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Program Edukasi dan Pendampingan Pertolongan Pertama Manajemen Nyeri Pada Trauma Muskuluskeletal Sebagai Upaya Perawatan Jangka Panjang bagi Remaja di Sekolah Yusniawati, Yustina Ni Putu; Putra, I Gde Agus Shuarsedana; Lewar, Emanuel Illeatan; Agustini, Ni Luh Putu Inca Buntari; Wahyunadi, Ni Made Dewi; Sanjana, I Wayan Edi; Harditya, I Kadek Buja
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 8 (2024): Volume 7 No 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i8.14916

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ABSTRAK Cidera akibat kecelakaan lalu lintas menyebabkan kematian 1,2 juta jiwa per tahunnya. Saat terjadi kecelakaan sering kali korban mengalami multiple trauma yang perlu dilakukan tata laksana dengan baik di prehospital. Hal yang menjadi penatalaksanaan awal saat korban mengalami kecelakaan yaitu airway, breathing dan circulation. Penatalaksanaan lanjutan setelah 3 hal penting dilakukan adalah manajemen dalam tatalaksana nyeri berupa penatalaksanaan fraktur, balut tekan, dislokasi, aputasi dan log roll sehingga perlu dilakukan tata laksana yang baik saat di pre hospital. Secara umum keterlambatan atau kurang tepatnya pemberian pertolongan pertama pada fraktur muskuluskeletal sering kali terjadi karena kurangnya pengetahuan dan kepedulian penolong yang menemukan kejadian tersebut. Remaja menjadi target pengabdian masyarakat saat ini dikarenakan remaja merupakan komunitas produktif yang aktif dalam bermasyarkat sehingga merupakan generasi penerus yang perlu di didik untuk dapat menjadi agen perubahan kesehatan. Memberikan edukasi dan pendampingan kepada remaja sekolah dalam melakukan tindakan pertolongan pertama pada trauma muksuluskeletal, kontrol pendarahan, dislokasi, aputasi dan log rolling. Masalah yang ditemukan yaitu remaja belum memahami cara melakukan penatalaksanaan manajemen nyeri pada patah tulang dengan baik, remaja belum mengetahui cara melakukan penatalaksanaan nyeri pada dislokasi sendi, remaja belum mengetahu cara melakukan transportasi pasien trauma. Kegiatan pendekatan yang dilakukan kepada sekolah dan remaja berjalan dengan baik, dimana remaja mau kooperatif dalam kegiatan yang telah dilakukan, hasil post test baik pengetahuan memiliki peningkatan sebanyak 49 responden memiliki pengetahuan yang baik, dan terdapat 49 responden memiliki kemampuan yang baik dalam praktik pertolongan pertama dan transport pasien trauma. Remaja sekolah memahami pertolongan pertama pada kecelakaan lalulintas dan mampu melakukan pertolongan pertama pada fraktur, dislokasi dan melakukan transport pasien dengan benar Kata Kunci: Edukasi, Pendampingan, Remaja, Manajemen Nyeri, Trauma Muskuluskeletal ABSTRACT Injuries resulting from traffic accidents cause 1.2 million deaths per year. When an accident occurs, the victim often experiences multiple trauma which needs to be managed properly at the prehospital. The initial management when a victim experiences an accident is airway, breathing and circulation. Follow-up management after 3 important things have been done is pain management in the form of fracture management, compression dressings, dislocations, aputations and log rolls so that good management needs to be carried out in the pre-hospital setting. In general, delays or inaccurate provision of first aid for musculoskeletal fractures often occur due to a lack of knowledge and concern of the rescuers who discover the incident. Teenagers are currently the target of community service because teenagers are a productive community who are active in society so that they are the next generation who need to be educated to be agents of health change. Objective: to provide education and assistance to school teenagers in carrying out first aid measures for mucosal-keletal trauma, bleeding control, dislocation, amputation and log rolling. Provide education and assistance to school teenagers in carrying out first aid measures for muxuluskeletal trauma, controlling bleeding, dislocations, amputations and log rolling. Problems found are that teenagers do not