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PENATALAKSANAAN NON FARMAKOLOGI UNTUK PENGONTROLAN SKALA NYERI ARTRITIS RHEUMATOID PADA USIA LANJUT Andri Kusuma Wijaya; Eva Oktavidiati; Nopia Wati
Jurnal Pengabdian Masyarakat Bumi Raflesia Vol. 4 No. 3 (2021): Jurnal Pengabdian Masyarakat Bumi Raflesia
Publisher : Universitas Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/jpmbr.v4i3.1638

Abstract

ABSTRAKRheumatoid artritis merupakan penyakit degeneratif yang menyerang sendi, terutama terjadi pada orang tua lanjut usia, yang mempunyai ciri–ciri erosi pada kartilago artikuler, pembentukan osteofit, sklerosis subkondral, dan berbagai perubahan biokimia dan morfologi dari membrane sinofial dan kapsula sendi. Penyakit rheumatoid artritis  terjadi di daerah persendian yang paling sering terkena adalah sendi tangan, pergelangan tangan, sendi lutut, sendi siku, pergelangan kaki, sendi bahu serta sendi panggul dan biasanya bersifat bilateral/simetris. Gejala klinik penyakit sendi/ rheumatoid artritis berupa gangguan nyeri pada persendian yang disertai kekakuan, merah, dan pembengkakan yang bukan disebabkan karena benturan atau kecelakaan dan berlangsung kronis. Selain itu reumatoid artritis juga memiliki karakteristik berupa kerusakan dan proliferasi pada bagian membran sinovial, sehingga berdampak pada kerusakan tulang, sendi dan deformitas yang terjadi pada lansia. Lansia merupakan keadaan dimana adanya penambahan usia seiring dengan  terjadi penurunan fungsi fisiologis, sehingga lansia sering kali memiliki risiko lebih tinggi untuk mengalami nyeri hal ini juga disebabkan oleh beberapa hal yang bersifat patologis seperti penurunan fungsi sistem muskuloskeletal karena adanya perubahan komposisi larutan cairan didalam tulang rawan yang akan membebani  sendi untuk bekerja lebih berat lagi yang dapat memicu terjadinya nyeri. Upaya yang dapat dilakukan untuk menurunkan nyeri arthritis rheumatoid diantaranya melakukan kegiatan pengkajian terkait riwayat penyakit lansia atau pemeriksaan kesehatan, penyuluhan kesehatan tentang penyakit Arthritis Rheumatoid, pemberian penatalaksanaan nonfarmakologi untuk menurunkan nyeri arthritis rheumatoid seperti kompres dengan jahe merah hangat dan senam rematik pada Lansia Di Panti Sosial Tresna Werdha Pagar Dewa Bengkulu.Kata Kunci :Arthritis Rheumatoid, Nyeri
Pendidikan Kesehatan Dan Pelatihan Tanggap Bencana Gempa Pada Guru Dan Siswa Di SMKS 9 Kota Bengkulu Henni Febriawati; Wulan Angraini; Andri Kusuma Wijaya; Andri Sartika; Oktarianita Oktarianita; Sarkawi Sarkawi
Jurnal Pengabdian Masyarakat IPTEKS Vol 6, No 1 (2020): JURNAL PENGABDIAN MASYARAKAT IPTEKS
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/jpmi.v6i1.3736

