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All Journal JURNAL KEPERAWATAN MERSI Jurnal Kreativitas PKM Jurnal Jendela Inovasi Daerah Jurnal Pengabdian Masyarakat : Pemberdayaan, Inovasi dan Perubahan Berita Kedokteran Masyarakat Journal of Tropical Diseases and Health Science
Adi Isworo
Poltekkes Kemenkes Semarang
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Analisis Kejenuhan Kerja Perawat High Care Unit (HCU) Marwansyah Marwansyah; Adi Isworo; Wahyudi Wahyudi
JURNAL KEPERAWATAN MERSI Vol 10, No 2: Oktober 2021
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v10i2.8146

Abstract

Background: Burnout experienced by many social workers, especially nurses. Nurses in the HCU have patients with critical conditions and are fully dependent. This may impact on the decrease in the quality of care by nurse HCU. This study aims to determine the factors associated with burnout in HCU nurses. These factors include internal factors (age, gender, length of service, marital status, education level and personality factors) and external factors (management factors, professional factors and social factors).Method: This research uses analytical research design with a Cross Sectional approach. The sample of this research is all nurse HCU had 80 respondents. Data collection was conducted on 17 June to 30 July 2017 using Maslach Burnout Inventory (MBI), Work Locus of Control (WLCS) and for eksternal factor questionnaire research instrument. Data analysis was univariate analysis, bivariate using chi square and multivariate.The results: showed most (53,8%) of HCU nurses had high burnout. There is a significant relationship between personality factors, management factors and social factors premises burnout. there is no significant relationship between age factor, sex, work period, marital status, education level and professional factor.Conclusion: The dominant factor in this research is social factors where HCU nurses with social factor problems are more likely to experience high burnout. Hospital management provides efforts to provide personal counseling and peer sharing activities, provide socialization about nurse’s legal protection  at work and rewarding nurses.
Efektivitas Water Tepid Sponge Suhu 37°C Dan Kompres Hangat Suhu 37°C Terhadap Penurunan Suhu Pada Anak Dengan Hipertermia Anggraeni Beti Dwi Lestari; Bambang Sarwono; Adi Isworo
JURNAL KEPERAWATAN MERSI Vol 8, No 2: Oktober 2019
Publisher : Prodi Keperawatan Purwokerto

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

Abstract

Background: Most of the fever that occurs in children results from changes in the heat center (thermoregulation) in the hypothalamus. The results of a preliminary study conducted at the Dahlia Children's Ward of Tidar City Hospital, Magelang, that there were 326 children with fever in November 2018-January 2019 and in January 2019 there were 123 children. The action taken at the Tidar City Hospital in Magelang if the child has a fever is the administration of antipyretics and warm compresses. Objective: To determine the effectiveness of water tepid sponge at 37 ° C and warm compresses at 37 ° C for temperature reduction in children with hyperthermia. Method: Quantitative research type, Quasi Experimental research design with Non Equivalent Control design, which is an experiment where the observation is done twice, namely before (Pre Test) and after experiment (Post Test). Analysis using univariate and bivariate with Mann Whitney test. Results: Analysis of data using the Mann Whitney test results were p = 0.001 (p 0.1). Conclusion: This study concludes that Water Tepid Sponge is more effective in lowering body temperature in children with hyperthermia.
Kejadian luar biasa makan siang di PT X Indonesia kecamatan Kalasan kabupaten Sleman Yogyakarta tahun 2017 Vivin Fitriana; Rieski Prihastuti; Adi Isworo; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018): Proceedings the 3rd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (523.11 KB) | DOI: 10.22146/bkm.37617

