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STUDI KASUS: NYERI KEPALA SEKUNDER EC SPACE OCCUPYING LESION INTRAKRANIAL (ASTROSITOMA DIFUS WHO GRADE II) POST KRANIOTOMI REMOVAL TUMOR Rizki Nugraha Agung
HUMAN CARE JOURNAL Vol 6, No 3 (2021): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v6i3.1428

Abstrak Nyeri kepala merupakan salah satu tanda gejala khas pada pasien dengan tumor otak seperti astrositoma, kondisi tersebut disebabkan karena tekanan yang ditimbulkan oleh tumor terhadap jaringan disekitar otak atau oleh kondisi edema serebri yang menyebabkan tekanan intrakranial meningkat. Pengaturan posisi kepala merupakan salah satu intervensi keperawatan yang dapat digunakan pada masalah keperawatan nyeri kepala. Penelitian ini bertujuan untuk mengetahu apakah ada pengaruh elevasi kepala 30 derajat terhadap penurunan intrakranial. Metode penelitian menggunakan mendekatan asuhan keperawatan. Hasil penelitian ini dapat diketahui bahwa pemberian elevasi kepala 30 derajat selama sepuluh hari dapat menurnkan tekanan intrakranial sehingga perfusi serebral efektif dan nyeri kepala berkurang.Kata Kunci: Nyeri Kepala, Astrositoma, Posisi kepala, Perawat AbstractHeadache is one of the typical signs symptom in patients with brain tumors as Astrocytoma. It’s caused by the pressure from tumor in tissues around the brain or cerebral edema conditions that cause increased intracranial pressure. Head positioning is one of the nursing interventions that can be used in headache nursing problems. The study aim to determine whether there is an effect of 30 degree head elevation on intracranial reduction. The research method was a nursing care approach. The results of this study that giving a 30 degree head elevation for ten days can reduce intracranial pressure, so that cerebral perfusion was effective and headache was reduced.Keywords: Headache, Astrocytoma, Head positioning, Nurses.

Penguatan Kualitas Pendidik Klinik/Preseptor Klinik Melalui Peningkatan Kemampuan Evaluasi Pembelajaran Dengan Metode: Objective Structured Clinical Examination (OSCE) Tahap Basic Naryati Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini; Giri Widakdo
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 7 (2022): Volume 5 No 7 Juli 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i7.6880

ABSTRAK Implementasi pendidikan tahap profesi ners adalah peserta didik menerapkan ilmu pengetahuan teori, konsep dan keterampilan teknis yang telah dikuasai pada program akademik pada klien langsung melalui program internship dimana peserta didik dibimbing oleh seorang perawat sebagai preceptor. Keberadaan pendidik klinik/preceptor sangat diperlukan dalam menjamin keterlaksanaan layanan pasien yang berkualitas serta menjamin kompetensi peserta didik. Disamping itu, pendidik klinik/preceptor juga diperlukan untuk mengurangi stres yang mungkin dialami oleh peserta didik sebagai lulusan sarjana keperawatan baru yang belum mengenal dunia kerja sebenarnya serta untuk menjamin bahwa tanggung jawab tidak sepenuhnya berada pada peserta didik, tidak diberikan secara lebih dini atau tidak seharusnya diberikan secara kurang tepat. Metoda pembelajaran pada tahap profesi berfokus pada pelaksanaan pendelegasian kewenangan dari preceptor kepada peserta didiknya. Sedangkan kegiatan evaluasi pada tahap profesi lebih terfokus pada pembuktian bahwa peserta didik telah memiliki kompetensi yang ditetapkan dan disertai dengan kemandirian dalam menjalankan kompetensinya sebagai cerminan kewenangan telah dimiliki. Tujuan dari pelatihan OSCE diharapkan dapat memberi pemahaman tentang evaluasi dengan metode OSCE, sehingga para evaluator dapat mengevaluasi secara objektif sesuai kemampuan mahasiswa. Metode yang akan dilakukan adalah pelatihan OSCE kepada preseptor klinik rumah sakit aliansi. Hasil yang didapatkan pre-tes dengan nilai rata-rata 65, setelah diberikan pelatihan meningkat menjadi 85. Kesimpulan yang didapatkan terjadi peningkatan pemahaman preseptor mahasiswa. Kata Kunci: Kompetensi Klinik, OSCE, Pendidikan Keperawatan, Pendidik Klinik, Preseptor Klinik ABSTRACT The implementation of the nursing profession education stage is that students apply theoretical knowledge, concepts and technical skills that have been mastered in academic programs to clients directly through an internship program where students are guided by a nurse as a preceptor. The existence of clinical educators/preceptors is very necessary in ensuring the implementation of quality patient services and ensuring the competence of students. In addition, clinical educators / preceptors are also needed to reduce stress that may be experienced by students as new nursing graduates who are not familiar with the real world of work and to ensure that the responsibility is not entirely on the students, is not given earlier or should not be given. given incorrectly. The learning method at the professional stage focuses on implementing the delegation of authority from the preceptor to his students. Meanwhile, evaluation activities at the professional stage are more focused on proving that students have the competencies defined and accompanied by independence in carrying out their competencies as a reflection of the authority they have. The purpose of the OSCE training is expected to provide an understanding of evaluation using the OSCE method, so that evaluators can evaluate objectively according to students' abilities. The method that will be used is OSCE training for clinical precepts of alliance hospitals. The results obtained pre-test with an average value of 65, after being given the training increased to 85. The conclusion obtained was an increase in the understanding of students' precepts. Keywords: Clinical Competence, OSCE, Nursing Education, Clinical Educator, Clinical Precept

