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Pemberdayaan Kader Kesehatan dalam Upaya Deteksi Dini Stroke dengan Metode F.A.S.T di Kecamatan Tugu Dyah Restuning Prihati; Heny Prasetyorini
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 6 (2023): Volume 6 No 6 Juni 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i6.9764

ABSTRAK Stroke adalah penyakit yang menyerang sistem saraf manusia yang sangat mengancam jiwa. Penyakit ini menjadi masalah kesehatan yang dapat kecacatan. Golden time pasien stroke terutama stroke iskemik adalah 3 jam setelah stroke. Salah satu upaya yang berperan penting untuk mencapai tujuan tersebut adalah pengenalan gejala-gejala stroke dan penanganan stroke secara dini yang dimulai dari penanganan prahospital yang cepat dan tepat. Kegiatan pengabdian masyarakat diberikan kepada kelompok kader kesehatan di wilayah kecamatan Tugu, diharapkan mereka mampu mengaplikasikan deteksi dini dan pencegahan stroke dengan metode F.A.S.T. Pengukuran tekanan darah, pemberian materi tentang deteksi dini Metode F.A.S.T dan pencegahan stroke, demonstrasi senam pencegahan stroke dan pendampingan. Evaluasi kegiatan dilakukan dengan memberikan kuisioner pengetahuan tentang deteksi dini dan pencegahan stroke. Terjadi peningkatan pengetahuan sebanyak 90% peserta setelah dilakukan edukasi tentang deteksi dini Metode F.A.S.T dan pencegahan stroke. Peserta kooperatif selama mengikuti kegiatan PKM. Pembuatan luaran meliputi publikasi jurnal, publikasi di media online dan HKI poster. Edukasi tentang deteksi dini dan pencegahan stroke dapat meningkatkan pengetahuan kader, agar menggerakkan masyarakat dalam upaya pencegahan stroke. Kata Kunci: Deteksi Dini Metode FAST, Kader Kesehatan, Stroke ABSTRACT Introduction: Stroke is a disease that attacks the human nervous system and is very life-threatening. This disease is a health problem that can be disabled. The golden time for stroke patients, especially ischemic stroke, is 3 hours after stroke. One of the efforts that play an important role in achieving this goal is the recognition of stroke symptoms and early treatment of stroke starting with prehospital treatment that is fast and appropriate. Purpose: Community service activities are given to groups of health cadres in the Tugu sub-district, it is hoped that they will be able to apply the early detection and prevention of stroke using the F.A.S.T method. Methods: Measuring blood pressure, providing material on early detection of the F.A.S.T Method and stroke prevention, demonstrating stroke prevention exercise and mentoring. Evaluation of activities is carried out by providing knowledge questionnaires about the early detection and prevention of stroke. Result: there was an increase in knowledge of 90% of participants after education about the F.A.S.T Method's early detection and stroke prevention. Cooperative participants during the PKM activities. Production of outputs includes publications in journals, publications in online media, and HKI posters. Conclusion: Education about early detection and prevention of stroke can increase the knowledge of cadres so that they can mobilize the community in stroke prevention efforts. Keywords: FAST Method Early Detection, Health Cadres, Stroke

Pemberian Self Education Kader dalam Upaya Pencegahan Kehamilan Beresiko Tinggi pada Ibu Hamil di Kecamatan Tugu Semarang Heny Prasetyorini; Dyah Restuning Prihati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 9 (2023): Volume 6 No 9 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i9.10909

