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Family Caregivers Challenges for Stroke Survivors in the Community: A Literature Review Israfil, Israfil; Wulandari, Sarah Kartika; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari
MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i3.843

Abstract

Stroke is a chronic condition that significantly reduces the patient's quality of life and increases the need for support from family caregivers. This situation places the family as a crucial element in patient care, yet often presents significant challenges for family caregivers. This study aims to identify and describe the various challenges faced by families caring for stroke patients in the community. A literature review design was employed. Relevant articles published between 2020 and 2025 were retrieved from international databases including PubMed and ScienceDirect, using the keywords "family challenges" OR "family burden" AND "stroke" OR "stroke survivor." The inclusion criteria were determined using the PEO framework. A total of 346 articles were identified, and fifteen articles met the inclusion criteria for the review. The findings indicate that family caregivers of stroke patients face various challenges due to the complex demands of care, ranging from emotional stress at the time of diagnosis to physical and social challenges during home care. Challenges are further exacerbated when the patient experiences dysphagia, severe disability, or psychological problems such as depression and anxiety. Factors contributing to these challenges include the family caregiver's employment status, educational level, kinship relationship, social support, knowledge of stroke rehabilitation, the transition process from hospital to home, limited access to healthcare, and limited social activities. Caring for stroke patients presents significant challenges for families, who serve as the primary caregiver system and play a central role in community care. Interventions that support family caregivers through education, psychosocial support, and access to adequate health and rehabilitation services are crucial for community nurses to reduce caregiver burden and improve the quality of life for both family caregivers and stroke patients in the community.
Occupational Exposure and Risk Factors for Musculoskeletal Symptoms Among Workers: A Literature Review Indrayani, Ni Luh Dwi; Israfil, Israfil; Suyasa, I Gede Putu Darma; Pimsen, Apiradee
MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i3.846

Abstract

Early musculoskeletal (MSK) symptoms across occupations often present as strain or fatigue, which may progress into long-term disorders and contribute to global burden disease. This reviewed literature examined occupational exposures and their association with musculoskeletal (MSK) symptoms related to work using MeSH term and Emtree in structuring a framework of population, context, and concept. The population (P) included workers, the concept (C) focused on prevalence and exposure, and the context (C) addressed musculoskeletal pain, discomfort, or symptoms. Eligible studies reporting self-reported prevalence or occupational risk factors were systematically extracted and summarized. Findings among 9 articles indicated majority prevalence of MSK symptoms higher than 60% measured mostly by Nordic Musculoskeletal Questionnaire (NMQ). The highest body part major in low back and upper limbs including wrists for pink-collar, while in blue-collar workers fairly distributed in upper and lower limbs. The physical exposure mainly due to injury body weight, meanwhile psychosocial occupational exposures such as mental stress, job tenure contribute significantly to musculoskeletal symptoms (p<0.001) rather than physical exposure, with prevalence and distribution varying across body regions and occupational groups. These results emphasize the need for baseline data to guide future research based on job demands and inform targeted preventive strategies and workplace interventions.
Hipertensi Care: An Android-Based Mobile Application Integrating Acupressure, Progressive Muscle Relaxation, and Blood Pressure Monitoring Kusuma, I Made Jaya; Suyasa, I Gede Putu Darma; Wulandari, Sarah Kartika
JURNAL INFO KESEHATAN Vol 24 No 1 (2026): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol24.Iss1.2342

Abstract

Hypertension remains a major public health concern, contributing to long-term healthcare costs and complications such as stroke and kidney failure. Although pharmacological therapy is essential, patient adherence to lifestyle-based approaches remains limited. Evidence demonstrates that acupressure and Progressive Muscle Relaxation (PMR) can lower blood pressure. However, no digital platform has integrated both interventions into a single self-management tool. This Research and Development (R&D) study developed an Android-based mobile application, Hipertensi Care, using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation) to support hypertension self- management. The Analysis phase included a literature review, needs assessment, and Focus Group Discussions (FGDs) with 10 participants to identify user requirements. The Design phase involved creating the application workflow, interface, and evidence-based educational content. During Development, the application underwent content validation by 7 experts (three nurses, two acupuncturists, one cardiovascular internist, and one media specialist). A limited trial with 35 individuals with hypertension was conducted in the Implementation phase. Usability and user acceptance were evaluated using the System Usability Scale (SUS) and User Experience Questionnaire (UEQ). The results showed excellent usability, high perceived usefulness and ease of use, and positive user experience across all UEQ dimensions. Overall, Hipertensi Care demonstrated strong alignment with user needs for hypertension self-management and is ready to progress to effectiveness testing to assess its impact on blood pressure and related clinical outcomes.
Understanding the Multifaceted Roles of Families in Caring for Palliative Patients in the Community: A Systematic Literature Review Israfil, Israfil; Buntari Agustini, Ni Luh Putu Inca; Suyasa, I Gede Putu Darma; Vitug, Portia Zoleta-
JURNAL INFO KESEHATAN Vol 24 No 1 (2026): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol24.Iss1.2383

