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All Journal International Journal of Nursing and Health Services (IJNHS) PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Jurnal Surya Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal East Asian Journal of Multidisciplinary Research (EAJMR) Penamas: Journal of Community Service International Journal of Scientific and Professional Asian Journal of Healthcare Analytics Jurnal Keperawatan Merdeka
Wibowo, Wahyu Dwi Ari
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The Impact of Regular Foot Exercise on Blood Glucose Reduction in Type II Diabetes Patients: A Case Study Trisna, Efa; Jamila, Jamila; Setiawati, Setiawati; Hartati, Sri; Wibowo, Wahyu Dwi Ari; Putri, Hadeci Lovenda; Syifa, Faidana Yaumil
MAHESA : Malahayati Health Student Journal Vol 5, No 10 (2025): Volume 5 Nomor 10 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i10.22234

Abstract

ABSTRACT Elevated blood glucose levels in type II diabetes mellitus (DM) can lead to chronic complications, including cardiovascular, renal, and neurological disorders. The prevalence of type II DM in Indonesia continues to increase, particularly among older adults, many of whom face challenges in adhering to treatment. Non-pharmacological therapies, such as foot exercise, are considered beneficial in improving glycemic control and enhancing lower limb circulation. To describe the outcomes of implementing foot exercise as a nursing intervention for older adults with type II DM who experience unstable blood glucose levels in the working area of Panjang Public Health Center, Bandar Lampung. This case study involved two older adults diagnosed with type II DM. The intervention included foot exercise therapy conducted three times a week over six sessions, each lasting 15–20 minutes. The approach utilized family-centered nursing care with education and monitoring of blood glucose before and after each session. Subject I showed a reduction in random blood glucose levels from 232 mg/dl to 182 mg/dl after three sessions. Subject II experienced a decrease from 248 mg/dl to 189 mg/dl. The variation in reduction was influenced by factors such as medication adherence, presence of comorbidities (e.g., hypertension and diabetic neuropathy), and family involvement. Foot exercise therapy can effectively reduce blood glucose levels in older adults with type II DM. This intervention is recommended as a complementary nursing strategy in diabetes management. Keywords: Foot Exercise, Hyperglycemia, Older Adults, Non-Pharmacological Therapy, Type II Diabetes Mellitus.
Studi Kasus: Penerapan Terapi SI-VIGUR (Virtual Reality Guided Imagery) Terhadap Nyeri Kronis pada Lansia dengan Rheumatoid Arthritis di Panti Jompo Pastari, Marta; Martini, Sri; Farama, Dodi Aflika; Somad, Abdul; Detiana, Detiana; Haryanti, Eka; Wibowo, Wahyu Dwi Ari
MAHESA : Malahayati Health Student Journal Vol 5, No 10 (2025): Volume 5 Nomor 10 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i10.22235

