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Coloring Picture Play Therapy for Preschool-aged Children to Improve Fine Motoric Skills at Madrasah Al-Istiqomah Ciamis Roslianti, Elis; Firmansyah, Andan; Setiawan, Henri; Suhanda, Suhanda; Fitriani, Ade; Hamdani, Dadi
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2023): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v6i2.3117

Abstract

Children are individuals who still have a dependence on adults and the surrounding environment. Pre-schoolers are children aged 3-6 years, at this time children's imagination and creativity begin to develop, and in fine motor development children are able to hold writing tools correctly and learn to draw and color. Coloring is the activity of giving colour to the desired field or object. Colouring is an activity that can hone children's creativity and is one of the arts that children like and is easy to learn and can stimulate the performance of the right brain which is very important for children's intelligence. The purpose of holding Picture Colouring Play Therapy for Pre-schoolers is to improve fine motor skills in pre-schoolers (3-6 years). The method used in this activity is the play therapy method where this activity begins with exploring the target, namely Madrasah Al-Istiqomah. The number of children involved in this activity was 15 children who also participated in the Picture Colouring Play Therapy activity, all of whom were students of Madrasah Al-Istiqomah. The results of this play therapy activity showed that children were very enthusiastic in carrying out play therapy activities, and colouring pictures, several things that became a benchmark for the success of therapy were the improvement of children's fine motor skills seen from the accuracy, neatness, and creativity of children. The conclusion of this activity is in accordance with the results of the evaluation of Picture Colouring Play Therapy for Pre-schoolers which has been successfully carried out with satisfactory results criteria where children are enthusiastic in carrying out these activities and this activity can improve the fine motor skills of children, especially preschool age (3-6). year).
Analysis of the Relationship of Blood Glucose Levels with Total Cholesterol and Age of Diabetes Mellitus Patients Oktaviana, Elisa; Nadrati, Bahjatun; Fitriani, Ade
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 2 (2022): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i2.572

Abstract

Background: One of the chronic complications of diabetes mellitus is fat metabolism disorders. The occurrence of dyslipidemia is a major disorder of fat metabolism in people with diabetes mellitus. Indonesia also faces a diabetes threat situation similar to the world. Objective: The objective of this study was to analyze the relationship between Blood Glucose levels and total cholesterol and the age of patients with diabetes mellitus in the working area of ??the Gunungsari Public Health Center. Method: This research is an observational analytic study with a cross-sectional study design. Result: The results that have a strong relationship with Blood Glucose Levels from the most significant t-count value are X2 Age, which is 5.598 with a coefficient value of 0.000 and has a smaller p-value of 0.029, where p-value <0.05. Therefore, it can be concluded that the stronger relationship with Blood Glucose Levels when X2 is Age compared to X1, namely Total Cholesterol Levels, which have a p-value of 0.522, which has an insignificant value. Conclusion and recommendation: It is necessary to educate the public that non-transmit diseases can be prevented by keeping blood glucose levels and blood fat levels within normal limits by avoiding a diet high in sugar and fat and increasing physical activity
Implementation of Wound Care with Simple Island Dressing Technique in Inguinal Hernia Lateralis Postoperative Patients Fitriani, Ade; Istiqamah, Syffa Yunia; Lismayanti, Lilis
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 1 (2025): Jurnal Kesehatan (April 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i1.331

Abstract

A Lateral inguinal hernia is a protrusion of the contents of the abdominal cavity that comes out of the peritoneal cavity through the weak part of the abdominal wall which contains the intestines, intestinal suspension or other abdominal organs. According to the category of causes of disease in Indonesia in 2020, hernia was ranked eighth. Lateral inguinal hernias result from weakening of the abdominal wall and are caused by increased intra-abdominal pressure. Lateral inguinal hernia requires immediate surgical treatment to prevent dangerous complications. This surgical procedure is called a herniotomy. After post-operative herniotomy, to avoid infection, post-operative wound care is required, namely by treating the wound with a simple island dressing technique. This case study aims to determine the results of implementation of wound care using the simple island dressing technique. This research uses a descriptive method of case study design with a nursing care approach, including assessment, diagnosis planning, implementation and evaluation. Data collection through interviews, observation, physical examination and documentation studies. The results of a case study after being given wound care using the simple island dressing technique to a post-operative patient, Mr. R the condition of the wound improved, there were no signs of infection or complications. Conclusion of post-operative care performed on post-operative patients with lateral inguinal hernia. The author planned and implemented the simple island dressing technique so that the wound improved and no signs of infection appeared.
Foot Exercise Implementation in a Patient with Physical Mobility Impairment due to Diabetes Mellitus Aulia, Adinda; Fitriani, Ade; Hamdani, Dadi
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.551

