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Pemberdayaan kader posyandu lansia untuk meningkatkan kemandirian keluarga dalam perawatan pasca stroke Upoyo, Arif Setyo; Sri Rejeki, Dwi Sarwani; Sutrisna, Eman
Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Vol 12 No 1 (2025): Januari
Publisher : Lembaga Penelitian, Penerbitan dan Pengabdian Masyarakat (LP3M) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/ppkm.v12i1.7991

Introduction: The problems that post-stroke patients still face after being hospitalized are weakness in one side of the body (hemiparesis), speech disorders (dysarthria/aphasia), difficulty swallowing (dysphagia) and psychological disorders such as post-stroke depression and the risk of recurrent attacks. The purpose of the service is to improve the knowledge and skills of partners about: early detection of stroke, post-stroke care, post-stroke physical exercise, post-stroke speech therapy, post-stroke swallowing therapy, post-stroke psychological management. The method carried out is training with lectures, discussions and demonstrations, the media used are modules and videos. The participants were elderly Posyandu cadres and families who took care of family members after a stroke totaling 19 people. The success of the training was evaluated by comparing pre and posttest scores and assessing the participants' ability to demonstrate the actions taught. The results obtained by the knowledge of early detection, psychological management and post-stroke care of participants were 100% improved. Skills about early detection of stroke, ROM exercises, swallowing exercises and speech therapy 89.47% of participants improved. Conclusion: The training is effective in improving the knowledge and skills of cadres and families in caring for post-stroke patients. Key word: post-stroke, training, cadres, family, care

Mengintegrasikan Hipnosis dan Virtual Reality (Vr) sebagai Solusi Inovatif untuk Mengurangi Nyeri Kronis: A Systematic Review Triyadi, Aang; Upoyo, Arif Setyo
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18910

ABSTRACT Chronic pain represents a significant global health issue, adversely affecting the quality of life for countless individuals. Various methods have been developed for pain management, including hypnosis and virtual reality (VR). Hypnosis has been shown to effectively reduce pain perception, while VR provides an immersive experience that can divert attention from pain. The integration of these two approaches may offer innovative solutions for chronic pain management; however, empirical evidence supporting this combination remains limited. This systematic review aims to explore the effectiveness of the combination of hypnosis and VR in reducing pain, as well as to identify the evidence supporting the use of these interventions in clinical practice. This study employs a literature review approach following the PRISMA guidelines. The systematic review utilizes the PICO framework. The databases searched include Google Scholar, PubMed, and Scopus, using keywords such as Virtual Reality, Hypnosis, and Pain. The findings indicate that the combination of hypnosis and virtual reality (VR) significantly reduces pain in patients with various conditions, including postoperative and oncological cases. This intervention not only diminishes pain perception but also enhances patient satisfaction and quality of life. Evidence suggests that this approach can serve as a safe and effective alternative in chronic pain management. The integration of hypnosis and virtual reality (VR) demonstrates substantial potential in alleviating chronic pain. This review supports the utilization of these innovative methods as effective strategies in pain management within clinical practice. Keywords: Virtual Reality, Hypnosis, Pain. ABSTRAK Nyeri kronis adalah masalah kesehatan global yang signifikan, mempengaruhi kualitas hidup banyak individu. Berbagai metode telah dikembangkan untuk manajemen nyeri, termasuk hipnosis dan virtual reality (VR). Hipnosis terbukti efektif dalam mengurangi persepsi nyeri, sementara VR menawarkan pengalaman imersif yang dapat mengalihkan perhatian dari nyeri. Mengintegrasikan kedua pendekatan ini dapat memberikan solusi inovatif dalam pengelolaan nyeri kronis, namun bukti empiris yang mendukung kombinasi ini masih terbatas. Tinjauan sistematis ini bertujuan untuk mengeksplorasi efektivitas kombinasi hipnosis dan VR dalam mengurangi nyeri, serta mengidentifikasi bukti yang mendukung penggunaan intervensi ini dalam praktik klinis. Artikel ini merupakan tinjauan sistematis dengan pendekatan PRISMA. Tinjauan sistematis menggunakan PICO. Database penelusuran yang digunakan adalah Google Scholar, PubMed, Scopus dengan kata kunci Virtual Reality, Hypnosis, Pain. Hasil berbagai penelitian menunjukkan bahwa kombinasi hipnosis dan virtual reality (VR) secara signifikan mengurangi nyeri pada pasien dengan berbagai kondisi, termasuk pascaoperasi dan onkologi. Intervensi ini tidak hanya mengurangi persepsi nyeri, tetapi juga meningkatkan kepuasan pasien dan kualitas hidup. Bukti menunjukkan bahwa pendekatan ini menjadikan alternatif yang efektif serta aman dalam manajemen nyeri kronis. Integrasi hipnosis dan virtual reality (VR) menunjukkan potensi besar untuk mengurangi nyeri kronis. Tinjauan ini mendukung penggunaan metode inovatif ini sebagai pendekatan efektif dalam manajemen nyeri di praktik klinis. Kata Kunci: Virtual Reality, Hipnosis, Nyeri.

