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EFEKTIVITAS MOBILISASI DINI TERSTRUKTUR TERHADAP PENCEGAHAN DEPRESI DAN SPASTISITAS OTOT PADA PASIEN STROKE ISKEMIK DI RUMAH SAKIT PANTI WALUYO SOLO Ikaningtyas, Nurlia; Sitorus, Ratna; Sukmarini, Lestari
Jurnal Kesehatan Vol 2 No 2 (2015)
Publisher : STIKES Bethesda Yakkum

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Abstract

Latar belakang : Stroke merupakan penyakit serebrovaskuler utama di Amerika Serikat dan dunia. Pasien stroke mengalami berbagai komplikasi diantaranya depresi dan spastisitas otot. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas mobilisasi dini terstruktur terhadap pencegahan depresi dan spastisitas otot pada pasien stroke iskemik di Rumah Sakit Panti Waluyo Solo. Metode Penelitian: Metode penelitian ini menggunakan desain penelitian quasy experimental post test non equivalent control group. Jumlah sampel pada penelitian ini adalah 29 responden didapatkan dengan menggunakan consecutive sampling, dibagi menjadi kelompok intervensi sebanyak 14 responden yang diberikan mobilisasi dini terstruktur dan kelompok kontrol sebanyak 15 responden yang diberikan mobilisasi dini standar rumah sakit. Evaluasi penelitian ini dilakukan pada hari ke delapan dengan menggunakan Zung Depression Scaledan Asworth Scalepada kedua kelompok tersebut. Hasil: Hasil penelitian menunjukkan ada perbedaan kejadian depresi antara kelompok intervensi dan kontrol (p value= 0,002) dan tidak ada perbedaan yang signifikan tentang kejadian spastisitas antara kelompok intervensi dan kontrol (p value= 1,00) setelah diberikan mobilisasi dini terstruktur. Kesimpulan: Ada perbedaan kejadian depresi antara kelompok intervensi dan kelompok kontol dan tidak ada pebedaan yang signifikan kejadian spasitas antara kelompok intervensi dan kontrol Saran: Penelitian ini merekomendasikan perlunya penelitian lebih lanjut mengenai mobilisasi dini terstruktur dengan menambah waktu pengukuran spastisitas otot dan memperhatikan variable confounding letak dan luas lesi. Kata kunci :depresi; mobilisasi dini terstruktur; stroke iskemik; spastisitas otot.
PENGARUH PEMBENTUKAN PERILAKU CARING BERBASIS STIMULUS – ORGANISME – RESPON (SOR) TERHADAP PERILAKU CARING MAHASISWA KEPERAWATAN Palupi, Niken WN; Ikaningtyas, Nurlia
Jurnal Kesehatan Vol 5 No 2 (2018): Jurnal Kesehatan
Publisher : STIKES Bethesda Yakkum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35913/jk.v5i2.92

Abstract

Background: The current wave of healthcare marketing has changed from the era of service excellence based on standard operational procedures or also minimal service standards shifted to the era of carewith character that makes caring values the core of healthcare. The formation of caring nursing behavior begins in nursing education. The formation of caring behaviour is very diffcult to do because of diversity in student’s background. Therefore the authors are interested in investigating the in?uence of formation of caring behavior based on Stimulus - Organism - Response to caring behavior of nursing students of Stikes Bethesda Yakkum Yogyakarta. Method: This study used pre-experiment one group pretest-posttest research design. The population in this study was all students of semester IV of Stikes Bethesda Yakkum Yogyakarta academic year 2016/2017 amounted to 31 students. Sample selection in this research was done with non-probability sampling that was purposive sampling. To know the in?uence between two variables (dependent and independent variable) bivariate analysis was performed. The statistical test for all analysis above was analyzed with signifcance level 95% (?: 0,05). The test used was paired t-test. Result: The result shows in?uence of caring behaviour based on SOR on caring behaviour of student of nursing with P value: 0,00. Conclusion: The formation of caring behavior based on SOR has an in?uence on caring behavior of students but students also realize there are still some behaviours that need to be developed based on 10carative values by Jean Watson.Keywords: Caring - Stimulus - Organisme - Respon
EFEKTIVITAS LATIHAN PANGGUL MENCEGAH ATROPI OTOT PADA PASIEN STROKE NON HEMORAGIK Ikaningtyas, Nurlia
Jurnal Kesehatan Vol 4 No 2 (2017): Jurnal Kesehatan
Publisher : STIKES Bethesda Yakkum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35913/jk.v4i2.177