Upaya Menurunkan Burnout Syndrome Perawat Aliansi Rumah Sakit Islam Jakarta Yani Sofiani; Abdu Rahim Kamil; Rizki Nugraha Agung; Nuraeni Nuraeni; Suryani Suryani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 5 (2023): Volume 6 No 5 Mei 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i5.9536

ABSTRAK Burnout syndrome merupakan suatu kondisi yang sering terjadi pada perawat akibat dari tuntutan pekerjaan yang tinggi dan kurangnya dukungan sosial. Burnout syndrome dapat mempengaruhi kinerja perawat dan kualitas pelayanan kesehatan yang diberikan kepada pasien. Oleh karena itu, upaya untuk menurunkan burnout syndrome pada perawat sangat penting dilakukan. Kegiatan ini bertujuan untuk menurunkan tingkat burnout syndrome pada perawat Aliansi Rumah Sakit Islam Jakarta melalui kegiatan Pengabdian Kepada Masyarakat (PKM). Kegiatan PKM yang dilakukan adalah edukasi tentang burnout syndrome, gejala, dampak, serta hal-hal yang dapat mencegah atau mengurangi burnout pada perawat. Selama kegiatan PKM, terdapat partisipasi yang aktif dari perawat dan terlihat antusias dalam memperoleh informasi baru terkait burnout syndrome. Kegiatan ini dilaksanakan pada 29 November 2022 diikuti 30 perawat dari Aliansi Rumah Sakit Islam Jakarta. Hasil dari kegiatan PKM menunjukkan adanya peningkatan pengetahuan perawat tentang burnout syndrome, gejala, dampak, dan cara mencegah atau menguranginya. Selain itu, terdapat peningkatan kesadaran perawat untuk melakukan self-care dan mengelola stres dengan baik. Diharapkan melalui kegiatan PKM ini, dapat membantu perawat Aliansi Rumah Sakit Islam Jakarta dalam menurunkan tingkat burnout syndrome dan meningkatkan kualitas pelayanan kesehatan yang diberikan kepada pasien. Kegiatan PKM ini juga dapat menjadi model bagi rumah sakit atau institusi lainnya dalam upaya penurunan burnout syndrome pada perawat. Kata Kunci: Burnout Syndrome, Perawat, PKM ABSTRACT Burnout syndrome is a condition that often occurs in nurses due to high job demands and lack of social support. Burnout syndrome can affect the performance of nurses and the quality of health services provided to patients. Therefore, efforts to reduce burnout syndrome in nurses are very important. This activity aims to reduce the level of burnout syndrome among nurses at the Jakarta Islamic Hospital Alliance through Community Service (PKM) activities. PKM activities carried out are education about burnout syndrome, symptoms, impacts, and things that can prevent or reduce burnout in nurses. During the PKM activities, there was active participation from nurses and they seemed enthusiastic in obtaining new information regarding burnout syndrome. This activity was held on 29 November 2022 attended by 30 nurses from the Jakarta Islamic Hospital Alliance. The results of PKM activities show an increase in nurses' knowledge about burnout syndrome, its symptoms, impacts, and how to prevent or reduce it. In addition, there is an increase in the awareness of nurses to carry out self-care and manage stress well. It is hoped that through this PKM activity, it can help nurses at the Jakarta Islamic Hospital Alliance in reducing burnout syndrome rates and improving the quality of health services provided to patients. This PKM activity can also be a model for hospitals or other institutions in efforts to reduce burnout syndrome in nurses. Keywords: Burnout Syndrome, Nurses, PKM

