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Assessing the Impact of Visual Educational Interventions on User Adoption of Electronic Medical Records in the Inpatient Ward of RSUD Dr. Soeselo, Tegal Regency Prihati, Eko; Arso, Septo Pawelas; Agushybana, Farid
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.679

Abstract

Aims: Electronic medical records (EMRs) are information systems used to store and manage patients' medical information electronically. Despite being a well-established technology, their implementation often faces resistance, particularly in terms of users' readiness to adapt to new technologies. This study aims to evaluate the acceptance of EMRs among healthcare professionals in the inpatient installation of RSUD Tegal. Methods: The study employed a Quantitative Pre-Experimental method with a One group Pre-test Post-test experimental design. It assessed changes or differences in user acceptance by examining attitudes and behavioral intentions of users before and after learning through video-based instruction. Pre-test and post-test questionnaires were used for data collection. Results: Data analysis revealed an Asymp.Sig. value of 0.000, which is less than 0.05. This indicates that Ho (the null hypothesis) is rejected, suggesting a difference in the average results of the Pre-test on the six variables related to user acceptance of EMRs. Similarly, the Friedman Test Post-test yielded an Asymp. Sig. value of 0.000, also less than 0.05. This further supports the rejection of Ho, indicating a difference in the average results of the six variables. Additionally, the influence of video-based learning on behavioral intentions to use EMRs was determined with a Wilcoxon Signed Ranks Test, resulting in an Asymp.sig (2-tailed) value of 0.000. Conclusion: The study found that there is an increase in behavioral intentions to use EMRs after learning through video-based methods.
COMBINATION TENDON AND NERVE GLIDING EXERCISE WITH NEURODYNAMIC MOBILIZATION TO IMPROVE HAND FUNCTION IN CARPAL TUNNEL SYNDROME PATIENT: A CASE REPORT Sekaringtyas, Dyah; Susilo, Taufik Eko; Prihati, Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (617.972 KB)

Abstract

Introduction: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity caused by compression of the median nerve with an overall prevalence in the general population of 5.3% for women and 2.1% for men. In general, CTS will cause pain, neurological symptoms, and decreased functional ability and can interfere with daily activities. Treatment of carpal tunnel syndrome (CTS) can be done by giving a physiotherapy program, one of which is exercise. The purpose of this study was to determine the effectiveness of the combination of tendon and nerve gliding exercise with neurodynamic mobilization on increasing functional activity in patients with Carpal Tunnel Syndrome (CTS). Case Presentation: A 19-year-old woman came with a diagnosis of Carpal Tunnel Syndrome Dextra. She had a tingling sensation in his 1,2,3 and 4th half finger with carpal compression and a positive Phalen test. The patient was given a combination of tendon and nerve gliding exercise with neurodynamic mobilization for 6 weeks face-to-face and was evaluated. Management & Outcome: The patient showed good adherence to the program and achieved the desired goal within 6 weeks of therapy. The patient showed improvement (in pain, range of motion, and hand function. Tendon and nerve gliding exercise combined with neurodynamic mobilization was effective in improving clinical symptoms in patients with CTS. Discussion: Several recent pieces of literature state nerve and tendon gliding exercise as an alternative intervention in conservative management of CTS. Nerve and tendon gliding exercise is a joint and tendon mobilization exercise program that can be applied by performing several movements of the hands and wrists. This case report combines neurodynamic mobilization. This Exercise Program was carried out for 6 sessions and after 6 weeks of close monitoring and guidance of a combined training program. Overall, the results of this case report for CTS-related disorders and clinical symptoms showed significant results for improving hand function in CTS patients. Conclusions: A combination of tendon and nerve gliding exercise with neurodynamic mobilization is effective for improving hand function in CTS patients.
MANAGEMENT OF TENS AND NEURAL MOBILIZATION EXERCISE IN CASES OF ISCHIALGIA/SCIATIC PAIN DEXTRA AT RSUD SOESELO SLAWI Zain, Dhia Fikri; Susilo, Taufik Eko; Prihati, Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.425 KB)

Abstract

Ischialgia/sciatic pain adalah kondisi dimana pasien mengalami nyeri atau paresthesia pada saraf skiatik atau akar saraf lumbosacral.Tujuan yang ingin di capai yakni untuk mengetahui manfaat dari Trans Electrical Nerve Stimulation dan Neural mobilization untuk mengurangi nyeri pada ishialgia/sciatic pain dextra. Hasil yang di peroleh setelah melakukan terapi sebanyak 5 kali pertemuan terdapat penurunan nyeri tekan pada ischiadicus dextra T1: 4 menjadi T5: 2, adanya penurunan paresthesia pada n.ischiadicus dextra T1: 6 menjadi T5: 4.Untuk peningkatan kemampuan aktivitas fugsional didapatkan T1: 40% menjadi T5: 30%. Pemberian modalitas Transcutaneus Electrical Nerve Stimulation dan neural mobilization exercise dapat mengurangi nyeri dan paresthesia n.ischiadicus serta meningkatkan kemampuan aktivitas fungsional pada kasus ishialgia/sciatic pain dextra.
Studi Kasus : Penatalaksanaan Fisioterapi Pada Kondisi Drop Foot Dekstra Dengan Modalitas Electrical Stimulation (ES) Dan Terapi Latihan Nirmala Sari, Dyah; Susanti, Nur; Prihati, Eko
Pena: Jurnal Ilmu Pengetahuan dan Teknologi Vol. 38 No. 2 (2024): PENA SEPTEMBER 2024
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v38i2.4460

Abstract

Drop Foot merupakan kondisi dimana pasien tidak mampu mengangkat kaki depan karena kelemahan otot dorso fleksor kaki yang diakibatkan kerusakan / cedera pada saraf perifer peroneal. Tujuan penelitian ini adalah untuk mengetahui pengaruh Penatalaksanaan Fisioterapi Pada Kondisi Drop Foot Dekstra Dengan Modalitas Electrical Stimulation (ES) dan Terapi Latihan. Penelitian dilakukan di RSUD dr. Soeselo Slawi Kabupaten Tegal dengan metode deskriptif analitik pada pasien dengan kondisi drop foot. Metode pengumpulan data penelitian menggunakan autoanamnesis dan pemeriksaan fisik. Problematika fisioterapi yaitu adanya nyeri, spasme, atrofi otot, penurunan lingkup gerak sendi, penurunan kekuatan otot,  dan penurunan aktivitas fungsional. Instrumen penelitian terdiri dari pemeriksaan nyeri dengan Visual Analogue Scale, spasme otot dengan palpasi, lingkup gerak sendi dengan goniometer, kekuatan otot dengan Manual Muscle Test dan aktivitas fungsional dengan Foot Ankle Disability Index. Setelah dilakukan terapi 1 hingga terapi ke 4 terdapat penurunan nyeri dari T1 = nyeri diam 0, nyeri tekan 3, nyeri gerak 2 hingga T4 = nyeri diam 0, nyeri tekan 2, nyeri gerak 1. Penurunan spasme otot dari T1 = 1 hingga T4 = 1. Peningkatan lingkup gerak sendi dari T1 = Sa = 40º-0º-20º  dan T4 = Sa = 45º-0º-20º. Peningkatan aktivitas fungsional dari T1 = 61,53% hingga T4 = 63%. Simpulan dari penelitian ini adalah pemberian electrical stimulation (ES) dan terapi latihan dapat menurunkan nyeri, meningkatan lingkup gerak sendi ankle, meningkatan kekuatan otot dan meningkatan aktivitas fungsional.