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The Effect of Soursop Leaf Extract in Reducing Pain in Gout Arthritis Dimas Hadi Prayoga; Wimar Anugrah
Journal of Ners and Midwifery Vol 10 No 3 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i3.ART.p321-328

Abstract

Gout arthritis is a disease characterized by pain caused by deposits of monosodium crystals that accumulate in the joints due to high levels of uric acid in the blood. Currently, pain management treatment for gout arthritis patients focuses on pharmacological treatment by providing analgesics to relieve pain. Soursop leaf extract has been proven to have an effect in reducing pain, but there has been no research regarding the effect of boiled soursop leaves to reduce it. The aim of this study was to analyze the effect of giving soursop leaf decoction on reducing pain in gout arthritis patients. The research used a quasi-experimental design with a one group pre-posttest design. The sample selected by using purposive sampling technique, totaling 18 people. The independent variable was soursop leaf decoction. The dependent variable was the pain in gout arthritis. The data analysis used the Wilcoxon Signed Ranks Test statistical test. The compounds contained in soursop leaves function as a strong analgesic (pain reliever) and have antioxidant properties. The antioxidant properties contained in soursop leaves can reduce the formation of uric acid by inhibiting the production of the enzyme xanthine oxidase. This combination of analgesic and anti-inflammatory properties can reduce gout. This study found that there was an effect of giving soursop leaf decoction on reducing pain in gout arthritis patients.
The Influence of Sociodemographic Factors on Stress Levels Among Pulmonary Tuberculosis Patients: A Health Belief Model-Based Study Suhendra Agung Wibowo; Dimas Hadi Prayoga; Ronal Surya Aditya; Apriana Rahmawati; Ifa Nofalia
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.513

Abstract

Pulmonary tuberculosis (TB) imposes not only physical but also substantial psychological burdens, particularly stress, which may compromise treatment adherence and outcomes. While the Health Belief Model (HBM) has been widely applied to predict TB treatment behaviors, its utility in explaining how sociodemographic factors shape stress levels remains underexplored. This cross-sectional study aimed to examine the association between sociodemographic characteristics and stress among 150 pulmonary TB patients in Jombang Regency, Indonesia, using the HBM as a theoretical lens. Stress was assessed using the Depression Anxiety Stress Scale–42 (DASS-42), with 62.7% of participants reporting moderate to severe stress. Chi-square and binary logistic regression analyses revealed that education (p = 0.012; OR = 1.89, 95% CI: 1.10–3.25), marital status (p = 0.021; OR = 1.72, 95% CI: 1.05–2.80), and occupation (p = 0.008; OR = 2.45, 95% CI: 1.30–4.60) were significantly associated with stress levels, whereas age and gender were not (p > 0.05). Occupation emerged as the strongest predictor, with unemployed or informally employed patients more than twice as likely to experience high stress. These findings underscore the role of perceived barriers and self-efficacy—core HBM constructs shaped by sociodemographic context—in influencing psychological distress. Integrating tailored psychosocial support into TB care is essential to mitigate stress and enhance treatment success.
Implementation Of The Tell-Show-Do Method In The Development Of Holistic Learning: Optimizing The Achievements Of 3 Learning Domains (Cognitive, Affective, Psychomotor) zuhroidah, Ida; Sujarwadi, Mokh.; Toha, Mukhammad; Prayoga, Dimas Hadi
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.1460

