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PENINGKATAN PENGETAHUAN DAN KEMAMPUAN KELUARGA DALAM MELATIH ANGGOTA GERAK PASIEN PASKA STROKE MELALUI PENDAMPINGAN PERAWAT Reni Prima Gusty
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 5 (2023): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i5.16961

Abstract

Abstrak: Perawatan berkelanjutan dari rumah sakit ke rumah diperlukan demi pemulihan penderita pasca stroke dengan kelemahan anggota tubuh secara cepat. Keterlibatan keluarga diperlukan untuk mencapai perbaikan kesehatan pasien. Kegiatan pengabdian kepada masyarakat bertujuan memberikan pengetahuan, keterampilan, dan kemandirian kepada keluarga dalam merawat pasien pasca stroke melalui pendampingan oleh perawat. Metode yang digunakan edukasi dengan demonstrasi dan redemonstrasi tindakan latihan anggota gerakan tubuh pasien pasca stroke. Penilaian menggunakan angket pengetahuan dan lembar observasi tindakan selama satu minggu dengan tiga observasi. Mitra adalah 10 orang keluarga yang merawat anggota keluarganya yang stroke di ruang neurologi sebuah rumah sakit. Hasil PKM menunjukkan peningkatan bertahap pengetahuan sebesar 20%,57%,98% dan peningkatan kemampuan keluarga dari 30%,54%,66%,86% ,95% selama penilaian 4 hari untuk melatih alat gerak anggota keluarga yang mengalami kelemahan. Hasil Observasi hari ke 5-6, keluarga memiliki komitmen dengan selalu memberikan latihan secara mandiri kepada anggota keluarganya yang masih dirawat di rumah sakit dengan dibawah pengawasan perawat ruangan saraf.Program pendampingan secara komprehensif di rumah sakit, efektif meningkatkan kemampuan dan kemandirian keluarga merawat anggota keluarga yang stroke. Program dapat digunakan sebagai standar prosedur tindakan bagi perawat di ruangan bagi keluarga pasien stroke di rumah sakit dan meningkatkan kemandirian keluarga di rumah.Abstract: Continuous care from hospital to home is needed for the rapid recovery of post-stroke sufferers with limb weakness. Family involvement is required to achieve improvements in patient health. Community service activities aim to provide knowledge, skills, and independence to families in caring for post-stroke patients through assistance by nurses. The method used is education with demonstrations, and re-demonstrations of body movement exercises in post-stroke patients. The assessment used a knowledge questionnaire and action observation sheets for one week with three observations. Mitra is a family of 10 people who care for a family member who has a stroke in the neurology room of a hospital. PKM results show a gradual increase in knowledge of 20%, 57%, and 98% and an increase in family ability from 30%, 54%, 66%, 86%, and 95% during a 4-day assessment to train the locomotion of family members who experience weakness. Observation results on days 5-6, the family is committed to always providing independent training to family members who are still being treated at the hospital under the supervision of a nurse in the neurosurgery room. A comprehensive mentoring program at the hospital effectively increases the ability and independence of families to care for family members the strokes. The program can be used as a standard procedure for nurses in rooms for families of stroke patients in hospitals and increases families' independence at home.
Pengaruh Pendampingan Keluarga terhadap Manajemen Cairan pada Pasien Hemodialisa Agus Susilawati; Hema Malini; Reni Prima Gusty
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 14 No 1 (2024): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Januari 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v14i1.1504

