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PUZZLE MODALITY THERAPY TO REDUCE DEMENTIA IN THE ELDERLY Nety Mawarda Hatmanti; Ratna Yunita Sari; Yurike Septianingrum; Difran Nobel Bistara; Choirotussanijjah
Community Service Journal of Indonesia Vol 5 No 1 (2023): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v5i1.426

Abstract

The condition of the COVID-19 pandemic has changed all arrangements in society, including activities at the Posyandu Lansia. Posyandu Lansia which is held once a week is no longer held considering that the elderly are one of the vulnerable groups. Currently the condition is starting to improve, so it is necessary to do refresher for both cadres and members of the Posyandu Lansia. The purpose of this activity is to increase the knowledge and skills of Posyandu Lansia cadres in providing modality therapy, especially puzzle therapy to reduce the incidence of dementia. The method used in this community service activity is participatory educational approach that is providing health education and demonstrations about puzzle therapy. Furthermore, the Posyandu Lansia cadres apply to the Posyandu Lansia in their area. This activity was carried out for two months and was attended by ten elderly health cadres. Knowledge and skills of cadres in conducting health education about modality therapy was observed by questionnaire. As for the application of puzzle therapy, it was observed using the MMSE (Mini Mental State Examination) questionnaire. The results of community service show that the knowledge and skills of elderly health cadres in implement good health education. The results of puzzle therapy showed that there was a decrease in dementia scores.
Family Support And Social Support In Pre-Operative Anxiety Status Alva Cherry mustamu; Difran Nobel Bistara; Susanti
Jurnal Ilmiah Kesehatan Vol 16 No 02 (2023): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v16i02.3802

Abstract

Anxiety is vital in determining the decision of appendectomy surgery. Anxiety may be reduced with support from family and society. This study aimed to analyze the relationship between family and social support on the anxiety of preoperative appendectomy patients. This study used an analytical descriptive quantitative method with a cross-sectional approach on 15 preoperative appendectomy patients in the operating room. Collecting data was using a questionnaire from one month. Data analysis was using Spearman rank test. The study’s results indicate that family support has a significant value of 0.904 for anxiety, while social support has a significant value of 0.059. This study shows that family and social support do not affect the anxiety status of preoperative appendectomy patients. Therefore, future research on the current topic is recommended but with a larger sample to prove the hypothesis.
THE EFFECTIVENESS OF PROGRESSIVE MUSCLE RELAXATION ON BLOOD SUGAR LEVELS OF TYPE 2 DIABETES MELLITUS PATIENTS Difran Nobel Bistara; Susanti Susanti
Jurnal Keperawatan Respati Yogyakarta Vol 9 No 2 (2022): MAY 2022
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v9i2.671

Abstract

During the pandemic diabetes itself becomes the most dangerous comorbid because diabetes increases the risk of more severe complications when infected with the Corona virus. With restrictions on activities outside the home during the pandemic, inevitably many people have to do all activities at home, but precisely because of this, many people are neglectful of lifestyle management which ends up running a sententary life. Thus, people with diabetes mellitus do not carry out one of the pillars to stabilize blood sugar levels, namely physical activity. In addition, many diabetics do not know that controlling blood sugar levels can be done non-pharmacologically, one example is relaxation techniques. Most people with Diabetes Mellitus never apply this management because they are considered to have no function. The purpose of this study was to determine the effectiveness of progressive muscle relaxation on blood sugar levels in patients with type 2 diabetes mellitus. The design of this study was quasi-experimental with the type of pretest and posttest intervention. The research population was 36 people and the sample was taken using simple random sampling, each with 18 people. The research instrument used an observation sheet and a glucometer to measure blood sugar levels. Data analysis using the Wilcoxon sign rank test with the result <0.05. The results showed that the results of blood sugar levels before and after Progressive OOT relaxation in the treatment group had a P value = .016, P value <0.05, the hypothesis was accepted that progressive muscle relaxation was effective in reducing blood sugar levels in patients with type 2 diabetes mellitus. 2. Future studies are expected to compare other complementary therapies to stabilize blood sugar levels in patients with type 2 diabetes mellitus.
EDUKASI KESEHATAN JIWA DAN MENULIS EKSPRESIF PADA LANSIA DI MALAYSIA Syiddatul Budury; Nur Ainiyah; Difran Nobel Bistara; Siti Khuzaimah Ahmad Sharoni; Haliza Abdul Rahman
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 9 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i9.3375-3379

