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Stroke Severity Scale to Palliative Screening, Activity Daily Living (ADL) Impairment, and Quality of Life Arlies Zenitha Victoria; Sri Puguh Kristiyawati; Anna Jumatul Lely
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.787

Abstract

Introduction: Palliative care is needed for various diseases; stroke is one of the neurological diseases that requires palliative care. Stroke is one of the leading causes of disability and decreased quality of life due to neurological deficits. The National Institute of Health Stroke Scale (NIHSS) assesses stroke severity. Stroke can also cause paralysis, resulting in decreased independence in self-care; patients will experience difficulty carrying out daily activities or activities of daily living (ADL) such as walking, dressing, eating, or controlling defecation or urination. Disability due to stroke can affect the patient's quality of life. Objectives: This study aimed to analyze the relationship between stroke severity scale with palliative screening, activities of daily living impairment (ADL), and quality of life. Methods: This cross-sectional study involved sixty stroke patients selected by accidental sampling. The data were analyzed using Pearson Product Moment and Spearman Rank Test. Results: This study resulted in 53,3% of respondents suffering from a moderate stroke, 90,0% needing palliative intervention, 56,7% total dependency, and 66,7% can not assess quality of life. Significance level between stroke severity scale with palliative screening ware (p=0,000), ADL impairment (p=0,008), and quality of life (p=0,000). Conclusions: There was a relationship between the stroke severity scale and palliative screening, activities of daily living (ADL) impairment, and quality of life. Further research should simultaneously analyze the risk factors for stroke, the stroke severity scale, and things that are influenced by the severity of the stroke so that it can be seen which variable is more dominant.
Pembentukan Kelompok Siaga (Saya Ibu dan Pendamping Atasi Gawat Darurat pada Anak Tunagrahita dengan Penyakit Kronis) Asih, Sri Hartini Mardi; Victoria, Arlies Zenitha; Nisa, Nafisatun
Jurnal Peduli Masyarakat Vol 7 No 3 (2025): Jurnal Peduli Masyarakat: Mei 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i3.6380

Abstract

Kondisi gawat darurat bisa terjadi kapan saja dan pada siapa saja, tidak terkecuali pada anak. Banyak kasus kematian anak di rumah sakit terjadi dalam waktu 24 jam pertama pasien masuk ke rumah sakit. Beberapa kasus kematian tersebut sebenarnya dapat dicegah bila anak yang sakit berat dapat segera teridentifikasi pada saat tiba di rumah sakit dan mendapat pananganan tanpa ada keterlambatan. Belum adanya sosialisasi atau pelatihan tentang penanganan kegawatdaruratan pada anak dengan kebutuhan khusus di rumah atau di SLB menjadi permasalahan yang perlu mendapatkan perhatian. Kegiatan pengabdian masyarakat ini mengusung tema pembentukan kelompok SIAGA (Saya Ibu Atasi Gawat Darurat pada Anak Tunagrahita Dengan Penyakit Kronis) yang bertujuan untuk memberikan edukasi kepada orang tua dan pendamping sebagai first responder pada saat anak berkebutuhan khusus mengalami kondisi gawat darurat di rumah atau di SLB. Bentuk dari kegiatan ini adalah dengan memberikan pelatihan kepada orang tua serta guru dan melakukan monitoring evaluasi ketercapaian edukasi. Kegiatan ini diikuti oleh 30 orang tua dan 2 orang pendamping SLB N Semarang. Evaluasi dilakukan dengan membagikan kuesioner pengetahuan penanganan kegawatan pada anak sebelum dan setelah edukasi. Orang tua juga diminta untuk mendemonstrasikan ulang tindakan penanganan kegawatan pada anak. Hasil kegiatan didapatkan peningkatan pengetahuan dan kemampuan ibu dan pendamping dalam mengatasi kegawatdaruratan pada anak tunagrahita yang mengalami penyakit kronis. Diperlukannya kelompok dukungan antar-ibu dan pendamping dengan menyiapkan rencana darurat dan alat kesehatan di rumah sehingga dapat mengatasi kejadian kegawatadaruratan pada anak dan meningkatkan pengetahuan tentang penyakit kronis anak.
Pengaruh Edukasi Dengan Visual Audio Terhadap Self Management Pada Penderita Gout Arthritis Victoria, Arlies Zenitha; Zulianti, Rika; Lestari, Dilla Fitri Ayu
Karya Kesehatan Siwalima Vol 4, No 1 (2025): Maret
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i1.1483

