Abstract:Latar Belakang: Hipertensi merupakan penyakit tidak menular dengan prevalensi tinggi di Indonesia yang mencapai 34,1% berdasarkan Riskesdas 2018. Kepatuhan minum obat antihipertensi menjadi tantangan utama dalam pengendalian…
lian tekanan darah, yang dipengaruhi oleh kurangnya pengetahuan, kesadaran, dan dukungan keluarga. Pendidikan kesehatan dengan media pill card merupakan strategi intervensi yang dapat meningkatkan kepatuhan pasien dalam menjalani terapi hipertensi. Tujuan: Studi kasus ini bertujuan untuk mengetahui pengaruh edukasi penggunaan pill card terhadap kepatuhan minum obat bagi penderita hipertensi berbasis asuhan keperawatan keluarga di wilayah Puskesmas Kedungmundu. Metode: Penelitian ini menggunakan metode deskriptif dalam bentuk studi kasus dengan pendekatan asuhan keperawatan keluarga yang meliputi pengkajian, diagnosis keperawatan, perencanaan, pelaksanaan, dan evaluasi. Subjek studi kasus adalah keluarga Tn. S di RW 03 Kelurahan Tandang wilayah kerja Puskesmas Kedungmundu Kota Semarang. Intervensi dilakukan selama 3 hari (29 November - 1 Desember 2025) dengan pemberian edukasi kesehatan menggunakan media leaflet dan pill card. Hasil: Hasil studi kasus menunjukkan adanya penurunan tekanan darah yang signifikan setelah pemberian edukasi dengan pill card. Tekanan darah klien sebelum intervensi adalah 171/101 mmHg, menurun menjadi 140/91 mmHg pada hari kedua, dan mencapai 130/81 mmHg pada hari ketiga. Skala nyeri kepala juga mengalami penurunan dari skala 6 menjadi skala 3. Klien dan keluarga menunjukkan peningkatan pengetahuan tentang hipertensi dan kepatuhan dalam menggunakan pill card sebagai alat pengingat minum obat. Kesimpulan: Pendidikan kesehatan keluarga dengan media pill card efektif dalam meningkatkan kepatuhan minum obat antihipertensi dan menurunkan tekanan darah pada penderita hipertensi. Keterlibatan keluarga dalam proses edukasi berperan penting dalam mendukung keberhasilan intervensi. Disarankan agar tenaga kesehatan dapat menerapkan edukasi penggunaan pill card sebagai bagian dari asuhan keperawatan keluarga pada pasien hipertensi.
Abstract:Penelitian ini bertujuan untuk mengetahui peningkatan pemahaman kalimat thayyibah melalui media flashcard pada anak usia 5–6 tahun di PAUDQ Al Kamal Kota Bekasi. Penelitian menggunakan metode Penelitian Tindakan Kelas (PTK)…
(PTK) model Kemmis dan McTaggart yang dilaksanakan dalam dua siklus, meliputi tahap perencanaan, tindakan, observasi, dan refleksi. Subjek penelitian berjumlah 9 anak usia 5–6 tahun. Teknik pengumpulan data dilakukan melalui observasi, wawancara, dan dokumentasi. Data dianalisis menggunakan model Miles dan Huberman yang meliputi reduksi data, penyajian data, serta penarikan kesimpulan dan verifikasi. Hasil penelitian menunjukkan bahwa penerapan media flashcard dilakukan melalui kegiatan pembuka, inti, dan penutup yang melibatkan penggunaan gambar konkret, permainan edukatif, serta praktik langsung sesuai dengan situasi kehidupan sehari-hari anak. Penggunaan media flashcard terbukti dapat meningkatkan pemahaman kalimat thayyibah yang mencakup aspek pemahaman makna, penggunaan kalimat thayyibah sesuai konteks, dan konsistensi pengucapan. Hal tersebut ditunjukkan dengan peningkatan rata-rata persentase pemahaman anak dari 35% pada tahap prapenelitian menjadi 61% pada siklus I dan meningkat menjadi 90% pada siklus II. Dengan demikian, media flashcard efektif digunakan untuk meningkatkan pemahaman kalimat thayyibah pada anak usia dini di PAUDQ Al Kamal Kota Bekasi.
