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All Journal Jurnal Keperawatan Indonesian Contemporary Nursing Journal (ICON Journal) SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Kesehatan Holistic Jurnal Kreativitas PKM INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Abdi Insani Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Pengabdian kepada Masyarakat Nusantara PROFESSIONAL HEALTH JOURNAL SEHAT : JURNAL KESEHATAN TERPADU Mapalus Nursing Science Journal (MNSJ): Jurnal Ilmu Keperawatan Mapalus Jurnal Pustaka Keperawatan Coping : Community of Publishing in Nursing
Alfonsius Ade Wirawan
Universitas Sam Ratulangi
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Pelatihan Kader dalam Deteksi Dini Penyakit Tidak Menular dan Budidaya Tanaman Obat Keluarga Wirawan, Alfonsius Ade; Nurmawan, Wawan; Fernandez, Gratsia Victoria
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 1 (2025): Jurnal Pengabdian kepada Masyarakat Nusantara Edisi Januari - Maret
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i1.5275

Abstract

Angka penderita penyakit tidak menular (PTM) semakin meningkat tiap tahunnya. Salah satu upaya dalam mengurangi tren peningkatan angka kesakitan ini adalah dengan membentuk Kader sebagai perpanjang tangan Puskesmas kepada warga. Deteksi dini PTM menjadi salah satu kegiatan yang sebaiknya dilakukan secara rutin oleh Kader dalam mencegah PTM serta agar warga juga dapat melakukan monitoring kesehatannya. Namun Kader masih belum memahami cara melakukan deteksi dini PTM. Selain deteksi dini PTM, pemanfaataan Tanaman Obat Keluarga (TOGA) juga menjadi langkah lain dalam pencegahan PTM bagi warga. Karena itu, penting dilakukan pelatihan Kader dalam deteksi dini PTM serta pemanfaatan TOGA sebagai bagian pencehatan PTM. Metode kegiatan ini pengabdian kepada masyarakat dengan tahapan terdiri dari sosialisasi, pelatihan dan penerapan teknologi, pendampingan dan evaluasi. Hasil kegiatan ini meliputi : (1) pengetahuan Kader tentang PTM dan TOGA meningkat, (2) Kader mampu melakukan deteksi dini PTM, dan (3) Warga memiliki TOGA di pekarangan rumahnya. Simpulan dari kegiatan ini adalah pelatihan dan pendampingan Kader dapat meningkatkan pemahaman dan keterampilan Kader dalam melakukan deteksi dini PTM serta pemanfaatan TOGA.
EDUKASI KESEHATAN TENTANG SADARI PADA SUAMI DAN ISTRI Wirawan, Alfonsius Ade; Fernandez, Gratsia Victoria; Kambey, Stefan Andrew Glorious Pelealu
Jurnal Abdi Insani Vol 11 No 3 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i3.1812

Abstract

Early detection of breast cancer is one of the efforts made to identify as early as possible the signs and symptoms of breast cancer. One way to detect breast cancer early is Breast Self-Examination (BSE). Unfortunately, BSE behavior by wives is low. This can be due to lack of knowledge, limited resources and lack of support from husbands in BSE behavior. Therefore, it is necessary to educate wives and husbands. The purpose of this community service activity is to increase knowledge and support from  husbands and wives about BSE behavior through education. So that BSE behavior is formed in wives. Education is carried out in three different places. The media used in this activity are: (1) Book; (2) Leaflet; (3) Video; (4) Power point; and (5) Teaching Aids. The counseling was attended by 60 people consisting of husbands and wives. This activity was conducted in the aula Perum Pemda (Posyandu) Puskesmas Ranomut, in the Puskesmas Tuminting, and in the Lingkungan 5 Kelurahan Tuminting. The entire activity was attended by 60 respondents. During the activity, respondents seemed enthusiastic about the topic presented. The results of the evaluation of the respondents' pre-test scores were that the average value of respondents' knowledge was at point 4.58. However, after education was carried out, the average value of respondents' post-test knowledge was at point 6.20. This shows that there was an increase in the average value of respondents' knowledge by 1.62. From the results of the evaluation of the pre-post test questionnaire, a significant increase in respondents' knowledge about BSE was also obtained (p value <0.05).  BSE education is important in early detection of breast cancer. Optimal use of media can improve respondents' understanding of BSE
PENYULUHAN KESEHATAN DENGAN METODE D PENYULUHAN KESEHATAN DENGAN METODE DIABETES SELF MANAGEMENT EDUCATION (DSME) PADA PENDERITA DIABETES MELITUSIABETES SELF MANAGEMENT EDUCATION (DSME) PADA PENDERITA DIABETES MELITUS Pondaag, Ferlan Ansye; Fernandez , Gratsia Victoria; Wirawan , Alfonsius Ade
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 3 (2024): Volume 5 No. 3 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i3.21508

