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All Journal Jurnal Kreativitas PKM Adi Husada Nursing Journal Indonesian Journal of Community Health Nursing Community Empowerment Ahmar Metakarya: Jurnal Pengabdian Masyarakat Innovation in Health for Society MEDICA (International Medical Scientific Journal)
Indrayani, Ni Luh Dwi
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Caregiver Empowerment Through Training and Mentoring on Knowledge of Personal Hygiene Management in Older People Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Israfil, Israfil; Indrayani, Ni Luh Dwi; Artsanthia, Jintana; Sutini, Ni Kadek; Sagita, Ni Wayan Riska
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.508

Abstract

One key aspect of elderly care is personal hygiene management, which directly influences older adults' physical health, psychological well-being, and dignity. Our observation indicates that 6% of older people experience difficulties in maintaining personal hygiene independently. These older people depend on caregivers to maintain their hygiene. However, many caregivers lack adequate knowledge and skills, highlighting the need for practical training and mentoring interventions. This community service activity aimed to enhance knowledge related to personal hygiene management in elderly care by conducting a structured training and mentoring program for caregivers. This activity, carried out in March 2025, included interactive training sessions and one-on-one mentoring involving 41 caregivers from Pedungan and Melinggih villages. Both villages were chosen because our previous studies were carried out in these places. They were representatives of rural and urban areas. To measure the impact of our program, we conducted a pre-post test experimental design without control groups. Knowledge was measured with a self-developed, validated questionnaire. A Wilcoxon Signed Rank Test revealed a statistically significant increase in the knowledge after training, z = -3.829, P < 0.001, with a large effect size (r = 0.6). The median score on the knowledge increased from pre-program (Md = 13) to post-program (Md = 14). Training and mentoring empower caregivers by enhancing their knowledge to better manage the personal hygiene of older people. This approach not only improves the quality of care provided but also contributes to the dignity, comfort, and overall health outcomes of the elderly population. Future programs need to be expanded to include a broader range of caregivers from different areas.
Pemberdayaan Keluarga Pasien Stroke melalui Pelatihan Relaksasi Terpadu Berbasis Mindfulness untuk Mendukung Rehabilitasi di Rumah Suantari, Luh Ari; Artha Kusuma, I Nyoman Krisna; Purnama Sari, Putu Mariany; Kusmadi, I Kadek Doni; Sri Rahayu, Dewa Ayu Erna; Israfil, Israfil; Darma Suyasa, I Gede Putu; Buntari Agustini, Ni Luh Putu Inca; Indrayani, Ni Luh Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24890

