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PENERAPAN RANGE OF MOTION (ROM) KOMBINASI HEAD OF BED PADA PASIEN STROKE ISKEMIK DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK DI RUMAH SAKIT SURABAYA Ernawati, Yayuk; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.74

Abstract

Background: Stroke patients often experience hemiplegia or hemiparesis. Proper treatment can help the healing and recovery process. Objectives: This study aims to provide an overview of the implementation of the combination of Range of Motion (ROM) and Head of Bed (HOB) Elevation in ischemic stroke patients with impaired physical mobility in patient Mrs. L in Room Y, Surabaya Hospital. Methods: This type of research is descriptive, using a case study approach. Nursing care was provided from June 4 - June 6, 2025. The results of the assessment on Mrs. L had a stroke with hemiparesis. The nursing problems obtained were decreased intracranial adaptive capacity, impaired physical mobility, and risk of falling. The interventions given were head up 30 ⁰, Range of Motion, and education of patients falling. Results: The application of a combination of Range of Motion and Head of bed elevation with impaired physical mobility significantly helps the healing and recovery process in stroke infarction patients. Conclusion: Evaluation of nursing problems shows that the nursing diagnosis of decreased intracranial adaptive capacity and impaired physical mobility is partially resolved with increased muscle strength from 1 to 2 and increased range of motion, and the patient does not fall.
MOTOR IMAGERY TRAINING FOR MOTOR RECOVERY IN LEFT HEMIPARESIS POST-STROKE: A SHORT-TERM CASE STUDY Taufiq, Isa; Septianingrum, Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.76

Abstract

Background: Stroke remains one of the leading causes of long-term disability worldwide, with hemiparesis being the most common motor deficit. Hemiparesis on the dominant side, such as sinistra hemiparesis, greatly impairs daily function. Motor Imagery Training (MIT) is a cognitive-based therapeutic approach that stimulates motor-related cortical areas through mental rehearsal of movement, offering a non-invasive, low-cost intervention to promote neuroplasticity during stroke rehabilitation. Objectives: This case study aims to evaluate the short-term effects of a 4-day Motor Imagery Training intervention on a post-stroke patient with hemiparesis sinistra, focusing on motor function improvement and cognitive engagement. Methods: Mrs SA, a 66-year-old female with a history of uncontrolled hypertension and prior stroke, presented with left-side weakness, facial asymmetry. The patient underwent MIT sessions for four consecutive days (30 minutes/day), guided by auditory scripts and visual imagery techniques targeting upper limb function. Motor performance was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and the Medical Research Council (MRC) scale. Results: After four MIT sessions, the patient demonstrated improved motor strength (MRC 4-/5), increased FMA-UE score from 29 to 36, and enhanced focus and engagement. Subjectively, the patient reported increased motivation and perceived movement initiation. These findings suggest early cortical activation and functional gains, even within a limited intervention period. Conclusion: This case supports existing evidence on the effectiveness of MIT in promoting neurofunctional recovery in stroke rehabilitation. Despite its brief duration, MIT contributed meaningfully to motor recovery and psychological readiness. Motor imagery is feasible for early rehabilitation and can be tailored to settings with limited resources.
The Relationship Between Perfectionism and Non-Suicidal Self Injury Incidents Among Nursing Students Wulandari, Maharani Suci; Budury, Syiddatul; Soleha, Umdatus; Sharoni, Siti Khuzaimah Ahmad
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.73-79

Abstract

Students with perfectionistm personalities tend to always want to look perfect, so they are at high risk of experiencing despair, shame, anger, and depression. This condition often triggers Non-Suicidal Self Injury (NSSI) behavior as a way to vent or suppress emotions, which can cause body damage and the risk of infection. This study aims to analyze the Relationship between Perfectionist Personality and NSSI Incidents in Nursing Undergraduate Students. This study uses a cross-sectional approach. The population of this study were 160 undergraduate nursing students at Semester 7. The sample obtained 115 respondents using proportionate stratified. Data collection used the Hewitt and Flett Multidimensional Perfectionism Scale and the Inventory of Statements About Self Injury. Data analysis used the Spearman test with a significance level of α = 0.01. The results of the study were obtained from 115 respondents, almost half of which 40 (34.8%) respondents had a very high perfectionism personality, and almost half of which 55 (47.8%) respondents had very low Non-Suicidal Self Injury behavior. Based on the results of the Spearman test, the value of ρ = 0.000 was obtained, which means that there is a relationship between Perfectionism Personality and Non-Suicidal Self Injury Incidents among nursing students. The high level of perfectionism in nursing students, accompanied by low levels of NSSI, indicates that most of them have adaptive behavioral patterns. This means that even though they tend to be perfectionists, they are able to manage stress without engaging in destructive behavior. It is expected that the University will strengthen the counseling or campus psychologist services by holding regular counseling sessions that are scheduled regularly. This can help students cope with stress, anxiety, and other mental health issues, including preventing perfectionism personality and NSSI behavior.
Unveiling Bullying Dynamics in Islamic Boarding Schools for Adolescent Mental Health Promotion Khamida, Khamida; Fitriyah, Fifi Khoirul; Hidaayah, Nur; Fitriasari, Andikawati; Algristian, Hafid; Soleha, Umdatus; Iskandar
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.8-13

