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All Journal Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jambura Nursing Journal 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Indonesian Journal of Community Health Nursing Jurnal Pengabdian Masyarakat Indonesia Jurnal Abdi Masyarakat Indonesia The Journal of Palembang Nursing Studies
Wabula, La Rakhmat
Fakultas Keperawatan, Universitas Airlangga
Humanities Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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Edukasi Kesehatan Peningkatan Kesejahteraan Penderita Diabetes Mellitus Melalui 3P (Promote, Prevention, and Protect) di Desa Kamarian Kabupaten Seram Bagian Barat Wabula, La Rakhmat; Fitriasari, Endah; Umamity, Syahfitrah
Jurnal Abdi Masyarakat Indonesia Vol 1 No 2 (2021): JAMSI - November 2021
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.220

Abstract

Diabetes Mellitus (DM) telah menjadi ancaman kesehatan masyarakat karena dapat menyebabkan berbagai masalah kesehatan lain dan diprediksi prevalensinya akan terus meningkat di masa mendatang. Terkhususnya prevalensi penderita Diabetes Mellitus di Puskesmas Kamarian dalam kurun waktu Januari-Juni 2021 jumlah kunjungan penderita mencapai 42 kasus. Dari data tersebut, dapat diketahui bahwa penderita Diabetes Mellitus di Desa Kamarian belum pernah terpapar infromasi terkait latihan jasmani senam kaki yang dapat diterapkan pada penderita Diabetes Mellitus sebagai upaya pencegahan komplikasi diabetes pada kaki. Kegiatan pengabdian ini dilakukan dengan tujuan membimbing dan melatih para penderita Diabetes Mellitus dan masyarakat yang berisiko untuk meningkatkan kesejahteraan serta kualitas hidup. Metode yang digunakan adalah bersama dengan mitra yaitu kader kesehatan dan masyarakat, mengidentifikasi kelompok sasaran dan menciptakan home based untuk pusat terapi. Tim kemitraan ini melatih para penderita Diabetes Mellitus dengan memberikan pendidikan kesehatan mengenai manajemen diet Diabetes Mellitus serta senam kaki diabetik. Sebelum kegiatan dilakukan, tim pengabdian melakukan pemeriksaan gula darah sewaktu. Alat pemeriksaan yang digunakan adalah easy touch dan stik, media komunikasi yang digunakan adalah leaflet dan audiovisual. Jumlah peserta dalam kegiatan pengabdian ini adalah 56 orang yang kemudian teridentifikasi pederita Diabetes Mellitus menjadi 42 orang. Hasil kegiatan terdiri dari gambaran hasil gula darah dan tingkat pengetahuan yang meningkat; Peningkatan keterampilan pesreta yaitu mampu melakukan senam kaki diabetik secara mandiri.
Pelatihan Keselamatan dan Kesehatan Kerja pada Kelompok Nelayan di Kawasan Pesisir Desa Hila Kabupaten Maluku Tengah Wabula, La Rakhmat; Fitriasari, Endah; Umamity, Syahfitrah; Tunny, Ira Sandi
Jurnal Abdi Masyarakat Indonesia Vol 1 No 2 (2021): JAMSI - November 2021
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.223

Abstract

Warga pesisir yang tinggal di Desa Hila sebagian besar bergantung pada laut. Sebagian besar bekerja sebagai nelayan dan sebagian lainnya bekerja sebagai petani. Desa Hila Kabupaten Maluku Tengah para nelayannya sering mengalami kecelakaan saat bekerja di laut. Terdapat banyak potensi rsiko yang dapat terjadi seperti kapal bocor, terluka saat menarik jala, kelebihan muatan, dan tenggelam. Oleh karena itu, perlu diadakan pelatihan keselamatan dan kesehatan kerja untuk memberikan pemahaman dan mendorong kesadaran para nelayan di Kawasan Pesisir Desa Hila Kabupaten Maluku Tengah. Untuk tata tertib para nelayan bisa lebih memperhatikan keselamatannya. Selain memberikan pelatihan, kegiatan ini juga dibarengi dengan pembentukan kader kesehatan nelayan. Hasil hasil pre test manunjukkan bahwa para peserta sebelum diberikan informasi atau penjelasan menunjukkan 42 orang dari peserta (100%) memperoleh nilai mayoritas peserta memiliki nilai 40 sejumlah 23 orang (61%). Pada post test terdapat 19 orang (50%) yang memiliki nilai 70 dengan nilai tertinggi adalah 100 (menjawab soal 100% benar) sejumlah 3 orang. Peningkatan pemahaman peserta mengindikasikan keberhasilan kegiatan pengabdian masyarakat yang telah dilakukan.
Persepsi Risiko Keselamatan dan Kesehatan Menyelam pada Penyelam Tradisional dengan Kelumpuhan di Provinsi Maluku: Studi Kualitatif La Rakhmat Wabula; Kusnanto Kusnanto; Bambang Purwanto
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 3 (2019): Juli 2019
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf10305

