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Kekuatan dan Kesulitan Remaja Disabilitas di Yayasan Pendidikan Anak Cacat (YPAC) Jakarta dan Surakarta Lestari, Tri Riana; Adyas, Atikah; Rachmawati, Elsye; Ardesa, Yopi Harwinanda; Pasaribu, Ester Syeftty
Jurnal Kesehatan Vol 9, No 2 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (377.412 KB) | DOI: 10.26630/jk.v9i2.898

Abstract

Children with disability face the barriers due to their incapacity and various obstacles from their society. How to cope with the barriers that came from themselves due to physical imperfection, emotional instability, and obstacles from the environment will affect to their mental health. The Medical assessment to find out the strengths and difficulties of teenagers are intended to take early intervention and an effort to improve the mental and personality development of teenagers with disabilities. This research was conducted to find out about the description of disabled adolescence’s characteristic profile on strength and weakness that related to adolescence mentality at school for the disabled. The cross-sectional study was conducted at YPAC Jakarta and Surakarta in the period of June-October 2017. This research was conducted with 100 respondents from YPAC, 20 people from Jakarta and 80 people from Surakarta. The qualification of the respondents were adolescences with a range of age 11-18 years old, adolescents with limb and or vision disability that capable to communicate, and agree to be respondents. The study results showed that there were 27% children whose 11-12 years old, 24% whose 13-14 years old, 28% whose 15-16 years old, 21% whose 17-18 years old. The respondents were males 58% and females 42%. This research has successfully explained that Most of the difficulty level of adolescents with disabilities found in YPAC Jakarta and Surakarta were normal level (79%), and most of the level of strength were also normal level (89%). Suggestions for all parties related to disability adolescents as an effort to maintain mental health and not late to intervene.
SKRINING KELAINAN TELAPAK KAKI, SENSORI KAKI DIABETES, DAN SKOLIOSIS PADA CAR FREE DAY JAKARTA Rahmawati, Rina Fitriana; Supadma, Deby Eka; Triyani, Triyani; Lestari, Tri Riana; Fairuz, Ahmad; Salwa, Nadine
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2024): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v4i1.1209

Abstract

Dukungan dalam upaya pencegahan disabilitas dilaksanakan oleh civitas akademika Poltekkes Kesehatan Kementrian Kesehatan Jakarta I dengan cara melaksanakan program kegiatan pengabdian masyarakat yang berfokus pada pencegahan disabilitas fisik. Kegiatan ini juga merupakan salah satu bentuk partisipasi aktif civitas akademika dalam rangka memperingati Hari Disabilitas Nasional yang jatuh setiap tanggal 3 Desember. Salah satu tujuan kegiatan ini adalah untuk meningkatkan kesadaran masyarakat mengenai potensi disabilitas fisik yang bisa diidap oleh siapa saja serta memberikan edukasi pada masyarakat mengenai pencegahan berbagai macam penyakit yang dapat menyebabkan disabilitas fisik. Kegiatan dilakukan dengan melakukan deteksi dini kelainan skoliosis, deformitas kaki, dan deteksi sensori kulit pada kaki diabetes. Serangkaian tes dengan menggunakan berbagai peralatan digunakan dalam kegiatan. Untuk skoliosis, digunakan metode pemeriksaan dengan Adam’s forward bending tes dan penggunaan skoliometer untuk mendeteksi derajat kemiringan tulang punggung. Harris mat, tinta, dan kertas HVS digunakan untuk melihat foot print dari partisipan untuk deteksi kelainan kaki, lalu monofilament digunakan untuk mendeteksi sensori kulit partisipan. Dari 33 partisipan, didapati 2 partisipan positif skoliosis, 3 partisipan mempunyai deformitas pada kaki yaitu pes planus/kaki datar, pes cavus, dan metatarsus adduktus. Keseluruhan partisipan mempunyai indera sensori kulit yang baik dan mampu merasakan monofilamen yang disentuhkan ke kaki.
Effect of Medial Arch Support Foot Orthosis on Pressure Distribution and Peak Pressure in Women with Hallux Valgus Fitri, Rahma Maulida; Triyani, Triyani; Lestari, Tri Riana; Silmia, Ana
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1251

