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PENERAPAN RANGE OF MOTION (ROM) PADA PASIEN DENGAN GANGGUAN TULANG DAN OTOT: STROKE DI WILAYAH PUSKESMAS Fitri Afdhal; Ria Wulandari; Bastiar Bastiar; Yazika Rimbawati
Jurnal 'Aisyiyah Medika Vol 10, No 2: Agustus 2025 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v10i2.1453

Abstract

Latar Belakang: Stroke merupakan salah satu masalah kesehatan utama yang dapat menyebabkan kematian, kecacatan, dan menurunkan kualitas hidup penderita. Salah satu masalah yang sering muncul pada pasien stroke adalah hambatan mobilitas fisik akibat kelemahan otot. Latihan Range of Motion (ROM) diketahui dapat membantu meningkatkan kekuatan otot, memperbaiki tonus otot, dan meningkatkan kemampuan mobilitas pasien. Tujuan: Mengetahui efektivitas latihan ROM terhadap peningkatan kekuatan otot pada pasien stroke dengan hambatan mobilitas fisik. Metode: Penelitian ini menggunakan desain studi kasus deskriptif dengan dua subjek penelitian pasien stroke dengan hambatan mobilitas fisik. Lokasi penelitian dilakukan di Puskesmas Tebat Agung, Kabupaten Muara Enim pada bulan Juni 2024. Teknik pengumpulan data dilakukan melalui observasi dan pengkajian keperawatan, dengan intervensi latihan ROM diberikan 3 kali sehari selama 3 hari selama 10–15 menit. Data dianalisis secara deskriptif berdasarkan perubahan kekuatan otot pasien sebelum dan sesudah latihan. Hasil: Setelah tiga hari intervensi ROM, kedua pasien mengalami peningkatan kekuatan otot dan kemampuan gerak pada ekstremitas yang sebelumnya mengalami kelemahan. Pada hari pertama hingga kedua, keluhan pasien masih muncul sebagian, namun pada hari ketiga kedua pasien menunjukkan perbaikan yang signifikan. Saran: Agar pihak tenaga kesehatan memberikan latihan ROM sebagai therapy nonfarmakologis yang mudah diterapkan serta melibatkan keluarga untuk mendukung keberlanjutan perawatan di rumah secara mandiri. Kata Kunci: Stroke, Gangguan Muskuloskeletal, Range of Motion (ROM)
HUBUNGAN 3M, OBAT NYAMUK DENGAN KEJADIAN DEMAM BERDARAH DENGUE DI PUSKESMAS DEMPO PALEMBANG Gerry Akino; Yazika Rimbawati; Ria Wulandari; Muhammad Romadhon
Jurnal Kesehatan dan Pembangunan Vol 16 No 2 (2026): Jurnal Kesehatan dan Pembangunan
Publisher : LPPM STIKes Mitra Adiguna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52047/jkp.v16i2.495

Abstract

Dengue hemorrhagic fever (DHF) is an infectious disease caused by dengue virus infection transmitted through the bite of the Aedes aegypti mosquito. This disease remains a serious public health problem because it can lead to fatal conditions and even death if not treated promptly. Simple preventive measures can be carried out through the 3M behavior, namely draining water storage containers, covering water containers to prevent mosquito breeding, and reusing or recycling used items. In addition, the use of mosquito repellent is also considered effective in reducing the risk of mosquito bites that cause DHF. This study aimed to determine the relationship between 3M behavior and the habit of using mosquito repellent with the incidence of DHF in the working area of Dempo Public Health Center, Palembang City, in 2025. This study used an observational analytic approach with a cross-sectional design. The sample consisted of 30 respondents selected using purposive sampling technique. Data were collected through questionnaires and observations, then analyzed using the chi-square test. The results showed that there was a significant relationship between 3M behavior and the incidence of DHF (p-value 0.001 < 0.05). Likewise, the use of mosquito repellent was significantly associated with the incidence of DHF (p-value 0.0002 < 0.05). Consistency in implementing 3M behavior accompanied by the use of mosquito repellent can reduce the risk of DHF.
Terapi Rendam Kaki Menggunakan Air Hangat Pada Pasien Lansia Hipertensi dengan Masalah Keperawatan Nyeri Akut Alex Cardo; Yazika Rimbawati; Selamat Parmin; Fitri Afdhal Afdhal
JURNAL KESEHATAN TERAPAN Vol 13 No 1 (2026): Jurnal Kesehatan Terapan
Publisher : LPPM Universitas Kader Bangsa Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54816/jk.v13i1.1153

Abstract

Hypertension is one of the most common health problems experienced by the elderly and is often accompanied by acute pain complaints. Non-pharmacological management such as warm foot soak therapy can be an alternative to lower blood pressure as well as reduce pain. This study aimed to implement nursing care with the intervention of warm foot soak therapy in elderly patients with hypertension experiencing acute pain. The research method used was a case study design involving two elderly hypertensive patients at Bhayangkara Mohamad Hasan Hospital, Palembang, in 2025. The intervention was carried out by soaking the patients’ feet in warm water at a temperature of 37–40 °C for 15–30 minutes, once a day for three consecutive days. Data were collected through observations of blood pressure and pain scale using an assessment sheet. The results showed a decrease in blood pressure in both patients, from 180/80 mmHg to 150/80 mmHg and from 170/90 mmHg to 140/80 mmHg. In addition, the pain scale decreased significantly, from 5 to 1 and from 4 to 2. In conclusion, warm foot soak therapy is effective as a non-pharmacological nursing intervention to help reduce blood pressure and relieve pain in elderly patients with hypertension.
Association of gadget use with learning focus and interpersonal skills among school-age children: A cross-sectional study Peni Setiawati; Ranida Arsi; Yazika Rimbawati
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.660

