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PELATIHAN KADER MENINGKATKAN KEMAMPUAN KEBERLANJUTAN MENYUSUI DAN PERAWATAN METODE KANGURU DI RUMAH Muladefi Choiriyah; Annisa Wuri Kartika; Niko Dima Kristianingrum; Endah Panca Lydia Fatma; Ridhoyanti Hidayah
Viva Medika Vol 10 No 2 (2017)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (531.229 KB) | DOI: 10.35960/vm.v10i2.353

Abstract

WHO recommendation to continue low birth weight (LBW) baby management at home were breastfeeding and kangaroo mother care (KMC). However, the implementation of them less than optimal. Mother’s experience in conducted breastfeeding and PMK at home would be difficult due to physical and emotional change during postpartum, newborn health and physical condition, lack of support, and tradition that inhibit exclusive breastfeeding. So that cadre’s role as breastfeeding support group needed by them. The aim of this study to analyze cadre’s competence about continuing breastfeeding and KMC at home by cadre’s training. This quasi experimental study conducted on Kelurahan Kotalama area in Malang, on January 2017. Cadre who involved in this study were toddler’s cadre who had permanent resident in Kelurahan Kotalama area, never had breastfeeding and KMC training, and active as toddle cadre in at least 6-month period. Cadre’s competence assessed through their knowledge, attitude, and skill toward continuing breastfeeding and KMC. The data collection by breastfeeding and KMC questioner to assess cadre’s knowledge and attitude. Cadre’s skill assessed by observation in Posyandu next month. The result of this study shown that there were enhancement of cadre’s knowledge, attitude, and skill towards continuing breastfeeding and PMK which statistically significant (p-value 0,000 and 0,031) and they were able to teach breastfeeding and KMC properly in their communities. The conclusions were cadre’s training enhance cadre’s competence towards continuing breastfeeding and KMC at home. Keywords: Cadre’s training, Breastfeeding, Kangaroo Mother Care, low Birth Weight.
Pelatihan Tugas Perawatan Kesehatan Keluarga Caregiver Lansia dalam Pogram RURAL (Rumah Ramah Lansia) Annisa Wuri Kartika; Muladefi Choiriyah; Niko Dima Kristianingrum; Linda Wieke Noviyanti; Endah Panca Lidya Fatma
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 5, No 3 (2019): Desember
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.757 KB) | DOI: 10.22146/jpkm.45139

Abstract

The decline in function due to aging accompanied by health problems in the elderly has an impact on the ability of the elderly in activity daily living (ADL) and health care. The role of the family is very important in health care assistance to the elderly. Caregiver skills accompanied by environmental aspect are important factors for elderly with chronic illness at home. This community service aims to improve the caregiver's ability to provide care to the elderly with chronic illness. RURAL (Rumah Ramah Lansia) is activity to create a suitable environment for the elderly in terms of physical and psychosocial environment. The families trained as a caregivers which are carried out in RW 4, Jatimulyo, Malang City in January - March 2018. The activities of the program is health education and skill training about caring for elderly. The results are 70 percent of families have good ability in carrying out family health care tasks; knowledge about elderly care at home is good with an average knowledge value of 8.6. From these results it can be concluded that training for caregivers is useful to improve the ability of caregivers and health status of the elderly.Keywords: caregiver care ability; chronic disease; elderly care at home.
THE ROLES OF CADRE AS A SUPPORT GROUP FOR PEOPLE WHO LIVING WITH HIV/AIDS Niko Dima Kristianingrum; Annisa Wuri Kartika; Yati Sri Hayati; Kumboyono Kumboyono Kumboyono; Nurul Aisyah Puspitarini
Caring : Jurnal Pengabdian Masyarakat Vol 2, No 1 (2022): CARING Jurnal Pengabdian Masyarakat (April 2022)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2022.002.01.2

Abstract

The people living with HIV (PLWH) are vulnerable population with several health problems and stigma from the community. People living with HIV need social support from the people around them, include community health worker as support groups. The purpose of this activity was to increase the knowledge and attitude of cadre as support group in providing support to PLWH. This program consists of health education and training as support group for PLWH. The target of the activity was 20 community health workers in Turen district, Malang Regency. The activity was held on October 16, 2021. Participants were given a knowledge and attitude questionnaire before and after the activity. The results of the paired t test about community health worker knowledge obtained a value of 0.000 (<p value 0.05) so it means there was a significant difference between the average level of pre-test and post-test cadre knowledge. The results of the paired t test about community health worker attitudes obtained a value of 0.000 (<p value 0.05) so it menas that there is a significant difference between the average of pre-test and post-test community health worker attitudes. It can be concluded that support group training can improve the knowledge and attitudes of community health worker as support group for PLWH.
DIABETES SELF-CARE EXPERIENCE ON ELDERLY WITHOUT MEDICATION Niko Dima Kristianingrum; Wiwin Wiarsih; Astuti Yuni Nursasi
Journal of Nursing Science Update (JNSU) Vol. 6 No. 2 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6394.778 KB) | DOI: 10.21776/ub.jik.2018.006.02.3

