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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

Abstract

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

Abstract

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.
The Effect of Observational Education About Stroke on Family Function in Preventing Recurrent Stroke: observational education, stroke, family function Wulandari, Dewi; Ixora, Ixora; Hariyanto, Awan; Yuswantoro, Edi
Jurnal Keperawatan Terapan Vol 10 No 02 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i02.4217

Abstract

Stroke is one of the causes of death and disability in both urban and rural areas. Stroke is caused by reduced blood flow to the brain which lasts for several seconds to several minutes, where if it occurs for more than a few minutes an infarction will occur in the brain tissue. The aim of the research is to determine the effect of observational education about stroke on family function in preventing recurrent strokes in family members who suffer from stroke. The research was carried out in the Baruharjo Community Health Center Work Area. Quasy Experimental research design with control group pretest-posttest design. The independent variable is Observational stroke education while the dependent variable is family function. The research population was all families of stroke patients in the Baruharjo Community Health Center Working Area. The sampling technique uses purposive sampling with a sample of 30 people. Data were analyzed using the Wilcoxon test. The research results showed that before observational education about stroke was carried out, the majority (17 respondents or 56.7%) had family function in preventing recurrent stroke in the sufficient category. Meanwhile, after observational education about stroke was carried out, almost all respondents (29 respondents or 96.7%) had the family function in preventing recurrent strokes in family members who suffered stroke in the good category. The results of quantitative data analysis using the Wilcoxon signed ranks test using the SPSS program showed that the statistical test results had a p value of <0.000 which was smaller than the value of p= 0.05. The family plays a very important role during the post-acute stage of care for stroke patients in hospital to meet daily care and rehabilitation needs. Caring for patients with stroke is a serious matter. Families, whatever their age and circumstances, need information, education and social support to be able to carry out patient care and be able to adapt to their new roles.
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

Abstract

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).
Analysis of Factors Related to the Role of Nurses as Care Givers in the Implementation of Patient Safety: Analisis Wulandari, Dewi; Ixora, Ixora
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5435

Abstract

Nurses in carrying out their role as care givers have the task of caring for patients, making decisions, communicating and collaborating with other health teams. The Emergency Room is part of the hospital that provides initial treatment for patients. The implementation of patient safety carried out by nurses is a form of compliance in every action or interaction with patients in accordance with a compliance theory or known as the "Compliance Model" (Charles et al, 2003). The design in this study was analytical observation using a cross-sectional approach. This study was conducted in the Emergency Room of Dr. Soedomo Trenggalek Hospital in March - April 2019. The population in this study were all nurses in the Emergency Room of Dr. Soedomo Trenggalek Hospital as many as 30 people with the sample being nurses in the Emergency Room of Dr. Soedomo Trenggalek Hospital. The sampling procedure was carried out using total sampling. The researcher used an instrument in the form of a questionnaire. The factor that most influences the role of nurses as care givers in implementing patient safety through the compliance model approach in the Emergency Room is the nurse's attitude. Hospitals are required to provide continuous education and training, periodic socialization of training results to improve the knowledge and skills of officers in implementing patient safety so that it has an impact on optimal nurse performance. Patient safety as a global issue must be included in the education curriculum and become a target for student competency achievement so that new nurses can implement patient safety.
Effect of Audio Visual ROM Education on Family Attitude and Motivation in Post-Stroke Care Ixora; Dewi Wulandari
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

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

Abstract

Stroke is a major cardiovascular disease globally, contributing significantly to mortality and disability, with an incidence rate of 12.1 cases per 1,000 population in Indonesia in 2018. Family support is crucial during the rehabilitation phase, but inadequate information often leads to incomplete family knowledge regarding disease management. Objective: This study aimed to analyze the effect of Audio Visual Education (AVE) about Range of Motion (ROM) training on the attitude and motivation of family caregivers in performing home ROM exercises for post-stroke patients. Methods: This research employed a Quasi-Experimental Design using a one-group pre-test post-test model, with a sample of 30 family caregivers selected through purposive sampling. The intervention delivered was AVE focused on ROM techniques, the Wilcoxon Sign Rank Test was used to compare pre- and post-test scores. Results: The findings demonstrated a significant positive effect on both family attitude (P-Value = 0.001) and motivation (P-Value = 0.000). The proportion of negative attitudes decreased from 63.3% to 0.0% post-intervention, while strong motivation increased dramatically from 26.7% to 93.3% after the intervention. Conclusion: Audio Visual Education on ROM exercises is highly effective in significantly improving the attitude and motivation of family caregivers in post-stroke patient care
Co-Authors Awan Hariyanto Awan Hariyanto, Awan Awan, Awan Hariyanto Christiani, Mimik Dewi Wulandari Dewi Wulandari Dewi Wulandari Dewi Wulandari Edi Yuswantoro, Edi Mimik Niningasih, Rahayu Rahayu Niningasih Rahayu Niningasih Rahayu Niningasih Rahmawati, Putri Sintya Yulidaningsih, Elok