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Assessment Of Afasia in Stroke Patients: Case Study Febryanto, Dwi; Retnaningsih; Handayani, Fitria
Journal Of Nursing Practice Vol. 3 No. 2 (2020): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v3i2.88

Abstract

Introduction: Aphasia is understood as difficulty in understanding or producing language caused by disorders involving the brain hemispheres. Early assessment of aphasia is very important to prevent the emergence of telegraphic speech styles, improve welfare, independence, social participation, quality of life, reduce length of stay and care costs, but there is little literature on this subject, especially in stroke patients. Purpose: This study is to provide an overview of the assessment of aphasia in stroke patients. Methods: The design of a case study involving 6 participants and data collection was carried out by conducting an assessment using the Language Aphasia Screening Test (LAST) instrument which was monitored for 3 days, including monitoring errors for naming images, monitoring mismatches repeating words and sentences, monitoring spontaneous pronunciation, monitoring image comprehension, monitoring comprehension of verbal instructions.Results: A total of 6 ischemic stroke patients were found wrong in repeating words and sentences. Conclusion: In aphasic stroke patients all language modalities are impaired, ranging from spontaneous speech, repetition, naming, language comprehension, reading and writing
HUBUNGAN MOTIVASI KESEMBUHAN DENGAN KEPATUHAN MINUM OBAT PADA PASIEN TUBERKULOSIS PARU DEWASA DI RS KHUSUS PARU RESPIRA YOGYAKARTA Febryanto, Dwi; Ngapiyem, Ruthy
Jurnal Kesehatan Vol 4 No 1 (2016)
Publisher : STIKES Bethesda Yakkum

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Abstract

Latar Belakang: Motivasi diperlukan untuk mendorong semangat dan meningkatkan kedisiplinan agar patuh terhadap program pengobatan Tuberkulosis sebab ketidakpatuhan akan menyebabkan kesembuhan rendah, kematian tinggi, kekambuhan meningkat, penularan kuman pada orang lain meningkat, dan terjadinya resistensi kuman terhadap obat anti tuberkusosis sehingga tuberkulosis paru sulit disembuhkan. Tujuan: Penelitian ini dilakukan dengan tujuan untuk mengetahui hubungan antara motivasi kesembuhan dengan kepatuhan minum obat pada pasien Tuberkulosis Paru dewasa di Rumah Sakit Khusus Paru Yogyakarta. Metode: Desain penelitian ini adalah korelasi dengan pendekatan cross sectional, populasi dalam penelitian ini adalah pasien Tuberkulosis Paru dewasa di Rumah Sakit Khusus Paru Respira Yogyakarta yang dalam tahap pengobatan TB selama enam bulan dengan teknik pengambilan sampel menggunakan accidental sampling dengan jumlah responden 25 orang. Metode mengumpulkan data menggunakan kuesioner. Hasil: Penelitian ini telah dilakukan uji menggunakan Chi squere dengan manual dengan tingkat kemaknaan α=0,05 dan didapatkan nilai hitung 11,421 dan nilai tabel 5,991 maka Ho ditolak dan Hα diterima yang berarti ada hubungan antara motivasi kesembuhan dengan kepatuhan minum obat pada pasien Tuberkulosis paru dewasa di Rumah Sakit Khusus Paru Respira Yogyakarta tahun 2016, kemudian dilakukan uji keeratan didapatkan 0,559 yang berarti hubungan agak rendah. Kesimpulan: Ada hubungan antara motivasi kesembuhan dengan kepatuhan minum obat pada pasien Tuberkulosis Paru dewasa di Rumah Sakit Khusus Paru Respira Yogyakarta tahun 2016. Saran: saran ditujukan kepada RS Khusus Paru Respira Yogyakarta agar selalu memberikan penyuluhan kepada pasien Tuberkulosis Paru untuk tetap patuh terhadap program pengobatan.Kata kunci: Motivasi kesembuhan - Kepatuhan minum obat - Tuberkulosis ParuABSTRACTBackground: Motivation is needed to encourage and improve the discipline to adhere to TB treatment programs because of non-compliance will lead to lower recovery, higher mortality, increasing recurrence, increasing transmission of germs to others, and occurrence of bacteria resistance to anti tuberkusosis that makes it diffi cult to cure. Objective: This study was conducted to determine the relationship between healing motivation and medication compliance of adult patient with pulmonary tuberculosis in Pulmonary Hospital Yogyakarta. Methods:The study design was a cross sectional correlation, the population in this study was patient with pulmonary tuberculosis in Respira Pulmonary HospitalYogyakarta who were on the stage of TB treatment for six months with accidental sampling result 25 people as the respondent. Data collection used questionnaire. Results: This research was conducted by using Chi square manuallu with the signifi cance level α = 0.05. It this obtained that calculated value = 11,421 and table value = 5,991 therefore. Ho is rejected and Hα is accepted which means there is a relationship between healing motivation and medication compliance of adult patient with pulmonary tuberculosis in Pulmonary Hospital Yogyakarta in 2016. The level of closeness C = 0,559 which means the relationship is rather low. Conclusion: There is a relationship between healing motivation and medication compliance of adult patient with pulmonary tuberculosis in Pulmonary Hospital Yogyakarta in 2016.Advice: Advice addressed to Respira Hospital to always provide conceling/ education on treatment programs complince for patients with pulmonary tuberculosis.Keywords: Healing motivation - medication compliance - tuberculosis
Transformasional Leadership Meningkatkan Tindakan Augmentatif And Alternative Comunication Pada Pasien Stroke Afasia Motorik Dwi Febryanto; Hasib Ardani
Journal of Health (JoH) Vol 6 No 1 (2019): Journal of Health - Januari 2019
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (637.35 KB) | DOI: 10.30590/vol6-no1-p46-50

