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“POHON RANTING KAYU” POLA ASUH, HYGIENE, HIPNOSIS, OPTIMALISASI SEHAT, NUTRISI- GERAKAN ANTI STUNTING KELURAHAN KARANGAYU Lestari, Siti; Kristiyawati, Sri Puguh; Asih, Sri Hartini Mardi
JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA Vol. 5 No. 2 (2023): Desember : Jurnal Pengabdian Kepada Masyarakat Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/pkmsisthana.v5i2.866

Stunting merupakan permasalah gizi global termasuk di negara Indonesia yang memerlukan penanganan secara sistematis dan menyeluruh dari bidang keperawatan. Tenaga kesehatan dan pendidikan kesehatan turut berperan dalam penanggulangan masalah stunting, STIKES Telogorejo melaksanakan upaya promotif, preventif, dan tatalaksana lanjut pada temuan kasus stunting untuk mencapai tujuan dan cita-cita SDGs. Sebuah program yang digagas oleh STIKES Telogorejo yaitu POHON RANTING KAYU yang merupakan akronim dari Pola asuh, Hygiene, Hipnosis, Optimalkan sehat, Ngerti Gizi, Gerakan Anti Stunting Kelurahan Karangayu bertujuan untuk menurunkan angka stunting di wilayah Kelurahan Karangayu Kota Semarang. Metode yang digunakan yaitu melaksanakan upaya promotif, preventif, kuratif, dan maintenance dengan membentuk tim penanggungjawab khusus seperti Satgas Ranting Kayu dan Tim Kinclong. Upaya promotif dilakukan dengan sosialisasi & edukasi, Upaya preventif dilakukan dengan pelatihan kepada kader. Upaya kuratif dilakukan oleh Satgas Ranting Kayu, Tim Kinclong, dan hipnoterapis. Hasil Program POHON Ranting Kayu yang bersinergi dengan program lainnya baik dari pemerintah maupun pihak lain telah menurunkan angka stunting sebesar 73% di wilayah Kelurahan Karangayu. Berbagai upaya promotif dan preventif yang telah diberikan juga berpotensi mencegah temuan kasus baru.

Hubungan Derajat Disabilitas terhadap Kualitas Hidup Pasien Pasca Stroke di Puskesmas Kedungmundu Semarang Anggun Puspita Anggreini; Sri Puguh Kristiyawati; Novi Heri Yono
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i3.1325

A clot or bleeding in the brain causes a stroke or a cerebral vascular disease that damages the nervous system. Patients suffering from strokes may have physical, mental, sensory, and intellectual disabilities that impede their interaction with the environment and prevent them from performing daily activities and quality of life. This research determines the correlation between the disability level and the quality of life of patients suffering from stroke treated at the Kedungmundu Public Healt Care. The quatitative research applied a cross sectional approach and collected the samples from 67 respondents using proposive sampling. The applied measuring tools were mRS and SSQOL. The Spearmen Rank statistical test obtained a p-value of 0,000. The result accepts Ha, indicating a significant correlation between the disability level and the quality of life of the post-stroke patient with a value of r = -0,542. The value indicates a moderate and negative correlation between the level of disability and the life quality of post-stroke patients. The research result suggest the implementation of the intervention to lower the disability level because it influences post-stroke patients with low quality life.

Optimalisasi Kader Posyandu dalam Pemantauan Tumbuh Kembang Anak Kronis dengan Menggunakan KPSP di Wilayah Kelurahan Karangayu Semarang Asih, Sri Hartini Mardi; Victoria, Arlies Zenitha; Kristiyawati, Sri Puguh; Lestari, Siti
Jurnal Peduli Masyarakat Vol 6 No 2 (2024): Jurnal Peduli Masyarakat: Juni 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i2.3223