understand how to properly manage pain in fractures, teenagers do not know how to manage pain in joint dislocations, teenagers do not know how to transport trauma patients. The approach activities carried out for schools and teenagers went well, where teenagers were willing to cooperate in the activities that had been carried out, the results of the post test were good, knowledge had increased as many as 49 respondents had good knowledge, and there were 49 respondents who had good abilities in first aid practices and transport of trauma patients. The approach activities carried out for schools and teenagers went well, where teenagers were willing to cooperate in the activities that had been carried out, the results of the post test were good, knowledge had increased as many as 49 respondents had good knowledge, and there were 49 respondents who had good abilities in first aid practices and transport of trauma patients Keywords: Education, Mentoring, Adolescents, Pain Management, Musculoskeletal Trauma
Pelatihan dan Pendampingan Manajamen Kasus untuk Kelompok Lanjut Usia yang Membutuhkan Perawatan Jangka Panjang Sutini, Ni Kadek; Suyasa, I Gede Putu Darma; Nuartini, Ni Nyoman; Agustini, Ni Luh Putu Inca Buntari; Israfil, Israfil Israfil
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.19337

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ABSTRAK Lansia merupakan populasi rentan dan memiliki banyak masalah Kesehatan yang kompleks karena proses degeneratif. Manajemen kasus Kesehatan lansia dimasyarakat menjadi sangat penting dilakukan untuk memastikan bahwa lansia mendapatkan pelayanan Kesehatan yang baik. Keterlibatan kader Kesehatan lansia dalam manajemen kasus Kesehatan lansia dimasyarakat menjadi salah satu solusi yang dapat dilakukan untuk mencapai tujuan Kesehatan lansia. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan pelatihan dan pendampingan kepada kader Kesehatan lansia dalam melaksanakan manajemen kasus Kesehatan lansia dimasyarakat. Kegiatan ini dilaksankan di Desa Melinggih, Provinsi Bali. Peserta dalam kegiatan ini adalah kader kesehatn lansia diwilayah desa setempat yang berjumlah 10 orang. Kegiatan PKM dilaksanakan dengan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Hasil kegiatan ini menemukan adanya peningkatan pengetahuan dan kemampuan kader Kesehatan lansia dalam manajamen kasus Kesehatan lansia dimasyarakat dengan nilai uji statistik Wilcoxon Signed Ranks Test didapatkan nilai Z= -2.675b dengan p value = < 0,001. Kegiatan pelatihan dan pendampingan kepada kader Kesehatan lansia dimasa mendatang harus terus dilakukan untuk membangun meningkatkan pelayanan Kesehatan yang berbasis peran serta masyarakat untuk Kesehatan lansia yang membutuhkan perawatan Kesehatan. Kata Kunci: Lanjut Usia, Gerontik, Kader, Manajemen Kasus, Perawatan Jangka Panjang  ABSTRACT Elderly people are a vulnerable population and have many complex health problems due to the degenerative process. Health case management for the elderly in the community is very important to ensure that the elderly receive good health services. The involvement of elderly health cadres in the management of elderly health cases in the community is one solution that can be done to achieve elderly health goals. This community service activity aims to provide training and assistance to elderly health cadres in implementing elderly health case management in the community. This activity was carried out in Melinggih Village, Bali Province. Participants in this activity were elderly health cadres in the local village area totally 10 people. PKM activities were carried out using the PARE approach (Preparation, Action, Reflection and Evaluation). The results of this activity found an increase in the knowledge and abilities of elderly health cadres in managing elderly health cases in the community with the Wilcoxon Signed Ranks Test statistical test value obtained Z = -2.675b with p value = <0.001. Training and mentoring activities for elderly health cadres in the future must continue to be carried out to build improvements in health services based on community participation for the health of elderly people who need health care. Keywords: Elderly, Geriatric, Cadres, Case Management, Long-Term Care