Abstract:Tujuan penelitian ini adalah untuk menganalisis dan menguji pengaruh work life balance dan kepuasan kerja terhadap turnover intention pegawai Non ASN Kabupaten Banyuasin. Selain itu, penelitian ini bertujuan untuk mengetahui…
ahui seberapa besar peran resiliensi dalam memoderasi hubungan antara work life balance dan kepuasan kerja terhadap turnover intention. Penelitian ini juga dimaksudkan untuk memberikan gambaran empiris mengenai faktor-faktor yang mempengaruhi niat pegawai Non ASN dalam meninggalkan pekerjaan. The purpose of this study is to analyze and test the influence of work life balance and job satisfaction on the turnover intention of Non-ASN employees in Banyuasin Regency. In addition, this study aims to find out how much role resilience plays in moderating the relationship between work life balance and job satisfaction to turnover intention. This study is also intended to provide an empirical picture of the factors that affect the intention of Non-ASN employees in leaving their jobs. The results of the research are expected to be a basis for consideration for the Banyuasin Regency Government in formulating policies that improve the welfare, loyalty, and stability of the performance of Non-ASN employees. This study uses a quantitative approach with a type of causal associative research. With a population of 6,120 Non-ASN employees and an error rate of 5%, the number of samples needed is 376 respondents. Data analysis was carried out using the help of SmartPLS statistical software. Based on the results of the study, Work Life Balance and Job Satisfaction have a negative and significant effect on the Turnover Intention of Non-ASN employees in Banyuasin Regency. The better the work-life balance and the higher the job satisfaction, the lower the employee's intention to leave. Job satisfaction is the most dominant factor. In addition, resilience acts as a moderator that strengthens the negative influence of the two variables, so that it is able to suppress the tendency of turnover intention more effectively
Abstract:Background: Cardiovascular disease (CVD) continues to be the predominant cause of global mortality. Polypill techniques that integrate various cardiovascular drugs into a single formulation have emerged as a potential method…
thod for primary prevention, especially in intermediate-risk populations.
Objective: To systematically review and synthesize evidence regarding the efficacy and safety of polypill formulations (comprising antihypertensive medications, statins, with or without aspirin) in comparison to standard care or placebo for the primary prevention of major adverse cardiovascular events (MACE) in intermediate-risk populations.
Methods: We conducted systematic review and meta-analysis in accordance with PRISMA 2020 standards (Systematic Review Registration: PROSPERO CRD420251184718). Various databases (PubMed, Cochrane Library, ScienceDirect, Scopus) were examined for original research published from January 2015 to October 2024. Studies were eligible if they assessed polypill therapies in individuals aged 30 to 70 years with intermediate cardiovascular risk (10-20% 10-year risk), reported composite major adverse cardiovascular events (MACE) outcomes, and included a minimum follow-up of 6 months. Two independent reviewers conducted screening, data extraction, and risk of bias evaluation utilizing the Cochrane RoB 2.0 tool.
Results: Of the 161 records discovered, 4 randomized controlled studies (HOPE-3, TIPS-3, PolyIran, PolyPars) with 31,501 people fulfilled the inclusion criteria. Polypill therapies showed a substantial decrease in composite MACE relative to control groups (pooled HR 0.67 (95% CI 0.60-0.75, p<0.001). Individual trial hazard ratios varied from 0.50 (PolyPars) to 0.66 (PolyIran) and 0.79 (TIPS-3) with moderate heterogeneity (I²=35.2%, p=0.20). Polypills were generally well- tolerated, with a safety profile consistent with the individual components. Medication adherence was enhanced with the polypill in comparison to multiple-pill regimens.
Conclusions: Polypill techniques markedly reduce major adverse cardiovascular events (MACE) in intermediate-risk patients for primary cardiovascular prevention, achieving around a 33% relative risk reduction. The fixed-dose combination strategy provides benefits in compliance and ease of use. These findings hold significant implications for healthcare systems in low-to-
middle-income nations, such as Indonesia, where the burden of cardiovascular disease is substantial and access to long-term cardiovascular drugs is frequently hindered by cost and complexity.
Abstract:Cardiovascular disease remains a leading cause of death both globally and nationally, with Low Density Lipoprotein(LDL) levels serving as a key biochemical indicator in the screening and management of heart disease. Accurate…
rate LDL testing requires adherence to pre-analytical procedures, particularly fasting for 10-12 hours. This study aimed to describe LDL levels and fasting compliance among outpatient cardiac patients at RSU Prima Medika Denpasar. A descriptive cross-sectional design was used with purposive sampling, involving 35 cardiac outpatients from February to March 2025. Data were collected through interviews and laboratory examinations using the Furuno CA-270 device. Results showed that 71% of respondents had LDL levels >100 mg/dL, indicating high levels, while 29% hadnormal levels (<100 mg/dL). All respondents (100%) complied with the fasting requirement. These findings indicate that high LDL levels are still commonly found among outpatient cardiac patients, particularly in productive-age males. The high level of fasting compliance reflects the effectiveness of pre-analytical patient education. This study emphasizes the importance of routine lipid screening and continuous education to enhance laboratory diagnostic accuracy and prevent cardiovascular complications.
Abstract:This study aims to determine the process and results of the application of flashcard media in improving mastery of mufrodat (Arabic vocabulary). This type of research is Classroom Action Research (PTK). The subject of the…
e research was the seventh grade students of SMP Pesantren Putri Yatama Mandiri Gowa with a total of 28 people. Data collection techniques used in the study were test sheets and observation sheets. This research was conducted in 2 cycles and each cycle consisted of 2 meetings. The results of this study indicate that the average score obtained by students has increased. In cycle I, the average value was 69% and the average value in cycle II was 91%. The average score obtained by students in learning mufrodat by using flashcards media increased by 22% from the value of cycle I to the value of cycle II.