Effect of warming gown use on shivering and body temperature in chronic kidney disease patients undergoing hemodialysis via catheter Anggraeni, Novita; Saryono, Saryono; Upoyo, Arif Setyo
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2701

Background: Haemodialysis is often accompanied by shivering, especially in patients with catheter access, which can reduce comfort, impair treatment efficacy, increase the risk of complications and contribute to inadequate dialysis. Addressing this issue through non-pharmacological means, such as a warming gown, offers a potentially effective, safe, and economical solution to improve patient outcomes. Purpose: To develop a warming gown as an innovation to reduce the incidence of shivering in chronic kidney disease patients undergoing haemodialysis with a haemodialysis catheter. Methods: This study employed a two-stage Research and Development design. In the first stage, a reusable, adaptive warming gown for HD catheter patients was developed and validated (S-CVI/Ave = 0.99). Second, a quasi-experiment was conducted with 60 patients recruited through total sampling. Subsequently, patients were randomly allocated to either the intervention group (warming gown) or the control group (blanket) using computer-generated randomisation based on their identification numbers. Shivering (Crossley and Mahajan scale) and body temperature (digital thermometer) were measured at 0, 15, 30, 60, and 120 minutes. Data were analysed using Wilcoxon, Friedman, and Bonferroni-corrected repeated Mann–Whitney tests. Results: The intervention group showed a significant reduction in shivering levels from 2.63 ± 1.27 to 0.37 ± 0.49 (p < 0.001) and an increase in body temperature from 36.36 ± 0.52 to 36.84 ± 0.29 (p < 0.001). In contrast, the control group showed no significant changes (p > 0.05). Conclusions: The warming gown was proven effective in reducing shivering and increasing body temperature in haemodialysis patients, offering advantages in comfort, safety, and cost efficiency.

Analisis Perbandingan Perawatan Luka dengan Madu + NaCl 0,9% dan NaCl 0,9% terhadap Penyembuhan Luka: Studi Kasus Pasien Diabetes Melitus Tipe II Post Operasi Debridemen Tinidi, Deffy Anjani; Anam, Akhyarul; Upoyo, Arif Setyo
Jurnal Pendidikan Tambusai Vol. 9 No. 2 (2025): Agustus
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v9i2.30510

