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TERAPI AFIRMASI POSITIF DAN SUPPORT GROUP UNTUK PENCEGAHAN STROKE PADA LANSIA DENGAN HIPERTENSI DAN DIABETES: POSITIVE AFFIRMATION THERAPY AND SUPPORT GROUPS FOR STROKE PREVENTION IN ELDERLY WITH HYPERTENSION AND DIABETES Vivi Yuderna; Armaita Armaita; Mike Asmaria; Ramaita Ramaita; Mariza Elvira
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2026): 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.v6i2.3175

Abstract

Pengelolaan faktor risiko stroke pada lansia belum optimal dan masih terbatas pada pemantauan berat badan serta tekanan darah, tanpa diikuti pengendalian perilaku berisiko seperti merokok, kurang aktivitas fisik, pola makan tidak sehat, obesitas, hiperglikemia, dan dislipidemia. Nagari Pakandangan merupakan wilayah dengan prevalensi faktor risiko stroke yang tinggi, terutama hipertensi dan diabetes melitus pada lansia. Oleh karena itu, diperlukan intervensi berbasis pemberdayaan masyarakat. Tujuan: mengendalikan faktor risiko stroke melalui terapi afirmasi positif dan support group. Metode: Pengabdian Masyarakat ini dilaksanakan pada bulan Juli sampai dengan Agustus 2025 dengan sasaran 17 orang lansia dengan hipertensi dan diabetes melitus menggunakan pendekatan partisipatif dengan desain pre-post tanpa kelompok kontrol. Intervensi dilakukan selama 4 minggu melalui kegiatan simulasi, pendampingan, serta monitoring dan evaluasi. Hasil:  menunjukkan adanya peningkatan keterampilan peserta dalam melakukan terapi afirmasi positif serta perubahan perilaku pencegahan stroke. Selain itu, terjadi penurunan proporsi lansia dengan tekanan darah tinggi dari 100% menjadi 45,45% dan kadar gula darah tinggi dari 100% menjadi 50% setelah intervensi. Kesimpulan: terapi afirmasi positif dan support group berkontribusi dalam meningkatkan perilaku kesehatan serta menurunkan faktor risiko stroke pada lansia. Keterlibatan kader dan tenaga kesehatan berperan dalam mendukung keberlanjutan intervensi di masyarakat.
PENGARUH PEMBERIAN EDUKASI TENTANG PERAWATAN LUKA POST SECTIO CAESAREA MENGGUNAKAN MEDIA VIDEO TERHADAP PENGETAHUAN DAN SIKAP IBU POST SC Hilma Yesi; Mike Asmaria; Setia Nisa; Ratih Septiana Arpen; Resi Citra M; Rika Armalini; Hasmita Hasmita
Jurnal Kesehatan Medika Saintika Vol 17, No 1 (2026): Juni 2026
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v17i1.30851

Abstract

Pemahaman Perawat Terhadap Dasar Hukum dan Tanggung Jawab Pelimpahan Wewenang Tindakan Medis di IGD Mike Asmaria; Hilma Yessi; Debby Silvia Dewi
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59229

Abstract

Delegating authority from doctors to nurses is a common practice in emergency services in the Emergency Department (ER) to expedite patient care and improve service effectiveness, particularly in emergency situations or when there are limited medical personnel. However, its implementation still faces various obstacles related to legal aspects, namely the legal basis, professional accountability, and legal protection for the health workers who carry it out. Therefore, it is necessary to conduct research on understanding the delegation of authority in the Emergency Department of Prof. M. Yamin Pariaman Regional Hospital. The methodology used is a qualitative, descriptive-analytical approach by conducting intensive interviews with seven nurses working in the ER. The findings of this study revealed that most nurses still do not have an adequate understanding of the legal basis underlying the transfer of authority, including the difference between delegation and mandate. Nurses also tend to assume that doctors are the parties who are ultimately responsible for the medical actions that have been delegated. Furthermore, the process of delegation of authority is mostly done verbally without adequate documentation. Thus, it is hoped that there will be efforts to increase the understanding of health workers regarding the legal aspects and responsibilities in the delegation of authority through several strategies, including active socialization of regulations and training in the field of health law in the hospital environment.
Edukasi Pencegahan Dini Stunting pada Remaja Menuju Zero Stunting Tahun 2025 Sandra Dewi; Jufrika Gusni; Debby Silvia Dewi; Maidawillis Maidawillis; Mike Asmaria
Jurnal Medika: Medika Vol. 5 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/gh5cdr95