Penyakit kronis adalah penyebab kematian terbesar di dunia, termasuk penyakit kronis yang menyerang anak. Penyakit kronis yang diderita anak tersebut perlu dilakukan screening secara dini agar apabila terdapat penyimpangan, maka akan dilakukan penanganan yang segera sehingga tidak terlambat ditangani. Upaya pemerintah dan masyarakat yang dapat dilakukan dalam meningkatkan kualitas anak dengan penyakit kronis dalam mencapai tumbuh kembang yang optimal guna mendeteksi adanya kelainan pada anak kronis dalam deteksi dini, diantaranya dengan program KPSP (Kuesioner Pra Skrining Perkembangan). Kegiatan abdimas ini bertujuan untuk pembentukan kelompok Kader Posyandu dan melatih kader untuk dapat melakukan penilaian atau tes tumbuh kembang anak kronis dengan menggunakan KPSP. Kegiatan ini dilakukan di Kelurahan Karangayu Kota Semarang dengan diikuti oleh 17 orang kader dan 32 balita. Tim abdimas melakukan skrining awal pada masalah tumbuh kembang anak di wilayah mitra serta melatih kader dalam melakukan skrining dengan menggunakan KPSP. Selanjutnya kegiatan skrining dilakukan oleh kader bersamaan dengan kegiatan posyandu di wilayah mitra. Hasil kegiatan abdimas ini didapatkan hasil terbentuknya kelompok kader yang sudah dilatih tentang KPSP mampu melakukan deteksi dini KPSP, pemeriksaan dan penanganan masalah tumbuh kembang anak kronis secara berkala, kader posyandu melaksanakan program KPSP melalui upaya preventif dan promotif dalam setiap kegiatan Posyandu anak.

Hubungan Kekuatan Otot Dengan Tingkat Kemandirian Activity Daily Life (ADL) Pasien Stroke di RSUD Dr. Loekmono Hadi Kudus Ellena Virgin Cindy Puspita; Sri Puguh Kristiyawati; Novi Heri Yono
An-Najat Vol. 2 No. 3 (2024): AGUSTUS - An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i3.1610

Stroke is a neurological conditions that causes blockage of rupture of blood vessels in the brain. It occurs suddenly and lasts for more than 24 hours. The condition causes the inability of stroke patients to fullfill daily activities. Stroke patients who experience a decrease in daily activity will cause their level of independence to decrease. The aim of the research was to determine the relationship between muscle strenght and the level of indepence in Activity daily life (ADL) of stroke patients at dr.Loekmono Hadi Kudus. This Reseach design uses correlation analytical method with a cross sectional design. The total sample for this research was 65 respondents using purposive sampling date collection techniques. The measuring tool used is the Katz Index. The statistical test obtained a p-value of 0.000 for each, so that Ha was accepted, which means there is a significant relationship between muscle strenght and the level of independence in Activity daily life (ADL) of stroke patients with an upper etremity r value of 0.901 and a lower extremity r value of 0.881, the r value obtained a positive correlation. It is hopes that the results of this reseach will be developed by future reseachers into qualitative reseach related to muscle strength and the level of independence in activity dailiy life (ADL) in stroke patients.

Hubungan Indeks Massa Tubuh Dengan Kadar Kolesterol Total Penderita Penyakit Jantung Koroner Ryandini, Felicia Risca; Kristiyawati, Sri Puguh
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 13, No 1 (2022): Dinamika Kesehatan: jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v13i1.778