Implementasi Interpersonal Edukasi dan Kolaborasi Dalam Rangka Peningkatan Kesehatan Pada Pasien Diabetes Melitus Tipe II di Club Diamed RS Balimed Denpasar Megayanti, Sri Dewi; Agustini, Ni Luh Putu Inca Buntari; Yusniawati, Yustina Ni Putu; Kamaryati, Ni Putu; Arka, I Gede Widhi; Juliani, Made; Trisna, Made Oktaviani Bulan; Halimah, Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 7 (2025): Volume 8 No 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i7.18571

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ABSTRAK Diabetes melitus merupakan penyakit metabolik yang ditandai dengan adanya kenaikan gula darah disebabkan oleh terganggunya hormon insulin yang memiliki fungsi untuk menjaga homeostasis tubuh dengan cara menurunkan kadar gula dalam darah. Tujuan dilakukannya pengabdiam masyarakat ini yaitu meningkatkan pengetahuan dan kesadaran masyarakat dan memandirikan masyarakat terkait upaya pencegahan penyakit diabetes mellitus tipe II. Adapun metode yang digunakan yaitu melakukan kerja sama IPE dan IPC oleh beberapa prodi di ITEKES Bali yaitu prodi anestesiologi, prodi farmasi, prodi kebidanan, prodi keperawatan dan prodi akupuntur. Hasil pengabdian masyarakat adanya peningkatakan pengetahuan dengan nilai rata-rata nilai pre test sebesar 64 dan rata-rata nilai post test sebesar 90. Artinya dengan adanya pelaksanaan kolaborasi IPE dan IPC adanya peningkatan pengetahuan terkait upaya pencegahan diabetes mellitus pada pasien dengan diabetes mellitus tipe II. Sehingga kedepannya diharapkan menjadi kegiatan rutin dalam proses pemberian edukasi khususnya pasien dengan diabetes mellitus. Kata Kunci: Diabetes Mellitus Tipe II, Kolaborasi IPE dan IPC, Tatalaksana DM  ABSTRACT Diabetes mellitus is a metabolic disease characterized by an increase in blood sugar caused by disruption of the hormone insulin which has a function to maintain the body's homeostasis by lowering blood sugar levels. The purpose of this community service is to increase public knowledge and awareness and make the community independent related to efforts to prevent type II diabetes mellitus. The method used is to collaborate on IPE and IPC by several study programs at ITEKES Bali, namely the anesthesiology study program, pharmacy study program, midwifery study program, nursing study program and acupuncture study program. The results of community service are an increase in knowledge with an average pre-test score of 64 and an average post test score of 90. This means that with the implementation of IPE and IPC collaboration, there is an increase in knowledge related to efforts to prevent diabetes mellitus in patients with type II diabetes mellitus. So that in the future it is expected to become a routine activity in the process of providing education, especially for patients with diabetes mellitus. Keywords: Type II Diabetes Mellitus, IPE and IPC Collaboration, DM Management
Integrasi pertolongan pertama dan aktivasi ambulans: Sebuah tinjauan literatur Susila, I Pasek Wayan Agung; Agustini, Ni Luh Putu Inca Buntari; Diyu, Ida Ayu Ningrat Pangruating; Sanjana, I Wayan Edi
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1687

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Background: Rapid response to medical emergencies is a crucial factor in reducing patient mortality and morbidity. However, the ambulance calling system in Indonesia still faces various challenges, such as limited access to information, delayed responses, and lack of integration with emergency command centers. Purpose: To review various studies related to the development of mobile/web-based applications for emergency medical services, and to identify research gaps and opportunities for further development. Methods: A search was conducted using the PubMed and ScienceDirect databases, followed by a review and synthesis process using PRISMA. An initial 219 articles were found, of which 15 were included in the study. Results: The