Abstract

Kota Bengkulu merupakan daerah rawan terhadap bencana alam gempa bumi. Januari hingga Februari 2020 tercatat 168 kali gempa mengguncang Provinsi Bengkulu. Pendidikan dan pelatihan mitigasi merupakan langkah antisipasi yang perlu disiapkan bagi masyarakat di Kota Bengkulu, terutama pada anak sekolah, sebab anak- anak merupakan kelompok rentan dan paling berisiko terkena dampak bencana. dikarenakan keterbatasan pemahaman terhadap risiko yang ada di sekitar mereka. SMKS 9 Muhammadiyah Kota Bengkulu  berada pada wilayah rawan bencana yaitu kelurahan Kebun Kenanga degan jarak ± 2 KM dari bibir pantai. Dengan keadaan tersebut seharusnya dijadikan sebagai salah satu Pilot Project sekolah yang disiagakan dalam menghadapi keadaan bencana di kota Bengkulu, namun SMKS 9 Muhammadiyah Kota Bengkulu ini belum pernah mendapatkan pelatihan apapun dari pihak manapun. Pelaksanaan pengabdian kepada masyarakat di SMKS 9 Muhammadiyah Bengkulu menggunakan metode observasi, pendidikan dan pelatihan. Observasi dilakukan menentukan titik-titik pemasangan tanda-tanda jalur evakuasi dan titik berkumpul sementara, pendidikan kesiapsiagaan menghadapi bencana gempa di sekolah dan pelatihan Bantuan Hidup Dasar (BHD)/Cardio Pulmonary Resuscitation (CPR) serta perawatan luka sederhana kepada korban bencana gempa bumi. Setelah dilakukan pengabdian masyarakat, adanya peningkatan pemahaman, pengetahuan dan kesiapsiagaan siswa dan guru SMKS 9 Muhammadiyah Bengkulu dalam menghadapi bencana gempa di sekolah.
Hubungan Tingkat Kecemasan Terhadap Kinerja Dosen dan Karyawan Universitas Muhammadiyah Bengkulu di Masa New Normal Covid 19 Fatsiwi Nunik Andari; Nurhayati Nurhayati; Andri Kusuma Wijaya; Juli Andri
Sistem Informasi Vol 12 No 2 (2022): Jurnal Photon
Publisher : LPPM Universitas Muhammadiyah Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37859/jp.v12i2.3373

Abstract

Corona virus disease (Covid-19) which was first discovered in Wuhan, China was declared a pandemic. WHO recorded 213 countries affected by Covid-19 cases. The number of additional new cases confirmed positive and the number of deaths in one day continues to increase, including in Bengkulu Province. The high incidence of Covid-19 cases raises anxiety for everyone, including lecturers and employees of the Muhammadiyah Bengkulu University. The purpose of this study was to determine the relationship between anxiety level and performance of lecturers and employees Muhammadiyah Bengkulu University who worked during the new normal Covid-19 period. This research uses a cross sectional design. The total sample was 90 people. Data collection was carried out using the Zung Self Anxiety Rating-Scale (ZSAR-S) questionnaire and the Individual Work Performance Questionnaire (IWPQ) questionnaire. The results of this study indicate that 87.8% of respondents had a mild anxiety level and 70% of respondents had a moderate level of performance. Based on the Spearman Rank statistical test, there was no significant correlation between the anxiety level and performance of lecturers and employees Muhammadiyah Bengkulu University of while working during the new normal Covid-19 period with p-value = 0.855. The conclusion of the study is there is not a relationship between anxiety level and the performance of lecturers and employees Muhammadiyah Bengkulu University in new normal Covid-19 period.
HUBUNGAN PENGETAHUAN DAN POLA KONSUMSI MAKANAN DENGAN KEKURANGAN ENERGI KRONIS PADA IBU HAMIL Dewi Aprilia Ningsih I; Yandrizal Yandrizal; Lina Lisnawati
Jurnal Kebidanan Besurek Vol. 7 No. 1 (2022)
Publisher : Program Studi D III Kebidanan Akademi Kesehatan Sapta Bakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jkb.v7i1.298

Abstract

Asupan energi dan protein kurang baik dan kurang memenuhi selama kehamilan akan  mengakibatkan energi dalam tubuh ibu selama hamil kurang (KEK). Penelitian ini bertujuan untuk mengetahui mengetahui hubungan pengetahuan dan pola konsumsi makanan dengan kekurangan energi kronis pada ibu hamil di wilayah kerja puskesmas Megang Sakti Kabupaten Musi Rawas. Penelitian ini menggunakan pendekatan Survey Analitik dengan rancangan cross sectional. Populasi adalah seluruh ibu hamil di wilayah kerja Puskesmas Megang Sakti bulan November Tahun 2021 sebanyak 172 orang. Sampel sebanyak 63 orang ditentukan dengan teknik Purposive Sampling. Pengumpulan data menggunakan kuesioner dan recall 2x24 Jam menggunakan uji statistik Chi-Square (χ2) dan uji Contingency Coefficient (C). Hasil penelitian: Dari 63 responden terdapat 19 responden mengalami KEK; 24 responden pengetahuan kurang; 20 responden pola konsumsi makanan kurang. terdapat hubungan yang signifikan antara pengetahuan dengan kekurangan energi kronis pada ibu hamil, dengan kategori hubungan sedang dan terdapat hubungan yang signifikan antara pola konsumsi makanan dengan kekurangan energi kronis pada ibu hamil, dengan kategori hubungan erat. Diharapkan kepada pihak Puskesmas dapat meningkatkan pengetahuan dan wawasan ibu hamil dan ibu yang akan merencanakan kehamilan tentang penyebab dan dampak kekurangan energi kronis selama kehamilan.   
Hubungan Self Efficacy terhadap Kepatuhan dalam Pembatasan Asupan Cairan pada Pasien Gagal Ginjal Kronik di Rsud Dr M Yunus Bengkulu Andri Kusuma Wijaya; Fatsiwi Nunik Andari; Nurhayati Nurhayati
Malahayati Nursing Journal Vol 5, No 1 (2023): Volume 5 Nomor 1 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i1.8294