Latar Belakang:Penyakit jantung masih menjadi penyebab kematian serta kecacatan terbesar di dunia dan jenis penyakit jantung yang merupakan penyebab kematian utama di dunia adalah penyakit jantung koroner. Pengenalan faktor–faktor resiko PJK memegang peranan penting dalam melakukan upaya pencegahan. Pada umumnya faktor risiko PJK dipengaruhi oleh merokok, obesitas, kolesterol dan hipertensi.Tujuan:Penelitian ini bertujuan untuk mengetahui hubungan IMT dengan kadar kolesterol total pada penderita PJK.Metode:Desain penelitian ini menggunakan desain korelasional. Teknik sampel menggunakan insidental sampling. Jumlah sampel pada penelitian ini sebanyak 57 responden. Analisis data menggunakan uji korelasi spearman.Hasil: penelitian ini menunjukkan nilai p value 0,000 (p value 0,05) maka ada hubungan IMT dengan kadar kolesterol total pada pada penderita PJK. Nilai koefesien korelasi menunjukkan nilai 0,674 sehingga hubungan antara variabel IMT dan kadar kolesterol total termasuk hubungan kuat dengan sifat hubungan positif yang berarti semakin tinggi nilai IMT maka semakin tinggi kadar kolesterol total pada penderita PJK.Kesimpulan: ada hubungan IMT dengan kadar kolesterol total pada penderita PJK. Background: Heart disease is still the biggest cause of death and disability in the world and the type of heart disease that is the leading cause of death in the world is coronary heart disease. Recognition of risk factors for CHD plays an important role in making prevention efforts. In general, CHD risk factors are influenced by smoking, obesity, cholesterol and hypertension.Purpose: This study aims to determine the relationship between BMI and total cholesterol levels in patients with CHD.Methods: This research design uses a correlational design. The sample technique uses incidental sampling. The number of samples in this study were 57 respondents. Data analysis using the spearman correlation test.Results: This study shows a p value of 0.000 (p value 0.05) so there is a relationship between BMI and total cholesterol levels in CHD patients. The correlation coefficient value shows a value of 0.674 so that the relationship between the IMT variable and total cholesterol levels includes a strong relationship with a positive relationship nature which means that the higher the IMT value, the higher the total cholesterol level in CHD patients.Conclusion: there is a relationship between BMI and total cholesterol levels in patients with CHD.

Faktor Faktor Resiko Kejadian Stroke Berbasis Stroke Risk ScoreCard Marselia Dwiyanti Cahyaningtyas; Sri Puguh Kristiyawati; Novi Heri Yono
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 4 (2024): October : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i4.641

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.

Stroke Severity Scale to Palliative Screening, Activity Daily Living (ADL) Impairment, and Quality of Life Arlies Zenitha Victoria; Sri Puguh Kristiyawati; Anna Jumatul Lely
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.787

Introduction: Palliative care is needed for various diseases; stroke is one of the neurological diseases that requires palliative care. Stroke is one of the leading causes of disability and decreased quality of life due to neurological deficits. The National Institute of Health Stroke Scale (NIHSS) assesses stroke severity. Stroke can also cause paralysis, resulting in decreased independence in self-care; patients will experience difficulty carrying out daily activities or activities of daily living (ADL) such as walking, dressing, eating, or controlling defecation or urination. Disability due to stroke can affect the patient's quality of life. Objectives: This study aimed to analyze the relationship between stroke severity scale with palliative screening, activities of daily living impairment (ADL), and quality of life. Methods: This cross-sectional study involved sixty stroke patients selected by accidental sampling. The data were analyzed using Pearson Product Moment and Spearman Rank Test. Results: This study resulted in 53,3% of respondents suffering from a moderate stroke, 90,0% needing palliative intervention, 56,7% total dependency, and 66,7% can not assess quality of life. Significance level between stroke severity scale with palliative screening ware (p=0,000), ADL impairment (p=0,008), and quality of life (p=0,000). Conclusions: There was a relationship between the stroke severity scale and palliative screening, activities of daily living (ADL) impairment, and quality of life. Further research should simultaneously analyze the risk factors for stroke, the stroke severity scale, and things that are influenced by the severity of the stroke so that it can be seen which variable is more dominant.