ABSTRAK Self Education merupakan proses mendidik diri sendiri melalui studi informal. Dalam pengabdian masyarakat ini memberikan penyuluhan pada ibu hamil tentang pencegahan kehamilan resiko tinggi yang dilakukan oleh kader. Dengan pemberian penyuluhan ini diharapkan ibu hamil mampu melakukan Pendidikan untuk dirinya sendiri dalam menjaga kehamilanya sehingga terhindar dari bahaya resiko tinggi dalam kehamilan. Kegiatan pengabdian masyarakat diberikan kepada kelompok kader kesehatan di wilayah kecamatan Tugu Semarang dan kepada ibu hamil. Kegiatan yang dilakukan yaitu meliputi sosialisasi kepada kader tentang self education pencegahan kehamilan resiko tinggi, memberikan pelatihan kepada kader tata cara dalam melakukan penyuluhan kepada ibu hamil. Setelah diberikan pelatihan dilakukan evaluasi dengan mendampingi kader saat memberikan penyuluhan kepada ibu hamil terkait dengan pencegahan kehamilan resiko tinggi.Terjadi peningkatan pengetahuan kader kesehatan dari 0% menjadi 100 % setelah diberikan Self Education kehamilan resiko tinggi. Dan terjadi peningkatan pengetahuan pada ibu hamil dari 83% menjadi 100%. Peserta kooperatif selama mengikuti kegiatan PKM. Pembuatan luaran meliputi publikasi jurnal, publikasi di media online dan HKI poster. Self Education kehamilan resiko tinggi membantu kader dan ibu hamil dalam Upaya peningkatan derajat Kesehatan serta mencegah terjadinya AKI dan AKS khususnya diwilayah Kecamatan Tugu Semarang. Kata Kunci: Self Education, Kehamilan Resiko Tinggi ABSTRACT Self Education is a process of educating oneself through informal study. In this community service, providing counseling to pregnant women about preventing high-risk pregnancies is carried out by cadres. By providing this counseling, it is hoped that pregnant women will be able to carry out education for themselves in maintaining their pregnancy so as to avoid the dangers of high risk in pregnancy. Community service activities were given to groups of health cadres in the Tugu sub-district, Semarang and to pregnant women. Activities carried out include socializing to cadres about self-education for prevention of high-risk pregnancies, providing training to cadres on how to conduct counseling for pregnant women. After being given the training, an evaluation was carried out by accompanying the cadres when providing counseling to pregnant women regarding the prevention of high-risk pregnancies. There was an increase in the knowledge of health cadres from 0% to 100% after being given Self Education on high-risk pregnancies. And there is an increase in knowledge of pregnant women from 83% to 100%. Cooperative participants during the PKM activities. Production of outputs includes publication in journals, publications in online media and HKI posters. High-risk pregnancy self-education helps cadres and pregnant women in efforts to improve health status and prevent MMR and AKS, especially in the Tugu District, Semarang. Keywords: Self Education, High Risk Pregnancy

PENGARUH PENDIDIKAN KESEHATAN DENGAN VIDEO TERHADAP PENGETAHUAN TENTANG SADARI PADA WANITA USIA SUBUR DI WILAYAH PUSKESMAS NGALIYAN SEMARANG Heny Prasetyorini; Menik Kustriyani
Jurnal Ilmu Keperawatan dan Kebidanan Vol 13, No 2 (2022): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v13i2.1533

Kanker payudara penyebab kematian utama. Kanker payudara merupakan penyakit dengan persentase kasus tertinggi di dunia yaitu sebesar 43,3% dan persentase kematian akibat kanker payudara sebesar 12,9%. Kanker payudara dapat dideteksi secara dini. Deteksi dini yang dapat dilakukan dengan pemeriksaan payudara sendiri (SADARI). Pemeriksaan ini cara yang mudah dilakukan oleh wanita. Banyak wanita yang tidak pernah melakukan deteksi dini, atau melakukan pemeriksaan payudara sendiri, alasanya wanita usia subur (WUS) kurang pengetahuan tentang kanker payudara dan deteksi dini dengan SADARI. Kurangnya pengetahuan WUS menimbulkan anggapan bahwa kegiatan SADARI menyita waktu dan tidak perlu dilakukan pada orang yang sehat. Penelitian ini bertujuan mengetahui pengaruh Pendidikan Kesehatan Dengan Video Terhadap Pengetahuan Tentang Pemeriksaan SADARI Pada WUS. Desain penelitian ini merupakan penelitian pre eksperimental dengan rancangan one group pretest-posttest design. Analisa data yag digunakan dalam penelitian ini adalah analisis univariat, bivariat dengan uji Wilcoxon serta multivariat. Kriteria inklusi adalah WUS yang periksa dipuskesmas dan bersedia untuk diteliti. Instrument yang digunakan adalah kuasioner tingkat pengetahuan WUS tentang SADARI sebelum dan setelah pemberian Pendidikan kesehatan. Hasil penelitian ini didaptkan adanya tingkat pengetahuan baik sebelum diberikan Pendidikan Kesehatan 27,5 dan setelah diberikan menjadi 36,2 untuk pengetahuan cukup sebelum diberikan Pendidikan Kesehatan 8,95 dan setelah diberikan menjadi 6,7 pengetahuan kurang sebelum diberikan Pendidikan Kesehatan 6,55 dan setelah diberikan menjadi 0,1. Dari uji Wilcoxon didapatkan hasil nilai Z -5,588 dan Asymp. Sig (2-tailed) 0,00 atau sama dengan p-value 0,05. Terdapat pengaruh yang signifikan pada variable status pernikahan, pendidikan dan pekerjaan value 0,05 .

