Indonesian Journal of Community Health Nursing

EMERGENCY PREPAREDNESS PLANNING AND ITS EFFECT ON LANDSLIDE DISASTER READINESS: A COMMUNITY-BASED STUDY

Dhina Widayati, Diana Rachmania, Nur Almira Hutami, Madiha Mukhtar — Mon, 11 Aug 2025 00:00:00 +0700

ABSTRACT

The problem of landslide risk that has a significant impact and the importance of preparedness efforts, it is very necessary to increase public awareness and perception to participate in landslide disaster planning. The public must understand the emergency plan to overcome the risk of landslides that can threaten safety, so it is necessary to provide an Emergency Planning simulation. This study was intended to explore the effect of emergency preparedness planning on community’s ability to prepare for and respond to landslide disasters. This research with Preexperimental design involved 84 respondents as the sample size through purposive sampling technique with inclusion criteria of youth groups aged 17-35 years. In this study, Emergency Planning simulation intervention was given twice with a duration of 170 minutes for each face-to-face meeting. The results showed an increase in community preparedness in the good category, which initially increased from 33.3% to 53.5% and a decrease in the less prepared category from 14.3% to 3.6%. The results of the Wilcoxon test data analysis obtained P value: 0.001 (<a: 0.05) indicating an influence of emergency preparedness planning on community’s ability to prepare for and respond to landslide disasters. Emergency planning is very important to be known and implemented by the community to be better prepared to face landslide-prone emergencies. Emergency planning simulation can increase public knowledge and awareness of the importance of preparedness in facing landslides, so as to minimize the number of victims and losses that will be experienced. It is recommended that the application of Emergency planning can be expanded to the entire community so as to increase joint preparedness

Keywords; youth groups; simulation; emergency planning;readiness.

IMPROVING FAMILY ABILITIES THROUGH BONDRES DIABETIC EDUCATION MODEL: A QUASI-EXPERIMENTAL RESEARCH

Mon, 11 Aug 2025 00:00:00 +0700

Introduction: Families play an important role in the well-being and self-management of diabetes patients, but only 25% participate in diabetes programs, with only 27.6% of caregivers having self-management abilities for type 2 diabetes patients and 64.6% having low foot care abilities. This paper aimed to analyze the impact of the health education model through Bondres media on the ability of families to care for T2DM patients. Methods: This research employed a quasi-experimental design utilizing a cross-sectional study approach, and an intervention model of health education using Bondres media on family and patients with T2DM in Buleleng Regency. The sampling utilized the probability sampling method through cluster random sampling, resulting in a total of 106 respondents consisting of 53 interventions and 53 controls. The independent variable is the health education model using Bondres, while the dependent variable is family abilities. The data collection instrument used a questionnaire. This research data was analyzed using the Wilcoxon and Mann-Whitney statistical tests. Results: The results showed that the family’s abilities: healthy diet (p=0,0001), physical activity (p=0,0001), consuming medicine (p=0,0001), management of blood pressure (p=0,001), rest and stress (p=0,0001), and smoking habit (p=0,0001). Conclusion: The health education model using Bondres media significantly improved the family’s ability to provide care for patients with T2DM. This approach proved effective in enhancing knowledge and practices in DM management.

CASE REPORT ON A PATIENT WITH CHRONIC KIDNEY DISEASE STAGE V WITH IMPAIRED PHYSICAL MOBILITY AT RSUP DR SARDJITO YOGYAKARTA

Tarissa Widhi Puspitasari, Estriana Murni Setiawati — Mon, 11 Aug 2025 00:00:00 +0700

Introduction: Chronic Kidney Diseases (CKD) is a problem that occurs in decreased kidney function where the kidneys cannot maintain the body's metabolic, fluid and electrolyte balance. CKD affects the ability of the kidneys to produce the hormone erythropoetin, which affects the function of oxygen distribution into cells for metabolism. Disruption of oxygen supply affects motor function making limbs experience weakness and decreased muscle strength. This study aims to describe a case study of a stage 5 CKD patient with impaired physical mobility.