Abstract

ABSTRACT Background: Stroke is the leading cause of death in Indonesia. According to Data Center and Information Ministry of the Republic of Indonesia in 2013, it was estimated 1,236,825 people died because of stroke. Stroke patients have many complications one of them is muscle atrophy. Post-stroke muscle atrophy leads to functional incapacity which decreases the quality of patients’ life. Appropriate action will prevent muscle atrophy. Objective: This study aims to determine whether there is a difference between patients who were given pelvic exercises in intervention group and Brief Repetitive Isometric Maximum Exercise (BRIME) in control group. Method: This research was a quasi post-test experimental non-equivalent control group study design. The sample was 30 respondents with 15 respodents in intervention group and 15 respondents in control group. It applied purposive sampling technique and independent t-test with ?: 0.05. Result : The result shows no significant difference between the size of the circumference femuralis in control group and in intervention group with P value: 0.451. Conclusion: Pelvic exercises and BRIME can prevent muscle atrophy. However, the result shows that pelvic exercises increase the size of the circumference of muscle femuralis while BRIME decreases it. Suggestion: Other researchers who want to do the same research are suggested to pay attention to the confounding factors, such as nutritional status, extensive infarction, and increase the time allocation of the study.
WAKOWAJI (Waras Ekonomi Waras Jiwa) Peningkatan Produktivitas Era New Normal di Desa Mulo, Wonosari, Gunungkidul Nurlia Ikaningtyas; Ongki Ongki; Feliks Hendrikjayanto Laoli; Wayan Agus Wijane; Wisnu Wijaya Saputra; Galuh Novita Sari; Ella Sri Ardini; Diah Listiani; Oktavianna Kusuma Ningrum; Beatrich Alfika Manu Putri
Pelita Abdi Masyarakat Vol. 2 No. 1 (2021): November 2021
Publisher : Pelita Medika

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Abstract

Background : Gunungkidul Regency has a topography where the majority of its territory is in the form of karst hilly areas which make agricultural land less fertile. This has an impact on agricultural cultivation which from year to year has not shown optimal results and the low level of the community's economy and high poverty in the Gunungkidul region. The number of people with low incomes is one of the reasons for the high number of people with psychosocial disabilities in Gunungkidul. The number of ODDP in Mulo Village is 18 people. Based on the screening that has been carried out, the following results are obtained, namely one person is in the acute category, two people are in the maintenance category, and 15 people are in the health promotion category. This has had a negative impact on the economy of the people of Mulo Village. The purpose of this program is to develop the potential of natural resources, to explain the factors that influence the high cases of mental health problems, to find out how much influence the economy has on the mental health of the people of Mulo Village in the new normal era. Method : The method of implementing activities is carried out offline (outside the network), with activity stages starting from screening, categorizing, giving intervention in the form of Group Activity Therapy (GAT), Self Help Group (SHG) and people with psychosocial disabilities empowerment by making manggleng and raising goats. Result : The results of the six indicators that have been implemented are an increase in behavior change. People with psychosocial disabilities is able to carry out positive activities independently such as taking medication regularly, being able to express opinions, and work according to the skills and abilities possessed in the new normal era. Conclussion : People with psychosocial disabilities is able to interact socially with local residents and be able to increase economic productivity in the form of manggleng-making and goat farming.
WAKOWAJI (Waras Ekonomi Waras Jiwa) Improvement of productivity in Era New Normal of Mulo Village, Wonosari, Gunung Kidul ongki ongki; Feliks Hendrikjayanto Laoli; Wayan Agus Wijane; Wisnu Wijaya Saputra; Galuh Novita Sari; Ella Sri Ardini; Oktavianna Kusuma Ningrum; Beatrich Alfika Manu Putri; Rosmawati Hio; Nurlia Ikaningtyas
Jurnal Abdimas Madani dan Lestari (JAMALI) Volume 03, Issue 01, Maret 2021
Publisher : UII

