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ABSTRAK Latar belakang: Lansia hipertensi mengalami perubahan pada aspek fisik, psikologis, sosial, dan spiritual. Penyakit hipertensi dan penatalaksanaannya dipengaruhi oleh kebiasaan atau budaya yang dimiliki. Intervensi keperawatan holistic berbasis budaya dapat mengurangi dampak negative dan mencegah komplikasi hipertensi. Tujuan: penelitian bertujuan mengidentifikasi pengalaman lansia hipertensi dan faktor budaya yang mempengaruhi, serta mengidentifikasi efektifitas model PASTI BERDAYA terhadap kepatuhan, tingkat, stres, koping, dan tekanan darah lansia hipertensi. Metodologi: Penelitian menggunakan penelitian operasional melalui tiga tahapan. Tahap pertama melalui studi fenomenologi deskriptif melibatkan 15 partisipan, tahap kedua penyusunan model dan modul PASTI BERDAYA melibatkan 3 orang pakar, dan tahap ketiga melalui studi quasi ekperimen with control group melibatkan 100 responden dengan pengambilan sampel dilakukan dengan purposive sampling. Hasil : teridentifikasi 10 tema yang menjadi dasar pengembangan model. Tersusunnya model PASTI BERDAYA dan tiga modul sebagai perangkat model PASTI BERDAYA. Hasil menunukan adanya perbedaan bermakna dari pretest, post test I setelah 3 bulan perlakukan, dan Post test II setelah 6 bulan perlakuan antara kelompok intervensi dan kelompok control pada variabel kepatuhan pengobatan (nilai p <0,001), kepatuhan pengendalian risiko hipertensi (nilai p <0,001), tingkat stres (nilai p <0,001), koping (nilai p <0,001), tekanan darah sistole (nilai p <0,001), dan tekanan darah diastole (nilai p <0,001). Simpulan: Model PASTI BERDAYA mampu meningkatkan kepatuhan pengobatan, kepatuhan pengendalian risiko hipertensi, dan koping serta mampu menurunkan tingkat stres dan tekanan darah lansia hipertensi setelah evaluasi 3 bulan dan 6 bulan perlakuan. Model PASTI BERDAYA tepat untuk diaplikasikan pada lansia dengan hipertensi atau penyakit kronik degenerative lainnya dengan masalah ketidakpatuhan, stres dan koping yang kurang.   Kata Kunci : Model PASTI BERDAYA, Kepatuhan pengobatan, Kepatuhan pengendalian risiko, Tingkat stres, Koping, Tekanan darah, Lansia hipertensi

 

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ABSTRACT

Background: Elderly hypertensive patients experience changes in physical, psychological, social, and spiritual aspects Hypertension and its management are influenced by habits or culture. Holistic nursing interventions based on culture can reduce negative impacts and prevent complications of hypertension. Objective: The study aims to identify the experiences of elderly hypertensive patients and the cultural factors that influence them, as well as to identify the effectiveness of the PASTI BERDAYA model on compliance, levels stress, coping, and blood pressure of elderly hypertensive patients. Methodology: The study used operational research through three stages. The first stage was through a descriptive phenomenological study involving 15 participants, the second stage was the preparation of the PASTI BERDAYA model and module involving 3 experts, and the third stage was through a quasi-experimental study with a control group involving 100 respondents with sampling conducted by purposive sampling. Results: 10 themes were identified as the basis for developing the model. The PASTI BERDAYA model and three modules were compiled as PASTI BERDAYA model devices. The results showed a significant difference from the pretest, post-test I after 3 months of treatment, and post-test II after 6 months of treatment between the intervention group and the control group on the variables of medication adherence (p value <0.001), hypertension risk control adherence (p value <0.001), stress level (p value <0.001), coping (p value <0.001), systolic blood pressure (p value <0.001), and diastolic blood pressure (p value <0.001). Conclusion: The PASTI BERDAYA model is able to improve medication adherence, hypertension risk control adherence, and coping and is able to reduce stress levels and blood pressure in elderly hypertensives after 3-month and 6-month evaluations of treatment. The PASTI BERDAYA model can be adopted to improve the health of elderly hypertensives and other chronic degenerative diseases with problems of non-compliance, stress and poor coping.

Keywords: PASTI BERDAYA Model, Medication adherence, Risk control compliance, Stress level, Coping, Blood pressure, Hypertensive elderly

, Gangguan tidur di ICU disebabkan oleh banyak faktor, diantaranya lingkungan, kebisingan, pencahayaan, kegiatan perawat, penyakit yang diderita, tindakan keperawatan, terapi obat, dan ventilasi mekanik. Efek yang ditimbulkan akan memengaruhi fungsi kekebalan tubuh, sistem metabolisme, regulasi sistem saraf pusat, dan kondisi psikologis. Tujuan penelitian ini menerapkan dan membuktikan efektifitas penggunaan Earplug dan Eye Mask dalam meningkatkan kualitas tidur pada pasien di ICU. Desain yang digunakan randomized controlled trial (RCT) crossover design. Peneliti membagi Group A dan Group B dengan simple random sampling. Jumlah sampel 24 responden. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Questionnaire (RCSQ). Data dianalisis dengan uji Independent Sample T-Test. Hasil penelitian didapatkan p-value < 0,05, berarti pada alpha 5% terdapat perbedaan yang signifikan kualitas tidur antara malam pertama dan kedua pada masing-masing group sehingga disarankan dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur.