Abstract

Background: Hallux Valgus (HV) entails a deformity of the hallux, resulting in heightened pressure on both the hallux and forefoot. One potential intervention involves utilizing foot orthoses with medial arch support. Aims: This study aimed to assess the impact of medial arch support foot orthoses on pressure distribution and peak pressure among women exhibiting mild to moderate hallux valgus. Methods: The research employed a quasi-experimental design, employing a one-group pretest-posttest methodology with 16 participants. Data collection involved recording pressure distribution and peak pressure via foot scans before and after one month of utilizing Medial Arch Support Foot Orthoses. Parametric analysis utilized a paired T-test. Results: The findings indicated a significant reduction in peak pressure, particularly in toe 1 and the metatarsal region (p < 0.005). However, there were no notable alterations in pressure distribution (p > 0.005), although a shift in mean pressure distribution from 21.94 to 22.63 was observed in the right forefoot. Conclusion: Medial arch support foot orthoses demonstrated efficacy in altering pressure distribution and mitigating peak pressure, thereby presenting as a viable intervention for individuals with hallux valgus. Future research should consider incorporating additional variables, such as spatiotemporal differences, both pre- and post-utilization of medial arch support foot orthoses.
Program positive parenting sebagai upaya pencegahan risiko stunting Tambun, Yetty Mariani; Manurung, Suryani; Lestari, Tri Riana; Aprianti , Tutty; Pudentiana, Pudentiana
JOURNAL OF Public Health Concerns Vol. 4 No. 4 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i4.441

Abstract

Background: Stunting is a condition of failure to thrive as a result of chronic malnutrition, which causes children to grow too short and thin for their age. Currently, stunting is seen as a serious health problem in society, in the world and in Indonesia. The South Jakarta City Government found 640 toddlers suspected of stunting or slow growth and development. Meanwhile, of that number, the Mayor of South Jakarta said that 203 toddlers had been determined to have stunting status. Efforts to handle stunting prevention for those suspected of stunting were 640 and those who had been determined to have stunting were 203 spread across 15 locations in South Jakarta sub-districts, namely determining parenting patterns and foster parents. Purpose: To provide increased ability and skills of health cadres in implementing program positive parentings and improving the abilities of mothers or mothers who have toddlers. Method: Activities are carried out using counseling, demonstration, discussion and participatory action review monitoring evaluation methods Results: Obtaining an agreement on the implementation of a program positive parenting with the local government and the implementation of the socialization of the program positive parenting (P3) to health cadres, the implementation of the program positive parenting (P3) to pregnant women and mothers with toddlers, and the implementation of the nutrition monitoring calendar in the Ragunan Village Health Center, South Jakarta. Conclusion: Community service for the program positive parenting provides an increase in the ability and skills of health cadres in implementing the program positive parenting and improving the ability of mothers with toddlers in applying the nutrition monitoring calendar to detect the risk of stunting. Suggestions: In the future, for cadres who already have the ability, it is hoped that they can periodically monitor the implementation of positive parenting in pregnant women and mothers with toddlers so that they can minimize the risk of stunting. Keywords: Program positive parenting; Pregnant women; Stunting; Toddlers Pendahuluan: Stunting merupakan kondisi gagal tumbuh sebagai dampak kekurangan gizi kronis, yang menyebabkan anak menjadi tumbuh terlalu pendek dan kurus pada usianya. Saat ini, stunting dipandang sebagai masalah kesehatan yang serius di masyarakat, di dunia maupun di Indonesia. Pemerintah Kota Jakarta Selatan menemukan 640 balita terduga stunting atau lambat tumbuh kembang. Sementara itu, dari jumlah tersebut, Wali Kota Jakarta Selatan menyebutkan sebanyak 203 balita yang sudah ditetapkan berstatus stunting. Upaya penanganan pencegahan stunting terhadap yang terduga stunting yakni sebanyak 640 dan yang sudah ditetapkan mengalami stunting sebanyak 203 yang tersebar di 15 lokasi kelurahan Jakarta Selatan yakni menetapkan pola asuh dan orangtua asuh.  Tujuan: Untuk memberikan peningkatan kemampuan dan keterampilan kader kesehatan dalam mengimplementasikan program positive parenting dan meningkatkan kemampuan ibu atau ibu yang memiliki balita. Metode: Kegiatan dilaksanakan dengan menggunakan metode penyuluhan, demonstrasi, diskusi dan evaluasi monitoring kaji tindak partisipastif. Hasil: Mendapatkan kesepakatan pelaksanaan program pengasuhan positive parenting dengan pemerintah daerah dan terlaksananya sosialisasi program positive parenting (P3) pada kader kesehatan, implementasi program positive parenting (P3) kepada ibu hamil dan ibu yang memiliki balita, dan penerapan kalender monitoring gizi di kelurahan Puskesmas Kelurahan Ragunan Jakarta Selatan. Simpulan: Pengabdian masyarakat program positive parenting memberikan peningkatan kemampuan dan keterampilan kader kesehatan dalam mengimplementasikan program positive parenting dan meningkatkan kemampuan ibu yang memiliki balita dalam mengaplikasikan kalender monitoring gizi untuk mendeteksi risiko stunting. Saran: Untuk kedepannya, bagi kader yang sudah memiliki kemampuan, diharapkan dapat secara berkala memantau penerapan positive parenting pada ibu hamil dan ibu yang memiliki balita sehingga dapat meminimalkan risiko terjadinya stunting.
2D Motion Analysis of Knee Joint Angulation in Transtibial Amputees Using SACH Foot at Prosthetics and Orthotics Clinic, Polytechnic of Health Jakarta I Putri, Kinanti Restiana; Hjelmström, Olle; Lestari, Tri Riana; Adyas, Atikah
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (810.215 KB) | DOI: 10.36082/jpost.v1i2.869

