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All Journal Health Notions INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Pengabdian kepada Masyarakat Ezra Science Bulletin Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Catur Prasatia Lukita Dewi
Universitas Bina Sehat PPNI Mojokerto
Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Range of Motion Spherical Grip Affected the Upper Extremity Muscle Strength in Post Stroke Patients Lutfi Wahyuni; Siti Kotijah; Catur Prasastia Lukita Dewi
Journal of Ners and Midwifery Vol 9 No 3 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i3.ART.p328-334

Abstract

Stroke is a medical emergency. Post-stroke patients generally experience muscle weakness in the limbs, postural disturbances and muscle atrophy. The purpose of this study was to prove the effect of ROM Spherical Grip exercise on post-stroke patients. The type of the study was pre-experimental with one group pre-test-post-test design. The independent variable was Range Of Motion (ROM) Spherical Grip. The dependent variable was the degree of upper extremity muscle strength in post-stroke infarct patients who had hemiparesi. The sampling technique used a consecutive sampling technique. The sample was 33 respondents. The data were taken by measuring the muscle strength before and after being given the intervention. The instrument used an observation sheet for assessing muscle strength and manual muscle testing (MMT) physical examinations in post-stroke patients. The results of this study showed that most of the muscle strength before giving the Spherical Grip ROM exercise was Poor (there was movement but could not fight gravity) as many as 14 respondents (42.4%). After the intervention of the Spherical Grip ROM exercise, the muscle strength was mostly Fair (can move against gravity) as many as 19 respondents (57.6%). There is an increase in upper extremity muscle strength before and after being given ROM Spherical Grip exercise in post-stroke patients who experience hemiparesis. This showed that the Spherical Grip could improve the tone of those who experience weakness and if done continuously could increase muscle strength in post-stroke patients. It is hoped that with this research Spherical grip exercises can be used as one of the treatments for stroke patients who experience decreased upper extremity muscle strength and collaborate with physiotherapy also assisted by taking drugs according to doctor's advice.
Tripod Position and Pursed Lip Breathing on Respiration Rate in COPD Patients Lutfi Wahyuni; Catur Prasastia Lukita Dewi
Journal of Ners and Midwifery Vol 10 No 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i1.ART.p100-107

Abstract

Many people with COPD develop emphysema and chronic bronchitis. Both conditions cause obstruction of airflow in the respiratory system and cause an increase in the frequency of external respiration. One of the non-pharmacological management is tripod position and pursed lip breathing. This study aimed to determine the effect of giving a tripod position and pursed lip breathing on respiration rate in COPD patients. The design of this study used a one group pretest-post test design. The population in this study were all COPD patients at Bangil Hospital, Pasuruan in June 2021. The sampling technique of this study was consecutive sampling, the sample was obtained by 25 respondents. The instrument used observation and SOP. The results showed that the average respiration rate before giving the combination of tripod position and pursed lip breathing was 28.8x/minute, and the average value of respiration rate after giving the tripod position and pursed lip breathing was 23.2x/minute. Wilcoxon test results value = 0.000 on respiration rate before and after the combination of tripod position and pursed lip breathing, which means that tripod position and pursed lip breathing are proven to be effective on respiration rate in COPD patients. Tripod position and pursed lip breathing will loosen the chest cavity, provide positive pressure on the lungs so that air can go in and out more smoothly and reduce shortness of breath
The Effect of Progressive Muscle Relaxation (PMR) on Stress Level of Diabetes Mellitus Patients Lutfi Wahyuni; Catur Prasastia Lukita Dewi
Journal of Ners and Midwifery Vol 11 No 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i1.ART.p057-061

Abstract

Diabetes mellitus is a chronic condition that occurs when there is an increase in glucose levels in the blood because the body cannot produce enough insulin or use insulin effectively. In stressful conditions, it can increase the hormone adrenaline which can convert glycogen reserves in the liver into glucose and increase blood sugar in diabetes mellitus patients. The objective of this research was to prove the effect of Progressive Muscle Relaxation (PMR) on stress levels in Diabetes Mellitus patients. Research design pre-post test control group design. The experimental group was given treatment in the form of progressive muscle relaxation (PMR) while the control group received treatment as usual/conventional. The samples in this research were some DM patients at the Mentikan Community Health Center, Mojokerto City, totaling 35 respondents. The results of the pre-test and post-test in the treatment and control groups showed that there was a reduction in stress. It was found that there was a significant decrease in stress in both the treatment group, this was indicated by p=0.001 for the treatment group, while in the control group it was found to be p=0.303, so the decrease stress is not significant. After carrying out PMR, it is hoped that the client will be able to manage the body's condition in response to stress.
ANALYSIS OF THE ADOLESCENT REPRODUCTIVE HEALTH PEER EDUCATOR PROGRAM USING THE DISCREPANCY MODEL AT JUNIOR HIGH SCHOOL IN MOJOKERTO Catur Prasastia lukita Dewi
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/767

