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All Journal Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Holistik Jurnal Kesehatan
Agung, Rizki Nugraha
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Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Pengaruh Intervensi Terapi Musik terhadap Tingkat Kecemasan pada Pasien Stroke Murtini, Sri; Agung, Rizki Nugraha; Yunitri, Ninik; Sofiani, Yani; Silistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14372

Abstract

ABSTRACT Stroke often leads to psychological impacts, including high levels of anxiety in patients. Uncontrolled anxiety can worsen health and hinder recovery. Music therapy, a non-pharmacological intervention, has been proven effective in reducing anxiety in stroke patients. Untreated post-stroke anxiety can affect long-term treatment processes. Music therapy uses music to achieve psychological effects on individuals. Implementing evidence-based nursing practice (EBNP) involves developing standard operating procedures (SOPs) to reduce anxiety in stroke patients through music therapy. The data analysis method used was RM ANOVA. Pre-tests and post-tests were conducted on all respondents, and then the results were compared. The number of respondents involved in the music therapy implementation was 20 respondents plus 10% for dropout risk, making a total of 22 stroke patients at the National Brain Center Prof. Dr. Mahar Mardjono East Jakarta. The EBNP implementation was carried out for 20 days, with instrumental music therapy being listened to once a day for two weeks, with a duration of 30 minutes. The health workers involved were seventh-floor nurses who were responsible for patient data collection in the E-Record Medical Records of RS PON, for patients who met the inclusion and exclusion criteria that had been determined beforehand. Music therapy significantly reduces anxiety levels (p-Value <0.001) in stroke patients with a large effect (Cohen’s d = 0.86). Posthoc analysis using the Tukey method showed a significant difference in anxiety levels in stroke patients between baseline measurements, mid-intervention, and immediate post-treatment (p-Value <0.001). The highest average change occurred between baseline measurements and immediate post-treatment (MD 7.35; p-Value <0.001). Keywords: Stroke, Music Therapy, Anxiety  ABSTRAK Stroke seringkali menyebabkan dampak psikologis, termasuk kecemasan yang tinggi pada pasien. Kecemasan yang tidak terkontrol dapat memperburuk kesehatan dan menghambat pemulihan. Terapi musik, intervensi non-farmakologis, telah terbukti efektif mengurangi kecemasan pada pasien stroke. Kecemasan pasca stroke yang tidak diatasi dapat mempengaruhi proses pengobatan jangka panjang. Terapi musik digunakan untuk mencapai pengobatan  efek-efek psikologis pada individu. Melakukan perawatan berbasis bukti (EBNP) melibatkan pembuatan standar prosedur operasional (SPO) untuk mengurangi kecemasan pada pasien stroke melalui terapi musik. Metode analisis data yang digunakan adalah RM ANOVA. Pre test dan post test dilakukan pada seluruh responden, kemudian hasilnya dibandingkan. Jumlah responden yang terlibat dalam penerapan terapi musik adalah 20 responden ditambah 10% untuk risiko dropout, sehingga total 22 pasien Stroke di RS Pusat Otak Nasional Prof. Dr. Mahar Mardjono Jakarta Timur. Penerapan EBNP dilakukan selama 20 hari, dengan mendengarkan musik instrumental yang diberikan sekali sehari selama dua minggu, dengan durasi 30 menit. Tenaga kesehatan yang terlibat adalah perawat lantai tujuh yang berperan dalam pendataan pasien di E-Rekam Medik RS PON, untuk pasien yang sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Terapi musik secara signifikan mengurangi tingkat kecemasan (p-Value <0,001) pada pasien stroke dengan efek yang besar (Cohen’s d = 0,86). Analisis posthoc menggunakan metode Tukey menunjukkan perbedaan yang signifikan dalam tingkat kecemasan pada pasien stroke antara pengukuran baseline, mid intervention, dan immediate post-treatment (p-Value <0,001). Perubahan rata-rata tertinggi terjadi antara pengukuran baseline dan immediate post-treatment (MD 7,35; p-Value <0,001). Kata Kunci: Stroke, Terapi Musik, Kecemasan 
Penyuluhan Peran Kader dan Remaja dalam Pencegahan Penyakit Katastropik di Ragajaya Bogor Jumaiyah, Wati; Agung, Rizki Nugraha; Siswandi, Iyar; Hanifah, Siti; Purnawati, Dewi; Kamil, Abdu Rahim; Rinawati, Rinawati; Firdaus, Nuzula; al Hasbi, Sulthan Dzahir; Triantono, Bayu; Fawwaz, Achmad Daffa
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13189