application is capable of facilitating ambulance ordering, real-time location tracking, and accelerating emergency response. However, most studies are limited to technical function tests with small sample sizes and have not measured the application's effectiveness on clinical indicators. Conclusion: Innovation in web-based and mobile emergency applications has significant potential to improve response speed, ambulance calling accuracy, and community empowerment in first aid. However, further research is still needed with a broader scope, strong quantitative methods such as quasi-experiments or RCTs, as well as multi-dimensional evaluations involving technical, clinical, and user experience aspects.   Keywords: Emergency Medical Services; First Aid; Mobile Application.   Pendahuluan: Respon cepat terhadap keadaan gawat darurat medis menjadi faktor penting dalam menurunkan mortalitas dan morbiditas pasien. Namun, sistem pemanggilan ambulans di Indonesia masih menghadapi berbagai kendala, seperti keterbatasan akses informasi, keterlambatan respon, dan kurangnya integrasi dengan pusat komando darurat. Tujuan: Untuk meninjau berbagai penelitian terkait integrasi pertolongan pertama dan aktivasi ambulans. Metode: pencarian artikel dilakukan database PubMed dan ScienceDirect kemudian proses review dan sintesis dilakukan menggunakan PRISMA. Artikel awal yang ditemukan adalah 219, kemudian 15 artikel disertakan dalam penelitian. Hasil: Menunjukkan bahwa aplikasi mampu memfasilitasi pemesanan ambulans, pelacakan lokasi real-time, dan percepatan respon darurat. Namun, sebagian besar studi masih terbatas pada uji fungsi teknis dengan sampel kecil, belum mengukur efektivitas aplikasi pada indikator klinis. Simpulan: Inovasi aplikasi darurat berbasis web maupun mobile memiliki potensi besar dalam meningkatkan kecepatan respon, akurasi pemanggilan ambulans, dan pemberdayaan masyarakat dalam pertolongan pertama. Namun, masih diperlukan penelitian lanjutan dengan cakupan yang lebih luas, metode kuantitatif yang kuat misalnya quasi-experiment atau RCT, serta evaluasi multi-dimensi yang melibatkan aspek teknis, klinis, dan pengalaman pengguna. Kata Kunci: Aplikasi Seluler; Layanan Medis Darurat; Pertolongan Pertama.
Procedure for Using Crystalloid and Colloid Fluids in Blood Pressure in Sectio Caesaria Patients Using Spinal Anesthesia Technique Sanjaya, Dwi Arymbhi; Agustini, Ni Luh Putu Inca Buntari; Putra, I Gede Agus Shuarsedana; Lewar, Emanuel Ileatan
JURNAL KESEHATAN PRIMER Vol 3 No 2 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i2.255

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Background: In Indonesia, the study about effectivity and side effect of colloid and crystalloid fluid have been completed, but the study about standard operating procedures (SOP) never have been done. The aim of this research was to describe and evaluate the SOP for the use of crystalloid and colloid fluids on blood pressure in sectio caesarea by using spinal anesthesia techniques. Method: The research employed a descriptive quantitative method by using a questionnaire. The basic features of crystalloid and colloid fluid selection were analyzed by multiple response tests. This research was conducted in type A hospitals in the Denpasar area by involving 30 anesthesiologist as a respondent. Result: The results indicated that 76.7% of respondents stated that there was no SOP for crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. In the multiple response tests, the effectiveness and side effects (21.3%) were the factors that had to be considered in the crystalloid and colloids fluid selection to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. The National Guideline of Medical Services for Anesthesiology and Incentive Therapy have been followed in determining the use of crystalloid and colloid fluids at section Caesarea. However, the guideline did not explain the basis for selecting crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques in more detail, therefore the factors of effectiveness and risk of side effects are the main consideration.