Abstract:The type of research used is class action research. Data collection techniques used are observation, documentation, tests. Data analysis techniques used are data collection, data reduction, data presentation, and conclusion.…
ion. It can be concluded that the application of murottal method in RA Perwinda 4 Madining, Soppeng, proved effective in improving the ability to read and memorize the Qur'an children through an interactive and fun approach. The use of murottal audio from famous reciters/qariahs helps the child hear and imitate the correct recitation as per Tajweed, while the combination with creative methods like hand gestures and hijaiyah card games keeps their engagement. The study showed a significant increase in the ability to memorize short Surahs, from an average of 21.9% in the pre-cycle to 85.9% in the second cycle. This approach also supports the natural formation of Islamic character, making the murottal method an effective and innovative strategy in learning the Qur'an at an early age.
Abstract:This study evaluates the impact of mental health disorders such as stress, anxiety, and depression on the risk of various physical illnesses, including cardiovascular diseases, type 2 diabetes, obesity, immune system disorders,…
orders, respiratory conditions, skin disorders, digestive ailments, and osteoporosis. Employing a literature review methodology, the research analyzed data from previous studies, uncovering that mental disorders elevate the risk of cardiovascular diseases through oxidative stress and systemic inflammation mechanisms. The link between stress and glycemic dysregulation in type 2 diabetes highlights a trend towards increased insulin resistance. Depression, closely associated with obesity, is often exacerbated by unhealthy eating habits used as coping mechanisms. Chronic stress-induced immune system disorders result in decreased immune responses, while respiratory issues such as asthma are intensified by increased anxiety. Skin conditions like psoriasis and eczema frequently worsen due to psychological stress. In digestive disorders such as irritable bowel syndrome, stress contributes to more severe symptoms, and osteoporosis is similarly affected by chronic stress impacting bone metabolism. These findings affirm the critical importance of routine mental health screenings and the integration of effective public health interventions in overall health management, as exemplified by the Rehab Hati Foundation. Public health programs that enhance mental health can aid in preventing and managing physical illnesses, improving life quality, and reducing overall health burdens. The conclusion highlights the essential role of effective mental health management as both a preventive and therapeutic strategy.
Abstract:Elderly or elderly is the final stage of life characterized by physiological changes that are increasingly declining, one of which is in cardiovascular disease. Hypertension is a chronic condition characterized by increased…
sed blood pressure on the walls of arterial blood vessels. Based on a pre-survey at Panti Wreda Budi Dharma Kasih, it was found that more than half of the elderly experienced hypertension due to a lack of elderly knowledge about hypertension. This community service activity aims to educate the elderly about hypertension and invite the elderly to have a good lifestyle. This activity was carried out at Panti Wreda Budi Dharma Kasih attended by 27 participants. The PKM method is carried out by checking the blood pressure of the elderly using a sphygmomanometer and stethoscope. Screening of PKM participants is elderly people with a minimum age of 60 years who can hear and see. The provision of education is carried out by lecture method using power points containing the definition of hypertension and elderly causative factors and ways to prevent hypertension, then a question and answer session is held. Data collection on the level of knowledge was carried out using pre-education and post-education questionnaires. The results of this activity show an increase in knowledge in the elderly after providing education for 3 meetings.
Abstract:Dalam penelitian ini terdapat masalah yang melatarbelakangi penulis untuk melakukan penelitian yaitu kurangnya keaktifan siswa dalam proses pembelajaran dimana dalam pembelajaran konvensional guru lebih menjadi pusat perhatian…
hatian atau tokoh utama dalam proses pembelajaran sehingga siswa cenderung hanya menunggu penjelasan dan jawaban dari guru hal ini sangat berpengaruh terhadap hasil belajar siswa yang rendah. Berdasarkan permasalahan di atas, peneliti berharap dapat meningkatkan hasil belajar siswa pada kelas V IPA dan mata pelajaran terkait di SD IT Milatul Khoir Pekanbaru dengan menerapkan pendekatan pembelajaran card sort. Penelitian ini menggunakan dua kelas yaitu kelas eksperimen dan kelas kontrol. Penelitian ini merupakan penelitian kuasi-eksperimen kuantitatif. Kelas eksperimen menerima pembelajaran dengan pendekatan pembelajaran card sort, sedangkan kelas kontrol digunakan sebagai kelas komparatif dengan pembelajaran tradisional. Untuk mengetahui hasil akhir pembelajaran siswa, peneliti dalam penelitian ini menggunakan instrumen penelitian dengan soal tes pilihan ganda, yang disebut dengan pretest dan posttest. Soal pretest diberikan sebelum proses pembelajaran dimulai, dan soal posttest diberikan setelah proses pembelajaran selesai. Hasil penelitian ini menunjukkan bahwa hasil belajar siswa mengalami peningkatan dengan menggunakan strategi pembelajaran card sort sedangkan skor N-Gain yang diperoleh pada kelas kontrol menunjukkan nilai rata-rata (mean) skor N-Gain sebesar 54,93% termasuk dalam kategori kurang efektif. kategori sedangkan pada kelas eksperimen nilai rata-rata (mean) skor N-Gain yang diperoleh sebesar 75,43% termasuk dalam kategori cukup efektif. Rata-rata peningkatan (mean) kelas kontrol dan kelas eksperimen sebesar 19,5% berdasarkan nilai rata-rata kedua kelas.