Abstract

Tujuan: Tanggal 17 Mei 2017 Dinas Kesehatan Kabupaten Sleman menerima laporan dari Rumah Sakit Islam Yogyakarta adanya pasien yang mengalami gejala mual, muntah, diare, lemas, nyeri perut dari PT. X Indonesia sebanyak 36 orang. Penyelidikan dilakukan untuk mengkonfirmasi KLB, menentukan faktor risiko dan upaya pengendalian. Metode: Penyelidikan ini menggunakan cohort retrospektif. Kasus adalah karyawan PT. X Indonesia yang mengkonsumsi makan siang tanggal 16 Mei 2017 pukul 12:00 WIB dan mengalami dua atau lebih gejala; diare atau mual atau keringat dingin atu pusing disertai gejala lainnya mulai tanggal 16-18 Mei 2017 setelah mengkonsumsi makan siang. Penemuan kasus secara active case finding dan pengumpulan data melalui wawancara di PT X Indonesia dan observasi. Sampel makanan dan fases dilakukan pemeriksaan mikrobiologi. Hasil: Penyelidikan menemukan 218 kasus keracunan makanan. Kasus terbanyak pada laki-laki (73,36%) dengan dominasi umur <20 tahun (80%). Gejala yang dirasakan diare (80,73%), mual (59,17%),  dan keringat dingin(50,45%). Keracunan makan terjadi 16-18 Mei 2017 dan puncaknya 17 Mei 2017 pukul 04.01-08.00 WIB. Penularan keracunanan makanan terjadi secara common soure. Analisis menunjukkan bahwa makanan penyebab KLB yaitu ayam bumbu bali (RR=4,02; p= 0,000; CI= 1,0-3,1). Hasil observasi diketahui suplayer ayam merupakan suplayer baru. Dan hasil pemeriksaan laboratorium ayam bumbu bali positif Stapyloccocus aureus. Simpulan: Terjadi KLB keracunaan makanan di PT X Indonesia 16-18 Mei 2017 disebabkan oleh ayam bumbu bali yang terkontaminasi oleh bakteri Stapyloccocus aureus. Proses memasak, kebersihan dan penyimpanan makanan pada suhu ruangan menjadi penyetus keracuanan makanan. Rekomdasi yang dapat dilakukan dengan monitoring berkala dalam proses pembuatan makanan.
Alur pelaporan kasus dalam demam berdarah dengue di kota Magelang Hary Satrisno; Riris Andono Ahmad; Adi Isworo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018): Proceedings the 3rd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.804 KB) | DOI: 10.22146/bkm.37627

Abstract

Tujuan: Demam Berdarah Dengue (DBD) adalah penyakit yang disebabkan oleh virus dengue, ditularkan melalui gigitan nyamuk Aedes sp. DBD di Indonesia merupakan salah satu penyakit endemis dengan angka kesakitan yang cenderung meningkat dari tahun ke tahun. Daerah terjangkit semakin meluas mencapai 400 kabupaten/kota dari 474 kabupaten/kota di Indonesia dan sering menimbulkan KLB. Sistem surveilans DBD dilaksanakan sebagai salah satu upaya pengendalian penyakit DBD di Indonesia, salah satu hal penting dalam sistem surveilans adalah pelaporan kasus DBD. Tujuan evaluasi sistem pelaporan kasus DBD adalah untuk mengetahui hal yang berkaitan dengan sistem pelaporan kasus DBD di Kota Magelang tahun 2016. Metode: Studi evaluasi menggunakan metode deskriptif analitik, pengumpulan data primer dilakukan pada lima puskesmas dan satu RS melalui wawancara menggunakan kuesioner dan observasional pada informan sebanyak tujuh orang. Variabel yang di evaluasi berupa ketepatan dan kelengkapan laporan kasus. Hasil: Laporan DBD dikirimkan RS ke Dinas Kesehatan Kota Magelang, puskesmas mendapatkan informasi kasus DBD dari Dinas Kesehatan dan selanjutnya dilakukan penyelidikan epidemiologi. Kelengkapan laporan DBD dari RS ke Dinas Kesehatan sebesar 100% dengan ketepatan sebesar 51,28%. Keterlambatan pelaporan kasus DBD oleh RS disebabkan keterlambatan informasi diagnosis DBD dari ruang perawatan ke petugas surveilans RS, selain itu dikarenakan keterbatasan petugas surveilans RS. Laporan kasus DBD tidak ditembuskan ke puskesmas disebabkan ketidaktahuan petugas surveilans tentang alur pelaporan kasus DBD. Pelaporan kasus DBD oleh puskesmas tidak dapat dihitung baik kelengkapan maupun ketepatan, karena puskesmas hanya menerima informasi laporan kasus DBD dari RS melalui Dinas Kesehatan. Simpulan: Laporan kasus DBD di wilayah Kota Magelang hanya bersumber dari RS dan dikirimkan ke Dinas Kesehatan,  kelengkapan laporan baik sedangkan ketepatan belum optimal, petugas surveilans RS tidak mengetahui alur pelaporan kasus DBD. Studi ini merekomendasikan untuk meningkatkan pengetahuan petugas tentang sistem pelaporan kasus DBD, termasuk ketepatan dan kelengkapan serta alur pelaporan dan kasus DBD.
Efektivitas Terapi Kognitif Perilaku dalam Mengelola Stres pada Pasien Penyakit Tidak Menular di Puskesmas Candimulyo suharsono suharsono; Adi Isworo; Novema Anshar
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 6 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i6.1068

