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Program Kemitraan Masyarakat Bagi Kader Lansia Dengan Pelatihan Rom (Range Of Motion) Pasif Pada Tindakan Rehabilitatif Pasien Stroke Di Wilayah Kerja Puskesmas Bandung Kabupaten Tulungagung ixora, Ixora ixora; Wulandari, Dewi; Niningasih, Rahayu
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.v8i1.4193

Stroke is a non-communicable disease with cases that continue to occur increasing every year, appropriate treatment after a stroke really determines the patients maximum recovery rate. Until now, the incidence of stroke continues to increase, this is due to the lack of infotmation among post stroke patients about stroke care at home, most of them only get information regarding stroke nutrition, even though physically they also have to be trained, one of which is ROM (Range Of Motion) The result of a preliminary study at the puskesmas bandung in january 2022 showed an increase in the incidence of stroke. This community service activity aims to improve the knowledge and behavior of elderly cadres at the puskesmas bandung, with activities ranging from counseling about stroke and how to prevent stroke, socialization, ROM training for rehabilitation of post stroke patients, assistance with ROM training and evaluation of elderly posyandu cadres, Rehabititation program stroke, like ROM exercises, aims to be able to move joints as optimally and widely as possible according to a persons ability and not cause pain in the joints being moved. Movement in the joints will cause increased blood flow into the joint capsule. When the joint is moved, the surface of the cartilage between the two bones will rub against each other. Cartilage contains many proteoglycans attached to hyaluronic acid wich is hydrophilic. Pressure on the cartilage will force water out of the synovial matrix. If the pressure stops, the water that has escaped into the synovial fluid will be drawn back carrying nutrients from the fluid. Based on this description, what will be implemented in this community service is training for elderly cadres. Key Words: Stroke, Physical Exercises,ROM, Elderly

PEMBERDAYAAN MASYARAKAT PEDULI STROKE DENGAN PEMBENTUKAN RINTISAN PUSAT HOME CARE STROKE DAN PELATIHAN HOME CARE STROKE DI KOTA TRENGGALEK hariyanto, awan; Christiani, Mimik; Niningasih, Rahayu
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.v8i1.4208

Stroke is a disease with a sudden onset and causes death and disability both in urban and rural areas. The consequences of a stroke in the community include paralysis of the upper and lower limbs, vision problems, difficulty speaking and difficulty swallowing, while the psychological impacts that can occur are frustration and irritability. Stroke home care services providing nursing care to stroke patients after post-hospital treatment with home care are very much needed by the family. This community service method includes holding Focus Group Discussions with stakeholders and training for stroke home care cadre participants. The offline home care stroke training method of bedside teaching is very effective in increasing knowledge and care skills for stroke patients from 12 cadre participants. After the training, 91.6% of cadre participants' knowledge of skills improved well. From the results of the Focus Group Discussion, the formation of stroke home care is really needed in society in form health facilities with permits in accordance with applicable regulations. Empowerment of the Stroke Care Community in Efforts to Establish Stroke Home Care which is carried out through training is very effective in increasing knowledge and understanding skills in stroke home care care and its establishment and operation requires in the form of health facilities with permits in accordance with applicable regulations.

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.

PEMBERDAYAAN MASYARAKAT PEDULI STROKE DENGAN PEMBENTUKAN RINTISAN PUSAT HOME CARE STROKE DAN PELATIHAN HOME CARE STROKE DI KOTA TRENGGALEK Awan, Awan Hariyanto; Christiani, Mimik; Niningasih, Rahayu
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

Stroke is a disease with a sudden onset and causes death and disability both in urban and rural areas. The consequences of a stroke in the community include paralysis of the upper and lower limbs, vision problems, difficulty speaking and difficulty swallowing, while the psychological impact that can occur is frustration and irritability which requires treatment after a stroke. Stroke home care services providing nursing care to stroke patients after post-hospital treatment with home care are very much needed by the family. This community service method includes holding Focus Group Discussions with stakeholders and training for stroke home care cadre participants. The offline home care stroke training method, bedside teaching, was very effective in increasing the knowledge and skills of caring for stroke patients among the 12 cadre participants. After the training, 91.6% of the cadre participants' knowledge of skills increased well. From the results of the Focus Group Discussion, the formation of stroke home care is very much needed in the community. form health facilities with permits in accordance with applicable regulations. Empowering the Stroke Care Community in Efforts to Establish Stroke Home Care which is carried out through training is very effective in increasing knowledge and understanding skills in stroke home care care and its establishment and operation requires in the form of health facilities with permits in accordance with applicable regulations.