Method: The method in this report uses a descriptive case design with a case study approach in CKD stage 5 patients.

Conclusion: The conclusion in this report is that the patient experienced complications of the disease so that the improvement of physical mobility with passive ROM could not be seen within 3 days. Further research is needed regarding the effectiveness of the interventions used in similar conditions as a comparison of the success of the interventions provided.

Keywords: Renal failure, Physical mobility impairment, Passive ROM, Palliative.

ANSI (ANTI-HYPERTENSION) EXERCISE IS EFFECTIVE IN REDUCING BLOOD PRESSURE HYPERTENSION PATIENTS

Dwi Lina Octavia, widiharti, Ervi Suminar, Diah Jerita Eka Sari — Mon, 11 Aug 2025 00:00:00 +0700

Introduction: Hypertension is a condition in which blood pressure in the blood vessels chronically increases. Apart from pharmacological therapy, management of hypertension uses non-pharmacological therapy such as ANSI (Anti Hypertension) exercises. This study aims to analyze the effect of ANSI (Anti Hypertension) exercise on blood pressure in hypertensive patients.

Method: This research has a pre-experimental one group pre-post test design. Population of 107 hypertensive patients aged 56 - 65 years at the Industrial Health Center, Gresik District, Gresik Regency, East Java. A total of 44 hypertensive patients were included as samples based on a purposive sampling technique. The independent variable in this study is ANSI (Anti Hypertension) exercise and the dependent variable in this study is the blood pressure of hypertensive patients. The instruments used in this research were the Standard Operational Procedure (SOP) for ANSI (Anti Hypertension) exercise, a digital sphygmomanometer and a blood pressure observation sheet. The data was then analyzed using the Wilcoxon Signed Rank Test statistical test with a significance level of 95%.

Result: Statistical test results showed that the reduction in systolic blood pressure after doing ANSI (Anti Hypertension) exercises was 5.41 mmHg, and diastolic blood pressure was 1.59 mmHg. The Wilcoxon Signed Rank Test statistical test has a p value = 0.00 (p value <0.05).

Conclusion: ANSI (Anti Hypertension) exercise reduces systolic and diastolic blood pressure in hypertensive patients. Community nurses need to carry out educational activities and provide information on the importance of physical activity such as ANSI (Anti Hypertension) exercises in managing blood pressure. Community Health Centers need to provide policies by providing services and facilities to improve health programs, especially making ANSI (Anti Hypertension) exercise a routine program at least once a week, because it has many benefits for the health of hypertensive patients.

THE EFFECT OF ISOMETRIC HANDGRIP EXERCISE ON THE REDUCTION OF HIGH BLOOD PRESSURE IN HYPERTENSIVE PATIENTS AT THE KEBOMAS HEALTH CENTER

DICKY CHANDRA ARDIANSYAH, widiharti, Diah Jerita Eka Sari, Ernawati — Mon, 11 Aug 2025 00:00:00 +0700

Introduction: Hypertension is a condition in which systolic blood pressure is more than 140 mmHg and diastolik blood pressure is more than 90 mmHg. The number of hypertension patients in Gresik Regency hospitals is 10,375 people. The intervention designed to reduce hypertension is Isometric Hangdrip Excercise, which functions to reduce cardiovascular reactivity to psychological factors, so that it can reduce systolic blood pressure by about 7 mmHg and diastolik by about 5 mmHg. Objectives of this study to analyze the effect of Isometric Handgrip Exercise on the reduction of blood pressure in hypertensive patients at the Kebomas Health Center.

Method: The design of this study is Pre Experimental Design. This type of research is a quantitative research with the One Group Pretest – Posttest approach. The population in this study is 227 people with hypertension in the Kebomas Health Center area aged 46 – 65 years. Sampling was carried out using the Purposive Sampling method with a sample of 38 people.

