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Association Between Stroke Duration and Comorbid Conditions with Activities of Daily Living (ADL) Among Patients at Sultan Imanuddin Regional General Hospital, Pangkalan Bun: Hubungan Lama Menderita Stroke Dan Jenis Penyakit Penyerta Dengan Activity Daily Living (Adl) Di Rsud Sultan Imanuddin Pangkalan Bun Dhea Novarina, Faradita; Zuliya Indah Fatmawati; Ade Sucipto
Infomasi dan Promosi Kesehatan Vol 4 No 1 (2025): Informasi dan Promosi Kesehatan
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/ipk.v4i1.391

Abstract

Introduction: Stroke adalah salah satu penyakit tidak menular, munculnya gangguan dapat berupa penyempitan, penyumbatan atau perdarahan pada sistem saraf otak. Stroke ini merupakan salah satu penyakit neurologis yang berdampak besar terhadap kemampuan seseorang dalam melakukan aktivitas sehari-hari atau Activity Daily Living (ADL). Lama menderita stroke serta jenis penyakit penyerta dapat memengaruhi ketergantungan penderita dalam menjalankan fungsinya secara mandiri. Tujuan: Penelitian ini bertujuan untuk mengetahui ada hubungan antara lama menderita stroke dan jenis penyakit penyerta dengan activity daily living (ADL).  Methods: Jenis penelitian ini menggunakan deskripsi korelasi menggunakan pendekatan Cross-sectional dengan sampel 40 responden. Tehnik sampling yang digunakan Purposive sampling. Metode pengumpulan data menggunakan instrumen untuk mengukur activity daily living (ADL) adalah kuesioner Barthel Index. Analisis data univariat pada penelitian ini dengan pendekatan distribusi frekuensi, sedangkan analisis bivariat menggunakan uji Spearman Rank.  Results: Hasil penelitian ini menunjukkan lama menderita pada pasien stroke sebagian besar dalam kategori kronis berjumlah 28 responden (70%), hasil jenis penyakit penyerta sebagian besar dalam kategori kompleks berjumlah 28 responden (70%), dan hasil Activity Daily Living (ADL) sebagian besar ketergantungan berat berjumlah 21 responden (52,5%). Hasil analisis variabel lama menderita stroke dengan Activity Daily Living (ADL) didapatkan nilai p value 0,898 > 0,05 menunjukkan tidak ada hubungan antara lama menderita stroke dengan Activity Daily Living (ADL), dan hasil uji kedua untuk jenis penyakit penyerta dengan Activity Daily Living (ADL) didapatkan nilai p value 0,091 > 0,05 menunjukkan tidak ada hubungan antara jenis penyakit penyerta dengan Activity Daily Living (ADL).     Conclusion : Lama menderita stroke dengan Activity Daily Living tidak selalu berbanding lurus dengan tingkat kemandiriannya dan jenis penyakit penyerta tidak secara langsung mempengaruhi tingkat kemampuan mereka dalam melakukan Activity Daily Living.
Trauma Psikososial Sebagai Faktor Dominan Skizofrenia Hasil Wawancara Dengan Pasien, Keluarga, Dan Tenaga Kesehatan Sucipto, Ade; Rahayu, Sri; Supriatna, Yayat; Yustika, Priti
Jurnal Borneo Cendekia Vol 9 No 1 (2025): Jurnal Borneo Cendekia
Publisher : STIKES Borneo Cendekia Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54411/jbc.v9i1.622