Abstract

Increasing of the number of elderly contributes to the increasing of prevalence of chronic degenerative diseases such as diabetes mellitus. Diabetes mellitus requires long-term care through self-care. Theaims of this study to find out the experience of elderly on diabetes self-care. The study used qualitative method of descriptive phenomenology with in-depth interviews on nine participants. Interview results were analyzed using the Colaizzi method. The results of the study identified a variety of self-care diabetes, were regulates food, exercise, and blood sugar checking. Self-care has not been done consistently so it needs diabetes self-care guidelines, diabetes self-care education, and a community health nurse program that can foster elderly with diabetes mellitus.
RELATIONSHIP BETWEEN LEVEL OF DISASTER KNOWLEDGE AND ATTITUDE OF LANDSLIDE DISASTER PREPAREDNESS IN VOLUNTEERS "KELURAHAN TANGGUH” IN MALANG CITY Ika Setyo Rini; Niko Dima Kristianingrum; Rizka Widyastikasari
Journal of Nursing Science Update (JNSU) Vol. 7 No. 2 (2019)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1364.171 KB) | DOI: 10.21776/ub.jik.2019.007.02.3

Abstract

Indonesia is located between the Eurasian Continent Plate, the Indian-Australian Plate and the Pacific Ocean Plate. It is passed through a series of Mediterranean Circuits and the Pacific Circum. The process of plate and volcanic activity results in natural disasters including landslides. Indonesia has 918 vulnerable location points that are spread in various parts of Indonesia which cause natural disasters in Indonesia to increase every year. BPBD of Malang Citymade a program “Kelurahan Tangguh” to improve community preparedness against disasters. The purpose of this study was to explore the relationship between landslide disaster preparedness knowledge andattitude on volunteers of “Kelurahan Tangguh” in KotaLama, Bandungrejosari and Polehan because these three villages experienced the most landslides during 2018. The design of this research is observational correlational analytic with cross sectional research. The research respondents were 39 volunteers in Kotalama, Bandungrejosari and Polehan with a total sampling method. Data were collected using a questionnaire to determine the level of knowledge and attitudes of preparedness. Data analysis used Spearman’s rank correlation test. The results of the study state that there is a relationship between the level of knowledge and attitudes of preparedness. There is a positive relationship between the level of knowledge with landslide preparedness attitudes (p = 0.000, α = 0.05), r = 0.610. There is a undirectional relationship between the level of knowledge and attitudes of preparedness for landslides. Health workers, especially nurses and other professionals can partner with BPBD to actively conduct education, motivation and various training for volunteer empowerment in disaster preparedness in Malang City
THE RELATIONSHIP BETWEEN PARENTS SUPPORT AND LEARNING MOTIVATION IN ADOLESCENTS DURING THE PANDEMIC PERIOD AT SMPN 2 PULE TRENGGALEK Hidah Rohmahwati; Yati Sri Hayati; Niko Dima Kristianingrum
Journal of Community Health and Preventive Medicine Vol. 1 No. 2 (2021): JOCHAPM Vol. 1 No. 2 2021
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.981 KB) | DOI: 10.21776/ub.jochapm.2021.001.02.2

Abstract

The Covid-19 pandemic has an impact on all aspects of life, including the implementation of learning activities that are changed from face-to-face to distance learning. Distance learning requires student independence which needs to be encouraged by a high motivation to achieve learning success. Parents as a substitute for teachers at home are expected to provide optimal support so that adolescents have high motivation to learn while participating in learning activities. This study aims to determine the relationship between parental support and learning motivation in adolescents during the pandemic period at SMPN 2 Pule Trenggalek. This was an observational study using a cross-sectional design. Respondents in this study are students of SMPN 2 Pule Trenggalek Class VIII and IX, totaling 142 students, who are selected based on simple random sampling techniques. This study uses an online questionnaire about parental support and student motivation during the pandemic as a means of collecting data. The results showed the majority of parental support was in the high category (95.8 %), and the respondents learned motivation was in the medium category (54.2%). The results of data analysis using the Spearman rank obtained a correlation value of 0.361 with a p-value of 0.000 so that Ho was rejected (<0.05). The study concludes that there is a relationship between parental support and learning motivation in adolescents during distance learning in the pandemic period at SMPN 2 Pule Trenggalek. Further research can be carried out related to parental support provided to adolescents during the pandemic with parents as respondents so that the data obtained will be comprehensive.
Pelatihan Caregiver untuk Meningkatkan Kesiapan Perawatan Lansia Sakit Kronis di Rumah Annisa Kartika; Kumboyono Kumboyono; Niko Dima Kristianingrum; Yati Sri Hayati
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 7 No 2 (2023): Volume 7 Nomor 2 Tahun 2023
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v7i2.19236