Abstract

Gout arthritis merupakan penyakit metabolisme yang disebabkan karena tingginya kadar asam urat dalam darah akibat dari metabolisme purin. Self management adalah upaya pasien yang secara aktif berpartisipasi dalam rencana perawatan, membuat pilihan gaya hidup yang berbeda, seperti kebiasaan makan, pilihan olahraga, kondisi hidup, dan memantau gejala sendiri. Audiovisual merupakan media yang menstimulasi indra pendengaran dan penglihatan pada waktu terjadinya proses pendidikan. Tujuan penelitian ini adalah untuk mengetahui adanya pengaruh edukasi dengan visual audio terhadap self management pada penderita gout arthritis. Design penelitian ini menggunakan kuantitatif dengan pendekatan eksperimental semu (quasi eksperiment) one group pre-post test design. Dengan menggunakan teknik pengambilan sampel yaitu total sampling dengan responden sebanyak 50 responden. Hasil penelitian didapatkan bahwa nilai p value = 0.000 0,05 yang bararti terdapat pengaruh yang signifikan pada edukasi dengan visual audio terhadap self management pada penderita gout arthritis. Saran untuk penelitian selanjutnya diharapkan dapat digunakan menjadi referensi dengan mengembangkan penelitian pemberian edukasi melalui Visual Audio dalam meningkatkan pengetahuan, sikap dan prilaku untuk mencegah peningkatan modibilitas gout arthritis dengan kelompok usia yang lebih spesifik dan faktor lain yang belum peneliti cantumkan.
Application of the Five-Finger Hypnosis Relaxation Technique in Nursing Care for Hypertensive Patients Arlies Zenitha Victoria; Davina Rahma Dania Putri Rosiany; Dela Ayu Kurniawati; Desika Indrawati; Desita Triana Adila; May Wulansari
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1089

Abstract

Hypertension is often referred to as the "silent killer" because it frequently shows no symptoms. In Indonesia, hypertension continues to rise year after year, with the incidence in 2018 reaching 658,201 cases (34.11%). The causes of hypertension are closely related to age and gender factors. Therefore, non-pharmacological nursing interventions are needed to address this, such as the five-finger hypnosis technique. Five-finger hypnosis involves focusing the mind on images or memories created while touching each of the five fingers in sequence, all in a relaxed state. This study aims to analyze the application of five-finger hypnosis in nursing care for hypertensive patients. The research method used is a case study with the implementation of the five-finger hypnosis nursing intervention. The respondents in this study consisted of five participants diagnosed with hypertension. The patients were taught the five-finger hypnosis technique for approximately 15 minutes. The results showed a decrease in blood pressure after the five-finger hypnosis therapy, with the five respondents (100%) showing an average systolic blood pressure of 146 mmHg, diastolic blood pressure of 91.6 mmHg, and mean arterial pressure (MAP) of 109.74 mmHg. It can be concluded that the five-finger hypnosis therapy is effective in reducing the blood pressure of hypertensive patients. Future researchers are encouraged to extend the duration of five-finger hypnosis therapy for hypertensive patients to achieve a more significant reduction in blood pressure.
Penerapan Posisi Head Up 30 dengan Relaksasi Benson terhadap Penurunan Kapasitas Adaptif Intrakranial pada Pasien Intra Cerebral Hemorrhage (ICH) Erwina Christias; Arlies Zenitha Victoria
Nursing Care Journal Vol. 4 No. 1 (2025): Nursing Care Journal
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/ncj.v4i1.726