Abstract

Background: One of the diverse communities was found in Maluku Province. Traditional diver diving expertise is obtained from generation to generation. Traditional divers have not received formal education and training related to diving. The safety and health aspects of the driving method and the tools used are not according to the standard. The risk of injury and illness due to non-standard diving has increased even higher, although to date the health aspects of traditional divers in Maluku Province have never been explored. Objective: This study aims to explore the perceptions of the risk of diving safety and health behavior in traditional divers who experience paralysis in Maluku Province. Method: The study used qualitative with a case study approach. The subjects of this study were traditional diver fishermen in Ambon City, West Seram District, and Buru Province District with ten participants. The research phase in the form of an interview will begin on January 15 - February 15, 2019. Data analysis uses thematic theory driven. Results: Identification found two main themes: 1) Vulnerability; and 2) Severity. Conclusion: Traditional diver's perceptions of safety and health while diving can form self-efficacy so as to reduce morbidity and mortality from diving. Keyword: perception; safety and health behavior; and traditional divers ABSTRAK Latar belakang: Salah satu komunitas penyelam ditemukan di Provinsi Maluku. Keahlian menyelam penyelam tradisional diperoleh secara turun temurun. Penyelam tradisional belum memperoleh pendidikan dan pelatihan formal terkait penyelaman. Aspek keselamatan dan kesehatan dari metode menyelam dan alat yang digunakan belum sesuai standar. Risiko cidera dan penyakit akibat penyelaman yang tidak standar meningkat lebih tinggi, meskipun sampai saat ini aspek kesehatan penyelam tradisional di Provinsi Maluku belum pernah di ekplorasi. Tujuan: Penelitian ini bertujuan untuk mengeksplorasi tentang persepsi risiko perilaku keselamatan dan kesehatan menyelam pada penyelam tradisional yang mengalami kelumpuhan di Provinsi Maluku. Metode: Penelitian menggunakan kualitatif dengan pendekatan studi kasus. Subjek dari penelitian ini adalah nelayan penyelam tradisional yang berada di Kota Ambon, Kabupaten Seram Bagian Barat, dan Kabupaten Buru Provinsi sejumlah sepuluh partisipan. Tahap penelitian berupa wawancara akan dimulai pada 15 Januari – 15 Februari 2019. Analisis data mengunakan tematik theory driven. Hasil: Identifikasi menemukan dua tema utama: 1) Kerentanan; dan 2) Keparahan. Kesimpulan: Persepsi penyelam tradisional tentang keselamatan dan kesehatan saat menyelam dapat membentuk efikasi diri sehingga dapat menurunkan angka kesakitan dan kematian akibat menyelam. Kata kunci: persepsi; perilaku keselamatan dan kesehatan; dan penyelam tradisional
Faktor yang Berhubungan dengan Stigma Masyarakat terhadap Perawat Covid-19 di Kota Ambon berdasarkan Teori Health Belief Model (HBM) La Rakhmat Wabula; Endah Fitriasari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12 (2021): Nomor Khusus November 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12nk342