Abstract

ABSTRAK Penyakit tidak menular (PTM) merupakan penyakit katastropik yang dapat menimbulkan terjadinya peningkatan beban sosial ekonomi bagi penderita, keluarga maupun pemerintah, karena penanganannya membutuhkan waktu yang tidak sebentar, beberapa penyakit yang pada tingkat rumah tangga tergolong katastropik adalah Hipertensi, Diabetes Melitus (DM) dan Stroke. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberi pemahaman hingga pencegahan terhadap penyakit Katastropik pada Kader dan Remaja Ragajaya Bojong Gede, Bogor. Kegiatan pengabdian kepada masyarakat ini dilakukan melalui beberapa tahapan yaitu dimulai dengan penyuluhan, pemeriksaan deteksi dini faktor risiko PTM, konseling serta pelatihan Tekanan Darah dan Pengukuran Tinggi Badan. Pasca kegiatan ini diketahui telah terjadi peningkatan pengetahuan peserta terkait Penyakit Katastropik pada kader dan remaja RW 007 Ragajaya Bogor. Kegiatan Pelatihan penting dijalankan untuk dapat meningkatkan kesadaran masyarakat terhadap penyakit tidak menular melalui deteksi dini, early treatment serta mengendalikan faktor risiko sehingga dapat menurunkan tingkat kesakitan dan kematian. Kata Kunci: Pencegahan, Katastropik, Hipertensi, Diabetes, Stroke  ABSTRACT Non-communicable diseases (NCDs) are catastrophic diseases that can cause an increase in the socio-economic burden for sufferers, families and the government, because treatment requires a long time, some diseases that are classified as catastrophic at the household level are hypertension, diabetes mellitus (DM ) and Strokes. This community service activity aims to provide understanding and prevention of catastrophic diseases in Ragajaya Bojong Gede Cadres and Youth, Bogor. This community service activity is carried out through several stages, starting with counseling, early detection of NCD risk factors, counseling and training on Blood Pressure and Height Measurement. After this activity, it was discovered that there had been an increase in participants' knowledge regarding Catastrophic Diseases among cadres and teenagers of RW 007 Ragajaya Bogor. Training activities are important to carry out to increase public awareness of non-communicable diseases through early detection, early treatment and controlling risk factors so as to reduce morbidity and mortality rates. Keywords: Prevention, Catastrophe, Hypertension, Diabetes, Stroke
Application of Evidence-Based Nursing Practice: Shaker Exercise for Swallowing Ability in Stroke Patients with Dysphagia Saputra, M. Khalid Fredy; Agung, Rizki Nugraha; Yunitri, Ninik; Jumaiyah, Wati; Mulyatsih, MG Enny
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 04 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i04.3664

Abstract

Background: Stroke is one of the leading causes of disability and mortality worldwide, with more than 13 million new cases recorded annually. Stroke can lead to various complications, including dysphagia, which disrupts the patient's swallowing ability. One therapy that can assist stroke patients with dysphagia is the Shaker Exercise. Objectives: This study aims to provide an overview of the impact of implementing Shaker Exercise on swallowing ability in stroke patients experiencing dysphagia through Evidence-Based Nursing Practice (EBNP). Methods: The study used a systematic approach by reviewing various articles and literature from seven prominent health databases, including ProQuest, PubMed, and ScienceDirect. Selected articles focused on Shaker Exercise interventions for stroke patients with dysphagia. Results: The review identified one article in the form of a Systematic Review Meta-Analysis, which examined 37 studies involving a total of 2,656 participants. The analysis results demonstrated that the Shaker Exercise is effective in strengthening suprahyoid muscles, reducing aspiration frequency, and improving swallowing ability in stroke patients with dysphagia. Conclusion: The implementation of Shaker Exercise therapy for stroke patients with dysphagia shows significant results in enhancing swallowing ability and reducing aspiration complications. This therapy aligns with evidence-based nursing principles, supporting the improvement of patients' quality of life through scientifically proven interventions.
Co-Authors Agustina, Elis Nurhayati al Hasbi, Sulthan Dzahir Arisanty, Irma Puspita Astuti, Medya Aprilia Astuty, Yeni Azzahra, Sabrina Dewi Anggraini Fakhrudin Nasrul Sani Fawwaz, Achmad Daffa Firdaus, Nuzula Haryanti, Noviana Hidayat, Agus Samsul Ikhsan Ibrahim Jumaiyah, Wati Jum’atina, Jum’atina Junaidin, Junaidin Kamil, Abdu Rahim Kurniasih, Dian Noviati Maryani, Fenny Muhammad Hadi Mulyatsih, MG Enny Natashia, Dhea Neneng Kurwiyah Nurhayati, Elis Nurrahman, Aris Nurwijayanti Prasetya, Ganjar Kundi Purnawati, Dewi Puspitasari, Nia Ayu Rahim Kamil, Abdu Rayasari, Fitrian Rinawati Rinawati Rini Lestari Rohani Rohani Rukmana, Aip Saputra, M. Khalid Fredy Septian, Alnendi Silistyorini, Cahyo Ismawati Siswandi, Iyar Siti Hanifah Sofiyani, Yani sri murtini . Sulistyorini, Cahyo Ismawati Suryanto, Yanto Triantono, Bayu Wahyudin, M. Didin Wahyuningsih, Retno Dyah Yani Sofiani Yunitri, Ninik