DETERMINANT FACTORS ASSOCIATED WITH DIGITALIZATION OF LEADERSHIP COMMUNICATION AT HOSPITAL Agustini, Ni Luh Putu Inca Buntari; Wardana, Dewa Gede Wisnu; Negara, I Gusti Ngurah Made Gusti Kusuma; Yusniawati, Yustina Ni Putu; Israfil, Israfil; Suyasa, I Gede Putu Darma
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.768

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Background: The digital era has accelerated the digitalization of organizational processes, including leadership communication. The emergence of digital leadership requires leaders to adapt their communication and leadership styles to dynamic, technology-mediated work environments. In hospital settings, effective digital leadership communication is essential to support coordination, decision-making, and quality nursing care. Purpose: This study aimed to identify determinants associated with the digitalization of leadership communication in hospitals. Methods: A cross-sectional study design was employed involving 131 nurses recruited through purposive sampling based on predefined inclusion criteria. Data were collected using structured questionnaires measuring leadership style, communication style, leadership skills, leader enthusiasm, and the implementation of digital leadership communication. Statistical analyses included the Spearman rho test, contingency coefficient, and multiple logistic regression to examine associations between variables. Results: The findings indicated that 94.7% of respondents perceived the implementation of digital leadership communication as good. Leadership style showed a moderate positive correlation with digital leadership communication (p = 0.000; r = 0.512). Communication style was not significantly associated with digital leadership communication (p = 0.434; r = 0.068). Leadership skills demonstrated a strong positive relationship (p = 0.000; r = 0.589), while leader enthusiasm showed the strongest association (p = 0.000; r = 0.698). Multivariate analysis confirmed that leadership skills and enthusiasm were the most influential determinants. Conclusion: Leader enthusiasm and leadership skills are key determinants of effective digitalization of leadership communication in hospital settings. Strengthening these competencies may enhance digital leadership practices and improve organizational communication in healthcare institutions.
Critical Aspects in Assessing Palliative End-of-Life Care: A Narrative Review of Family Support and Spiritual Needs Buntari Agustini, Ni Luh Putu Inca; Israfil, Israfil; Suyasa, I Gede Putu Darma; Sujianto, Untung
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44511

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Aims: To review the existing evidence on the assessment of spiritual needs and family support in palliative end-of-life nursing care. Methods: A narrative review was conducted using databases, including ScienceDirect, EBSCOhost, ProQuest, and PubMed. Keywords included “palliative care,” “assessment tools,” “family,” and “spiritual.” After applying the inclusion criteria, 12 relevant articles were analyzed. Results: Two major assessment domains were identified. First, spiritual needs encompass perceptions of death, hopelessness, dependency, fear, avoidance, anxiety, stress, depression, Quality of Life (QoL), and religious barriers. Second, family support includes caregiver burden, fatigue, depression, declining physical health, anxiety, and financial stress. These factors influence both patient well-being and the family’s capacity to provide end of life care. Conclusion: Spiritual needs and family support are interconnected and critical components of a comprehensive palliative nursing assessment. Integrating structured spiritual and family assessment tools into clinical practice is essential for developing culturally sensitive holistic care plans that enhance quality of life and death. Future nursing education, clinical training, and policies should prioritize systematic assessment approaches and interdisciplinary collaboration to strengthen end-of-life care.
Caregiver Empowerment Through Training and Mentoring on Knowledge of Personal Hygiene Management in Older People Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Israfil, Israfil; Indrayani, Ni Luh Dwi; Artsanthia, Jintana; Sutini, Ni Kadek; Sagita, Ni Wayan Riska
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.508

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One key aspect of elderly care is personal hygiene management, which directly influences older adults' physical health, psychological well-being, and dignity. Our observation indicates that 6% of older people experience difficulties in maintaining personal hygiene independently. These older people depend on caregivers to maintain their hygiene. However, many caregivers lack adequate knowledge and skills, highlighting the need for practical training and mentoring interventions. This community service activity aimed to enhance knowledge related to personal hygiene management in elderly care by conducting a structured training and mentoring program for caregivers. This activity, carried out in March 2025, included interactive training sessions and one-on-one mentoring involving 41 caregivers from Pedungan and Melinggih villages. Both villages were chosen because our previous studies were carried out in these places. They were representatives of rural and urban areas. To measure the impact of our program, we conducted a pre-post test experimental design without control groups. Knowledge was measured with a self-developed, validated questionnaire. A Wilcoxon Signed Rank Test revealed a statistically significant increase in the knowledge after training, z = -3.829, P < 0.001, with a large effect size (r = 0.6). The median score on the knowledge increased from pre-program (Md = 13) to post-program (Md = 14). Training and mentoring empower caregivers by enhancing their knowledge to better manage the personal hygiene of older people. This approach not only improves the quality of care provided but also contributes to the dignity, comfort, and overall health outcomes of the elderly population. Future programs need to be expanded to include a broader range of caregivers from different areas.