Abstract

Kesehatan mental pada lansia menjadi salah satu tantangan serius dalam bidang kesehatan, mengingat peningkatan jumlah populasi lansia di seluruh dunia. Masalah kesehatan mental pada lansia, seperti depresi, kecemasan, dan stres, memiliki dampak negatif yang signifikan pada kualitas hidup lansia. Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk mengedukasi tentang masalah kesehatan jiwa lansia dan untuk mengetahui dampak expressive writing bagi kondisi jiwa lansia. Kegiatan ini diikuti oleh 28 lansia yang bergabung. Di Pusat Aktivitas Warga Emas Felda Bukit Cerakah, Selangor Malaysia. Kegiatan dimulai dengan senam bersama dilanjutkan dengan pemberian edukasi tentang masalah kesehatan yang muncul pada lansia serta pelaksanaan menulis ekspresif. Hasilnya ada peningkatan pengetahun kesehatan jiwa dan peraasaan lega setelah mengikuti kegiatan. Expressive writing menjadi  metode yang efektif untuk meningkatkan kesehatan mental pada lansia. Intervensi ini relatif mudah diimplementasikan dan dapat menjadi pilihan yang menjanjikan sebagai pendekatan non-farmakologis dalam merawat lansia yang mengalami masalah kesehatan mental.
Peningkatan Derajat Kesehatan Melalui Pemeriksaan Gukosam (Gula darah, Kolesterol, Asam Urat) pada Lansia di Desa Banyuurip, Kecamatan Kedamean, Gresik Taufiqurrahman, Affan Tsaaqif; Ratriwardhani, Ratna Ayu; Bistara, Difran Nobel; Millah, Hanifiyatul; Hadi, Achmad
PROSIDING SEMINAR NASIONAL PENGABDIAN KEPADA MASYARAKAT Vol. 3 No. 1 (2023): Prosiding Seminar Nasional Pengabdian Kepada Masyarakat : MEMAKSIMALKAN POTENSI
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/snpm.v3i1.1253

Abstract

Pemeriksaan kesehatan merupakan pemeriksaan yang berfokus pada pencegahan primer dan sekunder dengan melihat secara holistik berbagai faktor kesehatan yang dapat menyebabkan penyakit tertentu. Salah satu faktor yang menyebabkan lansia mudah terkena penyakit adalah karena pola hidup yang tidak sehat. Pola hidup yang tidak sehat mengarah kepada penyakit, seperti asam urat, hipertensi, diabetes militus, dan penyakit jantung. Data dari Riskesdas (2018) menunjukkan banyak lansia dengan rentang usia 55 hingga 75 tahun ke atas terjangkit dengan penyakit jantung koroner. Adapun data dari World Health Organization (WHO), penyakit stroke dan penyakit jantung banyak disebabkan karena tingginya kadar kolesterol dalam darah. Berdasarkan hasil survei yang dilakukan oleh teman-teman mahasiswa KKN UNUSA kelompok 21 di Desa Banyuurip, banyak lansia yang terkena penyakit diabetes, stroke, dan asam urat. Hal ini bisa saja terjadi akibat adanya kebiasaan orang setempat yang membakar olahan sampah dan tanaman yang sudah tidak terpakai. Tujuan dari penulisan artikel ini adalah untuk menginformasikan kepada masyarakat khususnya lansia akan bahaya penyakit, seperti diabetes, stroke, penyakit jantung, radang sendi akibat asam urat, dan lain-lain. Metode yang digunakan adalah dengan pemeriksaan dan senam. Hasil dan diskusi yang didapatkan adalah mayoritas lansia Dusun Karangasem memiliki kadar gula darah dan kolesterol yang tinggi, sedangkan kadar asam urat dan glukosa berada pada rentang normal. Kesimpulannya adalah hal ini menunjukkan bahwa rata-rata warga Dusun Karangasem memiliki risiko tinggi terkena penyakit diabetes, jantung koroner, stroke, dan lain-lain.
EDUKASI PENDAMPINGAN RELAKSASI OTOT PROGRESIF DAN 5 PILAR TERHADAP PERUBAHAN PENGETAHUAN DAN KESTABILAN KADAR GULA DARAH PENDERITA DIABETES MELLITUS TIPE 2 Susanti, Susanti; Fajriyah, Novita; Kristiani, Rina Budi; Yobel, Sosilo; Bistara, Difran Nobel
Community Development in Health Journal Volume 2, Nomor 2, Oktober 2024
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v2i2.588

