta antara sikap dan perilaku pada pasien hipertensi.

Kata kunci: Perilaku; Sikap; Pengetahuan; Hipertensi

ABSTRACT

Background: The prevalence of hypertension is increasing globally, posing serious health risks. Knowledge and positive attitudes can contribute to preventive behavior, but are influenced by various factors. Objective: To analyze the relationship between knowledge and attitudes and behavior in hypertensive patients. Methods: Descriptive correlation study using a cross-sectional approach. The sample consisted of 25 hypertensive patients at the Dharmarini Temanggung Community Health Center, selected using accidental sampling. The research instrument was a questionnaire. Data were analyzed using the chi-square test. Results: Most hypertensive patients had good knowledge levels (56%), satisfactory attitudes (60%), and satisfactory behaviors (76%). There was a significant relationship between knowledge and behavior with a χ² value of 12.155 and p = 0.016. There was a significant relationship between attitude and behavior with a χ² value of 9.649 and p = 0.008. Conclusion: There was a significant relationship between knowledge and behavior, as well as between attitude and behavior in hypertensive patients.

Keywords: Behavior; Attitude; Knowledge; Hypertension

EFEKTIVITAS KOMPRES HANGAT DAN TEKNIK RELAKSASI NAFAS DALAM TERHADAP INTENSITAS NYERI DISMENORE PADA SISWI DI SMK N 1 KOTA JAMBI

Novida Nengsih, Suib — Fri, 27 Jun 2025 00:00:00 +0000

Dismenore merupakan nyeri kejang otot (spasmodik) di perut bagian bawah dan menyebar ke sisi dalam paha atau bagian bawah pinggang yang terjadi menjelang haid atau selama haid akibat kontraksi otot. Dismenore dapat mengganggu aktivitas keseharian remaja. Melihat hal ini maka penanganan nyeri harus dilakukan. Tujuan pada pada penelitian ini yaitu untuk melihat efektivitas kompres hangat dan teknik relaksasi nafas dalam terhadap intensitas nyeri dismenore pada siswi di SMK N 1 Kota Jambi. Jenis penelitian ini adalah quasi experimental dengan rancangan pretest post test group design. Populasi dalam penelitian ini adalah seluruh siwi di SMK N 1 Kota Jambi sebanyak 195 siswi. Pengambilan sampel menggunakan teknik purposive sampling sebanyak 30 responden. Kriteria sampel dalam penelitaian ini adalah responden yang bersedia menjadi responden dan remaja putri yang mengalami dismenore di SMK N 1 Kota Jambi. Instrumen pengumpulan data pada penelitian ini menggunakan lember observasi Numeric Rating Scale. Uji Analisa perbedaan menggunakan uji man-whitney dan uji Wilcoxon. Hasil menunjukkan sebagian besar nilai rerata intensitas nyeri dismenore sebelum diberikan kompres hangat adalah 6,13, sesudah diberikan kompres hangat adalah 3,07. Sebagian besar nilai rerata intensitas nyeri dismenore sebelum diberikan teknik relaksasi nafas dalam adalah 5,73, sesudah diberikan teknik relaksasi nafas dalam adalah 3,13. Simpulan dalam penelitian ini yaitu ada pengaruh kompres hangat dalam terhadap intensitas nyeri dismenore p-value 0,000. Ada pengaruh teknik relaksasi nafas dalam terhadap intensitas nyeri dismenore dengan p-value = 0,000. Tidak ada perbedaan kompres hangat dan teknik relaksasi nafas terhadap penurunan intensitas nyeri pada siswi tentang dismenore.

GAMBARAN SIKAP IBU MENYUSUI DENGAN ANAK USIA 0 – 2 TAHUN

Desak Putu Kristian Purnamiasih Kristian, Monica Kartini — Fri, 27 Jun 2025 00:00:00 +0000

Abstract

Although breast milk has many benefits, the coverage of exclusive breastfeeding is still not optimal, with various factors influencing mothers' decisions to breastfeed. This study aims to analyze the relationship between maternal demographic factors (education, marital status, number of children, occupation, and living with an extended family) with breastfeeding attitudes. The method used is quantitative with a cross-sectional design. The number of respondents was 122 mothers with children aged 0-2 years, selected using cluster random sampling. The variables studied included marital status, number of children, education level, occupation, and whether the mother lives with an extended family. Data were collected through questionnaires and analyzed using descriptive statistics and the Spearman test. Only maternal education level had a significant relationship with breastfeeding attitudes (p <0.05), while other factors such as marital status, number of children, occupation, and living with an extended family did not show a significant relationship. Mothers with higher education tend to have more positive attitudes towards breastfeeding and understand more. The maternal education factor plays an important role in forming positive breastfeeding attitudes. Therefore, education about the benefits and techniques of breastfeeding needs to be continuously improved to increase the coverage of exclusive breastfeeding.

