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FAMILY KNOWLEDGE ON PREHOSPITAL STROKE DETECTION CORRELATES WITH HOSPITAL ARRIVAL TIME IN STROKE PATIENTS AT THE NAVAL HOSPITAL DR. RAMELAN, SURABAYA Ainiyah, Nur; Izzah, Shobibatur Rohmah; Zahroh, Chilyatiz; Bistara, Difran Nobel; Faizah, Imamatul
Nurse and Holistic Care Vol. 1 No. 2 (2021): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1729.557 KB) | DOI: 10.33086/nhc.v1i2.2221

Abstract

Background: Successful stroke management depends on the speed, accuracy, and timeliness of the initial treatment. Stroke patients with immediate medical help can minimize permanent disability and even mortality. Objective: This study analyzes the correlation between family knowledge on prehospital stroke detection with hospital arrival time. Method: The research design was correlational analytic with a cross-sectional approach. This paper was conducted at the Naval Hospital Dr.Ramelan, Surabaya, from January to February 2019, with ethical clearance from the hospital. The independent variable was family knowledge on prehospital stroke detection, and the dependent variable was hospital arrival time. There were 115 population and 111 samples by consecutive sampling technique. The instrument to measure family knowledge was a questionnaire about prehospital stroke detection consisted of 30 items, while to evaluate hospital arrival time was data from the medical record. The data analysis used the Mann-Whitney statistical test with a significance of 0.05. Result: Most respondents had adequate knowledge regarding prehospital stroke detection (54.1%) and early hospital arrival time (59.5%).  There was a correlation between family knowledge on prehospital stroke detection and hospital arrival time in stroke patients (p=0.000). Conclusion: The better family knowledge on prehospital stroke detection, the faster hospital time arrival. Health workers should give health education on prehospital stroke detection to prevent delayed hospital arrival. Further research could involve electronic and social media to improve knowledge on prehospital stroke detection.
CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS Pranoto, Wahyu; Bistara, Difran Nobel; Soleha, Umdatus; Winoto, Priyo Mukti Pribadi
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.4987

Abstract

Introduction: Bronchitis is characterized by excessive sputum production due to an infection in the bronchi. In patients with bronchitis, it can cause nursing problems in the form of ineffective airway clearance. Ineffective airway clearance is the inability to clear the airway which is characterized by changes in frequency, pattern, and breath sounds. Objective: The purpose of this study was to apply nursing care to patients with the application of Clapping, Vibrating, Postural Drainage, and Effective Coughing to overcome ineffective airway clearance in the Azzahra 1 Room, RSI Jemursari Surabaya. Methods: The design of this research is a case study; the time of research is 13-15 October 2022 in the Azzahra 1 Room, RSI Jemursari Surabaya. The subject used is 1 bronchitis patient (Mr. B) with a nursing diagnosis of ineffective airway clearance. The research was conducted using interviews accompanied by physical examination, observation, and documentation. Nursing care given to patients with a nursing care process approach includes assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the case study found that the patient had a cough with phlegm for 2 weeks, chest pain when coughing, increased sputum production, had rhonchi, and the patient was an active smoker. Evaluation of the results of nursing care with effective Clapping, Vibrating, Postural Drainage, and Coughing for 3 days once a day showed decreased rhonchi, decreased sputum production, and patients can cough effectively independently. Conclusions: Clapping, vibrating, postural drainage and effective coughing can help clear secretions to maintain a patent airway. Nurses are expected to be able to apply effective chest and cough physiotherapy to patients so that optimal action is achieved and the patient performs independently.
Penyuluhan Pola Hidup Sehat Jasmani Berbasis Al-Qur’an di Panti Asuhan Yatim Piatu Al-Jihad Surabaya Moch. Ikwan; Arif Helmi Setiawan; Difran Nobel Bistara
Jurnal Abdimas Indonesia Vol. 5 No. 1 (2025): Januari-Maret 2025
Publisher : Perkumpulan Dosen Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34697/jai.v5i1.940

