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All Journal International Journal of Public Health Science (IJPHS) Public Health of Indonesia Jurnal Penelitian Pendidikan IPA (JPPIPA) Gorontalo Journal of Public Health Jurnal Kesehatan Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Riset Kesehatan Poltekkes Depkes Bandung JURNAL MEDIA KESEHATAN Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Community Development Journal: Jurnal Pengabdian Masyarakat Journal of Nursing and Public Health (JNPH) Mitra Raflesia (Journal of Health Science) MAHESA : Malahayati Health Student Journal Jurnal Ekonomi Journal of Health and Nutrition Research JURNAL PENELITIAN TERAPAN KESEHATAN Jakiyah : Jurnal Ilmiah Umum dan Kesehatan Aisyiyah Dikdimas : Jurnal Pengabdian Kepada Masyarakat Mahakam Nursing Journal (MNJ) Journal of Innovative and Creativity Proceeding of Bengkulu International Conference on Health Jurnal Pengabdian Masyarakat Jurusan Keperawatan Poltekita: Jurnal Ilmu Kesehatan
Buston, Erni
Poltekkes Kemenkes Bengkulu
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The Effect of Heel Raise and Sit-to-Stand (STS) Exercises on the Balance of Post-Stroke Patients: A Quasi-Experimental Study Adriyansar, Reza; Buston, Erni; Efendi, Pauzan; Husni, Husni; Sahran, Sahran
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.657

Abstract

Brain blood vessels block or rupture in cerebrovascular disease (CVD), limiting oxygen and nutrient delivery to brain tissue. An untreated stroke can cause lasting brain damage, disability, or even death. Common complications include muscle weakness, coordination issues, difficulty swallowing, slurred speech, reduced sensitivity, facial or bodily paralysis, and balance problems. Stroke survivors are advised to engage in physical exercises such as heel raises and sit-to-stand (STS) movements to address balance impairments. This study aimed to evaluate the effect of heel raise and STS exercises on improving balance in post-stroke patients at the Sawah Lebar Public Health Center in Bengkulu Municipality. A quasi-experimental design was employed with 52 participants split evenly into intervention and control groups. Participants were selected using purposive sampling, and balance was measured using the Berg Balance Scale (BBS). The Mann-Whitney test revealed a significant difference in balance scores between groups (p-value = 0.000, p ≤ 0.05, indicating a positive effect of the intervention). Before intervention, both groups experienced balance impairments, with the intervention group scoring 33.04 (SD 6.095) and the control group 31.54 (SD 4.933). After the intervention, scores improved more notably in the intervention group (scored by 38.04, SD 5.744) compared to the control group (scored by 32.65, SD 5.012), p-value = 0.000 (Mann-Whitney). Intervention increased the average score by +5.00 and control by +1.12. Heel raise and sit-to-stand  (STS) exercises significantly improved balance in post-stroke patients and may serve as effective rehabilitation strategies, although further larger randomized controlled trials are needed to confirm these findings.
The Effect of Mulligan Mobilization with Movement Modality on Improving Joint Flexibility in Gout Arthritis Patients Septian, Deri; Buston, Erni; Efendi, Pauzan
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5216

Abstract

Gout arthritis is a form of joint inflammation caused by the accumulation of monosodium urate crystals, leading to reduced joint flexibility, particularly in the knees. Non-pharmacological therapies such as the Mulligan Mobilization with Movement (MWM) technique provide a safe and effective alternative to enhance joint flexibility. However, the use of this therapy among patients with gout arthritis remains limited in primary healthcare settings. This study used a quasi-experimental design with 52 respondents divided into two groups: the intervention group (MWM) and the control group (Range of Motion exercises). Joint flexibility was measured before and after the intervention using a goniometer, and data were analyzed using statistical tests with a significance level of 0.05. The intervention group showed an increase in average joint flexibility from 123.85° to 140.19° (normal ≥140°), while the control group improved from 125.19° to 136.92°. The difference between the two groups was statistically significant (p=0.034), indicating that MWM therapy was more effective in improving joint flexibility than Range of Motion (ROM) exercises. The Mulligan Mobilization with Movement technique significantly improved joint flexibility in patients with gout arthritis and is recommended as a non-invasive rehabilitation method suitable for use in primary healthcare services.
Pencegahan Jatuh Pada Pasien Vertigo dengan Risiko Jatuh di Ruang Melati RSUD Tais Kabupaten Seluma Reka Mulia Tini; Erni Buston
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.7144

Abstract

Vertigo merupakan gangguan keseimbangan yang dapat meningkatkan risiko jatuh dan menurunkan kemampuan aktivitas sehari-hari pasien. Salah satu intervensi nonfarmakologis yang dapat digunakan dalam praktik keperawatan adalah latihan rehabilitasi vestibular berupa latihan Brandt-Daroff. Studi kasus ini bertujuan untuk mendeskripsikan penerapan asuhan keperawatan dengan latihan Brandt-Daroff dalam menurunkan risiko jatuh pada pasien vertigo dengan gangguan keseimbangan Penelitian menggunakan desain studi kasus deskriptif pada dua pasien vertigo di Ruang Melati RSUD Tais Kabupaten Seluma. Asuhan keperawatan dilakukan menggunakan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Intervensi utama berupa latihan Brandt-Daroff diberikan selama tiga hari berturut-turut. Risiko jatuh dinilai menggunakan Morse Fall Scale sebelum dan sesudah intervensi. Kedua pasien menunjukkan penurunan keluhan pusing berputar, peningkatan keseimbangan, serta peningkatan kemandirian dalam aktivitas. Skor risiko jatuh menurun dari kategori tinggi menjadi rendah pada satu pasien dan dari kategori tinggi menjadi sedang pada pasien lainnya. Latihan Brandt-Daroff efektif membantu menurunkan gejala vertigo dan risiko jatuh pada pasien dengan gangguan keseimbangan. Intervensi ini mudah diterapkan, aman, dan dapat direkomendasikan sebagai bagian dari praktik keperawatan berbasis bukti pada pasien vertigo.
Empowerment of Community Health Volunteers in the Prevention and Management of Non-Communicable Diseases (NCDs) through the Utilization of Tanaman Obat Keluarga (TOGA) in Lempuing and Nusa Indah Subdistricts, Bengkulu City Ratnadhiyani, Anditha; Wulandari, Dwi; Annisa, Rahma; Buston, Erni; Anggraini, Dina
DIKDIMAS : Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 1 (2026): DIKDIMAS : JURNAL PENGABDIAN KEPADA MASYARAKAT VOL 5 NO 1 APRIL 2026
Publisher : Asosiasi Profesi Multimedia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/dikdimas.v5i1.596