Abstract

Introduction: : Diabetes Mellitus (DM) is a non-communicable disease that continues to show an increase globally, including in Indonesia. According to WHO data in 2016, as many as 422 million adults in the world have diabetes. This disease is caused by insulin deficiency, either relatively or absolutely, and often causes complications such as peripheral neuropathy which causes decreased sensation in the feet. One of the steps to prevent these complications is through foot exercises. Foot exercises are special physical exercises for diabetics that aim to prevent wounds, improve blood flow, strengthen small muscles in the feet, and prevent deformities due to nerve disorders and muscle weakness. Objective: This case study aims to implement foot exercises in patients with impaired physical mobility with diabetes mellitus. Method: This research uses a descriptive method in the form of a case study with a nursing approach which includes assessment, nursing diagnosis, nursing care plan, nursing implementation, and nursing evaluation. Data collection was done by interview, observation, physical examination, and documentation. Result: After the assessment, it is known that Mrs.D obtained a nursing diagnosis of impaired physical mobility associated with decreased muscle strength with diagnosis number D.0054, after being given implementation in the form of foot exercises for 3 days with a duration of 5-7 minutes a day, the nursing problem of impaired physical mobility of the client is partially resolved which is characterized by increased muscle strength with muscle strength values on the right lower extremity 4 and the left 5. Conclusion: The implementation of foot exercises has proven to be useful for reducing movement limitations and increasing muscle strength in all extremities, the benefits of this foot exercise will be maximized if done gradually and periodically.
Implementation Of Wound Care Education In A Diabetic Ulcer Patient With Knowledge Deficits Oktavianti, Riska Fitri; Fitriani, Ade; Lismayanti, Lilis
KIAN JOURNAL Vol 4 No 1 (2025): KIAN JOURNAL (March 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i1.553

Abstract

Background: Diabetes mellitus is a metabolic disease that can cause various complications, one of which is diabetic ulcers. These ulcers occur due to impaired circulation and peripheral neuropathy which causes wounds to heal. In an effort to manage diabetic ulcers, an educational approach is needed to increase patient awareness of the importance of proper wound care and infection prevention efforts. Nursing education plays an important role in helping patients understand the relationship between uncontrolled blood glucose levels and the impaired wound healing process. Increased patient understanding is expected to encourage behavioral changes in self-care and improve compliance with medical recommendations. Objectives: This case study aims to evaluate the implementation of wound care education with impaired knowledge deficits in diabetic ulcer patients through a nursing approach. This research method is in the form of a case study using a descriptive Method: with a research design using a nursing care approach which includes assessment, nursing diagnosis, nursing intervention, nursing implementation, nursing evaluation which is carried out for 3 meetings at the patient's home in the rose ray neighborhood, RT. 001 RW. 008, cigembor village, ciamis sub-district Results: After implementing education for three meetings, the results showed that the client's understanding of wound care had increased. The client showed the ability to recite the correct wound care steps, recognize signs of infection, and understand the importance of controlling blood glucose levels in accelerating wound healing. The family also began to play an active role in assisting the wound care process at home. Conclusion: The implementation of wound care education can improve client knowledge and skills in caring for diabetic ulcers to prevent infection. This education can be an important part of promotive and preventive nursing interventions to support the wound healing process and prevent further complications.
Implementation of Modern Wound Care Hydrogel Dressing in Patients with Diabetic Ulcers Haerani, Salsya; Fitriani, Ade; Hamdani, Dadi
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.554