Abstract

ABSTRACT Chronic pain in older adults with Rheumatoid Arthritis (RA) is a significant health problem, often leading to impairments in daily activities, anxiety, and a decreased quality of life. This condition necessitates accessible and effective non-pharmacological interventions to address pain in the older adult population. This case study aims to implement and analyze the results of applying Virtual Reality Guided Imagery (SI-VIGUR) therapy as a nursing intervention to reduce chronic pain in older adult patients with Rheumatoid Arthritis at Tresna Werda Nursing Home, Lubuklinggau City in 2025. This case study involved two older adult individuals (Ny. S and Ny. A) suffering from Rheumatoid Arthritis with complaints of chronic pain. The SI-VIGUR intervention was implemented for 3 consecutive days for each subject. Evaluation was conducted daily using pain level indicators from SLKI (Standard for Nursing Outcome Indicators, Indonesia) on a 1-5 scale (Increased to Improved), which included Protective Behavior, Pain Complaints, and Restlessness, as well as the Numeric Pain Scale (0-10). The implementation of SI-VIGUR consistently showed significant improvement across all indicators of chronic pain in both subjects. For Ny. S, the pain scale decreased from 6 at the beginning of the intervention to 2 on the third day, accompanied by improvements in Protective Behavior, Pain Complaints, and Restlessness, which showed progress from 'Initial Assessment' values to 'Improved' at the end of the intervention. Ny. A also showed a similar pattern of improvement, with the pain scale decreasing from 6 to 3 on the third day, although it was stagnant on the second day, and SLKI indicators also showed improvement. Both subjects reported increased relaxation and improved sleep quality. The application of Virtual Reality Guided Imagery (SI-VIGUR) is an effective, easily applicable, and highly potent non-pharmacological nursing intervention for reducing chronic pain in older adult patients with Rheumatoid Arthritis. The success of this intervention highlights the role of technology in supporting complementary therapies to improve the quality of life of the older adults. Keywords: Chronic Pain, Older Adults, Rheumatoid Arthritis, Virtual Reality Guided Imagery (SI-VIGUR).    ABSTRAK Nyeri kronis pada lansia dengan Rheumatoid Arthritis (RA) merupakan masalah kesehatan yang signifikan, seringkali menyebabkan gangguan aktivitas sehari-hari, kecemasan, dan penurunan kualitas hidup. Kondisi ini menuntut adanya intervensi non-farmakologis yang mudah diakses dan efektif untuk mengatasi nyeri pada populasi lansia. Studi kasus ini bertujuan untuk mengimplementasikan dan menganalisis hasil penerapan terapi Virtual Reality Guided Imagery (SI-VIGUR) sebagai intervensi keperawatan untuk mengurangi nyeri kronis pada pasien lansia dengan Rheumatoid Arthritisdi Panti Jompo Tresna Werda Kota Lubuklinggau pada tahun 2025. Studi kasus ini melibatkan dua individu lansia (Ny. S dan Ny. A) yang menderita Rheumatoid Arthritis dengan keluhan nyeri kronis. Intervensi SI-VIGUR diimplementasikan selama 3 hari berturut-turut pada masing-masing subjek. Evaluasi dilakukan harian menggunakan indikator tingkat nyeri dari SLKI dengan skala 1-5 (Meningkat hingga Membaik), yang mencakup Sikap Protektif, Keluhan Nyeri, dan Gelisah, serta Skala Nyeri Numerik (0-10). Implementasi SI-VIGUR secara konsisten menunjukkan perbaikan signifikan pada semua indikator nyeri kronis pada kedua subjek. Untuk Ny. S, skala nyeri menurun dari 6 pada awal intervensi menjadi 2 pada hari ketiga, disertai perbaikan pada Sikap Protektif, Keluhan Nyeri, dan Gelisah yang menunjukkan progres dari nilai 'Penilaian Awal' menjadi 'Membaik' pada akhir intervensi. Ny. A juga menunjukkan pola perbaikan serupa, dengan skala nyeri menurun dari 6 menjadi 3 pada hari ketiga, meskipun sempat stagnan di hari kedua, dan indikator SLKI juga menunjukkan perbaikan. Kedua subjek melaporkan peningkatan relaksasi dan kualitas tidur. Aplikasi Virtual Reality Guided Imagery (SI-VIGUR) merupakan intervensi keperawatan non-farmakologis yang efektif, mudah diterapkan, dan berpotensi besar untuk mengurangi nyeri kronis pada pasien lansia dengan Rheumatoid Arthritis. Keberhasilan intervensi ini menyoroti peran teknologi dalam mendukung terapi komplementer guna meningkatkan kualitas hidup lansia. Kata Kunci: Rheumatoid Arthritis, Nyeri Kronis, Lansia, Virtual Reality Guided Imagery (SI-VIGUR).
Application of Lemon Grass Compresses to Reduce Pain Scale in Older Age with Rhematoid Arthritis in the Perumnas Health Center Working Area Lubuklinggau City 2023 Zuraidah, Zuraidah; Oktaviani, Eva; Fadillah, Anzelli; Wibowo, Wahyu Dwi Ari; Aprilyadi, Nadi
East Asian Journal of Multidisciplinary Research Vol. 2 No. 10 (2023): October 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/eajmr.v2i10.6518

