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Pengaruh Teknik Audio-Tactile Synchronization (ATS) Terhadap Nyeri dan Komplikasi pada Pasien Pasca Operasi Laparotomi di RSU Setio Husodo Kisaran Latifah Latifah; Byba Melda Suhita; Yenny Puspitasari
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/dvmmpj20

Abstract

Pain is a common problem experienced by patients following laparotomy surgery due to tissue trauma and inflammatory responses, which may lead to various physiological complications, including changes in blood pressure, heart rate, respiratory rate, decreased oxygen saturation, urinary retention, and abdominal distension. This study aimed to analyze the effect of the Audio-Tactile Synchronization (ATS) technique on pain intensity and postoperative complications among laparotomy patients at Setio Husodo General Hospital, Kisaran. This study employed a quasi-experimental design with a pretest–posttest control group design. The sample consisted of 114 respondents, including 57 respondents in the intervention group and 57 respondents in the control group. The participants underwent laparotomy procedures, comprising 20 post-operative Cesarean section (Sectio Caesarea) patients, 15 post-operative appendectomy patients, and 19 post-operative hernia surgery patients, selected using purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS), while postoperative complications were assessed based on blood pressure, heart rate, respiratory rate, oxygen saturation, urinary retention, and abdominal distension. The study demonstrated a significant reduction in pain intensity and postoperative complication scores in both the intervention and control groups (p < 0.001). Furthermore, the Mann–Whitney U test showed that the mean rank of postoperative complications was 55.50 in the intervention group and 59.50 in the control group. The analysis yielded a Mann–Whitney U value of 1510.500, Z = −1.074, and a p-value of 0.283 (p > 0.05), indicating no statistically significant difference between the two groups. However, the intervention group demonstrated a more favorable clinical improvement than the control group. A total of 20 participants withdrew due to intolerable pain requiring analgesics. Conclusion: The effectiveness of ATS is presumed to result from the integration of auditory stimulation and rhythmic tactile touch, which diverts patients’ attention away from pain (cognitive distraction), activates A-beta nerve fibers in accordance with the Gate Control Theory, and enhances relaxation responses, thereby reducing sympathetic nervous system activation. Therefore, ATS is effective in reducing pain and accelerating the improvement of postoperative complications in patients undergoing laparotomy surgery.
Prevention of Prenatal Stunting at Bhayangkara Hospital Nganjuk Hari Prasetyo umar; Ratna Wardani; Byba Melda Suhita; Indasah Indasah; Yenny Puspitasari; Tri Retnoningsih
Journal of Community Engagement in Health Vol. 6 No. 2 (2023): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v6i2.498

Abstract

Efforts to prevent stunting are not only carried out at public health centers, but all agencies are expected to actively participate in preventing stunting, especially hospitals which are required to implement national programs regarding stunting. Stunting is a problem of chronic malnutrition caused by a lack of nutritional intake over a long period of time. This causes problems in the future, namely difficulties in achieving optimal physical and cognitive development. Stunted children have a lower Intelligence Quotient (IQ) than the average IQ of normal children (Ministry of Health of the Republic of Indonesia, 2018). Stunting is defined as a condition where the child's nutritional status according to TB/U results in a Z Score = <-2 SD, this indicates a short or very short body condition resulting from growth failure. Stunting in children is also a risk factor for death, problems with low motor development, low language skills, and functional imbalance (Anwar, Khomsan, and Mauludyani, 2014). Children who experience stunting as a result of someone not getting the right amount of nutritional intake over a long period of time (chronic). So that,stunting can actually be prevented with adequate nutritional intake, especially in the first 1000 days of life. This study aims to analyze efforts to prevent stunting during the prenatal period. The method used in this research is path analysis, by combining TRA and TPB theories to obtain 3 variables, namely environment, knowledge and behavior. Based on merger theory of behavior change TRA and TPB research can be concluded that the environment social pregnant women, knowledge about efforts to prevent stunting in pregnant women and the behavior of pregnant women regarding preventing stunting are all influential. This research concludes that stunting can be prevented from influencing factors starting from the prenatal period. Because adequate nutrition and the health of pregnant women greatly influence the growth of the fetus in the womb, which if there is a lack of intake can result in stunting.
Partnership Model of Integrated Antenatal Service Coverage in Preventive Efforts to Improve the Quality of Life of Mothers at the North Ponorogo Health Center Rumpiati Rumpiati; Yenny Puspitasari
Journal of Community Engagement in Health Vol. 6 No. 2 (2023): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v6i2.504