Abstract

Background: Schizophrenia is a severe mental disorder characterized by hallucinations, delusions, and social dysfunction. While biological factors have been widely recognized in its etiology, emerging evidence highlights the significant role of psychosocial trauma. However, this aspect remains under-addressed in primary healthcare services. Objective: This study aimed to explore the psychosocial trauma experiences of individuals diagnosed with schizophrenia and to understand the perspectives of families and healthcare workers on the triggering factors within a community context. Methods: A qualitative case study approach was employed. Data were collected through in-depth interviews with 31 individuals diagnosed with schizophrenia, their family members, and healthcare providers in the working area of Sungai Rangit Public Health Center, Central Kalimantan. Thematic analysis was conducted following Braun and Clarke’s method. Results: Findings showed that 93.5% of participants had significant psychosocial trauma histories. The most common traumas included domestic violence, loss of significant others, bullying, romantic betrayal, and unresolved childhood trauma due to harsh parenting. Additional comorbid factors such as substance abuse and a history of seizures in infancy were also identified. Healthcare workers acknowledged that psychosocial aspects are often overlooked due to limited time, resources, and training. Families exhibited limited knowledge and persistent stigma toward mental illness. Conclusion: Psychosocial trauma is a dominant factor in the development of schizophrenia. A more comprehensive and trauma-informed approach is needed in primary care settings, including family education and training for healthcare professionals on early detection and psychosocial support.
Application of Complementary Cupping Therapy for Decreased Uric Acid Levels in Gout Arthritis Patients Sucipto, Ade; Rahayu, Sri; Qorahman MM, Wahyudi; Romaidha, Iqlila
JURNAL CITRA KEPERAWATAN Vol 12 No 1 (2024): JURNAL CITRA KEPERAWATAN Edisi : June
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v12i1.355

Abstract

Gout Arthritis causes high morbidity and mortality rates so serious treatment is needed. Uncontrolled gout manifests as microscopic and macroscopic accumulation of monosodium urate crystals in the form of tophi, causes complications such as inflammation, damage to joints and soft tissue which can result in nephrolithiasia (kidney stones). Prevention of complications can be done with complementary pharmacological and non-pharmacological treatments, the therapy that can be used is cupping therapy. The research design uses one group pretest and posttest design. The research population was gout arthritis patients using a non-probability sampling technique using purposive sampling technique. Data analysis was carried out using Univariate and Bivariate analysis. This study aims to analyze the effect of applying complementary cupping therapy to reduce uric acid levels in gout arthritis sufferers. Based on the research results, it shows that the significance value is 0.000, the p value <0.005, it is concluded that there is an effect of cupping on reducing uric acid levels in gout arthritis sufferers
GAMBARAN NYERI PADA PASIEN DENGAN NEUROPATI DIABETIK YANG DIRAWAT DI RUANG PERAWATAN MEDIKAL BEDAH Llaksono, Eko Budi; Sucipto, Ade
Jurnal Kesehatan Karya Husada Vol 13 No 3 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i3.741

Abstract

ABSTRACT Neuropathic pain is a common complication in patients with diabetes mellitus due to peripheral nerve damage. This type of pain is chronic, disrupts comfort, and may decrease the patient's quality of life. This study aims to describe the intensity and characteristics of pain in patients with diabetic neuropathy hospitalized in the medical-surgical ward. This research used a descriptive design with a quantitative approach. A total of 30 respondents were selected using purposive sampling technique. The instruments used were a numerical rating scale to assess pain intensity and the Douleur Neuropathique 4 (DN4) questionnaire to identify neuropathic pain characteristics. The results showed that most patients experienced moderate pain (46.7%), mild pain (33.3%), and severe pain (20.0%). The most dominant pain characteristics were burning sensations (73.3%), tingling (63.3%), and stabbing pain (53.3%). As many as 80.0% of respondents had a DN4 score ≥ 4, indicating the presence of neuropathic pain. These findings highlight the importance of comprehensive pain assessment in patients with diabetes mellitus to provide appropriate management and improve the quality of nursing care.
Pengaruh Kombinasi Foot Massage, aromaterapi lemon terhadap tingkat kelelahan (Fatigue) pada Pasien Gagal Ginjal Kronik yang menjalani Hemodialisa Nurrizky, Eki Qarismayah; Rahayu, Sri; Supriyatna, Yayat; Sucipto, Ade
Jurnal Kesehatan Karya Husada Vol 13 No 2 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i2.719