Stroke Severity Scale to Palliative Screening, Activity Daily Living (ADL) Impairment, and Quality of Life Arlies Zenitha Victoria; Sri Puguh Kristiyawati; Anna Jumatul Lely
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.787

Introduction: Palliative care is needed for various diseases; stroke is one of the neurological diseases that requires palliative care. Stroke is one of the leading causes of disability and decreased quality of life due to neurological deficits. The National Institute of Health Stroke Scale (NIHSS) assesses stroke severity. Stroke can also cause paralysis, resulting in decreased independence in self-care; patients will experience difficulty carrying out daily activities or activities of daily living (ADL) such as walking, dressing, eating, or controlling defecation or urination. Disability due to stroke can affect the patient's quality of life. Objectives: This study aimed to analyze the relationship between stroke severity scale with palliative screening, activities of daily living impairment (ADL), and quality of life. Methods: This cross-sectional study involved sixty stroke patients selected by accidental sampling. The data were analyzed using Pearson Product Moment and Spearman Rank Test. Results: This study resulted in 53,3% of respondents suffering from a moderate stroke, 90,0% needing palliative intervention, 56,7% total dependency, and 66,7% can not assess quality of life. Significance level between stroke severity scale with palliative screening ware (p=0,000), ADL impairment (p=0,008), and quality of life (p=0,000). Conclusions: There was a relationship between the stroke severity scale and palliative screening, activities of daily living (ADL) impairment, and quality of life. Further research should simultaneously analyze the risk factors for stroke, the stroke severity scale, and things that are influenced by the severity of the stroke so that it can be seen which variable is more dominant.

Pemberian Terapi Akupresur terhadap Gangguan Mobilitas Fisik pada Pasien Stroke Iskemik dengan Hemiparesis Sinistra di RS Mardi Rahayu Kudus Ellena Virgin Cindy Puspita; Sri Puguh Kristiyawati
Protein : Jurnal Ilmu Keperawatan dan Kebidanan. Vol. 3 No. 3 (2025): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i3.1573

Physical mobility impairment refers to limited physical movements from one or more extremities independently, this condition can lead to significant difficulties in movement and the inability to perform daily activities. This study aims to apply acupressure therapy to address physical mobility impairment in Mrs. N, a patient diagnosed with ischemic stroke and left-sided hemiparesis at Mardi Rahayu Hospital, Kudus. The method used in this study is a case study involving nursing care and the implementation of interventions, including assessment, diagnosis, planning, implementation, and evaluation, as well as the application of acupressure therapy. The result of the case study acupressure therapy intervention for 7 days at a frequency of once daily for 15 minutes, it was effective in addressing the problem of physical mobility impairment in the patient with ischemic stroke and sinistra hemiparesis, as indicated by increased muscle strenght. The conclusion from this acupressure therapy is that before the intervention, it improved to and after the intervention . It is expected that this acupressure therapy can be applied and integrated into the provision of medical-surgical nursing care for patients with ischemic stroke and sinistra hemiparesis.

Penerapan Head Up 30̊ terhadap Penurunan Kapasitas Adaptif Intrakranial pada Pasien dengan Hidrosefalus Post VP Shunting di RSUD Dr. Moewardi Surakarta Erlena Nur Intan; Sri Puguh Kristiyawati
Inovasi Kesehatan Global Vol. 2 No. 3 (2025): Agustus : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i3.2204

Hydrocephalus increases cerebrospinal fluid due to either excessive production or impaired absorption, often accompanied by increased intracranial pressure. In Indonesia, hydrocephalus affects 10 out of every 1,000 newborns annually. In adolescents and adults, toxoplasmosis is the most common cause. Among infant cases, 46% result from brain development abnormalities, 50% from subarachnoid hemorrhage and meningitis, and less than 4% from posterior fossa tumors. Central Java reports the highest rate of toxoplasmosis at 10%. Common signs and symptoms of hydrocephalus include increased cerebrospinal fluid, seizures, irritability, headaches, vision problems, and head enlargement. To improve reduced intracranial adaptive capacity caused by cerebrospinal fluid obstruction, nurses can apply a 30° head-up therapy. This intervention helps lower intracranial pressure and improve brain oxygenation. the effectiveness of 30° head-up positioning in addressing decreased intracranial adaptive capacity in post-VP shunting hydrocephalus patients. The nursing intervention was implemented on Mrs. S using the 30° head-up position. As a result, the patient reported reduced headache, and her blood pressure decreased to 135/90 mmHg.

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