Evaluating Usability of EMR-Integrated Triage Technologies in the Emergency Department: A Literature Review I Gede Rendy Arizona Vallentino; Ni Luh Putu Inca Buntari Agustini; Wulandari, Ida Ayu Putri; Yustina Ni Putu Yusniarvati
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71530

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Introduction: The Emergency Department (ER) is a vital hospital unit that handles critically ill patients. The triage process determines treatment priorities, so speed and accuracy significantly impact patient safety. The implementation of Electronic Medical Records (EMR) is expected to improve triage quality. However, usability aspects such as ease of use, efficiency, error prevention, user satisfaction, and workflow compatibility still require a comprehensive review. This review aimed to explore current evidence on the usability of EMR-based triage systems in Emergency Departments and the factors influencing successful implementation.Methods: This literature review followed the PRISMA 2020 guidelines. Articles were searched through PubMed, ScienceDirect, and Google Scholar using the terms “usability,” “triage,” “electronic medical record,” and “emergency room.” Included articles were original studies published in English between 2020 and 2025 that addressed the validity, reliability, or usability aspects of an EMR-based triage system in the ED. Review articles, conference abstracts, and irrelevant studies were excluded. From the selection process, 15 articles were selected for analysis.Results: EMR-based triage instruments, such as EMOnco (Brazil) and CETS (China), are valid and reliable. Digital systems such as eResus, MUST-Plus, and CDSS improve documentation, accuracy, and patient safety. Mobile applications have yielded mixed results: MEDIC faces learnability challenges. At the same time, CoSMoS is easy to use despite limited EMR integration. User satisfaction increases when systems support team communication and transparency, but barriers such as low computer literacy, alert fatigue, resistance, and documentation burden persist.Conclusion: EMR-based triage technology in the ER has the potential to improve efficiency, accuracy, and patient safety, but its effectiveness depends heavily on usability. Successful implementation requires a user-centered design approach, ongoing training, and periodic usability evaluation.
Pemberdayaan Keluarga Pasien Stroke melalui Pelatihan Relaksasi Terpadu Berbasis Mindfulness untuk Mendukung Rehabilitasi di Rumah Suantari, Luh Ari; Artha Kusuma, I Nyoman Krisna; Purnama Sari, Putu Mariany; Kusmadi, I Kadek Doni; Sri Rahayu, Dewa Ayu Erna; Israfil, Israfil; Darma Suyasa, I Gede Putu; Buntari Agustini, Ni Luh Putu Inca; Indrayani, Ni Luh Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24890

Abstract