Penerapan Evidence Based Practice Chin Tuck Againts Resistance (CTAR) dalam Penanganan Disfagia pada Pasien Stroke Rinawati Rinawati; Wati Jumaiyah; Ninik Yunitri; Rizki Nugraha Agung; Elis Nurhayati
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14130

ABSTRACT The Chin Tuck Against Resistance (CTAR) intervention is rarely utilized by nurses in treating dysphagia among stroke patients. Symptoms arising from a stroke can differ based on the affected brain area, encompassing speech disorders, chewing and swallowing difficulties (dysphagia), limb paralysis or weakness, personality alterations, emotional disturbances, diminished cognitive abilities, impaired urinary function, and others. The use of Evidence-Based Nursing Practice (EBNP) is conducted to comprehend the impact of implementing chin tuck against resistance (CTAR) on improving swallowing muscle strength in stroke patients with dysphagia. In this study, the data were analyzed using univariate data analysis to evaluate the demographic characteristics and swallowing ability profiles of each respondent. Furthermore, the statistical test of influence was conducted using a paired t-test to assess changes in swallowing ability after undergoing CTAR rehabilitation exercises. Sampling in this study utilized the total sample method, involving 8 respondents. The CTAR intervention has been shown to significantly improve swallowing ability in stroke patients. The results indicate a meaningful increase from an average of 84.3 to 91.7 post-intervention, with an effect size of 4.59 and a p-value of 0.022, demonstrating the statistical effectiveness of this therapy. Furthermore, CTAR exercises are convenient to implement, time-efficient, and can be performed by patients without disrupting their daily routines. To enhance its effectiveness, it is recommended to involve patients and their families in the education process, enabling them to continue the exercises independently. The simplicity of these exercises facilitates nurses in providing interventions during nursing care for stroke patients experiencing dysphagia. Keywords: Evidence Based Practice Chin Tuck Against Resistance (CTAR), Dysphagia, Stroke Patients ABSTRAK Intervensi Chin Tuck Exercise (CTAR) jarang digunakan oleh perawat untuk mengatasi disfagia pada pasien stroke. Gejala yang muncul akibat stroke dapat bervariasi tergantung pada area otak yang terkena, termasuk gangguan berbicara, kesulitan mengunyah dan menelan (disfagia), kelumpuhan atau kelemahan anggota gerak, perubahan kepribadian, gangguan emosi, penurunan fungsi kognitif, gangguan fungsi berkemih, dan lainnya. Penggunaan Praktik Keperawatan Berbasis Bukti (EBNP) dilakukan untuk memahami dampak dari penerapan chin tuck against resistance (CTAR) terhadap peningkatan kekuatan otot menelan pada pasien stroke dengan disfagia. Pada penelitian ini, data dianalisis menggunakan analisis data univariat untuk mengevaluasi karakteristik demografi dan gambaran kemampuan menelan pada setiap responden. Selanjutnya, uji statistik pengaruh dilakukan dengan uji paired t-test untuk menilai perubahan kemampuan menelan setelah menjalani latihan rehabilitasi CTAR. Pengambilan sampel dalam penelitian ini menggunakan metode total sampel dengan melibatkan 8 responden. Intervensi CTAR terbukti secara signifikan meningkatkan kemampuan menelan pada pasien stroke. Hasil menunjukkan peningkatan yang berarti dari rata-rata 84.3 menjadi 91.7 setelah intervensi, dengan besaran efek sebesar 4.59 dan nilai p-value sebesar 0.022, menunjukkan keefektifan terapi ini secara statistik. Lebih lanjut, latihan CTAR memberikan kemudahan dalam pelaksanaan, tidak memakan waktu lama, dan dapat dilakukan oleh pasien tanpa mengganggu rutinitas harian. Untuk meningkatkan efektivitasnya, disarankan untuk melibatkan pasien dan keluarganya dalam proses edukasi, sehingga mereka dapat melanjutkan latihan secara mandiri. Kesederhanaan latihan ini memudahkan perawat dalam memberikan intervensi selama asuhan keperawatan pada pasien stroke yang mengalami disfagia. Kata Kunci: Praktek Berbasis Bukti Chin Tuck Melawan Resistensi (CTAR), Disfagia, Pasien Stroke