Abstract

Kesehatan jasmani merupakan aspek penting dalam perkembangan anak, terutama di panti asuhan yang membutuhkan pendekatan yang menyeluruh. Mengintegrasikan ajaran Al-Qur'an dalam penyuluhan pola hidup jasmani diharapkan dapat meningkatkan kesadaran dan praktik kesehatan yang sesuai dengan nilai-nilai agama. Kegiatan ini bertujuan untuk memberikan edukasi tentang pola hidup jasmani yang sesuai dengan prinsip-prinsip Al-Qur'an kepada anak-anak di Panti Asuhan Yatim Piatu Al-Jihad Surabaya serta menilai dampaknya terhadap pengetahuan dan perilaku mereka. Pelaksanaan penyuluhan dilakukan dengan tiga tahapan yaitu Tahap Persiapan, Tahap Pelaksanaan dan Tahap Evaluasi. Peserta penyuluhan yaitu anak-anak yatim piatu di Panti Asuhan yang berjumlah 25 anak. . Hasil evaluasi menunjukkan peningkatan signifikan dalam pengetahuan tentang pola hidup jasmani, dengan didapatkan hasil sebelum penyuluhan lebih dari setengah (60%) peserta didik berpengetahuan kurang. Sedangkan sesudah penyuluhan didapatkan hasil 36% berpengetahuan baik dan hampir setengahnya (48%) peserta didik berpengetahuan amat baik. Hal ini menandakan efektivitas program dalam meningkatkan pemahaman peserta mengenai kesehatan jasmani yang sesuai dengan ajaran agama. Penyuluhan berbasis Al-Qur'an terbukti efektif dalam meningkatkan pengetahuan dan kesadaran anak-anak di panti asuhan mengenai pentingnya pola hidup sehat. Program ini juga berhasil mengintegrasikan nilai-nilai religius dalam praktik kesehatan sehari-hari.
The Influence of Social Media About Covid-19 on Handwashing Behavior, Mask Wearing and Physical Distancing of Indonesian Students Erika Martining Wardani; Difran Nobel Bistara; Eppy Setiyowati
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 2 (2020): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i2.459

Abstract

Efforts to prevent the spread of covid-19 through social media by providing information about covid-19. The study aims to determine the effect of social media on covid19 on hand washing behavior, mask wearing and physical distancing among Indonesian students. A pre-experimental research method with pre-test and post-test design. The research sample was 5400 students who were taken using simple random sampling technique. Health education interventions are given through social media and then the data is collected by distributing questionnaires with google form. Data were analyzed using the Wilcoxon test. The results showed that after intervention through social media about covid-19 there was a change in transmission prevention behavior (p value 0.046), hand washing behavior (p value 0.011), mask wearing (p value 0.014), and physical distancing (p value 0.000). Social media is effectively used to provide health education because it can increase student knowledge and influence behavior in preventing covid-19 transmission
Pemberdayaan Diri Melalui Terapi Psikoreligius Dalam Mengurangi Kecemasan Jemaah Calon Haji Ikwan, Moch.; Setiawan, Arif Helmi; Bistara, Difran Nobel
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/0yyryz40

Abstract

The Hajj pilgrimage is a complex ritual that often causes anxiety in prospective pilgrims, which can impact mental health and the solemnity of worship. This community service program aims to reduce anxiety levels and empower prospective pilgrims through psychoreligious therapy in order to strengthen their mental and spiritual readiness. This activity uses a participatory approach involving 65 prospective pilgrims from KBIHU Bryan Makkah Surabaya, which is implemented through several stages, namely preparation and permits, socialization and participant recruitment, program implementation and individual mentoring, and evaluation and follow-up. The instrument used is the Zung Self-Rating Anxiety Scale (ZSAS) with pre-test and post-test measurements. The pre-test results showed that the majority of pilgrims were in the moderate (32.31%) and high (44.62%) anxiety categories. After the intervention, there was a significant decrease, with 41.54% of participants being categorized as not anxious, 47.69% in the mild anxiety category, 10.77% in the moderate anxiety category, and no participants were experiencing high anxiety. These findings indicate that strengthening psychological and spiritual aspects reduces anxiety, while broadening its application in the context of mental-spiritual preparation for prospective Hajj pilgrims. Thus, the self-empowerment program through dhikr-based psychoreligious therapy has proven effective in reducing anxiety and is recommended for continued implementation and expansion to other KBIHUs to help more prospective pilgrims prepare for the Hajj with greater calm, confidence, and reverence.
OPTIMALISASI MANAJEMEN DIABETES MELLITUS MELALUI EDUKASI KESEHATAN BERBASIS KOMUNITAS DAN PENDEKATAN SPIRITUAL Bistara, Difran Nobel; Setiawan, Arif Helmi; Ikwan, Mochamad; Savitri, Ardyarini Dyah; Susanti, Susanti
Community Development in Health Journal Volume 3, Nomor 2, Oktober 2025
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v3i2.639