Abstract

Background: Islamic boarding schools as educational institutions that teach religious morals as a basis for behavior should be a safe and comfortable place of education for students. There should be no more violence occurring in Islamic boarding schools, but in fact, recently there has been a lot of news about incidents of violence or bullying occurring in Islamic boarding schools. Islamic boarding schools are expected to provide a safe environment for students while fostering religious and moral values. However, incidents of bullying continue to occur within these institutions, highlighting a gap between expected and actual student experiences. Objective: This study aimed to analyze the factors that influence bullying incidents in an Islamic boarding school environment. Methods: A cross-sectional study was conducted at Al-Hidayah Islamic Boarding School, Sidoarjo, involving 109 students selected through simple random sampling (10% of the population). Independent variables included age, gender, school level, length of stay, and peer perception, while the dependent variable was bullying incidence. Data were collected using a validated and reliable questionnaire and analyzed using multiple linear regression at a significance level of 0.05. Results: The results indicated that 68.8% of respondents were in early adolescence (12–16 years), 60.6% were male, and 52.3% had stayed at the boarding school for over 35 months. Additionally, 68.8% of respondents had negative perceptions of their peers. The regression analysis yielded a significance value of 0.004 (p < 0.05) with an R-square of 15.4%, indicating that all independent variables jointly influenced bullying incidents. Conclusion: Age, gender, school level, length of stay in the boarding school, and peer perceptions collectively influence bullying behavior among students. These findings highlight the need for boarding school administrators to implement policies and interventions that address these contributing factors to reduce bullying prevalence.
Stabilizing Blood Sugar Levels in Type 2 DM Patients by Providing Benson Relaxation Therapy Combined with Dhikr Based on Self-Care Orem Zahrotul Jannah; Umdatus Soleha; Abdul Muhith
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.421

Abstract

Background: People with diabetes mellitus experience hyperglycemia, the higher the likelihood of complications if do not get the right treatment immediately. In addition, people with diabetes mellitus are prone to stress because the disease is difficult to cure and patients must take medications every day. Therefore, proper management is needed. Purpose: The purpose of this study is to determine the effect of self-care orem-based dhikr combination benson relaxation therapy  on blood sugar levels in type 2 diabetes mellitus patients in the Ujungpangkah Gresik Health Center Working Area. Method: This type of research uses Quasy Experiment with Pretest Posttest Control Group Design. The sample in this study was 46 respondents, which were divided into 2 groups, namely 23 respondents for the control group and 23 respondents for the intervention group. The independent variable of this study was benson relaxation therapy combined with dhikr, while the dependent variable was blood sugar levels. The data were analyzed using paired T-Test and Independent T-test tests on blood sugar level variables with kemaknaan α=0,05. Results: The results of the independent t-test on the variable of blood sugar levels with a significant level of 0.000 < α = 0.05, showed that there was an effect of the administration of benson relaxation therapy combined with dhikr on blood sugar levels in type 2 DM patients. Conclusion: The conclusion of this study is that benson relaxation therapy combined with dhikr has an effect on blood sugar levels in patients with type 2 diabetes mellitus. In the future, it is hoped that health workers can increase the provision of information and education evenly to health service places.
Combination of Pillow Use 30° and Sleeping Position on the Left Side Prevention Gastroesophageal Reflux based on Theory of Comfort: Study in Post-Egd Gerd Patients Lya Marliana; Umdatus Soleha; Wesiana Heris Santy
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.550

