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Application of the Contextual Teaching Learning Method Problem Based Instructure Model Towards the Improvement of the Ability to Make Nursing Care Trenggalek Nursing Study Program Ixora Ixora; Dewi Wulandari; Rahayu Niningasih
Health Notions Vol 4, No 9 (2020): September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn.v4i9.607

The success of improving the quality of human resources through education can be realized, one of which is through the accuracy of the learning process in achieving learning objectives, one of the government's efforts to improve the quality of education in Indonesia is to improve the curriculum from teacher centered learning to student centered learning by using the contextual method. teaching learning model problem based instructor. In essence, using this learning method where students can relate the content of the lesson to the surrounding environment or the real world so that it makes lessons more meaningful and can increase motivation to learn. The success of this method is strongly influenced by the structural stages contained in the PBI CTL model method. Measuring the ability of students with a pre-test in making Askep who got the PBI model of CTL learning, measuring the ability of students with the pre-test in making Askep who did not get the PBI model of CTL learning, measuring the ability of students with the post-test in making Askep who got the PBI CTL learning model, measuring the ability of students by post-test in making Askep who did not get the PBI model of CTL learning. Type of research is quantitative with a quasi experimental design (quasi-experimental), pre-test and post-test approaches with control group . The sample technique with a total sampling is 80 students DIII nursing study program Trenggalek. The instruments used were the nursing care format and the PBI model CTL module. The research results were tested by using paired sample t- test. The pre-test mean value of the ability to make nursing care in the intervention group was 72.45 and in the control group 68.03 while the average posttest score using the PBI model CTL method in the intervention group was 81.48 and in the control group 73.25. There is a significant effect of the PBI model of CTL method in improving the ability to make nursing care. Keywords: contextual teaching learning, problem based instructor, nursing care

The Effect of Music Therapy and Murottal Al-Quran Therapy on Increasing Muscle Strength and Decreasing Anxiety in Stroke Patients Undergoing Passive Range of Motion (ROM) Exercises Ixora Ixora; Rahayu Niningasih; Dewi Wulandari
Health Notions Vol 6, No 01 (2022): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60105

Stroke can impact various body functions, one of which is paralysis or problems controlling movement related to muscle strength. The research aimed to determine the effect of ROM exercises on increasing muscle strength in stroke patients at Dr. Soedomo Trenggalek Hospital. Researchers used a quasy experiment method with a control group pretest-posttest design. The sampling technique used purposive sampling with a sample of 30 people. Data were analyzed using the independent sample t-test and paired sample t-test. The results obtained: there was a difference in the strength of the right-hand muscle between before and after ROM exercise (p-value = 0.473); there was a difference in right leg muscle strength between before and after ROM therapy (p-value = 0.772); there was a difference in anxiety before and after ROM therapy (p-value = 0.772); there was a difference in muscle strength in the right hand before and after ROM therapy and Murrotal Al-Quran music therapy (p-value = 0.000); there was a difference in muscle strength in the right leg before and after ROM therapy and Murrotal Al-Quran music therapy (p-value = 0.000); there was a difference in muscle strength in the right hand before and after ROM therapy and Al-Quran Murrotal music therapy (p-value = 0.000; there was a difference in muscle strength in the left hand between ROM therapy and Al-Quran Murrotal music therapy (p-value = 0.000; there was a difference in right leg muscle strength between ROM therapy and Al-Quran Murrotal music therapy (p-value = 0.000; and there was a difference in left leg muscle strength between ROM exercises and Al-Quran Murrotal music therapy (p-value = 0.000). Based on the results of the study, it can be concluded that the combination of ROM therapy and murrotal Al-Quran music therapy is more effective for increasing hand and leg muscle strength and for reducing anxiety levels in patients with stroke. Keywords: music therapy; murottal Al-Quran; muscle strength; anxiety

PROGRAM KEMITRAAN BAGI KADER LANSIA MELALUI SENAM OTAK DALAM PENCEGAHAN DEMENSIA DI WILAYAH KERJA PUSKESMAS TRENGGALEK Rahayu Niningasih; Dewi Wulandari; Ixora Ixora
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 5 No 1 (2021): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v(5)i(1)y(2021).page:55-59

Trenggalek Community Health Center is an innovative care center that provide a service to the elder people. However, until now there is no check-up or examination about Dementia to the elder people. One of the alternatives to prevent the case of Dementia is brain gym. The purpose of community service was to provide additional knowledge about Dementia and brain gym to prevent Dementia. The method of this community service was providing education, measuring the community knowledge about Dementia and performing brain gym. The result of community service showed that there was a significant improvement of knowledge before and after education. The brain gym was performed by the participants of elder people community. The attendance of participants was 100% and they were very enthusiastic in performing brain gym.