Abstract

The neutral foot position of the prosthetic SACH foot has a higher heel surface from the front of the foot (metatarsal line) with 1cm heel height. The prosthesis will be aligned to match the shoes that patient will use. When the patient is using shoes, the prosthetic SACH foot will be placed in a neutral position and will be supported by the shoe. When the patient does not use the shoe, the prosthesis will tilt backward especially when the foot is mid-stance and will force the pressure of the knee toward the extension of the knee joint which can cause damage to the knee joint structure. Therefore, knee joints will be measured at the time of the patient's use and not wearing shoes during mid-stance. Objective: To find out if there are significant differences in knee joint degree during mid-stance when using and not using shoes with 1cm heel height. Methods Quantitative comparative by observation of 2-dimensional motion in transtibial amputation patients using shoes and not using shoes with cross-sectional study design. Result : The degree of knee joints generated during mid-stance by patients with transtibial amputation when using shoes was 10.8o of flexion (p = 0.004) while at the time of not using the resulting knee boots was 4.5o of flexion (p = 0,000), normal degree of knee joint during mid- stance is 10o-20o of flexion. The results of paired t-test showed that there were significant differences in knee joint degree from standard degree, but when using the shoe showed a result of 0.8o larger than the lowest normal range while when not using shoes the resulting degree of 6.3o is smaller than lowest normal range.
Using the Strava application for walking physical activities to control the risk of pre-eclampsia Manurung, Suryani; Lestari, Tri Riana; Handayani, Oktaviyana Tri
Physical Therapy Journal of Indonesia Vol. 6 No. 2 (2025): July-December 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i2.305

Abstract

Background: Pre-eclampsia affects approximately 2–10% of pregnancies worldwide and remains a leading cause of maternal morbidity and mortality. Its occurrence is strongly associated with pregnancy-related risk factors, including elevated blood pressure and excessive maternal weight. This study aimed to evaluate the effectiveness of walking activity, monitored using the Strava application, in controlling blood pressure and reducing the risk of pre-eclampsia among women in their second and third trimesters of pregnancy. Methods: This study employed a quasi-experimental design with a pretest–posttest control group. Thirty pregnant women in their second and third trimesters who were at risk of pre-eclampsia due to elevated blood pressure were purposively recruited, with 15 participants assigned to the intervention group and 15 to the control group. Data collection, conducted between April and May 2024 in Jagakarsa District, South Jakarta, utilized a demographic questionnaire, a blood pressure monitoring sheet, and the Strava application to track physical activity. Blood pressure outcomes were analyzed using paired and independent t-tests. Results: The data followed a normal distribution (p > 0.05). The participants had a mean age of 30.6 years (SD = 5.87), with 46.7% primiparous, 53.3% multiparous, 90% overweight, and 10% normal body weight. Before the intervention, 80% of participants exhibited insufficient physical activity. After the walking intervention monitored via Strava, significant reductions were observed in the intervention group’s systolic blood pressure (from 143.3 to 130.9 mmHg) and diastolic blood pressure (from 92.9 to 86.7 mmHg) (p < 0.05), with mean decreases of 12.4 mmHg and 6.1 mmHg, respectively. By contrast, no significant changes were observed in the control group. Subgroup analysis confirmed significant reductions in blood pressure across confounding factors, including age, parity, and body weight status. Conclusion: Regular walking activity, monitored using the Strava application, was effective in reducing blood pressure and mitigating the risk of pre-eclampsia among women in their second and third trimesters of pregnancy. Incorporating structured physical activity programs during pregnancy, in conjunction with the management of maternal age, parity, and weight, may contribute to the prevention of pre-eclampsia.
Pendidikan Sebagai Instrumen Transformasi Generasi: Berdasarkan Perspektif Teologis Kitab Roma 12:1-2 Rusmanto, Ayub; Lestari, Tri Riana
Basileus Eirene: Jurnal Agama dan Pendidikan Vol 4 No 1 (2025)
Publisher : Basilius Eirene Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63436/bejap.v4i1.102

