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Training on Early Detection of Stroke for Health Cadres to Prevent Disability After Stroke in the Kebonsari Village Area Septianingrum, Yurike; Sari, Ratna Yunita; Hatmanti, Nety Mawarda; Wijayanti, Lono; Firdaus, Firdaus; Yuniati, Dyah
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.v7i8.12496

Abstract

ABSTRACT Early detection of stroke is an effort to prevent more severe disability in stroke patients. Delays in bringing stroke patients to the hospital are one of the reasons why patients miss the golden period of stroke treatment. Health cadres play an important role in identifying health problems in the community, but most cadres do not understand how to carry out early stroke detection. To increase the knowledge and ability of cadres in detecting strokes so that treatment does not exceed the golden period of strokes. The method used in this community service activity is a participative educational approach, including providing health education and demonstrations regarding early stroke detection. This activity was conducted in April 2023 and was attended by 35 health cadres. Knowledge and ability to detect stroke are evaluated used knowledge questionnaire instruments and observation sheets. The results of community service show that the knowledge and ability to perform stroke detection among cadres has increased after training. Cadres' knowledge and ability to detect stroke in the health community can be improved through early stroke detection training. It is hoped that trained health cadres can provide health education to other residents to increase residents' knowledge about stroke and when is the right time to take patients to hospital. Keywords: Early Detection, Health Cadres, Non-Communicable Disease, Stroke
Self-Empowerment Berbasis Edukasi sebagai Upaya Meningkatkan Kualitas Hidup Penderita dengan Hemodialisis Wijayanti, Lono; Sulistyorini, Sulistyorini; Wardani, Erika Martining; Septianingrum, Yurike; Damawiyah, Siti
Jurnal Peduli Masyarakat Vol 6 No 4 (2024): Jurnal Peduli Masyarakat: Desember 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i4.4499

Abstract

Berbagai masalah mempengaruhi berbagai aspek kehidupan pada penderita yang menjalani hemodialisis. Ketidaktahuan masyarakat tentang perawatan mandiri meliputi pembatasan asupan cairan, diet nutrisi yang dianjurkan dan mengikuti petunjuk pengobatan yang telah diberikan akan berdampak pada kualitas hidupnya. Tujuan kegiatan pengabdian masyarakat ini adalah meningkatkan pengetahuan dalam upaya perawatan mandiri dalam meningkatkan kualitas hidup pada penderita yang menjalani hemodialisis. Metode yang digunakan dalam kegiatan ini adalah memberikan pendidikan kesehatan kepada penderita dan keluarga tentang tentang pentingnya mematuhi protap yang telah diberikan seperti melaksanakan cuci darah sesuai jadwal yang diberikan, membatasi asupan cairan, diet nutrisi yang dianjurkan, melakukan olahraga sesuai yang dianjurkan. Kegiatan pengabdian masyarakat ini dilakukan selama satu minggu, diikuti oleh pasien yang menjalani hemodialisis berjumlah 60 orang. Sebelum dan sesudah penyuluhan, diadakan pre-test dan post-test untuk menilai apakah ada perubahan dalam pengetahuan mengenai upaya perawatan mandiri dalam meningkatkan kualitas hidup. Hasil kegiatan pengabdian masyarakat ini menunjukan adanya peningkatan pengetahuan tentang upaya perawatan mandiri dan mereka mengerti bahwa pentingnya perawatan mandiri agar kualitas hidup meningkat dan terhindar dari komplikasi
THE CORRELATION BETWEEN LIFESTYLE AND INCREASED URIC ACID LEVELS IN THE ELDERLY Wijayanti, Lono; Wahyudi, Agus; Septianingrum, Yurike
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 (1442.611 KB) | DOI: 10.33086/nhc.v1i2.2212

