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UPAYA PEMBERDAYAAN KELUARGA DALAM MENGATASI KECEMASAN DENGAN INTRADIALITIK EXERCISE DAN FOOT HAND MASSAGE UNTUK PENINGKATAN KUALITAS HIDUP PADA PASIEN GAGAL GINJAL YANG DILAKUKAN HEMODIALISIS DI RSUD. DR. SOEDOMO TRENGGALEK Hariyanto, Awan; Christiani, Mimik; Subekti, Arik
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 7 No. 1 (2023): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v7i1.3767

Abstract

Renal failure is an end-stage renal disease that needs proper treatment. Hemodialysis is one of the final options for treating kidney failure, however, this action can cause saturation and anxiety which can affect vital sign stability and can also affect the success of hemodialysis. Family empowerment in an effort to overcome anxiety can be done with Intradialytic Exercise and Foot Hand Massage as an effort to improve the quality of life of family members. This community service method includes health education, family involvement in intradialytic exercise and foot hand massage, measurement of family empowerment to overcome anxiety is observed based on blood pressure, pulse, respiration and anxiety levels. Family empowerment with the implementation of health education is very effective in increasing the knowledge of 30 participants after health education 24 family members knowledge increased well, family involvement in intradialityc exercise and foot hand massage from 30 family members response to anxiety systole blood pressure from 25 family members blood pressure more than 140mmHg decreased to 12 people, 29 family members stable respiration 16-20x/min, stable pulse 60-80x/min there were 16 family members, and there was a decrease in anxiety levels. Family empowerment in Intradialytic exercise and foot hand massage has a positive impact on vital signs, reduces anxiety and can improve the quality of life of hemodialysis patients
PEMBERDAYAAN MASYARAKAT PEDULI STROKE DENGAN PEMBENTUKAN RINTISAN PUSAT HOME CARE STROKE DAN PELATIHAN HOME CARE STROKE DI KOTA TRENGGALEK hariyanto, awan; Christiani, Mimik; Niningasih, Rahayu
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 8 No. 1 (2024): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v8i1.4208

Abstract

Stroke is a disease with a sudden onset and causes death and disability both in urban and rural areas. The consequences of a stroke in the community include paralysis of the upper and lower limbs, vision problems, difficulty speaking and difficulty swallowing, while the psychological impacts that can occur are frustration and irritability. Stroke home care services providing nursing care to stroke patients after post-hospital treatment with home care are very much needed by the family. This community service method includes holding Focus Group Discussions with stakeholders and training for stroke home care cadre participants. The offline home care stroke training method of bedside teaching is very effective in increasing knowledge and care skills for stroke patients from 12 cadre participants. After the training, 91.6% of cadre participants' knowledge of skills improved well. From the results of the Focus Group Discussion, the formation of stroke home care is really needed in society in form health facilities with permits in accordance with applicable regulations. Empowerment of the Stroke Care Community in Efforts to Establish Stroke Home Care which is carried out through training is very effective in increasing knowledge and understanding skills in stroke home care care and its establishment and operation requires in the form of health facilities with permits in accordance with applicable regulations.
PEMBERDAYAAN MASYARAKAT PEDULI STROKE DENGAN PEMBENTUKAN RINTISAN PUSAT HOME CARE STROKE DAN PELATIHAN HOME CARE STROKE DI KOTA TRENGGALEK Awan, Awan Hariyanto; Christiani, Mimik; Niningasih, Rahayu
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol 3 No 2 (2024): SPIKesNas Mei 2024
Publisher : STIKES dan AKZI Karya Husada Kediri

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

Abstract

Stroke is a disease with a sudden onset and causes death and disability both in urban and rural areas. The consequences of a stroke in the community include paralysis of the upper and lower limbs, vision problems, difficulty speaking and difficulty swallowing, while the psychological impact that can occur is frustration and irritability which requires treatment after a stroke. Stroke home care services providing nursing care to stroke patients after post-hospital treatment with home care are very much needed by the family. This community service method includes holding Focus Group Discussions with stakeholders and training for stroke home care cadre participants. The offline home care stroke training method, bedside teaching, was very effective in increasing the knowledge and skills of caring for stroke patients among the 12 cadre participants. After the training, 91.6% of the cadre participants' knowledge of skills increased well. From the results of the Focus Group Discussion, the formation of stroke home care is very much needed in the community. form health facilities with permits in accordance with applicable regulations. Empowering the Stroke Care Community in Efforts to Establish Stroke Home Care which is carried out through training is very effective in increasing knowledge and understanding skills in stroke home care care and its establishment and operation requires in the form of health facilities with permits in accordance with applicable regulations.    
EFFECT OF APPLYING SLOW DEEP BREATHING TECHNIQUE WITH YLANG AROMATHERAPY ON LOWERING BLOOD PRESSURE AND ANXIETY LEVELS: PENGARUH PENERAPAN TEKNIK SLOW DEEP BREATHING DENGAN AROMATERAPI KENANGA TERHADAP PENURUNAN TEKANAN DARAH DAN TINGKAT KECEMASAN Christiani, Mimik; Ixora, Ixora; Rahmawati, Putri Sintya
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4312

