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All Journal JURNAL PROMOSI KESEHATAN INDONESIA UNEJ e-Proceeding JURNAL CITRA KEPERAWATAN Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Ilmu Keperawatan Jiwa Jurnal Ilmiah Keperawatan Abdi: Jurnal Pengabdian dan Pemberdayaan Masyarakat The Indonesian Journal of Health Science Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Indonesian Journal of Community Health Nursing Babali Nursing Research Jurnal Ilmiah Pamenang (JIP) Journal of Vocational Nursing Nursing and Health Sciences Journal (NHSJ) Proceedings of the International Conference on Nursing and Health Sciences Nurse and Holistic Care Jurnal Keperawatan Health and Technology Journal (HTECHJ) JOURNAL OF HEALTH MANAGEMENT RESEARCH Synthesis Global Health Journal Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan Inovasi Kesehatan Global Journal of Community Empowerment for Multidisciplinary (JCEMTY) PAPUMA: Journal of Comunnity Services Health Gate Jurnal Abdimas Pamenang The Indonesian Journal of Health Science
Erik Kusuma
Faculty Of Nursing, Universitas Jember
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Effect of Abdominal Massage and Fecal Elimination Exercises in Treating Constipation in Stroke Patients: Case Report Alfina Damayanti Kurnia; Erik Kusuma; Evy Aristawati
Health and Technology Journal (HTechJ) Vol. 2 No. 2 (2024): April 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i2.153

Abstract

Impaired physical mobility in stroke sufferers can cause constipation, which will cause effects such as hemorrhoids, rectal prolapse, and even increased intracranial pressure. Abdominal Massage and exercises elimination of feces elimination exercises are non-pharmacological strategies that can overcome this problem of constipation. The study aimed to determine the effect of abdominal massage therapy and exercise in the elimination of feces in overcoming constipation, which is characterized by controlling fecal output, bowel complaints, fecal consistency improved, bowel movement frequency improved, and intestinal peristalsis improved. The method used is a case study, a sample in a case study. This is a stroke patient who is constipated. Data collection uses techniques, interviews, and observations. The Constipation Analysis Scale instrument was used to assess the degree of constipation. Abdominal massage therapy and fecal elimination exercises are given once a day when you wake up for 30 minutes. The research results showed that respondents have no complaints about defecation, the stool consistency is soft, and there is increased intestinal peristalsis after being given intervention. Abdominal massage therapy and fecal elimination exercises can overcome this constipation in stroke sufferers. This intervention can be used as a possible non-pharmacological action that can be applied as a treatment to treat constipation and facilitate bowel movements instead of using laxatives. This intervention is educational and can be done anywhere without requiring medical assistance.
Reducing Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care with Agronursing Perspective: Upaya Penurunan Maternal Mortality Rate Melalui Pemanfaatan Hasil Pertanian dan Antenatal Care di Wilayah Agronursing R.A. Helda Puspitasari; Dwining Handayani; Erik Kusuma; Ayu Dewi Nastiti
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 2 (2023): November 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i2.102

Abstract

In Indonesia, the number of deliveries assisted by health personnel is still relatively low. Pregnancy checks (Antenatal Care = ANC) can motivate pregnant women to give birth to health workers. This study aims to determine the role of ANC in selecting birth attendants. This cross-sectional study used secondary data from the KKG Project Benefit Evaluation Survey (Family Health and Nutrition)—efforts to Reduce Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care in Agronursing Areas. Maternal Mortality Rate (MMR) is the death of a woman during pregnancy or 42 days after giving birth. Indonesia is a country with a significant increase in the number of maternal mortalities of 359/100,000. This achievement still needs to catch up to the 2024 Millennium Development Goals (MDGs) target, which is 183/100,000 KH, so this has made Indonesia experience a crisis in maternal health services. The low readiness of the mother to fulfill nutritional quality and conduct antenatal care can be a big problem in the birth process. Therefore, it is important to carry out socialization to reduce the maternal mortality rate by utilizing agricultural products to improve maternal nutrition through antenatal care. The purpose of doing community service for pregnant women is to reduce the Maternal Mortality Rate in Indonesia. Community empowerment is carried out by conducting lectures between researchers and participants.
Optimizing Early Detection of TIA: A Literature Review of Clinical and Technological Screening Methods Eko Prasetya Widianto; Syaifuddin Kurnianto; Arista Maisyaroh; Erik Kusuma
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.371