Abstract

ABSTRACT Chronic kidney failure is a form of impaired kidney function where this disorder occurs progressively and irreversibly, this condition causes the inability of body functions to maintain fluid and electrolyte balance which eventually causes clinical manifestations such as uremia. Another impact that arises as a result of chronic kidney failure in this case is a decrease in the ability of kidney function to dilute urine normally or a decrease in the ability to concentrate urine, resulting in edema. The result of edema is the occurrence of weight gain between two hemodialysis times so that client compliance is required in limiting fluid intake. Compliance with fluid intake restrictions is something that needs to be considered in clients with chronic kidney failure. There are several factors that can affect the limitation of fluid intake in patients with chronic kidney failure, one of which is self-efficacy where this action is the ability of the client to be able to carry out a diet so that it reduces the amount of fluid in the client's body. The purpose of this study is to determine the distribution of respondents' characteristics based on the level of fluid restriction compliance category, self-efficacy category and the relationship between self-efficacy and compliance in limiting fluid intake of clients with chronic kidney failure RSUD Dr M Yunus Hospital Bengkulu. This research is a quantitative study using a cross-sectional research design which will later be used to see the results of the relationship between self-efficacy and compliance in limiting fluid intake to clients with chronic kidney failure RSUD Dr M Yunus Hospital Bengkulu. The results of the univariate analysis of this study revealed that most of the respondents were based on compliance category where most of the clients complied as many as 61 clients (67.8%), while 29 clients (32.2%) did not comply. While the results of the characteristics of respondents based on the self-efficacy category, most of the self-efficacy clients in the moderate category were 51 clients (56.7%), for self-efficacy in the good category with 23 clients (25.6%) while 16 clients (17.8%) with the category poor self-efficacy. The results of the bivariate analysis of this study using the chi-square test statistical test obtained P value = 0.001 <0.05. The conclusion of this study is that there is a relationship between self-efficacy and compliance in limiting fluid intake for clients with chronic kidney failure RSUD Dr M Yunus Hospital Bengkulu. Keywords: Compliance, Fluid, Self Efficacy ABSTRAK Gagal ginjal kronik merupakan suatu bentuk terganggunya fungsi ginjal dimana gangguan ini terjadi secara progresif serta irreversible, kondisi ini menyebabkan ketidakmampuan fungsi tubuh untuk mempertahankan keseimbangan cairan dan elektrolit yang akhirnya menimbulkan manifestasi klinis seperti uremia. Dampak lain yang dimunculkan akibat dari gagal ginjal kronik dalam hal ini menurunya kemampuan fungsi ginjal mengencerkan urine secara normal atau penurunan kemampuan mengkosentrasikan urine sehingga terjadinya edema. Akibat dari edema ialah terjadinya penambahan berat badan diantara dua waktu hemodialisa sehingga diperlukan kepatuhan klien dalam melakukan pembatasan asupan cairan. Kepatuhan dalam pembatasan asupan cairan merupakan hal yang perlu diperhatikan pada klien gagal ginjal kronik. Adapun Beberapa Faktor yang dapat mempengaruhi pembatasan asupan cairan pasien gagal ginjal kronik ialah salah satunya self efficacy dimana tindakan ini merupakan kemampuan yang dimiliki oleh diri klien untuk mampu melaksanakan diet sehingga menurunkan jumlah cairan yang ada di tubuh Klien Adapun tujuan  dari penelitian ini diketahui distribusi karateristik responden berdasarkan tingkat kategori kepatuhan pembatasan cairan, kategori self efficacy serta diketahui hubungan self efficacy terhadap kepatuhan dalam pembatasan asupan cairan klien gagal ginjal kronik di RSUD Dr M Yunus Bengkulu. Penelitian yang dilakukan ini merupakan penelitian kuantitatif dengan menggunakan rancangan penelitian cross sectional dimana nantinya digunakan untuk melihat hasil dari hubungan antara self efficacy dengan kepatuhan dalam pembatasan asupan cairan pada klien gagal ginjal kronik di RSUD Dr M Yunus Bengkulu. Hasil dari analisis univariat dari peneltian ini diketahui sebagian besar responden berdasarkan kategori kepatuhan dimana sebagian besar klien patuh sebanyak 61 klien (67,8 %), sedangkan 29 klien (32,2 %) tidak patuh. Sementara hasil karateristik responden berdasarkan kategori self efficacy sebagian besar klien self   efficacy dengan kategori sedang  51 klien (56,7%), untuk self efficacy kategori baik dengan 23 klien (25,6%) sementara 16 klien(17,8%) dengan kategori self efficacy buruk. Hasil analisis bivariat dari penelitian ini dengan menggunakan uji statistic uji chi-square didapatkan  P value= 0,001 < 0,05. Kesimpulan hasil dari penelitian ini ialah ada hubungan antara self efficacy dengan kepatuhan dalam pembatasan asupan cairan klien gagal ginjal kronik di RSUD Dr M Yunus Bengkulu Kata Kunci: Kepatuhan, Cairan, Self Efficacy
Gambaran Asupan Energi, Zat Gizi Makro Dan Status Gizi Remaja di SMP N 14 Kota Bengkulu Tahun 2022 Meta Irwanda; Desri Suryani; Arie Krisnasary; Yandrizal Yandrizal
Aksara: Jurnal Ilmu Pendidikan Nonformal Vol 9, No 1 (2023): January 2023
Publisher : Magister Pendidikan Nonformal Pascasarjana Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/aksara.9.1.199-208.2023