Abstract

Gagal ginjal kronik adalah penurunan fungsi ginjal secara bertahap selama lebih dari 3 bulan yang ditandai dengan penurunan laju filtrasi glomerulus dan peningkatan kadar kreatinin dalam darah. Salah satu penatalaksanaan nya adalah pemberian hemodialisa, yang dapat menyebabkan efek samping berupa kelelahan. Kelelahan dapat mengganggu aktivitas sehari-hari dan ditandai dengan perasaan lemah, letih, lesu, penurunan konsentrasi, gangguan emosional, dan gangguan tidur. Terapi nonfarmakologi untuk mengatasi kelelahan salah satunya adalah Foot Massage, aromaterapi lemon yang dapat memberikan efek relaksasi dan mempengaruhi hormone endorphin sehingga dapat mengurangi kelelahan. Penelitian ini merupakan penelitian kuantitatif dengan desain quasi experiment one group pretest and posttest. Responden pada penelitian ini adalah 30. Hasil Menunjukkan sebelum pemberian foot massage dan aromaterapi lemon seluruh responden mengalami kelelahan berjumlah 30 responden (100%). Sedangkan hasil menunjukkan setelah pemberian foot massage dan aromaterapi lemon Sebagian responden mengalami kelelahan berjumlah 27 (90%). Hasil analisis uji statistik dengan menggunakan uji Wilcoxon didapatkan nilai p value = 0,000 maka p value < a (0,05). Dari hasil penelitian dapat disimpulkan jika Ada pengaruh kombinasi foot massage, aromaterapi lemon terhadap kelelahan (fatigue) pada pasien gagal ginjal kronik yang menjalani hemodialisa di RSUD Sultan Imanuddin Pangkalan Bun.
The Effectiveness of Hypnotherapy Movement and Affirmation (HYMA) on Anxiety Status with A Review of Changes in Blood Profiles and Cortisol Hormone Levels in Schizophrenia Patients Sucipto, Ade; Rahayu, Sri; Romaidha, Iqlila; Khabsy, Nurul Maulidatul
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5061

Abstract

Schizophrenia is a condition characterized by abnormal social behavior and an inability to understand reality. Mental health Schizophrenia is a severe and serious mental disorder that can become chronic from a young age because it involves changes in physical, psychological and socio-cultural aspects. Inappropriate treatment of schizophrenia patients will always have an impact on anxiety conditions, slurred or confused thinking, decreased auditory hallucinations, reduced social involvement and emotional expression, and lack of motivation. Management is carried out with pharmacological and non-pharmacological complementary, one of which is Hypnotherapy Movement And Affirmation. Objective: The study aims to analyze the effect of Hypnotherapy Movement And Affirmation (HYMA) On Anxiety Status With A Review Of Blood Profile Changes and Cortisol Hormone In Schizophrenia Patients. Method: The research design used quasi-experimental with a pretest - posttest approach with control group design. The research population was Schizophrenia patients with purposive sampling. The sample in this study was 18 respondents, divided into an experimental group of 9 respondents and a control group of 9 respondents. The experimental group was given Hypnotherapy Movement and Affirmation with the implementation of the action carried out for 2 weeks and each session was carried out for 20 minutes, while the control group only received basic treatment from the Health Center. Result: Based on the Mann Whitney test of the experimental group of cortisol measurements obtained significant results of 0.017 (p <0.05), Erythrocyte measurements obtained significant results of 0.507 (p> 0.05), and Leukocyte measurements 0.930 (p> 0.05). It can be concluded that there is a significant difference in the Complementary Hypnotherapy Movement And Affirmation (HYMA) combination group on cortisol hormone measurements, while there is no significant difference in the measurements of erythrocytes and Leukocytes of respondents. Conclusions: Combination of Hypnotherapy Movement And Affirmation (HYMA) therapy is able to reduce anxiety scale and cortisol hormone levels. Although the profile of Erythrocyte and Leukocyte values has not shown significant changes and associations with schizophrenia in the experimental group or the control group.
Efektifitas Terapi Komplementer Bekam dan Hipnoterapi Terhadap Tekanan Darah Dan Tanda Gejala Pada Penderita Hipertensi Sucipto, Ade; Rahayu, Sri; Iskandar, Jemy
Bima Nursing Journal Vol. 5 No. 1 (2023): November
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/bnj.v5i1.1412