Abstract

Emergency hypertension is an increase in blood pressure ≥180/120 mmHg accompanied by new or worsening damage to the target organ, and is the main factor in the occurrence of Intracerebral Hemorrhage (ICH). ICH is an intracranial hemorrhage due to a rupture of blood vessels in brain tissue. Based on Riskesdas data, there are around 100 thousand cases of emergency hypertension that have an impact on ICH in Indonesia. Proper management, both pharmacological and non-pharmacological, is very necessary. Nonpharmacological interventions such as 30° head up position and Benson's relaxation can help lower intracranial pressure (ICT). The 30° head up increases blood flow to the brain and prevents an increase in ICT, while Benson's relaxation lowers the activity of the sympathetic nervous system, dilates arteries, and facilitates tissue oxygenation. The purpose of this paper was to analyze the application of 30° head up nursing interventions and Benson relaxation in ICH patients with decreased intracranial adaptive capacity. The results of the study showed blood pressure of 185/95 mmHg, MAP of 118 mmHg, and the results of the CT-Scan showed ICH in the thalamus to the right radial corona. The intervention was carried out for three days and proved effective in reducing ICT. This scientific paper is expected to improve the quality of neurological nursing care as well as understanding and critical thinking skills in handling ICH cases.
The Descriptions of Parents with Children Suffering from Cancer during Encountering Emergency Situation: A Qualitative Descriptive Study Putri, Fitria Mahardika; Nugroho, Kristianto; Victoria, Arlies Zenitha
Babali Nursing Research Vol. 5 No. 2 (2024): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.52305

Abstract

Introduction: Cancer is a chronic disease caused by abnormal cell growth in the body and can affect all ages, including children. Children with cancer are very vulnerable because they experience growth and development, so they need special attention, especially in emergencies, to avoid death and complications. This study aimed to describe parents' perceptions of having children with cancer when the child is in a crisis. Methods: This research design used a qualitative descriptive approach. This study's population was parents with cancer children with sampling using purposive sampling. Data collection through in-depth interview techniques (in-depth interview) using a recorder, field notes, and interview guidelines. Research data in conversation transcripts were analyzed using Colaizzi's method.Result: Five themes developed, including 1) the participant's understanding of the emergency in pediatric cancer, 2) efforts made by participants in caring for children with cancer, 3) participants' experience in managing and treating children with cancer, 4) challenges in treatment, and 5) participants' expectations in the treatment carried out by their children. The experience obtained by participants is a feeling of fear of worsening the situation and negative thoughts that arise & impact the participants' psychology. In addition, the challenges experienced by participants are the cost of traveling the distance between health facilities and residence. Behind it all, participants hope their children will recover from cancer.Conclusion: There is a lack of understanding of parents regarding emergencies in cancer; behind that, there are efforts made, such as efforts to treat children with cancer, struggles to care for children with cancer, and spiritual aspects.
OSTEVIA (Osteoporosis Visual Audio) dalam Meningkatkan Pengetahuan dan Perilaku Pencegahan Osteoporosis pada Wanita Usia Subur Arlies Zenitha Victoria; Dwi Fitriyanti
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 1sp (2023): Special Issue Outcome PDP
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i1sp.597