Penerapan Evidence Based Nursing Practice Pemberian Head Up 30 Derajat Terhadap Peningkatan Saturasi Oksigen Pasien Stroke Iskemik M. Didin Wahyudin; Rizki Nugraha Agung; Ninik Yunitri
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14084

ABSTRACT Stroke is a neurological disorder that appears suddenly, lasts for more than 24 hours, and is caused by cerebrovascular disease. Providing a 30◦ head position for stroke patients has significant benefits, namely that it can improve hemodynamic conditions by facilitating increased blood flow to the brain and optimizing oxygenation of brain tissue. The application of Evidence-Based Nursing Practice (EBNP) to overcome nursing problems in stroke patients who experience hypoxia is carried out by providing 30 degrees head up or head elevation interventions. The aim of this study was to evaluate the impact of 30 degrees of head elevation on oxygenation levels in patients experiencing stroke. This research is cross-sectional. The sample consisted of 12 patients who were undergoing treatment in the stroke unit. Sample collection was carried out using the proportional stratified random sampling method, and data analysis was carried out using the Jamovi application via the Paired T-Test test. Implementation of Evidence Based Nursing Practice (EBNP) by providing a 30° head up position showed an increase in SPO2 values after intervention. At an onset of less than 24 hours, the average SPO2 increased from 88% to 93%, while at an onset of less than 48 hours, the average SPO2 increased from 91% to 95%. In addition, at onset of more than 7 days, the average SPO2 increased from 95% to 99% with P-Value = 0.01. From these results, it can be concluded that the application of evidence-based nursing practices, especially providing a 30° head up position, has proven effective in increasing oxygen saturation levels in stroke patients at Hospital in DKI Jakarta. Keywords: Ischemic Stroke, Head Up 300, Oxygen Saturation ABSTRAK Stroke adalah gangguan neurologis yang muncul secara tiba-tiba, berlangsung selama lebih dari 24 jam, dan disebabkan oleh penyakit serebrovaskular. Memberikan posisi kepala naik 300 pada pasien stroke memiliki manfaat signifikan, yaitu dapat meningkatkan kondisi hemodinamik dengan memfasilitasi peningkatan aliran darah ke otak serta mengoptimalkan oksigenasi jaringan otak. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) untuk mengatasi masalah keperawatan pada pasien stroke yang mengalami hipoksia dilakukan dengan memberikan intervensi head up atau elevasi kepala sebanyak 300. Tujuan dari penelitian ini adalah untuk mengevaluasi dampak dari peninggian kepala sebanyak 300 terhadap tingkat oksigenasi pada pasien yang mengalami stroke. Penelitian ini bersifat potong lintang (cross-sectional). Sampel terdiri dari 12 pasien yang sedang menjalani perawatan di unit stroke. Pengumpulan sampel dilakukan menggunakan metode proportional stratified random sampling, dan analisis data dilakukan dengan menggunakan aplikasi jamovi melalui uji Paired T-Test. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) dengan memberikan posisi head up 30° menunjukkan peningkatan nilai SPO2 setelah intervensi. Pada onset kurang dari 24 jam, rata-rata SPO2 meningkat dari 88% menjadi 93%, sedangkan pada onset kurang dari 48 jam, rata-rata SPO2 meningkat dari 91% menjadi 95%. Selain itu, pada onset lebih dari 7 hari, rata-rata SPO2 meningkat dari 95% menjadi 99% dengan P-Value = 0.01. Dari hasil ini, dapat disimpulkan bahwa penerapan praktik keperawatan berbasis bukti, khususnya pemberian posisi head up 30°, terbukti efektif dalam meningkatkan kadar saturasi oksigen pada pasien stroke di Rumah Sakit di DKI Jakarta. Kata Kunci: Stroke Iskemik, Head Up 300, Saturasi Oksigen