Abstract

Diabetes Melitus (DM) merupakan salah satu penyakit kronis yang masuk dalam 10 besar penyakit kronis di Indonesia dan mengalami peningkatan dari tahun ke tahun. Selain dapat menyebabkan kematian, DM juga dapat menyebabkan gangguan fungsi tubuh seperti kebutaan, masalah jantung, ginjal juga komplikasi seperti ulkus kaki diabetik yang berujung pada amputasi kaki . Untuk mencegah dan mengendalikan penyakit DM perlu adanya pemahaman dan pengambilan keputusan yang tepat sehingga orang yang beresiko mengalami DM dapat melakukan pencegahan dan bagi penderita dapat melakukan menajemen diabetes yang tepat untuk menghindari komplikasi yang dapat mempengaruhi kualitas hidup penderita. Pengabdian kepada masyarakat ini bertujuan untuk memaksimalkan potensi diri penderita penyakit DM dalam mengelola penyakit dengan memberikan edukasi menggunakan metode Diabetes Self Management Education (DSME) di Wilayah Kerja Puskesmas Tuminting dan Puskesmas Ranomuut. Kegiatan yang akan dilakukan meliputi, edukasi tentang DM dan latihan relaksasi untuk manajemen stres. Hasil yang ditargetkan dari program ini adalah peningkatan pengetahuan tentang penyakit, proporsi minum obat dan kontrol gula darah rutin bagi penderita DM dan yang beresiko tinggi meningkat.
PENGARUH EDUKASI TERSTRUKTUR DAN LATIHAN YOGA BERSAMA CAREGIVER TERHADAP PENGETAHUAN DAN KECEMASAN PASIEN DIABETES MELITUS TIPE II DI INDONESIA Ni Kadek Diah Purnamayanti; Alfonsius Ade Wirawan; Made Juliani; Ida Ayu Diah Purnamasari; Made Satya Nugraha Gautama; Ratna Wirawati Rosyida
Community of Publishing in Nursing Vol. 13 No. 5 (2025): Oktober 2025
Publisher : Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2025.v13.i05.p12

Abstract

Diabetes merupakan penyakit kronis yang memerlukan resiliensi dalam perawatan sepanjang hayat. Dalam upaya peningkatan kepatuhan manajemen diri diperlukan edukasi terstruktur dan intervensi holistik untuk meningkatkan pengetahuan dan kecemasan pasien diabetes. Intervensi holistik yang direkomendasikan untuk pasien dan keluarga sebagai caregiver adalah yoga. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi terstruktur dan yoga bersama caregiver terhadap pengetahuan dan kecemasan pasien diabetes melitus tipe II. Jenis penelitian adalah Kuasi eksperimental pre dan posttest design. Teknik sampling menggunakan purposive sampling. Intervensi edukasi terstruktur dan yoga menggunakan media WhatsApp berlangsung selama 5 minggu. Luaran yang diukur adalah pengetahuan (DKQ-24) dan kecemasan (ZSAS score). Hasil uji beda mengenai skor DKQ-24 pada pasien diabetes tipe II adalah p = 0,0001. Hasil uji beda mengenai skor ZSAS pada pasien diabetes tipe II adalah p = 0,056. Edukasi terstruktur dan yoga bersama caregiver berpengaruh signifikan terhadap pengetahuan pasien namun tidak terhadap kecemasan pasien. Peran dukungan keluarga sebagai caregiver menjadi penting dalam perawatan pasien.
Upaya meningkatkan pengetahuan tentang pencegahan penyakit ginjal kronis pada kelompok berisiko melalui edukasi kesehatan Fitriani Fitriani; Khairun Nisa; Alfonsius Ade Wirawan
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 3 (2025): May
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i3.29764