Abstract

Introduction & Aim: Diabetes Mellitus (DM) is a chronic disease with increasing prevalence, including in Wonokromo Village, Surabaya, where high-risk factors such as unhealthy eating patterns and low physical activity are common. Spiritual approaches and community-based health education are expected to improve DM management and patients' quality of life. This study aims to optimize DM management through spiritual approaches and community-based health education. Method: The activity was conducted with a participatory community-based approach, involving 85 participants diagnosed with DM or at high risk. The intervention included interactive health education on DM management, spiritual approaches through reflection and prayers, and capacity building for health cadres. Evaluation was done by measuring blood sugar levels and post-tests to assess knowledge improvement and behavioral changes. Results: The results showed that 90% of participants adopted a healthy lifestyle after the education, and 75% felt more motivated to take care of themselves. Additionally, 85% of members of the “Sahabat Sehat Diabetes” community actively participated in the activities, and 100% of cadres were able to conduct early detection and self-management education for DM. Discussion: Continuous health education, spiritual approaches, and social support enhancement proved effective in improving participants' knowledge, motivation, and medication adherence. The capacity building of health cadres is key to the sustainability of this program, which can be expanded to the wider community.
The effect of lavender essential oil aromatherapy on sleep quality in hemodialysis patients Niken Setyaningrum; Aris Setyawan; Difran Nobel Bistara
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (629.175 KB) | DOI: 10.30604/jika.v7iS2.1423

Abstract

Hemodialysis is a long-term therapy that must be undertaken by patients with chronic kidney disease. Patients who undergoing therapy for a very long time will have an impact on the patient's psychology. One of the psychological effects that arise is a sleep disorder. Poor sleep quality can lead to physiological changes, the endocrine system, cardiovascular system, and immune and nervous systems. To overcome sleep disorders in hemodialysis patients, non-pharmacological options can be used, namely Lavender Essential Oil Aromatherapy via inhalation. The purpose of this study was to determine the effect of Lavender Essential Oil Aromatherapy on Sleep Quality in Hemodialysis Patients. The study was conducted on 32 hemodialysis patients, divided into two groups, there are 16 intervention groups and 16 control groups. The intervention was carried out for 3 times of administration during intra-hemodialysis. The instrument used is the Pittsburgh Sleep Quality Index (PSQI) applied pre and post-test. Test data analysis using the independent samples test showed that there was a difference in the average score for sleep quality with a p-value of 0.000, it means that there was an increase in sleep quality in patients undergoing hemodialysis for intervention groups. Lavender Essential Oil Aromatherapy can be applied as an effective nursing intervention to overcome sleep quality disorders in patients undergoing hemodialysis. Abstrak: Hemodialisis merupakan terapi jangka panjang yang harus dilakukan oleh pasien dengan penyakit ginjal kronik. Pasien yang menjalani terapi dalam waktu yang sangat lama akan berdampak pada psikologi pasien. Salah satu dampak psikologis yang muncul adalah gangguan tidur. Kualitas tidur yang buruk dapat menyebabkan perubahan fisiologis, sistem endokrin, sistem kardiovaskular, sistem kekebalan dan saraf. Untuk mengatasi gangguan tidur pada pasien hemodialisa dapat digunakan pilihan nonfarmakologi yaitu Aromaterapi Minyak Atsiri Lavender melalui inhalasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh Aromaterapi Minyak Atsiri Lavender terhadap Kualitas Tidur pada Pasien Hemodialisis. Penelitian dilakukan pada 32 pasien hemodialisa yang terbagi menjadi dua kelompok yaitu 16 kelompok intervensi dan 16 kelompok kontrol. Intervensi dilakukan selama 3 kali pemberian selama intra hemodialisis. Instrumen yang digunakan adalah Pittsburgh Sleep Quality Index (PSQI) yang diterapkan sebelum dan sesudah intervensi. Analisis data uji dengan menggunakan independent sample test menunjukkan bahwa terdapat perbedaan rata-rata skor kualitas tidur dengan nilai p value 0,000 artinya terjadi peningkatan kualitas tidur pada pasien yang menjalani hemodialisis kelompok intervensi. Aromaterapi Minyak Atsiri Lavender dapat diterapkan sebagai intervensi keperawatan yang efektif untuk mengatasi gangguan kualitas tidur pada pasien yang menjalani hemodialisis.
Effects of the tailored intervention program in lowering blood glucose levels and diabetes distress among patients with diabetes in Indonesia: a randomized controlled trial Pranata, Satriya; Wu, Shu-Fang Vivienne; Wang, Tsae-Jyy Tiffany; Liang, Shu-Yuan; Bistara, Difran Nobel; Chuang, Yeu-Hui; Lu, Kuo-Cheng; Vranada, Aric
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.42714