Abstract

This community service aims to address the high stress levels in patients with Non-Communicable Diseases (NCDs), which can worsen health conditions and lower quality of life. This study evaluates the effectiveness of Cognitive Behavioral Therapy (CBT) in managing stress among NCD patients at Puskesmas Candimulyo, Magelang Regency. The method employed is a quasi-experimental design with pre-test and post-test on an intervention group receiving CBT. The results revealed a significant reduction in stress levels, with an average score difference of -30 (p-value = 0.001). These findings indicate that CBT effectively reduces stress and can be implemented in primary healthcare settings to improve the quality of life for NCD patients.ABSTRAKPengabdian masyarakat ini bertujuan untuk mengatasi tingginya tingkat stres pada penderita Penyakit Tidak Menular (PTM) yang dapat memperburuk kondisi kesehatan dan menurunkan kualitas hidup. Penelitian ini mengevaluasi efektivitas Terapi Kognitif dan Perilaku (Cognitive Behavioral Therapy/CBT) dalam mengelola stres pada pasien PTM di wilayah kerja Puskesmas Candimulyo, Kabupaten Magelang. Metode yang digunakan adalah kuasi-eksperimen dengan desain pre-test dan post-test pada kelompok intervensi yang menerima CBT. Hasil menunjukkan penurunan tingkat stres yang signifikan dengan rata-rata selisih skor sebesar -30 (p-value = 0,001). Temuan ini mengindikasikan bahwa CBT efektif dalam menurunkan stres dan dapat diimplementasikan di layanan kesehatan primer untuk meningkatkan kualitas hidup pasien PTM.
The Combination Of Balance Exercises And Tandem Walking Exercises In Improving Body Balance In Elderly Patients With Hypertension Erri Fitriyani; Adi Isworo; Sunarko; Nita Tri Septiana; Hermani Triredjeki; Suharsono
Journal of Tropical Diseases and Health Science Vol. 5 No. 2 (2026): Journal of Tropical Diseases and Health Science
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jtdhs.v5i2.2413

Abstract

Background: Hypertension is a common non-communicable disease among the elderly and can lead to various complications. One of the frequent consequences is impaired body balance, which increases the risk of falls and reduces quality of life. Age-related physiological changes, such as decreased muscle strength and reduced vascular elasticity, contribute to balance instability. The combination of balance exercise and tandem walking exercise may be an effective intervention to improve balance in elderly individuals with hypertension. This study aimed to determine the effectiveness of a combination of balance exercise and tandem walking exercise in improving body balance among elderly patients with hypertension. This pre-experimental study used a one-group pre-test and post-test design and was conducted in the Bandongan Primary Health Care Center area, Magelang, from January to June 2025. The population consisted of 527 elderly individuals with hypertension aged ≥ 60 years, and 45 participants were selected using purposive sampling. Body balance was assessed using the Timed Up and Go Test (TUGT) before and after the intervention. Data were analyzed using the Shapiro–Wilk normality test and the Wilcoxon test. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant improvement in body balance after the intervention. The combination of balance exercise and tandem walking exercise is effective in improving body balance among elderly patients with hypertension.
Peningkatan Kompetensi Kader Posyandu melalui Pelatihan Integrasi Layanan Primer (ILP) dalam Mendukung Transformasi Pelayanan Kesehatan Primer di Desa Jambewangi Adi Isworo; Suharsono Suharsono; Aisyah Izzati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 8 (2026): Volume 9 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i8.26994