Abstract

Stigma and discrimination as well as changes in people's lifestyles have been the most felt impact since Covid- 19 became a pandemic that attacked various countries. The Health Belief Model (HBM) is one of the most frequently used theories in understanding health and disease behavior. The purpose of this study was to analyze factors related to community stigma against COVID-19 nurses in Ambon City based on the Health Belief Model (HBM) theory. The design of this research is descriptive correlation with a cross-sectional research approach. This study uses a questionnaire instrument as a measuring tool developed by researchers based on the theoretical framework of the Health Belief Model, namely measuring perceptions of vulnerability, seriousness, benefits, obstacles, beliefs, threats and questionnaires about community stigma.The population in this study is the community in Batu Merah Village, Ambon City, with a sample of 55 respondents based on the calculation of the sample calculation formula for the Ordinal-Ordinal Correlative Descriptive research. This research has received ethical approval from the Health Research Ethics Committee of STIKes Maluku Husada with No. RK.018/KEPK/STIK/VIII/2021. The results of the analysis show that knowledge does not have a significant effect on confidence (vulnerability (0.178), seriousness (0.160), advantage (0.055), barriers(0.610),self- confidence (0.199);threat does not have a significant effect on stigma as indicated by a p value of 0.417.Keywords: covid-19; stigma; health belief modelABSTRAKStigma dan diskriminasi serta perubahan pola hidup masyarakat menjadi dampak yang paling dirasakan sejak Covid19 menjadi pandemic yang menyerang diberbagai Negara. Health Belief Model (HBM) menjadi salah satu teori yang paling sering digunakan dalam memahami perilaku kesehatan dan penyakit. Tujuan penelitian ini adalah menganalisis faktor yang berhubungan dengan stigma masyarakat terhadap perawat covid-19 di Kota Ambon berdasarkan teori Health Belief Model (HBM). Desain penelitian ini adalah deskriptif korelasi dengan pendekatan penelitian cross-sectional. Penelitian ini menggunakan instrument kuesioner sebagai alat ukur yang dikembangkan oleh peneliti berdasarkan kerangka kerja teori Health Belief Model yakni mengukur persepsi kerentanan, keseriusan, keuntungan, hambatan, kepercayaan, ancaman dan kuesioner tentang stigma masyarakat. Populasi pada penelitian ini adalah masyarakat di Desa Batu Merah Kota Ambon, dengan sampelsebanyak 55 responden berdasarkan perhitungan sampel perhitungan rumus besar sampel untuk penelitian Deskriptif Korelatif Ordinal- Ordinal. Penelitian ini telah mendapatkan persetujuan etik dari Komite Etik Penelitian Kesehatan STIKes Maluku Husada dengan No. RK.018/KEPK/STIK/VIII/2021. Hasil dari analisis menunjukkan bahwa pengetahuan tidak memiliki pengaruh yang signifikan terhadap keyakinan (kerentanan (0,178), keseriusan (0,160), keuntungan (0,055), hambatan (0,610), kepercayaan diri (0,199)); ancaman tidak memiliki pengaruh yang signifikan terhadap stigmaditunjukkan dengan nilai p 0,417.Kata kunci: covid-19; stigma; health belief model
Pengaruh Diabetes Self Management Education and Support (DSME-S) Terhadap Kualitas Hidup Penderita Diebetes Mellitus Tipe II pada Masa Pandemi Covid-19 di Wilayah Kerja Puskesmas Piru La Rakhmat Wabula; Endah Fitriasari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 1 (2022): Januari 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i1.1721