Abstract

Chronic pain in older adults causes them to experience disability which causes dependence in fulfilling daily needs (ADL). The family as a caregiver for the elderly is the main support system in the care process at home. An increase in knowledge and skills is needed by caregivers to improve their coping and reduce the burden of care. Community service activities are carried out by providing material such as the concept of chronic pain, training in care skills and accompanying home visits. Participants were families who cared for chronically ill elderly with 36 respondents. Assessment was carried out using pre-test and post-test knowledge and family readiness in caring for the elderly. The results of the assessment of family readiness to care for the elderly found that families who cared for the elderly with chronic pain had readiness in caring for the elderly (mean value = 3.91 ± 0.28), but there was data that families were not prepared to face emergency situations (mean value = 1 .63 ± 0.83). The results of caregiver training activities showed an increase in knowledge with a mean post test = 8.48 ± 1.21, an increase from the mean pre-test = 5.21 ± 1.73 and a difference in value of 3.27. The next suggestion is that there will be training that contains material on elderly care and stress management in the family so that it is able to improve the quality of care provided to the elderly.
The SHARING-AJA Website for Adolescent Reproductive Health Knowledge Levels Niko Dima Kristianingrum; Ayut Merdikawati Merdikawati; Muladefi Choiriyah Choiriyah; Annisa Wuri Kartika
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (613.421 KB) | DOI: 10.30604/jika.v7i4.1359

Abstract

Risk of sexual behaviour, abortion, and early marriage are the most common reproductive health problems in adolescents. Prevention strategies with digital technology are considered effective and appropriate by the development of adolescents. The aim of this study to analyze the use of SHARING AJA (Sadari keseHAtan ReproduksI saNG remaJA) media as an online educational media for the promotion of reproductive health. The study was Quasi-experimental with one group design approach (pre-post-test) in 26 respondents selected by consecutive sampling. Inclusion criteria are unmarried, have internet access via smartphone or laptop and are willing to be research respondents. The intervention was in the form of access to SHARING AJA for four weeks. The research instrument used a pre-test and post-test questionnaire. Data analysis using paired t-test. Results showed there is a significant difference between the knowledge of adolescents after being given intervention with a p-value of 0.001. The majority of respondents are satisfied with the use of the website with the highest average satisfaction on the ease of learning about reproductive health anytime and anywhere with a mean value of 4.27 ± 0.92. Conclusions was socialization and integration of the SHARING AJA website for the learning process and youth health development program in schools in collaboration with schools and public health centers. Abstrak: Masalah kesehatan reproduksi pada remaja meliputi perilaku seks berisiko, aborsi, dan pernikahan dini merupakan masalah yang paling sering terjadi. Strategi pencegahan berupa upaya promosi kesehatan dengan teknologi digital dinilai efektif dan tepat sesuai dengan tumbuh kembang remaja. Tujuan penelitian untuk menganalisis penggunaan media SHARING AJA (Sadari keseHAtan ReproduksI saNG remaJA) sebagai media edukasi online untuk promosi kesehatan reproduksi. Metode penelitian adalah Quasi eksperimental dengan pendekatan one group design (pre-posttest) pada 26 responden dipilih dengan consecutive sampling. Kriteria inklusi belum menikah, memiliki akses intrenet melalui smartphone atau laptop dan bersedia menjadi responden penelitian. Intervensi berupa akses ke SHARING AJA selama empat minggu. Instrumen penelitian menggunakan kuesioner pretest dan post-test. Analisa data menggunakan Uji paired t-test. Hasil didapatkan perbedaan yang signifikan antara pengetahuan remaja setelah diberikan intervensi dengan p-value 0,001. Mayoritas responden puas terhadap penggunaan website dengan rerata kepuasan tertinggi pada kemudahan untuk untuk mempelajari tentang kesehatan reproduksi kapan saja dan dimana pun berada dengan nilai rerata 4,27 ± 0,92. Kesimpulan yaitu sosialisasi dan integrasi website SHARING AJA untuk proses pembelajaran dan program pembinaan Kesehatan remaja di sekolah dengan kolaborasi bersama sekolah dan Puskesmas Wilayah
Influenced of Self-Help Group towards Self-Management and Quality of Life among Older Adults With Chronic Non-communicable Disease in Malang Niko Dima Kristianingrum; Cornelia Fransiska Sandehang; Afiatur Rohimah; Zaroan Supriadi; Agung Prasetia; Annisa Wuri Kartika; Yati Sri Hayati; Kumboyono Kumboyono; Dina Dewi Sartika Lestari Ismail; Dian Handayani; Lilik Zuhriyah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.1752