Abstract

Background: Diabetes mellitus is a chronic metabolic disease that can cause various complications, one of which is diabetic ulcers. These ulcers occur due to impaired circulation and peripheral neuropathy, which causes wounds to be difficult to heal and increases the risk of amputation. One method of wound management that has proven effective in accelerating the healing of diabetic ulcers is the use of modern hydrogel dressings. Hydrogel functions as a moist dressing that is able to maintain optimal moisture in the wound area, accelerate the process of autolysis of necrotic tissue, and stimulate the growth of granulation tissue. With a moist and protected wound environment, the process of tissue regeneration is more effective and infection can be minimized. Objective: This case study is to evaluate the effectiveness of using modern hydrogel dressing as a moist dressing in accelerating wound healing in patients with diabetic ulcers through a nursing care approach. Methods: This research is a case study with a descriptive method, using a nursing care approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. The patient's house is located in the Sinar Mawar Neighborhood Hamlet, RT.001 RW.008, Cigembor Village, Ciamis District. Nursing diagnoses refer to (SDKI), interventions based on (SIKI), and evaluation based on (SLKI), and all documentation is compiled using the SOAPIER method. Results: Interventions were carried out on one patient with grade 4 diabetic ulcers. Wound care using hydrogel as a moist dressing was performed for 3 visits. Wound evaluation was carried out using the Bates-Jensen Wound Assessment Tool as well as real-time blood sugar (GDS) checks. Results showed a decrease in wound score from 45 to 38, and a decrease in GDS from 518 mg/dl to 269 mg/dl. There were significant changes in the wound tissue, such as the reduction of slough tissue and the formation of healthy granulation tissue. Conclusion: The use of modern hydrogel dressing as a moist dressing in accelerating diabetic ulcer wound healing. This implementation can be an option for modern non-pharmacological wound care therapy that can be applied at home with a holistic nursing approach.
Implementation of Nutrition Education Toward Controlling Blood Glucose Levels of Diabates Mellitus (DM) Patients Azahra, Tarisa; Fitriani, Ade; Hidayat, Nur
KIAN JOURNAL Vol 4 No 1 (2025): KIAN JOURNAL (March 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i1.555

Abstract

Background: Diabetes mellitus (DM) is a metabolic disorder with multiple etiologies characterized by blood sugar levels exceeding normal limits. The prevalence of DM continues to increase globally, nationally, and locally, including in the working area of the Cigembor Community Health Center, Ciamis Regency. The primary issue identified is non-compliance with dietary recommendations due to low nutritional literacy and the absence of effective and sustained education. The intervention implemented is structured nutritional education aimed at fostering healthy eating behaviors to control blood glucose levels and prevent complications. Objective: This study aims to implement the nursing process with a focus on the structured, continuous, and patient-centered implementation of nutrition education in controlling blood glucose levels in DM patients. Method: This study used a descriptive method with a case study design through a nursing care approach, starting from assessment, formulating diagnoses, planning, implementing nutrition education to control blood glucose levels in patients with diabetes mellitus, and evaluation. Results: After three days of education, it was found that patients with diabetes mellitus who complained of dizziness, fatigue, decreased appetite, and high blood glucose levels were diagnosed with unstable blood glucose levels, with a focus on the implementation of nutrition education. Evaluation results showed a decrease in blood glucose levels to 213 mg/dL, improved appetite, and reduced complaints of dizziness. Conclusion: The implementation of nutrition education has proven effective in controlling blood glucose levels and improving patients' nutritional status.
Implementation of Aloe Vera for Wound Care in Post Op Amputation Patients with Diabetes Mellitus Yuniar, Tarisa; Fitriani, Ade; Lismayanti, Lilis
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.556