Abstract

ABSTRAK Integrasi layanan primer (ILP) merupakan strategi transformasi pelayanan kesehatan yang bertujuan meningkatkan akses dan kualitas pelayanan kesehatan berbasis siklus hidup. Keberhasilan implementasi ILP memerlukan dukungan kader kesehatan yang memiliki pengetahuan dan keterampilan yang memadai dalam penyelenggaraan posyandu ILP.Meningkatkan pengetahuan dan keterampilan kader kesehatan dalam pelaksanaan posyandu integrasi layanan primer (ILP) di desa jambewangi, kecamatan secang, kabupaten magelang. Kegiatan pengabdian kepada masyarakat dilaksanakan pada tanggal 13 dan 20 juni 2026 dengan melibatkan 48 kader kesehatan. Metode yang digunakan meliputi penyampaian materi, praktik, simulasi, serta evaluasi kompetensi. Materi pelatihan mencakup pengelolaan posyandu ILP, pelayanan kesehatan berdasarkan siklus hidup, dan komunikasi efektif. Hasil evaluasi menunjukkan nilai rata-rata kompetensi kader sebesar 83,44 dengan nilai tertinggi 100 dan nilai terendah 50. Sebanyak 28 kader (58,3%) mencapai kategori utama, sedangkan 20 kader (41,7%) mencapai kategori madya. Hasil tersebut menunjukkan adanya peningkatan kompetensi kader dalam mendukung penyelenggaraan posyandu ILP di tingkat masyarakat. Pelatihan posyandu ILP efektif meningkatkan kompetensi kader kesehatan dalam pengelolaan pelayanan kesehatan berbasis siklus hidup. Penguatan kapasitas kader secara berkelanjutan diperlukan untuk mendukung implementasi integrasi layanan primer dan meningkatkan kualitas pelayanan kesehatan berbasis masyarakat. Kata Kunci: Integrasi Layanan Primer, Kader Kesehatan, Posyandu ILP, Kompetensi, Pelatihan.  ABSTRACT Primary health care integration (ILP) is a health service transformation strategy aimed at improving access to and the quality of life cycle-based health services. Successful implementation of ILP requires competent community health volunteers (cadres) with adequate knowledge and skills in managing integrated primary health care posts (posyandu ILP). To improve the knowledge and skills of community health cadres in implementing integrated primary health care (ILP) posyandu in jambewangi village, secang district, magelang regency. This community service program was conducted on june 13 and 20, 2026, involving 48 community health cadres. The activities included lectures, hands-on practice, simulations, and competency evaluations. Training materials covered posyandu ILP management, life cycle-based health services, and effective communication. The evaluation showed a mean competency score of 83.44, with the highest score of 100 and the lowest score of 50. A total of 28 cadres (58.3%) achieved the primary competency category, while 20 cadres (41.7%) were classified as intermediate. These findings indicate an improvement in cadres' competencies to support the implementation of posyandu ILP at the community level.Posyandu ILP training effectively improved the competencies of community health cadres in delivering life cycle-based primary health services. Continuous capacity building is essential to strengthen the implementation of primary health care integration and enhance the quality of community-based health services. Keywords: Primary Health Care Integration, Community Health Cadres, Posyandu ILP, Competency, Training.
PENGARUH TERAPI TANDEM WALKING EXERCISE TERHADAP PENINGKATAN KESEIMBANGAN UNTUK MENGURANGI RISIKO JATUH PADA LANSIA Esti Nawang Rininingtyas; Pramono Giri Kriswoyo; Adi Isworo; Moh Hanafi
Jendela Inovasi Daerah Vol 9 No 1 (2026): Februari
Publisher : Badan Perencanaan Pembangunan, Riset dan Inovasi Daerah Kota Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56354/jendelainovasi.v9i1.248

Abstract

The aging process leads to a decline in musculoskeletal and neuromuscular function, increasing the risk of falls among older adults. The World Health Organization (WHO) reports that approximately 28–35% of individuals aged ≥65 years experience falls annually, with prevalence in Indonesia ranging from 12–29%. One preventive strategy to reduce fall risk is Tandem Walking Exercise. This study aimed to analyze the effect of Tandem Walking Exercise on balance in older adults, measured using the Timed Up and Go Test (TUGT) as an indicator of fall risk. This study employed a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 33 older adults selected through purposive sampling in the working area of Bandongan Public Health Center, Magelang Regency. The intervention was conducted for one week with a total of three exercise sessions. Balance was assessed before and after the intervention using the TUGT. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a significant difference in TUGT scores before and after the intervention (p < 0.05), indicating improved balance and reduced fall risk among older adults. Tandem Walking Exercise has a significant effect on improving balance and can serve as an alternative preventive intervention in community settings. However, the generalizability of the findings is limited due to the absence of a control group, short intervention duration, and small sample size.
Co-Authors Aisyah Izzati Anggraeni Beti Dwi Lestari Bambang Sarwono Erri Fitriyani Esti Nawang Rininingtyas Hary Satrisno Hermani Triredjeki Marwansyah, Marwansyah Moh Hanafi Nita Tri Septiana Novema Anshar Pramono Giri Kriswoyo Rieski Prihastuti Riris Andono Ahmad Suharsono Sunarko Vivin Fitriana Wahyudi Wahyudi