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Realizing The Intelligent Community In Physical Rehabilitation For COVID-19 Survivors Eki Pratidina; Tri Nur Jayanti; Rahmat Santoso; Ana Ikhsan Hidayatullah; Akbar Marta Nurpauzi; Fazry Rachmatulloh; Gita Puspitasari; Intan Asmarani; Nurlieta Ananda T; Saarah Putri K. P; Tiara Nuraeni; Erika Sri Yulia Agustiani; Hana Nabiilah; Yafi Cahyana Mauladan; Anita Rushendarti; Mitha Syaharani; Ida Nurfikah; Risa Agustiani; Ayu Diyana; Ayu Triani; Maharani Citra Nabila; Mutia Maudina; Putri Intan Pandini; Mutiara Mumthaz
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2022): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

COVID-19 patients who have been declared cured may experience residual symptoms such as fatigue, shortness of breath, impaired mobility, problems in activities of daily living, and insomnia. Unresolved sequelae can lead to long-term disability, so physical rehabilitation is important to improve the functional capacity. This community service activity aims to increase public knowledge about physical rehabilitation after COVID-19. The activity was carried out by providing blended education to 13 offline and 125 online participants. The material was divided into 4 sub-topics, physical exercise, nutrition to increase immunity, herbs and supplements to increase immunity, and prevention of COVID-19 reinfection. Education was carried out using lecture, discuss, and demonstrations. Various media such as powerpoint, video, banner, brochure, and leaflet are also used. Pre-test and post-test were conducted using a questionnaire as a form of evaluation. The results obtained, of the 78 participants who filled out the questionnaire, 49% of them had less knowledge during pre-test and turned into 100% good knowledge at the post-test. After the education, participants also able to practice physical exercises, use masks properly, and wash their hands according to the material provided. Based on these results, it can be concluded that education is effective in increasing public knowledge.

Decreased Anxiety of Pregnant Women with Endorphine Massage on the Preoperation of Sectio Caesarea Raden Nety Rustikayanti; Yulia Anugrah; Inggrid Dirgahayu; Tri Nur Jayanti; Cucu Rokayah
Indonesian Journal of Global Health Research Vol 4 No 2 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Maternal anxiety facing sectio caesarea that is not treated properly can cause physical and psychological changes that can eventually increase the work of sympathetic nerves and there will be an increase in heart rate, breath frequency, blood pressure, and in general reduce energy levels in patients to the detriment of patients. The purpose of this study was to determine the effectiveness of endorphine massage against sectio caesarea preoperative anxiety in primigravida mothers in the Central Surgery Room of Bandung City Hospital. The research design is a Quasi-Experiment using experimental groups and control groups. The population is 193 people. The samples used for each group were 18 people with a purposive sampling technique. Data collection was carried out using the Hospital Anxiety Depression Scale questionnaire. Data analysis used bivariate analysis in the form of the Wilcoxon test and the Mann Whitney test. The results of the study found that anxiety before the endorphine massage intervention was mostly moderate 14 people (77.8%) and after the intervention more than half were mild 12 people (66.7%). Before the deep breath relaxation intervention was mostly moderate 16 people (88.9%) and after the intervention more than half were moderate 13 people (72.2%). There is an effect of endorphine massage on anxiety (p-value 0.000 < 0.05). There is an effect of deep breath relaxation on anxiety (p-value 0.004 < 0.05). There is a difference in anxiety between the intervention of endorphine massage with deep breath relaxation and endorphine massage is more effective than deep breath relaxation (p-value 0.003 < 0.05). Endoprhine massage intervention can overcome anxiety problems because it can stimulate endorphine hormones which can provide a comfort effect. The conclusion was found that endorphine massage can reduce anxiety. Advice for hospitals can make endoprhine massage a standard operating procedure in dealing with anxiety problems of preoperative patients.