PROGRAM KEMITRAAN MASYARAKAT BAGI KADER LANSIA DALAM PENCEGAHAN STROKE DENGAN SENAM STROKE DI WILAYAH KERJA PUSKESMAS DURENAN Ixora ixora; Dewi Wulandari; Awan Hariyanto
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 6 No 2 (2022): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v(6)i(2)y(2022).page:97 - 103

This Community Service aimed to increase the knowledge and behavior of elderly cadres at the Durenan Health Center, through counseling activities about stroke and stroke prevention methods, stroke exercise training, stroke exercise assistance, and evaluation. Stroke rehabilitation programs, such as stroke exercise, aim to improve muscle control and increase the flexibility of stiff muscles. In general, three types of activities were carried out during this period. The result of the implementation of this community service was the provision of health education and training regarding stroke physical exercises to prevent stroke. The evaluation result showed that the elderly cadres were able to carry out the stroke exercise properly and correctly without a model. Activities carried out during the implementation of community service were health education activities for the elderly, the implementation of routine stroke exercises by elderly cadres to the members of the integrated-service post, and the assessment of the knowledge level of cadres

Program Kemitraan Masyarakat Melalui Stimulasi Tumbuh Kembang Anak Usia Pra Sekolah Di Tk Dharma Wanita Desa Ngadisuko Kecamatan Durenan Kabupaten Trenggalek Wulandari, Dewi; Ixora, Ixora
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 8 No. 1 (2024): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v8i1.4206

Children's social development begins to become somewhat complex when children reach the age of 3 years, because children have begun to enter the most basic realm of education, namely kindergarten. Children's social development is obtained from maturity and learning opportunities from various environmental responses to children. Early childhood education is a form of effort to stimulate pre-school social development (Fajarwati, et al, 2020). A child's development is influenced by various factors which influence each other, including: the stimulation the child receives from infancy, the maturity of the child when receiving the stimulation, the innate characteristics of the child, the attitude of the parents towards the child or baby and the interaction between the parents and the child. . Developmental stimulation has never been carried out at the Dharma Kindergarten, Ngadisuko Village, Durenan District. Early childhood really needs developmental stimulation to achieve optimal growth and development. Therefore, activities to stimulate children's mental growth and development through therapeutic group therapy are deemed necessary to improve children's mental growth and development. Implementation of stimulation of children's mental growth and development through therapeutic group therapy. Based on this description, the service team will carry out Community Service regarding the stimulation of early childhood growth and development at the Dharma Wanita Kindergarten, Ngadisuko Village, Durenan District, Trenggalek Regency

PEMBERDAYAAN BAGI KADER LANSIA MELALUI SENAM OTAK DALAM PENCEGAHAN DEMENSIA DI WILAYAH KERJA PUSKESMAS TRENGGALEK wulandari, dewi; Niningasih, Rahayu; Ixora, Ixora
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 7 No. 2 (2023): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v7i2.3980

Trenggalek Health Center is a health center that innovates to provide services to the elderly. However, until now there has never been a Dementia examination in the elderly. Meanwhile, brain exercise is one of the activities that can prevent dementia. By training in brain exercises, the brain is invited to think actively and creatively so it is hoped that this can help strengthen brain abilities and memory. Therefore, brain exercises are good for elderly people who experience cognitive dysfunction such as dementia. The purpose of this Community Service is to provide additional knowledge about dementia and brain exercises to prevent dementia. This Community Service method is to provide counseling about dementia, measure dementia knowledge and demonstrate brain exercises. The participants were also given the opportunity to correctly demonstrate brain exercises. The results of Community Service show that there was a significant increase in knowledge before and after counseling was carried out. The application of brain gymnastics was carried out by participants in the elderly exercise group. The attendance of the participants was 100%, the participants were very enthusiastic in carrying out the brain exercise training.

Perbedaan Leukosit , Suhu Tubuh Pada Pasien Stroke Haemoragik Dengan Non Haemoragik Awan, Awan Hariyanto; Wulandari, Dewi; Ixora; Mimik
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol 3 No 2 (2024): SPIKesNas Mei 2024
Publisher : STIKES dan AKZI Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar

A stroke can have a physical and psychological impact, as well as infection due to blockage or rupture of blood vessels which can affect the body's immune system. The body's immune system that can be influenced by infection includes leukocytes and body temperature. This research method uses non-experimental correlational-cross-sectional. The population of this study is all adult patients who have had a stroke and are hospitalized in the stroke unit of the Regional Hospital. Dr. Soedomo Trenggalek with a sample size of 30 respondents met the inclusion and exclusion criteria. Normality test data analysis using Kolmogorov Smirnov, bivariate analysis of unpaired groups using the Man-Whitney test with a significance level ≤ 0.05. The results showed that there was no significant difference in leukocyte values between hemorrhagic and non-hemorrhagic stroke patients (p) 0.902 > 0.05 and no significant difference in body temperature (p) 0.512 > 0.05 between hemorrhagic and non-hemorrhagic stroke patients. This study concludes that in hemorrhagic stroke patients and hemorrhagic stroke, there is no significant difference in the value of the infectious immune system in terms of the results of blood leukocyte examination and body temperature.