Abstract

Based on the 2017 Indonesian Basic Health Survey (IDHS), 19% of pregnant women experience complications during pregnancy. Pregnancy complications can endanger the life of the mother and fetus, but not all women experience pregnancy complications or other conditions abnormal if armed with sufficient knowledge. The purpose of this community service is to increase pregnant women's knowledge about integrated antenatal care and increase partnerships with the community in efforts to prevent complications during pregnancy at the North Ponorogo Health Center. The method used is the Delbeq method (a qualitative method in which disease problems are prioritized determined qualitatively by a panel of experts) and Strength, Weakness, Opportunity, Threat (SWOT) analysis. Based on the results of the study conducted, it was found that the determination of problems related to the socialization of increased knowledge of pregnant women about integrated antenatal care. This activity was carried out to the target group, namely pregnant women and their husbands as many as 20 respondents. It is hoped that the counseling will increase pregnant women's knowledge about Integrated Antenatal Services, so that every pregnant woman is able to make early detection of any disturbances/complications that may occur during pregnancy and can make efforts to deal with them as soon as possible.
The Implementation of Integrated Management of Childhood Illness (IMCI) in Sick Children from 2 Months up to 5 Years Age Old with Diarrhea in Community Health Center Joaquim Pinto; Yuly Peristiowati; Yenny Puspitasari; Indasah Indasah; Adelina Pinto; Octaviana Marta G.M. Gusmão
Journal of Community Engagement in Health Vol. 6 No. 2 (2023): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v6i2.533