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Background: Patients with suspected gastroesophageal reflux disease (GERD) often experience recurrent gastroesophageal reflux, where stomach contents repeatedly rise into the esophagus, causing disturbing symptoms. Purpose: Based on the results of the 2018 Riskesdas, the triggers for GERD were smoking prevalence in the population aged 10-18 years from 8.8% to 9.1% and the proportion of consumption of alcoholic drinks and types of alcoholic drinks in the population aged 10+ years from 3% to 3.3%. Comforting intervention is needed in nursing intervention by providing a combination of using a 30° pillow and left side sleeping position for GERD patients. According to Kolkaba, the level of comfort that can meet basic human needs is at the level of transcendence comfort. Methods: The method used is true experimental with a pretest-posttest control group design approach. This design involved two groups, namely the intervention group using a combination of using a 30°pillow and sleeping on the left side and the control group. Results: Data collection was carried out using questionnaires, direct observation and medical records. Conclusion: Based on the test results using Mann Whitney, a p value of 0.000 was obtained, where the value was <0.05, which means there was a difference in the gastroesophageal reflux score between the treatment and control groups in the delta/change data, where based on the mean value, the gastroesophageal reflux score for the treatment group had a decrease in score. Greater than the control group when delta/change data.
Increasing Knowledge Through Health Education About 3m To Prevent DHF (Dengue Haemoragic Fever) Amanda Indrika, Elke; Sulaiha, Siti; Soleha, Umdatus; Faizah, Imamatul; Kamariyah, Nurul
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

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

Abstract

Dengue fever is a disease transmitted by mosquitoes and occurs in tropical and subtropical regions worldwide. Mild dengue fever causes high fever and flu-like symptoms. Prevention of dengue fever can be done by providing knowledge about its prevention, namely through the 3M approach. This community service implementation aims to educate about the prevention of dengue fever. The method used is by providing health education through pre-tests and post-tests to families and patients. This activity was carried out during March 2023 in Room Azzahra 1, Jemursari Hospital, Surabaya. The research results show that the activity has achieved the intended objectives, which include participants actively participating in the activity, a significant difference between pre-tests and post-tests, and participants providing feedback during the counseling session. The conclusion of this research is that providing education on the 3M approach effectively enhances participants' knowledge in the prevention of dengue fever.
Relationship of Lipid Profiles to Stroke Patients: Systematic Review Nurhayati Puspita, Uci; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.207

Abstract

Background: Stroke is the second leading cause of death and a major contributor to disability worldwide, with the highest prevalence in developing countries. Ischemic stroke is the most common type, caused by blood flow obstruction due to blood clots or fatty plaque accumulation (atherosclerosis). Hemorrhagic stroke, on the other hand, occurs due to blood vessel rupture and bleeding in the brain. This systematic review aims to explore the relationship between lipid profiles and stroke incidence. Methods: This study employed a systematic review approach using the PRISMA methodology. Articles were sourced from databases including Google Scholar, PubMed, ScienceDirect, and Cochrane Library, focusing on publications from 2019 to 2024. Keywords used for the search included "lipid profile," "stroke," "ischemic stroke," and "hemorrhagic stroke." A total of 2,556 articles were identified, and after screening and selection, 9 relevant articles were included for review. Results: The systematic review findings indicate a significant relationship between lipid profiles and the occurrence of stroke. Elevated lipid levels, particularly abnormal cholesterol and triglyceride levels, are associated with an increased risk of ischemic and hemorrhagic strokes. Conclusion: This systematic review confirms a significant association between lipid profiles and stroke incidence. Elevated lipid levels increase the risk of both ischemic and hemorrhagic strokes. Early screening and management of lipid profiles through lifestyle changes and appropriate treatments are essential for stroke prevention. Further research should evaluate the effectiveness of targeted lipid-lowering strategies in reducing stroke risk.
Rehabilitation With Bridging Exercise In Stroke Patients: Systematic Review Fauziah Rochmah, Ardianti; Septianingrum, Yurike; Lono Wijayanti; Umdatus Soleha
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.209

Abstract

Background: Stroke is a neurological disease that can result in weakness in part or all of the body, emphasizing the importance of early mobilization in post-stroke recovery. One of the fundamental physical exercises recommended is the bridging exercise. This article evaluates the impact of bridging exercises on stroke patients through a systematic review approach, focusing on their potential to improve rehabilitation outcomes. Methods: The methodology involved a systematic review of studies from 2020 to 2024, using journal databases such as Google Scholar, Science Direct, and PubMed. Keywords like "Bridging exercise," "Stroke," "Stroke patients," "Rehabilitation," "Muscle strength," and "Body balance" guided the search. Articles included in the review were in English and selected based on PRISMA guidelines, resulting in seven eligible studies for analysis. Results: The results of this review highlight that bridging exercises significantly improve muscle strength and body balance among stroke patients. The exercises demonstrated a positive influence on patients' rehabilitation progress, contributing to better physical and functional health outcomes. Conclusion: In conclusion, bridging exercises serve as an effective intervention in stroke rehabilitation, promoting early mobilization and improving post-stroke recovery. Encouraging stroke patients to incorporate these exercises into their rehabilitation routines could enhance overall health and functional capabilities.
Efektivitas Senam Bugar Tehadap Insomnia Pada Lansia di Kelurahan Tambak Sawah Sidoarjo Rohmawati, Riska; Sari, Ratna Yunita; Faizah, Imamatul; Soleha, Umdatus
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.86