Abstract

The COVID-19 pandemic has challenged institutional and independent diabetes management. The ongoing lockdown has a negative impact on access to self care for people with diabetes mellitus (DM), a chronic disease that requires serious treatment involving the patient and family in self-care management, one of which is through the Diabetes Self Management Education and Support (DSME-S) approach. This study aims to analyze the effect of DSME-S on the quality of life of patients with type II DM in the Piru Health Center Work Area. The design of this research was pre and post test with control group. The sample size was 30 people who were divided into 2 groups, namely 15 people in the intervention group and 15 people in the control group. DSME-S consisted of 6 sessions. Sessions 1 to 4 were held at the village hall and sessions 5 to 6 were held at the patient's home. Data were analyzed using t test. The results of the paired sample t-test showed that there was a difference in the quality of life between the pre-test and post-test, both in the treatment group (p = 0.001) and the control group (p = 0.002). The results of the independent sample t-test showed a significant difference between the treatment group and the control group (p=0.001). The improvement in quality of life in the treatment group was greater than that in the control group. Furthermore, it was concluded that DSME-S affects the quality of life of patients with type II diabetes.Keywords: Type II diabetes mellitus; quality of life; diabetes self management education and support (DSME-S)  ABSTRAK Pandemi COVID-19 telah menantang manajemen diabetes secara institusional dan mandiri. Lockdown yang berlangsung berdampak negatif pada akses self care penderita diabetes mellitus (DM), suatu penyakit kronik yang memerlukan penanganan serius yang melibatkan penderita dan keluarga dalam penatalaksanaan perawatan mandiri, salah satunya melalui pendekatan Diabetes Self Management Education and Support (DSME-S). Penelitian ini bertujuan untuk menganalisis pengaruh DSME-S terhadap kualitas hidup penderita DM tipe II di Wilayah Kerja Puskesmas Piru. Desain penelitian ini adalah pre and post test with control group. Ukuran sampel adalah 30 orang yang terbagi menjadi 2 kelompok, yaitu 15 orang pada kelompok intervensi dan 15 orang pada kelompok kontrol. DSME-S terdiri atas 6 sesi. Sesi 1 sampai 4 dilakukan di balai desa dan sesi 5 sampai 6 dilakukan di rumah penderita. Data dianalisis menggunakan uji t. Hasil paired sample t-test menunjukkan adanya perbedaan kualitas hidup antara pre-test dan post-test, baik pada kelompok perlakuan (p = 0,001) maupun kelompok kontrol (p = 0,002). Hasil uji independent sample t-test menunjukkan perbedaan yang signifikan antara kelompok perlakuan dan kelompok kontrol (p=0,001). Peningkatan kualitas hidup pada kelompok perlakuan lebih besar dibandingkan dengan kelompok kontrol. Selanjutnya disimpulkan bahwa DSME-S berpengaruh terhadap kualitas hidup penderita DM tipe II.Kata kunci: diabetes mellitus Tipe II; kualitas hidup; diabetes self management education and support (DSME-S)
Management of Diabetic Foot Ulcers on Adjunctive Therapy: A Systematic Review Zulfikar Peluw; La Rakhmat Wabula
Health Notions Vol 3, No 2 (2019): February
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.435 KB) | DOI: 10.33846/hn30203

Abstract

Diabetic foot ulcers is a common complication of Diabetes Mellitus and was became world health global issue. The adjunctive therapy has become the latest modality in recent years, but there were not much significant research to support its utilization as a diabetic foot ulcer treatment standard. This review aims to assess the effectiveness of various adjunctive therapies for diabetic foot ulcers. Using electronic databases, such as Scopus, PubMed, Embase, Ovid Technologies, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane, and Web of Science databases were systematically searched in June 2013 for systematic reviews published after 2004 and randomized controlled trials (RCTs) published in 2012–2013. Many therapeutic modalities are available to treat DFU. Quality high-level evidence exists for standard care such as off-loading. Evidence for adjunctive therapies such as negative pressure wound therapy, skin substitutes, and platelet-derived growth factor can help guide adjunctive care but limitations exist in terms of evidence quality. Given the diversity of therapies, future studies must define the populations that most benefit from each therapy by utilizing clear and strict inclusion and exclusion criteria. Keywords: Adjunctive therapy, Diabetic foot ulcers
Use of The Term Resilience in Adult Cancer Patients: A Systematic Review of A Qualitative Study La Rakhmat Wabula; Syahfitrah Umamity; Ellen Lombonaung
Health Notions Vol 4, No 4 (2020): April
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.788 KB) | DOI: 10.33846/hn40402

Abstract

Resilience was a dynamic process that adapts positively to the difficulties it has. This term was often used by researchers in cancer patients. Controversy often occurs in its conception and little is known by patients in the use of the term resilience in their lives. The subject of this paper was cancer patients. The literature review was conducted by examining qualitative studies that discuss the use of terms in cancer patients and the use of themes used in terms of resilience. A systematic review of reviews through SCOPUS, MEDLINE, Psyc INFO and CINAHL reviewed from 2000 to 2017. Thematic analysis was used to encode themes in the studio and produce analytical themes, and resolution resolutions in the studio. After being invited to 573 citations, there were only 32 suitable studies. Four categories emerged, including coping strategies, social support, spirituality, and growth. The conclusion is no use of the term resilience in cancer patients, but cancer patients more often use other terms with the same meaning as resilience. Cancer patients rarely use the term direct resilience, but more often use terms such as coping strategies, social support, growth, and spiritual as terms related to resilience. Keywords: resilience; cancer patients
The Relationship between Internet Addiction and Insomnia in Student Class IX La Rakhmat Wabula; M. Taufan Umasugi; Wa Ode Nurlina; Angga Miftakhul Nizar; Restiyana Agus
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.18947

