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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.
Community-Based Health Education on Healthy Foods to Reduce Blood Pressure among Hypertensive Patients in the Community Israfil, Israfil; Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Swarjana, I Ketut; Sriasih, Ni Kadek; Nooiad, Ganyanee; Yogi RS, I Gusti Agung; Tripayana, I Nyoman; Wicaksana, I Gusti Agung Tresna
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.v5i2.750

Abstract

Hypertension is one of the non-communicable diseases whose prevalence continues to increase and remains a major risk factor for cardiovascular disease. The management of hypertension does not rely solely on pharmacological therapy but also requires non-pharmacological interventions, such as adopting a healthy diet rich in fruits and vegetables and low in salt. However, public knowledge regarding types of foods that effectively help lower blood pressure remains limited, particularly in rural areas. This community service program (PKM) aimed to provide education on healthy foods that can reduce blood pressure as a form of non-pharmacological therapy for patients with hypertension in the community. The activity employed the Preparation, Action, Reflection, and Evaluation (PARE) approach and was conducted in Melinggih Village, Gianyar Regency, Bali Province, involving 29 participants with hypertension. The program began with a pre-test, followed by health education sessions supported by visual educational media, consultations, discussions, and question-and-answer sessions, and concluded with a post-test evaluation. The results showed that the proportion of participants with good knowledge increased from 34.5% before the intervention to 100% after the implementation of the program. The Wilcoxon test results indicated Z = -4.300; p = 0.001, demonstrating a statistically significant difference in participants’ knowledge levels before and after the activity. The success of the program was supported by lecture methods, consultations, and interactive discussions conducted bilingually (Indonesian and Balinese), as well as the use of colorful leaflets illustrating vegetables and fruits beneficial in lowering blood pressure. Thus, this community-based educational intervention proved effective in improving community knowledge and awareness regarding healthy food choices for hypertension management.
Program Edukasi Integrasi Perawatan Paliatif dan Perawatan Jangka Panjang dalam Meningkatkan Pengetahuan Pasien Gagal Ginjal Kronik Stadium Akhir Agustini, Ni Luh Putu Inca Buntari; I Putu Gede Darmayasa; I Nengah Agus Mega Aryawan; Ida Ayu Ketut Adi Setiawati; Ni Kadek Leni; Ni Made Wirantini; Ni Luh Tutik Hermi Wahyuni; Susanti, Ni Luh Putu Dina; Israfil, Israfil; I Gede Putu Darma Suyasa; Ni Luh Dwi Indrayani
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.v5i2.765

Abstract

Gagal ginjal kronik (GGK) stadium akhir merupakan kondisi kronis progresif yang memerlukan terapi pengganti ginjal jangka panjang dan menimbulkan beban multidimensional bagi pasien serta keluarga. Selain keluhan fisik, pasien sering mengalami tekanan psikologis, keterbatasan sosial, dan penurunan kualitas hidup. Namun, edukasi terstruktur mengenai perawatan paliatif dan perawatan jangka panjang masih terbatas, sementara pelayanan kesehatan cenderung berfokus pada aspek teknis dan kuratif hemodialisis. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan pasien dan keluarga mengenai GGK stadium akhir, perawatan paliatif, perawatan jangka panjang, serta strategi pengelolaan kecemasan melalui program edukasi terintegrasi. Kegiatan diikuti oleh 30 peserta yang terdiri dari pasien GGK stadium akhir dan anggota keluarga pendamping dengan latar belakang sosial dan pendidikan yang beragam. Sebagian besar peserta belum pernah memperoleh edukasi terstruktur mengenai asuhan holistik sebelumnya. Intervensi dilakukan melalui penyuluhan kesehatan, diskusi interaktif, serta pemberian media edukasi berupa leaflet dan materi presentasi. Pelaksanaan program menggunakan pendekatan manajemen POAC (Planning, Organizing, Actuating, dan Controlling). Evaluasi dilakukan menggunakan kuesioner pretest dan posttest yang mencakup empat aspek pengetahuan. Terjadi peningkatan pada seluruh aspek yang dinilai. Pemahaman tentang GGK stadium akhir meningkat dari 80% menjadi 92%. Pemahaman perawatan paliatif meningkat dari 82% menjadi 94%, perawatan jangka panjang dari 84% menjadi 93%, dan strategi pengelolaan kecemasan dari 85% menjadi 95%. Rata-rata skor keseluruhan meningkat dari 83% pada pretest menjadi 93% pada posttest. Program edukasi integrasi perawatan paliatif dan perawatan jangka panjang efektif dalam meningkatkan pengetahuan pasien dan keluarga mengenai asuhan holistik GGK stadium akhir. Program ini berpotensi memperkuat kesiapan pasien dan keluarga dalam menghadapi kondisi kronis secara berkelanjutan.
Determinants of functional limitations in basic and instrumental daily activities among older adults living in rural settings: a cross-sectional study Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.83252

Abstract

Introduction: Maintaining the functional capacity of older adults is essential to support independence, particularly in rural areas. Understanding the factors contributing to the reduced ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs) is essential for developing effective gerontological nursing strategies. This study identified the predictors of ADL and IADL impairment among older adults residing in rural communities. Methods: This cross-sectional study involved 318 older adults selected through simple random sampling. The Barthel Index and Lawton IADL Scale were used to measure ADL and IADL abilities. The Geriatric Depression Scale was used to assess depressive symptoms, whereas difficulties in vision, hearing, and communication were evaluated using the Washington Group Short Set. Chi-square tests and logistic regression were used to examine the associations and predictors. Results: ADL and IADL disabilities were identified in 4.4% and 10.1% of the respondents, respectively. Communication difficulties were a strong predictor of both ADL and IADL disabilities (AOR = 13.72; 95% CI = 3.26–57.76, p < 0.001 and AOR = 7.07; 95% CI = 2.34–21.34, p < 0.001). Depressive symptoms increased the risk of ADL disability (AOR = 4.17; 95% CI = 1.24–14.05, p = 0.021), and adults aged ≥ 75 years showed higher odds of IADL impairment (AOR = 4.39; 95% CI = 1.89–10.16, p < 0.001). Conclusions: Challenges in communication and depressive affect functional capacity among rural older adults. Maintaining independence and improving daily functioning by implementing early identification and intervention targeting communication and mental health are essential.
Intervention strategies to improve adherence to the five pillars of diabetes management among patients with type 2 diabetes mellitus: A literature review Megawati, Putu Vera; Agustini, Ni Luh Putu Inca Buntari; Megayanti, Sri Dewi; Sari, Ni Made Candr Citra
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1690

Abstract

Background: Diabetes mellitus is a metabolic disease that is a global problem, with the number of sufferers increasing annually. Adherence to the five pillars of diabetes management is the cornerstone of preventing and reducing morbidity and mortality from diabetes. Purpose: To analyze how to improve adherence in type 2 diabetes patients in implementing the five pillars of diabetes management. Method: The research method used a literature review approach to map and identify interventions for implementing the 5 pillars of diabetes management. Results: The study found 20 articles describing interventions for people with diabetes mellitus through educational and informational delivery mechanisms. The types of interventions included: mobile phone application interventions, physical exercise interventions, audiovisual interventions, flipchart interventions, and peer leader interventions. Conclusion: Five types of interventions improve adherence in patients with type II diabetes mellitus to implementing the 5 pillars of diabetes management.
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 Diah Priyantini 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 Ayu Puja Astuti Dewi I Gusti Ngurah , Aryana I Gusti Ngurah Made Kusuma Negara 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 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 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 Negara, I Gusti Ngurah Made Kusuma 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 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 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 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