Abstract

Background: The nutritional status of adolescents has a very big influence in realizing quality human resources in the future. Nutritional status is the state of the body which is an illustration of what is eaten daily. Objective: This study was to determine the description of energy intake, macronutrients and nutritional status of adolescents in SMP N 14 Bengkulu City. Methods: This is a descriptive study conducted in May 2022 with a sample of 69 people, the sampling technique used is the simple random sampling method. Nutrient intake using food recall 3 x 24 hours and then the data is processed by the nutrisurvey program, data analysis is univariate. Results: The study showed that the nutritional status of adolescents was not malnourished, undernourished 6 people (8.7%), good nutrition 50 people (72.5%), over nutrition 9 people (13%) and obesity 4 people (5.8 %). The energy intake of adolescents in the mild deficit category was 21 people (30.43%), the most protein was in the normal category, 31 people (44.93%), the most fat was in the more category, 32 people (46.4%) and the most carbohydrates were in the heavy deficit category, 61 people. (88.41%).
MENINGKATKAN KEMAMPUAN BERKEMIH PADA LANSIA DI PANTI SOSIAL TRESNA WERDHA PAGAR DEWA BENGKULU: MENINGKATKAN KEMAMPUAN BERKEMIH PADA LANSIA DI PANTI SOSIAL TRESNA WERDHA PAGAR DEWA BENGKULU Andri Kusuma Wijaya; Henni Febriawati; Ferasinta; Fatsiwi Nunik Andari
JURNAL PENGABDIAN KESEHATAN Vol. 1 No. 1 (2022): NOVEMBER
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (771.74 KB)

Abstract

  Elderly is a continuation of a process in life which is marked by a process of decreasing the ability of body functions to adapt to stressful conditions due to the environment. The aging process is also a form of decline in the functions of the human body which is a comprehensive biological phenomenon characterized by the progressive evolution and maturation of organisms. One of the aging processes that occur in the elderly is a condition where the decreased ability to urinate (tub) that occurs in an elderly person, this condition is triggered by a decrease in the function of the work of the body's organs known as the urinary bladder or bladder that occurs due to malfunctioning muscle performance. sphincter to contract, resulting in a condition where the bladder becomes weak which can trigger an increase in the frequency of urination. The increased frequency of urination that occurs continuously can have an impact in the form of decreasing the quality of life of the elderly. This condition, if allowed to drag on continuously, will cause various problems, as for various problems such as health problems, social relations, and the economy. This condition certainly requires special attention to reduce the various impacts caused by the increased frequency of urination in the elderly by providing useful therapy or interventions. Various things can be done to improve the ability to urinate in the elderly such as health check-ups, conducting health education related to urinary incontinence and teaching or training the elderly to perform non-pharmacological interventions to improve voiding abilities such as Kegel exercises and deep breathing relaxation techniques for the elderly with complaints. increased frequency of urination at the Tresna Werdha Pagar Dewa Social Home in Bengkulu  
Mencegah Bahaya Seks Bebas Pada Remaja di SMAN 6 Kota Bengkulu Andri Kusuma Wijaya; Susilawati; M. Bagus Andrianto; Fatsiwi Nunik Andari
JURNAL PENGABDIAN KESEHATAN Vol. 1 No. 2 (2023): MEI
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jupengkes.v1i2.169