Abstract

Integrated Management of Childhood Illnesses (IMCI) is a program that focuses on the main childhood diseases that occur in children under five years of age with a focus on pneumonia (acute respiratory infection), diarrhea, malaria, measles, dengue hemorrhagic fever (DHF), ear and malnutrition. Diarrhea is a global health problem that causes high morbidity and mortality in developing countries due to poor environmental sanitation and hygiene, inadequate water supply, poverty and limited access to education. IMCI is a strategy that focuses on child as a whole, not on a single disease or condition, but on a combination of illnesses that need to be treated in an integrated manner at home and in primary health care facilities. Based on the Becora Community Health Center report that cases handled using the IMCI strategy totaled 2,204 cases in 2021, 4,273 cases in 2022 and 3,160 cases, from January to June 2023. Diarrhea cases ranked first, namely 584 cases in 2021, and in 2022 experienced an increase to 758 cases and until June 2023 cases of diarrhea reached 416 cases. The purpose of this residency is to know the management of cases of diarrhea by using IMCI strategies at the Becora Health Center, Dili, Timor Leste. Using descriptive studies because they only wanted to know the frequency distribution of cases handled with IMCI and specifically wanted to observe the management procedures in cases with diarrhea. Based on the results residence from 17-29 July 2023, 598 cases were not handled according to the IMCI strategy, of which 10.37% (n=62) cases had diarrhea and 0.5% (n=3) dysentery cases. In accordance with the results of observations that the IMCI management procedures are not in accordance with ministry standards or policies issued by the Ministry of Health Timor Leste. During residence it appears that health professionals conducting consultations are more directed to using general consultations than using the IMCI strategy.
Co-Authors Abdul Kohar Mudazkir Abiddin, Andi Hayyun Achmad Suyanto Adelina Pinto Adhesia Est P Afiyah, R. Khairiyatul Afriyana, Yurna Agus Naryoso Agus Setyono Agus Sulistyono Agusta Dian Ellina Agusta Dian Ellina Agusta Dian Ellina Agusta Dian Ellina Agustin Agustin Agustin Agustin Agustin Widyowati Ahmaniyah Amar, Munif Anas Anas Andi Hayyun Abiddin Andi mutmainah Ani Fitriani Anis Safitri, Anis Aprin Rusmawati Ardhaenu, Kartika Fahmawati Ardhanariswari, Zubaity Ardyanto Darmanto Arina Chusnatayaini Aryastuti, Nurul Asnuddin, Asnuddin Astri Yunita ‘Aini, Syafira Zuhrotul Baiq Yuliatri Kusumardani Bhisma Murti Br Pinem, Jenaika Budi Santoso Budi Santoso Budi Santoso Byba Melda Byba Melda Byba Melda Suhita Byba Melda Suhita Byba Melda Suhita Cahyono, Ibnu Chusnatayaini, Arina Coa, Joviniano Linus Jutta Damaris Prastyawati Derlin Derlin Deslianti D. Samel Desty Damayanti Dorkas Batilmurik Dyan Furnamasari Efin Sulistyorini Eka Lutfiatus Solehah Emy Ismiaty, Emy Endang Dwiwati Ernawati, Yunie Etti Suryani Febriani, Christin Fitri Handayani Hafid, Aslinda Hari Prasetyo umar Hasrul Hasrul, Hasrul Hesti Restu Kartika Hidayat, Useng Hidayati, Ariza Melinda Iing Yuli Indrawati Ika Retnani Ika Wijayanti Imam Ghazali Imam Ghazali Imam Ghazali Imam Ghazali imelda, imelda Indasah Indasah Indasah Indrawati, Iing Yuli Jenar Yamin Joaquim Pinto Joaquim Pinto Joaquim Pinto Joko Prasetyo Joko Prasetyo Joviniano Linus Jutta Coa Katini Katmini Katmini Katmini Katmini Katmini Katmini, Katmini Kawengian, Amelia Magdalena Kholifatur Rizkiyah, Nur Kristiya , Dony Kristiya Marta, Dony Krit Mahayuning Nusantarie Latifah Latifah Leli Mauli Rohmah Lelyans Surya Risma Sinapa Lelyans Surya Rismasinapa Lingga Kusuma Wardani Luvi Susiana Mahyuvi, Tata Mantouw, Frely Maria Argensah Dos Santos Maria Rante Tandung Marminingsih Maryam Sarce Samu selly Maslukhiyah, Maslukhiyah Maulina Nurikasari Maulina Nurikasari, Maulina Mayta Sari Dwianggimawati Meika Sri Suryanti Fitriana Mira Christina Akayuni Mira Dwi Lantasary Mochamad Salman Hasbyalloh Mordekai Rangkoratat, Melinda Musdalifah Musdalifah Nanang Sugiarto Nanang Sugiarto Nancy Natalia Dharmawan Nani, Andrian Ni Kadek Dwi Anjani Noviani, Indra Novita Ana Anggraini Novita Ana Anggraini Nur Yeni Hidajaturrokhmah Nur Yeny Hidajaturrokhmah Nurdina Nurdina Nurhasanah Nurhasanah Nursalam Nursalam, Nursalam Nurul Hidayati Nurul Hidayati Nurullita Widyazizah Nurwijayanti Nusantarie, Krit Mahayuning Octaviana Marta G.M. Gusmão P, Adhesia Est Prasetyo, Joko Prastyawati, Damaris Prihantoro, Predito Prihayati Prima Dewi Kusumawati Priyanti, Ida RA Siti Nurul Farida Rahmania Ambarika Rahmania Ambarika Rahmania Ambarika Rahmania Rosita Dewi Shaliha Rahmawati, Arsya Ratna Indriyani Ratna Indriyani Ratna Wardani Ratna Wardani Ratna Wardani Reni Nurhidayah Reni Nurhidayah Reni Yuli Astutik Reni Yuli Astutik Respati, Laras Laxita Winda Retno Palupi Rossi Septina Rumpiati Rumpiati Rusmawati Rusmawati Sadya Bustomi Santa Betty Sentot Imam Suprapto Sentot Imam Suprapto Septianingrum, Yurike Shabrina, Hanifah Siswati, Heni Siti Farida Noor Layla Siti Zakiah Siwi, Retno Palupi Yoni Siwi, Retno Palupi Yoni Sri Kardjati Sri Utami Ningsih Suci Anggraeni Suci Anggraeni Suci Anggraeni Suci Anggraeni Suci Anggraeni Suci Anggraini Sugiyanto - Sugiyanto Sugiyanto Sulistina Dewiyanti Sulistiono, Priyo Sumiati Suprapto, Sentot Imam Suryanto Suryanto Taudlikhul Afkar Tilawaty Aprina Tiwik Eriskawati Tri Agus Panatariono Tri Agus Panatariono Tri Retnoningsih Turnomo Rahardjo Ummi Azmi Wahyu Apriliani Wicaksono, Gunawan Yakin, Ibnu Ainul Yammar Yanis, Hardi Yosua Hanoatubun, Yakob Yulia Ervianti Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yunus Parinding Zahrotur Rubbiyani Zainal Andy Saputra ‘Aini, Syafira Zuhrotul