Pengaruh Pelaksanaan Peer Grup Education terhadap Pencegahan Kehamilan Beresiko Pada Ibu Hamil Di Wilayah Kecamatan Tugu Semarang Heny Prasetyorini; Dyah Restuning Prihati
Malahayati Nursing Journal Vol 6, No 3 (2024): Volume 6 Nomor 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i3.11694

ABSTRACT Peer group education is an alternative in natural learning efforts with peers who have something in common so that they are able to strengthen each other and learn from each other and share experiences related to the knowledge possessed by the Government. with the efforts of pregnant women classes. From the strategic plan, several inhibiting factors were found in achieving success, including the uneven availability of health workers and health facilities, especially in remote, border and island areas, so that assistance is still needed through peer group education for pregnant women. To determine the effect before and after the implementation of peer group education on preventing risky pregnancies in pregnant women in the Tugu sub-district area of Semarang. This study used a pre-experimental research design with a one group pretest-posttest design. Peer group education in pregnant women was measured before and after to prevent risky pregnancies. The study population consisted of 39 people. The time of the study was March – August 2023. In this study, the researchers collected data using an instrument in the form of a questionnaire covering the characteristics of the respondents, knowledge about preventing risky pregnancies. The results of this study indicate that there is an increase in knowledge before and after being given peer group education to pregnant women in efforts to prevent high-risk pregnancies. And the results from the Wilcoxon test obtained a Z value of -5.588 and Asymp. Sig (2-tailed) 0.000 or equal to p-value 0.05, which means that there is an effect of peer group education on the level of knowledge of pregnant women. The results of the Pilla's Trace test for age, education, occupation and history of at-risk pregnancies affect the level of knowledge of pregnant women after being given peer group education interventions in efforts to prevent at-risk pregnancies. That age, education, occupation and history of risky pregnancies affect the level of knowledge of pregnant women after being given peer group education interventions in efforts to prevent at-risk pregnancies. Keywords: Peer Group Education, Prevention of Risky Pregnancy ABSTRAK Peer grup education menjadi sebuah alternatif dalam upaya pembelajaran secara alamiah bersama teman sebaya yang memiliki kesamaan sehingga mampu saling menguatkan dan saling belajar serta berbagi pengalaman terkait dengan pengetahuan yang dimiliki Pemerintah telah melakukan upaya dalam pencegahan kehamilan beresiko dengan membuat rencana strategi Kemenkes tahun 2020-2024 yaitu dengan adanya upaya kelas ibu hamil. Dari rencana strategi tersebut masih ditemukan beberapa factor penghambat dalam capaian keberhasilan diantara nya adalah ketersediaan tenaga kesehatan dan fasilitas kesehatan yang belum merata, terutama di daerah-daerah terpencil, perbatasan, dan kepulauan sehingga masih diperlukan pendampingan melalui peer grup education pada ibu hamil. Untuk mengetahui pengaruh sebelum dan setelah pelaksanaan peer group education terhadap pencegahan kehamilan beresiko pada ibu hamil di wilayah kecamatan Tugu Semarang. Penelitian ini menggunakan desain penelitian pre eksperimental dengan rancangan one group pretest-posttest design. Peer grup education pada ibu hamil diukur sebelum dan setelah untuk mencegah terjadinya kehamilan beresiko Populasi pada penelitian sebanyak 39 orang. Waktu penelitian bulan Maret – Agustus 2023. Pada penelitian ini, peneliti mengumpulkan data dengan menggunakan instrumen berupa kuesioner meliputi karakteristik responden, pengetahuan tentang pencegahan kehamilan beresiko. Hasil penelitian ini menunjukkan terdapat peningkatan pengetahuan sebelum dan setelah di berikan peer group education pada ibu hamil dalam Upaya pencegahan kehamilan beresiko. Dan hasil dari uji Wilcoxon didapatkan nilai Z -5,588 dan Asymp. Sig (2-tailed) 0,000 atau sama dengan p-value 0,05 yang artinya ada pengaruh peer group education terhadap tingkat pengetahuan ibu hamil. Hasil dari uji Pilla’sTrace usia, Pendidikan, pekerjaan dan Riwayat kehamilan beresiko berpengaruh terhadap tingkat pengetahuan ibu hamil setelah diberikan intervensi peer group education dalam Upaya pencegahan kehamilan beresiko. Bahwa usia, Pendidikan, pekerjaan dan Riwayat kehamilan beresiko berpengaruh terhadap tingkat pengetahuan ibu hamil setelah diberikan intervensi peer group education dalam Upaya pencegahan kehamilan beresiko. Kata Kunci: Peer Group Education,Pencegahan Kehamilan Beresiko