Abstract

The rapid development of food and beverage products encourages adolescents to choose low-nutrient foods, thus increasing the risk of nutritional imbalance and stunting. Lubuk Alung still has a stunting incidence of 2.4%. MAN 1 Padang Pariaman, one of the schools located in Lubuk Alung District. The purpose of the community service is to improve adolescents' knowledge and skills in preventing stunting. The service method is through education and demonstration of nutritional actions. The results of the activity showed an increase in participants' knowledge regarding balanced nutrition and stunting prevention, as well as their ability to practically prepare healthy menus. This activity emphasizes the important role of schools in supporting stunting prevention efforts and fostering healthy lifestyle behaviors among adolescents, as part of the Zero Stunting program target
Peningkatan Pengetahuan Lansia Tentang Pencegahan Stroke Melalui Edukasi Pengendalian Hipertensi dan Diabetes Melitus Mike Asmaria; Vivi Yuderna; Mariza Elvira; Armaita Armaita; Ramaita Ramaita
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/vt0kb508

Abstract

Stroke is a leading cause of death and disability, closely associated with hypertension and diabetes mellitus as major risk factors. This community service activity aimed to improve public knowledge about hypertension and diabetes mellitus as a stroke prevention effort in Nagari Pakadangan, Padang Pariaman Regency. The method used was health education through counseling, discussion, and question-and-answer sessions. The activity began with blood pressure and blood glucose checks and a pre-test, followed by educational material using audiovisual media, and ended with a post-test. The participants consisted of 20 elderly individuals accompanied by health workers and cadres. The results showed an increase in participants' knowledge after the intervention. Before counseling, 7 participants (35%) had high knowledge and 13 participants (65%) had low knowledge. After counseling, high knowledge increased to 16 participants (80%) while low knowledge decreased to 4 participants (20%). Health education was proven effective in improving public knowledge regarding stroke prevention through hypertension and diabetes mellitus control.
Pemberdayaan Masyarakat Tentang Ems (Emergency Medical Sistem) Sederhana Melalui Detections Pra-Hospital Stroke Hasmita Hasmita; Mike Asmaria; Hilma Yessi; Trisna Kumala Sar; Prima Yoselina; Kheniva Diah Anggita; usrito Zalins Adecory
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jtn47g86

Abstract

Stroke is a leading cause of death and disability that requires rapid treatment from the pre-hospital phase, but the community in Nagari Malai III Koto still has minimal knowledge regarding early detection and initial treatment of stroke. This community service program aims to improve the community's ability in pre-hospital management of stroke patients through simple EMS. Methods include assessment, participant identification, health education on early stroke detection using the FAST method, and an introduction to EMS with the Detection component. Participants were 19 elderly people at high risk of stroke and 17 family members. Evaluation results showed a significant increase: stroke knowledge from 35% to 90%, FAST simulation from 30% to 88%, family role from 40% to 92%, and understanding of the EMS process from 25% to 85%. The conclusion of this program is that community-based health education is effective in increasing community preparedness in pre-hospital stroke management, and is expected to be able to implement an emergency stroke referral system.
Asuhan Keperawatan Medikal Bedah Pada Ny. N Dengan Hipertensi Di Ruangan Rawat Inap Interne RSUD Padang Pariaman Tahun 2026 Diva Kurnia Agustin; Hilma Yessi; Mike Asmaria; Debby Silvia Dewi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2265

Abstract

Hypertension is a condition in which blood pressure is above the normal range. According ti data from the World Health Organization (WHO), hypertension affects 22% of the world’s population in southeast asia with an incidence rate reaching 36%. The number of hypertension sufferers in indonesia reached 34.1%, up from 25.8% in 2020. In west Sumatera province, hypertension ranks fifth out of the ten most common diseases with 63,309,620 cases. The 2024 west Sumatera provincial health office report, padang city ranked first with 23,737 cases, followed by solok in second place with 20,345 cases, and pasaman in third place with 19,907 cases. At padang pariaman regional general hospital, hypertension cases ranked sixth with 506 cases. This case study aims to apply direct nursing care to mrs.N with hypertension through a nursing process approach. The research method was conducted in the form of a case study on mrs.N in the internal room of padang pariaman regional hospital on February 26 – march 2, 2026. Data collection was carried out through interviews, observations, physical examinations, and documentation. Four diagnoses were found in clients with a diagnosis of hypertension, namely the risk of ineffective cerebral perfusion, acute pain, sleep pattern distubances, and activity intolerance. The nursing evaluation showed that blood pressure was 132/82 mmhg, pulse 88x/minute, pain decreased to scale 1, and sleep pattern disturbances and activity intolerance were resolved within 3 days. The family is expected to play an activity role in supporting patient compliance in treatment to prevent further complications and it is hoped that clients can adopt a healthy lifestyle by consuming food contsining low salt. 
Asuhan Keperawatan Medikal Bedah Pada Pasien Dengan Diabetes Melitus Tipe II Diruang Interne RSUD Padang Pariaman Tahun 2026 Haura Najwa Tsany; Hilma Yessi; Debby Silvia Dewi; Mike Asmaria
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2266