Abstract

Introduction: Diabetes mellitus is a chronic metabolic disease that can cause serious complications such as impaired wound healing. One of the severe complications is amputation, which requires optimal wound care to prevent infection and accelerate tissue regeneration. Aloe vera is known to have anti-inflammatory, antibacterial, and stimulating tissue regeneration effects. Objective: This study aims to implement the use of aloe vera gel in wound care in postoperative amputation patients with diabetes mellitus. Method: The study used a descriptive case study approach that focused on the nursing care process and the use of aloe vera gel as a nonpharmacological therapy in wound care. Result: After administering aloe vera gel for 3 meetings, the results showed that the wound looked more moist, increased hydration, sufficient exudate, and complete epithelialization without signs of infection. This intervention is effective in addressing skin/tissue integrity disorders. Conclusion: Aloe vera gel is proven to be effective in helping the wound healing process in postoperative amputation patients with diabetes mellitus and can be an alternative nursing implementation.
Implementation Of Autogenic Relaxation Techniques to Reduce Pain Scale in Patients With Abdominal Colic Fauziyyah, Aziizah Nuur; Fitriani, Ade; Purwati, Ayu Endang
KIAN JOURNAL Vol 4 No 2 (2025): KIAN JOURNAL (September 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i2.563

Abstract

Background: Abdominal colic brings up symptoms of pain that arise and disappear that can interfere with patient comfort, abdominal colic pain is usually accompanied by changes in pulse because the pain is very painful, and causes patients to pay less attention to the conditions around them because patients focus mainly on pain. Therefore, it takes effective treatment to overcome this pain, one of which is non-pharmacological techniques, researchers use autogenic relaxation techniques. Autogenic relaxation technique is a relaxation technique that comes from oneself using short sentences to make the mind calm and comfortable, it can also be called hypnosis to divert pain. Objective: This study is to implement autogenic relaxation techniques to overcome pain. Methods: This case study uses a descriptive method that aims to explore the problem, provide an overview of the case study and analyze more deeply about nursing care by implementing autogenic relaxation techniques to reduce the pain scale in patients with abdominal colic. Results: After implementing autogenic relaxation techniques to reduce the pain scale in patients with abdominal colic for 3 days in the Dahlia room BLUD RSU Kota Banjar, it was proven effective to reduce the pain scale from a scale of 8 to 2, overcome pain, patients said the pain decreased, and seen from the grimace facial expression decreased. Conclusion: the implementation of autogenic relaxation techniques has proven to be effective and very influential to overcome the problem of acute pain in patients with abdominal colic, so that it can be used as nursing care for these patients.
EDUKASI TEKNIK MENYUSUI YANG BENAR PADA IBU POSTPARTUM DI POSYANDU FLAMBOYAN CILENDEK BARAT Lestari, Fitria; Kalyca, Argya; Herlyana, Azahra; Apriliani, Berliana; Suci Ramadhan, Bulan; Fitriani, Ade; Putri, Amanda
BAKTIMU : Jurnal Pengabdian Kepada Masyarakat Vol 4 No 4 (2024)
Publisher : Universitas Muhammadiyah Ahmad Dahlan Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37874/bm.v4i4.1625

Abstract

WHO menyebutkan 6.500 bayi baru lahir meninggal setiap hari, yang merupakan 47% dari seluruh kematian anak balita, dan 78 juta bayi meninggal dalam satu jam pertama kehidupannya karena mereka tidak diberi ASI. Mereka mempunyai risiko kematian yang lebih tinggi dan kecil kemungkinannya untuk terus menyusui. Di Indonesia, angka pemberian ASI eksklusif sekitar 32,3%. Provinsi Jawa Barat, terdapat sekitar 36,65 bayi usia 0 hingga 6 bulan yang tidak mendapatkan ASI eksklusif pada tahun 2019. Kota Bogor menemukan bahwa 39% ibu tidak memberikan ASI eksklusif kepada anaknya. Tujuan dari kegiatan ini adalah untuk meningkatkan kenyamanan ibu dalam menyusui dengan mengedukasi metode menyusui yang benar dan mendorong pemberian ASI eksklusif. Kegiatan ini diharapkan dapat meningkatkan kualitas tersebut. Tiga puluh ibu nifas dan menyusui turut serta dalam kegiatan ini. Kegiatan ini menggunakan konsultasi offline. Metode  pengumpulan data  disajikan dalam bentuk kuesioner. Hasil pre test diperoleh responden kurang baik sebanyak 15 orang (50%), namun hasil posttest sebanyak 28 orang (93,3%) responden baik. Nilai p-value uji T-analisis sebesar 0,000. Kata kunci : ASI, Teknik Menyusui, Ibu Postpartum