Abstract

Introduction & Aim: An unhealthy lifestyle and inactivity are the main causes of type 2 diabetes mellitus (T2DM), which disrupts the body's ability to metabolize glucose into energy. This community service project aims to assess type 2 diabetes patients' blood glucose levels and level of knowledge regarding Progressive Muscle Relaxation and the Five Pillars of education. Method of Activity: A 5-Pillars teaching program and progressive muscle relaxation were given to 25 type 2 diabetes patients who had previously visited the Bulak Community Health Center. This six-week community service project involved multiple stages of action, including an initial survey, education, application, assistance, and assessment, and it was conducted at Jalan Bulak Setro RT 02 RW 04 Bulak Surabaya. Community conduct is assessed based on knowledge and blood sugar levels. To assess the efficacy of the service, data were examined statistically using the Wilcoxon signed rank test. Results: The community behavior that this service can alter is demonstrated by the 100% increase in knowledge (p = 0.000) and the normal blood glucose levels of 64% of respondents (p = 0.004). Disscusion: For individuals with type 2 diabetes mellitus, progressive muscle relaxation education and the 5-pillars of diabetes mellitus therapy yield the best outcomes in terms of preventing complications like diabetic neuropathy. An extensive strategy to raise sufferers' awareness is to offer information and support so that individuals with DMT2 can adopt a healthier lifestyle in the hopes that their blood glucose levels will return to normal.
PENDAMPINGAN HEALTH MANAGEMENT BERBASIS APLIKASI SEBAGAI MEDIA SELF-MANAGEMENT PENDERITA HIPERTENSI DI WILAYAH RW 07 KELURAHAN KAPASAN KECAMATAN SIMOKERTO SURABAYA Susanti, Susanti; Kristiani, Rina Budi; Yobel, Sosilo; Bistara, Difran Nobel
Community Development in Health Journal Volume 1, Nomor 1, April 2023
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1346.142 KB) | DOI: 10.37036/cdhj.v1i1.373

Abstract

Introduction & Aim: Patients with hypertension have a tendency not to self-management of their disease. The method that can be used to improve self-management is to utilize existing digital technologies such as smartphone-based mobile health. This community service aims to improve the self-management of hypertension patients. Method of Activity: Implementation of assistance in the application of health management applications with a frequency of 3 times for 3 weeks. To measure the success of the activity, pre-test and post-tests were carried out which included data on the knowledge of hypertension patients in carrying out self-management. Data were presented descriptively to analyze the effectiveness of activities. Results: The intervention in providing education and assistance in using the application showed that most of the respondents had understood smartphone applications as a media for self-management. This was evidenced by the fact that the knowledge of the respondents increased from the beginning, the knowledge of the respondents was lacking by 17 people (51.52%) then became 18 people (54.55). %) with good knowledge. Discussion: The assistance implementation of application health management is to improve the knowledge of respondents regarding self-management to control his health effectively. Self-management in hypertension patients is the application of the DASH diet, blood pressure control, physical activity, and drug consumption. This intervention can provide motivation for people with hypertension to be able to do self-management in order to improve self-efficacy & quality of life.
EDUKASI-PENDAMPINGAN BUERGER ALLEN EXERCISE DAN 5 PILAR TERHADAP PERUBAHAN PENGETAHUAN DAN PERFORMA KESEHATAN FISIK PASIEN DIABETIK NEUROPATI PERIFER Qomariah, Siti Nur; Susanti, Susanti; Kristiani, Rina Budi; Fajriyah, Novita; Suroso, Heri; Yobel, Sosilo; Bistara, Difran Nobel; Bakar, Abu
Community Development in Health Journal Volume 1, Nomor 2, Oktober 2023
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v1i2.457