The Relationship Between Family Support in Diabetes Management and Self-Acceptance among Patients with Type 2 Diabetes Mellitus Dyah Restuning Prihati; Heny Prasetyorini; Miya Susilawati
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.657

Background: Patients with type 2 diabetes mellitus (T2DM) who have low self-acceptance often develop negative perceptions of their abilities, which can hinder effective diabetes self-management. T2DM is a chronic metabolic disorder characterized by insulin resistance and progressive β-cell dysfunction and long-term complications that negatively affect patients' quality of life (QoL). This study aims to determine the relationship between family support and self-acceptance in patients with T2DM. Methods: A cross-sectional study design was used, involving 221 respondents from Community Health Centers under the jurisdiction of the Ketapang District Health Office. Data were collected using the Hensarling Diabetes Family Support Scale (HDFSS) and the Illness Acceptance Scale (AIS). Result: The results showed a significant value of p = 0.000 and a Spearman correlation coefficient of r = 0.546, indicating a moderate positive correlation. Conclusion: There is a significant relationship between family support in diabetes management and self-acceptance in patients with T2DM

Hubungan Self Efficacy dengan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa Apriliyana Apriliyana; Dwi Nur Aini; Arifianto Arifianto; Heny Prasetyorini
Journal of Language and Health Vol. 6 No. 4 (2025): Journal of Language and Health: December 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar

Gagal Ginjal Kronik (GGK) merupakan penyakit progresif yang berdampak pada kondisi fisik dan kualitas hidup pasien. Hemodialisa dapat mempertahankan kelangsungan hidup, namun terapi jangka panjang ini berpotensi menimbulkan komplikasi. Dalam proses adaptasi, self-efficacy berperan penting dalam meningkatkan kepatuhan dan kualitas hidup pasien. Penelitian ini bertujuan menganalisis hubungan self-efficacy dengan kualitas hidup pasien GGK yang menjalani hemodialisa di RS Permata Medika. Penelitian kuantitatif dengan desain deskriptif korelatif dan pendekatan cross sectional. Sampel berjumlah 46 responden yang dipilih melalui purposive sampling. Instrumen yang digunakan adalah WHOQOL-BREF dan General Self-Efficacy Scale (GSES), kuesioner yang digunakan sudah dilakukan uji validitas dan uji reliabilitas peneliti sebelumnya. Analisis data menggunakan uji Spearman’s Rho. Uji Spearman menunjukkan koefisien korelasi sebesar 1.000 dengan nilai p-value 0.000 (p < 0.05), yang menandakan adanya hubungan yang sangat kuat antara self-efficacy dan kualitas hidup. Terdapat hubungan yang signifikan antara self-efficacy dengan kualitas hidup pasien GGK yang menjalani hemodialisa.

The Effect of Stretching Exercises on Reducing Joint Pain Levels Among Elderly Prolanis Participants at The Purwoyoso Community Health Center Aprilia Ardi Kusumadewi; Heny Prasetyorini
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Joint pain represents one of the most common health problems affecting older adults and frequently contributes to functional limitation, reduced mobility, and decreased quality of life. This study aimed to evaluate the effect of stretching exercises on reducing joint pain levels among elderly participants enrolled in the Chronic Disease Management Program at the Purwoyoso Community Health Center, Semarang, Indonesia. The study employed a quantitative quasi experimental design using a one group pretest and posttest approach. A total of 35 elderly participants were selected through purposive sampling based on predefined eligibility criteria. Joint pain intensity was assessed using the Numeric Rating Scale before and after a structured stretching exercise intervention. Descriptive statistics were used to describe pain distribution, while the Wilcoxon Signed Rank Test was applied to determine intervention effectiveness. Findings showed that all participants initially experienced moderate pain, whereas postintervention assessment indicated a substantial increase in mild pain classification and a corresponding reduction in moderate pain levels. Statistical analysis demonstrated a significant decrease in pain intensity with a p value of 0.000. Structured stretching exercises were effective in reducing joint pain among elderly Prolanis participants and may serve as an evidence based nonpharmacological intervention for community based elderly healthcare services.