Abstract

Introduction: Comprehensive competency, the integration of three learning domains (cognitive, affective, and psychomotor), is the primary target for graduates in nursing education. In reality, these three learning domains are often not achieved through conventional learning methods. The Tell-Show-Do method is expected to provide an effective solution for achieving holistic learning simultaneously. The purpose of this study is to analyze the effectiveness of the Tell-Show-Do method in optimizing holistic learning outcomes (cognitive, affective, and psychomotor). Methods: This quasi-experimental study, with a pre-test, post-test, and control group design, involved 122 D3 Nursing students from the Pasuruan City Campus, divided into two groups: treatment (n=61) and control (n=61). Data were analyzed using the Paired Sample T-Test, Independent Sample T-Test, and Mann-Whitney U test, with a significance level of α=0.05. Results: The TSD method showed convincing significance in all three domains: Cognitive (Δ=+7.77, p<0.001, d=2.76), Affective (Δ=+9.72, p<0.001, d=3.47), and Psychomotor (Δ=+10.26, p<0.001, d=3.80). The control group did not show any significant improvement (p>0.05). Conclusions: The Tell-Show-Do method has a significant impact on all three domains of learning outcomes, particularly psychomotor skills. Recommendation: Integrate TSD into the nursing education curriculum.
FROM PREPAREDNESS TO ACTION: STRENGTHENING EMPLOYEE EMERGENCY RESPONSE TROUGH FIRST AID TRAINING Sujarwadi, Mokh; Fitriyah, Agustini; Srengenge, Gawan; Toha, Mukhammad; Zuhroidah, Ida; Prayoga, Dimas Hadi; Laili, Nadia Rohmatul; Zahra , Fatimah
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 8 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v8i1.78441

Abstract

Introduction: Workplace accidents are a serious problem in industrial settings, particularly in high-risk production sectors such as pharmaceutical manufacturing. This community service activity aims to improve employee knowledge and skills in providing First Aid through theory-based and practical training. Methods: The training was conducted at a pharmaceutical company in East Java on August 28, 2025, and lasted 6 hours. Participants consisted of 25 employees purposively selected by company management to represent various divisions. The method used was a one-group pre-test and post-test design, utilizing a closed-ended questionnaire containing 15 multiple-choice questions to assess first aid knowledge, as well as a practical assessment to evaluate participants’ skills. The training covered basic first aid principles and focused on three core skills: basic life support, bandaging, and casualty transportation, delivered through interactive lectures and hands-on simulations using standard first aid equipment. Results: A significant improvement in both participants’ knowledge and practical skills after the training. The mean knowledge score increased from 12.36 (pre-test) to 14.27 (post-test), representing an increase of 1.95 points. Conclusion: First aid training was effective in improving both the knowledge and practical skills of employees. A notable increase in knowledge scores, along with enhanced competencies in basic life support, bandaging, and casualty transportation, indicates that the training successfully strengthened participants’ preparedness and ability to respond to emergency situations. These findings highlight the importance of integrating structured first aid training programs in the workplace to improve emergency response capacity. KEYWORDS employees; first aid; occupational safety; training; work accidents
PENINGKATAN KESIAPSIAGAAN KELUARGA PASIEN STROKE MELALUI APLIKASI SIGAP BERBASIS FAST Prayoga, Dimas Hadi; Sujarwadi, Mokh.; Zuhroidah, Ida
Jurnal Pemberdayaan Masyarakat Nusantara Vol 4 No 1 (2026): Jurnal Pemberdayaan Masyarakat Nusantara | Maret - Mei 2026
Publisher : PT. NAFATIMAH GRESIK PUSTAKA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stroke merupakan kondisi kegawatdaruratan neurologis yang membutuhkan penanganan cepat karena keterlambatan deteksi dapat meningkatkan risiko kecacatan dan kematian. Rendahnya kesiapsiagaan keluarga pasien dalam mengenali gejala awal stroke menjadi salah satu penyebab keterlambatan pengambilan keputusan untuk memperoleh pertolongan medis. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan kesiapsiagaan keluarga pasien stroke melalui aplikasi SIGAP berbasis metode FAST (Face drooping, Arm weakness, Speech difficulties, Time to call emergency) di RSUD dr. R. Soedarsono Kota Pasuruan. Metode yang digunakan berupa pendekatan edukatif-partisipatif melalui penyuluhan kesehatan, pelatihan deteksi dini stroke menggunakan metode FAST, simulasi kegawatdaruratan, pendampingan penggunaan aplikasi SIGAP, serta evaluasi melalui pre-test dan post-test. Program ini ditujukan kepada keluarga pasien stroke sebagai pengambil keputusan utama dalam kondisi kegawatdaruratan. Pelaksanaan kegiatan menunjukkan peningkatan pemahaman keluarga mengenai tanda dan gejala stroke, konsep time is brain, kemampuan melakukan deteksi dini, serta kesiapan mengambil keputusan cepat untuk mencari pertolongan medis. Pemanfaatan aplikasi SIGAP berbasis FAST menjadi media edukasi digital yang mendukung peningkatan literasi kesehatan keluarga secara berkelanjutan sehingga berpotensi menurunkan keterlambatan penanganan stroke.
Enhancing Wound Repair With Carica Papaya -Based Formulation: A Pretest-Posttest Control Group Trial Mokh. Sujarwadi; Mukhammad Toha; Ida Zuhroidah; Rondhianto Rondhianto; Dimas Hadi Prayoga; Fatimah Zahra; Nadia Rohmatul Laili
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.652

