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All Journal Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal Ruwa Jurai: Jurnal Kesehatan Lingkungan Penamas: Journal of Community Service Asian Journal of Healthcare Analytics
Trisna, Efa
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ANALISIS KESIAPSIAGAAN KELUARGA MENGHADAPI BENCANA COVID-19 Trisna, Efa; Musiana, Musiana
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol. 16 No. 1 (2022)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v16i1.3174

Abstract

Bencana pandemi Corona Virus Disease 2019 (COVID-19) merupakan bencana global yang berdampak pada kehidupan sosial ekonomi masyarakat, dan banyak menimbulkan korban jiwa.  Berbagai upaya dan strategi telah dilakukan untuk mencegah penularan dan penyebaran virus covid ini, baik di tingkat individu, keluarga dan masyarakat. Keluarga sebagai unit terkecil dari masyarakat memegang peranan penting pada keberhasilan penanggulangan wabah ini. Tujuan penelitian untuk menganalisis kesiapsiagaan keluarga dalam menghadapi bencana COVID-19. Penelitian ini merupakan penelitian kuantitatif dengan rancangan cross sectional. Pengumpulan data menggunakan kuesioner kesiapsiagaan yang dikembangkan oleh LIPI-UNESCO, terdiri dari pengetahuan, rencana tanggap darurat, mobilisasi sumber daya dan peringatan dini bencana. Jumlah sampel sebanyak 160 responden, analisis menggunakan distribusi frekuensi untuk mengetahui gambaran kesiapan keluarga menghadapi bencana COVID-19. Hasil penelitian diperoleh bahwa secara umum kesiapan keluarga menghadapi bencana COVID-19 masih rendah (62,5%). Pada aspek pengetahuan, sebanyak 43,8% keluarga masuk dalam kategori sedang, dan mayoritas (66,0%) memiliki rencana tanggap darurat yang rendah. Penelitian juga mendapatkan bahwa mayoritas keluarga memiliki mobilisasi dan peringatan dini bencana yang rendah (79,4% dan 81,3%). Keluarga belum memiliki kesiapsiagaan dalam menghadapi bencana COVID-19, perlu menyiapkan keluarga melalui kegiatan pemberian informasi dan kegiatan-kegiatan sosialisasi terkait dengan kesiapsiagaan dalam menghadapi bencana
Kegiatan senam kaki terhadap penurunan kadar gula darah pada lansia dengan diabetes melitus Di Desa Air Satan Kabupaten Musi Rawas Soewito, Bambang; Susmini, Susmini; Wijaya, Sapondra; Wibowo, Wahyu Dwi Ari; Supriyanto, Eko; Ulfa, Msy Hartina; Martini, Sri; Trisna, Efa
Penamas: Journal of Community Service Vol. 4 No. 1 (2024): Penamas: Journal of Community Service
Publisher : Nur Science Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/penamas.v4i1.859

Abstract

The increase in blood sugar is a common effect of uncontrolled diabetes mellitus (DM), which can cause serious damage to the nervous system and blood vessels over time. Research shows that due to time constraints, DM patients often have difficulty engaging in physical activities. Diabetic foot exercises have been recommended as a physical activity that can be done anytime and anywhere, including while relaxing with family. These simple exercises can help improve blood circulation, strengthen the small muscles in the feet, prevent foot deformities, and address the limited insulin levels in DM patients. This activity aims to introduce foot exercises to the community, particularly the elderly with DM issues so that they can engage in physical activity despite physical and time limitations. The method involves conducting simulations and health education three times a week. The results showed decreased blood sugar levels in the elderly who participated in this foot exercise program. Hopefully, these foot exercise activities can become an alternative and regular option, especially for the elderly in Ari Satan, Musi Rawas Regency.
Studi kasus: Asuhan keperawatan pasien dengan cedera kepala berat di Instalasi Gawat Darurat (IGD): Case Study: Nursing care for patient with severe head injury in the Emergency Department Putri, Hadeci Lovenda; Trisna, Efa
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 1 (2025): JiKep | Februari 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i1.2365

