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Implementasi Manajemen Nyeri Menggunakan Stretching Exercise pada Asuhan Keperawatan Keluarga Lansia dan Pensiunan dengan Masalah Nyeri Sendi Mentari, Delia; Fradianto, Ikbal; Tafwidhah, Yuyun
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14426

Abstract

ABSTRACT Joint disease is a disorder characterized by pain in the joints, accompanied by stiffness, redness, and swelling. This condition is not caused by trauma or accidents but by inflammation in the joints. Approximately 335 million people worldwide are affected by joint disease. Some common types of joint diseases include osteoarthritis, pain due to high levels of uric acid (hyperuricemia) in both acute and chronic forms, as well as rheumatoid arthritis. Joint pain is often associated with aging or known as a degenerative disease, thus the prevalence of joint pain in the elderly continues to increase each year. One therapy that can be used to alleviate joint pain is muscle stretching exercise or stretching exercise. This method helps maintain muscle flexibility and strength, thereby reducing tension in the joints and relieving pain. Implements pain management using stretching exercises in family nursing care of elderly and retired families with joint pain problem. The case study was conducted in a family at the developmental stage of the elderly and retirees with joint pain problems which were carried out in the working area of the Kampung Bangka Pontianak Community Health Center with a frequency of 6 meetings. The instruments that are used were SOP stretching exercise checklist sheets and pain scale measurement using the Numerical Rating Scale (NRS). After the implementation of the stretching exercise demonstration for 4 meetings, there was a decrease in the pain scale experienced by respondents from the previous 7 scale (severe pain) to 3 scale (mild pain). Respondents and families were able to remember and demonstrate the stretching exercises that had been taught. The implementation of stretching exercise demonstrations to families of the elderly and retirees with joint pain problems can reduce the pain scale that the elderly felt, so it is hoped that the elderly are able to do stretching exercises independently or with family support. Keywords: Stretching, Joint Pain, Family, Elderly  ABSTRAK Penyakit sendi merupakan gangguan yang ditandai dengan nyeri pada persendian, disertai kekakuan, kemerahan dan pembengkakan. Kondisi ini bukan disebabkan oleh benturan atau kecelakaan, melainkan oleh peradangan pada sendi. Penyakit sendi ini dialami oleh sekitar 335 juta penduduk di seluruh dunia. Beberapa jenis penyakit sendi yang umum adalah osteoarthritis, nyeri akibat tingginya kadar asam urat (hiperurisemia) baik dalam bentuk akut maupun kronis, serta rematoid arthritis. Nyeri sendi seringkali dikaitkan dengan pertambahan usia atau dikenal sebagai penyakit degeneratif, sehingga prevalensi nyeri sendi pada lansia terus meningkat setiap tahunnya. Salah satu terapi yang dapat digunakan untuk mengatasi nyeri sendi adalah latihan peregangan otot atau stretching exercise. Metode ini membantu menjaga fleksibilitas dan kekuatan otot, sehingga dapat mengurangi ketegangan pada sendi serta mengurangi rasa nyeri. Mengimplementasikan manajemen nyeri menggunakan stretching exercise pada asuhan keperawatan keluarga lansia dan pensiunan dengan masalah nyeri sendi. Studi kasus dilakukan pada satu keluarga tahap perkembangan lansia dan pensiunan dengan masalah nyeri sendi yang dilaksanakan di wilayah kerja Puskesmas Kampung Bangka Pontianak dengan frekuensi pertemuan sebanyak 6 kali. Instrumen yang digunakan yaitu lembar ceklist SOP stretching exercise dan lembar pengukuran skala nyeri menggunakan Numerical Rating Scale (NRS). Setelah implementasi demonstrasi stretching exercise selama 4 kali pertemuan, terjadi penurunan skala nyeri yang dialami responden dari yang sebelumnya skala 7 (nyeri berat) menjadi skala 3 (nyeri ringan). Responden dan keluarga mampu mengingat dan mendemonstrasikan kembali stretching exercise yang sudah diajarkan. Pemberian implementasi demonstrasi stretching exercise pada keluarga lansia dan pensiunan dengan masalah nyeri sendi dapat menurunkan skala nyeri yang dirasakan lansia, sehingga diharapkan lansia mampu melakukan stretching exercise secara mandiri atau dengan dukungan keluarga. Kata Kunci: Stretching, Nyeri Sendi, Keluarga, Lansia 
PENCEGAHAN DAN PENGENDALIAN HIPERTENSI BAGI MASYARAKAT DESA PUNGGUR KECIL Ligita, Titan; Pramana, Yoga; Lili Neri, Ervina; Harlia Putri, Triyana; Rahmawati, Nadia; Kholid Fahdi, Faisal; Tafwidhah, Yuyun; Arfandy, Firza
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 7, No 4 (2024): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v7i4.1402-1406