Abstract

Osteoporosis merupakan gangguan tulang yang terjadi ketika kepadatan dan masa tulang menurun, atau terjadi perubahan struktur dan kekuatan tulang. Di Indonesia, 41,7% orang menderita osteopenia (osteoporosis dini) dan 10,3% menderita osteoporosis. Peningkatan angka osteoporosis pada perempuan 2 kali lebih besar daripada pria. Hal ini biasanya dihubungkan dengan perubahan hormonal akibat menopause. Meningkatkan pengetahuan wanita usia subur terhadap osteoporosis disertai dengan sikap dan tindakan pencegahan osteoporosis diharapkan dapat menurunkan risiko osteoporosis pada wanita. Diperlukannya suatu media yang dapat meningkatkan pengetahuan dan perilaku pencegahan osteoporosis pada wanita usia subur. OSTEVIA (Osteoporosis Visual Audio) adalah metode edukasi tentang osteoporosis dengan menggunakan media audio visual. Penelitian ini bertujuan untuk mengetahui efektivitas OSTEVIA (Osteoporosis Visual Audio) dalam meningkatkan pengetahuan dan perilaku pencegahan osteoporosis pada wanita usia subur. Penelitian ini merupakan penelitian kuantitatif dengan metode penelitian pre eksperimental dengan rancangan one-group-pretest-postest. Responden dalam penelitian ini berjumlah 100 orang wanita usia subur (berusia 15 – 49 tahun) yang dipilih melalui teknik quota sampling. Tingkat pengetahuan dan perilaku pencegahan osteoporosis diukur dengan menggunakan kuesioner yang dikembangkan oleh peneliti sebelumnya. Responden diberikan intervensi edukasi pencegahan osteoporosis dengan menggunakan OSTEVIA (osteoporosis visual audio) yang diunggah melalui link youtube. Hasil analisis dengan menggunakan Wicoxon – Test didapatkan p value=0,000 (pengetahuan) dan p value= 0,000 (perilaku pencegahan) sebelum dan setelah diberikan edukasi dengan OSTEVIA. Sehingga dapat disimpulkan bahwa OSTEVIA efektif dalam meningkatkan pengetahuan dan perilaku pencegahan osteoporosis pada wanita usia subur. Peneliti selanjutnya sebaiknya mengembangkan penelitian edukasi pencegahan osteoporosis melalui OSTEVIA kepada kelompok usia yang lebih spesifik dan outcome lainnya dari hasil edukasi
Pengembangan Booklet Digital Hipertensi Berbasis Research and Development dan Uji Keterbacaannya Pada Usia Produktif Victoria, Arlies Zenitha; Jona, Resa Nirmala; Arwinda, Sherly
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2074

Abstract

Background: Health education plays a crucial role in improving patients’ knowledge and adherence, with digital media such as digital booklets increasingly adopted for their accessibility, flexibility, and effectiveness in enhancing patient self-management. However, the effectiveness of educational media is highly dependent on its readability level. Materials with poor readability may lead to misunderstanding and reduced engagement. This study aimed to identify the readability level of a digital booklet for productive-age adults with hypertension as an initial step to ensure the effectiveness of digital health education media. Method: This study employed a quantitative descriptive design with a research and development (R&D) approach to develop a digital educational booklet using the Heyzine platform, enhanced with AI-generated voice-over. Readability testing was conducted among 21 productive-age adults with hypertension in Semarang City using the Cloze Test, Multiple Choice Questions (MCQ), and a subjective questionnaire. Expert validation was performed by two reviewers specializing in community nursing and Indonesian language using The Patient Education Materials Assessment Tool–Printable version (PEMAT-P), which evaluates the domains of understandability and actionability. Result: The readability test results showed excellent scores, with a Cloze Test score of 94.29%, MCQ score of 92%, and a subjective questionnaire mean score of 4.22 out of 5. The expert validation using PEMAT-P indicated an understandability score of 79.41% and an actionability score of 78.57%, suggesting that the digital booklet is suitable for use as an educational tool for hypertension management. Conclusion: The readability and expert validation results demonstrated that the digital booklet possessed high levels of understandability and applicability (Cloze Test 94.29%; MCQ 92%; subjective questionnaire 4.22; PEMAT-P 78.99%), making it a feasible medium for health education among productive-age adults with hypertension. Future research is recommended to involve larger samples, more expert reviewers, and additional readability assessment instruments.