Abstract

About 21% -35% of patients with acute stroke experience aphasia or motor impairment language interpretation. Impact because of the lack of action independence of the nurse in improving Augmentative Alternative Communication (AAC) is not the fulfillment of the needs of the patient. AAC is media in the form of electronic devices, alphabet boards, drawing boards that contain the basic needs which may be designated by the patient that helps in communicating. The research method is a literature research, focused on the search of some previous research. The results of the research show that the role of transformational leadership increase the AAC in stroke patients aphasia motor through insiparasional motivation where the leader becomes an example to be emulated by subordinates, providing a strong motivation for change with guidance and training, individualizad consideration that is hear input to want to change apply the AAC, Idealized influence where the leader as a mentor who has charisma makes followers want to practice the AAC, and intellectual stimulation is to encourage the subordinates to see problems in aphasia motor can be minimized with the AAC. Thus it can be concluded that the Style of transformational leadership has a used of therapeutic AAC to nurses practice.
The Bilangan Peroksida Kacang Tanah dan Minyak setelah Digoreng dengan Metode Deep-Fat Frying : Bilangan Peroksida Gregorius Tsiompah Tsiompah; Margareta Yuliana; Dwi Febryanto; Meilina Rahmawati
Jurnal Ilmiah Gizi dan Kesehatan (JIGK) Vol 4 No 02 (2023): Februari
Publisher : Universitas Muhadi Setiabudi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46772/jigk.v4i02.1053

