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Identification Of Clinical Pathway Models To Prevent Complications And Improve The Quality Of Life Of Stroke Patients Asmirajanti, Mira
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2352

Abstract

Stroke is a disease with high cost, high volume, and high risk. The burden of these costs will increase if you experience complications that often occur in sufferers.  This study aimed to identify a clinical pathway model to prevent complications and improve the quality of life of stroke patients. This study is a quantitative descriptive study with crossectional, with 95 samples of stroke patients who have been treated for at least 1 day, can communicate 2 ways at Hospital dr. Chasbullah Abdulmadjid Bekasi City, and who have studied ethical feasibility. Participants must fill out informed consent. Data were collected using questionnaires and analyzed using univariate analysis. The results showed that the most participants were aged between 45 – 59 years (43.2%), male (61.1%). Hypertension, disease before stroke (71.9%), and 2 attacks (10.5%). (51.6%) were unaware of stroke with symptoms of muscle weakness (87.4%),  (45.3%) difficulty speaking, and (17.2%) blurred vision. (46.9%) complications of paralysis. Activity daily living eating and drinking (55.8%), (58.95) personal hygiene, (62.1%) elimination, (68.4%) ambulation, (65.3%) mobilization, and (54.7%) rest/sleep should be assisted. Treatment was carried out by taking medication (89.5%) and control to health facilities (75.8%), but (75.8%) did not carry out rehabilitation and exercise (54.7%). There are still many participants who do not know about stroke well, which affects their independence in carrying out activities. Therefore, a clinical pathway model is needed that is used as a reference in providing information and education to stroke patients, to prevent complications and improve the quality of stroke patients.
The visual feedback training effect of the walking abilities to improve quality of life of stroke patients: a systematic review Maratis, Jerry; Asmirajanti, Mira
BKM Public Health and Community Medicine Vol 40 No 06 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i06.11851

Abstract

Purpose: Stroke can cause problems with balance and gait ability. This research was conducted to describe the effectiveness of visual feedback training as an exercise method for stroke patients in training balance and gait abilities. Methods: A systematic review was conducted on articles published between 2019 and 2023 examining visual cue training for stroke patients. Results: Six relevant studies reviewed the benefits of visual feedback training on balance and gait ability, including benefits on recumbent stepping and improving the quality of post-stroke patients. Conclusion: Exercise is needed to improve post-stroke patients' balance and gait. The development of training techniques for post-stroke patients, one of which is visual feedback training, still needs to be carried out.
PEMBERDAYAAN IBU HAMIL MELALUI PROGRAM EDUGIZI SEBAGAI UPAYA PENCEGAHAN KURANG ENERGI KRONIS (KEK) Harna, Harna; Prita Dhyani Swamilaksita; Mira Asmirajanti; Asti Puji Lestari; Siti Fatimah Zahra; Venicia Eflin; Andi Muh Asrul Irawan
Aptekmas Jurnal Pengabdian pada Masyarakat Vol 7 No 1 (2024): APTEKMAS Volume 7 Nomor 1 2024
Publisher : Politeknik Negeri Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36257/apts.v7i1.8174

Abstract

This community service activity was conducted with a focus on enhancing nutritional education for pregnant women in Lumpang Village, Parung Panjang Subdistrict, Bogor Regency, with the aim of preventing Chronic Energy Deficiency (CED). The education was delivered through a pocketbook titled "Healthy Pregnant Women Free from Chronic Energy Deficiency". The primary objective of this activity was to increase the understanding of pregnant women about the importance of adequate nutrition and the negative impact of chronic energy deficiency on maternal health and fetal development. The educational method used was designed to provide comprehensive knowledge to pregnant women about nutrition and CED prevention strategies. The results from the implementation of this method showed a significant increase in knowledge about CED among pregnant women. Moreover, the knowledge obtained could also be shared within their community, thereby allowing its impact to spread broadly among the population. The conclusion drawn from this community service activity is that the educational approach is an effective method to increase the knowledge and awareness of the community regarding the importance of nutrition and health during pregnancy.
Revolutionizing Nursing Higher Education: Virtual Reality-Based Elderly Care Service Practice Simulation: A Systematic Review Asmirajanti, Mira; Antia, Antia; Tamly, Wahyu
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1530

Abstract

Nursing services in the elderly population play an important role in modern nursing practice, especially with the growth in the number of elderly. The presence of competent and trained nurses is crucial to providing effective care to this demographic. One potential method to improve nursing students' understanding and skills in aged care is the utilization of Virtual Reality (VR) technology to simulate aged services.  This study aims to identify the virtual reality-based elderly nursing service simulation revolution through a systematic review. Systematic Literature Review is conducted by searching the data sources ScienceDirect, Pubmed, CINAHL, and Google Scholar. Inclusion and exclusion criteria based on the PICO approach, are used to select suitable articles, with a range of publication years from 2018 to 2022. Of the 2241 articles identified at the start of the study, 46 relevant articles were selected after narrowing through a review of titles and abstracts. Of these, 24 articles were selected for further analysis according to the research theme. The results showed that the use of VR technology significantly increased the competence of nursing students, and increased clinical skills, confidence, and understanding of human physiological anatomy.  VR simulations have proven effective in providing services to elderly patients, including teaching elderly oral hygiene, training in the prevention of dizziness and falls, practicing ADL, and teaching relaxation techniques to reduce pain and symptoms of depression. The new opportunities in nursing higher education innovation, VR technology provides an immersive experience for students in caring for an aging population that is growing, along with technological developments.       
PENINGKATAN PENGETAHUAN KELUARGA TERHADAP PERAWATAN PASIEN DI RUMAH DALAM MENCEGAH KOMPLIKASI PADA PASIEN STROKE DENGAN IMPLEMENTASI TELENURSING Mira Asmirajanti; Azizah, Anik Hanifatul; Mustikawati, Intan Silviana; Romadhoni, Asisyafitri; Bahraini, Dwi; Pratama, Ariq; Syahputra, Agung Dwi
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.v11i3.1914