Abstract

Introduction & Aim: Diabetes Mellitus patients with uncontrolled blood glucose levels for a long time will experience peripheral neuropathy complications with symptoms of tingling, numbness, pain in the feet, and disability in carrying out daily activities. The purpose of this community service was to evaluate Buerger Allen Exercise and 5 Pillars’ education on the knowledge and physical health performance of peripheral neuropathy diabetic patients. Method of Activity: Buerger Allen Exercise and 5 Pillars’ education was conducted on 28 diabetic patients with peripheral neuropathy who had previously been examined at the Gundih regional health center. This community service was carried out for 6 weeks at Jalan Kedinding RT 10 RW 01 Bubutan Surabaya with several stages of activity, namely: initial survey, education, application, assistance, and evaluation. Evaluated community behavior includes knowledge and physical health performance of diabetic peripheral neuropathy patients through measurement of the Ankle-Brachial Index (ABI), peripheral oxygen saturation in the feet (StO2), and physical activity ability. Data were analyzed using the Wilcoxon signed rank test and Paired t-test to evaluate the results of the service. Results: There were changes in community behavior such as knowledge increased by 21.5% (p=0.000); normal ABI by 57.1% (p=0.004); totally independent physical activity ability 92.9% (p=0.003), and normal StO2 100% (p=0.000). Discussion: Buerger Allen Exercise Education Assistance and 5 Pillars of Diabetes Mellitus provide optimal results in the management of diabetic peripheral neuropathy patients to prevent other complications such as diabetic ulcers, and amputation due to foot tissue death.
The Role of The Chronic Disease Management Program in Indonesia (PROLANIS) As A Diabetes Mellitus Management Strategy: A Scoping Review Fadlilah, Siti; Nugroho, Ariyanto; Bistara, Difran Nobel
Public Health of Indonesia Vol. 10 No. 2 (2024): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i2.753

Abstract

Background:Diabetes Mellitus (DM) is a non-communicable disease with an increasing number of sufferers every year, and its negative impacts require special attention. The Indonesian government has taken steps to manage DM by establishing the PROLANIS program. Objective:This study aims to identify the roles of PROLANIS in treating DM in Indonesia. Methods:This study used a scoping review design. We performed extensive searches in CINAHL Plus, Cochrane Library, Embase, PubMed, and Google Scholar. Based on the search results, we found a total of 280 articles. After a selection process, 27 articles met the criteria for review. The papers were grouped by year, study design, setting, and the role of PROLANIS. Results:According to research results, PROLANIS effectively maintains and reduces several essential aspects of DM patients' health, such as body mass index, fasting blood glucose, and HbA1c levels. PROLANIS also plays a positive role in improving the lipid profiles of DM patients. Furthermore, PROLANIS contributes to increasing self-efficacy, self-acceptance, self-management, adherence to therapy, and overall quality of life. Conclusion:PROLANIS positively affects the management of DM by improving physical health and enhancing the quality of life for patients. Keywords:chronic disease; Diabetes Mellitus; non-communicable diseases; PROLANIS
UPAYA PEMELIHARAAN SENSITIVITAS KAKI PASIEN DIABETIK NEUROPATI PERIFER DENGAN SENAM KAKI DIABETES Susanti, Susanti; Bistara, Difran Nobel
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 6 (2023): Volume 4 Nomor 6 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i6.22813