Result: The results of the Wilcoxon statistical test showed that the p-value of systolic blood pressure was 0.000 < the α value was 0.05 and the p-value of diastolik blood pressure was 0.008 < the α value was 0.05, meaning that there was an effect of Isometric Handgrip Exercise on the reduction of blood pressure in hypertensive patients at the Kebomas Health Center

Conclusion: There is an effect of Isometric Handgrip Exercise on the reduction of blood pressure in hypertensive patients at the Kebomas Health Center

THE UTILIZATION OF FLASHCARD AND GROUP ACTIVITY THERAPY ON EDUCATION RELATED TO THE DASH KNOWLEDGE AMONG HEALTH CADRES

Hilda Mazarina Devi, Dewi Sulistiawati, Rona Sari Mahaji Putri — Mon, 11 Aug 2025 00:00:00 +0700

Objective: Analyzing the influence of Dietary Approaches to Stop Hypertension (DASH) education using flashcard media and group activity therapy on the level of knowledge of integrated health post or Posyandu (Pos Kesehatan Terpadu) cadres in Banjarejo Village, Ngantang District, Malang Regency, East Java Province, Indonesia.

Design: The pre-experimental with pretest-posttest used as research design.

Setting: The research was elaborated at Banjarejo Village Sport Center, Ngantang District, Malang Regency, East Java, Indonesia. Data collection on June 2024.

Method: The population was 63 health cadres from five Posyandu, selected using purposive sampling with a sample size of 42 people. The DASH knowledge questionnaire used as instrument with parameters Understanding DASH, Objectives, Types, Examples of types of food, Principles of the DASH diet, how to process food, benefits of the DASH diet, Composition, examples of processed foods DASH Diet and the concept of the DASH diet. Flashcard and interactive games used in the process of data collection. Data analysis used the marginal homogeneity test.

Result: The results showed that before being given education about DASH with flashcard media, most of the Posyandu cadres had knowledge in the poor category (57.1%) and after being given education, the knowledge of Posyandu cadres was in the good category (52.4%). The results of the marginal homogeneity test obtained a p value = 0.001 (<0.05).

Conclusion: There is an influence of DASH education with flashcard media and group activity therapy on the level of knowledge of health cadres in Banjarejo Village, Ngantang District, Malang Regency. This research not only provides significant scientific contributions on knowledge, but also has a positive impact in increasing empowerment capacity to maintain the health of population against hypertension.

Keywords: DASH, empowerment, flashcard media, group therapy, hypertension, knowledge.

KNOWLEDGE, ATTITUDES AND PRACTICES OF NURSING STAFF TOWARDS POSTOPERATIVE PAIN MANAGEMENT AT HOSPITALS IN AL-KUT CITY

Ahmed Kadhim Jawad — Mon, 11 Aug 2025 00:00:00 +0700

Introduction: Patients who have undergone surgery, in particular, often have severe to moderate discomfort after the treatment. In order to guarantee a speedy recovery for these individuals, pain management is essential. Investigating nurses' knowledge, attitudes, and practices regarding pain evaluation in post-operative patients was crucial. The aim of study was to assess the knowledge, attitudes, and practices of nursing staff towards postoperative pain management at hospitals in Al-Kut City.

Method: This study was a descriptive cross-sectional study that involved 450 nurses working at three hospitals in Wasit, Iraq. Simple random sampling was used to select 150 nurses' staff from each hospital. Direct interview to collect data by using a structural questionnaire. To investigate and assess the results of the examination, utilizing the statistical package for the social sciences (SPSS) version 26.

Result: The findings of this study revealed that (40%) of participants were (20-24) years old. The majority of the nursing staff's responses to questions about their knowledge of postoperative pain management were know and related to the attitude and practice of nursing staff towards postoperative pain management; majority of responds were agree. The high significant association between nursing staff's knowledge, attitude, and practice items towards postoperative pain management and all socio-demographic characteristics except marital status and residence show no significant association with socio-demographic characteristics of nursing staff.

Conclusion: Nurses' knowledge and attitudes toward post-operative pain management practice at Al-Kut City hospitals are generally sufficient. A paradigm shift is required in nurses' handling of postoperative pain. It is critical to provide ongoing professional development programs for nurses in order to ensure their empowerment and keep them up to date on changing trends in postoperative pain management.