Ulkus kaki merupakan salah satu komplikasi utama diabetes melitus yang memerlukan penatalaksanaan tepat, terutama pasca operasi debridemen. Salah satu masalah utama pasca debridemen adalah infeksi, sehingga pencegahan dilakukan melalui perawatan luka. Penelitian ini bertujuan menganalisis perbandingan perawatan luka dengan madu + Nacl 0,9% dan Nacl 0,9% terhadap penyembuhan luka pada pasien diabetes mellitus tipe II post operasi debridement. Metode penelitian ini menggunakan comperative study menggunakan pendekatan asuhan keperawatan pasien dengan diabetes mellitus melalui perawatan luka diabetic menggunakan madu + Nacl 0,9% dan Nacl 0,9%. Hasil yang di dapatkan perawatan luka dengan madu + Nacl 0,9% lebih baik dalam mengurangi tingkat eksudat lebih cepat menumbuhkan jaringan granulasi yang baru dibandingkan perawatan luka yang hanya menggunakan NaCl 0,9%. Perawatan luka dengan menggunakan madu + NaCl 0,9% selama 2 hari berturut-turut terbukti mampu menurunkan kadar eksudat dan menumbuhkan jaringan granulasi baru lebih cepat dibandingkan perawatan luka hanya menggunakan NaCl 0,9%.

Realitas Virtual: Solusi Inovatif untuk Manajemen Nyeri pada Pasien Pasca -Laparotomi Ahmad, Ahmad; Upoyo, Arif Setyo
MAHESA : Malahayati Health Student Journal Vol 5, No 8 (2025): Volume 5 Nomor 8 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i8.18925

ABSTRACT Postoperative pain is a significant challenge in the care following laparoscopic procedures, which can affect the physical and psychological recovery of patients. Non-pharmacological approaches, such as virtual reality (VR) therapy, are gaining increasing attention as innovative methods for pain management. To measure the extent to which virtual reality (VR) therapy can reduce post-operative pain intensity in patients undergoing laparoscopic procedures Method: This study reviews six recent research articles that evaluate the effectiveness of VR in reducing postoperative pain in various types of laparoscopic procedures. The studies included experimental methods such as randomized controlled trials (RCT) and protocol studies with various combinations of interventions, such as VR with music therapy. The results show that VR can significantly reduce postoperative pain intensity, improve patient comfort, and enhance vital signs. In several studies, the combination of VR with additional interventions yielded more effective results compared to single therapies. Virtual reality is an effective and practical non-pharmacological method in postoperative pain management. The application of VR provides an innovative alternative that can enhance the patient experience during the postoperative recovery process. Keywords: Virtual Reality, Pain, Postoperative, Laparotomy ABSTRAK Nyeri pasca operasi merupakan tantangan signifikan dalam perawatan setelah prosedur laparoskopi, yang dapat mempengaruhi pemulihan pasien secara fisik dan psikologis. Pendekatan non-farmakologis, seperti terapi realitas virtual (VR), semakin mendapatkan perhatian sebagai metode inovatif untuk manajemen nyeri. Mengukur sejauh mana terapi realitas virtual (VR) dapat mengurangi intensitas nyeri pasca operasi pada pasien yang menjalani prosedur laparoskopi. Studi ini meninjau enam penelitian terbaru yang mengevaluasi efektivitas VR dalam mengurangi nyeri pasca operasi pada berbagai jenis prosedur laparoskopi. Studi-studi tersebut mencakup metode eksperimental seperti randomized controlled trial (RCT) dan studi protokol dengan berbagai kombinasi intervensi, seperti VR dengan terapi musik. Hasilnya menunjukkan bahwa VR dapat secara signifikan mengurangi intensitas nyeri pasca operasi, meningkatkan kenyamanan pasien, dan memperbaiki tanda-tanda vital. Dalam beberapa studi, kombinasi VR dengan intervensi tambahan memberikan hasil yang lebih efektif dibandingkan dengan terapi tunggal. Kesimpulan: Realitas virtual adalah metode non-farmakologis yang efektif dan praktis dalam manajemen nyeri pasca operasi. Penerapan VR memberikan alternatif inovatif yang dapat meningkatkan pengalaman pasien selama proses pemulihan pasca-operasi. Kata Kunci: Realitas Virtual, Nyeri, Pasca Operasi, Laparatomi