Abstract

Transient Ischemic Attack (TIA) is a critical predictor of future stroke, yet it is frequently underrecognized due to its transient and often mild neurological manifestations. This literature review aims to synthesize clinical and technological approaches for early screening and detection of TIA, emphasizing strategies aligned with timely intervention and stroke prevention. A systematic search was conducted across PubMed, Scopus, and Google Scholar, identifying 94 articles. Following PRISMA guidelines, 10 studies were selected based on inclusion criteria related to early detection, emergency response, and digital health interventions. The analysis yielded three major themes: (1) the clinical relevance of early recognition of subtle neurological symptoms, (2) the role of emergency medical services and prehospital screening tools, and (3) the emergence of mobile health (mHealth) and telemedicine platforms in supporting early TIA detection. Findings indicate that while TIA symptoms are transient, they signal a significant risk of subsequent stroke, underscoring the need for prompt and accurate assessment. Technological innovations such as mobile applications and teleconsultation enhance traditional diagnostic methods but face challenges in implementation, including disparities in digital access and limited public awareness. In conclusion, integrating clinical vigilance with scalable technological solutions holds promise for improving early TIA detection, particularly in resource limited or remote settings. It is recommended that health systems invest in training emergency responders and adopt validated digital tools into prehospital protocols. Future research should focus on clinical validation and real-world integration of mHealth platforms to support global stroke prevention efforts.
Community-Led Health Education and Social Mobilization for Improving Stunting Prevention Behavior Erik Kusuma; Ayu Dewi Nastiti; Dwining Handayani; R.A. Helda Puspitasari; Iis Rahmawati
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.4.323-332

Abstract

Background: Stunting remains prevalent in Indonesia’s coastal regions, where social norms and resource limitations hinder the implementation of preventive practices. In Tapa’an Village, Pasuruan, these challenges are compounded by the influence of extended family, unstable income, and restricted access to clean water. This study aimed to evaluate the effect of a community-led health education program combined with digital reinforcement on mothers’ stunting-prevention behaviors, using the Theory of Planned Behavior (TPB) framework.Method: A quasi-experimental one-group pretest–posttest design was conducted with 57 mothers of children under five. Data on attitude, subjective norms, perceived behavioral control, and behavioral intention were collected using validated questionnaires. Statistical analyses included paired t-tests and ANOVA to assess mean differences, and Pearson correlation to explore inter-domain relationships, chosen to capture both magnitude and interaction of behavioral change.Result : Significant improvements were found across all TPB constructs (p < 0.001) with large effect sizes (η² > 0.80). The most substantial change occurred in behavioral intention, driven by enhanced attitudes and social approval. Mothers described greater motivation, confidence, and collective encouragement after receiving digital reminders. The integration of participatory learning and digital cues effectively transformed individual awareness into a shared community practice. Digital reinforcement uniquely sustained motivation beyond group sessions, especially among digitally active mothers in extended families. Despite the design’s lack of a control group and short observation period, findings highlight the model’s potential for adaptation in coastal maternal health programs. Embedding digital reinforcement into Puskesmas activities could strengthen long-term stunting prevention efforts.
Active Cycle Breathing Technique for Ineffective Airway Clearance in a COPD Patient:ACase Study Erik Kusuma
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4313

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease that commonly causes ineffective airway clearance due to excessive mucus production and sputum retention. Active Cycle Breathing Technique (ACBT) is a breathing exercise used to facilitate secretion mobilization and improve airway clearance. Objective: This study aimed to describe the implementation of ACBT in a patient with ineffective airway clearance associated with COPD. Methods: A descriptive case study design was used involving one COPD patient hospitalized in Melati Ward, Bangil Regional Hospital. The intervention consisted of breathing control, thoracic expansion exercises, and forced expiration techniques administered once daily for three consecutive days. Clinical indicators observed included respiratory rate, oxygen saturation, cough effectiveness, dyspnea, breath sounds, and sputum characteristics. Results: The results showed progressive improvement during the intervention period. Respiratory rate decreased from 25 to 20 breaths/minute, oxygen saturation increased from 98% to 99%, dyspnea resolved, cough effectiveness improved, and sputum became thinner and easier to expectorate. Conclusion: These findings indicate that Active Cycle Breathing Technique contributed to improved airway clearance and respiratory status. ACBT can be recommended as a complementary nursing intervention for patients with ineffective airway clearance due to COPD.
Slow Deep Breathing for Acute Post-Appendectomy Pain: A Gate Control Theory-Based Nursing Care Study Jihan Yafi Dzakiyyah; Erik Kusuma; Eko Prasetya Widianto; Suhendra Agung Wibowo; Yenny Perwitosari; Yahya Tfeil
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.297