Decreased Anxiety of Pregnant Women with Endorphine Massage on the Preoperation of Sectio Caesarea Raden Nety Rustikayanti; Yulia Anugrah; Inggrid Dirgahayu; Tri Nur Jayanti; Cucu Rokayah
Indonesian Journal of Global Health Research Vol 4 No 2 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Maternal anxiety facing sectio caesarea that is not treated properly can cause physical and psychological changes that can eventually increase the work of sympathetic nerves and there will be an increase in heart rate, breath frequency, blood pressure, and in general reduce energy levels in patients to the detriment of patients. The purpose of this study was to determine the effectiveness of endorphine massage against sectio caesarea preoperative anxiety in primigravida mothers in the Central Surgery Room of Bandung City Hospital. The research design is a Quasi-Experiment using experimental groups and control groups. The population is 193 people. The samples used for each group were 18 people with a purposive sampling technique. Data collection was carried out using the Hospital Anxiety Depression Scale questionnaire. Data analysis used bivariate analysis in the form of the Wilcoxon test and the Mann Whitney test. The results of the study found that anxiety before the endorphine massage intervention was mostly moderate 14 people (77.8%) and after the intervention more than half were mild 12 people (66.7%). Before the deep breath relaxation intervention was mostly moderate 16 people (88.9%) and after the intervention more than half were moderate 13 people (72.2%). There is an effect of endorphine massage on anxiety (p-value 0.000 < 0.05). There is an effect of deep breath relaxation on anxiety (p-value 0.004 < 0.05). There is a difference in anxiety between the intervention of endorphine massage with deep breath relaxation and endorphine massage is more effective than deep breath relaxation (p-value 0.003 < 0.05). Endoprhine massage intervention can overcome anxiety problems because it can stimulate endorphine hormones which can provide a comfort effect. The conclusion was found that endorphine massage can reduce anxiety. Advice for hospitals can make endoprhine massage a standard operating procedure in dealing with anxiety problems of preoperative patients.

The Relationship Between Adversity Quotient and Learning Outcomes of Nursing Students Cucu Rokayah; Senny Apriliani; Tri Nur Jayanti
Indonesian Journal of Global Health Research Vol 5 No 2 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The effectiveness of student learning can be determined by learning outcomes. Good learning outcomes are not easily attained, ther are numerous obstacles and challenges to overcomes. Not all pupils are capapble of overcoming obstacle and challenges in order to achieves positive learning outcomes. The intelegence required to overcome learning obstacle is adversity quotient. This study aims to determine the relationship between Adversity Quotient and Learning Outcomes of Nursing Student. This Research uses quantitative research, with a descriptive correlation approach (Cross sectional). Population in this study is 494 nursing students, and sample 221 students with stratified random sampling technique. Data collection techniques using the Adversity Response Profile questionnaire. Data analysis used frequency distribution and Product Moment correlation test. The results showed that 98% of the Adversity Quotient of Nursing Students were in the moderate AQ category (Camper). Nursing student learning outcomes 21% are in the very bright category. Correlation test obtained p value 0.009 (<0.05), there is a relationship between Adversity Quotient with nursing student learning outcomes with a correlation coefficient of 0.176 which has a very weak relationship level with a positive direction. Based on the results of the study.

Associations Between Physical Activity and Multiple Maternal Health Outcomes Among Pregnant Women: A Cross-Sectional Study Tri Nur Jayanti; R. Nety Rustikayanti; Inggrid Dirgahayu
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i1.949

important role in maintaining maternal health. However, inappropriate activity levels may be associated with various adverse maternal outcomes. Previous studies have often focused on single health outcomes, limiting understanding of how physical activity relates to multiple maternal conditions within the same population. Objective: This study aimed to comprehensively examine the associations between physical activity levels and multiple maternal health outcomes, including constipation, low back pain (LBP), blood pressure, chronic energy deficiency (CED), and anemia, among pregnant women. Methods: This cross-sectional correlational study involved 251 pregnant women consecutively recruited from two community health centers. Physical activity was assessed using the Pregnancy Physical Activity Questionnaire (PPAQ), while constipation, LBP, blood pressure, CED, and anemia were measured using the Constipation Assessment Scale (CAS), Numeric Rating Scale (NRS), and a standardized checklist form. Data were analyzed using Chi-square and Fisher’s exact tests, with odds ratios (ORs) and 95% confidence intervals (CIs) calculated for significant associations. Results: Most respondents reported moderate levels of physical activity. Physical activity level was significantly associated with LBP severity (p = 0.020), with women engaging in vigorous activity showing higher odds of severe LBP compared with those performing sedentary to moderate activity (OR = 1.83; 95% CI: 0.94–3.54). No statistically significant associations were observed between physical activity level and constipation, blood pressure, CED, or anemia. Conclusion: Low back pain was the only maternal health outcome significantly associated with physical activity level in this study. These findings highlight the importance of antenatal care interventions that prioritize screening for LBP, assessment of physical workload patterns, and guidance on safe and balanced physical activity to prevent severe LBP during pregnancy.