Abstract

Enhancing family support in community-based palliative care is a growing global priority given the family's role as the primary caregiver for long-term palliative care patients in the community. This is a systematic literature review that aimed to synthesize recent evidence on the roles and contributions of families in caring for palliative patients in the community. A literature search was conducted through PubMed and ScienceDirect databases using the keywords “family role” OR “family support” AND “palliative” OR “palliative care.” The PEO framework guided the selection process, focusing on Population: families of palliative patients; Exposure: family caregiving roles; and Outcome: fulfillment of palliative care needs. Nine articles published between 2020 and 2025 met the inclusion criteria. The review identified diverse and interrelated family roles, including providing emotional and social support, delivering direct care, coordinating with healthcare professionals, engaging in decision-making and communication, and facilitating health education. Families also carried significant social and cultural responsibilities while adopting protective and adaptive coping strategies. The findings highlight that families are not merely companions but act as care managers, communicators, and educators who critically influence the quality of home-based palliative care. A unique insight from this review is the emphasis on the transitional phase from hospital to home as a crucial period requiring enhanced family capacity, structured coordination, and psychosocial support. Strengthening family education, telemedicine-based coordination, and community linkages emerges as a vital strategy to ensure holistic and sustainable palliative care delivery within community settings. Community nurses need to involve and meet the needs of families as clients in a nursing care plan that does not only focus on the needs of palliative patients
Patterns of musculoskeletal discomforts across sedentary and dynamic working activity types: An occupational health nursing approach Dr. Ni Luh Dwi Indrayani; Chi-Jane Wang; I Gede Putu Darma Suyasa; Pande Putu Ida Oktaviani; Apiradee Pimsen; Ni Luh Putu Inca Buntari Agustini
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.82136

Abstract

Introduction: This study investigated the pattern of musculoskeletal disorders (MDs), including their prevalence and determinants among sedentary and dynamic workers, and analyzed working posture across various job characteristics. Methods: A total of 100 factory workers were recruited for this cross-sectional study. A self-reported Nordic Musculoskeletal Questionnaire was used to confirm the affected body parts, and observational analysis was performed using the Rapid Entire Body Assessment. Descriptive statistics and chi-square (χ²) tests were used. Results: Results showed that 89% of workers reported at least one musculoskeletal symptom in the past 12 months, with discomfort in the neck (52%), lower back (51%), and shoulder (48%) as the most affected regions. Office personnel exhibited higher proportions of discomfort in the wrist (38%), thighs (28%), and ankle and feet (32%) than dynamic workers (p < 0.01). Significant differences across occupational groups were identified in all body regions, with the largest effects in the wrist (χ² = 17.38, p < 0.001), thigh (χ² = 26.53, p < 0.001), and knee (χ² = 11.64, p < 0.01). Female sex (χ² = 4.86, p < 0.05), irregular exercise (χ² = 8.53, p < 0.01), and shorter work duration (χ² = 5.10, p < 0.05) were associated with a higher prevalence of MDs. Conclusions: Dynamic workers exhibited higher ergonomic risk scores, particularly for trunk and leg postures compared to static workers. This study concludes that ergonomic redesign and occupational health nursing interventions based on occupational demands are essential to minimize musculoskeletal disorder risks and promote musculoskeletal well-being.
EDUKASI HIPERTENSI DAN IDENTIFIKASI FAKTOR RISIKO PADA REMAJA SEBAGAI UPAYA PENCEGAHAN DINI PEMERLU PERAWATAN JANGKA PANJANG Ni Kadek Sutini; Putu Inge Ruth Suantika; Ni Made Manik Elisa Putri; I Gede Putu Darma Suyasa; Ni Putu Kamaryati; Sri Dewi Megayanti
GEMASSIKA: Jurnal Pengabdian Kepada Masyarakat Vol. 10 No. 1 (2026): MEI
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gemassika.v10i1.2210