Abstract

One of the complementary treatments to reduce pain is lemongrass, which contains pharmacological and chemical effects and gives a spicy and warm effect, with bioactivity anti-bacterial and anti-inflammatory. The aim of the study is describing the results of the nursing implementation of warm lemon grass compresses for older adults with rheumatoid arthritis with chronic pain in the working area of the Perumnas Public Health Center, Lubuklinggau City, in 2023. This research used case study method with two subjects with rheumatoid arthritis. It found that warm lemongrass compresses for five straight days showed decreased pain intensity before and after the intervention. The decrease in the pain intensity of subjects I and II from the pain scale 6, with moderate pain category, decreased to pain scale 3, with mild pain intensity category. Warm lemongrass compresses can reduce pain intensity in older adults with rheumatoid arthritis.
Pembentukan Kader Juru Pemantau Jentik (JUMANTIK) pada Kader Kesehatan di Wilayah Kerja Puskesmas Pagar Agung Kecamatan Lahat, Indonesia Tahun 2023: The Volunteer of Larval Mosquito Monitor (JUMANTIK) Among Health Center Working Area of Pagar Agung, Lahat District, Indonesia 2023 Somad, Abdul; Detiana, Detiana; Lusiana, Lusiana; Wibowo, Wahyu Dwi Ari
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 6 (2024): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v9i6.6781

Abstract

Dengue hemorrhagic fever, or DHF, is a common disease affecting many countries worldwide, particularly in Southeast Asia and the Western Pacific. It is estimated that there are 100–400 million infections annually. Although there is no specific treatment for this virus, controlling mosquito vectors remains the primary focus in controlling its spread. The formation of mosquito surveillance cadres is a crucial strategy in reducing DHF cases by monitoring breeding sites of Aedes aegypti mosquitoes. Training for these cadres and clean village activities are vital for enhancing public knowledge and awareness of DHF prevention. These activities demonstrate that education and training increase the knowledge and participation of mosquito surveillance cadres. Therefore, the formation of mosquito surveillance cadres and practical training are critical steps in the efforts to prevent and control DHF.
Kegiatan Senam Ergonomic Berbasis Spiritual untuk Mengurangi Nyeri Gout Arthritis pada Lansia di Wilayah SP.6 Sari Bunga Mas Lahat Tahun 2023: Ergonomic Exercise with Spiritual Basis Activity to Reduce Gout Arthritis Pain in Older Adults in SP.6 Sari Bunga Mas Lahat District Area in 2023 Farama, Dodi Aflika; Gani, Abdul; Fauzia, Eri; Wibowo, Wahyu Dwi Ari
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 6 (2024): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v9i6.6786

Abstract

Gout arthritis is an inflammatory joint disease often causing severe pain due to the accumulation of uric acid crystals in the joints. Typically, it results in swelling, redness, and pain in one or multiple joints, particularly in the big toe. This condition is associated with high levels of uric acid in the body, triggering harrowing gout attacks. Thus, physical activities and health education are initial steps in addressing pain complaints and elevations in uric acid levels among older adults and individuals with gout arthritis. This involves providing ergonomic exercise training through lectures, simulations, and practice sessions. The results show a reduction in pain intensity among older adults before and after the activity conducted over a month with four meetings. Furthermore, there is an expectation for the government and stakeholders to introduce scheduled and community-based structured activities as an initial step in addressing health issues, particularly among older adults.
Pelatihan Manajemen Bencana Dengan Table Top Disaster Simulation: Perintisan Desa Siaga Bencana di Kabupaten Musi Rawas Sumatera Selatan: Disaster Management Training Using Table Top Disaster Simulation: a Disaster Preparedness Village Pioneer in Musi Rawas Regency, South Sumatra Susmini, Susmini; Wijaya, Sapondra; Soewito, Bambang; Wibowo, Wahyu Dwi Ari; Dahliana, Dahliana
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 9 (2024): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v9i9.7462