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Sleep disorders in ICU are caused by many factors, including environment, noise, lighting, nursing activities, illness, nursing, medication therapy, and mechanical ventilation. The effects will affect the immune function, metabolic system, central nervous system regulation, and psychological conditions. The purpose of this study to apply and prove the effectiveness of the use of Earplug and Eye Mask in improving sleep quality in patients in ICU. The design used randomized controlled trial (RCT) crossover design. The researchers divide Group A and Group B by simple random sampling. The Total sample of 24 respondents. Sleep quality instrument using Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by the Independent Sample T-Test. The result of this research is p-value <0,05, mean at alpha 5% there is a significant difference of sleep quality between first and second night in each group so it is suggested to be an evidence-based in a hospital as one of complementary therapy which can be made independent intervention nursing to help overcome sleep disorders.]"

"Gangguan tidur di ICU disebabkan oleh banyak faktor, diantaranya lingkungan, kebisingan, pencahayaan, kegiatan perawat, penyakit yang diderita, tindakan keperawatan, terapi obat, dan ventilasi mekanik. Efek yang ditimbulkan akan memengaruhi fungsi kekebalan tubuh, sistem metabolisme, regulasi sistem saraf pusat, dan kondisi psikologis. Tujuan penelitian ini menerapkan dan membuktikan efektifitas penggunaan Earplug dan Eye Mask dalam meningkatkan kualitas tidur pada pasien di ICU. Desain yang digunakan randomized controlled trial (RCT) crossover design. Peneliti membagi Group A dan Group B dengan simple random sampling. Jumlah sampel 24 responden. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Questionnaire (RCSQ). Data dianalisis dengan uji Independent Sample T-Test. Hasil penelitian didapatkan p-value < 0,05, berarti pada alpha 5% terdapat perbedaan yang signifikan kualitas tidur antara malam pertama dan kedua pada masing-masing group sehingga disarankan dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur.

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Sleep disorders in ICU are caused by many factors, including environment, noise, lighting, nursing activities, illness, nursing, medication therapy, and mechanical ventilation. The effects will affect the immune function, metabolic system, central nervous system regulation, and psychological conditions. The purpose of this study to apply and prove the effectiveness of the use of Earplug and Eye Mask in improving sleep quality in patients in ICU. The design used randomized controlled trial (RCT) crossover design. The researchers divide Group A and Group B by simple random sampling. The Total sample of 24 respondents. Sleep quality instrument using Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by the Independent Sample T-Test. The result of this research is p-value <0,05, mean at alpha 5% there is a significant difference of sleep quality between first and second night in each group so it is suggested to be an evidence-based in a hospital as one of complementary therapy which can be made independent intervention nursing to help overcome sleep disorders."

"ABSTRACTBiji markisa ungu (Passiflora edulis) diketahui mengandung polifenol yang dapat mengatasi tanda penuaan. Kandungan polifenol biji markisa ungu diekstraksi menggunakan etanol 80%. Penelitian ini bertujuan untuk memperoleh formula masker mata hidrogel dengan kestabilan dan karakteristik fisik yang baik. Masker mata hidrogel yang mengandung ekstrak biji markisa ungu 0,1% diformulasikan dengan alginat 3% dan xanthan gum 0,5%, selanjutnya dibiarkan dalam larutan kalsium klorida 0,5% selama 60 menit. Kestabilan dan karakteristik fisik masker mata hidrogel dievaluasi melalui pengamatan organoleptis, daya mengembang, konsistensi, kekuatan peregangan, dan persen elongasi. Hasil evaluasi menunjukkan masker mata hidrogel tidak mengalami perubahan organoleptis selama 12 minggu dan memiliki kemampuan menahan air yang baik. Selain itu, masker mata hidrogel memiliki kekuatan peregangan sebesar 4,0823 ± 0,6879 kgf/cm2 dan persen elongasi sebesar 200%. Masker mata hidrogel yang dihasilkan pada penelitian ini memiliki karakteristik dan stabilitas fisik yang baik sehingga diharapkan dapat digunakan sebagai sediaan perawatan kulit nutrakosmesetika.

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ABSTRACTPurple passion fruit (Passiflora edulis) seed had known containing polyphenol which could prevent aging. Polyphenol content were extracted using 80% ethanol. The aim of this research was to obtain a hydrogel eye patch formula with good physical characteristic and stability. Hydrogel eye mask which contains 0.1% purple pasion fruit seeds extract was formulated with 3% alginate, 0.5% xanthan gum, and immersed at 0.5% calcium chloride solution for 60 minutes. Hydrogel eye mask physical characteristic and stability was evaluated by organoleptic observation, swelling index, consistency, tensile stregth, and elongation rate. The results showed that hydrogel eye mask was stable in colour and odour for 12 weeks and showed a good water holding capacity. In addition, hydrogel eye mask had tensile strength at 4.0823 ± 0.6879 kgf/cm2 and elongation rate at 200%. This research demonstrated that hydrogel eye mask formula has good physical characteristic and stability. Thus, it had potential to be used as nutracosmeceutical skin care product."