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All Journal Global Medical and Health Communication WARTA Jurnal Keperawatan Padjadjaran Smart Medical Journal Syntax Literate: Jurnal Ilmiah Indonesia Indonesian Journal of Rheumatology Indonesian Journal of Cardiology Sebatik MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Logista: Jurnal Ilmiah Pengabdian Kepada Masyarakat Community Development Journal: Jurnal Pengabdian Masyarakat Nusantara Science and Technology Proceedings Buletin Poltanesa Jurnal Dharma Bhakti Ekuitas Smart Society Empowerment Journal Gema Lingkungan Kesehatan
Nurhasan Agung Prabowo
Department Of Internal Medicine, Faculty Of Medicine, Sebelas Maret University, Surakarta, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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AKTIVITAS FISIK DAN AKTIVASI RUMAH SINGGAH MENINGKATKAN KUALITAS HIDUP PASIEN LUPUS Nurudhin, Arief; Werdiningsih, Yulyani; Prabowo, Nurhasan Agung; Sunarso, Indrayana
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 6 (2023): Volume 4 Nomor 6 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i6.23378

Abstract

Penyakit Lupus Eritematosus Sistemik (LES) merupakan suatu penyakit autoimun yang bersifat kronis dan menyebabkan nyeri pada semua ODAPUS (Orang dengan Lupus). Intervensi psikososial bertujuan untuk mengurangi rasa sakit serta meningkatkan kualitas hidup para ODAPUS. Nyeri dipengarui olehberbagai faktro salah satunya adalah faktor psikologis. Hasil analisis situasi menunjukkan bahwa nyeri menjadi masalah utama yang sering dialami oleh ODAPUS, meskipun mereka sudah rutin minum obat. Oleh karena itu, diperlukan pendekatan lain untuk mengurangi nyeri ini. Pengabdian kepada masyarakat ini bertujuan untuk meningkakan kualitas hidup pasien lupus melalui pendekatan edukasi yang berbasis komunitas.Metode pelaksanaan pengabdian ini menggunakan ceramah, diskusi, Outbond dan perbaikan rumah singgahpada ODAPUS yang merupakan anggota Yayasan Tittari. Kegiatan pengabdian dilaksanakan di Rumah Singgah Yayasan Tittari dan juga Area Danau UNS. Materi yang diangkat dalam pengabdian ini mencakup pengetahuan tentang nyeri bagi ODAPUS, metode sederhana untuk mengurangi tingkat nyeri, serta pentingnya memahami peran depresi, stres, dan ansietas dalam menyebabkan nyeri. Serta Perbaikan rumah singgah yang mengalami kerusakan selama pandemi COVID 19. Diharapkan melalui pendekatan eduksi dan perbaikan sarana rumah singgah dapat memperbaiki kualitas hidup pasien Lupus.Pemateri pada kegiatan ini adalah seorang dokter ahli nyeri rematologi. Jumlah peserta ODAPUS yang mengikuti kegiatan ini berjumlah 70 orang. Evaluasi hasil kegiatan dilakukan dengan membandingkan skor Lupus QOL Sebelum dan dalam rentang 2 bulan sesudah kegiatan. Kuisioner diedarkan secara online melaui GForm. Hasil mengabdian didapatkan adanya peningkatan Skor LupusQoL dalam beberbagai domain, serta signifikan secara statistik. .Hal ini menunjukkan adanya edukasi berbasis kominitas dan perbaikan sarana rumah singgah memperbaiki kualitas hidup ODAPUS yang terlibat kegiatan tersebut.
TINGKAT EFEKTIVITAS DETEKSI MANDIRI HIPERTENSI OLEH KOMUNITAS DI PUSKESMAS GAJAHAN Myrtha, Risalina; Ardyanto, Tonang Dwi; Prabowo, Nurhasan Agung; Apriningsih , Hendrastutik; Dyanneza, Frieska; Kuncorowati, Niken Dyah Aryani; Nugroho, Novianto Adi; Suwandono, Adji; Sari, Maria Galuh Kamenyangan; Shofiyah, Laily
Sebatik Vol. 28 No. 1 (2024): June 2024
Publisher : STMIK Widya Cipta Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46984/sebatik.v28i1.2323