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jamali.vol3.iss1.art3

Abstract

Kabupaten Gunungkidul mempunyai topografi yang mayoritas wilayahnya berupa kawasan perbukitan karst yang mengakibatkan lahan pertanian menjadi kurang subur. Hal ini berdampak pada budidaya pertanian yang dari tahun ke tahun belum menunjukkan hasil optimal dan rendahnya tingkat perekonomian masyarakat serta kemisikinan yang tinggi di wilayah Gunungkidul. Banyaknya orang dengan penghasilan rendah, menjadi salah satu penyebab tingginya Orang Dengan Disabilitas Psikososial (ODDP) di Gunungkidul. Jumlah ODDP di Desa Mulo ada 18 orang. Berdasarkan screening yang telah dilakukan didapatkan hasil sebagai berikut yaitu satu orang masuk kedalam kategori akut, dua orang masuk dalam kategori maintenance, dan 15 orang masuk ke dalam kategori health promotion. Hal ini memberikan dampak buruk terhadap perekonomian warga Desa Mulo. Tujuan dari program ini yaitu mengembangkan potensi sumber daya alam, memaparkan faktor yang mempengaruhi tingginya kasus gangguan kesehatan jiwa, mengetahui seberapa besar pengaruh perekonomian terhadap kesehatan jiwa warga Desa Mulo pada era new normal. Metode pelaksanaan kegiatan dilakukan secara luring (luar jaringan), dengan tahap kegiatan dimulai dari screening, pengkategorian, pemberian intervensi berupa pemberian Terapi Aktivitas Kelompok (TAK), Self Help Group (SHG) dan pemberdayaan ODDP dengan pembuatan manggleng dan berternak kambing. Hasil dari enam indikator yang telah dilaksanakan berupa peningkatan perubahan perilaku. ODDP mampu melakukan kegiatan yang positif secara mandiri seperti minum obat teratur, mampu mengungkapkan pendapat, dan bekerja sesuai dengan ketrampilan serta kemampuan yang dimiliki di era new normal. ODDP mampu berinteraksi sosial dengan warga sekitar dan mampu meningkatkan produktivitas ekonomi berupa kegiatan pembuatan manggleng serta berternak kambing.
Factors Affecting Vaccine Distribution Activities For The Community With Door To Door Method Chatarina Hatri Istiarini; Resta Betaliani Wirata; Nurlia Ikaningtyas; Ratna Puspita Adiyasa
(JKG) Jurnal Keperawatan Global (JKG) Jurnal Keperawatan Global Volume 7 Nomor 2 Tahun 2022
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v0i0.595

Abstract

Background: The "pick up the ball" system requires distribution facilities such as vehicles and special storage areas that guarantee the quality of vaccines, using the door-to-door method to speed up and reach more residents who need to get vaccinated directly at the home of the vaccine participant. Methods: A cross-sectional study with a retrospective approach. This study collected data in 2 districts in Yogyakarta's special regency: the Kulon Progo district and the Gunung Kidul district. The sample for this study was drawn from a community of 249 vaccine recipients using random sampling.The original questionnaire for the factors was used. The pilot study results for the validity and reliability test for the original questionnaire showed that the validity of each statement was 0.4409 and the reliability was 0.772. A chi-square test was employed for data analysis. Results: It was found that the participant's age, occupation, knowledge, and education level have no relationship with the activity of vaccination distribution. One factor has a relationship with the activity of vaccination distribution, namely the vaccine schedule factor with an OR value of 1,205. Conclusion: The factor affecting the activity of distributing the COVID-19 vaccine was the respondent's schedule, while the factor that had no relationship was the participant's age, occupation, knowledge, and education level. Health workers can maximize the performance of the COVID-19 vaccination by using the door-to-door method by paying attention to the community's schedule.
Psychotherapies for posttraumatic stress disorder applied for people in indonesia: A scoping review Ninik Yunitri; Christina Yeni Kustanti; Fauzi Ashra; Slametiningsih Slametiningsih; Nuraenah Nuraenah; Rani Septiawantari; Nurlia Ikaningtyas
Jurnal Keperawatan Padjadjaran Vol. 11 No. 1 (2023): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v11i1.2226