Abstract

Pengobatan pasien gagal ginjal kronis yang mengikuti program hemodialisis menjadi masalah utama terhadap pembatasan cairan tetap menjadi masalah utama. Keterbatasan cairan yang tidak stabil dapat memicu keadaan berbahaya. Semangat pasien untuk menjalankan pembatasan cairan akan lebih meningkat dengan partisipasi keluarga yang baik. Penelitian ini bertujuan untuk mengetahui pengaruh pendampingan keluarga terhadap manajemen cairan pada pasien hemodialisa di RSUD Raden Mattaher Kota Jambi. Desain penelitian ini menggunakan one group pre test-post test. Teknik pengambilan sampel menggunakan purposive sampling sebanyak 42 responden. Penelitian ini dilakukan selama 2 minggu yang terdiri dari dua tahap yaitu fase pra intervensi pada minggu pertama dengan melakukan pelatihan pendampingan sebanyak dua sesi dan fase intervensi pada minggu kedua. Instrumen penelitian menggunakan lembar ceklist tindakan pendampingan keluarga dan lembar observasi IDWG. Rata-rata skor IDWG pasien sebelum dan sesudah diberikan pendampingan adalah 3,89 dan 2,25. Terdapat pengaruh pendampingan keluarga terhadap manajemen cairan pasien hemodialisa dengan nilai  p < 0,05 (p = 0,000) menggunakan uji paired sample t test. Hasil penelitian ini menyimpulkan bahwa pendampingan keluarga memiliki pengaruh terhadap IDWG pasien yang menjalani hemodialisa. Diharapkan perawat dapat melibatkan keluarga pasien hemodialisa untuk meningkatkan kepatuhan pasien dalam melakukan pembatasan asupan cairan.
Hubungan Pengetahuan dengan Perilaku Perawat dalam Menggunakan NIHSS pada Pasien Stroke di Ruangan Stroke Unit Jendri Darmanto; Bayhakki Bayhakki; Reni Prima Gusti
Jurnal Keperawatan Jiwa Vol 11, No 3 (2023): Agustus 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.11.3.2023.739-746

Abstract

Perawat menggunakan National Institute Health Stroke Scale (NIHSS) sebagai tools tingkat keparahan stroke. Penelitian ini bertujuan untuk menganalisis pengetahuan perawat terhadap perilaku dalam menggunaan metode NIHSS pada pasien stroke. Jenis penelitian ini adalah kuantitatif dan dengan rancangan crossectional. Waktu penelitian adalah Maret 2023 sampai April 2023. Penelitian ini melibatkan perawat pelaksana yang bekerja di Unit Stroke Rumah Sakit Awal Bros Sudirman, Awal Bros Panam, dan Awal Bros A.Yani. Dalam penelitian ini, metode purposive sampling digunakan. Sampel yang diambil termasuk perawat klinik dengan jenjang karir minimal PK II, perawat yang telah mendapatkan pelatihan tentang menggunakan NIHSS, dan perawat yang memberikan layanan langsung kepada pasien yang mengalami stroke. Jumlah sampel dalam penelitian ini adalah 75 responden. Instrumen yang digunakan adalah kuesioner pengetahuan perawat yang berisi kemampuan perawat dalam menggunakan metode NIHSS dalam mengkaji pasien stroke dan kemampuan menegakkan diagnosis keperawatan. Hasil penelitian ditemukan tidak ada hubungan antara pengetahuan perawat terhadap perilaku perawat dalam menggunakan NIHSS pada pasien stroke. Dari hasil analisis chi square yang telah dilakukan diperoleh p-value = 0,314 > alpha 0.05. Diketahui bahwa dari 57 perawat pelaksana diruangan stroke unit yang memiliki pengetahuan tinggi tentang penggunaan NIHSS pada pasien stroke sebanyak 32 perawat atau 42,7% dapat menggunakan NIHSS dengan tepat.
Pengaruh Pendampingan Keluarga terhadap Manajemen Cairan pada Pasien Hemodialisa: Literature Review Agus Susilawati; Hema Malini; Reni Prima Gusty
Jurnal Ilmiah Universitas Batanghari Jambi Vol 23, No 2 (2023): Juli
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v23i2.3814

Abstract

The role of the family in hemodialysis patients is very helpful in encouraging individual health in carrying out fluid management. A good or very active family role will further enhance the patient's enthusiasm for managing fluid management. Much research has been done on fluid management, but it only involves the patient, not the patient's family. The research method used is literature review by identifying journal articles published online consisting of English and Indonesian in 2018-2022. Articles were retrieved using search engine tools PubMed, Science Direct, and Google Scholar. There are 7 journals based on inclusion criteria. The results showed that there was an effect of family assistance on fluid management in hemodialysis patients.
Screening of Risk of Type 2 Diabetes Mellitus in Sungai Buluh Village, Padang Pariaman Devia Putri Lenggogeni; Hema Malini; Esi Afriyanti; Reni Prima Gusty; Rahmi Muthia; Elvi Oktarina
Warta Pengabdian Andalas Vol 31 No 1 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.1.135-142.2024