Abstract

Free sex is sexual relations carried out by men and women without any marriage ties. Free sex behavior is currently a problem experienced by Indonesian teenagers. Today's youth are easily influenced by calls from the opposite sex to commit sexual deviance driven by mutual love for one another. Teenagers never think that they will lose what they will receive if they have sex outside of marriage. A recent survey conducted by the Indonesian Child Protection Commission (KPAI) showed that 32% of adolescents aged 14 to 18 in Jakarta, Surabaya and Bandung had had sex. as many as 21.2% of young women in Indonesia have had an abortion. Islam has regulated the relationship between men and women. Islam prohibits a child from being introduced to his identity as a man or a woman, the boundaries of genitalia and manners as well as basic social norms so that they can form a believer and pious person. Apart from being a form of education, this is a form of prevention against crimes and sexual deviations.
Hubungan Lama Hari Rawat Dan Frekuensi Masuk Rumah Sakit Dengan Kesiapan Pulang Pada Keluarga Pasien Stroke Nurhayati Nurhayati; Andri Kusuma Wijaya; Fatsiwi Nunik Andari
Jurnal Riset Media Keperawatan Vol. 5 No. 2 (2022)
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jrmk.v5i2.339

Abstract

Penyakit stroke cenderung menjadi penyakit jangka panjang dan berulang. Stroke dapat menyebabkan penderitanya sulit untuk beraktivitas dan membutuhkan perawatan dari keluarga dan bahkan sampai sering masuk rumah sakit. Frekuensi masuk rumah sakit dan lama hari rawat dapat menjadi tolak ukur kesiapan pulang keluarga pasien stroke. Penelitian ini bertujuan untuk mengetahui hubungan lama hari rawat dan frekuensi masuk rumah sakit dengan kesiapan pulang keluarga pasien stroke di Unit Stroke RSUD Dr. M. Yunus Bengkulu. Penelitian ini menggunakan desain penelitian correlational study dengan teknik pengambilan sampel total sampling. Sampel dalam penelitian ini sebanyak 26 responden. Analisis yang digunakan adalah spearman rank order correlation. Hasil penelitian ini menunjukkan bahwa ada hubungan yang signifikan antara lama hari rawat dan frekuensi masuk rumah sakit dengan kesiapan pulang pada keluarga pasien stroke. Penelitian ini mengnformasikan bahwa pasien stroke yang dirawat lebih dari 5 hari dengan frekuensi rawat berulang dapat mempengaruhi kesiapan pulang pada kelurga pasiennya sebagai caregiver. Kata Kunci: lama hari rawat, frekuensi rawat, kesiapan pulang, stroke
Gerakan Masyarakat Hidup Sehat Pada Lansia di Posbindu Damai Nurhayati Nurhayati; Susilawati Susilawati; Ferasinta Ferasinta; Andri Kusuma Wijaya
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 3, No 3 (2023): Abdira, Juli
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v3i3.353

Abstract

Elderly people in Indonesia have increased significantly each year so that Indonesia is included in the 5 countries that have the largest elderly population in the world. The aging process is a life cycle that is marked by a decline in the function of various organs of the body, which is characterized by the body's increasing vulnerability to disease attacks that can lead to death. This requires a special program to help prevent degenerative problems in the elderly. One effort that can be done is to change lifestyles by implementing a healthy living community movement for the elderly. The purpose of this Stimulus Community Partnership Program (PKMS) is to increase knowledge and change healthy lifestyle behaviors in an effort to increase healthy and productive older people through health education for healthy living community movements. The team conducted health education at the Posbindu Damai by coordinating with health workers at the Public Health Centre of Jalan Gedang and cadres of the Posbindu Damai, so that they could play an active role in assisting the participants' health.