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.

KAJIAN KEBUTUHAN LAYANAN HOME CARE PADA PASIEN POST HOSPITAL STROKE Hariyanto, Awan; Christiani, Mimik; Niningasih, Rahayu
Jurnal Keperawatan Karya Bhakti Vol. 11 No. 2 (2025)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.234

Abstrak Stroke merupakan defisit neurologis yang dikaitkan dengan adanya cedera fokal akut dari sistem saraf pusat (SSP) dan merupakan penyebab utama kecacatan dan kematian di seluruh dunia. Dampak yang ditimbulkan stroke adalah terjadi kelumpuhan anggota gerak atas maupun bawah, gangguan penglihatan, sulit bicara dan sulit menelan, dan dampak psikologis yang bisa terjadi adalah frustasi dan mudah tersinggung yang membutuhkan perawatan lanjutan pasca perawatan post hospital. Perawatan post hospital dapat berupa pelayanan baik medis maupun perawatan secara umum dalam bentuk home care untuk pemulihan dan mempertahankan kesehatan .pasien stroke .Desain penelitian menggunakan deskripstif kuantitatif , teknik pengambilan sampel dengan purposive sampling, jumlah sampel yang digunakan 30 responden. Analisis data menggunakan prosentase distrbusi frekuensi. Kebutuhan layanan home care pada pasien post hospital stroke yang dibutuhkan yaitu pemeriksaan medis secara umum, pemeriksaan cek tekanan darah rutin, layanan laboratorium sederhana cek asam urat, gula darah dan cholesterol, penyuluhan tentang diet makanan stroke, fisioterapi pasca serangan stroke, senam stroke sesuai kondisi pasien dirumah, layanan konsul ke dokter spesialis, layanan pijat relaksasi dan layanan penguatan spiritual. Pasien post hospital stroke membutuhkan layanan lanjutan home care stroke baik layanan medis oleh dokter maupun layanan perawatan.

FAMILY KNOWLEDGE ABOUT CARE FOR DIABETES MELLITUS PATIENTS IN THE TRENGGALEK COMMUNITY HEALTH CENTER WORK AREA Andini, Zevina Dwi; Yulidaningsih, Elok; Niningasih, Rahayu; Yuswantoro, Edi
SYNTHESIS Global Health Journal Volume 3, Issue 2, 2025
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v3i2.144

Background. Diabetes Mellitus (DM) is a chronic metabolic disease that imposes significant burdens on health care and the socio-economic aspects of communities. Family involvement as primary caregivers is crucial for effective DM management through activities such as diet regulation, medication reminders, and blood sugar monitoring. The family's knowledge of including its definition, causes, symptoms, and management, is vital for patient recovery. Misunderstandings about care practices can lead to poor glycemic control and hasten complications, primarily due to inadequate education and limited access to primary care. The purpose of this study was to determine family knowledge about care for patients with Diabetes Mellitus. Research Method. The research design used in this study was descriptive quantitative, with one variable, namely family knowledge about care for patients with diabetes mellitus. The sampling technique used was purposive sampling with a sample size of 24 people. The study was conducted from March 2, 2025, to March 22, 2025, in the Trenggalek Community Health Center work area, in Sambirejo Village. Findings. The results showed that family knowledge about care for DM patients in the Trenggalek Community Health Center work area in 2025, most (63%, 15 respondents) had good knowledge. Conclusion. Family knowledge about care for patients with diabetes mellitus, namely by strengthening family education programs at the community health center level, developing educational materials that are easy to understand, and practical coaching programs for the use of glucometers.

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