Abstract

Abstrak Penyakit ginjal kronis (PGK) merupakan masalah kesehatan global yang dapat menimbulkan beban gejala bagi pasien. Saat ini, Sulawesi Utara menempati urutan ketiga tertinggi untuk prevalensi penyakit ginjal kronis di Indonesia. Peningkatan prevalensi tersebut disebabkan oleh kurangnya kesadaran masyarakat dalam menjalani gaya hidup sehat dan meningkatnya kejadian penyakit yang menjadi faktor risiko. Oleh karena itu, kegiatan pengabdian ini dilaksanakan untuk meningkatkan pengetahuan masyarakat yang berisiko mengenai pencegahan PGK dengan metode ceramah dan diskusi. Kegiatan ini dilaksanakan di Puskesmas Wenang pada 31 Mei 2024 dan Puskesmas Teling Atas pada 7 Juni 2024 yang dihadiri oleh 44 peserta Prolanis. Berdasarkan uji Wilcoxon Signed-Rank, nilai Z adalah -5,695 dan nilai-p adalah <0,001 (<0,05), yang berarti bahwa ada perbedaan pengetahuan peserta tentang PGK sebelum dan setelah menerima edukasi kesehatan. Hal ini juga menunjukkan bahwa ada 42 nilai peringkat positif dan dua nilai yang sama, yang berarti bahwa 42 peserta menunjukkan peningkatan pengetahuan mengenai PGK dan dua peserta memiliki pengetahuan yang sama setelah menerima edukasi kesehatan. Sebagai kesimpulan, pengetahuan peserta tentang pencegahan PGK menunjukkan peningkatan setelah mendapatkan edukasi kesehatan. Kata kunci: penyakit ginjal kronis; pendidikan kesehatan; pengetahuan Abstract Chronic kidney disease (CKD) is a global health problem that can cause symptoms burden for patients. Currently, North Sulawesi ranks third highest for the prevalence of chronic kidney disease in Indonesia. The increase in prevalence is due to the lack of public awareness in living a healthy lifestyle and the increasing incidence of diseases that are risk factors. Therefore, this community service activity was carried out to increase the knowledge of people at risk regarding the prevention of CKD using lecture and discussion methods. This activity was carried out at Wenang Public Health Center on May 31, 2024 and Teling Atas Public Health Center on June 7, 2024, which were attended by 44 Prolanis participants. Based on the Wilcoxon Signed-Rank test, the Z value was -5.695 and the p-value was <0.001 (<0.05), which means that there was a difference in participants' knowledge about CKD before and after receiving health education. This also shows that there were 42 positive ranking values and two identical values, which means that 42 participants showed an increase in knowledge about CKD and two participants had the same knowledge after receiving health education. In conclusion, participants' knowledge about CKD prevention showed an increase after receiving health education. Keywords: chronic kidney disease; health education; knowledge
Hubungan Literasi Kesehatan dengan Manajemen Perawatan Diri Pasien Diabetes Melitus di Pelayanan Primer Kota Manado Manariangkuba, Satri Maya; Nurmansyah, Muhamad; Wirawan , Alfonsius Ade
Mapalus Nursing Science Journal Vol. 3 No. 1 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i1.60550

Abstract

Abstract Background: Diabetes mellitus is a chronic degenerative disease that cannot be cured, requiring long-term care and treatment. Having good health literacy enables diabetes mellitus patients to adopt appropriate health-related behaviors. Objective: To determine the relationship between health literacy and self-care management of type 2 diabetes mellitus patients in Primary Care Services in Manado City. Method: This study employed a quantitative research method with a correlational study design using a cross-sectional approach. The sample was selected using purposive sampling, consisting of patients who met the research criteria, resulting in a total of 112 participants. The research instruments included the Health Literacy Survey Europe 16 Questionnaire (HLS-EU-Q16) to assess health literacy levels and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire to evaluate self-care management levels. Data analysis was performed using univariate analysis and bivariate analysis with the Gamma and Somers' test. Results: The study found p-value of 0.011 (p-value < 0.05) and an r-value of 0.939. Conclusion: There is a significant relationship between health literacy and self-care management of diabetes mellitus patients in Primary Care Services in Manado City, with a very strong positive correlation. Keywords: Health Literacy, Self-Care Management, Diabetes Mellitus
Hubungan Kelelahan dengan Kepatuhan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit Sentra Medika Minahasa Utara Karinda, Keren Bethany Onibala; Wantania, Frans Erwin Nicolaas; Wirawan, Alfonsius Ade
Mapalus Nursing Science Journal Vol. 3 No. 2 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i2.64167