Abstract

Background: Posttraumatic stress disorder (PTSD) occurs as triggered or exposure to traumatic events. Psychotherapies have been proven to be effective and superior for people with PTSD. Several psychotherapies have been developed with different approaches. Yet the application of psychotherapy is rarely found and provided by professionals to those who need it in Indonesia. Purpose: This study aimed to figure out the application of PTSD psychotherapies for people with PTSD based on studies conducted in Indonesia. Methods: The review was reported following the PRISMA statement for scoping reviews. A systematic screening was performed in CINAHL, Cochrane library, Embase, Portal Garuda, PubMed, Scopus, as well as manual searches without language and date restrictions. The quality of the study was determined based on the risk of bias. Cochrane risk of bias 2.0 (RoB 2.0) and MINORS were used to evaluate the risk of bias of RCT and quasi-experimental studies, respectively. Results: Five RCTs and four quasi-experimental studies published from 2008 to 2022 (n=465) were employed in this review. Three types of therapies were conducted for people with PTSD; five CBT studies, two EMDR studies, and two SHAT studies, performed in one day up to six weeks, one to 15 sessions, and 30 to 60 minutes for each session. All studies evaluated PTSD as the primary outcome, while the most measured secondary outcomes were depression and anxiety symptoms. Conclusions: CBT was the most frequent therapy for Indonesian people with PTSD, followed by EMDR and SHAT. The application of therapies varied in frequency, duration, length of therapy, and component. Further research on the implementation of various types of psychotherapy for people with PTSD will be required.
PENINGKATAN KESADARAN MULTIKULTURAL DAN PENGALAMAN KERJA MAHASISWA DENGAN INSTITUSI ASING MELALUI LAYANAN KESEHATAN MASYARAKAT DI WONOSARI YOGYAKARTA: Enhancing Students' Multicultural Awareness and Work Experiences with a Foreign Institution through Community Healthcare Services in Wonosari Yogyakarta Ikaningtyas, Nurlia; Palupi*, Ethic; Yeni Kustanti, Christina; Betaliani Wirata, Resta; Kumala Dewi, Marita; Damar Prasetyaningrum, Oktalia
JAMAS : Jurnal Abdi Masyarakat Vol. 2 No. 2 (2024)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/jms.v2i2.112

