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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.
The impact of structured clinical supervision on nurses’ adherence to nutritional education protocols for cardiac inpatients: A quasi-experimental study Delvira, Wiwiek; Kristiyawati, Sri Puguh; Muttaqin, Zaenal
AcTion: Aceh Nutrition Journal Vol 10, No 3 (2025): September
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i3.2683

Abstract

Nutritional education is crucial for managing cardiovascular diseases; however, nurses’ adherence to established protocols remains suboptimal. This study aimed to evaluate the effectiveness of clinical supervision in improving nurses’ compliance with providing nutritional education to hospitalized cardiac patients. A quasi-experimental pre–post design was applied, involving 38 nurses working in the cardiac ward of a Type B General Hospital in Riau Province, from March to May 2024. The intervention group received structured clinical supervision for four weeks, while the control group continued with the standard procedures. Compliance was measured using validated observation and self-report instruments. Data were analyzed using paired t-tests and ANCOVA. Results showed that. The mean compliance score in the intervention group increased from 68,4 (SD = 8,7) to 88,2 (SD = 6,3) (p < 0,001), whereas no significant change was observed in the control group. ANCOVA confirmed that clinical supervision had a significant effect on compliance (F = 11,23, p = 0,002), with a large effect size (η² = 0,24). In conclusion, clinical supervision effectively improved nurses’ compliance in providing nutritional education. Integrating structured supervision into nursing management may enhance the quality of patient education and support better clinical outcomes in the future.
Penerapan Mirror Therapy terhadap Gangguan Mobilitas Fisik pada Pasien Stroke Iskemik di RS Mardi Rahayu Kudus Dela Puspita Ernanda Sari; Sri Puguh Kristiyawati
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.
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.
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 DELVIRA, WIWIEK 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 Indrawati, Hani 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 Ryandini, Felicia Risca S. Eko Ch. Purnomo S. Eko Ch. Purnomo S. Eko Ch. Purnomo Ch. Purnomo Siska Kusumaningtiyas Siti Lestari 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 Tutik Sri Hariyati Via Untari Via Untari, Via Wika Bella Prihatiningtias Yono, Novi Heri Zaenal Muttaqin Zaky Mubarak, Zaky Zulaikah -