Abstract

Introduction: Internet addiction can cause unfulfilled hours of sleep, which if left unchecked will lead to disruption of sleep patterns often called insomnia. The purpose of the research was to determine the relationship between internet addiction and insomnia.Methods: The design of the research was descriptive-analytic with a cross-sectional approach. The population in the research consisted of as many as 217 respondents with a sample size of 141 respondents. The variables used in the research were insomnia as the dependent variable and internet addiction as the independent one. The instrument used was a questionnaire with a univariate and bivariate analysis.Results: The results of the study used the Spearman Rho test with a value of p = 0,000.Conclusion: From these results, it could be concluded that there is a relationship between internet addiction and the incidence of insomnia. Internet addiction can cause unfulfilled hours of sleep, which if left unchecked will lead to disturbed sleep patterns often called insomnia. The research suggests that students pay more attention to their health by limiting or reducing the use of the internet for unimportant issues as it can reduce learning productivity and academic value and cause insomnia.
Experiences of Strokes’ Caregiver in Maluku Province: A Qualitative Study La Rakhmat Wabula; Suahryono Suharyono
Indonesian Journal of Community Health Nursing Vol. 6 No. 2 (2021): AUGUST (2021)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v6i2.30685

Abstract

Introduction:Patients with stroke are dependent on their family to relieve their physical and emotional needs after discharge form the hospital. The family plays an important role in caring for them, which is a stressful task for the caregivers. This study aimed at investigating the experiences of caregivers of patients with stroke.Method: This is qualitative study (descriptive phenomenology), in which the participants included seven caregivers of stroke patients. Data were collected through semi-structured interviews. Data analysis was performed based on Colaizzi.Result: The results in the study were summarized in three main categories: anxiety (tension and stress, concern about economic future), care consequences (fatigue, reduced family interactions), and neglected needs (psychological needs educational needs)Conclusion: According to the purpose of the study and its implications, it is concluded that nurses and physicians should pay more attention to the needs and concerns of patients and their caregivers and try to resolve them with regard to the consequences of the disease.
The Experience among Patients with Bone Fractures during Traditional Massage Therapy (Topu Bara): A Phenomenology Study La Rakhmat Wabula; Endah Fitriasari; Syahfitrah Umamity; Arindiah Windari
The Journal of Palembang Nursing Studies Vol. 1 No. 1 (2022): January 2022
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.199 KB) | DOI: 10.55048/jpns.v1i1.9

Abstract

Background: In Indonesia, traditional medicine called “Sangkal Putung” has become an alternative treatment for fractures. Broken-bones sufferers at any age, anywhere, and in any case go to “Sangkal Putung” and there is even a public hospital that provides surgical services. Especially in Maluku Province, there is a type of traditional massage therapy treatment called “Topu Bara”. Purpose: The study aimed to explore the experiences among patients with bone fractures during traditional massage therapy (Topu Bara). Methods: A phenomenological study that used deep interviews was used from August to September 2021 The participant was taken by purposive sampling, adult aged 25 to 55-years old, and were the second or more of healing series. Data originated from 15 participants. Interviews were recorded, transcribed verbatim, and Collaizi analysis. Results: The results of the study found 7 themes, including causes of fracture, time events, action taken directly after inside, pain experiences during handling in therapy “Topu Bara”, coping of the patients, pain management, and advice given by healer to other participants. Conclusions: Most of them stated that safety and comfort were the priority for fracture healing. The concept of culture in the behavioral alteration of fracture healing can have on the participants.
Co-Authors Angga Miftakhul Nizar Arindiah Windari Bambang Purwanto Ellen Lombonaung Endah Fitriasari Endah Fitriasari Endah Fitriasari Endah Fitriasari Endah Fitriasari, Endah Idham Soamole Ira Sandi Tunny Kusnanto Kusnanto M. Taufan Umasugi M. Yasir Payapo Maritje S. J. Malisngorar Maryam Lihi Mohammad Dahlan Sely Mursalim Saman Peluw, Zulfikar Restiyana Agus Suahryono Suharyono Suryanti Tukiman Syahfitrah Umamity Syahfitrah Umamity Syahfitrah Umamity Tunny, Ira Sandi Umamity, Syahfitrah Wa Ode Nurlina