Abstract

Diabetes mellitus (DM) type 2 is a non-communicable disease, and the incidence continues to increase. Various factors can increase the incidence of type 2 DM, but many people lack the awareness to determine risk factors and the efforts that need to be made to reduce the risk of type 2 DM. This community service aims to conduct health examinations and determine the risk level of DM type 2 in Sungai Buluh, Padang Pariaman, West Sumatra. This community service activity includes health examination, determining risk levels of risk type 2 DM, and personal education to reduce the risk of type 2 DM. The instrument used to determine the risk of type 2 DM is the Finnish Diabetes Risk Score (FINDRISC). Type 2 DM screening showed that most people had a slightly increased risk 37 people (45.6%), low-risk 26 people (32.1%), high-risk 13 people (16.1%) and very high-risk five people (6.2%). It is hoped that health centers will carry out risk level screening and education on reducing the risk of type 2 DM as a planned and structured activity to increase public awareness to prevent and reduce the risk of type 2 DM.
PENINGKATAN KAPASITAS PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) PADA SISWA SMA ADABIAH PADANG Esi Afriyanti; Reni Prima Gusty
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 2 (2024): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i2.21810

Abstract

Abstrak: Perilaku Hidup Bersih dan Sehat (PHBS) yang dilaksanakan di sekolah menjadi terhambat karena adanya pandemi covid-19 yang melanda Indonesia. Kondisi ini juga memberikan dampak pada SMA Adabiah dalam penerapan PHBS. Untuk itu diperlukan peningkatan pengetahuan dan keterampilan siswa tentang PHBS dalam agar sekolah menjadi bersih dan sehat. Pengabdian Masyarakat ini dilakukan pada pada 40 siswa PMR dan UKS. Kegiatan ini dilakukan dengan metode penyuluhan yang terbagi dua sesi yaitu sesi pertama berupa penyampaian materi atau ceramah tentang delapan indikator PHBS, dan dilanjutkan sesi kedua dengan demonstrasi bagaimana mencuci tangan dengan metode enam langkah secara baik dan benar, serta pengukuhan kader PHBS. Evaluasi dilakukan menggunakan kuesioner dan dianalisa menggunakan uji statistik paired t-test. Hasil dari kegiatan ini berupa peningkatan tingkat pengetahuan siswa tentang PHBS serta peningkatan kemampuan siswa dalam mencuci tangan setelah pelatihan dengan nilai pengetahuan sebelum pelatihan 310,625 ± 59,3 dan sesudahnya menjadi 347,625 ± 69,2 (p<0.05). Disarankan pada sekolah agar dapat mengakomodir kebutuhan siswa terhadap sarana dan prasarana terutama tempat sampah yang bersih. Abstract: Clean and Healthy Living Behavior (PHBS) implemented in schools has been hampered by the Covid-19 pandemic that has hit Indonesia. This condition also has an impact on Adabiah High School in implementing PHBS. For this reason, it is necessary to increase students' knowledge and skills about PHBS in order to make schools clean and healthy. This Community Service was carried out for 40 PMR and UKS students. This activity was carried out using an outreach method which was divided into two sessions, namely the first session in the form of delivering material or lectures about the eight PHBS indicators, and followed by the second session with a demonstration of how to wash your hands using the six-step method properly and correctly, as well as the inauguration of PHBS cadres. Evaluation was carried out using a questionnaire and analyzed using the paired t-test statistical test. The results of this activity were an increase in students' level of knowledge about PHBS as well as an increase in students' ability to wash their hands after training with a knowledge value before training of 310.625 ± 59.3 and afterward being 347.625 ± 69.2 (p<0.05). It is recommended that schools be able to accommodate students' needs for facilities and infrastructure, especially clean rubbish bins.
Screening of Risk of Type 2 Diabetes Mellitus in Sungai Buluh Village, Padang Pariaman Devia Putri Lenggogeni; Hema Malini; Esi Afriyanti; Reni Prima Gusty; Rahmi Muthia; Elvi Oktarina
Warta Pengabdian Andalas Vol 31 No 1 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.1.135-142.2024