Abstract

ABSTRAK Keluarga berperan sebagai pengasuh utama dalam rehabilitasi pasien stroke berbasis rumah, namun peran ini kerap dihadapkan pada stres psikologis, kelelahan emosional, dan keterbatasan kemampuan koping yang dapat memengaruhi kualitas perawatan. Program pengabdian kepada masyarakat ini bertujuan memberdayakan keluarga pasien stroke melalui pelatihan relaksasi terintegrasi berbasis mindfulness untuk meningkatkan pengetahuan, kemampuan regulasi stres, serta kesiapan caregiver dalam menjalankan perannya.Kegiatan dilaksanakan dengan pendekatan edukatif dan partisipatif yang melibatkan tenaga interprofesional serta mengacu pada kerangka POAC (Planning, Organizing, Actuating, dan Controlling). Sebanyak 15 caregiver mengikuti edukasi terstruktur, diskusi kelompok kecil, dan demonstrasi teknik relaksasi yang meliputi pernapasan mindfulness, pernapasan dalam, serta relaksasi otot progresif. Proses pembelajaran didukung media leaflet dan audiovisual untuk menunjang praktik mandiri di rumah.Evaluasi dilakukan melalui pre-test dan post-test yang dianalisis menggunakan uji Wilcoxon Signed-Rank. Hasil menunjukkan bahwa sebelum intervensi sebagian besar peserta berada pada kategori pengetahuan rendah dengan rerata skor 38,0. Setelah pelatihan, hampir seluruh peserta mencapai kategori pengetahuan baik dengan rerata skor 100. Analisis statistik menunjukkan peningkatan pengetahuan yang signifikan (Z = −3,296; p = 0,001). Temuan ini menunjukkan bahwa pelatihan relaksasi berbasis mindfulness efektif mendukung peran keluarga dalam rehabilitasi pasien stroke berbasis komunitas. Kata Kunci: Stroke, Caregiver, Mindfulness, Relaksasi Terintegrasi, Rehabilitasi Di Rumah.  ABSTRACT Family members play a central role as primary caregivers in home-based stroke rehabilitation, yet this responsibility is frequently associated with psychological stress, emotional exhaustion, and limited coping skills that may compromise care quality. This community service program aimed to empower families of stroke patients through integrated mindfulness-based relaxation training to improve caregivers’ knowledge, stress regulation abilities, and readiness to provide care.The program applied an educational and participatory approach with interprofessional collaboration and was guided by the POAC framework (Planning, Organizing, Actuating, and Controlling). Fifteen caregivers participated in structured educational sessions, small-group discussions, and demonstrations of relaxation techniques, including mindfulness breathing, deep breathing, and progressive muscle relaxation. Educational materials were supported by leaflet and audiovisual media to encourage independent home practice. Program effectiveness was assessed using pre-test and post-test evaluations and analyzed with the Wilcoxon Signed-Rank test. Results showed a significant improvement in caregivers’ knowledge, with mean scores increasing from 38.0 before the intervention to 100 after training (Z = −3.296; p = 0.001). These findings indicate that mindfulness-based relaxation training is a feasible and effective strategy to reduce caregiver stress and enhance family capacity in community-based stroke rehabilitation. Keywords: Stroke, Caregiver, Mindfulness, Integrated Relaxation, Home Based Rehabilitation.
A Simulation-Based Kinesthetic Learning Model of Indonesian-Thailand College Students to Prevent Long-Term Musculoskeletal Health Problems in Rural Areas Indrayani, Ni Luh Dwi; Suyasa, I Gede Putu Darma; Buntari, Ni Luh Putu Inca Agustini; Israfil, Israfil; Kamaryati, Ni Luh Putu; Dewi, Ni Putu Dita Ariani Sukma; Wulansari, Nadya Treesna; Strisanti, Ida Ayu Suptika; Nelson, Warongrong
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.742

Abstract

Musculoskeletal health problems are among the most common health issues affecting communities, particularly in rural areas, due to heavy physical labor, non-ergonomic working postures, and limited access to health education. These conditions can reduce productivity, impair quality of life, and increase the risk of disability if preventive measures are not implemented early. Community-based health promotion programs that combine educational approaches with hands-on practice represent an effective strategy to enhance community knowledge and skills in preventing musculoskeletal problems. Furthermore, cross-national collaboration in community service initiatives can enrich learning methods and broaden perspectives in delivering health education. This community service program aimed to provide health promotion to prevent musculoskeletal health problems in rural areas by involving students from Indonesia and Thailand. The program employed a pre- and post-intervention design to evaluate improvements in knowledge and skills among 20 participants in a rural community. The results demonstrated increased competency following student-led simulations, with correct responses rising to 95% in injury prevention, 90% in stretching and muscle strengthening, and 90% in the ability to identify populations vulnerable to musculoskeletal problems. Specifically, participants’ ability to perform back-strengthening exercises improved to a mean score of 4.10±1.02, indicating that direct demonstration of techniques had a significant impact. Participants also showed the highest level of confidence when performing upper-arm stretching exercises, with a mean score of 4.65±0.87, reflecting strong understanding among the participants. Another key finding revealed that video was the most preferred learning method, chosen by 55% of participants. The use of this learning medium has considerable potential to support musculoskeletal health promotion in rural communities. Overall, the program achieved its intended objectives and provides a replicable model for similar health promotion initiatives in other rural areas. These findings may inform future health promotion strategies by emphasizing the use of multimedia and experiential learning approaches in delivering education and enhancing skills within musculoskeletal health programs.
Community-Based Health Education on Healthy Foods to Reduce Blood Pressure among Hypertensive Patients in the Community Israfil, Israfil; Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Swarjana, I Ketut; Sriasih, Ni Kadek; Nooiad, Ganyanee; Yogi RS, I Gusti Agung; Tripayana, I Nyoman; Wicaksana, I Gusti Agung Tresna
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.750