Abstract

Pengabdian ini bertujuan untuk menguatkan peran komunitas dalam kemandirian kesehatan melalui deteksi mandiri hipertensi dan kelainan irama jantung di Puskesmas Gajahan. Peningkatan prevalensi penyakit tidak menular, khususnya hipertensi dan fibrilasi atrium, memerlukan intervensi berbasis komunitas yang efektif untuk mengurangi beban penyakit ini. Metode pengabdian ini melibatkan pada kader kesehatan di wilayah kerja Puskesmas Gajahan dengan melakukan edukasi dan pelatihan kepada kader puskesmas Gajahan mengenai cara deteksi mandiri hipertensi dan kelainan irama jantung. Pelatihan ini mencakup cara pengukuran tekanan darah mandiri dan cara deteksi mandiri kelainan irama jantung dengan cara meraba nadi sendiri (MENARI), serta edukasi mengenai faktor risiko dan tanda-tanda kedua penyakit ini. Hasil dari implementasi pelatihan ini menunjukkan peningkatan pengetahuan dan keterampilan masyarakat dalam mendeteksi dini hipertensi dan kelainan irama jantung. Partisipan yang mengikuti pelatihan mampu melakukan pemeriksaan tekanan darah dan deteksi kelainan irama jantung secara mandiri dengan benar. Selain itu, terdapat peningkatan kesadaran masyarakat tentang pentingnya pemeriksaan kesehatan rutin dan perubahan gaya hidup untuk mengurangi risiko penyakit tidak menular. Kesimpulannya, penguatan peran komunitas melalui edukasi dan pelatihan deteksi mandiri terbukti efektif dalam meningkatkan kemandirian kesehatan masyarakat di wilayah kerja Puskesmas Gajahan.
Correlation of Interleukin-6 Level with Neutrophil to Lymphocyte Ratio and Disease Severity in COVID-19 Patients Apriningsih, Hendrastutik; Prabowo, Nurhasan Agung; Reviono, Reviono; Anindita, Brigitta Devi; Myrtha, Risalina; Putri, Desy Puspa; Hermawati, Berty Denny
Global Medical & Health Communication (GMHC) Vol 11, No 1 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i1.9643

Abstract

Coronavirus disease 2019 (COVID-19) causes severe acute respiratory disease in humans and has spread rapidly worldwide since its first identification in December 2019. The neutrophil-to-lymphocyte ratio (NLR) describes the balance between the severity of inflammation and the immune system to be used as an important systemic inflammatory marker. Rapid progression of clinical deterioration is characterized by severe respiratory symptoms related to high levels of pro-inflammatory cytokines, like interleukin-6 (IL-6), indicating that the occurrence of cytokine storms leads to increased mortality. This study aims to assess the correlation between IL-6 and NLR in predicting the severity of COVID-19. This prospective cohort study was conducted at the COVID-19 ward of Universitas Sebelas Maret Hospital in August–September 2021. This study involved 66 COVID-19 patients >18 years old with asymptomatic to critical degree and Charlson Comorbidity Index (CCI) value ≤3. Examination of laboratory parameters and serum IL-6 was carried out when the patient entered the Emergency Room. Statistical test with Pearson’s correlation test, significant if p<0.05. There is no significant correlation between IL-6 and NLR with p=0.56 and r=0.08, and a strong correlation between IL-6 and disease severity with p=0.000 and r=0.454. The conclusion is that IL-6 does not correlate with NLR and strongly correlates with disease severity in COVID-19 patients.
Neuthropil-to-Lymphocyte Ratio Correlation with Pneumonia Severity Index in COVID-19 Patients Hendrastutik Apriningsih; Nurhasan Agung Prabowo; Reviono; Betty Suryawati; Tonang Dwi Ardyanto
Nusantara Science and Technology Proceedings Multi-Conference Proceeding Series D
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2023.3004

Abstract

COVID-19 is still a major problem and characterized by the development and progression of inflammatory responses. Assessment of disease degree includes several tools, such as the pneumonia severity index (PSI). However, because the pandemic occurs in all regions in Indonesia, not all health facilities have a complete diagnostic tool to assess the severity of pneumonia. It is necessary to have an easy, inexpensive, and readily available examination to determine the COVID-19 disease's severity, such as Neutrophil-to-Lymphocyte Ratio (NLR). The purpose of this study was to determine the correlation between NLR and PSI in COVID-19 patients. The research was carried out on the COVID-19 ward of Universitas Sebelas Maret (UNS) Hospital in February 2021. Examination of laboratory parameters and X-rays was carried out when the patients entered the Emergency Room at the hospital. A prospective cohort study, with the population being patients >18 years old with mild to critical COVID-19 and being admitted from February to March 2021. Statistical analysis was conducted using the Pearson correlation test with SPSS 25, in which case p was deemed significant if it was <0.05. Results were obtained from 49 COVID-19 patients treated in the COVID-19 ward, whose mean age was 49.83 + 13.31, NLR and PSI were 8.85 + 13.25, 61.673 + 26.635, respectively. There was a strong positive correlation between NLR and PSI (p = 0.001; r = 0.488). NLR was correlated with PSI in COVID-19 patients.
Thrombosis of the inferior vena cava and acute kidney injury in dengue shock syndrome: A rare case with unique nursing challenges Prabowo, Nurhasan Agung; Sari, Yulia; Putri, Desy Puspa; Habibah, Sopia Nur; Rachmah, Azkia; Hartono, Hartono
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2641