Abstract

Latar Belakang: Kacang tanah dikonsumsi di seluruh dunia dalam berbagai bentuk, dan sebagian besar adalah masakan tradisional. Di Indonesia kacang tanah goreng dapat dikonsumsi sebagai cemilan atau digunakan sebagai bahan baku pengolahan bumbu menu makanan tradisional seperti pecel, gado-gado, sate dan lain sebagainya. Bilangan peroksida digunakan untuk menentukan tingkat kerusakan minyak/lemak. Tujuan: untuk mengetahui pengaruh penggorengan kacang tanah menggunakan media penghantar panas minyak goreng terhadap bilangan peroksida. Metode: Penggorengan kacang tanah dilakukan dengan metode deep-frying menggunakan minyak kelapa sawit sebanyak 5 kali pengulangan dengan minyak yang sama pada suhu 100-120 0C selama 2,5 menit. Analisis bilangan peroksida dilakukan menggunakan metode AOCS Cd 8-53 triplo. Analisis statistik menggunakan Mann-whitney. Hasil: Bilangan peroksida kacang tanah dan minyak sebelum dipanaskan masing-masing sebesar 1 meq O2/kg dan 3,1 meq O2/kg. Bilangan peroksida setelah dipanaskan sebesar sebesar 5,1 meq O2/kg dan 10,2 meq O2/kg. Rata-rata bilangan peroksida minyak dan kacang tanah terlihat semakin meningkat setelah dipanaskan/digoreng menggunakan minyak jelatah, masing-masing sebesar 16,4 meq 02/kg. Kesimpulan: Bilangan peroksida kacang tanah dan minyak yang digunakan sebagai media penghantar panas semakin meningkat setelah digoreng dengan siklus berulang. Penggorengan bahan makanan yang tinggi kandungan lemak (deep-fat frying), sebaiknya menggunakan minyak segar atau satu kali penggunaan.
Hubungan Social Support dengan Tingkat Depresi pada Lansia Surya, Alfonsia Yuningsi; Febryanto, Dwi; Pambudi, Hubertus Agung
JURNAL KESEHATAN PRIMER Vol 9 No 2 (2024): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v9i2.1514

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Introductions: Elderly individuals are those aged ≥ 60 years. The elderly is highly susceptible to health issues, including depression. Depression in the elderly is caused by various factors, including a lack of social support. Social support is the care provided by reliable and loving individuals to ensure that recipients feel emotionally supported. Fulfillment of the social support received by an elderly person will improve both their physical and mental health. This study aims to determine the relationship between social support and the level of depression in the elderly. Method: This study is quantitative research with a cross-sectional approach. The sampling technique used was cluster sampling, with a total of 84 elderly individuals selected and designated as respondents based on inclusion criteria. Chi square is used to see the relationship between variables. The measurement tools used were the Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire to measure social support and the Geriatric Depression Scale-15 (GDS-15) questionnaire to measure the level of depression, which was analyzed using Fisher's exact test. Result: The respondents who received low social support were 61.9%, while those who received high social support were 38.1%. The percentage of respondents who did not experience depression was 53.6%, and those who experienced depression were 46.4%. The Fisher's test resulted in a p-value of 0.001 < 0.05.
The Effect Of "Balut" Therapy Device On Knee Pain In Osteoarthritis Niken, Niken; Kristiana, Kristiana; Dwi Febryanto
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Studies Osteoarthritis is one of the degenerative elements most customarily discovered in musculoskeletal diseases; osteoarthritis is the most common motive of restricted movement and feature; the region most often affected is the knee joint (Susilawati et al., 2015). The incidence of osteoarthritis dramatically follows the growth in patient age. As many as 70% of patients elderly over sixty-five years old suffer from osteoarthritis (Suhendriyo, 2014). The major hassle skilled by osteoarthritis sufferers is constrained helpful hobbies. Osteoarthritis can also cause disturbances in purposeful activities, along with trouble on foot, lengthy distances, standing from a squatting position, going up and down stairs, and disruption in valuable activities. Pain management techniques consist of pharmacological remedies and non-pharmacological therapy. Pharmacological remedy consists of drugs, while non-pharmacological therapy includes bodily remedy, modalities, and cognitive and behavioral techniques. The physical remedy to alleviate pain consists of numerous varieties of skin stimulation (massage, nerve stimulation with transcutaneous power, acupuncture, bloodless or warmth or compresses application, and exercise). Heat utility is a simple movement that has long been regarded as a powerful technique for reducing pain or muscle spasms.Heat can be distributed through conduction (hot water bottles, wet compresses, heat). Pain from bruises, muscle spasms, and arthritis respond appropriately to warmth (Price and Wilson, 2005;1087-1088). Ginger has pharmacological results that might be efficacious as a remedy (Team Lentera, 2002; 1). This study is a quantitative observation with a move-sectional quasi-experiment layout and uses the chi-square (bivariate) statistical check. The population is all citizens of RT 05 RW XVI Tlogosari Kulon Semarang. Sampling used purposive sampling—place and time of research at RT V RW XVI Tlogosari Kulon Semarang. The research tools and substances used by researchers are the 'BALUT' (Knee Bandage) tool, which is an aggregate of the use of a knee decker and ginger compress.
Unmasking the Pandemic's Shadow: A Systematic Review of The Multifaceted Impact of COVID-19 Stigma in Asia Gunawan, Yosephina Elizabeth Sumartini; Landudjama, Leni; Mulu, Servasius To’o Jala; Kitu, Irene Febriany Mamo; Sukartiningsih, Maria Christina Endang; Febryanto, Dwi; Liu, Guang-Hsing; Dafroyati, Yuliana
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): 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.Vol23.Iss2.1737