Abstract

Minimizing the impact that occurs due to disasters, and preparing for the possibility of a disaster occurring is the most important thing that must be done, including preparing human resources to be ready to face the disaster itself. One form of preparing society to be able to respond well to disasters is by providing good education and training on how to respond to disasters. Table Top Disaster Simulation is an effective education and training method for preparing human resources. This activity aims to increase community knowledge about disaster management as part of the Disaster Preparedness Village pilot in Air Satan Village, Musi Rawas Regency, South Sumatra. This activity is community service using education and training methods with a total of 33 participants. Participants' disaster management knowledge was measured before and after attending education and training using a questionnaire. The evaluation results showed that there was an increase in knowledge before being given the training with the average knowledge score of participants being 44.71, while after being given the training the average knowledge score was 78.32. After conducting education and training using tabletop disaster simulation, public knowledge about disaster management increased. It is hoped that after this pioneering disaster preparedness village activity, education and training will continue to be carried out on other factors in responding to disasters such as training on handling injuries for lay people, training on handling drowning victims for lay people, and so on.
The Application of Cinnamon Compresses To Reduce Pain Scale In Older Age With Gout Arthritis: Case Study Agustina, Desi; Ridawati, Indah Dewi; Aprilyadi, Nadi; Susmini, Susmini; Wibowo, Wahyu Dwi Ari
Jurnal Surya Vol 15 No 2 (2023): VOL 15 NO 02 AGUSTUS 2023
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v15i2.844

Abstract

ABSTRACTIntroduction: The main complaint of patients with Gout Arthritis is pain problems. Bat to treat joint pain problems in the elderly with Gout Arthritis in total still does not exist, but there are many treatment options to relieve symptoms can be done. Giving warm compresses using cinnamon spices (cinnamomun burmani) containing eugenol and cinamaldehid can reduce the sensitivity of the nociceptor, so as to relieve pain symptoms. This study aimed to analyze the administration of cinnamon compresses in the elderly with Gout Arthritis with chronic pain nursing problems.Methods: This research uses a descriptive method with a case study approach. Samples used by 2 elderly people with Gout Arthritis using the format of family nursing care assessment, and pain scale assessment. The application of cinnamon compress is done for 4x a week using cinnamon liquid as much as 2 ml, with 200 cc of water, at a temperature of 40-450C, followed by compress for 15-20 minutes using a washlap. Data was analyzed using descriptive analysisResults: After applying cinnamon compresses four times a week, the study showed a decrease in pain intensity before and after the intervention was given to the two subjects. The subject's pain intensity decreased from moderate pain intensity to mild pain.Conclusion: The application of cinnamon compresses is effective in reducing the intensity of Gout Arthritis pain.Keywords: Cinnamon; Compress; Gout Arthritis; Painful 
Wound Care using Calcium Alginate as a Primary Dressing to Overcome Tissue Integrity Disorders in Type II DM Patients Patrisia, Eriza Eka; Aprilyadi, Nadi; Wibowo, Wahyu Dwi Ari; Wijaya, Sapondra
Jurnal Surya Vol 15 No 2 (2023): VOL 15 NO 02 AGUSTUS 2023
Publisher : Universitas Muhammadiyah Lamongan

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

Abstract

Introduction: Disruption of skin and tissue integrity is the most common problem in diabetes mellitus (DM) patients. This disorder causes damage to the skin and tissue. Non-pharmacological treatment of tissue integrity disorders through wound care. Calcium alginate dressings are reported to accelerate wound healing, facilitate extracellular matrix secretion, granulation tissue formation, are anti-bacterial, and are able to absorb large amounts of wound exudate. This study aims to determine the effectiveness of calcium alginate as a primary dressing to correct tissue integrity disorders in patients with type 2 diabetes mellitus in the working area of the Citra Medika Health Center, Lubuklinggau City.Methods: Descriptive research, with a case study approach, using 2 subjects with a medical diagnosis of DM, which shows nursing problems with tissue integrity disorders. This research was carried out by providing wound care using calcium alginate 3 times within 1 week. The outcome measured in this research is the existence of network integrity according to the SLKI.Results: Subject 1 showed improvement on day 5 with a decrease in the area of the wound on the middle finger of 0.2 cm, while subject 2 did not show changes in the entire wound after wound treatment. The difference in improvement in the wounds of the two subjects was influenced by various factors including regular use of DM medication, diet, and physical activity of the two subjects.Conclusion: Wound treatment using calcium alginate massage shows a reduction in tissue integrity disorders, with supporting factors being the regular use of DM medications, diet and physical activity.
Mechanical Cardiopulmonary Resuscitation (CPR) Is Better Than Manual CPR? Literature Study Wijaya, Sapondra; Susmini, Susmini; Soewito, Bambang; Wibowo, Wahyu Dwi Ari
Jurnal Surya Vol 16 No 1 (2024): VOL 16 NO 01 APRIL 2024
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v16i1.946