Optimalisasi Peran Kader PKK dan Posyandu dalam Pencegahan Kegawatdaruratan Hipertensi Nur Intan Hayati Husnul Khotimah; Agus Mi'raj Darajat; Widyawati Widyawati; Tri Nur Jayanti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24097

ABSTRAK Hipertensi merupakan salah satu masalah kesehatan masyarakat yang berpotensi menimbulkan komplikasi serius apabila tidak ditangani dengan tepat. Kondisi kegawatdaruratan hipertensi kerap muncul tanpa gejala awal yang jelas, sehingga masyarakat sering kali tidak menyadari ancaman yang ada. Situasi ini menuntut adanya deteksi dini serta peningkatan kesiapsiagaan komunitas sebagai langkah preventif untuk menekan angka morbiditas dan mortalitas. Tingginya prevalensi hipertensi di RW 10 Kelurahan Binong, Kecamatan Batununggal, belum diimbangi dengan sistem penanganan darurat yang terstruktur. Kader PKK dan Posyandu sebagai ujung tombak pelayanan kesehatan masih menghadapi keterbatasan pengetahuan dan keterampilan dalam mendeteksi serta menangani kondisi darurat hipertensi. Metode: Program Pengabdian kepada Masyarakat ini dirancang untuk meningkatkan kapasitas kader melalui pelatihan intensif yang mencakup edukasi kesehatan, simulasi penanganan darurat, diskusi kelompok terarah, serta monitoring dan evaluasi berkala. Hasil: Kegiatan menunjukkan peningkatan signifikan pengetahuan kader (p = 0,000; uji Wilcoxon), dengan rata-rata skor pengetahuan meningkat dari 56 menjadi 88. Selain itu, terbentuk prosedur operasional penanganan darurat hipertensi yang aplikatif dan dapat diterapkan di tingkat komunitas. Kesimpulan: Intervensi ini menghasilkan kader yang lebih responsif dalam memberikan pertolongan pertama, sehingga berkontribusi pada penurunan risiko komplikasi serta peningkatan kualitas hidup masyarakat. Kata Kunci: Hipertensi, Kegawatdaruratan, Kader PKK Posyandu, Edukasi, Simulasi. ABSTRACT Introduction: Hypertension is a major public health issue that can lead to serious complications if not properly managed. Hypertensive emergencies often occur without clear initial symptoms, making communities less aware of the potential risks. This situation highlights the need for early detection and improved community preparedness as preventive measures to reduce morbidity and mortality. The high prevalence of hypertension in RW 10, Binong Village, Batununggal District, has not been supported by a structured emergency response system. PKK and Posyandu cadres, as the frontline of community health services, still face limitations in knowledge and skills to detect and manage hypertensive emergencies. Methods: This community service program aimed to strengthen cadre capacity through intensive training, including health education, emergency response simulations, focused group discussions, and regular monitoring and evaluation. Results: The program demonstrated a significant improvement in cadre knowledge (p = 0.000; Wilcoxon test), with the average knowledge score increasing from 56 to 88. In addition, an applicable standard operating procedure for hypertensive emergency management was successfully developed. Conclusion: This intervention produced cadres who are more responsive in providing first aid, thereby contributing to reduced risk of complications and improved community quality of life. Keywords: Hypertension, Emergency, PKK Posyandu Cadres, Education, Simulation.