Abstract

In stroke sufferers, anxiety can trigger an increase in blood pressure. A slow deep breathing exercise is an action carried out consciously to regulate breathing slowly and deeply to create a relaxing effect. One of the relaxation techniques is giving aromatherapy in the sufferer's environment it can create a comfortable atmosphere and provide a positive influence. The research aimed to determine the effect of applying the slow deep breathing technique with ylang-ylang aromatherapy to reduce blood pressure and anxiety levels in stroke patients in the Stroke Unit of Dr Soedomo Trenggalek Hospital. The design of this research was descriptive and quantitative with experimentation. The research was carried out using the Intact Group Comparison pre-experiment method by dividing the variables into two groups, namely the experimental group and the control group. The statistical test resulted in the slow deep breathing exercise group with ylang-ylang aromatherapy affected reducing systolic and systolic blood pressure with a p-value of 0.000 (<0.05) and the statistical test resulted on the slow deep breathing exercise group showed a change in reducing systolic blood pressure and diastolic with a p-value of 0.000 (<0.05). Based on the result, it was concluded that there were differences in the average reduction in blood pressure and anxiety levels between the exercise intervention groups slow deep breathing with Ylang Ylang aromatherapy and the slow deep breathing exercise intervention group. The use of slow deep breathing using Ylang Ylang aromatherapy was more effective in reducing blood pressure and anxiety levels experienced by patients.
Pemberdayaan Masyarakat Bagi Kader Lansia Dalam Penguatan Ems (Emergency Medical System) Psc (Public Safety Center) 119 Dalam Peningkatan Manajemen Prehospital Pasien Stroke Di Desa Karangsoko Di Wilayah Kerja Puskesmas Trenggalek Kabupaten Trenggalek Yuswantoro, Edi; Ixora, Ixora; Christiani, Mimik
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 8 No. 2 (2024): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v8i2.4191

Abstract

Stroke ( CVA) is the second leading cause of death and the third leading cause of disability in the world. The increase in death and disability rates is caused by delays in treating stroke due to hospital delays. The result of the study showed that the time from the onset of a stroke to a visit to the hospital was the biggest contributor to delays in stroke treatment from the start of the attack, a preliminary study conducted at the trenggalek community health center in 2020 showed that the number of stroke incidents in the trenggalek community health center work area tended to increase from 131 cases in 2020 to i43 cases and 51 cases (36%) came from karangsoko village. The incidence of hypertension in karangsoko village is the highest, namely 335 cases (30%) out of 1.136 cases. Data on the incidence of hypertension shows that residents are at risk of stroke. Hypertension is the most important and consistent risk factor. The introduction of stroke and activation of the emergency medical system (EMS) through detection, dispatch and delivery for prehospital stroke treatment is expected to reduce the number of disabilities and deaths due to stroke attacks due to delays in the prehospital emergency medical system (PSC) is the main part of the SPGDT which organizes coordination and emergency services located at the city district level, based on this description, it is necessary to carry out community service regarding strengthening the EMS ( Emergency medical system) PSC (Public safety center) 119 in improving the prehospital management of stroke patients in karangsoko village.
KAJIAN KEBUTUHAN LAYANAN HOME CARE PADA PASIEN POST HOSPITAL STROKE Hariyanto, Awan; Christiani, Mimik; Niningasih, Rahayu
Jurnal Keperawatan Karya Bhakti Vol. 11 No. 2 (2025)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.234

Abstract

Abstrak Stroke merupakan defisit neurologis yang dikaitkan dengan adanya cedera fokal akut dari sistem saraf pusat (SSP) dan merupakan penyebab utama kecacatan dan kematian di seluruh dunia. Dampak yang ditimbulkan stroke adalah terjadi kelumpuhan anggota gerak atas maupun bawah, gangguan penglihatan, sulit bicara dan sulit menelan, dan dampak psikologis yang bisa terjadi adalah frustasi dan mudah tersinggung yang membutuhkan perawatan lanjutan pasca perawatan post hospital. Perawatan post hospital dapat berupa pelayanan baik medis maupun perawatan secara umum dalam bentuk home care untuk pemulihan dan mempertahankan kesehatan .pasien stroke .Desain penelitian menggunakan deskripstif kuantitatif , teknik pengambilan sampel dengan purposive sampling, jumlah sampel yang digunakan 30 responden. Analisis data menggunakan prosentase distrbusi frekuensi. Kebutuhan layanan home care pada pasien post hospital stroke yang dibutuhkan yaitu pemeriksaan medis secara umum, pemeriksaan cek tekanan darah rutin, layanan laboratorium sederhana cek asam urat, gula darah dan cholesterol, penyuluhan tentang diet makanan stroke, fisioterapi pasca serangan stroke, senam stroke sesuai kondisi pasien dirumah, layanan konsul ke dokter spesialis, layanan pijat relaksasi dan layanan penguatan spiritual. Pasien post hospital stroke membutuhkan layanan lanjutan home care stroke baik layanan medis oleh dokter maupun layanan perawatan.