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All Journal Jurnal Keperawatan Karya Ilmiah S.1 Ilmu Keperawatan Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Kesehatan Bina Generasi Nurse and Health: Jurnal Keperawatan Jurnal Ilmu Keperawatan Jiwa NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Peduli Masyarakat PROFESSIONAL HEALTH JOURNAL Jurnal Pengabdian Kepada Masyarakat Sisthana Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Indonesian Journal of Health Research Asian Journal of Healthcare Analytics Jurnal Kebidanan dan Keperawatan Aisyiyah Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Pengabdian Perawat Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Nursing Applied Journal Pena Nursing Inovasi Kesehatan Global Prosiding Seminar Nasional Unimus Vitamin: Jurnal Ilmu Kesehatan Umum Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Sri Puguh Kristiyawati
STIKES Telogorejo Semarang
Humanities Chemistry Dentistry Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Penerapan Range of Motion Pasif terhadap Gangguan Mobilitas Fisik pada Pasien Miastenia Gravis di RSUD Dr. Moewardi Putri Widya Ariyani; Sri Puguh Kristiyawati
An-Najat Vol. 3 No. 3 (2025): 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.v3i3.3130

Abstract

Myasthenia Gravis (MG) is a rare chronic disease caused by a neuromuscular disorder resulting from an autoimmune condition. The primary cause of MG is a thymus gland abnormality that produces an excessive amount of abnormal antibodies. These autoantibodies block signal transmission at the postsynaptic membrane of the neuromuscular junction. As a result, the signal transmission required for muscle contraction through acetylcholine receptor binding on muscle fibers becomes impaired. In Indonesia, MG prevalence remains low. The typical clinical manifestations include muscle weakness, such as ptosis, diplopia, limb weakness, dysphagia, speech difficulties, and respiratory failure. One progressive muscle weakness. Non-pharmacological management, which includes passive Range of Motion (ROM) exercises, involves joint movements that promote muscle contraction and enhance mobility. ROM serves as a rehabilitation intervention that improves muscle strength, increases joint flexibility, and prevents joint stiffness. During a six-day consecutive intervention, passive ROM exercises improved both muscle strength and limb range of motion. Prior to ROM administration, muscle strength and range of motion scores were recorded at and , respectively. After the intervention, muscle strength and range of motion scores increased to and These results indicate that passive ROM therapy can serve as a rehabilitation strategy to reduce physical limitations and improve the quality of life in patients with myasthenia gravis.
Peningkatan Pengetahuan Lansia dengan Diabetes Mellitus melalui Program Edukasi Senam Kaki DM Adila, Desita Triana; Indrawati, Hani; Kristiyawati, Sri Puguh; Sovianti, Vivi; Ismonah, Ismonah
Jurnal Peduli Masyarakat Vol 7 No 4 (2025): Jurnal Peduli Masyarakat: Juli 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i4.6921

Abstract

Salah satu metode preventif yang cukup efektif dan mudah dilakukan pada penderita DM adalah senam kaki diabetik. Di sisi lain, senam kaki diabetik juga dapat menjadi sarana edukasi yang efektif dalam meningkatkan kesadaran pasien terhadap pentingnya perawatan kaki secara rutin. Meskipun senam kaki diabetik memiliki berbagai manfaat, tingkat pengetahuan pasien mengenai hal ini masih tergolong rendah, terutama di tingkat pelayanan primer seperti puskesmas. Salah satu program peningkatan pengetahuan pada penderita DM yaitu dengan memberikan pendidikan kesehatan pada pasien Prolanis di Puskesmas. Tujuan pengadian kepada masyarakat ini adalah meningkatkan pengetahuan lansia yang memiliki riwayat penyakit diabetes mellitus dengan senam diabetik. Metode yang digunakan dalam pengabdian masyarakat ini antara lain penyuluhan kesehatan dan demonstrasi dengan cara diskusi tanya jawab menggunakan media leaflet serta latihan senam diabetes. Tahapan kegiatan yang akan dilakukan adalah tahap persiapan, tahap pelaksanakan dan tahap evaluasi. Peserta dalam kegiatan ini adalah lansia berjumlah 15 lansia. Kegiatan dilakukan melalui observasi langsung antara peserta dengan pemateri penyuluhan saat pemaparan materi, sesi tanya jawab serta keaktifan masyarakat dalam kegiatan pendidikan kesehatan. Pengumpulan data pada kegiatan pengabdian masyarakat ini melalui pengisian kuisioner sebelum dan sesudah kegiatan. Hasil pengabdian masyarakat ini mengenai tingkat perubahan pengetahuan lansia mengenai senam kaki pada penderita diabetes melitus menunjukkan peningkatan yang sangat signifikan yaitu dari awalnya 3 responden (20%) berpengetahuan kurang, 7 (46,7%) cukup, dan 5 (33,3%) baik, menjadi 100% responden memiliki kategori pengetahuan baik pasca‑edukasi.
Implementation of Virtual Reality-Based Neurorehabilitation in Neurological Nursing Practice Kristiyawati, Sri Puguh; Riesmiyatiningdyah, Riesmiyatiningdyah
Asian Journal of Healthcare Analytics Vol. 4 No. 2 (2025): November 2025
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v4i2.15580

Abstract

This study examined the effectiveness of virtual reality (VR) in neurorehabilitation and explored nurses’ experiences in its implementation. Using a mixed-methods design with 60 neurological patients, the findings showed that the VR intervention group demonstrated significant improvements in motor function, cognitive function, and rehabilitation adherence compared to the control group. Qualitative results indicated that nurses found VR to enhance treatment strategies, although technical and facility limitations remained challenges. Overall, VR was proven effective in improving clinical outcomes and supporting neurological nursing practice through the integration of digital technology.
Penerapan Mirror Therapy terhadap Gangguan Mobilitas Fisik pada Pasien Stroke Iskemik di RS Mardi Rahayu Kudus Dela Puspita Ernanda Sari; Sri Puguh Kristiyawati
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.890

