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Pengaruh Engagement terhadap Post Stroke Fatigue (PSF) dan Kemampuan Motorik Pasien Pasca Stroke Iskemik Kurniawan, Hendri; Sutopo, Haris
Jurnal Terapi Wicara dan Bahasa Vol. 2 No. 2 (2024): Juni 2024
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v2i2.104

Abstract

Abstract Background: Rehabilitation efforts for post-stroke patients to restore motor skills often do not provide optimal results. This is allegedly related to the client's seriousness or involvement in undergoing therapy (neurorehabilitation). Post-stroke comorbid problems in the form of post-stroke fatigue (PSF) may also influence this. Objectives: The research aims to examine the effect of engagement on post stroke fatigue (PSF) and recovery of motor skills in ischemic stroke patients. Methods: Observational quantitative research with a cross sectional design. The study was conducted in a hospital occupational therapy unit. The sampling technique uses purposive sampling technique. The research instruments used include: engagement rating scale (ERS), fatigue severity scale (FSS) and Fulg-Meyer Assessment (FMA). Research data analysis uses descriptive analysis, correlative and regression tests using the SPSS version 20 program. Results: The majority of the research sample was male (67.5%), and onset < 24 months (75%).   Mean ERS score = 21.2 ± 0.38, mean FSS change score = 2.17 and mean Fugl-Meyer change score = 2.45. Correlative test of ERS with FSS (r=0.697; p=0.000) and ERS with Fugl-Meyer (r=0.462; p=0.003). The linear regression test shows that the determinant coefficients of 0.486 and 0.226 ERS on FSS and Fugl-Meyer are significant with the equations Y=19.179+0.929X and Y=19.755+0.590X. Conclusion: Engagement influences a decrease in fatigue by 48.6% and an increase in motor ability recovery by 22.6%. Keywords : stroke, engagement, fatigue, motor
DUKUNGAN SOSIAL MENURUNKAN STRES DAN MENINGKATKAN EFIKASI DIRI CAREGIVER Kurniawan, Hendri; Bela Oktiafany Qotrunnada
MOTORIK Jurnal Ilmu Kesehatan Vol 19 No 2 (2024): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v19i2.1288

Abstract

Caregiver memiliki peran yang penting dalam proses perawatan dan pemulihan pasien. Banyaknya tugas yang harus dilakukan caregiver semakin membebaninya (burden). Hal tersebut dapat menyebabkan stres dan menurunnya efikasi diri caregiver. Dukungan sosial disinyalir dapat membuat caregiver menjadi lebih kuat dalam menjalani perannya. Penelitian ini bertujuan untuk mengetahui pengaruh dukungan sosial dalam menurunkan stres dan meningkatkan efikasi diri caregiver. Penelitian ini berjenis kuantitatif non-eksperimental dengan desain cross sectional. Pengambilan sampel menggunakan purposive sampling dengan jumlah sampel 69 orang. Dukungan sosial diukur menggunakan instrumen multidimensional scale of perceived social support (MSPSS), tingkat stres diukur menggunakan instrumen perceived stress scale (PSS) dan self-efficacy diukur menggunakan instrumen general self-efficacy scale (GSES). Analisis data menggunakan uji spearman rank dan uji regresi logistik biner dengan program SPSS 25. Hasil penelitian menunjukkan mayoritas sampel berumur 26-45 tahun (72,4%), berjenis kelamin perempuan (87%), berpendidikan perguruan tinggi (44,9%), dan bekerja sebagai ibu rumah tangga (52,2%). Hasil uji spearman rank diperoleh p-value < 0.05 yang menunjukkan bahwa dukungan sosial berkaitan secara bermakna dengan stres dan self-efficacy. Hasil uji regresi dukungan sosial terhadap stres diperoleh nilai p-value = 0,030 (p < 0.05) dengan nilai OR = 0,210 dan terhadap self-efficacy diperoleh nilai p-value = 0,004 (p < 0.05) dengan nilai OR = 9,464 yang berarti dukungan sosial secara bermakna mempengaruhi stres dan self-efficacy. Kesimpulan dukungan sosial dapat menurunkan stres hingga 99,8% dan meningkatan self-efficacy caregiver hingga 9 kali lebih tinggi.
Bersih Pantai Lhok Raja: Kolaborasi Mahasiswa dan Masyarakat untuk Mewujudkan Ekowisata Pesisir Berkelanjutan Wahyuni, Sri; Mursawal, Asri; Nufus, Hayatun; Kusumawati, Ika; Suriani, Mai; Samudra, Arung; Saputra, Riki; Ramadhan, Azhari; Kurniawan, Hendri; Kurniawan, Ronal
Journal of Rural and Urban Community Empowerment Vol. 7 No. 1 (2025): Oktober
Publisher : Fakultas Perikanan dan Kelautan Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/jruce.7.1.71-76