Abstract

Background: Natural products are increasingly favored in wound care due to concerns about antibiotic resistance and side effects of synthetic drugs. Carica papaya L., a tropical plant native to Central America and widely grown in Indonesia, contains bioactive compounds with properties essential for tissue repair. This study tests whether a topical Carica papaya formulation speeds up wound healing by measuring granulation and epithelialization. Methods: Using a quasi-experimental design. A total of 50 participants were divided into a control (standard wound care) and a treatment group (standard care + C. papaya extract). Analysis used the Paired T test. Result: Paired t-tests indicated no significant changes in the control group (p = 1.00). In contrast, the treatment group demonstrated statistically significant improvements in granulation (pre: 0.44 ± 0.51; post: 1.56 ± 0.51; t = -9.35, p < 0.001) and epithelialization (pre: 0.68 ± 0.47; post: 1.72 ± 0.46; t = -10.25, p < 0.001). Independent-samples t-tests confirmed significant differences between groups after the intervention (granulation: t = -9.35, p < 0.001; epithelialization: t = -10.25, p < 0.001). These results support the incorporation of C. papaya extract into evidence-based complementary wound management protocols. Conclusion: Carica papaya extract significantly enhances wound healing, promoting granulation and epithelialization. Thus, it may serve as an effective adjunctive therapy in clinical wound management.
Co-Authors Ady Saputra, Alfian Ahmad Basri Ali Mujib, Bagus Antoh, Novalia Apriana Rahmawati Apriana Rahmawati Aria Aulia Nastiti Ayatulloh, Daviq Ayu Dewi Nastiti Basri, Ahmad Hasan Bernadetta Germia Aridamayanti Diana Nurmala Yulianasari Diana, Meli Eka Mishbahatul Mar'ah Has Eko Prasetya Widianto Eska Distia Permatasari Fahmi Rizka Laily, Nurul Fatimah Zahra Fatimah Zahra Fitriyah, Agustini Hasan Basri, Ahmad Ida Trisnawati Ifa Nofalia Jumiati, Silvianingsih Kaonang, Mahardika Putri Khalifatus Zuhriyah Alfianti Kiki Widyasari Kisworo, Bayu Koesoemo, Rizki Fitryasari Patra Kusuma Wijaya Ridi Putra Laili, Nadia Rohmatul Lilis Fatmawati Maria Fransiska Ronalia Mnemonica Rosadi, Elda Mokh. Sujarwadi Mony, Ali Mukhammad Toha Natalia Christin Tiara Revita Nora Ervina, Icha Novitasari, Adelia Nurhanifah Mawarni Nursalam Nursalam Priyantini, Diah Rahmania, Nima Eka Nur Retno Twistiandayani Retno, Retno Twistiandayani Riesmiyatiningdyah, Riesmiyatiningdyah Rizka Laili, Nurul Fahmi Rohmawati, Nina Rizka Romadhon, Wimar Ronal Surya Aditya Rondhianto Rondhianto Roshida, Devy Syanindita Roufuddin, Roufuddin Siti Helmyati Srengenge, Gawan Sri Wilujeng Suhendra Agung Wibowo Sujarwadi, Mokhammad Sulistyowati, Agus Tiara R, Natalia Christin Triharini, Mira Wahid Hasim Wasilaningrum, Dwi Mardianti Widoyanti, Virki Wijayanti, Dini Prastyo Wijayati, Lilik Wimar Anugrah Wulandari, Eka Ananda Agustina Lilis Yeni Kartika Sari, Yeni Kartika Yobel, Sosilo Yuliansyah, M Hafid Yuni, Ika Zahra , Fatimah Zuhroidah, Ida