Abstract

Reproductive health education is a crucial aspect of youth development. One effective approach to providing reproductive health education is through peer educator programs. To ensure the effectiveness of program implementation, a systematic evaluation model is needed. One such model is the Discrepancy Model, which assesses the extent of the discrepancy between expected conditions (program standards) and actual conditions in the field. The purpose of this study was to analyze the implementation of the adolescent reproductive health peer educator program using the Discrepancy Model at Junior High School in Mojokerto. The approach used was descriptive quantitative, with the aim of describing the extent of the conformity between program standards and their implementation in the field based on the dimensions of the discrepancy model. The sample in this study was all 40 students participating in the Peer Educator program (PIK-R Team) and two mentor teachers. Based on the analysis using the Discrepancy Evaluation Model (DEM), the average conformity score to ideal standards reached 92%, with an average discrepancy of 8%, which is considered good. An average discrepancy below 10% indicates that the gap is still within reasonable limits and can be improved through strengthening training, supervision, and ongoing monitoring.  
EARLY MOBILIZATION AND PAIN MANAGEMENT AS DETERMINANTS OF RECOVERY QUALITY AMONG POSTPARTUM MOTHERS FOLLOWING CESAREAN SECTION AT GATOEL HOSPITAL, MOJOKERTO Catur Prasastia lukita Dewi
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/846

Abstract

The increasing rate of cesarean section deliveries contributes to a higher risk of postoperative pain and delayed mobilization among postpartum mothers, which may negatively affect both physical and psychological recovery. Inadequately managed pain and limitations in early mobilization can prolong the recovery period, increase the risk of complications, and reduce the quality of life of postpartum mothers. This study aimed to analyze the correlation between the implementation of early mobilization and pain management and the quality of recovery among postpartum mothers following cesarean section. This study employed a quantitative approach using an observational analytic design with a cross-sectional method. The study subjects were postpartum mothers following cesarean section who were hospitalized at Gatoel Hospital, Mojokerto. Data were collected using standardized instruments to assess pain intensity (Numeric Rating Scale), implementation of early mobilization, and maternal recovery quality. Data analysis was performed using bivariate analysis (Chi-Square test) and multivariate analysis (Ordinal Logistic Regression) to determine the most dominant relationship between early mobilization, pain management, and recovery quality. The results demonstrated a significant relationship between early mobilization and recovery quality (p = 0.001; p < 0.05). Likewise, a significant relationship was found between pain management and recovery quality (p = 0.003; p < 0.05). Ordinal logistic regression analysis revealed that early mobilization was the most dominant factor influencing the quality of recovery among postpartum mothers following cesarean section, with an odds ratio (OR) of 5.21. These findings indicate that early mobilization directly contributes to the restoration of physiological functions and enhances patient independence during the hospitalization period. Early mobilization and pain management are important factors influencing the quality of recovery among postpartum mothers following cesarean section. Early mobilization was identified as the most dominant determinant and should therefore become a primary focus of evidence-based nursing care at Gatoel Hospital, Mojokerto.
OPTIMALISASI KUALITAS PEMULIHAN IBU NIFAS MELALUI GIAT HAPPY (HEALTH AWARENESS POST-CAESAREAN PAIN MANAGEMENT FOR YOU & YOUR FAMILY) DI PUSKESMAS GAYAMAN MOJOKERTO Catur Prasastia Lukita Dewi
EZRA SCIENCE BULLETIN Vol. 4 No. 1 (2026): January-June 2026
Publisher : Kirana Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/ezrasciencebulletin.v4i1.576

Abstract

Pemulihan pasca sectio caesarea memerlukan pengetahuan dan keterlibatan keluarga yang memadai untuk mendukung proses penyembuhan ibu nifas. Kegiatan pengabdian kepada masyarakat ini bertujuan mengoptimalkan kualitas pemulihan ibu nifas melalui Giat HAPPY (Health Awareness Post-Caesarean Pain Management for You & Your Family). Sasaran kegiatan adalah 53 ibu hamil dengan indikasi sectio caesarea elektif beserta keluarganya di wilayah kerja Puskesmas Gayaman Mojokerto. Metode pelaksanaan meliputi sosialisasi, pelatihan interaktif mengenai pemulihan pasca sectio caesarea, mobilisasi dini, manajemen nyeri nonfarmakologis, dan peran keluarga, pemanfaatan media edukasi, serta pendampingan dan evaluasi melalui pre-test dan post-test. Hasil kegiatan menunjukkan peningkatan rata-rata pengetahuan peserta dari 63,25 menjadi 85,47, dengan proporsi pengetahuan baik meningkat dari 23% menjadi 81%. Selain itu, lebih dari 90% peserta mampu mempraktikkan mobilisasi dini dan teknik relaksasi napas dalam. Program Giat HAPPY terbukti efektif meningkatkan pengetahuan, keterampilan, dan kesiapan ibu serta keluarga dalam mendukung pemulihan pasca sectio caesarea.
Co-Authors AYU TRI WIDIYANTI Husnul Hatimah Lestari & Catur Prasatia, Indah Lutfi Wahyuni Noer Saudah Riska Aprilia SITI KOTIJAH