Abstract

Hipertensi  menyebabkan angka  morbiditas dan mortalitas yang tinggi sehingga diperlukan penanganan serius, tekanan darah yang tidak terkontrol menyebabkan komplikasi seperti, stroke, penyakit jantung koroner, dan ginjal. Pencegahan komplikasi dapat dilakukan dengan pengobatan farmakologis maupun non-farmakologis yang bersifat komplementer, terapi yang dapat digunakan adalah terapi bekam dan hipnoterapi. Rancangan penelitian menggunakan pretest and posttest with control group design. Populasi penelitian adalah pasien hipertensi dengan teknik pengambilan sampel probability sampling dengan teknik Simple random. Analisis data dilakukan dengan menggunakan analisis Univariat, Bivariat hingga Multivariat. Penelitian ini bertujuan menganalisis efektivitas penerapan terapi komplementer bekam dan hipnoterapi terhadap penurunan tekanan darah, penurunan skala nyeri dan peningkatan pola tidur pada penderita hipertensi. Berdasarkan hasil penelitian antara kelompok eksperimen (Kombinasi Bekam dan Hipnoterapi), kelompok kontrol (Bekam) dan kelompok kontrol (hipnoterapi) menunjukkan bahwa nilai signifikansi 0,000, nilai p<0,05 disimpulkan bahwa ada pengaruh terhadap penurunan tekanan darah sistol dan diastol, skala nyeri dan meningkatkan pola tidur penderita hipertensi.
Evaluation of (Tinomiscium petiolare Hook.F. &Thomson) Extract Ointment on Inflammation and Angiogenesis During Incision Wound Healing Hidayati, Larantika; Romaidha, Iqlila; Wijaya, Anas Fadli; Sucipto, Ade; Laksono, Eko Budi
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5339

Abstract

Wound incidence remains high worldwide and includes surgical injuries, burns, ulcers and trauma. National reports also show that abrasions and contusions account for more than half of wound complaints. These data indicate a continuing need for effective therapeutic approaches. Wound healing depends on a regulated inflammatory phase and sufficient angiogenesis, and disturbances in these processes can delay tissue repair. Natural compounds with anti-inflammatory and pro-angiogenic activity offer potential support. Tinomiscium petiolare contains flavonoids and alkaloids with documented roles in modulating inflammation and promoting vascular growth. Evidence regarding its effects on incision wounds is limited and requires systematic evaluation. This study aimed to evaluate the wound-healing effects of Tinomiscium petiolare extract ointment by examining inflammatory and angiogenic responses in incision wounds with and without Staphylococcus aureus infection. Twenty-four male Rattus norvegicus were randomized into four groups consisting of non-infected controls, infected controls, extract-treated non-infected rats and extract-treated infected rats. Standardized incision wounds were created, infection was induced in designated groups and the extract ointment was applied to treatment groups. Tissue samples were collected on days 3 and 7 to measure TNF-α expression, macrophage infiltration and blood vessel formation. Statistical analysis included normality testing, variance homogeneity testing and comparative analyses with post-hoc procedures when required. TNF α levels showed no group differences on day 7. Temporal analysis demonstrated significant reductions from day 3 to day 7 in T3 and T4 (p < 0.05). Macrophage infiltration differed among groups (p = 0.044), and post-hoc analysis indicated significantly lower macrophage counts in T4 compared with T1 after Bonferroni correction. Blood vessel density also varied among groups (p = 0.019), and temporal evaluation showed a progressive increase in angiogenesis in T4 from day 3 to day 7, although pairwise comparisons did not reach statistical significance. The extract modulated inflammatory activity and supported angiogenic progression, with the strongest effects in infected wounds treated with the ointment.
LAYANAN BIMBINGAN SPIRITUAL BAGI ABK DI SLB NEGERI KALIWUNGU Isnaini, Auliya Riski; Muna, Nawala Kanazal; Andriani, Forend Wahyu; Sucipto, Ade
Ristekdik : Jurnal Bimbingan dan Konseling Vol 10, No 11 (2025): RISTEKDIK: JURNAL BIMBINGAN DAN KONSELING - NOVEMBER 2025
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/ristekdik.2025.v10i11.1193-1200