PENERAPAN TEKNIK VOCALIZATION DAN DEEP BREATHING UNTUK MENGATASI NYERI KALA I PERSALINAN PARTUS MATURUS: STUDI KASUS Raden Nety Rustikayanti; A Azis; Inggrid Dirgahayu; Tri Nur Jayanti
Jurnal Sehat Masada Vol 20 No 2 (2026): Jurnal Sehat Masada
Publisher : Sekolah Tinggi Ilmu Kesehatan Dharma husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38037/jsm.v20i2.630

Pendahuluan: Persalinan normal ditandai dengan adanya kontraksi uterus yang semakin meningkat seiring bertambahnya dilatasi serviks. Kontraksi yang semakin sering dan kuat dipersepsikan sebagai nyeri persalinan yang memengaruhi kenyamanan dan psikologis ibu bersalin. Salah satu intervensi yang dapat diberikan yaitu penerapan teknik deep breathing-vocalization. Tujuan penelitian untuk menganalisis penerapan teknik deep breathing-vocalization pada pasien dengan nyeri persalinan. Metode: Jenis penelitian yaitu kualitatif dengan pendekatan studi kasus. Teknik pengumpulan data melalui wawancara, observasi, pemeriksaan fisik, studi dokumentasi. Sampel sebanyak 2 pasien ibu bersalin fase aktif kala I yaitu Ny. A (G2P1A0) dan Ny. D (G1P0A0). Nyeri persalinan dipersepsikan menggunakan Numeric Rating Scale (NRS). Hasil: Sebelum intervensi, Ny. A dan Ny. D mengalami nyeri berat dengan skala NRS 8. Setelah diberikan teknik deep breathing dan vocalization, skala nyeri Ny. A menurun dari 8 menjadi 7, sedangkan Ny. D menurun dari 8 menjadi 6. Kedua klien tampak lebih rileks, mampu mengikuti pola napas, dan lebih terkontrol saat menghadapi kontraksi. Kesimpulan: Teknik deep breathing dan vocalization dapat membantu menurunkan nyeri persalinan kala I serta meningkatkan kenyamanan ibu bersalin. Intervensi ini dapat digunakan sebagai tindakan mandiri keperawatan dan dikombinasikan dengan pendekatan nonfarmakologis lain sesuai kebutuhan ibu.

Analisis Asuhan Keperawatan pada Pasien Postpartum dengan Ketidaknyamanan Pasca Partum melalui Penerapan Effleurage Massage: Studi Kasus Rani Asela Ramadani; Tri Nur Jayanti; R. Nety Rustikayanti; Inggrid Dirgahayu
Jurnal Penelitian Perawat Profesional Vol. 8 No. 2 (2026): April 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i2.2495

Ketidaknyamanan pasca partum merupakan masalah yang umum dialami ibu setelah persalinan spontan akibat kontraksi uterus selama proses involusi dan trauma jaringan perineum. Kondisi ini dapat mengganggu mobilisasi, istirahat, aktivitas sehari-hari, dan proses menyusui sehingga memerlukan penatalaksanaan yang tepat. Penelitian ini bertujuan menganalisis asuhan keperawatan pada pasien postpartum dengan ketidaknyamanan pasca partum melalui penerapan effleurage massage di Ruang Nifas RSUD Welas Asih Provinsi Jawa Barat. Penelitian menggunakan desain studi kasus dengan pendekatan proses keperawatan pada satu pasien postpartum spontan. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik menggunakan pendekatan BUBBLE-HE, dan telaah dokumentasi rekam medis untuk mendapatkan informasi mengenai riwayat persalinan, hasil pemeriksaan, terapi yang diberikan, dan catatan perkembangan pasien. Intervensi berupa effleurage massage pada area abdomen dan punggung diberikan selama ±15–20 menit, kemudian skala nyeri dievaluasi menggunakan Numeric Rating Scale (NRS). Sebelum intervensi, pasien mengalami ketidaknyamanan pasca partum uang ditandai dengan keluhan nyeri skala 7 disertai gangguan kenyamanan dan keterbatasan mobilisasi. Setelah intervensi, skala nyeri menurun menjadi 4, pasien tampak lebih rileks, nyaman, serta mampu melakukan mobilisasi dan menyusui dengan lebih baik. Penerapan effleurage massage memberikan berbagai dampak positif pada ibu postpartum sehingga diharapkan intervensi keperawatan nonfarmakologis berbasis bukti ini dapat dipertimbangkan dalam penatalaksanaan ketidaknyamanan pasca partum.

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