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The COVID-19 pandemic has exacerbated stigma toward health workers, patients, and survivors while intensifying social inequalities through rising unemployment, poverty, and social exclusion. This systematic review examined literature from ProQuest, Science Direct, Google Scholar, and PubMed, focusing on the stigma of COVID-19 in Asia. Original research employing quantitative or qualitative methods was included for articles that published in 2020-2021, while review articles were excluded. Screening followed PRISMA guidelines, with data collection and analysis conducted from November 2021 to April 2022, resulting in 24 articles. Data extracted included titles, authors, publication years, participants, methods, findings, strengths, and limitations. Quality was assessed using JBI’s critical appraisal tools, and thematic analysis was performed using Braun and Clarke’s framework. The review identified three key themes: general characteristics of COVID-19 stigma, affected populations, and the multifaceted impacts. Stigma in Asia has led to widespread fear and discrimination against infected individuals, survivors, health workers, and vulnerable groups with significant psychological, spiritual, economic, and health repercussions. We recommend that the government raise public awareness to minimize misinformation by providing education about COVID-19 and efforts to address the impacts caused by stigma, as well as integrating anti-stigma measures into policies and expanding mental health services for those affected.
Overview Distress Family to Increase the Quality of Life Communication Disorder in Stroke Patients with Diabetes Mellitus Complication Febryanto, Dwi; Setyaningrum, Niken; Handayani, Kristiana Prasetya
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): 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.v6i1.2765

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Communication disorders due to stroke with DM complications negatively impact to self-image, social and emotional well-being and quality of life. On the other hand, not all communication disruptions are reported to have negative impacts. We are interested in examining the picture of family distress in improving the quality of life of sufferers of stroke communication disorders complicated by DM. Objective: This research is important to see whether communication is fully related to the quality of life of stroke sufferers complicated by DM and has an impact on family stress. Method: This research uses a descriptive study design. The sampling technique used was purposive sampling with the plan to involve 30 stroke respondents with DM complications. Quantitative data analysis in the form of univariate and bivariate data. Fisher test is used to see the relationship between variables. Results: The majority of stroke patients with DM complications are women at 63.3%, with a maximum age of 76 years and a minimum age of 40 years. The maximum LAST score result is 15 and the minimum is 3. The highest family stress level result is in the normal category at 70% and the highest quality of life is in the good category at 43.3%. The results of statistical tests on the relationship between family stress levels and the quality of life of sufferers stroke communication disorders with DM complications found that P value = 0.000 < 0.05 Conclusions: Our findings confirm that there are relationship between the level of family stress and the quality of life of sufferers of stroke communication disorders complicated by DM. This is the first time that the research is highlight that family has an important impact on the quality of life stroke sufferers complicated by DM. Improving the quality of life of stroke sufferers complicated by DM by increasing self-care and caring for the family is very important.
Hubungan Tingkat Stres dengan Kualitas Tidur pada Lansia di Desa Urutsewu Wilayah Kerja Puskesmas Ampel Boyolali Nala Siwi, Wahyu; Agung Pambudi, Hubertus; Febryanto, Dwi
Journal of Comprehensive Science Vol. 4 No. 2 (2025): Journal of Comprehensive Science (JCS)
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jcs.v4i2.3009