Abstract

Background: Dengue Shock Syndrome (DSS) is a severe complication of dengue fever that can lead to life-threatening conditions such as thrombosis and acute kidney injury (AKI). These rare complications highlight the importance of early recognition and multidisciplinary management to improve clinical outcomes. Purpose: This case study aims to report and discuss the clinical management and outcomes of a patient with DSS complicated by inferior vena cava thrombosis and AKI, focusing on nursing interventions and therapeutic strategies. Methods: This manuscript reports a case by utilizing the patient’s baseline data, clinical progression, and treatment outcomes. A middle-aged male patient presented to the emergency department with high fever, shock, and signs of plasma leakage. Laboratory and imaging findings confirmed DSS with AKI and inferior vena cava thrombosis. The patient received fluid resuscitation, inotropic support, anticoagulation therapy, and multidisciplinary care, including close nursing monitoring. Results: After seven days of hospitalization, the patient showed significant improvement, with resolution of shock, normalization of platelet count, and recovery of renal function. Comprehensive nursing care, including vital sign monitoring, medication management, and patient education, played a pivotal role in the recovery process. At a follow-up visit on day 12, the patient demonstrated full recovery with no complications. Conclusions: This case highlights the importance of early diagnosis and a multidisciplinary approach, including cautious anticoagulation therapy, to effectively manage DSS with thrombosis and AKI. Integrating nursing interventions and strict monitoring were crucial to achieving positive clinical outcomes. This report provides valuable insights into managing similar cases in endemic areas.
Association of Family History, Body Mass Index, and Exercise Regularity with HbA1c Status in Type 2 Diabetes Melitus Patients Aisyah, Riandini; Prabowo, Nurhasan Agung
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 12, No 1 (2025): FEBRUARY
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.12.1.2025.1-8

Abstract

Background:  Urban life, especially in Surakarta, is easy to access and full of high-carbohydrate food and drink. This has increased unhealthy behavior and diets. The prevalence of diabetes Mellitus (DM) in Surakarta is growing, reaching 24% in 2021. Physical exercise and poor diet are important risk factors for DM, coupled with genetics, causing obesity. HbA1c levels periodically assess DM patients' glycemic management.Objective: This study aims to determine the association between family history, body mass index, and regular exercise with HbA1c status in type 2 DM patients at UNS Surakarta Hospital.Methods: The research was an observational study; 24 patients diagnosed with type 2 DM were recruited from the outpatient clinic of Universitas Sebelas Maret Hospital, Surakarta, Indonesia, in October 2021. Measurements were conducted to determine their HbA1c level by enzymatic methods and body mass index by measuring body weight and height, and they were questioned regarding their physical exercise and family history of diabetes. The data collected were analyzed using multiple logistic regression to ascertain the association between family history, body mass index, and exercise regularity with HbA1c status.Results: The findings indicated no statistically significant association between genetic background, body mass index, and exercise frequency with HbA1c status (p>0.05).Conclusion: This research shows that genetic history, body mass index, and exercise regularity are not associated with HbA1c status in type 2 DM in included subjects.
Cardiovascular Abnormalities in Critically Ill Leptospirosis Patients at UNS Hospital: A Study Over A 5-Year-Period I Made Adi Palguna Rama Daffa; Risalina Myrtha; Nurhasan Agung Prabowo; Evi Liliek Wulandari
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.242