ABSTRAK Keluarga berperan sebagai pengasuh utama dalam rehabilitasi pasien stroke berbasis rumah, namun peran ini kerap dihadapkan pada stres psikologis, kelelahan emosional, dan keterbatasan kemampuan koping yang dapat memengaruhi kualitas perawatan. Program pengabdian kepada masyarakat ini bertujuan memberdayakan keluarga pasien stroke melalui pelatihan relaksasi terintegrasi berbasis mindfulness untuk meningkatkan pengetahuan, kemampuan regulasi stres, serta kesiapan caregiver dalam menjalankan perannya.Kegiatan dilaksanakan dengan pendekatan edukatif dan partisipatif yang melibatkan tenaga interprofesional serta mengacu pada kerangka POAC (Planning, Organizing, Actuating, dan Controlling). Sebanyak 15 caregiver mengikuti edukasi terstruktur, diskusi kelompok kecil, dan demonstrasi teknik relaksasi yang meliputi pernapasan mindfulness, pernapasan dalam, serta relaksasi otot progresif. Proses pembelajaran didukung media leaflet dan audiovisual untuk menunjang praktik mandiri di rumah.Evaluasi dilakukan melalui pre-test dan post-test yang dianalisis menggunakan uji Wilcoxon Signed-Rank. Hasil menunjukkan bahwa sebelum intervensi sebagian besar peserta berada pada kategori pengetahuan rendah dengan rerata skor 38,0. Setelah pelatihan, hampir seluruh peserta mencapai kategori pengetahuan baik dengan rerata skor 100. Analisis statistik menunjukkan peningkatan pengetahuan yang signifikan (Z = −3,296; p = 0,001). Temuan ini menunjukkan bahwa pelatihan relaksasi berbasis mindfulness efektif mendukung peran keluarga dalam rehabilitasi pasien stroke berbasis komunitas. Kata Kunci: Stroke, Caregiver, Mindfulness, Relaksasi Terintegrasi, Rehabilitasi Di Rumah.  ABSTRACT Family members play a central role as primary caregivers in home-based stroke rehabilitation, yet this responsibility is frequently associated with psychological stress, emotional exhaustion, and limited coping skills that may compromise care quality. This community service program aimed to empower families of stroke patients through integrated mindfulness-based relaxation training to improve caregivers’ knowledge, stress regulation abilities, and readiness to provide care.The program applied an educational and participatory approach with interprofessional collaboration and was guided by the POAC framework (Planning, Organizing, Actuating, and Controlling). Fifteen caregivers participated in structured educational sessions, small-group discussions, and demonstrations of relaxation techniques, including mindfulness breathing, deep breathing, and progressive muscle relaxation. Educational materials were supported by leaflet and audiovisual media to encourage independent home practice. Program effectiveness was assessed using pre-test and post-test evaluations and analyzed with the Wilcoxon Signed-Rank test. Results showed a significant improvement in caregivers’ knowledge, with mean scores increasing from 38.0 before the intervention to 100 after training (Z = −3.296; p = 0.001). These findings indicate that mindfulness-based relaxation training is a feasible and effective strategy to reduce caregiver stress and enhance family capacity in community-based stroke rehabilitation. Keywords: Stroke, Caregiver, Mindfulness, Integrated Relaxation, Home Based Rehabilitation.
Co-Authors Abdul Haris Abdurrahman, Firman Adi Satriani Adnyani, Putu Desi Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Arka, I Gede Widhi Arnaya, I Gede Putu Suka Artawan, I.K Artha Kusuma, I Nyoman Krisna Artsanthia, Jintana Aryana, I Gusti Ngurah Cahyadi, Herry Suwaja Cintariasih, Putu Dewa Gede Wisnu Wardana Dewa Gede Wisnu Wardana Dewi, Ni Putu Ayu Ratna Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Drs. I Wayan Darsana,M.Ed . Dwi Arymbhi Sanjaya Edi Sanjana, I Wayan Elsi Dwi Hapsari Emanuel