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Education and Simulation of Range of Motion (ROM) for Caregivers to Improve the Quality of Life of Older People in the Community Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Israfil, Israfil; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari; Oka Putra, I Nyoman Trisna Oka Putra
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.509

Abstract

The aging process has caused various health problems, including limited physical mobility due to muscle weakness, joint stiffness, and certain chronic disease conditions. Efforts to maintain the health of older people can be done through Range of Motion (ROM) exercises, with the family as caregivers having an essential role in doing so. This community service activity aims to improve the knowledge of elderly caregivers by providing education and simulations on ROM exercises for older people. A total of 41 caregivers from Melinggih Village, Gianyar Regency and Pedungan Village, Denpasar City were involved in this activity in March 2025. The activity was carried out using the education and simulation method, with stages using the PARE (Preparation, Action, Reflection, and Evaluation) approach. The results of the Wilcoxon statistical test obtained a p-value < 0.001 with Z = - 3.65, which showed a significant difference in the level of caregiver knowledge about ROM exercises in older people before and after the activity. Good knowledge increased from 63% to 100%, and poor knowledge decreased from 31.7% to 0%. This shows that community service activities with education and simulation methods have successfully increased caregivers' knowledge and practical abilities in performing ROM exercises for older people. ROM exercises can be an easy choice for caregivers as an effective way to maintain the health of older people in the community, support long-term care programs, and thus improve the quality of life for the older people in the community.
Empowering Caregivers to Improve Working Posture Management for Preventing Musculoskeletal Injuries in Long Term Care Settings Indrayani, Ni Luh Dwi; Buntari, Ni Luh Putu Inca Agustini; Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Duygulu, Sergul; Portia, Vitug; Israfil, Israfil; Sagita, Ni Wayan Riska
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.522

Abstract

Physically demanding tasks in long-term care, such as lifting and repositioning patients, increase caregivers' risk of musculoskeletal disorders, highlighting the need for empowerment through targeted education and skills training to ensure safe practices. This community service aimed to evaluate the effectiveness of an educational training program for caregivers, focusing on working posture management and technique in transferring older people to reduce the risk of musculoskeletal injuries. A pre- and post-intervention design was used to assess cognitive improvement and participant satisfaction among 41 caregivers in community setting. Results showed a marked increase in correct responses across all questionnaire items following the training, indicating improved knowledge and satisfaction throughout the training. The increased to 95.1% after the training was found, indicating a significant gain in knowledge about the basic concepts of transfer techniques. Participants expressed high satisfaction, with simulation-based learning identified as the most effective instructional method. The findings suggest that targeted, practical training can enhance caregivers’ competencies and contribute to safer caregiving practices. Despite these positive outcomes, limitations included a participant bias, limited follow-up, or the socio-economic context of the participants in short-term evaluation. Future programs are recommended to include follow-up assessments and wider community involvement to ensure long-term impact and sustainability.
Effectiveness of A Health Behavior Module Based on Transcultural Nursing in Efforts to Prevent Cardiovascular Complications on Hypertension Patients in the Community Israfil, Israfil; Yusuf, Ah; Efendi, Ferry
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3139

Abstract

Hypertension is a chronic non-communicable disease which, if not treated properly, will cause cardiovascular complications which are the cause of disability and death in communities throughout the world. Patient behavior that does not follow hypertension management guidelines is a major factor in the risk of cardiovascular complications in hypertensive patients in the community. The aim of this research is to determine the effectiveness of a health behavior module based on transcultural nursing in preventing cardiovascular complications and its impact on hypertensive patients in the community. The research design was a quasi experiment with a pre-post-test control group design. The sample size was 100 hypertension patients divided into 50 treatment groups and 50 control groups. The research sample was taken using a purposive sampling technique based on predetermined inclusion criteria. The research data were analyzed descriptively, homogeneity test using Levene Statistics, Wilcoxon pre-post difference test for each group, simultaneous pre-post difference test for both groups with Mann-Whitney, and correlation test with Spearman Rho. Results of the test for equality of respondent characteristics p-value = > 0.05, Wilcoxon test in the treatment group p-value = 0.000, control group p-value = > 0.05, Mann Whitney test pre test p-value > 0.05, post test < 0.05, and the Spearman rho test obtained a p-value < 0.05. Conclusion: The behavioral module intervention to prevent cardiovascular complications based on transcultural nursing has proven to be effective in increasing efforts to prevent cardiovascular complications in hypertensive patients, and efforts to prevent cardiovascular complications based on transcultural nursing have a significant relationship in reducing systolic, diastolic blood pressure and cholesterol levels in hypertensive patients in the community. It is hoped that this module can become a health promotion media that can be used to increase efforts to prevent cardiovascular complications in hypertensive patients in the community
Hubungan Kontrol Diri dengan Perilaku Agresif pada Siswa yang Mempunyai Fenomena Praktek Buli di SMKN 1 Kecamatan Langgudu Kabupaten Bima Israfil, Israfil; Fauzia, Erlina
DIKSI: Jurnal Kajian Pendidikan dan Sosial Vol. 6 No. 2 (2025): Diksi: Jurnal Kajian Pendidikan dan Sosial
Publisher : Yayasan Pendidikan Bima Berilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53299/diksi.v6i2.1610