Abstract

Leptospirosis is a globally prevalent zoonotic disease. Cardiovascular involvement in leptospirosis patients, while reported, remains underexplored, especially in Indonesia. This study aims to characterize cardiovascular abnormalities in leptospirosis patients at UNS Hospital over a 5-year period. A descriptive analytical study with a retrospective approach was conducted on 38 patients aged ≥18 years who met the inclusion criteria of confirmed leptospirosis, electrocardiography (ECG) data, and hospitalization at the UNS Hospital. The data were analyzed based on ECG abnormalities. Of the 38 patients, 39.5% had sinus tachycardia, 31.6% sinus rhythm, and 2.6% each experienced supraventricular tachycardia, atrial flutter, or accelerated junctional rhythm. Furthermore, 15.8% had 1st degree AV block and 5.2% had paroxysmal atrial fibrillation. Hypotension was observed in 34.2%, while 92.1% of patients showed elevated urea levels, indicating renal involvement. The SPiRO score categorized 92.1% as severe leptospirosis cases. Mortality reached 42.1%, with ECG abnormalities present in 75% of deceased patients. These findings highlight the predominance of sinus tachycardia and the frequent co-occurrence of hypotension, renal impairment, and severe disease. This study emphasizes the critical role of early detection and monitoring of cardiovascular and hemodynamic parameters in leptospirosis patients. These findings provide valuable insights for improving diagnosis and management strategies, particularly in resource-limited settings.
PELATIHAN ELEKTROKARDIOGRAFI BAGI PERAWAT Prabowo, Nurhasan Agung; Ardyanto, Tonang Dwi; Apriningsih, Hendrastutik; Myrtha, Risalina
Jurnal Dharma Bhakti Ekuitas Vol. 6 No. 2 (2022): Jurnal Dharma Bhakti Ekuitas
Publisher : Universitas Ekuitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52250/p3m.v6i2.419

Abstract

Kejadian gawat daruat bisa terjadi pada siapa saja, kapan saja dan dimana saja. Keadaan ini menuntut kesiapan para tenaga kesehatan untuk melakukan tindakan sesuai dengan kompetensinya. Salah satu profesi kesehatan yang bertanggung jawab dalam penatalaksaan pasien gawat darurat adalah perawat. Penelitian di medan tahun 2019 menyebutkan mayoritas perawat tidak memahami cara membaca rekam jantung yang baik. Setelah berkoordinasi dengan ketua PPNI Rumah Sakit Universitas Sebelas Maret, permasalahan utama yang dialami PPNI adalah Pengetahuan mengenai cara membaca EKG pada perawat masih terbatas. Perawat tidak mengetahui gambaran rekam jantung yang berbahaya. Pelatihan membaca rekam jantung jarang ditemui di era pandemic COVID-19, dan tidak ada buku panduan khusus untuk membaca rekam jantung bagi perawat. Tahap-tahap pengabdian dilakukan dengan mengadakan workshop pelatihan membaca EKG secara daring pada minggu ketiga bulan April 2021.Tahap pengabdian selanjutnya adalah buku petunjuk EKG dan brosur EKG. Terjadi peningkatan pengetahuan perawat terhadap EKG dengan peningkatan nilai pretes 55,5 menjadi 72,5. Pelatihan EKG bagi perawat meningkatkan pengetahuan perawat sehingga meningkatkan kualitas pelayanan Kesehatan.
Role of Gamma-Glutamyl Transferase, High Sensitivity C Reactive Protein and Apolipoprotein B as A Marker of Disease Severity in Psoriasis Shofiyah, Laily; Ardyanto, Tonang Dwi; Prabowo, Nurhasan Agung; Aprilningsih, Hendrastutik; Myrtha, Risalina; Kuncorowati, Niken Dyah Aryani; Suwandono, Adji; Nugroho, Novianto Adi; Sari, Maria Galuh Kamenyangan; Dyanneza, Frieska
Gema Lingkungan Kesehatan Vol. 23 No. 3 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i3.285

Abstract

Psoriasis can develop into systemic psoriasis, which primarily affects the liver, bile ducts, and cardiovascular system. Assessing the severity of psoriasis was crucial for determining treatment and cardiovascular disease risk. The aim of this study was to determine the role of Gamma-Glutamyl Transferase (GGT), High Sensitivity C-Reactive Protein (HS-CRP), and apolipoprotein B (APO B) in assessing the severity of psoriasis. Methods: This study was a cross-sectional, observational analytic study. A total of 33 psoriasis patients were tested for GGT, HS-CRP, APO B levels, and the Psoriasis Area and Severity Index (PASI) score. Results: The average GGT level was 70.75±56.47 u/L, the average HS-CRP level was 0.91±1.03 mg/L, the average APO B level was 110.09±26.47 mg/dL, and the average PASI score was 11.70±4.54. 12.1% of patients had mild psoriasis, 51.5% had moderate psoriasis, and 36.4% had severe psoriasis. There was a positive and strong correlation between GGT and PASI score, HS-CRP and PASI score, and APO B and PASI score. The multivariate correlation between GGT, HS-CRP, and APO B with PASI score had a value of R = 0.874, F = 31.145, p = <0.001. Conclusion: The multivariate correlation between GGT, HS-CRP, and APO B with PASI scores shows a positive and strong correlation, thus it useful for assessing the severity of psoriasis and evaluating the likelihood of cardiovascular disease.
Implementation of an Education and Early Detection Program to Reduce the Risk of Occupational Lung Disease in Furniture Craftsmen in Sambirembe Village Ardyanto, Tonang Dwi; Myrtha, Risalina; Prabowo, Nurhasan Agung; Apriningsih , Hendrastutik; Dyanneza, Frieska; Kuncorowati, Niken Dyah Aryani; Nugroho, Novianto Adi; Suwandono, Adji; Sari, Maria Galuh Kamenyangan; Shofiyah, Laily
Sebatik Vol. 29 No. 2 (2025): December 2025
Publisher : STMIK Widya Cipta Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46984/sebatik.v29i2.2640