Abstract

Posyandu merupakan pusat kegiatan masyarakat dalam bidang kesehatan yang melaksanakan pelayanan KB, gizi, penanggulangan diare, KIA dan pelayanan tumbuh kembang balita di Indonesia. Kegiatan dilaksanakan oleh, dari dan untuk masyarakat yang dibina oleh tenaga kesehatan di sekitar puskesmas. Posyandu Balita seperti yang ada di Indonesia tidak dilaksanakan di Australia, oleh karena itu Universitas of Canberra dan STIKES Bethesda Yakkum melakukan kolaborasi antar negara untuk melakukan kegiatan dalam Posyandu Balita di Ngunut Wonosari. Metode yang telah dilakukan adalah dengan pelaksanaan Posyandu Balita lima meja, observasi pelaksanaan posyandu oleh mahasiswa dan wawancara yang dilakukan oleh pengabdi kepada mahasiswa STIKES Bethesda Yakkum dan University of Canberra. Mahasiswa mendapatkan pengalaman langsung melakukan monitoring tumbuh kembang balita, mahasiswa menyadari pentingnya kesadaran ibu untuk melakukan pemantauan tumbuh kembang balita, kader mendapatkan pelatihan metode pemantauan tumbuh kembang balita. Ibu balita mendapatkan informasi kesehatan dan balita mendapatkan pemantauan tumbuh kembang serta Pemberian Makanan Tambahan (PMT). Mahasiswa dari University of Canberra belajar tentang sistem pelayanan kesehatan di Indonesia. Mereka mengagumi kegiatan pelayanan kesehatan yang berbasis masyarakat dan tidak dipungut biaya, melainkan erat dengan konsep “gotong royong”. Mereka juga mengagumi kinerja kader yang penuh perhatian, ketelatenan, serta suka rela memberikan waktu, tenaga, dan pikiran dalam pelaksanaan posyandu. Kegiatan kunjungan Posyandu ini memberikan dampak positif bagi mahasiswa dalam peningkatan pemahaman terkait sistem pelayanan kesehatan di Indonesia dan Posyandu. Pada kesempatan ini, mahasiswa STIKES Bethesda Yakkum dan University of Canberra, serta masyarakat Kelurahan Ngunut dapat saling belajar multikultural dalam pelayanan kesehatan baik di Indonesia dan Australia.
Faktor-Faktor yang Mempengaruhi Petugas Vaksinasi Covid-19 dalam Aktivitas Distribusi Vaksin Bagi Masyarakat dengan Metode Jemput Bola Wirata, Resta Betaliani; Ikaningtyas, Nurlia; Adiyasa, Ratna Puspita; Timur, Sari Mutia; Kingkin, Dhinar Riski Linggar
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 1 (2025): Januari-Maret
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Introduction and Methods The door-to-door COVID-19 vaccination strategy requires adequate distribution facilities, such as vehicles and specialized storage to ensure vaccine quality. Additionally, vaccination officers play a crucial role in distributing vaccines to the community. Yakkum Emergency Unit (YEU) has consistently carried out vaccination efforts targeting high-risk groups in several regions using the door-to-door system to accelerate the process and reach more individuals in need. This method allows vaccinations to be administered directly at participants' homes. This study aims to analyze the factors influencing COVID-19 vaccination officers in distributing vaccines to the community through the door-to-door method. It is a cross-sectional study with a retrospective approach, collecting data online from vaccination officers. A total of 28 vaccinators were involved as research samples, selected using a total sampling technique. Results The study identified four factors examined in the distribution of COVID-19 vaccines using the door-to-door method. Three factors significantly influenced the vaccination activity: knowledge, willingness, and preparation. However, one factor, vaccine quality, showed no significant influence. Conclusion and Recommendations The study concludes that the willingness of healthcare workers is crucial for the success of COVID-19 vaccination efforts. Achievement of Sustainable Development Goals (SDGs) This study aims to identify the factors influencing vaccination officers in the distribution of vaccines using the mobile vaccination (jemput bola) method. This article contributes to Sustainable Development Goal (SDG) 3: Ensuring Healthy Lives and Promoting Well-being for All at All Ages. Specifically, it aligns with Target 3.b, which focuses on supporting research and development of vaccines and medicines for both communicable and non-communicable diseases, particularly those affecting developing countries, and ensuring affordable access to essential medicines and vaccines.
Penurunan Stunting dengan Program Posyandu Balita Ikaningtyas, Nurlia; Sari, Ignasia Yunita; Adiyasa, Ratna Puspita; Sari, Reni Puspita; Siswanto, Sukendri
Jurnal Kesehatan Vol 12 No 2 (2025): Jurnal Kesehatan
Publisher : STIKES Bethesda Yakkum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35913/jk.v12i2.724

Abstract

Posyandu (Pos Pelayanan Terpadu) adalah salah satu bentuk Upaya Kesehatan Bersumberdaya Masyarakat (UKBM) yang dilakukan oleh, dari, dan untuk masyarakat. Usaha Peningkatan Kesehatan Masyarakat (UPKM) CD Bethesda menganggap posyandu balita sebagai program strategis untuk mengatasi berbagai permasalahan pada balita, termasuk stunting. Namun, hasil kajian menunjukkan bahwa sebagian besar ibu hamil dan anak di bawah usia dua tahun belum memiliki akses memadai ke layanan dasar, dengan hanya 26,7% anak usia di bawah dua tahun (baduta) yang mendapatkan akses layanan dasar secara simultan. Tujuan penelitian ini untuk melakukan evaluasi program posyandu balita untuk penurunan stunting. Berdasarkan hasil wawancara mendalam didapatkan 6 tema dan 25 kategori. Keenam tema tersebut adalah Posyandu balita mengalami perkembangan saat didampingi CD Bethesda, Dukungan dari pemerintah desa dan puskesmas, Hambatan dalam pelaksanaan posyandu balita, Harapan mayarakat terhadap posyandu balita, Kader melakukan inovasi untuk peningkatan posyandu, dan Peran Kader sesuai dengan peran utama kader posyandu. Saran untuk penelitian selanjutnya adalah melakukan penelitian pengalaman masyarakat di daerah dengan akses terbatas terhadap posyandu balita