Abstract

Hypertension is one of the non-communicable diseases whose prevalence continues to increase and remains a major risk factor for cardiovascular disease. The management of hypertension does not rely solely on pharmacological therapy but also requires non-pharmacological interventions, such as adopting a healthy diet rich in fruits and vegetables and low in salt. However, public knowledge regarding types of foods that effectively help lower blood pressure remains limited, particularly in rural areas. This community service program (PKM) aimed to provide education on healthy foods that can reduce blood pressure as a form of non-pharmacological therapy for patients with hypertension in the community. The activity employed the Preparation, Action, Reflection, and Evaluation (PARE) approach and was conducted in Melinggih Village, Gianyar Regency, Bali Province, involving 29 participants with hypertension. The program began with a pre-test, followed by health education sessions supported by visual educational media, consultations, discussions, and question-and-answer sessions, and concluded with a post-test evaluation. The results showed that the proportion of participants with good knowledge increased from 34.5% before the intervention to 100% after the implementation of the program. The Wilcoxon test results indicated Z = -4.300; p = 0.001, demonstrating a statistically significant difference in participants’ knowledge levels before and after the activity. The success of the program was supported by lecture methods, consultations, and interactive discussions conducted bilingually (Indonesian and Balinese), as well as the use of colorful leaflets illustrating vegetables and fruits beneficial in lowering blood pressure. Thus, this community-based educational intervention proved effective in improving community knowledge and awareness regarding healthy food choices for hypertension management.
EXPLORING NURSING STUDENTS' LEARNING EXPERIENCE IN COMMUNITY HEALTH NURSING PRACTICE: A PHOTOVOICE STUDY Israfil, Israfil; Indrayani, Ni Luh Dwi; Suyasa, I Gede Putu Darma; Wulandari, Sarah Kartika; Citra Sari, Ni Made Candra
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.74298

Abstract

Introduction: Learning in the community presents different challenges than learning in a clinical setting. However, studies on student nurses' experience in the community have not been discussed comprehensively. This study aimed to explored nursing students’ experiences in a community setting using the five stages of the nursing process   Method: This study used a qualitative design with the Photovoice approach. A total of 14 students were involved in the study. Data was collected by taking photos and small group discussions for the narrative photo with the SHOWED approach. Photos and narration are the primary data and are analyzed thematically.   Result: A total of approximately eighteen photos have been included. At the assessment phase, the student requires an adaptation process and strategic anticipation, as the practice was conducted directly in the participants’ community. Formulating nursing diagnosis is done through teamwork and group discussion with an approach based on evidence and theory, and asking for guidance from the lecturer as a facilitator for learning. The development of nursing intervention was done with active participation from society, presenting the intervention plan to the community, community meetings, and ensuring the legality of the plan's activities. Implementation in the nursing community is implemented collaboratively between students and the community following the agreed-upon plan. Evaluating nursing practice is done with collaborative reflection of students, discussion together, and related plans, actions, and carrying on independently in public.   Conclusion: This study finds that community-based nursing practice requires student adaptation, strategic planning, and evidence-based teamwork.   Keywords: Clinical nursing education, community health nursing, photovoice, nursing students, nursing care plan
Family Caregivers Challenges for Stroke Survivors in the Community: A Literature Review Israfil, Israfil; Wulandari, Sarah Kartika; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari
MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i3.843