Abstract

Introduction: Mechanical CPR mitigate rescuer fatigue and ensure adherence to guidelines, potentially enhancing overall survival rates. Contrarily, manual CPR relies on human skill, presenting challenges in maintaining uniformity and endurance. Unveiling the complexities within this juxtaposition becomes imperative in shaping future resuscitative paradigms. The purposeof studi is to determine the effectiveness of mechanical CPR in cardiac arrest management compared to manual CPRMethods: Database used were Pubmed and Proquest using the keywords "Mechanical CPR", "Automatic CPR Device" and "Cardiac Arrest". The inclusion criteria were last 5 years published, analyzing the effect of automatic CPR devices on cardiac arrest management, as well as full text articles. The inclusion criteria are literature review, systematic review or is not original research. The number of articles eligible for review is 10 journal articlesResults: The use of automatic CPR equipment is still inferior compared to manual CPR during cardiac arrest with the use value being 4-5% of all cardiac arrest patients. There are 4 journals that state that ROSC in cardiac arrest management using automatic CPR devices is higher than manual, but there are 2 journal articles that report the opposite. Automatic CPR device is very vulnerable to injury with fractures reaching 85.5% of total injuries compared to manual CPR which does not experience injury.Conclusion: The use of automatic CPR device does not produce better results than manual CPR overall for ROSC, but is very useful and meaningful in certain conditions such as during the transportation process, therefore, the automatic CPR device is more meaningful for pre-hospital useKeywords: Manual CPR; Mechanical CPR; CPR; OHCA    
Case Study: The Application of Laughter Therapy in Type II Diabetes Mellitus Patients for Blood Glucose Instability Wibowo, Wahyu Dwi Ari; Roni, Roni; Wijaya, Sapondra; Tiara, Yoan Rosa; Soewito, Bambang Soewito,
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4276

Abstract

Elevated blood glucose levels in type II diabetes mellitus (DM) can cause serious organ damage. In Indonesia, the prevalence of DM is increasing, with many patients not receiving adequate treatment. Non-pharmacological therapies, such as laughter therapy, are considered effective in reducing blood glucose levels and stress, especially in elderly patients with type II DM. Research Objective: To describe the outcomes of implementing laughter therapy nursing care in type II DM patients with the nursing problem of blood glucose instability in the working area of Citra Medika Health Center, Lubuklinggau, in 2024. Research Method: A case study method involving two individuals with a medical diagnosis of type II DM, utilizing family nursing care, and implementing laughter therapy over four sessions in one week, with a duration of 20-30 minutes each session. Research Results: Subject I experienced a decrease in random blood glucose levels from 189 mg/dl on the first day to 83 mg/dl on the fourth day. Subject II experienced a decrease from 237 mg/dl on the first day to 116 mg/dl on the fourth day. The difference in reduction between the two subjects was influenced by factors such as family support, the use of hyperglycemia medication, and diet control. Conclusion: The application of laughter therapy can reduce blood glucose levels in patients with type II DM. Further research should include the control of independent repeated actions, the use of diabetes medication, and a larger number of respondents. Suggestions: Laughter therapy can be used as a complementary therapy in the management of type II DM in older adults.
Co-Authors Abdul Gani Abdul Somad, Abdul Agustina, Desi Aprilyadi, Nadi Dahliana Dahliana Detiana, Detiana Eko Supriyanto Fadillah, Anzelli Farama, Dodi Aflika Fauzia, Eri Haryanti, Eka jamila Jamila Lusiana Lusiana Martalina, Wulan Meilina Oktapiani, Putri Ayu Oktaviani, Eva Pastari, Marta Patrisia, Eriza Eka Putra, Sumitro Adi Putri, Cindy Arina Putri, Hadeci Lovenda Ridawati, Indah Dewi Rohana, I Gusti Ayu Putu Desy Roni, Roni Rumentalia Sulistini Salsabilla, Naura Yuri Sapondra Wijaya, Sapondra Setiawati Setiawati Soewito, Bambang Soewito, Bambang Soewito, Sri Hartati Sri Martini Susmini, Susmini Syifa, Faidana Yaumil Syokumawena, Syokumawena Tiara, Yoan Rosa Trisna, Efa Ulfa, Msy Hartina Yadi, Nadi April ZURAIDAH ZURAIDAH