Abstract

Dalam era globalisasi dan disrupsi moral saat ini, pendidikan tidak hanya berfungsi sebagai sarana transmisi pengetahuan semata-mata, tetapi juga sebagai instrumen transformasi karakter dan spiritualitas generasi muda. Artikel ini bertujuan untuk mengkaji peran pendidikan sebagai alat pembaharuan hidup berdasarkan perspektif teologis yang diangkat dari Roma 12:1-2. Metode penelitian yang digunakan adalah pendekatan kualitatif dengan studi pustaka dan analisis teks Alkitab secara hermeneutik. Peneliti mengumpulkan buku, jurnal ilmiah yang telah publish serta mengelompokan berkaitan dengan pokok bahasan. Hasil penelitian menunjukkan bahwa ayat tersebut menggarisbawahi pentingnya transformasi melalui pembaharuan budi yang sejalan dengan misi pendidikan Kristen dalam membentuk manusia yang hidup sesuai kehendak Allah. Pendidikan dalam kerangka ini menjadi wahana untuk membebaskan individu dari pola pikir duniawi menuju hidup yang berpusat pada nilai-nilai ilahi. Kesimpulannya, pendidikan berbasis iman Kristen bukan hanya membangun kapasitas intelektual, tetapi juga memperkuat identitas, spiritual, dan moral generasi masa depan, menjadikannya relevan, dan mendesak dalam konteks zaman ini.
Perilaku Remaja Putri Menghadapi Menarche Berdasarkan Nilai Budaya Batak Simanjuntak, Merida; Manurung, Suryani; Lestari, Tri Riana; Hasibuan, Payung
Kesmas Vol. 7, No. 9
Publisher : UI Scholars Hub

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

Abstract

Masa remaja merupakan masa transisi dari masa kanak-kanak menuju masa dewasa yang ditandai oleh perubahan fisik, intelektual, seksual, dan emosional. Menarche pada remaja putri menjadi pertanda memasuki tahapan sistem reproduksi dewasa. Sesuai dengan nilai dan budaya masyarakat, peristiwa menstruasi pertama yang fisiologis itu mendapat respons yang berbeda. Tujuan penelitian ini adalah mengembangkan kerangka teoritis tentang pola perilaku remaja putri dalam menghadapi menarche sesuai dengan nilai dan budaya keluarga Batak di Jakarta. Penelitian kualitatif ini dilakukan dengan pendekatan grounded theory dengan metode pengumpulan data melalui wawancara mendalam, observasi, dan studi literatur. Enam orang informan direkrut dengan cara purposive sampling di wilayah Jakarta Timur. Data yang dikumpulkan di analisis dengan menggunakan constant comparative analysis sampai tercapai saturasi data. Hasil penelitian ini menunjukkan bahwa perilaku remaja putri menghadapi menarche sesuai dengan nilai dan budaya Batak di Jakarta dipengaruhi oleh informasi yang diterima, pola asuh dalam keluarga, dan pandangan orang tua terhadap menarche. Oleh sebab itu, perawat diharapkan dapat memberikan informasi yang komprehensif kepada remaja tentang proses perkembangan reproduksi dan perawatan saat menarche dengan mengikutsertakan orang tua dalam pemberian pendidikan kesehatan pada anak. Adolescence is a phase that lies between childhood and adulthood. There are some changes occur due to this transitional phase including physical, intellectual, sexual and emotional changes. Menarche phase in woman shows that a more developed reproductive system has started. There are different responses according to culture and community value in encountering the menarche phase. The purpose of this study was to develop a theory about adolescent girl behavioral pattern encountering menarche phase. This qualitative study was conducted using grounded theory approach, by collecting data from interviews, observation and literature study. Six respondents were recruited using purposive sampling in East Jakarta. The collected data was analyzed using constant comparative analysis until data saturation was achieved. Result of this study showed that adolescent girl behavior encountering menarche phase according to Batak’s culture and traditional value was influenced by information adopted, mothering pattern in the family and parent’s angle of view about menarche phase. Regarding this, a nurse is expected to be able to give comprehensive information to adolescent girl aboutits reproductive system development and nursing in menarche phase. In addition, parent’s involvement is recommended in health education giving to children.