Abstract

Diabetes mellitus (DM) type 2 is a non-communicable disease, and the incidence continues to increase. Various factors can increase the incidence of type 2 DM, but many people lack the awareness to determine risk factors and the efforts that need to be made to reduce the risk of type 2 DM. This community service aims to conduct health examinations and determine the risk level of DM type 2 in Sungai Buluh, Padang Pariaman, West Sumatra. This community service activity includes health examination, determining risk levels of risk type 2 DM, and personal education to reduce the risk of type 2 DM. The instrument used to determine the risk of type 2 DM is the Finnish Diabetes Risk Score (FINDRISC). Type 2 DM screening showed that most people had a slightly increased risk 37 people (45.6%), low-risk 26 people (32.1%), high-risk 13 people (16.1%) and very high-risk five people (6.2%). It is hoped that health centers will carry out risk level screening and education on reducing the risk of type 2 DM as a planned and structured activity to increase public awareness to prevent and reduce the risk of type 2 DM.
Implementasi Terapi Progressive Muscle Relaxation (PMR) Untuk Menurunkan Kadar Glukosa Darah Dan Stres Pada Pasien Diabetes Mellitus Tipe 2 Lenggogeni, Devia Putri; Gusty, Reni Prima; Erwanto, Ramadhinda Putri
REAL in Nursing Journal Vol 6, No 3 (2023): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v6i3.2697

Abstract

Hyperglycemia and stress conditions are some of the problems often found in type 2 diabetes mellitus (DM) patients that can worsen the patient's condition. One of the non- pharmacological therapies that can be done to reduce and control blood glucose levels and stress is progressive muscle relaxation (PMR). The implementation of PMR is to determine the effect of PMR therapy on blood sugar levels and stress in patients with type 2 diabetes. The implementation of PMR therapy was carried out for six days every day for 15-30 minutes. Blood sugar levels were measured with a glucometer, and stress was measured with the DASS-42 questionnaire. The results on blood sugar levels was known before the implementation of PMR were 173 mg/dL, while after it was done that blood sugar levels were 98 mg/dL. Furthermore, based on the results of the DASS-42 questionnaire, the patient's stress score before the implementation of PMR was 21, and the stress score after the application of PMR was 15. The results of the implementation of PMR actions showed that PMR therapy is effective in reducing and controlling blood sugar and stress levels of patients with type 2 diabetes, so it can be recommended to patients with type 2 diabetes to apply PMR as additional non-pharmacological therapy to control blood sugar and stress.Keywords: type 2 diabetes mellitus, progressive muscle relaxation, blood glucose, stress
The Effect of Integrated Education on the Knowledge of Hemodialysis Patients EP, Apriria; Gusty, Reni Prima; Lenggogeni, Devia Putri
Indonesian Journal of Global Health Research Vol 6 No 6 (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.v6i6.4149

Abstract

ESRD (End-Stage Renal Disease) patients receive inadequate information regarding fluid and dietary restrictions, and the current educational methods provided by nurses are not optimal and do not fully meet the needs of hemodialysis patients. This study aims to evaluate the effect of integrated education on the knowledge of hemodialysis patients at Raden Mattaher Public Hospital Jambi Method: The study is a quantitative research with a quasi-experimental design and a Pre-Test-Post-Test design. The sample size is 56, with 28 in the intervention group and 28 in the control group, using purposive sampling technique. The intervention group received integrated education for 4 weeks. The instrument used in this study measures knowledge using Curtin's knowledge The questionnaire met validity criteria with a Pearson correlation value > 0.40 and reliability with a Cronbach's alpha value > 0.70. The computerized data analysis results show a significant average difference in the intervention group's knowledge (p < 0.05). Based on this study, integrated education is effective in improving the knowledge of hemodialysis patients. The implementation of an integrated education program is recommended as the standard for educating hemodialysis patients.
Effect of isometric handgrip exercise on blood pressure and comfort among hypertensive patients Veralia, Veralia; Malini, Hema; Gusty, Reni Prima
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.40942

Abstract

Introduction: Hypertension patients with uncontrolled blood pressure will experience some physical complaints. Controlled blood pressure will reduce physical complaints and improve comfort. Physical activity can help in making blood pressure controlled. However, due to limited time and access, many hypertensive patients rarely do some exercise. This study aimed to investigate the Isometric Handgrip Exercise's effect on blood pressure and comfort of hypertension patients. Methods: The research design is a quasi-experimental pre and post-test with the control group. The population was hypertension patients who were members of the chronic program disease, had hypertension pre and grade 1, and no further complication or physical impairment. The sample used unpaired numerical analytical formulas, obtained by 25 patients for each group. The intervention of an Isometric Handgrip was conducted for ten days. In one day, there is one session with 4x3 minutes. Results: The results showed a significant relationship between isometric handgrip exercise with a decrease in blood pressure and increased patient comfort. Conclusions: Isometric handgrip exercise can be an alternative activity for patients that influences helping to maintain stable blood pressure and reduce the physical discomfort