Abstract

Neuropati perifer menyebabkan kesemutan, rasa kebas, nyeri pada kaki, dan kesulitan melakukan kegiatan sehari-hari. Gejala ini dapat muncul pada pasien diabetes mellitus dengan kadar glukosa darah tidak terkontrol dalam waktu lama. Tujuan pengabdian masyarakat ini adalah untuk mengukur pemahaman pasien tentang upaya untuk mempertahankan sensitivitas kaki dengan senam kaki diabetes. Di Puskesmas wilayah Asemrowo, 33 pasien dengan diabetes dan neuropati perifer yang telah menjalani pemeriksaan sebelumnya diberikan pelatihan Senam Kaki Diabetes dan 5 Pilar. Pengabdian masyarakat ini berlangsung selama empat minggu di Jalan Asemrowo RT 14 RW 10 Kelurahan Asemrowo Surabaya, dan terdiri dari beberapa tahapan kegiatan, seperti survei awal, pendidikan, aplikasi, pendampingan, dan evaluasi. Untuk mengevaluasi hasil pengabdian, perilaku masyarakat dievaluasi termasuk pengetahuan pasien diabetik neuropati perifer dan performa kesehatan fisik mereka dengan mengukur sensitivitas tungkai dengan menggunakan tes monofilament. Untuk menganalisis data, uji statistik Wilcoxon signed rank dan Mc.Nemar digunakan. Hasil Kegiatan: Pengabdian masyarakat ini dapat mengubah perilaku masyarakat, dengan peningkatan pengetahuan sebesar 21,22% (p=0,000), sensitivitas kaki kanan sebesar 54,55%, dan sensitivitas kaki kiri sebesar 63,64% (p=0,000). Supaya hasil pengabdian masyarakat dapat digunakan sebagai intervensi mandiri oleh perawat dan pasien dapat mencegah komplikasi seperti ulkus diabetikum dan amputasi akibat kematian jaringan kaki, diperlukan monitoring yang berkelanjutan terhadap kegiatan pengabdian.
Co-Authors -, Rusdianingseh Abdul Hakim Fasya Abdul Rahman, Haliza Abraham Ahmad Ali Firdaus Abu Bakar Afiyah, R. Khairiyatul Agus Aan Adriansyah Aisyah Aisyah Aizatun Nisa Akas Yekti Pulih Asih Alfaridzi, Aditya Rizky Algristian, Hafid Algristian, Hafid Alva Cherry Mustamu Andi Roesbiantoro Ardyarini Dyah Savitri Arif Helmi Setiawan Arif Helmi Setiawan Aris Setyawan Ariyanto Nugroho Bariyah, Khadijah Khairul Budhi Setianto Budhi Setianto Budury, Syiddatul Choirotussanijjah Chuang, Yeu-Hui Dwi Andriani, Dwi Dwi Handayani Dwinanda Djunaedi Edza Aria Wikurendra Effendi Effendi Effendi Eppy Setiyoati Eppy Setiyowati Evy Afiyah Syagran Evy Afiyah Syagran Fajriyah, Novita Faridah Umamah Fasya, Abdul Hakim Fasya, Abdul Hakim Zakkiy Fifi Khoirul Fitriyah Firdaus, Abraham Ahmad Ali Fritria Dwi Anggraini Hadi, Achmad Hafid Algristian Haliza Abdul Rahman Hartatiek Nila Karmila Hartatik Nila Karmila Hatmanti, Nety Mawarada Heri Suroso, Heri Ikwan, Mochamad Ima Kurniastuti Imamate, ewi Sinta Nuriatul Imamatul Faizah Izzah, Shobibatur Rohmah Khamida Khuzaimah Ahmad Sharoni, Siti Kombih, Muhammad Fifin Kristiani, Rina Budi Liang, Shu-Yuan Lina Andriani Lu, Kuo-Cheng M. Khafid Masita, Elly Dwi Masita Mawarda Hatmanti, Nety Maya Purnia Sari Mery Susantri Millah, Hanifiyatul Moch. Ikwan Muhammad Khafid Nafiah, Ilmi Nailah Tri Iswira Nata Ratnawati Nety Mawarada Hatmanti Nikmatus Sa’adah Nordin, Roswati Binti Nugroho, Riezky Faisal Nur Ainiyah Pradita, Nabilla Annisa Priyagung Gusmantara Pulih Asih, Akas Yekti Putri, Rahmadaniar Aditya Ratna Yunita Sari Ratriwardhani, Ratna Ayu Retna Gumilang Roesbiantoro, Andi Rohmawati, Riska Rusdianingseh Rusdianingsih Rusdianingsih Satriya Pranata Savitri, Ardyarini Dyah Savitri, Ardyarini Dyah Septianingrum, Yurike Setiawan, Arif Helmi Setyaningrum, Niken Siti Fadlilah Siti Khuzaimah Ahmad Sharoni Siti Nur Qomariah Siti Nurjannah Soleha, Umdatus SUSANTI Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Susanti Taufiqurrahman, Affan Tsaaqif Umi Hanik Umi Hanik Vranada, Aric Wahyu Pranoto Wang, Tsae-Jyy Tiffany Wardani, Erika Martining Wijayanti, Lono Winoto, Priyo Mukti Pribadi Wu, Shu-Fang Vivienne Yanis Kartini Yobel, Sosilo Zahro, Novianti Fatimahtus Zahroh, Chilyatiz