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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

Pengaruh Terapi Musik Dan Terapi Murottal Alquran Secara Audiovisual Terhadap Peningkatan Kekuatan Otot Dan Penurunan Kecemasan Pada Pasien Stroke Menjalani Latihan ROM Pasif Di Ruang Unit Stroke RSUD Dr. Soedomo Trenggalek Ixora Ixora; Dewi Wulandari; Rahayu Niningasih
Jurnal Keperawatan Terapan Vol 9 No 1 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i1.3796

Strokes can have an impact on various body functions, one of which is paralysis or problems controlling movement associated with muscle strength. These conditions can lead to discharge in stroke patients. One of the distraction techniques that can be used is Murottal Al-Quran. Murotal therapy which aims to help express feelings, assist with physical rehabilitation, have a positive effect on conditions, moods and emotions and reduce the level of feelings in patients. The aim of this study was to analyze the effect of music therapy and murrotal therapy audiovisual on increasing strength and reducing reduction in stroke patients undergoing ROM exercises in the Unit Stroke room of Dr. Soedomo. The research was carried out in the Unit Stroke room of Dr. Soedomo. Quasy Experiment research design with control group pretest-posttest design. The independent ROM therapy research variables and Al-Qur'an murottal music therapy, the dependent variable increased muscle strength and decreased reduction in stroke patients. The study population was all post-stroke patients at dr. Soedomo Trenggalek. The sampling technique used purposive sampling with a sample size of 30 people. Data were analyzed using independent sample t test and paired sample t test. The results obtained: There is a difference in the strength of the right hand muscle between before and after ROM exercise (p value 0.473> 0.05), there is no difference in left hand muscle strength between before and after ROM exercise (p value 0.493> 0.05), no There was a difference in right leg muscle strength between before and after ROM training (p value 0.772> 0.05), there was no difference in left leg muscle strength between before and after ROM training (p value 0.168> 0.05). As for anxiety, it was found that there was a difference in anxiety between before and after ROM therapy (p value 0.772> 0.05). There is a difference in right hand muscle strength between before and after ROM exercise and music murrotal Al-Quran therapy (p value 0.000 <0.05), there is a difference in left hand muscle strength between before and after ROM training and music murrotal Al-Quran therapy (p. value 0.000 <0.05), there is a difference in right leg muscle strength between before and after ROM training and Al-Quran murrotal music therapy (p value 0.000 <0.05), there is a difference in left leg muscle strength between before and after ROM training and music therapy murrotal Al-Quran (p value 0.000 <0.05). As for anxiety, it was found that there was a difference in anxiety between before and after ROM therapy and murrotal Al-Quran music therapy (p value 0.000 <0.05). There was a difference in right hand muscle strength between ROM exercises and Al-Quran murrotal music therapy (p value 0.000 <0.05), there was a difference in left hand muscle strength between ROM exercises and Al-Quran murrotal music therapy (p value 0.000 <0.05). ), there is a difference in right leg muscle strength between ROM exercises and music therapy murrotal Al-Quran (p value 0.000 <0.05), there is a difference in left leg muscle strength between ROM exercises and Al-Quran murrotal music therapy (p value 0.000 <0 , 05). As for anxiety, it was found that there was a difference in anxiety between ROM therapy and Murrotal Al-Quran music therapy (p value 0.000 <0.05).

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.

The Effect of Audio Visual Education Range of Motion on Family Motivation in increasing muscle strength through ROM training in post-stroke patients at home: Audio Visual Education Range of Motion on Family Motivation Ixora, Ixora; Wulandari, Dewi; Niningasih, Rahayu; Yuswantoro, Edi
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.4198

: Family support during the rehabilitation phase is very much needed in order to improve the quality of life of post-stroke patients. Poor delivery of information and coordination between health teams causes family knowledge about disease management to be incomplete. Counseling and education is one of the pillars of managing stroke patients. The nurse's obligation is to provide education and ensure the transition of care to the family as a care agent for the patient at home. Identification of family members for educational purposes requires paying attention to educational background and productive age level. This research aims to examine the influence of health education about ROM on family motivation in carrying out ROM in stroke infarction patients in the family. The research design used is Quasi Experimental Design using a one group model pre test - post test design. The population in this study were all families of stroke patients in the Durenan Community Health Center Working Area.The research results showed that before health education regarding ROM was carried out, there were 25 respondents (83.3%) who had sufficient motivation to carry out ROM in stroke infarction patients. After health education about ROM, there were 20 respondents (66.7%) who had the motivation to carry out ROM in stroke infarction patients in the good category. The results of quantitative data analysis using the Wilcoxon signed ranks test statistic with the help of the SPSS computer program can be interpreted as statistical test results with a significance of 0.05 resulting in a value of P Value = 0.000 which is smaller than the value of a = 0.05 (0.000 < 0.05) so that H0 rejected and H1 accepted, which means there is an influence of health education about ROM on family motivation in carrying out ROM for infarction stroke patients in the Durenan Community Health Center Working Area.In accordance with the research instrument carried out by the researchers, it was found that after health education about ROM was carried out using audio-visual media, it was found that there was an increase in family motivation in carrying out ROM for family members who had suffered a stroke. This needs to be given attention and efforts must be made so that health workers can continue to provide health education about ROM to patient families so that families can be motivated and play an active role in helping to carry out ROM for family members who suffer from stroke.

EFFECT OF APPLYING SLOW DEEP BREATHING TECHNIQUE WITH YLANG AROMATHERAPY ON LOWERING BLOOD PRESSURE AND ANXIETY LEVELS: PENGARUH PENERAPAN TEKNIK SLOW DEEP BREATHING DENGAN AROMATERAPI KENANGA TERHADAP PENURUNAN TEKANAN DARAH DAN TINGKAT KECEMASAN Christiani, Mimik; Ixora, Ixora; Rahmawati, Putri Sintya
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4312

In stroke sufferers, anxiety can trigger an increase in blood pressure. A slow deep breathing exercise is an action carried out consciously to regulate breathing slowly and deeply to create a relaxing effect. One of the relaxation techniques is giving aromatherapy in the sufferer's environment it can create a comfortable atmosphere and provide a positive influence. The research aimed to determine the effect of applying the slow deep breathing technique with ylang-ylang aromatherapy to reduce blood pressure and anxiety levels in stroke patients in the Stroke Unit of Dr Soedomo Trenggalek Hospital. The design of this research was descriptive and quantitative with experimentation. The research was carried out using the Intact Group Comparison pre-experiment method by dividing the variables into two groups, namely the experimental group and the control group. The statistical test resulted in the slow deep breathing exercise group with ylang-ylang aromatherapy affected reducing systolic and systolic blood pressure with a p-value of 0.000 (<0.05) and the statistical test resulted on the slow deep breathing exercise group showed a change in reducing systolic blood pressure and diastolic with a p-value of 0.000 (<0.05). Based on the result, it was concluded that there were differences in the average reduction in blood pressure and anxiety levels between the exercise intervention groups slow deep breathing with Ylang Ylang aromatherapy and the slow deep breathing exercise intervention group. The use of slow deep breathing using Ylang Ylang aromatherapy was more effective in reducing blood pressure and anxiety levels experienced by patients.

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