Pemberdayaan Masyarakat Bagi Kader Lansia Dalam Penguatan Ems (Emergency Medical System) Psc (Public Safety Center) 119 Dalam Peningkatan Manajemen Prehospital Pasien Stroke Di Desa Karangsoko Di Wilayah Kerja Puskesmas Trenggalek Kabupaten Trenggalek Yuswantoro, Edi; Ixora, Ixora; Christiani, Mimik
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 8 No. 2 (2024): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v8i2.4191

Stroke ( CVA) is the second leading cause of death and the third leading cause of disability in the world. The increase in death and disability rates is caused by delays in treating stroke due to hospital delays. The result of the study showed that the time from the onset of a stroke to a visit to the hospital was the biggest contributor to delays in stroke treatment from the start of the attack, a preliminary study conducted at the trenggalek community health center in 2020 showed that the number of stroke incidents in the trenggalek community health center work area tended to increase from 131 cases in 2020 to i43 cases and 51 cases (36%) came from karangsoko village. The incidence of hypertension in karangsoko village is the highest, namely 335 cases (30%) out of 1.136 cases. Data on the incidence of hypertension shows that residents are at risk of stroke. Hypertension is the most important and consistent risk factor. The introduction of stroke and activation of the emergency medical system (EMS) through detection, dispatch and delivery for prehospital stroke treatment is expected to reduce the number of disabilities and deaths due to stroke attacks due to delays in the prehospital emergency medical system (PSC) is the main part of the SPGDT which organizes coordination and emergency services located at the city district level, based on this description, it is necessary to carry out community service regarding strengthening the EMS ( Emergency medical system) PSC (Public safety center) 119 in improving the prehospital management of stroke patients in karangsoko village.

COMMUNITY EMPOWERMENT PROGRAM THROUGH STIMULATION OF THE GROWTH AND DEVELOPMENT OF PRE-SCHOOL CHILDREN Wulandari, Dewi; Ixora, Ixora; Yulidaningsih, Elok
SYNTHESIS Global Health Journal Volume 2, Issue 2, 2024
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v2i2.96

Background. Children's social development begins to be rather complex when children reach the age of 3 years, because children have begun to enter the most basic educational realm, namely kindergarten. Children's social development is obtained from maturity and learning opportunities from various environmental responses to children. Early childhood education is one form of effort to stimulate pre-school social development. Children's development is influenced by various factors that influence each other, including: stimulation received by children since infancy, the maturity of children when receiving stimulation, the innate characteristics of children, the attitude of parents towards children or babies and interactions between parents and children. Community purpose was to increase knowledge, insight and skills regarding stimulating growth and development in parents and pre-school age children. Implementation Method. The community service method is pre and post test, counseling on stimulation of growth and development of preschool children, training (training on how to stimulate growth and development of preschool children) for parents and teachers. The number of respondents targeted in this community service activity was 30 people at Dharma Wanita Kindergarten, Ngadisuko Village, Durenan District, Trenggalek Regency. Findings. The results of community service based on observation and evaluation are an increase in the knowledge and skills of parents and kindergarten teachers regarding the stimulation of the growth and development of preschool children. Conclusion. Community service provides benefits to parents of toddlers and kindergarten teachers. Parents and kindergarten teachers have the knowledge and skills to stimulate the growth and development of preschool children.

COMMUNITY EMPOWERMENT PASSIVE ROM (RANGE OF MOTION) TRAINING ON REHABILITATIVE POST-STROKE PATIENTS Ixora, Ixora; Wulandari, Dewi; Yulidaningsih, Elok
SYNTHESIS Global Health Journal Volume 3, Issue 1, 2025
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v3i1.115

Background. Stroke is a non-communicable disease, and the number of cases continues to increase every year. Proper treatment after a stroke determines the patient's maximum recovery rate. Until now, the incidence of stroke continues to increase, which is due to the lack of information among post-stroke patients about stroke care at home. Most of them only get information regarding stroke nutritional diets, even though they also have to be trained physically, one of which is ROM (Range of Motion). This Community Service activity aims to improve the knowledge and behavior of elderly cadres at the Bandung community health center. Implementation Method. Community service methods are pre-test and post-tests, with activities ranging from counseling about stroke and how to prevent stroke, outreach, ROM training for rehabilitation of post-stroke patients, assistance with ROM training, and evaluation of elderly posyandu cadres. The number of respondents targeted for this community service was 50 health cadres and the elderly in Suruhan Kidul village, Bandung Community Health Center working area, Tulungagung District. Findings. The result of community service based on observation and evaluation is an increase in the knowledge and skills of health cadres and the elderly regarding rehabilitative actions for stroke patients (ROM). Conclusion. Community service in the form of counseling and training carried out in Suruhan Kidul Village, Bandung Community Health Center working area, Bandung District, Tulungagung Regency, generally provides benefits to health cadres and the elderly. Cadres and the elderly have the knowledge and skills for stroke rehabilitation (ROM).

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