Abstract

Kejadian hipertensi di Desa Punggur kecil tidak dapat diabaikan sehingga menjadi masalah kesehatan masyarakat yang perlu diperhatikan melalui pengenalan tanda dan gejala hipertensi dengan tepat. Ketepatan pencegahan penyakit hipertensi dilakukan melalui kegiatan edukasi dan skrining yang tepat bagi masyarakat yang berisiko mengalami hipertensi. Kegiatan pengabdian Masyarakat ini melibatkan sejumlah lebih dari 40 masyarakat berusia lanjut. Selain itu, yang turut hadir dalam kegiatan ini adalah petugas Puskesmas dan para kader posyandu. Kegiatan pengabdian Masyarakat diawali dengan pre-tes dan dilanjutkan dengan pemutaran video edukasi mengenai pengendalian tekanan darah (hipertensi). Para peserta mengerjakan soal post test setelah mendapatkan edukasi. Terdapat peningkatan nilai rata-rata pada post test (baik) dibandingkan dengan nilai rata-rata pada pre-test (cukup). Masyarakat usia lanjut ini juga mengikuti senam jari dan pemeriksaan tekanan darah. Dari hasil pemeriksaan tekanan darah, sebagian besar peserta edukasi masuk dalam kategori Hipertensi Tingkat II. Tim pengabdian kepada Masyarakat ini pun memberikan alat pemeriksaan tekanan darah kepada kader untuk dapat dipergunakan dalam kegiatan pemeriksaan saat berlangsung Posyandu Lansia.
UKS REBORN: MENUJU SEKOLAH SEHAT, GENERASI BANGSA SEHAT Tafwidhah, Yuyun; Fradianto, Ikbal; Mita, Mita
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 7, No 7 (2024): MARTABE : JURNAL PENGABDIAN MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v7i7.2570-2576

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Usaha Kesehatan Sekolah (UKS) telah lama menjadi program penting dalam mewujudkan generasi sehat di Indonesia. UKS hadir untuk mendukung terwujudnya proses belajar mengajar yang optimal. Hal ini tidak hanya memastikan bahwa aspek kesehatan fisik dan mental siswa terjaga, tetapi juga mendukung pembentukan karakter peserta didik sebagai bagian dari penanaman nilai-nilai profil pelajar Pancasila. Meskipun telah lama dicanangkan, pelaksanaan UKS masih dihadapkan pada berbagai permasalahan baik dari faktor internal maupun eksternal. Akibatnya, kegiatan trias UKS tidak dapat dilakukan dengan optimal. Sebagai upaya untuk memperkuat dan meningkatkan efektivitas program UKS, diperlukan revitalisasi UKS dengan melibatkan seluruh pemangku kepentingan. Metode yang digunakan yaitu brainstorming dan Focus Group Discussion (FGD) yang melibatkan ketua yayasan, kepala sekolah, guru, komite dan siswa. Hasil yang diperoleh yaitu terbentuknya struktur organisasi UKS dan rencana tindak lanjut dalam pelaksanaan UKS. Simpulan yang dapat diambil yaitu pentingnya manajemen UKS sebagai langkah awal dan kunci utama dalam mewujudkan sekolah sehat. Diharapkan revitalisasi UKS dapat memberikan kontribusi nyata dalam menciptakan lingkungan belajar yang sehat dan mendukung perkembangan potensi peserta didik dengan karakter yang mulia.
Basic life support knowledge among nurses at public health center in rural Banten Province, Indonesia Priyo Sasmito; Mikawati Mikawati; Fika Indah Prasetya; Yetti Syafridawita; Nunuk Sri Purwanti; Yuyun Tafwidhah; Mochamad Budi Santoso; Nisa Arifani
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i6.13096