The Application of Early Mobilization for Postoperative Pain Following a Cesarean Section at RSI PKU Muhammadiyah Pekajangan, Pekalongan Regency Ani Wahyuni; Heny Prasetyorini
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

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Cesarean section deliveries involve major abdominal incisions that cause intense postoperative pain, often leading to prolonged immobilization, heightened anxiety, and delayed recovery. Non pharmacological nursing interventions are critical to optimize recovery and mitigate reliance on heavy opioid analgesics. This clinical study evaluates the efficacy of progressive early mobilization on postoperative pain intensity, psychological adaptation, and functional safety among peripartum patients. An empirical descriptive case study with a sequential pre test and post test approach was conducted at RSI PKU Muhammadiyah Pekajangan in April 2026, involving five purposively selected postpartum mothers. Pain severity was systematically measured using the standardized Visual Analog Scale before and after a staged physical mobility protocol. The structured mobilization framework induced a uniform reduction of exactly three units on the pain scale for every subject, successfully shifting the cohort from moderate or severe distress to mild pain classifications. Furthermore, excellent wound integrity, complete hemodynamic stability, and reduced kinesiophobia were observed throughout all functional milestones. Progressive early mobilization represents a highly effective, safe, and independent nursing intervention that accelerates functional independence and safely alleviates post cesarean discomfort.

Pengaruh Edukasi Perawat Terhadap Peran Orang Tua dan Tingkat Kecemasan Anak Pada Saat Pemasangan Infus di Ruang IGD RSUD Kajen Ainia Dian Murniyanti; Heny Prasetyorini
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/rskvw449

Intravenous (IV) insertion is an invasive medical procedure that frequently induces pain, fear, and anxiety in children. Parental presence plays a crucial role in providing emotional support and comfort. Nursing education is considered an effective strategy to enhance parents’ understanding and involvement, thereby helping to reduce children’s anxiety during medical procedures. This study aimed to examine the effect of nursing education on parental roles and children’s anxiety levels during IV insertion in the Emergency Department of RSUD Kajen. This study employed a quasi-experimental design using a posttest-only control group approach. The sample consisted of 46 pediatric patients and their parents, selected through accidental sampling. The intervention involved a single five-minute nursing education session. Research instruments included a structured educational plan (SAP), a parental role questionnaire, and the Pediatric Anxiety Rating Scale (PARS). Data were analyzed using the Mann–Whitney test. The results revealed that the majority of parents in the intervention group demonstrated good roles (91.3%), while those in the control group were predominantly in the moderate category (69.6%). Children in the intervention group mostly experienced mild anxiety (69.6%), whereas moderate anxiety was more common in the control group (52.2%). There was a statistically significant effect of nursing education on both parental roles and children’s anxiety levels (p-value = 0.001). Nursing education is therefore effective in improving parental involvement and reducing children’s anxiety during IV insertion.

PENINGKATAN PERILAKU PENCEGAHAN LUKA DIABETIK DENGANEDUKASI PERAWATAN KAKI BERBASIS FAMILY SUPPORT: ENHANCEMENT OF DIABETIC WOUND PREVENTION BEHAVIOR WITHFAMILY SUPPORT-BASED FOOT CARE EDUCATION Dyah Restuning Prihati; Heny Prasetyorini
Jurnal Ilmu Keperawatan Komunitas Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikk.v6i1.2155

Background: Management of diabetes mellitus is not only from pharmacology but requires family support. The role of the family in diabetic foot care is needed to improve the quality of life of patients with diabetes mellitus. The purpose of this study was to analyze the behavior of diabetic wound prevention after being given Family Support-Based Foot Care Education. Method, this type of research is a quasi-experimental one-group pre-post test with the intervention of Family Support-Based Foot Care Education. The instrument for measuring foot care behavior uses the NAFF (Nottingham Assessment of Functional Footcare) questionnaire. The results showed that before being given family support-based foot care education, there were 20 respondents with negative behavior and 30 respondents with positive behavior. Data analysis using the Wilcoxon Signed Rank Test obtained a p-value of 0.000 so that a p-value <0.05 there were differences in foot care behavior before and after being given family support-based foot care education to the respondents. Conclusion: The results showed that there was an increase in diabetic wound prevention behavior with an average increase of 10.5.

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