Abstract

Background: Hemodialysis is the primary therapy used to remove metabolic waste from the blood in patients with chronic kidney disease (CKD). Although hemodialysis is crucial for the survival of CKD patients, the procedure has several physical impacts, one of which is fatigue. This fatigue can contribute to low adherence to the prescribed hemodialysis regimen. Objective: This study aimed to determine the relationship between fatigue and adherence in chronic kidney disease patients undergoing hemodialysis. Methods: This research used a quantitative approach with a cross- sectional design. The sample consisted of 137 hemodialysis patients selected using purposive sampling. Results: Based on the statistical analysis using Spearman’s rho correlation test, the result showed a p-value of 0.019 (p < 0.05), indicating a significant relationship between fatigue and adherence. The correlation coefficient was r = -0.200, which indicates a weak negative correlation. This means that the higher the level of fatigue experienced by patients, the lower their adherence tends to be. Conclusion: There is a significant relationship between fatigue and adherence in chronic kidney disease patients undergoing hemodialysis at Sentra Medika Hospital, North Minahasa. Keywords: Fatigue, Adherence, Chronic Kidney Disease, Hemodialysis.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN BODY IMAGE PASIEN KANKER YANG MENJALANI KEMOTERAPI DI RSUP. PROF. DR. R.D. KANDOU MANADO Wirawan, Alfonsius Ade; Fernandez, Gratsia Victoria; Kambey, Stefan Andrew Glorious Pelealu
JURNAL KEPERAWATAN Vol. 14 No. 01 (2026): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v14i01.66195

Abstract

Background: One of the cancer treatments is chemotherapy. However, this therapy has side effects on patients. One of the side effects is body image problems. Patients undergoing chemotherapy are mostly reported to experience negative body image. This can have a negative impact on patients such as psychosocial problems, disruption of daily activities, even affecting well-being and non-fulfillment of patient treatment. Objective: To determine factors related to the body image of cancer patients undergoing chemotherapy. Methods: This study used a quantitative cross-sectional research design. The subjects were 124 cancer patients undergoing chemotherapy. The instruments used were demographic questionnaires, RSE, ZSAS, and BIS. Results: Age and self-esteem are factors that have a statistical relationship with the body image of cancer patients undergoing chemotherapy. The P value of age is 0.048 with an Exp(B) value of 0.682. Meanwhile, the P value of self-esteem is 0.006 with an Exp(B) value of 3.108. Conclusion: Age and self-esteem are significantly related to the body image of cancer patients undergoing chemotherapy. Self-esteem are the most dominant factors influencing body image. Therefore, surgical interventions focused on psychosocial support and self-esteem enhancement, especially in young patients, are necessary to help maintain a positive body image during chemotherapy
The Relationship Between Self-Esteem and Body Image in Chronic Kidney Failure Patients Undergoing Hemodialysis Alfonsius Ade Wirawan; Gratsia Victoria Fernandez; Stefan Andrew Glorious Kambey
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1470

Abstract

Introduction: Patients undergoing hemodialysis often experience physical changes. These changes can affect their perception of their body image. Self-esteem is believed to be a key determinant of body image. Methods: This was a quantitative study with a cross-sectional design. Measurements were made using the Rosenberg Self-Esteem Scale (RSE) and the Body Image Scale (BIS). The sample size was 78 patients with chronic kidney disease undergoing hemodialysis. Results: The Spearman rank test between self-esteem and body image in patients undergoing hemodialysis showed a p-value of 0.000 (p < 0.05) and an r-value of 0.404, indicating a statistically significant positive correlation between the two variables. Conclusion: There is a significant correlation between self-esteem and body image in patients undergoing hemodialysis
Optimalisasi Peran Kader untuk Meningkatkan Kewaspadaan Stroke melalui Pendekatan Health Belief Model Berbasis Aplikasi Android Gratsia Victoria Fernandez; Finny Warouw; Alfonsius Ade Wirawan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 6 (2026): Volume 9 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i6.25695

