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Optimalisasi Peran Keluarga Melalui Edukasi dan Simulasi Terapi Relaksasi Autogenik sebagai Upaya Suportif Adaptif Pasien Stroke di Masyarakat Israfil, Israfil; Wulandari, Sarah Kartika; Swarjana, I Ketut; Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Pangruating Diyu, Ida Ayu Ningrat; Putra, Komang Ardidhana Nugraha; Indrayani, Ni Luh Dwi
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.268

Abstract

Pasien stroke mengalami perubahan respons yang sangat kompleks pada aspek fisik, psikologis dan sosial yang membutuhkan adaptasi. Terapi relaksasi autogenik merupakan salah satu intervensi terapi yang mampu meningkatkan adaptasi, mobilisasi, dan kualitas hidup pasien stroke dimasyarakat dengan dukungan keluarga sebagai support sistem paling utama. Tujuan kegiatan pengabdian kepada masyarakat ini adalah mengedukasi dan mensimulasikan kepada keluarga tentang terapi relaksasi autogenik sebagai upaya suportif adaptif pasien stroke dimasyarakat. Kegiatan dilaksanakan pada bulan Mei 2024 kepada keluarga pasien stroke dan masyarakat Desa Basangalas. Kegiatan dilaksanakan dengan metode edukasi dan simulasi dengan tahapan menggunakan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Sebanyak 100% peserta yang terlibat tidak mengetahui tentang terapi relaksasi autogenik. Setelah mendapatkan edukasi dan simulasi semua peserta memiliki pengetahuan yang baik dan mampu mempraktikkan terapi relaksasi autogenik sebagaimana yang diedukasi dan disimulasikan. Metode edukasi dan simulasi berhasil meningkatkan pengetahuan dan keterampilan keluarga dan masyarakat tentang terapi relaksasi autogenik. Terapi relaksasi autogenik diharapkan dapat menjadi bekal keluarga dan masyarakat dalam memberikan dukungan perawatan dan adaptasi kepada pasien stroke dimasyarakat. Kami menyarankan terapi relaksasi autogenik menjadi salah satu pilihan rencana intervensi keperawatan komunitas dan keluarga dalam upaya meningkatkan adaptasi  pasien stroke di masyarakat.
Enhancing awareness and preventing musculoskeletal disorders through stretching exercises in the Kintamani highlands Indrayani, Ni Luh Dwi; Kamaryati, Ni Putu; Sriasih, Ni Kadek; Wulandari, Sarah Kartika; Suantika, Putu Inge Ruth
Community Empowerment Vol 10 No 5 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12907

Abstract

Musculoskeletal discomfort is a common problem among adults, especially those living in mountainous areas. If left untreated, this condition can lead to long-term musculoskeletal diseases. This community service program aims to increase public awareness and understanding of the importance of preventing musculoskeletal disorders through the implementation of proper physical stretching exercises. The methods used in this program include community education on the physical activities needed to prevent muscle and joint problems, consultations, and stretching practices supported by community assistance. By involving health workers and community leaders, this program provides counseling and training on six types of static stretching. As a result, there was a significant increase in the community's understanding and ability to demonstrate effective stretching techniques. The community also showed active involvement in raising awareness about the importance of musculoskeletal health and successfully implementing strategies for the prevention of muscle and joint diseases. Through a holistic approach involving community leaders and local health workers, understanding of musculoskeletal disorders increased, leading to a positive impact on the quality of life for the community, especially in highland areas.
Developing E-Modul Based on Flipbook on Advance English in Nursing Anesthesiology (AENA) Rusanti, Putu; Susandi, Ni Kadek Ary; Wulandari, Sarah Kartika
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 10, No 1 (2026): JISIP (Jurnal Ilmu Sosial dan Pendidikan) (Januari)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jisip.v10i1.9577

