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Pursuing the Need for Physical Activity in Recurrent CVA Patients During Hospitalization: A Case Report Stepanus Maman Hermawan; Hany Wihardja
Jurnal Keperawatan Indonesia Vol 24 No 1 (2021): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v24i1.1074

Abstract

Cerebrovascular accident (CVA) is a neurological deficit condition caused by an acute focal injury of the central nervous system by cerebral infarction or intracerebral hemorrhage. CVA patients who do not reduce risk factors after the first attack have an 8.7 times higher risk of CVA recurrence. The effect of a recurrent CVA is six times greater than the risk of a first CVA in the general population of the same age and sex, and nearly half of them remain alive but are physically disabled. This case report illustrates the process of recurrent CVA and disability experienced by a 69-year-old Malay woman, a patient at a private hospital in West Kalimantan. The nursing strategy of two post-CVA physical rehabilitation exercise programs for patients during hospitalization will be explained according to the stages in nursing theory. Abstrak Mengejar Kebutuhan Aktivitas Fisik Pasien CVA Berulang Selama Hospitalisasi: Laporan Kasus. Cerebrovaskuler Accident (CVA) adalah kondisi defisit neurologis karena cedera akut pada sistem saraf pusat disebabkan infark serebral atau perdarahan intraserebral. Pasien CVA yang tidak menurunkan faktor risikonya secara optimal setelah serangan pertama memiliki risiko CVA berulang sebesar 8,7 kali lebih tinggi. Efek dari CVA berulang adalah 6 kali lebih besar dari episode CVA pertama pada populasi umum, dengan usia dan jenis kelamin yang sama, hampir setengah dari mereka tetap hidup tetapi mengalami cacat secara fisik. Laporan kasus ini menggambarkan penyakit CVA berulang dan kecacatan yang dialami seorang wanita Melayu berusia 69 tahun, seorang pasien di Rumah Sakit Swasta, Kalimantan Barat. Strategi keperawatan untuk dua program latihan rehabilitasi fisik pasca-CVA bagi pasien selama hospitalisasi akan dijelaskan sesuai dengan tahapan pada teori keperawatan. Kata Kunci: aktivitas fisik, CVA berulang, hospitalisasi
EDUKASI KESEHATAN CEGAH KECEMASAN DAN STRES KEPADA REMAJA DI ERA PANDEMI COVID-19 DI SMP BUDI MULIA, BOGOR Yunita Astriani Hardayati; Hany Wihardja
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Publisher : UNIVERSITAS KHAIRUN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/pengamas.v5i1.3301

Abstract

Covid-19 is a disease caused by the SARS-CoV-2 virus and has become a global pandemic due to it’s rapid spread. Every citizen is required to limit mobility to prevent the spread of disease. The learning system from home is one of the government’s strategies to prevent the spread in the age group of children and adolescents. Changes in the learning system have positive and negative impacts on students. The negative impact that can arise is feelings of stress in adolescents and if not managed properly it can escalate into a state of severe anxiety to panic. SMP Budi Mulia fully applies online learning methods for students. The solution that we can offer so that students can learn effectively is education to prevent anxiety and stress. This community service aims to improve the knowledge and skills of SMP Budi Mulia students to manage the anxiety and stress. The method used is a persuasive participatory method with education and practice activities through the Zoom Cloud Meeting platform. The results that have been achieved are increasing knowledge of the concepts of anxiety and stress, identifying anxiety levels using SRQ and HAM-A instruments and increasing stress prevention skills in adolescents. This education is very important for adolescents focusing on mental health to support their physical health and quality of life.
Hubungan Perilaku Penggunaan Alat Pelindung Diri (Apd) Dan Pelaksanaan Pencegahan Covid-19 Dengan Kecemasan Perawat Di Rumah Sakit X, Kalimantan Barat Hany Wihardja; Roibertus Totong; Rosa Nora Lina
Jurnal Keperawatan Dirgahayu (JKD) Vol 5 No 2 (2023): October
Publisher : Unit Penelitian dan Pengabdian Kepada Masyarakat, STIKES Dirgahayu Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52841/jkd.v5i2.345