Abstract

Background: The rising prevalence of non-communicable diseases (NCDs), particularly hypertension and diabetes mellitus, poses a significant public health challenge in Bengkulu City, especially in Lempuing and Nusa Indah subdistricts. Community empowerment is a strategic approach to strengthen promotive and preventive health efforts. The utilization of Tanaman Obat Keluarga (TOGA) was introduced as an innovative, culturally appropriate, and practical method aligned with Gerakan Masyarakat Hidup Sehat (GERMAS).Aims: This program aims to enhance the knowledge and skills of community health volunteers in preventing and managing NCDs, establish TOGA demonstration gardens managed by volunteers, and develop a replicable community empowerment model.Methods: A participatory approach was applied through cross-sectoral coordination with primary health centers and local government. Educational modules and media were developed, followed by training sessions for community health volunteers using lectures, discussions, and hands-on practice. Continuous mentoring supported the management of TOGA gardens. Program evaluation was conducted using pre-test and post-test to assess changes in volunteers’ knowledge and observations to monitor implementation.Results: The program was successfully implemented. Educational modules were developed, and training activities led to an average increase of 30% in volunteers’ knowledge scores. Two TOGA demonstration gardens were established and actively managed by volunteers. Educational media were utilized during Pos Pelayanan Terpadu (posyandu) services by community health centers and Pemberdayaan Kesehatan Keluarga (PKK) activities at Lempuing and Nusa Indah subdistricts.Conclusion: The program effectively improved the capacity of community health volunteers and promoted community participation in family-based NCD prevention and management. The TOGA-based empowerment model demonstrates strong potential for replication as a promotive and preventive strategy for NCD control.
Co-Authors Adelina Damayanti Adriyansar, Reza Afifah Ayu Diva Putri Afifah Ayu Diva Putri Agnesia Clarissa Sera Agung Riyadi Ahmad Rizal Aji Setya Guna Darma Aji Amaliah, Lili Annisa, Rahma Aryani, Fenti Asmawati Asmawati Asmawati Asmawati Asmawati Asmawati Bella Arsita BUSTON, NONI Chica Riska Ashari Dahrizal Dahrizal Daisy Novira Darma, Dimas Dewa Darwis Darwis darwis darwis, darwis Depi Susen Dewi DINA ANGGRAINI Dwi Wulandari Dwinda Rara Olva Rara Dyah Suryani Dyah Suryani Edwin, Vebby Amellia Effendi, Pauzan Efrizon Hariadi Efrizon Hariadi Ekwantini, Rosa Delima Eliana Eliana Emy Yuliantini FADILLA, INONG REJA Fauzan Efendi Fentia, Lia Hairil Akbar Hariadi, Efrizon Hendri Heriyanto Henri Heriyanto Husni Husni Husni Husni Husni Husni Husni Imamah, Indah Nur Indah Nur Imamah Jenita DT Donsu JUMARTA, HERZA Kheli Fitria Annuril Kosma Heryati Kosma Heryati Laasara, Nurun Linda Linda Maghfira Ramadhania Mardiani Mardiani Mardiani Mardiani Maretalinia Meidyah Pitaloka Meidyah Pitaloka Mercy Nafratilova Meriwati Mahyuddin MIA AMELIA Mia Amelia Mualim, Mualim Muhammaad Ikhwan Muhammaad Ikhwan Muhammad Nizam Nehru Nugroho Noni Buston Noni Buston Nur Elly Nuraeni, Tating Nurmalita Sari, Marlynda Happy Oktavia Oktavia Pardosi, Sariman Pauzan Efendi Pauzan Effendi Rahma Annisa rahma annisa Rahmadini, Fhadilah RATNADHIYANI, ANDITHA REJAYA SELVI ASTUTI Reka Mulia Tini Ria Sugesti Sahidan Sahidan Sahran Sahran Sahran, Sahran Sari, Dewi Tarita saribu, Ruth Kristiani SASMIKA, ELMI Septian, Deri Septiyanti Septiyanti Septiyanti Septiyanti Septiyanti Septiyanti Septiyanti, Septiyanti Sholihat, Siti Silvia Anitasari, Silvia Sri Yanniarti Sulyastini, Ni Komang Sunarti Sunarti Supriatin Supriatin, Supriatin Suryanti SUSMITA, ROLITA Suyitno suyitno Tahratul Yovalwan TONNY C.MAIGODA Vira Dwi Rizky Wahyudi Rahmadani Wahyudi Ramadhan Wahyudi Saputra Widia Lestari Widia Lestari Winda Winda YUNINSI, YUNINSI yusmidiarti, yusmidiarti Yusniarita, Yusniarita