Abstract

Fenomena bullying di lingkungan sekolah merupakan isu sosial yang sangat serius, terutama di kalangan remaja. Penelitian ini bertujuan untuk mengeksplorasi hubungan antara kontrol diri dengan perilaku agresif pada siswa di SMKN 1 Kecamatan Langgudu Kabupaten Bima, dengan penekanan pada bagaimana kontrol diri dapat mempengaruhi tindakan bullying.  Metode penelitian menggunakan teknik pendekatan kuantitatif dengan desain korelasional. Subjek penelitian ini berjumlah 200 siswa dari populasi 373 siswa di SMKN 1 Kecamatan Langgudu Kabupaten Bima. Pengumpulan data dengan skala kontrol diri dan skala perilaku agresi. Analisis data menggunakan regresi berganda. Berdasarkan laporan KPAI (2025), terdapat peningkatan yang signifikan dalam jumlah kasus bullying di Indonesia, di mana sekitar 70% siswa melaporkan pernah mengalami atau menyaksikan tindakan bullying. Penelitian ini mengidentifikasi berbagai faktor yang mempengaruhi perilaku agresif, termasuk pengalaman buruk di masa lalu, pengaruh teman sebaya, serta dukungan keluarga yang terbatas. Hasil analisis korelasi diperoleh hubungan yang negatif antar kontrol diri dengan perilaku agresi menunjukan hubungan negatif yang signifikan (r = -0,718, p<0,01). Dengan memahami peran kontrol diri, diharapkan dapat ditemukan strategi yang efektif untuk mengurangi perilaku agresif di kalangan siswa, sehingga menciptakan lingkungan belajar yang lebih aman dan mendukung.
Hubungan Regulasi Emosi dengan Kecemasan pada Mahasiswa Semester Akhir STIKES Yahya Bima Fauzia, Erlina; Israfil, Israfil
DIKSI: Jurnal Kajian Pendidikan dan Sosial Vol. 6 No. 2 (2025): Diksi: Jurnal Kajian Pendidikan dan Sosial
Publisher : Yayasan Pendidikan Bima Berilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53299/diksi.v6i2.1626

Abstract

Penelitian ini bertujuan untuk menyelidiki hubungan antara regulasi emosi dengan kecemasan di kalangan mahasiswa semester akhir di STIKES Yahya Bima. Mahasiswa berada pada tahap transisi yang penting, di mana mereka menghadapi tekanan akademik dan sosial yang signifikan. Regulasi emosi dapat didefinisikan sebagai kemampuan seseorang untuk mengelola dan mengarahkan emosi mereka dalam berbagai situasi. Penelitian sebelumnya menunjukkan bahwa mahasiswa yang memiliki kemampuan regulasi emosi yang baik cenderung mengalami tingkat kecemasan yang lebih rendah. Dengan menggunakan pendekatan kuantitatif, data dikumpulkan dari 150 mahasiswa semester akhir melalui kuesioner yang dirancang untuk mengukur tingkat regulasi emosi dan kecemasan. Hasil analisis korelasi terdapat hubungan negatif yang signifikan antara regulasi emosi dan kecemasan. mahasiswa semester akhir (β = -0.133, p = 0.045), yang mengindikasikan bahwa peningkatan kemampuan regulasi emosi dapat berpengaruh pada pengurangan tingkat kecemasan di kalangan mahasiswa. Temuan ini memberikan wawasan yang berharga untuk pengembangan program dukungan psikologis di lingkungan akademik, guna membantu mahasiswa dalam mengelola emosi mereka dan mengurangi kecemasan.
Pendidkan Kesehatan untuk Meningkatkan Literasi Remaja tentang Kesehatan Mental Agustini, NLP Inca Buntari; Israfil, Israfil; Dewi, Ni Putu Ayu Ratna; Darsana, I Wayan; Cintariasih, Putu; Suryani, Ni Wayan; Paramitasari, Ketut Citra; Cahyadi, Herry Suwaja
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i9.15741