Poor Sleep Quality Related to Impaired Cognitive Function Following Stroke: A Comparative Cross-Sectional Study Yani Sofiani; Abdu Rahim Kamil; Nia Ayu Puspitasari; Muhammad Hadi; Rizki Nugraha Agung; Neneng Kurwiyah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Sleep deprivation is a common concern among stroke patients. There was a connection between sleep deprivation and poor cognitive function. Few studies, however, have compared sleep and cognitive variations in older adults with and without stroke, as well as explored the relationship between sleep quality and cognitive function. The objective of this study was to explore the quality and feature of sleep between patients with and without a stroke. To assess the association between sleep quality and cognitive dysfunction in older adults. A cross-sectional analysis was carried out. 156 participants completed this research. The study was carried out in 90 stroke patients and 66 of non-stroke patients. The patient was given a sleep quality questionnaire and took a cognitive test. In addition, a multivariate linear regression statistical analysis was used to determine the relationship between two variables. The global mean PSQI in patients with stroke was 7.12±3.96 versus 4.98±2.86, respectively, higher than the non-stroke group. Around 56.7 percent of stroke patients complained of poor sleep quality. Stroke patients scored lower than those who did not get a stroke on the memory and executive function test. Sleep quality affects memory by 28.6 percent. Poor sleep quality was strongly associated with memory dysfunction in stroke patients. To prevent patients with stroke from experiencing cognitive loss, health care providers should develop effective interventions to improve sleep quality. Kurang tidur adalah masalah umum di antara pasien stroke. Ada hubungan antara kurang tidur dan fungsi kognitif yang buruk. Beberapa penelitian, bagaimanapun, telah membandingkan variasi tidur dan kognitif pada orang dewasa yang lebih tua dengan dan tanpa stroke, serta mengeksplorasi hubungan antara kualitas tidur dan fungsi kognitif. Tujuan dari penelitian ini adalah untuk mengeksplorasi kualitas dan fitur tidur antara pasien dengan dan tanpa stroke. Untuk menilai hubungan antara kualitas tidur dan disfungsi kognitif pada orang dewasa yang lebih tua. Sebuah analisis cross-sectional dilakukan. 156 peserta menyelesaikan penelitian ini. Penelitian dilakukan pada 90 pasien stroke dan 66 pasien non stroke. Pasien diberi kuesioner kualitas tidur dan menjalani tes kognitif. Selain itu, analisis statistik regresi linier multivariat digunakan untuk mengetahui hubungan antara dua variabel. Rata-rata PSQI global pada pasien stroke masing-masing adalah 7,12±3,96 versus 4,98±2,86, lebih tinggi daripada kelompok non-stroke. Sekitar 56,7 persen pasien stroke mengeluhkan kualitas tidur yang buruk. Pasien stroke mendapat skor lebih rendah daripada mereka yang tidak terkena stroke pada tes memori dan fungsi eksekutif. Kualitas tidur mempengaruhi memori sebesar 28,6 persen. Kualitas tidur yang buruk sangat terkait dengan disfungsi memori pada pasien stroke. Untuk mencegah pasien stroke mengalami kehilangan kognitif, penyedia layanan kesehatan harus mengembangkan intervensi yang efektif untuk meningkatkan kualitas tidur.