Motivation and self-efficacy as key factors influencing self-care in hypertensive adults: A cross-sectional study in Indonesia Upoyo, Arif Setyo; Sari, Yunita; Sutrisna, Eman; Taufik, Agis; Han, Hae-Ra
Jurnal Keperawatan Padjadjaran Vol. 13 No. 2 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i2.2609

Introduction: Self-care is crucial for enhancing life quality and and preventing cardiovascular, renal, and vascular complications in individuals with hypertension. However, self-care among patient’s hypertension remains suboptimal. Our research aimed to identify the determinants of self-care practice among hypertensive patients in Indonesia. Methods: A survey that was cross-sectional. It carried out among 209 adults with hypertension attending community health centers in Central Java, Indonesia. Self-care behaviors, motivation, self-efficacy, and knowledge were assessed using the validated Hypertension Self-Care Profile (HBP-SCP) and Hypertension Knowledge-Level Scale (HKLS). Chi-square and multivariable logistic regression tests were used to evaluate the data. Results: Bivariate analysis revealed significant correlation between self-care behavior and motivation (p<0.001), self-efficacy (p<0.001), and history of hypertension in the family (p=0.018). No significant associations were observed for age, gender, education, occupation, body mass index, blood pressure, or knowledge (all p>0.05). Multivariable analysis demonstrated that motivation (OR=2.22, 95% CI=1.10–4.45, p=0.025) and self-efficacy (OR=7.84, 95% CI=3.99–15.39, p<0.001) were independent determinants of good self-care. Conclusions: Motivation and self-efficacy are key determinants of hypertension self-care behaviors among Indonesian adults. Interventions should prioritize strengthening motivation and building self-efficacy through motivational interviewing, skills training, and structured follow-up by nurses and other healthcare professionals.

Determinant Factors of Diabetes Prevention Behavior in Students with Diabetes Mellitus Risk Bhunga, Yolanda Sri; Setyo Upoyo, Arif; Nuriya, Nuriya
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.47123

Background: The trend of diabetes cases has shifted to younger ages, starting at the age of 15 years old, due to unhealthy lifestyles. Researchers have discovered that health students also tend to have a poor lifestyle. Students are associated with emotional activity and busyness, but no research has examined the relationship between these conditions and diabetes prevention behavior. Purpose: This study examined determinant factors affecting diabetes prevention behavior in college students with diabetes mellitus risk.Methods: This study used a cross-sectional design, utilizing random sampling to gather data from 209 college students with diabetes risk. The instruments used in this study included adaptations of the Diabetes Prevention Behavior questionnaire, the modified Diabetes Management Time Questionnaire (DMTQ), the Perceived Behavioral Control, and the Trait Emotional Intelligence Questionnaire. Data analysis encompassed One-way ANOVA, Mann-Whitney, Kruskal-Wallis, Spearman’s rank, and multiple linear regression.Results: The study found a significant relationship between diabetes management time (p=0.001) and emotional intelligence (p=0.000) with diabetes prevention behavior. Emotional intelligence emerged as the dominant influencing factor (B=0.332). Conversely, no significant relationships were observed between perceived behavior control (p=0.223), class (p=0.734), sex (p=0.231), study major (p=0.263), age (p=0.064), and diabetes mellitus risk (p=0.664) with diabetes prevention behavior.Conclusion: This study revealed a significant relationship between diabetes management time, emotional intelligence, and diabetes prevention behavior. Emotional intelligence emerged as the key factor affecting diabetes prevention behavior, highlighting the need for focused interventions to enhance emotional intelligence and improve diabetes management among college students.