Abstract

The increasing of older adults population concomitant with the increasing of chronic non-communicable diseases. Chronic non-communicable diseases can have an impact on the quality of life of the older adults. Chronic non-communicable diseases require long-term management through self-management. This study aimed to analyze the Self Help Group (SHG) intervention towards self-management and quality of life for older adults with chronic non-communicable diseases. The research method was Quasi Experimental pre-post test with control group on 120 respondents selected by purposive sampling. The inclusion criteria were age more than 60 years, had DM or gout, communicating well, capable to read and write. The SHG intervention hold on four meetings is a group activity of fellow sufferers to share problems and experiences. The instruments were the self-management behavior questionnaire and WHOQOL-BREF. The results of the Mann Whitney test showed p=value of 0.000 which mean that there was a significant difference between self-management and quality of life in the control group and the SHG intervention group. The conclusion was that SHG influenced self-management and quality of life among older adults with chronic non-communicable diseases. Need to apply self help group regularly among chronic non-communicable disease patients. Abstrak: Peningkatan lansia seiring dengan peningkatan penyakit tidak menular kronis. Penyakit tidak menular kronis dapat berdampak pada kualitas hidup lansia. Penyakit tidak menular kronis memerlukan penatalaksanaan jangka panjang melalui manajemen diri. Tujuan penelitian ini untuk menganalisis penerapan Self Help Group (SHG) pada manajemen diri dan kualitas hidup lansia dengan penyakit tidak menular kronis. Metode penelitian adalah Quasi Exsperimental pre-post test with control group pada 120 responden yang dipilih dengan purposive sampling. Kriteria inklusi yaitu usia lebih dari 60 tahun, mengalami DM atau gout, dapat berkomunikasi, dapat membaca dan menulis. Intervensi SHG selama empat kali pertemuan merupakan kegiatan kelompok sesama penderita untuk berbagi masalah dan pengalaman. Instrumen yaitu self-management behaviour questionnaire dan WHOQOL-BREF. Hasil uji mann whitney menunjukkan p=value 0.000 yang bermakna terdapat perbedaan yang signifikan antara manajemen diri dan kualitas hidup pada pada kelompok control dan kelompok intervensi SHG. Kesimpulan yaitu adanya pengaruh SHG pada manajemen diri dan kualitas hidup lansia dengan penyakit tidak menular kronis. Perlu mengaplikasikan SHG secara teratur pada pasien dengan penyakit tidak menular kronis.
STRENGTHENING ELDERLY COMMUNITIES TO SUPPORT AN ELDERLY-FRIENDLY CITY Kristianingrum, Niko Dima; Hayati, Yati Sri; Merdikawati, Ayut; Kartika, Annisa Wuri
Caring: Jurnal Pengabdian Masyarakat Vol 3, No 2 (2023): CARING Jurnal Pengabdian Masyarakat (Agustus 2023)
Publisher : Caring: Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2023.003.02.5

Abstract

Fenomena bertambahnya lansia tentunya perlu diantisipasi karena akan berdampak luas sehingga perlu mendapat perhatian dari semua pihak terutama pemerintah melalui berbagai kebijakan dan program yang ditujukan bagi penduduk lanjut usia. Program Percepatan Kota Ramah Lansia pada hakekatnya merupakan salah satu upaya mengantisipasi ledakan penduduk lanjut usia di Indonesia. Salah satu indikator kota ramah lansia adalah dukungan masyarakat dan kesehatan. Mewujudkan dukungan dan kesehatan masyarakat melalui pelayanan kesehatan dan sosial berbasis masyarakat oleh Karang Werdha. Karang Werdha merupakan organisasi sosial sebagai wadah kegiatan para lansia. Karang Werdha bertujuan untuk meningkatkan aktivitas lansia agar mampu mengembangkan diri melalui program pelayanan kesehatan, pemeliharaan iman, pembinaan kegiatan ekonomi produktif, dan kegiatan lain sesuai kearifan lokal untuk mewujudkan kesejahteraan lansia. Kegiatan pengabdian kepada masyarakat berupa penguatan kelompok lansia melalui penyuluhan kesehatan, penjaringan kesehatan, dan sosialisasi indikator ramah lansia. Hal tersebut merupakan strategi untuk mendukung terbentuknya kota ramah lansia berdasarkan indikator kesehatan. Hasil kegiatan berupa peningkatan pengetahuan lansia tentang kesehatan, sosialisasi indikator ramah lansia, peningkatan pengetahuan pengurus di lingkungan Karang Werdha, dan terdeteksi diabetes, hipertensi dan obesitas pada lansia. Disimpulkan bahwa penguatan Karang Werdha dapat mendukung upaya kota ramah lansia. Perlu upaya lebih lanjut berupa pembinaan Posyandu untuk meningkatkan upaya di bidang kesehatan dalam mendukung indikator kota ramah lansia.