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Background: Increased serum uric acid levels are the strong predictors of death due to cardiovascular damage. The sedentary lifestyle tends to make physical inactivity and less attention to nutrition in eating. There has been a lifestyle shifting, whether we realize it or not. Objective: The purpose of this study was to analyze the correlation between lifestyle and the incidence of uric acid in the elderly at nursing home (Griya Werdha) Jambangan Surabaya. Methods: This study was an analytic study with a cross-sectional approach. The population was 150 elders. A total sample was 109 respondents which taken used Simple Random Sampling.  The independent variable was lifestyle and the dependent variable was the incidence of uric acid in the elderly. The research instrument used a questionnaire and observation. This research test used Fisher's exact test = 0.05. Results: The results showed that some respondents (78.9%) experienced a bad lifestyle and some respondents (81.7%) increased uric acid. There was a correlation between lifestyle and increased of uric acid levels (p=0.000). Conclusion: The worse a person's lifestyle, the higher risk of increased uric acid levels. It is expected that the elderly able to perform a healthy lifestyle to prevent elevated uric acid levels
FULFILLMENT OF EXERCISE NEEDS AMONG PREGNANT WOMEN DURING THE COVID-19 PANDEMIC Afiyah, R. Khairiyatul; Kamariyah, Nurul; Wijayanti, Lono; Yhusnain, Juliatik Ragil
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 (1627.371 KB) | DOI: 10.33086/nhc.v1i2.2276

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Background: During the Covid-19 pandemic, many restrictions on almost all routine services including maternal and newborn health services. Some pregnant women are reluctant to go to health facilities for fear of contracting it. The exercise need fulfillment of pregnant women's is disrupted by a pandemic because the gym and the park are closed or fear of the virus exposure when exercising outside the home. Objective: The purpose of the study was to describe the exercise need fulfillment of pregnant women during the Covid-19 pandemic at Jagir Health Center Surabaya. Methods: This study used descriptive design. The sample was 40 pregnant women in the 2nd and 3rd trimester at Jagir Health Center Surabaya which obtained bytotal sampling technique. The research variable was the exercise need fulfillment of pregnant women during the Covid-19 pandemic. The research instruments was questionnaires and then data were analyzed using frequency distribution tables. Results: The study results found that out of 40 respondents, almost entirely pregnant women (82.5%) had poor exercise need fulfillment and 17.5% pregnant women had good exercise need fulfillment during the Covid-19 pandemic. Conclusion: The exercise need fulfillment of pregnant women during the Covid-19 pandemic was poor. The role of nurses can improve and maintain regular exercise in pregnant women. In education, it is important to emphasize that moderate amounts of exercise 150 minutes/week such as walking and yoga can be done in various ways, such as exercising indoors or viewing videos from YouTube, zooming during the Covid-19 pandemic to increase immunity.
THE RELATIONSHIP BETWEEN BODY IMAGE AND SELF-ACCEPTANCE IN PATIENTS UNDERGOING HEMODIALYSIS Wijayanti, Lono; Wulan Anggraini, Mitha; Nurjanah, Siti; Umamah, Faridah
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.7186

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Introduction: Hemodialysis is a medical procedure that often causes significant physical changes, such as weight loss, swelling, and skin changes that can affect the patient's body image. The long-term process of hemodialysis also has the potential to interfere with psychological conditions, especially patient self-acceptance. Objective: This study aims to determine the relationship between body image and self-acceptance in patients undergoing hemodialysis. Methods: This type of research is quantitative research with a cross-sectional approach. The population of this study were all patients undergoing hemodialysis at Sidoarjo Regional Hospital as many as 200 respondents. The sample size was 133 respondents selected using a simple random sampling technique. The independent variable is body image and the dependent variable is self-acceptance. The instrument of this study was a questionnaire. Analysis using the Spearman Rank test. Results: The results of this study indicate that 54.9% experience negative body image and 41.4% experience low self-acceptance. Based on the results of the analysis obtained a correlation coefficient of 0.601 which means it has a strong relationship with, p-value = 0.000. Conclusions: Patients who have a positive body image tend to show a higher level of self-acceptance of their physical condition.
OPTIMIZING FAMILY EMPOWERMENT IN IMPROVING KNOWLEDGE AND BEHAVIOR AS PREVENTION OF RECURRENT STROKE Septianingrum, Yurike; Sari, Ratna Yunita; Hatmanti, Nety Mawarda; Wijayanti, Lono; Imamatul, Faizah; Yuniati, Dyah
Journal of Indonesian Public Health Service Vol. 2 No. 1 (2025): Volume 2, Issue 1, May 2025
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/jiphs.v2i1.55