Keywords: mother's attitude; breastfeeding; children age 0 – 2 years

PEMENUHAN KEBUTUHAN SPIRITUAL DALAM MENINGKATKAN KESEJAHTERAAN MENTAL LANSIA DI POSYANDU MATAHARI DI DUSUN KEPEK TIMBULHARJO

Sri Setyowati, Riza Yulina Amry — Sat, 28 Jun 2025 00:00:00 +0000

Introduction: Mental well-being of the elderly requires special attention, considering that mental health problems in the elderly are often neglected. Mental well-being of the elderly can be influenced by the fulfillment of good spiritual needs, in this case because it provides a calming effect. Objective: The purpose of this study was to analyze the relationship between spiritual fulfillment and mental well-being. Method: This quantitative research method uses a cross-sectional design. The study was conducted at the Matahari Posyandu located in Kepek Timbulharjo hamlet on 50 elderly respondents who were taken using the total sampling technique. The research instrument for fulfilling spiritual needs and mental health has been tested for validity and reliability. The analysis test in this study used the Kendall tau test. Results: The results showed that the majority of respondents were women (70%) aged between 71-80 years (46%). The majority of the last education was in the category of no school (62%) who worked as housewives (50%). The majority of respondents' marital status was widows (50%). The variables in this study were spiritual fulfillment and mental well-being. The majority of spiritual fulfillment was in the moderate category (50%). The category of respondents' mental well-being was in the mild category (62%). The results of the crosstab test of spiritual fulfillment with mental well-being, the majority are spiritual fulfillment in the moderate category with mental well-being in the mild category, namely 20 respondents. The results of the Kendall tau analysis test obtained a p value of 0.000. Conclusion: The conclusion in this study is that there is a relationship between spiritual fulfillment and mental well-being.

ANALISIS FAKTOR PENENTU ANEMIA KEHAMILAN DI KABUPATEN KLATEN: STUDI KUANTITATIF CROSS SECTIONAL

Chori Elsera, Marwanti, Endang Sawitri — Mon, 30 Jun 2025 00:00:00 +0000

Background: Health services aimed at women are antenatal care services. This service is carried out with the aim of delivering pregnant women to be able to give birth healthily, have healthy babies, detect and anticipate early pregnancy abnormalities, fetal abnormalities and pregnancy complications. The coverage of visits to antenatal services in Klaten Regency in 2022 is still less than the expected target. This research was conducted to identify the root of the problem so that it can determine the priority of evidence-based interventions. Objective: This study aims to analyze the determination of pregnancy anemia in Klaten Regency. Method: This study used a quantitative research design with a cross-sectional approach. The simple random sampling technique consisted of 24 pregnant women respondents. Kendal Tau descriptive statistics were used for analysis. Results: This study shows that gravida factors are related to the incidence of pregnancy anemia (p= 0,049). While income (p= 0,649), education (p= 0,079), occupation (p= 0,854), comorbidities (p= 0,571), Lila size (p= 0,449), age (p= 0,817), number of ANCs (p= 0,817) are not related to the incidence of anemia. Conclusion: Gravida factors affect the incidence of pregnancy anemia

HUBUNGAN STRESS KERJA DAN TEKANAN DARAH PADA PEKERJA INDUSTRI DI KABUPATEN SEMARANG

Gipta Galih Widodo1, Jesika Pasaribu, Rosalina — Mon, 30 Jun 2025 00:00:00 +0000

Background: The growth of the industrial sector in Indonesia has also increased the challenges of occupational health, particularly related to work stress, which can potentially impact blood pressure. Objective: This study aims to examine the relationship between work stress levels and blood pressure among industrial workers. Methods: This research uses a descriptive correlational design with a cross-sectional approach, conducted in Semarang Regency, from December 2024 to January 2025. A total of 100 respondents were selected through purposive sampling. Data were collected using the Job Stress Scale questionnaire and blood pressure measurements with a digital sphygmomanometer. Data analysis was performed univariately and bivariately using simple linear regression and Pearson correlation tests. Results: The average age of the respondents was 25.26 years, and the average work duration was 1.72 years. The average work stress score was 66.93, and the average blood pressure was 118.11 mmHg. The linear regression test results showed no significant relationship between work stress and blood pressure (p = 0.496), with a correlation coefficient (r) of 0.069 and a coefficient of determination (R²) of 0.005. Conclusion: This study indicates that work stress is not a significant predictor of blood pressure among young industrial workers with relatively short work duration. Further research with a longitudinal design and a physiological biomarker approach is needed to better understand the impact of work stress on blood pressure.

HUBUNGAN TINGKAT RELIGIUSITAS DENGAN TINGKAT STRESS REMAJA

Suyatno, Supatmi, Sri Setyowati, Parmadi Sigit Purnomo, Agustiningsih — Mon, 30 Jun 2025 00:00:00 +0000

Adolescent stress is a natural state when a person faces pressure, challenges, or changes that require adolescents to adjust. Good stress coping and religious reinforcement can help prevent the adverse effects of stress. Religiosity can act as a source of strength and support for adolescents in the face of life's pressures, helping them to cope better with stress. Objective: To analyze the relationship between religiosity level and adolescent stress level. Methods: This study used quantitative research with cross sectional design. This research was conducted at SMK Kesehatan Bantul with 25 respondents by total sampling. The instrument used in this study is a religiosity level questionnaire that has been tested for validity (> 0.351) and reliability (0.89). In the questionnaire to measure the level of stress with a high validity value (0.93) and has a reliability with Cronbach's Alpha 0.793. Results: Almost all respondents were female (96.0%), with an average age of 17 (44%)-18 (48%) years. Most respondents were at a good level of religiosity (68%) with a moderate category (60%). Cross tabulation results show most respondents with a good level of religiosity with a moderate stress category, namely 13 people (52%). The results of the analysis test using chi square obtained a p value of 0.045 which means there is a relationship between religiosity and stress in SMK Kesehatan Bantul. Conclusion: The better the level of religiosity, the better the individual's condition in dealing with stressors and the better the individual's condition in choosing adaptive stress coping.