Pemberdayaan kader posyandu lansia untuk meningkatkan kemandirian keluarga dalam perawatan pasca stroke Upoyo, Arif Setyo; Sri Rejeki, Dwi Sarwani; Sutrisna, Eman
Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Vol 12 No 1 (2025): Januari
Publisher : Lembaga Penelitian, Penerbitan dan Pengabdian Masyarakat (LP3M) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/ppkm.v12i1.7991

Introduction: The problems that post-stroke patients still face after being hospitalized are weakness in one side of the body (hemiparesis), speech disorders (dysarthria/aphasia), difficulty swallowing (dysphagia) and psychological disorders such as post-stroke depression and the risk of recurrent attacks. The purpose of the service is to improve the knowledge and skills of partners about: early detection of stroke, post-stroke care, post-stroke physical exercise, post-stroke speech therapy, post-stroke swallowing therapy, post-stroke psychological management. The method carried out is training with lectures, discussions and demonstrations, the media used are modules and videos. The participants were elderly Posyandu cadres and families who took care of family members after a stroke totaling 19 people. The success of the training was evaluated by comparing pre and posttest scores and assessing the participants' ability to demonstrate the actions taught. The results obtained by the knowledge of early detection, psychological management and post-stroke care of participants were 100% improved. Skills about early detection of stroke, ROM exercises, swallowing exercises and speech therapy 89.47% of participants improved. Conclusion: The training is effective in improving the knowledge and skills of cadres and families in caring for post-stroke patients. Key word: post-stroke, training, cadres, family, care

Identification of Nursing Students' Anxiety and Readiness Facing Ners Competency Tests; Qualitative Study Suzanna; Inne Yellisni; Gunawan Irianto; Arif Setyo Upoyo
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.492

Background: Having a registration certificate (STR) a nurse must take a competency test as a condition for ownership of the STR. For nursing students, competency tests are a big challenge and complex, so special preparation and attention are needed for students and universities. The implementation of the competency test can create feelings of concern, fear, tension, and anxiety for fear of not passing the competency test. The problem about low graduation rate for ners competency test is influenced by several factors. One of internal factor consist of anxiety and fear facing ners competency test. Purpose: This study identified the perception and experience anxienty dan readiness of few nursing students facing competency test. Method: The study design is qualitative and study was conducted using semi-structured interview. Recruitment of partisipants for the interview was based on purposive sampling methods. Interview were conducted with a maximum 14 participants with saturation data. Analiysis in this study with content analysis. Results: This study explored the perception and experience anxienty dan readiness of few nursing students facing competency test. The current study identified four themes : deep feeling of fear, extreme anxiety, unpreparedness within, surrender and pray. Conclusion: The feelings of anxiety, fear and worry felt by students whether they are taking an exam for the first time or those who are repeating it. In fact, this feeling has quite an impact on the psychological condition, which is also compounded by the student's unpreparedness facing ners competency test.

The Effect of Massage Therapy on Pain Intensity in Fracture Patients : A Systematic Review Gunawan, Gunawan; Upoyo, Arif Setyo
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): 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.v10i2.667

Aims: Pain disorders are common in patients with fracture disease. Massage therapy is considered effective for reducing the pain intensity of fracture patients. The Purpose of the Systematic review is to investigate the effect of massage therapy on pain intensity in patients with fractures. Methods: The English full-text research publications from 2012 to 2023 that were found using the Google Scholar, Pubmed, and Science Direct databases were published in China (4 articles) and Iran (2 articles). Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) techniques, articles were chosen. Quality assessment was conducted using the Joanna Briggs Institute (JBI) Critical Appraisal Skills Programme. Six articles examined pain intensity with the usual Visual Analogue Scale (VAS). Results: The outcomes achieved were Six articles. It has also been demonstrated to lessen fracture patients' pain. Numerous massage therapy techniques, such as foot massage, reflexology massage, auricular acupressure, and elbow massage therapy, were employed in the studies that made up the evaluation. In the intervention and control groups, the mean pain intensity scores before and after the intervention were 5.72 + 0.97 and 5.66 + 0.92, respectively. The three measures of pain intensity in the intervention group showed a significant difference, according to the Friedman test. Conclusion: The analysis concludes that massage therapy is a highly effective means of reducing pain in those who have suffered fractures. More investigation is need to confirm these results and assess different forms of massage therapy, though.

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