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As we get older, the need for sleep in most elderly people tends to decrease. The purpose of the study is to analyze the effect of yoga exercises on insomnia in the elderly in the Sidoarjo Add Sawah Village. This type of research uses a pre-experimental design with one group pretest - posttest design, using a sampling technique that is a total sampling of 30 respondents. 15 groups and 15 intervention groups. Giving fit exercise is done three times a week, in the morning. Data was collected using insomnia rating scale questionnaire before it was done and after the intervention. Then the data were analyzed by Willcoxon and Mann Whitney tests. The results showed that fit exercise was significant in insomnia levels. The results of the test analysis obtained p count of 0.002 in the intervention group and 0.317 in the control group. This means that fit exercise three times a week can reduce insomnia levels in the elderly in the village of Tambak Sawah Sidoarjo. The conclusion of the research shows that fit exercise can reduce insomnia level, for that reason, it should be better in Tambak Sawah village in Sidoarjo to do fitness fit so that the elderly do not experience insomnia.Keywords: Insomnia, Exercise Fitness, Elderly
Co-Authors -, SITI NURJANAH Abdul Muhith Achmad Hidayatullah Achsan Tudhonny Adirson Barbosa De Oliveira Afiyah, R. Khairiyatul Afrizal Nur Kadir Agustin, Dian Rahmawati Ah Yusuf, Ah Algristian, Hafid Amanda Indrika, Elke Amansyah Tohari, Delly Anastasia Mampesi Andini, Ary Anie Tri Indiartinie Anisah, Choirun Arvino Aprilian Bambang Edi Suwito Budi Prasetyo Budiarti, Rizqi Putri Nourma Budury, Syiddatul Chatarina Umbul Wahyuni Choirun Anisah Danny Irawan Delly Amansyah Tohari Diana Mufidati Diana Mufidati Difran Nobel Bistara Elok Tamarah Endang Sulistiyani Eppy Setiyowati Erika Chandra Dewi Ernawati, Yayuk Fauziah Rochmah, Ardianti Fifi Khoirul Fitriyah Firdaus Firnanda Erindia Fitriasari, Andikawati Heris Santy, Wesiana Hidaayah, Nur Ikhsan, Muhamad Nur Ilmi, Miftachul Imamatul Faizah Ira Trio ISKANDAR Ismatika Ismatika Ismatika, Ismatika Kamariyah, Nurul Khamida Khamida Khamida, Khamida Khusnah, Hidayatul Latifatul Muna Leticia Freitas Babo Lya Marliana M. Shodiq Mawarda Hatmanti, Nety Meidyta Sinantryana W Milaningrum, Kartika Misutarno, Misutarno Mufidati, Diana Muhammad Bagus Qomaruddin Muhammad, Akbar Reza Mulyadi Mulyadi Muna, Latifatul Nadatien, Ima Noer Farakhin Noventi, Iis Nur Ainiyah Nur Fadlilah Nur Fadlilah, Nur Nurhayati Puspita, Uci Nurjanah, Siti - Nursalam Nursalam Nyoto Nyoto Nyoto Nyoto, Nyoto Putri, Dini Firdiana Putri, Rahmadaniar Aditya Ratna Yunita RatnaYunita Sari Riyan Sisiawan Putra Rizki Amalia Rizki Amalia Rohmawati, Riska RR Dian Tristiana Rusdianingseh S.Pd. M Kes I Ketut Sudiana . Sari, Ratna Yunita Septianingrum , Yurike Septianingrum, Yurike Setiawan, M. Arif Helmi Sharoni, Siti Khuzaimah Ahmad Sigit Mulyono Singgih Singgih Siti Hardiyanti Siti Nurjanah SITI NURJANAH SITI NURJANAH - Siti Nurjannah Sri Hartatik Sri Hartatik Sudarianik, Sudarianik Sulaiha, Siti Sulistiyani, Endang Sulistiyawati, Sri Taufiq, Isa Umi Hanik Umi Hanik Wahyu Pranoto Wardani, Erika Martining Wijayanti, Lono Winawati Eka P Winoto, Priyo Mukti Pribadi Wulandari, Maharani Suci Wulandari, Mei Yanis Kartini Zahroh, Chilyatiz zahrotul jannah