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The elderly are an advanced stage of human life which is characterized by physiological decline. Various problems and events that arise in daily life can trigger stress. Stress in the elderly occurs due to pressure caused by stressors who demand adjustments from the elderly and unpreparedness to fight the changes experienced. Stress caused by life events such as the death of a loved one or financial difficulties can contribute to poor sleep quality. The quality and quantity of sleep are affected by several factors, including illness, fatigue, drug consumption, nutrition, environment, motivation and stress. This study aims to prove the relationship between stress levels and sleep quality in the elderly in Urutsewu Village, the working area of the Ampel Boyolali Health Center. This research is quantitative with a cross-sectional approach, using the elderly as a research sample. A sample of 59 elderly people used the total sampling technique. The measuring instrument uses the PSS10 questionnaire (Perseived stress scale) to measure stress levels and the PSQI (Pittsburgh Sleep Quality Index) questionnaire to measure sleep quality analyzed using the Chi Square test. A total of 30 elderly people (50.8%) experienced severe stress, there were 29 elderly people (49.2%) experienced mild stress. A total of 40 elderly people (67.8%) experienced poor sleep quality, there were 19 elderly people (32.2%) experienced good sleep quality. Fisher's test results were obtained with a significant p value = 0.000 (p<0.05). Based on the results of the study, it was shown that there was a relationship between stress levels and sleep quality in the elderly in Urutsewu Village, the working area of the Ampel Boyolali Health Center.
Correlation between Language Screening Test and Frenchay Aphasia Screening Test for Aphasia Screening in Ischemic Stroke Febryanto, Dwi; Yudiatma, Muh. Firman; Widiawatie, Noni; Retnaningsih, Retnaningsih; Handayani, Fitria; Anggraini, Ria
JURNAL INFO KESEHATAN Vol 22 No 1 (2024): 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.Vol22.Iss1.991

Abstract

Aphasia is a communication disorder that occurs after brain damage. Delays in diagnosing aphasia can lead to depression, decrease quality of life, and raise hospital stays and costs. Ischemic stroke aphasia screening instruments have been widely developed but are still difficult to interpret.  Nowadays, the Language Screening Test (LAST) is reportedly quick, easy to understand, straightforward, and suitable for use by nurses. However, the LAST subtests are different from the Frenchay Aphasia Screening Test (FAST), which has been used in the past to evaluate aphasia. This study aims to determine the relationship between LAST and FAST in ischemic stroke aphasic patients for aphasia screening. The study used an analytic observational method with a cross-sectional approach. The population in this study were stroke patients at Tugurejo Semarang Hospital who had their CT Scan checked. The sample was taken using a purposive sampling technique. Bivariate data analysis with Spearman Rank Correlation test. We obtained 50 samples 19 male patients and 31 female patients with the highest age range of 51-60 years as many as 26 patients. The highest Education and profession is primary school and housewife. Patients who experienced aphasia with LAST and FAST scored as many as 27 and 29 people, while the rest not have aphasia. The Spearman's Rank test obtained p-values of 0,000 and < 0,05 respectively. Meanwhile, the correlation coefficients of LAST and FAST on aphasia were 0,678 and 0,678 respectively. There is a positive correlation between the LAST and FAST in ischemic stroke aphasic patients for aphasia screening. Nurses can use the LAST instrument to collect data and establish nursing diagnoses of verbal communication disorders.