Abstract

Diabetes mellitus (DM) is a disease that disrupts the body's metabolism caused by insulin production not being able to work optimally. Globally, the number of sufferers will reach 589 million people in 2024 with a mortality rate of 3.4 people. Indonesia ranks 5th in the world with 20.4 million sufferers. At Padang Pariaman Regional Hospital, this disease is ranked 4th out of 10 diseases with 567 cases in 2025, and shows an increasing trend in the internal room. The purpose of this author is to implement comprehensive medical-surgical nursing care for patients with type II diabetes mellitus. The method used is a case study of Mrs. S in the internal room of Padang Pariaman Regional Hospital on February 26-March 2, 2026. The results of case study show 5 main nursing problems which include unstable blood glucose levels, acute pain, impaired skin integrity, activity intolerance, and risk of infection. Evaluation showed a GDS level of 184 mg/dl, decreased pain to a scale of 2, and improved wound condition and patient activity, all resolved within 5 days. The risk of infection resolved within 4 days. The family is expected to play an active role in supporting the patient's adherence to medication, diet, physical activity, routine checkups, and wound care to prevent further complications.  
MANAJEMEN STRES PADA KOMUNITAS PESISIR: PERAN PERAWAT JIWA DI KOTA PARIAMAN Dwi Happy Anggia Sari; Debby Sinthania; Mike Asmaria; Kheniva Diah Anggita
Ensiklopedia of Journal Vol 8, No 1 (2025): Vol. 8 No. 1 Edisi 2 Oktober 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i1.3518

Abstract

Coastal communities face significant stressors related to unstable income, climate variability, marine ecosystem degradation, and family burdens. This study examines stress management in coastal communities of Kota Pariaman and explores the strategic role of psychiatric nurses in preventive mental health efforts. Using community assessment, interviews, and Focus Group Discussion (FGD), 30 participants were included from three coastal subdistricts. Results reveal moderately high stress levels (62%) influenced by economic hardship and occupational demands. Psychoeducation and early detection significantly improved knowledge (t = -6.112, p 0.05). Strengthening community-based psychiatric nursing is crucial to enhancing mental resilience in coastal populations. Keywords:  Stress Management; Psychiatric Nursing; Coastal Communities; Pariaman
TERAPI AFIRMASI POSITIF DAN SUPPORT GROUP UNTUK PENCEGAHAN STROKE PADA LANSIA DENGAN HIPERTENSI DAN DIABETES: POSITIVE AFFIRMATION THERAPY AND SUPPORT GROUPS FOR STROKE PREVENTION IN ELDERLY WITH HYPERTENSION AND DIABETES Vivi Yuderna; Armaita Armaita; Mike Asmaria; Ramaita Ramaita; Mariza Elvira
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2026): 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.v6i2.3175

Abstract

Pengelolaan faktor risiko stroke pada lansia belum optimal dan masih terbatas pada pemantauan berat badan serta tekanan darah, tanpa diikuti pengendalian perilaku berisiko seperti merokok, kurang aktivitas fisik, pola makan tidak sehat, obesitas, hiperglikemia, dan dislipidemia. Nagari Pakandangan merupakan wilayah dengan prevalensi faktor risiko stroke yang tinggi, terutama hipertensi dan diabetes melitus pada lansia. Oleh karena itu, diperlukan intervensi berbasis pemberdayaan masyarakat. Tujuan: mengendalikan faktor risiko stroke melalui terapi afirmasi positif dan support group. Metode: Pengabdian Masyarakat ini dilaksanakan pada bulan Juli sampai dengan Agustus 2025 dengan sasaran 17 orang lansia dengan hipertensi dan diabetes melitus menggunakan pendekatan partisipatif dengan desain pre-post tanpa kelompok kontrol. Intervensi dilakukan selama 4 minggu melalui kegiatan simulasi, pendampingan, serta monitoring dan evaluasi. Hasil:  menunjukkan adanya peningkatan keterampilan peserta dalam melakukan terapi afirmasi positif serta perubahan perilaku pencegahan stroke. Selain itu, terjadi penurunan proporsi lansia dengan tekanan darah tinggi dari 100% menjadi 45,45% dan kadar gula darah tinggi dari 100% menjadi 50% setelah intervensi. Kesimpulan: terapi afirmasi positif dan support group berkontribusi dalam meningkatkan perilaku kesehatan serta menurunkan faktor risiko stroke pada lansia. Keterlibatan kader dan tenaga kesehatan berperan dalam mendukung keberlanjutan intervensi di masyarakat.