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Background: Public Health Center (PHC) is one of the primary healthcare facilities that has an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients, especially in rural areas. Nurses are an important component of health workers in PHC. Basic Life Support (BLS) knowledgeis the basic component of building a qualified resuscitation.Purpose: To analyze the relationship between demographic characteristics of PHC’s nurses in a rural area and their knowledge about BLS.Method: An observational analytical study with a cross-sectional approach involved 32 PHC nurses with total sampling techniques. The data was analyzed with the Spearman Rho and Fisher Exact test.Results: 32 nurses were involved. Most respondents are male (18/56.25%), have a Diploma educational background (23/71.88%), and non-government employees (24/75%). The average age of respondents was 34.75 years, and the average worked for 9.25 years. The level of knowledge of BLS was mostly more than 56% (25/78.1%). The knowledge average was 74.06+ 8.93 with a median of 75 anda score range of 50-85. Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS. Age and length of work variables have a significant correlation with knowledge. Calculated rs was -0.043 with a p-value of 0.008 (α 0.05) for age and rs value of -0.353 with a p-value of 0.024 (α 0.05) for length of work.Conclusion: Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS.There is a sufficient and significant relationship between the age and length of workwith knowledge of BLS with the opposite direction of the relationship.The older and longer a nurseworks, the lowerthe nurse’s knowledge of BLS.  Routine BLS training sessions or emergency drills in PHC both online and offline can be some solution in partnership with emergency organizations and nearby referral hospitals.
The Relationship Of Family Support And Elderly Activities In Posyandu With The Quality Of Life Of Elderly In The Working Area Of Pal Tiga Pontianak City Health Center Fatya Rahmah; Yoga Pramana; Yuyun Tafwidhah
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4428

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Background: The rapidly growing elderly population faces multiple challenges affecting quality of life, including physical, cognitive, social, and mental decline. Family support and participation in Elderly Posyandu (Integrated Health Post) are considered important factors influencing elderly quality of life, yet their specific relationships in Indonesian urban settings remain underexplored. Objective: This study aimed to analyze the relationships between family support, elderly activity levels in Posyandu, and quality of life among elderly individuals in the working area of Puskesmas Pal Tiga, Pontianak City. Method: A correlational study with a cross-sectional design was conducted using a purposive sampling technique. The sample consisted of 84 elderly individuals aged 60 years and above registered at Posyandu Lansia Asoka. Data were collected using validated questionnaires measuring demographic characteristics, family support, and quality of life, along with attendance records. Data analysis employed the Spearman rank correlation test with a significance level set at p < 0.05. Results: Among respondents, 98.8% received good family support, 56% were active Posyandu participants, and 97.6% reported good quality of life. Statistical analysis revealed a significant positive relationship between family support and quality of life (r = 0.703, p = 0.000), but no significant relationship between elderly activity levels in Posyandu and quality of life (r = 0.019, p = 0.866). Conclusion: Family support significantly influences elderly quality of life, while Posyandu attendance frequency alone does not directly correlate with quality of life outcomes, suggesting the need for enhanced service quality and family-centered interventions.
PENINGKATAN PENGETAHUAN SANTRI SEBAGAI UPAYA PEMBIASAAN PERILAKU HIDUP BERSIH DAN SEHAT Yuyun Tafwidhah; Triyana Harlia Putri
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 8 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i8.2849-2856

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Pondok pesantren memiliki permasalah kesehatan diantaranya memiliki beberapa kesamaan dibandingkan dengan kondisi yang di alami anak sekolah pada umumnya. Akar permasalahan kesehatan tersebut berawal dari kurangnya budaya dalam penerapan PHBS oleh santri. Padahal siswa yang berada pada tahap perkembangan remaja merupakan usia efektif dalam menanamkan perilaku hidup bersih dan sehat. Sebagai Upaya untuk meningkatkan pengetahuan santri dalam menerapkan perilaku hidup bersih dan sehat merupakan tujuan dari kegiatan ini. Metode peningkatan pengetahuan dilakukan dengan mendidik 33 santri dengan teknik ceramah, diskusi, dan demonstrasi. Materi yang disampaikan berupa 8 indikator perilaku hidup bersih dan sehat di sekolah dengan menggunakan media audio visual dan alat peraga. Evaluasi dilakukan dengan kuesioner yang diberikan sebelum dan sesudah pelaksanaan pendidikan. Hasil pre-test menunjukkan rata-rata pengetahuan siswa tentang perilaku hidup bersih dan sehat adalah 34 sedangkan post-test adalah 77. Hasil analisis menemukan bahwa terdapat perbedaan yang signifikan dalam peningkatan pengetahuan dengan nilai 0,000 yang berarti lebih kecil dari p-value 0,005, sehingga dapat disimpulkan pemberian edukasi PHBS teruji dapat menambah pengetahuan pada peserta didik. Adanya peningkatan informasi oleh santri yang berada di Pasantren, dapat menjadikan perilaku hidup bersih dan sehat sebagai kebiasaan sehari-hari.
Nurse Job Satisfaction: Perspectives from Salary, Mentorship to Career Development Yuyun Tafwidhah; Muhammad Ali Maulana; I Made Moh. Yanuar Saifudin
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.1295