Abstract

Anxiety is a negative feeling due to situation that cause discomfort, uncertainty, helplessness, and isolation. The Covid-19 pandemic is one of triggers for anxiety in nurses because the virus is easily transmitted quickly. This study aims to identify a relationship between the behavior of using Personal Protective Equipment (PPE) and the implementation of the Covid-19 prevention protocol with nurses’ anxiety. This research is quantitative research using a descriptive correlation design with a Cross Sectional approach. Respondents in this study involved nurse practitioner who treated non-Covid-19 patients at RS X, West Borneo, with a purposive sampling technique. Nurses’ anxiety in treating non-Covid-19 patients is included in the category of mild anxiety (1 – 17) using Hamilton Anxiety Rating Scale (HARS) questionnaire. Analysis of the data using the Spearman Rho test, which obtained the results that there was no relationship between the behavior of using PPE and the implementation of the Covid-19 prevention protocol with the anxiety of nurses. The recommendation from the result of this study is stakeholders must prioritize the mental health of nurses by making regulation and socializing Covid-19 prevention protocols in the hospital environment for nurses.
Factors Related to Nurses Caring Behavior in Inpatient Unit Fitriani, Rina; Wihardja, Hany
Journal of Nursing Care Vol 7, No 1 (2024): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v7i1.49807

Abstract

Caring is the essence of nursing practice. Caring is also an approach to increase a sense of caring for patients. This attitude can help patients achieve improved quality of recovery and health. Caring from the patient's point of view is a humane attitude expected by the patient. Caring is basically a nurse's behavior, so that caring basically depends on the characteristics and motivation of an individual nurse. This study aims to identify the factors that most influence the caring behavior of nurses in the inpatient room. Research methodology: This research is an analytic observational study with a Cross-sectional approach. The samples technique was total population of nurses that is 137 nurses. Three instrument used in this study : characteristic respondent, work motivation, Caring Nurse-Patient Interaction Scale (CNPI-23). Data analysis using Chi Square test, Kendall's Tau-b and Logistic Regression. The results of this study found that nurses' work motivation was the most influencing factor for nurses' caring behavior (p value 0.022).  Nurses with high work motivation voluntarily perform their best efforts and skills when working and do not feel physical or mental pressure. As a result, they can show a sense of caring, empathy, and sensitivity to patients during nursing care. Further recommendation that can be given to hospital management are to pay attention to the creation of a motivational work climate, so that workers have high work motivation at work.
Online Game, Addiction and Learning Achievement of Senior High School Students in Jakarta Anggraeni, Lina Dewi; Wihardja, Hany
Indonesian Journal of Disability Studies Vol. 7 No. 2 (2020)
Publisher : The Center for Disability Studies and Services Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (362.819 KB) | DOI: 10.21776/ub.ijds.2020.007.02.03

Abstract

Online game problems being a global concern because of the risk of having a negative impact in school-age children. Game online addiction is the excessive use of computers or video games due to urges that cause social or emotional problems. This research aims to identify the relationship between online game problems and learning achievement in senior high school students in Jakarta. This research is a quantitative study with a Cross-Sectional approach. The sampling method uses a technique of purposive sampling. The number of respondents in this study was 95 senior high school students at x public school, Central of Jakarta. The result of the bivariate analysis showed that there was no significant relationship between online gaming problems and learning achievement of a high school students in Jakarta (p-value = 0.242). The implication of this research shows that online gaming problems are not the only factor that can affect the learning achievement of high school children. The other factors that are likely to influence children's learning achievement include self-motivation, family social support, and the school social environment. Recommendation for parents to supervise their children in using gadgets and the school can strengthen the rules for using gadgets in schools.
Penguatan Edukasi Cegah Kepikunan dan Pemeriksaan Kesehatan Dasar di Cirendeu, Tangerang Selatan Wihardja, Hany; Ernawati, Ernawati; Hermawan, Stepanus Maman
Jurnal Peduli Masyarakat Vol 6 No 1 (2024): Jurnal Peduli Masyarakat: Maret 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i1.2734