Abstract

Stroke, one of the leading causes of neurological disability, has a significant impact on the patient's ability to perform daily activities. This community service aims to increase the knowledge of stroke patients' families about home care to prevent complications with the implementation of telenursing. This activity was held on February 6, 2024, in Desa Semanan, Jakarta Barat, involving 25 patients and their families, as well as Posbindu cadres. The activity began with coordination with partners to take care of permits and site reviews. Education was provided through presentations, demonstrations, and video tutorials on the care of stroke patients at home, followed by assistance through telenursing using WhatsApp groups. The evaluation was carried out with pre-test and post-test to measure the understanding of the patient's family. The results showed a significant increase in family knowledge by 44%. In conclusion, this education is effective in increasing family knowledge to improve the care of stroke patients at home, which is important in preventing complications and improving the quality of life of patients.
Analyzing and Designing Decision Support Systems for Stroke Patient Daily Treatment Azizah, Anik Hanifatul; Asmirajanti, Mira; Pratama, Ariq
TEPIAN Vol. 5 No. 4 (2024): December 2024
Publisher : Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tepian.v5i4.3186

Abstract

Stroke is one of the neurological diseases that often requires complex management and treatment. Making the right decisions in diagnosing and treating stroke patients can have a significant impact on the recovery process and the quality of life for patients. To assist healthcare professionals and patients in making more informed decisions, this research has developed the "StrokeCare Navigator," a web-based Decision Support System (DSS) that utilizes the Decision Tree C4.5 algorithm. This system allows users, including healthcare professionals and patients, to input symptoms and patient medical information, providing an initial diagnosis of the type and severity of the stroke. Additionally, the system offers personalized treatment guidelines, treatment recommendations, and online patient monitoring services. The Decision Tree C4.5 model used in this system was developed through training with relevant patient data. Evaluation results indicate that the system can provide accurate and beneficial recommendations for healthcare professionals and patients. Testing and patient monitoring in clinical practice also demonstrate the potential to enhance stroke patient care. Therefore, StrokeCare Navigator is expected to be a valuable tool in stroke patient management and treatment, ultimately improving the prospects of patient recovery and providing better guidance for healthcare professionals. This research also provides deeper insights into the implementation of the Decision Tree C4.5 algorithm in the context of Decision Support Systems (DSS) in the medical field.
Co-Authors Abna, Inherni Marti Agus Riyanto Agustina, Noni Aliyupiudin, Yufi Am, Kaylifa Ramadhanti Anggraeni, Gita Anita Sukarno Anita Sukarno Antia Antia Antia Antia Antia Antia, Antia Antoni Antoni Any Kurniawati, Any Arif, Rizca Arifta, Refaldo Asti Puji Lestari Astrada, Adam Azizah, Anik Hanifatul Azzah, Fhasa Lifiansah Bahraini, Dwi Budi Mulyana Cesilia Chairuni Shaliha Nurfitra Clara Maria de Jesus Aparicio Daniel Mada Djuariah Chanafie Djuariah Chanafie Eff, Aprilita Rinayanti Eka Handayani Erwan Baharudin Ety Nurhayati Ety Nurhayati Evi Medina Oktavia Fahrudin, Arif Fatmayanti, Sri Ayu Fauziah Rudhiati Fitri Nadiya Gledys Oksecargra Gunawan Irianto Harna, Harna Ichwani, Arief Iin Inayah Iin Inayah, Iin Juita Amaral Khairina Arare Lia Amelia LILIS ROHAYANI Listia Handayani Lopulalan, Syaneti Lusianah Lusianah Lusianah, Lusianah Mahadewi, Erlina Puspitaloka Maratis, Jerry Melati Putri Kurnia Michele Valensia Tapilatu Muh Asrul Irawan, Andi Muhammad Rizki Rafliyanto Muliyadi, Mulyadi Mulyati Mulyati Mulyati Mulyati Muniroh, Muniroh Mustikawati, Intan Silviana Nasrianti Nasrianti Nurhayati, Ety Nurshabrina, Nurshabrina Oyoh, Oyoh Pamungkas, Fhasa Lifiansah Azzah Patricia R Rumondang Permatasari, Bella Prisca Pratama, Ariq Puspitaloka, Erlina Rahmawati, Rahmawati Ramadhan, Naufal Maulana Ramadhanti, Dwi Ramadhanti, Kaylifa Ratna Dewi Ratu Dini Rahmawati Rian Adi Pamungkas Rio Ardiyah Situmorang Rohayati, Lilis Romadhoni, Asisyafitri Rosya, Ernalinda Salamiyah, Barokatus Sari, Widia Setiawati Setiawati Setiawati Sherly Kalalo Shorayasari, Susi Siti Fatimah Zahra Sonia Sri Rusmini Supyono Supyono Susanto, Ratnawati Syahputra, Agung Dwi Syaneti Lopulalan Tamly, Wahyu Tubagus D.E. Abeng Venicia Eflin Vionalita, Gisely Virly Virda Verlina Widia Sari