Abstract

Stroke is a chronic condition that significantly reduces the patient's quality of life and increases the need for support from family caregivers. This situation places the family as a crucial element in patient care, yet often presents significant challenges for family caregivers. This study aims to identify and describe the various challenges faced by families caring for stroke patients in the community. A literature review design was employed. Relevant articles published between 2020 and 2025 were retrieved from international databases including PubMed and ScienceDirect, using the keywords "family challenges" OR "family burden" AND "stroke" OR "stroke survivor." The inclusion criteria were determined using the PEO framework. A total of 346 articles were identified, and fifteen articles met the inclusion criteria for the review. The findings indicate that family caregivers of stroke patients face various challenges due to the complex demands of care, ranging from emotional stress at the time of diagnosis to physical and social challenges during home care. Challenges are further exacerbated when the patient experiences dysphagia, severe disability, or psychological problems such as depression and anxiety. Factors contributing to these challenges include the family caregiver's employment status, educational level, kinship relationship, social support, knowledge of stroke rehabilitation, the transition process from hospital to home, limited access to healthcare, and limited social activities. Caring for stroke patients presents significant challenges for families, who serve as the primary caregiver system and play a central role in community care. Interventions that support family caregivers through education, psychosocial support, and access to adequate health and rehabilitation services are crucial for community nurses to reduce caregiver burden and improve the quality of life for both family caregivers and stroke patients in the community.
Occupational Exposure and Risk Factors for Musculoskeletal Symptoms Among Workers: A Literature Review Indrayani, Ni Luh Dwi; Israfil, Israfil; Suyasa, I Gede Putu Darma; Pimsen, Apiradee
MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i3.846

Abstract

Early musculoskeletal (MSK) symptoms across occupations often present as strain or fatigue, which may progress into long-term disorders and contribute to global burden disease. This reviewed literature examined occupational exposures and their association with musculoskeletal (MSK) symptoms related to work using MeSH term and Emtree in structuring a framework of population, context, and concept. The population (P) included workers, the concept (C) focused on prevalence and exposure, and the context (C) addressed musculoskeletal pain, discomfort, or symptoms. Eligible studies reporting self-reported prevalence or occupational risk factors were systematically extracted and summarized. Findings among 9 articles indicated majority prevalence of MSK symptoms higher than 60% measured mostly by Nordic Musculoskeletal Questionnaire (NMQ). The highest body part major in low back and upper limbs including wrists for pink-collar, while in blue-collar workers fairly distributed in upper and lower limbs. The physical exposure mainly due to injury body weight, meanwhile psychosocial occupational exposures such as mental stress, job tenure contribute significantly to musculoskeletal symptoms (p<0.001) rather than physical exposure, with prevalence and distribution varying across body regions and occupational groups. These results emphasize the need for baseline data to guide future research based on job demands and inform targeted preventive strategies and workplace interventions.
Co-Authors ArizonaVallentino, I Gede Rendy Artha Kusuma, I Nyoman Krisna Artsanthia, Jintana Buntari, Ni Luh Putu Inca Agustini Dari, Ni Putu Desy Ratna Wulan Dewi, Ni Putu Dita Ariani Sukma Duygulu, Sergul Edi Sanjana, I Wayan I GEDE PUTU DARMA SUYASA I Gede Putu Darma Suyasa, I Gede Putu I Gusti Agung Tresna Wicaksana I Ketut Swarjana Israfil, Israfil Kamaryati, Ni Luh Putu Kao, Chi-Yin Kusmadi, I Kadek Doni Mega Fatimah Rosana Megawati, Putu Vera Nadya Treesna Wulansari Nelson, Warongrong Ni Kadek Sutini Ni Luh Putu Inca Buntari Agustini Ni Made Candra Citra Sari Ni Putu Kamaryati Nooiad, Ganyanee Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Pimsen, Apiradee Portia, Vitug Purnama Sari, Putu Mariany Putra, Komang Ardidhana Nugraha Sagita, Ni Wayan Riska Sri Rahayu, Dewa Ayu Erna Sriasih, Ni Kadek Strisanti, Ida Ayu Suptika Suantari, Luh Ari Susanti, Ni Putu Aries Tanuparbrungson, Supawan Tripayana, I Nyoman Wahyu, I Made Yudi Wahyuni, Ni Komang Sri Wulandari, Sarah Kartika Yogi RS, I Gusti Agung