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Family as an informal caregiver has a very important role in the care of stroke patients. Families do not have sufficient knowledge and skills in caring for stroke patients because they are not trained. Families actively involved in care will feel more prepared to face new responsibilities in caring for stroke patients. This community service activity aims to improve knowledge and behavior to prevent recurrent stroke. The method used in this community service activity is a participatory education approach, including educational methods using the stroke self-management education module. This activity was conducted in May 2024 at RW 07, Banyu Urip Village, Surabaya. It was attended by 20 families of stroke patients. Evaluation of knowledge using the recurrent stroke prevention knowledge questionnaire and behavior using the stroke patient care behavior questionnaire. The community service results showed that family caregivers' knowledge and behavior increased after the family empowerment program. Family empowerment can improve knowledge and behavior in family caregivers of stroke patients in preventing recurrent stroke. Family empowerment programs can be provided periodically by community nurses to improve the ability of family caregivers to improve the quality of life of stroke patients.
EFFECT OF COMBINED BOBATH AND BALANCE EXERCISE THERAPY ON PHYSICAL MOBILITY IMPROVEMENT IN STROKE PATIENTS: A CASE STUDY Sulistiyawati, Sri; Septianingrum , Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.72

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Background: Stroke emerged as a serious global health problem, ranking as the leading cause of disability and the second leading cause of death worldwide. The most common impact of stroke was impaired physical mobility, especially with damage to the brain's motor centers or nerve pathways controlling body movements. In stroke patients, this disorder could appear directly after an acute attack and persist into the rehabilitation phase if not treated properly. One intervention to address physical mobility disorders in stroke patients was the application of a combination of Bobath therapy and balance exercises to accelerate motor function recovery, prevent immobilization complications, and increase patient independence. Objectives: This case study aims to analyze the effectiveness of the application of the combination of Bobath therapy and Balance exercise on physical mobility disorders in stroke patients. Methods: This study is a case study of a description of one stroke patient in Mrs. S in the Arjuna Room of Bhakti Dharma Husada Hospital Surabaya by using a descriptive nursing process with an approach to describe in depth the application of the intervention to the patient. Results: The implementation of a nursing intervention in the form of a combination of Bobath therapy and balance exercise who experienced physical mobility impairment due to non-hemorrhagic stroke for six days showed positive results. Conclusion: The increase in muscle strength can be seen from the patient's ability to maintain posture, transition from lying down to sitting to standing, and show better stability during balance exercises.
EVALUATION OF DISCHARGE READINESS IN A PATIENT WITH SECONDARY STROKE: A CASE STUDY Kadir, Afrizal Nur; Septianingrum, Yurike; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.73