Abstract

Permasalahan sampah, khususnya sampah plastik dari makanan dan minuman kemasan, menjadi ancaman serius bagi ekosistem laut sekaligus mengurangi daya tarik destinasi wisata. Pantai Lhok Raja, Nagan Raya, merupakan salah satu kawasan wisata yang berpotensi dikembangkan menjadi ekowisata, namun menghadapi persoalan kebersihan akibat rendahnya kesadaran pengunjung dan terbatasnya sarana pengelolaan sampah. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kesadaran lingkungan dan mendukung ekowisata berkelanjutan melalui Program Bersih Pantai. Kegiatan dilaksanakan pada September 2025 dengan melibatkan mahasiswa Prodi Ilmu Kelautan Universitas Teuku Umar dan masyarakat setempat. Metode pelaksanaan meliputi sosialisasi tentang bahaya sampah, aksi bersih pantai, pemasangan spanduk larangan membuang sampah, serta penyediaan tong sampah di lokasi strategis. Hasil kegiatan menunjukkan berkurangnya volume sampah di kawasan pantai, meningkatnya pemahaman masyarakat tentang dampak sampah plastik, tersedianya sarana pendukung kebersihan, serta tumbuhnya kolaborasi multipihak dalam menjaga lingkungan pesisir. Program ini memberikan kontribusi nyata terhadap peningkatan kualitas lingkungan sekaligus memperkuat potensi ekowisata berkelanjutan di Nagan Raya
Pengaruh Kualitas Tidur terhadap Tekanan Darah Diastolik sebagai Indikator Dini Risiko Hipertensi pada Mahasiswa Kurniawan, Hendri; Haryanti, Haryanti
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.264

Abstract

Background: High academic demands, intense device use, and irregular lifestyles among college students can impact their sleep quality. Poor sleep quality is suspected to be associated with increased diastolic blood pressure (DDP), which contributes to the risk of long-term hypertension. Objectives: This study aimed to examine the effect of sleep quality on diastolic blood pressure in college students. Methods: The study used a quantitative observational method with a cross-sectional design. The study was conducted at the Occupational Therapy Department of the Health Polytechnic of the Ministry of Health, Surakarta. The study population was first-year undergraduate students of the Applied Occupational Therapy Study Program, with a sample size of 91 people (total sampling). The study variables were measured using the Pittsburgh Sleep Quality Index (PSQI) and a digital sphygmomanometer. Data were analyzed using spearman rank and binary logistic regression using SPSS version 23. Results: The majority of study subjects had normal sleep quality (50,55%) and normal diastolic blood pressure (51,65%). The Spearman rank test results for sleep quality and TDD showed a correlation coefficient (r) of 0,475 with a p-value of 0,008. The binary logistic regression test obtained a coefficient value (B) of 1,128, Exp. (OR) of 3,088 with a p-value of 0,010. Conclusion: Sleep quality significantly affects the increased risk of TDD 3 times higher in students. Keywords: Sleep, Diastolic, Hypertension
COMPARISON OF FIRST-TO-DIE AND LAST-SURVIVOR JOINT LIFE INSURANCE UNDER COMMON SHOCK Satyahadewi, Neva; Jaya, Louis Putra; Kurniawan, Hendri; Pratiwi, Yuyun Eka
BAREKENG: Jurnal Ilmu Matematika dan Terapan Vol 20 No 2 (2026): BAREKENG: Journal of Mathematics and Its Application
Publisher : PATTIMURA UNIVERSITY

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30598/barekengvol20iss2pp0913-0926

Abstract

Joint life insurance is a type of life insurance policy that covers two individuals, typically a married couple, under a single contract. The benefit is paid either upon the first death (First-to-Die) or after both individuals have passed away (Last-Survivor), depending on the policy type. This study explores the comparative analysis of First-to-Die and Last-Survivor joint life insurance policies under the impact of Common Shock. Common Shock refers to external catastrophic events, such as accidents or natural disasters, that simultaneously increase the mortality risk of both insured individuals. In this study, the Common Shock effect is parameterized by assigning additional joint mortality probabilities ranging from 2.5% to 10%, with increments of 2.5%. A total of 8 scenarios were tested. The first four scenarios vary the Common Shock probabilities at 2.5%, 5.0%, 7.5%, and 10.0%, while keeping the Interest Rate constant at 6.25%. The remaining four scenarios vary the Interest Rates at 5.50%, 5.75%, 6.00%, and 6.25%, with the Common Shock probability fixed at 10.0%. The analysis is conducted through actuarial modeling using present value formulas to assess total insurance premiums under these varying conditions. Using a benefit value of IDR 500,000,000.00 and a premium payment period of 10 years, this study demonstrates how these factors influence premium amounts. The incorporation of Common Shock into premium calculations offers a more realistic perspective in assessing insurance risk and cost. Mortality assumptions are based on the 2023 Indonesian Mortality Table published by BPJS Kesehatan, and the present value of future benefits is calculated using the specified interest rates. The findings reveal that the First-to-Die policy consistently results in significantly higher total premiums compared to the Last-Survivor policy under the same assumptions. On average across all scenarios, the total premium for First-to-Die is 5.67 times greater, primarily due to the higher probability of earlier benefit claims and shorter investment durations from the insurer’s perspective. The First-to-Die policy is more suitable for those with chronic illnesses or financial dependents, while the Last-Survivor policy is preferable for individuals focused on legacy planning.