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Nurse job satisfaction is an important determinant of workforce stability, quality of care, and organizational performance. Teaching hospitals present a distinctive work environment due to their dual role in the delivery of healthcare services and clinical education, which may influence nurses perceptions of satisfaction differntly. This study aimed to explore nurses job satisfaction in a teaching hospital and to examine motivational and hygiene related factors associated with job satisfaction based on Herzberg’s two factor theory. A quantitaive descriptive study was conducted among 69 nurses at a teaching hospital in Pontianak City, Indonesia. Participants were recruited using concecutive sampling. Data were collecting using an online questionnair based on Herzberg’s motivation hygiene framework. Descriptive statistik and Spearman correlation anayses were performed. Most nurses reported being satisfied with their job. Hygiene-related factors, particularly the alignment of pay and incentives with workload and the timeliness of payment, showed the strongest relationship with job satisfaction. Motivational factors, including career development and supervisor evaluation showed a moderate relationship. Nurses’ job satisfaction in the teaching hospital setting is primarily associated with compensation-related factors, followed by career development and supervisory support. This study contributes empirical evidence on the relevance of Herzberg’s two-factor theory in understanding nurse job satisfaction within the teaching hospital context.
DUKUNGAN DAN HAMBATAN DALAM PELAKSANAAN PRAKTIK PERAWATAN KESEHATAN MASYARAKAT (PERKESMAS): A SYSTEMATIC REVIEW Yuyun Tafwidhah; Triyana Harlia Putri
Viva Medika Vol 16 No 4 (2023)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1235

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Public health care (perkesmas) is one of the activities organized by puskesmas to improve the degree of public health and as an effort to increase the reach of health services and program coverage. Perkesmas needs to pay attention to support and obstacles to determine the right strategy for its management. The purpose of this systematic review is to determine the support and obstacles in the implementation of perkesmas. The literature search method is carried out on the PubMed, Science Direct, and Mendeley databases published in 2019 – 2023, the results of original research and articles can be accessed in full text. The keywords used in the search were 'community nurses', 'community nursing', and 'community nursing management'. The results show the required nurse competence not only in nursing but also in non-nursing. Management support is carried out to improve inter- and interprofessional cooperation. Barriers encountered include poverty, homelessness, poor health literacy, language, limited access to health services to lack of stakeholder attention. Conclusions in the management of perkesmas can pay attention to the support and obstacles identified.
Analysis of The Relationship Between Instant Noodle Consumption and Physical Activity with Adolescent Nutritional Status at MTS Al-Madani Pontianak Virgilius Phasacola Tiko Kafaso; Yuyun Tafwidhah; Yoga Pramana
Viva Medika Vol 17 No 2 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1474

Abstract

Indonesia continues to experience nutritional problems across all age groups, including adolescents.. High consumption of instant noodles and the prevalence of a sedentary lifestyle can impact adolescents' nutritional status. Healthy adolescents are an investment in the nation's future; therefore, it is crucial to maintain good nutrition by regulating consumption patterns and activity levels. The aim of this study was to examine the relationship between instant noodles consumption, physical activity, and nutritional health among adolescents. This quantitative research utilized a cross-sectional approach, with 112 respondents from grades 7 and 8 at MTs Al-Madani Pontianak selected via total sampling method, meeting both exclusion and inclusion criteria. Data were collected using a food frequency questionnaire and a physical activity questionnaire. Statistical analysis employed Kendall Tau test to understand the association between instant noodles consumption, physical activity, and nutritional status. The bivariate analysis results showed a significance value of p (0.292) for the frequency of instant noodles consumption and nutritional status, and p (0.709) for physical activity and nutritional status. The study's findings indicated no significant relationship.