Abstract

Cedera kepala berat merupakan salah satu tantangan kesehatan yang paling mengkhawatirkan di seluruh dunia. Kondisi ini menjadi penyebab utama mortalitas, morbiditas, dan masalah kesehatan serius lainnya. Cedera kepala dapat disebabkan oleh berbagai faktor, seperti terjatuh dari ketinggian, kecelakaan di rumah, di kantor, atau saat berolahraga, serta penyerangan fisik, tembakan ke kepala, dan kecelakaan lalu lintas. Oleh karena itu, penelitian ini bertujuan untuk memberikan asuhan keperawatan bagi pasien yang mengalami cedera kepala berat akibat kecelakaan lalu lintas. Metode penelitian yang digunakan deskriptif dengan pendekatan studi kasus. Sampel berjumlah satu orang yang mengalami kegawatdaruratan di IGD RS Abdoel Moeloek Lampung. Pengumpulan data dilakukan melalui anamnesis, pengkajian Primer: Airway, Breathing, Circulation, Disability dan studi dokumentasi rekam medik. Hasil penelitian menunjukkan bahwa pasien berada dalam kategori triage warna merah, dengan diagnosa utama adalah bersihan jalan napas tidak efektif. Dalam penanganannya dilakukan penerapan manajemen jalan napas yang meliputi posisi semi-fowler, pemasangan OPA, tindakan suction, dan pemberian oksigenasi melalui NRM dengan aliran 15 liter per menit. Penelitian ini menekankan betapa pentingnya prosedur penanganan jalan napas yang cepat dan akurat dalam mengelola pasien cedera kepala berat, guna mencegah komplikasi yang lebih serius dan meningkatkan peluang pemulihan.
Application of Foot Massage Therapy to Reduce Pain Scale of Old Age with Rheumatoid Arthritis in Perumnas Public Health Center Working Area Lubuklinggau City 2023 Wibowo, Wahyu Dwi Ari; Martini, Sri; Yadi, Nadi April; Martalina, Wulan; Trisna, Efa
Asian Journal of Healthcare Analytics Vol. 3 No. 1 (2024): May 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v3i1.8949

Abstract

Arthritis in RA patients causes pain, swelling, and decreased joint range of motion. It can lead to decreased independence and limited activities, reducing the quality of life. The process of foot massage also impacts the process of vasodilation and increased blood circulation. It increases the activity of the autonomic nervous system, which stimulates increased production of endorphins, which is expected to reduce pain. The case study used a descriptive method with two old older adults with Rheumatoid Arthritis, using the family nursing care assessment and pain scale assessment. The application of foot messages is carried out for 20 minutes for three days. After applying foot massage for three consecutive days, the study showed a decrease in pain intensity between before and after the intervention was given to the two subjects. The subject's pain intensity decreased from moderate pain intensity to mild pain. Applying foot massage effectively reduces the intensity of Rheumatoid Arthritis pain.
The Impact of Regular Foot Exercise on Blood Glucose Reduction in Type II Diabetes Patients: A Case Study Trisna, Efa; Jamila, Jamila; Setiawati, Setiawati; Hartati, Sri; Wibowo, Wahyu Dwi Ari; Putri, Hadeci Lovenda; Syifa, Faidana Yaumil
MAHESA : Malahayati Health Student Journal Vol 5, No 10 (2025): Volume 5 Nomor 10 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i10.22234

Abstract

ABSTRACT Elevated blood glucose levels in type II diabetes mellitus (DM) can lead to chronic complications, including cardiovascular, renal, and neurological disorders. The prevalence of type II DM in Indonesia continues to increase, particularly among older adults, many of whom face challenges in adhering to treatment. Non-pharmacological therapies, such as foot exercise, are considered beneficial in improving glycemic control and enhancing lower limb circulation. To describe the outcomes of implementing foot exercise as a nursing intervention for older adults with type II DM who experience unstable blood glucose levels in the working area of Panjang Public Health Center, Bandar Lampung. This case study involved two older adults diagnosed with type II DM. The intervention included foot exercise therapy conducted three times a week over six sessions, each lasting 15–20 minutes. The approach utilized family-centered nursing care with education and monitoring of blood glucose before and after each session. Subject I showed a reduction in random blood glucose levels from 232 mg/dl to 182 mg/dl after three sessions. Subject II experienced a decrease from 248 mg/dl to 189 mg/dl. The variation in reduction was influenced by factors such as medication adherence, presence of comorbidities (e.g., hypertension and diabetic neuropathy), and family involvement. Foot exercise therapy can effectively reduce blood glucose levels in older adults with type II DM. This intervention is recommended as a complementary nursing strategy in diabetes management. Keywords: Foot Exercise, Hyperglycemia, Older Adults, Non-Pharmacological Therapy, Type II Diabetes Mellitus.
Effect of Proprioceptive Neuromuscular Facilitation (PNF) on Muscle Strength in Post-Stroke Patients Syokumawena, Syokumawena; Putra, Sumitro Adi; Sulistini, Rumentalia; Wibowo, Wahyu Dwi Ari; Trisna, Efa
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4843

