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Rehabilitasi Psikososial berbasis Rumah Sakit sebagai Upaya Sustainable bagi ODGJ di Kabupaten Gresik Hafid Algristian; Difran Nobel Bistara; Fifi Khoirul Fitriyah; Abdul Hakim Fasya; Khamida
Warmadewa Minesterium Medical Journal Vol. 2 No. 1 (2023): Januari 2023
Publisher : Warmadewa University Press

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Abstract

Treatment for people with mental disorders (orang dengan gangguan jiwa, ODGJ) in Gresik Regency is still limited to curative (medication) because Gresik Regency does not yet have adequate psychosocial rehabilitation facilities (RPS). RPS aims to restore the social functions of ODGJ so that they are more productive according to their abilities. Activity goals. To initiate the hospital-based RPS activities. Problem-solving framework. The framework is carried out through several activities, such as conducting assessments and focused group discussions with hospitals managers as potential partners, creating RPS service guidelines, conducting training and upgrading skills for health workers, involving ODGJ, families, and health cadres in RPS services, and planning a follow-up with the community health center (community health center, puskesmas), social institutions, and local officials. Results. Grha Husada Gresik Hospital (RSGH) is willing to initiate RPS services in Gresik Regency. This RPS service will be carried out for a minimum of two years, with ODGJ clinical evaluations every three months. The RSGH’s advantage is that it has 4 (four) certified health workers as behavior therapists for children with special needs (ABK). The RPS module was made by modifying the ABK behavior therapy module to suit the needs of adult ODGJ. RPS training is carried out based on the module. A total of 30 participants attended the initial RPS service, consisting of 10 ODGJ patients, 10 companions, and 10 local health cadres. The consistency of the arrival of ODGJ and companions is still low, due to the lack of awareness of the benefits of RPS services. RSGH and the health cadres took the initiative together to pick them up, but the arrival rate was still around 5-6 people per meeting. Conclusion. Good cooperation between hospitals, health cadres, and families is the first step for sustainable RPS services. The main challenge is to raise awareness of the need for RPS services for patients and their families.
Effect Of Bobath Therapy On Extremity Muscle Strength In Post Stroke Infarced Patients Hasina, Siti Nur; Cindy Fareza Maharani; Khamida; Andikawati Fitriasari; Rahmadaniar Aditya Putri
Journal for Quality in Public Health Vol. 7 No. 1 (2023): November
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v7i1.466

Abstract

Stroke is a disease that can cause weakness on one side of the body for sufferers, due to damage to the nervous system in the brain. One of the therapies to increase limb muscle strength in stroke patients is bobath therapy. This study aims to analyze the effect of bobath therapy on limb muscle strength in post-stroke infarction patients at RSI Jemursari Surabaya.The research design used a pre-experimental type with a one-group pre-post test design with a sample of 102 post-stroke infarction patient respondents using a non-probability sampling method with a purposive sampling technique. The independent variable in this study was bobath therapy, while the dependent variable was the muscle strength of the extremities of post-infarction stroke patients. The research instrument used an observation sheet containing a strength scale measuring instrument, namely the Manual Muscle Testing (MMT) score on measuring muscle strength with a score of 0-5. Data analysis used the Wilcoxon Signed Rank Test.The results of the study with the analysis of the Wilcoxon Signed Rank Test were obtained with a significance value of α = 0.05, ρ = 0.000, which means ρ <α, it can be concluded that H0 is rejected and H1 is accepted, which means that there is an effect of bobath therapy on limb muscle strength in postoperative patients. stroke infarction at RSI Jemursari Surabaya.Bobath therapy which was carried out 6 times within one month, and each movement was carried out for 3-5 minutes proved to be effective in increasing limb muscle strength in post-stroke infarction patients. It is hoped that bobath therapy can be applied by post-infarction stroke patients as a therapy to help increase limb muscle strength in accordance with Standard Operational Procedures.
Pembentukan Karakter "BERDIRI" Bersih Diri Sendiri sebagai pencegahan Scabies di PP. Al Fitrah As Salafiyah Meidyta Sinantryana Widyaswari; Khamida; Muhammad Taufiq Hidayat; Noer Farakhin
PROSIDING SEMINAR NASIONAL PENGABDIAN KEPADA MASYARAKAT Vol. 3 No. 1 (2023): Prosiding Seminar Nasional Pengabdian Kepada Masyarakat : MEMAKSIMALKAN POTENSI
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/snpm.v3i1.1258

Abstract

Latar Belakang, Scabies adalah penyakit kulit menular yang kerap kali terjadi di lingkungan Ponpes. Maka dari itu kegiatan ini bertujuan untuk meningkatkan kebiasaan personal hygiene dan bersih diri mandiri sebagai salah satu bentuk pengendalian scabies di PP Al Fitrah As Salafiyah Surabaya. Metode, pengabdian masyarakat yang dilaksanakan pada bulan Juni 2023 ini dihadiri oleh 40 peserta dari PP Al Fitrah As Salafiyah Surabaya. Kegiatan yang dilakukan berupa Pemberian edukasi, Pembentukan karakter santri dan pengurus dengan games kesehatan dan pembagian pretest dan postest. Penelitian ini dilakukan secara observasional deskriptif untuk melihat respon peserta dengan dilihat dari antusiasme dan peningkatan pengetahuan peserta dengan menggunakan analisis uji Wilcoxon. Hasil dan Pembahasan, hasil menunjukkan p-value bernilai 0,033. Karena nilal 0,033 < 0,05, maka dapat disimpulkan bahwa "Ha diterima". Artinya ada perbedaan antara pengetahuan santri sebelum dilakukan penyuluhan (Pretest) dan setelah dilakukan penyuluhan (Posttest). Kesimpulan, Terdapat pengaruh pemberian penyuluhan yang telah dilakukan pada kegiatan pengabdian kepada masyarakat di PP Fitrah As Salafiyah Surabaya terkait Pencegahan Pembentukan Karakter “BERDIRI” Bersih Diri Sendiri sebagai pencegahan Scabies 2023.
ANALYSIS OF MENTAL NURSING CARE IN SCHIZOPHRENIC PATIENTS WITH THE APPLICATION OF OCCUPATIONAL THERAPY (SPARE TIME) TO OVERCOME LOW SELF-ESTEEM Anugrah Lestari; Khamida; Budury, Syiddatul; Wardani, Erika Martining
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.5027

Abstract

Introduction: People with low self-esteem usually judge themselves negatively, feel guilty, feel useless, and feel insignificant. If this is not handled properly and quickly it will cause problems such as committing suicide, injuring others, and damaging the environment. Objective: The purpose of this study is to describe the analysis of nursing care in schizophrenic patients with the application of occupational therapy (free time) to overcome the problem of low self-esteem at Menur Hospital in Surabaya. Methods: The case study design with the subject Mrs. D with low self-esteem problems, was carried out 2 times in occupational therapy (free time) for 30 minutes in 2 days. Data collection techniques were used through direct observation and interviews using mental nursing care sheets. Before and after the application of occupational therapy, an assessment was carried out through direct observation and interviews. Results: The results of the evaluation after occupational therapy showed that there was a decrease in signs and symptoms of low self-esteem and an increase in the ability to increase self-esteem, such as increasing positive self-assessment, feeling worthless, and feelings of being unable to do anything decreased. Conclusions: This case study shows that leisure occupational therapy (flower arranging) can reduce signs and symptoms of low self-esteem. The conclusion from this study is that the application of leisure time occupational therapy can be used to overcome low self-esteem in schizophrenic patients. The role of the nurse is to provide nursing care and education to the patient's family about occupational therapy in their spare time.