Pengaruh Intervensi Terapi Musik terhadap Tingkat Kecemasan pada Pasien Stroke Sri Murtini; Rizki Nugraha Agung; Ninik Yunitri; Yani Sofiani; Cahyo Ismawati Silistyorini
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14372

ABSTRACT Stroke often leads to psychological impacts, including high levels of anxiety in patients. Uncontrolled anxiety can worsen health and hinder recovery. Music therapy, a non-pharmacological intervention, has been proven effective in reducing anxiety in stroke patients. Untreated post-stroke anxiety can affect long-term treatment processes. Music therapy uses music to achieve psychological effects on individuals. Implementing evidence-based nursing practice (EBNP) involves developing standard operating procedures (SOPs) to reduce anxiety in stroke patients through music therapy. The data analysis method used was RM ANOVA. Pre-tests and post-tests were conducted on all respondents, and then the results were compared. The number of respondents involved in the music therapy implementation was 20 respondents plus 10% for dropout risk, making a total of 22 stroke patients at the National Brain Center Prof. Dr. Mahar Mardjono East Jakarta. The EBNP implementation was carried out for 20 days, with instrumental music therapy being listened to once a day for two weeks, with a duration of 30 minutes. The health workers involved were seventh-floor nurses who were responsible for patient data collection in the E-Record Medical Records of RS PON, for patients who met the inclusion and exclusion criteria that had been determined beforehand. Music therapy significantly reduces anxiety levels (p-Value <0.001) in stroke patients with a large effect (Cohen’s d = 0.86). Posthoc analysis using the Tukey method showed a significant difference in anxiety levels in stroke patients between baseline measurements, mid-intervention, and immediate post-treatment (p-Value <0.001). The highest average change occurred between baseline measurements and immediate post-treatment (MD 7.35; p-Value <0.001). Keywords: Stroke, Music Therapy, Anxiety ABSTRAK Stroke seringkali menyebabkan dampak psikologis, termasuk kecemasan yang tinggi pada pasien. Kecemasan yang tidak terkontrol dapat memperburuk kesehatan dan menghambat pemulihan. Terapi musik, intervensi non-farmakologis, telah terbukti efektif mengurangi kecemasan pada pasien stroke. Kecemasan pasca stroke yang tidak diatasi dapat mempengaruhi proses pengobatan jangka panjang. Terapi musik digunakan untuk mencapai pengobatan efek-efek psikologis pada individu. Melakukan perawatan berbasis bukti (EBNP) melibatkan pembuatan standar prosedur operasional (SPO) untuk mengurangi kecemasan pada pasien stroke melalui terapi musik. Metode analisis data yang digunakan adalah RM ANOVA. Pre test dan post test dilakukan pada seluruh responden, kemudian hasilnya dibandingkan. Jumlah responden yang terlibat dalam penerapan terapi musik adalah 20 responden ditambah 10% untuk risiko dropout, sehingga total 22 pasien Stroke di RS Pusat Otak Nasional Prof. Dr. Mahar Mardjono Jakarta Timur. Penerapan EBNP dilakukan selama 20 hari, dengan mendengarkan musik instrumental yang diberikan sekali sehari selama dua minggu, dengan durasi 30 menit. Tenaga kesehatan yang terlibat adalah perawat lantai tujuh yang berperan dalam pendataan pasien di E-Rekam Medik RS PON, untuk pasien yang sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Terapi musik secara signifikan mengurangi tingkat kecemasan (p-Value <0,001) pada pasien stroke dengan efek yang besar (Cohen’s d = 0,86). Analisis posthoc menggunakan metode Tukey menunjukkan perbedaan yang signifikan dalam tingkat kecemasan pada pasien stroke antara pengukuran baseline, mid intervention, dan immediate post-treatment (p-Value <0,001). Perubahan rata-rata tertinggi terjadi antara pengukuran baseline dan immediate post-treatment (MD 7,35; p-Value <0,001). Kata Kunci: Stroke, Terapi Musik, Kecemasan