Abstract

Background: The increasing use of digital technology has expanded gadget exposure among school-age children, which may influence learning concentration and social interaction development in educational settings. Educational stakeholders therefore require empirical evidence to understand how gadget use relates to learning focus and interpersonal skills. Objective: This study aimed to examine the association between gadget use, learning focus, and interpersonal skills among school-age children. Methods: A quantitative cross-sectional correlational design was employed. The study involved 60 students in grades IV and V at MI Najahiyah Seberang Ulu 1, Palembang, Indonesia, selected through purposive sampling based on predefined inclusion criteria. Data were collected using structured questionnaires measuring gadget use, learning focus, and interpersonal skills. Descriptive statistics were used to summarize respondent characteristics, while Spearman’s rho correlation test assessed associations between variables at a 95% confidence level. Results: The findings showed a statistically significant association between gadget use and learning focus (p < 0.001; r = 0.792) as well as between gadget use and interpersonal skills (p < 0.001; r = 0.764). Most respondents demonstrated moderate gadget use, generally high learning focus, and predominantly good interpersonal skills. These results indicate that variations in gadget use levels are closely related to differences in cognitive concentration and social interaction abilities among school-age children. Conclusion: Gadget use shows a significant association with learning focus and interpersonal skills among school-age children. Balanced and supervised gadget use is essential to support optimal academic engagement and social development.
Ball-grip exercise to improve fine motor function in a patient with non-hemorrhagic stroke: A nursing case study Diski Diski; Muhammad Romadhon; Andre Utama Saputra; Yazika Rimbawati
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.678

Abstract

Background: Non-hemorrhagic stroke frequently results in upper extremity motor impairment, which limits patients’ functional independence and quality of daily living. Fine motor dysfunction commonly occurs due to neuromuscular damage affecting coordination and muscle strength. Rehabilitation interventions that are simple, accessible, and feasible in nursing practice are essential to support early motor recovery. Ball-grip exercise represents a low-cost rehabilitative approach that may enhance muscle strength through repetitive hand stimulation. Objective: This study aimed to analyze the effect of ball-grip exercise on improving fine motor function in a patient with non-hemorrhagic stroke through a nursing case study approach. Methods: A descriptive case study design was conducted at Bhayangkara Moh. Hasan Hospital Palembang in June 2025. Two adult patients diagnosed with non-hemorrhagic stroke were selected using purposive sampling based on upper limb weakness, stable consciousness, communication ability, and willingness to participate. The intervention consisted of ball-grip exercise performed for 10–15 minutes twice daily over four consecutive days alongside standard pharmacological therapy. Muscle strength was assessed using Manual Muscle Testing (MMT), supported by observation, interviews, physical examination, and medical record documentation. Data were analyzed descriptively by comparing pre- and post-intervention motor function. Results: The patient receiving combined pharmacological therapy and ball-grip exercise demonstrated improvement in muscle strength from MMT score 3 to 4 within four days, accompanied by increased functional independence, particularly in holding a spoon and eating independently. Conversely, the patient receiving pharmacological therapy alone showed no significant improvement in muscle strength or fine motor function during the same observation period. These findings indicate that ball-grip exercise may accelerate fine motor recovery in patients with non-hemorrhagic stroke. Conclusion: Ball-grip exercise is a practical and feasible nursing rehabilitation intervention that may enhance fine motor recovery in non-hemorrhagic stroke patients. Integration of simple rehabilitative exercises with pharmacological therapy may optimize functional outcomes. Healthcare providers are encouraged to incorporate structured hand exercises into routine nursing care, and further research with larger samples and longer observation periods is recommended to strengthen clinical evidence.
The Relationship Between Patient Knowledge, Family Support, and Treatment Supervisors with Tuberculosis Medication Adherence Muhammad Romadhon; Yazika Rimbawati; Miranda Sari
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i5.483

Abstract

Tuberculosis remains a major public health problem globally and in Indonesia, with medication adherence playing a crucial role in treatment success and prevention of drug resistance. Non-adherence to tuberculosis treatment contributes to treatment failure, disease recurrence, and ongoing transmission. Previous studies have indicated that individual, familial, and supervisory factors influence adherence; however, evidence from primary healthcare settings remains limited. This study aimed to examine the relationship between patient knowledge, family support, and treatment supervisors with tuberculosis medication adherence among pulmonary tuberculosis patients in a primary healthcare setting. A quantitative cross-sectional study was conducted in the working area of UPTD Puskesmas Kemalaraja, Ogan Komering Ulu Regency, Indonesia, in July 2025. The study population consisted of 34 pulmonary tuberculosis patients, and total sampling was applied. Data were collected through structured interviews using validated questionnaires measuring medication adherence, patient knowledge, family support, and the role of treatment supervisors. Univariate analysis was used to describe variable distributions, while bivariate analysis was performed using the Chi-square test with a significance level of 0.05. The findings showed that most patients had moderate medication adherence (47.1%). Patient knowledge was predominantly at a moderate level (52.9%), family support was mostly high (50.0%), and treatment supervisor involvement was largely high (58.8%). Statistical analysis revealed significant associations between patient knowledge and medication adherence (p = 0.003), family support and medication adherence (p = 0.022), and treatment supervisors and medication adherence (p = 0.039). Patient knowledge, family support, and treatment supervisors were significantly associated with tuberculosis medication adherence. Higher knowledge levels, strong family support, and active treatment supervision were linked to better adherence outcomes.