Abstract

The benefit of e-learning is helping the students in learning process. Besides the material is accessible anywhere, the students also become more interested in learning because it is provided with links for games, audio and video. E-modul based on flipbook provides a flip effect which is like real reading and is equipped with sound, video, image and other features. The purpose of this research was (1) to identify the need analysis e-modul in Advance English in Nursing Anesthesiology (AENA) (2) to design and develop e-modul based on digital flipbook in Advance English in Nursing Anesthesiology (AENA). This research employed RnD (Research and Development) with ADDIE model. The material development process was carried out by analysis, design, development, and implementation. Data were collected by using questionnaire and were analyzed descriptively. The result of media expert validation was 88% and material expert validation was 91.6% which meant e-modul was good based on Gregory Formula. The result of implementation showed 81% students stated that they strongly agreed to use e-module in AENA because the material was clear and understandable. In addition, 74.3% of students stated they strongly agreed that the fontsize, colors, and images in the material were appropriate and understandable. It is expected that the results of the research can be used in classroom and for the further research can examine the effectiveness of using modul based on flipbook in the classroom.
Evidence-Based Practice in Hypertension Management: A Review of Acupressure, Progressive Muscle Relaxation, and Mobile Health Interventions Jaya Kusuma, I Made; Suyasa, I Gede Putu Darma; Nuryanto, Kadek; Wulandari, Sarah Kartika
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71545

Abstract

Introduction: Despite the availability of pharmacological treatments, poor adherence and low patient awareness remain barriers to effective long-term management. Non-pharmacological interventions such as acupressure and progressive muscle relaxation (PMR) have demonstrated consistent benefits, yet broader implementation is limited by inadequate education, practical guidance, and patient engagement. Mobile health (mHealth) technologies offer opportunities for real-time monitoring and self-management support, but integrating complementary therapies into digital platforms remains underexplored. It aims to synthesize current evidence on the effectiveness of acupressure, progressive muscle relaxation (PMR), and mobile health (mHealth) interventions in enhancing self-management among individuals with hypertension.Methods: A narrative review with narrative synthesis was conducted in accordance with PRISMA 2020 and the PICOS framework. Searches were performed in PubMed, ProQuest, ScienceDirect, and Google Scholar using predefined keywords. No artificial intelligence (AI)–based tools were employed. Fifteen eligible studies were identified and thematically analyzed. The review included 15 eligible studies that examined non-pharmacological and digital interventions for hypertension management. Results: Specifically, three studies on acupressure explicitly reported significant reductions in systolic and diastolic blood pressure, while eight studies on progressive muscle relaxation (PMR), including multimodal formats combined with breathing exercises, music, or audiovisual support, consistently demonstrated improvements in blood pressure, stress, and sleep quality. In addition, three studies on mobile health (mHealth) interventions reported enhanced adherence, patient engagement, and self-monitoring behaviors. One additional study investigated acupuncture (needle-based stimulation rather than manual acupressure); this study was retained for completeness but not synthesized with the primary findings due to differences in intervention characteristics.Conclusion: Overall, although strong evidence supports the effectiveness of acupressure, PMR, and mHealth individually, none of the included studies integrated acupressure and PMR within a single mHealth platform, underscoring a critical gap in digital hypertension management research.
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.
Nursing Supervision and Electronic Medical Record Documentation Quality among Practicing Nurses: A Cross-Sectional Study Wahyuningsih, Luh Gde Nita Sri; Susanti, NLP Dina; Wulandari, Sarah Kartika
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.v8i1.509

Abstract

Background: Digital transformation in healthcare has promoted the use of Electronic Medical Records (EMR) as the standard for nursing documentation. Supervision is a key managerial strategy influencing its successful implementation among practicing nurses. However, empirical evidence on how supervision components affect the quality of electronic nursing documentation in low- and middle-income countries remains limited. Therefore, this study aims to analyze the strategic role of nursing supervision in strengthening EMR documentation. Methods: This analytical cross-sectional study examined the relationship between the role of supervision and the strengthening of electronic medical records. The sample included 352 practicing nurses selected through total sampling. Data were collected using a validated and reliable structured questionnaire (Cronbach’s alpha > 0.60). Analysis was conducted using Spearman’s rank correlation and binary logistic regression to assess the relationship and influence of supervision on documentation quality. Results: The results showed that the supervision variable (planning, coordination, control, monitoring, and feedback) was significantly related to electronic medical record documentation (p < 0.001), with feedback being the most dominant factor (Exp(B)=233.049; 95% CI: 15,606–3480.287). Conclusion: Nursing supervision plays a strategic role in strengthening the implementation of Electronic Medical Record documentation. From a managerial and policy perspective, these findings confirm that strengthening the supervision system, primarily through standardized and continuous feedback mechanisms, should be a priority for nursing leaders and hospital management.