Abstract

ABSTRAK Data menyebutkan satu dari tujuh anak berusia 10-19 tahun mengalami gangguan mental, terhitung 13% dari beban penyakit global dalam kelompok usia remaja dan merupakan salah satu kelompok yang rentan terhadap masalah kesehatan mental. Perilaku yang terkait dengan kesehatan mental yang buruk adalah kurangnya keterlibatan baik dengan kegiatan belajar dan rekreasi serta literasi kesehatan mental. Intervensi pendidikan kesehatan diperlukan untuk meningkatkan pengetahuan remaja mengenai konsep kesehatan mental. Intervensi ini diharapkan mampu meningkatkan pengetahuan partisipan mengenai konsep dasar kesehatan mental. Tujuan setelah dilakukan penelitian dan pendidikan kesehatan diharapkan siswa SMP Negeri 2 Susut Bangli dapat memiliki pengetahuan mengenai konsep dasar kesehatan mental. Dari intervensi ini diharapkan pengetahuan remaja mengenai konsep dasar kesehatan mental bertambah. Kegiatan ini dilakukan dengan metode pendidikan kesehatan. Jumlah siswa-siswa yang diberikan pendidikan kesehatan sebanyak 50 orang. Berdasarkan hasil uji statistik Wilcoxon Sign Rank Test didapatkan Zhitung = 6,188 > Ztabel = 1,96 dan  nilai p value = 0,000  <  0,05 hasil ini menunjukkan ada pengaruh pendidikan kesehatan terhadap pengetahuan remaja tentang pengetahuan tentang kesehatan jiwa  di Sekolah Menengah Pertama Negeri 2 Susut Bangli sehingga dapat disimpulkan hasil bahwa ada peningkatan pengetahuan partisipan dalam intervensi literasi meningkatkan kesehatan mental ini. Penerapan IPE dalam pendidikan kesehatan jiwa meningkatkan pengetahuan siswa serta mengembangkan keterampilan yang diperlukan dalam menjaga dan meningkatkan kesehatan jiwa remaja. Perlu usaha yang konsisten dan pendekatan multilevel untuk mencapai hasil yang lebih baik. Kata Kunci:  Pendidikan Kesehatan, Literasi Kesehatan Mental, Remaja  ABSTRACT Data indicates that one out of seven children aged 10-19 years experiences mental disorders, accounting for 13% of the global disease burden in the adolescent age group. This group is particularly vulnerable to mental health issues. Poor mental health-related behaviors include insufficient engagement in learning and recreational activities, as well as low mental health literacy. Health education interventions are necessary to enhance adolescent’s knowledge of mental health concepts. These interventions are expected to improve participants’ understanding of basic mental health principles. The goal after conducting research and health education is for students at SMP Negeri 2 Susut Bangli to have knowledge about basic mental health concepts. Through this intervention, it is hoped that adolescent’s knowledge of basic mental health will increase. The activity is carried out using health education methods, with 50 students receiving health education. Based on the results of the Wilcoxon Sign Rank Test, Z-score = 6.188 > Z-table = 1.96, and the p-value = 0.000 < 0.05. These results indicate that health education has an impact on adolescent’s knowledge of mental health in Sekolah Menengah Pertama Negeri 2 Susut Bangli. Therefore, it can be concluded that there is an increase in participant’s knowledge through this literacy intervention to enhance mental health. The implementation of IPE in mental health education enhances students' knowledge and develops the necessary skills in maintaining and improving adolescent mental health. It needs consistency and multilevel approach for better outcome. Keywords: Health Education, Mental Health Literacy, Adolescents
DETERMINANT FACTORS ASSOCIATED WITH DIGITALIZATION OF LEADERSHIP COMMUNICATION AT HOSPITAL Agustini, Ni Luh Putu Inca Buntari; Wardana, Dewa Gede Wisnu; Negara, I Gusti Ngurah Made Gusti Kusuma; Yusniawati, Yustina Ni Putu; Israfil, Israfil; Suyasa, I Gede Putu Darma
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.768