Abstract

ABSTRAK Kurangnya pemahaman kader dan masyarakat mengenai faktor risiko maupun pertolongan pertama stroke serta belum melakukan deteksi dini, sementara keterbatasan tenaga, anggaran, dan fasilitas turut menjadi kendala, sehingga diperlukan pelatihan, sarana pendukung, dan media edukasi agar kader dapat berperan optimal dalam pencegahan dan pengendalian risiko stroke. Kegiatan ini bertujuan untuk meningkatkan kapasitas peran kader dalam meningkatkan kewaspadaan terhadap stroke melalui pelatihan dan penyediaan fasilitas pendukung. Pelaksanaan kegiatan ini dilakukan dengan metode sosialisasi, pelatihan, penerapan teknologi, pendampingan dan evaluasi. Hasil pelaksanaan kegiatan menunjukkan adanya peningkatan pengetahuan yang signifikan, dengan rata-rata nilai pre test 13,03 dan post test 17,80 (p value 0,05). Selain itu, 80% kader menunjukkan peningkatan keterampilan dalam melakukan peningkatan kewaspadaan terhadap stroke dan 75% kader dan peserta prolanis menyatakan aplikasi SIGAP Stroke mudah diakses, informatif serta mendapatkan respon positif dengan tingkat kepuasan yang tinggi. Penerapan aplikasi SIGAP Stroke dan pemanfaatan alat deteksi dini terbukti efektif dalam meningkatkan pengetahuan dan keterampilan kader melakukan deteksi dini secara mandiri, serta mendapat respon positif dari masyarakat khususnya kader dan peserta prolanis. Kata Kunci: Aplikasi, Health Belief, Kewaspadaan, Stroke.  ABSTRACT The lack of understanding among health cadres and the community regarding stroke risk factors and first aid, as well as the absence of early detection efforts, along with limitations in workforce, budget, and facilities, remain significant challenges. Therefore, training, supporting facilities, and educational media are required to enable cadres to play an optimal role in stroke prevention and risk control. This program aimed to enhance the capacity of cadres in raising stroke awareness through training and the provision of supporting facilities. The implementation of activities was carried out through socialization, training, technology application, mentoring, and evaluation. The results showed a significant improvement in knowledge, with an average pre-test score of 13.03 and a post-test score of 17.80 (p-value 0.05). In addition, 80% of cadres demonstrated improved skills in increasing stroke awareness, and 75% of cadres and Prolanis participants reported that the SIGAP Stroke application was easily accessible, informative, and received positive responses with a high level of satisfaction. The implementation of the SIGAP Stroke application and the use of early detection tools proved effective in increasing knowledge and skills of cadres in conducting independent early detection, as well as gaining positive responses from the community, particularly cadres and Prolanis participants. Keywords: Application, Health Belief, Awareness, Stroke.
Co-Authors Dewi Christa Kobis Eka Santi Wahyuningsih Fernandez , Gratsia Victoria Fernandez, Gratsia Victoria Finny Warouw Fitriani Fitriani Fitriani Fitriani Gautama, Made Satya Nugraha Gratsia Victoria Fernandez Gratsia Victoria Fernandez Gratsia Victoria Fernandez Gresty Natalia Maria Masi, Gresty Natalia Maria Hanifah, Qolbu Ainun Ida Ayu Diah Purnamasari Ika wahyuning Pertiwi Kambey, Stefan Andrew Glorious Pelealu Karinda, Keren Bethany Onibala Khairun Nisa Khairun Nisa Khairun Nisa Larira, Dina Mariana Made Juliani Made Satya Nugraha Gautama Manariangkuba, Satri Maya Mandias, Veronica Nathanael Awawangi Ni Kadek Diah Purnama Ni Kadek Diah Purnamayanti Nurmansyah, Muhamad Pondaag, Ferlan Ansye Pratiwi, Luh Dea Purnamayanti, Ni Kadek Diah Ratna Wirawati Rosyida Reinhard Komansilan Renteng, Septriani Shafira Zahra Saleh Sirait, Imelda Stefan Andrew Glorious Kambey Syarief Rahmat Paputungan Udrayana, Oka Usoh, Trivena Veronika Wantania, Frans Erwin Nicolaas Wawan Nurmawan