Abstract

Furniture industry workers in Sambirembe Village, Sragen, face significant health risks from exposure to wood dust, particularly an increased risk of Chronic Obstructive Pulmonary Disease (COPD). This research is prompted by the low awareness among workers regarding these risks and the minimal use of personal protective equipment (PPE). The objective of this program was to increase workers' and business owners' knowledge of lung health, promote early detection of COPD, and encourage the adoption of safer work practices. The method employed was an intervention that included health education and lung function screening via questionnaires and spirometry. The results revealed a critical knowledge gap, where over 85% of workers had never heard of COPD, even though 70% of them reported experiencing respiratory symptoms. Furthermore, over 90% of workers admitted to rarely using masks. The intervention, which combined education with personalized spirometry data feedback, proved effective in increasing worker awareness of tangible health risks. In conclusion, the education-based and health-screening intervention program successfully raised furniture workers' understanding of COPD risks. An approach that integrates information with personal medical evidence is crucial for promoting behavioural change in high-risk work environments.
Co-Authors adji suwandono Adji Suwandono Andri Haryanto Anindita, Brigitta Devi Aprilningsih, Hendrastutik Apriningsih, Apriningsih Apriningsih Apriningsih, Hendrastutik Arief Nurudhin Arief Nurudhin Arief Nurudhin Arief Nurudhin Arief Nurudhin Arief Nurudhin Arifin Arifin Arsyi Dasa Ramadhan Asih Anggraeni Astri Tantri Indriani Astri Tantri Indriani Astri Tantri Indriani Berty Denny Hermawati Betty Suryawati Bryan Arief Aji Rudita Coana Sukma Gautama Desy Puspa Putri Dyanneza, Frieska Dyanneza, Frieska Evi Liliek Wulandari Evi Nurhayatun Fatichati Budiningsih Gede Abhirama Daniswara Habibah, Sopia Nur Hafi Nurinasari Harioputro, Dhani Redhono Hartono Hartono Hendrastutik Apriningsih Hendrastutik Apriningsih Hendrastutik Apriningsih Hendrastutik Apriningsih Hendrastutik Apriningsih Hendrastutik Apriningsih Hendrastutik Apriningsih Hermawati, Berty Denny I Made Adi Palguna Rama Daffa Indriani, Astri Tantri Kuncorowati, Niken Dwi Aryani Kuncorowati, Niken Dyah Aryani Laily Shofiyah Laily Shofiyah Laily Shofiyah Maria Galuh Kamenyangan Maria Galuh Kamenyangan Sari Maria Galuh Kamenyangan Sari Maria Galuh Kamenyangan Sari, Maria Galuh Kamenyangan Matthew Aldo Wijayanto Meirina Mulia Wardani Muchtar Hanafi Myrtha, Risalina Niken Dwi Aryani Kuncorowati Niken Dyah Aryani Kuncorowati Niken Dyah Aryani Kuncorowati Niken Dyah Aryani Kuncorowati Niken Dyah Aryani Kuncorowati Novianto Adi Nugroho Novianto Adi Nugroho Novianto Adi Nugroho Nugroho, Novianto Adi Putri, Desy Puspa Rachmah, Azkia Ratih Puspita Febrinasari Reviono Reviono Reviono Riandini Aisyah Risalina Myrtha Risalina Myrtha Risalina Myrtha Risalina Myrtha Risalina Myrtha Risalina Myrtha Risalina Myrtha Risalina Myrtha Satrio Budi Susilo Shofiyah Shofiyah, Laily Sri Sulistyowati Sunarso, Indrayana Syahrini Wisdayanti Tamaulina Br Sembiring Tonang Dwi Ardyanto Wedhiningsih, Yulyani Werdiningsih, Yulyani Wijayanto, Matthew Aldo Yeni Farida Yulyani Werdiningsih Yulyani Werdiningsih Yulyani Werdiningsih Zainal Arifin Adnan Zainal Arifin Adnan