Abstract

Penelitian ini bertujuan untuk mendeskripsikan pelaksanaan layanan bimbingan spiritual bagi Anak Berkebutuhan Khusus (ABK) di lingkungan sekolah, serta menganalisis dampak, kelebihan, dan kekurangannya dalam mendukung perkembangan spiritual dan perilaku siswa. Penelitian menggunakan pendekatan kualitatif dengan metode studi kasus melalui wawancara, observasi, dan analisis dokumen. Hasil penelitian menunjukkan bahwa layanan bimbingan spiritual diberikan melalui kegiatan rutin keagamaan, pembiasaan ibadah, penguatan nilai-nilai moral, serta pendampingan individual yang disesuaikan dengan karakteristik masing-masing ABK. Layanan ini berdampak positif terhadap peningkatan kedisiplinan, ketenangan emosional, motivasi beribadah, serta kemampuan siswa dalam memahami nilai-nilai spiritual secara sederhana. Adapun kelebihan layanan ini adalah pendekatannya yang fleksibel, humanis, dan mudah dipadukan dengan aktivitas harian siswa. Namun, layanan masih menghadapi beberapa kendala, terutama keterbatasan waktu, kurangnya kompetensi guru dalam menangani variasi kebutuhan ABK, serta minimnya sarana pendukung pembelajaran spiritual yang adaptif. Secara keseluruhan, layanan bimbingan spiritual terbukti berperan penting dalam membantu ABK mencapai perkembangan spiritual dan perilaku yang lebih baik, namun perlu peningkatan kolaborasi guru, konselor, dan orang tua agar hasilnya lebih optimal.
Kontradiksi Pengobatan Tradisional Dan Medis: Studi Kualitatif Penggunaan Jagung (Zea Mays) Topikal Dalam Penanganan Cacar Air Kalsum, Santika Umi; Wijaya, Nadina; Septiansya, Elgia Ardia; Sucipto, Ade; Laksono, Eko Budi; Rahayu, Sri; Supriyatna, Yayat
Jurnal Borneo Cendekia Vol 9 No 2 (2025): Jurnal Borneo Cendekia
Publisher : STIKES Borneo Cendekia Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54411/jbc.v9i2.686

Abstract

The use of natural ingredients in traditional medicine practices is still commonly found in various regions of Indonesia. One such practice is the topical application of corn (Zea mays) to treat chickenpox. This study aimed to explore the practice and public as well as health professionals’ perceptions toward this treatment. The research was conducted in Arut Selatan District, Kotawaringin Barat Regency, Central Kalimantan, using a qualitative descriptive case study approach. A total of 48 respondents participated in this study, consisting of 43 community members (users and family) and 5 health workers. Data were collected through face-to-face and online interviews and analyzed thematically. The findings indicate that the practice continues due to beliefs in its ability to accelerate healing, reduce itching and heat, and is rooted in generational experience. Symbolic beliefs, such as the notion that corn must be “stolen” to be effective, were also reported. Meanwhile, health workers expressed varying perspectives—from being unaware of the practice to expressing concern about infection risks if applied without medical supervision. This study highlights the need for culturally sensitive educational approaches that integrate local traditional values with modern medical safety principles, promoting holistic and contextual healthcare practices.