Abstract

Post-stroke rehabilitation often involves improving muscle strength and motor function to enhance the quality of life for stroke survivors. Proprioceptive Neuromuscular Facilitation (PNF) has emerged as an effective therapy in this context, particularly in enhancing muscle strength and upper limb function. PNF techniques use specific patterns of movement to activate proprioceptors and improve muscle coordination, which may aid in recovery for stroke patients. Despite its potential, limited research has evaluated its impact on muscle strength improvement, making this study significant.Research Objective: The primary aim of this study was to assess the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) in improving muscle strength in post-stroke patients, with a focus on the upper limbs. The research was conducted to evaluate the pre-test and post-test muscle strength scores, and to analyze the impact of PNF on muscle strength recovery.Research Methods: This research employed a pre-experimental design with a one-group pre-post test. A sample of 34 post-stroke patients was selected using purposive sampling from the Merdeka Health Center and 1 Ulu Palembang, South Sumatra, Indonesia. The intervention consisted of PNF exercises conducted three times a week for three months. Muscle strength was measured using a hand dynamometer both before and after the intervention. Statistical analysis using Cohen’s d and paired t-tests was performed to evaluate the effectiveness of the intervention.Results: The results revealed a significant improvement in muscle strength after PNF intervention. The mean muscle strength score increased from 2.50 ± 0.570 (pre-test) to 3.64 ± 0.570 (post-test), with a difference of 1.14 ± 0.570. Cohen’s d coefficient of 2 indicated a large effect size, confirming substantial improvement. The paired t-test yielded a p-value of 0.001, demonstrating that the changes were statistically significant.Conclusion: Proprioceptive Neuromuscular Facilitation (PNF) significantly improves muscle strength in post-stroke patients, particularly in the upper limbs.
Hubungan Sikap dan Perilaku Lansia dengan Kejadian Hipertensi pada Lansia Trisna, Efa; Musiana, Musiana
MAHESA : Malahayati Health Student Journal Vol 3, No 4 (2023): Volume 3 Nomor 4 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.562 KB) | DOI: 10.33024/mahesa.v3i4.10083

Abstract

ABSTRACT Hypertension is often referred to as "The Silent Disease" generally sufferers do not know they have hypertension before checking their blood pressure. This disease is often known as a heterogeneous group of disease because it can affect anyone from various age groups and socioeconomic groups. The increasing prevalence of hypertension every year is a major problem in developing and developed countries. Various physiological changes due to the aging process will be experienced by the elderly, which among others trigger the occurrence of hypertension. Total cholesterol levels will increase gradually with age. The aim of the study was to find out the relationship between the attitude and behavior of the elderly and the incidence of hypertension in the elderly in the working area of the Raja Basa Health Center, Bandar Lampung City. This research is a quantitative study with a cross-sectional analytic design using attitude and behavior measurement instruments. The number of samples is 64 respondents. Data were analyzed using univariate and bivariate analysis with the chi square test. The results of the study obtained the distribution of respondents who had a positive attitude of 50% as well as respondents who had a negative attitude. As for the behavior of the respondents, the majority of respondents had a positive attitude (64.1%). Analysis of the relationship between attitude and the incidence of hypertension in the elderly showed that there was no significant relationship between attitude and the incidence of hypertension in the elderly (p-value > 0.05) and there was also no significant relationship between behavior and the incidence of hypertension in the elderly (p-value > 0.05). Keywords: Elderly, Attitude, Behavior, Hypertension  ABSTRAK Penyakit hipertensi sering disebut sebagai “The Silent Disease” umumnya penderita tidak mengetahui dirinya mengidap hipertensi sebelum memeriksakan tekanan darahnya. Penyakit ini sering dikenal juga sebagai heterogeneous group of disease karena dapat menyerang siapa saja dari berbagai kelompok umur dan kelompok sosial ekonomi. Meningkatnya prevalensi hipertensi setiap tahunnya menjadi masalah utama di negara berkembang dan negara maju. Berbagai perubahan fisiologis akibat proses penuaan akan dialami oleh lansia yang diantaranya memicu terjadinya hipertensi. Kadar kolestrol total akan meningkat  secara bertahap seiring dengan bertambahnya usia. Tujuan penelitian ini untuk mengetahui hubungan sikap dan perilaku lansia dengan kejadian hipertensi pada lansia di wilayah kerja Puskesmas Raja Basa Kota Bandar Lampung. Penelitian ini merupakan penelitian kuantitatif dengan desain analitik cross sectional menggunakan instrumen pengukuran sikap dan perilaku. Jumlah sampel sebanyak 64 responden. Data dianalisis menggunakan analisis univariat dan bivariat dengan uji Chi Square. Hasil penelitian diperoleh distribusi responden yang memiliki sikap positif sebanyak 50% demikian juga dengan responden yang memiliki sikap negatif.  Sedangkan untuk perilaku responden, mayoritas responden memiliki perilaku positif (64.1%). Analisis hubungan sikap dengan kejadian hipertensi pada lansia menunjukkan tidak ada hubungan yang bermakna antara sikap dengan kejadian hipertensi lansia (p-value >0.05) dan juga tidak ada hubungan yang bermakna antara perilaku dengan kejadian hipertensi lansia (p-value >0.05). Kata Kunci: Lanjut Usia, Sikap, Perilaku, Hipertensi 
Co-Authors Eko Supriyanto jamila Jamila Martalina, Wulan Musiana, Musiana Putra, Sumitro Adi Putri, Hadeci Lovenda Rumentalia Sulistini Sapondra Wijaya, Sapondra Setiawati Setiawati Soewito, Bambang Sri Hartati Sri Martini Susmini, Susmini Syifa, Faidana Yaumil Syokumawena, Syokumawena Ulfa, Msy Hartina Wibowo, Wahyu Dwi Ari Yadi, Nadi April