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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.
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.
PEMAHAMAN DAN KEYAKINAN MASYARAKAT TERHADAP PENGGUNAAN TERAPI KOMPLEMENTER DALAM PERSPEKTIF BUDAYA LOKAL DAN KEPERAWATAN HOLISTIK Sucipto, Ade; Rahayu, Sri; Kurniati, Ainun
JKM-Bid: JURNAL KESEHATAN MASYARAKAT KEBIDANAN (The Journal of Public Health Midwifery) Vol. 12 No. 01 (2025): Desember 2025
Publisher : Akademi Kebidanan Harapan Bunda Bima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71369/wpssgf51

Abstract

The use of complementary and alternative therapies has increasingly become part of community health practices, particularly in relation to local culture and belief systems. However, community understanding of complementary therapies is not always supported by evidence-based information, which may pose potential risks in their application. In the context of holistic nursing, understanding cultural beliefs and community perspectives is essential to provide safe and comprehensive care. This study aimed to explore community understanding and beliefs regarding the use of complementary therapies from a local cultural perspective. This research employed a qualitative approach with a phenomenological design. Participants were community members who had used complementary therapies and were selected using purposive sampling. Data were collected through in-depth interviews guided by semi-structured questions and analyzed thematically until data saturation was achieved. Data trustworthiness was ensured through member checking and source triangulation. The findings revealed five main themes: community knowledge of complementary therapies derived from intergenerational experiences, cultural beliefs regarding the benefits and safety of complementary therapies, the influence of social environments on decision-making, the use of complementary therapies as a complement to medical treatment, and concerns related to safety and limited access to reliable information. These findings indicate that local culture and social environments play a significant role in shaping community health practices. Therefore, nurses have a strategic role in providing culturally sensitive and evidence-based education to support holistic nursing practice and the safe use of complementary therapies.
Keterbatasan Mobilitas sebagai Prediktor Perubahan Body Image pada Pasien Pasca Stroke Sri Rahayu; Ade Sucipto; Nismawardah Nismawardah
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.v9i2.685

Abstract

Background: Stroke is a leading cause of disability that results in mobility limitations and physical changes in patients. Mobility limitations experienced by post-stroke patients not only affect physical functioning but also have psychological impacts, one of which is changes in body image. Altered body perception can influence the adaptation process and quality of life of post-stroke patients. Objective: This study aimed to analyze mobility limitation as a predictor of body image changes in post-stroke patients. Methods: This study employed a quantitative analytic design with a cross-sectional approach. The study population consisted of post-stroke patients at Sultan Imanuddin Regional General Hospital, Pangkalan Bun. A purposive sampling technique was used, involving 30 respondents who met the inclusion criteria. Mobility limitation was measured using the Barthel Index, while body image changes were assessed using the Body Image Scale (BIS). Data analysis included univariate and bivariate analyses, as well as regression analysis to determine the role of mobility limitation as a predictor of body image changes. Results: The results showed that mobility limitation was significantly associated with body image changes in post-stroke patients. Higher levels of mobility limitation were associated with greater body image disturbance. Regression analysis indicated that mobility limitation played a predictive role in body image changes among post-stroke patients. Conclusion: Mobility limitation is a predictor of body image changes in post-stroke patients. Therefore, nursing interventions should focus not only on improving physical mobility but also on providing psychological support to help patients adapt to the physical changes they experience.
Faktor Psikologis, Sosial, Dan Karakteristik Ibu Memengaruhi Persepsi Mobilisasi Dini Pasca Persalinan Pada Ibu Hamil Dengan Pendekatan Mixed Method Galih Ayu Puspa Kirani; Octaviana Puspita Sari; Shilas Manis Putri Respati; Ade Sucipto
Jurnal Borneo Cendekia Vol 10 No 1 (2026): Jurnal Borneo Cendekia
Publisher : STIKES Borneo Cendekia Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54411/jbc.v10i1.732

Abstract

Background: Early mobilization after childbirth is important for accelerating maternal recovery and preventing complications; however, some pregnant women still have inadequate perceptions regarding its benefits and safety. These perceptions are influenced by psychological and social factors, as well as obstetric experiences such as gravidity and parity. Objective: This study aimed to analyze the psychological and social factors associated with perceptions of early mobilization after childbirth among pregnant women using a mixed-method approach. Methods: This study used a mixed-method design with a sequential explanatory approach, involving 30 respondents selected through purposive sampling. Quantitative data were analyzed using descriptive statistics and Spearman’s correlation test, while qualitative data were analyzed using thematic analysis. Results: A total of 66.7% of respondents had positive to very positive perceptions of early mobilization. Descriptive analysis showed that the highest mean scores were found for the socio-cultural factor and intrinsic motivation dimensions, both with a mean of 4.10, followed by physical confidence (3.80), self-efficacy (3.67), pain perception (3.67), and surgical anxiety (3.10). Spearman’s correlation test showed a significant positive relationship between gravidity and perception (r = 0.420; p = 0.021) and between parity and perception (r = 0.423; p = 0.020). Conclusion: Gravidity and parity were positively associated with perceptions of early mobilization, with moderate strength of association. Qualitative findings indicated that positive perceptions were still accompanied by psychological barriers, including concerns about pain, wounds, and physical condition, while childbirth experience, social support, and intrinsic motivation contributed to shaping mothers’ readiness to perform early mobilization.