Abstract

Introduction: Blood glucose levels and diabetes distress are the foremost factors contributing to diabetes treatment outcomes and managements. No tailored intervention program was implemented for patients with diabetes in Indonesia. This study aimed to investigate the effectiveness of a tailored intervention program in lowering blood glucose levels and diabetes distress among patients with diabetes patients in Indonesia. Methods: A randomized controlled trial (RCT) with pre-test and post-tests was applied. A total of 163 people with diabetes were collected for both intervention (n=80) and control (n=83) groups: A diabetes-tailored intervention program was attempted in the intervention group. Descriptive statistics, Analysis of Variant (ANOVA) and inferential statistics were used to analyze the data (significance level <0.05). Results: The mean blood glucose levels and diabetes distress before and after in the intervention group were 255.19 mg/dl, and 245.60 mg/dl (p-value >0.05); 2.46 and 2.01 (p-value <0.01). While the control group's mean of blood glucose levels and diabetes distress before and after the intervention was were 227.81 mg/dl, and 245.94 mg/dl (pvalue <0.05); and 2.37 (p-value >0.05). Conclusions: The diabetes-tailored intervention program is effective on decreasing blood glucose levels and diabetes distress, and showed a significant result to diabetes distress.
Zikir sebagai Alternatif Terapi Psikoreligius dalam Mengurangi Kecemasan Jemaah Calon Haji di KBIH Bryan Makkah Surabaya Ikwan, Moch.; Setiawan, Arif Helmi; Bistara, Difran Nobel
JOM Vol 5 No 3 (2024): Indonesian Journal of Humanities and Social Sciences, September
Publisher : Universitas Islam Tribakti Lirboyo Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33367/ijhass.v5i3.6102

Abstract

This research aims to analyze the potential of dhikr in reducing the anxiety experienced by prospective pilgrims at KBIHU Bryan Makkah Surabaya which arises due to several things, for example the administration of the Hajj which is felt to be heavy, health checks which sometimes have to be carried out several times as a condition for istitha'ah (health certificate for Hajj), problems with repayment of BPIH, and other psychological disorders such as being away from family for a long period of time and lack of knowledge about the science of Hajj rituals. This research uses descriptive qualitative methods with the aim of describing dhikr activities and their benefits in reducing anxiety. The results of data analysis show that there is a significant increase in dhikr activities in efforts to reduce the anxiety of prospective Hajj pilgrims. Dhikr said with full devotion will provide positive spiritual energy. And reflections on the deep meaning of dhikr will become inspiration and positive suggestions that can give birth to confidence, strength and optimism in facing even the most difficult problems in life.
PENGUATAN PENGETAHUAN PENCEGAHAN JATUH MELALUI EDUKASI PENCEGAHAN RISIKO JATUH PADA LANSIA DI MALAYSIA Setiawan, Arif Helmi; Hasina, Siti Nur; Bistara, Difran Nobel; Winoto, Priyo Mukti Pribadi; Nurjannah, Siti
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 4 (2024): Volume 5 No. 4 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i4.31909

Abstract

Jatuh merupakan masalah yang sering terjadi pada lansia. Risiko jatuh merupakan kejadian yang tanpa di duga terjadi yang menyebabkan seseorang terjatuh di tanah atau lantai bahkan berbaring hingga orang tersebut mengalami hilangnya kesadaran. Pada orang dewasa yang lebih tua kejadian cedera jatuh di identifikasi sebagai masalah kesehatan yang cukup signifikan. Kegiata ini bertujuan dalan meningkatkan pengetahuan dan kesadaran lansia dalam mencegah resiko jatuh. Kegiatan ini dilakukan pada bulan Mei 2024 dan diikuti oleh 40 peserta di Pusat Aktiviti Warga Emas Bukti Felda Selangor Malaysia. Hasil Pengabdian kepada Masyakat yang diukur melalui fall risk awareness didapatkan bahwa Sebagian besar 62,5% peserta pengabdian masyarakat memiliki tingkat Fall Risk Awareness yang sedang. Dan tingkat pengetahuan peserta sebelum mengikuti kegiatan masyarakat setengahnya 50% berpengatuan kurang dan pengetahuan peserta setelah mengikuti kegiatan pengabdian masyarakat didapatkan Sebagian besar 77,5% berpengetahuan baik. Pengabdian kepada Masyarakat dengan Penguatan Pengetahuan Pencegahan Jatuh Melalui Edukasi Pencegahan Risiko Jatuh pada Lansia di Malaysia sebagai upaya pemberdayaan masyarakat dalam pencegahan Resiko jatuh melalui kesadaran atau awareness terhadap resiko jatuh sehingga dapat meningkatkan pengetahuan dan keterampilan lansia dalam mencegah jatuh.
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