Abstract

Demensia merupakan penyakit degeneratif yang secara awam sering disebut kepikunan berupa penurunan kognitif dan fungsional, biasanya terjadi di usia lanjut diatas 60 tahun. Demensia dapat menyebabkan kemunduran pada daya ingat, penurunan keterampilan fisik, gangguan emosi, dan perubahan perilaku sehingga penderita demensia mengalami gangguan perilaku sehari-hari. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan kesadaran masyarakat akan pentingnya pencegahan demensia. Strategi yang direncakan berupa penjajakan kebutuhan yang disampaikan oleh mitra melalui diskusi langsung dari hasil pemeriksaan kesehatan yang dilakukan sejak tahun 2019 dan diskusi adanya kejadian pemicu jemaat usia lansia yang mengalami kepikunan hingga tidak lagi aktif beribadah di gereja. Metode pengabdian terdiri dari penyuluhan tentang demensia, skrining status nutrisi, dan pemeriksaan kesehatan dasar mencakup pemeriksaan tekanan darah, gula darah, dan kolesterol. Pengabdian ini melibatkan 53 orang partisipan. Evaluasi kegiatan dilakukan melalui analisis hasil kuesioner pengetahuan pre dan post didapatkan bahwa tidak ada peningkatan signifikan dari pengetahuan peserta penyuluhan tentang demensia, hasil skrining status nutrisi didapatkan 50,9% masuk ke status gizi normal, dan mayoritas gula darah sewaktu (69,8%) dan tekanan darah (39,6%) partisipan dalam kategori normal, sedangkan kadar kolesterol diatas normal (66%). Kesimpulan dari pengabdian ini adalah pengetahuan, kesadaran diri, dan motivasi hidup sehat yang baik merupakan kunci dari pencegahan dini terjadinya demensia.
FACTORS CONTRIBUTED TOWARD STUNTING IN CHILDREN IN INDONESIA Anggraeni, Lina Dewi; Utami, Tuti Asrianti; Wihardja, Hany
Jurnal Ilmiah Keperawatan Vol 8 No 1 (2025): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v8i1.5007

Abstract

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition, especially in the first 1000 days of Life. Stunting is closely related to the growth and development of the brain and the risk of suffering from chronic diseases in adulthood. Multi-factors that caused stunting include nutrition intake, toddler health status, maternal characteristics, parity, breastfeeding history, and the environment sanitation. This study aimed to identify the factors associated with the incidences of stunting in children under five years. This study was a quantitative study with a cross-sectional approach. This study was conducted from April to October 2019. This study involved 220 toddlers aged 1-5 years with their mothers. Study revealed that number of children were statistically correlated with to the incidence of stunting (p-value 0.005). There were three factors associated with the incidence of stunting in children under five years of age These factors are parity, history of exclusive breastfeeding, and mother's knowledge. The parity factor or the number of children is the most related factor with the incidence of stunting in children (p-value 0.007). Mothers of toddlers must be motivated to provide adequate nutrition in accordance with the needs at the age of growth and development. Government programs to overcome stunting need to start from family planning and the quality of performance of nutrition programs, one of which is intensive nutrition education for pregnant women and mothers of toddlers.
Hubungan Karakteristik Individu dan Riwayat Stroke dengan Kekuatan Otot pada Pasien Stroke Hermawan, Stepanus Maman; Wihardja, Hany
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (413.996 KB)