Abstract

Ischemic stroke occurs when a thrombus, embolus, or vascular stenosis disrupts blood supply to the brain, causing vessel rupture and blood leakage into the surrounding neuronal space. A common clinical symptom of stroke is hemiparesis, or muscle weakness on one side of the body. Non-pharmacological management, such as range of motion exercises using mirror therapy, can support rehabilitation. Mirror therapy is a form of motor rehabilitation that engages the patient's motor imagery. The mirror provides visual stimulation to the brain, particularly the cerebral motor nerves on both the affected and unaffected sides, to assist movement in limbs experiencing hemiparesis. This study used a case study method, implementing nursing care and evidence-based nursing practice. Over six consecutive days of intervention, mirror therapy led to increased muscle strength. Prior to the therapy, muscle strength was recorded at. After the therapy, muscle strength improved to. These results suggest that mirror therapy can serve as an effective rehabilitation strategy to address impaired physical mobility in patients with ischemic stroke.
Penerapan Bimodal Stimulasi Sensori terhadap Penurunan Kapasitas Adaptif Intrakranial pada Pasien Stroke Hemoragik di RS Mardi Rahayu Kudus Heni Kristiani; Sri Puguh Kristiyawati
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.908

Abstract

Background: Hemorrhagic stroke is a critical condition caused by the rupture of cerebral blood vessels, which leads to intracranial bleeding, increased intracranial pressure (ICP), and decreased adaptive capacity of the brain. One of its main impacts is a significant disturbance of consciousness. Nurses have applied non-pharmacological approaches, such as bimodal sensory stimulation, as innovative interventions to stimulate neurological function and indirectly stabilize intracranial pressure. Objective: This study analyzed the implementation of bimodal sensory stimulation in improving intracranial adaptive capacity in patients with hemorrhagic stroke. Methods: This case study involved a patient with a hemorrhagic stroke and impaired consciousness in an intensive care unit. The intervention was conducted for three consecutive days by providing auditory stimuli (voices of family members and nurses) and gustatory stimuli (lemon) five times daily. Measurements included the Glasgow Coma Scale (GCS) and neurological response observations. Results: After receiving bimodal sensory stimulation therapy, the patient showed improved consciousness, as indicated by a consistent increase in GCS scores from 9 to 11 over the three days. The patient's responses to auditory and gustatory stimuli also improved, including mild motor movements, pupil reflexes, and simple interactions such as blinking or opening the eyes in response to sounds. Conclusion: Bimodal sensory stimulation effectively facilitated the recovery of consciousness and enhanced intracranial adaptive capacity in patients with hemorrhagic stroke. Nurses can integrate this intervention into evidence-based nursing practice in intensive care units with active family involvement.
Co-Authors Achmad Solechan Adila, Desita Triana Ady Irianto DS, Ady Irianto Anggun Puspita Anggreini Anissa Loviana Pramukti Anna Jumatul Lely Anna Jumatul Lely Aprilia Eka Suci Jayanti Arlies Zenitha Victoria Asti Nuraeni Bagus Ananta Tanujiarso, Bagus Ch. Purnomo, S. Eko Ch. Purnomo Dela Puspita Ernanda Sari Devi Setya Putri, Devi Dewi Irawati - Dewi Irawati -, Dewi Irawati Dewi Nurjanah Diah Khusnul Khotimah Dinna Triwidyawati Dino Aprianto Dwi Fitriyanti Dwi Rahayu Lukitasari Dyah Ismi’anifatun Ellena Virgin Cindy Puspita Erlena Nur Intan Fachry Abda El Rahman Febrina Sukmaningrum Fitriyanti, Dwi Gusana Prinda Erawati Heni Kristiani Indrawati, Hani Ismonah Ismonah Ita Sofiatun Khotimah, Diah Khusnul Kristianto Dwi Nugroho Ling Lian Lauzah M. Syamsul Arif M. Syamsul Arif, M. Syamsul Maria Dagobercia Uskenat Marina Liyanti Nano Marina Liyanti Nano, Marina Marista Liyanti Neno Marselia Dwiyanti Cahyaningtyas Muhammad Anis Taslim Murti, Niken Wulan Hasthi Naviatul Fadilla Nurrohmah Novi Heri Yono Oktarjivika Pidie Kartika Dewi Pepy Ratnasari Prasetyo Ardhy Widagdo Prasetyo Ardhy Widagdo, Prasetyo Prayitno, Untung Prita Adisty Handayani Putra, Gamaliel Anggriya Dwi Putri Widya Ariyani Riesmiyatiningdyah, Riesmiyatiningdyah Rissa Soraya, Rissa Rizan Perdana Kusuma Rr Tutik Sri Hariyati Ryandini, Felicia Risca S. Eko Ch. Purnomo S. Eko Ch. Purnomo S. Eko Ch. Purnomo Ch. Purnomo Siska Kusumaningtiyas Siti Nafisah Sofiatun, Ita Sonny Hermawanto Sovianti, Vivi Sri Dini Cempakaningroem Sri Dini Cempakaningroem, Sri Dini Sri Hartini Mardi Asih, Sri Hartini Suksi Riani Supriyadi - Supriyadi - Syamsul Arif Via Untari Via Untari, Via Wika Bella Prihatiningtias Yono, Novi Heri Zaky Mubarak, Zaky Zulaikah -