Abstract

Background: The digital era has accelerated the digitalization of organizational processes, including leadership communication. The emergence of digital leadership requires leaders to adapt their communication and leadership styles to dynamic, technology-mediated work environments. In hospital settings, effective digital leadership communication is essential to support coordination, decision-making, and quality nursing care. Purpose: This study aimed to identify determinants associated with the digitalization of leadership communication in hospitals. Methods: A cross-sectional study design was employed involving 131 nurses recruited through purposive sampling based on predefined inclusion criteria. Data were collected using structured questionnaires measuring leadership style, communication style, leadership skills, leader enthusiasm, and the implementation of digital leadership communication. Statistical analyses included the Spearman rho test, contingency coefficient, and multiple logistic regression to examine associations between variables. Results: The findings indicated that 94.7% of respondents perceived the implementation of digital leadership communication as good. Leadership style showed a moderate positive correlation with digital leadership communication (p = 0.000; r = 0.512). Communication style was not significantly associated with digital leadership communication (p = 0.434; r = 0.068). Leadership skills demonstrated a strong positive relationship (p = 0.000; r = 0.589), while leader enthusiasm showed the strongest association (p = 0.000; r = 0.698). Multivariate analysis confirmed that leadership skills and enthusiasm were the most influential determinants. Conclusion: Leader enthusiasm and leadership skills are key determinants of effective digitalization of leadership communication in hospital settings. Strengthening these competencies may enhance digital leadership practices and improve organizational communication in healthcare institutions.
Revitalizing Local Knowledge to Address Students’ Moral Degradation in the Metaverse Era: An Embedded Mixed Methods Digital Sociology Study Irmansah, Irmansah; Irfan, Irfan; Israfil, Israfil; Fitrah, Muh.
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 10, No 2 (2026): JISIP (Jurnal Ilmu Sosial dan Pendidikan) (Maret)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jisip.v10i2.9993

Abstract

The rapid development of digital technology, particularly the emergence of the metaverse, has fundamentally reshaped adolescents’ patterns of social interaction, cultural practices, and moral frameworks. While the metaverse provides new opportunities for learning and communication, it also raises serious concerns regarding moral degradation, especially among high school students as digital natives who are highly vulnerable to global influences. The weakening of local cultural values, which have long served as moral compasses, further exacerbates this condition. Therefore, an integrative approach is required to safeguard moral resilience in digital environments. This study aims to measure the level of students’ moral degradation, analyze the relationship between moral perception and moral construction, and explore strategies for revitalizing local wisdom as a mitigation effort. An embedded mixed methods design was employed. Quantitative data were collected from 202 students through a five-point Likert scale questionnaire and analyzed with Jamovi 2.6.44 using descriptive statistics, reliability testing, Pearson correlation, and linear regression. Qualitative data were obtained from semi-structured interviews and focus group discussions with teachers and cultural figures, then analyzed through thematic analysis following Braun and Clarke’s procedures. The results show that both moral perception and moral construction are categorized as high. However, the significant correlation (r = 0.675; p < 0.001) reveals a gap between moral awareness and behavior. Qualitative findings emphasize that local values such as Maja Labo Dahu and Nggahi Rawi Pahu have potential as cultural filters, though their application in virtual interactions remains inconsistent.
EXPLORING NURSING STUDENTS' LEARNING EXPERIENCE IN COMMUNITY HEALTH NURSING PRACTICE: A PHOTOVOICE STUDY Israfil, Israfil; Indrayani, Ni Luh Dwi; Suyasa, I Gede Putu Darma; Wulandari, Sarah Kartika; Citra Sari, Ni Made Candra
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.74298

Abstract

Introduction: Learning in the community presents different challenges than learning in a clinical setting. However, studies on student nurses' experience in the community have not been discussed comprehensively. This study aimed to explored nursing students’ experiences in a community setting using the five stages of the nursing process   Method: This study used a qualitative design with the Photovoice approach. A total of 14 students were involved in the study. Data was collected by taking photos and small group discussions for the narrative photo with the SHOWED approach. Photos and narration are the primary data and are analyzed thematically.   Result: A total of approximately eighteen photos have been included. At the assessment phase, the student requires an adaptation process and strategic anticipation, as the practice was conducted directly in the participants’ community. Formulating nursing diagnosis is done through teamwork and group discussion with an approach based on evidence and theory, and asking for guidance from the lecturer as a facilitator for learning. The development of nursing intervention was done with active participation from society, presenting the intervention plan to the community, community meetings, and ensuring the legality of the plan's activities. Implementation in the nursing community is implemented collaboratively between students and the community following the agreed-upon plan. Evaluating nursing practice is done with collaborative reflection of students, discussion together, and related plans, actions, and carrying on independently in public.   Conclusion: This study finds that community-based nursing practice requires student adaptation, strategic planning, and evidence-based teamwork.   Keywords: Clinical nursing education, community health nursing, photovoice, nursing students, nursing care plan
Caregiver Resilience and Burden in Long-Term Care Family of Children with Developmental Disabilities: A Cross-Sectional Study Wulandari, Sarah Kartika; Sriwahyuningsih, LG Nita; Israfil, Israfil
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.490