Ileatan Lewar Gandamayu, Ida Bagus Maha Gede Khrisna Eka Yudha Gustiawan, Sastro Putre Handi Partiwi, Putu I Gede Agus Shuarsedana Putra I GEDE PUTU DARMA SUYASA I Gede Putu Darma Suyasa, I Gede Putu I Gede Rendy Arizona Vallentino I Gusti Agung Tresna Wicaksana I Gusti Agung Tresna Wicaksana I Gusti Ayu Puja Astuti Dewi I Gusti Ngurah , Aryana I Kadek, Miki Indra Bela I Ketut Alit Adianta I Ketut Swarjana I Made Dwi Krisma Prataba I Nengah Agus Mega Aryawan I Nyoman Windhu Paramarta I Putu Arya Wijayanatha I Putu Budiarsana I Putu Gede Darmayasa I Wayan Edi Sanjana Ida Ayu Ketut Adi Setiawati Ida Ayu Manik Damayanti Ida Ayu Ningrat Pangruating Diyu Ida Ayu Ningrat Pangruating Diyu Ida Ayu Putri Wulandari IGN Made Kusuma Negara Kusuma Negara IGP Darma Suyasa Indrayani, Ni Luh Dwi Israfil, Israfil Israfil, Israfil Israfil Juliani, Made Kadek Buja Harditya Ketut Widia Khatijah Lim Lim Abdullah Komang Ardidhana Nugraha Putra Krisnandari D, Anak Agung Istri Wulan Kusmadi, I Kadek Doni Kusuma Negara, I Gusti Ngurah Made LEWAR, EMANUEL ILEATAN Lewar, Emanuel Illeatan Luh Gde Nita Sri Wahyuningsih Made Dian Shanti Kusuma Made Rismawan Maha Putra, I Nyoman Arya Mahaputra, I Nyoman Arya Megawati, Putu Vera Nadya Treesna Wulansari Nadya Treesna Wulansari Nadya Tressna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Ni Kadek Amelia Cahaya Putri Ni Kadek Leni Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Luh Adi Satriani Ni Luh Adi Satriani Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Manik Mas Puspa Sari Ni Luh Tutik Hermi Wahyuni Ni Made Ayu Sukma Widyandari Ni Made Candra Citra Sari Ni Made Dewi Wahyunadi Ni Made Wirantini Ni Made, Ratih Comala Dewi Ni Nyoman Nuartini Ni Putu Ayu Ratna Dewi Ni Putu Ayu Ratna Dewi Ni Putu Kamaryati Ni Wayan Sintia NLP Dina Susanti Nooiad, Ganyanee Nur Halimah Nursalam Nursalam Nuryanto , I Kadek Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Only Hufana Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Priyantini, Diah Purnama Dewi, Sagung Mirah Purnama Sari, Putu Mariany Purwadadi, I Kadek Putra, I Gde Agus Shuarsedana Putra, I Gede Agus Shuarsedana Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, I Nyoman Trisna Oka Putra, Ida Bagus Ardhi Putra, Komang Ardidhana Nugraha Putra, Putu Agus Sujana Putri, Ni Made Manik Elisa Putu Agus Sujana Putra Putu Desi Yulistina Putu Sundari Dewi Rittiruang, Amonwan Sagita, Ni Wayan Riska Sagung Mirah Purnama Dewi Sanjana, I Wayan Sanjana, I Wayan Edi Sari, Ni Made Candr Citra Sastrawati, Desak Kadek Sastro Putre Gustiawan Satriani, Adi Satriani, Ni Luh Adi Setiawan Setiawan Sri Dewi Megayanti Sri Rahayu, Dewa Ayu Erna Sriasih, Ni Kadek Suantari, Luh Ari Suryani, Ni Wayan Susanti, Ni Putu Aries Susila, I Pasek Wayan Agung Tanuparbrungson, Supawan Tripayana, I Nyoman Trisna, Made Oktaviani Bulan Untung Sujianto Vitug, Portia Zoleta- Wahyu Krisna Yoga Wahyu, I Made Yudi Wahyunadi, Ni Made Dewi Wahyuni, Ni Komang Sri Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Wijayanatha, I Putu Arya Witarini, Ni Wayan Sri Wulandari, Sarah Kartika Yogi RS, I Gusti Agung Yudha, Gede Khrisna Eka Yudi Apriani, Ni Luh Putu Yulistina, Putu Desi Yusniawati, Yustina Ni Putu Yustina Ni Putu Yusniarvati Yustina Ni Putu Yusniawati Yustina Ni Putu yusniawati Yustina Ni Putu Yusniawati