Abstract

Stroke is the third leading cause of death worldwide. Serious long-term disability and paralysis is a burden forsurvivor stroke patients. Disability is caused due to muscle and nerve weakness in the upper and lower limbs.This study aims to identify the relationship between individual characteristic and history of primary stroke tomuscle strength in stroke patients in outpatient and inpatient units in General Hospitals, West Kalimantan. Thisresearch used a cross-sectional descriptive analysis approach using questionnaires and Manual Muscle Testing(MMT). The sample in this study were 99 stroke patients. The study was conducted in April to June 2018.Statistical test results showed a significant relationship between age (p = 0.026), gender (p = 0.029), andstroke history (p = 0.036) and muscle strength. Muscle strength can be increased with strengthening exercisesthat are repetitive and consistent. This exercise must be adjusted to the age, gender, and condition of theprevious muscle atrophy to preventing long-term disability.
PENGALAMAN PERAWAT DALAM MERAWAT PASIEN COVID-19 DENGAN KOMORBIDITAS Wihardja, Hany; Anggraeni, Lina Dewi; Silalahi, Polmaida
BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Vol. 10 No. 2 (2022): Edisi Juli - Desember 2022
Publisher : Ikatan Lembaga Mahasiswa Ilmu Keperawatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53345/bimiki.v10i2.335

Abstract

Introduction: In 2020 as much as 89,3% from 180 COVID-19 patients have a comorbidity. Patients with comorbidity are more at risk of being infected with COVID-19 with severe clinical manifestations. This challenge requires nurses to be more critical in treating of COVID-19 patients with comorbidity to prevent complications and mortality. This study aimed to explore the nurse’s experiences in caring for COVID-19 patients with comorbidity in private hospital in central of Jakarta. Methods: The researcher applied a phenomenological descriptive design. Data were collected using in-depth interview from 12 nurses. The participants were nurses who work in COVID-19 unit and have treated patient COVID-19 with comorbidity obtain purposive sampling. The research conducted from November 2020 to February 2021 and data were analyzed by Colaizzi’s method. Result: The study found five key themes from nurse’s experience in caring for COVID-19 patients with comorbidity that includes fear in caring for COVID-19 patients, being very exhausted, high workloads, getting lesson learn from patients and God who strengthens us. Nurses express fear when caring for COVID-19 patients because of the fast and easy transmission of COVID-19 through droplets. Nurses also feel exhausted because they have to use layered PPE while working. The theme of high workload was revealed because of the influenced on the number of nurses due to the large number of those who contracted COVID-19 while working. The source of strength theme describes nurses as being greatly strengthened by their closeness to God. Conclusion: This study explores five key themes derived from the expressions of nurses who have experience treating COVID-19 patients with comorbidities. The recommendation from the result of this study suggests that the need for personal support such as motivation and psychology support from family and coworkers so that nurses feel more confident at work. Hospitals are also expected to make approach and provide psychological support for nurses who feel mental stres such as fear or exhausted after caring for COVID-19 patients.
The Role of Lay Workers in Providing Psychosocial Support for Cancer Patients Hermawan, Stepanus Maman; Wihardja, Hany
Indonesian Journal of Nursing and Health Sciences Vol 6 No 1 (2025): Indonesian Journal of Nursing and Health Sciences: April 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v6i1.5923

Abstract

Psychosocial support plays an important role in improving the quality of life of cancer patients, especially through assistance by lay workers. This study aimed to explore lay workers' experiences in providing psychosocial support to cancer patients. This study used a qualitative approach with an in-depth interview method with 14 participants selected by purposive sampling. Participants were lay workers who had attended basic and advanced palliative training, as well as cancer awareness guidance, and had experience in providing palliative assistance to cancer patients for more than one year. The data collection technique used was deep interviews, which were conducted directly with participants. The data collected were thematically analysed through interview transcription, coding, pattern identification, theme review, and research report preparation. The research identified four main themes: (1) forms of psychosocial mentoring, (2) challenges in mentoring, (3) support and collaboration during mentoring, and (4) strategies and development of psychosocial mentoring. Lay workers used various approaches, including emotional presence, relaxation techniques, moral support, and education to help patients overcome anxiety, fear, and loneliness. The main challenges faced included difficulties in building patient openness, limited lay worker skills, and lack of family support. Support from health workers and collaboration with families play a role in optimizing assistance. Further training is needed to improve lay workers' skills in dealing with complex psychological problems. A more personalized, empathy-based and integrated approach can strengthen support and increase the effectiveness of psychosocial assistance.