Abstract

Hypertension remains a major public health issue in Indonesia. The 2018 Riskesdas reported that 34% of Indonesians suffer from hypertension, with 13.2% occurring in young people. Both genetic factors and unhealthy lifestyles are significant risk factors for hypertension among adolescents. These data indicate that adolescents are at high risk of developing hypertension. Hypertension is a serious condition that requires long-term care due to complications such as stroke, kidney failure, and heart disease. Providing education on hypertension and identifying its risk factors are among the key strategies for prevention in adolescents. This Community Service Program (PKM) aimed to provide information about hypertension and identify risk factors among adolescents. The activity was carried out with 50 students from SMA Negeri 1 Abiansemal, Badung Regency, Bali. The method used was PARE (Preparation, Action, Reflection, and Evaluation). The results of the program showed an increase in adolescents’ knowledge about hypertension after receiving education, with the Wilcoxon Signed Rank Test indicating a z-value of -6.122 and a p-value < 0.001. Identification of risk factors revealed that most adolescents practiced unhealthy lifestyles such as low physical activity, frequent consumption of fast food and fatty foods, insufficient intake of vegetables, caffeine consumption, and smoking. Although only a small proportion of adolescents had a family history of hypertension as the main risk factor, prevention efforts are still necessary through lifestyle modification
Co-Authors A.A. Ayu Yuliati Darmini Adnyanita, Anak Agung Istri Citra Agus Ari Pratama Agustini , Ni Luh Putu Inca Buntari Agustini, Ni Komang Tri Agustini, Ni Komang Tru Anak Agung Istri Citra Adnyanita Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Anggari, Inggita Apiradee Pimsen Aries Susanti, Ni Putu Arinjaya, I Gede Eka Arnaya, I Gede Putu Suka Artsanthia, Jintana Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Chi-Jane Wang Darmini, AAA Yuliati Dewi, Ni Putu Ayu Ratna Dewi, Ni Putu Dita Ariani Sukma Dewi, Putu Ayu Laksmi Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Dr. Ni Luh Dwi Indrayani Duygulu, Sergul Edi Sanjana, I Wayan Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Gusti Agung Tresna Wicaksana I Gusti Ayu Puja Astuti Dewi I Kadek Nuryanto I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Swarjana I Komang Wirayasa I Nengah Agus Mega Aryawan I Putu Gede Darmayasa I Wayan Remiasa Ida Ayu Ketut Adi Setiawati Ida Ayu Suptika Strisanti Ida Bagus Putu Rai Suryawan Idah Ayu Wulandari IGA Rai Rahayuni IGN Made Kusuma Negara Kusuma Negara Indrayani, Ni Luh Dwi Inggita Anggari Intan Julia Anastasia Israfil Israfil, Israfil Israfil, Israfil Israfil Jaya Kusuma, I Made Kadek Ayu Ananda Maharini Kadek Buja Harditya Kadek Sriasih Kamaryati, Ni Luh Putu Kenbubpha, Kedsaraporn Kesari Darmapatni, Ni Wayan ketut hendra yanti dewi Ketut Widia Komang Asrini Widya Tri Lestari Komang Ayu Purnama Dewi Komang Rosa Tri Anggaraeni komang suarningsih Kusuma, I Made Jaya Made Dian Shanti Kusuma Made Rismawan Meenongwah, Jaroonsree Nadya Treesna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Nelson, Warongrong Ni Kadek Devariyani Swantari Ni Kadek Devariyani Swantari Ni Kadek Leni Ni Kadek Sriasih Ni Kadek Sutini Ni Kadek Sutini Ni Ketut Erawati Ni Komang Ady Tri Hapsari Ni Komang Tru Agustini Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Mira Santana Sari Ni Luh Putu Mira Santana Sari Ni Luh Tutik Hermi Wahyuni Ni Made Ari Widayani Ni Made Candra Citra Sari Ni Made Dewi Wahyunadi Ni Made Manik Elisa Putri Ni Made Milapastiniari Ni Made Nurtini Ni Made Sri Rahyanti Ni Made Wirantini Ni Nyoman Nuartini Ni Putu Ayu J. Sastamidhyani Ni Putu Ayu Jelantik Sastamidhyani Ni Putu Kamaryati Ni Putu Kristiani Ni Wayan Deani Ni Wayan Kesari Darmapatni Ni Wayan Kesari Dharmapatni Ni Wayan Manik Parwati Ni Wayan Sri Wahyuni Ni Wayan Sukma Antari Nooiad, Ganyanee Nugrahini, Ni Luh Gede Hari Nurhayati Nurhayati Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Pande Putu Ida Oktaviani Pangruating Diyu, Ida Ayu Ningrat Pimsen, Apiradee Portia, Vitug Promwong, Waiyaporn Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, Kadek Andika Dwi Putra, Komang Ardidhana Nugraha Putri, Ni Made Manik Elisa Putu Adinda Saraswati Putu Awik Sirna Wardani Putu Inge Ruth Suantika Putu Noviana Sagitarini Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sagita, Ni Wayan Riska Sandra, Putu Yudara Sani, Ari Wina Sanjana, I Wayan Edi Sarah K Wulandari Serinadi, Desak Made Sri Ariani Sri Dewi Megayanti Sriasih, Ni Kadek Strisanti, Ida Ayu Suptika suarningsih, komang Suryawan, Ida Bagus Putu Rai Suyasa, Agus Baratha Swantari, Ni Kadek Devariyani Tanuparbrungson, Supawan Tripayana, I Nyoman Trisna, Made Oktaviani Bulan Untung Sujianto Vitug, Portia Zoleta- Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Wulandari, Sarah K Wulandari, Sarah K. Wulandari, Sarah Kartika yanti dewi, ketut hendra Yoga, Sukma Wisnu Yogi RS, I Gusti Agung Yudi Wahyu, I Made Yulistina, Putu Desi Yusniawati, Yustina Ni Putu