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Background: Early readmission in stroke survivors remains a critical issue, particularly in patients with mild initial symptoms but who experience early recurrence within a short period. Evaluating both patient and caregiver readiness for discharge is essential to improve home care outcomes and prevent avoidable hospitalizations. Objectives: This case study aims to assess discharge readiness in a post-stroke patient and their caregiver using the PATH-s instrument and examine its implications for readmission prevention. Methods: A descriptive single-case study was conducted involving a 66-year-old male with a secondary ischemic stroke within 30 days of the initial attack. Data were collected via clinical records and interviews. Discharge readiness was evaluated using the Preparedness Assessment for the Transition Home after Stroke (PATH-s) instrument, consisting of 25 items. The assessment was guided through a structured interview due to the patient's limited ability to self-complete the questionnaire. Results: The PATH-s assessment yielded a total score of 69 out of 100, indicating a moderate level of discharge readiness. The average score per item was 2.67 out of 4, suggesting a need for additional support in specific areas. The domains identified for improvement included financial capacity, home and transportation accessibility, long-term prognosis, and patient insight about stroke. Conclusion: Evaluating discharge readiness in the patient and family caregiver helped increase awareness of home care limitations and guided appropriate nursing interventions. These findings highlight the value of structured assessments like PATH-s in supporting clinical decision-making and individualized discharge planning.
PENERAPAN RANGE OF MOTION (ROM) KOMBINASI HEAD OF BED PADA PASIEN STROKE ISKEMIK DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK DI RUMAH SAKIT SURABAYA Ernawati, Yayuk; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.74

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Background: Stroke patients often experience hemiplegia or hemiparesis. Proper treatment can help the healing and recovery process. Objectives: This study aims to provide an overview of the implementation of the combination of Range of Motion (ROM) and Head of Bed (HOB) Elevation in ischemic stroke patients with impaired physical mobility in patient Mrs. L in Room Y, Surabaya Hospital. Methods: This type of research is descriptive, using a case study approach. Nursing care was provided from June 4 - June 6, 2025. The results of the assessment on Mrs. L had a stroke with hemiparesis. The nursing problems obtained were decreased intracranial adaptive capacity, impaired physical mobility, and risk of falling. The interventions given were head up 30 ⁰, Range of Motion, and education of patients falling. Results: The application of a combination of Range of Motion and Head of bed elevation with impaired physical mobility significantly helps the healing and recovery process in stroke infarction patients. Conclusion: Evaluation of nursing problems shows that the nursing diagnosis of decreased intracranial adaptive capacity and impaired physical mobility is partially resolved with increased muscle strength from 1 to 2 and increased range of motion, and the patient does not fall.
MOTOR IMAGERY TRAINING FOR MOTOR RECOVERY IN LEFT HEMIPARESIS POST-STROKE: A SHORT-TERM CASE STUDY Taufiq, Isa; Septianingrum, Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.76

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Background: Stroke remains one of the leading causes of long-term disability worldwide, with hemiparesis being the most common motor deficit. Hemiparesis on the dominant side, such as sinistra hemiparesis, greatly impairs daily function. Motor Imagery Training (MIT) is a cognitive-based therapeutic approach that stimulates motor-related cortical areas through mental rehearsal of movement, offering a non-invasive, low-cost intervention to promote neuroplasticity during stroke rehabilitation. Objectives: This case study aims to evaluate the short-term effects of a 4-day Motor Imagery Training intervention on a post-stroke patient with hemiparesis sinistra, focusing on motor function improvement and cognitive engagement. Methods: Mrs SA, a 66-year-old female with a history of uncontrolled hypertension and prior stroke, presented with left-side weakness, facial asymmetry. The patient underwent MIT sessions for four consecutive days (30 minutes/day), guided by auditory scripts and visual imagery techniques targeting upper limb function. Motor performance was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and the Medical Research Council (MRC) scale. Results: After four MIT sessions, the patient demonstrated improved motor strength (MRC 4-/5), increased FMA-UE score from 29 to 36, and enhanced focus and engagement. Subjectively, the patient reported increased motivation and perceived movement initiation. These findings suggest early cortical activation and functional gains, even within a limited intervention period. Conclusion: This case supports existing evidence on the effectiveness of MIT in promoting neurofunctional recovery in stroke rehabilitation. Despite its brief duration, MIT contributed meaningfully to motor recovery and psychological readiness. Motor imagery is feasible for early rehabilitation and can be tailored to settings with limited resources.