Abstract

Acute pain is one of the most consistent complications after appendectomy and, when left poorly controlled, delays mobilization, disrupts rest, and slows recovery. Slow deep breathing (SDB) is listed among the independent, non-pharmacological interventions in the Indonesian Nursing Intervention Standards, yet detailed, session-by-session accounts of how the technique is delivered at the bedside and how patients respond across successive post-operative days remain scarce in the nursing literature. This study described the nursing care process for a post-appendectomy patient with acute pain and evaluated within-subject changes in pain intensity and physiological indicators before and after three days of SDB therapy at Bangil Regional General Hospital (RSUD Bangil), Indonesia. A quasi-experimental, one-group pre-test post-test case design, embedded in the nursing process and reported in line with single-case reporting conventions, was used. SDB was delivered once daily for three consecutive days: inhalation through the nose for four seconds, breath-holding for two seconds, and exhalation through pursed lips for eight seconds, repeated across three cycles per session. Pain was scored with the Numeric Rating Scale (NRS) before and after each session. Pain intensity declined from severe (NRS 7) at baseline to mild (NRS 3) after the third session, accompanied by a drop in pulse rate from 104 to 87 beats per minute and the resolution of grimacing, restlessness, and protective behavior. SDB is a feasible, low-cost, nurse-initiated intervention that surgical wards can integrate into routine post-appendectomy pain management protocols alongside pharmacological treatment.
Co-Authors Aditya, Ronal Surya Ainul Fitriyah Al Rafi Afzaal Fazl , Rab Alfina Damayanti Kurnia Alif Alwi Apriana Rahmawati Arista Maisyaroh Astuti, Anggia Ayu Devi Nastiti Ayu Devi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti, Ayu Dewi Ayu Nastiti Ayu Novitasari, Bunga Bagus Dwi Cahyono Bayu Herlambang Chika Adinda Difia , Lestari Dewi Nastiti, Ayu Dicky Edrian Kurniawan Dwi Cahyono, Bagus Dwining Handayani Dwining Handayani Dwining Handayani Dwining Handayani Dwining Handayani Echa Putra , Prakassyah Eko Prasetya Widianto Endrian Kurniawan, Dicky Evy Aristawati Evy Aristawati Fitriyah, Ainul Handayani, Dwining Handayani, Dwining Handayani Heri Suroso, Heri Herlambang, Bayu Iftia Yasmin , Ghinnanafsi Indah Setyowati Indari Jihan Yafi Dzakiyyah Khilyatun Nisa , Nugraheni Mani'ah Mellow , Kusmiyana Mareta Deka Paraswati Mareta Deka Paraswati Mochammad , Alfiansyah Muhammad Daffa Alvin , Ekananda Nafi'a, Abidatun Nasriati, Ririn Niken Aulia , Septiana Nurul Huda Puspitasari, R. A Helda R. A. Helda Puspitasari R.A. Helda Puspitasari Rahmawati, Iis Rakhmatika, Via Rega Ayu , Darasuta Rizky Angga , Pratama Siti Karimatul Kamila Siti Nurwinda Sugiono, Atik Tri Pratiwi Suhendra Agung Wibowo Suhendra Agung Wibowo Syaifuddin Kurnianto Syaifuddin Kurnianto Tirsa , Febiyanti Toha, Muhammad Tri Clarinda, Mutiara Tsai, Mei-Ling Viyata Chanifiah Utami Wibowo, Suhendra Agung Yahya Tfeil Yenny Perwitosari Yuni Asri Zahra Fadia Siti , Halizah Zahroh, Anisatuz