The Effectiveness of Kegel Exercises in Reducing Urinary Incontinence in Post-Operative TURP Patients Junaidin Junaidin; Rizki Nugraha Agung; Dewi Anggraini; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5242

Urinary incontinence is a common complication following Transurethral Resection of the Prostate (TURP) for benign prostatic tumors, which significantly impacts the quality of life of patients. Kegel exercises have been proven effective as a non-pharmacological intervention to improve bladder control and strengthen the pelvic floor muscles. This study aims to evaluate the effectiveness of Kegel exercises in reducing urinary incontinence levels in post-TURP patients. Objective to assess the effectiveness of Kegel exercises in reducing the severity of urinary incontinence in post-TURP patients. This study used a quasi-experimental design with a pre-test and post-test approach on 15 post-TURP patients at RSUD Labuang Baji Makassar. Respondents performed Kegel exercises for 7 days with a frequency of 6 sessions per day. Urinary incontinence levels were measured using the ICIQ-UI Short Form questionnaire before and after the intervention. Data analysis was conducted using the dependent t-test. Before the intervention, the average urinary incontinence score was 24.27 (±2.712), which decreased to 21.73 (±3.217) after the intervention, with a p-value of < 0.001. The effect size of 0.915 indicates a significant effect. Kegel exercises are effective in reducing the severity of urinary incontinence in post-TURP patients. This intervention is recommended as a non-pharmacological therapy to improve patients' quality of life.

Standardized Swallowing Assessment (SSA) Diagnostic Test for Diysphagia Screening in Stroke Patients in the Stroke Center Treatment Room Nurun Salaman Alhidayat; Rizki Nugraha Agung; Ninik Yunitri
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6057

Stroke is the second leading cause of death in the world with cases continuing to increase every year, and one of the complications that often occurs is dysphagia, which can cause nutritional and respiratory disorders. Early detection of dysphagia through appropriate screening, such as the Standardized Swallowing Assessment (SSA), is very important to prevent further complications and improve the recovery of stroke patients.. Objective: to conduct diagnostic tests of the SSA assessment instrument for dysphagia screening in the Stroke Center room of Labuang Baji Hospital, South Sulawesi Province, Makassar. Method: In this study, a diagnostic test was used by measuring the sensitivity and specificity of the SSA instrument. The diagnostic test is a descriptive observational study with a cross-sectional study design. Results: The results of this study indicate that the sensitivity level of the SSA instrument reached 96.55% and the specificity level of the SSA instrument reached 87.5%. Conclusions: Dysphagia screening Standardized Swallowing Assessment (SSA) can be used as a standard instrument to identify dysphagia manifestations.

Effectiveness of Intradialytic Exercise on Fatigue in Chronic Kidney Failure Patients Undergoing Hemodialysis Therapy Safruddin Safruddin; Rizki Nugraha Agung; Dewi Anggraini; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6079

Fatigue is one of the most common symptoms experienced by patients undergoing hemodialysis therapy. This condition can affect the quality of life of chronic patients, because reduced physical activity, such as sedentary habits, and emotional stress can also be the cause of fatigue. Intradialitic exercise has various benefits in reducing fatigue experienced by patients. This study aims to evaluate the effect of exercise training on the level of fatigue in patients undergoing hemodialysis therapy. The study used a design Quasi-experimental research using the pre-test and post test group design. The research population was all patients with end-stage renal failure with the sampling technique being accidental sampling, with amount sample of 22 patients. Intradialytic exercises were performed for six weeks at a frequency of twice a week, with each session lasting a maximum of 20 minutes. Fatigue levels were measured using the Functional Assessment of Chronic Illness Therapy (FACIT) questionnaire. Data analysis was performed using the dependent t-test. The results of the study showed that the average level of fatigue before the intervention is 26.36 (SD ± 3.580 ), while the average score is the fatigue level after intervention is 32.09 (SD ±4.116 ) with a p value of 0.001, the effect size is -3.378, then including in category effect tall based on Cohen'. There is significant difference between fatigue levels before and after interdialytic exercise in patients with chronic renal failure undergoing hemodialytic therapy.

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