Abstract

Background: A family with a child with special needs experiences a struggle to provide care and quality of life. However, empirical evidence on the relationship between resilience and caregiver burden in the long-term care of children with developmental disabilities (DDC) in low- and middle-income countries remains limited, with a family nursing perspective in Indonesia, especially in Bali. This study aimed to determine the relationship between caregiver burden and resilience in long-term care of children with developmental disabilities. Methods: This study was reported in accordance with the STROBE guidelines. A cross-sectional study was conducted online using network sampling DDC in Denpasar City. The questionnaires were the Burden Scale for Family Caregivers (BSFC) to measure the family burden as the independent variable and the Resilience Scale for Adults (RSA) used to measure the resilience of the caregiver as the dependent variable. Spearman’s rank correlation was used for data analysis. Results: As many as 102 parents or siblings of DDC joined the research online. Data showed most caregivers were mothers (67,6%), with more than one child (65,7%), and with various types of DDC. A moderate negative correlation was observed between caregiver burden and resilience (r = −0.294, p < 0.005). The higher burden experienced by siblings (mean= 13.5), when fathers have the highest resilience (mean= 99.83), as they felt less burden (mean= 8.93). Conclusion: The greater burden experienced by the family implied a lower capacity to express resilience. Coping skill training could be developed as a response to the burden to build better family coping and boost resilience.
Co-Authors Abdul Haris Abdurrahman, Firman Ah Yusuf, Ah Amin, Nur Syariful Arba Arba Arnaya, I Gede Putu Suka Artsanthia, Jintana Bai, Marieta Kristina Sulastiawati Banhae, Yulianti Kristiani Buntari, Ni Luh Putu Inca Agustini Cahyadi, Herry Suwaja Cintariasih, Putu Dewi, Ni Putu Ayu Ratna Drs. I Wayan Darsana,M.Ed . Duygulu, Sergul Edi Sanjana, I Wayan Fauzia, Erlina Ferry Efendi Haeratun, Haeratun Hamu, Antonia Handi Partiwi, Putu I GEDE PUTU DARMA SUYASA I Gusti Ngurah , Aryana I Gusti Ngurah Made Kusuma Negara I Kadek, Miki Indra Bela I Ketut Swarjana Ilya Krisnana, Ilya Imaniar, Mahrati INA DEBORA RATU LUDJI Indah, Sulistia Indrayani, Ni Luh Dwi Irfan Irfan Irfan Irfan Irmansah, Irmansah Making, Maria Agustina Maria Agustina Making Mindo Sinaga, Mindo MMSI Irfan ,S. Kom Muchlis Muchlis Muh. Fitrah, Muh. Musakir Salat Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Luh Putu Inca Buntari Agustini Ni Made Candra Citra Sari Ni Made, Ratih Comala Dewi Norma Tiku Kambuno Nugroho, Febtian C. Nurhayati Nurhayati Nurhijriah, Nurhijriah Nurrahmania, Nurrahmania Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Portia, Vitug Putra, Komang Ardidhana Nugraha Rittiruang, Amonwan Sagita, Ni Wayan Riska Sastrawati, Desak Kadek Selasa, Pius Sri Dewi Megayanti Sriwahyuningsih, LG Nita Surayya, Ita Suryani, Ni Wayan Susanti, Ni Putu Aries Tanuparbrungson, Supawan Trifonia Sri Nurwela, Trifonia Sri Trivonia Sri Nurwela Wahyu Mulyadi Wahyu, I Made Yudi Wahyuni, Ni Komang Sri Wardana, Dewa Gede Wisnu Wilianarti, Pipit Festi Wulandari, Sarah Kartika Yudi Apriani, Ni Luh Putu Yuni S. Arief Yusniawati, Yustina Ni Putu